Coronary heart disease is one of the diseases with acute and critical manifestations that has a high mortality rate worldwide. Psychoeducation is a comprehensive intervention that can be provided to acute patients, given its speed and its effects on all aspects of health. Comprehensive studies on the application of psychoeducation in acute-phase coronary heart disease patients are limited, so this literature review aims to identify the effectiveness of psychoeducation in managing this disease. This review uses a scoping review approach, applying six main stages: problem identification, identification of literature sources, literature selection, mapping and collecting literature, compiling and reporting results, and consulting with competent parties. The literature selection used the PRISMA approach, with article searches across three databases: Academic Search Complete, PubMed, and SAGE Journals. The studies reviewed used English-language research designs and focused on adult patients with acute or chronic coronary heart disease who received psychoeducation therapy, using RCT/cross-sectional/quasi-experimental/cohort study designs. The search results yielded five articles on the management of psychoeducation interventions in surgical and non-surgical conditions, focusing on coping strategies, physical capacity improvement, and disease understanding. Psychoeducation has been proven to improve patients' biopsychosocial quality of life (reducing stress levels, anxiety levels, depression, physical health, and social functioning). Psychoeducation can increase patients' knowledge by explaining coping strategies for adapting to life crises and other potential threats or developments. Further research is needed to refine the application of psychoeducational interventions on the quality of life of coronary heart disease patients

AbstrakDosen bertanggung jawab untuk melaksanakan Tridharma Perguruan Tinggi dengan beban kerja 12 SKS sampai 16 SKS setiap semester. Namun, banyak dosen yang merasa bahwa beban kerjanya sangat berlebih. Tujuan penelitian ini adalah untuk mengetahui gambaran beban kerja mental pada dosen Fakultas X Universitas X. Metode penelitian ini adalah deskriptif kuantitatif dengan menggunakan teknik total sampling yang melibatkan 43 dosen Fakultas X Universitas X. Data dikumpulkan menggunakan instrumen NASA-TLX. Analisa data menggunakan statistik deskriptif. Hasil penelitian menunjukkan bahwa sebanyak 74,4% responden memiliki beban kerja mental yang tinggi pada tugas pendidikan dan pengajaran, sebanyak 76,7% responden memiliki beban kerja mental yang tinggi pada tugas penelitian, dan sebanyak 74,4% responden memiliki beban kerja mental yang tinggi pada tugas  pengabdian kepada masyarakat. Dimensi Effort memiliki nilai mean tertinggi yaitu sebesar 51,8, sedangkan dimensi yang memiliki mean terendah adalah dimensi Perfomance yaitu 9,4. Simpulan dari penelitian ini menunjukkan hasil sebagian besar dosen memiliki beban kerja mental yang tinggi. berdasarkan hasil penelitian ini, disarankan dosen Fakultas X Universitas X untuk menyeimbangkan jumlah tugas sesuai dengan kemampuannya, menyeimbangkan waktu bekerja dengan rekreasi, dan memenuhi kebutuhan istirahat. Hasil penelitian ini perlu ditindak lanjuti dengan mengkaji metode atau upaya yang dapat menurunkan beban kerja mental dosen. Kata Kunci    : Beban Kerja Dosen, Beban Kerja Mental, Dosen | Lecturers are responsible for implementing the three main responsibilities in university (Tridharma Perguruan Tinggi) with 12 credits to 16 credits each semester. However, many lecturers feel that the workload is very excessive. The purpose of this study was to describe the mental workload of lecturers at the Faculty of X Padjadjaran University. The method of this research was quantitative descriptive by using a total sampling technique involving 43 lecturers. Data collection used NASA-TLX instruments. Data were analysed using descriptive statistics. The results of the study showed that overall the mental workload of the Faculty of X Padjadjaran University lecturers was included in the high category both in education and teaching assignments (74.4%), research assignments (76.7%), and community service assignments (74.4%). ) Effort dimensions have the highest mean value that is equal to 51.8, while the dimensions that have the lowest mean are Perfomance dimension, namely 9.4, where the greater the mean dimension shows the large contribution in the mental workload felt by the lecturer. The conclusions, this study show that most lecturers have a high mental workload. It is suggested that the lecturers need to have balance numbers of tasks according to their abilities, balance the time working with recreation, and meet the needs of rest. The results of this study need to be followed up by examining methods or efforts that can reduce the lecturers' mental workload.

