Pain is an unpleasant experience that can be experienced by post sectio caesarea mothers. 88.2% of post sectio caesarea mothers feel pain. Pain is caused by an incision in the abdomen. Postoperative pain management can be done pharmacologically and non-pharmacologically. Slow stroke back massage can be used as an alternative to pain management with a non-pharmacological approach. This study aims to determine the effect of giving slow stroke back massage therapy on post sectio caesarea pain intensity. The research method used was descriptive case study using numeric rating scale (NRS) instrument. The research subjects were 4 respondents with the criteria of second day post sectio caesarea patients with moderate to severe pain intensity. Respondents were divided into intervention and control groups. The study was conducted for one day with a duration of 20 minutes of therapy for each respondent. The results of the case study showed that respondents had an average pain scale of 5. There was a decrease in the pain scale of post sectio caesarea mothers in the intervention group with an average decrease of 2.5 scales. This decrease occurs due to the mechanism of releasing endorphins which play a role in reducing pain perception in the parasympathetic nervous system. The slow stroke back massage intervention has an effect on reducing the pain scale of post sectio caesarea mothers so that it can be applied in the process of providing nursing care in the clinic.

Diabetes Mellitus (DM) is a chronical community health problem, and mostly suffered by the elderly. The elderly with DM have several symptoms at night that caused a sleep disorder and it may be affected by the poor quality of sleep.  The poor quality of sleep has several negative impacts to elderly including sleepy in the daylight, a lack of attention, memory disorders, depression, easy to fall, and reduce of the quality of life. There is a need for a study that assesses the sleep quality of elderly with DM. This study used descriptive quantitative approach. The samples were chosen using total sampling technique. This study involved 47 elderly with DM in the primary health center (PHC) Garuda. The data were collected using Pittsburgh Sleep Quality Index (PSQI) Questionnaire that has been adapted for elders. The data were analyzed using distribution frequency. The results showed that the majority of elderly had a poor sleep quality (51%). All elders in this study had sleep disorders, and some of them had behavior that affected   their sleep quality, such as sleeping in a bright room (n=25), sleeping in low temperature room (n=27), and consuming caffeine (n=28). Nurses in the community setting are expected to provide health education to maintenance a good sleep quality, such as the importance of sleeping in the dark and warm temperature room, and avoiding to consume caffeine.

Confidence is essential for nursing students in producing better practice of nursing action skills, so this needs to be supported by good learning media. One of the learning media currently developing is virtual reality simulation, an interactive learning media based on immersive technology that combines real space (reality) with virtual space (virtual). This study aimed to analyze the effect of virtual reality simulation in urinary catheterization on the self-confidence of nursing students. This study used a pre-experiment design with a one-group pretest-posttest design approach. Self-confidence was measured using The Confidence Scale questionnaire, consisting of five items. The sampling technique uses a purposive sampling technique with a minimum total sample is 49 students. The data collected were analyzed using the non-parametric Wilcoxon signed-rank test. The result showed an increase in the mean value in the post-test results (21.65) compared to the pretest results (16.98), with an average increase of 4.67 points. The statistical test results showed a significant difference after using virtual reality simulation on nursing students' confidence (p <0.05). So, virtual reality simulation is a learning media that influences nursing students' confidence in performing urinary catheterization skills.

Higher interdialytic Weight Gain (IDWG) is commonly experienced by patients with chronic kidney disease (CKD). Increased IDWG can cause various complications that result in risk of death. CKD patients who had undergoing hemodialysis in the Public Regional Hospital of Indramayu would have different weight gain, but it is not known what factors affect the increase in IDWG. The purpose of this study was to determine the factors that were significantly related to the IDWG level in CKD patients in the Public Regional Hospital of Indramayu. This research design is descriptive-analytic. The number of samples was 86 respondents who were selected by consecutive sampling technique. Data collection tools are questionnaires and the data analysis technique is the Pearson chi-square test. From the result from 86 respondents, it is known that 44 (51.2%) respondents experienced an increase in IDWG level at the mild category (<4%). It is known that the factor influencing to level of IDWG are self-efficacy (p-value = 0.000; 95% CI) and fluid intake compliance (p-value = 0.042; 95% CI). Meanwhile, age, sex, education level, family support, and duration of hemodialysis are not influencing the IDWG level (p-value > 0,05; 95% CI). Self-efficacy and fluid intake compliance are the most significant factor on the IDWG level in CKD patients who had hemodialization. Patients with high self-efficacy can reduce the IDWG level accompanied by compliance with fluid restriction. Recommendation for hemodialysis nurses needs to increase the patient’s self-efficacy in limiting fluid so that can be controlled at the IDWG level.

