ABSTRACT Various efforts of hypertension complications prevention have been carried out properly but the prevalence of hypertensive complications in NTT Province is still very high. The study aimed to determine the effect of patient behavior and family health companion role on the incidence of hypertension complications. The study was carried out in the work area of Sikumana Health Center in Kupang City with a case-control design. A total of 40 case samples and 40 control samples were taken by simple-random sampling. Data were analyzed by bivariate (simple logistic-regression) and multivariate (multiple-logistic regression), with significant values ​​of α <0.05 and OR> 1. The results showed that 70% of patients experienced Non-Hemorrhagic Stroke (SNH) complications and 30% experienced complications of Coronary Artery Disease (CAD). The results of the knowledge factor analysis (α=0.000, OR=4.775), attitude (α=0.998, OR=1.876), practice (α=0.000, OR=18.599), family health officer (α=0.000, OR=15.13) and simultaneously the practices of the patient (α=0.000, OR=17.233). There was a significant influence on patient knowledge, patient practices, and family health companion role on the incidence of hypertensive complications. The most influential variable was the patient's practices. Patients who had poor behavior had a risk of 17.233 times greater of complications of hypertension.   Keywords : behavior of patients, family health companion role, complications of hypertension   ABSTRAK Beragam upaya untuk mencegah komplikasi hipertensi, telah dilaksanakan dengan baik. Namun prevalensi komplikasi hipertensi di NTT masih sangat tinggi. Penelitian bertujuan untuk mengetahui pengaruh perilaku pasien dan peran pendamping kesehatan keluarga pada kejadian komplikasi hipertensi. Penelitian dilakukan di wilayah kerja Puskesmas Sikumana Kota Kupang dengan desain kasus-kontrol. Sebanyak 40 sampel kasus dan 40 sampel kontrol, diambil secara simple-random-sampling. Data dianalisis bivariat (regresi-logistic-sederhana) dan multivairiat (regresi-logistic-berganda), dengan nilai signifikan α<0,05 dan OR>1.  Hasil penelitian menunjukkan 70% pasien mengalami komplikasi Stroke Non Haemoragik (SNH) dan 30% mengalami komplikasi Coronary Artery Diseases (CAD). Hasil analisis faktor pengetahuan (α=0,000, OR=4,775), sikap  (α=0,998, OR=1876), tindakan (α=0,000, OR=18,599), peran pendamping kesehatan keluarga (α=0,000, OR=15,13), dan secara simultan tindakan pasien (α=0,000, OR=17,233). Ada pengaruh signifikan antara pengetahuan pasien, praktek/tindakan pasien, dan peran pendamping kesehatan keluarga terhadap kejadian komplikasi hipertensi. Variabel yang paling berpengaruh adalah praktek/tindakan pasien. Pasien yang memiliki praktek/tindakan kurang baik memiliki risiko 17,233 kali lebih besar terjadi komplikasi hipertensi.   Kata Kunci : perilaku pasien, peran pendamping kesehatan keluarga, komplikasi hipertensi

ABSTRAKTujuan penelitian: mengetahui faktor risiko: usia, jenis kelamin, tekanan darah, konsumsi obat, cek kesehatan, dan diet terhadap kejadian komplikasi kardiovaskuler pada pasien Diabetes Melitus Tipe 2 di Puskesmas Sikumana Kota Kupang. Metode: Desain penelitian yang digunakan adalah analitik non eksperimen dengan rancangan case control. Sampel penelitian sebanyak 74 orang pasien DM tipe 2 yang terbagi dalam 37 orang sampel kasus dan 37 orang sampel kontrol. Data hasil penelitian dianalisis dengan menggunakan uji statistik regresi logistik dengan nilai signifikan α<0,05 dan OR>1. Hasil: 51,4% responden kelompok kasus mengalami komplikasi vaskuler ke otak (stroke non hemoragik/ SNH), 37,8% mengalami komplikasi vaskuler ke jantung (coronaria artery diseases/CAD), 8,1% responden kelompok kasus mengalami komplikasi SNH+coronary artery disease (CAD), dan 2,7% mengalami Angina Pectoris. Faktor risiko komplikasi: usia (p=0,32, OR=0,19), jenis kelamin (p=0,14, OR=13,2), tekanan darah (p=0,034, OR=0,02), konsumsi obat (p=0,34, OR=43,9), kontrol kesehatan (p=0,43, OR=0,53), diet (p=0,009, OR=3,29). Kesimpulan: kejadian komplikasi kardio vaskuler pada pasien DM tipe 2 di Puskesmas Sikumana Kota Kupang dipengaruhi oleh tekanan darah yang tinggi dan diet yang kurang baik.Kata Kunci: DM tipe 2, komplikasi kardiovaskuler, faktor risikoRisk Factor for the Occurrence of Cardiovascular Complications in Type 2 Diabetes Mellitus (DM) Patients ABSTRACTObjective: the objective of the study is knowing risk factors: age, sex, blood pressure, drug consumption, health check, and diet for the occurrence of cardiovascular complications in Type 2 Diabetes Mellitus (DM) patients at Puskesmas Sikumana Kota Kupang. Methods: The research design used was non-experimental analytic with case control design. The study sample was 74 type 2 DM patients divided into 37 case samples and 37 control samples. Data were analyzed using logistic regression statistical tests with significant values α<0.05 and OR>1. Results: The results showed 51.4% of case group respondents had vascular complications to the brain (non-haemorrhagic stroke/SNH), 37.8% having vascular complications to the heart (coronary artery diseases/CAD), 8.1% of case group respondents had SNH+CAD complications, and 2.7% had Angina Pectoris. Risk factors for complications; age (p=0.32, OR=0.19), sex (p=0.14, OR=13.2), blood pressure (p=0.034, OR=0.02), drug consumption (p=0.34, OR=43.9), health control (p=0.43, OR=0.53), diet (p=0.009, OR=3.29). Conclusion: the incidence of cardio vascular complications in type 2 DM patients at the Sikumana Public Health Center in Kupang City was influenced by blood pressure and poor diet.Keywords: DM type 2, cardiovascular complications, risk factors

