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POST STROKE PATIENTS IN THE SUBACUTE PHASE: INFORMATION REQUIRED Introduction: Post-stroke patient care in the subacute phase is carried out independently by the patient and family at home. Post-stroke patients must have adequate knowledge to carry out self-care at home. The lack of information obtained by post-stroke patients can affect the patient's ability to carry out self-care so that his health status decreases. Therefore, nurses as educators must be able to provide information according to the needs of post-stroke patients.Purpose: This study was conducted to determine the information needs of post-stroke patients in the sub-acute phase so that the nursing care provided is in accordance with the patient's needs.Method: This study is a quantitative descriptive study conducted on post-stroke patients at the Neurology Polyclinic, one of the hospitals in Bandung. The sample technique used was consecutive sampling as many as 83 people. The inclusion criteria of post-stroke patients in this study were having full awareness and not experiencing aphasia. The instrument used in this study was based on the concept of the needs of post-stroke patients Kevitt (2009) and Moreland (2009) with a validity coefficient of 0.73 and an r of 0.75.Result: The information needs of post-stroke patients in a row include information about self-management to prevent recurrence or stroke recurrence ( = 1,59), nformation about nutrition that must be taken ( = 1,54), information about risks and side effects of treatment ( = 1,49), information about certainty of disease condition ( = 1,48), and information about stroke ( = 1,45).Conclusion: Post-stroke patients need all information related to stroke, especially regarding self-management. Therefore, health workers are expected to provide education according to patient needs. Education for stroke patients can be done using various media and focuses on the patient. Keywords: Informations needs, Subacute, Stroke Patients INTISARI: PASIEN PASKA STROKE PADA FASE SUBACUTE: INFORMASI YANG DIBUTUHKAN Latar Belakang: Perawatan pasien post stroke pada fase subacute dilakukan secara mandiri oleh pasien dan keluarga di rumah. Pasien paska stroke harus memiliki pengetahuan yang adekuat untuk menjalankan perawatan diri di rumah. Kurangnya informasi yang didapatkan pasien paska stroke dapat mempengaruhi kemampuan pasien menjalankan perawatan diri sehingga status kesehatannya menurun. Oleh karena itu, perawat sebagai edukator harus mampu memberikan informasi sesuai kebutuhan pasien paska stroke. Tujuan: Penelitian ini dilakukan untuk mengetahui kebutuhan informasi pasien paska stroke pada fase subacute agar asuhan keperawatan yang diberikan sesuai dengan kebutuhan pasien.Metoda Penelitian: Penelitian ini merupakan penelitian deskriptif kuantitatif yang dilakukan kepada pasien paska stroke di Poliklinik Saraf dua Rumah Sakit di Bandung. Teknik sample yang digunakan adalah consecutive sampling sebanyak 83 orang. Kriteria inklusi pasien paska stroke dalam penelitian ini adalah memiliki kesadaran penuh dan tidak mengalami aphasia. Instrumen yang digunakan dalam penelitian ini disusun berdasarkan konsep kebutuhan pasien paska stroke khususnya bagian kebutuhan informasi yang dikembangkan oleh Kevitt (2009) dan Moreland (2009) dengan koefisien validitas 0,73 dan r 0,75.Hasil: Kebutuhan informasi pasien paska stroke secara berturut-turut diantaranya adalah informasi mengenai manajemen diri untuk mencegah kekambuhan atau stroke ulang ( = 1,59), informasi mengenai nutrisi yang harus dijalani ( = 1,54), informasi mengenai resiko dan efek samping pengobatan ( = 1,49), informasi mengenai kepastian kondisi penyakit ( = 1,48), dan informasi mengenai penyakit stroke ( = 1,45).Kesimpulan: Pasien paska stroke membutuhkan semua informasi yang berkaitan dengan stroke khususnya mengenai manajemen diri. Oleh karena itu, petugas kesehatan diharapkan dapat memberikan edukasi sesuai dengan kebutuhan pasien. Edukasi pada pasien stroke dapat dilakukan dengan menggunakan berbagai media dan berfokus pada pasien. Kata Kunci : Kebutuhan informasi, Pasien Stroke, subacute

REPORTS OF SELF-CARE ACTIVITIES OF PATIENT’S WITH HYPERTENSION IN BANDUNG CITY Introduction: Hypertension can be controlled by self-care. Self-care is an effort that can be done by both hypertensive patients and the patient's environment to prevent complications and improve the quality of life.Purpose: This study aimed to identify reports of self-care activities by hypertensive patients. Method: It used a descriptive quantitative approach Participants consisted of 115 people with hypertension in primary health care, acquired through purposive sampling with inclusion criteria was aged > 18 years old and in the treatment of hypertension. Reports of self-care activities were measured using a Self-Reported Self-Care Activities on the Hypertension Self-Care Profile Instrument. Data were analyzed using frequency distribution.Results: The results showed that as many as 52% of patients also measure blood pressure besides time to control in primary health care but do not record blood pressure readings regularly (87.83%), as many as 59.13% of patients measure weight regularly but do not record weight readings regularly (96.52%), patient’s do not keep a food diary (99.13%), the patient’s do not use any mobile apps to maintain a healthy lifestyle (86.96%), and as many as 80.87% of patients were never reduced by their doctor’s dose of medicine.Conclusion: This condition shows that self-reported self-care activities are not optimal, so efforts are needed to improve self-care that involves not only patients but also families and health services. Keywords: hypertension, self-reported, self-care activities INTISARI: LAPORAN AKTIVITAS PERAWATAN DIRI PASIEN HIPERTENSI DI KOTA BANDUNG Latar Belakang: Hipertensi dapat dikendalikan dengan perawatan diri. Perawatan diri pasien hipertensi merupakan upaya yang dapat dilakukan baik oleh pasien hipertensi maupun lingkungan pasien untuk mencegah terjadinya komplikasi dan meningkatkan kualitas hidup pasien. Tujuan: mengidentifikasi laporan aktifitas perawatan diri yang dilakukan oleh pasien hipertensi.Metode Penelitian: Penelitian ini merupakan penelitian deskriptif pada 115 orang pasien hipertensi di Kota Bandung yang dipilih dengan teknik purposive sampling dengan kriteria inklusi usia > 18 tahun dan dalam pengobatan hipertensi. Laporan aktifitas perawatan diri dilihat berdasarkan instrumen Self-Reported Self-Care Actvities pada Hypertension Self-Care Profile Instrument. Data dianalisis menggunakan distribusi frekuensi.Hasil: Didapatkan sebanyak 52% pasien memeriksakan tekanan darah selain pada jadwal kontrol di puskesmas namun tidak mencatat hasil pengukuran tekanan darah secara teratur (87,83%), sebanyak 59,13% pasien menimbang berat badan secara teratur namun tidak mencatat hasil pengukuran berat badan secara teratur (96,52%), sebanyak 99,13% pasien tidak menyimpan buku harian yang berisi makanan yang dikonsumsi, sebanyak 86,96% pasien tidak menggunakan aplikasi kesehatan pada handphone untuk menjaga gaya hidup sehat, dan sebanyak 80,87% pasien tidak pernah dikurangi dosis obatnya oleh dokter.Simpulan: Hal tesebut menunjukkan bahwa perawatan diri yang dilaporkan oleh pasien hipertensi masih belum optimal, sehingga diperlukan adanya upaya untuk meningkatkan perawatan diri tersebut yang melibatkan tidak hanya pasien hipertensi, namun juga keluarga dan pelayanan kesehatan. Kata kunci: Hipertensi, Laporan, Perawatan Diri

