ABSTRAKHipertensi adalah tekanan darah persisten dimana tekanan sistoliknya di atas 140 mmHg dan tekanan diastoliknya lebih dari 90 mmHg. Hipertensi berada pada peringkat 1 dari 10 penyakit lainnya dengan jumlah penderita hipertensi sebanyak 1.589 orang di Wilayah Kerja Puskesmas Andalas. Hipertensi disebabkan oleh beberapa faktor seperti usia, genetik, lingkungan. Penanganan hipertensi dapat dilakukan secara nonfarmakologi yaitu dengan terapi masase punggung dan masase kaki. Penelitian ini bertujuan untuk mengetahui efektifitas masase punggung dan kaki terhadap tekanan darah pada penderita hipertensi. Jenis penelitian ini yaitu Quasi Exsperiment, post test control grup design. Jumlah sampel sebanyak 16 orang penderita hipertensi, 6 orang perlakuan masase punggung,  6 orang perlakuan masase kaki dan 6 orang  kontrol yang diambil dengan teknik purposive sampling. Pemberian  masase dilakukan selama  7 hari berturut-turut dan pengukuran telkanan darah dilakukan pada hari ke 8. Data diolah dengan komputerisasi dengan analisa univariat mengguanakan mean dan analisa bivariat menggunakan uji T independen dengan tingkat kepercayaan 95%(α=0,05). Penelitian ini dilakukan pada tanggal 28 Agustus – 4 September 2018. Berdasarkan hasil penelitian, didapatkan rata-rata tekanan darah penderita hipertensi pada kelompok perlakuan masase punggung 147,50/92,00 mmHg. Rata-rata tekanan darah pada kelompok masase kaki yaitu dengan 127,50/76,25 mmHg. Tekanan darah pada kelompok kontrol 155,12/93,88 mmHg Hasil analisa bivariat didapatkan ada pengaruh masase punggung dengan nilai sistole p=0,000, diastole p= 0,001 . dan rata-rata tekanan darah pada kelompok masase kaki sistole dengan nilai p= 0,001 dan diastole dengan nilai p =0,000.Kesimpulan dari hasil penelitian ini adalah pemberian masase kaki lebih efektif dari pada dan masase punggung dilihat dari nilap value diastolenya terhadap tekanan darah pada penderita hipertensi. Diharapkan kepada petugas kesehatan khususnya perawat agar menerapkan terapi non farmakologi khususnya masase punggung dan masae kaki antihipertensi sebagai tindakan mandiri perawat untuk menurunkan tekanan darah pada penderita hipertensi. Kata Kunci : Hipertensi, massase kaki      THE EFFECT OF GIVING BACK MASSAGE ON BLOOD PRESSURE IN PATIENTS OF HYPERTENSION IN THE WORKING AREA OF ANDALAS PADANG HEALTH CENTER ABSTRACT Hypertension is persistent blood pressure where the systolic pressure is above 140 mmHg and the diastolic pressure is> 90 mmHg. Hypertension is caused by several factors such as age, genetic, environment. Handling of hypertension can be done non-pharmacologically by foot massage therapy with fragrant citronella oil. The aims of this study is to know defoimine the effect of foot massage with fragrant cf citronella oil.This type of research is Quasi Exsperiment, post test control group design. The total sample of  16 people with hypertension, 8 treatment groups, 8 control groups were taken by purposive sampling technique. Data were processed by computerization with univariate analysis using descriptive statistics and bivariate analysis using independent T test with a 95% confidence level (≤ = 0.05). This research was conducted on August 28 to September 4. Based on the results of the study, obtaimed the average blood pressure of hypertensive patients in the treatment group namely 127.50 mmHg systolic and 76.25 mmHg diastolic and mean of blood pressure in to the control group with 142.50 systolic and 92.50 mmHg diastolic, there was an effect  foot massage with fragrant citronella oil, with p = systolic 0,001 and diastolic 0,000 (p≤0,05).The conclusion of the results of this study is the effect of administering foot massage with fragrant citronella oil on blood pressure in patients with hypertension. It is expected that health workers, especially nurses, should include non-pharmacological therapies, especially foot massage with fragrant lemongrass oil as antihypertensive as an independent action for nurses to reduce blood pressure.Keywords            : Hypertension, foot massage with fragrant citronella oil

