Stroke is a sudden and severe injury to the brain vessels of the blood vessels. injuries can be caused by clogging and narrowing, resulting in insufficient blood supply, causing disability in the form of paralysis of limbs, speech disorders, thought processes, memory and can cause death.In Stroke Hospital Bukittinggi, the incidence of stroke increases by the end of 2016 is the case of inpatient care in Stroke Hospital Bukittinggi as 4,100 people and outpatient in Stroke Hodpital Bukittinggi as many as 11,113 people. The purpose of this study was to determine the knowledge and attitude of the family on the ability of early detection of ischemic stroke. This research method using descriptive method of analysis with crossectional approach by using questioner and then processed data using chi squere test. The sample in this research is 75 people. The result of the statistical test in obtaining the result between the knowledge of the family on the ability of early detection (sign and symptom) in stroke patient P Value = 0,011 (P> α), it can be concluded there is correlation of knowledge to the ability of early detection with value (P = 0.011 OR = 3,927). Based on statistical test result between family attitudes toward the ability of early detection (sign and symptom) got result P value = 0,186 (P <α) this show that there is no relation between family attitude with ability of early detection (sign and symptom) in ischemic stroke patient at Emergency Unit Stroke Hospital Bukittinggi2018. Suggestions in this study can be used as input for the hospital in order to improve health service and able to increase promotive effort by giving education of ischemicstroke attack to the family. Keywords: Early Detection,Knowledge, Family, Attitudes, Ischemic Stroke Acut   Stroke adalah suatu cedera mendadak dan berat pada pembuluh pembuluh darah otak. cedera dapat disebabkan oleh sumbatan dan penyempitan, menyebabkan kurangnya pasokan darah yang memadai, menyebabkan cacat berupa kelumpuhan anggota gerak, gangguan bicara, proses pikir, daya ingat dan dapat menyebabkan kematian.Di RSSN Bukitinggi , angka kejadian stroke meningkat akhir tahun 2016 ditemui kasus rawat inap di RSSN Bukittinggi sebnyak 4.100 orang dan rawat jalan di RSSN Bukittinggi sebanyak 11.113 orang. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan dan sikap keluarga terhadap kemampuan deteksi dini (tanda dan gejala)  serangan stroke iskemik di ruang IGD RSSN Bukittinggi tahun 2018. Metode penelitian ini menggunakan metode deskriptif analisis dengan pendekatan crossectional dengan menggunakan alat ukur kuesioner kemudian data diolah menggunakan uji chi squere. Sampel dalam penelitian ini ini sebanyak 75 orang. Hasil uji statistik di peroleh hasil antara pengetahuan keluarga terhadap kemampuan deteksi dini (tanda dan gejala) pada pasien stroke P Value = 0,011 (P>α) maka dapat disimpulkan ada hubungan pengetahuan terhadapkemampuan deteksi dini dengan nilai (P=0,011 OR= 3,927). Berdasarkan hasil uji statistikantara sikap keluarga terhadap kemampuan deteksi dini (tanda dan gejala) didapatkan hasil P value= 0,186 (P<α) hal ini menunjukan bahwa tidak ada hubungan antara sikap kelurga dengan kemampuan deteksi dini ( tanda dan gejala) pada pasien stroke iskemik di IGD RSSN Bukittinggi2018. Saran dalam penelitian ini dapat dijadikan masukan bagi rumah sakit agar dapat meningkatkan pelayanan kesehatan dan mampu meningkatkan upaya promotif dengan cara memberi edukasi serangan stroke iskemik aku pada penangana pre hospital  kepada keluarga   Kata Kunci      : Kemampuan Deteksi Dini, Pengetahuan, Sikap, Keluarga, Stoke Iskemik akut

