Tuberkulosis Paru masih menjadi masalah di dunia dan dalam pengobatannya harus terprogram. Kendala dalam pengobatan tuberkulosis adalah kurangnya kepatuhan dari penderita tuberkulosis untuk minum obat anti tuberculosis sehingga menyebabkan gagalnya program pengobatan Tuberkulosis paru. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pengetahuan dengan kepatuhan minum obat anti tuberkulosis pada pasien tuberkulosis paru. Jenis penelitian yang dilakukan adalah analitik korelasional dengan desain cross sectional. Populasinya penelitian ini sebesar 67 responden dan jumlah sampel sebanyak 57 responden dengan teknik purposive sampling. Instrumen dalam penelitian ini menggunakan kuesioner pengetahuan dengan nilai Cronbach alpha 0,603 dan mengukur kepatuhan minum obat total nilai Cronbach Alpha 0,688. Pengolahan data dianalisis menggunakan uji rank spearman dengan tingkat kemaknaan 0,05. Berdasarkan hasil penelitian dari 57 responden sebagian besar (54,4%) pengetahuan sedang dan sebagian besar (56,1%) termasuk dalam kategori kepatuhan sedang. Hasil uji rank spearman didapatkan nilai ρ < α atau 0,030 < 0,05 yang berarti ada hubungan tingkat pengetahuan dengan kepatuhan minum obat anti tuberkulosis pada pasien tuberkulosis paru di wilayah kerja Puskesmas Tanah Kali Kedinding Kota Surabaya. Hal ini dapat disimpulkan bahwa ada hubungan tingkat pengetahuan dan kepatuhan minum obat.

Introduction: Increasing age has the potential to cause hardening of the arteries. Hypertension is also related to sleep quality and stress levels. Hypertension can be controlled with non-pharmacological therapy using Mindfulness Based Stress Reduction (MBSR) and samavriti pranayama. Samavriti pranayama increases the oxygen supply to the brain, lungs and lowers the heart rate. The purpose of this study was to determine the effectiveness of MBSR and samavriti pranayama for lowering blood pressure, improving sleep quality, and reducing stress levels. Methods: This study utilized a cross-sectional model. Elders analyzed with hypertension were surveyed for qualification. A add up to of 40 seniors were randomized into the mediation and control bunches. Both bunches gotten schedule care. Eight sessions of MBSR and samavritti pranayama were conducted within the intercession bunch, whereas the control gather gotten no mental intercession. Elders were surveyed with respect to diminished hypertension, uneasiness, and rest quality at two unmistakable stages: some time recently and after the mediation. Results: There were no significant differences in sociodemographic and clinical parameters between the intercession and control bunches at standard. The mediation program essentially lightened mental and physiological complications in elderly with hypertension. Particularly, the consider uncovered that 8 weeks of the combined MBSR and samavritti pranayama mediation viably decreased lower hypertension and uneasiness scores and made strides the quality of rest in elderly. Conclusion: The conclusion MBSR combined with samavritti pranayama significantly alleviated clinical symptoms, and could be considered a new, effective psychotherapeutic intervention for Elderly with Hypertension.

Introduction: Patients undergoing hemodialysis tend to have low self-acceptance; this will impact the willingness to undergo treatment and adherence to hemodialysis therapy to recover. This study aimed to determine the relationship between self-acceptance and compliance in undergoing hemodialysis at A. Yani Islamic Hospital in Surabaya. Methods: The research design is correlational analytic with a cross sectional approach. The population in this study were all patients who underwent hemodialysis at the A. Yani Islamic Hospital, Surabaya, with 80 patients and a sample size of 36 respondents using a simple random sampling technique. The independent variable in this study was self-acceptance, and the dependent variable was adherence to hemodialysis. The research instrument used a questionnaire. Data analysis used the chi-square test with a significant level of α = 0.05. Results: The results showed that most respondents who underwent hemodialysis (52.8%) had low self-acceptance, and most (58.3%) had low adherence. The chi-square test results showed p-value = 0.008, which means p < α, then H0 is rejected, indicating a relationship between self-acceptance and compliance with patients undergoing hemodialysis at the A. Yani Islamic Hospital Surabaya. Self-acceptance is directly proportional to the patient's compliance is undergoing hemodialysis. The higher the patient's self-acceptance caused the higher the patient's compliance in undergoing hemodialysis. Families can provide social support to increase the self-acceptance of patients undergoing hemodialysis. Conclusion: There is a significant relationship between self-acceptance and compliance of patients undergoing hemodialysis at A. Yani Islamic Hospital Surabaya.

