Cardiopulmonary resuscitation has to start as early as possible to increase the survival rate of life. The mobile phone application is one of the method that can be used to deliver victims immediately to seek help and provide guidance in these situation. This study aims to search the literature and analyze articles discussing the use of mobile phones in Cardiopulmonary resuscitation. The design used was a scooping literature review with PRISMA adaptation. Articles were searched using databases: ProQuest, ScienceDirect, ResearchGate, which is accessed in Google Scholar. The keywords of article search were using mobile phone and CPR. The initial stage of searching for information with the online database accessed at lib.ui.ac.id appeared 62 articles that brought them to the database. Furthermore, a search was carried out on Google Scholar which displayed 4.220 articles. From the search results, nine articles were found that matched the inclusion and exclusion criteria. Then a selection was made according to the inclusion criteria, articles from 2020 due to the latest 2020 AHA references. Full text and free forms are available, articles related to mobile phones and CPR. Exclusion criteria, articles that appear only abstract, the year before AHA 2020 and the suitability of the content is different from keyword searches. Results: Based on nine literature that requirements according to inclusion and exclusion criteria, the use of mobile phones could show a positive effect by activating a cellphone-based warning system that could detect cardiac arrest victims out of hospital, provided guidance the procedure at the right time, and assisted CPR outcomes with return of spontaneous circulation. Mobile phone applications can assist initiated-CPR immediately, provide guidance of procedures, and leads to better outcomes. In Indonesia there is no mobile phone application for CPR assistance, taking into account the increasing number of cardiac arrests and respiratory arrests both outside the hospital and inside the hospital, this application is expected to be able to help victims in a timely manner, guide rescuers and return circulation. spontaneous

Partisipasi pasien PJK dalam program rehabilitasi jantung fase II di salah satu rumah sakit di Kota Bandung masih rendah. Hal tersebut dapat dipengaruhi oleh berbagai faktor. Illness cognition diyakini sebagai predictor partisipasi pasien PJK dalam mengikuti rehabilitasi jantung. Illness cognition dapat memengaruhi strategi koping pasien PJK untuk memilih tindakan yang akan dilakukan, baik itu berpartisipasi aktif ataupun pasif dalam mengikuti rehabilitasi jantung. Tujuan penelitian ini untuk melihat gambaran illness cognition pasien PJK. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan pendekatan cross sectional. Pemilihan responden dilakukan dengan menggunakan teknik consecutive sampling dan didapatkan sebanyak 66 responden dalam waktu satu bulan. Data diambil dengan menggunakan Illness Cognition Questionnairre (ICQ). ICQ memiliki nilai validitas 0,65 – 0,79 dan nilai reliabilitas 0,88 – 0,91. Data dianalisis menggunakan distribusi frekuensi, nilai mean, dan standar deviasi. Hasil penelitian menunjukkan bahwa illness cognition pasien PJK memiliki nilai mean dan standar deviasi dari yang tertinggi ke yang terendah adalah sebagai berikut, persepsi tentang manfaat (20,52±2,89), penerimaan (18,82±3,02), dan ketidakberdayaan (12,94±4,72). Nilai tersebut mencerminkan bahwa illness cognition pasien PJK memiliki aspek positif lebih tinggi daripada aspek negatif. Berdasarkan penelitian ini disimpulkan bahwa illness cognition pada pasien PJK yang menjalani perawatan di rumah sakit ini secara umum baik. Hal ini dimungkinkan oleh karena koping yang dikembangkan adaptif. Tingginya aspek ketidakberdayaan pada sebagian pasien PJK dapat diturunkan melalui peningkatan kondisi fisik, psikologis, dan spiritual serta meningkatkan keterlibatan keluarga dalam menangani masalah terkait penyakit.Kata kunci : Ilness cognition, penyakit jantung koroner, rehabilitasi Ilness Cognition in Patient with Coronary Heart DeseaseAbstractParticipation of CHD patients in cardiac phase II rehabilitation program in one hospital in Bandung is low. It can be influenced by various factors. Illness cognition is believed as a predictor of the participation of CHD patients to follow cardiac rehabilitation. Illness cognition can affect the coping strategies of CHD patients used in choosing the action to be performed, whether it participates actively or passively in following cardiac rehabilitation. The purpose of this study was to identify the illness cognition of CHD patients. This research was a quantitative descriptive research with cross sectional approach. Respondents were selected using consecutive sampling technique and it was obtained 66 respondents within one month. Data were obtained using Illness Cognition Questionnairre (ICQ). ICQ has a validity of 0.65 - 0.79 and a reliability of 0.88 - 0.91. Data were analyzed using frequency distribution, mean, and standard deviation. The results showed that the illness cognition of CHD patients mean and standard deviation from the highest to the lowest was as follows, perceived benefits (20.52 ± 2.89), acceptance (18.82 ± 3.02), and helplessness (12.94 ± 4.72). These results reflected that the illness cognition of CHD patients had a higher positive aspect than the negative aspect. Based on this research, it was concluded that illness cognition in CHD patients undergoing hospitalization was generally good. This was probably due to the use of adaptive coping. The high aspect of helplessness in some CHD patients can be decreased by improving physical, psychological and spiritual conditions and increasing family involvement in dealing with disease-related problems.Keywords : Coronary heart desease , illness cognition, rehabilitation

