Objective A study was conducted to explore the level of illness perception, the level of cardiovascular health behaviour and the relationship between illness perception and cardiovascular health behaviour among persons with ischemic heart disease (IHD) in a community setting. Method The participants comprised 235 persons with IHD. The instruments used were as follows: 1) Demographic Data and Health Information, 2) The Brief Illness Perception Questionnaire (Brief IPQ), 3) The Open-ended Questionnaire (OEQ), and 4) The Modified Cardiac Health Behaviour Scale (MCHBS). Findings from the OEQ are used to assess in-depth illness perception and to extend the information obtained from the Brief IPQ. The design of the study was descriptive correlational. The data were analysed using descriptive statistics to present the demographic data and health information. Inferential statistics was used to resolve the relationship between illness perception and cardiovascular health behaviour by using Pearson's Product Moment Correlation. Result The mean score of illness perception was at a moderate level ( M = 43.65, SD = 3.93), whereas the mean score of cardiovascular health behaviour was at a high level ( M = 80.29, SD = 5.42). A significant positive relationship existed between illness perception and cardiovascular health behaviour among persons with IHD ( r = 0.38, P < 0.01). Conclusion Persons with higher illness perception showed a positive correlation with higher cardiovascular health behaviour at a significant level of 0.01. Results provided important information for nurses to develop an intervention program to promoting appropriate illness perception and cardiovascular health behaviour among persons with IHD.

Objective: This study examined the influence of the Promote Children's Growth and Development (PCGD) intervention on children's growth and development in rural areas in Indonesia. Design and Sample: A community-based nonblinded cluster randomized controlled trial was conducted. Twelve clusters of villages were matched based on population and randomly assigned to intervention group (six clusters and 72 caregivers dyads) or control group (six clusters and 72 caregivers dyads) with inclusion criteria age 0-72 months and attending integrated health centers (Posyandu). The intervention was conducted for 14 weeks with caregivers.Measures: The weight-for-age Z-score (WAZ), height-for-age Z-score (HAZ), weightfor-height Z-score (WHZ), and body mass index-for-age Z-score (BAZ) were calculated using World Health Organization Anthro-Plus version 1.0.3. A prescreening developmental questionnaire (PSDQ) measured the development of children before and after the intervention. Results:The proportion of stunting of HAZ, wasting of WHZ, and deviation development of PSDQ were higher in the control group compared to the intervention group, respectively (22.2% vs. 37.5%), (9.7% vs. 4.2%), and (12.5% vs. 2.8%). Caregivers were more confident promoting children's growth and development after attending 12 sessions of the PCGD intervention. Conclusion:The 12 session PCGD intervention is effective for promoting the growth and development of children of 0-72 months. The PCGD could be considered for implementation in community health centers.

Aim: Identification of hypertension factors among elderly people is expected to form appropriate nursing interventions to improve the self-efficacy of patients by modifying factors affecting the blood pressure of elderly people with hypertension. The aim of this study is to investigate the prevalence of hypertension and predictive factors of self-efficacy among elderly people with hypertension in institutionbased rehabilitation (IBR) in Indonesia. Methods: An IBR cross-sectional study was conducted, involving 64 elderly people selected through random sampling. Research data were collected using a structured questionnaire and standard protocol, employing a stethoscope and sphygmomanometer to measure blood pressure. The data were then analysed using descriptive and comparative statistics, as well as multivariate linear regression analyses. Results: The prevalence of systolic and diastolic hypertension among elderly people who lived in the IBR were 31.30% and 45.30%, respectively. The predictors of self-efficacy of the elderly with regard to systolic hypertension were spiritual activity, length of stay, education, the occupation of the elderly before entering the rehabilitation, and dementia; while daily activities, risk of falling, pain, and depression anxiety and stress become significant predictors of self-efficacy in elderly people with diastolic hypertension. Conclusion: This study provides new evidence that signifies the current burden of hypertension and the critical factors of self-efficacy for uncontrolled hypertension among the elderly in the IBR. The study suggests that health-promotion programs should be developed to modify factors of hypertension among elders of IBR in Indonesia.

Purpose This study examined the influence of traditional dance “Molong Kopi” for maintaining health status of older adult (OA) in long-term care of Indonesia. Design/methodology/approach A randomized control trial study conducted 21 of OA intervention group and 20 of OA control group. Molong Kopi dance intervention was carried out for eight weeks. Health status was measured on blood pressure, risk for fall, balance and quality of sleep of OA. Findings There was a significant differences between the intervention group and the control group on systole blood pressure, fall risk and sleep quality (p < 0.05). The number of OA who were not at risk for fall after the intervention were increased from 14 to 38%. The quality of sleep of OA was also changed to good sleep quality from 43 to 90%. Originality/value Molong Kopi dance in OA can reduce systolic blood pressure, reduce the risk of falls and improve sleep quality better.

