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Introduction: Temperature, humidity, and noise are factors that affect sleep quality. The objective of the research is to determine the effect of humidity, temperature, and room noise on sleep quality of (Intensive Care Unit) ICU patients. Methods: A quantitative research with the cross-sectional approach, involving 84 patients taken by consecutive sampling, with the inclusion criteria of at least having already spent more than two days in ICU, having age between 20-70 years, and being conscious and cooperative. The patients were observed using observation sheets and The Richards-Campbell Sleep Questionnaire (RCSQ). A thermohygrometer and sound level meter for noise recording were used to measure the temperature and humidity. Simple linear regression was used to analyze the data. Results: It was found out that the average sleep quality of patients in the intensive room was 28.51, which categorized as poor sleep quality; the mean humidity in ICU was 56.98; the room temperature was 26.40, and the noise was 66.01. The noise level at the ICU significantly affected the patients’ sleep quality (p-value = 0.020 <0.05), while temperature and humidity did not influence the patients' sleep quality. Conclusion: Most of the respondents had a poor quality of sleep. Controlling the conversation and activities among staff, using earplugs, and modifying the alarm can be done to reduce the noise at the ICU to enhance the quality of sleep of the patients.

Pre-surgery is an action before surgery, which can trigger psychological problems, such as anxiety. Spiritual strength is able to help the individual towards the healing and fulfillment of life goals. The aim of the reseach was discover the correlation between the spiritual level and anxiety in preoperative patients in the surgical inpatient units of RSUD Banyumas. This study was conducted from 12 November to 12 December 2019 in the surgical inpatient units of RSUD Banyumas. This research was a non-experimental quantitative, using a correlational research design with a cross-sectional approach. The sample was selected by purposive sampling technique, with 72 sample respondents. The data collection technique used the HARS (Hamilton Rating Scale Anxiety) and DSES (Daily Spiritual Experience Scale questionnaires) questionnaires. The result found 27.8% of patients' preoperative anxiety level at RSUD Banyumas did not experience anxiety, 56.9% felt mild anxiety, and 15.3% suffered from moderate anxiety. Meanwhile, for the spiritual level, only 1.4% of the preoperative patients at RSUD Banyumas had a low spiritual level, 52.8% were at a moderate spiritual level, and 45.8% presented a high spiritual level. The Spearman Rank statistical test obtained p-value = 0.0001; the correlation coefficient was -0.469.  There was a correlation between the patients' spiritual level and preoperative anxiety in the surgical inpatient units of RSUD Banyumas.

BACKGROUND: Indonesia has very huge natural disaster potential risks. To reduce the impacts of disaster, proper and massive mitigation education toward society is very imperative. Disaster mitigation education has been carried out in both formal and non-formal sectors. While National Disaster Management Agency (Badan Nasional Penanggulangan Bencana) has educated the public massively, in formal sector there has been only regulation and guidance from the Ministry of Education. However, its implementation in local areas still encountered many obstacles and challenges, especially in Banyumas regency. AIM: This study aims to explore disaster mitigation process education in Banyumas Regency. METHODS: This qualitative study recruited 11 participants who involved in disaster mitigation process using purposive sampling method. A focus-group discussion (FGD) and in-depth interview method were adopted to explore data regarding disaster education. Researchers used a semi-structured interview form consisting of ten questions during the data collection process. Literatures related to disaster mitigation regulations were also critically analyzed. Data were recorded, trancripted, discussed, and categorized manually. RESULTS: As a result, the study revealed two main themes in disaster mitigation education: lack of law enforcement in implementing disaster education and lack of people’s awareness for disaster education. The categories under the themes are disaster education regulation, lack of standardized disaster guideline and curriculum, and lack of disaster education awareness and education approach. CONCLUSION: Educating disaster mitigation through formal education from the early stage is very significant. Substantial matters need to be well constracted are guidelines for implementing disaster education in schools as well as curriculum based on the concepts and implementation, correct construct, and subject matter. Encouraging the awareness of disaster preparedness since an early age is important to instill the right techniques.