Childbirth is a natural process for women, but some conditions, exceptionally high risks, might elevate the likelihood of difficulties during pregnancy, childbirth, or afterwards. Maternal age, primiparity, and Cesarean section delivery provide a risk for several problems in the mother. This case study aims to examine and implement nursing care for primigravida mothers at high risk who have undergone a Cesarean section. The stages of a case study involve defining the case, selecting a case, gathering and analyzing data, interpreting data, and presenting results. Data collection involved interviews and physical examinations, reviewing health documentation, Talking with patients and families, and gathering information from other healthcare professionals. Data analysis included examining the collected data, identifying critical information, comparing the data, and presenting a summary in the form of a case study. Outcome: A 39-year-old primiparous woman who underwent a Cesarean section reported postpartum bleeding of approximately 1000 cc/24 hours, anaemia, emotional instability, and difficulty in caring for her baby and fulfilling her responsibilities. Nurses perform nursing interventions to address complications, such as preventing bleeding, treating anaemia, promoting relaxation for emotional stability, providing education through engaging and comprehensible media, and enhancing the mother’s role, particularly in breastfeeding, through hypno-breastfeeding techniques. Pregnant women with risk factors who undergo Cesarean sections are known to experience both physical and psychological difficulties. Effective nursing interventions that address physical and psychological elements, new roles, and prevention of complications lead to successful resolution of the issue, allowing the mother and infant to be discharged in good health

Oxygen hyperbaric therapy is a clinical treatment by inhalation of pure oxygen (FiO2 = 100%), resulting in increasing oxygen levels in the blood and tissues. Currently, hyperbaric oxygen therapy is used for additional management in diabetes mellitus. The purpose of this study was to know the effect of hyperbaric oxygen therapy in case of diabetes mellitus to changes in blood glucose level. Type of research was pre-experimental one group pre-test post design. The population in this study was diabetes mellitus patients, so that the sample obtained 47 respondents. Patients were given 100% oxygen inhalation with a pressure of 2.4 ATA in chamber hyperbaric oxygen. Blood glucose levels were measured before and after hyperbaric oxygen therapy. Glucose levels before the average therapy were 229 mg / dl and after treatment averaged 159 mg / dL. Statistical analysis with t test showed p value 0.000 <α (0,05), so there was the influence of hyperbaric oxygen therapy with decreasing blood glucose level. There are improvements pancreatic beta cell function and increased tissue sensitivity to insulin due to increased oxidative phosphorylation process in pancreatic beta-cell mitochondria to increase ATP production in pancreatic beta cells.   Checks need to be done periodically in one period with using the time series method, so that long-term effects can be known and need to be reviewed by the last use of anti-diabetes drugs and insulin

