Diabetes Mellitus is a chronic metabolic disorder with multiple etiologies characterized by high sugar levels. Patients with chronic illnesses are very susceptible to depression. This can be overcome if the respondent has good enough resilience and self-efficacy so that he can manage self-care and regulate glycemic levels and strive for better health. The aim of the research is to determine the relationship between resilience, self-efficacy and depression with self-care management in patients with diabetes mellitus in the Besuki Community Health Center working area.
This research design is cross sectional/analytic correlation. The study population included 38 Diabetes Mellitus patients with Gangrene. The sampling technique uses probability sampling, total sampling. The sampling used was 38 people. The instrument uses a questionnaire sheet. And multiple linear regression statistical tests.
The research results showed that the average resilience was 70.02, self-efficacy was 71, mild depression was 17 respondents and the average self-care management score was 72. Resilience increased self-care management with a p value of 0.000 ? ? 0.005. Self-efficacy increases self-care management with a p value of 0.000 ? ? 0.005 with an average coefficient of . the results of multiple linear regression obtained a p value of 0.000 ? ? 0.005. There is a relationship between self-efficacy, resilience and depression with self-care management in patients with diabetes mellitus in the Besuki Community Health Center working area with a p value of 0.000 ? ? 0.005 with a coefficient value of 0.608 so, Self-efficacy influences self-care 6 times more than other variables.
Self-efficacy, good resilience can reduce depression in chronic patients such as gangrene so that patients have adequate self-care management.

Background:  Elderly is a condition where a person is 60 years old. Hypertension is a condition of a person who has mixture of salt and lemongrass that can facilitate blood circulation in the body. systolic blood pressure of 140 mmHg and diastolic 80 mmHg. Data from the Kaliwungu Health Center (2023) shows that the number of hypertensive elderly is 18 elderly people. Non-pharmacological therapy that can be done by soaking warm water feet with aObjective: to determine the effect of the application of foot soak therapy using warm water with salt and lemongrass on blood pressure in elderly people with hypertension in Kaliwungu Village, Semarang Regency. Method: this application uses a case study research design with prestest and post-test design. Samples were 2 elderly people who had 2nd degree hypertension. Results: the application of  there was a decrease in blood pressure that was different between respondent 1 and respondent 2 after the application of warm water foot soak with salt and lemongrass for 3 consecutive days for 20 minutes. Both respondents were categorized as grade 2 hypertension decreased to normal-high based on the PDHI classification (2019). Conclusion: Application of warm water foot soak with a mixture of salt and lemongrass can lower blood pressure in elderly people with hypertension.
 

Gouty arthritis is a metabolic disease that mostly occurs in middle-aged to elderly men and women in the post-menopausal period. This metabolic disease is caused by the accumulation of monosodium urate monohydrate crystals in the joints and connective tissue tophi. Joint pain is a problem for elderly people in the world and in Indonesia. It was recorded according to (WHO, 2023) that in 2019, around 528 million people worldwide suffered from joint pain, an increase of 113% since 1990. Around 73% of joint pain sufferers were over 55 years old, and 60% were women. With a prevalence of 365 million people, the knee is the joint most frequently affected, followed by the hip and hand. By using cinnamon as a non-pharmacological measure to reduce pain caused by signs and symptoms of gouty arthritis. Method: Case study using nursing care for Mr. S by doing a warm cinnamon compress for 7 days. Results and Conclusions: Chronic pain problems were resolved with warm cinnamon compresses marked by Mr. S said the pain had disappeared and he could carry out daily activities. P: pain caused by gout Q: none R: none S: 1 T: none. Mr. S still looks smiling and no longer grimacing, Mr. S doesn't seem anxious, Mr. S appears to be able to carry out activities and does not avoid pain. TTV results TD: 130/80 mmH N: 84x/m RR: 22x/m S: 36.6?.