HIV or Human Immunodeficiency Virus is the virus that causes Acquired Immune Deficiency Syndrome (AIDS) HIV-AIDS is an infectious disease that can be transmitted through sexuaӏ intercourse (vaginaӏ, anaӏ or oraӏ). bӏood transfusions, contaminated needӏes. HIV prevention and intervention can be carried out by conducting Voӏuntary Counseӏing and Testing (VCT), nameӏy prevention and earӏy detection efforts to determine the status of a person who has been infected with HIV or not and is at risk, nameӏy through HIV/AIDS counseӏing and testing. The use of VCT so far is stiӏӏ ӏacking due to severaӏ factors, one of which is faciӏities and access. Therefore, the above conditions attracted the writer to find out the effectiveness of using VCT mHeaӏt in preventing HIV-AIDS. This study uses the ӏiterature review method by anaӏyzing 10 journaӏs reӏated to the use of mHeaӏth VCT. Journaӏ searches used the keywords Mobiӏe Heaӏth VCT and Voӏuntary Counseӏing and testing for HIV, in the journaӏ's onӏine database incӏuding PubMed, PubMed Centraӏ (PMC) and Cӏinicaӏ key. The incӏusion criteria for this study were journaӏs in Engӏish with a ӏimitation of the ӏast 5 years (2018-2022). Excӏusion criteria are ӏanguage other than Engӏish and journaӏ year under 2018. Research Resuӏts: Based on the anaӏysis of 10 journaӏs that have been carried out, the resuӏts show that mHeaӏth VCT has severaӏ advantages, nameӏy ӏow cost, easy access, effective, abӏe to detect earӏy and effectiveӏy prevent HIV. As a heaӏth technoӏogy, mHeaӏth is effective if appӏied in heaӏth services, especiaӏӏy in providing information, counseӏing, and testing or VCT to prevent and earӏy detection of HIV.

The unwanted pregnancy in adolescents is increasing every year. The impact of unwanted pregnancy towards the adolescents can form as physical and psychological. The psychological impact which is not resolved can result in depression and even suicide. The purpose of this literature review is to determine the psychological impact on adolescents who experience the unwanted pregnancy.This literature review used narrative review related to the psychological impact of adverse events on adolescents. The databases used for this study are Google Scholar, Science Direct, Proquest, Pubmed, Researchgate, and Garuda Portal. The keywords used in Indonesian are, dampak psikologis” dan “kehamilan tidak diinginkan” dan “remaja”. The English keywords are “impact” and “unwanted pregnancy” OR “unintended pregnancy”, “teenager” OR “adolescent”. 32 articles were obtained according to the inclusion criteria were open access, full texts with publication years between 2010-2020 and 9 articles were selected for further review. The results showed the psychological impact of the unwanted pregnancy on adolescents are shame, fear, disappointment, anxiety, crying, guilt, irritability, being introverted, frustrated, angry, aggressive, panic, regret, stress and depression. Suggestion: The results of this literature review are expected to be a reference in further and in-depth research regarding the impact of unwanted pregnancy on adolescents so that the number of unwanted pregnancies in adolescents will no longer increase if they know the impact of unwanted pregnancies.

Penilaian kualitas pelayanan kesehatan saat ini mayoritas hasil dari penilaian objektif berupa akreditasi, namun penilaian subjektif seperti Kualitas Kehidupan Kerja Perawat atau Quality of Nursing Work Life (QNWL) jarang digunakan untuk menilai kualitas dari pelayanan kesehatan, penilaian subjektif menjadi penting karena mengungkap sisi lain yang tidak dapat dipandang melalui penilaian objektif. Tujuan dari penelitian ini adalah untuk mengetahui kualitas kehidupan kerja Perawat di Puskesmas DTP dan Non DTP di Kabupaten Cianjur. Penelitian ini berbentuk penelitian deskriptif kuantitatif. Teknik pengambilan sampel menggunakan teknik cluster sampling dengan single stage cluster sampling dan unequal cluster sampling, dari 332 populasi yang ada didapatkan sampel sebanyak 96 orang yang merupakan perawat yang bekerja di Puskesmas di Kabupaten Cianjur. Penelitian ini menggunakan instrumen baku Quality of Nursing Work Life (QNWL) dengan analisis data deskriptif menggunakan distribusi frekuensi dan hasil akhir disajikan dalam bentuk nilai rata-rata. Hasil penelitian ini menunjukkan secara keseluruhan kualitas kehidupan kerja Perawat baik di Puskesmas DTP maupun Non DTP di Kabupaten Cianjur telah berada pada kondisi yang sejahtera, namun ada kecenderungan dimana rerata nilai kualitas kehidupan kerja Perawat di Puskesmas Non DTP lebih tinggi jika dibandingkan dengan Puskesmas DTP. Berdasarkan hasil tersebut Puskesmas di Kabupaten Cianjur harus mempertahankan kualitas kehidupan kerja perawat tetap berada pada kondisi yang sejahtera.

