<p><em>Hemodialysis patients experienced sleep disturbance problems that directly affect sleep quality and quality of life of hemodialysis patients. Quality of life is an important part of hemodialysis patients that need attention. The purpose of this study was to analyze the effect of sleep hygiene and deep breathing exercise with spiritual care on sleep quality and quality of life of hemodialysis patients. The research design used a quasy experiment with the pretest posttest approach with control group. Population in this study were all of hemodialysis patients . Sample of this study </em><em>were </em><em>38 respondents divided into 19 respondents for intervention group and 19 respondents for control group. Sleep hygiene intervention and deep breathing exercise with spiritual care were applied every day for 30 days 30 minutes before going to sleep in the intervention group and in the control group only ran routine or habit before going to bed. Instrument used a PSQI questionnaire (Pittsburgh Sleep Quality Index) </em><em>and</em><em> KDQOL SF^TM1.3 (Kidney Disease Quality of Life). </em><em>Data</em><em> analysis us</em><em>ed</em><em> MANOVA test with significance value α = 0.05. The results of this study indicated that p value 0,000 with the effect of R squared 72.7% on sleep quality and 66.4% on quality of life, which means that sleep hygiene and deep breathing exercise with spiritual care were significantly influence sleep quality and quality of life</em><em> on </em><em>hemodialysis patient </em><em>in </em><em>Ahmad</em><em> </em><em>Yani </em><em>Islamic Hospital </em><em>Surabaya. The application of sleep hygiene and deep breathing exercise with spiritual care had a strong influence on the quality of sleep and the quality of life of hemodialysis patients. Nurses are expected to be able to implement sleep hygiene interventions and deep breathing exercises with spiritual care to enhance sleep quality and quality of life for hemodialysis patients.</em></p><p><em> </em></p><p><strong>Keyword</strong>        : <em>Hemodialysis, Sleep Quality, Quality of Life, Sleep Hygiene, Deep Breathing Exercise, Spiritual care</em><em></em></p>

BACKGROUND: Hyperemesis gravidarum during pregnancy affects almost all pregnant women and has a significant effect on quality of life, causing discomfort and interfering with daily activities, especially during the first trimester of pregnancy. Pharmacological action to reduce hyperemesis is ginger. Ginger can work by blocking receptors serotonin and causing an antiemetic effect on the gastrointestinal system, thereby reducing nausea and vomiting. AIM: The purpose of this study was to analyze the effect of ginger herbal drink in reducing the level of hyperemesis gravidarum in first trimester pregnant women. METHODS: Design This study used a Quasy Experimental with control group with a pre- and post-test approach. Samples were taken with the Consecutive sampling technique. The sample in this study was 96 respondents who were divided into two groups, namely 48 experimental groups and 48 control groups. Measurements used a pregnancy unique quantification of emesis and nausea questionnaire to measure the severity of nausea and vomiting in 24 h. Measurement of hyperemesis level was measured every day for 7 days of the experiment. Data analysis used Wilcoxon rank test and Mann Whitney. RESULTS: The average level of hyperemesis gravidarum before the intervention of ginger herbal drink in the intervention group was 2.2083 and 2.2292 in the control group with p value = 0.806 which means there was no difference in the average frequency of hyperemesis gravidarum while after being given the intervention, the average level of hyperemesis gravidarum in the intervention group was 3.4375 and 2.2917 in the control group with p value = 0.000, which means that there is a difference in the average frequency level of hyperemesis gravidarum in the intervention group and the control group after being given the intervention. CONCLUSION: Ginger drink given to pregnant women in the first trimester can reduce the level of hyperemesis so that pregnant women do not experience excessive nausea and vomiting. Ginger drinks can be recommended as an herbal treatment that can be consumed by pregnant women with hyperemesis gravidarum.

