Compliance of patients with human immunodeficiency virus (HIV) in undergoing therapy is essential in reducing the viral load. Currently, the world is in the era of revolution 4.0, where there is a combination between technology and human needs. The effort to adapt to this condition is by utilizing Telehealth. Telehealth is considered efficient in controlling, monitoring, and providing palliative care remotely. This study's purpose is to review Telehealth's effectiveness as an alternative method of increasing anti-retroviral treatment compliance in children, adolescents, and young adults with HIV. Using scoping review method with inclusion criteria for articles published in 2012 – 2022, Randomized Control Trial and Experimental Study research design, and published in English. Selection of articles using PRISMA Flow Diagram. The database consists of PubMed and EBSCO using keywords telenursing, compliance, anti-retroviral agents, and children. Four articles were included in the study out of 895 identified articles. The use of Telehealth provides the potential for both children and youth to increase patient motivation and adherence to treatment. Telehealth in patients with HIV used short messages. So, Telehealth has the potential to become  an alternative method of increasing anti-retroviral treatment adherence in children, adolescents, and young adults with HIV.

An unprecedented outbreak of the newly emerging infectious disease of Covid-19 with rapid increases globally and in Indonesia may result in psychological distress among nursing staff. The present study aimed to identify psychological responses among nurses in the Covid-19 pandemic in Indonesia. A cross-sectional data were collected from 535 nurses working in 119 hospitals from 24 provinces in Indonesia using Depression Anxiety Stress Scale (DASS-42) and sociodemographic questionnaire. Data were collected using an online survey and analyzed with descriptive and Chi-squared tests. Analysis showed among the respondents, 23.7% (n = 127) had moderate anxiety, 6.5% (n = 35) had moderate stress and 8.8% (n =47) had moderate depression. Anxiety, stress, and depression were significantly higher among nursing staff in the emergency department and Covid-19 isolation ward. Nursing staff, especially those working in the departments mentioned above, were more susceptible to psychological impairment. Effective strategies toward improving their psychological status should be provided among the nurses.Keywords: Covid-19 pandemic, psychological responses, work stress

Pregnancy and childbirth are physiological processes that influence maternal mortality and morbidity risk factors. Proper mental and physical preparation is essential to prevent pathological conditions that may affect pregnant women. One effective intervention is engaging in physical activity, which positively impacts both the mother and fetus. This literature review aims to examine the relationship between physical activity and the health of pregnant women in physical, psychological, socio-economic, cultural, and environmental aspects. This study employs a literature review methodology using the PRISMA (Preferred Reporting Items for Systematic Reviews and MetaAnalyses) approach. Article selection was conducted using the PICO (Population, Intervention, Comparison, Outcome) framework, with keywords such as “pregnant women,” “physical activity,” “sports,” “benefits,” and “exercise” in Indonesian and English. The literature search was performed using Sage Journals, Scopus, and Google Scholar for articles published between 2019 and 2024 also free full-text. A total of six relevant studies were selected based on inclusion and exclusion criteria. The findings indicate that physical activity offers significant benefits for pregnant women and fetuses, particularly in improving their quality of life both physically and mentally. Pregnant women in rural areas tend to be more physically active than those in urban areas, and light exercises such as walking or yoga help reduce the body’s burden, enhance sleep quality, alleviate stress, and prevent pregnancy complications. Further longitudinal research and education are necessary to understand the long-term effects of physical activity on pregnant women and to raise awareness of its benefits, especially in urban areas.Keywords: Maternal well-being, Pregnancy, Physical activity

Autism was a very complex neurobiological developmental disorder. Parents with autistic children have a higher stress level than parents who have normal children, so use the effective coping strategy for parents who had an autistic child would make them prevented the excessive stress. Aim of the research was to find out relation of coping strategy and parents’ stress who had an autistic children. The research design was correlational design with a cross-sectional approach. Data collection used a questionnaire of the Coping Health Inventory for Parents and Parental Stress Scale. Result of study showed that coping strategy and parents’ stress who had an autistic child were mostly at range of medium coping strategy (57.7%) and moderate stress (76.9%). Result of Spearman’s Rank correlation test showed a negative relation between coping strategy and parents’ stress (r=0.699; p=0.000). There was a correlation between coping strategy and parents’ stress who had an autistic child in this research, which meant the better coping strategy the lower parents’ stress who had an autistic child. Based on these results, autistic agencies should be better able pay attention to improve ability of parents’ coping strategy who had autistic children.

