Bali Health Published Journal

Tingkat Kemandirian Lansia dengan Stroke Dalam Melakukan Aktivitas Sehari-Hari di RSAD Tk. II Udayana

I Gede Yudiana Putra — 2025-06-30

Background: The increasing number of elderly people has an impact on increasing problems, especially those that occur in the elderly, one of which is physical problems, namely the limitations of the elderly in carrying out daily activities, strokes that attack the elderly cause elderly dependence to increase, one form of measuring the ability of the elderly with stroke to carry out daily activities is to assess the Activity of Daily Living (ADL) of the elderly. Determination of functional independence is carried out to identify the abilities and limitations of the elderly, as well as to create the selection of appropriate interventions, The impact of decreased independence can make vulnerability to disease in old age. Methods: The research design used is descriptive method. The research location was carried out at TK.II Udayana Army Hospital, with a total sample of 58 respondents selected by purposive sampling technique. The instrument of this study was the Barthel Index Questionnaire, data processing was carried out using computerization. Data is presented textually/narrative and accompanied by tables and figures. Results: The characteristics of respondents were mostly female with 51.7%, the age group was mostly in the elderly age range of 60-74 years with a percentage of 55.2%, hypertension became the highest disease history experienced by the elderly as much as 43.1% and 98.3% of the elderly lived with their families. The level of independence of stroke elderly in carrying out daily activities shows that most of the elderly experience mild dependence as much as 67.2% and moderate dependence of 24.2%. Conclusion: The results showed that the level of independence of the elderly with stroke in carrying out daily activities experienced mild dependence.

Pengaruh Terapi Progressive Muscle Relaxation (PMR) Untuk Mengurangi Stres Pada Mahasiswa Jurusan Keperawatan Stikes Buleleng Dalam Menghadapi Beban SKS

Gede Eka Darma Kusuma — 2025-06-30

Background: Stress faced by students is caused by academic stress, namely stress caused by the learning process on campus and the impact of lectures. Stress with an optimal level can improve learning ability, and excessive stress can cause health problems. One relaxation technique that can be used to reduce stress is PMR (Progressive Muscle Relaxation) therapy. This study aims to determine the Effect of Progressive Muscle Relaxation (PMR) Therapy to Reduce Stress in Nursing Students of STIKes Buleleng in Facing the SKS Load. Method: This study employed a pre-experimental one-group pre-test and post-test design with a total sample of 76 students. Data were collected using the DASS-21 questionnaire. The statistical test used was the Wilcoxon test. Results: The results of this study indicate that the sig. (2-tailed) or p-value = 0.000. Since the p-value is less than 0.05, the null hypothesis (H₀) is rejected, and the alternative hypothesis (Ha) is accepted. Conclusion: There is an Effect of Progressive Muscle Relaxation (PMR) Therapy to Reduce Stress in Nursing Students of STIKes Buleleng in Facing the SKS Load.

Hubungan Beberapa Faktor Determinan Terhadap Kejadian Osteoartritis Pada Pasien Rawat Jalan di RSD Mangusada Kabupaten Badung

Bagus Budi Airlangga — 2025-06-30

Background: Osteoarthritis (OA) is a major degenerative disease that causes disability, with a global prevalence reaching 151 million people. In Badung Regency, Bali Province, OA ranks third with a prevalence of 3.45%, making OA a significant health problem. This study aims to analyze the relationship between several determinant factors (age, gender, and domicile) and the incidence of OA in outpatients at RSD Mangusada, Badung Regency, Bali Province. Methods: The study used a cross-sectional design with a sample of 218 patients randomly taken from the medical records of RSD Mangusada throughout 2024. Data analysis was performed using binary logistic regression. Results: A total of 37.6% of patients experienced OA, in which the elderly group (?60 years) had a 2.329 times higher risk than adults (<60 years) (OR=2.329; p=0.005). Female gender is also at risk of suffering from OA as much as 2.009 times greater than male (OR=2.009; p=0.018). This is related to post-menopausal hormonal changes and lower muscle mass. However, domicile (village/city) did not show a significant relationship with OA (p>0.05). Conclusion: this study identified that advanced age and female gender as dominant risk factors for OA.

