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Hemodialysis is one of the installations in the hospital that handles blood washing therapy, by removing excess waste or harmful compounds, through a semi-permeable membrane which is carried out to replace kidney function that is no longer functioning properly. Hemodialysis is given to patients with a diagnosis of acute renal failure, terminal renal failure and patients who have severe poisoning with certain drugs. The research design was carried out descriptively. The aim of this research was to determine whether there was formalin exposure to hemodialysis workers or nurses when reusing or cleaning hemodialysis equipment, using a qualitative test. In this research, the results were obtained from 15 blood plasma samples, namely 6 positive formalin blood samples, with Schiff, Tollens, KMnO4 and Fehling reagents. It is known from the table of analysis results of qualitative test of formalin exposure on hemodialysis workers in one of the East Java Hospitals. For further research, it is hoped that quantitative tests will be carried out in determining the level of formalin in the blood using the instrument.

The prevalence of gout in Indonesia is the fourth largest country in the world whose population suffers from gout. 35% of gout occurs in men over the age of 45 years. Joint disease in those aged 55-64 years is 45%. Age 65-74 years 51.9%. Age ≥ 75 years 54.8%. The incidence of joint disease based on diagnosis by health workers in Indonesia is 7.3 and based on diagnosis or symptoms 24.7% (RISKESDAS, 2018). This type of research is quantitative using a quasi-experimental research method with pre-test and post-test with control methods. The population of all elderly people suffering from gout who underwent examination and treatment in the Batu Aji Health Center UPT area, namely 140 people as of April 2021. The number of samples in this study was 30 people, divided into 15 elderly people in the experimental group and 15 elderly people in the experimental group. Control. Based on the results of research and data processing that has been carried out by researchers, regarding the effect of boiling bay leaf water on reducing uric acid levels in the elderly in the Batu Aji Health Center UPT area, Batam City in 2021 with a total of 30 respondents, consisting of 15 intervention groups and 15 control groups . The research carried out not only provides conclusions but also provides suggestions to various parties to help improve health and prevent complications in gout patients.

Hypertension is known to be a major health problem throughout the world that causes various life-threatening heart diseases. Department of Health Household Survey on Health shows that hypertension is ranked first as the most common degenerative disease. The phenomenon found in the working area of the Tiban Baru Community Health Center, Batam City in 2021 was as many as 150 people. This research was conducted to determine the effect of Slow Deep Breathing Therapy on reducing blood pressure in hypertension patients in the Tiban Baru Health Center work area, Batam City in 2021. The research method was Quasy Experimental Design, with pretest-posttest with control group. The sample consisted of 30 respondents consisting of 15 intervention group respondents and 15 control group respondents who suffered from hypertension in the Tiban Baru Community Health Center Work Area, Batam City in 2021, with a sampling technique, namely purposive sampling. Data were processed using the Wilcoxon test. The results of the study showed that the systolic blood pressure of the intervention group before treatment was 165.67 mmHg and diastole 94.73 mmHg and the systolic blood pressure of the intervention group after treatment was 155.33 mmHg and diastole 88.00 mmHg. Based on the characteristics of the respondents, it was found that the majority were >45 years old (80%), and the largest gender (73.3%) was female. The research results showed a p-value of 0.002 (<0.05). It was concluded that there was an effect of slow deep breathing on reducing blood pressure. It is hoped that hypertension sufferers can apply slow deep breathing therapy to lower blood pressure to avoid complications of hypertension.

Chronic Kidney Disease (CKD) is a condition in which kidney function decreases so that it is no longer able to filtrate the body's metabolic waste and maintain electrolyte fluid balance. In CKD an increased amount of fluid can result in edema. Edema is a condition of blocked veins due to an increase in intravascular hydrostatic pressure that causes enlargement or buildup of plasma fluid into the interstitium space. Therapy that can be applied to reduce edema in CKD is with Ankle Pump Exercise and Elevation 30⁰. This therapy is done by pumping the ankle and elevating the foot for 5-10 minutes. The goal of this study was to identify Ankle Pump Exercise and 30⁰ Elevation interventions to reduce edema in CKD patients in the ICU. The type / research design used is a descriptive method with a case study approach. The subjects of this case study were patients who met the inclusion criteria, namely patients with edema and were willing to be respondents. The data collection instrument uses the format of Nursing Care. The results of this study showed that Ankle Pump Exercise and 30⁰ Elevation interventions effectively reduced edema in CKD patients. Based on the results of the case study, it can be concluded that the application of a combination therapy of ankle pump exercise and 30⁰ foot elevais has been proven effective in reducing the degree of edema in Chronic Kidney Disease (CKD) patients.