Stunting is still a nutritional health problem in children that has received the attention of the developing world. Knowledge of stunting plays a role in efforts to prevent stunting. Breastfeeding in the first six months of life is one of the preventive behaviours whose success is influenced by knowledge. This research aimed to determine the relationship between stunting knowledge and exclusive breastfeeding behaviour in mothers with toddlers. This research design is secondary research with quantitative correlational methods with a retrospective approach. The sample was determined through a purposive sampling technique with the inclusion criteria of mothers with toddlers and exclusion criteria for mothers with children over five years old so that 55 respondents were obtained. The instrument includes demographic information, stunting knowledge, and exclusive breastfeeding behaviour. The statistical test used is Chi-Square. The study results show no relationship between the level of knowledge about stunting and exclusive breastfeeding behaviour (p-value = 0.16). Knowledge can affect the occurrence of the behaviour, but other aspects can influence the occurrence of a behaviour. Further research is needed by modifying the methods and variables used.

Diabetes Mellitus (DM) is caused by unhealthy lifestyle habits and one of the treatment efforts is naturopathic therapy by utilizing the gingerol content in red ginger (Zingiber officinale). The role of nurses in complementary fields as providers of interventions can improve public health status. This narrative review aims to interpret research the potential content of red ginger as an antidiabetic. The research were carried out by identifying research questions, "what is the content of gingerol in red ginger as antidiabetic?". Literature search using EBSCO, PubMed, Springer Experiment, and Neliti. Used keywords ''Nathuropathic therapy efforts AND Gingerol OR Red ginger OR Zingiber officinale AND Antidiabetic'' obtained 140 articles. Then sorted with inclusion and exclusion criteria, so we obtained 7 articles stated that red ginger concerning intake doses per day of 1-3 and 6 grams can lower blood glucose which contains gingerol which stimulates insulin secretion and improves glucose tolerance. Red ginger as a natural ingredient is certainly easy to find, practical, has no side effects, and economical. It is necessary to conduct further research regarding the type of red ginger and the dosage that adjusted to the habits of the Indonesian people so not to cause confusion regarding the application process

Compliance level of healthcare workers in performing hand hygiene is a significant aspect of patient safety goals. However, it is still not optimal and is one of the critical problems of many hospitals globally, including in Indonesia. The non-optimal consequence of hand hygiene compliance is hospital-associated infections since hands are an intermediary medium for transmitting infection. This literature aims to determine the level of compliance of health workers in performing hand hygiene and find out several matters that can be done so that the health worker's compliance can be optimal or increased. Review of articles through several electronic databases including PubMed and ProQuest, with the keywords "Compliance", "Hand Hygiene", "Health Workers", and "Hospital". Inclusion criteria include articles published between 2005 and 2019, health worker respondents, English language, full text and observation, or interview data collection techniques. The literature search found 212 articles, and after manual review, ten articles were identified and assessed using the JBI form (Joanna Briggs Institute). The literature review findings suggest that, following the intervention, the level of compliance of health workers in performing hand hygiene is still lacking and growing. The conclusion is that more significant support from the hospital (e.g., role models, audits, adequate infrastructure, education and repeated training), the greater the compliance of health workers in performing hand hygiene.

