Abstract-Systematic review has the purpose to know the influence of pursed lip breathing on dyspnea, oxygen saturation and activity tolerance on COPD patients taken from 15 journals. Information related to this research was found on some databases such as MEDLINE journals, PubMed, CINAHL, Ebsco, Elsevier ScienceDirect journal respiration in which collection of abstract and research that was identified started from 2000 until the 2015. Pursed lip breathing was an effective therapy in increasing oxygen saturation up to 1.2%, decreased dyspnea and tolerance activity. Pursed lip breathing was an easy and inexpensive therapy, which might be applied in the patients' lives with COPD to overcome gas exchange and respiratory pattern disorders

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Introduction: The prevalence rates of disease at preschool age are higher than toddlers and school age. The coping mechanism has not developed at that age, thus contributing to increased anxiety levels during hospitalization. Interventions are needed to overcome anxiety problems so that children are more comfortable and cooperative in undergoing treatment in the hospital more effectively. The research aims to examine the effect of storytelling using finger puppets on anxiety in hospitalized preschool children. Methods: Quasi-experiment research with pre and post-test design, 40 preschool children were selected with purposive sampling with inclusion and exclusion criteria, 20 respondents of treatment groups, and 20 respondents of control groups. The instrument used FAS. Data analysis used is the Mann Whitney and Wilcoxon Sign Rank Tests. Results: Mann-Whitney results showed the difference in anxiety between treatment and control group in post-test (p=0.023), and Wilcoxon results showed Z count -3.827 a< Z table -1.96 value asymp sig. (2-tailed) where z arithmetic ≤ z table which means there is influence or probability value p= 0.000 (p< α= 0,05) which means H1 accepted. Conclusion: It is expected that in the future, it can be used as an alternative method to reduce anxiety. And then it’s hoped that researchers can further examine more deeply the effectiveness of parental involvement in storytelling play therapy.

Introdaction: Pulmonary TB is an infectious disease caused by the bacillus Mycobacterium tuberculosis. Transmission is through the air and the source of transmission is TB patients whose sputum contains TB germs. The success of treatment is the result (output) of treatment carried out by TB patients, consisting of complete recovery and treatment marked by a negative sputum examination result at the end of treatment. Family support is the attitude, action, and acceptance of sick sufferers. Objective: to determine the relationship between family support and the success of pulmonary TB treatment at the Jombang Hospital polyclinic. Design: using an analytical design using a cross-sectional approach. The number of respondents 30 using purposive sampling, purposive method and in accordance with the inclusion criteria. The measuring instrument used is a questionnaire that has been tested for validity and reliability. The analysis used is the univariate analysis of the frequency distribution and the bivariate Chi¬_Square test.Results: The results showed that 21 people declared good family support and recovered but the results of the Chi_Square test were H0 accepted which means that there is no relationship between family support and the success of pulmonary TB treatment with p-value = 0.021 (< 0.05). Conclusion: it is hoped that the family can provide support to patients with pulmonary TB for the success of their treatment.

Appendectomy is an operation to remove the appendix. The risks or side effects of an appendectomy are pain resulting from a surgical wound in the abdomen. The purpose of this study was to describe nursing care for post-appendectomy clients by application interventions based on evidence based nursing: deep breathing and finger holding. The research method used is descriptive case study research. Collecting data using interview and observation methods. This study used two clients with post appendectomy, given nursing care and deep breathing therapy and finger holding for 3 days. The results of the study found acute pain problems in client 1 and client 2, and after the care was carried out the results of the nursing evaluation for client 1 and client 2 showed that all problems were partially resolved on the third day. The conclusion of this study is that these two interventions can be used as recommendations in managing pain in post-appendectomy patients

Hypertension is a common disease in the elderly. Hypertension can be treated with non-pharmacology such as soaking foot warm water which is useful for dilating blood vessels so that blood circulation. The purpose of this study is to identify blood pressure levels before and after the intervention and analyze the effect of giving warm water soak. The research design used a quasi-experimental design with a pre-test-posttest control group design. The sampling technique uses purposive non probability sampling with a population of 32 people and a sample of 20 people. The results of the pretest-posttest cystole showed a value of 0.001 (P <0.005) and the result of the pretest-posttest diastole showed a decrease in difference indicated by the value of 0.002 (P <0.005). The statistical test used Paired T-Test. So that, there is a significant influence on the decrease in systolic and diastolic blood pressure before and after warm water foot bath therapy.

Washing hand is often regarded as a trivial matter in society, whereas washing hands can contribute to improving society health status. School-age children have a habit of paying less attention to need to wash their hands in everyday life.. The purpose of this study is to know the behavior relationship and attitude of washing hand use soap with diarrhea incidence at SDN Guluk-Guluk III, Sumenep Regency. This research uses the analytical design with a cross sectional approach, with technique a total sampling. The results of the study obtained most of the students had negative behavior of 30 students (60.7%), Based on statistical tes there are behavioral relations with the incidence of diarrhea at SDN Guluk-Guluk III, Sumenep Regency, with a value of P-value (0.000) < (α: 0.05). There is a relationship with the incidence of diarrhea at SDN Guluk-Guluk III, Guluk-, Sumenep Regency with a value of P-value (0.00) < (α: 0.05). The prevention of diarrhea should be done by the students use of better sanitation, awareness of washing hand after playing or having.

Dyspnea for COPD clients is a major problem requiring major help. Apart from disturbing the comfort, dyspnea can inhibit the activity of the client. It is important for nurses to innovate interventions in reducing dyspnea in COPD clients. This study aimed to determine the effect of diaphragmatic breathing exercises as one of the interventions to reduce dyspnea. This study used a quasi-experimental design with pre-test and post-test with a control group, 46 respondents were selected by consecutive sampling, consisting of 23 respondents in the treatment group and 23 respondents in the control group. The independent variable in this study was a diaphragmatic breathing exercise. The dependent variable is dyspnea. Data collection for variable dyspnea using the CAT scale. The statistical test used was Mann Whitney and Wilcoxon Sign Rank Test with significant α = 0.05. The results of this study indicate that intervention diaphragmatic breathing exercises can reduce dyspnea in COPD clients with ρ = 0,000. Intervention of diaphragmatic breathing exercises can reduce dyspnea in COPD clients by increasing the strength of the diaphragm muscles which are the main muscles of breathing. Further research requires pulmonary physiological examination (spirometry test) as one of the research variables.