Angka kematian ibu akibat Hipertensi dalam Kehamilan (HDK) masih tinggi. Hal ini dikarenakan keterlambatan mencari pertolongan setelah gejala klinis berkembang menjadi preeklamsi dan eklamsi, yang merupakan komplikasi pengelolaan HDK yang kurang tepat. Penelitian ini memiliki tujuan untuk melihat pengaruh rendam kaki pada air hangat dan pemutaran musik klasik pada ibu hamil dengan hipertensi terhadap penurunan tekanan darah. Penelitian Quasi Experimental One Group Pre-test Post-test design ini melibatkan 30 ibu hamil dengan hipertensi dengan teknik sampling Purposive Sampling. Berdasarkan analisis data didapatkan menggunakan paired T-test, setelah diberikan kedua terapi, terdapat penurunan tekanan darah sistolik dengan rata-rata 14,43 mmHg dan penurunan tekanan darah diastolik sebesar 10,83 mmHg dengan nilai p value 0,000 < 0,05, yang berarti ada pengaruh terapi kombinasi terhadap penurunan tekanan darah ibu hamil dengan hipertensi. Terapi ini dapat menjadi alternative dan dapat diaplikasikan pada ibu hamil dengan hipertensi dengan mudah dalam menurunkan tekanan darah.

Patients with peritoneal abscesses who are immobilized are at risk of decubitus ulcer. Various complications in patients such as malnutrition and anaemia in patients cause a decrease in body immunity, causing a high risk of decubitus ulcers and difficulty in wound healing. Massage using Virgin Coconut Oil (VCO) and repositioning are combined interventions to reduce the risk and healing of decubitus ulcers. The study aims to determine the results of massage using VCO and repositioning patients with decubitus ulcers in healing and efforts to prevent decubitus ulcer effectively. The study is a case report of the application of massage using VCO and repositioning in a patient with decubitus ulcer with intraperitoneal abscess, pneumonia, malnutrition, and anaemia at Sumedang Regional Hospital. The patient is a 33-year-old woman with grade 2 decubitus ulcers in the sacrum area which appeared red, serum, skin peeling, and shallow holes. The patient was selected for treatment due to the decubitus ulcers, high risk of decubitus ulcers, and the absence of any interventions. Massage with VCO and repositioning were performed twice daily for 6 days. The interventions were carried out consistently by researchers, nurses, patients, and their families. There were a decrease in degree 2 to degree 1 in the patient’s sacrum decubitus ulcers after massage using VCO and repositioning.

Bleeding is the main cause of maternal mortality in the world, the mortality rate due to bleeding about 30.3% in Indonesia in 2013. Dealing bleeding during and after labor is very important for health professionals including nurses. Research on the management of postpartum hemorrhage is still limited. The purpose of this literature review was to determine the management of postpartum hemorrhage from various countries. The method, this literature review involved articles that published in 2008-2018. The articles searched from several databases, including ProQuest, 32 articles, PubMed 22 articles, and Google 21 scholar articles. Keywords for article search included postpartum hemorrhage, nurse, prevention, treatment, management, and intervention. 75 articles were assessed for the quality using the JBI instrument (Joanna Briggs Institute), and finally, 10 articles were found and met the inclusion criteria. The results show that there are two types of actions to deal with postpartum hemorrhage including direct treatment and indirect treatment. The direct treatment includes bimanual compression, maneuvering techniques, balloon tampons, and tools resembling a butterfly shape for bimanual compression. Indirect actions include training of health workers, initiation of early breastfeeding and ice packs. Conclusion, effective management both directly and indirectly is able to overcome postpartum hemorrhage. Health workers are expected to master effective ways to deal with postpartum hemorrhage.

