Generation Z is a generation that has grown in the digital era and is dependent on the internet. One of the features of the internet that is most accessed by this generation is social media. Social media as the information source has a negative impact, especially related to academic processes in the university, namely the learning concentration disorder. Students as part of the Z gene is a population that uses various gadgets (gadgets), so that they are at risk of experiencing learning concentration disorders. The purpose of this study was to describe the level of concentration of learning in students of the Nursing Faculty of Padjadjaran University. This research is quantitative descriptive. The sample was taken using the proportionate stratified random sampling technique from the population of the Nursing Faculty of Padjadjaran University (n = 240). Data were collected using concentration learning questionnaires and analyzed descriptively. The results showed that 40 students (16.7%) had low levels of learning concentration, 166 students (69.2%) with moderate learning concentration levels and 23 (14.2%) with high levels of learning concentration. The conclusion of this study is that most of the Nursing Faculty students of Padjadjaran University have a moderate level of learning concentration. It is recommended to apply varied methods and learning styles in learning activities so that the level of concentration of student learning can be increased.

The present study examines the relationship between high altitude and anxiety levels among employees at one of Indonesia’s leading petrochemical company. Using a quantitative research design, the investigation focused on 42 employees working in distinct altitude zones within the facility. Data were collected over a six month period during normal operational hours, employing the Hamilton Anxiety Rating Scale (HARS) as the standardized psychological assessment tool. Altitude measurements for work zones were recorded precisely, with categorized levels defines as low, moderate, high and very high altitude zone. Descriptive statistics, including means, standard deviations, and range values, were computed and correlation tests conducted R programming to determine the strength and direction of the relationship between altitude and anxiety. Results revealed the mean HARS scores among 42 participants was 21.4 (SD = 5.7), with a range of 11 to 33 whilst a statistically significant positive correlation between increased altitude exposure and elevated anxiety scores (r = 0.68, p < 0.001), suggesting that higher work zone are associated with greater anxiety levels among employees. This study also discusses occupational health and safety concerns, ethical considerations, and the limitations intrinsic to a cross-sectional quantitative design. Implications for workplace design and employee well-being interventions are explored, with recommendations for future research addressing broader environmental and psychosocial variables.

Diabetes is a condition that the pancreas does not produce enough insulin or the body can’ effectively using insulin and its impact on disease complications. Physical exercise is one aspect of the management of diabetes that affects reducing the blood glucose rate. The objective of this research was to find the influence of the diabetes exercise on blood sugar rate at the Public Health Centers Mertoyudan II. This study was a quasiexperimental applying the non-equivalent control group. Respondents were 37 for the intervention group and 37 to the control group. The diabetes exercise performed six times within two weeks. The result found that the paired t-test result with a significance level (α) 95 % was p-value = 0,001. There were significant differences in the decreasing average of the blood sugar rate between the intervention and the control group. Further research is needed by increasing the intervention to become three times per week for 4 weeks’ intervention.

Hypertension is a non-communicable disease and has a risk of heart disease. Hypertension can be managed by doing physical activity. Physical activity can control blood pressure in hypertensive clients. The purpose of this research was to identify the overview of the biological activities of hypertensive clients at the Guntur Community Health Centre in Garut Regency.The research type was a quantitative descriptive with the study population of hypertensive patients who were registered at Guntur Community Health Centre. The sampling method in this research was a total sampling method, and the total number of this study was 118 hypertensive patients. This research instrument used the long form of the International Physical Activity Questionnaire with a number of 25 questions and consisted of 4 activity domains. The data were processed using the analysis of distribution frequency and percentage. The results showed as many as 100 respondents (84.7%) did a mild physical activity, and none did moderate physical activity, and as many as 18 respondents (15.3%) did a strenuous physical activity. From the research results, it can be concluded that most of the respondents did a mild physical activity. The implication of this research is to provide health education about appropriate physical activity for hypertensive clients at Guntur Health Center.

