Nausea and vomiting is a common disorder experienced by 50% of pregnant women in the first trimester of pregnancy. Efforts to reduce the symptoms can be with food or drinks containing ginger. Ginger has antiemetic and anxiolytic activity. The aim of this study was to determine the effectiveness of ginger to decrease nausea and vomiting in pregnant women 0-16 weeks gestation. The type of research design used is quasy Experimental design. The population in this study were all pregnant women 0-16 weeks gestation who experience nausea and vomiting as many as 24 people in the sub-district Puskesmas Wonorejo Ngadiluwih Kediri. The sample in this study 24 people with using cluster random sampling and systematic sampling. The instrument used was a questionnaire and rhodes INVR. Analysis of the results using Wilcoxon Match Pairs Test test results obtained p value 0.033 <0.05 then H0 is rejected so that there are differences decrease nausea and vomiting in pregnant women 0-16 weeks gestation who were not given the ginger and ginger. In conclusion the effective administration of ginger powder to decrease nausea and vomiting in pregnant women aged 0-16 weeks. Suggested for health workers to use ginger as a treatment alternative for reducing nausea and vomiting in pregnant women. Keywords: Giving of ginger powder, decrease of nausea and vomiting, pregnant women PendahuluanKehamilan merupakan mata rantai yang bekesinambungan dan terdiri dari ovulasi, migrasi, spermatozoa, ovum, konsepsi, pertumbuhan zigot, nidasi (implantasi) pada uterus, pembentukan plasenta dan tumbuh kembang hasil konsepsi sampai aterm (Manuaba, 2010). Periode antepartum dihitung sejak hari pertama haid terakhir (HPHT) hingga mulainya persalinan. Periode antepartum dibagi menjadi tiga trimester. Trimester pertama secara umum dipertimbangkan berlangsung pada minggu pertama hingga ke-12 (12 minggu), trimester kedua pada minggu ke-13 hingga ke-27 (15 minggu), dan trimester ketiga pada minggu ke-28 hingga ke-40 (13 minggu) (Varney, 2007).Kehamilan merupakan suatu proses reproduksi yang perlu perawatan khusus, agar dapat berlangsung dengan baik. Resiko kehamilan bersifat dinamis, karena ibu hamil yang pada awalnya normal,

Introduction:Critical patients are patients who potentially get reversible dysfunction in one or more life-threatening organs and require care in the Intensive Care Unit (ICU). Methods: The objective of this research is to analyse the physical function-tardive dyskinesia in critical patients with sedation in the ICU. The design of this research is cross-sectional. The population is all of the critical patients in the ICU of the Baptist Hospital in Kediri. The purposive sample population was 41 respondents based on the inclusion and exclusion criteria. The variables are 'giving the sedation' and 'physical functiontardive dyskinesia'. The data was collected using a Motor Activity Assessment, and the Sedation Scale for Critically Ill Patients and Tardive Dyskinesia Screening. Results: The results showed that giving sedation can slow physical function in the form of motor activity; the response of noxious stimuli (7.3%), response to touch or calling name (19.5%) and an increasing score of agitation and co-operative (4.9%). Symptoms of tardive dyskinesia increased after sedation in the form of tongue protrusion (4.9%), lip-smacking, puckering and pursing (2.4%), and rapid movements of the arms and legs. The administration of sedation in the first 24-hours in ICU patients affects the physical function of the critical patients (p = 0.005). Conclusions: Giving sedation affects the patients' physical functions. Therefore, the prevention of the effects of sedation and treatment during ICU is needed in order to avoid a decrease in the physical function of critical patients.

Background: Patients admitted to the intensive care unit (ICU) may face terminal illness situations, which may lead to death. In this case, the role of critical care nurses shifts from life-sustaining to end-of-life care (EOLC). Nurses’ involvement in EOLC varies between countries, even in one country due to differences in religion, culture, organization, laws, cases and patient quality. In Indonesia, research on EOLC in ICU has not been carried out.Purpose: This study aimed to explore the experiences of critical care nurses in providing EOLC.Methods: A qualitative study with a phenomenological approach was conducted. Ten critical care nurses having the experiences of caring for dying patients were recruited through a purposive sampling technique for in-depth interviews. Manual content analysis was used to identify themes.Results: The results of the study found five themes, including the challenge of communication with the family, support for the family, support for the patient, discussion and decision making, and nurses’ emotions. Conclusion: Most of EOLC provided by critical care nurses was focused on the family. They had some challenges in communication and decision making. Nurses need to get training and education about how to care for patients towards the end of life.

Background: Pain is a common phenomenon experienced by ventilated and critically ill adult patients. It is urgent to measure the pain among these patients since they are unable to report their pain verbally. Comfort Scale is one of the instruments used to measure pain in adult patients. The scale is used to measure pain among children patients with fairly high sensitivity and specificity.Purpose: This study aimed to examine the sensitivity and specificity of the Comfort Scale to measure pain in the ventilated critically ill adult patients in the ICU.Methods: This study employed a cross-sectional design with 66 ventilated adult patients in the ICUs of two hospitals in Semarang. The pain assessment was administered to the patients in 2 duplo periods by two observers comparing with the Comfort Scale and Critical Care Pain Observational Tool (CPOT) as a gold standard instrument during the pre and post positioning procedures. The data were analyzed using the receiver operating curve (ROC).Result: The results showed that in the pre-positioning procedure, the Comfort Scale had the sensitivity value of 69% and the specificity value of 81%. Meanwhile, in the post-positioning procedure, the values were decreasing (the sensitivity of 45%, the specificity of 67%). This indicated that the sensitivity value of the comfort scale decreased and could be interpreted that the ability of the instrument to detect pain remained low. Meanwhile, the decrease of the specificity value of the instrument between the pre and post administration was not far different, so it could be interpreted that the instrument can correctly identify the patient without pain.Conclusion: The Comfort Scale had a lower value of sensitivity and specificity in the post-positioning than that in the pre-positioning procedure. It is recommended that further studies should focus on the relationship between sedation and pain by using instruments of pain studies for adult patients (CPOT). Additionally, the hospital policy makers, that is Pain Task Force is expected to give education and training through workshops and seminars about the nurse skills in pain management on critical areas as part of the multidisciplinary team.

