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Jurnal Gema Keperawatan
Published by Poltekkes Kemenkes Denpasar
ISSN : 20887493     EISSN : 26208695     DOI : -
Core Subject :
Jurnal Gema Keperawatan dengan ISSN : 2620-8695 (Online - Elektronik) & 2088-7493 (Cetak - Cetak) diterbitkan oleh Jurusan Keperawatan Politeknik Kesehatan Denpasar merupakan jurnal ilmiah yang bertujuan menyebarluaskan berbagai tulisan ilmiah untuk meningkatkan kesehatan masyarakat, khususnya bidang keperawatan. Jurnal Gema Keperawatan terbit 2 kali dalam satu tahun setiap bulan Juni dan Desember. Jurnal ini menerima naskah berupa hasil riset baik kuantitatif maupun kualitatif, studi literatur dan studi kasus. Cakupan bidang keperawatan yang termasuk dalam jurnal ini antara lain: 1) Keperawatan komunitas, 2) Keperawatan jiwa, 3) Keperawatan anak, 4) Keperawatan maternitas, 5) Keperawatan medikal bedah
Arjuna Subject : -
Articles 132 Documents
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Teknik Pernapasan Buteyko dan Arus Puncak Ekspirasi pada Pasien Asma Ananta Wijaya, I Kadek; Mertha, I Made; Ari Rasdini, I Gusti Ayu
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

Abstract

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. 
Pengaruh Meditasi terhadap Penurunan Tekanan Darah pada Penderita Hipertensi Diah Purnamayanti, Ni Kadek; Andal Martadi Prianugraha, Kadek; Ariesta Mahayasa, Kadek; Dedi Praja Kusuma, Gusti Kadek
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.v14i1.1745

Abstract

Hypertension is a chronic disease that causes the highest cardiovascular complications in the world. This has implications for long-term treatment in the form of pharmacological therapy which requires substantial funding. However, pharmacological therapy alone is not effective in lowering blood pressure. The complementary therapy as a support is needed to modify the increase in blood pressure, such as meditation. Meditation is a complementary therapy based on mind body manipulation which is expected to have a relaxing effect for people with hypertension. This study aims to analyze the effect of meditation on reducing blood pressure in patients with hypertension. Methods: This integrative literature review study uses 4 online search engines, including Google Scholar, Pubmed, Sciencedirect and Garba Reference Digital (Garuda). The inclusion criteria used are articles that use original research in the 2016-2021 range. Meanwhile, the exclusion criteria apply if they are not included in the experimental design and the full text cannot be accessed. The articles obtained were assessed for quality using critical appraisal, the Olsen-Baisch Scoring. There are 10 research articles in which the use of meditation therapy has a significant effect in lowering blood pressure for people with hypertension. The use of non-pharmacological meditation therapy can be used by health workers to provide interventions to patients so that they can improve blood pressure control efforts to make decisions in choosing alternative hypertension treatments.
STUDI KOMPARATIF : PERAWATAN LUKA KONVENSIONAL DAN MODERN DI BEKASI Minarningtyas, Asih; Tami, Abdul Musyfiq Al-ay
Jurnal Gema Keperawatan Vol 11, No 2 (2018): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v11i2.636

Abstract

Abstract.This comparative research study compares conventional and modern wound care. The purpose of this study was to improve patient experience, comfort level, family expectations, and system support in using conventional and modern wound care models. This study uses a comparative design. Data collection was done by in-depth interviews (in-depth interviews, observations, and documentation studies. Verbatim results were analyzed by the Colaizzi method. The study took place from August to October 2014. Determination of participants with case design groups of 5 participants from participants who used modern wound care models and 5 participants from participants who used conventional wound care models The theme of the research found was the experience of informants carrying out conventional and modern wound care, the comfort level of informants doing conventional and modern wound care, the expectations of the informant's family doing conventional and modern wound care, and supporting systems (supporting family) informants carry out conventional and modern wound care. Keywords: Wound Care, Conventional, ModernAbstrak.Penelitian studi komparatif ini membandingkan perawatan luka konvensional dan modern.Tujuan dari penelitian ini yaitu mengidentifikasi pengalaman pasien, tingkat kenyamanan, harapan keluarga, dan support sistem (dukungan keluarga) dalam menggunakan model perawatan luka konvensional dan modern. Penelitian ini menggunakan design  komparatif. Pengambilan data dilakukan dengan wawancara mendalam(indepth interview, observasi, dan studi dokumentasi.Hasil verbatim dianalisa dengan metode Colaizzi. Penelitian ini berlangsung dari bulan agustus sampaidengan oktober 2014. Penentuan partisipan dengan group case design yaitu 5 partisipan dari partisipan yang menggunakan model perawatan luka modern dan 5 partisipan dari partisipan yang menggunakan model perawatan luka konvensional. Tema penelitian yang ditemukan adalah pengalaman informan melakukan perawatan luka konvensional dan modern, tingkat kenyamanan informan melakukan perawatan luka konvensional dan modern, harapan keluarga informan melakukan perawatan luka konvensional dan modern, dan support sistem  (dukungan keluarga) informan melakukan perawatan luka konvensional dan modern.Kata Kunci: Perawatan Luka, Konvensional, Modern
ANEMIA PADA KEHAMILAN DENGAN TINGKAT ASFIKSIA NEONATORUM PADA IBU BERSALIN Aprilia, Dian; Surinati, Dewa Ayu; *, Suratiah
Jurnal Gema Keperawatan Vol 12, No 2 (2019): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v12i2.894