The Covid-19 quarantine policy and mobility restriction were carried out to break coronavirus transmission. These were implemented for several months to affect the quality of life, especially in patients with diabetes mellitus. To overcome this, technology such as applications with artificial intelligence can be used. This literature aims to identify the use of Artificial Intelligence systems in managing diabetes mellitus during pandemics. This review conducted a narrative review method. Articles were searched using databases, such as PubMed, Science Direct, and EBSCO. The keywords were based on the medical subheading (MeSH) term and combined using a boolean operator. Articles were selected using inclusion criteria, namely the year of publication between 2016-2021, articles in English, full text, and open access. The articles that were duplicated and articles that did not fit the research topic were excluded. We found that six articles met the criteria. These discussed four programs, namely diabetes retinopathy screening, blood glucose monitoring, lifestyle management programs, and insulin therapy guidelines. The four programs can be used in the home care services for diabetes mellitus patients during the Covid-19 pandemic

IIntroduction: VNursLab Plus Universitas Padjadjaran offers technology-based learning media, namely virtual reality (VR) to support the clinical skills of nursing students. Before mass marketing, VNursLab Plus products need to be researched in several segmentations. Marketing mix 4P (Product, Price, Place, and Promotion) is one of the marketing strategies carried out to influence the purchasing decision of a product. The purpose of this study was to analyze the relationship between 4P (Product, Price, Place, and Promotion) on VR purchasing decisions in college students. Research methodology: correlational research with a cross sectional approach and the respondents of this study were 89 Universitas Padjadjaran Nursing students who had tried using VR. The instrument used is an adaptation of previous research instruments that the researcher modified. Result: The Chi-Square test obtained a p value <0.01 in each variable product, price, and place on purchasing decision decisions, while the promotion variable on purchasing decisions produced a p value = 0.29. Discussion: The test results state that there is a relationship that makes the 4P marketing mix strategy (Product, Price, Place, Promotion) on VR purchase decisions, so that it can be adapted by VNursLab Plus by considering products, prices, places, promotions as marketing strategies before being marketed to broad segments. Conclusion: There is a relationship between the 4Ps (Product, Price, Place, Promotion) on VR purchase decisions in students as an additional learning method. So that VR can also be applied to streamline student learning.

Acute coronary syndrome (ACS) menjadi penyebab utama kematian di seluruh dunia termasuk di Indonesia. Health education merupakan suatu program edukasi yang diberikan oleh perawat kepada pasien yang bertujuan untuk meningkatkan status kesehatan melalui peningkatan dan pemeliharaan perilaku kesehatan. Penelitian mengenai manfaat health education pada pasien ACS saat ini masih terbatas. Hal tersebut menunjukkan kebutuhan untuk mengumpulkan bukti manfaat dari program health education pada pasien ACS. Tujuan dari literatur ini adalah untuk mengidentifikasi manfaat health education berdasarkan literatur. Pencarian literatur dilakukan pada database elektronik Medline, PubMed, CINAHL, PsycInfo dan Cochrane Library dengan kata kunci acute coronary syndrome AND health education. Kriteria inklusi terdiri dari: pasien dengan ACS, jenis penelitian true experiment, publish dari tahun 2014-2019 dalam Bahasa Inggris. Penilaian kualitas artikel dilakukan dengan menggunakan instrumen dari CONSORT. Hasil pencarian pertama ditemukan 6.028 artikel dan setelah dilakukan skrining serta evaluasi, didapatkan 5 artikel yang memenuhi kriteria inklusi. Hasil tinjauan menunjukan bahwa health education terbukti efektif dalam menurunkan gejala depresi, meningkatkan self-efficacy, meningkatkan self-care dan meningkatkan quality of life pada pasien ACS. Dengan demikian, health education penting  untuk diberikan pada pasien ACS sedini mungkin sesuai dengan karakteristik, budaya, dan sumber daya yang tersedia sebagai upaya untuk meningkatkan keyakinan diri dalam melakukan perawatan mandiri

