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Penggunaan Media Komik Efektif Terhadap Kesiapsiagaan Siswa Dalam Menghadapi Bencana Tanah Longsor IGA Ari Rasdini; Ni Made Wedri; VM Endang SP Rahayu; Amelia Putri
Jurnal Smart Keperawatan Vol 8, No 2 (2021): Desember 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/jskp.v8i2.465

Tanah longsor merupakan bencana tahunan yang senantiasa melanda disebagian wilayah Indonesia. Terjadinya bencana tanah longsor dapat menimbulkan dampak yang sangat besar baik terhadap kehidupan maupun lingkungan. Berdasarkan data Pusat Vulkanologi dan Mitigasi Bencana Geologi terdapat 918 lokasi rawan tanah longsor yang tersebar diberbagai wilayah di Indonesia. Provinsi Bali merupakan salah satu wilayah yang rawan terhadap tanah longsor. Peningkatkan kesiapsiagaan terhadap bahaya tanah longsor, dapat mengurangi dampak yang ditimbulkan dari bencana tersebut. Penelitian ini bertujuan mengetahui pengaruh penggunaan media komik terhadap kesiapsiagaan siswa dalam menghadapi bencana tanah longsor. Jenis penelitian adalah pre-experimental design dengan rancangan one-roup pretest-posttest menggunakan teknik total sampling dengan jumlah sampel sebanyak 57 orang. Pengumpulan data dilakukan dengan menggunakan kuisioner kesiapsiagaan bencana tanah longsor dan dianalisa dengan uji paired t-test. Hasil penelitian menunjukkan bahwa skor rata-rata kesiapsiagaan siswa sebelum perlakuan 69,68 dan setelah perlakuan sebesar 76,63 dengan selisih rata-rata sebelum dan sesudah perlakuan sebesar 6,94 dengan p value 0,001 sehingga disimpulkan ada pengaruh penggunaan media komik terhadap kesiapsiagaan siswa dalam menghadapi bencana tanah longsor di SDN 1 Sukawana.Kata kunci: bencana tanah longsor; kesiapsiagaan; media komik The Use Of Comics On Student Preparedness In Facing Landslide DisasterABSTRACT Landslides are an annual disaster that always hits parts of Indonesia. The occurrence of landslides can have a huge impact on both life and the environment. Based on data from the Center for Volcanology and Geological Hazard Mitigation, there were 918 landslide-prone locations spread across various regions in Indonesia. Bali Province is one of the areas prone to landslides. Increasing preparedness against landslides can reduce the impact of the disaster. This study was aimed to determine the effect of using comic’s media on student preparedness in dealing with landslides. This type of research was a pre-experimental design with a one-group pretest-posttest design using a total sampling technique with a total sample of 57 people. Data was collected using a landslide disaster preparedness questionnaire, and it was tested by using a paired t-test. The results show the average score of students' preparedness before treatment is 69.68 and after treatment is 76.63 with an average difference before and after treatment of 6.94 with p-value = 0.001. It was concluded that there was an effect of using comic’s media on students' preparedness in dealing with landslides at SDN 1 Sukawana. Keywords: landslide disaster; preparedness; comics’ media

Pengaruh Terapi Komplementer Massage Punggung Terhadap Tekanan Darah pada Lansia dengan Hipertensi IGA Ari Rasdini; Ni Made Wedri; VM Endang SP Rahayu; IDP Putrayasa
Jurnal Smart Keperawatan Vol 8, No 1 (2021): JUNI 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/jskp.v8i1.426