Type 2 diabetes is a chronic metabolic disorder characterized by elevated blood glucose due to impaired glucose uptake or insulin production. This condition can lead to complications, namely diabetic foot ulcers. Handling diabetic foot wounds can be done by doing activities such as foot exercises. This study aims to determine the effectiveness of diabetic foot exercises using video in reducing the risk of foot wounds in patients with type 2 DM. The research method was quasi-experiment with pretest-postest with control group. Sampling using purposive sampling technique. A total of 64 participants were enrolled and divided into an intervention group (n = 32) and a control group (n = 32); the intervention group performed diabetic foot exercises using video guidance for 3 weeks, three times per week, with a duration of 10 minutes per session. Measurements were made with ABI and monofilament test before and after intervention. The data analysis used was the Independent T-Test test. The was that the Monofilament of the right foot and left foot has a P-Value of 0.001 as well as the ABI value data on the right foot has a P-Value of 0.002 and the left foot P-Value of 0.001. Diabetic foot exercises with video media are proven to be effective in reducing the risk of diabetic foot wounds in patients with type 2 diabetes mellitus. For future research, we recommend a longer study duration to allow for a larger sample size and the analysis of additional relevant variables

Standard precautions is an action to prevent infection in any cases of medical treatment toward patients. However, some studies have shown that the implementation of standard precautions has not been optimal due to the barriers perceived by nurses. This study aimed to identify the barriers perceived by nurses in the implementation of standard precautions. Descriptive-quantitative method was used with cross-sectional approach in 37 nurses in General Hospital Emergency Department by using total sampling technique. The data were collected by using questionnaires consisting of 48 statements, including five action of standard precautions (hand hygiene, use of PPEs, safe injection, environmental disinfection, and respiratory hygiene practices/ethics of cough and sneezing) and have been through the content and face validity test. The data were analyzed by using frequency distribution and presented in percentage.  The results showed that there were some barriers perceived by nurses on standard precautions action. The most perceived barriers are limited PPEs equipment (45.9%), equipment that irritates the skin on hand hygiene (37.8%), increased number of patients in environmental disinfection (32.4%), limited support and supervision in the implementations of standard precautions for safe injection (16.2%), and equipment limitations on respiratory hygiene practices/ethics of cough and sneezing (10.8%). Based on this research, the hospital should strengthen the function properly and regularly to overcome some equipment, seek hand hygiene equipment containing emollient/moisturizers and alcohol type hand rub n-propanol to overcome skin irritation, and pay attention to the study of the ratio of nurses and patients to safe working practices. In addition, the hospital should create a practice program, socialize rewards or penalties to improve it in standard precautions. | Latar belakang: Standard precautions merupakan praktik pencegahan infeksi yang berlaku untuk semua perawatan pasien didalam memberikan layanan kesehatan namun beberapa penelitian menunjukkan pelaksanaan standard precautions belum optimal karena adanya hambatan yang dipersepsikan perawat.Tujuan: Penelitian ini bertujuan untuk mengidentifikasi hambatan yang dipersepsikan perawat dalam pelaksanaan standard precautions.Metode: Metode penelitian ini adalah deskriptif kuantitatif dengan pendekatan cross-sectional pada 37 perawat di Instalasi Gawat Darurat RSUD Sumedang dengan menggunakan teknik total sampling. Instrumen penelitian menggunakan kuesioner yang terdiri dari 48 pernyataan, mencakup lima tindakan standard precautions (hand hygiene, penggunaan APD, praktik injeksi yang aman, desinfeksi lingkungan, dan kebersihan pernafasan / etika batuk dan bersin) dan telah melalui uji content dan face validity. Data dianalisis dengan menggunakan distribusi frekuensi dan disajikan dalam bentuk persentase tiap faktor hambatan.Hasil: Hasil penelitian menunjukkan bahwa terdapat beberapa hambatan yang dipersepsikan oleh perawat pada tindakan standard precautions. Hambatan yang paling dirasakan yaitu peralatan yang membuat iritasi kulit pada hand hygiene (37,8%), keterbatasan peralatan APD (45,9%), keterbatasan dukungan dan pengawasan dalam pelaksanaan standard precautions pada praktik injeksi yang aman (16,2%), meningkatnya jumlah pasien pada desinfeksi lingkungan (32,4%), dan keterbatasan peralatan pada praktik kebersihan pernafasan / etika batuk dan bersin (10,8%).Kesimpulan: Berdasarkan penelitian ini, pihak rumah sakit harus mengupayakan peralatan hand hygiene yang mengandung emolien/pelembab dan jenis alcohol handrub n-propanol untuk mengatasi iritasi kulit. Memperkuat penyediaan sarana secara benar dan teratur untuk mengatasi keterbatasan peralatan. Memperhatikan kajian jumlah rasio perawat dan pasien untuk praktik kerja yang aman. Selain itu, membentuk komunitas praktik, mensosialisasikan reward atau punishment untuk  meningkatkan kepatuhan dalam pelaksanaan standard precautions.