COVID 19 has become a world health problem, and Indonesia has declared an emergency status for an outbreak. To prevent transmission of COVID 19, the government has set three policies that are increasing the availability and reliability of infrastructure, involving the industrial world and social education. However, COVID 19 transmission still occurs. Preparedness for COVID 19 transmission starts with the family as a minor system in the community. The Healthy Indonesian Program with a Family Approach is considered an excellent effort to carry out health functions to prevent COVID 19 transmission. This study aimed to optimize family functions in preventing COVID 19 transmission. This study used a descriptive-analytic design. Two hundred and fifty-eight samples were recruited using a consecutive sampling technique. To measure family function using a questionnaire. Data were analyzed by descriptive statistics (i.e., frequency statistics). The frequency statistics showed that most of the respondents have optimally performed family functions in the health sector. Most of the respondents understand COVID 19 (88,4%), they are capable of making decisions (96,9%), they can care for the family (88,8%), they can modify the environment (75,2%), and they can take advantage of health services (81%). This study only captures the extent to which the family optimally performs health functions; it does not provide any form of intervention. The results of this study prove that the family has an important role to play in breaking the transmission of COVID 19.

Self-efficacy is a person’s belief or confidence in doing something. Self-perception related to confidence in the learning process or learning strategy is often called “learning self-efficacy” where it reflects how confident a learner is in achieving certain learning objectives in the context of performing clinical skills of urinary catheterization. In developed countries, virtual reality is proven to be able to increase student self-efficacy but in developing countries there is still limited research. The purpose of this study was to see the effect of virtual reality learning media on the self-efficacy of nursing students in the learning process in Indonesia as a developing country. This research design is a quantitative study with a pre-experiment research design with one intervention group with a pre-test post-test design approach. The sampling technique used was purposive sampling with 49 nursing students of the Faculty of Nursing, Padjadjaran University as samples. The instrument used in this study was the Learning Self Efficacy Scale (L-SES) for Clinical Skills questionnaire consisting of 12 question items. Data analysis was carried out univariately and bivariately using the dependent t-test because the data were normally distributed. The results showed that there was a significant difference between the pre-test and post-test which showed an average increase of 13.65 points. The use of VR learning media in the act of urinary catheterization and static results show a value of p = 0.001 <0.05 it means significantly increase learning self-efficacy. So it can be concluded that virtual reality learning media in catheterization actions have an effect on increasing the self-efficacy of nursing students in Indonesia as a developing country.

