Hipertensi adalah salah satu penyakit paling mematikan di dunia dan saat ini terdaftar sebagai penyakit pembunuh ketiga setelah penyakit jantung dan kanker. Perawatan hipertensi membutuhkan waktu lama dan menimbulkan banyak komplikasi. Oleh karena itu perlu intervensi non-farmakologis yang alami untuk mengendalikan tekanan darah tinggi. Hipertensi dapa t dikontrol dengan terapi non-farmakologis menggunakan teknik relaksasi pernapasan dalam yang dikombinasikan dengan zikir. Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui efektivitas pernapasan dalam lambat dengan zikir penurunan tekanan darah. Metode: Metode penelitian ini menggunakan Quasi eksperimental dengan kelompok kontrol. Teknik pengambilan sampel menggunakan purposive sampling. Ukuran sampel terdiri dari 30 peserta yang dibagi menjadi 2 kelompok dengan masing-masing 15 peserta. Kelompok intervensi mendapat pengobatan pernapasan dalam lambat dengan zikir sedangkan kelompok kontrol hanya mendapat pengobatan pernapasan dalam lambat. Intervensi selama 14 hari. Pengukuran yang dilakukan adalah pengukuran tekanan darah menggunakan sphygmomanometer dan stetoskop. Analisis yang digunakan adalah Mann Whitney untuk tekanan darah. Hasil: Hasil penelitian Setelah intervensi diberikan ada penurunan tekanan darah dengan nilai p 0,000 (systole) dan 0,045 (diastole). Kesimpulan: Intervensi non-farmakologis pada pernapasan dalam yang lambat dengan zikir lebih efektif untuk menurunkan tekanan darah pada pasien dengan hipertensi. Hasil penelitian ini dapat diterapkan sebagai terapi non-farmakologis pada pasien dengan hipertensi dan bahan ajar perawatan tambahan untuk hipertensi

ABSTRAKTujuan penelitian: untuk mengetahui efektivitas teknikprogressive muscle relaxation dan slow deep breathing terhadap peningkatan kualitas tidur dan penurunan tingkat stres. Metode: penelitian ini menggunakan quasi experimental design with comparison group. Pengambilan sampel penelitian menggunakan purposive sampling. Penelitian dilakukan di wilayah kerja Puskesmas Gamping 2 Yogyakarta. Besar sampel dalam penelitian ini sebanyak 60 responden dengan pembagian sampel masing-masing 20 responden pada kelompok intervensi, kelompok kontrol 1, dan kelompok kontrol 2. Pengambilan data dilakukan pada bulan April sampai Juni 2015. Instrumen penelitian ini menggunakan PSQI (Pittburgh Sleep Quality Index) untuk mengukur kualitas tidur dengan nilai validitas 0,89 dan reliabilitas sebesar 0,73, sedangkan PSS (Perceived Stress Scale) untuk mengukur tingkat stres dengan nilai validitas 0,85 dan reliabilitas sebesar 0,75. Analisis data dalam penelitian ini menggunakan Anova dilanjutkan uji post-hoc Bonferroni. Hasil: Terdapat perbedaan yang signifikan antara kelompok intervensi, kelompok kontrol 1, dan kelompok kontrol 2 terhadap peningkatan kualitas tidur (p = 0,025). Terdapat perbedaan yang signifikan antara kelompok intervensi, kelompok control 1 dan kelompok kontrol 2 terhadap penurunan tingkat stres (p = 0,009). Diskusi: Hipertensi berkaitan dengan kualitas tidur dan tingkat stres karena berhubungan dengan respons saraf simpatis. Jika tidak diidentifikasi dengan baik, hal tersebut dapat memperburuk kondisi penderita hipertensi. Hipertensi dapat dikontrol dengan terapi nonfarmakologi menggunakan teknik relaksasi progressive muscle relaxation dan slow deep breathing. Kesimpulan: teknik progressive muscle relaxation efektif untuk meningkatkan kualitas tidur dan slow deep breathing efektif untuk menurunkan tingkat stres.Kata Kunci: hipertensi, kualitas tidur, tingkat stres, progressive muscle relaxation, slow deep breathingPROGRESSIVE MUSCLE RELAXATION AND SLOW DEEP BREATHING IN HYPERTENSION PATIENTSABSTRACTObjective: to identify the effectiveness of progressive muscle relaxation and slow deep breathing on improving sleep quality and decreasing stress levels. Methods: This study employed quasi experimental design with comparison group. Samples were taken using purposive sampling. The study was conducted in the working area of Puskesmas (Public Health Center) Gamping 2 Yogyakarta. The sample size was 60 respondents with 20 respondents in each of the intervention group, control group 1, and control group 2. Data were collected from April to June 2015. The research used PSQI (Pittsburgh Sleep Quality Index) to measure the quality of sleep with a validity value of 0.89 and a reliability value of 0.73 and PSS (Perceived Stress Scale) to measure stress levels with a validity value of 0.85 and a reliability value of 0.75. Data were analyzed using Anova and followed by using Bonferroni post-hoc test. Results: There were significant differences between intervention group, control group 1, and control group 2 in the sleep quality improvement (p=0.025). There were significant differences between intervention group, control group 1 and control group 2 in the decreased stress levels (p=0,009). Discussion: Hypertension is related to sleep quality and stress levels because it is associated with sympathetic nerve response. Unless they are well identified, they may worsen the condition of patients with hypertension. Hypertension can be controlled with non-pharmacological therapy using progressive muscle relaxation and slow deep breathing relaxation. Conclusion: Progressive muscle relaxation is effective to improve sleep quality and slow deep breathing is effective to reduce stress level.Keywords: hypertension, sleep quality, stress level, progressive muscle relaxation, slow deep breathing

