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Tingkat Kepatuhan Pasien TB Paru Terhadap Penatalaksanaan Program OAT (Obat Anti TB) di Poliklinik Paru RSUD. Sanjiwani Gianyar Dewi, Ni Kadek Ayu Patni; Pendet, Ni Made Diah Pusparini; Sukarja, I Made; Krisnayani, Ni Made Wina
Jurnal Kesehatan Medika Udayana Vol 4 No 01 (2018)
Publisher : Akademi Keperawatan Kesdam IX/Udayana

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ABSTRACT Introduction :Tubercolosis (TB) diseases  is one of the most public health problems in Indonesia. Indonesia known as a the  third highest of TB cases in the world after India and China. In 2010, the Ministry of Health In Indonesia reported that patient with TB in worldwide about 5,8 % cases was found in Indonesia. In Indonesia, TB drugs treatments called the OAT Program. The study about the interpersonal factors who can be related to the compliance of patient with TB determined how important  the role of doctors and other health professionals to do verbal and non verbal communication with patients. The aim of this study was to describe complianced of patient with TB  in OAT program at Sanjiwani general hospital, Gianyar. Method : This was observational descriptive study. Data were collected through questionnaires. The total of patient with TB who participated in this research were 78 collected by consecutive sampling technique. Result :Based on the research, the complianced of patient with TB in OAT program showed that 38 respondent (48,71%) had complianced with the OAT program and 40 respondent (51,28 %) didn’t have compliance with the OAT program. Conclusion :Most of the patient with TB in Sanjiwani general hospital didn’t have compliance with OAT program. ABSTRAK Latar Belakang : Tuberkulosis merupakan salah satu masalah kesehatan penting di Indonesia. Selain itu, Indonesia menduduki peringkat ke-3 negara dengan jumlah penderita TB terbanyak di dunia setelah India dan China. Jumlah penderita TB di Indonesia adalah sekitar 5,8 % pada tahun 2010 dari total jumlah penderita TB dunia. Pengobatan pasien TB dilakukan dengan program OAT. Riset tentang faktor-faktor interpersonal yang mempengaruhi kepatuhan terhadap pengobatan menunjukkan pentingnya sensitifitas dokter dan tenaga kesehatan terhadap komunikasi verbal dan nonverbal pasien. Tujuan penelitian ini untuk menggambarkan kepatuhan pasien TB paru dalam melaksanakan program OAT di Poliklinik Paru RSUD Sanjiwani Gianyar. Metode : Jenis penelitian ini adalah observasional deskriptif. Dengan instrument yang duganakan adalah kuesioner. Pengambilan sample menggunakan teknik sampling yaitu consecutive sampling dengan jumlah sampel sebanyak 78 orang. Hasil : Pada penelitian ini hasil dari tingkat kepatuhan pasien sebanyak 38 responden (48,71 %) yang patuh dan yang tidak patuh sebanyak 40 responden (51,28%). Simpulan : Pasien TB di Poliklinik Paru RSUD Sanjiwani Gianyar lebih banyak tidak patuh terhadap penatalaksanaan program OAT.
PEMBERDAYAAN ANAK SDN 2 BATUAN KALER SUKAWATI GIANYAR DALAM OPTIMALISASI UNIT KESEHATAN SEKOLAH MELALUI PELATIHAN DOKTER KECIL Ni Made Diah Pusparini Pendet; Ni Putu Eka Febianingsih; Desak Made Puja Astuti; I Kadek Agus Dwija Putra
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 1 No. 1 (2019): Juni : Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (133.268 KB) | DOI: 10.47859/wuj.v1i1.115