Sekitar 90% usia dewasa dengan tekanan darah normal akan berkembang menjadi hipertensi pada usia lanjut. Hipertensi pada usia lanjut mempunyai beberapa kekhususan, umumnya disertai dengan faktor resiko yang lebih berat. Masage punggung bermanfaat melancarkan peredaran darah dan memberikan efek tenang sehingga tekanan darah menjadi stabil. Penelitian ini bertujuan untuk mengetahui pengaruh terapi masase punggung terhadap tekanan darah pada lansia dengan hipertensi. Rancangan penelitian menggunakan quasy experiment dengan desain pretest-posttest control group design, jumlah sampel 20 orang tiap kelompok, dengan tehnik random sampling. Hasil penelitian menunjukkan rata rata kelompok perlakuan berusia 73 tahun dan kontrol berusia 75 tahun, jenis kelamin tiap kelompok 10 orang laki laki dan 10 orang perempuan. Pada kelompok perlakuan nilai systole pre-post (164-148.5 mmHg), diastole pre-post (85-80 mmHg). Kelompok control rata rata nilai systole pre-post (167,7 - 151.2 mmHg), diastole (87.5-77.5 mmHg). Uji Wilcoxon test didapatkan ada perbedaan yang signifikan tekanan darah pada kelompok perlakuan dengan p value systole adalah 0.000, p value diastole 0.025. Tidak ada perbedaan yang signifikan tekanan darah pada kelompok kontrol baik systole dengan p value 0.086 dan p value diastole 0.140. Ada pengaruh yang signifikan terapi komplementer massage punggung terhadap tekanan darah systole dengan p value 0.000 dan p value diastole adalah 0,028. Direkomendasikan terapi massage punggung sebagai terapi non farmakologi untuk menstabilkan tekanan darah guna mencegah komplikasi kardiovaskuler Kata Kunci : massage punggung; tekanan darah; hipertensi; lansia. THE INFLUENCE OF COMPLEMENTER THERAPY ON BLOOD PRESSURE IN ELDERLY WITH HYPERTENSION AT GIANYAR SUKAWATI II HEALTH CENTRE ABSTRACT Approximately 90% of adults with normal blood pressure will develop hypertension in old age. Hypertension in the elderly has several characteristics, generally accompanied by more severe risk factors. Back massage is useful for blood circulation and provides a calming effect so that blood pressure becomes stable. This study was aimed to determine the effect of back massage therapy on blood pressure in the elderly with hypertension. The research design used a quasi-experimental design with a pretest-posttest control group design, the number of samples were 20 people per group, with random sampling technique. The results showed that the average age of the treatment group was 73 years old and the control group was 75 years old, the sexes of each group were 10 men and 10 women. In the treatment group the value of pre-post systole (164-148.5 mmHg), pre-post diastole (85-80 mmHg). The control group averaged pre-post systole values (167.7 - 151.2 mmHg), diastole (87.5-77.5 mmHg). The Wilcoxon test showed that there was a significant difference in blood pressure in the treatment group with p-value of systole being 0.000, p-value of diastolic 0.025. There is no significant difference in blood pressure in the control group, both systole with p value 0.086 and p value diastole 0.140. There is a significant effect of complementary back massage therapy on systolic blood pressure with a p value of 0.000 and a diastolic p value of 0.028. Back massage therapy is recommended as a non-pharmacological therapy to stabilize blood pressure to prevent cardiovascular complications Key Ward ; back massage; blood pressure; hypertension; elderly

Hubungan Aktivitas Fisik dengan Diabetik Neuropati Perifer pada Pasien DM Tipe 2 di Wilayah Kerja Puskesmas Abiansemal II Tahun 2019 I Dewa Putu Gede Putra Yasa; I Kadek Oki Wanjaya; VM Endang SP Rahayu; I Gusti Ayu Ari Rasdini
Jurnal Gema Keperawatan Vol 13, No 1 (2020): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v13i1.1173

Type 2 diabetes mellitus (DM) occurs due to insulin resistance which causes high blood glucose and if it continues to be uncontrolled it can cause several complications, one of which is diabetic peripheral neuropathy. The effort that can be done is by changing lifestyle by increasing physical activity. The purpose of this study was to determine the correlation of physical activity with diabetic peripheral neuropathy. the type of research used is correlational research with a cross sectional design. The study was conducted at the Abiansemal II Community Health Center with 78 respondents selected by consecutive sampling. Diabetic variable peripheral neuropathy was measured by the DNS questionnaire and physical activity variables using the IPAQ questionnaire. The results showed 40 respondents (51.3%) were male with an average age of 62.8 years and 53 respondents (67.9%) were still working. The highest level of physical activity is at the moderate level of activity as much as 58 respondents (74.4%), low activity as many as 15 respondents (19.2%) and 50 respondents (64.1%) experience diabetic peripheral neuropathy. hypothesis testing using the chi square test with a p value of 0.022 (α = 0.05). It was concluded that there was a significant relationship between physical activity and diabetes peripheral neuropathy.

