<p><span><span style="font-family: 'Arial Narrow','sans-serif'; font-size: 12pt; mso-fareast-font-family: 'MS Mincho'; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;" lang="EN">A stroke is a health problem that requires special medical attention, due to its long-term effects such as disability, anxiety, depression, and lack of social participation, which are the causes of patient's self-efficacy being reduced.  High self-efficacy is needed so that patients will be motivated to take therapy programs, increase their self-esteem and desire for recovery. The purpose of this study is to determine the self-efficacy improvement of post-stroke patients when provided with life review therapy. This study was quasi-experimental. A purposive sampling technique was used to collect the data, with a sample of 60 respondents (30 controls and 30 interventions). Data was collected using a stroke self-efficacy questionnaire. The statistical tests used were Wilcoxon and Mann Whitney. The patient's self-efficacy in the intervention group showed a change in category in the post-test result (before the intervention it was mostly in the moderate category, after the intervention it went  into the high category) with statistical test results p=0.00. The control group remained mostly in the moderate category on both pre-test and post-test results with statistical test results p=0.002. There was a comparison of the effectiveness of applying life review therapy between the two groups (p=0.000). The results of this study indicate that the administration of life review therapy can improve the self-efficacy of patients after a stroke.</span></span></p>

Background: The diabetes mellitus cases have significantly increased in Indonesia over recent years. Health education for patients has often been carried out; however, education using self-instructional methods, which provided self-learning to solve problems by adjusting the patient's ability to improve self-care behaviors, has not been widely used.Purpose: This study aimed to analyze the self-care behaviors of diabetic patients with the application of self-instructional training.Methods: This research was a quasi-experimental study with a non-equivalent pretest-posttest with a control group design. The participants were 73 diabetic patients in the out-patient units selected by a purposive sampling technique, and divided into two groups: the intervention group (n=37) and the control group (n=36). The intervention group received a self-instructional training program which was carried out in two sessions using a booklet; each session lasted for 45 minutes. The Summary of Diabetes Self-Care Activities (SDSCA) questionnaire was used to collect diabetic patients' self-care behavior data. Wilcoxon and Mann-Whitney tests were employed for data analysis.Results: Self-care behaviors of patients with diabetes mellitus increased before and after the training in both groups (p=0.000). However, the increase in the intervention group was higher than that in the control group, from 46.46±5.014 to 58.03±7.320 and from 47.78±4.929 to 51.64±6.406, respectively. There was also a significant difference in the self-care behaviors of diabetic patients between the intervention group and the control group (p=0.000).Conclusion: Self-instructional training significantly improves self-care behaviors of diabetic patients. Therefore, self-instructional training can be considered to apply in the clinical setting for improving self-care behaviors of diabetic patients to prevent complications, and for enhancing nursing care of diabetes mellitus.

Covid-19 merupakan penyakit dengan tingkat morbiditas dan mortalitas yang tinggi dan diperparah dengan kemampuan virus Covid-19 yang menyebar sangat cepat yang tidak sebanding dengan kemampuan dari ilmuwan dalam membuat vaksin menyebabkan kecemasan yang luar biasa bagi masyarakat. Kecemasan yang muncul merupakan bentuk dari adaptasi seseorang dalam menyikapi situasi pandemi Covid-19. Keluarga sebagai bagian terkecil dari masyarakat tentunya sangat terdampak dengan adanya pandemi Covid-19. Beban dan tekanan yang dirasakan keluarga secara langsung maupun tidak akibat pandemi Covid-19 akan berdampak pada kualitas hidupnya. Penelitian ini bertujuan untuk mengetahui keterkaitan kecemasan dan kualitas hidup keluarga pada masa pandemi Covid-19 di Kelurahan Mojoroto Kota Kediri. Desain penelitian menggunakan cross sectional dan pengambilan sampel dengan teknik purposive sampling yang berjumlah 63 Orang. Pengumpulan data menggunakan kuesioner kecemasan HARS sedangkan kualitas hidup menggunakan instrument WHOQOL-BREF. Data dianalisa dengan uji Spearman Rho. Hasil menunjukkan nilai p = 0,000 dan nilai rs = -0,647yang artinya ada keterkaitan kecemasan dan kualitas hidup keluarga pada masa pandemi Covid-19 di Kelurahan Mojoroto Kota Kediri.Kata Kunci : kecemasan; kualitas hidup; keluarga; covid-19ANXIETY AND FAMILY QUALITY OF LIFE DURING COVID-19 PANDEMICABSTRACT Covid-19 is a disease with high rates of morbidity and mortality and it’s exacerbated by the ability of the Covid-19 virus to spread very quickly which is not comparable to the ability of scientists to make vaccines causes tremendous anxiety for the public. Anxiety that arises is a form of adaptation of a person in responding to the Covid-19 pandemic situation. The family as the smallest part of society is certainly very affected by the Covid-19 pandemic. The burden and pressure felt by the family directly or indirectly due to the Covid-19 pandemic will have an impact on their quality of life. This study aims was to determine the relationship between anxiety and family quality of life during the Covid-19 pandemic in Mojoroto, Kediri City. The research design used cross sectional and the sample was taken using purposive sampling technique with a total of 63 people. Data collection was measured using the HARS anxiety questionnaire while the quality of life using the WHOQOL-BREF instrument. Data were analyzed by Spearman Rho test. The results show p value = 0.000 and rs value = -0.647, which means that there is a relationship between anxiety and family quality of life during the Covid-19 pandemic in Mojoroto Village, Kediri City.  Keyword: anxiety; quality of life; family; covid-19