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The School Health Unit or Unit Kesehatan Sekolah (UKS) aims toimproved healthy live habits and the health status of students. The goal of UKS canbe achieved if it has cadres with good knowledge, abilities and skills to implementedand transmitted healthy live behaviors to their environment. The UKS cadre is calleda Little Doctor. The purpose of this activity was to increase student participation inthe UKS program at SDN 2 Batuan Kaler Sukawati. Method: This activity wascarried out at SDN 2 Batuan Kaler Sukawati, with the Community Empoweringapproach. A total of 10 selected students were trained for 3 days (January 24th - 26th2014). The training done by lectures, discussions and demonstrations. Results: Basedon the evaluation in the form of pretest and posttest, it was found that there was anincrease in the knowledge of the students / Little Doctors, from 50% to 80%. Thetraining also provided enrichment about UKS for teachers in SDN 2 Batuan Kaler.Conclusion: UKS cadres were formed, namely Little Doctors in SDN 2 Batuan Kalerwith 10 students, with a good level of knowledge (80%) after 3 days of training. It isexpected that the established Little Doctors can become health cadres for peers, theschool environment and home environment to apply the healthy live.
PEMBERIAN STIMULASI CUTANEUS DAN VIRGIN COCONUT OIL (VCO) PADA PASIEN GAGAL GINJAL KRONIK DI RSU DHARMA YADNYA DENPASAR Putu Intan Daryaswanti; Komang Agus Jerry Widyanata; Ni Made Diah Pusparini Pendet
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 3 No. 2 (2021): Desember: Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

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Background: Patients with Chronic Renal Failure undergoing Hemodialysis (HD) have various health problems, one of which is skin manifestations. Dry skin is described in the majority of patients with Renal Failure and is suspected to be a significant pathogenic factor in pruritus and may increase itching intensity in CRF patients. It was found that 52% of patients who underwent HD had dry skin (xerosis). Dry skin that appears in CRF patients with hemodialysis is usually caused by atrophy of the sebaceous glands, impaired external secretory function, and impaired hydration of the stratum corneum. Purpose: to increase skin moisture in patients with chronic renal failure undergoing hemodialysis Methods: This community service is carried out by providing VCO and teaching massage stroking techniques. VCO is applied to the skin twice a day for 4 weeks followed by massage. Results: Of the 53 patients, 60.37% of patients experienced an increase in skin moisture, 16.98% of patients had a decrease in skin moisture levels and 22.64% could not be evaluated Conclusion: Routinely apply VCO twice a day for 4 weeks, experience an increase in the value of skin moisture. Meanwhile, in patients who did not apply regularly, there was a slight increase compared to patients who did not apply VCO at all. Oily skin and the smell of coconut oil are the reasons for patients not to routinely give VCO.
PENGABDIAN KEPADA MASYARAKAT PEMBERDAYAAN PASIEN DM (DIABETES MELLITUS) DALAM PERAWATAN MANDIRI DIRUMAH DENGAN MEDIA KALENDER DM Komang Agus Jerry Widyanata; Putu Intan Daryaswanti; Ni Made Diah Pusparini Pendet
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 3 No. 2 (2021): Desember: Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

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Latar belakang: Timbulnya komplikasi dan berujung kematian pada pasien DM (Diabetes Mellitus) ini dikarenakan rendahnya self efficacy dan perilaku perawatan diri pasien DM itu sendiri. Perilaku perawatan diri pasien DM masih rendah dikarenakan kurangnya paparan informasi dan media yang tepat yang dapat dijadikan acuan dalam melakukan perawatan mandiri dirumah. Tujuan: Memberikan pendidikan kesehatan dengan media kalender DM kepada pasien DM agar dapat melakukan perawatan mandiri dirumah dengan tepat. Metode: Pendidikan kesehatan diberikan kepada pasien DM diwilayah kerja puskesmas Sukawati I sebanyak 48 orang dengan pemilihan sampel secara accidental menggunakan metode ceramah diskusi disertai demonstrasian dengan media kalender DM dan dinilai gula darah sewaktu sebelum dan sesudah penerapan kalender DM dalam perawatan diri dirumah. Hasil: . Hasil evaluasi menunjukan hasil 100% peserta mengikuti kegiatan dari awal hingga akhir. Nilai gula darah sewaktu peserta sebelum kegiatan menunjukan hasil lebih dari normal dan ada yang masuk dalam kategori gula darah tidak terkontrol (Mean: 183) sedangkan setelah menjalankan program manajemen DM dengan media kalender DM nilai gula darah sewaktu peserta rata-rata masuk dalam kategori terkontrol (Mean:146). Simpulan: penerapan kalender DM sebagai media dalam manajemen DM secara mandiri dapat membantu pasien mempertahankan guladarahnya tetap terkontrol. Program pengabdian ini juga berdampak positif dalam meningkatkan kemampuan pasien DM dalam manajemen DM secara mandiri.
PENDIDIKAN KESEHATAN KEGAWATDARURATAN PENYAKIT KRONIS PADA MASYARAKAT DESA TIBUBENENG Ni Made Diah Pusparini Pendet; Komang Agus Jerry W; Putu Intan Daryaswanti
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 3 No. 2 (2021): Desember: Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

