Background: Hypertension is one of the diseases that cause high morbidity. The use of modern hypertension medical treatment may cause a side effect, so cucumber as one of traditional medicines may become a choice.Objective: This study aims to see the effect of cucumber (Cucumis sativus) juice on lowering blood pressure in elderly at working area of Puskesmas (public health center) of Abeli, Kendari, 2015.Methods: This was a pre-experiment study with one group pretest-posttest design. Twenty elderly 60 years old were selected by simple random sampling.Results: The result showed that there was a significant effect of cucumber juice on lowering blood pressure in elderly people at working area of Puskesmas of Abele, with t test for systolic blood pressure showed that t count t table (7.0952.093) or P-value is 0.000 0.05; and t test for diastolic blood pressure showed that t count t table (6.1902,093) or P-value is 0.000 0.05.Conclusion: The significant effect of cucumber (Cucumis sativus) juice on lowering blood pressure in elderly suggested that health professional might need to have the cucumber to deal with hypertension. However, further study is needed to examine the effect.

Background: Exclusive breastfeeding is the gold standard of infant feeding in the first six months of their life. In Indonesia, breastfeeding practice has become a social norm among women. However, some women have experienced inadequate breast milk production especially in the first and second days after birth. This study aimed to investigate the effect of endorphin and oxytocin massage on breast milk production among primiparous postpartum women and their baby weight. Methods: a quasi-experimental design was utilized with pre-test and post-test control group design.  The population in this study were 175 postpartum mothers in  Lawang Primary Health Care Indonesia. Forty  postpartum mothers were selected and allocated to the intervention and control groups. Ten women were received endorphin massage, ten were given oxytocin massage, ten mothers were received the combination of endorphin and oxytocin massage and the remaining ten were allocated into the control group. The dependent variables were breast milk production and infant body weight, whereases the independent variables were endorphin massage, oxytocin massage and combination of endorphin and oxytocin massages. Data were analyzed by using t-test followed by One Way ANOVA Test with α = 0.05 Results: The results indicated differences between the four group regarding the breast milk production and an increase in baby weight with p = 0, 00<α = 0, 05 and p = 0.046 <α = 0.05 respectively. Conclusion: According to the results, the combination of endorphin and oxytocin massage is the most effective technique to increase breast milk production among postpartum women and therefore, facilitating the baby weight gain in the first six months of their life.

Stroke adalah cedera serebral atau serangan otak yang terjadi karena kurangnya aliran darah dan oksigen ke otak yang terkait dengan obstruksi aliran darah ke otak atau pecahnya pembuluh darah serebral sehingga gangguan aliran oksigen ke otak menyebabkan hipokxia dan penderita mengalami gangguan kualitas tidur. Tujuan kajian ini adalah memastikan efek kepala atas posisi 30o terhadap saturasi oksigen dan kualitas tidur pada pasien stroke di rumah sakit Dr. Soedarsono, Pasuruan. Desain studi ini quasi eksperimental dengan kelompok kontrol Nonequivalent. Populasi adalah pasien dengan stroke pada 14 Januari-9 Februari 2019 jumlah 34 pasien, sampel digunakan sampling berturut-turut. Hasil pada tes Mann-Whitney memperoleh nilai P = 0,000 (P < 0,05) dan P = 0,001 (P < 0,05) yang berarti bahwa ada efek memberi kepala posisi 30o dalam kelompok pengobatan dan kelompok kontrol yang tidak diberikan intervensi untuk meningkatkan nilai saturasi oksigen dan kualitas tidur pada pasien stroke. Berdasarkan hasil penelitian ini diharapkan dapat menambahkan terapi posisi Head up 30 º dalam pelayanan keperawatan untuk meningkatkan saturasi oksigen dan kualitas tidur stroke pasien.

