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Introduction: Systemic lupus erythematosus (SLE), also known as lupus, is a complex chronic autoimmune disease that affects the immune system and various organs of the body. The cause of this disease is unknown and many lupus patients experience stress as a result of this condition. Lupus patients rely heavily on their families for help in dealing with their illness. The purpose of this research was to determine the relationship between family support and stress levels in people with lupus at the Kupu Parahita Indonesia Foundation. Method: The research was conducted on 92 people with lupus using a cross-sectional approach, with data collected in the single meeting. A questionnaire was used to collect data on family support and stress levels, which were then correlated using the Spearman rank correlation test with CI=95% and ?=0.05. Results: The majority of people with lupus at the Kupu Parahita Foundation received good family support and experienced mild stress. The correlation between family support and stress levels was significant at p=0.000, indicating that the better family support provided to people with lupus, the lower the level of stress experienced by people with lupus. Conclusion: There was a link between family support and the stress level of people with lupus at the Kupu Parahita Indonesia Foundation. Future researchers who want to study family support and stress levels should involve family members and go directly to the respondent's home to learn more about the family support provided to people with lupus.

Banyak kebutuhan pasien ICU yang tidak terpenuhi dikarenakan terbatasnya waktu berinteraksi antara pasien dengan tenaga kesehatan. Tidak terpenuhinya kebutuhan pasien semakin membuat daya tahan tubuh pasien melemah sehingga pasien semakin lama untuk sembuh. Penelitian ini bertujuan untuk mengeksplorasi kebutuhan pasien Covid-19 yang dirawat di ruang intensive care unit (ICU) berdasarkan aspek budaya. Penelitian ini menggunakan pendekatan kualitatif dengan desain fenomenologi deskriptif. Pengumpulan data menggunakan google form. Sampel penelitian ini yaitu 5 perawat yang merawat pasien Covid-19 di ruang ICU, yang dipilih dengan menggunakan teknik purposive sampling. Lima tema besar yang dihasilkan dari analisis konten tematik, yaitu: (1) pemenuhan kebutuhan fisik pasien; (2) pemenuhan kebutuhan psikologi pasien; (3) pemenuhan kebutuhan budaya pasien; (4) pemenuhan kebutuhan spiritual pasien; (5) pemenuhan kebutuhan sosial pasien. Peneliti menyarankan penelitian lanjutan tentang kuesioner kebutuhan pasien dan mengharapkan tenaga kesehatan untuk memenuhi kebutuhan pasien baik fisik, psikologis, spiritual, sosial, dan budaya.

Guilts is the first and foremost in the form of emotional outbursts. Guilts is not a very good motivator. It is more accurate to regard guilt as an internal condition and a negative feeling. Happiness is a feeling of satisfaction, that life is as it should be and all needs have fulfilled. This study aims to find meaning in the experience of feeling guilt and happiness police of the Regional Traffic Management Center (RTMC) to their families. Qualitative interpretive phenomenology approach was conducted an in-depth interview with semistructured questions on five police officers at RTMC by purposive sampling conducted in December 2018. Based on Interpretative Phenomenological Analysis (IPA), this study found two themes namely: feeling guilty to the family and feeling happy with family. The findings obtained were that members of the police at RTMC could be free from stress while working and were able to return and get support from the family. Being able to live happily, both happy at work and happy with the family that will reflect in the calmness in their life.