Efforts to prevent drug abuse will be able to live with the encouragement of parents. The Center on Addiction and Substance Abuse (CASA) suggests that key families to prevent drug addiction, and the social environment, provide ethical, moral and counseling, teaching and training according to adolescent self-development. The purpose of research to determine the influence of family and social relationships against drug abuse prevention in Kuta Baro Aceh Besar. Correlative research design with cross-sectional approach. The number of samples is 68 respondents. The result of univariate research shows that as many as 54,4% respondent with family is not harmonic, 52,9% respondent with negative social environment, 51,5% respondent with negative drug abuse prevention. Bivariate results show that there is a family relationship with the action of prevention of drug abuse in Cot Yang District of Aceh Besar Regency with P value = 0,031 and there is social environment relation with the action of prevention of drug abuse in Gampong Cot Yang Sub-district of Aceh Besar Regency with p value = 0.035. It is suggested that the Geuchik Gampong can work together with religious leaders and youth of the village to provide information for adolescents about the dangers of abuse.

This study aims to find out: (1)Effect Of Emotional Intelligence on Organisational Culture On The Nurse Nurse Performance(Study on Emergency on nurse performance (Study on emergency room and Intensive Care nurse of Benyamin Guluh hospital/kolaka SMS Berjaya BLUD). (2) Effect of Organizational Culture on Nurse Performance (Study on Emergency room and  Intensive Care Unit nurses of Benyamin Guluh Hospital/Kolaka SMS Berjaya BLUD). This study uses an approach with quantitative methods.Data collection in this study through observation, literature study and questionnaires. The population of this study ware all emergency room and intensive care unit nurses at Benyamin Guluh Hospital/Kolaka SMS Berjaya BLUD. While the sampel of this study amounted to 30 nurses with the determination of the sample using purpositive sampling with hair formula. Testing of research instruments using validity tests and reliability tests with SPSS 25.0. The data analysis technique used in this research is Structural Equation Modeling (SEM) based on Partial Least Square (PLS) through measurement model test (outer model) and structural model testing (inner model) with Smart PLS 3.0.Based on the results of the study, it is known that the Emotional Intelligence variable has a positive and significant effect on Nurse Performance as indicated by the P-Values value of 0.005.And the Organizational Culture variable also has a positive and significant effect on Nurse Performance, this is indicated by the P-Values value of 0.037.

Surgery is an invasive treatment that involves opening a part of the body through an incision which ends with closing or suturing the wound. Molecular mechanisms for treating pain have led to the development of multimodal analgesia, combining pharmacological and non-pharmacological interventions. Benson Relaksas? is a development of the deep breathing relaxation method by involving the patient's key factors which can create a calm environment. To find out the results of applying Benson relaxation therapy to reduce pain intensity in post laparotomy patients at HCU Cempaka Regional General Hospital (RSUD) Dr. Moewardi Surakarta. This type of research is descriptive research in the form of a case study. Involving 2 post-operative patients. The research instrument used the Numeric Rating Scale (NRS) questionnaire. The results of the study showed that before applying Benson relaxation therapy to Mr. M, an NRS score of 7 (severe pain) was obtained, while for Mrs. Trn.M obtained an NRS score of 3, indicating both patients experienced mild pain after the intervention.  After applying benson relaxation for 3 consecutive days on Mr. M and Mrs. H, it can be concluded that there was a decrease in the level of pain in both patients.

Background: Hypertension is one of the factors that is the main cause of death for stroke sufferers and is also a factor that can aggravate heart attacks. Non-pharmacological treatment usually includes exercise, improving diet and relaxing. Autogenic relaxation is relaxation that comes from oneself by using a word or sentence that calms a person's mind and is proven to be able to control several body functions such as blood pressure and blood flow. Objective: To determine the application of autogenic relaxation to reduce blood pressure in hypertension patients in the lotus ward at RSUD dr. Soediran Mangun Sumarso Wonogiri. Method: Autogenic relaxation with patients suffering from hypertension was carried out on 2 respondents for 3 days with a duration of 15-20 minutes and blood pressure was measured before and after application. Results: It was found that there was an effect of autogenic relaxation on reducing blood pressure in the blood pressure of respondents Mrs. W 215/109 to 177/96 and Mrs. N 173/100 to 158/92. Conclusion: Based on research that has been conducted, auogenic relaxation has been proven to be significant in reducing blood pressure in hypertension patients.
 
