Nursing is a part of health services that serves individuals, groups and communities. In this 21st century the need for nursing services has changed rapidly and in a complex manner. Physical limitations, is on should to be considered, while the implementation and maintenance of patient-centered service infrastructure still have to be recked. The aim of this literature review is to identify the role of telenursing in nursing services for patients. This language method uses literature reviews which are summaries of 10 articles in the publication years of 2019, 2020, and 2021 on 3 search databases, namely Scopus, Science Direct, and SAGE. This review used the new Joanna Briggs Institute and Prisma. The eligibility of these studies were from its title, abstract, research methodology, results, and discussion. The results of the review were presented in narrative form. The results of a review of 10 articles found that the form of nursing services with telenursing could prove long-distance service, time efficiency and funding allocation, but in terms of quality it had been not satisfactory related to its physical implementation of nursing service. Conclusion: The nursing paradigm in the 21st century global era has been developed with the help of technology to meet the needs of distance efficiency and cost limitations. Thus, telenursing is a solution to answer these challenges.

BACKGROUND: Coronary Heart Diseases (CHD) is one of the leading causes of death worldwide. Proper management for CHD patients is needed to reduce mortality. Nurses have a very important role in making CHD patients can carry out optimal health behaviors. AIM: This review study aims to identify the effect of the nurse-led program on CHD patients. METHODS: This systematic review was based on four electronic databases (Scopus, Science Direct, ProQuest, SAGE Journals) and published between 2011 and 2020. This review used the Joanna Briggs Institute and Prisma guidelines. The study’s eligibility was assessed from the title, abstract, research methodology, and full text. The review results were presented in tabulated data and narrative form. RESULTS: Nine articles showed that the nurse-led program significantly improved health behavior, health-related quality of life, clinical outcome, and illness perception in CHD patients. CONCLUSIONS: It is expected that the improvement of management in CHD patients will improve patients’ quality of life. Hence, it could reduce the number of morbidities and mortality.

Background: Compliance for taking medication to become an important thing for a patient with hypertension. Compliance is needed to control blood pressure and prevent complication. The purpose of this study was to analyse the factors that influence patients adherence to taking medicine.Method: The study design was observational analytic using a cross-sectional approach. Samples were 225 patients with hypertension class 2 and 3, in Malang district, Indonesia. The sampling technique was done by using a multistage random sampling technique. The research instrument was in the form of a questionnaire. Data analysis was performed using the Pearson test and linear regression.Results: The results showed that patients adherence in taking medicine was 32.9% for the low category, 51.1% in the medium category and 16% in the good category. Factors influencing the adherence were ages (p-value: 0.002), turning to religion (p-value: 0.011), gender (p-value: 0.016) and suppressing competition activities (p-value: 0.063).Discussion: Demographic characteristics and focused emotional mastery influence taking the medication in patients with grade 2 and grade 3 hypertension. Strengthening coping strategies with transporting to coping emotions becomes very important to discuss in patients with grade 2 and grade 3 hypertension, so that adherence to hypertension is needed will be able to control blood pressure and prevent complications.

CROSS SECTORAL EMPOWERMENT IN AN EFFORT TO REALIZE A COMMUNITY THAT CARES ABOUT HEALTH AND SAFETY DRIVING. Traffic accidents are a global phenomenon with increasing events that can result in losses and deaths. The most dominant human factor is related to traffic accident between vehicle and physical environment. WHO reports that around 1.2 million people die each year from road accidents and are a leading cause of death among young people aged 15-29 years. Partners in this program are residents of Rt 24, RW 12, Tegowanu, Kaliagung, Sentolo, Kulon Progo. The problems faced by partners are the high driving accidents in the partner area, due to geographical conditions of the road, vehicles that pass at high speeds from both directions, and poor driving behavior. The methods used in this program are community education, demonstrations, case simulations and family counseling. The result of this program are that there is an increase in partner’s knowledge related to driving health and safety, as much as 80% of participants are able to re-evacuate the techniques of evacuation, transportation and first aid in an accident at the location. It requires the efforts of the relevant parties to continue to accustom the culture of healthy and safety driving.