Stunting could be found in a circumstance where children's height is unusual compared to their age. There are multifactor that cause stunting which some of them are repeated infections and the utilization of health services. Recurrent infections can be prevented if the child's basic immunization is complete. A complete history of immunization status can lower the incidence of recurrent infections. In addition, ANC examinations and measurements of weight and height as the form of the utilization of health services are perceivable by the frequency of visits of mothers and toddlers to integrated healthcare. The more frequently mothers and toddlers go to integrated healthcare, the faster stunting symptoms will be detected thus the toddler is less likely to experience stunting. This study aims to examine associations between toddlers' basic immunization status and visits to integrated healthcare regarding the stunting incidence among toddlers at the stunting locus in Sukamulya Village, Bandung Regency. The study used a quantitative correlation design with a secondary data approach. Respondents are acquired from secondary data, which is the society in Sukamulya Village, Bandung Regency. Samples were selected through purposive sampling technique with specific criteria which is mother with children under five, resulting 96 people in total. The variables in the study consisted of basic immunization status, visits to integrated healthcare, and stunting. Data processing uses univariate and bivariate analysis. The instrument consists of a toddler’s immunization history, ANC examination, also toddler’s weight and height measurement. Statistical test using Chi square with 5% significance level. This study results that there are no associations between basic immunization status (p value = 0.284) with stunting incident and visits to integrated healthcare is associated with (p value = 0.001) the incidence of stunting. These findings are caused by the variety of immunity levels of toddlers and there are multifactor that cause infectious diseases.

Various efforts have been made optimally in suppressing the upsurge number of the Coronavirus Disease (COVID-19) outbreak, but the incidence of confirmed cases continues to increase. Lack of understanding, awareness, and effective communication from the public in responding to the dangers and spread of COVID-19 requires the participation of the community to work together to create strategies to reduce the increase in confirmed cases. Research on community-based prevention of the spread of COVID-19 is still very minimal; more information is needed so that it can be the basis for determining new, more appropriate strategies. This article was written using a literature review method. The aim of this research is to find strategies to prevent the spread of COVID-19 at the community level. The entire article is a non-experimental study and is cross-sectional and observational from the Google Scholar, PubMed, and ERIC (EBSCO) database with a total of nine analysis articles originating from China, Australia, Italy, Indonesia and Saudi Arabia. Keywords used to determine articles are English "(coronavirus disease OR covid-19) AND (community empowerment) AND (prevention program) AND (community health)" and Indonesian "(coronavirus disease OR covid-19) AND (pemberdayaan masyarakat) AND (upaya pencegahan) AND (kesehatan masyarakat)". The results of this review provide an overview of new strategies that can be implemented in the form of the concept of Community-Based Social Containment (CBSC) with the principle of empowerment to accelerate the handling of the spread of COVID-19 at the community level. CBSC is implemented from, by, and for the community in coordinating, planning, monitoring, facilitating, and evaluating the performance of their areas. As a basis for evidance base practice, further research needs to be carried out related to the effectiveness of the implementation of the CBSC concept as concrete evidence that can be applied directly.

Saat ini diperkirakan 9,9 juta anak Indonesia hidup menyandang disabilitas. Orang tua sebagai caregiver utama rentan mengalami penurunan kualitas hidup akibat kesulitan merawat anak dengan disabilitas. Penelitian ini bertujuan untuk mengetahui kualitas hidup orang tua dengan anak disabilitas. Penelitian menggunakan rancangan deskriptif kuantitatif dengan pendekatan cross sectional menggunakan teknik accidental sampling didapatkan 65 sampel yang terdiri dari orang tua dengan anak disabilitas di SLB Negeri Cileunyi. World Health Organization Quality Of Life-BREF (WHOQOL-BREF) adalah instrumen untuk mengukur kualitas hidup, terdiri dari 26 butir pertanyaan, dianalisis menggunakan nilai distribusi frekuensi. Hasil penelitian menunjukkan orang tua rata-rata memiliki kualitas hidup baik pada domain fisik dan psikologis serta sedang pada domain sosial dan lingkungan. Berdasarkan jenis disabilitas, orang tua dengan anak tunadaksa mayoritas memiliki kualitas hidup kategori baik. Berdasarkan faktor yang berkontribusi terhadap kualitas hidup, rata-rata memiliki kategori kualitas hidup sedang hingga baik pada setiap faktor. Kesimpulan dari penelitian ini adalah orang tua dengan anak disabilitas rata-rata memiliki kualitas hidup sedang hingga baik. Upaya mempertahankan dan meningkatkan kualitas hidup orang tua ke arah yang lebih baik mungkin diperlukan terutama pada domain hubungan sosial dan lingkungan dengan merancang program yang mampu meningkatkan kepuasan orang tua terhadap hubungan sosial dan lingkungan tempat mereka tinggal.