 
 

Background: Acute Lung Oedema (ALO) is an emergency condition that requires immediate action and has fatal and more dangerous consequences which will disrupt the gas exchange process in the alveoli due to the alveoli being filled with fluid. Based on the results of the initial survey in the ICU room at Tangerang Regional Hospital, it was found that the number of ICU patients with cases of pulmonary edema or ALO in 2023 was 14 people and from June to January 2024 there were 14 people. Nursing actions as an evidence base that can be provided include sucking mucus for less than 15 seconds and emptying the ETT cuff periodically. This implementation can increase airway clearance, thereby preventing accumulation of secretions that can cause aspiration. Proving the theory through providing nursing care carried out 5x with results showing that providing mucus suction in less than 15 seconds, and emptying the ETT cuff periodically, can improve the airway clearance status as indicated by a decrease in sputum production, color and consistency. Method: This writing method uses patient intervention and observation carried out for five days, to determine the patient's condition and provide appropriate nursing care which is then documented. Results: Based on the results of the monitoring carried out, it can be concluded that there are differences in the conditions of secretion production before and after the suction intervention was carried out by deflating the ETT (Cuff) balloon for 5-15 seconds. With the results criteria, secretion production is reduced. Conclusion: for patients with thick and purulent secretions, suction by deflating the ETT balloon (Cuff) becomes more effective and secretion production decreases. Nursing actions as an evidence base that can be given include sucking mucus for less than 15 seconds and emptying the ETT cuff periodically.

Hypertension is one of the most common cardiovascular diseases and is most common in society. Hypertension is now a major problem for all of us, not only in Indonesia but in the world, because hypertension is a risk factor for heart disease, kidney failure, diabetes and stroke (Indonesian Ministry of Health, 2019). Data from the World Health Organization (WHO) in 2018 shows that around 1.13 billion people in the world have hypertension, meaning that 1 in 3 people in the world are diagnosed with hypertension. The number of people with hypertension continues to increase every year, it is estimated that by 2025 there will be 1.5 billion people affected by hypertension and it is estimated that every year 10.44 million people die due to hypertension and its complications (Ministry of Health, 2019). Based on Riskesdas 2018, the prevalence of hypertension based on measurement results in the population aged 18 years was 34.1%, the highest in South Kalimantan (44.1%), while the lowest was in Papua (22.2%). Hypertension occurred in the age group 31-44 years (31.6%), age 45-54 years (45.3%), age 55-64 years (55.2%). From the prevalence of hypertension of 34.1%, it is known that 8.8% were diagnosed with hypertension and 13.3% of people diagnosed with hypertension did not take medication and 32.3% did not regularly take medication. This shows that the majority of hypertension sufferers do not know that they have hypertension and therefore do not receive treatment (Ministry of Health, 2019).

Post SC patients will complain of pain in the incision area caused by tearing tissue in the abdominal wall and uterine wall. Back pain or pain in the nape is also a complaint commonly felt by post-SC mothers, it is due to the effects of using epidural anesthesia during surgery. But after the operation is complete and the patient begins to regain consciousness, he will feel pain in the part of the body that undergoes surgery. Sectio caesarea surgery has complications of infection, bleeding, injury to the bladder, The purpose of this study was to determine the Comparison of the Effectiveness of aroma therapy lemon and classical music therapy lullaby Against the Pain Scale in Post Partum Mothers after sectio caesarea surgery in the Babusalam Room of Tugu Ibu Hospital in 2023. Research Design Quasi-experimental method is a research method that in its implementation does not use random assignment (random assignment) but by using existing groups. The population in this study is all postoperative caesarean section patients totaling 150 people from caesarean section data from April to May 2023 at Tugu Ibu Hospital. The sample in this study was 30 people divided into 2 intervention groups, each group consisting of 15 people. This study obtained data that before being given therapy, a comparison of post-test pain in the lemon aromatherapy group and lullaby classical music after caesarean section surgery obtained a p value of 0.000, because p > 0.05 it was concluded that there was a significant difference in pain scale after being given lemon aromatherapy therapy and lullaby classical music, which was more effective lemon aroma therapy. Advice For health workers or nurses can apply the administration of Aroma Therapy and Classical Music Therapy to reduce the Pain Scale in Post Partum Mothers after sectio caesarea surgery