Background: One of the non-communicable diseases (NCDs) that has received a lot of attention is Diabetes Mellitus. Diabetes management is divided into two ways. The first way is with non-drug therapy (non-pharmacological) and second with drug therapy. Drug therapy in the form of oral hypoglycemic drugs or insulin. Non-pharmacological methods with food planning and physical exercise. The type of light physical exercise recommended for patients with type II diabetes mellitus is walking and brisk walking. Objective: To determine the effect of brisk walking to reduce blood glucose levels in patients with type 2 diabetes mellitus. Methods: This review uses the literature review method. Searches were conducted in PubMed, Garuda, and Google Scholar. The search strategy used keywords with "brisk walking", "physical exercise", "glycemic control", "diabetes mellitus, type II",. Results: Seven articles were reviewed in this literature review. Six articles discussed brisk walking, one article discussed the difference in glycemic control in low - high intensity interval training with endurance training. The overall results of this review show that doing physical activity brisk walking has an effect in reducing blood glucose levels, reducing blood glucose levels by 49.75 mg/dL. Physical activity sessions can be done for 3 - 7 sessions per week with a duration of 15 - 60 minutes. Conclusion: The effect of brisk walking is proven to reduce blood glucose levels in patients with type 2 diabetes mellitus.

To achieve recovery, TB sufferers must have self-confidence about how serious the condition and symptoms of the disease are and the impact on daily life. So that TB sufferers are able to carry out treatment for a long period of time and TB sufferers have the confidence to recover from the disease. The aim to be achieved in this research is to analyze the success factors for treatment of pulmonary TB sufferers at the Imelda Workers Indonesian RSU in 2023. This type of research uses a descriptive analytical survey with a cross sectional design. The population in this study were all category I pulmonary tuberculosis patients who visited the Imelda Workers Indonesian Hospital from January to September 2023, a total of 118 people were sampled using the accidental sampling method while the sample was 91 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. Based on the results of the chi-square test, it is known that patient success influences knowledge, family support, supervision of taking medication and support from health workers with a value of p = 0.001, meaning that there is an influence of knowledge, family support, supervision of taking medication and support from health workers on the success of TB treatment. Lungs. From the results of the multivariate analysis, it is known that the most influential variable in this study is the medication monitoring variable with an OR value of 15.104. The conclusion in this study is that medication-taking supervisors are the dominant factor influencing the success of pulmonary TB treatment at the Indonesian Imelda Workers RSU. The advice given is in the form of instructions for using a daily insulated medicine box, using a smart calendar during treatment which is brought to you every time you come for treatment and in the current digital era, using the mHealth application is also very helpful in providing TB information notifications and reminders to take medication regularly for sufferers and PMOs.

Loss of consciousness is a common problem in the health world. This situation dominates the Emergency Guard Unit in the hospital service. Unconsciousness is a mental and behavioral condition of decreased comprehension, coherence, and motivational capacity. As a result of the loss of consciousness in the patient that occurs, sometimes the family does not know when an unwanted situation occurs because of something that happens and resulting in that loss of awareness occurs. The aim of this study is to find out the impact of IGD nurses' health education on the decline in patient awareness on the knowledge of the patient's family at the IGD RSU Manado Medical Center. Research uses experimental research methods using one group research design pretest-posttest design. Sample of 15 respondents using purposive sampling. Data collection using questionnaires. Analysed with Mc Namer's statistical test.  Gender survey results most female respondents 8 (53.3%), age most 17-25 years and 26-35 years 6 respondents (40,0%), most college education 8 respondents (53,3%), most employment private employees 7 respondents (46.7%). The Mc Namer test results are given a p value of 0,000 where < α 0.05. The conclusion in this study is that there is an influence of health education nurses IGD on decreased awareness in patients to the knowledge of the family of patients at IGD RSU Manado Medical Center. The recommendation is that the hospital should pay attention to health education for families, especially in the IGD room.