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ABSTRAK     EFEKTIFITAS GUIDED IMAGERY DAN SLOW DEEP BREATHING TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI RSUD dr. R. SOEDARSONO PASURUAN   Progam Studi Sarjana Terapan Keperawatan Lawang, Politekknik Kesehatan Kemenkes Malang. Pembimbing (Utama) Sumirah Budi Pertami, S.Kp., M.Kep., Pembimbing (Pendamping) Dra. Mustayah, M. Kes   By: Dzurrotun Nafi’ah Hipertensi merupakan salah satu faktor risiko yang paling berpengaruh terhadap kejadian penyakit jantung dan pembuluh darah. Kurangnya pengetahuan tentang penatalaksanaan hipetensi menjadi faktor penyebabnya. Tujuan penelitian ini untuk mengetahui efektifitas guided imagery dan slow deep breathing terhadap penurunan tekanan darah pada pasien hipertensi. Penelitian ini menggunakan desain Quasi Eksperimental Design dengan rancangan non equivalent pretest – posttest design dan Group Comparasion, dengan teknik consecutive sampling, besar sample 30 responden yang dibagi menjadi 2 kelompok yaitu Guided Imagery dan Slow Deep Breathing. Setiap kelompok mendapatkan perlakuan selama 15 menit dilakukan sehari sekali selama tiga hari, setiap perlakuan dilakukan pengukuran tekanan darah sebelum dan sesudah. Hasil penelitian menggunakan uji dependent t-test, wilcoxon sign rank test, two sampel independednt t-test, dan U Mann Whitney test menunjukan bahwa tekanan darah sistolik diatolik pada masing-masing kelompok mengalami penurunan, pada Guided Imagery 4,07 mmHg dan 3,4 mmHg (p value = 0,000 α=0,05), Slow Deep Breathing 8 mmHg dan 6,8 mmHg (p value = 0,000; 0,001; α=0,05). Disimpulkan bahwa Slow Deep Breathing lebih efektif daripada Guided Imagery dalam menurunkan tekanan darah pada pasien hipertensi. Sebagai perawat diharapkan dapat menerapkan terapi nonfarmakologis seperti latihan Guided Imagery dan Slow Deep Breathing sebagai pendamping terapi farmakologi penurun tekanan darah.     Kata kunci: Guided Imagery, Slow Deep Breathing, Tekanan Darah, Hipertensi

Diabetes mellitus merupakan penyakit tidak menular terbanyak kedua setelah Hipertensi, menduduki peringkat ketiga dengan jumlah kunjungan klien diabetes mellitus terbanyak di wilayah Kota Kendari. Penelitian ini untuk mengetahui pengaruh senam sehat diabetes mellitus terhadap penurunan kadar gula darah pada klien diabetes mellitus. Penelitian ini merupakan penelitian Quasi eksperiment. Populasi berjumlah 374 orang dan sampel 12 orang, data diperoleh menggunakan kuesioner. Hasil penelitian menunjukan bahwa kadar gula darah sebelum dilakukan senam sehat diabetes mellitus adalah 12 orang (100,0%) dalam kategori naik, dengan rata-rata kadar gula darah klien adalah 252 mg/dl. Kemudian kadar gula darah sesudah dilakukan senam sehat diabetes mellitus sebagian besar yakni 7 orang (58,3%) dalam kategori turun dan 5 orang (41,7%) dalam kategori naik, dengan rata-rata kadar gula darah klien adalah 220,25 mg/dl dan ada pengaruh senam sehat diabetes mellitus terhadap penurunan kadar gula darah pada klien diabetes mellitus dengan nilai p=0,041. Saran dalam penelitian ini adalah senam sehat diabetes melitus berpengaruh terhadap penurunan kadar gula darah sehingga dapat dipertimbangkan sebagai alternatif terapi non farmakologi.

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Introduction: Exclusive breastfeeding, especially in the first six months, is essential for infants as it provides nutrition and protection against various diseases. Colostrum, which is found in the first breast milk produced, contains various protective factors, such as lactoferrin and lysozyme. Human milk can be stored at room temperature, refrigerated, or kept frozen. Several factors affect the stability of the bioactive content in human milk, such as temperature and storage time. The aim of this study was to measure the stability of lactoferrin and lysozyme levels in human milk during the first six hours (h) at different temperatures and compare it with that of frozen human milk. Methods: Human milk samples were obtained from 11 breastfeeding mothers using certain criteria. The human milk was stored at room temperature and 4°C for 1, 3, and 6 h and classified as never frozen, while frozen human milk was stored at -20°C for 1, 3, and 6 days. Measurement of the lactoferrin and lysozyme levels was performed using enzyme-linked immunosorbent assay. Results: The results showed that storage at room temperature significantly reduced lactoferrin and lysozyme levels. Lactoferrin levels in frozen human milk did not significantly decrease during the first six days. Meanwhile, the lysozyme levels in frozen human milk decreased significantly. Conclusion: The levels of lactoferrin and lysozyme in frozen human milk stored for the first six days were more stable than those stored at room temperature and 4°C in the first 6 h.