Pengaruh Pemberian Air Kelapa Muda terhadap Tekanan Darah pada Pasien Hipertensi V.M. Endang S.P. Rahayu; I Made Mertha; I Gusti Ayu Ari Rasdini; I Dewa Putu Gede Putra Yasa
Jurnal Gema Keperawatan Vol 14, No 2 (2021): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v14i2.1808

Hypertension is often called the “silent killer”. Hypertension is a condition when blood pressure in blood vessels continues to increase chronically where systolic blood pressure ≥ 140 mmHg and diastolic blood pressure ≥ 90 mmHg. Hypertension can be controlled with non pharmalocogical treatment, one of them is young coconut water, because the content of potassium contained in young coconut water is very useful to reduce systolic and diastolic blood pressure. This study aims to determine the effect of giving young coconut water against blood pressure in hypertension patients at UPTD Puskesmas 1 South Denpasar 2021. The type of this research was pre-experimental design with one group pretest-post test design using non probability sampling with purposive sampling. The number of sampels were 11 people. The study was conducted on April 2021. The result showed the mean systolic blood pressure and diastole before treatment 149,45/95,73 mmHg and after treatment 140,73/89,45 mmHg. Hypothesis testing used paired t-test with a value of p=0,000 0,05. It can be concluded that there is the effect of giving young coconut water on blood pressure in hypertension patients at UPTD Puskesmas 1 South Denpasar. Patients with hypertension should be able to use young coconut water as a cheap and efficient non-pharmacological therapy to lower blood pressure.

Teknik Pernapasan Buteyko dan Arus Puncak Ekspirasi pada Pasien Asma I Kadek Ananta Wijaya; I Made Mertha; I Gusti Ayu Ari Rasdini
Jurnal Gema Keperawatan Vol 13, No 2 (2020): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v13i2.1320

Asthma is a chronic inflammatory disorder in the airway. The peak expiratory flow rate is one of the human lung function tests used to assess the ability of lung function and provide an image of the airway disorder. This study aims to determine the effect of Buteyko’s respiratory technique on peak expiratory flow rate in asthma patients. The type of research is Pre-Experimental Design with One-Group Pretest-Posttest using purposive sampling. The sample size is 22 people. The patient's peak expiratory flow rate is measured using a peak flow meter. The results of peak expiratory flow rate of the patient tested using paired t- test. The results showed that the peak expiratory flow rate prior to Buteyko’s respiratory technique of 75.764%, and after given breathing Buteyko's breathing techniques, peak expiratory flow rate of patients showed an increase to equal to 79.986%. Based on the results of the research, the value of ρ-value = 0.000 alpha (0,05), it can be concluded that there is influence of giving respiratory technique Buteyko can increase the peak expiratory flow rate in asthma patient. It is expected that the hospital to consider implementing Buteyko's breathing techniques for asthma patients.

Tingkat Aktivitas Fisik Berhubungan dengan Tekanan Darah Pekerja di Rumah Selama Masa Pandemi COVID-19 Ni Made Wedri; Komang Ayu Windayanti; IGA Ari Rasdini
Jurnal Gema Keperawatan Vol 14, No 1 (2021): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v14i1.1571

Hypertension or high blood pressure is a condition in which a person experiences an increase in blood pressure above normal where the systolic pressure reaches 140 mmHg and the diastolic pressure reaches 90 mmHg. One of the factors that influence hypertension is physical activity. Physical activity can be done at home, at work, at school and can do activities to fill spare time. Lack of physical activity can increase the risk of suffering from hypertension. This study aims to determine the relationship of physical activity levels with blood pressure in workers who working from home during the Covid-19 pandemic. The research method was correlation analytics with cross sectional approach. The research sample numbered 68 people using sampling probability sampling technique. Data was collected by instruments IPAQ questionnaires and blood pressure measurements using sphygmomanometer. The results showed that most respondents had moderate physical activity in 31 people (45.6%) and blood pressure of respondents in the normal category of 26 people (38.2%). The test results used spearman rank with a value of 0.004 α (0.05) and a value of r = -0.348 The correlation is negative, which means that the higher the level of physical activity, the lower the blood pressure. It can be concluded that there is a relationship between the level of physical activity and blood pressure in workers who work from home during the Covid-19 pandemic in the Seririt Village area in 2021.