A Building functional certificate, hereinafter referred to as SLF, is a certificate issued by the regional government except for special function buildings by the central government, to state the building's functional fitness as a condition for it to be utilized. Based on Minister of Health Regulation Number 40 of 2022 concerning technical requirements for hospital buildings, infrastructure and health equipment in article 1, the regulation of technical requirements for hospital buildings, infrastructure and health equipment aims to create functional hospital buildings, infrastructure and health equipment. Referring to the regulations above, hospital buildings must meet the requirements for safety, health, comfort, convenience, efficient use of resources, harmony and harmony with their environment, realizing orderly, effective and efficient hospital building management. This literature review was made to include journals published in Indonesian, journals published in the 2022-2023 period regarding certificates of functional fitness for hospital buildings, especially regarding the requirements for fulfilling certificates of functional fitness in hospitals. After going through screening, inclusion and exclusion criteria, 3 articles were analyzed. As a result, hospitals need to adjust permits and proper functioning of buildings in accordance with new regulations, then hospitals are expected to follow new regulatory updates in order to maintain the security and safety of patients, visitors and hospital employees from unexpected events.

Deep vein thrombosis (DVT) is an occurrence of blood clot (thrombus) formation in the deep veins, most commonly affecting the veins in the legs and arms that lead to the heart. A prospective multicenter cohort study in China involving 862 hospital-based patients with acute stroke showed an overall DVT incidence of 12.4% within 2 weeks after acute stroke. The objective of this article is to comprehensively understand DVT. The methods employed include a systematic summary of information from 15 data sources to provide insights into DVT, covering aspects such as Definition, Etiology, Epidemiology,Classification, Pathogenesis, Clinical Manifestations, Diagnosis, and DVT management

Emotion regulation refers to an individual's ability to control their emotions. Everyone regulates their emotions to manage their life. In reality, a variety of factors can interfere with emotion regulation skills. The single most important factor that can influence the emotion regulation process is the level of self-control that each individual has. For this reason, patients need to have strong emotional regulation abilities. Emotion regulation Emotional balance is a person's ability to assess, cope with, manage and express emotions appropriately. In this research the method is to explain and discuss. The subjects or informants in this discussion are Shelter Home Patients. The results of this study show that halfway house patients have emotional regulation skills where each subject has the ability to control and regulate their emotions which appear at an appropriate level of intensity. Data collection using in-depth interview techniques and observation. Before the interview process, the researcher provided an overview of emotional regulation and the aims of the research. Participants in this study involved 7 patients at the Gajah Mada shelter in Surakarta City.

Stroke patients are susceptible to respiratory problems and complications in the lungs, namely pneumonia, which most often occurs during stroke treatment. The aims of this study is to review the various literature on interventions that nurses can do to prevent and treat pneumonia in stroke patients. Search methods using electronic databases Science Direct, Scopus, Pubmed, and Google Scholar with a search range of 2017-2022. The inclusion criteria were research conducted on all stroke patients, both ischemic and hemorrhagic, the intervention given was a nursing action, and the outcome assessed was pneumonia. Five articles were reviewed and found several interventions used to prevent and reduce the incidence of pneumonia in stroke patients. Nursing actions that can be done are dysphagia screening and oral care. Conclusion: Dysphagia screening and and oral care can used to prevent and reduce the incidence of pneumonia in stroke patients.

In 2020, non-communicable diseases (NCDs) accounted for 73% of global causes of death, claiming the lives of 36 million people annually. The rising rates of morbidity and mortality are influenced by hypertension. One of the most prevalent cardiovascular disorders in the world today is hypertension.The research objective was to determine the correlation between knowledge with compliance with taking medication for hypertension sufferers at the Wonogiri Public  Health Center in North Lampung Regency. This research type is quantitative using a cross-sectional design with a population of 471 people. The sampling technique used purposive sampling of 83 respondents. The statistical tests used are Gamma and Logistic Regression. The study findings demonstrated a significant correlation between knowledge and hypertension patients' compliance to taking their medications (p-value=0.000).