Fluid resuscitation with 39ᵒC is one of the main therapies for hypovolemic (hemorrhagic) shock patients to prevent complications. In this time, we already have tools to keep the fluid warm, but not all health services have these tools. To find out the effectiveness of using woolen cloth against the temperature of Ringer Lactate 39°C crystalloid fluid at room temperature 18°C. This study used a pre-experimental method, with a static group comparison approach, with 4 Ringer Lactate liquid samples divided into 2 groups, namely groups using wool cloth and those not using woolen cloth. Data collected through observation sheets. Data analyzed using the Mann Whitney test. With this p value (0.00001)

The prevalence of Acute Coronary Syndrome (ACS) is increasing in both developed and developing countries. Uncontrolled risk factors such as smoking, hypertension, and fewer activities are the main causes of ACS recurrence within 30 days after the acute presentation. This study aims to analyze risk factors related to the recurrence rate of ACS patients in Pakraman and non-Pakraman villages in Buleleng Regency, Bali Province. Observational analytics with Cross-Sectional Study are used in this study involving 130 patients within 1 month. Data is collected through two (2) stages using a questionnaire. The bivariate analysis shows that both smoking groups (p = 0.003 and p = 0.008) and hypertension groups (p = 0.02 and p = 0.01) are associated with ACS recurrence, while physical activity groups are not related (p = 0.455 and p = 0.565). Logistic regression results show that smoking (5.633) is highly associated with ACS recurrence in Pakraman villages, while hypertension (4.784) is highly associated with ACS recurrence in non-Pakraman villages. ACS handling is important in the acute period and in the long-term to prevent the risk of recurrence.

Patient admitted to the intensive care unit were categorized into four admission indications, namely patients with priority one, two, three and four. Patients classified as priorities three and four have longer ICU care compared to priorities one and two. This study aims to determine the description of the Length of Stay (LOS) based on the priority level in ICU of Ulin Hospital Banjarmasin. The sampling technique in this study used a non-probability sampling with consecutive sampling. The sample in this study amounted to 31 patients. The results showed that the average age value was 41 years. The majority respondents were female, namely 19 people. Most of the patients admitted to the intensive care room at the Ulin Banjarmasin Hospital were priority 1 patients, from 31 people there were 17 patients who entered priority 1 criteria. The longest LOS was the post craniotomy tumor patient with LOS of 22 days. The number of ICU rooms is very limited and is not proportional to patients who neeed treatment in the intensive care unit, so priority criteria are used to determine patients who deserve treatment in the ICU.

Background: The number of patients continues to increase each year in Emergency Department (ED), especially in Priority 2 / Yellow Zone. The ED cannot predict patient’s condition and when the patient comes for admission the time is various. The ED overcrowding is correlated with discharge time, whereas discharge time is correlated with bed availability in inpatient unit. The inpatient unit in hospital has several classes where the low-class of room tends to have more bed than the high-class of room that can be correlated to the length of stay (LOS). Purpose: The aim of this study was to analyze the admission time, discharge time and patient discharge type with LOS in Yellow Zone of ED. Method: The study consisted of 133 respondents. This was an analytical observational study with cross sectional design. Admission time, discharge time and patient discharge type was analyzed using Eta test. Results: The bivariate results identified the correlation between independent variables with the LOS of patient in Yellow Zone of ED. In Eta test, could be categorized to have a significant correlation if F count was more than F table. Conclusion: There was a significant correlation between the admission time, discharge time and patients discharge type with LOS of patients in the Yellow Zone of ED.

The purpose of this research is to explore the meaning of nurses at a medical team of Indonesia Hajj regarding the experience in handling emergency state of Kendari-hajj pilgrims. The research approach is Interpretative Phenomenology. The participants consist of 3 males and 2 females. The sample was chosen based on purposive sampling technique. The inclusion criteria were based on nurses at a medical team of Indonesia hajj in charge of emergency state case of hajj-pilgrims. The data collections are done by in-depth interview, observation, and field note documentation. The findings found three themes: (1) treating the pilgrims as family, (2) facing unexpected condition at the holy land, and (3) facing burdening challenges in doing task to save the pilgrims.

