Perilaku kepatuhan pasien tuberkulosis menjadi faktor paling penting dalam mencapai keberhasilan pengobatan, termasuk kepatuhan terhadap obat-obatan, pencegahan penularan, dan kepatuhan nutrisi. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh intervensi edukasi yang berbasis Theory Of Planned Behavior (TPB) dalam meningkatkan kepatuhan pasien TB. Metode: Quasy-experiment pre-post-test with control group dilakukan terhadap 108 pasien TB paru di Puskesmas Bubakan Pacitan, pengambilan sampel menggunakan teknik total sampling. Penelitian ini dilakukan dengan memberikan intervensi edukasi yang berbasis TPB pada kelompok intervensi selama 2 bulan. Analisis statistik penelitian ini menggunakan independen t-test dan chi-square. Hasil: Setelah dilakukan intervensi selama 2 bulan terdapat perbedaan signifikan di antara kelompok intervensi dan kontrol pada Attitude Toward Behavioral variables (ATB), Subjective Norm (SN), Percieved Behavior Control (PBC), niat, kepatuhan pengobatan, kepatuhan nutrisi, dan kepatuhan pencegahan penularan. Kesimpulan: Intervensi edukasi yang berbasis Theory Of Planned Behavior terbukti memiliki pengaruh dalam meningkatkan ATB, SN, PBC, niat, kepatuhan pengobatan, kepatuhan nutrisi, dan kepatuhan pencegahan penularan.

The use of mechanical and chemical hemostatic control techniques in spinal fusion surgery is common in Indonesia. However, there has been no study comparing the two in a single clinical trials. This study aims to find out which best of tranexamic acid injection, a bulky compression dressing and a standard dressing in providing surgical outcomes in spinal fusion surgery. Thirty patients were grouped into three, 10 patients each. To Group 1, tranexamic acid at a dose of 500 mg/ml was administered pre operation and 2 hours later. For Group 2, a bulky compression dressing was performed by covering the surgical wounds with a low-adherent dressing, overlaid with four layers of sterile gauze and then sealed with a conformable adhesive retention tape. Standard dressing was applied to the patients of Group-3 using the same type of bandage and adhesive tape given to the Group-2, but only overlaid with two layers of sterile gauze. There is no statistical difference among trials groups for preoperative (P > 0.220) and postoperative (P > 0.380) hemoglobin levels and the level of perioperative blood loss (P > 0.110). With respect to number of transfusion required, the tranexamic acid group was significantly lower compared to the standard dressing group (P = 0.018). No abnormality of wound seen in all three trials groups and only 2 patients of bulky compression dressing group reported experience of headache. In conclusion, tranexamic acid is better to promote hemostasis compared to conventional dressing techniques.

There are several options of surgical treatment of Hernia Nucleous Pulposus (HNP) such as discectomy and micro-endodiscectomy (MED). The fundamental differences between these procedures are the size of the incision, the discectomy procedure and the volume of disc taken. However, until now, there has not been any class 1 evidences explaining the efficacy of these procedures, and there is only a few studies about its safety and factors influencing its efficacy in treating HNP, especially in Indonesia. This study is aimed to assess clinical outcomes and safety of MED in HNP patients who underwent this procedure. Patient with HNP who underwent MED were followed prospectively in a period of January 2015 until December 2016. Clinical outcomes were evaluated by using Visual Analog Score (VAS) for assessing back pain and leg, and Oswestry Disability Index (ODI). The mean of pre-treatment score was compared with the mean of post-surgical treatment score by using paired t-test. Sampel were 78 HNP patients treated surgery. The average surgery duration (± SD) was 60 ± 17.1 minutes. The pretreatment score mean on VAS and ODI were 4.88 ± 1.10 and 35.21 ± 8.24. After surgical treatment, the VAS and ODI score obtained were significantly reduced to 1.53 ± 1.14 and 5.16 ± 5.52, respectively (p<0,001). A type of complication was observed, which was 5 (6.4%) cases of dural tear; no deficit in ankle dorsiflexion nor foot paresis were found. MED has been shown to be able to treat HNP with clinical outcomes similar to conventional open discectomy but with better levels of safety and effectiveness. However, this procedure still requires high quality randomized controlled trials studying about its efficacy and cost effectiveness in HNP treatment.

Background: Klien dengan Diabetes Melitus tipe 2 dilaporkan memiliki berbagai gangguan tidur dibandingkan dengan subyek kontrol yang sehat. Tidur yang efektif untuk klien dengan Diabetes Mellitus Tipe 2 diperlukan untuk memperbaiki sel yang rusak, termasuk sel beta yang berfungsi untuk memproduksi insulin. Tujuan: untuk mengetahui hubungan kualitas tidur dengan kadar glukosa darah pada klien dengan Diabetes Mellitus Tipe 2. Metode: Penelitian ini adalah penelitian kuantitatif, dengan pendekatan cross sectional. Pemilihan sampel menggunakan simple random sampling dengan jumlah sampel sebanyak 104 responden. Kualitas Tidur klien dengan Diabetes Mellitus Tipe 2 diukur menggunakan kuesioner PSQI (Pittsburgh Sleeping Quality Index) dengan skor PSQI >5 sebagai kualitas tidur yang buruk dan skor ?5 sebagai kualitas tidur yang baik. Kadar glukosa darah diambil menggunakan Blood Glucose Meter. Uji statistik yang digunakan adalah Rank Spearman. Hasil: Hasil uji statistik menunjukkan hubungan positif antara kualitas tidur dan kadar glukosa darah (P = 0,000 <0,05). Kesimpulan: Klien dengan Diabetes Mellitus tipe 2 ditemukan cenderung memiliki kualitas tidur yang buruk seperti durasi tidur yang pendek, kualitas tidur subjektif yang buruk, dan beberapa gangguan tidur yang dapat menyebabkan kadar glukosa darah yang buruk.  

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