THE EFFECTIVENESS OF DEEP BREATHING RELAXATION TO ELDERLY REDUCED STRESS IN TRESNA WERDHA ELDERLY NURSING HOME IN NATAR OF SOUTH LAMPUNG DISTRICT IN 2019 Introduction: mental problems that often occur in elderly include stress, anxiety, and depression. The elderly suffered mental problems such as not precious feeling, loneliness, and lost. When these stressing conditions continue and are not mitigated immediately, then they would cause elderly’s mental problems. The survey and observation 17 elderly suffered moderate stress with characteristics including easy to be fatigue, tensed back muscles, losing sleeping time, guilty feeling, fear and anxiety, hard beat chest, and trembling body.Objective: the objective of this research was to find out the effectiveness of deep breathing relaxation to elderly reducedMethod: this was a quantitative and quasi-experiment research by using one group pretest and posttest design. Population was 17 respondents and samples were of total population. Data were analyzed by using dependent t-test by using DASS questionnaires with 14 items as measurement instrument.Result: the average scores of stresses before and after breathing relaxation therapy 2019 were 21.53 and 16.29 respectively. The statistic test result derived p-value 0.000 < α 0.05.Conclusion: Ther is aeffectivenessof deep breathing relaxation therapy to elderly reduced. The researcher suggests that the deep breathing relaxation therapy can be used to reduce elderly stress in TresnaWerdha Elderly Nursing Home. This therapy can be used as alternative medication concerning stress to mitigate psychological problems of elderly especially stress. Keywords: Deep Breathing Relaxation, Stress Level ,Elderly INTISARI:KEEFEKTIFAN RELAKSASI NAFAS DALAM TERHADAP PENURUNAN STRES PADA LANSIA  Pendahuluan : Masalah mental yang sering terjadi pada lansia adalah stres, kecemasan dan depresi. Lansia yang mengalami masalah mental mulai mengalami perasaan tidak berharga, kesepian dan kehilangan. Apabila kondisi stres ini terus menerus terjadi pada lansia dan tidak di atasi secepatnya maka akan berdampak kemasalah kejiwaan lansia. Hasil Survei dan Observasi didapatkan, 17 lansia dengan stres sedang, ciri-ciri fisik mudah lelah, otot punggung terasa tegang, kehilangan waktu tidur, perasaan bersalah, timbul perasaan ketakutan dan kecemasan, jantung berdebar-debar, serta badan sering gemetar.Tujuan : Diketahui Keefektifan Relaksasi Nafas Dalam Terhadap Penurunan Tingkat Stres Pada Lansia.Metode : Jenis Penelitian Kuantitatif, Rancangan Penelitian Quasi Experimen Design Dengan Pendekatan One Grup Pretes- Posttes Design. Populasi dalam Penelirian ini Sebanyak 17 responden dan Sampel Penelitian ini Menggunakan Total Sampling, Uji statistik menggunakan uji t-tes dependen dan menggunakan alat ukur DASS 14 item.Hasil : Pada penelitian ini sebelum diberikan relaksasi nafas dalam didapat nilai mean 21,53 dan setelah diberikan terapi relaksasi nafas dalam didapat nilai mean 16,29, hasil uji statistik didapatkan nilai p value 0,000 dimana p value <α (0,05).Simpulan : Ada Keefektifan Relaksasi Nafas Dalam Terhadap Penurunan Stres Pada Lansia. Saran dari peneliti Teknik relaksasi nafas dalam dapat dijadikan pengobatan alternatif dalam panti khususnya tentang stres serta mampu menanggulangi masalah psikologis lansia terutama masalah stres yang muncu Kata Kunci: Relaksasi Nafas Dalam, Stres, Lansia

Abstrak. Menurut International Diabetes Federation (IDF) pada tahun 2015, prevalensi jumlah DM di dunia sebesar 8,8 persen dengan jumlah penderita sebesar 415 juta penderita dan pada 2040 diperkirakan akan meningkat sejumlah 642 juta penderita (10,4 persen) (IDF, 2015). Sedangkan Indonesia menempati peringkat ke-7 penderita diabetes terbanyak di dunia. Salah satu buah yang dapat dimanfaatkan untuk perbaikan diet penderita diabetes melitus adalah buah naga yang memiliki keunggulan yaitu kaya serat dan antioksidan. Tujuan setelah penyuluhan dan demonstrasi, diharapkan pembuatan jus buah naga merah dapat untuk menurunkan kadar glukosa pada klien diabetes melitus. Adapun kegiatan yang dilakukan berupa penyuluhan menggunakan leaflet dan demonstrasi pemberian buah naga merah. Terdapat penurunan kadar glukosa pada klien diabetes melitus setelah pemberian buah naga merah selama 10 hari di Bandar Lampung. Dengan demikian, pemberian buah naga merah pada klien diabetes melitus sangat efektif dalam menurunkan glukosa.  Abstract: According to the International Diabetes Federation (IDF) in 2015, the prevalence of DM in the world (8.8 percent) with the number of sufferers at 415 million and 2040 it was expected to increase by 642 million patients (10.4 percent). While Indonesia ranks 7th most diabetics in the world. One of the fruits that can be used to improve the diet of diabetics is a dragon fruit that has the advantage of being rich in fiber and antioxidants. The Purpose after counseling and demonstration is expected to make red dragon fruit juice can reduce glucose levels in diabetes mellitus clients. The activities carried out in the form of counseling using leaflets and demonstrations giving red dragon fruit. There is a decrease in glucose levels in diabetes mellitus clients after giving red dragon fruit for 10 days at Bandar Lampung. Thus, giving red dragon fruit to diabetes mellitus clients is very effective in reducing glucose.

