Background: Self-efficacy has been described as dominan factor associated with physical exercise in adult patients with type 2 diabetes mellitus, but to improve self-efficacy to regulate exercise of adult patients with type 2 diabetes mellitus is a challenge for health workers.Objective: This study was to determine the effect of exercise consultation program on self - efficacy to regulate exercise adults’ patients of type 2 diabetes mellitus.Methods: A quasi-experimental study with two comparison groups was purposively designed for pre-test and post-test procedures. Sixty-one patients of type 2 diabetes mellitus were allocated into the experimental group (31 patients) and the control group (29 patients). While the experimental group received the exercise consultation for 12 weeks and routine care, the control group received routine care only. Comparative assessments on differences in self-efficacy to regulate exercise were examined both within and between groups using paired or unpaired t-test.Results: After receiving exercise consultation program, self-efficacy to regulate exercise significantly increased within the experimental group (p < .05), but there was no significant change with in the control group.  Between groups, there was a significant difference self-efficacy to regulate exercise in adult patients with type 2 diabetes mellitus (p < .05).Conclusion: The exercise consultation program could increase self-efficacy to promote the physical exercise among adults patients of type 2 diabetes mellitus.

Background: Depression level among elderly remains high in Indonesia. One of efforts to decrease depression is laughter therapy, which is assumed able to lower depression.Objective: This study aimed to examine the effect of laughter therapy on depression level in elderly at Nursing Home of Binjai Integrated Social Service Unit for the Elderly, North Sumatra, Indonesia.Methods: This was a quasi-experimental study with pretest posttest with control group design. Forty-two participants were selected using a purposive sampling, with twenty-one participants were randomly assigned in each group. An experimental group received one-hour laughter therapy for 3 times a week in 4 weeks, and a control group received usual care. Depression was measured using Geriatric Depression Scale-15. Data were collected from April to June 2018. Independent and dependent t-test were used for data analysis.Results: Findings revealed that the level of depression in elderly significantly decreased in the experimental group (p<.05), but there was no significant change of it in the control group (p=.648). Between the two groups, there was a significant difference in depression level in elderly (p<.05).Conclusion: Laughter therapy could reduce depression among elderly. Therefore, this therapy can be used as one of interventions in nursing practice, especially at nursing homes.

Background : It is importan to promote physical activity for elderly people, but to improve level of physical activity of elderly people is a challange for health workers. Purpose : The purpose of this quasi- experimental study was to determine the effect of exercise consultation program by using Transtheoretical Model (TTM) approach on physical activity level in elderly people at Darussalam’s Community Health Center. Research method :The two comparison groups for this study were purposively designed for pre-test/post-test procedures; sixty elderly people at Darussalam’s Community Health Center with randomly allocated into the experimental (30 people) and the control (30 people) groups. While the experimental group received the exercise consultation for 8 weeks, the control group received routine care. Physical Activity Scale for Elderly (PASE) was use to assess the the physical activity of elderly. Comparative assessments on differences in level of physical activity both within group using Wilcoxson macthed-pairs and between group using Mann Withney U Test. Results : The results of this study found that after receiving exercise consultation program, level of physical activity in elderly people significantly increased in the experimental group (P < 0.05), but there was no significant difference in the control group. Between groups,  level of physical activity significantly increased after receiving the exercise consultation while no change was found among those who did not (P < 0.05).Conclusion: The exercise consultation program by using TTM approach could increase level of physical activity of elderly people.

Introduction. The nurses who works at Intensive Care Unit (ICU) and Emergency Unit often suffering Low Back Pain (LBP) because they have high mobility and unergonomic condition. The purpose of this study were to identify the correlation among age, body mass index and working position of nurses with the low back pain who work in ICU and emergency unit at Sari Mutiara Indonesia general hospital. Methods. The data obtained was analyzed by analytic correlational with cross-sectional approach. The Sampel of this study was recruited with total sampling as 31 nurses. The data was analyzed by spearman correlation with α = 0.05. Result. The result of this study found that there was a signifi cant correlation between age with low back pain (r = 0.466 ; p <0.05). While body mass index and working position there was no signifi cantly correlation with low back pain ( r=0.195; p > 0.05 and r = - 0.172;p >0.05), respectively. Discussion. It can be recommended to occupational safety team to organize training the manner of working according to ergonomic standard, in addition to develope standar operating procedure for nurses in the hospital.Keywords : Risk factors, low back pain, nurse

Tingginya masalah tidur  yang terjadi pada lansia memerlukan penanganan yang sesuai untuk meningkatkan pemenuhan kebutuhan tidur. Peningkatan pemenuhan kebutuhan tidur dapat dilakukan dengan mengajarkan cara-cara yang dapat menstimulus dan memotivasi tidur. Salah satu cara yang bisa dilakukan adalah relaksasi otot progresif suatu bentuk teknik yang melibatkan pergerakan anggota badan. Tujuan penelitian ini untuk mengetahui pengaruh terapi relaksasi otot progresif terhadap insomnia pada lansia. Desain penelitian yang digunakan adalah quasi-eksperiment dengan rancangan pre test-post test one grup only design. Pengambilan sampel yang digunakan dalam penelitian ini adalah non probability sampling dengan teknik purposive sampling. Populasi dalam penelitian ini adalah seluruh lansia yang mengalami insomnia di UPT Pelayanan Sosial Lanjut Usia Dinas Sosial Binjai Provinsi Sumatera Utara. Pengambilan sampel menggunakan cohend’s table dengan settingan power 0,80 dimana alpha 0,05 maka jumlah sampel 26 orang. Hasil penelitian didapatkan insomnia sebelum diberikan terapi relaksasi otot progresif memiliki nilai rata-rata 2.58, sedangkan pada insomnia setelah diberikan terapi  relaksasi otot progresif didapatkan nilai rata-rata menjadi 1,71. Hasil penelitian ini menggunakan uji Wilcoxon matched-pairs signed rank test, dan mendapatkan p value = 0,000 (p<0,05). Menunjukkan adanya pengaruh terapi relaksasi relaksasi otot progresif terhadap insomnia pada lansia di UPT Pelayanan Sosial Lanjut Usia Dinas Sosial Binjai Sumatera Utara. Sehingga diharapkan kepada lembaga di UPT. Pelayanan Sosial Lanjut Usia Dinas Sosial Binjai Sumatera Utara untuk menerapkan terapi relaksasi otot progresif pada lansia yang mengalami insomnia