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Patients diagnosed with chronic kidney disease who undergo hemodialysis therapy often feel discouraged, lack of self-acceptance and feeling not useful for the family and the surrounding environment. Furthermore, patients who undergo hemodialysis often feel depression of the disease. The purpose of this study was to explore the relationship between the social support and selfacceptance in patients with chronic kidney disease. This study utilized a descriptive correlational research design to describe the relationship. Before the data collection, the researchers secured an administrative clearance from the hospital. The samples were 30 patients with chronic kidney disease and undergo hemodialysis therapy in the hospital. Two sets of questionnaires were disseminated, and responses were treated analyzed using descriptive statistics to describe the demographic profile, while Spearman Rank test was used to measure the relationship between social support and self-acceptance in patients with chronic kidney disease. Using valid questionnaires, the patients rated their level of social support as good (82.08%). Participants agreed that the level of self-acceptance was good (71.42%). The findings indicate that social support was correlated with self-acceptance in patients with chronic kidney disease (r=0.850, p˂0.00). The study concludes that there was strong relationship between social support and selfacceptance in the patients with chronic kidney disease who undergo hemodialysis therapy. Keywords: chronic kidney disease, social support, self-acceptance

Masa remaja (adolescence) merupakan masa di mana transisi masa kanak-kanak menuju dewasa, biasanya antara usia 13 dan 20 tahun, sehingga. Penyesuaian dan adaptasi dibutuhkan untuk menghadapi perubahan ini. Peran orang tua sangat penting, bagaimana mereka kembali menerapkan nilai-nilai yang ada dikeluarga tersebut, selain itu diharapkan orang tua dapat menjalin komunikasi yang baik. Dengan berkomunikasi dengan baik juga diharapkan anak-anak remaja dapat memiliki kepribadian yang baik dan tidak terjerumus kedalam perkembangan sosial. Tujuan penelitian ini adalah untuk mengetahui hubungan pola komunikasi dalam keluarga dengan perkembangan sosial pada remaja.Desain penelitian yang digunakan adalah deskriptif korelasi.dengan populasi 90 siswa dimana seluruh populasi dijadikan sampel.Hasil penelitian menunjukkan hasil koefisien korelasi person sebesar o,426** dimana terdapat hubungan yang sanagat kuat antara variabel komunikasi fungsional dengan perkembangan social. Hasil hubungan 2 arah (sign 2-tailed) = 0,000 (nilai konstanta 0,05) artinya hubungan kedua variabel mempunyai dua arah yaitu dapat searah dan tidak searah. Diharapkan remaja putri dan orang tua lebih sering menggunakan komunikasi fungsional sehingga perkembangan sosial remaja akan baik.

This paper describes one way that teachers as educators can face the challenges of the industrial revolution 4.0, namely by instilling and preparing creative and character-based leaders. Education as character building can be implemented using Ki Hajar Dewantara's leadership concepts, namely Ing Ngarsa Sung Tuladha, Ing Madya Mangun Karsa, and Tut Wuri Handayani. The concept of leadership was first adopted as a cooperative learning model which emphasized exemplariness in group learning. The group leader is called tuladha and is the facilitator of the group. Tuladha utilizes the Internet of Things. Before the teaching and learning process in class, information, concepts or ideas, and examples are posted by the teacher to the tuladha. This study is an experimental study with the sample used meeting the prerequisites of the statistical test used. The results showed that students' mathematical problem solving abilities increased significantly using the Ing Ngarsa Sung Tuladha cooperative learning model over the usual method. The category of improving students' mathematical problem solving abilities that obtain the Ing Ngarsa Sung Tuladha cooperative learning model is in the high category.

The purpose of this article is to provide examples of the correct steps in using statistical tools in non-exact research. The use of statistical models should be appropriate to the problem being studied and the research needs. If statistical tools are not tailored to the research needs, the research results will be less reliable and will jeopardize the accuracy and validity of data interpretation. In reality, errors still occur in the use of statistical analysis tools. Therefore, this article can be useful as an example to assist students in writing their theses, specifically regarding the use of classical assumption test models. It is hoped that errors can be corrected to ensure the accuracy and validity of data interpretation are in line with the assumptions of the research problem.