Hipertensi merupakan merupakan penyakit kronis yang dapat dikendalikan salah satunya dengan perawatan diri ( self-care ). Sehingga diharapkan dengan self-care akan meningkatkan derajat kesehatan dan kualitas hidup. Untuk mencapai keberhasilan dalam mengendalikan hipertensi, diperlukan keterlibatan unsur masyarakat, salah satunya kader kesehatan. Kader kesehatan dapat berperan serta dalam mendampingi dan men- support pasien hipertensi dalam self-care hipertensi. Namun, belum ada program yang secara khusus melatih kader kesehatan dalam mengkaji self-care hipertensi. Sehingga program pengabdian masyarakat yang berorientasi pada pemberdayaan kader kesehatan dalam self-care hipertensi diperlukan guna mencegah komplikasi dan meningkatkan kualitas hidup pasien hipertensi. Kegiatan ini bertujuan meningkatkan pengetahuan kader dalam mengkaji self-care pada pasien hipertensi. Metode kegiatan berupa pendidikan masyarakat yaitu pelatihan kader kesehatan dalam mengkaji self-care pasien hipertensi. Target dan sasaran pada kegiatan ini adalah kader kesehatan di wilayah kerja Puskesmas Pasundan Kota Bandung sebanyak 37 orang. Luaran kegiatan ini adalah peningkatan pengetahuan kader dalam mengkaji self-care pada pasien hipertensi. Evaluasi dilaksanakan dengan mengukur pengetahuan kader kesehatan sebelum dan setelah dilakukan pelatihan. Hasil kegiatan didapatkan bahwa terdapat perbedaan pengetahuan (α 0.000) setelah mengikuti pelatihan. Kegiatan pengabdian pada masyarakat berupa pelatihan kader kesehatan dalam mengkaji self-care hipertensi ini efektif dalam meningkatkan pengetahuan kader kesehatan mengenai hipertensi dan self-care hipertensi. Kata Kunci: Hipertensi, Kader Kesehatan, Self-Care ABSTRACT Hypertension is a chronic disease that can be controlled by self-care. It is hoped that self-care will improve the health and quality of life. To achieve success in controlling hypertension, it is necessary to involve one element of the community (health cadre). Health cadres can participate in assisting and supporting hypertensive patients in self-care hypertension. However, there is no program that specifically trains health cadres in assessing hypertension self-care. So that community service programs oriented to empowering health cadres in hypertension self-care are needed to prevent complications and improve the quality of life for hypertensive patients. The purpose of this activity is to increase health cadre knowledge in assessing self-care in hypertensive patients. The method of activity is the training of health cadres in assessing self-care for hypertensive patients. The target of this activity was 37 health cadres in the work area of Pasundan Health Center in Bandung City. The outcome of activities is an increase in cadre knowledge in assessing self-care in hypertensive patients. Evaluation is seen from the knowledge of health cadres before and after training. The result of the activity was that there were differences in knowledge of health cadres (α 0.000) after attending the training. Health cadre training in assessing hypertension self-care is effective in increasing health cadres’ knowledge about hypertension and hypertension self-care. Keywords: Health Cadres, Hypertension, Self-Care

Teenage pregnancy is one of the health problems in developing countries that has not been resolving yet. Adolescent perception is one of the factors that influence the incident of teenage pregnancy. At present, there are still limited research articles about adolescent perceptions toward teenage pregnancy. The purpose of this literature study is to find out how adolescent perceptions toward teenage pregnancy. This literature study used a scoping review method. There were 6 articles was analyzed after sorting by inclusion criteria consisting of the article contained an explanation or description of adolescent perceptions of teenage pregnancy, the year 2015-2020, English or Indonesian, full text, samples aged 10-19 years. The result of the study found out that adolescents had negative perceptions such as pregnancy among adolescents is too young, teenage pregnancy caused by several factors, and has various negative impacts toward adolescents, parents, and infants. Furthermore, adolescents had positive perceptions such as teenage pregnancy in adolescent is normal, life will not differ, her boyfriend will be responsible to her pregnancy. The conclusions from this literature review were the difference in perceptions between adolescents towards pregnancy in adolescents is influenced by adolescent environmental culture and believed.

Unwanted Pregnancy in adolescents can create a negative impact on adolescents who experience it. Management of Unwanted Pregnancy by providing social support are needed to reduce the perceived impact. The limited articles on the types of social support for adolescents experiencing Unwanted Pregnancy made this literature study aimed to find out the types of social support that can be provided to adolescents who experience Unwanted Pregnancy. This research method was scoping review using search engines such as EBSCOHost, Google Scholar, and PubMed. The keywords used were "adolescents" OR "teenagers" OR "young adults" OR "student" AND "unwanted pregnancy" AND "social support". The result of article search based on inclusion and exclusion criteria had found 6 articles. Critical appraisal was done using a JBI critical appraisal checklist with a result of 6 selected articles which stated as eligible sources to be used as source of references in this literature study. The result of the review of 6 articles with content analysis found that there were 10 types of social support that can be provided to adolescents who experience Unwanted Pregnancy. The types of social support were providing information, counseling, communication, emotional support, financial support, assistance, accountability, appreciation, providing shelter and providing educational facilities. Recommendations for further research are expected to do a further analysis on types of social support that has been found, so that it can be implemented to reduce the impact on adolescents with Unwanted Pregnancy.

The main global cause of death in the world is non-communicable diseases (NCDs). One of NCD is hypertension. Increased hypertension during the Covid-19 pandemic is associated with risk factors for lifestyle changes, social restrictions, lack of physical activity, and stress. Therefore, a remote blood pressure control system is needed to monitor the patient’s health status. The purpose of writing this literature review is to provide an overview of health care practices with remote monitoring of blood pressure of hypertension patients based on online management with telemonitoring. the method used is scoping review with the inclusion criteria of articles were published from 2017 – 2021, used the research designs of Randomized Control Trial and Study Experimental, and were published in English and Indonesian. Articles selections were using PRISMA Flow Diagram 2009 and selection for eligibility were using. The Joanna Briggs Institute Critical Appraisal. Four articles were included in the study and 1037 articles were excluded from the study. It was found that telehealth blood pressure monitoring carried out in hypertensive patients was home and online blood pressure management, TASMINH (Telemonitoring and Self-Management in the Control of Hypertension), and scale-up blood pressure. Telemonitoring was found to be significant in reducing and monitoring patients with home care-based hypertension Self-Monitoring Blood Pressure (SMBP) at home using a digital sphygmomanometer accompanied by direct monitoring of doctors and nurses via the internet can be a solution for monitoring blood pressure during a pandemic.

