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Chronic Kidney Diseases (CKD) is a disease condition where there is a decrease in kidney function, no longer able to carry out its function of filtering the blood, removing toxins and unable to remove waste products from the blood effectively, characterized by the presence of protein in the urine and a decrease in the glomerular filtration rate. Hemodialysis is a kidney replacement therapy method that is often used to manage CKD. The prevalence of CKD in Indonesia continues to increase every year with some patients undergoing hemodialysis. CKD patients undergoing HD are susceptible to anemia. Anemia in CKD patients can be caused by blood loss during dialysis procedures, and disturbances in iron metabolism. The aim of the study was to analyze changes in hemoglobin levels in CKD patients after undergoing hemodialysis. The research was carried out in a descriptive observational manner through an initial screening stage, an examination stage by measuring hemoglobin levels before and after the hemodialysis session and readings using a Mindray BC-5830. The examination results showed that the hemoglobin levels of CKD patients increased after undergoing HD. Hemoglobin levels in male CKD patients were higher than female patients both before and after undergoing HD. The conclusion of this study is that HD has an effect on increasing hemoglobin levels in CKD patients, both female and male patients.    

Background: Hypertension is the highest cause of death in Indonesia. Non-pharmacological therapy that could reduce blood pressure was decoction of avocado leaves. This study aims to determine effectiveness decoction of avocado leaves to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Methods: This research used Quasy experimental one groups pre test-posttest with control design with a quantitative approach. Sampling techniques used was probability sampling with simple random sampling which obtained sample of 30 respondents aged 26-45 years old.15 respondents in the avocado leaves decoction intervention groups and 15 respondents in the control groups. Data analysis was carried out with the help of computer programs by using Paired T-Test. Result: result of the Paired T-Test of systolic and dyastolic blood pressure obtained p = 0,000 with a significance level (p<0,05), meaning that there was an influence between before and after giving treatment of avocado leaves decoction to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Conclusion: The research implication showed that complementary therapies provided by nurses could be a motivation to achieve the goals of hypertension self care.  

The adherence with therapy in hypertensive patients is important to note because hypertension is a disease that cannot be cured but can only be controlled. The success of controlling blood pressure in hypertensive patients influenced by compliance factors in taking antihypertensive drugs. The purpose of this study is to evaluate the relationship between the level of adherence of antihypertensive drugsuse  in first and advanced health facilities. The study design was an observational cross sectional using subjects with hypertension patients older than or equal to 18 years old at Kotabunan Bolaang Mongondow Health Center (first level health facility) and outpatient installation of Robert Wolter Monginsidi Hospital in Manado (advanced health facilities) during the period from October to December 2019. The level of compliance with the use of antihypertensive drugs was assessed using the MMAS-8 questionnaire (Morisky 8-Item Medication Adherence Scale). The total patients in this study were 171 patients, as many as 73 patients in the first level health facilities and 98 patients in the advanced health facilities. The data of patient adherence in the use of antihypertensive drugs in the first level of health facilities showed 83.56% with low levels of adherence (MMAS score <6), and only 16.44% with moderate to high levels of adherence (MMAS score 6-8). In the advanced level of health facilities were 85.71% of patients with low adherence and 14.29% with moderate to high adherence. Comparative statistical of adherence on the two health facilities was not significantly different, with p = 0.767 (95% confidence interval). The data shows that the average patient has a routine history of control as much as 91.8% in health facilities. Based on these results, recommended that each hospital and health center must require its pharmacists to do pharmaceutical practices, and each pharmacy must not provide drug services without the presence of a pharmacist.    

Diabetes mellitus is a metabolic disorder caused by a lack of the hormone insulin. The hormone insulin is produced by a group of beta cells in the gland of the pancreas and plays an important role in glucose metabolism in body cells. According to the World Health Organization (WHO, 2013) 80% of DM sufferers in the world come from developing countries, one of which is Indonesia. The prevalence of DM in Indonesia reaches 4.7% of the national population and is expected to reach 5.9% by 2030. In general, the prevalence of DM in Aceh province is 1.8%. The purpose of this study was to determine the effect of Diabetes Mellitus Gymnastic Therapy on Decreased Blood Sugar Levels in the Elderly in Ceurih Village, Banda Aceh City. This study uses Quasi Experiment Design research design using one group pre test-post test design. The sampling technique uses total sampling by measuring blood sugar levels before and after diabetes exercises with a total sample of 16 people. Bivariate analysis uses paired t-test. The results showed that there was an Effect of Diabetes Mellitus Gymnastic Therapy on Decreased Blood Sugar Levels in the Elderly in Ceurih Village, Banda Aceh City with a statistical result of 0,000.