Antiretroviral therapy (ART) is a cornerstone in the management of HIV among pregnant women due to its ability to suppress viral load and prevent vertical transmission. However, its effectiveness on pregnancy outcomes remains a challenge because of the potential risk of obstetric complications. This scoping review aimed to map and summarize existing evidence on the association between ART use and obstetric complications among pregnant women living with HIV. The review was conducted using the Arksey and O’Malley framework and reported in accordance with the PRISMA-ScR guidelines. A comprehensive literature search was performed across Scopus, EBSCOhost, PubMed, and ScienceDirect to identify full-text English-language original studies published between 2020 and 2025. Study selection was guided by the Population–Intervention–Outcome framework, focusing on pregnant women with HIV receiving ART and associated obstetric complications. Out of 11,669 identified articles, ten met the inclusion criteria. The findings revealed that initiating ART before pregnancy reduced the risk of small-for-gestational-age (SGA) infants, while regimens based on non-nucleoside reverse transcriptase inhibitors (NNRTIs) and protease inhibitors (PIs) were associated with a higher risk of preterm birth compared to integrase strand transfer inhibitor (INSTI)–based regimens. Low birth weight (LBW) was more frequently observed when ART initiation occurred during the second trimester. Immunological, placental, metabolic, and psychosocial factors were also found to influence pregnancy outcomes. In conclusion, ART management should consider drug type, timing of initiation, and maternal condition to minimize obstetric risks. Future research is recommended to examine the longitudinal effects of ART regimens using a multidimensional approach to achieve more precise and context-specific therapeutic management.

Trauma is a circumstance in which a person experiences or witnesses death, feels threatened or seriously injured or a threat of physical integrity to oneself or others. Children and adolescents often had violence (harassment, neglect, embezzlement, or kidnapping) that can bring into trauma. The traumatic occurrence can have a serious psychological impact on children. To deal with this psychological hazard could be assisted by Cognitive Behavioral Therapy. This literature review aimed to identify the effect of CBT in supervising trauma in children and adolescents who became victims of violence to reduce the impact of trauma. Articles collected by Google Scholar, Science Direct and Pubmed Health used some keywords such as children, adolescent, CBT, trauma, and violence. The inclusion criteria consisted of quantitative research, systematic review, original research, full text, and published in English during 2007-2017. It identified 6 articles with 5 articles that were specifically related to CBT to supervise trauma. The results of the review of the five articles noted that 4 articles indicated that CBT is very effective in dealing with trauma in children and adolescent as the victims of violence, while 1 article showed that CBT is less effective in dealing with violence in children and adolescents. Thus, CBT was a potential intervention in addressing trauma in children and adolescent who became victims of violence, especially in West Java.

Stunting incidents are often not realized due to chronic nutritional problems which can be caused by the mother's lack of knowledge in providing food intake that is appropriate to her child's nutritional needs. Currently, the use of technology continues to increase. This research was carried out by using technology that is currently developing, namely using media. website-based social. This research aims to determine the effect of web-based education on mothers' knowledge and attitudes in efforts to prevent stunting. This research used a quasi-experimental method with a pre-test and post-test control group approach, 44 respondents were selected based on the lemeshow formula sampling technique. The instrument used in this research used a questionnaire. Bivariate data analysis used the Wilcoxon test and Mann Whitney test. The results of this study showed that the level of knowledge of mothers in the intervention group was 0.000 and in the control group 0.108. Meanwhile, the results of research attitudes with a significant value in the intervention group were 0.000 and the control group was 0.216. Meanwhile, the difference in knowledge scores between the intervention group and the control group was 0.028 and the difference in attitude scores between the intervention group and the control group was 0.001. There were significant differences in the level of knowledge and attitudes in the intervention group and the control group. The conclusion from the research is that there is an influence of web-based education on mothers' knowledge and attitudes in efforts to prevent stunting in the intervention group.