The research aimed to analyze the Braden Scale on the incidence of compressive wounds in elderly people who lived in homes, whether they were or not under the supervision of health workers. The research was analytic with a cross-sectional study. With the purposive sampling technique, the data collection was carried out from several areas in Bandung from October to November 2017. Moreover, the analysis used was multiple regression to see the effect of the Braden Scale on pressure ulcers. The multiple linear regression model was also tested. The results show that 48,22% of pressure ulcer factors can be influenced by sensory perception, humidity, activity, mobility, nutrition, and friction. Sensory perception, activity and friction have significant influence on incidence of pressure ulcers. Meanwhile, the humidity, mobility, and nutrition do not significantly influence it.

Masyarakat Kelurahan Lambung Bukik Kecamatan Pauh Kota Padang mayoritas bermata pencaharian bertani tanaman hortikultura, palawija, tanaman hutan (Sungkai dan gaharu) dan beternak sapi dan ayam. Kelompok Tani Sungkai Permai memiliki pohon gaharu yang telah berumur 2-5 tahun yang mana bibitnya diperoleh melalui kegiatan Elok Nagari CSR PT Semen Padang. Saat ini pohon gaharu tersebut sudah dapat berpotensi baik melalui inokulasi pathogen jamur pada pohon gaharu guna membentuk gubal gaharu yang bernilai ekonomi, maupun pemanfaatan daun menjadi minuman kesehatan. Kegiatan ini bertujuan: 1). masyarakat mengetahui cara budidaya tanaman gaharu, dan mengetahui manfaat dari tanaman ini serta tahu cara mengolah bagian dari pohon gaharu seperti gubal dan daun menjadi bahan baku minuman teh, 2). memberikan keterampilan khusus bagi anggota kelompok tani sehingga diharapkan dapat dijadikan sebagai salah satu usaha mandiri; 3). memberdayakan masyarakat dalam memanfaatkan lahan kosong melalui pola tanam agroforestri tanaman gaharu dengan tanaman perkebunan, 4). sebagai bentuk kegiatan kemasyarakatan dari Universitas Andalas, khususnya Fakultas Pertanian. Kegiatan ini dilaksanakan di kelompok Tani Sungkai Permai Kelurahan Lambung Bukik Kota Padang. Kelompok tani Sungkai Permai telah memperoleh pengetahuan tentang budidaya tanaman gaharu serta pemanfaatan teh melalui metode partisipatif dan pelatihan berupa demonstrasi dan demplot melalui penanaman lebih kurang 150 batang bibit gaharu sebagai bahan baku teh melalui pola agroforestri. Kelompok tani Sungkai Permai telah memperoleh pengetahuan pemanfaatan bagian gaharu menjadi teh gaharu sebagai minuman dan obat kesehatan dari daun dan gubal gaharu. Bahan baku daun dan gubal gaharu yang berasal dari pohon gaharu sekitar lahan petani di kelurahan Limau Manis atau daerah lain dapat dikelola oleh kelompok Tani Sungkai Permai dapat menjadi peluang usaha produktif sebagai teh dan obat dalam bentuk minuman kesehatan untuk meningkatkan perekonomian masyarakat.

The people of Lambung Bukik Village, Pauh Subdistrict, Padang City, mostly work on horticultural crops, secondary crops, raising cattle, and chickens. Agriculture in this area uses mostly inorganic fertilizers and organic fertilizers. This results in the high need for farmers for inorganic fertilizers. The activity's objectives are 1. to obtain an organic production module by utilizing horticultural agricultural waste, secondary crops, and cow dung, 2. analyzing the organic fertilizer content, 3). obtain organic fertilizer containing high nutrient elements and 4. obtain organic fertilizer derived from organic fertilized waste material with EM4, MOL, and Trichoderma sp. Activities were carried out in the UPPO Sungkai Permai farming community through organic fertilizer processing technology. Participants in this activity are members of farmer groups, community leaders, and accompanied by Andalas University students. The activity methods applied are 1. training and demonstration on the manufacture of organic fertilizers from agricultural waste and cow dung using EM-4, Mol, Trichoderma sp, 2. demonstration of making local microorganisms (MOL), 3. analyzing nutrient elements of organic fertilizers, and 4. a demonstration plot of organic spinach and water spinach using organic fertilizers from three different organizer depupuk, namely: EM4, fruit mole, and a mixture of both. The results achieved were: organic fertilizer processing methods, and quality organic fertilizers with the highest average nutrient content of fruit mole samples (N = 1,823%, P = 1,717%, K = 0.757%, Mg = 0.742, C. organic 27,400 , Organic matter = 47.237, and the highest C / N = 39.645%. The demonstration plot of organic fertilizer from three organic fertilizer samples obtained that the use of fruit moles as organizer depupuk resulted in the best growth and yield of spinach and kale wet weight.

Gagal ginjal terminal yang dialami pasien hemodialisis dapat menimbulkan berbagai perubahan dalam kehidupannya. Persepsi yang positif terhadap penyakit dapat membantu pasien hemodialisis dalam menerima keadaannya dan meningkatkan motivasi untuk menjalankan berbagai tindakan pengobatan. Apabila pasien hemodialisis memiliki persepsi yang negatif terhadap penyakit, maka akan cenderung mudah mengalami berbagai masalah psikologis. Penelitian ini dilakukan untuk mengetahui persepsi terhadap penyakit pada pasien hemodialisis di Bandung. Penelitian ini merupakan penelitian deskriptif kuantitatif yang dilakukan kepada pasien hemodialisis di salah satu Rumah Sakit di Bandung. Teknik sample yang digunakan adalah consecutive sampling sebanyak 126 orang. Kriteria inklusi dalam penelitian ini adalah pasien gagal ginjal yang menjalani hemodialisis dan memiliki tanda-tanda vital yang stabil. Instrumen yang digunakan untuk mengukur persepsi terhadap penyakit adalah kuesioner persepsi penyakit singkat (Brief-IPQ) yang dikembangkan oleh Broadbant, et.al. tahun 2005, dan sudah dilakukan back translate ke dalam bahasa Indonesia. Hasil penelitian menunjukkan bahwa sebagian besar pasien hemodialisis memiliki persepsi terhadap penyakit yang negatif (50,4%). Sebagian besar pasien merasakan berbagai dampak penyakit terhadap kehidupannya dan mengalami perubahan secara emosional semenjak mengalami gagal ginjal terminal. Persepsi terhadap penyakit yang negatif pada pasien hemodialisis dapat mempengaruhi kualitas hidup, angka kesakitan dan capaian pengobatan yang dijalaninya. Oleh karena itu, dibutuhkan dukungan keluarga dan sosial. Petugas kesehatan khususnya perawat diharapkan dapat memberikan edukasi dan konseling pada pasien hemodialisis untuk meningkatkan persepsi pasien terhadap penyakit.