The increasing number of people with diabetes has an impact on the global burden of diabetes mellitus (DM) becoming a major public health priority, placing unsustainable demands on individuals, their guardians, economies, health systems and society. The increase in the number of DM is influenced by the increase in the prevalence of obesity and unhealthy behaviors including poor diet and physical activity. In reducing the morbidity rate, there needs to be an effort to control blood glucose levels, one of which is ergonomic exercise based on spiritual care. The purpose of this study was to determine the effect of ergonomic exercise based on spiritual care on blood glucose in the elderly with diabetes mellitus. The design of this study used a quasi-experimental with a control group. The population of this study were all elderly people with diabetes mellitus. The sample of this study was 104 respondents, divided into 52 intervention groups and 52 control groups. This research instrument uses an observation sheet. This research was conducted in April - June 2022. The results of this study obtained an average blood glucose level in the intervention group 2.69 and in the control group 2.70 with p value = 0.957.

Introduction: The condition that appears in patients who have had a stroke is cognitive impairment. Cognitive impairment can worsen the condition of stroke patients so that it can slow down the recovery process and have a high risk of disability. This study aims to analyze the correlation between cognitive impairment and the level of disability in post-stroke patients. Methods: This study uses a correlational analytical design with a cross sectional technique design with a population of 70 participants and a sampling technique using consecutive sampling obtained a sample of 64 participants. The independent variable in this study is cognitive impairment of post-stroke patients while the dependent variable is the level of disability of post-stroke patients. The instrument for collecting data on cognitive impairment was using the MoCA-Ina questionnaire and the level of disability using the WHODAS questionnaire. The data were analyzed using the Spearman Rank test with significance < 0.05. Results: The results of this study showed that most of the 52 (81.2%) participants had cognitive impairment and most of the 42 (65.6%) participants had moderate disabilities and a small portion of 10 (15.6%) participants had severe disabilities. The results of statistical tests on the relationship between cognitive impairment and the level of disability in post-stroke patients through the Spearman Rank test showed p = 0.000 with coefficient correlation 0.665. Conclusions: The analysis test showed a strong correlation between cognitive impairment and the level of disability in post-stroke patients. Post-stroke patients with cognitive impairment must be treated properly so that it does not result in disability in patients that has a direct impact on the psychosocial and quality of life of the patient.

Gouty arthritis is a metabolic disease caused by a buildup of monosodium urate monohydrate crystals in the joints. The accumulation of uric acid in the joints can form crystals such as needles that cause pain and inflammation, causing interference with the motion system and changes in daily activities. Pain management caused by the accumulation of gout is one of them with physical activities in the form of ergonomic exercise based on spiritual care. This study aims to identify the effect of ergonomic exercise based spiritual care on reducing pain levels in the elderly with gouty arthritis. The design of this study used quasy experimental with control group pre test and post test. The population in this study were all patients with arthritis gout as many as 56 elderly. Samples were taken using total sampling and divided into two groups: 28 intervention groups and 28 control groups. The intervention group was given treatment in the form of ergonomic exercise for 4 weeks with the media being given a module. Pain levels are measured by visual analog scale (VAS). Analysis of the data used was paired T test with a significance of p <0.05. The results of data analysis showed that the intervention group showed an average level of pain before intervention 6.5 and after the intervention showed an average level of pain 3.2 with a p-value of 0,000. Whereas the control group showed an average pain level of 6.2 and after 4 weeks the average pain level increased by 7.0 with a p-value of 0.008. The application of ergonomic exercise based on spiritual care can be given to people with arthritis gout in reducing pain. It is hoped that nurses can implement ergonomic exercise based spiritual care for reducing pain levels in elderly patients with gouty arthritis.