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Insomnia is one of the most common diseases in modern society, with its characteristics being difficulty sleeping at night or failure to maintain effective sleep after sleep. Conventional treatments for existing insomnia have undesirable effects when used for a long time. Treatment with acupuncture and herbs can be used as an alternative and complementary therapy in the treatment of insomnia. Research purposes to determine the effect of a combination of acupuncture and herbal therapy Bai Zi Yang Xin Tang  on client insomnia with heart and kidney disharmony syndrome at Yayasan Dharma Warga Surabaya. Research methods is one group pre-test and post-test design. Respondents in the study amounted to 14 people received acupuncture therapy at point (Feng Chi, An Mian, Bai Hui, Si Shen Cong, Shen Men, Nei Guan, Zu San Li, San Yin Jiao, Tai Xi, Tai Chong) and consumed Bai Zi Yang Xin Tang. The average length of sleep for respondents before therapy was 3.75 ± 0.47 hours and after therapy 6.0 ± 0.65 hours (p < 0.05). The combination of acupuncture and  Bai Zi Yang Xin Tang for insomnia with heart and kidney disharmony syndrome can increase the patient's sleep duration after therapy.

Hypertiroidism that continues into a thyroid storm is one of the rarest complication to be found in Indonesia. The pathogenesis of thyroid storm hasn’t been identified, but this condition is suspected as a result of the free thyroid hormones that escalates after a thyroidectomy or I-131 therapy, infection, acute stress, non-tiroid surgery, parturition, and overmanipulated thyroid glands. Thyroid storm is an emergency condition that can happened to a hyperthyroidism patients that needs a specific and fast management. If this condition is being treated correctly, the mortality rate of patient could be decreased, therefore a case of a 63 years old woman with the loss of consciousness with hyperthyroidism goiter node as the trigger factor that leads into a thyroid storm, happens with a congestive heart failure and pneumonia. The assessment with Burch-Wartofsky obtained a score of 55, then treated with the right diagnostic assessment and treatment. After the treatment, that patient’s condition was getting better day by day, but the patient’s family later decided to bring the patient home in the third day of treatment.

Heart attacks are caused by a blockage that keeps blood from flowing to the heart and to the brain, resulting in further complications such as failure of the heart muscle to get oxygen supply which results in a person's death. Therefore, patients with heart disease require Percutaneous Coronary Intervention to deal with their treatment. PCI is also known as cardiac angioplasty or percutaneous coronary intervention. PCI installation in patients with heart disease can affect physical activity so that patients really need family support. Family support will increase self-confidence and motivation to face problems and increase the standard of living to improve the patient's quality of life. This type of research uses a quantitative technique with a cross sectional approach. Sampling was carried out by purposive sampling technique with a total sample of 54 people.The results showed that the majority of respondents had good family support, with all dimensions of family support having a good percentage which showed a significant good percentage (100.00%), and had a very good quality of life (75.93%) , with those who have a good quality of life (24.07%). There is a significant relationship between family support and the quality of life of post-percutaneous coronary intervention (PCI) patients in the cardiac clinic room of Raden Mattaher Hospital, Jambi, with the Sig. (2-tailed) is 0.032 less than α (0.05). In addition to the analysis significance value, a correlation coefficient (cc) value of 0.293* was also obtained.The relationship between family support and quality of life of post-percutaneous coronary intervention (PCI) patients in the cardiac clinic room at Raden Mattaher Hospital Jambi in 2023 resulted in a relationship that was sufficient or strong enough and led to a positive relationship, that is, better family support.

Congestive heart failure (CHF) is a clinical syndrome (a collection of signs and symptoms) characterized by dyspnea and fatigue (at rest or during activity) due to abnormalities in the structure and function of the heart. CHF can be caused by diseases that cause reduced ventricular filling (diastolic dysfunction) and/or myocardial contraction (systolic dysfunction). The purpose of this study is so that the authors are able to perform Nursing Care for Decreased Cardiac Output in Congestive Heart Failure (CHF) Patients. used is a case study, this research is descriptive in the form of a case report which is a nursing analysis. This research was conducted from 26 December 2022 - 07 January 2023, with a total sample of 3 respondents. The case data showed that the three patients had a history of hypertension, 1 patient with a history of Diabetes Mellitus, 2 patients had a Medical Diagnosis of Congestive Heart Failure (CHF) and 1 patient had a Medical Diagnosis of Hypertensive Heart Disease (HHD). The three patients had the same cardiac EKG, namely Arrhythmia, 2 patients had results of Photo Thorax Cardiomegaly and All patients had a weak general condition with Composmentis awareness. With the appointment of a nursing diagnosis of Decreased Cardiac Output. The three patients had a history of the same disease, namely hypertension and 1 patient had diabetes mellitus and used the nursing diagnosis of decreased cardiac output.