An increase in blood pressure that is not controlled will provide some further symptoms to organs such as the brain in the form of strokes, and heart in the form of coronary heart disease and hypertrophy. Benson relaxation and murottal Al-Qur'an surah Ar-Rahman ayat 1-78 is a nonpharmacological therapy that can reduce blood pressure in patients with primary hypertension so as to prevent further symptoms of hypertension. This case study aims is to discribe the application Benson relaxation and murottal Al-Qur'an surah Ar-Rahman ayat 1-78 to the reduction in blood pressure in patients with primary hypertension at RSUD Ungaran. The method of this study is descriptive. The subjects of this case study are two Moslem patients with hypertension who have no hearing problems. The data are collected through observation and measurement by using medical tools such as sphygmomanometer and stethoscope before and after the therapy. The result of this study shows that the blood pressure in subject I decreased blood pressure from 175/90 mmHg to 140/30 mmHg, while in subject II decreased blood pressure from 160/100 mmHg to 125/80 mmHg. The results of this case study reveal that the application Benson relaxation therapy and murottal Al-Qur’an surah Ar-Rahman ayat 1-78 shows the results of a decrease in blood pressure that is quite effective in patients with primary hypertension in RSUD Ungaran. Hopefully,  Ungaran hospital can make Benson relaxation and Murottal Al-Qur'Aan relaxation surah Ar-Rahman ayat 1-78 as a basis for the development of nursing and companion of pharmacological therapy.

Anxiety is a normal adaptive response to stress due to surgery. Anxiety caused by fear of pain, fear of physical changes and not functioning normally after surgery, one of the ways to overcome it is with relaxation and distraction techniques, namely with religious music therapy. The purpose of this case study was to describe the application of religious music therapy "Demi Masa" to decrease the anxiety level of preoperative patients with regional sub arachnoid anesthesia blocks in hospitals in the surgical room of RSUD K.R. Wongsonegoro Semarang. This study belongs to descriptive using a case study approach. Subjects in this study were appendicitis patients who would undergo surgery with sub-arachonoid block regional anesthesia, willing to be respondents aged 20-40 years, still cooperative, level of anxiety from mild 14 - 20 to moderate 21-27, like religious music, Muslim. Analysis of anxiety level was carried out descriptively and measured based on anxiety scale without rating scale for anxiety. The results of the analysis showed that there was a decrease in the level of anxiety after the intervention. In subject I moderate anxiety (score 25) became low anxiety (score 15) and low subject II anxiety (score 15) became no anxiety (score 9). In conclusion, this study recommends nurses can apply religious music therapy "Demi Masa" to reduce the patient's anxiety level preoperatively.

Preschoolers are children aged three to six years. Covid - 19 is a pandemic that is shaking the world right now. Due to the Covid - 19 pandemic, children cannot play with friends outside the home. Limited play space for children makes it easy for them to feel bored just to stay at home, causing children to become anxious. The purpose of this case study is to apply storytelling play therapy to reduce anxiety levels in preschool-aged children at home due to the covid-19 pandemic. The method of this case study is descriptive. The result of the case study is a decrease in anxiety score in subject I from 45 to 30 and subject II from 51 to 34. The conclusion of this case study shows that storytelling therapy is effective in reducing the anxiety level of preschool children. Suggestions for this case study are expected that parents can apply storytelling to reduce anxiety levels in children at home due to the Covid-19 pandemic.

Hypertension is a condition where systolic blood pressure is equal to or more than 140 mmHg and diastolic blood pressure is more than or equal to 90 mmHg. The cause of hypertension can be influenced by genetic factors, environmental factors or influenced by a combination of these two factors. From the causative factors, hypertension can be classified into 2, namely: primary or essential hypertension for which the cause is not known, and secondary hypertension which is hypertension arising from other diseases. According to the American Heart Association in 2019, there were about 4 billion people on the Asian continent, but levels of awareness, treatment and blood pressure control tend to be low. The Chinese population has a presentation of 47% of the population who are aware and check themselves for hypertension, 14% of whom are undergoing treatment. Singapore has 74% of people aware of hypertension and 69% undergoing treatment. In America, about 46% of adults have hypertension, about 40% of whom are African-American-non-Hispanic men and women. Women aged 20 to 34 years, 13% had hypertension; nearly 86% of the condition was in their mid-70s. Men at that age also had the same condition, increasing from about 26% to 80%.

