Background:Diabetes Mellitus (DM) is a non-communicable disease with an increasing number of sufferers every year, and its negative impacts require special attention. The Indonesian government has taken steps to manage DM by establishing the PROLANIS program. Objective:This study aims to identify the roles of PROLANIS in treating DM in Indonesia. Methods:This study used a scoping review design. We performed extensive searches in CINAHL Plus, Cochrane Library, Embase, PubMed, and Google Scholar. Based on the search results, we found a total of 280 articles. After a selection process, 27 articles met the criteria for review. The papers were grouped by year, study design, setting, and the role of PROLANIS. Results:According to research results, PROLANIS effectively maintains and reduces several essential aspects of DM patients' health, such as body mass index, fasting blood glucose, and HbA1c levels. PROLANIS also plays a positive role in improving the lipid profiles of DM patients. Furthermore, PROLANIS contributes to increasing self-efficacy, self-acceptance, self-management, adherence to therapy, and overall quality of life. Conclusion:PROLANIS positively affects the management of DM by improving physical health and enhancing the quality of life for patients. Keywords:chronic disease; Diabetes Mellitus; non-communicable diseases; PROLANIS

Background : Covid-19 has been declared a global health emergency. Reports of thousands of cases with morbidity and mortality continue to increase every day. The clinical course of patients with comorbidities influences the prognosis and progression of the covid-19 disease. Hypertension is the most common cormorbidity of covid-19 patients with long hospitalizations. Objective : This study aimed to determine the clinical differences between covid-19 patients cormobid and non cormobid . Methods : The study was conducted retrospectively through samples of medical records of inpatients for the period June 1, 2021 – August 31, 2021. The samples were divided into comorbid and non-cormobid groups; each totaling 130 medical records. The sample of the comorbid group was selected by simple random; while the non-cormobid group with the matching process. Data were analyzed using t-test and Wilcoxon. Results : The most common kormobid is hypertension with clinical manifestations of cough, fever, headache, runny nose, painful swallowing, anosmia, shortness of breath, nausea, vomiting and diarrhea. The average length of stay for patients with comorbidities was 21 days and without comorbidities 14 days. The test results showed that there were clinical differences between patients with comorbid and non-cormobid patients with p value = 0.0000 (p>0.05) and there was a difference in length of stay with p-value = 0.001 (p>0.05). Conclusion : The clinical difference between covid-19 patients comorbid and non cormobid lies in the symptoms of headache with a longer duration of treatment, which is 22 days. More intensive treatment and care is needed for covid-19 patients with comorbid hypertension. Keywords : clinical manifestation; covid-19; comorbid; length of treatment.