Pemerintah Indonesia melalui Stranas Percepatan Pencegahan Anak Kerdil (stunting) 2018-2024 memprioritaskan pencegahan dan penurunan prevalensi stunting dengan menyasar berbagai penyebab langsung dan tidak langsung yang memerlukan kerjasama dan koordinasi lintas sektor di seluruh tingkatan pemerintah, swasta, dunia usaha dan masyarakat, terutama di Posyandu. EGrowth Monitoring System (EGMS) yang dirancang ini berfungsi untuk mengukur tumbuh kembang bayi dan balita, terutama mendeteksi terjadinya stunting dan gizi buruk sejak dini agar dapat dilakukan upaya perbaikan secara tepat. Implementasi produk inovasi ini menggunakan sensor ultrasonik dan load cell untuk mengukur tinggi badan dan berat badan bayi dan balita, di mana rentang error pembacaan sensor-sensor tersebut secara berturut-turut adalah 0,01 – 4,36% dan 0,00 – 1,43%.Kata kunci: stunting, e-growth monitoring system, berat badan, tinggi badan, posyandu ABSTRACTIndonesian government, through National Strategy for Preventing Child Stunting 2018-2024, prioritize both prevention and reduction of stunting prevalence by targeting the causes. It requires inter-sector coordinations between government, private companies, businesses, and citizens, especially in local clinics. E-Growth Monitoring System (EGMS) is proposed to measure the growth of infant and toddler, specifically to detect a possible stunting and bad nutrition as early as possible in order to devise an improvement effectively. The implementation of this innovation employs the use of both ultrasonic sensor and load cell to measure the body height and weight of infant and toddler. Its expected margin of error for the sensors are 0.01 – 4.36% and 0.00 – 1.43% for ultrasonic sensor and load cell, respectively.Keywords: stunting, e-growth monitoring system, weight, height, posyandu

Type 2 Diabetes Mellitus (DM) is one of chronic diseases resulting from decreased insulin production and is characterized by an increase in glucose in the blood. Dietary adherence is one of the effective managements that can control blood sugar levels. This management requires supporting factors and one of them is motivation. This research aimed to describe the motivation and dietary compliance of patients with type 2 DM at the working area of Puskesmas Padalarang. This quantitative descriptive research used a cross-sectional approach. The samples were selected using proportional random sampling techniques. This study used the Treatment Self-Regulation Questionnaire (TSRQ) with the validity score 0.4821 and a diet adherence questionnaire with the validity score 0.4732. The results showed that the internal motivation of respondents was a good internal motivation with 33.3% and 66.7% had low motivation. Only 2.2% had good external motivation and almost all respondents had a low external motivation with 97.8%. Meanwhile, there were only 3.3% with a good level of adherence, 94.4% with a sufficient level of adherence and 2.2% had a poor level of diet adherence. Therefore, it is expected for Puskesmas to implement more motivational interviewing therapy to increase motivation and diet adherence in type 2 DM patients.

Background The prevalence of pressure injuries among community-dwelling older adults in countries worldwide is still a serious problem. In Indonesia, older adults mostly rely on family members for (medical) care. Therefore, involving family members in the prevention and treatment of pressure injuries (PIs) could potentially decrease its prevalence rates. However, family members are usually not trained for such tasks. Hence, it is essential to first get more insight into the current state of affairs on family members’ knowledge, attitude and actual practice of preventing PIs. Due to the lack of an existing instrument to measure knowledge, attitude and practice of family caregivers in preventing PIs, this study focuses on the development and evaluation of psychometric properties of such an instrument. Methods Three phases of instrument development and evaluation were used, including item generation, instrument construction and psychometric testing of the instrument. A total of 372 family caregivers of community-dwelling older adults who randomly selected participated in this study. Principal factor analysis, confirmatory factor analysis and Cronbach’s alpha were performed to evaluate factor structure and internal consistency of the Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) instrument. Results The final version of the KAP-PI-instrument consists of a 12-item knowledge domain, a 9-item attitude domain, and a 12-item practice domain with Cronbach’s Alpha values of 0.83, 0.93 and 0.89, respectively. The instrument appeared to be both reliable and valid. Conclusion The KAP-PI instrument can be used in family nursing or community nursing practice, education, and research to assess knowledge, attitude and practice of pressure injury prevention of family caregivers.

The objectives of this study were to investigate the prevalence and the characteristics of pressure ulcers (PU) in community-dwelling older adults in Indonesia, including specific characteristics of the PU patients and their use of formal and informal care. A cross-sectional design was used for the study, with 325 participants aged 60 years or older, randomly chosen from the general community. The overall PU prevalence and the PU prevalence excluding category 1 were 10.8% (95% confidence interval [CI], 5.8-15.8) and 5.2% (95% CI 0.2-10.2), respectively. Category 1 PUs were mostly (34.3%) located on knees and toes, while category 2 and higher PUs were mostly (70.4%) located on the shoulder, sacrum, and hip. The main factors that contributed strongly to PUs among older adults in the community were the degree of physical activity, problems with sensory perception, and having a history of stroke. None of the participants with a PU received wound care or information about PUs from formal caregivers and only 11.4% received wound care from family caregivers. This study shows that pressure ulcers in community-dwelling older adults in Indonesia are a relevant and largely unaddressed problem. Developing an intervention program to manage the PU problem in the community is recommended.

Stunting in toddlers is one of the health problems that has not been resolved globally, also in Indonesia. Stunting can be prevented by early detection based on the risk factors for the disease. The literature review aims to examine those articles and find out every risk factor for stunting in toddlers. This literature study used a scoping review method by searching through several search engines such as Google Scholar, ProQuest, PubMed, and EBSCO. After sorting the articles, there are 21 articles used in this literature study. The results of this literature study showed twenty-one risk factors for stunting in toddlers, such as exclusive breastfeeding and the initiation of early breastfeeding. A history of low birth weight, immunization, the number of family members, insufficient nutritional needs (energy, iron, protein, calcium, and zinc), colostrum, breastfeeds (age of administration, type, and frequency). The practice of washing hands, mothers' occupation, mothers knowledge, low family income, history of infectious disease, sanitation and cleanliness of the environment, parents' height, especially mothers, lack vitamin C and vitamin D also as risk factors for stunting. To conclude, stunting in toddlers was influenced by various factors which are child factors, parents, socio-economic, and environmental factors. Therefore, it is essential to consider all the factors to develop stunting early detection tools for toddlers ang health education materials.

