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

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

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

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

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

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

Hypertension is an incurable condition; thus, it is essential to control it by improving patient self-management, particularly through education. This study seeks to assess the impact of instruction through flipcharts on self-management in individuals with hypertension. The study employs a quasi-experimental design featuring pre- and post-tests, lacking a control group. This study's population comprises hypertension patients, with a sample size of 21 respondents from the Simpang Tiga Community Health Center in Pekanbaru City, gathered between May 20 and June 3, 2024. The research instrument employed is the Hypertension Self-Management Behavior Questionnaire. This study was executed during two meetings within a fortnight. The analysis included a paired t-test. The research findings indicated that the mean self-management score prior to the intervention was 85.90, whereas the mean self-management score subsequent to the intervention rose to 114.62. The paired test findings revealed a p-value of 0.000 (<0.05). It can be stated that teaching utilizing flipcharts influences the self-management capabilities of patients with hypertension. This research aims to establish flipchart media as a tool for disseminating information and health education to the population. Further studies should explore health education interventions utilizing flipchart media for more non-communicable diseases.

In Indonesia, thalassemia is a major disease which increases its number every year.  There were 7,238 patients of thalassemia major in Indonesia in 2016. The highest number was from West Java, 3,039 patients. Thalassemia is preventable. The increasing number of Thalasemia patients impacted the bigger cost of supportive treatment such as blood transfusion, iron chelation for a lifetime, and the cost of treatment when complications occur. In addition, patient and family also should deal with the psychology burdens. This study was to identify parents’ awareness of thalassemia towards thalassemia prevention in a public hospital in Bandung. This study applied quantitative descriptive method. It involved 99 parents of thalassemia children. The samples were chosen using the accidental sampling technique. Data were analyzed using descriptive statistic. The data were collected using a modification of Thalassemia Awareness Quesionnaire (TAQ). The results showed that the majority of parents 53 (53.4%) had low awareness of thalassemia, and 47 (46.5%) of parents had high awareness. Similarly, the majority of parents had low awareness of thalassemia prevention 58 (58,5%), and only 42 (41,4%) of parents had a high category of awareness. Developing of strategy or program to improve the awareness of parents with thalassemia towards thalassemia prevention is needed. Nurses have a role as a provider and educator of thalassemia health information and prevention.

Basic sanitation is influenced by many factors, one of which is welfare. As a component of welfare formation, income directly or indirectly influences sanitation behaviour, impacting a person's health. In children, poor health and nutritional intake are one of the causes of stunting. This study aimed to analyze the relationship between family income and the availability of basic sanitation at a stunting locus, one of which is in a village in Bandung Regency. This research method uses quantitative correlational methods with secondary data analysis. It obtained 204 respondents based on purposive sampling calculations, which were analyzed using the Chi-square test. The study found that the community's income was below the Regency UMK by 58.8%, equivalent to UMK IDR 5,000,000 as much as 38.7%, above IDR 5,000,000 as much as 2.5%. Meanwhile, 77.9% of clean water sources, 70.1% of waste management (latrines) and wastewater, and 5.9% of waste disposal meet the requirements of good condition. The Chi-Square test shows that income has no significant relationship with clean water sources (r=0.448), latrine management (r=0.325), and garbage disposal (r=0.240). So there is no relationship between family income and the availability of basic sanitation, considering that other factors affect the availability of basic sanitation.

Background: Many elderly people in Indonesia experience falling every year and the half had fallen more than once. This falls due to loss of bone and muscle mass which results in poor of balance. This study aimed to show whether balance excercise could improve muscle strength and balance on elderly people with risk of falling. Methods: This was a quasi-experimental design with two-group pretest-posttest control group. The sample was taken by purposive sampling and the total of 27 elderly people was selected into 2 groups: intervention (n = 14) and control (n = 13). The intervention group received the balance exercise regularly 3 times a week for 3 weeks. The balance exercise consists of plantar flexion, knee flexion, hip flexion, hip extention, and single leg side. Results: As an independent t test showed a significant difference in the balance and muscle strength between the intervention and the control group. Paired t-test on balance values obtained (p = 0.003) and the muscular strength (p = 0.000) which means that there was effect of balance exercise on muscle strength and balance in elderly with risk of falling. Conclusions: Balance exercise for 3 weeks regularly could improve balance score and muscle strength on the older people. Therefore, elderly people escpecially who are at risk of falling better to do balance exercise as their routine and getting support for doing this from family and health workers.