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Background: Adequate level knowledge is necessary in providing proper first aid on chronic disease emergency. This community service aimed to improve the level of knowledge on chronic disease emergency management in Tibubeneng Village, North Kuta, Badung-Bali. Method: An-online-ninety-minutes-health education session was delivered to 22 participants using a PowerPoint and video media. Wilcoxon statistical analysis applied to know the mean difference of the knowledge level before and after the health education session. Result: Finding indicated no significant effect of health education of knowledge level improvement on chronic disease emergency management (p=0.78). Recommendation: We suggest conducting routine health education and interactive sessions such as simulation to enhance the knowledge on chronic emergency disease management.
Respiratory Rate Difference Before and After Pursed Lip Breathing Exercise on Asthma Patient in Pulmonary Polyclinic, TNI AU DR. M. Salamun Bandung Hospital Arie Sulistiyawati; Ni Made Diah Pusparini Pendet
Basic and Applied Nursing Research Journal Vol 1 No 1 (2020): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.127 KB) | DOI: 10.11594/banrj.01.01.03

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Introduction: Asthma is a reversible disease characterized by airway obstruction which tends to relapse due to certain factors. Asthma required adequate management to minimalize the frequently of the symptoms occurred and not become a burden for its sufferers. Pursed-Lip breathing (PLB) is an effective breathing technique used in managing asthma symptoms. This study aimed to know the difference in the respiratory rate (RR) before and after the PLB exercise on the asthma patients in Pulmonary Clinic, TNI AU dr. M Salamun Bandung Hospital. Method: A quasi-experimental study with a non-equivalent control group approach was used for this experiment. Of 106 asthma patients, 51 patients who met the inclusion criteria were chosen to participate in this study. The participants were asked to do a PLB exercise based on the standard operating procedure of PLB provided by the researcher. Results: The data analysis showed that there was a significant difference in the RR before and after the PLB exercise with an average of 23.90 and 19.94 (p<0.05), respectively. Conclusions: This result indicated that PLB could affect the RR on asthma patients in Pulmonary Polyclinic, TNI AU dr. M Salamun Bandung Hospital.
Pengetahuan Remaja tentang Infeksi Menular Seksual di SMA Negeri 1 Singaraja Putu Intan Daryaswanti; Priyo Utomo; Ni Made Diah Pusparini Pendet
Jurnal Kesehatan Medika Udayana Vol. 7 No. 02 (2021): Oktober : Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (163.082 KB) | DOI: 10.47859/jmu.v7i02.93

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Background: Sexually Transmitted Infections are diseases that are transmitted through sexual contact. Most of the sufferers of this disease are adolescents aged 15-24 years. The high risk factor for this disease is adolescents because of the usual premarital sexual behavior. Sexuall transmission disease are still a health problem in various countries. One of the reasons is the relatively low level of adolescent knowledge. The purpose of this study was to describe the level of adolescent knowledge about sexually transmitted infections in SMA Negeri 1 Singaraja. Method: This research uses descriptive method with survey approach. The population in this study were teenagers in SMA Negeri 1 Singaraja with a sample of 293 samples. The sampling technique used in this study was simple random sampling. The measuring instrument in this study used a closed questionnaire with 30 questions. The data is then processed using SPSS. The data analysis method in this research is qualitative data analysis method. Results: The results of the 293 respondents, the knowledge of adolescents about sexually transmitted infections were mostly in the good category. Adolescents with a good level of knowledge were 260 respondents (88.7%), 30 respondents (10.2%) in moderate category, and 3 respondents (1.0%) in poor category. Conclusion: The majority of adolescents' knowledge level about sexually transmitted infections in SMA Negeri 1 Singaraja was in the good category as many as 260 respondents (88.7%). The results of this study are expected to be input for adolescents to always pay attention to their health and as an effort to prevent sexually transmitted infections.
Depression, Stigma, and Quality of Life among Elderly with HIV/AIDS in Bali Ni Made Diah Pusparini Pendet; Sri Yona; Yulia
Babali Nursing Research Vol 1 No 3 (2020): November
Publisher : Babali Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (280.688 KB) | DOI: 10.37363/bnr.2020.1331

