Latar Belakang : Diabetes Mellitus (DM) merupakan penyakit yang ditandai dengan kadar glukosa tinggi (hiperglikemia). Untuk mengatasi kadar gula yang tinggi dapat dilakukan terapi psikologis dengan cara hipnoterapi, imajinasi terbimbing dan terapi musik. Tujuan : Mengetahui efektifitas terapi musik langgam jawa dan musik alam terhadap perubahan kadar gula dalam darah pada penderita diabetes melitus tipe II di wilayah kerja Puskesmas Prambanan Klaten tahun 2019. Metode : Jenis penelitian ini quasi eksperimental dengan time series design. Populasi orang dengan DM tipe II di wilayah kerja Puskesmas Prambanan Klaten berjumlah 120 penderita. Teknik sampling yang digunakan adalah purposive sampling dan simple random sampling sebanyak 54 orang. Analisis data menggunakan Mann-Whitney dengan komputerisasi. Hasil : Hasil uji mann-whitney didapatkan hasil p value sebesar 0.000 (P value < 0,05). Terjadi penurunan nilai mean sesudah terapi musik langgam jawa sebesar 46,59 dan musik alam sebesar 24,52. Kesimpulan : Terapi musik langgam jawa lebih efektif dibandingkan dengan terapi musik alam terhadap perubahan kadar gula darah pada orang dengan DM tipe II di wilayah kerja Puskesmas Prambanan Klaten tahun 2019. Saran : Kepada Puskesmas Prambanan Klaten dapat menerapkan penggunaan terapi musik langgam jawa untuk membantu penurunan kadar gula darah pada pasien DM.   Kata Kunci : Diabetes Mellitus – Kadar Gula Darah - Musik Langgam Jawa – Musik Alam   ABSTRACT   Background: Diabetes mellitus (DM) is a disease characterized by high levels of hyperglycemia. To overcome high sugar levels psychological therapy can be done by means of hypnotherapy. Objective: To find out the effectiveness of Javanese musical style and natural music on glucose levels in people with type II diabetes mellitus in the working area of ​​Prambanan Klaten Health Center in 2019. Method: This type of research is quasi experimental with a time series design. The population in this study was type II DM patients in the work area of ​​Prambanan Klaten Community Health Center with 120 sufferers. The sampling technique used was purposive sampling and simple random sampling of 54 people. Data analysis using Mann-Whitney with computerization. Results: The results of the Mann-Whitney test are obtained as a result of p value of 0,000 (P value < 0,05).There was a decrease in the mean value after music therapy in Java style at 46.59 and natural music at 24.52. Conclusion: Javanese music therapy is more effective than natural music therapy for glucose levels in people with type II DM in the working area of ​​Prambanan Klaten Health Center in 2019. Suggestion: Prambanan Klaten Community Health Center can apply the use of Javanese music therapy to help reduce glucose levels in DM patients.   Keywords: Diabetes Melitus - Glucose Level - Javanese Music - Natural Music

Kecemasan merupakan perasaan tidak tenang  karena ketidaknyamanan atau rasa takut yang disertai suatu respon. Perawat merupakan orang yang berhubungan langsung dengan pasien hemodialisis yang merupakan kelompok rentan di masa pandemi COVID-19. Penelitian bertujuan mengetahui gambaran kecemasan perawat dalam menangani pasien hemodialisis di masa pandemi COVID-19 tahun 2020. Penelitian menggunakan desain deskriptif kuantitatif dengan metode survey secara online. Tehnik pengumpulan data menggunakan kuesioner tinggat kecemasan dari Zung-Self-Rating Anxiety Scale. Pengambilan sampling menggunakan tehnik non probability sampling dengan accidental sampling dengan jumlah responden 62 perawat hemodialisis. Hasil dari penelitian ini menunjukkan bahwa sebagian  besar perawat tidak mengalami kecemasan sejumlah 60 responden (96.8% ), dan 2 (3.2%) responden mengalami kecemasan ringan sampai sedang. Gambaran kecemasan pada perawat hemodialisis dari hasil penelitian menunjukan bahwa perawat hemodialisis mempunyai kemampuan merespon kecemasan dengan baik. Saran: dilakukan penelitian dengan menggunakan metode lain yaitu metode kualitatif dengan menggunakan tenhik wawancara secara mendalam

Patients with chronic renal failure undergoing hemodialysis (HD) need family support. This Covid-19 pandemic has brought changes to the HD service model by implementing health protocols and policies for limiting HD patient companions. This study was to determine the description of family support for hemodialysis patients during the COVID-19 pandemic. This study used a quantitative design with a descriptive method. The population in this study were all hemodialysis patients during the COVID-19 pandemic. A purposive sampling technique was used in this study and obtained a number of 53 respondents. The measuring instrument used in this study was a family support questionnaire shared online. The majority of respondents in this study were male (50.9%), aged >50 years (33.9%), married status (62.2%), higher education level (49%), and working in private employment (22.6%). Respondents get good family support (90.5%). The family support obtained by HD patients during the pandemic is in a good category. Good family support is very important for patients in the success of hemodialysis therapy.