There are many causes of maternal mortality, and one of them is preeclampsia, especially in Indonesia. Pregnant women could prevent maternal mortality caused by preeclampsia with understanding the signs and the dangers of preeclampsia. This research aimed to assess the effect health education using video and leaflets on pregnant women's knowledge about preeclampsia. This study was a quasi-experimental study with pretest and posttest without a control group. The respondent did a pretest about preeclampsia and given an intervention and the posttest. The sampling method was quota sampling with 74 respondents. This research provided collected data through questionnaires of knowledge about preeclampsia and education through video or leaflets. The result of the normality test showed normal distribution. Knowledge value of preeclampsia presented in mean and SD (Standard Deviation). The paired average comparison test used a paired sample t-test; meanwhile, the comparison test average unpaired used Independent Sample t-test. The results showed that video and leaflet affected improving pregnant mothers' knowledge about preeclampsia with a p-value of 0.000 <0.05. The work can be seen from the mean before and after being given video education. It has increased from 67,784 to 86,703 and leaflet education, which also increased from 71,135 to 89,514. Videos and leaflets also have the same level of effectiveness in improving maternal knowledge about preeclampsia, with a p-value of 0.854> 0.05. There was an increased level of expertise after the education by video and leaflet on pregnant women about preeclampsia. Besides, the two media also have the same level of effectiveness in improving maternal knowledge about preeclampsia. A suggestion for further research is to use another learning media such as pamphlet, poster, PowerPoint, or flip chart.

Spinal anesthesia is among the most often employed regional anaesthetic procedures in perioperative clinical practice. Notwithstanding its multiple benefits, including swift onset of action and effective pain management, this approach remains associated with the potential for post-procedural problems that may affect patient recovery and the quality of anesthesia care. This study aimed to delineate the numerous common problems that arise following spinal anesthesia in adults, utilising findings from current studies via a scoping review methodology. This research employed a scoping review methodology in accordance with the PRISMA-ScR criteria. Fifteen articles were retrieved from the PubMed, Scopus, and Garuda databases utilising pertinent keywords within the publication period of 2020–2025. The inclusion criteria comprised full-text papers authored in either Indonesian or English that addressed issues following spinal anesthesia. Fifteen publications were selected and analysed according to their objectives, methodologies, populations, and findings. The research identified that the most commonly reported problems comprised hypotension, bradycardia, post-dural puncture headache, nausea, shivering, urine retention, and modest neurological sequelae. Factors influencing the occurrence of problems encompass gender, age, hydration condition, technique, and the utilisation of spinal needles. The majority of issues are temporary and can be addressed with supportive or pharmaceutical measures. Complications following spinal anesthesia are prevalent and should be anticipated in the practice of anaesthesiology nursing. A comprehensive grasp of problem types and their associated risk factors might enhance nurse anaesthetists’ efficacy in monitoring, patient education, and post-anesthesia treatment. This study underscores the necessity of enhancing clinical practice standards and education to reduce adverse occurrences

Elderly is one of the most vulnerable groups to nutritional problems. Elderly people should maintain nutritional status at optimum conditions, so they can help their physical condition in the process in adjusting to the changes they experience. The purpose of this study was to determine the description of the nutritional status of the elderly at Posbindu Caringin Health Center. The research method was descriptive using a cross-sectional approach.  The number of respondents was 125 people that chosen using purposive sampling technique. Data collection using a Mini Nutrition Assessment questionnaire and analyzed using percentage and frequency distribution. The study found that the elderly had normal nutritional status (68.0%), the risk of malnutrition (27.2%), and malnutrition (4.8%). The conclusions in this study are the nutritional status of the elderly in Posbindu Pusingin Caringin, most of the elderly have normal nutrition. Community nurses are expected to be able to use this information in determining appropriate interventions and prevention related to the nutrition problems of the elderly.

Chronic Obstructive Pulmonary Disease (COPD) is a chronic non-communicable lung disease, where airflow obstruction occurs in the respiratory tract, is non-reversible or partially reversible, which is an inflammatory response. Morbidity, mortality and disease progression can be rapid in the event of an acute exacerbation, but can be prevented with appropriate management. Purpose: to identifyi the use of digital inhalers in the management of COPD patients The study used a non-systematic literature review method conducted online in the 2018-2022 database..Results: Many tools and technologies have been developed for COPD management. The digital inhaler app improves COPD monitoring by supporting proper use of inhalers, monitoring medication adherence with remote monitoring. Then the data is sent to the server which automatically updates the patient's medical records. The data can be analyzed by health workers to then provide feedback to users. Literature study shows that the use of digital inhalers improves dosing accuracy, therapy adherence and early detection of disease worsening

Changes in lifestyle by being required to be isolated result in more difficult to self and social adjustment for prisoner. Psychological well-being is a prosperous mental condition that allows a person to conduct a self-evaluation, while feelings of disappointment with the situation have an impact on psychological well-being, resulting in psychosocial problems. The purpose of this study was to describe the psychological well-being of prisoners. The research method using quantitative descriptive. This research was conducted in Lapas Klas IIB Garut, 90 prisoners were obtained by purposive sampling technique. The instruments used were Ryff's Psychological Well-Being Scales (RPWBS). Data were analyzed using descriptive statistics presented in the frequency distribution table. The results showed that in general the psychological well-being of prisoners were in the high category (58,9%). However, there are two dimensions which are included in the low category, namely the dimensions of self-acceptance and personal development. Therefore, the attention of nurses is needed by prisoners especially in psychological condition issue, which is expected to maintain and improve the psychological well-being of the prisoners.