Palliative care is given since the diagnosis is made so that physical, psychosocial and spiritual problems can be addressed early. Nurses are one of the health workers who play an important role, lack of palliative knowledge will lead to a lack of care services provided. This study aims to represent the knowledge of palliative care in ICU nurses at Ulin Hospital Banjarmasin. The method used is descriptive quantitative. The sampling technique used was non-probability sampling with purposive sampling. The research sample was 32 nurses in the intensive room of Ulin Hospital Banjarmasin. The instrument used a demographic data sheet and a PCQN-I questionnaire. Univariate data analysis is a method of analyzing data. The results revealed that 21 people (65,6%) in the low knowledge category and 11 (34,4%) in the moderate knowledge category. Most of the respondents had never attended palliative training and did not understand the general concept of palliative.

The incident of Out of Hospital Cardiac Arrest (OHCA) increased every year. One of effort to enhance survival rate due to the incident is by increasing the number of bystander CPR. Besides of a good knowledge and skill about CPR, the tendency of someone for willing or unwilling to behave as a bystander CPR is strongly influenced by their behavioral intention. The aims of this research was to analyze various factors that influence behavioral intention of nursing students to become a bystander CPR. This was a cross-sectional study with proportional sampling tecnique. As a sample of this study were 108 students from various nursing institution in Malang. Multivariat analysis with logistic regression was used to identify the most dominant factor which influencing behavioral intention. Logistic regression showed the following result: age p=0,341, OR=1,683; gender p=0,022, OR=3,113; CPR experience=0,327, OR=1,808 and knowledge: p=0,007, OR=3,101. The result of this study conclude that knowledge about CPR is the most dominant predictor factor in influencing behavioral intention. Keyword: Bystander Cardiopulmonary Resuscitation (CPR), Behavioral Intention, Out of Hospital Cardiac Arrest (OHCA)

Pasien stroke tidak dapat sepenuhnya mandiri disebabkan adanya gejala sisa yang menyertai setelah perawatan akut. Keluarga sangat berperan dalam fase pemulihan, sehingga sejak awal perawatan keluarga diharapkan terlibat dalam penanganan penderita. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan kemandirian pasien stroke di instalasi rawat jalan rehabilitasi medik Rumah Sakit Dr. Iskak Tulungagung. Penelitian ini adalah penelitian deskriptif dengan pengambilan sample secara purposive sampling dengan jumlah sample 57 pasien . Pengambilan data dilakukan dengan menggunakan kuesioner Barthel index dan kuesioner dukungan keluarga. Berdasarkan hasil analisis data didapatkan dukungan keluarga skor rata-rata adalah 87,84 termasuk kategori baik. Sementara skor rata-rata kemandirian pasien stroke adalah 81,75 termasuk kategori sesang. Hasil uji statistik menunjukkan nilai signifikasi p = 0,00 (α = 0,05). Kesimpulan dari penelitian ini adalah terdapat hubungan antara dukungan keluarga dengan kemandirian. Berdasarkan hasil penelitian ini disarankan petugas kesehatan dapat melibatkan peran keluarga dalam proses pemulihan pada pasien pasca stroke yang menjalani perawatan di rumah. Kata kunci: dukungan keluarga, kemandirian, stroke

