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Background:The population of elderly people increases from year to year along with increasing life expectancy.

Background: Higher life expectancy in Indonesia contributes to the increasing number of elderly populations. Due to this situation, the dependent burden of productive age to non-productive expanding. Many diseases occur in the elderly, including degenerative joint disease, account for 11.9% in Indonesia and 6% occurring in the Special Region of Yogyakarta. Among 34 provinces in Indonesia, Yogyakarta and 4 other provinces were identified to have an old population structure where the proportion of elderly reached 10 percent or above. In 2019, the elderly population in Yogyakarta account for 14.50 percent (Central Bureau of Statistics Indonesia. (2019). Following changes in the population structure in which the number of elderly people is rising and occupied as a province with the highest elderly population rate, arthritis became the second-highest disease incidence in Yogyakarta. Current evidence related to exercise and ginger, did not present any studies that combine both of the intervention methods as researchers aimed to identify scientific evidence of exercise and ginger to reduce knee pain in the elderly. Objective: This study aimed to determine the effect of knee exercise and param ginger to reduce knee pain in the elderly. Methods: This is a quantitative study implementing quasiexperimental research, randomized pretest-posttest control design. The population of this study was elderly originated from Pringwulung Village, Yogyakarta. The purposive sample design was intended to recruit participants with age 55-70 years, experiencing knee pain, have no ginger allergy, and willing to participate. The eligible sample of this study was 40 participants. The intervention was carried out for 4 weeks from September to October 2020. Results: Study identified significant differences in pain levels before and after knee exercise (p=0.004), before and after knee exercise and param ginger (p=0.004), and before and after receiving param ginger (p=0.006). Conclusion: Knee exercise and param ginger provide a significant effect to reduce knee pain in the elderly.

Background: Surgery is a major stressor for most patients. Preoperative anxiety determines the success or failure of surgery and recovery, as well as postoperative anxiety. The role of the nurses are very important in assessing the patient's anxiety. The giving of information about surgery and post-surgery manajemen are needed the patients. Objective: The aims of this study is to determine the level of patients anxiety before and after surgery Methodes:This research is non experimental with cross sectional design. The population is all patients undergoing surgery, with a sample of 80 patients by accidental sampling. The instrument is HARS (Halmington Anxiety Rating Scala). Data collection on April 2015. Beginning with inform concent and then giving quisioner to patients. The questionnaires were administered before surgery and after the patients had surgery. Univariate analysis and paired t test are the analysis used. Results: Middle anxiety levels before surgery are 45% to 25% after surgery. Mild anxiety levels before surgery are 34% to 10% after surgery. While the respondents who did not anxiety before surgery are 10% to 61,25% after surgery. Conclusion: There was a significant difference in the patients anxiety levels before and after surgery with p= 0,00. Keywords : Anxiety, surgery, role of the nurses

Background: stroke is a disorder of nervous system function that occurs suddenly and is caused by brain bleeding disorders that can affect the quality of life physical dimensions, social dimensions, psychological dimensions, environmental dimensions. Based on the result of Lumbu study (2015) the number of samples were 71 people collected data using the (WHOQOL-BREF). There were 56 people (78,9%) had the poor quality of life of post stroke. The mean of post-stroke quality of life domain was physical domain (45,27%), psychological domain (49,87%), social relations domain (48,15%) and environmental domain (50.01%). Objective: the purpose of the study was know the quality of life of the stroke patients in Outpatient Polyclinic of Private Hospital in Yogyakarta. Methods: used descriptive quantitative by using questionnaire test of purposive sampling system based on patients who have been affected of ischemic or hemorrhagic stroke before, number 30 respondents. Result: quality of life of stroke patient of medium physical dimension (67%), psychological dimension (71%), social dimension (67%), dimension good environment (63%). Conclusion: the quality of life of stroke patients of physical dimension, psychological dimension, and moderate social dimension, while the quality of life of stroke patients were good environmental dimension. Keywords: Hemorrhagic stroke, ischemic stroke, quality of life