Pasien di Intensive Care Unit (ICU) memberikan dampak kecemasan dan depresi pada pasien dan keluarga. Keluarga tidak dapat menemani selama pasien di ICU salah satu faktor pemicu, disisi lain keluarga mempunyai peran untuk merawat pasien. Partisipasi keluarga dalam perawatan memberikan dukungan psikologis dan emosional kepada pasien. Penelitian ini bertujuan untuk mengetahui persepsi keluarga terkait partisipasi dalam perawatan di ICU. Penelitian studi kualitatif ini dilaksankan dengan cara indepth interview dengan 5 subjek anggota keluarga terdekat yang menunggu pasien selama menjalani perawatan di ICU. Tema penelitian ini adalah keluarga membutuhkan kedekatan dengan pasien sehingga mampu membantu untuk memenuhi kebutuhan pasien. Hasil penenilitian ini adalah keluarga untuk selalu menjalin hubungan yang baik dengan petugas. Penelitian ini bermanfaat bagi keluarga untuk selalu menjalin hubungan yang baik dengan petugas sehingga dapat berpartisipasi dalam perawatan. Kata kunci: ICU, keluarga, partisipasi, persepsi Abstract Family Perception Of Family Participation Caring For Patients In ICU Room: Qualitative Study. Patients in the Intensive Care Unit (ICU) have an impact on anxiety and depression in patients and families. Families cannot accompany as long as the patient in the ICU is one of the trigger factors, on the other hand the family has a role to care for the patient. Family participation in care provides psychological and emotional support to patients. This study aims to determine family perceptions regarding participation in ICU care. This qualitative study was conducted by way of in-depth interviews with 5 closest family member participants who waited for patients during ICU care. The theme of this research is that families need closeness to patients so they can help meet patients' needs. The results of this research are families to always establish good relationships with officers. This research is beneficial for families to always have good relationships with officers so they can participate in care Keywords: ICU, family, participation, perception

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<p><em>Fifty percent of end-of-life patients spend the last time of their life in the Intensive Care Unit (ICU). End of life conditions have an impact on the psychological, physical, social, and family environment that affect the quality of life of other families. Family welfare will have an impact on care outcomes, hospitalization time, and patient stressor levels. The purpose of this study was to explore the life quality of end of life patient's family in ICU. This research used qualitative method with descriptive phenomenology approach. Sampling was done by purposive sampling technique with 9 participants. data were collected through in-depth interviews and analyzed using the Colaizzi method.  </em><em>The data validity was designed to meet the principle of triangulation of researchers and theory. The results showed 7 dimensions of life quality of end of life patient's family of physical health (fatigue, sleep disorder, headache, decreased appetite), mental health (anxiety, sadness, hope of improved family health condition), spiritual health (acceptance), health social (social support), daily life (daily life adjustment), financial health (financial burden), and environment (opportunity to get information, family infrastructure). </em><em> </em><em>This study concludes that end of life condition of critical patients impacts on the 7 dimensions of family life quality. Nurses should pay attention to the family life quality because it affected the condition of the patient  and family as the care service unit.</em></p><p><em> </em></p><p><strong>Keywords</strong>: <em>Life Quality, Family, End Of Life, Intensive Care Unit</em></p><p><em> </em></p><p><strong></strong><strong><br /></strong><em></em><strong></strong></p>

Background: The prevalence and burden of stroke are still high, especially in low and middle-income countries. Stroke affects the economy and physics related to the Quality of Life (QoL). Various QoL-associated factors, including sociodemographic, functional outcome, emotional, and cognitive function, were studied. However, there was very limited information about the QoL-associated factors among stroke survivors in Semarang, Indonesia.Purpose: This study aimed to identify the QoL-associated factors among stroke survivors in Semarang, Indonesia.Methods: This cross-sectional study was conducted in outpatient services and involved 57 ischemic stroke survivors using convenience sampling. Demographic and clinical information were obtained using medical records and questionnaires. The questionnaires were the Short Version of Specific Stroke Quality of Life (SS-QoL) to measure QoL, GRID-HAMD 17 to measure Post Stroke Depression (PSD), Mini-Mental Status Examination (MMSE) to measure cognitive impairment, Barthel–Index (BI) to measure functional outcome, Hamilton Anxiety Rating Scale (HAM-A) to measure anxiety, and Multidimensional Scale of Perceived Social Support (MSPSS) to measure social support. Linear regression was conducted in the model performance of QoL-associated factors.Results: The stroke duration was 155(18) days, and 50.9% of participants were males. The linear regression showed that age (-.164 95% CI -.412 - .084), marital status (3.937 95% CI 1.010 - 6.864), functional outcome (.127 95% CI .013 - .241), PSD (-1.090 95% CI -2.144 - -.036), cognitive function (.308 95% CI -.482 - 1.098) and anxiety (-.408 95% CI -1.125 - .268) were QoL-predictors (p<.001, adjusted R2=52.1). It is assumed that age, marital status, functional outcome, PSD, cognition, and anxiety significantly predict the QoL among ischemic stroke survivors.Conclusion: The QoL-associated factors were age, marital status, functional outcome, PSD, cognition, and anxiety. These associated factors of QoL should be considered as elements in formulating nursing interventions that aim to improve the good QoL among stroke survivors.