School activities and socialization consume a lot of time for adolescents and leave a little time for adolescents to rest or sleep. Changes in environment, independence and changes in sleep patterns commonly occur for students who undergo pesantren activities, thus affecting the quantity and sleep quality of students. Sleep deprivation is associated with poor sleep hygiene behaviour. This study used descriptive quantitative method with single variable. Sampling technique used at this study is stratified random sampling. This study involved as many as 161 adolescent moslem students at the age of 11-20 years in Pondok Pesantren Darul Hikmah Tanjungmekar Tanjungkerta Sumedang Distric. Data collected by using Adolescent Sleep Hygiene Scale Questionnaire and analyzed by using mean value. The result of this study showed that more than half of the respondents had good sleep hygiene practices (68,3%). There are four aspects of adolescent moslem students sleep hygiene in good category : cognitive/emotional aspect, sleep environment aspect, sleep stability aspect and substance use aspect. Two aspects of sleep hygiene in bad category are in the daytime sleep aspect and bedtime routine aspects. Meanwhile physiological aspect and behavioural arousal aspect have an almost balance values. Monitoring moslem students sleep schedule not to exceed 24.00, providing separate room for moslem study self study, habits of toothbrush before bed, monitoring of cigarette use in cottage environment, not providing tea at dinner time, and monitoring of moslem students activity outside school or cottage Pesantren is a thing that should be attention.Keyword: Adolescent, moslem students, sleep hygiene. Gambaran Sleep Hygiene Santri Remaja Pondok PesantrenAbstrakAktivitas sekolah dan sosialisasi yang dilakukan oleh remaja mengakibatkan banyaknya waktu yang tersita dan hanya sedikit waktu yang disisakan untuk beristirahat ataupun tidur. Perubahan lingkungan, kemandirian dan perubahan pola tidur yang tajam biasa terjadi bagi siswa yang menjalani kegiatan pesantren, sehingga berpengaruh terhadap kuantitas dan kualitas tidur siswa. Kekurangan tidur ini berhubungan dengan buruknya perilaku sleep hygiene. Penelitian ini bertujuan untuk mengetahui gambaran 8 aspek sleep hygiene, serta gambaran sleep hygiene berdasarkan latar belakang demografi santri. Penelitian ini menggunakan desain deskriptif kuantitatif dengan variabel tunggal. Adapun teknik sampling yang digunakan yaitu stratified random sampling. Penelitian dilakukan terhadap 161 santri remaja usia 11-20 tahun di Pondok Pesantren Darul Hikmah Tanjungmekar Kecamatan Tanjungkerta Kabupaten Sumedang. Data dikumpulkan menggunakan kuesioner Adolescent Sleep Hygiene Scale serta dianalisis menggunakan nilai mean. Hasil penelitian ini menunjukkan bahwa sebanyak 68,3% responden memiliki praktik sleep hygiene yang baik. Aspek-aspek sleep hygiene santri yang berada dalam kategori baik terdapat pada aspek kognitif emosional, aspek lingkungan tidur, aspek stabilitas tidur dan aspek penggunaan substansi. Adapun 2 aspek sleep hygiene yang berada dalam kategori buruk terdapat pada aspek tidur siang dan aspek rutinitas sebelum tidur. Sedangkan aspek fisiologis dan aspek perilaku penggugah memiliki hasil yang hampir seimbang. Memantau jadwal tidur santri agar tidak melebihi pukul 24.00, menyediakan ruangan terpisah bagi santri untuk belajar mandiri, pembiasaan sikat gigi sebelum tidur, pemantauan penggunaan rokok di lingkungan pondok, tidak menyediakan teh pada saat jam makan malam, dan pemantauan kegiatan santri diluar jam sekolah ataupun pondok pesantren merupakan hal yang sebaiknya pengurus pondok pesantren perhatikan.Kata kunci : Remaja, santri, sleep hygiene.

Uterine prolapse is a condition where the uterus herniates into the vagina as a result of ligament failure and fascial support. Uterine prolapse often occurs together with prolapse of the vaginal wall, which involves the bladder or rectum. menopausal women. If uterine prolapse is not treated immediately, it can cause other health problems such as bleeding which can cause severe anemia. The purpose of this study was to describe nursing care that can be carried out in patients with uterine prolapse with severe anemia. The method used is a descriptive method with a case study approach, while the instrument used is an observation format at the Bandung City Hospital and an assessment format from the Unpad Faculty of Nursing. The sample in this study was one patient with uterine prolapse with severe anemia. The nursing diagnoses found in patients are the risk of shock, acute pain, and risk of infection. The implementation provided is in the form of shock management which includes blood transfusion therapy, tranexamic acid therapy, and monitoring of vital signs. Management of uterine prolapse in the form of Kegel exercises and placing a pessary, pain management, as well as prevention of infection. As a result, it was found that there was an improvement in the Hb value from 7 gr/dL to 10 gr/dL, complaints of weakness and pain decreased, and the patient had been placed with a pessary type pessary ring with support. The existence of uterine prolapse is necessary to increase awareness to prevent the incidence of uterine prolapse and to minimize the impact that occurs due to uterine prolapse, as well as to increase patient awareness to conduct examinations to health services.