Perbedaan Intensitas Nyeri Pada Ibu Bersalin Kala I Fase Aktif Sebelum Dan Sesudah Dilakukan Massage Counter Pressure

Ni Luh Putu Silvi Madalena Gomes — 2025-06-30

Background: Normal delivery is a significant moment in a mother's life, marked by the expulsion of the fetus after a full-term pregnancy, typically between 37 to 40 weeks, accompanied by intense uterine contractions. During the active phase of labor, mothers often experience peak pain due to increased frequency and strength of these contractions. One effective method to alleviate this pain is through counter pressure massage. This study aims to explore the differences in pain intensity among mothers in the active phase of labor before and after the application of counter pressure massage at RSU Permata Hati Klungkung. Method: This study used a pre-experimental design and purposive sampling technique. The population in this study were all mothers who underwent normal delivery in September to November 2024 with a total of 80 people, until a sample of 39 participants was determined. Data were collected through observations using a rating scale based on the Numerical Rating Score. Result: Data analysis was performed using the Wilcoxon test, revealing that the average pain score before the massage was 6.92, which decreased to 3.20 afterward. The Wilcoxon test yielded a p-value of 0.001, indicating a significant difference in labor pain intensity. Conclusion: This study shows that there is a difference in pain intensity before and after counter pressure massage is performed on mothers giving birth in the first active phase at Permata Hati Hospital, Klungkung with a p-value of 0.001.

Hubungan Dukungan Suami Dengan Keikutsertaan Ibu Dalam Pemilihan Alat Kontrasepsi Dalam Rahim

Ni Made Rai Cempakawati — 2025-06-30

Background: The government's efforts to reduce birth rates are implemented through the Family Planning program, focusing on the use of long-term contraceptive methods. One prominent method is the Intrauterine Device (IUD), known for its high effectiveness, safety, and reversibility for women. Support from husbands plays a crucial role in the selection and use of contraceptive methods, encompassing emotional, informational, instrumental support, and appreciation. This study aims to uncover the relationship between husband support and mothers' participation in the selection of IUDs in the UPTD Puskesmas Dawan II area. Method: Using a correlational analysis method with a cross-sectional approach, this research involved 45 prospective family planning acceptors selected through purposive sampling, conducted from September to November 2024. Result: Data were analyzed using the Chi Square test, revealing that 44.44% of husbands provided support, while 62.22% of mothers chose IUDs. The bivariate analysis showed a p-value of 0.001, indicating a significant relationship between husband support and mothers' participation in the selection of IUDs. Conclusion: The results of the study showed that in the UPTD Puskesmas Dawan II area, there were 20 respondents who provided support from their husbands in choosing an Intrauterine Contraceptive Device (IUD), 28 respondents who participated in choosing the contraceptive method, and there was a relationship between husband's support and mother's participation in choosing an IUD.

Peran Penting Telenursing Dalam Keperawatan

Nuur Fadhilah — 2025-06-30

Background: Telenursing in its application is able to provide nursing care services that can increase patient satisfaction and increase family participation. Telenursing can also function to reduce distance, visiting time, and monitor patients who have returned home from the hospital. This study aims to show the significance of the application of telenursing in nursing services. Method: The method applied is a systematic review referring to the PRISMA guidelines. Results: The research findings indicate that seven studies were taken from 5,737 publications. Publications were taken from the period 2020 to 2025. Research articles were searched through academic electronic databases (Scopus, Pubmed, and Google Scholar). The application of telenursing has positive implications for nurses, patients and families in assisting the nursing care process. Conclusion: Telenursing is an effort to improve nursing services so that they can reach distant locations, time efficiency and make it easier for patients and families to get nursing services.

Hubungan Minat Baca Buku Kesehatan Ibu Anak Dengan Pengetahuan Ibu Hamil Tentang Buku Kesehatan Ibu Anak

Diyah Putriyani — 2025-06-30

Background: The Ministry of Health has created the Maternal and Child Health (MCH) Book to document essential health services for mothers and children, including vaccinations, nutrition, and developmental milestones, from pregnancy until the child is five years old. However, many pregnant women remain unaware of the MCH book (KIA book) due to a lack of interest in reading about it. This study aimed to explore the relationship between pregnant women's reading interests and their knowledge with the MCH book at PMB Ni Ketut Sunarthi, SST. Method: Utilizing a cross-sectional and correlational analytical approach, the study involved a sample of 40 participants selected through complete sampling. Data analysis was conducted using the Spearman rank test. Results: Results showed that 57.5% of respondents (23 individuals) expressed a strong interest in reading the MCH book and were mostly knowledgeable about it (50%). Among those with moderate interest (8 individuals), 80% had adequate knowledge, while 71.4% of the 5 individuals with low interest had insufficient knowledge. Conclusion: The study revealed a significant correlation, with a p-value of 0.001, indicating that pregnant women's reading interest is linked to their knowledge of KIA literature at PMB Ni Ketut Sunarthi, SST in 2024. Pregnant women are encouraged to engage with pregnancy literature to enhance their understanding.