Abstract

Abstract: Anemia In Pregnancy With Neonatal Asphyxia Levels In Mothers Giving Birth. This study aims to determine the relationship between anemia in pregnancy with neonatal asphyxia levels in mothers giving birth at Wangaya Hospital. This type of research is non-experimental with a correlational research design with aapproach retrospective using a purposive sampling technique. The number of samples is 108 people. The results of the study used thetest Spearman rank and obtained a value of p = 0,000 p value α (0.05). This means that there is an association of anemia in pregnancies with neonatal asphyxia levels in maternity in Wangaya Hospital in 2019, the r value of 0.705 shows a strong correlation between the variables of anemia in pregnancy with neonatal asphyxia in maternity. The correlation coefficient value is positive, indicating the more mild anemia in pregnancy, the lighter the level of neonatal asphyxia in maternity in Wangaya Hospital in 2019.Key words: Anemia In Pregnancy, Neonatal Asphyxia, Mothers Giving Birth.Abstrak: Anemia Pada Kehamilan Dengan Tingkat Asfiksia Neonatorum Pada Ibu Bersalin. Penelitian ini bertujuan untuk mengetahui hubungan antara anemia pada kehamilan dengan tingkat asfiksia neonatorum pada ibu bersalin di RSUD Wangaya. Jenis penelitian non-eksperimen dengan rancangan penelitian korelasional dengan pendekatan retrospektif menggunakan teknik purposive sampling. Jumlah sampel sebanyak 108 orang. Hasil penelitian menggunakan uji rank spearman dan diperoleh nilai p = 0,000 nilai p α (0,05). Hal ini berarti ada hubungan anemia pada kehamilan dengan tingkat asfiksia neonatorum pada ibu bersalin di RSUD Wangaya tahun 2019, nilai r yaitu 0,705 menunjukkan korelasi yang kuat antara variabel anemia pada kehamilan dengan tingkat asfiksia neonatorum pada ibu bersalin. Nilai koefisien korelasi bertanda positif, menunjukkan semakin ringan anemia pada kehamilan maka semakin ringan tingkat asfiksia neonatorum pada ibu bersalin di RSUD Wangaya tahun 2019.Kata kunci: anemia kehamilan, asfiksia neonatorum, ibu bersalin
SPA KAKI DIABETIK EFEKTIF MEMPERBAIKI SENSASI KAKI PADA DIABETESI Sukarja, I Made
Jurnal Gema Keperawatan Vol 11, No 1 (2018): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v11i1.249

Abstract

Chronic hyperglycemia in diabetes mellitus nonenzymatic glycosylation and excessive glucose to intracellular diffusion leads to structural abnormalities and capillary function as well as peripheral nerve injury. Nerve cell injury and supported by capillary dysfunction lead to neuropathy. Sensory neuropathy results in decreased leg sensation that is easily injured. Recovery of neuropathy is done by improving blood circulation repairing peripheral nerves. The purpose of this study was to determine the effect of diabetic foot spa on foot sensation in diabetics. The study was conducted with pre test post test with control group design on 45 people divided into 25 people into treatment group and 20 men men in the control group taken with simple random technique at Puskesmas II Denpasar Barat 2017. Treatment group given treatment in the form of diabetic foot spa covers gymnastics foot, foot soak and massage with VCO for 4 weeks, while the control group get foot exercises done by puskesmas. Foot sensation data is measured by Semmes-Weinstein monofilament. The results showed that foot spa ektof increase foot sensation in people with diabetes. It is recommended that people with diabetes can do foot spa in the form of foot exercises, soak feet and dimasase with VCO regularly.
SPA KAKI DIABETIK DENGAN RENDAMAN AIR GARAM DAN MASASE DENGAN VIRGIN COCONUT OIL (VCO) EFEKTIF MEMPERBAIKI KELEMBABAN KULIT KAKI PADA DIABETESI Sukarja, I Made Sukarja
Jurnal Gema Keperawatan Vol 11, No 2 (2018): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v11i2.488