Inpatient room in a psychiatric hospital is divided into the acute (intensive) room and non-acute (inpatient) room. Several types of research showed different levels of work stress experienced by nurses in those rooms. The work stress is a form of individual response towards physical and psychological demand caused by the interaction of an individual to the working environment. This research aimed to know the difference in the work stress levels of nurses in psychiatric intensive care unit and inpatient room at a Psychiatric Hospital in West Java Province. This research used a comparative analytical design. The 104 samples were chosen through proportional random sampling technique. The data were collected through New Brief Job Stress Questionnaire (New BJSQ) instrument containing 29 items. The technique of data analysis used was the Mann-Whitney test. The results showed that job stress levels of nurses in psychiatric intensive care unit and inpatient room were low with the median score 42 (SD=7.706 for the intensive care unit and in the inpatient room was 38 (SD=6.167). The results of the Mann-Whitney test found p-value (0.047) < 0,.5. In conclusion, there is a bit different in the job stress level of nurses in psychiatric intensive care unit and inpatient room. Maintaining the mechanism of adaptive coping, adding the number of nurses, and the policy regarding nurse room rotation schedules would be solutions to overcome with work stress.

Pressure ulcers are a complication that becomes more complex when experienced by patients with multimorbidity such as Congestive Heart Failure (CHF), Chronic Kidney Disease (CKD), and thrombocytopenia. These conditions can lead to prolonged healing, high risk of infection, systemic complications, and even death. Interventions must be accompanied by appropriate tools to evaluate wound healing optimally. The Pressure Ulcer Scale for Healing (PUSH) is a tool for accurately, practically, and simply assessing the progression of pressure ulcers. However, its use for evaluating pressure ulcers remains limited. The objective to describe the use of PUSH in patients with pressure ulcers and multimorbidity. Method: This study used a case study design involving a 56-year-old patient with a grade III pressure ulcer on the buttocks measuring 121.5 cm2 with granulation tissue, minimal necrosis tissue, pus, and active bleeding. Wound progression was evaluated using PUSH over 4 days during wound care. The results that the PUSH score increased to 16 with a wound size of 150 cm2 moderate exudate, and extensive necrosis tissue. This indicates that the wound condition has not improved, prompting an evaluation of the wound care and factors hindering wound healing. Although PUSH aids clinical decision-making, it has limitations in assessing wound depth and systemic conditions as it only evaluates three parameters. The PUSH instrument is a simple and efficient tool for monitoring the healing of pressure ulcers and has the potential to indicate changes in wound condition as a result of an intervention, thereby aiding clinical decision-making. PUSH is recommended for routine use in clinical practice, while continuing to evaluate systemic conditions comprehensively and involving a multidisciplinary team.

The coronavirus 2019 (Covid- 19) pandemic offers incredible challenges to child and adolescent health because the school closure and the impracticability of activities outside the house have been challenging for parents. When schools are closed, they lose an anchor in life, and their symptoms could relapse; these unstoppable circumstances, which are beyond average experience, are primary to stress, anxiety, and a feeling of helplessness in all. This research aimed at identifying, analysing, and examining children's mental health during pandemic articles published in several reputable international journals issued in the 2019-2020 timeframe, which was led using bibliometric studies. This research hires a bibliographic study using systematic and explicit mapping methods. The research was conducted using a 4-stages systematic mapping method: (1) searching for articles using the Publish or Perish application in the Scopus database, (2) classifying the articles for the bibliometric analysis, (3) checking and completing the metadata of those articles, and (4) conducting bibliometric analysis using VOSviewer application. The bibliometric analysis produced four findings, as follows: (1) the trend of mental health children’s publications 2019-2020; (2) the ten most contributive journals has published; (3) the ten most cited articles has produced 170 citations; (4) the five highest order of author keywords most widely used in mental health children’s articles were mental health, children, human, school, and covid- 19. Children's mental health can be concluded as the term of research is currently popular among researchers.

Coronary Heart Disease (CHD) was the number two cause of death; one of the treatments for CHD was Coronary Artery Bypass Graft (CABG). Patients after undergoing CABG will undergo treatment in the Intensive Care Unit (ICU). In patients who experience treatment in the ICU, many patients experience sleep disturbances related to therapy regime rhythm in the ICU. This literature review aims to identify the intervention for managing sleep quality in post-CABG patients undergoing treatment in the ICU. The method use was a narrative review study, The review was conducted two databases, PubMed and ScienceDirect, to search data from 2012 to 2022. The keywords used were Coronary Artery Bypass Graft, Intensive care unit, and Sleep Quality. The results of this study included nine articles reviewed, which were entirely randomized control trials and randomized clinical trials. The review found that the interventions to manage sleep quality are deep breathing therapy, aromatherapy with roses, acupressure, self-care, and drug administration. From the results of the review, it was found that all articles reported using several specific interventions in the intervention group that were proven to improve sleep quality in post-CABG patients. The study results provide information for nurses regarding sleep quality in post-CABG patients.

