Background: In such a modern era, many experiencing society _ an inclined shift _ push for a change in the pattern of a healthy life, where many vote society _ for consuming food ready eat, eating fatty foods, and rarely sport. This _, if done in a manner that keeps going continuously for a period of long time _, will have an impact on the body, one of them i.e., the buildup of cholesterol. Study this aim to identify the influence of giving okra fruit-infused water to decline cholesterol in patients with hypercholesterolemia in hamlets pay customs Methods: The design study is a quasi-experiment with design non-equivalent control group design. With the use taking sample purposive sampling for one month. The population in the study is patients with hypercholesterolemia, with a sample study of as many as 32 people with 16 groups of treatment and 16 groups of control. Data collection using sheet observation and data analysis using paired t-tests. Infused water is given in 1 week. Results: A significance mark p 0.000, more diminutive than 0.05, is appropriate, with the base deciding the paired t-test. Conclusion: it concluded that there is an effect of okra fruit-infused water on a decline in cholesterol in patients with hypercholesterolemia in hamlets Payan Customs Sidoarjo

Background: Hematemesis melena is a patient’s condition with black stools or stools caused by upper gastrointestinal bleeding. Hypovolemic patients with hematemesis melena usually experience nausea, vomiting, and diarrhea. This study aims to describe nursing care for hypovolemia in patients with hematemesis melena. Methods: This research method uses a case study design. Data collection started from assessment to evaluation in the Kasuari ward of Simpang Lima Gumul Hospital in December 2021. The hematemesis melena patient was observed or treated for at least two days. Data collection techniques were carried out through interviews, observation, and documentation. Data analysis was carried out using narrative analysis. Results: assessment of Mr. P with the main complaint complaining of vomiting blood for ±10 days, abdominal pain, weakness, black stools for ±10 days, and urinating for five days. The nursing diagnosis in the case of Mr. P is the actual diagnosis with priority hypovolemia related to functional fluid loss (D.0023). Nursing intervention for Mr. P was compiled based on the diagnosis of hypovolemia using pharmacological techniques such as antibiotics. Conclusion: The patient showed a not-so-significant decrease because the patient still had time to vomit blood and bloody stool.

Background: The pandemic makes the elderly adapt to the behavior of implementing the protocol health. In this New Normal, many older adults still do not wear a mask, wash their hands or use hand sanitizer, and do not keep their distance. The purpose of the study was to determine the behavior of the elderly in preventing Covid-19 in Ngrejo Village Tanggunggunung District Tulungagung Regency. Methods: Descriptive research design, population 377 respondents and sample 38 respondents using purposive sampling technique, research instrument questionnaire sheet. The research was carried out on February 28 – March 26, 2022. Variable of Elderly Behavior in Covid-19 Prevention. Data was analyzed using the mean formula and interpreted quantitatively. Results: The results obtained from 38 respondents showed that most of the Majority (63%) have positive Covid-19 prevention behavior and almost half of the respondents (37%) have negative Covid-19 prevention behavior. Conclusion: Behavior in influenced by knowledge, attitude, and live together. Through this research, it is expected that respondents who have positive behavior to maintain health protocol hebavior, and respondents who have negative behavior to improve behavior according to recommendations from government regarding health protocols such as washing hands. Wearing masks, and keeping a distance

Background: Down syndrome is the retardation of physical and mental growth caused by the developmental abnormalities of chromosome 21 that impact physical and mental barriers that experience the barriers of intellectual development and difficulty in adapting to the environment in everyday life. Children with Down syndrome have distinctive acceptable motor characteristics and other characteristics based on the degree of obstacles it has, which are coarse-hand fingers, stiff, weak muscles, emotional conditions that are difficult to guess and poorly restrained, dependence on adults, and often reject others. The research aims to know the parents' role in fulfilling the basic needs of physical (love, nurture, hone) of children with Down syndrome in Tunge village. Methods: The design of this study uses descriptive, a research population of 16 respondents, and a large sample of 16 respondents with the technique of "total sampling." This research was conducted using a single variable, that is, the role of the parent in fulfillment of basic physical needs (love, nurture, hone) in children with Down Syndrome in village T with instruments in the form of questionnaires then the data is analyzed with percentage and interpreted quantitatively Results: The results of the study gained that of 16 respondents, half respondents had a good role, eight respondents (50%), nearly half of the respondents had a sufficient role of 7 respondents (44%), and a small fraction of the respondents had a less than one respondent (6%). Conclusion: It is influenced by several factors namely age, gender, occupation, last education. The results of this study are expected that parents can improve their role in fulfilling the physical basic needs (love, nurture, hone) in children with Down syndrome, and add insight in the process of fulfilling basic physical needs (love, nurture, hon

Background: Chronic kidney failure patients say they are worried because they see the intervals flowing blood, costs incurred each time undergoing therapy, anxiety because invasive measures will be carried out, and uncertainty about recovery. This case study aims to carry out nursing care for patients with Pre-Dialysis Chronic Renal Failure Patients with anxiety nursing problems at Islamic Hospital Surabaya A.Yani. Methods: This type of research uses qualitative methods with a case study approach. The subjects were 1 Pre Dialysis Chronic Renal Failure patient with nursing problems for three interventions (1 time a day for 10-15 minutes) with data collection methods including assessment, determining diagnosis, making interventions, implementation, and evaluation. Results: Results of a case study of the Spiritual Application of Benson Relaxation in Pre-Dialysis Chronic Kidney Failure Patients at Rumah Sakit Islam Surabaya A.Yani with anxiety nursing problems three times. After carrying out nursing actions 3 x Pre-Hemodialysis Interventions in Chronic Kidney Failure patients, anxiety nursing problems can be resolved. Patients experience changes from initially having an Anxiety score of 78 (anxiety ) to 40 (not anxious). Conclusion: Therapy Spiritual Benson Relaxation effectively reduces anxiety, so it can be used as an alternative to reduce anxiety in patients with chronic kidney failure and for room nurses to be able to implement independent actions by implementing quick response actions so that patients can achieve optimal action.

