Introduction: interdialytic weight gains (IDWG) are a secondary impact of excessive fluid and/or food intake. In addition, IDWG is common in hemodialysis patients due to renal excretion dysfunction, which impacts fluid buildup. Interdialytic Weight Gain (IDWG) is a secondary impact of excessive fluid and/or food intake and is common in hemodialysis patients due to renal excretion dysfunction. If the patient has severe IDWG, it will have an impact that fluid withdrawal will be increased. This increases the risk of complications during fluid withdrawal on hemodialysis. Objective: to identify the relationship of IDWG levels with changes in blood pressure during fluid withdrawal in hemodialysis patients. Materials and Methods: this was a descriptive-analytic study in which 90 patients undergoing HD were recruited using consecutive sampling. Respondents are free to get involved and withdraw from research and respondents who are involved in research are given rewards from researchers. Result: the study found a relationship between IDWG and blood pressure changes during fluid withdrawal during the 1st hour (P value < α; α = 0.05). Discussion: blood pressure changes during hemodialysis primarily increased blood pressure influenced by some factors. The factors are IDWG levels, UF volume, stimulation of the Renin-Angiotensin-Aldosterone System, antihypertensive therapy, and history of cardiovascular disease. The limitation of this study is that blood pressure measurements on some respondents were not carried out on time, because respondents sometimes fell asleep. Conclusion: based on this study, IDWG is related to changes in blood pressure at the 1st hour of fluid withdrawal.

Urolithiasis is a stone formation in the urinary tract that includes kidney stones, ureter stones, bladder calculi, and urethra. Urolithiasis is a disease of the urinary system that occupies the third position, where the prevalence reaches 10% and continues to increase in recent decades. Virginia Henderson proposes a theory of basic human needs that is appropriately used as the basis for the nursing assessment. The study aims to illustrate the application of Virginia Henderson's theory for nursing assessment in patients with urinary system disorders. The method used is a case study with an instrument based on 14 domains of basic human needs according to Virginia Henderson's theory. The results of the study showed there are basic needs that are problematic including eating and drinking needs, self-protection and hygiene, a sense of security and comfort, relaxation, and health services. Analysis of the data group with the Standard Diagnosis Keperawatan Indonesia obtained four nursing diagnoses each preoperative and postoperative phase. The results of the study showed that the application of Virginia Henderson's theory to patients with urolithiasis found 5 basic needs that had problems, there is eating and drinking, protection and personal hygiene, a sense of security and comfort, relaxation, and health services. In addition, Virginia Henderson's theory approach can be used as an assessment model, especially in the case of the urinary system. Further studies are needed to obtain a standard form of nursing assessment model based on Virginia Henderson's theory of basic needs.

Abstrak: Nutrisi terbaik untuk memenuhi kebutuhan pertumbuhan dan perkembangan bayi pada 6 bulan pertama adalah ASI. ASI memiliki peran penting dalam proses perkembangan bayi baik perkembangan kognitif, sensorik maupun motorik. ASi juga memberikan perlindungan terhadap infeksi dan penyakit kronis. Fenomena yang ada masih banyak Ibu yang mengalami kendala dalam pemberian ASI secara eksklusif khususnya pada ibu bekerja. Tujuan penelitian ini adalah untuk mengeksplorasi pengalaman menyusui yang tidak efektif pada ibu bekerja di Desa Pucangsongo. Desain penelitian ini adalah penelitian kualitatif dengan pendekatan fenomenologis. Data penelitian ini didapatkan dari hasil  wawancara terhadap  lima ibu bekerja dan satu bidan. Triangulasi data selain dengan wawancara juga dilakukan dengan  menelaah dokumen Pucangsongo Polindes. Analisis data dilakukan dengan melakukan reduksi data, penyajian data dan  penarikan kesimpulan. Hasil penelitian menunjukkan  kendala yang dihadapi oleh ibu bekerja dalam pemberian ASI eksklusif antara lain ketersdiaan sarana dan prasarana untuk menyusui di tempat kerja, kesibukan selama bekerja , belum adanya kebijakan perusahaan yang memberikan waktu yang cukup bagi ibu untuk memerah ASI. Tenaga kesehatan seperti bidan juga mempengaruhi pemberian ASI secara ekskluif.  Tenaga kesehatan memiliki peran yang sangat penting dalam melindungi, memajukan, dan mendukung usaha menyusui dan harus dilihat dari keterlibatannya yang luas dalam aspek sosial.Kata kunci : ibu bekerja, menyusui, pengalaman

Abstrak: Konstipasi merupakan efek samping pada sistem gastrointestinal yang sering terjadi pada pasien yang dirawat di Intensive Care Unit (ICU). Konstipasi merupakan salah satu masalah yang belum banyak diberikan perhatian khusus. Abdominal massage merupakan salah satu terapi pelengkap yang dapat meningkatkan gerakan sistem gastrointestinal. Hasil yang didapatkan dari penerapan abdominal massage tersebut yaitu penurunan kejadian konstipasi. Metode yang digunakan yaitu pendekatan terhadap 5 jurnal penelitian tentang abdominal massage untuk mengurangi konstipasi pada pasien yang irawat di Intensive Care Unit (ICU). Jurnal yang didapatkan menunjukkan bahwa terapi abdominal massage dapat mengatasi masalah konstipasi. Hasil jurnal yang didapatkan juga menunjukkan terdapat perbaikan pada beberapa indikator gastrointestinal tract lain seperti volume residu lambung, lingkar perut, ketegangan perut dan lainnya. Terdapat satu jurnal yang dapat digunakan sebagai salah satu Evidance Based Nursing (EBN) dalam pelayanan klinis terutama pada ruang intensive care unit (ICU). Kata Kunci: constipation, abdominal massage, intensive care unit

Comprehensive and holistic nursing care by professional nurses is continuously improved, especially nursing care in ESRD patients. This has an impact on the importance of knowing the potential to be revamped so that the poor quality of life in ESRD patients can be enhanced one of the aspects of spirituality and religiusity included in the comprehensive and holistic. The aim of this study was to study the aspects of spirituality and religiusity in End Stage Renal Disease (ESRD) patients. This study uses a Litelature review was chosen as the method used for this study by collecting litelature from ProQuest, Wiley Online, and Scientdirect databases using the keywords "sentimental and ESRD Spritual", "Religious beliefs and ESRD "," Spiritual Beliefs and ESRD ", and "Religious and Spiritual Beliefs and ESRD" and the chosen circuit are full text journals published from 2010 to 2019, and written in English. The results is selected journal has been chosen to show that the spiritual and religious aspects are associated with QoL, HRQoL and Self-Caring in the ESRD patients undergoing HD. The relationship formed is a positive relationship where the better aspect of spirituality and religiality of ESRD patients undergoing HD then QoL, HRQoL, and Self-Caring patients are also good. In addition, the themes formed from the results of qualitative analysis, namely decision-making, the ESRD patients, participants ' spiritual pressures, self-caring meaning, self-caring action, Islamic influence on self-caring, and cultural influences on Self-caring. The aspect of spirituality and religiusity is the provision of comprehensive and holistic care services. Both aspects are proven to have a good impact on the Quality of Life (QoL), Health-Related Quality of Life (HRQoL), and self-caring in the ESRD patients undergoing HD.