Complementary therapies in both music and murottal therapy are beleaved effective because the songs and Quranic verses can have a therapeutic effect through the mind and physiology of human. This study was to identify differences influence of murotal therapy and music therapy in lowering blood pressure, This study used a quasi-experimental with a pretest-posttest approach design. The sample used in this study were 30 respondents who are divided into 2 intervention groups, group 1used murottal and group 2 terpy murottal used music therapy in hypertensive patients in Kepuh village of used Rw 04 and 05 Palimanan Cirebon sampling technique cluster rondom sampling. Statistical tests using t test. Results of data analysis showed there is significant difference between the blood pressure after murottal therapy with the blood pressure after music therapy in hypertensive patients, whith p value 0,001. Age and gender factors are considered have influence in lowering blood pressure after murottal therapy. The results of this study are expected to be the basis of complementary therapies and can be implemented as an independent and innovative interventions in the nursing care of patients with hypertension.

One of the consequences caused by problems that occur in HIV patients is a change in the quality of life, particularly that relating to spirituality. This article offers a systematic review of previous studies regarding the spiritual safety of HIV patients. Inclusion criteria for article searches were studies conducted on patients with HIV, over 18 years of age, diagnosed with HIV for more than 6 months, qualitative studies, and exploring spiritual experiences. The quality assessment of each article was carried out using the standard format of the JBI Critical Appraisal Checklist for Qualitative Study. The results of this study include eight articles matching the criteria, and produce four themes that can represent all the articles analyzed: getting closer to God; having hope and life goals; needing support; and finding meaning in life. By identifying and classifying the spiritual experiences of HIV patients, it is hoped that their families will be able to provide motivation in dealing with the problems that occur. It is also hoped that practitioners will be able to use the results of this study as material in collecting assessment data on HIV patients.   Keywords: Spiritual Experience, HIV, Qualitative and Literature Review

Coronary Heart Disease is a chronic disease with the highest morbidity and mortality rates in the world. Management is needed in the form of self-care management as a core element for CHD patients in order to improve the quality of life. Until now, there has been no comprehensive summary regarding self-care and quality of life for CHD patients with stents attached. This study aims to summarize research studies that link self-care and QOL in CHD patients after receiving Percutaneous coronary intervention. Systematic review using three databases (PubMed, ScienDirect, Google Scholar) for previous studies published in the last 10 years (2010–2020). The Joana Bright Institute format and PRISMA guidelines were used to assess the quality of studies and assist in the selection of articles. Data was extracted and summarized by the author using data extraction tools from JBI. Five articles from 2,729 studies were included. The results show inconsistency, namely three studies have a significant relationship and two studies have an insignificant relationship. All questionnaire domains used in the five articles state that the self-care domain of smoking cessation and exercise are correlated with the QOL domain of physical function, body pain, vitality, mental health, symptom domains and satisfaction. Only three articles reported the strength of the relationship (r = 0.117–0.64) and two articles didn’t report the strength of the relationship. By knowing self-care and QOL of CHD patients after receiving PCI, it’s hoped that the hospital can better understand and provide promotive/preventive education related to self-care management so that the patient’s QOL increases significantly.   Keywords: Self-care, quality of life, Coronary Heart Disease, Percutaneous Coronary Intervention, Systematic Review

Cardiovascular disease is the highest cause of death in Indonesia, which is also known as the “silent killer. However, research focused on preventing cardiovascular disease in the elderly is still very limited. In Indonesia, there is no multi-domain intervention using the internet that is intended to improve pre-elderly health.The aim of this study was to design an internet-based multidomain intervention program to prevent cardiovascular disease in the pre-elderly. This study used a quasi-experimental pre-post-test design with two groups (intervention group and control group). The inclusion criteria in this study were: elderly aged 55-65 years, had at least two risk factors for cardiovascular disease (such as hypertension, hypercholesterolemia, obesity, smoking, inactivity, DM, history of cardiovascular disease) previously to participate in the study. The sampling technique that will be used is the convivence sample with a total sample to be recruited is 100.The results of this study will be very useful as a guide for pre-elderly and health workers in the prevention of cardiovascular disease. It is hoped that the results of this study can be used as material for health policy makers in Indonesia to make guidelines and recommendations for disease prevention management in the pre-elderly.

Hypertension is a major cause of premature death worldwide with a high prevalence and is one of the main risk factors for various chronic diseases such as heart and kidney disease. The Hypertension is a major cause of premature death worldwide with a high prevalence and is one of the main risk factors for various chronic diseases such as heart and kidney disease.The purpose of this study was to determine the effectiveness of an intervention that combines self-management on self-care and blood pressure in hypertensive patients. The type of research used is quaesy experience with two groups. The sample in this study were hypertensive patients in the work area of the puskesmas in Bandung, West Java. The inclusion criteria in this study were 35-85 years old, taking two or less antihypertensive drugs for hypertension, having a blood pressure of more than 140/90 mmHg. The number of samples is estimated to require as many as 66 hypertensive patients.Before the intervention, respondents showed lower self-care, with an average score of 1.35 (SD=0.73). The self-care score increased over time as respondents in the intervention group by 3.21 (SD=1.44), and respondents in the control group by 2.52 (SD=10.78) at T2. Blood pressure decreased at T2 in the intervention group with a systolic score of 128.1 (SD=11.62), and respondents in the control group got a systolic score of 137 (SD=15.15). The self-management program improved outcomes relative to controls at T1 across four outcomes: 1) self-care scores improved 8.7% (95% CI 0.021-0.149) and blood pressure slightly improved 8.8% (95% CI 0.017-0.125) . At T2, improvements in outcomes relative to controls were still observed in self-care scores and blood pressure.The results of this study will provide recommendations to hypertensive patients and health workers in Indonesia regarding self-management to control blood pressure, diet, and medication, so that they can be used in daily practice.