Patient with critical condition had high morbidity and mortality rate. This condition is worsened by long term immobilization. Instability vital sign made nurses stationed delayed mobilization activities in ICU. Progressive mobilization must be started for ICU patient to decrease respiratory function, level of awareness and cardiovascular function. The objective of this study was to identify progressive mobilization activities on blood pressure parameters among critical patients in ICU. The design of this study was quai experiment design. Thirty respondents were included to the study using concequtive sampling. Progressive mobilization was given with head of bed 300 (HOB 300), head of bed450 (HOB 450) with  passive range of motion, continued with right and left lateral position. Anova repeated measurement was used to identify mean difference each of blood pressure. The result of this study show there is two moment sistolic change between HOB 300 to HOB 450 and HOB 450 to right lateral position (3,3%). There is nine moment diastolic change between HOB 450 to right lateral position (16,7%).   Keywords: blood pressure, ICU, Progressive mobilization

Latar belakang: Stroke Non Hemoragik merupakan suatu gangguan yang disebabkan oleh iskemik, trombosis, emboli dan penyempitan lumen sehingga aliran darah ke otak terhenti. Stroke dapat berdampak pada berbagai fungsi tubuh diantaranya kelemahan otot. Latiham genggam bola karet dapat menimbulkan rangsangan sehingga meningkatkan aktivitas dari kimiawi neoromuskuler dan muskuler sehingga meningkatkan kekuatan otot. Tujuan : Penelitian ini bertujuan untuk menggambarkan penerapan latihan genggam bola karet terhadap kekuatan otot pada pasien stroke non hemoragik. Metode: Rancangan penelitian yang digunakan adalah deskriptif dengan metode pendekatan studi kasus. Subjek yang dipakai sebanyak dua responden dengan kriteria stroke non hemoragik serangan pertama, mengalami kelemahan ekstremitas atas, dapat berkomunikasi dengan baik. Bentuk intervensi berupa penerapan latihan genggam bola karet selama 4 hari. Alat ukur kekuatan otot menggunakan handgrip dynamometer.  Data dianalisa dengan analisis deskriptif. Hasil: Hasil penelitian menunjukkan subjek 1 mengalami peningkatan nilai kekuatan otot dari 14,6 kg menjadi 21 kg, subjek II dari 14,8 kg menjadi 18,8 kg. Hasil studi kasus menyimpulkan terdapat peningkatan nilai kekuatan otot pada subjek I sebanyak 6,4 kg dan subjek II sebanyak 4 kg. Saran : Terapi latihan genggam bola karet direkomendasikan sebagai intervensi keperawatan dalam manajemen kekuatan otot pada klien Stroke Non Hemoragik.

Background The Healthy Living Community Movement (GERMAS) is a program launched by the Ministry of Health to reduce the main risks of communicable and non-communicable diseases (PTM), especially through nutritional interventions for the first 1000 days of life, improving balanced nutrition consumption patterns for the whole family, increasing regular and measurable physical activity. , improve a healthy lifestyle, improve a healthy environment and reduce cigarette and alcohol consumption. Purpose is to improve the health status of the community through early detection of non-communicable diseases (DD-PTM), especially those with diabetes mellitus. Method begins with interviews with health cadres in the Bulustalan village area, followed by early detection programs and fitness exercises. Results:. Result The health checks carried out were anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and temporary blood sugar measurements. Of the 50 residents who participated in the DD-PTM implementation, as many as 24% of the residents (12 people) just found out that they had pre-diabetes mellitus, 16% (8 people) already knew that they had hypertension and diabetes mellitus, as many as 6% (3 people) ) had an abdominal circumference of more than 100 cm, 54% (27 people) were in good health. Conclusion: Early detection of non-communicable diseases is very important to prevent further complications. Keywords:

AbstrakLansia merupakan fase dimana seseorang yang telah mengalami tahap akhir perkembangan dari daur kehidupan manusia. Masa lansia adalah masa dimana lansia mengalami kemunduran secara fisik, mental dan sosial. Kemunduran fisik yang dialami salah satunya dapat menderita penyakit diabetes mellitus. Ketidakteraturan lansia dalam mengelola penyakit diabetes mellitus dapat mengganggu self-management. Pengelolaan self-management tersebut dapat ditangani oleh tenaga kesehatan salah satunya perawat. Penanganan yang dapat perawat berikan adalah dengan memberdayakan masyarakat sekitar dengan salah satu intervensi adalah self-help group (SHG). Metode penelitian yang penulis gunakan adalah quasi-experiment dengan bentuk rancangan pre-post test with control group. Pengambilan sample  menggunakan teknik purposive sampling dengan jumlah responden sebanyak 90 orang. Metode SHG diberikan dalam 5 sesi selama 1 bulan. Materi yang diberikan berupa pengetahuan, nutrisi, pengobatan oral, dan aktivitas fisik pada lansia dengan DM. Analisis data yang digunakan adalah Uji Wilcoxon. Hasil penelitian menunjukkan menggunakan Uji Wilcoxon terdapat peningkatan self-management dari 5,37 menjadi 6,58 dengan p value < α=0,05. Berdasarkan uji Mann-Whitney terdapat pengaruh SHG terhadap self-management dengan p-value=0,000<0,05. Metode SHG dalam penelitian ini efektif dalam meningkatkan self-management pada lansia yang menderita DM. Instrument yang digunakan adalah DSMQ (Diabetes Self-management Questionnaire).Kata kunci: diabetes mellitus, lansia, self-management, self-help group (SHG) Enhancement Self-Management of Elderly with Diabetes Mellitus through Self-Help Group (SHG) AbstractElderly is a phase where someone has experienced the final stages of development from the human life cycle. The period of the elderly is the last lifetime, where at this time a person experiences physical, mental and social setbacks. Physical deterioration experienced by one of them can suffer from diabetes mellitus. The irregularity of the elderly in managing diabetes mellitus can interfere with self-management. Management of self-management can be handled by health workers, one of whom is a nurse. The handling that nurses can give is to empower the surrounding community with one of the interventions is self-help group (SHG). The method in this study was a quasi-experiment with a pre-post test with control group design. The sampling technique used was purposive sampling with the number of respondents as many as 90 people. The SHG method is given in 5 sessions for 1 month. The material provided was in the form of knowledge, nutrition, oral medication, and physical activity in the elderly with DM. Analysis of the data used is the Wilcoxon Test. The results showed that using the Wilcoxon Test there was an increase in self-management from 5.37 to 6.58 with p value <α = 0.05. Based on the Mann-Whitney test there is an effect of SHG on self-management with p-value = 0,000 <0.05. The SHG method in this study was effective in increasing self-management in elderly people suffering from DM. The instrument used was DSMQ (Diabetes Self-Management Questionnaire). Keywords  : diabetes mellitus, elderly, self-management, self-help group (SHG)

Hypertension is a chronic condition that results in an increase in blood pressure. Hypertension can cause headaches, headache is pain in the head that causes discomfort. One way to overcome them is by massage. The purpose of this case study is to describe the application of massage from shoulder to head to the level of headache in hypertensive patients. The method used is descriptive research. This research was conducted on 2 subjects. The subjects of this study were hypertension patients with criteria of being willing to be respondents, stage 1 hypertension with mild headaches, age 40 years and above. Analysis of the level of headache was done descriptively and measured based on the Numeric Rating Scale. The results of the analysis showed a decrease in the level of headache after the intervention. In subject I mild headache with a scale of 3 to scale 1 and subject II of mild headache with a scale of 3 became a scale 1. Conclusion that massage from the shoulder to the head is effective for reducing headaches, especially in hypertensive patients who experience headaches. Recommendations for nurses can apply massage therapy to reduce the level of headache in hypertensive patients