Postoperative pain needs to be a concern for nurses because pain causes discomfort, one of the basic human needs. Untreated postoperative pain can affect quality of life and the recovery process. With a management approach, the nursing process can be integrated with the management process. Control and evaluation as part of the management process is important because at this stage the nursing manager can determine the quality of care provided. This case study aims to describe the use of the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) in evaluating pain management. Patient was admitted with post-spinal decompression and posterior stabilization e.c tuberculosis spondylitis. Pain management includes observing pain, deep breathing relaxation techniques and praying/dzikir, providing education about the causes, triggers, and strategies to relieve pain, as well as providing collaborative measures of ketorolac analgesics. Evaluation of pain management with this questionnaire was carried by researcher out in the first 24 hours postoperative. After receiving pain management, an overview of the severity and reduction of patient pain, the impact of pain on activity, sleep, and negative emotions, the side effects of using ketorolac, the usefulness of information about pain management, the patient's ability to participate in pain treatment decisions, and use of non-pharmacological strategies. The APS-POQ-R can be used to evaluate of six aspects of patient pain management.

Preeclampsia is a danger sign for pregnant women, especially at 20 weeks gestation, marked by increased blood pressure. At this time, preeclampsia is the second largest contributor to deaths globally, with preeclampsia worldwide 10% -15%. In Indonesia, there is an increase of 2% every year, indicating that adequate treatment and prevention efforts are needed. At present, most research on the prevention and management of preeclampsia discusses pharmacological treatment, not discussing nursing interventions. This Literature review aims to find out various prevention efforts for preeclampsia that are developing at this time. The research method is a literature study of research results published in 2010-2019. The strategy used to search literature is to use keywords preeclampsia, prevention, treatment methods, and nursing interventions, using  Google Scholar, PubMed, Pro-Quest, Science Direct database, which reviewed using The Joanna Briggs Institute Critical Appraisal tools. The study results illustrate that there are several ways to reduce blood pressure. From 10 articles found one preventionnamely the article about consuming food and nine treatments, include: hypnotherapy, , foot massage, foot bath with warm water, cupping therapy, SEFT therapy, and murotal hearing. All articles described that intervention could reduce blood pressure, but the articles do not explain the reduction mechanism based on the intervention used. This Literature Study is expected to be information and consideration for health workers, pregnant women, and the community to handle pre-eclampsia mothers, with much interventions can doit to reduce pre-eclampsia.