Indonesian society is an agrarian society with close family relationship. Agrarian society generally helps each other together, which is known as “abereng” in Madura. The purpose of this community empowerment study is to make the “abereng” cooking activities as the villager’s potency for improving the nutritional status of stunting children in Glagahwero Village with agronursing approach. The activities took place from 4 October to 14 December 2018 which was attended by 60 participants (40 mothers and their under-five children, 15 health cadres who mobilize “posyandu”, and 5 village officials). An agronursing approach was used to identify local food resources that could be processed into foods with high nutritional value. The activities consisted of socialization, training, establishment of cooking activists groups, handover of cooking utensils and food containers, cooking activities along with continued eating with under-five children with previously measured nutritional status. The activities held in every week each month. Among 40 under-five children, only 20 of under-five children were actively participated in “abereng” cooking four times each month. Before intervention program, under-five children who participated in this activity experienced nutritional deficiencies ranged from 1000 to 6000 gs, based on age and sex (according to WHO NCHS standards). The menus were developed from local food resources which containing high level of protein, vitamins, and minerals. After “abereng” cooking was carried out four times each month, there was increasing of weight by 200-1000 gs. People and families were able to explore potentcy, process, and serve local foods as nutritious foods for toddlers. “Abereng” cooking activity is a potential community and family activity in the village for improving the nutritional status of stunting children with agronursing approach. Community independence in improving nutritional status of children requires continous follow-up from health workers and academics for resolving the problem of malnutrition in children.

Type 2 diabetes mellitus (T2DM) is a metabolic disease that can cause various chronic complications and they can be minimized by self-care. One of the factors that affect self-care in diabetic clients is family social support. The aim of the research was to analyze the correlation between family social support and self care behavior client with T2DM)in the area of Kaliwates public health center, Jember. This research applied an observational analytic design with cross-sectional approach. A total of 84 respondents were enrolled in this study by using purposive sampling technique. The data collection method used the HDFSS (Hensarling Diabetes Family Support Scale) and SDSCA (Summary of Diabetes Self Care Activity) questionnaires, it conducted on January 7th-22nd 2019. The data analysis used Spearman correlation test with a significance level of 0.05.The result showed that median of the family social support was 86 with a minimum value of 69 and a maximum value of 106, whereas the mean value of self-care behaviour was 2,27 days with a standard deviation of 0.45 days. There was a significant positive correlation between family sosial support and self-care behaviour (p value: 0.001; r; +0.378), meaning that the higher the level of family social support the better the self-care behaviour. This study suggests the importance of assessing family social support to improve self-care in clients with type 2 diabetes mellitus.

ABSTRAKPertanian merupakan mayoritas mata pencaharian penduduk di Dusun Krajan, Desa Kemuningsari Lor, Kecamatan Panti, Kabupaten Jember. Kesadaran dan kepedulian untuk menangani sampah oleh masyarakat dusun terlihat masih sangat kurang. Hal tersebut ditandai dengan kebiasaan membakar sampah yang masih melekat di masyarakat dalam mengelola sampah. Disamping itu dengan membakar sampah dirasa masyarakat adalah cara yang paling cepat dalam pengolahan sampah. Padahal sudah sangat jelas dampak polusi yang ditinggalkan apabila tetap melakukan pembakaran terhadap sampah. Terlebih dengan angka kejadian ISPA yang tinggi menimbulkan kekhawatiran di kalangan masyarakat. Kekhawatiran tersebut dapat dikurangi dengan menumbuhkan kesadaran masyarakat akan pentingnya membuang sampah pada tempatnya dan pemilahan sampah. Hasil yang dicapai dari kegiatan ini adalah masyarakat mulai memahami pentingnya mengelola sampah dan volume pengeluaran sampah berhasil ditekan yang berasal dari sampah rumah tangga.

Nurses are health service providers playing pivotal role and serving at the forefront of tackling COVID-19. As such, their health and safety are pivotal. Therefore, a policy is needed in arranging their work system in response to COVID-19 pandemic. The work arrangement denotes an effort to prevent human-to-human infection transmission of COVID-19. However, the nursing work system adjustment model is not yet know. The aim of the study is to explore a model for adjusting the work system of nurses in health care facilities during the COVID-19 pandemic, from the perspective of nurse managers. This study applied descriptive qualitative method. It involved 9 (nine) managers who were recruited from 2 (two) public hospitals which became the national reference for handling COVID-19. These subjects were chosen using purposive sampling technique. Data collection employed semi-structured interviews through virtually telephone and conference. Resultant data was analyzed using content analysis. The study has unraveled five main categories related to the adjustment of the nursing work system during the pandemic, including the management of nurse personnel, regulation at work, arrangement of work patterns, adjustment of work procedures, and flexibility of work systems. Through the work system regulation, hospital managers have implemented the principle of maintaining health, safety and security of nurses while working in health care facilities. The adjustment of the nursing work system aims to reduce the negative impact of the health crisis and reduce anxiety for nurses. This is mainly because the level of anxiety associated with COVID-19 may pose adverse effects on nurses’ wellbeing.