AbstrakPasien stroke tidak dapat sepenuhnya mandiri disebabkan adanya gejala sisa yang menyertai setelah perawatan akut. Keluarga sangat berperan dalam fase pemulihan, sehingga sejak awal perawatan keluarga diharapkan terlibat dalam penanganan penderita. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan kemandirian pasien stroke di instalasi rawat jalan rehabilitasi medik Rumah Sakit Dr. Iskak Tulungagung. Penelitian ini adalah penelitian deskriptif dengan pengambilan sample secara purposive sampling dengan jumlah sample 57 pasien. Pengambilan data dilakukan dengan menggunakan kuesioner Barthel index dan kuesioner dukungan keluarga. Berdasarkan hasil analisis data didapatkan dukungan keluarga skor rata-rata adalah 87,84 termasuk kategori baik. Sementara skor rata-rata kemandirian pasien stroke adalah 81,75 termasuk kategori sesang. Hasil uji statistik menunjukkan nilai signifikasi p = 0,00 (α = 0,05). Kesimpulan dari penelitian ini adalah terdapat hubungan antara dukungan keluarga dengan kemandirian. Berdasarkan hasil penelitian ini disarankan petugas kesehatan dapat melibatkan peran keluarga dalam proses pemulihan pada pasien pasca stroke yang menjalani perawatan di rumah.Kata kunci: dukungan keluarga, kemandirian, stroke THE CORRELATION OF FAMILY SUPPORT WITH STROKE PATIENTS' INDEPENDENCE AT MEDICAL REHABILITATION CENTER OF DR. ISKAK HOSPITAL TULUNGAGUNG AbstractStroke patients cannot fully support themselves after acute care. During the recovery phase, family plays an important role, they served as a source of support even during the healing and rehabilitation phase. The purpose of this study is to identify the correlation of family support with stroke patients' independence in the medical rehabilitation center of Dr. Iskak hospital Tulungagung. It is a descriptive research that use purposive sampling method. The research data were collected by using Barthel Index's Instrument and family support instrument. Based on the results of the study, out of 57 respondents, the average score for family support was 87,84 while the stroke patients' independence receives an average score of 81,75. Statistical analysis showed significant value p = 0.00 (α = 0.05) In conclusion, by giving a better family support the stroke patients can gradually become more independent. It is advised that the paramedics should improve their role in providing education about the importance of family support towards stroke patients' family during the recovery process at home.

Diabetes melitus merupakan penyakit gangguan metabolisme karbohidrat, lemak dan protein yang kronis. Penderita diabetes sangat rentan terhadap gangguan psikologis seperti depresi. Salah satu faktor yang mempengaruhi timbulnya depresi pada penderita diabetes mellitus adalah kurangnya dukungan keluarga. Tujuan penelitian ini adalah untuk mengetahui hubungan dukungan keluarga dengan kejadian depresi pada pasien diabetes mellitus di Rumah Sakit Muhammadiyah Gresik. Desain penelitian yang digunakan dalam penelitian ini adalah cross sectional. Sampel dipilih dengan teknik total sampling, dan didapatkan 34 responden penderita DM. Instrumen yang digunakan berupa lembar kuisioner depresi berdasarkan Beck Depression Inventory II (BDI II) dan kuesioner dukungan keluarga. Hasil penelitian menunjukkan bahwa keluarga yang memberikan dukungan "baik" sebanyak 8 responden (24%), dukungan keluarga "cukup" sebanyak 22 responden (67%), dan dukungan keluarga "kurang" sebanyak 3 responden (19%). Data kejadian depresi pada pasien diabetes mellitus diperoleh 12 responden (38%) tidak mengalami depresi, dan 22 responden (62%) mengalami depresi. Analisis data menggunakan uji statistik Spearman rho dengan tingkat kemaknaan p < 0,05. Hasil uji statistik menunjukkan nilai koefisien korelasi negatif (r =-0,743) dengan nilai p = 0,000 yang artinya ada hubungan antara dukungan keluarga dengan kejadian depresi pada pasien diabetes mellitus di RS Muhammadiyah Gresik. Kesimpulan dari penelitian ini adalah terdapat hubungan negatif (searah) antara dukungan keluarga terhadap kejadian depresi pada pasien diabetes mellitus. Semakin tinggi dukungan keluarga maka semakin tidak terjadi depresi atau normal, sebaliknya semakin rendah dukungan keluarga maka angka kejadian depresi yang dialami semakin berat. Kata kunci : diabetes mellitus, dukungan keluarga, depresi