Background: Diabetes mellitus (DM), a metabolic disorder characterized by an increasing of blood sugar (hyperglycemia). Medication is one of the seven pillars of diabetes managementt. Garlic (Allium sativum), an alternative herb, also has an antidiabetic effect. The purpose of this study was to investigate the effect of garlic on the blood sugar level in type 2 diabetes mellitus.Methods: This study was a quasi-experimental design with two group post-test design. The participants were DM patients who only take medication without any supplemental herbs. The respondents were divided into two group; intervention group, given antidiabetic drugs and consume garlic 3 pieces of garlic/day for 2 weeks and control group only got antidiabetic drugs. Data were collected by performing blood sugar measurement using glucose-check on all respondents using capillary blood in the fingertips. Second measurement were taken after monitoring the consumption of garlic together with drugs for two weeks. Hypothesis testing used independent T-Test test.Results: The study result found that the average of blood sugar level after administering the treatment is 240 mg/dl in the intervention group, and 284 mg/dl in control group. It can be concluded that the administration of 3 pieces of garlic combining with antidiabetic drugs for 2 weeks has not been able to reduce blood sugar levels into normal limits.Conclusions: This combination found to lowering the blood sugar levels in a significant amount compare to only drugs. The length of the therapy could consider as a significant predictor.

Background: Chronic obstructive pulmonary disease (COPD) is a disease that is a problem throughout the world where its prevalence, morbidity and mortality are increasing every year. The high number of COPD visits is due to persistent and progressive shortness of breath complaints. Existing pharmacological therapies for COPD have not shown improvement in the long-term decline in pulmonary function that is a hallmark of COPD. It is very necessary for companion therapy that is non-pharmacological treatment is expected to be able to complete pharmacological treatment in reducing shortness of breath of COPD patients with pursed-lip breathing exercise.Methods: This study uses a quassy experiment design with two group pretest and posttes design approaches. This study was in obstructive pulmonary disease patients in the lung hospital in West Sumatra with an intervention group of 16 and a control of 16 respondents. Data analysis using univariate and bivariate using independent t-test statistics.Results: The results showed the average decrease in shortness of breath in the control group without pretest 3.19 and posttest 2.56 in the pretest pursed lip breathing exercise intervention group 3.19 and posttest performed 1.69. Test statistic p-value 0.026.Conclusions: There is an effect of pursed lip breathing exercise on reducing the level of shortness of breath in patients with chronic obstructive pulmonary disease.

Gangguan fungsi ginjal yang menyebabkan ginjal hanya berfungsi 5% atau kurang harus segera ditangani baik dengan terapi HD atau transplantasi ginjal. Hemodialisis merupakan suatu terapi pengganti fungsi ginjal dengan tehnik dialisis atau filtrasi untuk mengeliminasi sisa-sisa produk metabolisme (protein), koreksi gangguan keseimbangan cairan dan elektrolit antara kompartemen darah dan dialisat melalui selaput membran semi permiabel yang berperan sebagai ginjal buatan. Tujuan dari penelitian ini adalah untuk mengetahui perbedaan kadar ureum sebelum dan sesudah hemodialisa pada penderita gagal ginjal kronik. Penelitian ini menggunakan metode cross sectional, dengan jumlah sampel 44 orang, yang dilaksanakan pada bulan Februari 2021. Analisa data dilakukan dengan menggunakan SPSS dengan uji paired sample t test. Pada pasien gagal ginjal kronik sebelum hemodialisa dengan skor minimum 54 dan skor maksimum 203,7 dengan jumlah sampel 44 orang didapatkan nilai mean 109,7. Pada pasien gagal ginjal kornik sesudah hemodialisa dengan skor minimum 13,7 dan skor maksimum 90,7 dengan jumlah sampel 44 orang didapatkan nilai mean 31,4. Hasil penelitian dengan uji paired sample t test bahwa terdapat perbedaan perbandingan kadar ureum pre dan post hemodialisa di RS Ahmad Mokhtar Bukit Tinggi tahun 2021 dengan nilai p= 0,000. Dapat disimpulkan bahwa ada perbedaan yang signifikan terhadap perubahan kadar ureum sebelum dan sesudah cuci darah. Diharapkan bagi profesi keperawatan untuk dapat mengaplikasikan memberikan arahan kepada pasien gagal ginjal kronik agar dapat melakukan cuci darah yang teratur.Kata kunci : Kadar Ureum Sebelum dan Sesudah hemodialiasa

Red ginger (Zingiber officinale var rubrum ) is a rhizome plant that is very popular as a spice and traditional medicine in