Latar Belakang: Masalah rokok pada saat ini sudah menjadi masalah besar yang menyebabkan kematian diIndonesia. UU No. 44/2009 Tentang Rumah Sakit (RS) menyebutkan setiap RS mempunyai kewajibanmemberlakukan seluruh lingkungan RS sebagai Kawasan Tanpa Merokok (KTR). RS Umum Daerah(RSUD) Kabanjahe telah menerapkan KTR sesuai SK direktur RS namun sejauh ini pelaksanaannya belumberhasil. Tujuan penelitian ini untuk menganalisis pelaksanaan SK Direktur RSUD Kabanjahe No. 1255 /RSU / 2016 Tentang penerapan KTR di RSUD Kabanjahun tahun 2017.Metode: Penelitian ini menggunakan metode kualitatif dengan teknik wawancara, observasi berperan serta,dokumentasi dan triangulasi dengan sampel terdiri dari 4 orang pegawai dan 2 orang pasien RSUDKabanjahe dan menggunakan instrumen buku catatan, tape recorder, kamera dan peneliti sebagai instrumen.Kepercayaan terhadap hasil penelitian dilakukan dengan pengujian kredibilitas, depenabilitas, proses danhasil penelitian. Penelitian dilakukan di RSUD Kabanjahe.Hasil Penelitian: Hasil penelitian menunjukkan bahwa penerapan KTR di RSUD Kabanjahe belum berjalandengan baik walaupun telah dilaksanakan selama delapan tahun. Hal ini dikarenakan beberapa faktorpenghambat seperti Direktur RS dan jajarannya masih merokok, tidak ada perda yang mengatur tentangKTR, tidak adanya komitmen Direktur dalam menjatuhkan sanksi dan membentuk komite pengawas KTR.Kesimpulan: Penerapan KTR di RSUD Kabanjahe belum sesuai dengan SK Direktur atau belum berhasil.Pimpinan rumah sakit diharapkan dapat meningkatkan disposisi, dan struktur birokrasi dalam mendukungkebijakan KTR.Kata Kunci: Kawasan tanpa rokok; implementasi; rumah sakit

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Smoke free area implementation is one of the effective efforts to protect people from cigarette smoke. Health promotion can improve community behavior until they want and able to do healthy behavior and free from health problems. This study aims to explore the role of health promotion that has been implemented by the Langsa City Health Office in relation of smoke free area implementation, especially in regional work unit (SKPK). This is a qualitative study with narrative research design. Data are collected by indepth interview. The results show the role of the health promotion has been done  in the implementation of the smoke free area are controlling social or environmental changes in the workplace through advocacy, socialization, development of promotional media, and monitoring and evaluation of smoke freea area implementation. The conclusion of this study that health promotion plays an important role in implementing the smoke free area including advocacy with regional government, disseminate information about the hazard of cigarettes to the public, set a regional regulation and socializing Qanun regarding smoke free area, and carried out smoke free area evaluation meeting to the head of regional work unit for commitment and support the smoke free area implementation at workplace.

Introduction: Older adults experience deterioration of body functions which hinders them in carrying out daily activities, thus affecting their quality of life. The quality of life of older adults also reflects their health and well-being status. Objective: The purpose of this study was to determine the influence of fundamental conditioning factors on the quality of life of Indonesian older adults. Materials and Methods: Data were analyzed using descriptive statistics. Simple logistic regression was also used to estimate the odds ratio of good health-related quality of life. Two research instruments, a demographic data form and the SF-36 Indonesian version were utilized for data collection. Results: Findings showed that the total score of the quality of life was at an appropriate level. The logistic regression of occupation and illness duration revealed a relationship with the quality of life of the older adults (p < .05); however, age, gender, marital status, and morbidity did not affect the quality of life (p > .05). Conclusion: Older adults with jobs are highly likely to improve their quality of life as they can carry out activities, have social interactions, and make ends meet. However, the length of illness suffered by older adults may affect their quality of life. It is expected that nursing intervention provided, such as teaching proper health behavior for disease management, may help prevent complications and enhance the quality of life of older adults.