Cedera kepala akibat kecelakaan lalulintas merupakan penyebab utama disabilitas dan mortalitas. Functional Independence Measure (FIM) merupakan salah satu pengukuran kemandirian pasien cedera kepala. Beberapa faktor yang dicurigai adalah usia, mekanisme cedera, skor awal GCS, hipotensi, diameter pupil dan reaksi cahaya, CT scan, konsumsi alkohol, dan lama perawatan. Tujuan penelitian ini adalah mengetahui faktor yang mempengaruhi kemandirian pasien cedera kepala. Penelitian ini bersifat analitik observasional dengan menggunakan rancangan retrospektif terhadap 107 sampel rekam medis RSUD dr. R. Koesma Tuban dari periode Januari-April 2016. Teknik sampling yang digunakan adalah teknik cluster random sampling dengan kriteria inklusi dan ekslusi. Instrumen yang digunakan lembar checklist dan lembar FIM. Analisis menggunakan uji koefisien kontingensi dan regresi logistik. Hasil uji regresi logistik menunjukan faktor yang mempengaruhi adalah GCS (p=0,996) dan Pupil (p=0,077). Persamaan yang didapat y = 0,357 + 19,434 (GCS) + 2,041 (Pupil). Hasil uji Hosmer and Lameshow menunjukan kalibrasi yang baik (p=1,000), nilai AUC menunjukan bahwa 93,6% persamaan regresi yang diperoleh mampu membedakan kemandirian pasien cedera kepala berdasarkan variabel GCS dan pupil, sisanya yaitu 6,4% dipengaruhi oleh faktor lain. Skor GCS yang rendah pada awal cedera berhubungan dengan prognosa yang buruk, sedangkan abnormalitas fungsi pupil, gangguan gerakan ekstraokular, pola-pola respons motorik yang abnormal seperti postur fleksor dan postur ekstensor, juga memprediksikan outcome yang buruk setelah cedera kepala. Kesimpulan dari penelitian ini adalah Skor awal GCS dan Pupil menjadi faktor yang dominan berpengaruh terhadap kemandirian. Oleh karena itu, perawat perlu meningkatkan manajemen pasien cedera kepala pada fase emergency dengan tidak mengabaikan pengukuran GCS dan Pupil. Kata Kunci: Kemandirian, Cedera Kepala, Functional Independence Measure (FIM)

Background. Nutritional status is predictor that can affects on clinical outcome in patient with acute phase ischemic stroke. Objective. To investigate the difference of nutritional status level with clinical outcome in patient with acute phase ischemic stroke. Methods. Cohort retrospective design used medical record of all registered acute ischemic stroke patient in hospital Dr. Saiful Anwar Malang. 60 sample that inquired inclusion criteria and classified into three groups (the group of patient with acute phase ischemic stroke with normal nutrition status, undernutrition status, and overnutrition status). Nutritional status measured with body mass index parameter and clinical outcome measured with of NIHSS score admission and NIHSS score discharge. Results . There were 60 had good clinical outcome with undernutrition status (n=20) amount 65%, normal nutrition status (n=20) amount 70% and overnutrition status (n=20) amount 60%. The difference of nutritional status level with clininical outcome in patient with acute phase ischemic stroke showed that no significantly difference (chi square, p-value=0,803). Conclusion. There is no difference of nutritional status level with clinical outcome in patient with acute phase ischemic stroke.

The patients with coronary artery disease are susceptible to experience the relapse so that the control towards the risk factors of coronary artery disease is needed such as a history of hypertension, dyslipidemia, suffering from diabetes mellitus, medication adherence, and history of obesity. This study aimed at knowing the relationship between the risk factor of diabetes mellitus and the relapse of coronary artery disease. This study was an analytical observation by using retrospective cohort. The total respondent was 189 people taken by using purposive sampling technique. The finding showed that nearly all patients (82.5%) did not suffer from diabetes mellitus, and most of them (72.5%) experienced the relapse of CAD. The result of the chi-square analysis showed that the p-value of 0.009 < α = 0.05, indicating a significant relationship between Diabetes Mellitus and the relapse of coronary artery disease. The patient with diabetes mellitus has a higher risk of experiencing the relapse of CAD. The nurse should concern and control the risk factors of coronary artery disease that affects the relapse.

Background: Theory of Planned Behavior (TPB) is a social pshycological theory which explained that someone's tendency to behave is affected by their intention. This theory often used to predict behavioral intention in health workers by measuring some aspects such as attitude, subjective norm and self efficacy. As a prospective health worker who equipped with knowledge and skills about Cardiopulmonary Resuscitation (CPR) during education phase, nursing students are expected to have a good intentions to become bystander CPR in Out of Hospital Cardiac Arrest (OHCA). Aims: This study intends to apply TPB in identifying factors that influence nursing student’s intention to perform bystander CPR. Methods: This was a quantitative study with cross-sectional approach. The research population were undergraduate nursing student in Malang, while the 108 samples were taken using proportional sampling technique. Data were collected once using questionnaire included: attitude, subjective norm, self efficacy and intention to be a bystander CPR. Results: Chi-square test revealed that the relationship between independent variables and intention to be a bystander CPR were: attitude p=0,00, self efficacy p=0,00 and subjective norm p=0,00. The result of multivariate analysis with logistic regression showed that: attitude p=0,004 (OR=5,279), subjective norm p=0,001 (OR=5,824) and self efficacy p=0,001 (OR=5,709). Conclusion: There were significant relationship between attitude, subjective norm and self efficacy with intention, where subjective norm was the most dominant factor associated with intention of nursing student to be a bystander CPR.