Hypertension tends to be incurable and can only be controlled, including to prevent cardiovascular complications. The purpose of this study was to look at the relationship of age, gender, blood glucose level, blood cholesterol level, blood pressure, and medication behavior (consumption of drugs and health control) with the incidence of cardiovascular complications in patients with hypertension at the Public Health Center in Sikumana-Kupang City. This study used a cross sectional design with a sample of 87 hypertension patients. Data analysis used Rank Spearman's Test (α = 0.01). There were 50 respondents who had cardiovascular complications in the form of non-hemorrhagic stroke complications (NHS), complications of coronary artery deseases (CAD), NHS and CAD complications, and complications of anggina pectoris. Analysis of Rank Spearman indicated age had p = 0.404 and r = 0.091, gender had p = 0.161 and r = -0,152, blood glucose level had p = 0.000 and r = -0,390, blood cholesterol level had p = 0,272 and r = -0.119, blood pressure had p = 0.000 and r = +0.417, drug consumption had p = 0.000 and r = +0,439, and health control had p = 0.000 and r = +0,490. It was concluded that there were significant relationships between blood glucose levels, blood pressure, and medication behavior (which consists of the consumption of hypertension drugs and health control) with the incidence of cardiovascular complications in patients with hypertension at the Sikumana Public Health Center in Kupang City.

Perceraian di NTB makin meningkat diakibatkan maraknya pernikahan dibawah umur (19 tahun kebawah), kurangnya pemahaman tentang hal-hal yang harus persiapkan sebelum melakukan pernikahan. kondisi ini menjadi dasar melakukan pengabdian dengan tujuan meningkatkan pengetahuan dan pemahaman tentang pernikahan islam melalui kegitan penyuluhan Pra Nikah dalam perspektif Islam. Mitra dalam kegitan ini adalah masyarakat desa Gelogor kabupaten Lombok Barat yang berjumlah 20 orang. Metode pelaksanaan dengan ceramah, diskusi dan tanya jawab. Langkah-langkah kegitan perencanaa, tindakan, dan evalusi. Hasil pre test pemahaman mitra tentang pra nikah dalam Perspektif  Islam mendapatkan nilai rata-rata 50 dan hasil posttest rata-rata 90 dengan rata-rata peningkatan 33%. Ini menunjukkan bahwa kegiatan penyuluhan memberikan dampak pada peningkatan pemahaman dan pengetahuan mitra. Meskipun terjadi peningkatan dan pemahaman mitra masih perlu dilakukan sosialisasi dan pempingan secara berkelanjutan. Pre-Marriage Counseling is an Islamic Perspective as an Effort to Increase Knowledge About Islamic Marriage Divorce in NTB may increase due to the prevalence of underage marriages (19 years and under), lack of understanding of the things that must be prepared before marriage. This condition becomes the basis for doing service with the aim of increasing knowledge and understanding of Islamic marriage through Pre-Marriage counseling activities from an Islamic perspective. Partners in this activity are the Gelogor village community, West Lombok district, totaling 20 people. The implementation method is lecture, discussion, and question and answer. The steps of planning, action, and evaluation activities. The results of the pre-test of partners' understanding of premarital marriage in the Islamic perspective got an average score of 50 and the posttest results averaged 90 with an average increase of 33%. This shows that the extension activities have an impact on increasing the understanding and knowledge of partners. Although there is an increase and understanding of partners, it is still necessary to carry out socialization and mentoring on an ongoing basis.

Complications of hypertensive patients are expected to continue to increase. Integrated Health Center of Sikumana, Kupang City is one of the major health centers that have a high case of hypertension complications in Kupang City, NTT Province. The objective of this study is to determine the role of community nurses in the prevention of complications in hypertensive patients at the Integrated Health Center of Sikumana, Kupang City. The research method is descriptive with a survey design. The population in research is nurses in the Integrated Health Center of Sikumana, Kupang City comprising 21 people. The sample was taken from the total population with inclusion criteria of PNS (civil servant) and PTT (non-permanent employee) nurses from the government, minimum education of Nursing D-III, and working period ≥ 2 years. The results showed 52.4% of nurses assessed risk factors for complications in hypertensive patients, 81% formulated nursing diagnoses, 76.2% developed intervention plans, 76.2% implemented, 54.5% conducted community empowerment, 85.7% conducted health education, 95.5% conducted referral in prevention complications in hypertensive patients. It can be concluded that the role of community nurses in the prevention of complications in hypertensive patients in Integrated Health Center of Sikumana, Kupang City has largely been conducted well, and it is recommended that nurses at the Integrated Health Center have participated actively in following various training and work on the community nursing process to comply with the latest instructions and regulations.