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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.

Abstrak : Hipertensi merupakan salah satu penyakit dengan jumlah penderita yang terus meningkat setiap tahunnya. Penyakit ini perlu mendapatkan perhatian yang serius karena dapat menyebabkan terjadiya serangan jantung. Tujuan penelitian ini adalah mengidentifikasi faktor – faktor yang diduga menjadi prediktor terjadinya peningkatan tekanan darah sistolik pada penderita hipertensi. Desain penelitian menggunakan penelitian korelasional dengan analytic cross sectional study. Sampel diambil secara purpossive sampling dari penderita hipertensi di Desa Trenyang RW 09 Sumberpucung Malang dengan jumlah 42 orang. Hasil uji regresi logistik didapatkan bahwa variabel yang paling berpengaruh terhadap peningkatan tekanan darah sistolik adalah riwayat keluarga dengan p-value sebesar 0,26. Selanjutnya variabel Indeks Massa Tubuh  (IMT) dengan p-value 0,47 dan variabel pola konsumsi manis dengan p-value 0,5. Berdasarkan hal tersebut diketahui bahwa riwayat keluarga, IMT dan konsumsi manis akan dapat meningkatkan tekanan darah sehingga perlu kiranya bagi penderita hipertensi untuk melakukan pola hidup sehat agar terhindar dari  peningkatan tekanan darah  tidak terkontrol dan mencegah terjadinya komplikasi. Kata kunci : tekanan darah, hipertensi

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.

BACKGROUND: Adherence with health protocols during the Coronavirus disease (COVID-19) pandemic is very important to prevent transmission. However, it is obtained that adherence with health protocols is still not optimal. The hospital environment is an area that is at high risk of transmission. AIM: The purpose of this study is to analyze the relationship between health belief and adherence with the health protocol in the patient’s family. METHODS: Quantitative research is correlated with a cross-sectional approach. The sample is the family of patients at the hospital, which was taken with simple random sampling technique as many as 100 people. Research variables include perceived susceptibility, perceived severity, perceived benefits, perceived barrier, self-efficacy, and adherence with health protocols. Data collection was using questionnaire instruments. Data analysis was using Fisher test with a significance level of 95%. RESULTS AND DISCUSSION: Fisher’s test results obtained data that there is a relationship between health belief in the dimensions of perceived susceptibility (p = 0.007), perceived severity (p = 0.027), perceived benefits (p = 0.003), perceived barriers (p = 0.021), and self-efficacy (p = 0.002) with adherence with health protocols in an effort to prevent the transmission of COVID-19. The patient’s family will be willing to implement health protocols if they have a high health belief in efforts to prevent the transmission of COVID-19. This health belief includes the belief that COVID-19 disease is easily contagious and serious; adherence will provide benefits for health. CONCLUSION: Health beliefs are significantly related to adherence with health protocols in the prevention of COVID-19 transmission in the patient’s family.

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.

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.

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