Pasien hemodialisis harus menjalankan berbagai pengobatan. Berbagai penelitian menjelaskan bahwa sebagian besar pasien hemodialisis tidak patuh dalam menjalankan self-management. Ketidakpatuhan pasien dalam menjalankan pengobatan dapat memperburuk kondisi pasien sehingga kualitas hidupnya akan menurun. Petugas kesehatan khususnya perawat harus memberikan edukasi dan evaluasi terhadap kepatuhan pasien dalam menjalankan self-management. Media yang tepat dibutuhkan untuk menjalankan program yang efektif. Program pengabdian kepada masyarakat ini dilakukan untuk mengidentifikasi dan menyusun media buklet panduan dan catatan harian pasien hemodialisis. Media buklet panduan dan catatan harian akan lebih efektif apabila sesuai dengan kebutuhan dan kondisi lapangan. Program Pengabdian Pada Masyarakat ini dilakukan dengan menggunakan metodeFocus Group Discussion (FGD) yang melibatkan 14 orang perawat hemodialisisdi Jawa Barat.Berdasarkan hasil FGD tersebut, terdapat beberapa materi yang dibutuhkan dalam buklet pasien hemodialisis yaitu informasi mengenai penyakit (gagal ginjal), hemodialisis, pengobatan, pembatasan asupan cairan dan diet, serta cacatan harian yang berisi catatan asupan cairan dan diet, catatan hasil lab dan perkembangan berat badan..Penggunaan buklet panduan dan catatan harian pasien hemodialisis sepenuhnya memandirikan pasien dalam mengelola kondisi kesehatannya. Keluarga diharapkan dapat memberikan dukungan kepada pasien dalam menjalankan self-management. Keluarga dapat mengingatkan pasien untuk mengisi dan mengevaluasi catatannya sendiri dan memberikan motivasi untuk tetap menjaga asupan cairan dan diet. Kata kunci : Buklet, catatan harian, edukasi, hemodialysis.

Sugar palm is a bioenergy plant with great potential in food security, biopolymers, biofuel, and herbal medicine. Sugar palm seed germination is indicated by the appearance of cotyledon petiole, where there are several different positions. Morphological characteristics of sugar palm seeds at various positions of cotyledon petiole are not currently available. This research aimed to study the morphology characters of sugar palm seedlings with different cotyledon petiole positions. The research applied Experiment in Completely Random Design with four treatments, each repeated three times. The four treatments are the cotyledon petiole position, namely P1: cotyledon petiole in right-center, P2: cotyledon petiole in left-center, P3: cotyledon petiole in left-bottom, and P4: cotyledon petiole in right-bottom. The results showed that morphologically, there was no significant difference in the sugar palm seedling growth with each cotyledon petiole position [256 DAS]. Range of seed height 47,63-57,50 cm, range number of leaf midribs 2-3,33, range of primary root length 13,73-21,76 cm and, range of secondary root length 28,60-44,26 cm.

Pasien hemodialisis harus menjalankan berbagai pengobatan untuk mengurangi gejala yang dirasakannya. Dalam menjalankan pengobatan tersebut, pasien hemodialisis perlu menjalankan self-management. Berbagai penelitian menunjukan bahwa banyak pasien hemodialisis yang tidak patuh dalam menjalankan self-management. Literasi kesehatan merupakan salah satu faktor penting yang menentukan kepatuhan pasien dalam pengobatan. Penelitian ini merupakan penelitian deskriptif untuk mengidentifikasi literasi kesehatan pasien hemodialisis. Tekhnik sampel yang digunakan adalah Concecutive sampling dengan jumlah 129 orang. Kriteria inklusi Pasien hemodialisis yang memiliki kesadaran penuh disertai tanda-tanda vital stabil. Kuesioner yang digunakan dalam penelitian ini dikembangkan dari HLS-EU-Q47 pada pasien dialisis yang dikembangkan oleh Martin et.al. (2012). Hasil penelitian ini menunjukan bahwa sebagian besar sebagian besar responden memiliki literasi kesehatan yang cukup yaitu 96 orang (74,4%) dan 33 orang memiliki literasi yang baik (25,6%). Item yang dirasakan cukup mudah oleh responden adalah mencari informasi kesehatan di semua ruang lingkup, memahami informasi dalam pencegahan penyakit, menilai informasi kesehatan di semua lingkup, serta menggunakan informasi dalam promosi kesehatan. Kesimpulan hasil penelitian ini adalah sebagian besar pasien hemdoialisis memiliki literasi kesehatan yang cukup, tetapi masih ada beberapa item yang dirasakan masih sulit untuk dilakukan pasien. Perawat diharapkan dapat membantu untuk meningkatkan literasi pasien dengan memberikan edukasi, motivasi dan evaluasi secara menyeluruh dan berkesinambungan.

Smoking behaviour has a bad impact on teenagers, including the lack of motivation to achieve academically. Previous research claims that the perception of smoking and the motivation to quit smoking may impact smoking behaviour. The purpose of the research, identifying which one of both variables play a stronger role in its impact toward the teenager’s smoking behavior. The research is a quantitative research involving 192 teenagers as the sample in Bandung city, using questionnaires on perception, motivation, and behavior. Data analysis used univariate and bivariate and Spearman correlation tests. The findings of this research shows that 56% of Bandung teenagers have a positive perception, 51% others a positive motivation, and 56% positive behaviour. This proves that the coefficient value of the correlation between perception and motivation is 0.238, and the coefficient value of the correlation between motivation and behavior is 0.387. This research concludes that the motivation to quit smoking has a stronger relationship than the perception of smoking. Thus, to change the smoking behaviour in teenagers, it is necessary to increase the motivation to quit smoking whatsoever. Possible actions is to have a counselling session to help change the teenager’s health behaviour. The value of study to obtain the unique characteristic of teenager in Indonesia.

Menilai fatigue merupakan hal yang sangat penting karena fatigue sering meningkat secara langsung setelah dialysis.Masalah akan timbul jika fatigue pada pasien CKD tidak teratasi salah satunya adalah kualitas hidup yang buruk. Latihan nafas adalah teknik alami merupakan bagian strategi holistik self care untuk mengatasi keluhan seperti fatigue. Menggunakan teknik pernafasan yang efektif untuk menurunkan tingkat fatigue dapat menjadi manajemen fatigue yang dapat ditawarkan pada pasien CKD. Studi kasus ini bertujuan untuk mengobservasi penggunaan latihan nafas untuk mengatasi fatigue pada pasien CKD di Ruang Fresia 2 RSUP Dr.Hasan Sadikin Bandung. Penelitian dilakukan dengan pendekatan studi kasus pada 3 orang pasien dengan kriteria: pasien CKD stadium 5 dengan usia > 18 tahun, menjalani hemodialisis kurang dari 1 tahun, yang mengalami fatigue, dan lama rawat inap minimal 3 hari. K etiga pasien mengalami fatigue dengan skor rata-rata fatigue hari pertama sebelum latihan relaksasi nafas 59.6 dan skor rata-rata setelah latihan relaksasi nafas adalah 55.6, skor rata-rata fatigue hari kedua sebelum latihan 54.6 dan setelah latihan 49, terdapat penurunan skor rata-rata setelah pasien mempraktikan latihan nafas pada hari pertama dan kedua. Hasil latihan relaksasi nafas yang dilakukan pasien dapat menurunkan level fatigue yang dirasakan pasien. Breathing relaxation observation in chronic kidney diseases patients with fatigue . Assessing fatigue is very important because fatigue often increases directly after dialysis. Problems will arise if fatigue in CKD patients is not resolved, one of which is poor quality of life. Breath training is a natural technique that is part of a holistic self care strategy to deal with complaints such as fatigue. Using effective breathing techniques to reduce the level of fatigue can be a management of fatigue that can be offered to CKD patients. This case study aims to observe the use of breathing exercises to overcome fatigue in CKD patients in Fresia Room 2 Dr.Hasan Sadikin Hospital Bandung. The study was conducted with a case study approach on 3 patients with criteria: stage 5 CKD patients> 18 years old, undergoing hemodialysis less than 1 year, who experienced fatigue, and a minimum stay of 3 days . All three patients experienced fatigue with an average score of fatigue the first day before breathing relaxation exercise 59.6 and the average score after breathing relaxation exercise was 55.6, the average score of fatigue the second day before exercise 54.6 and after exercise 49, there was a decrease in the average score after the patient practices breathing exercises on the first and second day. Conclusion : The results of breathing relaxation exercises by the patient can reduce the level of fatigue that is felt by the patient.