Non-communicable diseases (NCDs), particularly hypertension and type 2 diabetes mellitus, pose serious health challenges in coastal communities, which are often socioeconomically and geographically vulnerable. Limited access to healthcare and inadequate preventive health information further worsen these issues. This literature review aims to describe the health profile and associated risk factors of NCDs in coastal populations. A structured search was conducted through PubMed, Google Scholar, and ScienceDirect using keywords including non-communicable diseases, hypertension, diabetes, coastal community, and risk factors. Inclusion criteria comprised peer-reviewed primary research (quantitative or qualitative), published in English or Indonesian between 2020 and 2025. Of 67 articles identified, 17 met the criteria and were analyzed descriptively. Hypertension emerged as the most frequently studied NCD, followed by diabetes and metabolic syndrome. Commonly reported risk factors included obesity, low physical activity, high sodium intake, smoking, stress, aging, and low socioeconomic status. Some studies also noted the influence of seafood consumption, sleep quality, and comorbid conditions. Among elderly populations, factors such as health insurance and access to health counseling influenced health-seeking behaviors. These findings highlight the urgent need for tailored, community-based strategies to prevent and control NCDs in coastal regions.

Health workers are people who have knowledge and skills through education and also devoted themselves in the health areas. The attitude of health workers has determined the services to the patient including patients with mental disorders. A negative attitude is one of the elements formed the stigma against ODGJ (mental disorder patients) who is the greatest barrier to the treatment and the development of effective treatments. This study aimed to identify the attitude of health workers to people with mental disorders at Puskesmas Jatinangor.The research used quantitative descriptive with the cross-sectional approach. The research used the technique of total sampling from the population. The sample was all health workers in Puskesmas Jatinangor total of 55 people. Data taken by using the instrument of Mental Illness: Clinician's Attitude Scale (MICA) developed by Gabbidon et al (2013). Data analysis used a descriptive analysis of the attitude in the form of the mean and the presentation. The higher the total score more and showed negative attitudes (stigmatization).The results showed that more than half of the total respondents had a positive attitude tend to value the mean 48.78 ± SD 8.993. This can conclude that health workers in Puskesmas Jatinangor had favored attitudes, accepted, and recognized ODGJ. It is recommended to all health workforce would maintain and increase positive attitudes towards ODGJ.

Tuberculous meningitis is a life-threatening disease and can cause severe manifestations and neurological disorders. Headache is one of the symptoms that occurs in patients with tuberculosis meningitis. An 18-year-old woman was admitted with complaints of unilateral headache in the holocranial region with a description of throbbing pain on a scale of 6 (0-10), which decreases when she closes her eyes and sleeps. The pain is felt continuously and slightly interferes with activities. This case study aim to describe intervention that can reduce headache in Grade II Tuburculosis Meningitis. Nursing actions are given to minimize the pain experienced by patients with tuberculosis meningitis, namely carrying out pharmacological and non-pharmacological pain management by collaborating in giving paracetamol 500 mg and teaching non-pharmacological pain management by facilitating patient rest, teaching deep breathing relaxation. In addition, immediate treatment is needed by administering anti-tuberculosis drugs (OAT) and corticosteroids. Corticosteroids are given to minimize complications and death rates by suppressing the inflammatory response in the subarachnoid space. After being given care, the problem of acute pain is partially resolved so that further treatment is needed with participation of the patient and family for the success of nursing care. It is necessary to improve pain management in treating patients with TB meningitis headaches.