Cholelithiasis occurs due to the formation of stones in the gallbladder that block the flow of bile, causing right upper abdominal pain, nausea, vomiting, and fever. This case study adds new data that warm compress therapy is effective in significantly reducing pain levels in cholelithiasis patients with complications of acute kidney injury and liver insufficiency aged 59 years. The method used in this study was the Numerical Pain Rating Scale (NPRS) to assess the level of pain, and observation, interview, physical examination, and hospital medical records were used. The NPRS rating scale is a scale of 0 to 10. The number 0 means no pain while the number 10 indicates maximum pain. The application of warm compress therapy was carried out by placing a cloth soaked in 38°C water on the patient's right upper abdominal area, with a duration of implementation of around 15 to 20 minutes for 4 days. The results showed a significant decrease in pain levels after warm compress therapy. Before the intervention, the pain felt was 7/10, and after the intervention, the pain decreased by 4/10 on the fourth day of the intervention. The role of nurses in non-pharmacological pain management, particularly warm compress therapy, includes roles as nursing care providers, educators, and patient safety advocates. However, this study has limitations in the use of cloth as a compressed medium because the cloth is not able to maintain a stable hot temperature during the intervention. As a result, the temperature received by the patient's body may differ from the initial temperature of the compress. Thus, it is recommended that further researchers use special bags, such as hot water bags, for warm compress therapy so that the hot temperature can be maintained more stably and effectively.

Cyberbullying adalah bentuk intimidasi yang dilakukan melalui teknologi informasi dan komunikasi, terutama internet dan telepon seluler. Bagi remaja, penggunaan teknologi informasi dan komunikasi merupakan bagian dari kehidupan sehari-hari, sehingga remaja berpotensi untuk terlibat dalam cyberbullying. Banyak faktor yang bisa mendukung keterlibatan remaja dalam cyberbullying. Tujuan penelitian ini adalah untuk mereview berbagai faktor yang berhubungan dengan cyberbullying pada remaja. Metode penelitian : pencarian sistematik artikel penelitian terpublikasi dilakukan di tiga database yaitu ProQuest, PubMed dan Ebsco. Ketiga database dipilih dengan pertimbangan bahwa ketiganya merupakan database yang kredibel untuk memilih artikel berbahasa Inggris yang relevan dalam rentang tahun 2014-2019, dengan mengunakan kombinasi kata kunci : ‘factors’ AND ‘cyberbullying’ AND ‘Adolescents’ OR ‘Teenagers’ OR ‘young adults’. Kemudian didapatkan 489 artkel dan dipilih lima belas artikel untuk dianalisis. Hasil penelitian : didapatkan lima faktor yang mempengaruhi cyberbullying pada remaja yaitu faktor individu diantaranya pengalaman kekerasan, persepsi, gander, usia, kontrol psikologis, dan penggunaan zat adiktif. Faktor keluarga meliputi pola asuh, dukungan keluarga, dan stress orang tua. Faktor teman berupa dukungan. Faktor sekolah yaitu jenis sekolah. Faktor terakhir yaitu penggunaan internet berupa intensitas dan kompetensi media etis. Kesimpulannya : kelima faktor tersebut dapat memengaruhi keterlibatan remaja dalam cyberbullying baik sebagai pelaku maupun korban. Penelitian lanjut diharapkan dapat melakukan analisis faktor-faktor cyberbullying pada remaja sehingga diharapkan dapat mencegah dan dapat melakukan intervensi yang tepat untuk mengatasi masalah cyberbullying.

Bullying is a problem that often occurs worldwide, especially in the school environment and will cause various impacts. The effects of bullying on children include physical impacts (bruised and full of wounds) and psychological impacts (children are reluctant to go to school, feel embarrassed, and feel pressured). Peers greatly influence the occurrence of bullying behaviour in early adolescents. In the school environment, early teens always spend time with peers. The purpose of the study was to determine the relationship between peer pressure and bullying behaviour in early adolescents. This research method uses a descriptive-analytic with cross-sectional approach. The population in this study was the early adolescent of the junior high school students (SMPN 2 Tarogong Kidul Garut Regency), which obtained a sample of 88 students using the proportionate stratified random sampling technique. This study used the Peer Pressure Scale (PPS) and Adolescent Peer Relations Instrument (APRI) instruments. The analysis in this study uses univariate analysis to determine the frequency distribution and bivariate analysis using the Chi-Square test. The results in this study stated that there was a significant relationship between peer pressure and bullying behaviour (p-value=0.021). Therefore, nurses need to educate early teens about bullying behaviour and the importance of healthy peer relationships.