The provision of passive ROM therapy in the form of range of motion exercises on the part of extremities experiencing weakness and decubitus, this motion exercise is very useful to avoid complications due to lack of movement such as joint stiffness.. This study aims to knowing the ROM description in nursing care in stroke patients with impaired physical mobility. This case study uses descriptive method. This case study was conducted in 12 – 28 april 2021 by comparing two respondents with the same case and given the same action. The results of the case study conclude the application of passive ROM techniques performed in non– hemorrhagic stroke patients there is a weakness in proximity there is an effective an ineffective,. The results of of increasing muscle strength on Subject I from 5151 to 5352, meanwhile in Subject II from 5151 to 5252, this is because the first patient and his family are very enthusiastic and eager to exercise independently while the second patient have an obesity and his family also have motivation but it still difficult due to the severity of the deases. Application of ROM in both non hemorrhagic stroke patients gave different responses.

 Infection prevention therapy generally uses antibiotics (Priyanto, 2009) where inappropriate use of antibiotics (Paterson, et al., 2005) can cause resistance to antibiotics. Increasing bacterial resistance to antibiotics provides a great opportunity to obtain antibacterial compounds by utilizing the diversity of plants in Indonesia (Manik et al, 2018). Dayak onions on Lembata Island are known as forest onions, their alkaloid content has an antimicrobial function. This research aims to further study the potential of Dayak onion bulbs / forest onions (Eleutherine palmifolia) (L) Merr taken from the Lembata area, East Nusa Tenggara, in inhibiting the growth of Gram-negative Escherichia coli bacteria which include the Extended Spectrum Beta Lactamase (ESBL) strain. ) with Escherichia coli bacteria. Dayak onion 96% ethanol extract was made in a concentration of 10% to 100% which was tested with ESBL strain Escherichia coli bacteria, the inhibitory power formed was measured to determine the Minimum Inhibitory Concentration (MIC) value. Data obtained from Dayak onion (Eleutherine palmifolia) L (Merr) ethanol powder extract has antimicrobial activity in inhibiting the growth of Escherichia coli bacteria in Dayak onion (Eleutherine palmifolia) L (Merr) ethanol powder extract at concentrations of 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100% of Escherichia coli bacteria is a concentration that is included in the weak group.

Almost all surgeries cause pain, the pain that is felt is the result of the incision. One intervention to relieve postoperative pain is Self healing. The purpose of this case study is to describe the reduction in pain scale of postoperative patients in Cempaka Room Ungaran Regional Hospital after self-healing intervention. This type of research is descriptive using a case study approach. The subjects in this study were 2 postoperative patients with criteria of mild to moderate pain. Analysis of pain measurements using the Numerical Scalel Branch scale. The analysis showed that there was a decrease in pain scale after the intervention. On subject 1 the pain scale 3 (mild pain) became the pain scale 1 (mild pain) and subject 2 the pain scale 4 (moderate pain) became the pain scale 1 (mild pain). Effective self healing therapy is used to reduce postoperative pain in the room because it is easy and simple. Good therapy is applied by nurses in the room to reduce the scale of pain in postoperative patients.

                Elderly is a population at high risk of experiencing hypertension due to the aging process. The treatment of hypertension in the elderly is not effective yet, because it only reduces hypertension by 8%, the disease often recurs and requires a long process. Dry cupping therapy is one of the non-pharmacological therapies that are safe and fast through the skin suctioning techniques to reduce blood pressure in the elderly. This study aims to determine the description of the application of dry cupping therapy in reducing blood pressure in the elderly with hypertension in the Rowosari Community Health Center Semarang. This type of research is descriptive research with a case study approach. Subjects used were 2 respondents with criteria of age > 60 years, had first-degree hypertension, and were able to self-care. Blood pressure measurement using a sphygmomanometer. Dry cupping therapy interventions carried out for ± 15-30 minutes once a day. The results of data analysis showed that subject I decreased blood pressure from 150/90 mmHg to 140/90 mmHg and subject II decreased blood pressure from 150/90 mmHg to 140/80 mmHg. The conclusion of this study is dry cupping therapy influences in reducing blood pressure in the elderly with hypertension and is recommended as a nursing intervention in the management of blood pressure in the elderly with hypertension.