Hasil studi pendahuluan yang dilakukan menunjukkan masih banyak orang tua yang minder dan malu dengan keadaan anak mereka. Selain itu, masih banyak orang tua yang tidak menyekolahkan dan tidak mengetahui informasi terkait terapi untuk anak dengan disabilitas. Jika hal tersebut dibiarkan, maka dapat menyebabkan masalah yang serius, seperti terganggunya tumbuh kembang anak dan kebutuhan keluarga dengan anak disabilitas. Penelitian ini bertujuan mengetahui gambaran kebutuhan keluarga dengan anak disabilitas di Komunitas Ikatan Keluarga dengan Anak Disabilitas Desa Cimekar Kecamatan Cileunyi Kabupaten Bandung. Penelitian menggunakan deskriptif kuantitatif dengan teknik pengambilan sampel total sampling dari 31 keluarga (ayah dan ibu). Kebutuhan keluarga dengan anak disabilitas diukur menggunakan kuesioner Assessment of Family Needs-FNS versi Jepang yang diadopsi dari Bailey dan Simerson (1988). Analisis data menggunakan persentase nilai setiap domain dan rerata skor yang dihitung dengan menggunakan nilai minimal dan maksimal (1-3) dari setiap item pertanyaan dari setiap sub-kebutuhan. Hasil menunjukkan kebutuhan ibu jika diurutkan dari tertinggi ke terendah adalah kebutuhan informasi dan dukungan profesional 71,0%, pelayanan komunitas 64,5%, menjelaskan kepada orang lain 38,7%, kebutuhan finansial 22,6%, perawatan anak 16,1%, dan dukungan keluarga/sosial 12,9%. Kebutuhan ayah dari tertinggi ke terendah yaitu kebutuhan informasi 71,0%, pelayanan komunitas 64,5%, dukungan profesional 61,0%, menjelaskan kepada orang lain 45,2%, kebutuhan finansial 29,0%, perawatan anak 22,6%, dan dukungan keluarga/sosial 19,4%. Kebutuhan informasi merupakan kebutuhan paling dibutuhkan. Sehingga perlu adanya akses informasi yang dibutuhkan untuk mememuhi kebutuhan informasi tersebut. Dengan terpenuhinya kebutuhan informasi orang tua, maka orang tua akan lebih mengetahui cara merawat dan mengembangkan potensi yang dimiliki anak mereka.Kata kunci: Anak disabilitas, kebutuhan keluarga, orang tua. Parents’ Need of Children with DisabilityAbstractThe result of the preliminary study showed that there were parents who felt embarassed with their children’s condition.In addition, there were parents who did not send their children to schools and education and did not know the information related to therapy for children with disabilities. If it was left it could cause serious problems, such as disruption of child growth and the needs of families with children with disabilities. The purpose of this study was to determine the needs of families with disable children in The Association of Families with Disabled Children at Cimekar Village District of Cileunyi Bandung Regency. The research method used was descriptive quantitative with total sampling technique which consisted of 31 families (31 mother and 31 father). The data analysis used was the percentages of the scores of each domain and the average scores calculated by using the minimum and maximum scores (1-3) of each question item of each subneed. The research findings showed that the needs of families with disabled children sorted from the highest to the lowest rate were the needs for information and professional supports had the same percentage 71.0%, the community services were 64.5%, explaining to others was 38.7%, financial needs were 22.6%, child care was 16.1%, and family and social supports were 12.9%. The needs on father from the highest to the lowest rate were that the information was 71.0%, community services were 64.5%, professional support had the same scores 61.0%, explaining to other was 45.2%, finansial needs were 29.0%, child care was 22.6%, and family and social support needs 19.4%. Thus, the needs for information were the most needed in families with disabilities. It is necessary to provide easy information access for the parents in order to fulfill the needs for information. When they are fulfilled, the parents will know more about how to care for their children and develop their children’s potentials.Keywords: Disable children, family needs, parents.

