Background: Patients with congestive heart failure need a comprehensive rehabilitative program to restore post-attack physical ability and prevent re-attacks, therefore, it is necessary to develop physical activity protocols for these patients. Objective: This study aims to develop physical activity protocols for patients with congestive heart failure in the inpatient wards of the Level II Putri Hijau Hospital, Indonesia. Methods: This was an action research with 3 cycles consisting of four stages, namely: (1) reconnaissance, (2) planning, (3) action and observation, and (4) reflection. Data were collected quantitatively and qualitatively. Qualitative data were collected using in-depth interview, focus group discussion, and self-report, while quantitative data were collected using nursing knowledge questionnaire to 35 nurses selected using total sampling, and self-efficacy questionnaire about physical activity exercise to 9 patients with congestive heart failure selected using accidental sampling. Qualitative data were analyzed using content analysis, while quantitative data using descriptive statistical test. Results: Findings showed the completed compilation of physical activity protocols for patients with congestive heart failure. The results of observation showed a decrease in blood pressure of patients with congestive heart failure on the average of 3.12 mmHg after given physical activity protocol by nurses. Conclusion: The physical activity protocols for patients with congestive heart failure have been developed, and it has an impact on the increase of nurses' knowledge concerning physical activity exercise for CHF patients as well as the improvement of patients' self-efficacy or self-confidence in doing the physical activities.

Background of pulmonary tuberculosis is an infective disease caused by a microbacterium tuberculosis basil which is one of the breathing diseases under parts most tuberculosis bacilli enter the lung tissue through airbone infection and then undergo a process known as the primary focus of ghon. The main symptoms of pulmonary tuberculosis are coughing for two weeks or more, cough accompanied by phlegm, sputum mixed with blood, difficulty breathing, weakness, loss of appetite, weight loss. One of the signs and symptoms of tuberculosis are coughing accompanied by phlegm and will lead to the ineffectiveness of the respiratory tract hygiene is not effective. Effective coughing is a nursing activity to clear secretions in the airway, which serves to improve secretion mobilization and prevent high risk of retention of secretions. After being given an effective cough action within 1 x 24 hours, the patient is expected to experience an increase in airway clearance in pulmonary TB patients at the Second Putri Hijau Hospital in Medan. The design of this study was a descriptive study with 2 pulmonary TB patients at the Second Putri Hijau Hospital in Medan. The results obtained from the two respondents in patients with pulmonary TB that fulfillment of airway clearance is met, but the time is different because the age is different from the two respondents. From the above studies it can be concluded that teaching coughs can effectively increase secretion mobilization. The advice from researchers is to always pay attention to the treatment program by always monitoring and evaluating the actions of teaching effective cough to patients with pulmonary TB.Keywords: pulmonary tuberculosis, respiratory hygiene,  effective cough

Pulmonary tuberculosis is a disease caused by Mycobacterium Tuberculosis bacteria which attacks a person’s respiratory system. This disease can spread through the air when an infected person coughing or sneezing secretes the droplet or saliva splash. These are what can cause a contagious infection adherence in pulmonary tuberculosis will cause the patient become MDR-TB. The health education provided to the pulmonary tuberculosis patient to increase their knowledge. This research used descriptive case study method, including Assessment, Diagnosis, Intervention, Implementation an Evaluation at 2 Pulmonary Tuberculosis patient at Putri Hijau Hospital. The research found that both pulmonary tuberculosis patient have different result after treated by health education treatment for 4 days, the first patient could overcome the lack of medication adherence while the second patient only could overcome certain of it.

Background of  Chronic Pulmonary Obstruction Disease (COPD) is identified by productive coughing, dyspnea, and obstruction in the respiratory tract. It is the combination of emphysema, chronic bronchiolitis, and asthma. One of the symptom of COPD is the decrease in bodyweight. The research used descriptive method with 2 COPD patients at Putri Hijau Level II Hospital Medan. The result of the analysis on the 2 patients showed that their need for nutrition was fulfilled but in different time, the need for nutrition in patient 1 was fulfilled in the 2nd day while in patient 2 it was fulfilled in the 3nd day due to the difference in their age. The conclusion was that the need for nutrition in COPD patients was different because of the difference in age. It is recommended that COPD patients always pay attention to the program in fulfilling their need for nutrition.Keywords: Nutrition, Chronic Obstruction Pulmonary Desease, Chronic

Latar BelakangTuberculosis merupakan penyakit menular langsung yang disebabkan oleh mycobacterium tuberculosis yang ditularkan melalui udara (droplet nuklei) saat pasien tuberculosis  batuk dan percikan ludah yang mengandung bakteri tersebut terhirup oleh orang lain saat bernapas.Melihat lamanya pengobatan tuberculosis paru diperlukan kepatuhan pengobatan hingga tuntas. Pengobatan yang tidak teratur dikarenakan kebiasaan pasien merasa badannya sudah sehat sehingga tidak menghabiskan obat dan juga efek samping dari obat tersebut yang membuat pasien tidak tahan dan menghentikan minum obat. Beberapa hal tersebut yang menyebabkan timbulnya resistensi kuman tuberculosis paru terhadap OAT secara meluas atau MDR-TB. Penatalaksanaan untuk kurang pengetahuan ini adalah memberikan pendidikan kesehatan tentang pengobatan pada pasien tuberculosis paru. Metode penelitian ini bersifat penelitian deskriptif dengan menggunakan pendekatan proses keperawatan yang meliputiPengkajian, Diagnosis Keperawatan, Intervensi Keperwatan, Implementasi Keperawatan dan Evaluasi Keperawatan pada dua klien penyakit tuberculosis Paru di Rumah Sakit TK II Putri Hijau Medan. Berdasarkan hasil yang didapatkan pada pasien I masalah kurang pengetahuan dapat teratasi sedangkan pada pasien II masalah kurang pengetahuan teratasi sebagian.