Students are students who hold the highest educational status. The demands of students to complete assignments on time are very high, especially for final year students. Final year students have the obligation to make a final project because it is one of the graduation requirements. The task can be a stressor for students so that students become stressed. This situation, if not handled immediately by students, will result in anxiety and depression, suicidal ideation, poor lifestyle, disturbed sleep patterns, headaches, and feelings of helplessness. Students can face and complete the final project well if students are able to handle stress well. There are several techniques to reduce stress, namely expressive wraiting and laughing. This research was carried out quantitatively using a two-group pre-post test design method. The sample in this study was final year students totaling    

Chronic renal failure is a progressive and continuous destruction of kidney structures. Chronic renal failure occurs in susceptible individuals, analgesic nephropathy, destruction of renal papillae associated with daily use of analgesic drugs for years. Whatever the cause, there is a progressive deterioration of kidney function which is characterized by a progressive decrease in the Glomelurus Filter Rate (GFR) (Corwin, 2009). Chronic kidney failure is a failure of kidney function to maintain metabolism and fluid and electrolyte balance due to progressive destruction of kidney structures with manifestations of accumulation of residual metabolites (uremic toxicants) in the blood (Muttaqin & Sari, 2011). as well as electrolytes and acid-base composition of body fluids, removing metabolic wastes that are no longer needed by the body, regulating blood pressure and hormonal function. Chronic Kidney Disease (CKD) is the final stage of chronic kidney failure where GFR <15 ml/min/1.73m2 so that the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia, namely retention of urea and other nitrogenous wastes in the blood (Smeltzer et al. al, 2008; National Kidney Foundation in Kallenbach, et al, 2005). With the increasingly real decline in kidney function or worsening of symptoms of uremia, renal replacement therapy is required for survival, namely dialysis and organ transplantation. There are two methods of dialysis, one of which is Hemodialysis (Potter, 2005; Smelzer, 2008).     

The puerperal period is also called the post partum or puerperium period, which is the time between the birth of the baby and the placenta leaving the uterus until the return of the reproductive organs to a normal state as before childbirth. The puerperium lasts six weeks. The purpose of this study was to determine the effect of oxytocin massage on breastfeeding in post partum mothers in the post maternal partum (PMP) room at Bumiayu Health Center, Brebes Regency 2021. The research method used is pre-experiment (experimental activity that aims to determine an effect that arises as a result of certain treatments) using one-group pretest-post test design, namely an experimental design that uses one group of subjects and takes measurements before and after treatment. on the subject. This design is to determine the effects before and after treatment. The analysis in this study used the t-test. From the results of statistical testing using the T-test, the significance value was 0.000 (p <0.05). So it can be concluded statistically Ha is accepted and Ho is rejected, meaning that it can be concluded that there is an effect of oxytocin massage therapy on breastfeeding in post partum mothers at Bumiayu Health Center. In connection with the results of this study, it is hoped that post partum mothers with the help of their husbands or families at home can inform the surrounding community so that they can increase their knowledge and insight to apply oxytocin massage as a solution to overcome the problem of unsanitary breastfeeding.  

Asthma is a heterogeneous disease characterized by chronic inflammation of the airways. This disease is diagnosed based on a history of respiratory symptoms such as wheezing, shortness of breath, a feeling of heaviness in the chest and coughing that varies in time and intensity, accompanied by limited expiratory air flow. The aim of this activity is to be able to understand asthma and administer simple steam inhalation to determine the effectiveness of airway clearance after administering inhalation therapy (UAP) to asthma patients. Health education about asthma and simple steam inhalation can increase the knowledge of  Kampung Baru village residents to do their best to treat asthma using traditional medicine. Health education to residents can increase their knowledge and skills in using traditional drugs in a simple way.

Background: Diabetes Mellitus is a significant cause of morbidity and mortality today. The risk of death on diabetes mellitus patients due to its complication is steadily increasing. A low level of knowledge about diabetes mellitus complications influences the behavior and prevention of further complications. A routine blood glucose control is an important prevention of diabetes mellitus complication, especially on patients with insulin therapy. Purpose:This descriptive study aimed to describe the knowledge about signs and symptoms of hypoglycemia among diabetes mellitus patients in the Public Health Centre of I East Denpasar. Methods: This was a descriptive study conducted in the Public Health Centre of I East Denpasar. There were 72 diabetes mellitus patients chosen by the purposive sampling technique that participated in this study. The Knowledge Attitude Practice (KAP) questionnaire employed to collect the participant's knowledge about hypoglycemia. Results: Statistical analysis showed that 69.4%, 25%, and 5.5% of participants were having a moderate, good, and poor level of knowledge, respectively. Conclusion: The majority of diabetes mellitus patients in the Public Health Center of I East Center Denpasar was having a moderate level of knowledge about the signs and symptoms of hypoglycemia (64.9%). ABSTRAK Latar Belakang :. Diabetes Mellitus merupakan salah satu masalah kesehatan utama yang menyebabkan kecacatan dan kematian. Peningkatan angka kematian pada diabetes mellitus disebabkan pasien mengalami komplikasi karena pengetahuan pasien tentang Penyakit DM berdampak pada perilaku dan pola pencegahan komplikasi lanjutan, salah satu upaya penanganan yang dilakukan pasien DM adalah dengan pengendalian kadar glukosa darah secara rutin dan komplikasi Diabetes Mellitus yang menjalani terapi obat khususnya terapi insulin. Tujuan: Untuk mengetahui Gambaran Pengetahuan Pasien DM Tentang Tanda dan Gejala Hipoglikemi di Puskesmas I Denpasar Timur. Metode : Penelitian ini menggunakan metode penelitian deskritif. Tempat penelitian dilaksanakan di Puskesmas 1 Denpasar Timur. Cara pengambilan sampel secara purposive sampling dengan jumlah sampel 72 orang dan cara pengumpulan data dengan pengisian kuesioner KAP (Knowledge Attitude Practice). Hasil : Hasil penelitian ini didapatkan bahwa sebagian besar memiliki tingkat pengetahuan cukup sebesar (69.4%), Baik (25%), Kurang (5.5%). Simpulan : Berdasarkan hasil dari gambaran pengetahuan pasien DM tentang tanda dan gejala hipoglikemi Puskesmas 1 Denpasar Timur memiliki tingkat pengetahuan Cukup sebesar (69.4%)