Hemodialysis is a long-term therapy that must be undertaken by patients with chronic kidney disease. Patients who undergoing therapy for a very long time will have an impact on the patient's psychology. One of the psychological effects that arise is a sleep disorder. Poor sleep quality can lead to physiological changes, the endocrine system, cardiovascular system, and immune and nervous systems. To overcome sleep disorders in hemodialysis patients, non-pharmacological options can be used, namely Lavender Essential Oil Aromatherapy via inhalation. The purpose of this study was to determine the effect of Lavender Essential Oil Aromatherapy on Sleep Quality in Hemodialysis Patients. The study was conducted on 32 hemodialysis patients, divided into two groups, there are 16 intervention groups and 16 control groups. The intervention was carried out for 3 times of administration during intra-hemodialysis. The instrument used is the Pittsburgh Sleep Quality Index (PSQI) applied pre and post-test. Test data analysis using the independent samples test showed that there was a difference in the average score for sleep quality with a p-value of 0.000, it means that there was an increase in sleep quality in patients undergoing hemodialysis for intervention groups. Lavender Essential Oil Aromatherapy can be applied as an effective nursing intervention to overcome sleep quality disorders in patients undergoing hemodialysis. Abstrak: Hemodialisis merupakan terapi jangka panjang yang harus dilakukan oleh pasien dengan penyakit ginjal kronik. Pasien yang menjalani terapi dalam waktu yang sangat lama akan berdampak pada psikologi pasien. Salah satu dampak psikologis yang muncul adalah gangguan tidur. Kualitas tidur yang buruk dapat menyebabkan perubahan fisiologis, sistem endokrin, sistem kardiovaskular, sistem kekebalan dan saraf. Untuk mengatasi gangguan tidur pada pasien hemodialisa dapat digunakan pilihan nonfarmakologi yaitu Aromaterapi Minyak Atsiri Lavender melalui inhalasi. Tujuan penelitian ini adalah untuk mengetahui pengaruh Aromaterapi Minyak Atsiri Lavender terhadap Kualitas Tidur pada Pasien Hemodialisis. Penelitian dilakukan pada 32 pasien hemodialisa yang terbagi menjadi dua kelompok yaitu 16 kelompok intervensi dan 16 kelompok kontrol. Intervensi dilakukan selama 3 kali pemberian selama intra hemodialisis. Instrumen yang digunakan adalah Pittsburgh Sleep Quality Index (PSQI) yang diterapkan sebelum dan sesudah intervensi. Analisis data uji dengan menggunakan independent sample test menunjukkan bahwa terdapat perbedaan rata-rata skor kualitas tidur dengan nilai p value 0,000 artinya terjadi peningkatan kualitas tidur pada pasien yang menjalani hemodialisis kelompok intervensi. Aromaterapi Minyak Atsiri Lavender dapat diterapkan sebagai intervensi keperawatan yang efektif untuk mengatasi gangguan kualitas tidur pada pasien yang menjalani hemodialisis.

Background: First aid is an initial action that must be immediately given to victims who experience emergency problems due to an accident or emergency incident or by sudden illness before the arrival of an ambulance, doctor or other related officer. Emergency First Aid Issues are often still considered by most people as the sole responsibility of health workers. Even though the reality in the field of participation or community involvement can be very influential, ranging from reducing pain, alleviating suffering, to saving one's life. Objectives: The purpose of this study was to determine the first aid socialization in accidents to increasing youth skills in handling emergencies in daily living in the Jedong Cangkring Village, Prambon Sub-District, Sidoarjo District, East Java Province, Indonesia. Method: This research is a quantitative study with a quasy experiment design with a pretest-post-test control group design approach. The sample in this study was taken with a simple random sampling technique. The method of data collection uses primary data, by providing socialization in the form of counseling and demonstration, then looking at youth skills by using the checklist. Data analysis using Wilcoxon Signed Rank Test and Mann Withney U Test with a significance level of 0.05. Results: The results showed 45% of respondents aged 19-21 years, 55% of respondents had never received information about P3K, 55% of respondents had a school status with a secondary education level, 60% of respondents had sufficient knowledge about first aid. Statistical analysis with the Wilcoxon Signed Rank Test obtained ρ = 0.003<α = 0.05, which means there is an effect of socialization on skills. Mann Withney U Test results obtained ρ = 0.023<α = 0.05, which means there are different skills between the intervention group and the control group. Conclusion: The influence of the first aid socialization in accidents to increasing youth skills in handling emergencies in daily living. Nurses are expected to be able to improve community understanding and skills regarding emergency management in the community. Keyword: Youth skill, first aid socialization, emergency accidents.

