ABSTRAKLatar Belakang : US Renal Data System menyatakan akhir tahun 2013 total 441.051 pasien di rawat dengan GGK. Menurut Riskesdas GGK merupakan peringkat ke-10 penyakit tidak menular. Jumlah pasien GGK yang menjalani Hemodialisa di RS Sint Carolus Jakarta mengalami kenaikan pada tahun 2016 yaitu 1105 pasien. Pasien yang menjalani terapi hemodialisa mengalami kecemasan dan penurunan self-Efficacy. Terapi Acceptance and Commitment therapy (ACT) merupakan salah satu terapi yang fleksibel dan efisien dalam menangani kasus kecemasan dan penurunan self-Efficacy. Tujuan: Mengetahui pengaruh ACT terhadap perubahan kecemasan dan Self-Efficacy pada pasien GGK yang menjalani Hemodialisa di RS Sint Carolus. Metode: Menggunakan desain quasi eksperimental. Jumlah sampel 99 responden dengan teknik pengambilan sampel purposive sampling. Hasil: Ada perubahan kecemasan dan Self-Efficacy yang signifikan sebelum dan sesudah intervensi p=0.000. Hasil uji beda independen ada perubahan kecemasan dan Self-Efficacy yang signifikan antara kelompok intervensi ACT dengan kelompok kontrol p=0,000. Intervensi ACT secara simultan memberikan pengaruh terhadap perubahan kecemasan sebesar 25% dan perubahan Self Efficacy sebesar 25,5%. Hasil analisa Odds Ratio (OR) adalah dampak dari intervensi ACT memberikan pengaruh terhadap penurunan kecemasan 3 kali dan peningkatan Self-Efficacy 4 kali pada kelompok intervensi dibandingkan kelompok kontrol.Kesimpulan: Hal ini berarti ACT berpengaruh terhadap perubahan kecemasan dan Self-Efficacy pasien yang menjalani Hemodialisa. Saran: Penelitian ini merekomendasikan perlunya penelitian lebih lanjut sebagai intervensi keperawatan mandiri perawat dalam asuhan keperawatan. ABSTRACTBackground: According to the US Renal Data System at the end of 2013 a total of 441,051 patients were treated with CKD. According to Riskesdas (2013), is ranked the 10th disease that not contagious. The number of CKD patients hemodialysis at Sint Carolus Hospital Jakarta increased in 2016. Patients who has lived with the hemodialysis therapy experience anxiety and decreased self-efficacy. Acceptance and Commitment therapy (ACT) therapy was one of the most flexible and efficient therapies for dealing with anxiety and self-efficacy. Objective: This study aims to determined an the effect of ACT on changes in anxiety and Self-Efficacy in patients live with hemodialysis in Sint Carolus Hospital. Methods: The research design conducted with quasi experimental design pre-post measured. An amount of the sample were 99 respondents with purposive sampling technique. Results: The different within test results showed significant changes in Anxiety and Self-Efficacy before and after intervention p = 0.000. The result of different between test have significant Anxiety and Self-Efficacy changes between the ACT intervention group and the control group p = 0.000. Intervention ACT simultaneously gives effect to 25% anxiety change and Self Efficacy change 25.5%. The result of Odds Ratio analysis shows that ACT intervention has an effect on decreasing ...