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Introduction: Quality of life is a significant aspect of care among the elderly with HIV/AIDS. The aging process affects their physical, physiological, and social function. Depression due to perceived stigma from the community also influences their quality of life. This study aimed to analyze the correlation between depression and stigma on the quality of life among the elderly with HIV/AIDS. Methods: This was a cross-sectional study employed 67 participants were selected by purposive sampling. Results: Results showed that the majority of participants experienced depression (64.2%) and stigma (76.1%), but they are still classified on good quality of life category (64.2%). Analysis showed that there was a significant correlation between quality of life and depression, & and stigma (p=0.021, p=0.031, α=0.05). Result from logistic regression statistical analysis also revealed that stigma and depression affected the poor quality of life after controlled by gender, occupational status, education, clinical stadium, comorbidities, duration of disease, living and marital status, with the p-value 0.029 and 0.014 (CI=95%), respectively. Conclusion: Promotive and preventive efforts required to be implemented in reducing stigma on the elderly with HIV/AIDS. Screening program also would help prevent depression among this vulnerable group.
Relationship Between Knowledge Level and Community Behavior about Eradication of Mosquito Nest Putu Intan Daryaswanti; G.A.A. Sintha Fransisca Devi; Ni Made Diah Pusparini Pendet; Komang Agus Jerry Widyanata
Babali Nursing Research Vol 2 No 2 (2021): July
Publisher : Babali Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (231.198 KB) | DOI: 10.37363/bnr.2021.2253

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Introduction: Dengue hemorrhagic fever is one of the population's health issues in Indonesia, with an increasing number of sufferers as the disease spreads. The cases rose dramatically in Panji Village, with a significant spike in cases per year. In 2018 there were 16 cases, in 2019 it increased to 177 cases and in 2020 until February 122 cases were recorded. Mosquito nest eradication is the most reliable, safe, and cost-effective method of eliminating dengue fever vectors. The aim of this study is to know relationship the level of knowledge and behavior regarding mosquito nest eradication in Panji Village. Methods: The design used was descriptive correlation with a cross sectional approach. The population of this study is the population living in the Banjar area, Dinas Dangin Pura Panji Village Sukasada, Bali with 1222 residents, after entering the Slovin’s formula, 400 samples were obtained using purposive sampling technique. The instrument used to collect data in this study was a questionnaire sent via google form. Test the relationship using the Pearson test. Results: Most people have less knowledge and behavior and when viewed from the correlation test, a significant value of p = 0.000 is obtained with a value of r = 0.524 which means that the relationship is moderate and has a positive value. Conclusion: There is a moderate and positive relationship between knowledge and behavior in the Eradication of Mosquito Nests.
Characteristics of Sleep Quality of Nursing Students in Bali During Pandemic Covid-19 Putu Intan Daryaswanti; Ni Made Diah Pusparini Pendet; Ni Putu Eka Febianingsih
Babali Nursing Research Vol 2 No 2 (2021): July
Publisher : Babali Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (199.715 KB) | DOI: 10.37363/bnr.2021.2254

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Introduction: Corona Virus Disease-19 (COVID-19) has spread to 34 provinces in Indonesia. Indonesia first confirmed the case of COVID-19 in March 2020. The outbreak of the COVID-19 pandemic has made the teaching and learning process shifted to distance teaching. This activity-limiting measure in response to curbing the spread of COVID-19 has caused an unprecedented change in human behavior around the world. One of the changes in human behavior is sleep. Sleep is a physiological process that is highly dependent on the environment and social and varies greatly with stress levels. This study aimed to know the characteristics of sleep quality of nursing students during pandemic Covid-19 in Bali. Methods: This study is a descriptive study using univariate analysis. The population in this study is approximately 1,500 nursing students. Sampling technique used in this research is purposive sampling with 422 sample. Data collection tools in the form of questionnaires that are used is a sleep quality questionnaire from the Pittsburg Sleep Quality Index (PSQI). Results: The results show that most of the nursing students’ age ranged from 15-25 (94.1%), female (79.1%) and currently undergoing Bachelor of Nursing education (68%) and students of Nursing in Bali mostly have poor sleep quality (97.4%). Conclusion: Students of Nursing reported to have poor sleep quality over the last month.