Sindrom koroner akut (SKA) merupakan penyakit jantung penyebab kematian. Gejala depresi, kecemasan, dan stres meningkat pada pasien SKA. Gejala ini dapat memengaruhi proses pengobatan dan penyembuhan serta menimbulkan komplikasi. Penelitian ini bertujuan untuk mengidentifikasi pengaruh SEFT terhadap penurunan gejala depresi, kecemasan, dan stres pada pasien SKA yang dirawat di ruang rawat intensif jantung. Rancangan penelitian menggunakan quasi eksperimen, teknik pengambilan sampel dengan consecutive sampling,sebanyak 42 orang. Penetapan jumlah responsden untuk kontrol dan kelompok intervensi menggunakan number ramdom trial, sehingga ditetapkan kelompok intervensi berjumlah 19 responsden dan untuk kelompok kontrol berjumlah 23 responsden. Kelompok intervensi dan kelompok kontrol diukur tingkat depresi, kecemasan, dan stres mengunakan kuesioner The Depression Anxiety Stres Scales 21(DASS 21) kemudian pada kelompok intervensi diberikan intervensi SEFT satu kali selama 15 menit dan diukur kembali tingkat depresi, kecemasan, dan stres pada kelompok intervensi dan kelompok kontrol. Data dianalisis dengan Wilcoxon dan Mann Whitney. Hasil menunjukkan perbedaan yang bermakna antara tingkat depresi, kecemasan, dan stres sebelum dan sesudah intervensi SEFT antara kelompok intervensi dan kelompok kontrol (p<0.05). Intervensi SEFT membantu menurunkan depresi, kecemasan, dan stres pada pasien SKA.Kata kunci:Depresi, intervensi SEFT, kecemasan, stres AbstractAcute coronary syndrome (ACS) is a cause of heart disease deaths. Symptoms of depressi on anxiety, and stres is increased in patients with ACS. These symptoms may affect treatment and healing processand cause complications. This study aims to determine the effect of intervention Spiritual Emotional Freedom Technique (SEFT) to decrease depression, anxiety, and stres in patients with ACS who were treated in the cardiac intensive care unit. The research design was quasi-experimental, and using consequtive sampling as sampling technique, 42 responsdents were divided into intervention and control groups. Determination the number of responsdents for the control and intervention groups using a number ramdom trial, 19 responsdents intervention group and 23 responsdents the control group. Intervention group and control group measure levels of depression, anxiety, and stres using questionnaires The Depression Anxiety Stres Scales 21 (DASS 21) later in the intervention group was given SEFT intervention once for 15 minutes and measured return rates of depression, anxiety, and stres in the intervention group and the control group. Data were analyzed with the Wilcoxon and Mann Whitney. Results show significant differences between levels of depression, anxiety, and stres before and after the intervention SEFT between the intervention group and the control group (p<0.05). SEFT interventions help reduce depression, anxiety, and stres in patients with ACS. Limitations of this study is the difficulty in controlling the characteristics of the responsdents as a confounding variable. This research benefits that SEFT interventions can be used to reduce depression, anxiety, and stres in patients with ACS, and can be consider as one intervention.Key words: Anxiety, depression, stres, SEFT Intervention

Breast milk is the most important food for babies, especially in the first month of baby life. The lack of production of breast milk after childbirth can be caused by a lack of stimulation of the hormone prolactin and oxytocin. Oxytocin massage is one solution to overcome the non-smooth production of breast milk. The use of lavender essential oil can help mothers to improve relaxation and comfort to increase the production of breast milk. The study aimed to determine the effect of oxytocin massage method using lavender essential oil on the smooth production of breast milk in postpartum mothers in Rejang Lebong Regency. The research hypothesis is that there is an effect of oxytocin massage method using lavender essential oil on the smooth production of breast milk in postpartum mothers. The population in this study were postpartum mothers on day 2. The sample was 32 people of two groups. The instruments used were questionnaires and observation sheets for the action of oxytocin massage method using lavender essential oil. Quantitative research method with quasi-experimental design, with pre-test and post-test design with control group a research design that aims to test the causal relationship.In this study, the intervention of oxytocin massage method will be used using lavender essential oil for the smooth production of breast milk in postpartum mothers. The results showed that there was an effect of oxytocin massage method using lavender essential oil on the smooth production of breast milk in postpartum mothers with a P <0.05. Conclusion: There is an effect of oxytocin massage using lavender essential oil on the smooth production of breast milk.