Masyarakat yang tinggal di kawasan rawan bencana (KRB) gunung berapi memiliki risiko besar terdampak apabila terjadi erupsi. Dampak Kesehatan terutama dari mulai terjadinya sesak nafas akibat debu vulkanik, cedera fisik dan psikologis, luka bakar, trauma inhalasi sampai terjadinya kegawatdaruratan sehingga dapat mengakibatkan korban jiwa. Tujuan penelitian ini adalah untuk mengetahui faktor kesiapsiagaan masyarakat terutama bidang Kesehatan dalam menghadapi dampak erupsi gunung api. Deskrisi korelasional, dengan jumlah sampel 219 responden warga dusun Srunen Galagahharjo Cangkringan Sleman Yogyakarta dengan tehnik purposive sampling, data diambil dengan membagikan quisioner dengan sarana google form. Analisis kesiapsiagaan umum dan bidang Kesehatan terhadap dampak erupsi gunung api dengan analisis sperman. Tingkat kesiapsiagaan secara umum warga Dusun Srunen (KRB III) kategori baik (43%), cukup (51,6%), kurang 4,6%, tingkat kesiapsiagaan kesehatan kategori baik(23,3%), cukup(70,3%), kurang (6,4%), terdapat hubungan yang signifikan dengan nilai p value = 0,04, dengan nilai r=0,288,antara pelatihan dengan tingkat kesiapsiagaan warga. Tingkat kesiapsiagaan masyarakat dalam bidang kesehatan terhadap dampak erupsi gunung api dalam kategori cukup dan terdapat hubungan antara pelatihan bagi warga dengan tingkat kesiapasigaan masyarakat. Perlunya upaya untuk meningkatkan kesiapsiagaan warga terutama dibidang Kesehatan dengan terus secara kontinyu diadakan pelatihan-pelatihan terkait mitigasi kesiapsiagaan untuk mencegah risiko dari dampak erupsi gunung api.

Introduction: Heart disease is the number one cause of death in Indonesia. Promotional efforts through the provision of health education and counselling through Peer Health Education is one of the primary prevention strategies that can be undertaken to prevent the occurrence of heart disease. The purpose of this study is to prove the influence of Peer Health Education in reducing the risk of heart disease.Methods: The research method used in this study was quasi-experimental with a pre-test-post-test non-equivalent control group design. The samples were taken from 56 people using the purposive sampling technique. The first group of 28 people was the experimental group and the second group of 28 people was the control group. Before and after treatment, both groups were measured concerning their knowledge, lifestyle behaviour, blood pressure, blood glucose levels, blood cholesterol levels and risk assessment of heart disease. Data analysis was done by using the Friedman Test with a 95% significance level.Results: The results showed that Peer Health Education was able to improve the respondents' knowledge about having a healthy lifestyle, changing the behaviour of the respondents, i.e. behaviour of consuming sweet foods, controlling blood pressure and decreasing the risk of heart disease.Conclusion: Based on the result, health promotion efforts through a Peer Health Educator can continue to be done as one method to improve heart health in the community. Thus, the expectation of morbidity and mortality due to heart disease can be lowered.

BACKGROUND: Care transition after hospital discharge is challenging for patients and their families. For post an acute cardiac event patients, the 0–14 days period is a vulnerable period. After hospitalization, patients and their families report having unmet information needs at a time of hospital discharge. It can increase the complication and hospital readmission. AIM: This study aim to explore the patient’s transition experiences from hospital to home after an acute cardiac event. METHODS: An exploratory qualitative research design with phenomenological approach was used in the study. The data were collected from April to July 2020, using semi-structured interviews with 15 patients diagnosed with acute coronary syndrome (ACS). Transcribed interview data were thematically analyzed. RESULTS: There are five themes obtained from the study: Positive perception after an acute cardiac event, the changes experienced, the knowledge which was required, the support needs, and expectations and goals. CONCLUSION: Transition from hospital to home depends on the perceptions of the participants themselves. The experience of transitioning patients from hospital to home was influenced by the existence of support from family, spiritual meaning, and social environment to be able to adapt to health conditions. The finding of this study can assist the nurses in understanding better the needs of patients to prepare the care transition from the hospital to home.

BACKGROUND: The use of masks during the coronavirus disease 2019 (COVID-19) pandemic is one of the efforts to prevent its transmission. However, it was found that the behavior of the use of masks in the community is still low. AIM: This study aims to analyze people’s behavior in the use of masks with the theory of planned behavior and social support approach. METHODS: Research using a cross-sectional design. The study was conducted on 90 people in Malang, Indonesia, taken with simple random sampling techniques. Variables measured are behavioral beliefs, evaluation of behavioral outcomes, normative beliefs, motivation to comply, control beliefs, perceived power, attitude, subjective norm, perceived control, intention, family support, peer support, and mask usage behavior. Research instrument is questionnaire. The data were analyzed using a linear regression test. RESULTS: Results showed that the behavior of mask use according to the theory of planned behavior was significantly influenced by perceived power (p < 0.001), normative beliefs (p = 0.019), and intention to perform the behavior (p = 0.041). While in the social support component, peer support obtained a significant effect (p = 0.002). CONCLUSION: As an effort to improve the behavior of the use of masks in the community during the COVID-19 pandemic, it is necessary to strengthen perceived power, normative beliefs, and intentions accompanied by good peer support so that the community complies with the use of masks for the prevention of transmission.