THE EFFECT OF PHYSICAL EXERCISE ON FATIGUE DECREASING IN CHRONIC CALCULATION FAILURE PATIENTS THAT HAVE HEMODALISA IN DR. H. ABDUL MOELOEKLAMPUNG PROVINCE  Introduction: Based on the Bandar Lampung branch BPJS Health data, which covers several areas such as: Bandar Lampung, South Lampung (Lamsel), Pesawaran, Pringsewu, and Tanggamus, the number of dialysis medical measures in 2015 reached 52,721 cases (BPJS, 2015). As for the incidence of chronic kidney failure in Dr. H. Abdul Moeloek Lampung Province alone as many as 120 people, and 89 people underwent hemodialysis, in 2018, this data has increased compared to 2017, namely as many as 98 people who had CRF and underwent hemidialysis.Objective: To analyze the effect of physical exercise on fatigue reduction in patients with chronic renal failure undergoing hemodalysis in Dr. Hospital H. Abdul Moeloek Lampung Province.Method: This type of research is quantitative. The design of the Quasi Experimental method with the One group pretest - posttest design approach. The population was 89 respondents, the sample used was 17 respondents, the sampling in the study was purposive sampling Statistical test using the dependent t-test.Results: The average score of fatigue before being given physical training meant that fatigue scores were 34.41, which meant that respondents experienced fatigue, average fatigue scores after being given physical training, mean fatigue scores were 19.12, which meant respondents did not experience fatigue.Conclusion: It means that there is an effect of physical exercise on fatigue reduction in patients with chronic kidney failure patients who undergo hemodalysis in Dr. Hospital. H. Abdul Moeloek Lampung Province, Suggestions for hospitals are expected to be able to make this physical exercise therapy an operational standard of nursing procedures in providing care as long as patients undergo hemodialysis. Keywords          : Physical Exercise, Fatigue, Hemodialysis  INTISARI: PENGARUH LATIHAN FISIK TERHADAP PENURUNAN FATIGUE PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODALISA DI RSUD DR. H. ABDUL MOELOEK PROVINSI LAMPUNG    Pendahuluan: Berdasarkan data BPJS Kesehatan cabang Bandar Lampung, yang meliputi beberapa daerah seperti : Bandar Lampung, Lampung Selatan (Lamsel), Pesawaran, Pringsewu, dan Tanggamus, menunjukkan jumlah tindakan medis cuci darah pada 2015 mencapai 52.721 kasus (BPJS, 2015). Sedangkan untuk kejadian gagal ginjal kronik di RSUD Dr. H. Abdul Moeloek Provinsi Lampung sendiri sebanyak 120 orang, dan 89 orang menjalani hemodialisa, pada tahun 2018, data ini mengalami peningkatan jika dibandingkan pada tahun 2017 yaitu sebanyak 98 orang yang mengalami GGK dan menjalani hemidialisa (RSUD Dr. H. Abdul Moeloek, 2018)Tujuan: Untuk menganalisa pengaruh latihan fisik terhadap penurunan fatigue pada pasien gagal ginjal kronik yang menjalani hemodalisa di RSUD Dr. H. Abdul Moeloek Provinsi Lampung Tahun 2019Metode: Jenis penelitian ini adalah Kuantitatif. Desain penelitian metode Quasi Eksperimental dengan pendekatan One group pretest – posttest design. Populasi sebanyak 89 responden, sampel yang digunakan adalah 17 responden, pengambilan sampel pada penelitian adalah purposive sampling Uji statistik menggunakan uji t-tes dependen.Hasil : Rata-rata skor fatigue sebelum diberikan latihan fisik mean skor fatigue sebesar 34,41 yang artinya responden mengalami kelelahan, rata-rata skor fatigue sesudah diberikan latihan fisik mean skor fatigue sebesar 19,12 yang artinya responden tidak mengalami kelelahan. Nilai p-value  0.000 < 0,05.Kesimpulan : Artinya terdapat pengaruh latihan fisik terhadap penurunan fatigue pada pasien gagal ginjal kronik yang menjalani hemodalisa di RSUD Dr. H. Abdul Moeloek Provinsi Lampung Tahun 2019, Saran bagi Rumah sakit diharapkan dapat menjadikan terapi latihan fisik ini sebagai standar operasional prosedur keperawatan dalam memberikan asuhan selama pasien menjalani hemodialysis. Kata Kunci             : Latihan Fisik, Fatigue, Hemodialisa

