Pendahuluan: Penyakit gagal jantung adalah penyakit sindrom klinis yang ditandai oleh sesak nafas dan fatique saat istirahat atau aktivitas yang disebabkan oleh kelainan struktur atau fungsi jantung. Gejala yang paling umum yaitu ngantuk sepanjang hari dan kesulitan tidur. Kondisi tersebut menyebabkan peningkatan parahnya penyakit jantung, metabolik dan kognitif pasien. Penelitian ini bertujuan menganalisis faktor – faktor yang berpengaruh terhadap kualitas tidur pasien gagal jantung. Metode: Desain penelitian adalah korelasi analitik dengan cross sectional. Tekhnik sampling adalah consecutive sampling berjumlah  80. Analisa data dilakukan dengan metode univariat, bivariat dan multivariat dengan uji regresi logistik ganda. Hasil: Hasil penelitian menunjukkan bahwa kebiasaan minum kopi (p=0,001), kebiasaan merokok (p=0,004) dan tingkat keparahan penyakit (p=0,028) mempunyai pengaruh yang signifikan terhadap kualitas tidur pasien gagal jantung. Hasil multivariat didapatkan tingkat keparahan penyakit merupakan faktor paling dominan yang berpengaruh terhadap kualitas tidur pasien gagal jantung p = 0,001 (p < 0,05). Diskusi: Efek kafein dan nikotin menyebabkan peningkatan aktivitas kardiovaskuler seperti peningkatan denyut jantung dan tekanan darah sehingga menyebabkan pasien dalam keadaan terjaga. Perubahan pada kualitas tidur pada pasien gagal jantung juga dipengaruhi oleh tingkat keparahan penyakit yang menyebabkan perubahan secara patologis pada pasien seperti timbulnya sesak nafas dan adanya pembatasan pada saat aktivitas.Kata Kunci : Gagal Jantung, Kualitas Tidur Introduction: Heart failure is a clinical syndrome disease characterized by shortness of breath and fatigue at rest or on exertion caused by abnormalities of structure or function of the heart. The most common symptoms found in patients with heart failure are sleepy during the day and difficulty sleeping. The condition causes an increase in the severity of heart disease increases, metabolic and cognitive patients. This study aimed to analyze factors that affect the quality of sleep of heart failure patients in Tasikmalaya hospital. Methods: The study design was cross-sectional analytic correlation. Sampling techniques by consecutive sampling are 80 samples. The data analysis was conducted using univariate, bivariate and multivariate multiple logistic regression to find the dominant factor. Results: The results showed that coffee drinking habits (p = 0.001), smoking (p = 0.004) and severity of disease (p = 0.028) had a significant influence on the quality of sleep of heart failure patients. Multivariate results obtained severity of the disease is the most dominant factor affecting the quality of sleep of heart failure patients p = 0.001 (p <0.05). Discussion: The effects of caffeine and nicotine cause an increase in cardiovascular activity such as increased heart rate and blood pressure, causing the patient is awake. Changes in the quality of sleep in patients with heart failure also affected by the severity of the disease that causes pathological changes in patients such as the onset of shortness of breath and the current restrictions on activity. Key words: Heart Failure, Sleep QualityFull printable version: PDF

People's mental health problems often do not get adequate attention so that they have an impact on the deterioration of the quality of life. It is necessary to increase public awareness of the importance of mental health, but the steps to equalize public perception are still very limited. This service activity aims to equalize understanding of the urgency of maintaining mental health through the application of discussion methods. The discussion, which was attended by 23 participants, covered the stages of preparation, implementation and evaluation. The preparation stage has involved various parties, from the neighborhood level to the sub-district level, community leaders, religious leaders and community groups. At the implementation stage, the discussion begins with brainstorming, explanations about mental health and the preparation of the organizational structure of the mental health post. The residents seemed enthusiastic, accompanied by the support of policy makers and the coordination of related parties. At the evaluation stage, participants' understanding of the importance of mental health increased and commitments and work programs were agreed upon to support the establishment of mental health posts. This activity has implications for improving the mental health condition of the community through community empowerment by solving community mental health problems collectively.