Backgroud: Self-care education can be carried out patients with diabetes through the Diabetes Self-Management Education (DSME) method. The DSME method helps people to perform with type 2 diabetes self-management in managing and treating type 2 diabetes, such as controlling blood sugar levels and HbA1c values. Objective: The purpose of this research is to understand the effect of DSME for reducing blood sugar levels and decreasing HbA1c values ​​in type 2 diabetes patients. Methods: The design of this research is a Pre-Experimental with Pretest-Posttest Group Design with a Pretest-Posttest Group Design, approach which aims to see the use of the DSME method for reducing blood sugar levels and decreasing HbA1c values ​​in type 2 diabetes patients. This research was conducted from July to October 2021. The research location was at the Curup Regional General Hospital, Rejang Lebong Regency. Respondents in this study were 35 patients with type 2 diabetes. The instrument used was the DSME method consisting of 3 instruments, including the theoretical concept of diabetes, care and treatment of diabetes, and complications of diabetes. Results: The results of the study show a significant change in blood sugar levels before and after the DSME. Before being carried out, blood sugar levels were with a Mean±SD of 341.60±157.589; meanwhile, after the intervention, blood sugar levels became 107.97±9.984 with a p:0.001. On the other hand, the HbA1c Value before intervention was Mean±SD 8.4313±2.2610, and after the intervention, the HbA1c value became 6.4553±1.2426 with p=0.001. Conclusion: DSME can be used as an alternative intervention that decreases in blood sugar levels and HbA1c values ​​in patients with type 2 diabetes.

Introduction: Peripheral arterial disease often occurs in patients with type 2 diabetes mellitus. Peripheral arterial disease in patients with type 2 diabetes mellitus occurs due to decreased blood circulation in the lower extremities. Looking at the value of the ankle-brachial index is one of the actions that can be taken to detect peripheral arterial disease. Objective: The purpose of this study was to determine the effect of a foot exercise intervention on the ankle-brachial index value of type 2 diabetes mellitus patients. Methods: This research was a quantitative research with a pre-experimental design, with one pre-test and post-test design. The research was carried out at Rejang Lebong Hospital from August to November 2020. The number of samples used in this study were 35 patients experiencing type 2 diabetes mellitus for more than five years. The analysis used in this study was the Wilcoxon test. Results: The results showed a difference in the mean of the ankle-brachial index before (1.02) and after (1.12) the intervention. Thus, there was an increase of 0.10 in the average value of the ankle-brachial index. The analysis result of this study showed the value of p = 0.001 (p<0.05). Conclusion: Foot exercise can be used as an alternative intervention to increase the value of the ankle-brachial index in patients with type 2 diabetes mellitus.

Changes that occur during pregnancy may be difficult during pregnancy and during childbirth. Complications during pregnancy include back pain, low back pain, pelvic pain, and shortness of breath. One of the most common discomforts is back pain. Back pain is the most common musculoskeletal problem in pregnant women. It is estimated that 50% to 70% of pregnant women suffer from this problem. The purpose of this study was to determine the effect of pelvic tilt training on the reduction of back pain in third-trimester pregnant women in the Rejang Lebong Regency. The research variable was back pain in third-trimester pregnant women measured before and after pelvic tilt exercises. The research was conducted in May-July 2020. This type of research is Quasi-Experimental, the results of the sample calculation obtained a sample of 32 people. The statistical test used to see the reduction in back pain before and after Pelvic tilt exercise is non-parametric Wilcoxon. Results of back pain in the third trimester of pregnant women after being given pelvic tilt exercise with p <0.005. There is a difference in back pain in the third trimester of pregnant women after pelvic tilt exercises.