Pendidikan Kesehatan Melalui Whatsapp Group Meningkatkan Pengetahuan dan Sikap Karang Taruna dalam Menghadapi Bencana Tsunami di Pesisir Pantai Tanah Lot Kadek Mahendra Prasetia Adinata; I Wayan Sukawana; I Gusti Ayu Ari Rasdini; I Made Sukarja; Ni Made Juniari
Jurnal Gema Keperawatan Vol 14, No 2 (2021): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v14i2.1787

The island of Bali is located very close to the subduction zone of the Indo-Australian plate and the Eurasian plate which often triggers large earthquakes and even predicted to cause a tsunami. A tsunami is a series of water caused by a large displacement of water in the sea which then becomes a series of powerful destructive waves when it arrives at the beach. The BNPB survey found that people's knowledge and attitudes were very lack in dealing with the tsunami disaster. The purpose of this study was to determine the effect of health education through WhatsApp groups on the knowledge and attitudes of youth groups in dealing with the tsunami disaster on the Tanah Lot coast. Pre-experimental research was conducted on 39 members of the youth organization in Beraban Village, Kediri District, Tabanan. Health education is carried out by giving modules, lectures using the zoom application and discussions via WhatsApp groups for 1 week in the first week of May 2021. Pre and post data are collected via google form. Male respondents were 51.3% and 92.3% of respondents were 18 years old. There was an increase of 77.98% in the score and significant in the paired t-test (sig. value = 0.001) on the level of knowledge and attitudes of youth organizations in dealing with tsunami disaster on the Tanah Lot coast after being given health education via WhatsApp group for one month. After this research, hoped that the youth leaders will continue to update information through WhatsApp groups so that they have good knowledge and attitudes in dealing with the tsunami disaster.

Hubungan antara Efikasi Diri dengan Tingkat Kecemasan Perawat dalam Menghadapi Pandemi Covid-19 Ni Made Wedri; GAA Divasya Sasmayaswari; IGA Ari Rasdini
Jurnal Kesehatan Vol 13, No 1 (2022): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v13i1.2955

Nurses are one of the health workers who have a role as the front liner in handling Covid-19. Currently, Covid-19 is a disease with a high risk of transmission for nurses who are in a state of exhaustion, psychological problems, and extraordinary stress so that their anxiety level in dealing with the Covid-19 pandemic increases. Self-efficacy can help nurses provide health services in situations like this. The purpose of this research was to determine the relationship between self-efficacy and the level of anxiety of nurses in facing the Covid-19 pandemic at BRSUD Tabanan. The research design used correlational analytics with the cross-sectional approach. The sample in this study amounted to 79 people using the purposive sampling technique. Self-efficacy was measured using the GSES questionnaire and anxiety levels were measured using the HARS questionnaire. The results showed that 92.4% of the respondents were female, between the ages of 26-35 years as many as 41.8%. The mean score of respondents' self-efficacy shows that the category of self-efficacy is very high. The average score of the respondents' anxiety level shows low anxiety. The results of the Pearson product-moment correlation test resulted in a value of r=-0.962 (p-value=0.000). This study concludes that there is a negative, strong, significant relationship between self-efficacy and anxiety levels. It is expected that nurses will always maintain and maintain self-efficacy

Hubungan Lingkar Pinggang dengan Kadar Kolesterol LDL Pasien Penyakit Jantung Koroner di Ruang ICCU RSUP Sanglah Denpasar I Gusti Ayu Ari Rasdini
Jurnal Kesehatan Vol 7, No 1 (2016): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Angka kematian akibat penyakit jantung koroner semakin meningkat. Penyebab utama adalah obesitas. Penimbunan lemak perut dikenal dengan obesitas sentral atau obesitas visceral yang berkaitan dengan penyakit jantung koroner. Tujuan penelitian untuk mengetahui hubungan lingkar pinggang dengan kadar kolesterol LDL pasien penyakit jantung koroner di Ruang ICCU RSUP Sanglah Denpasar. Metode yang digunakan observasional analitik dengan pendekatan cross sectional. Sampel menggunakan tehnik non probabilitysampling yaitu accidental sampling, sampel 30 orang. Hasil penelitian diperoleh karakteristik sampel 30 orang berjenis kelamin laki-laki. Rata-rata besar lingkar pinggang 94,03 cm (63,3%) dalam kategori kadar kolesterol LDL ≥130 mg/dl. Berdasarkan hasil uji korelasi antara lingkar pinggang dengan kadar kolesterol LDL didapatkan nilai probabilitas 0,631 yang menunjukkan hubungan yang sedang antara lingkar pinggang dengan kadar kolesterol LDL.