Head of Family knowledge about earthquake disaster management is very important in disaster preparedness, it is expected that the community is ready to handle earthquake disaster. In order not to panic and grow negatively against them. The people of Kiringan village are very affected by the earthquake disaster due to disaster prone areas. The purpose of this research is to know the relationship of knowledge level of disaster management with earthquake disaster preparedness to family head in Kiringan Village, Canden, Jetis, Bantul, Yogyakarta. There search used quantitative research type with analytic observation with crosssectional design. The sampling technique using consecutive sampling and samples in this study were 57 family heads in Kiringan Village Canden Jetis Bantul Yogyakarta. Bivariate analysis using spearman rank test. There wasn’t significant correlation between knowledge level of disaster management with earthquake disaster preparedness in the head of family in Kiringan village, Canden, Jetis, Village, Bantul, Yogyakarta got value of Correlation Coefficient 0.104, with significant value equal to 0.441 (p value >0.05). There was nocorrelation between knowledge level of disaster management with earthquake disaster preparedness on family head in Kiringan Village, Canden, Jetis, Bantul, Yogyakarta.

AbstrakDiabetes mellitus (DM) merupakan salah satu penyakit kronis yang paling banyak dialami oleh penduduk di dunia. Penyakit DM menempati urutan ke-4 penyebab kematian dinegara berkembang. Salah satu jenis penyakit DM yang paling banyak dialami oleh pendudukan di dunia adalah DM tipe 2 (85-95%), yaitu penyakit DM yang disebabkan oleh terganggunya sekresi insulin dan resistensi insulin. Peningkatan jumlah kasus DM tipe 2 tersebut berdampak pada peningkatan komplikasi yang dialami pasien DM tipe 2. Komplikasi tersering yang dialami pasien DM tipe 2 adalah neoropati perifer (10-60%) yang akan menyebabkan ulkus diabetic. Menurut American Diabetes Association (ADA) bahwa �salah satu faktor risiko terjadinya diabetes mellitus adalah faktor risiko yang dapat diubah meliputi obesitas berdasarkan IMT =25 kg/m2 atau lingkar perut = 80 cm pada wanita dan = 90 cm pada laki � laki, kurang aktivitas fisik, hipertensi, dislipidemi dan diet tidak sehat. Tujuan dari kegiatan pengabdian masyarakat ini adalah melakukan skrining awal penderita hipertensi dan penderita diabetes mellitus serta sebagai upaya peningkatan kesadaran masyarakat terkait deteksi dini penyakit hipertensi dan diabetes mellitus. Metode yang dilakukan dengan melakukan pemeriksaan gula darah sewaktu (GDS) dan tekanan darah kepada masyarakat. Hasil evaluasi telah teridentifikasi 18 orang (13,84 %) memiliki gula darah sewaktu (GDS) > 180 mg/dl, sedangkan hasil pemeriksaan tekanan darah didapatkan 20 orang (15,38 %) memiliki tekanan darah > 120/80 MmHg.�Kata kunci : Diabetes Mellitus; Hipertensi; Pemeriksaan GDS; Pemeriksaan Tekanan Darah�AbstractDiabetes mellitus (DM) is one of the most common chronic diseases experienced by people in the world. DM disease ranks 4th place in the cause of death in developing countries. One of the most common types of DM disease experienced by occupation in the world is DM type 2 (85-95%), which is DM disease caused by disruption of insulin secretion and insulin resistance. The increase in the number of cases of type 2 DM has an impact on the increased complications experienced by patients with type 2 DM. The most common complication experienced by type 2 DM patients is peripheral neoropathy (10-60%) which will cause diabetic ulcers. According to the American Diabetes Association (ADA) that one of the risk factors for diabetes mellitus is a risk factor that can be changed include obesity based on BMI =25 kg/m2 or abdominal circumference = 80 cm in women and = 90 cm in men, lack of physical activity , hypertension, dyslipidemia and unhealthy diet. The purpose of this community service activity is to conduct initial screening of hypertension sufferers and people with diabetes mellitus and as an effort to increase public awareness related to early detection of hypertension and diabetes mellitus. The method is carried out by checking blood sugar (GDS) and blood pressure to the public. The evaluation results have identified 18 people (13.84%) have blood sugar when (GDS)> 180 mg / dl, while the results of blood pressure examination found 20 people (15.38%) have blood pressure> 120/80 MmHg.�

Hypertension is one of the deadliest diseases in the world and is currently listed as the third killer disease after heart disease and cancer. Treatment of hypertension requires a long time and requires a lot of money. Therefore, it is necessary to consider using a non-pharmacological approach that is natural to control high blood pressure and improve sleep quality. Hypertension can be controlled with non-pharmacological therapy using slow deep breathing relaxation techniques combined with zikir. Objective of this study is to determine the effectiveness of slow deep breathing with zikir of decreasing blood pressure and improving sleep quality. This study uses Quasi experimental with Comparison Group. Sampling using purposive sampling. The sample size in this study were 30 respondents with a sample of 15 respondents in the intervention group and control group. The intervention group will get a slow deep breathing treatment with remembrance while the control group will only get slow deep breathing treatment. Intervention for 14 days Measurements taken were measuring blood pressure using a sphygmomanometer and a stethoscope, while for sleep quality using the Pittburgh Sleep Quality Index (PSQI) questionnaire. Analysis used by Mann Whitney for blood pressure and Independent sample t test for sleep quality. After the intervention is given there is a decrease in blood pressure and an improving in sleep quality. Non-pharmacological intervention of slow deep breathing with zikir is more effective for decreasing blood pressure and improving sleep quality in patients with hypertension. The results of this study can be applied as non-pharmacological therapy in hypertensive patients and additional teaching materials for nursing care in hypertension.