The incidence of under-five children suffering from malnutrition in Indonesia continues to rise. Nurses and midwives play a crucial role in providing appropriate interventions to prevent and manage malnutrition. Objective: This scoping review aims to identify and analyze the role of nurses and midwives in the management of malnutrition in pregnant women and children. Methods: The descriptive scoping literature review was conducted using databases such as Google Scholar, PubMed, ScienceDirect, Scopus, and ResearchGate, focusing on studies from the last five years based on inclusion criteria. Article selection were enforced following the PRISMA-ScR pathway. Results: Six articles highlight the roles of nurses and midwives in managing malnutrition in pregnant women and children. Nurses focus on monitoring nutritional status, health education, and medical interventions, while midwives emphasize nutritional monitoring during pregnancy, emotional support, and education. Discussion: Nurses and midwives collaborate in managing malnutrition, requiring proper training and intervention strategies for effective care.  Conclusion: The roles of nurses and midwives in the management of malnutrition in pregnant women both play complementary functions in preventing and addressing malnutrition through a coordinated and holistic approach. Suggestion: Further research is needed on nurse-midwife collaboration to reduce malnutrition and stunting.Keywords: Collaboration; Malnutrition; Midwife; Nurse; Stunting.

The incidence of childhood cancer in Indonesia increased annually. The successful treatment of childhood cancer remains low. One of the factors that influence cancer care was parent’s self-efficacy. Adequate parent’s self-efficacy would improve the quality of care in children with cancer, however, limited studies examine factors associated with parent’s self-efficacy. The aim of this study was to identify factors associated with parent’s self-efficacy in order to undergo cancer treatment. The type of research was descriptive analytic. The population was parents with cancer children. This study was conducted in childhood cancer shelter home community, 40 parents were chosen using the consecutive sampling technique. Self-efficacy was measured using a questionnaire. Data were analyzed with univariate and bivariate analysis. The results showed that 23 (57.5%) of parents have higher self-efficacy. There were significant relationship between enactive mastery experience (p =0.011), vicarious experience (p=0.030), verbal persuasion (p=0.003), the nature of the task faced (p=0.022), external incentives (p=0,009), the status or role of the individual in the environment (p=0.024) and education level (p=0.031) with parent’s self-efficacy. While the physiological state (p=0.284), parent’s sex (p=0.277), parent’s age (p=0.513), and parent’s culture (p=0.174) were not significantly associated with parental self-efficacy in the treatment of childhood cancer. Based on these results, it was very clear that parents who have higher self-efficacy are expected to carry out their duties better, so nurses should provide opportunities and support for families to demonstrate the capabilities and competence of the family to meet the care needs for child cancer.

Sleep difficulties are prevalent among adolescents and can impact physical and mental health, along with academic performance. Prior research has demonstrated a correlation between sleep hygiene, a set of measures designed to create a regular sleep regimen, and sleep problems. This study seeks to ascertain the correlation between sleep hygiene and sleep problems in teenagers. This study employed a quantitative research design utilizing a cross-sectional technique and was done with 50 adolescents at a school in Tangerang. The sampling was conducted with a simple random sampling method facilitated by a spinner program. Data were collected by the administration of the Sleep Hygiene Index (SHI) and the Children's Sleep Habits Questionnaire (CSHQ), and subsequently analyzed utilizing a chi-square test. The findings indicated a correlation between sleep hygiene and sleep problems in teenagers (α = 0.008). A significant proportion of respondents exhibited inadequate sleep hygiene and sleep disorders, with rates of 86% and 80%, respectively. The psychological state of teenagers transitioning to adulthood also influences sleep hygiene and sleep disorders. Parents, educators, and school health professionals must educate teenagers about managing sleep disorders through the enhancement of sleep hygiene practices.

