The Healthy Living Community Movement (GERMAS) is a program launched by the Ministry of Health to reduce the main risk of infectious and non-communicable diseases (NCDs), especially through nutritional interventions in the first 1000 days of life, improving balanced nutritional consumption patterns for the whole family, increasing regular and measurable physical activity. , improve healthy lifestyles, improve a healthy environment and reduce cigarette and alcohol consumption. Interview data showed that the majority of people, 48%, rarely had their health checked as early as possible, residents would go to the nearest health center if signs and symptoms of illness began to appear. Integrated counseling on prevention of emergency non-communicable diseases, Hypertension and Diabetes Mellitus, is carried out in one day, residents are gathered in the Mijen Village hall. The activity begins with simultaneous fitness exercises, then continues with a health check. The health checks carried out include anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and random blood sugar measurements. Of the 50 residents who took part in the implementation of integrated counseling on the prevention of non-communicable disease emergencies. Hypertension and Diabetes Mellitus, as many as 24% of residents (12 people) just found out that they suffer from pre-diabetes mellitus, 16% (8 people) already know that they suffer from hypertension and diabetes mellitus, as many as 6% (3 people) have a stomach circumference of more than 100 cm, 54% (27 people) were in good health. Residents were quite enthusiastic about the activities carried out. The data obtained in the integrated counseling activity for preventing emergency non-communicable diseases, hypertension and diabetes mellitus, was submitted to the Mijen Community Health Center as a recap of data on the health status of the target area. The data obtained will be followed up by motivating residents to have their health checked at the Mijen Health Center.

Almost all surgeries cause pain, the pain that is felt is the result of the incision. The effects of pain that do not subside are myocardial ischemia, increased morbidity, and hopelessness. One intervention to relieve postoperative pain is Spiritual Emosional Freedom Technique (SEFT). The purpose of this case study is to describe the reduction in pain scale of postoperative patients in Nusa Indah Room TK.III 04.06.02 Bhakti Wira Tamtama Semarang Hospital after SEFT intervention. This type of research is descriptive using a case study approach. The subjects in this study were 2 postoperative patients with criteria of moderate to high pain. Analysis of pain measurements using the Numerical Scale Branch scale. The analysis showed that there was a decrease in pain scale after the intervention. On subject 1 the pain scale 7 (high pain) became the pain scale 4 (moderate pain) and subject 2 the pain scale 8 (high pain) became the pain scale 4 (moderate pain). Effective SEFT 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.

Background Non-Communicable Disease Screening is a form of community participation in activities for early detection, monitoring and early follow-up of risk factors for non-communicable diseases independently and continuously. This activity was developed as a form of early awareness of non-communicable diseases considering that almost all risk factors for non-communicable diseases do not give symptoms to those who experience them. Risk factors for non-communicable diseases include smoking, consumption of alcoholic beverages, unhealthy eating patterns, lack of physical activity, obesity, stress, hypertension, hyperglycemia, hypercholesterolemia. Purpose is to improve the health status of the community through early detection of non-communicable diseases especially those with diabetes mellitus The method begins with interviews with health cadres in the Jogonayan village area, Magelang Regency, followed by an early detection program and health education. Results:. The health checks carried out were anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and current blood sugar measurements. Of the 48 residents who took part in the detection, 37% had pre-hypertension, 15% had grade I hypertension and 18% had blood sugar >200 mg/dl and 10% did not suffer from hypertension or diabetes mellitus, 20% were in good health. Conclusion: Early detection of non-communicable diseases is very important to prevent further complications.

