Labor in pregnant women will result in various psychological problems for pregnant women, one of which is anxiety. Anxiety in pregnant women if not handled seriously will have an impact on the physical and psychological effects, both on the mother and on the fetus. One non-pharmacological therapy that can reduce anxiety is five-finger hypnosis, where this therapy can reduce muscle tension, help focus attention and reduce fear. The purpose of this study was to determine the effectiveness of five-finger hypnosis therapy on pre-partum maternal anxiety. This study uses the one group pre and post test quasy experiment method which aims to determine the effectiveness of before and after five finger hypnosis therapy on pre-partum maternal anxiety. The population was in this study were all pre-partum mothers of 180 people. The sampling technique uses a quota sampling of 15 people. The measuring instrument uses an anxiety questionnaire, the Hamilton Anxiety Rating Scale. Analysis is using the Wilcoxon test with p value <0.005. The results showed that the effectiveness of five-finger hypnosis therapy on pre-partum maternal anxiety resulted in p value = 0.001. It is recommended to the clinic to be able to provide information about the action of five-finger hypnosis therapy and can train pregnant women who will give birth so that the mother can know the benefits and the right way to eliminate anxiety at the time of delivery

Patient Safety is the avoidance, prevention, and repair of unexpected events or overcome injuries from the health care process. Lack of understanding about patient safety can lead to patient safety events due to a lack of knowledge and attitudes of nurses with nurses' actions about patient safety. Knowledge and attitude are needed to improve patient safety and improve the quality of hospital services. This study aims to determine the relationship between nurses' knowledge and attitudes with actions about patient safety in the Datu Beru Takengon Regional General Hospital. The design of this research is the descriptive correlation with the cross-sectional approach. The study population was implementing nurses, amounting to 273 people and the sample in this study amounted to 67 people using Simple Random Sampling sampling techniques. The statistical test used by Spearman-rho. The results obtained there is a relationship of knowledge with the actions of nurses about patient safety where the value (p = 0.033; p <0.05), with a value of r = 0.261 which means that the strength of the relationship is weak and there is a relationship between attitude and nurses' actions about patient safety where the value of p = 0.047; p <0.05 with a value of r = 0.243 which means the strength of the relationship is weak. In conclusion, there is a significant relationship between the knowledge and actions of nurses and there is a significant relationship between attitudes and actions of nurses about patient safety.

Diabetes Mellitus is a long-term disease characterized by abnormal blood glucose levels. DM can cause several complications, one of which is Diabetic neuropathy which contributes to the occurrence of wounds, causing dry skin, anhidrosis; which makes it easier for the skin to become damaged and wounds that are difficult to heal and can cause infections that contribute to gangrene. To overcome this problem, people with diabetes mellitus must have knowledge about diabetic wounds which include early detection and prevention of diabetic foot wounds. This type of research is analytic with a cross sectional study design with the aim of knowing the relationship between knowledge about diabetic wounds and wound prevention measures in patients with diabetes mellitus at Puskesmas Kenangan. The population in this study were all DM patients who were treated at the Puskesmas Kenangan who had not experienced gangrene complications as many as 25 people with a sample of 25 people, the sample was taken by total sampling. The results of the study. Knowledge of the majority of diabetic wounds was less as many as 15 people (60%) and the majority of wound prevention measures were bad as many as 19 people (76%). The conclusion is that there is a relationship between the knowledge of people with diabetes mellitus about diabetic wounds and wound prevention measures, indicated by the P value = 0.000 (p <0.05), meaning that there is a relationship between the respondent's knowledge and wound prevention measures. To add insight and knowledge about diabetic wounds and how to prevent injuries, it is recommended for DM patients to take part in counseling about diabetic wounds held both at the puskesmas and other health facilities. It is recommended for nurses to provide health education to DM patients in order to increase knowledge about diabetic wounds by attaching posters of wound prevention measures.

Dikarenakan angka kematian pasien cedera kepala tinggi, sehingga diperlukan penilaian awal yang akurat untuk memprediksi hasil dan asuhan keperawatan yang sesuai dengan kondisi pasien. Tujuan penelitian ini adalah untuk mengetahui GCS, tekanan darah sistolik, dan frekuensi pernapasan yang dapat menjadi prediktor mortalitas pasien cedera kepala di RSUP Haji Adam Malik Medan. Desain penelitian ini adalah observasional analitik dengan pendekatan retrospektif. Populasi dalam penelitian ini adalah rekam medis pasien cedera kepala bulan Januari-Desember 2018 di RSUP Haji Adam Malik Medan. Pengambilan sampel dilakukan dengan teknik purposive sampling dengan kriteria: memiliki skor GCS, tekanan darah sistolik, dan frekuensi pernafasan pada saat pasien masuk IGD dan bukan pasien pindahan. Hasil uji regresi logistik menunjukkan adanya hubungan GCS (p 0,000; OR 3,299) dan tekanan darah (p 0,024; OR 1,044) terhadap kematian pasien cedera kepala. Kesimpulan bahwa GCS dan tekanan darah secara statistik dapat meningkatkan prediksi mortalitas pada pasien cedera kepala.

Diabetes mellitus (DM) is one of the biggest health problems in the world because every year there is an increase in cases. In addition to the increasing number, DM is also known to cause many complications which are divided into two, namely acute complications and chronic complications. The emergence of complications and leading to death in DM patients is due to the low self-efficacy and self-care behavior of DM patients themselves. Self-efficacy is an important factor that is defined as a patient's confidence in maintaining and improving his medical condition. Seeing the importance of self-efficacy in the care of DM patients, increasing patient self-efficacy is needed, namely through the Diabetes Self Management Education (DSME) program. The purpose of this study was to determine the effect of the WhatsApp-based DSME application on the self-efficacy of Type 2 DM patients. This type of research is a Quasy Experiment and the sampling technique used in this study is purposive sampling (Non-Probability sampling). The research design used was Pre-Experiment With Only one Group Pretest - Postest Design. The number of samples was 22 DM type 2 patients. Demographic data collection through questionnaires distributed via google form. The statistical test used was the Paired t test. The results of statistical tests found that there was an effect of WhatsApp-based DSME on the self-efficacy of Type 2 DM patients, with a p value of 0.000 (p <0.05). This shows that there is an effect of WhatsApp-based DSME on the self-efficacy of Type 2 DM patients at the Hamparan Perak Community Health Center.