Fatigue in children with cancer is a physical, mental, and emotional experience characterized by reduced energy, decreased physical activity, and increased feelings of fatigue. So far, health workers have assumed that fatigue is a subjective feeling and is not life-threatening. If not handled properly, fatigue can reduce the quality of life. This study aimed to identify the level of fatigue in children with cancer. This research used a descriptive quantitative method. According to the inclusion criteria: 1) the respondents are children with cancer aged 6-18 years; 2) the children is undergoing treatment or medication, and 3) the general condition of the children is good. Technique sampling used consecutive sampling to get 74 children with cancer. The instruments used were the Childhood Fatigue Scale (CFS) to measure the level of fatigue in children and the Fatigue Scale-Adolescent (FSA) to measure the level of fatigue in adolescents. Data analysis using the mean value and frequency distribution. The results showed that based on the fatigue questionnaire of children with cancer who receive chemotherapy, most of them had a severe fatigue scale of 56 people (75.7%). Meanwhile, a small proportion of children had a mild fatigue scale of as many as 18 people (24.3%). In this study, all children with cancer experienced fatigue. It interrupts or limits their daily activities and significantly influences different aspects of personal life. Children can still felt fatigued even after chemotherapy is over. Nurses as health workers who have the most frequent contact with children must provide appropriate nursing interventions for cancer to minimize fatigue.

Aktivitas penggunaan media sosial di Indonesia didominasi oleh kalangan remaja. Media sosial memberikan dampak negatif pada remaja, salah satunya adalah kecanduan. Hal tersebut dikarenakan dapat mengganggu berbagai kegiatan, diantaranya belajar. Penelitian ini bertujuan untuk mengetahui gambaran tingkat kecanduan media sosial pada remaja. Penelitian ini merupakan penelitian deskriptif kuantitatif. Populasi pada penelitian ini adalah siswa-siswi SMAS Plus Al-Falah kelas X, XI dan XII yang tinggal bersama orang tua sejumlah 72 siswa. Pengambilan sampel pada penelitian ini menggunakan total sampling. Data dikumpulkan menggunakan instrumen yang dibuat oleh Sahin (2018) dan dianalisis dengan analisis deskriptif. Hasil penelitian ini menunjukkan bahwa sebagian besar remaja atau sebanyak 51,4% mengalami kecanduan media sosial tingkat rendah, sedangkan hampir setengah dari remaja atau sebanyak 48,6% mengalami kecanduan media sosial tingkat tinggi. Kecanduan media sosial pada remaja penting untuk segera diatasi agar tidak semakin mengalami peningkatan. Oleh karena itu, disarankan bagi pihak sekolah untuk bekerjasama dengan perawat jiwa terkait pencegahan pada kecanduan media sosial yaitu dengan memberikan pendidikan kesehatan mengenai penggunaan media sosial yang baik dan dampak negatif kecanduan media sosial. Sedangkan, penanganan yang dapat dilakukan bagi remaja yang mengalami kecanduan media sosial tingkat tinggi yaitu dengan memberikan terapi CBT pada remaja.

Lung cancer is one of the leading causes of cancer-related deaths worldwide. In advanced stages, patients often experience pain and shortness of breath, which significantly reduce their quality of life. Non-pharmacological interventions such as foot massage with lavender essential oil and pursed lip breathing (PLB) exercises offer potential supportive therapy, but evidence on their effectiveness remains limited. This case study aimed to describe the application of foot massage and PLB techniques in reducing pain and dyspnea in a 64-year-old male diagnosed with stage IVA squamous cell lung carcinoma. The intervention was conducted over six consecutive days. Foot massage was performed using five standard techniques—effleurage, petrissage, friction, tapotement, and vibration—while PLB was practiced for 10 minutes prior to each session. Pain intensity and oxygen saturation were measured using the Numeric Rating Scale (NRS) and pulse oximetry, respectively. The results showed a decrease in pain score from 7 to 3 and an improvement in oxygen saturation from 92% to 96%. The patient also reported improved comfort and the ability to perform light activities with assistance. These findings suggest that the combination of foot massage and PLB may be effective in managing pain and respiratory symptoms in advanced lung cancer. Further research with larger sample sizes and controlled study designs is recommended to confirm these outcomes and support broader clinical use.Keywords: Foot Massage Therapy, Lavender Oil , Lung Cancer, Pain, Pursed Lip Breathing, Shortness of Breath

