WHO states that Indonesia's population is the fourth largest population after China, India, and the United States. According to the 2013 World Health Statistics data, the population of China is 1.35 billion, India is 1.24 billion, the United States 313 million, and Indonesia is in fourth place with 242 million WHO population predicts that by 2020 the estimated number of Indonesia's elderly will be around 80,000,000. Cases of insomnia in the elderly are higher than in other age groups, which is 12–39%. One therapy that can overcome sleep disorders in the elderly is foot reflexology massage therapy. This literature review aims to determine the effect of foot reflexology massage in the elderly who experience sleep disorders. The design in this scientific paper is a literature review search using an electronic data base that is google scholar and pubmed. The keywords used in the search are elderly, foot reflexology, sleep of quality. The inclusion criteria used in the article are full text accessible in English and Indonesian, the year of the journal used is limited to the last ten years. The results found 1 article from Google Scholar and 2 articles from PubMed discussing the effectiveness of foot reflexology massage on improving sleep quality in the elderly. Literature review results from the three articles show that foot reflexology is effective in improving sleep quality in the elderly.

Diabetic ulcer is one of the main reasons of morbidity in diabetic patients, and it accounts for about 50% of non-traumatic amputations throughout the world. Wound dressing is an integral part in the management of diabetic ulcer. The Literature Review intends to analyze the effectiveness of natural ingredients as complementary alternative medicine used in wound care for diabetic ulcer patients. A Method used is critical review full-textof the last 10 years periods(2007-2017) in English language. The Database used is PubMed, ScienceDirect, EBSCOhost, dan SAGE Journal. Search strategies used PICO (Population, Intervention, Comparison, Outcome), key word :“Diabetic Ulcer” and “Wound Healing’ and “ Complementary Alternative Medicine”. The articles selected gradually and obtained 18 articles. The Result of the literature review found 4 natural ingredient that can be used as dressing in the treatment of diabetic ulcer. The used of dressings can be used as an option in diabetic wound care because it effectively promote in wound healing and more cost effective.

BACKGROUND: Anxiety is confusion or worry about something that is not certain with unclear causes, causing feelings of uncertainty and powerlessness over the assessment of an object. Based on data at Izza Hospital, the number of patients who were hospitalized in July was 427 patients. The increasing number of patients in inpatient rooms during the COVID-19 pandemic caused psychological shocks to family members which caused anxiety. AIM: The purpose of this study was to find out the description of family anxiety in the inpatient room during the COVID-19 pandemic. METHODS: The design of this research is descriptive analytic with a cross-sectional approach. The population of this study was the entire family of patients who were treated in inpatient rooms during the COVID-19 pandemic, with a total sample of 96 respondents using a consecutive sampling technique. This study used a visual analog scale for anxiety (VAS-A) questionnaire to measure the respondents’ level of anxiety. RESULTS: The results of this study showed that the patient’s family in the hospital inpatient room experienced mild anxiety 42 respondents (43.8%), with an average age of 40-44 years (n = 18; 0.19%), female gender (n = 51; 0.53), respondents’ education (n = 53; 0.55), work (n = 57; 0.6), nuclear family (n = 83; 0.09). CONCLUSION: The conclusion of this study that the prevalence of anxiety in family members mostly experienced mild anxiety with a total of 42 (43.8%) respondents.

Patients with cancer will experience limitations in meeting their daily needs, including psychological problems such as stress. Stress can be assessed through cortisol saliva as a biomarker of stress. Foot Reflexology will help restore the body's energy balance, stimulate relaxation and endorphins, and reduce stress. To determine the effect of foot reflexology to reduce salivary cortisol levels as a biomarker of anxiety for patients with cancer. Adult patients with cancer in stage II and III hospitalized in a Public hospital in Central Java, Indonesia, were invited. Foot reflexology was given once (40 minutes) a day. Saliva collection was carried out two times a day (30 minutes before intervention) and 15 minutes after intervention. Salivary cortisol levels at baseline and post-intervention were measured and compared to determine the effect of foot reflexology. Data were analyzed using the Wilcox on signed-rank and effect size (ES) test. Fifty-five patients (93.2%) participated in this study. We found that the effect size of foot reflexology was 0.82 (ρ = 0.001) with a mean and standard deviation of salivary cortisol levels at baseline and post-intervention were (9.31 ± 5.45 and 6.17 ± 4.55) respectively. These findings indicated the significant effect of giving Foot Reflexology Massage in reducing salivary cortisol levels. Foot Reflexology massage is proven to have a substantial impact on reducing the Salivary cortisol level as a stress biomarker.

Background Quality of sleep is very important for everyone both healthy and sick, Efforts to provide sleeping pills have also not been effective because of the elderly do not want to report or treat sleep problems experienced so that the quality of sleep becomes poor. One of the therapies that can be done to improve the quality of sleep in the elderly, using Cognitive Behaviour Theraphy (CBT) therapy. Method research design is quasi experimental design pre and post test design with Control group and interventions in the form of CBT therapy to elderly clients. The study was conducted using two groups, the intervention group was given CBT therapeutic interventions and the control group was only given general care. The study subjects got CBT therapy for 2 days (dose 2 X 1 day @ 20-30 minutes). Measurement of sleep quality was carried out 2 times for 4 days in the study subjects using the Indonesian version of the ISI instrument.