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Background Family involvement in overcoming the severity of leprosy is very important in the life of leprosy sufferers in communities who experience the clinical and, psychological, social and behavioral consequences of the disease. However, this need, psychosocial, is felt to be not optimal. This study is to identify how the experiences of family members as caregivers provide assistance to lepers in improving healing and maintaining patterns of interaction in the family. Methods The design uses qualitative research with in-depth, face-to-face interviews with family members in a semi-structured manner with the hope of obtaining complete data. Using purposive sampling with Participatory Interpretative Phenomenology analysis, there are 12 families with 15 family members consisting of 4 men and 11 women. Results This study produced a family theme that tried to follow what would happen to lepers, with four sub-categories: 1) Using various coping alternatives to recognize the disease, 2) Family members in the shadow of leprosy, 3) Trying to empathize with other family members. sick, 4) Caring for the emotional response of the family and seeking support. Conclusions This analysis shows that deficiency in cognitive aspects can be closed by maintaining a lifestyle in the family through efforts to understand, support, establish communication, increase maximum involvement in restoring self-confidence, especially in lepers with psychosocial problems in the family. The results of this study can be used as psychosocial support in maintaining communication between family members to support treatment programs and accelerate the recovery of leprosy.

Introduction: Open defecation behavior is one cause of poor sanitation, which can lead to various diseases. Open defecation behavior related with cultural factors that become a habit in the daily life in a society which was then followed by their children. This study aimed to analyze factors related to the parental behavior of open defecation in school-age children based on the theory of transcultural nursing in Marce, Sedau Community Health Center Area, West Lombok Indonesia. Methods: This was a descriptive research design with cross-sectional approach. Samples were taken by simple random sampling technique and obtained 95 parents of children aged 7-12 years. Independent variables were education level, economy level, cultural values and lifestyle, social and family values, religiosity, technology. The dependent variable was open defecation behavior of the parents in school age children. This research was analyzed using Spearman rho test with significance level α = 0.05. Results: education level (p = 0.000; r = 0.390), economy level (p = 0.003; r = 0.298), cultural values and lifestyle (p = 0.000; r = 0.555), social and family (p = 0.000; r = 0.444), religiosity (p = 0.000; r = 0.300), technology (p = 0.000; r = 0354) has a significant relationship with the parents about the open defecation behavior in school age children. Conclusion: the intervention was needed on the factors that influence the open defecation behavior by nurses participating directly to communities to increase public awareness about the importance of healthy defecate in a closet to avoid the disease.

ABSTRACT   Introduction: Poor control of asthma can reduce the quality of life of asthma patients. Doing breathing exercises and regular physical exercise can increase asthma control. Exercises that can be done are a combination of Buteyko breathing techniques and walking exercises. The purpose of this study was to analyze the effect of a combination of Buteyko breathing techniques and walking exercises on athma control. Methods: The design of this study was quasi experimental with pretest-posttest control group design. The location of the study was in the pulmonary clinic of Regional General Hospital of Sidoarjo Regency and Bangil Regional General Hospital in Pasuruan Regency, East Java. Respondents were selected by randomization by simple random sampling. Respondents in this study amounted to 76 respondents. Asthma control were measured using Asthma Control Test. The intervention group was given a combination exercise with Buteyko breathing technique and walking exercise for 8 weeks, 3x per week, 55 minutes every training session. Giving a combination of Buteyko breathing technique and walking exercises using module and video media. Asthma control measurements were carried out 3 times (pre test, week 4, week 8). Data were analyzed using SPSS 22 with GLM-RM (General Linear Model-Repeated Measure) ANOVA. Result: The research results showed a significant difference in the astma control value between before and after 4 weeks and 8 weeks of the intervention in the treatment group with p = 0.000(p <0.05). Discussion:The combination of Buteyko breathing techniques and walking exercise increase asthma control through the mechanism of increasing CO2 and producing nitric oxide which has bronchodilation effects and through decreasing inflammatory mediators so that it can reduce asthma symptoms. This exercise can be used as an alternative choice in supporting pharmacological therapy to improve asthma control.  

TB-MDR terjadi karena kegagalan pengobatan, putus pengobatan, atau pengobatan yang tidak benar sehingga terjadinya resistensi primer. Penelitian ini bertujuan untuk menganalisis hubungan antara dukungan keluarga dengan Efikasi Diri penderita Tuberkulosis resisten obat di Poli TB-MDR RSUD Ibnu Sina Gresik. Metode : Desain penelitian deskriptif korelasional melibatkan 15 responden Penderita TB-MDR yang sedang menjalani pengobatan di poli TB-MDR RSUD Ibnu Sina Gresik pada 28 Maret-28 Juni 2018 yang di pilih menggunakan consecutive sampling. Variabel bebas adalah dukungan keluarga. Variabel terikat adalah Efikasi Diri. Data diperoleh menggunakan kuesioner yang kemudian dianalisis menggunakan Spearman rho dengan derajat kemaknaan α ≤ 0,05. Hasil dan Analisis : Dukungan keluarga tidak berhubungan secara signifikan terhadap Efikasi Diri dengan p-value = 0,120 atau (p ≥ 0,05). Kesimpulan : semua responden penderita TB-MDR di Poli TB-MDR RSUD Ibnu Sina Gresik memiliki dukungan keluarga yang positif dan Efikasi Diri tinggi. Saran bagi peneliti selanjutnya agar meneliti tentang hubungan antara dukungan keluarga dengan Efikasi Diri yang dapat meningkatkan partisipasi dukungan keluarga.

