Latar Belakang : Persentase penduduk lanjut usia di Indonesia mengalami peningkatan yang signifikan selama 30 tahun terakhir. Peningkatan kuantitas lansia tersebut seharusnya diimbangi dengan peningkatan kualitas hidup lansia. Kualitas hidup khususnya dimensi kesehatan fisik diduga dipengaruhi oleh status gizi. Kejadian penyakit kronis dan konsumsi obat-obatan juga diketahui menurunkan kualitas hidup dimensi kesehatan fisik. Tujuan : Mengetahui hubungan status gizi, kejadian penyakit kronis dan konsumsi obat-obatan dengan kualitas hidup dimensi kesehatan fisik pada lanjut usia.Metode : Penelitian ini menggunakan rancangan cross sectional. Populasi adalah lansia di Kecamatan Cilacap Utara. Subjek adalah 58 orang lansia berumur 65-75 tahun yang mampu berkomunikasi dengan baik dan aktif datang ke posyandu. Subjek dipilih secara consecutive sampling. Kualitas hidup dimensi kesehatan fisik diperoleh dengan wawancara menggunakan kuesioner WHOQoL-BREF. Penentuan status gizi menggunakan IMT. Tinggi badan yang digunakan adalah tinggi badan prediksi yang diperoleh dari konversi panjang rentang tangan.Hasil : Sebanyak 17,2% lansia mengalami gizi kurang, 46,6% gizi normal, dan 36,2% gizi lebih. Sebanyak 87,9% subjek memiliki kualitas hidup dimensi kesehatan fisik baik. Kejadian penyakit kronis (r= -0,449; p=0,000) dan konsumsi obat-obatan (r= -0,299; p=0,023) berhubungan dengan kualitas hidup dimensi kesehatan fisik tetapi status gizi tidak (r=0,090; p=0,501).Simpulan : Penyakit kronis dan konsumsi obat-obatan menurunkan kualitas hidup dimensi kesehatan fisik pada lansia di wilayah kerja Puskesmas Cilacap Utara I.

AbstrakPenelitian sebelumnya menunjukkan bahwa kejadian obesitas sentral pada suku Madura lebih tinggi dibandingkan suku Jawa. Obesitas sentral meningkatkan risiko kejadian penyakit degeneratif seperti tekanan darah tinggi. Menurut Riskesdas, 2013, prevalensi kurang makan buah dan sayur di Jawa Timur adalah 90,5%. Konsumsi rendah serat memiliki risiko menderita hipertensi 4,5 kali lebih besar dibandingkan dengan sampel yang mengkonsumsi serat cukup. Tujuan penelitian adalah mengetahui hubungan asupan serat dengan tekanan darah pada Wanita Usia Subur (WUS) dengan tekanan darah tinggi di Kecamatan Kedungkandang. Penelitian ini bersifat deskriptif analitik dengan pendekatan cross sectional. Sampel pada penelitian ini adalah WUS usia 19-44 tahun sebanyak 48 orang. Teknik pengambilan sampel menggunakan teknik purposive sampling. Analisis menggunakan uji korelasi Spearman dengan tingkat kemaknaan 95%. Hasil penelitian didapatkan bahwa tidak terdapat sampel yang asupan seratnya sesuai dengan anjuran. Hasil uji korelasi Spearman, hubungan antara asupan serat dengan tekanan darah sistolik maupun diastolik tidak bermakna secara statistik (p=0,787 ; p=0,521). Dapat disimpulkan bahwa tidak terdapat hubungan secara statistik antara asupan serat dengan tekanan darah, akan tetapi terdapat kecenderungan dimana semakin banyak asupan serat maka semakin rendah tekanan darah sistolik dan diastolik pada WUS dengan pra hipertensi dan hipertensi. Kata kunci : asupan serat, tekanan darah Abstract Previous research conducted in Madurese and Javanese ethnic groups showed that the incidence of central obesity in Madurese ethnic group was higher than that in the Javanese. Central obesity increases the risk of incidence of degenerative diseases such as high blood pressure. According to Riskesdas 2013, the prevalence of low consumption of fruits and vegetables in East Java were about 90.5%. People with low consumption of dietary fiber have a risk of suffering from hypertension, 4.5 times greater than that of one with enough dietary fiber. The purpose of this study was to determine the correlation of dietary fiber intake with blood pressure in WUS with high blood pressure in Kecamatan Kedungkandang. The design of this study was a

Labor pain is a subjective experience regarding physical sensations that occur due to uterine contractions, dilation and thinning of the cervix and is a physiological sensation. The pain occurs due to the transmission of pain impulses through certain nerves. Inefficient uterine contractions could affect the mother's condition in the form of fatigue, fear, and stress. Nonpharmacological methods used to reduce labor pain is counterpressure and birth ball exercise combination which applying pressure using the base of the hand on the sacral bone and lumbar of the mother by sitting on the birth ball during a contraction so that can reduce the sensation of pain transmission impulses to the brain. This type of research used a Quasi Experiment with a random cluster design pretest and posttest control group was used to determine the effect of the combination intervention to increase β-endorphin levels. 40 samples were divided into 2 groups using purposive sampling technique. Each group consisted of 20 respondents. The result shows that the combination was more effective in increasing β-endorphin levels compared to back massage seen from the p-value 0.002 (p <0.05) which means there is a difference in betaendorphin levels of the treatment group and the control group.

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Background: Development of CAUTI bundle is very important to evaluate the nurse in implementing nursing practice related to urinary catheter which is one of prevention efforts and risk control of CAUTI. Objective: The purpose of this study is to develop CAUTI bundle that is adjusted to hospital condition in Sejiran Setason Muntok Hospital. Methods: In this study used qualitative method by conducting indepth interview and focus group discussion (FGD). It conducted for 3 weeks in Sejiran Setason Muntok Hospital, the total sample are 22 participants. The result produced the themes that used as the material for the development of the bundle or the observation sheet of CAUTI. Results: There are 10 themes which become material for the development of CAUTI bundle. The CAUTI Bundle consists of bundle components such as indication of urinary catheter insertion, urinary catheter installation must comply with SOP, monitoring of urine output by regularly, emptying urine bag regularly, performing hand hygiene before and after procedure, using masks and handscoons, patients and families must be aware of their role in minimizing the risk of CAUTI. Conclusion: Development of the bundle is very important as one of prevention of CAUTI incident in hospital.   Keyword : Bundle, CAUTI, Development.