There are many factors and variables that influence the prognosis in patients with severe head injuries make determining the prognosis for patients with severe head injuries become difficult. There are two parameters that can predict the prognosis of severe head injury patients with optimal full outline of unresponsiveness score (FOUR score) and brainstem sign score (BSS). FOUR scores can provide a wealth of information about the scale of neurological signs that are quick and easy used for unconcious patients. BSS is an assessment to predict the death of a person permanently to determine whether there is a physiological function that is not function normally. The aimed of this study was to determine ratio of FOUR score and BSS in determining the prognosis of patients with severe head injury at RSUD Gambiran Kediri. The type of study was cross sectional approach. The sampling technique used consecutive sampling technique and obtained a sample of 60 people. The data was analyzed by using chi-square test for comparison of FOUR score and BSS in determining the prognosis of severe head injury patient at RSUD Gambiran Kediri. Based on the results of study by chi-square test showed that p FOUR score = p BSS = 0,004, which meant the FOUR score and BSS was determined the prognosis of patients with severe traumatic head injury at RSUD Gambiran Kediri. The study showed that there was no difference between the FOUR score and BSS in determining the prognosis of severe head injury patient at RSUD Gambiran Kediri but FOUR score could be used in incubated or ventilated patients. Based on the results of this study, it is advisable to use scoring method more easily and according to the condition of the patient is with the installed ventilator or non ventilator.

Stroke merupakan keadaan yang terjadi akibat adanya gangguan suplai darah ke otak yang awal timbulnya mendadak, progresi cepat berupa defisit neurologis fokal yang berlangsung 24 jam atau langsung menimbulkan kematian. Dampak dari stroke selain bagi pasien juga menimbulkan dampak psikologis kecemasan bagi keluarga pasien dari ketidaksiapan keluarga dalam merawat pasien stroke. Kecemasan pada keluarga dapat diatasi dengan pemberian edukasi berbasis family centered empowerment model. Penelitian ini bertujuan untuk mengetahui penurunan kecemasan keluarga pasien stroke dengan family centered empowerment model di RSUD Gambiran Kota Kediri. Desain penelitian menggunakan pra experiment dengan rancangan one group pretest and posttest design. Pengambilan sampel secara non probability sampling dengan teknik accidental sampling yang berjumlah 54 orang. Pengumpulan data menggunakan kuesioner kecemasan HARS dan dianalisa dengan uji  Wilcoxon Signed Ranks Test. Hasil menunjukkan nilai p = 0,000 yang artinya ada pengaruh family centered empowerment model terhadap penurunan kecemasan keluarga pasien stroke. Kata Kunci : family centered empowerment model; kecemasan; keluarga; strokeAnxiety Reduction Of  Family Patients With Stroke And Family Empowerment Centered ModelAbstractStroke is a condition that occurs due to disruption of blood supply to the brain which has a sudden onset, rapid progression in the form of a focal neurological deficit that lasts 24 hours or immediately causes death. The impact of stroke in addition to the patient also causes psychological effects of anxiety for the patient's family from the family's unpreparedness in caring for stroke patients. Anxiety in the family can be overcome by providing education based on the family centered empowerment model. This study was aimed to determine the decrease in family anxiety of stroke patients with the family centered empowerment model at Gambiran Hospital, Kediri City. The research design used a pre-experimental design with a one group pretest and posttest design. The Sampling was taken by non-probability sampling with accidental sampling technique, totaling 54 people. Data was collected using the HARS anxiety questionnaire and analyzed using the Wilcoxon Signed Ranks Test. The results showed the value of p = 0.000 which means that there is an effect of family centered empowerment model on reducing family anxiety of stroke patients.Key Word: family centered empowerment model; anxiety; family; stroke