Background Postpartum haemorrhage is identified as one of main causes of maternal mortality especially in low income countries including Indonesia. The use of rectal misoprostol is a considerable intervention to prevent postpartum haemorrhage. However, administering misoprostol would cause various considerable responses that need intensive observation to prevent high risk condition of post-partum women. Limited studies in Indonesia assessed responses of post-partum women’s after misoprostol administration. This study aimed to identify physical responses of post-partum women after misoprostol administration. Methods, This descriptive quantitative study involved 30 post-partum women. They were chosen using consecutive sampling technique. The data collection instruments were an observation form and a semi-structured interview form. Using those instruments women’s physical responses observed on the minute of 15, 30, 45, 60, 90 and the hour of 2, 3, and 4 after post- partum. The data were analysed using frequency distribution. Results The study found that there were different physical responses of women after rectal misoprostol administration including nausea, vomiting, diarrhoea, headache and fever, especially in the minute of 15 and the hour of 2. The most prominent physical responses were nausea, and followed by headache and fever. Conclusion This study finding is a significant information for health professionals especially nurses. Nurses could develop an anticipatory guide in anticipating any effects that may risk to postpartum patients.

The education sector is one of those affected by the Covid 19 pandemic. In order to stop the spread of Covid 19, the government has implemented a distance learning process. The problem of distance learning is that students feel bored at home, signal limitations and piles of assignments. With this, it can lead to some psychological problems that occur in students such as anxiety, stress or depression. The purpose of this study was to determine the impact of distance learning on students' psychology during the Covid 19 pandemic in Sumedang. The type of research used is descriptive quantitative with a sample size of 220 junior and senior high school students. The sampling technique used is simple random sampling. The data collection tool used is the DASS 21 questionnaire consisting of 21 questions about anxiety, stress and depression. The data collection process is carried out using the Google form platform. The data were analyzed using a frequency distribution. The results showed (42.27%) experienced anxiety, (44.56%) experienced stress and (23.18%) experienced depression. The most psychological problem experienced by students during distance learning is stress. Therefore, it is necessary to increase coaching and counseling programs to overcome anxiety, stress and depression in the face of distance learning

Post operasi sectio caesarea akan menimbulkan nyeri karena proses pembedahan pada dinding abdomen dan dinding rahim. Nyeri akan menyebabkan bounding attachment terganggu, mobilisasi terbatas, Activity Daily Living (ADL) terganggu dan berpengaruh terhadap proses menyusui. Salah satu penatalaksanaan non farmakologi terhadap nyeri post operasi sectio caesarea adalah foot massage karena di daerah kaki banyak terdapat sarafsaraf yang terhubung ke organ dalam dan masase dapat diberikan saat pasien terlentang dan minimal melakukan pergerakan daerah abdomen untuk mengurangi rasa nyeri. Tujuan penelitian ini untuk mengetahui pengaruh foot massage terhadap tingkat nyeri pada klien post operasi sectio caesarea. Penelitian ini merupakan penelitian pre eksperimen. Jumlah sampel yang digunakan dalam penelitian ini berjumlah 27 orang yang ditentukan dengan teknik purposive sampling. Instrumen yang digunakan adalah Numeric Rating Scale (NRS) dan prosedur kerja foot massage. Pre-test dilakukan pada hari kedua post operasi, kemudian dilakukan foot massage selama 20 menit selama 2 hari dan diukur post-test nya. Data dianalisis dengan menggunakan uji wilcoxon. Hasil penelitian menunjukkan lebih dari setengah klien post operasi sectio caesarea berada di tingkat nyeri sedang (skala 6) sebelum dilakukan foot massage dan hampir setengah memiliki tingkat nyeri ringan (skala 3) sesudah dilakukan foot massage dan didapatkan nilai p value = 0.000, sehingga disimpulkan ada pengaruh foot massage terhadap tingkat nyeri pada klien post operasi sectio caesarea. Diharapkan klien post operasi section caesaria dapat menjadikan foot massage sebagai salah satu alternatife manajemen non farmakologi dalam penanganan nyeri.