Diabetes melitus merupakan penyakit gangguan metabolisme karbohidrat, lemak dan protein yang kronis. Penderita diabetes sangat rentan terhadap gangguan psikologis seperti depresi. Salah satu faktor yang mempengaruhi timbulnya depresi pada penderita diabetes mellitus adalah kurangnya dukungan keluarga. Tujuan penelitian ini adalah untuk mengetahui hubungan dukungan keluarga dengan kejadian depresi pada pasien diabetes mellitus di Rumah Sakit Muhammadiyah Gresik. Desain penelitian yang digunakan dalam penelitian ini adalah cross sectional. Sampel dipilih dengan teknik total sampling , dan didapatkan 34 responden penderita DM. Instrumen yang digunakan berupa lembar kuisioner depresi berdasarkan Beck Depression Inventory II (BDI II) dan kuesioner dukungan keluarga. Hasil penelitian menunjukkan bahwa keluarga yang memberikan dukungan “baik” sebanyak 8 responden (24%), dukungan keluarga “cukup” sebanyak 22 responden (67%), dan dukungan keluarga “kurang” sebanyak 3 responden (19%). Data kejadian depresi pada pasien diabetes mellitus diperoleh 12 responden (38%) tidak mengalami depresi, dan 22 responden (62%) mengalami depresi. Analisis data menggunakan uji statistik Spearman rho dengan tingkat kemaknaan p < 0,05. Hasil uji statistik menunjukkan nilai koefisien korelasi negatif (r = -0,743) dengan nilai p = 0,000 yang artinya ada hubungan antara dukungan keluarga dengan kejadian depresi pada pasien diabetes mellitus di RS Muhammadiyah Gresik. Kesimpulan dari penelitian ini adalah terdapat hubungan negatif (searah) antara dukungan keluarga terhadap kejadian depresi pada pasien diabetes mellitus. Semakin tinggi dukungan keluarga maka semakin tidak terjadi depresi atau normal, sebaliknya semakin rendah dukungan keluarga maka angka kejadian depresi yang dialami semakin berat. Kata kunci : diabetes mellitus, dukungan keluarga, depresi

