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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.

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.

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.

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.

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.