Introduction, early detection of cancer is an important action in addressing the high incidence breast cancer cases. The easiest early detection that women could do is breast self-examination(BSE). Previous research indicated a gap between knowledge and behavior towards breast self-examination. Intrinsic motivation is needed by women to perform breast self-examination. This study aimed to identify the intrinsic motivation of women reproductive age in performing breast self-examination in Kebonwaru District Bandung. Methods, this study was a descriptive quantitative study, the study population was women in reproductive ages. The samples were chosen using the simple random technique (n = 344). Data was collected using Intrinsic Motivation Inventory instrument which has been back-translated. Data were analyzed using descriptive analysis of frequency distribution and percentage. The results showed that the proportion of respondents who had the high intrinsic motivation and low intrinsic motivation were almost the same (54.1% and 45.9% respectively). The majority of respondents (84% of) had a high perception of importance and usability of BSE. 66.3% of respondents had a perception of suitability and interest along with high competence perception. In addition, 56.4% of respondents had a high perception of effort and choice. However, 57.4% of respondents reported an increased sense of stress and nervous when performing BSE. Conclusion, there is a need to maximize cancer prevention and promotion programs.  For example, health education related to cancer prevention and treatment,  accompaniment, and counseling, and providing information about the importance of early detection.  That information could increase the intrinsic motivation of women to perform breast self-examination so a number of women’s mortality caused by breast cancer could be decreased and breast cancers could be detected earlier.

Stroke is a global health problem and deaths. Stroke with hemiparesis can cause long-term disability if not treated properly. Intervention with the right therapy can prevent various obstacles, one of which is mirror therapy which is an intervention method that is cheap, easy, safe, and can be done independently. However, the review of comprehensive studies is limited. This study aimed to determine the benefits of mirror therapy on the extremity function of post-stroke patients who had hemiparesis. This study used a narrative review approach basaed on PRISMA 2020 guidelines. Searching article were conducted in four databases, namely PubMed, CINAHL, Sage Journal, and Google Scholar, with the keywords were mirror therapy, Stroke rehabilitation, post-stroke, hemiparesis, and stroke. Inclusion criteria in this study were stroke patients with hemiparesis, randomized controlled trial (RCT) research design, quasi-experimental and clinical trials, using English and Indonesian, full-text articles available in 2012-2022, with the outcome of the study were quality of life, increased extremity motor function, cognitive, emotional and reduce the patient&#39;s pain. Results: twelve articles show the effect of mirror therapy in post-stroke patients who experience hemiparesis and the review notes that mirror therapy has a positive effect on motor improvement which has an impact on increasing the ability to carry out daily activities, preventing depressive disorders, and improving the quality of life of patients. The combination of the application of conventional rehabilitation therapy, neuromuscular electrical stimulation, and the use of virtual reality-based mirror therapy can enhance the therapeutic effect. Conclusion: Mirror therapy can be used as a therapeutic recommendation that can improve limb function in post- stroke patients. More research is needed by meta-analysis to find more comprehensive evidence.Keywords: Hemiparesis, Mirror Therapy, Post Stroke