Pendahuluan. Pneumonia adalah infeksi saluran pernapasan disebabkan bakteri, virus, jamur dan parasit atau protozoa dengan manifestasi klinis demam, sesak napas, penggunaan otot bantu, serta dispneu. Ini memicu peradangan pada alveoli paru-paru dan menyebabkan alveoli terisi cairan yang mengakibatkan terjadinya penumpukan sputum. Menurut World Health Organization (2022) kejadian pneumonia lebih dari 3,8 juta pertahunnya pada orang dewasa. Tujuan penulisan ini untuk mengetahui lebih jauh tentang asuhan keperawatan pada pasien pneumonia dengan gangguan bersihan jalan napas. Metode. Penelitian ini adalah studi kasus selama tiga hari yang dilakukan pada pasien Ny. L dengan pneumonia dengan pengumpulan data melalui wawancara, pemeriksaan fisik, observasi, studi kepustakaan dan media internet. Hasil Penelitian. Berdasarkan studi kasus studi kasus pada Ny. L ditemukan adanya batuk terus menerus, dahak warna hijau kekuningan, sulit mengeluarkan dahak, ada sesak napas. Pasien juga mengeluh mual, nafsu makan menurun, lemas. Diagnosa keperawatan yang ditegakkan adalah bersihan jalan napas tidak efektif berhubungan dengan  sekresi yang tertahan, gangguan pertukaran gas berhubungan dengan ketidakseimbangan alveolus– kapiler, pola napas tidak efektif berhubungan dengan hambatan upaya napas, intoleransi aktivitas berhubungan dengan ketidakseimbangan antara  suplai dan oksigen, resiko defisit nutrisi berhubungan dengan faktor psikologi. Pada pelaksanaan tindakan, perawat tidak menemukan hambatan karena perawat kerjasama  yang baik dengan klien, keluarga dan tim medis. Pada tahap evaluasi, masalah keperawatan yang dapat teratasi sebagian adalah bersihan jalan napas tidak efektif berhubungan dengan  sekresi yang tertahan, gangguan pertukaran gas berhubungan dengan ketidakseimbangan alveolus– kapiler, pola napas tidak efektif berhubungan dengan hambatan upaya napas teratasi sebagian, sedangkan intoleransi aktivitas berhubungan dengan ketidakseimbangan antara  suplai dan oksigen, resiko defisit nutrisi berhubungan dengan faktor psikologis, dapat diatasi. Kesimpulan. Masalah bersihan jalan napas dapat teratasi sebagian dengan latihan batuk efektif dan pemberian terapi lain. 

This study aimed to investigate associated factors of spirituality and spiritual care in clinical nurses in Indonesia. Cross-sectional descriptive and correlational research designs were used in this study. Purposive sampling was applied among 204 participants in private hospitals, Medan and Bandung, Indonesia. The questionnaires consisted of demographic and characteristics information and the spirituality and spiritual care rating scale (SSCRS). Mann Whitney test was used to investigate associated factors of spirituality and spiritual care in clinical nurses in Indonesia. This study found that there was statistically significant between department with spirituality (p=0.017), receiving spiritual care lessons during nurse training with spiritual care (p=0.032), and receiving spiritual care lessons during nurse training (p=0.013) and educational background with nurses’ perception of spirituality and spiritual care (p=0.040). Receiving spiritual care lessons during nurse training, and educational background were statistically significant with spirituality and spiritual care in clinical nurses in Indonesia. The findings of this study provide information for clinical nurses and generally of nurses to understand the perception of spirituality and spiritual care in hospital for care patient in a hospital in Indonesia. It is also suggested that appropriate strategies to improve knowledge and perception of spirituality and spiritual care should be developed shortly.

Pendahuluan. Halusinasi pendengaran adalah kondisi dimana pasien mendengar suara, terutama suara-suara orang yang sedang membicarakan apa yang sedang dipikirkannya dan memerintahkan untuk melakukan sesuatu. Tujuan penulisan karya tulis ilmiah memiliki dua tujuan yaitu tujuan umum dan khusus. Tujuan umum penulisan karya tulis ini adalah mampu memberikan implementasi terapi musik pada asuhan keperawatan pada pasien skizofrenia dengan halusinasi pendengaran Metode. Adapun metode yang digunakan dalam penulisan karya tulis ini adalah, studi literatur berdasarkan Evidan Base topic pembahasan, serta melakukan studi kasus pada pasien di ruang rawat inap Rumah Sakit. Hasil Penelitian. Berdasarkan studi kasus yang dilakukan, maka terdapat beberapa masalah keperawatan yang berhasil dilakukan, yaitu diaknosa keperawatan: Gangguan persepsi sensori berhubungan dengan gangguan pendengaran, harga diri rendah berhubungan dengan perubahan peran sosial , ansietas berhubungan dengan krisis situasional. Pada masalah keperawatan halusinasi, setelah dilakukan terapi music, maka evaluasi yang di peroleh halusinasi berkurang. Kesimpulan. kesimpulan bahwa dalam memberikan asuhan keperawatan pada pasien halusinasi pendengaran adalah dengan mengimplementasikan terapi musik yang bertujuan untuk mengatasi masalah halusinasi pendengaran dan telah berhasil dilakukan. Kata kunci: Halusinasi pendengaran, Terapi Musik