Acute Myocardial Infarction (AMI) is also known as a heart attack, coronary occlusion, or just coronary, which is a life-threatening condition characterized by the formation of local necrotic areas within the myocardium. One that is very influential on the psychological state of patients with heart problems that will be able to change the coping patterns of patients in dealing with the disease and live their lives is the emergence of anxiety. This paper is a literature review / literature review from several data bases namely Google Schoolar, ScienceDirect, NCBI and PubMed. Search articles are limited from 2010 to 2020. The author uses the keywords "anxiety" and "Acute myocardial infarction / Myocardial infarction". The results of the research from four data bases obtained 102 articles 43 from Indonesian language articles and 59 English articles. Based on the facts that occur in the condition of patients with AMI, anxiety is one of the conditions that can cause changes in physical, or psychological. Anxiety that appears can have a negative effect on the success of treatment and treatment, it is necessary to have appropriate pharmacological and nonpharmacological therapy. Non-pharmacological therapy, namely psychological therapy and complementary therapy. Complementary therapy has been recognized and accepted as a form of nursing care. The results of the analysis of several studies showed that independent nursing interventions that were proven effective in reducing anxiety were by giving aromatherapy namely aromatherapy Geranium, Lemon, and Lavender. Aromatherapy is a method that uses essential oils to improve physical and emotional health. Aroma therapy has a positive effect because it is known that a fresh, fragrant aroma stimulates sensory, receptors and ultimately affects other organs so that it can have a powerful effect on emotions. The results of this study can be considered giving nursing interventions to reduce anxiety in AMI patients by giving aromatherapy Keywords: anxiety; acute myocardial infarction; aromatherapy ABSTRAK Acute Myocardial Infarction (AMI) juga di kenal sebagai serangan jantung, oklusi koroner, atau hanya koroner, yang merupakan kondisi mengancam jiwa yang ditandai dengan pembentukan area nekrotik lokal di dalam miokardium. Salah satu yang sangat berpengaruh pada keadaan psikologis pasien dengan gangguan jantung sehingga akan dapat merubah pola koping pasien dalam menghadapi penyakit maupun menjalani hidupnya adalah timbulnya kecemasan. Tulisan ini merupakan tinjauan literatur/literature review dari beberapa data base yaitu Google schoolar, ScienceDirect, NCBI dan PubMed. Penelusuran artikel dibatasi dari tahun 2010 sampai dengan tahun 2020. Penulis menggunakan kata kunci “kecemasan” dan “akut miokard infark/ miokard infark”. Hasil penelitian dari empat data base diperoleh 102 artikel 43 dari artikel bahasa Indonesi dan 59 artikel Bahasa Inggris. Berdasarkan fakta-fakta yang terjadi pada kondisi pasien dengan AMI, kecemasan merupakan salah satu keadaan yang dapat menimbulkan adanya perubahan keadaan fisik, maupun psikologis. Kecemasan yang muncul dapat memberikan efek negatif bagi keberhasilan perawatan dan pengobatan, maka diperlukan terapi farmakologi maupun non-farmakologi yang tepat. Terapi non farmakologi yaitu terapi psikologis dan terapi komplementer. Terapi komplementer telah diakui dan diterima sebagai bentuk asuhan keperawatan. Hasil analisis beberapa penelitian menunujukkan intervensi keperawatan mandiri yang terbukti efektif menurunkan kecemasan adalah dengan pemberian aromaterapi yaitu aromaterapi Geranium, Lemon, dan Lavender. Aromaterapi adalah metode yang menggunakan minyak atsiri untuk meningkatkan kesehatan fisik dan emosi. Aroma terapi mempunyai efek positif karena diketahui bahwa aroma yang segar, harum merangsang sensori, reseptor dan pada akhirnya mempengaruhi organ yang lainnya sehingga dapat menimbulkan efek kuat terhadap emosi. Hasil studi ini dapat dipertimbangkan pemberian intervensi keperawatan untuk menurunkan kecemasan pada pasien AMI dengan pemberian aromaterapi Kata kunci: kecemasan; akut miokard infark; aromaterapi

