Aim: Family caregivers of hemodialysis patients play a vital role in the health sector. However, the care they provide (especially over a long period of time) can cause fatigue, stress, and create a burden for them. Therefore, the aim of this review is to evaluate the effect of family intervention programs in reducing the burdens of family caregivers. Methods: This is a systematic review, and the database used in the article search included EBSCO, ProQuest, and PubMed (using relevant keywords based on the topic and research title). The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) flow diagram was used in selecting a total of 2,052 articles. 8 were obtained according to the inclusion criteria and were analyzed in a descriptive narrative approach. Results: The 8 articles with family-based intervention programs consisting of family-centered interventions, educational interventions, and psychological interventions showed significant results in reducing the burdens of caregivers who take care of hemodialysis patients. Conclusions: The results of this systematic review show that intervention programs could help reduce the burdens of family caregivers when caring for hemodialysis patients.

This study aims to explore the experience of walking exercise with breathing control in COPD patients. The method used is qualitative with a descriptive phenomenological approach. Participants in this study amounted to 15 people with COPD. Data obtained from in-depth interviews, then analyzed using the Colaizzi method. The results showed that five themes were identified, namely: 1) the implementation of walking exercises with breathing control; 2) increased physical activity and quality of life; 3) increase oxygen demand and reduce shortness of breath; 4) reduce anxiety and improve sleep quality; and 5) family support. In conclusion, walking and breathing exercises are good exercise choices for COPD because they can meet oxygen needs, reduce shortness of breath, reduce anxiety and stress in COPD. Keywords: Breathing Control, Walking Exercise, COPD

This study explores various barriers to managing Blood Sugar Levels (KGD) in type 2 DM patients. The method used is a systematic review by browsing articles in the ScienceDirect, Ebsco, PubMed, CINAHL and PMC databases selected based on the PRISMA diagram. The results showed that some barriers to blood sugar management were related to limited costs, poor medication adherence, common knowledge and management of type 2 diabetes, patient psychosocial factors and patient activity factors. In conclusion, the type of obstacle that is most often found related to the management of diabetes mellitus is the lack of knowledge about DM and its management, both patients and health workers. Keywords: Type 2 DM, Management Barriers, Knowledge Improvement

Patient safety goals consist of six safety goals, one of which is the identification process. Where the patient identification process must be carried out correctly so that errors or nursing errors do not occur. The purpose of this study was to determine the relationship between the implementation of patient identification and nursing errors. This research uses associative research with a cross-research design. The sample in this study amounted to 120 people, at the Regional General Hospital Dr. RM. Djoelham Binjai used a total sampling technique. The data collection instrument was used a questionnaire. The results of the study showed that as many as 51 people (96,1%) did not carry out patient identification with a high incidence of nursing errors. Meanwhile, among nurses who carried out patient identification, there was 1 out of 68 people (1,4%) with a high incidence of nursing errors. Based on the results of data processing, it was concluded that the effect of carrying out patient identification was strong by r square=0,911, meaning that the patient identification implementation variable was used in the study. It has been able to explain the diversity of data on nursing error variables at the Regional General Hospital Dr. RM. Djoelham Binjai is 91,1%, while the remaining 8,9% is explained by other variables outside the research model.

This study aims to gather information about the life experiences of patients with chronic kidney disease undergoing hemodialysis in adhering to their diet and fluid intake. The method used is a phenomenological approach involving 15 patients undergoing hemodialysis at the H. Adam Malik General Hospital Medan selected by purposive sampling technique. Data collection was carried out using a qualitative approach in the form of in-depth interviews. Data were analyzed using the Colaizzi method. The results showed that there were seven themes regarding patient experience, namely; 1) changes in the patient's physiological condition; 2) expression of the patient's feelings regarding changes in health conditions; 3) the need to obtain support; 4) changes in meeting the nutritional needs of patients; 5) changes in fulfilling the patient's fluid needs; 6) the need to obtain information about treatment; and 7) patient's obstacles in following diet and fluid rules. In conclusion, each patient's experience in following diet and fluid intake is different.  Keywords: Fluid Intake, Diet Intake, Hemodialysis