Hydrotherapy also called hydrothermal therapy, is the use of water,in any of its forms, for the maintanance of health or the treatment of disease (Wardle, 2013). Footbath is a kind of hydrotherapy. There are many benefits of footbath hydrotherapy for patients with heart failure such as to improve and/or maintain functional ability and quality of life. The aim of this research is to identification the effectiveness of hydrotherapy for oxigen saturation of patients with heart failure. The methodology of this research is use quantitative design with one group pretest and posttest with intervention group design. This research did Maret 2023 in The Integrated Heart Centre Haji Adam Malik Medan Hospital. 16 Responden of this group. According demografi charachteristic results in intervention group found that according of age patients majority (62.5%) are older age with 56-65 years mean 55.06+ 8.71.  Second half three respondent (62,5%) is men. According to education level majority respondent is Senior High School (62.5%). More than hal of respondent (62.5%) is Heart Failure Chronic > 60 months (5 years) (Mean + SD= 31,44 + 26,63). Almost all respondents (87,5%) had a family with history heart failure too. Pre and Post Paired t-test results are significant different for oxygen saturation at intervention groups (p<0,05) (SpO2: t= -1.581, p= 0.004  ). It means the effectiveness of hydrotherapy significantly can increase spO2.  This research has found that significant different of oxigen saturation of patients with heart failure after hydrotherapy in intervention group.

A common disease experienced by the elderly is hypertension. Cases of hypertension in Demak are quite high, one of them is in Mranggen village. This reality proves that many people still ignore hypertension. Because there are sufferers who feel no symptoms and there are symptoms such as headaches, weakness, fatigue, shortness of breath and blurred vision. If not treated immediately it will cause complications such as kidney failure, stroke, coronary heart disease and retinopathy. It is of course important to make efforts to control blood pressure. A combination of non-pharmacological management of deep breathing exercise and religious music is one of the efforts that can be made. The purpose of this study was to describe the administration of a combination of deep breathing exercise and religious music therapy to the blood pressure of elderly hypertensive patients. This research uses descriptive case study research with a nursing care process approach.The number of samples is 2 respondents, with the criteria of elderly clients who have hypertension, clients who do not take medication during hypertension in order to determine the effectiveness of the action, clients who can communicate well, and clients who are willing to be respondents. Deep breathing exercises and religious music are carried out once a day for 3 days in 1 week with a duration of 15 minutes. Blood pressure measurement using a sphygmomanometer and stethoscope. Blood pressure measurements were taken before and after the procedure. The results showed that the blood pressure of respondent 1 before and after being given deep breathing exercise therapy and religious music for 3 consecutive days with a duration of 15 minutes, the blood pressure on the first day before receiving therapy was 160/70 mmHg and after being given therapy for 3 days on the last day the blood pressure became 150/60 mm Hg. In respondent 2 before and after being given deep breathing exercise therapy and religious music for 3 consecutive days with a duration of 15 minutes the blood pressure on the first day before receiving therapy was 179/80 mmHg and after being given therapy for 3 days on the last day the blood pressure was 156/70 mmHg .

Background: Chronic Kidney Failure is one of the important health problems in Indonesia and the world community. In Indonesia, according to data from Penetri (Persatuan Nefrologi Indonesia) the number of patients with kidney failure is estimated at 4500 people, but those detected suffering from terminal stage chronic kidney failure from those undergoing dialysis (hemodialysis) are only around 4 thousand - 5 thousand people. Cases of kidney failure in Indonesia are still relatively high every year, because there are still many Indonesian people not maintaining their diet and health. This means that chronic kidney failure ranks as one of the highest rates of disease causing death. The purpose of this study was to describe the level of adherence to patients with chronic kidney failure in undergoing a hemodialysis program in the hemodialysis room at Sanjiwani Hospital in Gianyar. Methods: This research is a descriptive observational type. This study uses a sampling technique that is purposive sampling with a total sample of 30 people. Results: In this study the results of the rate of compliance of CRF patients with hemodialysis were 27 respondents (90%) who were obedient and non-adherent as many as 3 respondents (10%). Thus most patients with chronic renal failure adhere to undergoing hemodialysis in the hemodialysis room of Sanjiwani Hospital in Gianyar. Conclusions: The conclusion of this study is that patients with chronic renal failure are expected to seek treatment regularly in accordance with the rules set by health workers. Delay of dialysis causes pulmonary complications, seizures, decreased consciousness, severe electrolyte disturbances, heart failure, which can cause death.Keywords : Chronic Kidney Failure; Hemodialysis, Compliance

Heart failure has an impact not only on one's physical condition but also on the psychological impact of anxiety. Patients with heart disease who experience psychosocial problems, especially anxiety, will have a slower recovery process and more severe physical symptoms they experience. Thus, an intervention is needed to provide back massage to overcome anxiety. The purpose of this study was to describe the application of back massage towards anxiety scores in heart failure patients.This study belongs to descriptive research using the case study approach method. The sample in this study were 2 subjects who suffered classification II and III heart failure according to NYHA who experienced low to moderate anxiety. Both subjects were given back massage therapy. Hamilton Anxiety Rating Scale (HARS) was used as the instrument to measure the level of anxiety. The results showed that there was a significant decrease in the two subjects who initially fell into the anxiety category into the category of low anxiety after being given back massage therapy for 15 minutes at 24-hour intervals for 3 days. In conclusion, back massage is recommended to be applied in the hospital as a nursing intervention to overcome anxiety in heart failure patients.