Penelitian yang berkualitas diawali dengan pembuatan protokol yang terperinci, jelas, dan lengkap. Namun panduan penulisan protokol penelitian yang bersifat komprehensif dan terperinci yang dapat memandu peneliti dalam menulis protokol masih terbatas. Tujuan penelitian ini mendesiminasikan berbagai protokol penelitian dari berbagai sumber yang valid dan merekomendasikan komponen dan langkah penulisan protokol penelitian berdasarkan hasil analisis dan integrasi artikel yang telah dipublikasikan. Peneliti mengaplikasikan pendekatan scoping review dengan enam tahapan utama yaitu identifikasi masalah, mengidentifikasi sumber literatur, seleksi literatur, pemetaan dan mengumpulkan literatur, menyusun dan melaporkan hasil, dan konsultasi kepada pihak kompeten. Seleksi literatur menggunakan pendekatan PRISMA dengan menganalisis lima artikel tentang protokol penelitian. Hasil analisis menunjukkan rincian komponen dan tahapan penulisan protokol berbeda-beda, namun pada intinya terdiri atas komponen berikut; tahap persiapan, tahap pelaksanaan penelitian, tahap pelaporan dan publikasi. Berdasarkan hasil analisis, peneliti merekomendasikan sistematika penulisan protokol penelitian dengan Pendekatan SETPRO sebagai hasil analisis dan integrasi tahapan penulisan protokol sebelumnya. Pendekatan SETPRO merupakan pendekatan komprehensif dalam penulisan protokol penelitian, terdiri dari 16 komponen yang mencakup semua aspek penelitian. Melalui pendekatan SETPRO ini diharapkan protokol penelitian yang dibuat akan semakin berkualitas

Physical bullying in school-age children hurts emotional development and self-regulation skills. Self-awareness and self-management are two core competencies in building children's psychological resilience. However, contextually relevant measurement instruments remain limited. This study aimed to develop and validate a culturally appropriate instrument to measure self-awareness dan self-management in school-age children based on the CASEL framework. A Research and Development (R&D) approach was employed, involving indicator development grounded in relevant theory and literature, content validity assessment by two experts (a pediatric nursing expert in child pyschosocial development and an educational psychology expert in psychosocial measurement), and psychometric testing. The instrument was tested on 210 children aged 9-11 years. Construct validity was examined using Exploratory Factor Analysis, and internal consistency reliability was assessed using Cronbach's Alpha. The final isntrument comprises 58 valid and reliable items grouped into two main constructs and ten underlying factors. This instrument is suitable for further application in assessing self-awareness and self-management among school-age children who experience bullying.

The needs of nursing care for Myocardial Infarction (MI) patients who performing Cardiac Rehabilitation (CR) Program have been investigated previously. Despite, nutritional counseling and risk factors management were reported as the most needs of MI patients who performed CR Program, information related to the MI patients’ needs on nutritional counseling and risk factor management are very limited. Moreover, the relationship between patients’ needs on nutritional counseling and risk factor management are not clear yet. To investigate patients’ needs on nutritional counseling and risk factor management among MI patients and its relationships those factors. This was quantitative approach with descriptive correlational and convenience sampling was used for this study. The participants included 38 MI patients admitted to the Cardiac Rehabilitation Unit. Data collection employed from questionnaires that were filled in by the respondents using a retrospective technique at the end of cardiac rehabilitation program.  Data were analyzed using descriptive and correlational statistics. The study signified that MI patients required cardiac rehabilitation towards risk factors management and nutritional counseling from nurses (92.1%).The finding also indicated that there is a statistically positive relationship between nutritional counseling needs and risk factor management (r = 0.503, p <0.01). Patients’ needs on nutritional counseling and risk factor management among MI patients are correlated positively. Therefore, the information regarding nutrition and risk factor management for MI patients should be provided simultaneously to complement each other.