Hypertension mostly occurs at age 35-44 years (6.3%), age 45-54 years (11.9%), and age 55-64 years (17.2%). The elderly are at high risk for degenerative diseases, such as coronary heart disease, hypertension, diabetes mellitus, gout (rheumatism), and cancer. The hypertension is a one disease that many elderly suffer. The cause of the incidence of hypertension is an unhealthy lifestyle that causes hypertension such as smoking, drinking alcohol and fatty foods. The aim of counseling is to increase public knowledge, especially those over 60 years of age, about the risk of hypertension, the importance of hypertension treatment, and prevention of hypertension. Participants who attended were 4 elderly involve of men and women. The gathering place following by Covid-19 protocol. The media using such as flipcharts and leaflets. The results of this activity can improve of their knowledge regarding hypertension, especially who are more than 60 years old. Suggestions for the future need a more health promotion regularly on the schedule by public health centre management and nursing staff

The effect of basic life support training simulation on knowledge and motivation of first aid in road traffic accidents among high school students Background: Basic Life Support is the main foundation used to save someone who is  experiencing cardiac arrest. Accidents are events that can cause injury or even cause  death. Based on a survey at the South Lampung Police, there were 295 accident data in  2020. Purpose: To know the effect of basic life support training simulation on knowledge and motivation of first aid in road traffic accidents among high school studentsMethod: A quantitative, using a quasi-experimental design, and two-group (intervention group and control group) pretest-posttest design was carried out at Yadika Natar High School, Lampung on 08 May 2021 - 09 June 2021. The population of all students with a sample of 32 participants. Collecting data using a questionnaire distributed to participants. Data analysis by univariate (frequency distribution) and bivariate (Wilcoxson test).Results: Finding that most of the participants' knowledge and motivation before the simulation was 6 (37.5%) for knowledge and motivation less than 8 (50.0%). After a  simulation of the knowledge level of 16 (100%) participants with 16 (100%) participants having prime motivation. There is a relationship between the basic life support training simulation on increasing knowledge and motivation about handling traffic accidents with a P-value of 0.001 for knowledge and a P-value of 0.000 for participants' motivation.Conclusion: There is a relationship between the basic life support training simulation with increasing students' knowledge and motivation about handling traffic accidents at Yadika  Natar High School South Lampung in 2021 with an M±SD value before the simulation of  5.56±1.711 for participant knowledge and 47.06±9.657 for participant motivation. Meanwhile, after the simulation, the M±SD value was 7.88±1.408 for participant knowledge and 67.94±3.586 for participant motivation. The researcher hopes that the school can cooperate with the trainers to provide health education and counseling regularly to students about first aid measures in the event of a traffic accident.Keywords: Basic life support training;  Simulation; Knowledge; Motivation; First aid; Road traffic accidents; High school studentsPendahuluan: Bantuan hidup dasar merupakan pondasi utama yang digunakan untuk  menyelamatkan seseorang yang sedang mengalami serangan jantung. Kecelakaan adalah  suatu kejadian yang dapat menyebabkan cedera atau bahkan menyebabkan  kematian. Berdasarkan survei di Polres Lampung Selatan, terdapat 295 data kecelakaan  pada tahun 2020. Tujuan: Pengaruh simulasi pelatihan bantuan hidup dasar (BHD) terhadap pengetahuan dan motivasi siswa tentang penanganan kejadian kecelakaan lalu lintasMetode: Penelitian kuantitatif, menggunakan desain quasi-experimental, dan  rancangan two group pretest-posttest, dilakukan di SMA Yadika Natar Lampung  Selatan bulan 08 mei 2021 - 09 juni 2021. Partisipannya sebanyak 32 yang di bagi dalam 2 kelompok yaitu kelompok intervensi dan kelompok kontrol dengan masing- masing kelompok sebanyak 16 partisipan. Pengambilan  sampel menggunakan teknik purposive sampling dengan jumlah sampel 32 partisipan. Pengambilan data menggunakan kuesioner yang dibagikan  ke