Efusi pleura merupkaan penimbunan cairan yang berlebihan pada rongga pleura sehingga menyebabkan seseorang mengalami sesak nafas. Tindakan yang dapat dilakukan untuk mengurangi sesak nafas dan meningkatkan oksigenasi agar tidak ketergantungan dengan pemberian oksigen dalam jangka panjang yaitu dengan posisi high fowler. Oleh karena itu peneliti tertarik untuk melakukan studi kasus tentang penggunaan posisi high fowler pada pasien efusi pleura di Ruang Fresia 2 RSUP Dr.Hasan Sadikin Bandung. Penelitian dilakukan dengan pendekatan studi kasus pada 3 orang pasien dengan krieria pasien yang di diagnosis efusi pleura pasien yang mengalami sesak nafas (RR > 24 x/menit), pasien dewasa atau lanjut, pasien dapat berkomunikasi dan bersedia diwawancara, terpasang CTT atau pigtail dan terpasang oksigen. Setelah dilakukan observasi selama tiga hari ada perbedaan nilai pernafasan dan saturasi oksigen sebelum dan sesudah posisi high fowler. Rentang nilai pernafasan sebelum posisi high fowler adalah 24 – 30 kali/menit dengan nilai saturasi oksigen 97 – 98%. Sedangkan rentang nilai pernafasan sesudah posisi high fowler adalah 22 – 27 kali/menit dengan nilai saturasi oksigen 98 – 99%. Posisi high fowler merupakan posisi pilihan untuk pasien yang mengalami sesak nafas khususnya pada pasien yang mengalami efusi pleura. Observation of Using High Fowler Position in Pleura Efficient Patients in The Medical Ward in Fresia 2 Dr. Hasan Sadikin Bandung Hospital: Case Study . Pleural effusion is an excessive accumulation of fluid in the pleural cavity and causing a person to experience shortness of breath. Actions that can be taken to reduce shortness of breath and increase oxygenation so as not to depend on the provision of oxygen in the long term is by positioning high fowler. Therefore researchers interested in conducting a case study of the use of high fowler positions in pleural effusion patients in Fresia Room 2 Dr.Hasan Sadikin Hospital Bandung. The study was conducted with a case study approach on 3 patients with patients who were diagnosed with pleural effusion of patients experiencing shortness of breath (RR> 24 x / min), adult or advanced patients, patients can communicate and be willing to be interviewed, CTT or pigtail attached and attached oxygen. After observing for three days there were differences in respiratory values and oxygen saturation before and after the high fowler position. The range of respiratory values before the high fowler position is 24-30 times / minute with an oxygen saturation value of 97-98%. While the range of respiratory values after the high fowler position is 22-27 times / minute with an oxygen saturation value of 98 - 99%. The high fowler position is the position of choice for patients who experience shortness of breath, especially in patients who experience pleural effusion.

Post-stroke patients experience in various disturbances including physical, psychological and spiritual aspect. Post-stroke patients in the rehabilitation phase focus more on physical needs while the unfulfilled spiritual needs can reduce the patient's health condition. Therefore, it takes action to meet the spiritual needs of patients. This study was conducted to identify the spiritual needs among post-stroke patients.The descriptive quantitative was used among post-stroke patients in Neurological Polyclinic and stroke center in one of the Hospital in Bandung in 2017. The sampling technique used was consecutive sampling with 83 samples included post-stroke patients who have full awareness and didnot experience of aphasia. The instrument of this study used Spiritual Needs Questionnaire (SpNQ) which consists of 4 dimensions including religious, peace, self-existence, and dimension of the giving needs. SpNQ had a validity coefficient of 0.73 and r 0.75. Data were analyzed using frequency distribution. The results showed that the most of respondents feel the spiritual need in all dimensions. In the religious dimension, the majority of respondents desired to pray with others, to move closer to God and participate in various religious activities (98.8%). In the dimension of peace showed the most of respondents desired to be more cherished by others (96.4%). The most perceived item of respondents were forgiving someone from the past in the dimension of self-existence (98.8%) and a solace for others in the dimension of the giving needs (98.8%). The conclusion from this study was most respondents feel the spiritual needs in all dimensions. Based on these results, nurses are expected to provide advice to people around the patients to invite them in various religious activities. Nurses supposed more expressing affection to them and involving the patients in some family activities.

Background: Cardiac rehabilitation (CR) is an important post-acute management for Cardiovascular Heart Disease (CHD) patients. CR has benefits, such as preventing recurrence and improving patients physically. However, the CR participation rate is low. This condition can produce negative effects, such as recurrence and depression. There are inhibiting factors contribute to the CR participation. The purpose of this study is to identify the distinction of inhibiting factors in patients who actively and inactively participate in phase II CR in Bandung. The result will be as advices to improve policy and nursing intervention to improve the participation number of phase II CR in Bandung. Method: This study used comparative design with cross-sectional approach on 72 respondents who recruited by using purposive sampling at a hospital in Bandung, Indonesia. Data were collected by using Cardiac Rehabilitation Barrier Scale (validity r = 0.46-0.55 and reliability 0.887). Data were analyzed by using descriptive frequency and comparative analysis by using Mann-Whitney. Result: It was showed that there were two significant differences between both of the group in terms of health services aspect (p-value = 0.002) and time (p-value = 0.001). However there were no significant differences between both of the group in logistics aspect (p-value = 0.134), and functional status aspect (p-value = 0.057). It indicates that there were distinctions in inhibiting factors on health services and time aspects. Conclusion: There were differences in the health services, which was related to the lack of CR information and also time aspects, which was related to the lack of CR facilities in remote areas. Therefore, providing information about CR and community or home-based CR are needed.

