Latar Belakang: Prevalensi penyakit kronis terutama diabetes melitus (DM) dan hipertensi pada lanjut usia (lansia) terus meningkat. Hal ini berisiko menimbulkan kecacatan, penurunan kualitas hidup, bahkan kematian. Sebagian besar lansia mengeluh mengalami gangguan tidur sehingga mempengaruhi status kesehatan dan kualitas hidup. Aspek psikologis diidentifikasi sebagai salah satu faktor penyebab utama masalah tidur pada lansia penderita DM dan hipertensi.Tujuan: Menganalisis hubungan kondisi psikologis dengan kualitas tidur lansia penderita DM dan hipertensi.Metode: Penelitian dilakukan dengan pendekatan cross sectional di Puskesmas Sukodadi Kabupaten Lamongan pada bulan Oktober‒Desember 2019. Sampel penelitian adalah 104 lansia kelompok prolanis secara purposive sampling. Instrumen penelitian menggunakan kuesioner psychological distress dan Pittsburg Sleep Quality Index (PSQI). Analisis data dengan uji Spearman.Hasil: Sebagian besar 65,4% lansia mengalami tekanan psikologis ringan, dan 54,8% lansia memiliki kualitas tidur baik. Hasil uji Spearman rho p=0,004 dan r=0,282, berarti terdapat hubungan kondisi psikologis dengan kualitas tidur lansia penderita penyakit kronis, kekuatan korelasi lemah dan bersifat positif.Kesimpulan: Kondisi psikologis secara statistik berhubungan dengan kualitas tidur pada lansia penderita penyakit kronis pada kelompok prolanis.

Introduction: Diabetes Mellitus is a chronic disease that requires self-care to improve the quality of life and reduce the occurrence of complications. Self-care behaviors that can be applied by DM patients include physical activity, diet regulation, control of blood glucose levels, treatment, and prevention of complications. The purpose of this literature review is to describe self-care behavior in Type II Diabetes Mellitus patients. Methods: Literature Review using the PICOT framework from several databases (Scopus, Science Direct, Google Scholar, Research Gate and Pubmed). The search results are displayed in the PRISMA. Abstracts and full articles were assessed for eligibility (n = 34), The articles correspond to research feasibility in quantitative studies (n = 12). Results: After collecting data, all data were selected according to the inclusion. Based on a review article, the self-care regimen for type 2 Diabetes Mellitus patients generally includes physical activity, diet, controlling blood glucose levels, monitoring blood glucose and medication. However, most of the respondents compliance with self-care management behavior in type 2 Diabetes Mellitus (DM) patients has not been carried out optimally. Conclusions: The role of nurses is important in increasing adherence to self-care behavior in Diabetes Mellitus patients.

Introduction: Psychological well-being is an individual's feelings about everything from trauma to acceptance of life. Diabetes mellitus is a chronic disease that is a major problem in the world of health and a disease that has the most consequences on physical, psychological, and social. Every type 2 diabetes mellitus patient has a different psychological condition, some have high psychological well-being and some have low psychological well-being. This study aimed to analyze the relationship between patient factors and psychological well-being in type 2 diabetes mellitus patients at the Tikung Lamongan Health Center UPT. Methods: This research method is quantitative with a correlational research design. The sampling technique used consecutive sampling, samples were taken on March 24 - April 2, 2022 at the Tikung Lamongan Health Center UPT with a total of 57 respondents. The instruments used were the SPWB Ryff questionnaire (1995), demographic data, and religiosity questionnaire compiled by Kartika (2017), while the data analysis used the chi-square test from SPSS. Results: The results showed no relationship between patient factors based on age, gender, education, and psychological well-being in patients with type 2 diabetes mellitus because it had an Asymp. Sig. (2-sided) value > 0.05, while patient factors based on religiosity were related to psychological well-being because it had an Asymp. Sig. (2-sided) value of 0.000. Conclusions: This study is expected to increase information and knowledge about efforts to prevent and control type 2 diabetes mellitus so that the psychological well-being that is owned increases.

Introduction: Adherence to tuberculosis (TB) medication is a critical factor in curing patients. Incomplete or improper treatment can lead to drug resistance or the recurrence of infection. Self-care agency plays a vital role in helping individuals remain compliant and consistent with their treatment. High medication adherence can also enhance an individual’s self-care agency. This study aims to determine the relationship between self-care agency and medication adherence in TB patients at Lamongan Health Center. Methods: This study utilized a quantitative correlational design with a cross-sectional approach. The study was conducted in March 2023. The study population consisted of 65 TB patients, with a sample size of 56 respondents selected through simple random sampling. The independent and dependent variables were self-care agency and medication adherence, respectively. Data on self-care agency were collected using the ASA Scale questionnaire, and medication adherence was assessed using the MMAS-8 questionnaire. Data analysis was performed using the Spearman rank correlation test. Results: The study found a strong positive relationship between self-care agency and medication adherence in TB patients at Lamongan Health Center, with a significance level of 0.001 (p < 0.05) and a correlation coefficient of 0.635. TB patients with high self-care agency were more likely to adhere to their medication regimen compared to those with lower self-care agency. Conclusions: The findings of this study suggest that improving self-care agency can enhance medication adherence among TB patients. These results can serve as a reference for strategies aimed at increasing medication adherence by strengthening patients' self-care agency.

Introduction: quality of life is a person's perception of the physical, psychological, social, and environmental conditions in life. Quality of life is impacted by excessive anxiety about health conditions one of them hypertension. The creasing of age and hypertension experienced elderly trigger other diseases. This study aims to determine the relationship between anxiety and quality of life in elderly people with hypertension. Methods: The research design uses quantitative with a cross-sectional study. The inclusion criteria were elderly people with high blood pressure ≥140/90 mmHg. Sampling was carried out using a purposive sampling technique, totaling 160 samples. The instruments used were the GAI and OPQOL-BRIEF questionnaires. Statistical test with Spearman Rank (Rho). Results: For more than half of the total sample, elderly anxiety was in the moderate category (63.1%) and most of the elderly's quality of life was in the poor category (80.8%). The statistical test results showed a significance of 0,000 because ρ < 0.05, it was concluded that there was a significant relationship between anxiety and quality of life in elderly people with hypertension at Puskesmas Babadan Ponorogo. The closeness is relationship 0.699 considered strong. Conclusions: There is a relationship between anxiety and quality of life in elderly people with hypertension at Puskesmas Babadan Ponorogo. It is hoped that respondents can improve their healthy lifestyle, have regular health check-ups, and not feel excessively anxious about their health