The purpose of this research is to explore the meaning of nurses at a medical team of Indonesia Hajj regarding the experience in handling emergency state of Kendari-hajj pilgrims. The research approach is Interpretative Phenomenology. The participants consist of 3 males and 2 females. The sample was chosen based on purposive sampling technique. The inclusion criteria were based on nurses at a medical team of Indonesia hajj in charge of emergency state case of hajj-pilgrims. The data collections are done by in-depth interview, observation, and field note documentation. The findings found three themes: (1) treating the pilgrims as family, (2) facing unexpected condition at the holy land, and (3) facing burdening challenges in doing task to save the pilgrims.

Background: Theory of Planned Behavior (TPB) is a social pshycological theory which explained that someone's tendency to behave is affected by their intention. This theory often used to predict behavioral intention in health workers by measuring some aspects such as attitude, subjective norm and self efficacy. As a prospective health worker who equipped with knowledge and skills about Cardiopulmonary Resuscitation (CPR) during education phase, nursing students are expected to have a good intentions to become bystander CPR in Out of Hospital Cardiac Arrest (OHCA). Aims: This study intends to apply TPB in identifying factors that influence nursing student’s intention to perform bystander CPR. Methods: This was a quantitative study with cross-sectional approach. The research population were undergraduate nursing student in Malang, while the 108 samples were taken using proportional sampling technique. Data were collected once using questionnaire included: attitude, subjective norm, self efficacy and intention to be a bystander CPR. Results: Chi-square test revealed that the relationship between independent variables and intention to be a bystander CPR were:  attitude p=0,00, self efficacy p=0,00 and subjective norm p=0,00.  The result of multivariate analysis with logistic regression showed that: attitude p=0,004 (OR=5,279), subjective norm p=0,001 (OR=5,824) and self efficacy p=0,001 (OR=5,709).  Conclusion: There were significant relationship between attitude, subjective norm and self efficacy with intention, where subjective norm was the most dominant factor associated with intention of nursing student to be a bystander CPR.  

Lupus is a chronic autoimmune disease that can become a bio-psycho-socio-economic-culture-spiritual burden for individuals because its complex treatment and management. Self-acceptance and adherence to medication are the keys in lupus management. Purpose of this study was to determine the relationship between self-acceptance level of lupus patients and their medication adherence level. The study was designed using a correlational study with a cross sectional approach. About 92 lupus patient respondents at Kupu Parahita Indonesia Foundation who went to the Saiful Anwar Hospital Malang were selected using purposive sampling according to inclusion and exclusion criteria. Respondents were asked to fill out a modified Acceptance of Illness questionnaire to measure patient self-acceptance level and the Morisky Medication Adherence Scale 8 (MMAS-8) to assess drug adherence level. From the 92 respondents, it was found that 37% had a high level of self-acceptance, 52.2% were moderate, and 10.8% were low. Adherence medication level in 92 respondents showed 51.1% high, 38.1% moderate, and 10.8% low. Spearman test results showed a significant relationship between self-acceptance level and medication adherence level (p=0.001, r=0.355). This value indicates the strength of the weak relationship and the direction of the positive correlation between self-acceptance and medication adherence. Conclusion, the higher of self-acceptance level of lupus patients, the higher medication adherence level.