Abstract

AbstrakHiperglikemia kronis pada diabetes mellitus glikosilasi nonenzimatik dan difusi berlebih glukosa ke intrasel menyebabkan kelainan struktur dan fungsi kapiler serta cedera saraf perifer. Cedera sel saraf dan didukung oleh kelainan fungsi kapiler mengakibatkan neuropati. Neuropati otonom mengakibatkan penurunan kelembaban kulit kaki sehingga kaki mudah pecah-pecah. Pemulihan neuropati dilakukan dengan memperbaiki sirkulasi darah serta menjaga kelembaban kulit kaki. Tujuan penelitian ini adalah untuk mengetahui pengaruh spa kaki diabetik terhadap kelembaban kulit kaki pada diabetesi. Penelitian dilaksanakan dengan pre test post test with control group design terhadap 45 orang yang dibagi menjadi kelompok perlakuan 25 orang dan 20 orang menjadi kelompok kontrol yang diambil dengan teknik acak sederhana di Puskesmas II Denpasar Barat tahun 2017. Kelompok perlakuan diberikan perlakuan berupa spa kaki diabetic meliputi senam kaki, rendam kaki dan masase dengan VCO selama 4 minggu, sedangkan kelompok control mendapatkan senam kaki yang dilakukan oleh puskesmas. Data kelembaban kulit kaki diukur dengan skin moisture analyzer. Hasil penelitian menunjukkan spa kaki efektif memperbaiki kelembaban kaki pada diabetisi. Disarankan agar para diabetisi dapat melakukan spa kaki berupa senam kaki, rendam kaki dan dimasase dengan VCO secara teratur. Chronic hyperglycemia in diabetes mellitus triggers nonenzymatic glycosylation and excessive glucose to intracellular diffusion lead to structural abnormalities and capillary function and peripheral nerve injury. Nerve cell injury and supported by capillary dysfunction result in neuropathy. Autonomic neuropathy results in decreased skin moisture foot. Recovery of neuropathy is done by improving blood circulation and maintaining skin moisture foot. The purpose of this study was to determine the effect of diabetic foot spa on the sensation and moisture of the foot skin in diabetics. The study was conducted with pre test post test with control group design on 45 people divided into 25 people into treatment group and 20 people in the control group taken by simple random technique at Puskesmas II Denpasar Barat 2017. Treatment group was given treatment in the form of diabetic foot spa covers leg gym, foot soak and massage with VCO for 4 weeks, while control group get gymnastic of foot performed by puskesmas. Foot skin moisture was measured by skin moisture analyzer. The results showed that foot spas are more effective in improving foot moisture in people with diabetes. It is recommended that people with diabetes can do foot spa in the form of foot exercises, soak feet and dimasase with VCO regularly. Kata Kunci: SPA kaki, diabetes mellitus, sensasi dan kelembaban kaki
PENGARUH REMINISCENCE THERAPY TERHADAP PENURUNAN TINGKAT DEPRESI PADA PASIEN DIABETES MELITUS DI UPT KESMAS GIANYAR I TAHUN 2019 Febriyanti, Ni Ketut; HARINI, I Gusti; Sumirta, I Nengah
Jurnal Gema Keperawatan Vol 12, No 2 (2019): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v12i2.987