Introduction: Hemorrhagic stroke patients can experience a decrease in consciousness which makes the patient have to undergo long bed rest. Stroke patients who undergo bed rest treatment at the hospital have a high risk of developing decubitus ulcers. Nursing actions can be taken to prevent pressure ulcers using shift technique and slow stroke back massage, however limited study examine the nursing intervention to prevent decubitus in unconscious patients. Aim: This research aims to determine the effect of decubitus prevention using shift technique and slow stroke back massage in hemorrhagic stroke patient with decreased consciousness. Method: the research design used was a case study with a nursing care approach of an unconscious patient from a referral hospital di Sumedang. Results: this case study showed an increase in the Braden scale score from 12 to 15 after undergoing three days of treatment at the hospital and no decubitus symptoms were found based on the observations. Discussion: shift technique can be more effective in reducing the risk of decubitus when combined with slow stroke back massage. Conclusion: the shift technique and slow stroke back massage interventions in stroke patients with decreased consciousness can positively impact reducing the risk of decubitus ulcers. Furthermore, research with a larger sample with a longer time to observe the effect of the interventions is needed. Keywords: decubitus, shift technique, slow stroke back massage

An intestinal stoma is an opening of the intestinal tract into the abdominal wall for patients with feces production problems. The process might change patients’ physical, psychological, social, and spiritual. Patients have limitations in daily activities, changes in elimination, depression, feeling hopeless, ashamed with the colostomy bag, and may also affect to their religious and spiritual. For example their religious rituals and belief in God. The aim of this study was to identify the spiritual need of patients with a colostomy in a public hospital in Bandung. This was a descriptive quantitative study, The population was patients with a colostomy who hospitalized in a public hospital in Bandung. The samples were chosen using the accidental sampling (n=42) technique. The study instrument was Spiritual Needs Questionaire (SpNQ), that consists of 19 questions with 4 dimensions (religious needs, inner peace, existential, and actively giving). Data were analyzed using statistics descriptive and presented in a table of distribution frequency. The study found that patients with a colostomy had the spiritual need for all dimension including the religious dimension (88,1%), inner peace (57,1%), existential (54,8%), and actively giving (52,4%). Patients with a permanent colostomy had higher scores on the spiritual needs than those temporary colostomy patients. It can be concluded that the religious dimension is the highest relevance of the spiritual needs. According to this study results, it is expected that nurses can improve the spiritual services in nursing care including assessing patients’ spiritual needs and facilitating patients to fulfill their spiritual needs. The facilitation includes providing an opportunity for praying together, spiritual books, helping patients for ritual worship, establishing therapeutic communication, giving patients their own time, and creating a quiet place.

Stroke is one of the non-communicable diseases that is increasing in prevalence. One of the effects of stroke patients is weakness on one side of the body. Therefore stroke patients need rehabilitation which is fast and precise with the range of motion exercises joints; one of them is grip strength. The recommended exercise is the Active Range of Motion Cylindrical Grip. This study aimed to determine the effect of cylindrical grip on the gripping power in stroke ischemic patients. The method used is Pre-Experiment with pre and post-test one-group design. This research uses Purposive Sampling of as many as 16 ischemic stroke patients. Active Range of Motion Cylindrical Grip exercise given as much as two times a day in 10 minutes for four days. The analysis used is a nonparametric test of Wilcoxon. Results of non-parametric test analysis Wilcoxon obtained p-Value = 0.001 (α <0.05). This value indicates a significant influence between the strength value grips. It is expected that health workers can apply Active Cylindrical Grip ROM exercise as an alternative to increasing the gripping power in ischemic stroke patients who experience weakness and can improve the quality and service of healing ischemic stroke.