Nurse fatigue has been recognized as a threat to both nurse and patient safety. Comparing to other units, inpatient unit has lower nurse to patient ratio. Inpatient unit nurses also work in shift and experience shift rotation. Thus make them more vulnerable to experience fatigue. The purpose of this study was to describe work-related fatigue among inpatient unit nurses. A cross-sectional, descriptive design with cluster sampling technique was used to 93 staffs nurses in six wards. Work-related fatigue was measured using Occupational Fatigue Exhaustion Recovery (OFER) scale. The data were analyzed using descriptive statistics. A total of 93 nurses provided their personal information details and fully completed self-reported fatigue and recovery questionnaire. The mean (±SD) scores were 56.55 (±15.56), 42.83 (±19.46), and 51.07 (±16.98) for acute fatigue, chronic fatigue, and intershift recovery, respectively. Perinatology unit nurses had the highest acute and chronic fatigue and the lowest intershift recovery. Less experienced nurses experienced lower acute fatigue level which tends to increase progressively with increasing experience and accompanied by poorer recovery. Nursing administrators should consider individual factors while planning staff placement in order to optimize quality of care and meet the job demands in every different unit.

Chronic kidney disease (CKD) is a global health problem that can lead to serious complications. In patients with CKD and diabetes mellitus (DM), there is an increased risk of falls, dependence in daily activities, and stroke. Although these risks are often associated with the elderly population, the phenomenon of multimorbidity is now also increasing trends among individuals of working age. This study aims to describe changes in fall risk levels, dependency levels, and stroke risk knowledge among CKD patients with DM and glaucoma during hospital care. Data collection was conducted through observation, interviews, physical examinations, and medical record reviews. The sample used was a 43 year old woman. The study results showed a significant improvement in reduced fall risk (MFS: 35 to 25), decreased dependency level (CDS: 53 to 66), and increased stroke risk knowledge (SRQ: 28 to 40). This study indicates that comprehensive interventions such as hemodialysis, wound care, pharmacological therapy, and education effectively improve functionality and understanding in productive aged patients with complex multimorbidity.

Prevalence of  cancer is estimated will increase in the next two decades. Therefore, there is a challenge for health provider to encounter treatment and caring for the patients. Especially, the cancer patients face several problems not only physical but also psychological, emotional, spiritual and social cultural aspects.This study explored the evidence-based practice on community-based palliative cancer care. Literature study is done by making a summary of published articles related to the question. The searching method used several electronic databases such as Google Scholar, Proquest, and PubMed. Articles under the keywords of “Palliative Cancer Care”, “Community”, and “Nursing” reach as much as 1.804. The inclusion criteria for this literature review were articles that have been peer-reviewed, are in full-text, in either English or Indonesian, and publication year from 2008 to 2018. Meanwhile, the exclusion criteria include those that do not follow a standardized structure of an article (consisting of Abstract, Introduction, Method, Result, Discussion, Implication, and Reference), are in the form of a review, and whose content does not answer research questions.Results: The United States of America is on the highest place regarding palliative care service, following by community-based palliative cancer implementation in Europe. Asian countries had been applying palliative care service, integrated with national health care system. In the Middle East countries, palliative care program ranks the lowest, but in implementation, they have discreetly performed community-based palliative care. In Africa, it is not the main focus in the field of health. Palliative care for cancer patients that is potential for development in Indonesia is that of family-based.Conclusion: Community-based palliative care is a variant of palliative treatment long applied and being developed in many countries in the world. In continents such as America and Europe, the implementation of palliative care ranks the highest place. In Indonesia, it is done partially and only available in hospitals or non-governmental organization. In the level of community, family-based palliative care can be developed by involving trained family members.