Sechium edule contains flavonoids and potassium to reducing small blood pressure in the elderly with hypertension. The serving of chayote for consumption can be juiced, steamed, and squeezed. However, no research proves from three serving is more effective in reducing the pressure of elderly hypertension. The aims of the study compared from three presentations which is more useful to make blood pressure decrease in elderly with hypertension in coastal area. This study used Pre-Experimental Design with the three-group pre-post-test design. Samples were 51 elderly obtained from purposive sampling. The independent variable was the consumption of Sechium edule with the various presentation. The dependent variable was the blood pressure. Based on analysis data used paired t-test with significance p-value ≤ 0.05. The mean of blood pressure in the juiced group before intervention was 156.28 mmHg and after intervention 152.48 mmHg (decrease 3.8 mmHg). The mean of systolic pressure in steamed group before intervention was 154.46 mmHg and after intervention 151.43 mmHg (decrease 3.03 mmHg). The mean of systolic pressure in squeezed group before intervention 152.51 mmHg and after intervention 152.14 mmHg (decrease 0.37 mmHg). The juiced Sechium edule was most effective to decrease blood pressure in elderly with hypertension. The nurse can promote to the elderly in the coastal area to make juiced Sechium edule as a non-pharmacological intervention for patient with Hypertension.

Pendahuluan: Kecamatan Cerme merupakan salah satu kecamatan di Kabupaten Gresik dengan angka kejadian kecelakaan yang cukup tinggi dibandingkan dengan daerah lain. Kecelakaan ini memerlukan bantuan dan penanganan awal yang bisa dilakukan oleh orang awam, termasuk siswa SMU untuk mengurangi angka kecacatan dan kematian. SMU Muhammadiyah 8 dan SMK Muhammadiyah 3 berlokasi di tepi jalan raya dimana kecelakaan lalu lintas tersebut sering terjadi, namun pihak sekolah mengungkapkan belum bisa memberikan bantuan karena kurangnya pengetahuan dan ketrampilan dalam memberikan pertolongan pertama. Dengan demikian diperlukan suatu strategi untuk memberdayakan masyarakat dalam memberikan bantuan atau pertolongan pertama, yaitu melalui pengabdian masyarakat dalam rangka peningkatan kemampuan siswa SMU di Kabupaten Gresik dalam memberikan bantuan hidup dasar. Metode: Kegiatan pengabdian masyarakat dilakukan melalui pemberian edukasi melalui simulasi dan bermain peran (role play) kepada para siswa. Alasan dari pemilihan metode ini adalah karena siswa SMU pada dasarnya lebih menyukai pembelajaran partisipatif dibandingkan dengan ceramah. Pembelajaran simulasi akan memberi siswa kesempatan untuk belajar secara langsung melalui melihat, mempraktikkan, serta bermain peran cara melakukan pertolongan pertama pada kecelakaan atau memberikan bantuan hidup dasar. Dengan demikian diharapkan para siswa akan mengalami peningkatan pengetahuan, sikap dan tindakan dalam penanganan kecelakaan. Hasil: Kegiatan pengabdian masyarakat menghasilkan perubahan yang sesuai dengan target luaran yang telah ditetapkan yaitu peningkatan pengetahuan siswa tentang pertolongan pertama pada korban kecelakaan, meliputi tindakan bantuan hidup dasar, bebat bidai, dan transportasi khusus untuk orang awam. Kesimpulan: Pemberian edukasi melalui simulasi dan bermain peran dalam pengabdian masyarakat pada siswa SMU di Wilayah Kabupaten Gresik meningkatkan pengetahuan dan ketrampilan siswa akan pemberian pertolongan pertama pada korban kecelakaan.

Introduction: Pulmonary TB clients who undergoing intensive phase treatment often feel sad, bored, reject conditions, useless and helpless, complaining about changes in conditions experienced. This study aims to describe the experience of pulmonary TB clients who undergoing intensive phase treatment in Taji Community Health Center of Magetan DistrictMethod: This research used qualitative research design of phenomenological approach with in-depth interview method on 15 participants with inclusion criteria for pulmonary TB clients aged ≥16 years, new clients were diagnosed with pulmonary TB, clients had undergone intensive phase pulmonary TB treatment for 1 month. While the exclusion criteria for pulmonary TB clients who are pregnant, TB-HIV, MDR TB, extrapulmonary TB, clients with comorbidities such as diabetes mellitus, hypertension, schizophrenia, and other chronic diseases. Data analysis in this study used technique nine steps Colaizzi.Result: This research used qualitative research design of phenomenological approach with in-depth interview method on 15 participants with inclusion criteria for pulmonary TB clients aged ≥16 years, new clients were diagnosed with pulmonary TB, clients had undergone intensive phase pulmonary TB treatment for 1 month. While the exclusion criteria for pulmonary TB clients who are pregnant, TB-HIV, MDR TB, extrapulmonary TB, clients with comorbidities such as diabetes mellitus, hypertension, schizophrenia, and other chronic diseases. Data analysis in this study used technique nine steps Colaizzi.Conclusion: The experience of pulmonary TB clients who undergoing intensive phase treatment needs of various support from themselves and others such as family, neighbors, friends, and health workers to overcome the obstacles transversed. It is hoped that this research could be the basis for further research on health promotion and sustainable accompaniment to pulmonary TB clients who undergoing intensive phase treatment by involving family and community.