Introduction: The cause of serious problems in patients with chronic kidney disease on hemodialysis is due to uncontrolled fluid intake problems. Factors affect the restriction of patient's fluid intake include internal factors such as age, education, level duration of hemodialysis therapy and external factors such as closest people relationships. Method:  Analytical descriptive method with total sampling; 57 patients at Dr. H. Soewondo Kendal Hospital. The instrument used Fluid Management Instrument from António Filipe (2015). Result: fluid restriction mostly in bad category were 55 respondents (96,5%) and salt reduction in bad category 47 respondent (82,5%). Discussion: It is advisable to the hospital to require education and evaluation for the patient about structured fluid management by health personnel so that people with chronic kidney disease (CKD) on hemodialysis in accordance with the expected results more leverage.

Hypertension becomes a silent killer because in some cases it does not show any symptoms on the sufferer. The purpose of this study was to determine factors related to self care in adults who experienced hypertension in Kendal 01 health center. This research used a descriptive correlative design with cross sectional study design. Sample in this research use accidental sampling technique counted 96 respondents. The statistical test in this study used Kendall Taub's test and Chi Square Test. The result of this research can be concluded that there is a strong positive relationship between functional status with self care (p value 0,0001) (r = 0,523), Family support with self care (p value 0.0001) (r count 0,411) , And Emotional Change with self care (p value 0.0001). Then suggested to health service can give information and do home care by way of visit to every patient of hypertension.

AbstrakOral hygiene merupakan salah satu tindakan keperawatan yang dilakukan agar kondisi rongga mulut tetap bersih dan segar sehingga terhindar dari infeksi. Oral hygiene juga mampu mengurangi jumlah mikroorganisme dan pengumpulan organisme yang mengalami translokasi serta kolonisasi di dalam mulut. Pasien di ruang ICU sangat berisiko terkena infeksi. Tujuan penelitian ini untuk mengetahui gambaran pelaksanaan tindakan perawatan oral hygiene pada pasien di ruang Intensive Care Unit (ICU). Desain penelitian ini menggunakan deskriptif sejumlah 35 responden yaitu perawat yang bekerja diruang Intensive Care Unit (ICU) menggunakan teknik total sampling. Pelaksanaan tindakan perawatan oral hygiene dalam kategori kurang sebanyak 21 responden (60,0%). Hal tersebut dipengaruhi oleh ketidakseimbangan antara rasio perawat dengan pasien, fasilitas dalam pelaksanaan oral hygiene masih belum memadai, dan perawat juga belum memahami sepenuhnya bagaimana pelaksanaan oral hygiene yang sesuai dengan standar operasional prosedur. Hasil penelitian ini menyarankan, sebaiknya memberikan reward/penghargaan kepada perawat untuk meningkatkan motivasinya dalam tindakan oral hygiene di ICU. Kata kunci     :         Oral Hygiene, Intensive Care Unit, Perawat AbstractDescription of Implementation Oral Hygiene in Patients in the ICU room.Oral hygiene is one of the nursing actions carried out so that the condition of the oral cavity remains clean and fresh so as to avoid infection. Oral hygiene is also able to reduce the number of microorganisms and the collection of organisms that experience translocation and colonization in the mouth. Patients in the ICU room are very at risk for infection. The purpose of this study was to determine the description of the implementation of oral hygiene in patients in the Intensive Care Unit (ICU). This study design using descriptive analytical 35 respondents, a number of respondents is 35 nurses working at Intensive Care Unit (ICU) room using total sampling technique. The implementation of oral hygiene care measures in the less category as many as 21 respondents (60.0%). This is influenced by the imbalance between the ratio of nurses and patients, facilities in the implementation of oral hygiene are still inadequate, and nurses also do not fully understand how the implementation of oral hygiene is in accordance with standard operating procedures. The results of this study suggest, should give rewards / awards to nurses to improve oral hygiene motivation to act in the ICU. Keywords: Oral Hygiene, Intensive Care Unit,  Nurses

Masalah fisik yang muncul pada pasien stroke yaitu hilangnya kesadaran selama stroke, inkontinensia, kelumpuhan atau kelemahan otot, sehingga pasien mengalami gangguan gerak karena adanya kerusakan susunan saraf pada otak dan kekakuan pada otot dan sendi. Penelitian bertujuan untuk mengetahui perbedaan latihan kekuatan otot pasien pasca stroke yang memperoleh berbagai dukungan keluarga. Desain penelitian ini adalah study komparatif adalah menggunakan metode Cross-Sectional. Sampel dalam penelitian ini sebanyak 54 responden dan menngunakan teknik consecutive sampling. Alat yang digunakan pada penelitian ini adalah kuesioner Perceived Social Support-Family Scale (PSS-Fa) dan kuesioner latihan kekuatan otot. Pengambilan data dilakukan di ruang Poli Syaraf RSUD Dr. H. Soewondo Kendal pada 15 responden menggunakan teknik consecutive sampling. Tidak ada perbedaan antara latihan kekuatan otot pasien pasca stroke yang memperoleh dukungan keluarga baik dan dukungan kurang dengan nilai p value 0,727.   Kata kunci : dukungan keluarga, latihan kekuatan otot, pasca stroke   DIFFERENCE OF EXERCISE STRENGTHS OF THE MUSCLE OF POST-STROKE PATIENTS THAT GET VARIOUS FAMILY SUPPORT   ABSTRACT Physical problems that arise in stroke patients are loss of consciousness during stroke, incontinence, paralysis or muscle weakness, so that patients experience movement disorders due to damage to the nervous system in the brain and stiffness in the muscles and joints. The study aimed to determine the differences in muscle strength training of post-stroke patients who received various family support. The design of this study is a comparative study using the Cross-Sectional method. The sample in this study were 54 respondents and used consecutive sampling technique. The tool used in this study was the Perceived Social Support-Family Scale (PSS-Fa) questionnaire and muscle strength training questionnaire. Data collection was carried out in the Neurology Room of the RSUD Dr. H. Soewondo Kendal for 15 respondents using consecutive sampling technique. There was no difference between muscle strength training in post-stroke patients who received good family support and less support with a p value of 0.727.   Keywords: family support, muscle strength training, post stroke

ABSTRAKPenderita penyakit ginjal kronis (PGK) harus menjalani hemodialisa seumur hidup dan mengalami berbagai masalah akibat tidak berfungsinya ginjal yang dapat muncul setiap saat sampai akhir kehidupan. Keadaan ini menjadi stresor yang berpengaruh pada berbagai dimensi biopsikososiospiritual pasien seperti: ketidakberdayaan, kurangnya penerimaan diri yang dapat mengarahkan pasien pada kondisi stres, cemas, bahkan depresi. Tujuan penelitian ini untuk mengetahui perbedaan kejadian depresi antara pasien CKD on HD yang memperoleh dukungan keluarga baik dan kurang. Variabel penelitian ini meliputi variabel bebas dukungan keluarga variabel terikat depresi. Desain penelitian cross sectional. Populasi pasien CKD on HD dan jumlah sampel 40 pasien dengan teknik consecutive sampling. Hasil penelitian menggunakan fisher exact test menunjukkan perbedaan kejadian depresi pada pasien CKD on HD antara yang memperoleh dukungan keluarga baik dan kurang (p=0,021 ; α=0,05). Rekomendasi, keluarga perlu memberikan meningkatkan dukungannya kepada pasien CKD on HD. Peneliti selanjutnya dapat melanjutkan investigasi tentang variabel lain yang mempengaruhi depresi pasien CKD on HD.