: THE RELATIONSHIP KNOWLEDGE AND NURSING COMMUNICATION WITH THE IMPLEMENTATION OF PATIENT RECOVERY PLANNING INPATIENT RSUD ZAINAL ABIDIN PAGARALAM WAY KANAN 2018 Background: In Indonesia, as many as (61%) nurses in Yogyakarta do not undertake home planning. In addition, research conducted in Bandung showed that as many (54%) nurses did not carry out the planning home. In Lampung Province, especially in Zainal Abidin Pagaralam Way Kanan Hospital, based on observation of the list of outgoing patients, not all nurses write home plans for the patients. Only 32 list (25%) of the 128 list of information have been made back home (Medical Record of RSUD Zainal Abidin Pagaralam Right Way, 2017).Purpose: To know the relationship of knowladge and  nurse communication with the implementation of planning to go home in hospital room of Zainal Abidin Pagaralam Hospital Right Way of Year 2018.Methods: The type of this research is quantitative, the design in this study used the design of Analytic Survey with cross sectional approach, the number of population and the sample of 72 people, the sample technique in this study is the total sampling. The research will be conducted at RSUD Zainal Abidin Pagaralam Way Kanan Year 2018, with questionnaire research instrument and statistic test using chi-square test.Results: In this research, it was found that 38 (73,7%) were not good enough and 10 (26,3%) were good implementation with p-value (0,001) and 37 respondents had bad communication obtained 28 (75,7%) the implementation is not good and 9 (24,3%) the implementation is good with p-value (0.000).Conclusion: There is a Significant Relation Between Nursing Knowledge and Communication With Implementation of Planning Home in the Inpatient Room of Zainal Abidin Pagaralam Hospital Right Way of Year 2018. The suggestion in this research is to prepare in planning the making of standard policy guideline for planning the return home. Keywords : Pediatric Communication, Implementation, Planning Home

The effect of range motion (ROM) ankle exercise on prevention of neuropathy and angiopathy in patient with diabetes mellitusBackground: Based on data from Basic Health Research (2013) conducted by the Indonesian Ministry of Health in a way to obtain the proportion of DM at the age of 15 years and over, confirmed / checked whether or not they suffer from DM or not.It was found that Lampung Province was ranked as the 8th largest DM person from 33 provinces throughout Indonesia, with DM patients with 38,923 lives and 5,560 people. One complication that needs attention is diabetes foot injury and it can cause amputation. The most common cause of diabetes foot injury is peripheral neuropathy which includes damage to sensory, autonomic and motor nerves.Purpose: The purpose of this study was to determine the effect of Range of Motion (ROM) ankle exercise on prevention of neuropathy and angiopathy on diabetes patients.Methods: A quasi experimental pre and post- test with control group study design was employed. The purposive sampling with 26 participants (13 respondents intervention group and 13 respondents control group) were recruited. The interventions groups performed ROM ankle exercise in their own respective training programs for 4 weeks, whereas no training was done in the control group. Both groups intervention and control, before and after the exercise program were measured with monofilament test for neuropathy and Venous Doppler for angiopathy. The data analysis was using t-test.Results: In the intervention group there were a significant improvements after ROM ankle exercise on prevention of neuropathy with p Value 0.000 and for angiopathy with p Value 0.000. There were significant different between intervention group and control group for neuropathy (p: .004) and angiopathy (p: .031).Conclusion: To prevent neuropathy and angiopathy on diabetes patients a