Background: Menstruation is monthly uterine bleeding for 4-5 days, regularly coming every 28 days from puberty till menopause in a woman’s reproductive life. This study intended to assess the knowledge of adolescent girls regarding menstrual hygiene in selected senior secondary schools with the implementation of the structured teaching program. The study was conducted to assess the pre and post-interventional level of knowledge, evaluate the effectiveness of structured teaching programs, and determine the association between the levels of knowledge with selected demographic variables. Method: Using a quantitative research approach. The study used a pre-experimental one-group pre and post-test design. Sixty samples were selected by using a non-probability simple random sampling technique. The Variable was adolescent girls regarding menstrual hygiene and knowledge. Result: The results showed that in the overall knowledge level of adolescent girls regarding menstrual hygiene, in pre-test there were 37 number (61.67%) adolescent girls with inadequate knowledge, 23 number (38.33%) of adolescent girls with a moderate level of knowledge, whereas in posttest 21 number (35%) of adolescent girls had moderate knowledge, 39 numbers (65%) had adequate knowledge regarding menstrual hygiene. The posttest knowledge mean percentage was found higher (knowledge mean percentage was 76.12% with SD of 1.57 when compared with pre-test mean percentage knowledge mean percentage which was 52.04% with SD of 3.07). Conclusion: Knowledge mean percentage enhancement was 24.08%. The statistical paired ‘t’ test implies that the difference in the pre-test and posttest value was found statistically significant at 5% level (p<0.05) with a paired ‘t’ test value of 14.27. The study's overall findings showed that the structured teaching programme significantly improved adolescent girls' knowledge score regarding menstrual hygiene.

Background: Early marriage is a problem at the national level and in East Java because the number is still high and continues to grow, and the impact poses a health risk to adolescents. Sumenep Regency is a district in Madura that has a high rate of early marriage and is ranked second from East Java, and Mandala Village, Rubaru sub-district, is the place with the most land for early marriage rates Methods: This research method is a survey with a cross-sectional design. The sample of this research is 80 married teenagers in Mandala Village, for the data collection tool uses a questionnaire, and the sample collection technique is multistage proportional random sampling and then analyzed using univariate, bivariate, and multivariate methods. Then a model is created Results: Based on the results of the calculation of Nagekerke R Square on the dominant variable, the value of r2 = 0.135, which means that respondents who promote adolescent reproductive health can be affected by knowledge of 5.749 times greater than respondents who promote adolescent reproductive health, with a 13.5% chance of being unaffected. Conclusion: Based on the results of the research and discussion that have been described in the previous chapter, it can be concluded that several vital things in this research are as follows, There is an influence of knowledge, attitude, the effect of Parenting, and culture on efforts to promote adolescent reproductive health in Mandala Village in 2022.

Background: A phenomenon that often occurs in the community when a traffic accident occurs is that those who provide first aid (first responders) are mostly not medical officers but ordinary people around the scene. Of course, ordinary people will have unique and profound experiences that need to be explored to describe rescue actions when finding accident victims with all their limitations. Methods This study uses a qualitative design with an interpretive phenomenological approach to explore the meaning of the experiences of ordinary people who live close to the highway in assisting accident victims. Data saturation was achieved with 7 participants. The instrument in this research is the researcher as the core instrument, and other supporting tools in the form of a netbook equipped with a voice recording program (Camtasia studio ), ballpoint pen, and paper for field notes. Data collected through in depth interviews processed into transcripts and then analyzed using Interpretive Phenomenological Analysis (IPA) . Results: The results of the study found three major themes, namely trying to help victims as best they could, hoping for the best for victims and hoping for cooperation between the rescue team and the health care system. The three major themes are built from several sub-themes.. Conclusion: The conclusion is that people who live near highways will have the potential to become first responders in helping accident victims in the prehospital phase . With good cooperation between the general public and special lay parties and assisted by health services, it will greatly assist the process of first aid and follow-up assistance to accident victims, so that morbidity and mortality in accident victims can be minimized.

Background: Contribution Assistance coverage for National Health Insurance Participants Participation among recipients is greater than that of non-participants, but the use of health services by National Health Insurance PBI participants in Indonesia remains relatively low. This study aims to determine in 2021 which factors influence the utilization of health services by National Health Insurance PBI group participants in Jambi City. Methods: This study is a quantitative cross-sectional investigation. The sample consisted of 106 random samples collected using the technique of accidental sampling. In this study, the independent variables were education, occupation, knowledge, attitudes, perceptions of health conditions, affordability, and information, while the dependent variable was health service utilization. Respondents filled out questionnaires to generate data. The data analysis consisted of univariate and bivariate (chi-square) tests. Result: This study's findings indicate that the majority of respondents, 61.3%, do not utilize health services. Knowledge (0.000), attitudes (0.003), perception of health conditions (0.012), and information are associated with the utilization of health services, according to this study's statistical analyses (0.000). In addition, there is no correlation between education (0.147), occupation (0.295), affordability (0.787), and the utilization of health services among National Health Insurance (JKN) PBI group participants. Conclusion: There is a correlation between knowledge, attitudes, perceptions of health conditions, and information and the utilization of health services by National Health Insurance for the PBI Group participants in Jambi City.