Hypertension is a chronic condition that results in an increase in blood pressure. Hypertension can cause headaches, headache is pain in the head that causes discomfort. One way to overcome them is by massage. The purpose of this case study is to describe the application of massage from shoulder to head to the level of headache in hypertensive patients. The method used is descriptive research. This research was conducted on 2 subjects. The subjects of this study were hypertension patients with criteria of being willing to be respondents, stage 1 hypertension with mild headaches, age 40 years and above. Analysis of the level of headache was done descriptively and measured based on the Numeric Rating Scale. The results of the analysis showed a decrease in the level of headache after the intervention. In subject I mild headache with a scale of 3 to scale 1 and subject II of mild headache with a scale of 3 became a scale 1. Conclusion that massage from the shoulder to the head is effective for reducing headaches, especially in hypertensive patients who experience headaches. Recommendations for nurses can apply massage therapy to reduce the level of headache in hypertensive patients

Hypertension is an increses of blood pressure which  the systolic pressure is above 140 mmHg and the diastolic pressure is above 90 mmHg. SEFT therapy includes mind-body relaxation techniques that combine the body's energy system (energy medicine) and spiritual therapy with the tapping method at certain points on the body along the 12 energy pathways (energy meridians) of the body. The purpose of the case study was to describe the effect of SEFT therapy on the reduction of blood pressure in hypertension patients at Ungaran Regional General Hospital. The case study method used is a descriptive case study. The case study subjects were used as many as two people and had blood pressure above the normal limit. The data are obtained by observing and measured using a sphygmomanometer before and after therapy. The results of the case study show that the blood pressure of subject I decreases from 140/100 mmHg to 130/90 mmHg, while the blood pressure of subject II decreases from 150/110 mmHg to 140/100 mmHg. The conclusion of the case study is that the application of SEFT therapy is effective for reducing the blood pressure in patients with hypertension. For the development of nursing science and technology we suggest that to be able to apply SEFT therapy together with medical therapy in hospitals.

The main function of the kidneys under normal conditions is to regulate fluids and electrolytes and the acid-base composition of body fluids, remove metabolic wastes that are no longer needed by the body, regulate blood pressure and hormonal function. Chronic Kidney Disease (CKD) is the final stage of chronic kidney failure where GFR <15 ml/min/1.73m2 so that the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia, namely retention of urea and other nitrogenous wastes in the blood (Smeltzer et al. al, 2008; National Kidney Foundation in Kallenbach, et al, 2005). With the increasingly real decline in kidney function or worsening of symptoms of uremia, renal replacement therapy is required for survival, namely dialysis and organ transplantation. There are two methods of dialysis, one of which is Hemodialysis (Potter, 2005; Smelzer, 2008). Cases of chronic kidney failure in the world have increased by more than 50%, in the United States which is a very developed country every year there are about 20 million adults suffering from chronic kidney failure and undergoing hemodialysis in more than 100,000 patients, while in Indonesia, according to the Indonesian Kidney Diatrans Foundation, YDGI), in 2007 there were about 100,000 chronic kidney failure patients but only a few patients were able to undergo hemodialysis. Kidney replacement therapy in Indonesia was started in 1972 in Jakarta (Dr. Cipto Mangunkusumo Hospital/FKUI), in Bandung in 1976 (Hasan Sadikin Hospital/FK UNPAD).