Introductions: The decrease in depression in leprosy patients using Spiritual-based Cognitive Behavior Therapy shows progressive results. Objectives: This study aimed to determine the effectiveness of spiritual-based Cognitive Behavior Therapy on the level of depression of leprosy patients at the Waru Health Centre, Pamekasan Regency. Methods: This research design was Quasi-Experiment Design with a pre-test – post-test group. Respondents consisted of 12 people who received spiritual-based CBT therapy. Spiritual-based CBT therapy was given in 3 sessions in 3 meetings. Data collection by filling out the DASS questionnaire pre- and post-spiritual-based CBT therapy interventions. Data was collected using the triangulation method, namely in-depth interviews (depth interviews) face to face with observations and scales. Results: The results showed that from the interpretation of the analysis results using the Paired T-Test statistical test, it was known that in the test before and after treatment, the value of p = 0.000 at the significance level of p = 0.05 (α = 0.05). When compared with the level of significance, which is 0.000 < 0.05, it can be concluded that there is an influence on the application of spiritual-based cognitive behavior therapy to people with leprosy who experience depression. Conclusions: Through cognitive restructuring techniques, participants' distorted cognitions become more rational. Participants can accept their condition and reduce negative thoughts that cause depression.

Masalah kesehatan pada Lansia dapat terjadi pada beberapa bagian tubuh termasuk sistem  muskuloskletal antara lain persendian dan kekuatan otot. Perubahan pada jaringan ikat sekitar sendi seperti tendon, ligamen, dan fasia yang mengalami penurunan elastisitas. Latihan ROM merupakan salah satu bentuk latihan dalam proses rehabilitasi yang dinilai masih sangat efektif. Penelitian ini bertujuan untuk menganalisa pengaruh latihan ROM aktif terhadap peningkatan rentang gerak sendi dan kekuatan otot kaki pada lansia di wilayah kerja Puskesmas Kowel Pamekasan. Penelitian kuantitatif, dengan desain pre eksperimen pre dan post test design group. Teknik pengambilan sampel non probability purposive sampling dan sampel 30 orang. Data diperoleh melalui observasi awal dan akhir luas rentang gerak sendi dan kekuatan otot kaki yang diberikan latihan ROM aktif  selama 2 minggu. Analisis statistiknya univariat dengan uji distribusi frekuensi dan bivariate dengan paired t test. Hasil penelitian didapatkan peningkatan rentang gerak sendi kaki pada Lansia yaitu lutut fleksi-ekstensi rata-rata meningkat 4,570  p value 0,000, ankle plantar fleksi rata-rata meningkat 4.530 p value 0,000,  ankle dorsal fleksi rata-rata meningkat 2.270  p value 0,000, dan rata-rata meningkat 0,76 untuk kekuatan otot tungkai p value 0,000 (<0,05), artinya terdapat pengauh latihan ROM aktif terhadap rentang gerak sendi kaki dan kekuatan otot pada Lansia. Latihan ROM yang dilakukan sedini mungkin dan dilakukan dengan benar dan secara terus menerus akan memberikan dampak pada kekuatan otot dan rentang gerak sendi. Responden perlu mendapat pendidikan kesehatan untuk dapat menerapkan latihan ROM di rumah secara rutin dan berkelanjutan. ROM mengurangi kondisi ketidakmampuan untuk mencapai derajat sehat optimal, potensial dan produktif. kata kunci: Range Of Motion (ROM) aktif, Rentang Gerak Sendi, Kekuatan otot kaki, Lanjut Usia.

Patient post stroke should be able to immediately rise, preparing herself to return activity according to limit its ability, this matter so that stroke patient can immediately recover and avoid from condition causing disability. This study aims to analyze the level of anxiety, self-concept, and meaning of life in post-stroke patients in Lemper Village Working Area Puskesmas Pademawu Pamekasan District. Qualitative methods with case study approaches, which explore a problem with detailed constraints, have deep data retrieval, and include multiple sources of information. This study is limited by time and place as well as cases studied in the form of programs, events, activities or individuals. The results of this study identified four main themes: (1) Anxiety Level of Post-Stroke Patients Age of Productive (2) Self-concept of Post-Stroke Patients Productive Age (3) Meaning of Life Post-Stroke Patients Productive Age (4) Effort / Motivation Patients Post Stroke Productive Age in Improving Quality of Life. A false understanding will lead to adaptive malal coping mechanisms and correct understanding likely to lead to adaptive coping mechanisms. The meaning of life is produced by a combination of self-concept and experience. Experience will affect the self concept, the hypothesis that appears is the healing of stroke patients will increase the meaning of life of stroke patients.