Perkecambahan merupakan proses kunci fenologi tanaman, dimana cekaman suhu tinggi akibat perubahan iklim sangat mempengaruhi keberhasilan proses tersebut. Tujuan penelitian ini adalah untuk mengetahui efek perubahan suhu terhadap morfofisiologi perkecambahan beberapa varietas padi. Penelitian dimulai dari bulan Januari sampai Februari 2018 di Laboratorium Teknologi Benih dan Fisiologi Tumbuhan Universitas Andalas serta Laboratorium Kimia Universitas Negeri Padang. Penelitian ini menggunakan percobaan faktorial dalam Rancangan Acak Lengkap, dimana faktor pertama adalah empat taraf varietas Anak Daro, Batang Piaman, Cisokan dan Inpari 30. Faktor kedua tingkatan suhu, 28 0C, 32 0C, 36 0C, 40 0C, 44 0C dan 48 0C. Hasil penelitian yang didapatkan adalah terdapatnya interaksi antara varietas dan suhu pada semua peubah yang diamati. Viabilitas benih dan aktivitas pertumbuhan tanaman serta kandungan klorofil semakin menurun ketika suhu meningkat. Suhu optimum untuk perkecambahan padi yaitu suhu 28-32 0C untuk varietas Anak Daro, suhu 28-36 0C bagi varietas Cisokan dan suhu 28 0C untuk varietas Batang Piaman dan Inpari 30. Varietas Anak Daro dan Inpari 30 dapat berkecambah hingga suhu 40 0C. Aktivitas enzim α-amilase varietas Anak Daro, Cisokan dan Inpari 30 optimum pada suhu 48 0C, sedangkan varietas Batang Piaman optimal pada suhu 40 0C. Kandungan klorofil a, b dan klorofil total tertinggi pada suhu 28 0C yaitu varietas Batang Piaman dengan kadar 4,43 µg/ml dan 1,15 µg/ml serta 5,58 µg/ml namun denaturasi enzim lebih cepat terjadi dibandingkan ketiga varietas lainnya. Kata Kunci : enzim α-amilase, fisiologi, morfologi, suhu, varietas

Pasien gagal ginjal kronik harus menjalankan manjemen diri diantaranya hemodialisis, pengobatan, pembatasan cairan dan diet. Angka morbiditas dan mortalitas pada pasien hemodialisis akan meningkat apabila tidak menjalankan manajemen diri dengan baik. Penelitian ini dilakukan untuk mengidentifikasi kepatuhan pasien hemodialisis dalam menjalankan manajemen diri. Penelitian ini merupakan penelitian deskriptif yang dilakukan kepada pasien di Unit Hemodialisis di salah satu rumah sakit terbesar di Jawa Barat. Teknik pengambilan sampel yang digunakan adalah consecutive sampling dengan jumlah responden 129 orang. Teknik pengumpulan data dilakukan dengan kuesioner kepatuhan menjalankan manajemen diri pada pasien hemodialisis diadaptasi dari kuesioner End Stage Renal Disease Adherence . Data dianalisis dengan menggunakan distribusi frekuensi berupa frekuensi, persentase, dan mean. Sebagian besar responden tidak patuh dalam menjalankan manajemen diri 92 orang dan patuh sebanyak 28,7% yaitu 37 orang. Kepatuhan pasien dalam menjalankan hemodialisis sesuai jadwal sudah baik dengan rata-rata skor 271,3. Kepatuhan pasien hemodialisis masih kurang dalam membatasi asupan cairan dengan rata-rata skor 120, makanan dengan rata-rata skor 147, dan pengobatan dengan rata-rata skor 133). Tenaga kesehatan diharapkan dapat memberikan dukungan kepada pasien dengan memberikan edukasi, konseling dan promosi kesehatan dengan menggunakan berbagai media termasuk media sosial terkait pentingnya pengontrolan cairan dan makanan. Kata kunci : Hemodialisis, Kepatuhan manajemen diri Abstra ct C ompliance with running self-management on hemodializing patients Patients with chronic kidney failure must carry out self-management including hemodialysis, treatment, fluid and dietary restrictions. The morbidity and mortality rates in hemodialysis patients will increase if they do not carry out self-management properly. This study was conducted to identify the compliance of hemodialysis patients in carrying out self-management. This research was a descriptive study conducted on patients at the Hemodialysis Unit in one of the largest hospitals in West Java. The sampling technique used was consecutive sampling with the number of respondents 129 people. Data collection techniques carried out by compliance questionnaire method of running self management in hemodialysis patients adapted from the End Stage Renal Disease Adherence questionnaire. Data were analyzed using frequency distributions in the form of frequency, percentage, and mean. Most of the respondents were not obedient in carrying out self-management as many as 71.3%, 92 people and obedient as many as 28.7%, 37 people. Patient compliance in conducting hemodialysis schedule has been good with mean 271.3. Compliance with hemodialysis patients was still lacking in limiting fluid intake with mean 120, food with mean 147, and treatment with mean 133. Health workers are expected to be able to provide support to patients by providing education, counseling and health promotion by using various media including social media related to the importance of controlling fluids and food that must be carried out by hemodialysis patients. Keywords: Adherance , Hemodialysis, Self-Management

Penyakit kardiovaskular yang menjadi penyebab utama kematian nomor satu di dunia adalah hipertensi. Hipertensi yang tidak terkontrol akan menyebabkan terjadinya komplikasi sehingga salah satu upaya untuk mencegahnya adalah dengan pengendalian hipertensi. Upaya yang dapat dilakukan yaitu dengan perawatan diri (self-care) hipertensi sehingga kualitas hidup dan derajat kesehatan pasien akan meningkat. Dalam pelaksanaannya, pengendalian hipertensi ini memerlukan keterlibatan unsur masyarakat, salah satunya kader. Agar kader mampu berperan serta dalam mendampingi dan mendukung pasien dalam self-care hipertensi, diperlukan adanya suatu kemampuan dan motivasi yang kuat untuk melaksanakannya. Penelitian ini bertujuan untuk mengidentifikasi motivasi kader dalam mengkaji self-care pasien hipertensi. Desain penelitian ini adalah deskriptif kuantitatif. Sampel pada penelitian ini adalah 37 orang kader kesehatan yang didapatkan dengan menggunakan teknik purposive sampling dengan kriteria inklusi aktif sebagai kader. Pengumpulan data dilakukan menggunakan kuisioner motivasi. Analisis data menggunakan distribusi frekuensi. Hasil penelitian menunjukkan bahwa motivasi kader dalam mengkaji self-care pasien hipertensi hampir setengahnya berada pada kategori tinggi dan sebagian besar berada pada kategori rendah. Dari hasil penelitian, dapat disimpulkan bahwa sebagian besari dari kader memiliki motivasi yang rendah dalam mengkaji self-care pasien hipertensi. Sehingga perlu adanya pelatihan khusus dari pihak puskesmas mengenai self-care pada pasien hipertensi. Kata Kunci: Hipertensi, kader kesehatan, motivasi, self-care Abstract Motivation of health care in assessing self-care in hypertension patients. Hypertension is one of the cardiovascular diseases that causes death number one. Uncontrolled hypertension will cause complications, so that efforts are needed to prevent it, one of which is by controlling hypertension. Control of hypertension can be done with self-care, so that it can improve the health status and quality of life of patients.In its implementation, controlling hypertension involves community elements, one of which is a health cadre. There needs to be strong motivation and ability from cadres to be able to participate in helping and supporting patients in self-care. This study aimed to identify health cadre motivation in studying self-care for hypertensive patients. It used a descriptive quantitative approach. Participant consisted of 37 health cadre, acquired through purposuve sampling with inclusion criteria is active as cadre. Motivation was measured using a questionnaire. Data were analyzed using frequency distribution. The results showed that cadre motivation in studying self-care for hypertensive patients wa in the high category (48.6%) and in the low category (51.4%). Can be concluded that most of cadres have low motivation in studying self-care for hypertensive patients. There needs to be training from health center regarding self-care in hypertensive patients. Keywords: Health Cadres, Hypertension, Motivation, Self-Care