Latihan Otot Berpengaruh Terhadap Kadar Glukosa Darah Pada Pasien Diabetes Melitus Dipa Lindayani; IGA Ari Rasdini; VM Endang Rahayu; Made Mertha; Made Wedri
Jurnal Smart Keperawatan Vol 9, No 1 (2022): Juni 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/jskp.v9i1.605

Meningkatnya jumlah penderita diabetes melitus (DM) yang ditandai dengan peningkatan kadar glukosa darah, dapat disebabkan oleh banyak faktor, seperti; faktor keturunan/genetik, obesitas, perubahan gaya hidup, pola makan yang salah dan obat-obatan. Kadar glukosa darah pada penderita DM dapat disebabkan karena proses menua, kehamilan, perokok, stres dan kurangnya aktivitas fisik Latihan otot merupakan latihan fisik bertujuan meningkatkan dan mempertahankan kesegaran tubuh yang dilaksanakan sesuai prinsip F.I.D.J (Frekuensi, Intensitas, Durasi, dan Jenis) Penelitian ini dilakukan di Puskesmas II Denpasar Barat bertujuan untuk mengetahui pengaruh latihan otot terhadap kadar glukosa darah pada pasien diabetes mellitus. Desain penelitian ini adalah pre-eksperimental dengan rancangan one group pretest posttest design. Sampel sebanyak 44 orang yang menderita diabetes mellitus. Intervensi diberikan latihan otot 4 kali dalam seminggu dengan durasi 40 menit. Kadar glukosa darah pada subyek penelitian diabetes mellitus sesudah diberikan latihan otot sebagian mengalami penurunan kadar glukosa darah yaitu sebanyak 42 orang (95,5%) memiliki kadar glukosa darah hipoglikemi (110-144mg/dL), dan sebanyak 2 orang memiliki kadar glukosa darah normal (145-179mg/dL).Hasil penelitian menunjukkan bahwa ada pengaruh latihan otot terhadap kadar glukosa darah pada pasien diabetes mellitus di Puskesmas II Denpasar Barat (ρ=0,003) dengan rata-rata kadar glukosa darah sebelum intervensi yaitu 128,75 mg/dl dan setelah intervensi yaitu 114,48 mg/dl. Hasil penelitian ini dapat digunakan untuk mengembangkan promosi kesehatan tentang manfaat latihan otot sebagai salah satu pencegahan terhadap terjadinya komplikasi DM.Kata kunci: latihan otot; kadar glukosa darah; diabetes melitus MUSCLE EXERCISE EFFECTS ON BLOOD GLUCOSE LEVELS INDIABETES MELLITUS PATIENTSABSTRACT The increasing number of people with diabetes mellitus which is characterized by increased blood glucose levels, can be caused by many factors, such as; heredity, obesity, lifestyle changes, wrong diet and drugs. Blood glucose levels in people with diabetes can be caused by the aging process, pregnancy, smoking, stress and lack of physical activity Muscle training is a physical exercise aimed at improving and maintaining body freshness which is carried out according to the principles of Frequency, Intensity, Duration, and Type (F.I.D.J). The research was conducted at Public health center to determine the effect of muscle training on blood glucose levels in diabetes mellitus patients. The research design was pre-experimental with one group pretest posttest design. A sample of 44 people who suffer from diabetes mellitus. The intervention was given muscle training 4 times a week with a duration of 40 minutes. Blood glucose levels in diabetes mellitus research subjects after being given muscle training partially decreased blood glucose levels, as many as 42 people (95.5%) had hypoglycemic blood glucose levels (110-144mg/dL), and 2 people had normal blood glucose levels. (145-179mg/dL). The results showed that there was an effect of muscle training on blood glucose levels in diabetes mellitus patients at West Denpasar Health Center II (ρ = 0.003) with an average blood glucose level before the intervention that was 128.75 mg / dl and after the intervention was 114.48 mg. / dl. The results of this study can be used to develop health promotion about the benefits of muscle training as a prevention against complications of DM. Keywords: muscle training; blood glucose levels; diabetes mellitus

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