Prevalensi berat bayi lahir rendah di Indonesia masih cukup tinggi. Hal tersebut dipengaruhi oleh beberapa faktor, diantaranya usia ibu saat hamil, jumlah paritas dan ante natal care. Tujuan dari penelitian ini adalah untuk menganalisis faktor resiko tingkat berat bayi lahir rendah di RS Harapan Insan Sendawar Kabupaten Kutai Barat. Desain penelitian menggunakan cross sectional. Sebanyak 125 responden yang telah dipilih dari populasi ibu hamil dengan usia 15- 40 tahun yang melahirkan bayi dengan berat <2500 gram di RS Harapan Insan Sendawar selama bulan Januari-Desember 2018 menggunakan simple random sampling melalui kertas undian. Data berupa usia ibu saat hamil, frekuensi ante natal care, jumlah paritas, dan berat badan bayi saat lahir diperoleh dari catatan rekam medis RS Harapan Insan Sendawar. Analisis data menggunakan uji Chi Square, hasil uji analisis didapatkan nilai signifikansi masing-masing sebesar 0.712; 1,000 dan 1,000 yaitu >α(0.05). Tidak ada hubungan usia ibu saat hamil, frekuensi ante natal care dan jumlah paritas dengan kelahiran BBLR. Untuk penelitian selanjutnya diharapkan menganalisis faktor lainnya yang menyebabkan terjadinya berat bayi lahir rendah. Sebagai perawat maternitas, dengan mengetahui faktor determinan terjadinya berat bayi lahir rendah, dapat menentukan intervensi apa yang tepat untuk menekan prevalensi berat bayi lahir rendah di Indonesia.

Social media makes it easy for internet users to communicate that is not limited by time and place. Excessive use of social media can have a negative impact, namely Fear of Missing Out (FoMO). FoMO on students will have an impact on increasing the duration of smartphone use while studying in class which can interfere with learning concentration and reduce students' academic achievement. This study aims to determine the description of Fear of Missing Out (FoMO) in undergraduate students of the Faculty of Nursing, Padjadjaran University. This study uses a quantitative descriptive design. The population of this study was nursing students of an undergraduate program with active status in the even semester of the 2020/2021 academic year at Padjadjaran University. The sampling technique used in this study was stratified random sampling with a value of e = 5% (0.05), a sample of 242 students was obtained. The instrument used in this study was the Fear of Missing Out scale (FoMOs). Data analysis in this study is univariate analysis using the mean and standard deviation. Based on the results of this study, it was found that most of the respondents experienced moderate level of FoMO (67.8%), then a small proportion were at low level of FoMO (16.9%) and high level of FoMO (15.3%). The conclusion of this study is that most respondents experience moderate level of FoMO, education and counseling are needed for students regarding Fear of Missing Out. Future researchers can conduct more in-depth research on the factors and impact of FoMO on nursing students.

The use of virtual reality can provide a transformative learning experience for nursing students, which can be evaluated with an instrument. A valid and consistent instrument can provide correct data, so an instrument needs to be tested psychometrically so that the validity and consistency of the instrument can be known, especially on adapted instruments. The aim to translate and test the validity and reliability of the Indonesian version of the Web-Based Learning Tools (WBLT) Evaluation Scale. The research design used was descriptive-quantitative with a cross-sectional approach. The study population was undergraduate students of the Faculty of Nursing at Universitas Padjadjaran, with a total sample size of 104 through purposive sampling. The Web-Based Learning Tools were used, with validity and reliability testing using SPSS based on Pearson correlation values and Cronbach's alpha. The Pearson correlation test yielded results of r-count > 0.2279 and Cronbach's alpha test = 0.919. Based on the results of the study, the instrument has good validity and very high reliability. The Indonesian version of the WBLT instrument is valid and reliable, so further research can use the instrument to evaluate the use of virtual reality on the learning experience of nursing students.

