Diabetes adalah penyakit kronis yang dipengaruhi oleh berbagai aspek seperti gaya hidup seperti pola makan dan aktifitas fisik sehingga membutuhkan perawatan berkelanjutan. Penatalaksanaan yang tidak efektif dapat menyebabkan komplikasi seperti Penyakit Arteri Perifer. Pemeriksaan Ankle Brachial Index dapat digunakan untuk mengetahui kondisi pembuluh darah ekstremitas bawah. Salah satu upaya pencegahan terjadinya Penyakit Arteri Perifer yaitu dengan Senam Kaki Diabetes. Tujuan Penelitian ini adalah untuk mengetahui pengaruh senam kaki diabetes terhadap sirkulasi ke daerah kaki dengan menilai Ankle Brachial Index pada pasien Diabetes Melitus Tipe 2. Desain penelitian ini adalah pre eksperimen dengan rancanagn one-group pre test-post test. Pengambilan sampel menggunakan tehnik purposive sampling dengan jumlah 21 responden berdasarkan kriteria yang ditentukan. Analisis data univariat menggunakan distribusi frekuensi, sedangkan bivariat menggunakan Paired Sampel T-test. Hasil penelitian menunjukan bahwa sebelum diberikan senam kaki diabetes sebagian kecil (14.3%) responden memiliki nilai Ankle Brachial Index normal (0.9 -1.4 mmHg). Setelah diberikan senam kaki diabetes, sebagian besar (71,4%) responden memiliki nilai Ankle Brachial Index normal yaitu (0.9 – 1.4 mmHg). Hasil Uji Statistik Paired Sampel T-Test dengan tingkat kepercayaan 95% (α=0,05) menunjukan (p –value 0,001) artinya terdapat pengaruh senam kaki diabetes terhadap nilai Ankle Brachial Index pada pasien Diabetes Mellitus Tipe 2. Senam kaki diabetes dapat terus dilaksanakan untuk meningkatkan sirkulasi ke daerah kaki pada pasien Diabetes Mellitus Tipe 2.

Chronic kidney disease (CKD) has a high prevalence and incidence so that it is a frequent global problem. CKD causes kidney tissue damage which is marked by the accumulation of metabolic waste in the blood so it is necessary to do kidney replacement therapy, one of which is hemodialysis. CKD has 5 stages based on the glomerular filtration rate, wherein each stage the patient must be responsible for managing his health such as diet and lifestyle modification, administering large amounts of medication, and complying with doctor's rules. Therefore, patients must increase their adherence to self-care management so that they can prevent the worsening of the disease. This study aims to determine adherence of self-care management among hemodialysis patients. The research design used a quantitative descriptive with a cross-sectional approach. The sample in this study was 84 patients who underwent hemodialysis at the Majalaya Hospital, and they were taken by consecutive sampling technique from a population of 145 people. The instrument used in this study was Morisky questionnaire, Body Mass Index, Hemodialysis Self-Management Instrument (HDSMI), IDWG (Interdialytic Weight Gain). Data analysis was done using statistical software to obtain frequency distribution. The results showed that the Adherence of hemodialysis patients in taking medication was still low, 50% (42 respondents), 72.6% (61 respondents) did not comply with the diet, 61.9% (52 respondents) did not comply with fluid intake, 53.6% (45 respondents) were not obedient in caring for AV fistula. This result can be influenced by several factors, namely education, gender, marital status, age, length of HD. Adherence to self-care management it is very important because it greatly influences the management of complications, controlling symptoms, minimizing negative effects, and delaying disease progression.

Terminal Kidney Failure (GGT) is irreversible kidney damage and is the last stage of kidney disease with a decrease in kidney function<15ml/min[1]. The increased incidence of terminal renal failure [GGT], clients requires to undergo haemodialysis therapy. The responses that appeared in GGT patiens undergoing hemidialysis therapy are physical, psychological, social, and spiritual responses. The psychological impact in clients with GGT who undergoing haemodialysis dan be caused by along course of the diseases [2]. Client of GGT ussualy have to undergo dialysis therapy throughout their life and require 12-15 hours per week, or at least 3-4 hours each time. This therapy must be lived by clients for life. This cause psycholigical problems as depression[3]. The purpose of this study was determine the relationship between the lenght of haemodialysis and depression in chronic renal failure clients in Majalaya District Hospital Bandung. This type of reserch is descriptive correlational with cross sectional approach. The population of 54 respondent was determined by purposive technique sampling. The instrumen use CES-D. Univariate data were analyzed using frequency distribution and Chi Square for correlation. The results showed that almost all data (62.96?) had undergone haemodialysis for 3 years and almost all data (81.48%) had depression symptomps. And there waswas relationship between the duration of undergoing haemodialysis with depression in chronic renal failure patients in Majalaya District Hospitals with pvalue 0.003(<0.05, r = 0.417). For nurse s it is expected to provide nursing care that is not only physical but psychosocial as well, so the depression can be resolved soon

Kecepatan memberikan pertolongan (respon time) merupakan indikator penanggulangan penderita gawat darurat. Keterlambatan penanganan dapat berakibat fatal, dimana salah satu faktor penyebabnya adalah beban kerja tinggi yang menimbulkan fatigue. Fatigue secara fisik ditandai dengan menurunnya kualitas reflex gerak yang berakibat pada turunnya kecepatan penanganan kegawatdaruratan (respon time). Tujuan penelitian ini adalah mengidentifikasi efek fatigue terhadap respon time penanganan penderita gawat darurat. Desain penelitian adalah korelasi dengan pendekatan cross sectional pada 21 petugas Instalasi gawat darurat yang dipilih melalui teknik total sampling. Instrumen untuk mengukur fatigue adalah Fatigue Severity Scale versi bahasa Indonesia dan untuk mengukur respon time adalah lembar observasi dan stopwatch. Hasil menunjukkan 52,4% responden mengalami derajat fatigue ringan, 100% respon time penanganan penderita gawat darurat sesuai dengan kategori Australasian Triage Scale (ATS) 1,2,3,4,5 dengan nilai median 57 detik, dan waktu kecepatan respon 52,4% responden kurang dari 57 detik. Analisis uji Spearman Rank mendapatkan nilai r 0,121, menunjukkan secara statistik tidak ada kolerasi antara derajat fatigue dengan respon time. Lemahnya hasil uji statistik tetap menunjukkan nilai bahwa fatigue menyebabkan turunnya kemampuan analisis pemecahan masalah, reflek dan kualitas gerak yang berakibat pada penurunan respon time. Perlu adanya penanganan fatigue dengan manajemen stress, pengaturan jam kerja, dan pengelolaan waktu istirahat yang cukup.

Early Warning Score (EWS) is one of the instruments used to assess the patient's physiological deterioration and is one of the assessments in hospital accreditation. The application of the EWS can predict patient outcomes in the form of mortality, length of stay, and re-hospitalization. The purpose of this study was to evaluate the application of EWS in the inpatient room. This study was a prospective observational cohort study of patients in adult wards (≥16 years) over a while (1 month). The number of samples was 256 patients. The instruments used in this study were a demographic data questionnaire and an EWS observation sheet. Descriptive statistics were used for patient characteristics, and EWS monitoring documents. The results showed that 100% of the EWS sheet documentation was incomplete, if this examination sheet was not carried out correctly it would affect the subsequent patient handling and patient outcomes both related to illness and death. Monitoring and evaluation related to the implementation of the EWS are very much needed in the future for the improvement of hospital services as a whole. Keywords: Early Warning Score, Evaluation