Diabetes mellitus type 2 is a chronic disease that requires self-management. Self-efficacy of patients with type 2diabetes focuses on improving management education and support services. This study aimed to determine theeffect of diabetes self-management education and support on self-efficacy in patients with type 2 diabetes mellitusin Dr. Soebandi hospital Jember. This type of research was a quasi-experiment using a two-group pre-post-testdesign. The research sample consisted of 30 respondents from 15 controls and 15 consecutive sampling groups.Technique sampling used. Inclusion criteria included 1) diagnosed with type 2 diabetes mellitus; the level ofconsciousness is compos mentis; 2) aged 30–65 years. The statistical test used t-tests dependent and independentt-test. Stages there were 6 sessions. Implementation of 1-4 sessions in the hospital and at home 5–6 sessions patients.The results showed that a score of self-efficacy increased by 17:53 in the treatment group and 4.93 in the controlgroup (p=0.001). The results showed that there was a significant difference between self-efficacy, the treatmentgroup and the control group after administration amounted to 10.495 (p=0.001). The conclusion suggests that thereis a significant influence on the self-efficacy of patients with type 2 diabetes in Dr. Soebandi hospital Jember. It isexpected that this study found is a recommended intervention for health workers to improve the self-efficacy ofpatients with type 2 diabetes so as to improve healthy lifestyles, reduce complications, and improve quality of life.

Virtual Reality is a technology that can simulate a virtual environment like a real one and make it seem like if users can interact in it. The development of learning to use Virtual Reality has begun to be used as a medium for learning skills to increase students' clinical knowledge and reasoning in nursing practice, so that students can show reasonable learning satisfaction in the learning process. Student satisfaction is needed to determine the effectiveness of using VR in nursing practice. Satisfaction with using virtual reality for  student learning experiences can be evaluated using the SCSES (Student Satisfaction with Cultural Simulation Experience Scale), but there is no Indonesian language version for this instrument. This study aimed to translate and adapt the SCSES (Student Satisfaction with Cultural Simulation Experience Scale) instrument in the Indonesia context for nursing students. Methods: The SCSES translation uses the cross-sectional method and in the translation process refers to the five stages of international standard guidelines for translation. Results: The reliability and validity test of the SCSES instrument was tested on 92 Padjadjaran University nursing students. Confirmatory Factor Analysis (CFA) was carried out to measure construct validity. It was found that all items of the Indonesian version of the SCSES instrument were declared valid with the value of all factor loading items > 0.50 and the Cronbach's α test was performed to measure the consistency of measurements (α = 0.964). Conclusions: The Indonesian version of SCSES has good item validity and reliability as a measure of satisfaction in cultural simulation experiences. .

Online game is increasingly popular entertainment for all ages, especially on adolescents. Previous study had shown that the most internet users in Indonesia are adolescents and playing online game is the most activities frequently accessed by adolescents. Previous research also showed that online game addiction among Indonesian students was estimated at 10,15%. This study aimed to identify the level of online game addiction in adolescents. This research was in form of quantitative descriptive. The study population was all students of class X dan XI who obtained students from screening results and have met certain criteria with total of 241 people. The population and sample criteria in this study were adolescents who played online games for at least 6 months starting from the first time playing online game. The sampling technique used was total sampling, that all members of the population were used as sample. Data was collected within a month using The Indonesian Online Game Addiction Questionnaire and data obtained directly through google form. The result of the study was analyzed by univariate analysis then grouped into groups of respondents with a score of 7-13 no addiction, 14-21 on mild level of addiction, and 22-35 on high level of addiction. Base on the data analysis, the result of this study showed that almost all respondents were male (87,1%) with duration of ≤ 3 hours/day atau ≤ 21 hours/week to play online game (69,3%). Nearly half of respondents were addicted at a mild level (49,8%) and partially at a high level (10,8%). The conclusion of this study was that the level of addiction in adolescent was dominated at a mild level. The suggestion for school and school health nurses are to collaborate in prevention and treatment efforts by providing education about time management and the dangers of online game addiction to students.