Introduction, the success of treatment in chronic renal failure patients with hemodialysis required the existence of self-management and self-efficacy. Previous studies showed that self-efficacy had the influence to bring up self-management behavior. The purpose of this study was to determine patients’ self-management and self-efficacy in chronic renal failure patients who had hemodialysis at Advent’s Hospital Bandung. Methods, this study was a quantitative descriptive research.  The study samples were chosen using consecutive sampling technique. The number of samples was 75 patients. Data were collected using the SMBQ and PEPPI+Life Options DeNovo instruments. Data were analyzed using the quantitative descriptive approach with mean value and frequency distribution. The results of self-efficacy in patients with chronic renal failure with hemodialysis was   high (54.7%) and the self-management behavior was in a good category (53.3%). The conclusion of this study is that the patient has a good self-management as well as self-efficacy.  However, this study found the poor category of the partnership in caring aspect. Recommendation There is a need for a strategy to improve the self-management in the partnership in caring aspect by providing emotional support, educating patients related to treatment and care, and evaluating patients’ health development periodically.

Stunting in toddlers is one of the health problems that has not been resolved globally, also in Indonesia. Stunting can be prevented by early detection based on the risk factors for the disease. The literature review aims to examine those articles and find out every risk factor for stunting in toddlers. This literature study used a scoping review method by searching through several search engines such as Google Scholar, ProQuest, PubMed, and EBSCO. After sorting the articles, there are 21 articles used in this literature study. The results of this literature study showed twenty-one risk factors for stunting in toddlers, such as exclusive breastfeeding and the initiation of early breastfeeding.  A history of low birth weight, immunization, the number of family members, insufficient nutritional needs (energy, iron, protein, calcium, and zinc), colostrum, breastfeeds (age of administration, type, and frequency). The practice of washing hands, mothers' occupation, mothers knowledge, low family income, history of infectious disease, sanitation and cleanliness of the environment, parents' height, especially mothers, lack vitamin C and vitamin D also as risk factors for stunting.  To conclude, stunting in toddlers was influenced by various factors which are child factors, parents, socio-economic, and environmental factors.  Therefore, it is essential to consider all the factors to develop stunting early detection tools for toddlers ang health education materials.

Burnout is an emotional fatigue syndrome that often occurs on nurses in Emergency Department (ED). Emergency room nurses provide care quickly, responsively, and precisely. One of the factors that influence the burnout level is coping. Previous theories have not been able to explain positive coping for nurses who experience burnout, as well as literature review concerning burnout and coping among emergency room nurses are still minimal, so further research is needed.  This study aims to identify burnout and coping among emergency room nurses. This research is a narrative review. Conduct search for research articles in the CINAHL, Pubmed, Science Direct, and Google Scholar databases using "burnout" AND "coping" AND "emergency nurse" OR "perawat IGD." Inclusion criteria are articles on last ten years, primary research, sample of emergency nurses. Unrelevant articles are excluded. Thus, 19 relevant articles were obtained which were analysed using compare and contrast techniques. The results of this literature study found that emergency room nurses are prone to burnout, especially on emotional exhaustion dimension. Coping strategies that are often used by emergency room nurses are planful problem solving, seeking social support, and positive reappraisal which are effective coping in dealing with problems and modifying attitudes. Problem focused coping is associated with low risk of experiencing burnout. Training in the use of appropriate coping strategies in burnout prevention for emergency room nurses should be done so that work errors reduced and service quality improved.

Tuberculosis remains one of the deadliest infectious diseases in the world. Not only adults are affected from TB, but children too. Treatment adherence of TB in children can be determined of parents’ attitude towards TB. This study aims to describe parents’ attitude towards child TB in Bandung City. This study was a descriptive quantitative study with cross-sectional approach. Total sampling technique was used in this study; with 50 parents of children with TB visiting community health centers in Bandung City participated. This study used questionnaires adapted from WHO guidance in attitude towards TB survey. Data analysis were done using univariate descriptive statistics in the form of frequency distribution. Based on this study, 94% of the respondents considered TB very serious, 46% of the respondents considered TB very serious in their neighborhood, 60% of the respondents were shocked when their children are diagnosed with TB, 98% of the respondents would talk with doctors to discuss about their children’s condition, and 78% of the respondents said the cost of TB treatment is free. It can be concluded that the majority of parents have positive attitude towards child TB. Based on this study, nurses are expected to facilitate and persuade parents into attitude change towards child TB treatment.

