Arteriovenous fistula (AVF) merupakan akses vaskuler eksternal sebagai tempat penusukan berulang pada pasien hemodialisa yang menyebabkan nyeri berulang. Pemberian teknik valsava manuver salah satu terapi nonfarmakologi yang dapat digunakan untuk menurunkan nyeri berulang penusukan AVF. Penelitian ini bertujuan mengidentifikasi pemberian teknik valsava manuver terhadap intensitas nyeri penusukan AVF pasien hemodialisa. Penelitian kuantitatif ini dengan desain quasi experiment pre and post one sampel test. Pengambilan sampel dengan teknik consecutive sampling pada 33 orang. Analisis data menggunakan paired t-test. Hasil menunjukkan sebelum dilakukan teknik valsava manuver skala nyeri penusukan AVF adalah 4,82 (SD=1,402) dan sesudah dilakukan teknik valsava manuver skala nyeri penusukan AVF adalah 3,45 (SD=1,301). Ada perbedaan skala nyeri penusukan AVF sebelum dan sesudah pemberian teknik valsava manuver pasien hemodialisa dengan p value 0,000. Diharapkan pemberian teknik valsava manuver dapat menjadi intervensi mandiri keperawatan dalam menurunkan nyeri penusukan sehingga kenyamanan pasien hemodialis meningkat.Kata kunci: arteriovenous fistula; hemodialisa; nyeri penusukan, valsava manuverValsava Manuver Techniques To Pain Intensity  Arteriovenous  Fistula (AVF) Pain In Hemodialized PatientsAbstractArteriovenous fistula (AVF) is an external vascular access as a site for repeated punctures in hemodialysis patients which causes recurrent pain. The Valsalva maneuver is one of the non-pharmacological therapies that can be used to reduce repeated AVF stabbing pain. This study was purposed to identify the effectiveness of the Valsalva maneuver technique in reducing the intensity of AVF stabbing pain in hemodialysis patients. This quantitative research was a quasi-experimental pre and post one sample test design. Sampling technique used consecutive sampling technique on 33 people. Data analysis using paired t-test. The results showed that before the Valsalva maneuver the AVF stabbing pain scale was 4.82 (SD=1.402) and after the Valsalva maneuver the AVF stabbing pain scale was 3.45 (SD=1.301). There is a difference in the AVF stabbing pain scale before and after the Valsalva maneuver technique for hemodialysis patients with a p value of 0.000. It is hoped that the Valsalva maneuver technique can be an independent nursing intervention in reducing stabbing pain so that the comfort of hemodialysis patients increases. Keywords: Arteriovenous fistula, hemodialysis, stabbing pain, valsalva maneuver

Kepala keluarga memiliki peran penting sebagai pendidikdalam upaya mencegah penularan virus Covid-19, keluarga menjadi tempat yang rawan bagi penularan virus Corona.Kondisi seperti ini tentunya berbahaya bagi anggota keluarga, karenanya diperlukan antisipasi atau pencegahan dari terpaparnya Covid-19 didalam keluarga, salah satunya melalui peran kepala keluarga.Penelitian ini bertujuan untuk mengetahui peran kepala keluarga dengan penerapan protokol kesehatan di Desa Rawa Kecamatan Tanah Luas Kabupaten Aceh Utara.Penelitian kuantitatif ini dengan desain correlation analitik dengan teknik pengambilan sampel menggunakan random samplingpada53 kepala keluarga. Analisis uji statistic menggunakan Uji Chi-Square. Hasil penelitian menunjukkanbahwa sebanyak 39,6%peran kepala keluarga berada pada kategori kurang dansebanyak 69,8%kepala keluarga tidak menerapkan protokol kesehatan.Ada hubungan yang signifikan hubungan peran kepala keluarga terhadap penerapan protokol kesehatan di Desa Rawa Kecamatan Tanah Luas Kabupaten Aceh Utara  dengan  nilai (p value = 0,000; α = 0,05).Diharapkan untuk optimalisasi sosialisasi dan edukasi tentang protokol Covid-19 dan peran kepala keluarga dalam masyarakat dengan melibatkan tokoh adat, alim ulama dan tokoh masyarakat, mengoptimalkan gerakan sosialisasi dan penyebarluasan informasi penanganan Covid-19. Kata kunci:kepala keluarga; protokol; covid-19The Role Of Family Head On The Implementation Of Health Protocol In Aceh Utara RegencyAbstractThe head of the family has an important role as an educator in an effort to prevent the transmission of the Covid-19 virus; the family becomes a vulnerable place for the transmission of the Corona virus. One of which is through the role of the head of the family. This study was aimed to determine the role of the head of the family with the implementation of health protocols in Rawa Village, Tanah Luas District, North Aceh Regency. This quantitative study was an analytical correlation design with a sampling technique using random sampling of 53 families. Statistical test analysis used Chi-Square Test. The results showed that as many as 39.6% of the role of the head of the family were in the fewer categories and as many as 69.8% of the head of the family did not apply the health protocol. There is a significant relationship between the role of the head of the family on the implementation of health protocols in Rawa Village, Tanah Luas District, North Aceh Regency with a value (p value = 0.000; = 0.05). It is expected to optimize socialization and education about the Covid-19 protocol and the role of family heads in society by involving traditional leaders, religious scholars and community leaders, optimizing the socialization movement and disseminating information on handling Covid-19. Keywords: family head; protocol; covid-19