Most of these complications develop during pregnancy. The main complications accounting for 80% of maternal deaths are severe bleeding (mostly postpartum hemorrhage), infection (usually after delivery), high blood pressure during pregnancy (pre-eclampsia and eclampsia) and unsafe abortion. This was an analytic observational study with a case control design. The data taken were the medical records of patients diagnosed with preeclampsia from Januari to Desember 2024. The population of pregnant women at RSUD Arjawinangun, Cirebon was 2.780 pregnant women. The sample size was obtained by random sampling technique as many as 350 pregnant women in accordance with the inclusion and exclusion criteria determined for the study. The result that Age (p-value 0.001, OR 5.678), Parity (p-value 0.001, OR 2.606), Occupation (p-value 0.026, OR 2.053), Pregnancy distance (p-value 0.002, OR 2.005), Nutritional Status (p-value 0.001, OR 3.898), History of Preeclampsia (p-value 0.001, OR 14.462), MAP (p-value 0.001, OR 7.644). Age, Gravida, Interpregnancy interval, BMI, History of preeclampsia, MAP, occupation are factors contributing to the occurrence of preeclampsia in pregnant women at Arjawinangun Hospital, Cirebon Regency. Pregnant women with a history of preeclampsia have a 153.342 times higher chance of experiencing preeclampsia in their current pregnancy. Age, Gravida, Interpregnancy interval, BMI, History of preeclampsia, MAP, occupation are factors contributing to the occurrence of preeclampsia in pregnant women at Arjawinangun Hospital, Cirebon Regency.

Currently, cancer is the top ten cause of child mortality in Indonesia. Chemotherapy is an effective intervention to treat cancer children, however, has side effects, including mucositis. The prevalence of mucositis in cancer children is estimated to reach 45−80%, which has implications for the children’s’ quality of life. The purpose of this study was to identify the occurrence of mucositis in cancer children who received chemotherapy treatment. The study was conducted at Dr. RSUP Hasan Sadikin Bandung. This research method was descriptive quantitative. The consecutive sampling technique was used to determine the respondent as the study sample so that 60 respondents were obtained. The process of collecting data used the Oral Assessment Guide (OAG) study instrument in the form of a checklist sheet. Data were analyzed using frequency distribution and percentage. The results showed that almost all cancer children with chemotherapy treatment experienced mucositis which is 53 people (88.3%) and a small proportion of 7 people (11.7%) did not experience mucositis. Almost all cancer children who get chemotherapy treatment experience mucositis. Nurses as health workers who are most often with patients should be able to improve nursing care for cancer children who receive chemotherapy treatment in minimizing the occurrence of mucositis by conducting routine mucositis assessment and oral care to improve the quality of life in cancer children

Technology-based simulation learning methods have great potential to support education for students in the health sector. One of the innovations that can be done is virtual reality. In using virtual reality, paying attention to the quality of virtual reality services to provide learning satisfaction and motivate students to be active in the learning process is essential. VNursLab designed VR as an additional learning media for Padjadjaran University nursing students. Therefore, this study aims to identify nursing students' satisfaction with using VR as a learning media simulator.The method used is pre-experimental quantitative research and a one-shot case study approach. The sampling used in the study was purposive. Eighty-six respondents completed the research by following the VR simulation for 20 minutes and continued filling out the PSSUQ (Post-Study System Usability Questionnaire) questionnaire. The data were analyzed using descriptive analytics by finding the mean value of each aspect of the assessment obtained from the mean of each element of the respondent. The results show that the overall quality of VR VNursLab is good (2.2), with a mean value of system quality (2.3), mean InfoQual (2.21), and IntQual (2.28). Based on these results, VR VNursLab as a learning media with virtual simulation methods has a good quality of use assessment and provides satisfaction with nursing students' use.