Gouty arthritis is a disease caused by a buildup of uric acid in the joints of the body. Gouty arthritis that is not treated effectively can develop into chronic gout, form tofus, and can lead to severe kidney function impairment, and decreased quality of life. The purpose of the case study was to describe the application of foot soak therapy with warm ginger water to reduce pain in gout arthritis patients at Mungkid Public Health Center, Magelang Regency. This type of research is descriptive using a case study approach. The subjects in this study were two patients diagnosed with gouty arthritis. Data collection was carried out by observing pain scales in patients based on Standard Operating Procedures for measuring patient pain scales before and after warm ginger foot soak therapy. The results of the case study showed that after the implementation of diabetic foot exercises, it was found that there was a decrease in pain levels in subjects I and II. In subject I there was a decrease in the pain scale from a pain scale of 8 (severe) to a mild scale of 3 and in subject II there was a decrease in the pain scale of 7 (moderate) to a scale of 2 (mild). The conclusion of the case study is that the application of foot bath therapy with warm ginger water is effective in reducing pain levels in gouty arthritis patients. Recommendations need to apply foot soak therapy with warm ginger water to reduce pain levels in patients with diabetes arthritis gout.

Latar belakang: Peningkatan Berat Badan Interdialitik (IDWG) adalah peningkatan volume cairan yang diwujudkan dengan kenaikan berat badan sebagai indikator untuk mengetahui jumlah asupan cairan selama periode interdialitik dan kepatuhan management mandiri pasien terhadap regulasi cairan pada pasien yang mendapat terapi hemodialisis. Pasien gagal ginjal yang menjalani hemodialisa harus dibatasi asupan cairannya. Upaya untuk mencegah peningkatan IDWG dapat dilakukan dengan pemberian intervensi self care management. Tujuan : Penelitian ini bertujuan untuk menggambarkan penerapan intervensi self care management terhadap IDWG pada pasien hemodialisa. Metode: Rancangan penelitian yang digunakan adalah deskriptif dengan metode pendekatan studi kasus Subyek dalam studi kasus ini adalah 2 orang pasien dengan kriteria pasien dengan gagal ginjal kronik yang menjalani hemodialisa, pasien yang bersedia diberikan intervensi self care management. Hasil studi kasus menunjukkan bahwa pemberian intervensi self care managementdapat menurunkan berat badan antar sesi hemodialisisyaitu pada subyek Idari 5 % (kategori sedang) turun menjadi 0,8 % (kategori ringan) dan pada subyek II dari 6 % (kategori sedang) turun menjadi 0,8 % (kategori ringan). Intervensi self care management terbukti efektif untuk mencegah peningkatan IDWG pada pasien hemodialisa. Saran Intervensi Self care Management direkomendasikan sebagai intervensi keperawatan untuk pasien yang menjalani hemodialisa

Latar belakang: Banyak faktor yang mempengaruhi terjadinya kegagalan pemberian ASI pada anak, diantaranya karena faktor ibu bekerja. Pada survey awal di Posyandu melati kelurahan Gayamsari terdapat 35 orang ibu bekerja yang memberikan tambahan susu formula untuk anaknya yang masih berumur kurang dari enam bulan. Hal ini merupakan kondisi yang sangat memprihatinkan. Tujuan : Penulis ingin mengetahui alasan ibu bekerja yang memberikan susu formula pada anaknya. Metode:  Dengan metode pemberian kuisioner dan wawancara terstruktur untuk menceri datanya. Pengambilan data ini dilakukan kurang lebih tiga bulan lamanya. Hasil: Kegagalan terbesar disebabkan karena kurangnya pengetahuan ibu akan pentingnya ASI ekslusif dan keterbatan waktu dalam pemberian ASI. Saran : Pengetahuan akan pentingnya ASI ekslusif menjadi salah satu faktor penentu sikap ibu dalam memberikan ASI esklusif sehingga peran keluarga dan dukungan lingkungan sekitar sangat diprlukan.