Acute Coronary Syndrome (ACS) with ST-ELevation Myocard Infarction (STEMI) is the leading cause of morbidity and mortality worldwide, especially in developed countries. Many risk factors in ACS patients require long treatment and focused treatment. Stratification of risks plays an important role in assisting prediction of clinical outcomes or as a prognosis in patients with ACS.The prognosis of STEMI patients is indicated by Length of Stay (LOS) which is the number of days of STEMI patient care at ICCU. Currently there is risk score used as predictors in SKA with STEMI, some of which is Killip. This riset to analyze accuracy of Killip risk score with prognosis (LOS) STEMI patient in ICCU dr. Iskak Tulungagung. The research design used was analytic observational research with retrospective cohort approach. The location of this study was in RSUD dr. Iskak Tulungagung. The number of medical record were 125 taken by using purposive sampling technique. Data was analyzed using Spearman test.The result of Spearman test showed that Killip showed a significant association with STEMI patient's LOS in ICCU (p = 0.003) with coefficient correlation r = 0.260.The conclusion in this study was that Killip had a significant relationship with the prognosis (LOS) of STEMI patients in ICCU. Keyword : ST-Elevation Myocard Infarction, Killip, Length of Stay Abstract : Sindrom Koroner Akut (SKA) dengan ST-Elevation Myocard Infarction (STEMI)merupakan penyebab utama morbiditas dan mortalitas di seluruh dunia, terutama di negara-negara maju. Faktor risiko yang begitu banyak pada pasien SKA membutuhkan perawatan yang lama dan pengobatan yang terfokus. Stratifikasi risiko tersebut berperan penting dalam membantu prediksi luaran klinis atau sebagai prognosis pada pasien SKA. Prognosis pasien STEMI ditunjukkan dengan Length of Stay (LOS) yang merupakan jumlah hari lama rawat pasien STEMI di ICCU. Saat ini terdapat skor risiko yang digunakan sebagai prediktor pada SKA dengan STEMI, yaituKillip. Tujuan penelitian ini untuk mengalisis akurasi skor risiko Killip dengan prognosis (LOS) pasien STEMI di ICCU RSUD dr. Iskak Tulungagung. Desain penelitian yang digunakan adalah penelitian observasional analitik dengan pendekatan kohort retrospektif. Lokasi penelitian di Intalasi Rekam Medis RSUD dr. Iskak Tulungagung. Jumlah rekam medis sebanyak 125 yang diambil dengan teknik purposive sampling. Analisa data menggunakan uji Spearman. Hasil uji Spearman menunjukkan bahwa Killip menunjukkan hubungan yang signifikan dengan LOS pasien STEMI di ICCU (p=0.003) dengan besar korelasi r=0.260. Kesimpulan dalam penelitian ini adalah skor risiko Killip memiliki hubungan signifikan dengan prognosis (LOS) pasien STEMI di ICCU. Kata Kunci : ST-Elevation Myocard Infarction, Killip, Length of Stay

Pre-hospital emergency serviceis a complex service system and realized by sending care assistance to the location of incidence to prevent death or disability. Pre-hospital emergency service providers consist of individuals and groups in an organization that provides services in accordance with patient needs. The purpose of the study was to analyze the correlation between the factors of nurse workload and teamwork with the service quality of pre-hospital emergency. This study used survey analysis design with cross sectional approach. The population in this study were nurses at the Healthy Brigade of Kupang (BKS) and family of patients who received services from the BKS. The total sample of study was 20 of BKS nurses who selected with the total sampling technique and 80 people of patients’ families who selected by accidental sampling technique. The instrument used was the work sampling form and the Nurse Practitioner Primary Care Organizational Climate Questionnaire (NPPCOCQ). The bivariate analyzes result with the contingency coefficient test shown significant correlation between nurse workload and service quality (p=0.008) and teamwork with service quality (p=0.009). Thus could be concluded that there was a significant correlation between nurse workload and teamwork with the service quality of pre-hospital emergency in Kupang. The lighter the nurse's workload and good teamwork would improve the assessment of service quality.

Background: Identification of factors associated with short-term survival of ischemic stroke patients (survival

Haemorrhagic shock should be treated with fluid therapy at 390°C to avoid hypothermia. Storage of infusion fluid in a rice thermos is one method to maintain the temperature of the infusion fluid. This study aimed to determine the effect of using a thermos to maintain a temperature of 390C crystalloid liquid (ringer lactate and normal saline 0,9%) at a room temperature of 250C. This research method uses experimental quantitative (pre-experimental) with a one-shot case study design. Six bottles of Ringer's lactate and six bottles of normal saline 0,9% were warmed to 390C, then stored in a rice thermos at 250C and the temperature changes were measured for 6 hours. A digital thermometer was used to take measurements. The Mann-Whitney test was used to analyze the data. The results show that the temperature of Ringer's lactate fluid was reduced by an average of 4,60C, and normal saline was reduced by an average of 4,30C. There was a significant difference in temperature changes in the ringer's lactate fluid and normal saline 0,9% (p=0,000;α=0,05). The results of the study were that the rice thermos was able to maintain the temperature of ringer's lactate fluid at 390C for 96 minutes and normal saline 0,9% for 78 minutes, while to prevent hypothermia (360C) ringer's lactate fluid for 4 hours 59 minutes and normal saline 0,9 % for 4 hours 55 minutes.