Latar belakang: Stroke merupakan penyebab kecacatan pertama dan penyebab kematian ketiga setelah penyakit jantung coroner dan kanker. Gejala sisa stroke banyak menyebabkan kecacatan permanen (Hinkle & Cheever, 2014). Lewis, et, al (2011) menyatakan bahwa stroke dapat mengakibatkan hilangnya fungsi motorik. Fungsi motorik tersebut dapat ditingkatkan dengan adanya latihan aktif dari pasien (Smith, 2008), salah satu bentuk latihan ini adalah bridging exercise. Tujuan penelitian ini adalah menganalis pengaruh latihan Bridging Exercise terhadap perubahan kekuatan otot pada pasien Stroke. Metode Penelitian: menggunakan quasi eksperimental design dengan pretest-posttest control group design.  Populasi dalam penelitian ini adalah 30 pasien Stroke di RS Bethesda yang dirawat pada bulan Oktober 2018, terdiri dari kelompok intervensi Bridging Exercise 15 responden dan kelompok kontrol 15 responden. Hasil Penelitian: uji beda two related samples t-test didapatkan p=0,000 , artinyaBridging Exercise memberikan pengaruh yang lebih baik terhadap perubahan kekuatan otot. Latihan Bridging Exersice (BE) yang dilakukan pada pasien stroke 1 kali sehari dengan 8 kali repetisi dilakukan selama satu minggu. Penelitian ini diharapkan dapat pengembangan pelayanan pada pasien stroke di Indonesia dan menjadi dasar dalam penyusunan Standard Operating Procedure (SOP). Kata Kunci : Bridging Exercise, stroke, kekuatan otot   ABSTRACT Background: stroke is the first cause of disability and the third leading cause of death after coronary heart disease and cancer. The sequelae of stroke cause permanent disability. (Hinkle & Cheever, 2014). Lewis, et, al (2011) states that a stroke can result in loss of motor function. Motor function can be improved by active exercise from the patient ( Smith, 2008 ), one form of he exercise is bridging exercise. The goal of this research is to analyze the effect of bridging exercise  on changes in muscle strength in stroke patients. Research methods: with quasi eksperimental, pretest-posttest control group design. The population in this research was 30 stroke patients at the Bethesda Hospital who were treated in October 2018, consist of a bridging exercises intervention group of 15 respondents and a control group of 15 respondents. Research result: different test two related samples t-test obtaining p=0,000 , that means bridging exercises give out the better result on changes in muscle strength. Bridging Exercises ( BE ) performed on stroke patients once a day with 8 repetitions performed for a week. This research is expected to be able to develop services in stroke patients in Indonesia and become the basis for the preparation of  Standard Operating Procedure. Keyword: Bridging Exercise, stroke, muscle strength

Background: One of the efforts funded by Dikti in implementing the Student Creativity Program in the field of entrepreneurship gave us the opportunity to produce a Dompet Mask (DOMAS) product made using modified patchwork waste and mica polyvinyl chloride plastic waste with a thickness of 0.4 mm. The tools and materials we use are very affordable during this COVID-19 pandemic. Objective: Provide quality Domas innovation, practical, and safety of the waste material. Providing business opportunities through student creativity programs. Marketing DOMAS offline and online throughout Indonesia by actively promoting and improving the quality of products handmade. Methods: The implementation of activities is carried out outside the network (offline) and within the network (online). The activity was carried out at the production house located at Jatisawit Housing, Sleman, Yogyakarta. The production period starts on 08/08/2021 until 12/09/2021. Product marketing online and offline. Result: The selling price per unit is Rp. 20,000. For five weeks producing 250 DOMAS. DOMAS sales resulted in a profit of Rp. 3,000,000 with a cost of Rp. 1,549,080, a profit of Rp. 418,200 was obtained. The number of DOMAS that have been sold is 150 units. The profit per DOMAS unit is IDR 2,788. The original price per wallet is Rp. 17,212. Conclusion: The "DOMAS" mask wallet is a new breakthrough in the era of the COVID-19 pandemic. DOMAS has the advantage of being able to store clean and dirty masks in one place. In addition to the unique and attractive design of the mask, the materials used are also environmentally friendly, made from plastic waste mica PVC and waste batik patchwork with the motifs of the diversity of the archipelago.