Health is a major requirement for every resident living in this world, and health development essentially concerns both physical and mental health. The state of health of a person will be influential on the aspects of social life is economic, and the continuity of the life of a nation and a country anywhere in the world, both in countries that have developed and in developing countries such as Indonesia as well as health is a right and an investment for all citizens of Indonesia. The research method uses descriptive analysis and verification analysis. By using a combination of analytical methods can be obtained by generalizing that is comprehensive. Samples taken as many as 100 patients BPJS health center Purbaratu Tasikmalaya City and sampling was done randomly or random sampling. Data analysis used is SEM (Stucture Equation Model). Based on the results of the research can be known that there are degrees of contribution of the variable provision of a service to trust patients through the patient satisfaction. The better the delivery of services provided by the health center Purbaratu Tasikmalaya City the better satisfaction of the patients received that will ultimately have an impact on the increased confidence of the patient to the health center Purbaratu the City of Tasikmalaya.

Angka kejadian gangguan jiwa dari tahun ke tahun terus meningkat. Orang dengan gangguan jiwa mengalami berbagai gangguan dalam kehidupannya yang pada akhirnya akan menyebabkan beban bagi keluarganya baik secara subyektif maupun obyektif. Akan tetapi, di masyarakat sendiri, pemahaman mengenai gangguang jiwa masih minim,, sehinggga orang dengan gangguan jiwa kerap kali mendapatkan perlakuan negative dari masyarakat dimana mereka tinggal dengan keluarganya. Mengingat sebagian besar pasien dengan gangguan jiwa akan hidup di lingkungan dimana mereka tinggal, permasalahan pemahaman masyarakat tentang kesehatan jiwa perlu ditangani. Salah satu upaya untuk meningkatkan pemahaman dan kesiapan masyarakat untuk mendukung orang dengan gangguan jiwa adalah dengan dengan memberdayakan kader posyandu. Untuk meningkatkan pemahaman masyarakat tentang kesehatan jiwa masyarakat kader posyandu perlu dibekali pengetahuan dan ketrampilan melalui suatu psikoedukasi tentang upaya kesehatan jiwa. Sebanyak 43 kader posyandu di wilayah kerja Puskesmas Cigeureung menjadi peserta pelatihan peningkatan kesehatan jiwa masyarakat melalui psikoedukasi kesehatan jiwa . Kegiatan dilaksanakan dalam rangkaian program pengabdian kepada masyarakat IPTEKS bagi masyarakat (IbM) Politeknik Kesehatan Tasikmalaya. Kegiatan dilaksanakan pada bulan Oktober 2021. Hasil pelatihan menunjukkan skor pengetahuan kader tentang kesehatan jiwa masyarakat naik sebesar 29 poin dibandingkan sebelumnya. Secara statistik, dengan menggunakan uji Wilcoxon hasilnya menunjukan adanyat perbedaan rata-rata skor pengetahuan sebelum dan setelah pelatihan, dengan taraf signifikansi ρ = 0,0001 (ρ < 0,05). Diharapkan setelah diberikan pembekalan maka kader posyandu akan berkontribusi dalam peningkatan pengetahuan masyarakat tentang kesehatan jiwa melalui kegiatan penyuluhan, melakukan bimbingan dan pemantauan terhadap keluarga yang memiliki anggota keluarga gangguan jiwa.

The aim of this study was to determine the influence of organizational culture and compensation on job satisfaction and its implications on the intention to move the nurse at the Regional General Hospital dr. Soekardjo Tasikmalaya. The results of this study can be useful practically and theoretically, i.e. as material development management of human resources, especially nurses in order to improve the quality and productivity of hospital services as well as lowering the intention of migration of nurses. The research method uses a quantitative approach, with the nature of this research was descriptive and verification. How to capture data through interviews and questionnaire with the techniques of observation and field Study, with the sampling technique of sampling is simple. The collection of Data in the field is done in 2019. Statistical analysis techniques to test hypotheses using Path Analysis. Based on the results of the analysis, it can be seen that the culture of the organization, compensation, job satisfaction and intentions to move in general is pretty good. There is the influence of organizational culture and compensation as well as job satisfaction simultaneously on work satisfaction, as well as have a negative effect on the intention to move from the nurses in the Regional General Hospital dr. Soekardjo Tasikmalaya.