Chronic renal failure (CRF) is one of chronic diseases that can decrease the quality of life and trigger anxiety that is formed by negative thinking, including thought of death. The excessive thought of death will cause stress. This situation will have an impact on care planning, preparation for facing death and difficulties in achieving a dignified quality of death. This study aimed to identify the level of death anxiety among CRF patients undergoing haemodialysis. This study used a quantitative descriptive method involving 73 patients recruited by using a consecutive sampling technique. Data were collected by using a Death Anxiety Scale (DAS) Templer instrument that was adapted for haemodialysis patient. Data were analyzed using descriptive statistics (mean, frequency, and percentage).The results of this study showed that nearly half of the patients had moderate death anxiety (n=35), 27.4% respondents (n=20) experienced low death anxiety, and 24.7% respondents (n=18) experienced high death anxiety. Based on the results, it is necessary to manage the death anxiety of CRF patients undergoing haemodialysis. Some potential approaches may include spiritual therapy, group counselling during haemodialysis, cognitive therapy (positive perception strengthening), and health education related to haemodialysis procedures and chronic renal failure.Keyword : Chronic renal failure, death anxiety, haemodialysis. Tingkat Kecemasan Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis dalam Menghadapi KematianAbstrakPenyakit gagal ginjal kronik dapat menurunkan kualitas hidup sehingga memicu kecemasan akibat dari pemikiran negatif termasuk pemikiran akan kematian. Pemikiran kematian yang berlebihan menimbulkan stres tersendiri sehingga berdampak pada perencanaan perawatan, persiapan menghadapi kematian dan sulitnya mencapai kualitas kematian yang bermartabat. Penelitian ini bertujuan untuk mengetahui tingkat kecemasan pasien gagal ginjal kronik yang menjalani hemodialisis dalam menghadapi kematian. Penelitian deskriptif kuantitatif ini melibatkan 73 pasien gagal ginjal kronik yang menjalani hemodialisis diambil dengan teknik consecutive sampling. Pengumpulan data menggunakan instrumen Death Anxiety Scale (DAS) Templer yang diadaptasi untuk pasien hemodialisis. Data dianalisis dengan statistik deskriptif (frekuensi dan persentasi). Hasil penelitian menunjukkan separuh dari jumlah pasien gagal ginjal kronik yang menjalani hemodialisis mengalami kecemasan kematian tingkat sedang (n=35), 27.4% responden (n=20) mengalami kecemasan rendah, dan 24.7% responden (n=18) mengalami kecemasan kematian tinggi. Berdasarkan hasil tersebut perlu dilakukan pengelolaan terhadap kecemasan menghadapi kematian pasien gagal ginjal kronik yang menjalani hemodialisis. Bentuk pengelolaan kecemasan menghadapi kematian diantaranya dengan terapi spiritualitas, konseling kelompok, terapi kognitif (penguatan persepsi positif), dan pemberian pendidikan kesehatan terkait dengan prosedur hemodialisis dan penyakit gagal ginjal kronik.Kata kunci : Gagal ginjal kronik, hemodialisis, kecemasan menghadapi kematian.

Inadequate nutritional intake in toddlers is one of the main causes of stunting. Mother’s knowledge will determine attitudes in maintaining the nutritional needs of toddlers, and reducing the potential for stunting in toddlers. Factors that influence knowledge are education and information. The aim of the study was to analyze the correlation between mother’s education level and received stunting information with mother’s knowledge of stunting in Desa Sukamulya, Bandung Regency. The research design is a correlational quantitative, secondary data approach. The population is mothers with toddler in Desa Sukamulya, Bandung Regency. Samples were taken using total sampling technique, totaling 55 people. The instrument consisted of mother’s education, received stunting information, and mother’s stunting knowledge. The statistical test will be used Chi square. The results showed that there was no correlation between the mother’s education level (p-value = 0.138) and information exposure (p-value = 1.000) and the mother’s knowledge of stunting. Implementation of health education with audio-visual media and booklets as well as information guidance through health cadres can be carried out by community nurses to increase public knowledge regarding stunting. Education level and information exposure were not related to knowledge about stunting in Sukamulya Village, Bandung Regency. Community knowledge can be increased through the provision of health education interventions. Further research still needs to be done with better methods by use primary data.