Diabetes adalah penyakit kronis yang dipengaruhi oleh berbagai aspek seperti gaya hidup seperti pola makan dan aktifitas fisik sehingga membutuhkan perawatan berkelanjutan. Penatalaksanaan yang tidak efektif dapat menyebabkan komplikasi seperti Penyakit Arteri Perifer. Pemeriksaan Ankle Brachial Index dapat digunakan untuk mengetahui kondisi pembuluh darah ekstremitas bawah. Salah satu upaya pencegahan terjadinya Penyakit Arteri Perifer yaitu dengan Senam Kaki Diabetes. Tujuan Penelitian ini adalah untuk mengetahui pengaruh senam kaki diabetes terhadap sirkulasi ke daerah kaki dengan menilai Ankle Brachial Index pada pasien Diabetes Melitus Tipe 2. Desain penelitian ini adalah pre eksperimen dengan rancanagn one-group pre test-post test. Pengambilan sampel menggunakan tehnik purposive sampling dengan jumlah 21 responden berdasarkan kriteria yang ditentukan. Analisis data univariat menggunakan distribusi frekuensi, sedangkan bivariat menggunakan Paired Sampel T-test. Hasil penelitian menunjukan bahwa sebelum diberikan senam kaki diabetes sebagian kecil (14.3%) responden memiliki nilai Ankle Brachial Index normal (0.9 -1.4 mmHg). Setelah diberikan senam kaki diabetes, sebagian besar (71,4%) responden memiliki nilai Ankle Brachial Index normal yaitu (0.9 – 1.4 mmHg). Hasil Uji Statistik Paired Sampel T-Test dengan tingkat kepercayaan 95% (α=0,05) menunjukan (p –value 0,001) artinya terdapat pengaruh senam kaki diabetes terhadap nilai Ankle Brachial Index pada pasien Diabetes Mellitus Tipe 2. Senam kaki diabetes dapat terus dilaksanakan untuk meningkatkan sirkulasi ke daerah kaki pada pasien Diabetes Mellitus Tipe 2.

Adrenal crisis is an endocrine emergency condition, with one of its clinical manifestations being hypoglycemia. To date, its management focuses on the administration of corticosteroid therapy primarily hydrocortisone as the first-line treatment alongside glucose administration. This study aims to observe and report blood glucose levels, hemodynamic status, and multidisciplinary collaboration in the administration of corticosteroids, as a collaborative intervention in stabilizing blood glucose. This case study was conducted on a 70 years old geriatric patient who experienced an adrenal crisis due to the sudden discontinuation of long-term steroid therapy without a doctor's prescription. Data were collected over five days through patient interviews, family reports, and medical records. The patient experienced severe hypoglycemia despite receiving parenteral glucose. Following the administration of dexamethasone, the patient's blood glucose levels improved and began to stabilize. Dexamethasone proved effective as an alternative initial therapy for adrenal crisis when hydrocortisone was unavailable or the diagnosis is not yet confirmed. Nurses played a vital role in the early recognition of adrenal crisis signs, monitoring of blood glucose levels and hemodynamic parameters. Education for the family is essential, considering the dependency of geriatric patients on caregivers in managing daily health needs. Multidisciplinary collaborative management and educational support are key to successful care in geriatric patients with adrenal crisis.

Introduction: Decreasing heart function raises problems both physical, psychological and spiritual. Patients faced this health issue, and they need an individual’s spirit and encouragement related to self- management and illness. The purpose of this study was to describe the spiritual well-being of heart failure patients. Method: The method used in the research was a quantitative descriptive method with a cross-sectional approach. The population in this research was all patients with heart failure who underwent inpatient and outpatient care. Samples were taken by consecutive sampling technique for one month and 61 respondents were obtained. Data were collected by using the Spirituality Index of Well-Being instruments. Univariate data analysis uses the mean values and frequency distribution. Result: The result showed that patients with heart failure who had high spiritual well-being were 53 people (86,9%). In life scheme sub-variable, 55 people (90,2%) were included in the high category. In self-efficacy sub-variable, 48 people (78,7%) were included in high category but 13 people (21,3%) were into the low category with a low mean score of 3 statements. Conclusion: almost all respondents have high spiritual well-being reinforced by life scheme but there is a part of self-efficacy that still needs to be improved such as the knowledge about how to overcome the burden of life, the ability to help themselves, and the understanding related to the disease. Therefore, it is important to give information related to the patient’s illness to improve the patients’ spiritual well-being which can affect the health condition of the patient. In addition, physical, psychological and social management also have an important role in improving self-efficacy.