Introduction: Increasing age has the potential to cause hardening of the arteries. Hypertension is also related to sleep quality and stress levels. Hypertension can be controlled with non-pharmacological therapy using Mindfulness Based Stress Reduction (MBSR) and samavriti pranayama. Samavriti pranayama increases the oxygen supply to the brain, lungs and lowers the heart rate. The purpose of this study was to determine the effectiveness of MBSR and samavriti pranayama for lowering blood pressure, improving sleep quality, and reducing stress levels. Methods: This study utilized a cross-sectional model. Elders analyzed with hypertension were surveyed for qualification. A add up to of 40 seniors were randomized into the mediation and control bunches. Both bunches gotten schedule care. Eight sessions of MBSR and samavritti pranayama were conducted within the intercession bunch, whereas the control gather gotten no mental intercession. Elders were surveyed with respect to diminished hypertension, uneasiness, and rest quality at two unmistakable stages: some time recently and after the mediation. Results: There were no significant differences in sociodemographic and clinical parameters between the intercession and control bunches at standard. The mediation program essentially lightened mental and physiological complications in elderly with hypertension. Particularly, the consider uncovered that 8 weeks of the combined MBSR and samavritti pranayama mediation viably decreased lower hypertension and uneasiness scores and made strides the quality of rest in elderly. Conclusion: The conclusion MBSR combined with samavritti pranayama significantly alleviated clinical symptoms, and could be considered a new, effective psychotherapeutic intervention for Elderly with Hypertension.

BACKGROUND: COVID-19 epidemic is changing the lives around the world. COVID-19 is a dangerous and frightening disease so that many people experience anxiety disorders and decreased quality of life. AIM: The purpose of this study was to analyze the effect of music therapy on the level of anxiety and quality of life of patients infected by COVID-19. MATERIALS AND METHODS: This type of research is an experimental quantitative study with a randomized controlled trial research design. The sampling technique used in this research is simple random sampling. Data analysis was performed using paired t-test and independent t-test. This study divided the subjects into two groups, namely, the intervention group as many as 51 respondents who received intervention in the form of music therapy with favorite music in the form of religious-themed music, dangdut, pop, and classical music and 51 respondents in the control group who were only given regular intervention. Data collection tool or anxiety questionnaire used Hamilton Anxiety Rating Scale with a reliability of 0.893. RESULTS: The type of this research was experimental quantitative research using a randomized controlled trial research design. The results showed that after being given music therapy, there was a decrease in anxiety level in the intervention group with an average of 18.7 (mild anxiety) and an average of 33.6 (severe anxiety) in the control group with a significance value of 0.000. In addition, music therapy significantly improved the quality of life with an average of 81.6 (very good quality of life) in the intervention group and an average of 36.7 (poor quality of life) in the control group with a significance value of 0.000. CONCLUSIONS: Music therapy which was given to COVID-19 patients was proven to reduce anxiety and improve the patient’s quality of life.

BACKGROUND: The spread of coronavirus disease (COVID-19) has spread throughout the world and has created a level of fear, uncertainty that has an impact on several aspects of life including mental health. The rapid spread of the Corona Virus or COVID-19 throughout the world has damaged the order of life starting from the economy, social, politics, education, culture, religion and health. Various efforts have been made by the Indonesian government with social distancing or physical distancing, washing hands with soap and staying active at home. Conditions that change suddenly will make people unprepared to deal with it, especially in the psychological condition of the Indonesian people who experience a lot of anxiety. AIM: The purpose of this study was to analyze the effect of mindfulness meditation based on spiritual care on the level of community anxiety due to the COVID-19 pandemic. METHODS: This type of research uses experimental quantitative research using a randomized controlled trial research design. This research was conducted for 4 weeks in January-February 2021. The population of this study is the Surabaya community. The sampling technique used consecutive sampling technique and was divided into two groups, namely the intervention group as many as 61 respondents and the control group as many as 61 respondents. Data analysis used paired t test and independent t test with a significance value of p < 0.05. This research questionnaire uses the DASS 42 questionnaire has reliability 0.82 and the validity test gets the Cronbach alpha value is 0.85. RESULTS: The average level of anxiety before doing the spiritual care-based mindfulness meditation intervention in the intervention group was 17.28 (severe anxiety) and 17.18 in the control group (severe anxiety) with p = 1.000 which means there is no difference in the average level of anxiety whereas After being given the intervention, the average level of anxiety in the intervention group was 6.03 (normal anxiety) and 18.06 in the control group (severe anxiety) with p = 0.000, which means that there is a difference in the average level of anxiety in the intervention group and the control group after being given the intervention. CONCLUSION: Mindfulness meditation based on spiritual care can reduce people’s anxiety levels during the COVID-19 pandemic.