home exercise program with Range of Motion (ROM) ankle could be implementedKeywords: Range of Motion; Neuropathy; Angiopathy; Diabetes MellitusPendahuluan: Berdasarkan Riskesdas tahun 2013 oleh Kemenkes RI dengan melakukan wawan cara untuk mendapatkan proporsi DM pada usia 15 tahun keatas yaitu proporsi penduduk yang terdiagnosis menderita DM dan penduduk yang belum pernah didiagnosis menderita DM. Provinsi Lampung menduduki peringkat ke – 8 penyandang DM terbesar dari 33 Provinsi diseluruh Indonesia, 38.923 jiwa dan 5.560 jiwa . Salah satu komplikasi yang harus mendapat perhatian yaitu luka kaki diabetes karena dapat mengakibarkan amputasi. Penyebab terbanyak dari luka kaki diabetes yaitu neuropati perifer yang meliputi kerusakan syaraf sensorik, otonom dan motorik.Tujuan: Diketahui pengaruh Range Of Motion (ROM) Ankle terhadap pencegahan terjadinya Neuropati dan Angiopati pada pasien Diabetes Melitus.Metode: Penelitian ini mengunakan desain quasi eksperimen pre post test dengan kelompok control dan intervensi..Sampel diambil dengan menggunakan tehnik Purposive Sampling dengan jumlah sampel yaitu 26 responden. Instrument penelitian ini  menggunakan 10 gr semmens weinstein monofilament untuk  mendeteksi  Neuropati dan  Venous Doppler  Ultrasound untuk  mendeteksi angiopati. Hasil: Menunjukkan adanya pengaruh latihan Range of Motion (ROM) Ankle terhadap pencegahan neuropati dengan p Value 0.000 dan angiopati dengan p Value 0.000. Terdapat perbedaan bermakna antara kelompok intervensi dan control untuk neuropati (p: .004) dan  angiopati  (p: .031).Simpulan: Untuk mencegah terjadinya neuropati dan angiopati pada penderita DM untuk dapat melakukan latihan Range of Motion (ROM) Ankle  dirumah

Psycho-religious therapy in reducing violent behavior among   patients  with  SchizophreniaBackground: The main problem that often occurs to patients with schizophrenia is violent behavior. Violent behavior is a state in which a person performs a physically harmfulserve to himself or to another person. Psychoreligious therapy is a therapy that is usually through a religiousreligion approach such as client believed according their riligion   and tends to touch the spiritual side of man and also rather to awaken the spiritual power against of with illness. Data reported to Lampung Mental Hospital, the trend  number of violent behavior  was increasing and data in 2018 as many as 194 patients with violent behavior.Purpose: Knowing effectiveness of psycho-religious therapy in reducing violent behavior among patients with schizophrenia Lampung Mental Hospital 2019Methods: A quantitative and quasi experiment with two group pretest postest design. the population of this study were all patients with violent behavior in the inpatient ward of Lampung mental hospital as many as 30 patients. this research instrument used observation sheet. statistical analysis used t dependent tests.Result: Finding the mean score of violent behavior behavior before psychoreligious therapy were of 16.87 with a standard deviation of 1.46, and after psycho religious  therapy was 13.0 with a standard deviation of 1.0.Conclusion: There was an influence of psycho religious therapy in reducing violent behavior inpatients with schizophrenia (p value 0,000).Suggestion: The hospital management to apply psychoreligious therapy programs to patients with  schizophrenia specially patients has risk of violent behaviorKeywords: Psychoreligious Therapy; Violence Behavior; SchizophreniaPendahuluan: Permasalahan utama yang sering terjadi pada pasien Skizofrenia adalah perilaku kekerasan. Perilaku kekerasan adalah suatu keadaan dimana seseorang melakukan tindakan yang membahayakan secara fisik, baik kepada diri sendiri, maupun orang lain. Terapi psikoreligius adalah terapi yang biasanya melalui pendekatan  keagamaan yang dianut oleh klien dan cenderung untuk menyentuh sisi  spiritual manusia, untuk membangkitkan kekuatan spiritual dalam menghadapi