<p><em>Hemodialysis patients experienced sleep disturbance problems that directly affect sleep quality and quality of life of hemodialysis patients. Quality of life is an important part of hemodialysis patients that need attention. The purpose of this study was to analyze the effect of sleep hygiene and deep breathing exercise with spiritual care on sleep quality and quality of life of hemodialysis patients. The research design used a quasy experiment with the pretest posttest approach with control group. Population in this study were all of hemodialysis patients . Sample of this study </em><em>were </em><em>38 respondents divided into 19 respondents for intervention group and 19 respondents for control group. Sleep hygiene intervention and deep breathing exercise with spiritual care were applied every day for 30 days 30 minutes before going to sleep in the intervention group and in the control group only ran routine or habit before going to bed. Instrument used a PSQI questionnaire (Pittsburgh Sleep Quality Index) </em><em>and</em><em> KDQOL SF^TM1.3 (Kidney Disease Quality of Life). </em><em>Data</em><em> analysis us</em><em>ed</em><em> MANOVA test with significance value α = 0.05. The results of this study indicated that p value 0,000 with the effect of R squared 72.7% on sleep quality and 66.4% on quality of life, which means that sleep hygiene and deep breathing exercise with spiritual care were significantly influence sleep quality and quality of life</em><em> on </em><em>hemodialysis patient </em><em>in </em><em>Ahmad</em><em> </em><em>Yani </em><em>Islamic Hospital </em><em>Surabaya. The application of sleep hygiene and deep breathing exercise with spiritual care had a strong influence on the quality of sleep and the quality of life of hemodialysis patients. Nurses are expected to be able to implement sleep hygiene interventions and deep breathing exercises with spiritual care to enhance sleep quality and quality of life for hemodialysis patients.</em></p><p><em> </em></p><p><strong>Keyword</strong>        : <em>Hemodialysis, Sleep Quality, Quality of Life, Sleep Hygiene, Deep Breathing Exercise, Spiritual care</em><em></em></p>

Introduction: Treatment for pulmonary tuberculosis (TB) may become a problem when the patients show no adherence to the treatment and feel bored with its long duration. This condition may lead to the drop out in the treatment.  Therefore, this study aimed at analyzing the effects of self-management education on the quality of life of patients with pulmonary TB.  Method: The design of this study is quasi-experiment conducted in 3 Puskesmas (Community Health Center), in which 150 respondents was divided into 2 groups: 75 respondents in the control group and 75 respondents in the treatment group. They were chosen as the samples by using simple random sampling technique. The data were collected by conducting pretest to measure the quality of life, doing intervention through self-management education, and finally providing posttest. Furthermore, the data were analyzed by using Mann Whitney U test and Wilcoxon signed rank test.Result: Change in perceptions that this disease is infected by Mycobacterium tuberculosis, the right place for the treatment is Puskesmas or hospitals, and a high hope for the cure needs supports form the family and medical workers  Conclusion, self-management education increases the quality of life of the patients with pulmonary TB. The future research is expected to analyze their life expectancy more deeply.

Efforts to prevent the spread of covid-19 through social media by providing information about covid-19. The study aims to determine the effect of social media on covid19 on hand washing behavior, mask wearing and physical distancing among Indonesian students. A pre-experimental research method with pre-test and post-test design. The research sample was 5400 students who were taken using simple random sampling technique. Health education interventions are given through social media and then the data is collected by distributing questionnaires with google form. Data were analyzed using the Wilcoxon test. The results showed that after intervention through social media about covid-19 there was a change in transmission prevention behavior (p value 0.046), hand washing behavior (p value 0.011), mask wearing (p value 0.014), and physical distancing (p value 0.000). Social media is effectively used to provide health education because it can increase student knowledge and influence behavior in preventing covid-19 transmission

<p>Snack food is a type of snack that is very popular with school children and is difficult to separate. School children usually buy snacks without considering their nutritional content. Excessive children's preference for snacks can have a negative impact such as decreased appetite and cause various kinds of diseases due to less hygienic food. The aim of the study was to analyze the effect of health education on snack foods on the preferences (preferences) of snack foods on elementary students at Jagir Elementary School 1/393 Surabaya. Pre-Experimental research design with one group pre-post test design approach. The number of samples is 70 students consisting of grades 4, 5 and 6. Sampling using probability sampling with stratified random sampling technique and using a questionnaire as a measuring instrument. Data were analyzed using Paired T-Test with a significance level of 0.05. The results of the study using Paired T-Test obtained a value of ρ = 0,000 with a significance level of α = 0.05 means ρ &lt;α, then H0 is rejected and H1 is accepted which means that there is an influence of health education on snack foods on snack food preferences elementary school students at SDN Jagir 1/393 Surabaya. The conclusion of this study is that health education has an effect on elementary students on the preference of snack foods. Suggestions, for the school to be taken into consideration in increasing students' knowledge in choosing healthy, safe and nutritious snacks.</p>

Background: Breast self-examination is very important for women and it would be better if the teenagers already have the knowledge and practical ability to realize. Therefore breast self-examination is very important to do in adolescents as early detection of breast cancer. The study aims to determine the differences in the influence of health education demonstration methods and video screenings on the knowledge, attitudes, and abilities of youth practice about BSE. Methods: The research design used queasy-experimental, the population of the study at Darul Ulum 1 High School was 325 respondents, and a sample of 60 respondents (demonstration group n= 30, video playback group n = 30) were taken using the Stratified Random Sampling technique. Statistical tests using Wilcoxon and Mann Whitney with significance level α ≤ 0.05. Results: The results showed there was an influence of health education demonstration and video playback methods on knowledge, attitudes, and practice abilities with a value of p= 0,000 (p<α), there were differences in the influence of health education demonstration methods and video playback on knowledge, attitudes and practice abilities with p value= 0.001 (p<α). Discussion: Demonstration and video playback methods can improve knowledge, attitudes, and practice abilities compared to before being given treatment, so adolescents experience behavioral changes and expect health values ​​to be well embedded, health status to be good, and finally teens able to be independent in health problems