The United Nations (UN) in 2010 report entitled “Born Too Soon, The Global Action Report on Preterm Birth” placed Indonesia in fifth place as the country with the highest number of premature babies in the world. This was supported by data from the Central Bureau of Statistics in 2016, saying the infant mortality rate (IMR) reached 25 deaths per 1,000 babies born. The implementation of the community service (PKM) is through a strategic approach to the community in the form of promoting free incubator lending to families with premature babies. The approach is carried out directly (direct approach) by using effective communication to health workers, as well as to urban villages around the work area. With the free incubator, many parents who have LBW babies feel helped and are very grateful, the incubator lending process that has been loaned to parents ranges from 1 to 2 months, but there are also families who borrow more than 3 months. This is because the baby's condition is difficult to develop. With the availability of free portable incubator loans carried out by the Surya Nusantara Nursing Academy Free Incubator Volunteers, in collaboration with the Indonesian Premature Baby Foundation, the people of Pematansgiantar and its surroundings feel helped, and are very grateful, not only that the babies who feel comfortable being in the incubator but also the parents also who feel happy, and they do not worry about the development of their baby. They also do not need to experience stress in connection with funding for the care of premature babies, because the incubator and blue light phototherapy equipment is lent out for free without being charged a penny

Pendahuluan. Diabetes melitus (DM) merupakan suatu kelompok penyakit metabolik dengan karakteristik hiperglikemia yang terjadi karena kelainan sekresi insulin, kerja insulin atau kedua-duanya. Diabetes melitus dapat terjadi karena ada beberapa faktor yaitu umur, faktor genetik, berat badan, aktivitas fisik kurang, merokok, hipertensi dan kecemasan. Tujuan. Tujuan penulisan ini adalah mampu memberikan asuhan keperawatan secara komprehensif dengan mengimplementasikan terapi musik dalam kecemasan pada Pasien dengan DM Tipe 2. Metode. Penulisan menggunakan metode studi kasus berdasarkan studi literatur Evidence Based Practice pada Ny.R selama tiga hari dengan intervensi terapi musik. Hasil. Setelah melakukan asuhan keperawatan, maka hasil yang ditemukan bahwa terapi musik dapat menurunkan kecemasan pada pasien dengan DM Tipe 2 melalui nilai kadar glukosa darah dalam kondisi terkontrol. Saran. Diharapkan masyarakat untuk menjaga kesehatan dengan mengurangi stres, berolahraga secara teratur, mengontrol pola makan, dan rutin mengotrol gula darah. Perawat meningkatkan pengetahuan tentang DM tipe 2 sehingga dalam melakukan asuhan keperawatan dapat melakukannya dengan profesional dan hendaknya perawat dapat menerapkan Evidence Based Pratice (EBP) sehingga membantu mengurangi kecemasan menggunakan metode terapi musik. Kata kunci: DM tipe 2, Insulin, Hiperglikemia

The patient safety system is a top priority that must be implemented by the hospital, this is very closely related to both the image of the hospital and patient safety. The current Covid-19 pandemic situation requires serious attention from the health service, in order to avoid transmission of respiratory diseases and other nosocomial infections, so that patient safety is a priority. The aim of this research is to determine the implementation of patient safety management carried out at Adventist Hospital. This study used a quantitative descriptive design, using a survey questionnaire from the Hospital Survey on the Hospital Survey of Patient Safety Culture (HSOPSC) from Healthcare Research and Quality (AHRQ). Which was carried out from November to December 2021, using the Cluster Random Sampling technique. This study gave positive results on aspects of the dimensions of hospital management support for patient safety in patient safety culture question items such as Hospital management actions showing that patient safety is a top priority, with a percentage of 81.7%, the lowest positive aspect is the patient safety aspect. dimensions of training and organizational learning on the question item: in contact with our colleagues, we improve our safety practices, with 0.8 % of respondents. Patient safety is currently an aspect that is of concern to almost every service provider, especially hospitals, with more and more hospital management conducting patient safety measurement processes using the HSOPSC survey, the patient safety aspect will increase.

Pulmonary tuberculosis is an infectious disease caused by Mycobacterium tuberculosis, this disease is common in developing countries with tropical climates. This disease is widely suffered by various groups of people, both the lower class, middle class, upper class society, and even the elite who are infected with this disease. This is a serious concern of the government, through the Ministry of Health of the Republic of Indonesia, in order to prevent it. The method used in community service activities is to provide assistance to the community, as well as infection prevention training through Rapid Molecular Test (TMC) examinations, for participants, consisting of 92 nursing students. The conclusions drawn from this activity were as follows, as a whole (100%) participants understood about healthy living behaviors, and prevention of TB infectious disease, and the results of TB examinations found no one infected with the Mycobakterium Tuberculosis virus

This community service program aims to introduce, train, and empower the residents of Bonandolok III Village in maggot cultivation as an alternative source of homemade livestock feed while also creating opportunities for additional income. The program involves socialization, hands-on training, and mentoring on maggot farming techniques using organic waste, which contributes to reducing environmental problems and providing sustainable feed for poultry and fish. The participants were guided through the cultivation process, maintenance, and harvesting of maggots, as well as strategies for marketing the products. The results indicate increased knowledge, skills, and motivation among the participants to engage in maggot farming, with potential to improve household income and support local economic growth. This initiative demonstrates that maggot cultivation can be a practical and eco-friendly solution for rural communities to enhance their livelihoods.