Inserting a double-lumen catheter (CDL) in hemodialysis patients results in adverse effects, specifically pain. Pain is a disagreeable sensation caused by tissue injury involving sensory and emotional components. Pain management is a nursing care option for individuals experiencing pain. Pain can be managed by non-pharmacological methods, such as the Slow Deep Breathing (SDB) technique. This case study aims to assess the intervention for sleep-disordered breathing in patients with chronic renal disease following central venous catheter installation, focusing on acute pain nursing issues. This article used a case report style focused on a single patient in the treatment room. The effectiveness of the SDB intervention was evaluated by the Numeric Rating Scale (NRS) and by monitoring the patient's blood pressure, pulse, and respiration. The intervention resulted in a decrease in the NRS score from 2 to 0. Additionally, the blood pressure value decreased to normal, the pulse remained within the normal range, and there was no change in the patient's respiratory value for three days post-intervention. Expanding the use of SDB therapies to a more diverse group of patients will enhance the evidence supporting the effectiveness of these interventions.

Diet is one of the main factors related to various diseases including Diabetes Mellitus (DM). High carbohydrate, fat, protein, and low fiber diets can increase the risk of type 2 DM occurrence, especially in the patient’s family as a risk group. Previous research on students with DM families in Central Java still had a high-calorie food consumption pattern. The diversity of population, culture, and age may affect the results. Therefore, this study aimed to describe the diet in the family of patients with type 2 DM in the working area of Puskemas (Community Health Center) Garuda Bandung.This research used a quantitative descriptive method by purposive sampling technique. The respondents in this study involved 46 people who were the children of type 2 DM patients in the working area of Puskesmas Garuda. Dietary data obtained from the food record sheet for 3 days and was calculated using Nutrisurvey software in kilocalories (kcal) as the unit of measurement then the results were categorized based on Consensus Perkeni 2015. Data analysis was using frequency distribution.The results showed that 39 (84.8%) respondents in the diet category less than body requirements, 37 (80.4%) respondents in the category of sufficient carbohydrate intake, 39 (84.6%) respondents in the category of excess fat intake, 45 (97.8%) respondents in the category of adequate protein intake, and 41 (89.1%) respondents in the category of less fiber.The conclusions from this study that almost all families of patients with type 2 DM in the work area of Puskesmas Garuda were in the diet category less than body requirement but with the excess fat intake and less fiber. Based on these results, the nurses in Puskesmas are expected to optimize the outreach programs by addressing families of DM patients to make the diet as an attempt to prevent the risk in the family of patients with type 2 DM.Key words: Diet, DM patients’ families, food record. Gambaran Diet pada Keluarga Pasien Diabetes Melitus Tipe 2AbstrakDiet adalah salah satu faktor utama yang berhubungan dengan berbagai penyakit termasuk Diabetes Melitus (DM). Diet tinggi karbohidrat, lemak, protein, serta rendah serat dapat meningkatkan risiko kejadian DM tipe 2 terutama pada keluarga pasien sebagai kelompok berisiko. Penelitian sebelumnya pada mahasiswa dengan keluarga DM di Jawa Tengah masih memiliki pola konsumsi makanan yang tinggi kalori. Perbedaan populasi, budaya, serta usia mungkin akan mempengaruhi hasil. Oleh karena itu, tujuan penelitian ini untuk menggambarkan diet pada keluarga pasien DM tipe 2 di wilayah kerja Puskemas Garuda Kota Bandung.Penelitian ini menggunakan metode deskriptif kuantitatif dengan teknik purposive sampling. Responden dalam penelitian ini berjumlah 46 orang yang merupakan anak kandung pasien DM tipe 2 di Wilayah Kerja Puskesmas Garuda. Data diet diperoleh melalui lembar food record selama 3 hari dihitung mengunakan software Nutrisurvey dengan hasil ukur dalam kilokalori (kcal) yang kemudian hasilnya dikategorikan berdasarkan Konsensus Perkeni 2015. Analisis data menggunakan distribusi frekuensi.Hasil penelitian menujukkan bahwa sebanyak 39 (84,8%) responden dalam kategori diet kurang dari kebutuhan, sebanyak 37 (80,4%) responden dalam kategori asupan karbohidrat cukup, sebanyak 39 (84,6%) responden dalam kategori asupan lemak berlebih, sebanyak 45 (97,8%) responden dalam kategori asupan protein cukup, dan 41 (89,1%) responden dalam kategori serat kurang.Simpulan dari penelitian ini bahwa hampir seluruh keluarga pasien DM tipe 2 di wilayah kerja Puskesmas Garuda berada pada kategori diet kurang dari kebutuhan tetapi dengan asupan lemak berlebih dan serat yang kurang. Berdasarkan hasil tersebut, maka perawat puskesmas diharapkan dapat mengoptimalkan program luar gedung dengan menyasar keluarga penderita DM untuk menjadikan diet sebagai upaya untuk mencegah risiko DM pada keluarga pasien DM tipe 2.Kata kunci : Diet, food record, keluarga pasien DM.