Introduction: The number of Sectio Caesarea continues to increase throughout the world, with an average Sectio Caesarea delivery rate of 5%–15% per 1000 births in the world. In the Central Java Region in 2018, section caesarean deliveries were 17.10%, and the rest were vaginal deliveries. In post-section Sectio Caesarea, patients have different levels of independence. One form of intervention for increasing maternal independence is self-efficacy mobilization.Objective: The aim of this study was to determine the effect of self-efficacy mobilization on the level of independence of post-section caesarean patients at Banyumanik Hospital. Methods: This type of research was quantitative with a quasi-experimental method using a one-group post-test-only design. Population: The population of this study was all mothers who delivered a caesarean section with uncomplicated spinal anaesthesia. Sampling: The sampling technique used in this study was purposive sampling, with a total sample taken of 30 women post-section caesarean. The instruments used in this study were questionnaires and observation sheets.Results: Data analysis was carried out univariately and bivariately using the normality test, with the results of the data being distributed abnormally (sig <0.05) so that the next test used the non-parametric test, namely the Wilcoxon Test, which showed the results of Zcount > Ztable (4,813 > 1,645) and Asymp values. Sig (0.000) < α (0.05), which means Ho was rejected, means that there is an effect of self-efficacy mobilization on the independence level of post-section caesarean patients at Banyumanik Hospital, Semarang.

Diabetes Mellitus is a group of metabolic diseases characterized by hyperglycemia due to impaired insulin production, insulin action. Management of the 4 pillars of diabetes mellitus includes education on eating arrangements. The purpose of this study was to determine the effect of booklet media education on dietary compliance in patients with type 2 diabetes mellitus in the ranomuut health center work area.The research design used is a pre-experiment with a one group pre and posttest design approach. The sample in this study were 23 respondents using purposive sampling technique. the research instrument used was a questionnaire sheet. Then the data that has been collected is processed using the SPSS 16.0 program to be analyzed using the Mc.Nemar statistical test with a level of meaningfulness (α) = 0.05. Based on the results of the study when given education for the pre-test, the highest percentage was non-compliant 21 respondents (91.3%) and the post-test the highest percentage was compliant 22 respondents (95.7%). From the results of the Mc.Nemar statistical test, the P value = 0.000 with a significance of <0.05, which means Ha is accepted and Ho is rejected. The conclusion of this study is that there is an effect of booklet media education on dietary compliance in patients with type 2 diabetes mellitus in the ranomuut health center work area. This study is expected to increase knowledge in implementing dietary compliance so that it can control the problem of diabetes mellitus.

The Emergency Department (ED) is a unit in a hospital specializing handles patients in emergency conditions quickly and effectively with a predetermined waiting time. Waiting Time is one form of service that many people complain about in the emergency room and causes patient dissatisfaction. When the waiting time can managed properly according to hospital service standards, the patient satisfaction and trust will increase. The purpose of this study was to determine the correlation between Waiting Time and the Satisfaction of third priority patients in the Emergency Room of Tk II Robert Wolter Mongisidi Hospital Manado. This research design with cross-sectional approach. The sample was taken based on the number of third priority patient respondents as many as 42 people using Purposive Sampling. The results of this study showed the most of the waiting time was in accordance with the standard with 27 respondents (64.3%) and most of the respondents who were satisfied were 36 respondents (85.7%). Chi square statistical test results obtained p-value = 0.016 <0.05 which shows there were a correlation between waiting time and the satisfaction of third priority patient in the emergency room at Robert Wolter Mongisidi Hospital Manado. The conclusion of the study there is a the waiting time and the satisfaction of third priority patient in the emergency room of the Robert Wolter Mongisidi Hospital, Manado City was correlated.

Pre-hospital stroke is a service provided when and during the victim is first found, during the transportation process until the patient arrives at the hospital. Pre-hospital stroke treatment can be a determinant of the condition and subsequent treatment. The aim of this research is to determine the effect of pre-hospital education about stroke on community knowledge in carrying out pre-hospital stroke aid measures in Kombos Timur Subdistrict, Environment V, Manado City.This research is an experimental design research with a One Group pretest-posttest design. The sampling technique is purposive sampling. The sample was 15, the instrument used was a questionnaire, then the data collected was tested using the Mac-Nemar test.The research results showed that the largest gender in the study was male, with respondents (53.3%). The highest level of education was junior high school with 8 respondents (53.3%) with the highest age being adults 46-55 years as many as 7 respondents (46.7%) while the highest education was junior high school with 8 respondents (53.3%). The conclusion in this study is that there is an influence of pre-hospital education about stroke on public knowledge in carrying out pre-hospital stroke aid measures. The suggestions in this research are that it is hoped that this research will be used as a source of knowledge for patients regarding knowledge in carrying out pre-hospital stroke procedures, so that it can be applied by families at home so that this education will be more beneficial.

