Hospital service quality can be seen from the professional appearance of hospital personnel, efficiency and effectiveness of services and patient satisfaction. Communication was very important for nurses in interacting with clines. Clines satisfaction is a level of patient feeling that arises as a result of health services performance obtained after patient compares it with expectation. clines satisfaction was determined by the overall service provided in patient or family complaints. The study was to determine the relationship between nurse communication and postoperative clines satisfaction at Medan Hospital.The research design used analytical survey method with a Cross-Sectional approach. The population in this study were postoperative patients totaling 477 respondents. The sampling used is purposive sampling, namely taking for a purpose by determining certain characteristics that are considered representative of the population, sampling is the slovin technique, totaling 83 respondents.The results of the analysis using the Chi-Square test showed that the significant probability value (Asymp.Sign) of nurse communication was 0.002 < sig value .05, this proves that there was a relationship between nurse communication and clines satisfaction at Medan Hospital.The conclusion was that statistically a relationship between nurse communication with postoperative clines at Medan Hospital. It is recommended for nurses to maintain communication therapeutic nurse to obtain quality health services for postoperative patients.
                                              
 

Leprosy infectious disease can cause peripheral nerve disorders and skin disorders. The problem in question is not only from a medical point of view but extends to the social, namely leprosy sufferers can be ostracized or shunned by society. So important is the role of the family in providing support for leprosy sufferers to achieve recovery through adherence to taking medication. The purpose of writing this literature review is to determine the relationship between family support and medication adherence in leprosy patients. The research design used a literature review conducted on a data base including Google Schoolar, PubMed, and Spinger. Article analysis found 16,776 but only 10 articles that met the inclusion criteria. The results of journal analysis showed that for each of the 10 articles, it was found that in 7 articles there was a relationship between family support and adherence to taking medication in leprosy patients. In addition, the other 4 articles said that the family plays an important role in providing support, encouragement, and motivation for family members who have leprosy to adhere to treatment. One of the factors that can increase treatment adherence in patients with chronic diseases is good family support.