partisipan. Analisis data secara univariat (distribusi frekuensi) dan bivariat (uji  wilcoxon). Hasil: Diketahui pada kelompok intervensi sebagian besar pengetahuan dan motivasi partisipan sebelum simulasi  adalah 6 (37.5%) untuk pengetahuan dan motivasi kurang dari 8 (50.0%). Setelah  dilakukan simulasi tingkat pengetahuan baik sebanyak 16 (100%) partisipan dengan 16  (100%) partisipan memiliki motivasi tinggi. Ada hubungan antara simulasi pelatihan  bantuan hidup dasar terhadap peningkatan pengetahuan dan motivasi siswa tentang  penanganan kecelakaan lalu lintas dengan nilai P value sebesar 0.001 untuk pengetahuan  dan nilai P value sebesar 0.000 untuk motivasi partisipan. Simpulan: Ada hubungan antara simulasi pelatihan bantuan hidup dasar dengan  peningkatan pengetahuan dan motivasi siswa tentang penanganan kecelakaan lalu lintas  di SMA Yadika Natar Lampung Selatan tahun 2021 dengan nilai M±SD sebelum  simulasi sebesar 5.56±1.711 untuk pengetahuan partisipan dan 47.06±9.657 untuk  motivasi partisipan. Sedangkan setelah dilakukan simulasi didapatkan nilai M±SD  sebesar 7.88±1.408 untuk pengetahuan partisipan dan 67.94±3.586 untuk motivasi  partisipan. Peneliti berharap pihak sekolah dapat bekerjasama dengan para pelatih untuk  memberikan penyuluhan dan pendidikan kesehatan secara berkala kepada siswa tentang  tindakan pertolongan pertama pada saat terjadi kecelakaan lalu lintas.

Impact of health educational program upon nurses' knowledgeTowards postoperative wounds care in Lampung-Indonesia Background: The surgery in Indonesia ranks 11th out of 50 treatments for disease patterns in hospitals in Indonesia, which is an estimated 32% of them were laparotomy. The number of abdominal surgical cases in Lampung Province in 2017 was (28.95%) and increased in 2018 by (32.45%).Purpose: Know the effect of health training in knowledge and surgical wound management.Methods: This type of study was quantitative, with the Pre-Experiment design and the design one group pre test - post test. The populations were all of postoperative patients and samples of 34 people with a total sampling technique. Data collection uses questionnaire sheets and the statistical test used dependent t-test.Results: The average knowledge about postoperative wound care before being given health training of 14.18 and a standard deviation of 1.749. The average knowledge about postoperative wound care after being given health training of 17.06 and a standard deviation of 3.142, with p-value = (0,000 <0,05).Conclusion: There was the effect of health training in knowledge and surgical wound management. Health workers are expected to be able to apply the provision of health training to postoperative patients to improve patient knowledge in subsequent care and be used as a reference for making policies regarding the provision of health training to postoperative patients. Keywords: Health educational program; Nurses; Knowledge; Postoperative wounds care Pendahuluan: Tindakan operasi di Indonesia menempati urutan ke-11 dari 50 pertama penanganan pola penyakit di rumah sakit se-Indonesia yang diperkirakan 32% diantaranya merupakan tindakan bedah laparatomi. Jumlah kasus bedah abdomen di Provinsi Lampung pada tahun 2017 sebesar (28,95%) dan meningkat pada tahun 2018 sebesar (32,45%).Tujuan: Diketahui pengaruh pelatihan kesehatan terhadap pengetahuan tentang perawatan luka pasca operasi.Metode: Jenis penelitian kuantitatif, dengan rancangan penelitian Pra Experiment dan pendekatan one group pre test - post test design. Populasi seluruh pasien post operasi dan sampel sebanyak 34 orang dengan teknik total sampling. Pengumpulan data menggunakan lembar kuesioner dan menggunakan uji dependent t-test.Hasil: Rata–rata pengetahuan tentang perawatan luka pasca operasi sebelum diberikan pelatihan kesehatan sebesar 14,18 dan standar deviasi sebesar 1,749. Rata–rata pengetahuan tentang perawatan luka pasca operasi sesudah diberikan pelatihan kesehatan sebesar 17,06 dan standar deviasi sebesar 3,142, dengan p-value = (0,000 < 0,05).Simpulan: Ada pengaruh pelatihan kesehatan terhadap pengetahuan tentang perawatan luka pasca operasi. Diharapkan petugas kesehatan dapat mengaplikasikan pemberian pelatihan kesehatan kepada pasien pasca operasi untuk meningkatkan pengetahuan dalam perawatan selanjutnya dan dijadikan referensi untuk membuat kebijakan mengenai pemberian pelatihan kesehatan kepada pasien pasca operasi.