Gluten Free Casein Free (GFCF) is a diet recommendation to reduce hyperactivity in children with autism. Lack of adherence and knowledge can lead to improper dietary application which will result in remaining health problems and hyperactive behavior of autistic children. The purpose of this study is to examine knowledge and perception of parents towards GFCF diet in children with autism. This descriptive-quantitative study used a total sampling technique to 57 parents of autistic children in 3 Bandung District Extraordinary Schools. Data was obtained through questionnaire with validity ranging from 0.315-0.912 and reliability of 0.788 and 0.932. Data was analyzed using frequency and percentage in descriptive statistics. Results showed that some parents lacked of knowledge (n = 28), and 67% of subjects (n = 38) had a positive perception of GFCF diet. Positive perception includes perception of benefits, perception of susceptibility, perception of self efficacy, and perception of severity. In the perception of barrier, some subjects had negative perception. Based on the results, several parents had positive perception of GFCF diet, although the parental knowledge related to this diet was in the low category. That is likely because of parents have not received sufficient information related to GFCF diet. Therefore, health workers especially community nurses are expected to collaborate with nutritionists in making regular visits in order to provide parents of autistic children with health education related to GFCF diet in extraordinary schools.

Fatigue is a common and persistent symptom in patients with tuberculosis (TB), particularly in recurrent cases and when accompanied by pneumonia. Increased systemic inflammation and reduced activity tolerance often lead to functional decline, while pharmacological treatment alone may not sufficiently address fatigue. Progressive muscle relaxation (PMR) is a non-pharmacological intervention that reduces muscle tension and stress, support physiological recovery. This study describes the effect of PMR to reduce fatigue in a patient with recurrent tuberculosis and pneumonia. This study is a case review involving a 65-year-old female patient diagnosed with pulmonary TB and pneumonia. PMR was administered over four consecutive days, with one session lasting 15–20 minutes per session. The sessions were conducted at varying times, including in the morning, afternoon, or before bedtime. Fatigue levels were measured after each session using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Scale. The patient showed improvement in vital signs, with blood pressure increasing from 108/65 mmHg to 116/61 mmHg, heart rate decreasing from 111 to 62 beats per minute, and the FACIT-F score improved from 12 (severe fatigue) to 36 (mild fatigue), indicating a reduction in fatigue severity. Functionally, the patient was able to walk to the bathroom independently and no longer experienced weakness or dyspnea post-activity. These findings indicate that PMR contributed to a reduction in the patient’s fatigue level. This intervention has potential as a supportive rehabilitative strategy, with adjustments in duration and frequency based on patient condition.

Pengukuran kualitas hidup pada korban bencana banjir menjadi penting karena bencana tidak hanya memberikan dampak fisik namun juga menyebabkan trauma psikologis seperti masalah emosional, ekonomi dan kesehatan. Perubahan tersebut dapat mempengaruhi kualitas hidup mereka. Penelitian ini bertujuan untuk mengetahui gambaran kualitas hidup masyarakat korban bencana banjir di Desa haurpanggung Kecamatan Tarogong Kidul Kabupaten Garut. Metode penelitian ini yaitu desktiptif kuantitatif. Penelitian ini menggunakan teknik purposive sampling yang melibatkan 93 responden. Instrumen yang digunakan yaitu World Health Organization (WHOQOLBREF) yang terdiri dari 26 pertanyaan. Analisa data menggunakan distribusi frekuensi dan persentase. Hasil penelitian ini menunjukkan bahwa korban bencana banjir memiliki kualitas hidup sedang 35,5% dan memiliki persepsi kepuasan terhadap kesehatan yang biasa-biasa saja 37,6%. Adapun kualitas hidup berdasarkan tiap dimensi, sebagian besar responden memiliki kualitas hidup yang baik pada dimensi fisik 68,8%, memiliki kualitas hidup yang sedang pada dimensi psikologis 54,8%,, memiliki kualitas hidup yang sedang pada dimensi sosial 67,7% dan memiliki kualitas hidup yang sedang pada dimensi lingkungan 65,6%. Meskipun kualitas hidup masyarakat korban bencana banjir baik dan sedang namun ditemukan sebagian korban memiliki masalah pada indikator dimensi lingkungan terkait kebutuhan uang dan kesempatan rekreasi. Diperlukan intervensi bagi pemerintah daerah dan perawat yaitu mendorong peningkatan ekonomi keluarga dan melakukan trauma healing bagi para korban