Hypertension is a high blood pressure disorder which disrupts blood flow resulting in blocking of oxygen and nutrition carried by the blood to body tissue. Based on Dinas Kesehatan Jawa Tengah's data, hypertension became one of the health issues with a percentage of 37%. One of non-pharmacological therapy is foot-reflexology therapy. This method gives a relaxation effect that could make blood circulating better, decay the blocking in blood vessel, nourish muscles and nerves, and strenghten heart activity. Objective: To determine the effect of foot reflection therapy toward systolic blood pressure in primary hypertension patient at Ngadirojo, Secang, Magelang Method: This study used the pre-experiment method with one group pre-test post-test design without a control group. Simple random sampling technic was used to get 46 subjects. Result: Wilcoxon Test result showed different significant in this study between pre-post test foot reflection therapy by p=0.000 (p<0.05). It meant there was an effect of foot-reflection therapy on systolic blood pressure in primary hypertension. The average of blood pressure decrease was 3,7 mmHg. Although, the results of this study showed that there was a significantly different decrease in this decrease was not clinically significant. The recommendation is made to conduct a study in a combination of pharmacology and non-pharmacology intervention to lower blood pressure.

Tuberculosis (TB) is an infectious disease that causes the second-largest number of deaths after Covid-19. There were 1,627 cases of TB in children in Jambi Province in 2021, while in the city of Jambi, the highest number of cases were in the Puskesmas Familiar Besar area with 159 cases. The impact of TB disease on children will disrupt growth and development. There is a need to address the impacts and new cases of TB in various ways, including health education for children's parents. This study aims to determine the effect of health education on parents' knowledge in preventing tuberculosis in children. This research is quantitative research with a pre-experimental design. The research subjects were parents who had children With a sample of 34 people, the sample was taken using a purposive sampling technique. Data were collected from 5 to 24 June 2023. The intervention provided was TB prevention material with video tools and leaflets. Data was collected using a questionnaire and analyzed univariately and bivariately using the T-Test. The results of univariate analysis showed that the average value of maternal knowledge before the intervention was 6.38 and the average value of maternal knowledge after the intervention was 8.15. The results of the bivariate analysis showed the influence of health education on parental knowledge in preventing tuberculosis in children with a p-value of 0.001. It is hoped that Puskesmas officers will provide health education in various activities to prevent the transmission of tuberculosis to children. This research can be developed with a digital education application to prevent TB in children.

Background. Self-efficacy needed by Coronary Heart Disease (CHD) patients as a first step in managing the disease. Education is given as an effort to increase patients’ self-efficacy, but the media for education is limited. The workbook is an educational media that would encourage patients’ roles, overcome obstacles and increase the self-efficacy of CHD patients. Purpose. This study aimed to determine the differences in self-efficacy of CHD patients before and after the health education using a workbook. Method. This study was a quasi-experimental study with a pre-test post-test control group design. The samples were 19 patients in the CICU room at a hospital in the city of Bandung that chosen using a purposive sampling technique. The intervention group received health education using media workbooks (n=9) and then another group was the control group (n=10). Self-efficacy was measured using a questionnaire Self-efficacy CHD Management. Data were analyzed using frequency distribution and bivariate using Wilcoxon and Mann Whitney tests. Results. The study found p-value from the Wilcoxon test in the intervention group was 0.008 (p <0.05) while the control group was 0.102 (p> 0.05). The results of the Mann Whitney test showed that before the intervention, the p-value between the intervention group and the control group was 1,000 (p> 0.05), whereas after the intervention the p-value between the two groups was 0.040 (p <0.05). Conclusion. Based on the results of the study, there are significant differences in self-efficacy between the two groups. The health education method using a workbook can be used to improve the self-efficacy of CHD patients.