            Cases of coronary heart disease are increasing in developed and developing countries and it is estimated that by 2020 cases of coronary heart disease have reached 82 million cases. More than 60% of coronary heart disease burden globally occurs in developing countries. The purpose of this study was to determine the relationship Understanding Application Characteristics Nurse With Cardiac Pulmonary Resuscitation (CPR) in the ER and ICU hospital room Dr.Achmad Mochtar Bukittinggi Year 2017. This research method used descriptive analytic study designs Correlation approach, then the data is processed by using Chi Square test. The sample in this study as many as 33 people responden. Obtained statistical test p value = 0.014 (p <α), it can be concluded the Relationship Age Nurse With Application Understanding Cardiac Pulmonary Resuscitation (CPR), the value of p value = 0.003 (p <α ), It can be concluded that there is a relationship of Nurses education with the understanding of Implementation of Pulmonary Heart Resuscitation (RJP), obtained p value = 0,031 (p <α) it can be concluded the existence of work relationship Nurses With Understanding Implementation of Pulmonary Heart Resuscitation (RJP) value = 0.010 (p <α), it can be concluded their tenure gender relations nurse With Application understanding Cardiac Pulmonary Resuscitation (CPR). Suggestion in this research is The result of this research can be picture in improving health service especially in application of Lung Heart Resuscitation (RJP).

Acute ischemic stroke assosiated with disability has an event incidence 10 times higher than hemoragic. rTPA trombolysis therapy is the special management of acute ischemic stroke that intends to reperfusing the brain blood vessels to prevent the serious neurological damage if it do on the window time. The nurses leave mayor role in the stroke team, so the nurses that have duty in the stroke unit specially in IGD, ICU, and HCU should have knowledge and skills to care for stroke patients, especially for acute ischemic stroke patients after rTPA therapy.  This study aims to determine the relation between nurse knowledge and attitude with nurse role in advanced management of acute ischemic stroke patients after rTPA therapy in ICU and HCU room RSSN Bukittinggi in 2018. This research used cross sectional descriptive correlation design. The sample of this research were 42 nurses in ICU and HCU RSSN Bukittinggi. This research used non probality sampling method of sampling. nurse knowledge obtained p value = 0,040, nurse attitude obtained p value = 0,002 with OR = 12,600. It was concluded that nurse knowledge and nurse attitudes were statistically related to the role of nurses in the continued management of acute ischemic stroke patients post-rTPA therapy. It is recommended to RSSN Bukittinggi to provide training on the management of rTPA therapy.

Mental health is a state of mental well-being that allows a harmonious and productive life, as an integral part of a person's quality of life by paying attention to aspects of human life. The prevalence of mental disorders worldwide according to WHO (World Health Organization) data in 2019, there are 264 million people experiencing depression, 45 million people suffering from bipolar disorder, 50 million people experiencing dementia, and 20 million people experiencing schizophrenia. This condition needs serious attention from all levels of cross-sectoral government both at the Central and Regional levels, as well as attention from the entire community, especially families. The lack of understanding of the community and families about how to treat patients with mental disorders and the stigma of society on mental patients will have a non-optimal impact on the recovery of family members who suffer from mental disorders. Where the field survey data found a statement that 85% of the people of Puhun Pintu Kabun Bukittinggi City lacked knowledge about people with mental disorders, community stigma in patients with mental disorders and how to treat patients with mental disorders at home. Health education and support from the community and family are very much needed by patients with mental disorders. The results of this community service show that there is an increase in community and family knowledge about mental disorders after being given education about knowledge of mental disorders in the community Keywords: Health Education, Mental Disorder

Chronic renal failure is a major health problem in the world. The prevalence of chronic renal failure aged > 15 years in West Sumatra was 0.2% for patients with hemodialysis therapy where Bukittinggi and surrounding areas were in regional Public Hospitals Dr. Achmad Mochtar. Fatigue has a high prevalence in the population of dialysis patients to overcome the fatigue is one of them is eight- forms of moving meditation relaxation technique. The aim of research to see average pre, post and decline as well as decrease fatigue of eight- forms of moving meditation to patients post-hemodialysis at Outpatient Unit Regional Public Hospital Dr. Achmad Mochtar Bukittinggi 2016. This research was conducted on July 11- 24th, 2016. The study design using Quasi-Experimental Design, in the form of Pre-Post Test One Group Design carried out for 20-30 minutes. Samples in this study were 18 people with sampling techniques is accidental sampling. Collecting data using FAS sheet, statistical tests using test formula Paired T-Test. Collecting data using FAS sheet, statistical tests using test formula Paired T-Test. This study showed that the average pre 29.917, post 25.333 and decrease of fatigue 4.5833 in post-hemodialysis patients with p value <α (0.000 <0.05).Conclusion that giving eight-forms of moving meditation can reduce fatigue in post-hemodialysis patients. Suggested to care institution as an input in order to make the exercise of eight-forms of moving meditation as an alternative therapy for symptoms of fatigue in hemodialysis patients.