penyakit yang dideritanya  Dari data yang diperoleh dari Rumah Sakit Jiwa Daerah Provinsi Lampung jumlah pasien dengan prilaku kekerasan  cenderung meningkat dan data di tahun 2018 sebanyak 194 pasien dengan perilaku kekerasan.Tujuan: Mengetahui pengaruh terapi psikoreligi terhadap penurunan perilaku kekerasan pada pasien skizopfrenia di ruang rawat inap  Rumah Sakit Jiwa Daerah  Provinsi Lampung Tahun 2019.Metode: Penelitian kuantitatif menggunakan Quasi Eksperiment dengan two group pretest postest. Populasi dan sampelnya seluruh pasien dengan perilaku kekerasan di Ruang Rawat Inap Rumah Sakit Jiwa Daerah Provinsi Lampung  sebanyak 30 pasien. Instrumen penelitian ini menggunakan lembar observasi. Analisastatistik yang digunakan yaitu uji t Dependen.Hasil: Didapatkan nilai rata-rata skor perilaku kekerasan Sebelum Terapi psikoreligi adalah 16,87 dengan standar deviasi 1,46, rata-rata Skor perilaku kekerasan sesudah Terapi psikoreligi adalah 13.0 dengan standar deviasi 1,0.Simpulan: Ada pengaruh terapi psikoreligi terhadap penurunan perilaku kekerasan pada pasien skizopfrenia di Ruang Rawat Inap  Rumah Sakit Jiwa Daerah  Provinsi Lampung Tahun 2019 (p value 0,000).Saran: Ditujukan kepada pihak manajemen rumah sakit agar menerapakan program terapi psikoreligius pada pasien schizophrenia dengan perilaku kekerasan.

Effect of Benson relaxation technique on blood pressure in patients with hypertensionBackground: Hypertension management is classified into non-pharmacological and pharmacological therapy. Non-pharmacological therapy is believed to be safer and has a positive effect. The technique is Benson relaxation, this technique focuses more attention. So it can create a calm environment and can control blood pressure.Purpose: To know effect of Benson's relaxation technique on blood pressure in patients with hypertension at Poncowati Health Center, Central Lampung. Method: Quantitative research with the research design "Quasy Experimental” with using Nonequivalent control group design/non randomized control group pretest posttest design. The research subjects were 32 respondents who were divided into two groups. Data analysis used parametric statistical paired T test and unpaired T test (Independent T Test).Results: There is an effect of Benson relaxation therapy on reducing blood pressure in patients with hypertension, where the average difference in systolic blood pressure between the intervention group and the control group is 8.063 (p-value 0.000) and diastolic blood pressure of 4.188 (p-value 0.003).Conclusion: There is an effect of Benson relaxation therapy on reducing blood pressure in hypertensive patients.Keywords: Benson relaxation; Blood pressure; Patient; HypertensionPendahuluan: Penatalaksanaan hipertensi dikelompokkan menjadi terapi nonfarmakologi dan terapi farmakologi. Terapi nonfarmakologi diyakini lebih aman dan memberikan efek positif. Salah satu tekniknya yaitu  relaksasi benson, teknik ini lebih memusatkan perhatian. Sehingga dapat menciptakan lingkungan yang tenang dan dapat mengontrol tekanan darah.Tujuan: Untuk mengetahui pengaruh terapi relaksasi Benson terhadap penurunan tekanan darah penderita hipertensi di Puskesmas Poncowati Lampung Tengah.Metode: Eksperimen semu (quasi experiment design) dengan bentuk Nonequivalent control group design/non randomized control group pretest postest design. Subjek penelitian sebanyak 32 responden yang dibagi menjadi dua kelompok.  Analisa data menggunakan statistik parametrik uji T berpasangan (Paired T Test) dan uji T tidak berpasangan (Independent T Test).Hasil: Pengaruh terapi relaksasi Benson terhadap penurunan tekanan darah penderita hipertensi dengan selisih rata-rata tekanan darah sistolik antara kelompok intervensi dengan kelompok kontrol adalah sebesar 8,063 (p-value 0,000) dan diastolik sebesar 4,188 (p-value 0,003).Simpulan: Adanya pengaruh terapi relaksasi Benson terhadap penurunan tekanan darah penderita hipertensi.