Kinerja perawat merupakan faktor utama dalam menentukan keberhasilan pelayanan di rumah sakit. Kinerja dipengaruhi oleh kemampuan tenaga kerja, motivasi kerja, dukungan yang diterima (kepemimpinan), keberadaan pekerjaan yang mereka lakukan, dan hubungan mereka dengan organisasi. Tujuan penelitian ini untuk menganalisis faktor yang mempengaruhi kinerja perawat gawat darurat. Rancangan penelitian ini adalah analitik korelasi dengan pendekatan waktu ( Cross Sectional) . Populasi dalam penelitian ini adalah seluruh perawat instalasi gawat darurat RSUD dr. R. Koesma Tuban, RSNU Tuban dan RS Medika Mulia Tuban. Sampel dalam penelitian ini sebanyak 40 perawat dengan menggunakan teknik probability sampling yaitu simple random sampling . Uji bivariat yang digunakan adalah uji Spearmen dan menggunakan uji regresi linier sebagai uji multivariat. Dari hasil analisis diketahui faktor yang berhubungan adalah kemampuan dan keterampilan (p=0,000) dan memiliki tingkat korelasi kuat ( r =0,678), faktor Kepemimpinan ( p =0,000) dan memiliki tingkat korelasi yang kuat ( r =0,662), faktor budaya organisasi ( p =0,000) dan memiliki tingkat korelasi yang sangat kuat ( r =0,854), sedangkan faktor yang tidak berhubungan adalah pengalaman (p=0,872). Faktor yang berhubungan dengan kinerja adalah kemampuan dan keterampilan, kepemimpinan, budaya organisasi, sedangkan yang tidak berhubungan adalah pengalaman. Sebaiknya perawat Instalasi Gawat Darurat lebih memahami dan mampu menerapkan metode pendekatan budaya organisasi dalam malaksanakan tugas dan kinerja sehari-hari, sehingga dapat menjadi contoh untuk petugas kesehatan yang lain. saran untuk penelitian selanjutnya adalah menggunakan pendekatan teori tentang budaya organisasi dan kinerja yang lain. Kata kunci: kinerja, kemampuan, keterampilan, budaya organisasi, kepemimpinan

Stroke is a cerebrovascular disease that is often found in developed countries and currently also presents in developing countries, and one of them is in Indonesia. The high prevalence of stroke in Indonesia is affected by several risk factors such as obesity, lack of physical activity, unhealthy diet, smoking, high blood pressure, elevated blood sugar, and elevated blood lipid profile. The purpose of this study was to analyze the relationship between predictors of hemorrhagic stroke such as obesity, blood pressure, blood sugar and blood lipid profile with mortality in hemorrhagic stroke patients in RSD dr. Soebandi Jember. This research was a quantitative research with a retrospective approach. The number of samples was 101 medical record data. Univariate analysis was used to identify the description of each variable, a chi-square test was applied to analyze the correlation between variables, and the logistic regression analysis was applied to identify the most dominant factor influencing mortality of hemorrhagic stroke. The result of bivariate test showed p-value of obesity= 0,039, p-value of blood pressure= 0,478, p-value of blood sugar= 0,04, p-value of blood lipid profile= 0,026. Logistic regression obtained p-value for obesity= 0.043, OR = 2.689; p-value of blood sugar= 0,042, OR = 2,656; p-value of blood lipid profile= 0.069, OR = 3,749. There was a significant association between obesity, blood sugar, and blood lipid profile with mortality in hemorrhagic stroke patients. Obesity and blood sugar are predictors that can be used to predict mortality in hemorrhagic stroke patients, where obesity is the most dominant factor affecting mortality in hemorrhagic stroke patients.