Background: Insomnia is a sleep disturbance which commonly occurs in haemodialysis patients. Some factors contribute to insomnia in dialysis patients such as demographic, biological, psychological, lifestyle, and dialysis factors. However, there are limited studies which investigate the relating factors of insomnia in haemodialysis patients in Indonesia. Purpose:This study aimed to analyze the relating factors of insomnia in haemodialysis patients in Semarang, Central Java, Indonesia. Methods: This study was a cross-sectional study which involved 102 samples recruited by consecutive sampling technique from two dialysis units in Semarang, Central Java. Data were collected by questionnaires and analyzed using Chi-square and multiple logistic regression to know the most relating factors of insomnia. Results: The result showed that insomnia occurred in 63 respondents (61.8%). Further analysis indicated that insomnia was related to anxiety (p=0.034, OR=2.36) and age (p=0.049; OR=1.75). There was no relationship between insomnia and the other factors such as gender, education level, occupation status, marital status, haemoglobin level, smoking and coffee consumption habit, and dialysis factor (period of dialysis). Moreover, anxiety was the most relating factors of insomnia among haemodyalsis patients. Conclusion: This study concluded that anxiety and age were independent factors related to insomnia. This study recommends that anxiety screening should be performed on haemodialysis patients. Anxiety in haemodialysis patients needs to be treated properly so that it will not develop into insomnia.

Morbus Hansen (Leprae) is communicable disease which caused by Mycobacterium Leprae. This disease disrupt peripheral nerves, skin, and other body tissues. Blora Regency, Central Java, has the largest of proportion of people with leprosy level 2 disabilities and new cases has increased from year to year. Several findings show that people with leprosy are still not able to perform self-care properly at home so that they experience advanced disabilities that reduce their quality of life. One effort to reduce solve this problem is a patient-family empowerment program in self-care training based on support groups. The purpose of this study is to analyze effect of empowerment among leprae’s patients in Subdistrict Kunduran, District Blora based on support group with family on increasing selfcare competencies. Method of this study is quasy experiment without control group with purposive sampling. Total samples in this study is 8 respondents. This research use leprae’s patients quetionary that has been used by other researcher before. The result show that any significant differences of selfcare competencies between before and after leprae’s patients empowerment program in self-care training use wilcoxon test. Average of pretest score is 55,67 (8-76) and average of posttest is 83,67 (64-100) with p=0,004. Based on this result, so it’s mean that empowerment program in self-care training among leprae’s patients with family based on support group effectively increase selfcare competencies in their home. This therapy can be an innovation on nursing intervention for leprae’s patients.

Background: Clinical learning in internship program is a very imperative. Taking care of patients in the clinil will train the students to sharpen their critical thinking. Critical thinking competence among nursing students is important to provide a holistic nursing care. Mind Mapping is a method used in the clinical learning using a creative colorful diagram. It contains a main idea and key data of patients who were taken care of by the students in the medical surgical unit. Objective: This study aims to enhance critical thinking competence among nursing students in the intership program, medical surgical cycle. Method: The design of this study was a quasi experiment with one group pre and post test. The Mind Mapping method was given before the participants started their medical surgical clinical cycle. The guidance to develop the mind mapping (coaching) was given for approximately 60 minutes every week, for a total of 5 weeks clinical practice. The level of critical thinking competence was measured using Critical Thinking Disposition Self-Rating Form (CTDSR) which contains of 20 statements with dicotomous response. Wilcoxon Match Paired Test was used to analyse the data. Result: There 23 students enrolled in this study. Those participants were from 3 different groups. The coaching program was conducted from June-September 2016. The GPA of the respondents was above 3.0. The analysis result showed that the mean rank of post test was significantly higher than the mean rank of the pretest (Z=-2.034, P<0.05). Conclusion: The clinical learning as well as coaching in the internship program using Mind Mapping  method is strongly suggested. This method will enhance the critical thinking competence among students in taking care of their patients.Key words: Mind Mapping case, Critical Thinking

The mental impact of cancer on patients is often severe. Patients who have been recently diagnosed with breast cancer tend to experience depression, emotional stress, disappointment, and even despair which later can damage their psychological well-being. This study aims to describe Psychological Well-being among breast cancer patients.134 breast cancer patients were recruited at the Out Patient Department (OPD) of Tugurejo Hospital Semarang city, Indonesia. The data were collected using Ryff Scale Psychological Well-being (RSPWB) questionnaire. Most of the respondents were middle-aged, married, unemployed and had been diagnosed with early stadium of breast cancer. Results showed approximately half of the total respondents (n=64%, 47.8%) experiencing low levels of psychological well-being over the entire period of the sickness. Among four subscales of psychological well-being, “positive relationship with others” subscale was reported to be very low among those respondents. However, almost two thirds of respondents perceived a higher degree of self-acceptance and life purpose while experiencing the illness. Nurses and healthcare providers need to be aware of the importance of counseling service and family/patients support group to improve the relationship of patients with others.Keywords: psychological well-being, breast cancer

BACKGROUND: Indonesia has very huge natural disaster potential risks. To reduce the impacts of disaster, proper and massive mitigation education toward society is very imperative. Disaster mitigation education has been carried out in both formal and non-formal sectors. While National Disaster Management Agency (Badan Nasional Penanggulangan Bencana) has educated the public massively, in formal sector there has been only regulation and guidance from the Ministry of Education. However, its implementation in local areas still encountered many obstacles and challenges, especially in Banyumas regency. AIM: This study aims to explore disaster mitigation process education in Banyumas Regency. METHODS: This qualitative study recruited 11 participants who involved in disaster mitigation process using purposive sampling method. A focus-group discussion (FGD) and in-depth interview method were adopted to explore data regarding disaster education. Researchers used a semi-structured interview form consisting of ten questions during the data collection process. Literatures related to disaster mitigation regulations were also critically analyzed. Data were recorded, trancripted, discussed, and categorized manually. RESULTS: As a result, the study revealed two main themes in disaster mitigation education: lack of law enforcement in implementing disaster education and lack of people’s awareness for disaster education. The categories under the themes are disaster education regulation, lack of standardized disaster guideline and curriculum, and lack of disaster education awareness and education approach. CONCLUSION: Educating disaster mitigation through formal education from the early stage is very significant. Substantial matters need to be well constracted are guidelines for implementing disaster education in schools as well as curriculum based on the concepts and implementation, correct construct, and subject matter. Encouraging the awareness of disaster preparedness since an early age is important to instill the right techniques.