Background The Healthy Living Community Movement (GERMAS) is a program launched by the Ministry of Health to reduce the main risks of communicable and non-communicable diseases (PTM), especially through nutritional interventions for the first 1000 days of life, improving balanced nutrition consumption patterns for the whole family, increasing regular and measurable physical activity. , improve a healthy lifestyle, improve a healthy environment and reduce cigarette and alcohol consumption. Purpose is to improve the health status of the community through early detection of non-communicable diseases (DD-PTM), especially those with diabetes mellitus. Method begins with interviews with health cadres in the Bulustalan village area, followed by early detection programs and fitness exercises.
Results:. Result The health checks carried out were anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and temporary blood sugar measurements. Of the 50 residents who participated in the DD-PTM implementation, as many as 24% of the residents (12 people) just found out that they had pre-diabetes mellitus, 16% (8 people) already knew that they had hypertension and diabetes mellitus, as many as 6% (3 people) ) had an abdominal circumference of more than 100 cm, 54% (27 people) were in good health. Conclusion: Early detection of non-communicable diseases is very important to prevent further complications.
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Latar belakang: Stroke Non Hemoragik merupakan suatu gangguan yang disebabkan oleh iskemik, trombosis, emboli dan penyempitan lumen sehingga aliran darah ke otak terhenti. Stroke dapat berdampak pada berbagai fungsi tubuh diantaranya kelemahan otot. Latiham genggam bola karet dapat menimbulkan rangsangan sehingga meningkatkan aktivitas dari kimiawi neoromuskuler dan muskuler sehingga meningkatkan kekuatan otot. Tujuan : Penelitian ini bertujuan untuk menggambarkan penerapan latihan genggam bola karet terhadap kekuatan otot pada pasien stroke non hemoragik. Metode: Rancangan penelitian yang digunakan adalah deskriptif dengan metode pendekatan studi kasus. Subjek yang dipakai sebanyak dua responden dengan kriteria stroke non hemoragik serangan pertama, mengalami kelemahan ekstremitas atas, dapat berkomunikasi dengan baik. Bentuk intervensi berupa penerapan latihan genggam bola karet selama 4 hari. Alat ukur kekuatan otot menggunakan handgrip dynamometer.  Data dianalisa dengan analisis deskriptif. Hasil: Hasil penelitian menunjukkan subjek 1 mengalami peningkatan nilai kekuatan otot dari 14,6 kg menjadi 21 kg, subjek II dari 14,8 kg menjadi 18,8 kg. Hasil studi kasus menyimpulkan terdapat peningkatan nilai kekuatan otot pada subjek I sebanyak 6,4 kg dan subjek II sebanyak 4 kg. Saran : Terapi latihan genggam bola karet direkomendasikan sebagai intervensi keperawatan dalam manajemen kekuatan otot pada klien Stroke Non Hemoragik.

Latar belakang: Stroke yang menimbulkan lesi pada daerah broca dapat mengganggu pengantar dan pengendali kemampuan berbicara, yang terletak di lobus frontalis kiri berdekatan dengan daerah motorik korteks untuk mengontrol otot-otot artikulasi sehingga pasien akan mengalami afasia motorik.. Afasia menyebabkan kesulitan dalam berkomunikasi sehingga menimbulkan gangguan interaksi sosial, isolasi diri, frustasi, dan depresi.Terapi rehabilitasi afasia sangat dibutuhkan, salah satunya adalah Constraint Induced Aphasia Therapy (CIAT) yaitu terapi verbal dengan kartu dan pembatasan non verbal yang melatih kemampuan memahami, mengucapkan kata dan mengikuti perintah. Tujuan: analisis penerapan CIAT Terhadap Afasia Pasien Stroke Metode: Metode penelitian ini adalah kualitatif deskriptif denganpendekatan studi kasus.pada 2 pasien stroke yang mengalami gangguan bicara dan kriteria inklusi yaitu pasien stroke yang menunjukkan gangguan dalam bicara spontan, pemahaman, menamai, repetisi (mengulang), membaca dan menulis. Sebelum terapi CIAT, pengkajian afasia dilakukan dengan token test. Hasil: afasia Subyek I dari skor 22 (kategori sedang) menjadi skor 25 (kategori ringan) dan pada subyek II skor dari 19 (kategori sedang) menjadi skor 20 (kategori sedang).artinya penerapan CIAT efektif terhadap afasia pada pasien stroke di Puskesmas Rowosari Kecamatan Tembalang Kota Semarang. Saran :. Penerapan terapi CIAT direkomendasikan melakukan CIAT terhadap pasien stroke dengan afasia.

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).