Nurses have a large risk of transmitting infections to patients when carrying out nursing procedures/care. This is because nurses are in direct contact with patients for approximately 24 hours to provide nursing care. The aim of this research is to determine the factors related to compliance with the use of PPE among nurses in the inpatient wards at RSD Konawe Selatan. The type of research used is analytical observation using cross sectional research techniques. The results of the analysis show that there is a relationship between knowledge (P = 0.054), attitude (P = 0.099), action (P = 0.014), and supervision (P = 0.003) with compliance with the use of PPE. Then the results of the analysis also showed that there was no relationship between the availability of PPE (P=0.749) and compliance with PPE use. Conclusion: There is a relationship between knowledge, attitudes, actions and supervision and compliance with the use of PPE among nurses at RSD Konsel. Then there is no relationship between the availability of PPE and compliance with PPE use at Konsel RSD. It is hoped that RSD Konsel can provide outreach or education about PPE, provide PPE that is comfortable to use, and supervise or monitor nurses.

Intranets have evolved from simple internal communications platforms to sophisticated tools, providing a range of functions from real-time communications to seamless access to critical information. With the breadth of the healthcare landscape and the use of intranets in healthcare. The aim of this research is to find out the role of the intranet in building effective collaboration in health services. This research method uses a theoretical study approach. This theoretical theoretical study is a study based on a theoretical basis based on the results of previous research which becomes a theory. The results of this research can play a role in using intranets in health services because they can speed up and simplify work processes and transactions at the hospital. So that the officers at the hospital can work more effectively and efficiently. Finally, the information produced will be timely and useful. It can be concluded that intranet integration in the healthcare sector is not just about the adoption of technology it is an evolution in the way healthcare is delivered. With this intranet, it can certainly provide more targeted, efficient and effective accessibility to patients. For health services, it is necessary to improve health services through the use of intranets where the need for intranet technology can play an important role in equalizing health services to remote areas and cities. So that it can effectively improve service quality.

Using the variables of maternal age, gravida status, history of preeclampsia, chronic hypertension, and diabetes mellitus, this study attempts to identify the risk factors for the occurrence of preeclampsia in mothers giving birth at Dr. Moewardi Hospital, Surakarta.  This study employs an analytical observational research design.  The case control design is employed in this study.  Retrospective research designs are well-known for this one.  Secondary data are the sort of data used in this study.  All patients diagnosed with preeclampsia at Dr. Moewardi Hospital in Surakarta between 2020 and 2023 comprised the study's population.  The study's findings demonstrated the features of mothers giving delivery at Dr. who had a history of preeclampsia in their families (20.5%), chronic hypertension in their families (25.9%), or diabetes mellitus in their families (14.5%).

Hospitals are an internal part of the health service system. In Indonesia, all public and private hospitals have the duty to carry out curative and rehabilitative efforts without neglecting preventive and promotive efforts as well as making referral efforts. Patients have the right to obtain quality health services in accordance with professional standards and standard operational procedures so that hospitals are always required to improve the quality of service. The aim of this research is to determine the influence of the quality of health services on interest in returning to Piru Hospital, West Seram Regency. This research method is quantitative using a cross sectional approach. The sample in this study consisted of 30 respondents according to Sugiyono 2019:127. This research instrument uses a questionnaire. Data processing uses SPSS, using the chi-square test with a significance level of (0.05). The results of the research on the influence of health service quality on return interest showed that the p value was <0.000 with (α<0.05), meaning there was a significant relationship between the influence of health service quality on return interest at Piru District Hospital. . The results of research on the influence of health service quality on interest showed that the p value was > 0.05 with (α > 0.05), meaning there was no significant relationship.