People with hypertension experience symptoms of dizziness, headache, obstructive sleep apnea, shortness of breath, nocturia, and restless legs syndrome which disturb sleep and reduce its quality. This research’s objective was to describe the sleep quality overview of Puskesmas Rancaekek’s hypertension patients. Using descriptive quantitative method with purposive sampling technique, this research aimed at 79 Puskesmas Rancaekek’s patients who had been diagnosed with hypertension for at least one month long. The data were collected using the Pittsburgh Sleep Quality Index (PSQI) questionnaire and analysed using the total score resulted; ≤5 was good while >5 was poor. Results showed 94.6% of respondents had poor sleep quality. The dimensions that contribute to the poor sleep quality included >30 minutes sleep latency, 5 buruk. Hasil menunjukan 94,6% responden memiliki kualitas tidur buruk. Dimensi yang berkontribusi terhadap kualitas tidur buruk yaitu latensi tidur tidak dapat tertidur dalam waktu 30 menit, durasi tidur

Coronary heart disease is one of the main causes of mortality rate in the world. This disease is affected by several risk factors. People who have high or moderate risk factors for coronary heart disease should have good preventive behavior, but this also requires a good level of self-efficacy as well, so that the expected behavior can be performed. This study aimed to determine the level of community self-efficacy of coronary heart disease based on characteristic risk factors. This research used a descriptive quantitative approach. Participant consisted of 70 people in Desa Limusgede, West Java, Indonesia acquired through a non-probability technique of purposive sampling. Self-efficacy was measured using a self-efficacy questionnaire (validity value in the range of 0.484 to 0.773 and reliability value 0.862) while risk factor data were determined by age, body mass index, blood pressure, smoking behavior, diabetes mellitus, and physical activity which were referenced by Jakarta Cardiovascular Score. Data were analyzed using median and frequency distribution. The results showed that median (minimum-maximum score) of self-efficacy is 26.00 (11-41), most of the respondent (62.86%) had high self-efficacy of coronary heart disease and more than a half respondent (47.14%) had moderate and high-risk factors for cardiovascular disease. Further, almost half the respondent who had high self-efficacy also had moderate and high-risk factors for cardiovascular disease. So, the health professional must concern in activities to decrease the level of cardiovascular risk factors, such as health education, health promotion, and disease prevention.

Pasien paska stroke dapat mengalami berbagai gejala sisa sehingga dibutuhkan perawatan dalam jangka waktu yang lama. Kondisi tersebut dapat menjadi penghambat dan sumber stress bagi pasien paska stroke. Stres dan depresi dapat menjadi penghambat dan memperberat kondisi pasien. Banyak faktor yang mempengaruhi kecemasan dan depresi pasien sehingga dapat berbeda-beda di berbagai tempat. Oleh karena itu, penelitian ini dilakukan untuk mengidentifikasi kecemasan dan depresi di Rumah Sakit Hasan Sadikin Bandung sehingga dapat dijadikan bahan dasar dalam memberikan asuhan keperawatan yang sesuai dengan kondisi pasien. Penelitian ini merupakan penelitian deskriptif terhadap pasien paska stroke yang kontrol ke poliklinik saraf RS. Hasan Sadikin Bandung. Teknik sample yang digunakan adalah konsekutive sampling dengan jumlah sampel sebanyak 50 orang. Instrumen yang digunakan dalam penelitian ini adalah Hospital Anxiety Depression Scale (HADS). HADS memiliki kelebihan yaitu dapat mengukur kecemasan dan depresi dalam waktu yang sama. Data yang terkumpul akan dianalisa dengan distribusi frekuensi. Hasil penelitian ini memperlihatkan bahwa 74% pasien paska stroke berada dalam kondisi kecemasan normal, 24% mengalami kecemasan ringan, 2% kecemasan sedang dan tidak ada yang mengalami kecemasan berat. Responden berada pada kondisi depresi ringan 8%, 92 % berada dalam kategori normal dan tidak ada satupun yang mengalami depresi sedang maupun berat. Hasil penelitian ini dapat dipengaruhi oleh karakteristik sebagian besar responden yang berusia pada tahapan dewasa madya, memiliki status menikah, dan tidak memiliki penyakit penyerta apapun. Kecemasan dan depresi sebagian besar pasien paska stroke berada dalam kondisi normal namun ada beberapa yang mengalami kecemasan dan depresi. Tenaga kesehatan khususnya perawat diharapkan dapat mengkaji dan memberikan intervensi terhadap kecemasan dan depresi sedini mungkin dengan memberikan konseling sebagai program tambahan dalam rehabilitasi. Keywords: Kecemasan, depresi, stroke ABSTRACT Post-stroke patients may experience a variety of residual symptoms that require long-term treatment. These conditions can be a source of stress for patients post-stroke. Stress and depression can be aggravate the condition of the patient. There is many factors can affect anxiety and depression in patients so they can differ in different places. Therefore, this study was conducted to assess anxiety and depression in post-stroke patients at Hasan Sadikin Hospital so that it can be used as a basic data of nursing intervention and implementation to match the conditions that exist there . This research was a descriptive study of post-stroke patients who control at the neurological polyclinic of Hasan Sadikin Hospital Bandung. The sample technique used consecutive sampling with a sample size of 50 people. The instrument used in this study was Hospital Anxiety Depression Scale (HADS). HADS is an instrument for assessing anxiety and depression at the same time in patients at the hospital. The collected data were analyzed by using frequency distribution. The results of this study showed that 74% of post-stroke patients were in normal anxiety states, 24% had borderline abnormal , 2% a bnormal . There were 8% of respondens who had borderline abnormal , 92% were in the normal category and none of them had abnormal. The results of this study can be influenced by the characteristics of most respondents who are at middle age mature, married and do not have comorbidities so that his anxiety is low and his coping skills are good . Most of post-stroke patients had normal level of anxiety and depression, only some who experience d mild and severe level of anxiety and depression. Health workers, especially nurses are expected to early assess and provide intervention to anxiety and depression as early as possible by providing counseling as an additional program in rehabilitation.