Background: Covid-19 infects people with different clinical, from mild to moderate clinical symptoms even recovering without hospitalization. The clinical course of COVID-19 patients with comorbidities influences the prognosis and progression of the disease. Hypertension is the most common co-morbidity of COVID-19 patients with long hospitalizations. Purpose: Of the study was to determine the differences in patient characteristics, clinical and length of stay for COVID-19 patients with and without cormobids. Method: A retrospective study with samples of medical records of inpatients for the period June 1, 2021 – August 31, 2021. The samples were divided into 2 groups, namely kormobid with 30 medical records and without cormobid with 30 medical records. The sample of the comorbid group was selected by simple random; while the non-cormobid group with the matching process. Data were analyzed using t-test and Wilcoxon. Results : The majority of COVID-19 patients with comorbidities are male, aged more than 40 years, work other than medical personnel, while most of the COVID-19 patients without cormobids are male, aged 12-29 years, working as medical personnel. Cormobid with hypertension. Clinically treated COVID-19 patients include cough, fever, headache, runny nose, painful swallowing, anosmia, shortness of breath, nausea, vomiting and diarrhea. The length of hospitalization for patients with comorbidities was 21 days and without comorbidities 14 days. There were clinical differences between patients with comorbid and non-cormobid patients with p value = 0.0000 (p>0.05) and there was a difference in length of hospitalization with p-value = 0.000 (p>0.05). Conclusion : Clinically, patients with covid-19 with comorbidities differ in headache symptoms with a longer treatment duration of 22 days. Intensive care is needed for COVID-19 patients with comorbid hypertension. Keywords: Characteristics; Clinical features; Treatment duration; Covid-19 Pendahuluan : Covid-19 menginfeksi orang dengan klinis yang berbeda, dari gejala klinis ringan sampai sedang bahkan sembuh tanpa rawat inap. Klinis pasien covid-19dengan komorbiditas mempengaruhi prognosis dan perkembangan penyakit tersebut. Hipertensi merupakan penyakit penyerta terbanyak pasien covid-19 dengan rawat inap lama. Tujuan: Mengetahui perbedaan karakteristik, klinis pasien dan lama rawat inap pasien covid-19 dengan kormobid dan tanpa kormobid. Metode : Penelitian secara retrospektif dengan sampel rekam medis pasien rawat inap periode 1 Juni 2021 – 31 Agustus 2021. Sampel dibagi menjadi 2 kelompok yaitu kormobid dengan 30 rekam medis dan tanpa kormobid dengan 30 rekam medis. Sampel kelompok kormobid dipilih secara simple random; sedangkan kelompok non kormobid dengan proses matching. Data dianalisis menggunakan t-test dan Wilcoxon. Hasil : Mayoritas pasien covid-19 dengan kormobid berjenis kelamin laki-laki, usia lebih dari 40 tahun, pekerjaan selain tenaga medis sedangkan pasien covid-19 tanpa kormobid sebagian besar laki-laki, usia 12-29 tahun, pekerjaan sebagai tenaga medis. Kormobid yang diderita hipertensi. Klinis pasien covid-19 yang dirawat meliputi batuk, demam, nyeri kepala, pilek, nyeri telan, anosmia, sesak, mual, muntah dan diare. Lama rawat inap pasien dengan komorbid 21 hari dan tanpa komorbid 14 hari. Terdapat perbedaan klinis pasien antara pasien kormobid dan non kormobid dengan nilai p = 0,0000 (p>0,05) dan ada perbedaan lama rawat inap dengan nilai p=0,000 (p>0,05). Simpulan : Klinis pasien covid-19 dengan kormobid berbeda pada gejala nyeri kepala dengan lama perawatan lebih lama yaitu 22 hari. Perlu perawatan intensif pada pasien covid-19 dengan kormobid hipertensi.

Introduction: Blood glucose levels and diabetes distress are the foremost factors contributing to diabetes treatment outcomes and managements. No tailored intervention program was implemented for patients with diabetes in Indonesia. This study aimed to investigate the effectiveness of a tailored intervention program in lowering blood glucose levels and diabetes distress among patients with diabetes patients in Indonesia. Methods: A randomized controlled trial (RCT) with pre-test and post-tests was applied. A total of 163 people with diabetes were collected for both intervention (n=80) and control (n=83) groups: A diabetes-tailored intervention program was attempted in the intervention group. Descriptive statistics, Analysis of Variant (ANOVA) and inferential statistics were used to analyze the data (significance level 0.05); 2.46 and 2.01 (p-value <0.01). While the control group's mean of blood glucose levels and diabetes distress before and after the intervention was were 227.81 mg/dl, and 245.94 mg/dl (pvalue 0.05). Conclusions: The diabetes-tailored intervention program is effective on decreasing blood glucose levels and diabetes distress, and showed a significant result to diabetes distress.