Abstract

Abstract: The Effect Of Reminiscence Therapy On Decreasing Levels Of  Depression On Diabetes Mellitus Patients At Gianyar I Primary Health Center On 2019. The purpose of this study was to measure the level of depression before and after the treatment of reminiscence therapy and to analyze the impact of reminiscence therapy to depression on diabetes mellitus patients at Gianyar I Primary Health Center on 2019. The design of this study was pre experimental with one-group pre-post test design. The sample was taken by purposive sampling method with the number of 14 people. This research instrument uses Beck Depression Inventory II (BDI-II). The results showed that 14 subjects of depression before treatment were given most of them in the category of moderate depression as many as 9 people (64.30%) and after being treated mostly in the category of mild depression as many as 8 people (57,10%). Hypothesis test is done by using wilcoxon statistic with p value 0,001 (α = 0,05) can be interpreted there is significant influence of reminiscence therapy on decreasing levels of depression on diabetes mellitus patients at Gianyar I Primary Health Center on 2019, the conclutions of research is reminiscence therapy can decrease the level of depression in patients with diabetes mellitus. Keywords : Reminiscence therapy, Depression, Diabetes mellitus Abstrak: Pengaruh Reminiscence Therapy Terhadap Penurunan Tingkat Depresi Pada Pasien Diabetes Melitus Di Upt Kesmas Gianyar I Tahun 2019. Tujuan penelitian ini adalah mengukur tingkat depresi sebelum dan setelah diberikan reminiscence therapy serta menganalisis pengaruh reminiscence therapy terhadap penurunan tingkat depresi pada pasien diabetes melitus di UPT Kesmas Gianyar I tahun 2019. Desain penelitian ini adalah pre experimental dengan rancangan one-group pre-post test design. Sampel diambil dengan metode purposive sampling dengan jumlah sebanyak 14 orang. Instrumen penelitian ini menggunakan Beck Depression Inventory II (BDI-II). Hasil penelitian menunjukkan dari 14 subjek penelitian tingkat depresi sebelum diberikan perlakuan sebagian besar dalam kategori depresi sedang sebanyak 9 orang (64,30%) dan setelah diberikan perlakuan sebagian besar dalam kategori depresi ringan sebanyak 8 orang (57,10%). Uji Hipotesis dilakukan dengan menggunakan uji statistik wilcoxon dengan nilai p value 0,001 (α=0,05) dapat diartikan ada pengaruh yang signifikan reminiscence therapy terhadap penurunan tingkat depresi depresi pada pasien diabetes melitus di UPT Kesmas Gianyar I tahun 2019, bahwa reminiscence therapy dapat menurunkan tingkat depresi pada pasien diabetes melitus. Kata kunci : Reminiscence Therapy, Depresi, Diabetes mellitus
Tingkat Harga Diri pada Pasien Diabetes Melitus Sadnyana Putra, IGB ADI; Candra, I Wayan; Harini, I Gusti Ayu; Sumirta, I Nengah
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.v13i2.1415

Abstract

The purpose of research to find the level of self- esteem of patients with Diabetes Mellitus at the Jembrana Polyclinic. This type of research design is descrivtive research design, with uses a purposive sampling technique. The result this research is majority of research subjects experienced low self-esteem. The conclusion this research is majority of research subjects experienced low self-esteem, as many as 13 people (59%), based on age is 36-55 years as13 people (59%), based on education a high school as14 people (63%), based on gender were men as13 people (59%), all subjects as POLRI members were 22 people (100%), based on long suffering from DM that was 6 months as 17 people (77%), research subjects who experienced obese as 8 people (36%).
Riwayat Hipertensi pada Kehamilan Sebelumnya dengan Preeklampsia pada Ibu Bersalin Surinati, I Dewa Ayu Ketut; Suratiah, Sur
Jurnal Gema Keperawatan Vol 10, No 2 (2017): JURNAL GEMA KEPERAWATAN
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v10i2.1781

Abstract

The purpose of this researce is to know the relationship of hypertension history in previous pregnancy with preeclampsia in maternity mothers. This researce is quantitative researce that using retrospective design, conduced on 174 maternals who has preeclampsia. The sampling technique is using one of the nonprobability sampling, that is purposive sampling The chi square test result of value p = 0.000 (p value ≤ 0,05) dan Odds Ratio (OR) = 2,065. It means that there is a significant relationship between hypertension history in previous pregnancy with preeclampsia.
DUKUNGAN SEBAYA DENGAN HARGA DIRI WANITA USIA SUBUR YANG TERINFEKSI HIV Runiari, Nengah
Jurnal Gema Keperawatan Vol 11, No 1 (2018): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v11i1.269

Abstract

This study aims to determine the association of peer support and self-esteem of childbearing-age women with HIV at The Spirit Paramacitta Foundation. The research design used a correlational design and cross-sectional approach using purposive sampling. The sample size was 57 people. A support questionnaires and RSES questionnaires were used to collect the data. The results showed that 27 childbearing-age women (47.4%) who were infected with HIV have gotten good support and 45 (78.9%) respondents had high self-esteem. Chi-Square analysis was performed to test the hypothesis and resulting 0.000 of p-value (alpha = 0.05), which implies that there is a significant association between support form peer supporters and self-esteem in women of childbearing age with HIV.

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