Background. Self-efficacy needed by Coronary Heart Disease (CHD) patients as a first step in managing the disease. Education is given as an effort to increase patients’ self-efficacy, but the media for education is limited. The workbook is an educational media that would encourage patients’ roles, overcome obstacles and increase the self-efficacy of CHD patients. Purpose. This study aimed to determine the differences in self-efficacy of CHD patients before and after the health education using a workbook. Method. This study was a quasi-experimental study with a pre-test post-test control group design. The samples were 19 patients in the CICU room at a hospital in the city of Bandung that chosen using a purposive sampling technique. The intervention group received health education using media workbooks (n=9) and then another group was the control group (n=10). Self-efficacy was measured using a questionnaire Self-efficacy CHD Management. Data were analyzed using frequency distribution and bivariate using Wilcoxon and Mann Whitney tests. Results. The study found p-value from the Wilcoxon test in the intervention group was 0.008 (p <0.05) while the control group was 0.102 (p> 0.05). The results of the Mann Whitney test showed that before the intervention, the p-value between the intervention group and the control group was 1,000 (p> 0.05), whereas after the intervention the p-value between the two groups was 0.040 (p <0.05). Conclusion. Based on the results of the study, there are significant differences in self-efficacy between the two groups. The health education method using a workbook can be used to improve the self-efficacy of CHD patients.

Tuberculosis (TB) is an infectious disease that causes the second-largest number of deaths after Covid-19. There were 1,627 cases of TB in children in Jambi Province in 2021, while in the city of Jambi, the highest number of cases were in the Puskesmas Familiar Besar area with 159 cases. The impact of TB disease on children will disrupt growth and development. There is a need to address the impacts and new cases of TB in various ways, including health education for children's parents. This study aims to determine the effect of health education on parents' knowledge in preventing tuberculosis in children. This research is quantitative research with a pre-experimental design. The research subjects were parents who had children With a sample of 34 people, the sample was taken using a purposive sampling technique. Data were collected from 5 to 24 June 2023. The intervention provided was TB prevention material with video tools and leaflets. Data was collected using a questionnaire and analyzed univariately and bivariately using the T-Test. The results of univariate analysis showed that the average value of maternal knowledge before the intervention was 6.38 and the average value of maternal knowledge after the intervention was 8.15. The results of the bivariate analysis showed the influence of health education on parental knowledge in preventing tuberculosis in children with a p-value of 0.001. It is hoped that Puskesmas officers will provide health education in various activities to prevent the transmission of tuberculosis to children. This research can be developed with a digital education application to prevent TB in children.

Hypertension is a high blood pressure disorder which disrupts blood flow resulting in blocking of oxygen and nutrition carried by the blood to body tissue. Based on Dinas Kesehatan Jawa Tengah's data, hypertension became one of the health issues with a percentage of 37%. One of non-pharmacological therapy is foot-reflexology therapy. This method gives a relaxation effect that could make blood circulating better, decay the blocking in blood vessel, nourish muscles and nerves, and strenghten heart activity. Objective: To determine the effect of foot reflection therapy toward systolic blood pressure in primary hypertension patient at Ngadirojo, Secang, Magelang Method: This study used the pre-experiment method with one group pre-test post-test design without a control group. Simple random sampling technic was used to get 46 subjects. Result: Wilcoxon Test result showed different significant in this study between pre-post test foot reflection therapy by p=0.000 (p<0.05). It meant there was an effect of foot-reflection therapy on systolic blood pressure in primary hypertension. The average of blood pressure decrease was 3,7 mmHg. Although, the results of this study showed that there was a significantly different decrease in this decrease was not clinically significant. The recommendation is made to conduct a study in a combination of pharmacology and non-pharmacology intervention to lower blood pressure.

Tuberculosis remains one of the deadliest infectious diseases in the world. Not only adults are affected from TB, but children too. Treatment adherence of TB in children can be determined of parents’ attitude towards TB. This study aims to describe parents’ attitude towards child TB in Bandung City. This study was a descriptive quantitative study with cross-sectional approach. Total sampling technique was used in this study; with 50 parents of children with TB visiting community health centers in Bandung City participated. This study used questionnaires adapted from WHO guidance in attitude towards TB survey. Data analysis were done using univariate descriptive statistics in the form of frequency distribution. Based on this study, 94% of the respondents considered TB very serious, 46% of the respondents considered TB very serious in their neighborhood, 60% of the respondents were shocked when their children are diagnosed with TB, 98% of the respondents would talk with doctors to discuss about their children’s condition, and 78% of the respondents said the cost of TB treatment is free. It can be concluded that the majority of parents have positive attitude towards child TB. Based on this study, nurses are expected to facilitate and persuade parents into attitude change towards child TB treatment.