Chronic Kidney Failure (CKD) is a disease that has a high incidence in Indonesia. End-stage CKD conditions require hemodialysis therapy at least 1-2 times every week with the help of HD nurses. The second explosion of Covid-19 cases occurred in the middle of 2021 affecting condition of nurses. Preliminary studies show that there is a difference in the care provided by nurses during pandemi. The purpose of this study was to find out description of hemodialysis nurse services during Covid-19 pandemi in Indonesia. Research method was qualitative design with a phenomenological approach. Sampling technique was purposive sampling. Population in this study were hemodialysis nurses. Sample of this study was 5 participants who came from various type B private hospitals. Results of this study are 4 themes: HD services are carried out with strict health protocols and special HD device care, limited duration of communication bring dissatisfaction for nurses and patients, nurses always prepare themselves mentally and physically before working, hope for the passing of the pandemi, patient honesty and adequate manpower are the main things for nurses. Conclusion: hemodialysis nurse services during covid-19 pandemi have been carried out with strict health protocols and nurse readiness is better at this time.

ABSTRAKLatar Belakang: Tantangan kesehatan utama saat ini adalah penyakit tidak menular, seperti diabetes mellitus (DM). Tahun 2014 jumlah penderita DM di dunia sebanyak 194 juta jiwa. Penderita yang tidak mampu mengontrol penyakit DM dapat menimbulkan berbagai komplikasi. Pengelolaan dan pencegahan komplikasi DM memerlukan 4 pilar, salah satunya adalah olahraga seperti senam. Tujuan: Untuk mengetahui perbedaan senam kaki dan senam kebugaran diabetes terhadap kadar glukosa darah sewaktu lansia di Sleman Yogyakarta 2017. Metode Penelitian: Penelitian ini menggunakan desain quasi experimental two group pre-post test time series. Teknik sampling menggunakan purposive sampling sebanyak 34 responden, 17 responden senam kaki dan 17 responden senam kebugaran diabetes. Analisis data menggunakan uji General Linier Model Repeated Measures (GLM-RM). Hasil: Hasil uji GLM-RM kelompok senam kaki p= 0,008 (p<0,05) dan kelompok senam kebugaran diabetes p= 0,003 (p<0,05), artinya kedua perlakuan berpengaruh terhadap kadar glukosa darah sewaktu lansia. Hasil komparatibilitas GLM-RM p= 0,312 (p>0,05) hal ini menunjukkan bahwa kedua perlakuan tidak memiliki perbedaan terhadap kadar glukosa darah sewaktu. Kesimpulan: Hasil penelitian menunjukan tidak terdapat perbedaan senam kaki dan senam kebugaran diabetes terhadap kadar glukosa darah sewaktu lansia. Saran: Bagi penelitian selanjutnya senam dapat dilakukan dengan frekuensi yang lebih lama untuk mengukur sensitivitas kaki, sensitivitas insulin, dan risiko terjadinya ulkus. ABSTRACT Background: The current major health challenges are non-communicable diseases such as diabetes mellitus (DM). In 2014 there were 194 million DM patients. Patients who are unable to control the DM can cause various complications. Restraint and prevention of DM complications requires four pillars, one of them is sports like gymnastic. Objective: To know the difference between foot gymnastic and diabetic fitness gymnastic to in time blood glucose level of elderly in Sleman Yogyakarta in 2017. Methode: This was a quasi experimental research with two group pre-post test. There was 34 respondents taken with purposive sampling techique, 17 respondents for foot gymnastic and 17 respondents for diabetic fitness gymnastic. Data analysis used General Linier Model Repeated Measures (GLM-RM). Result: The test result of GLM-RM group foot gymnastic p= 0,008 (p<0,05) and group diabetic fitness gymnastic p= 0,008 (p<0,05), it means the two treatments have effect to in time blood glucose level of elderly. The results comparatibilitas 312 (p>0,05), it means the two treatment do not have any different effect to in time blood glucose level. Conclusion: The result shows no difference between foot gymnastic and diabetic fitness gymnastic to in time blood glucose level of elderly. Suggestion: For further research the gymnastic can do with a longer frequency to measure foot sensitivity, insulin sensitivity, and risk of ulcers.