<p>Penyakit hipertensi masih merupakan tantangan besar di Indonesia dengan prevalensi yang tinggi.Hasil wawancara kepada penderita hipertensi yang sedang di terapi, 4 orang (60,66%) dari 6 orang pasien mengatakan belum tahu tentang  terapi bekam yang  disertai masage, teknik relaksasi dan belum tau prosedurnya.Jenis penelitian ini adalah eksperimen semu (<em>quasi experiment</em>) dengan menggunakan pendekatan <em>pre-post testdesign</em>. Populasi penelitian ini adalah seluruh penderita hipertensi tanpa komplikasi dan terdaftar sebagai pengunjung terapi bekam di Klinik Master Bekam Way Halim Bandar Lampung sebanyak 48 orang dan sampel penelitian sebanyak 40 orang. Teknik pengambilan sampel dengan <em>accidental sampling</em><em>.</em>Uji statistik yang digunakan adalah Uji <em>T-dependen </em>untuk mengetahui ada tidaknya perbedaan tekanan darah sebelum dan sesudah perlakuan/intervensi (terapi bekam).  Hasil penelitian diperoleh bahwa responden terbanyak adalah diatas 35 tahun yakni 30orang (75,00%), terbanyaklaki-laki sebanyak 25 orang (62,50%),terbanyak berpendidikan dibawah perguruan tinggi sebanyak 26 orang (65,00%), dan  terbanyak bekerja sebagai wiraswasta yakni 21 orang (52,50%). Sebelum dilakukan terapi bekam, rata-rata tekanan darah sistolik adalah 152,50 mmHg dan rata-rata tekanan diastolik 85,25 mmHg. Sesudah terapi  bekam diperoleh hasil bahwa rata-rata tekanan darah sistolik adalah  134,25 mmHg dan rata-rata tekanan diastolik 80 mmHg. Berdasarkan uji statistik diperoleh hasil <em>p-value</em> sebesar 0,000, artinya  terdapat perbedaan tekanan darah sebelum dan setelah terapi bekam.</p>

<p><span>The pregnancy gymnastics is useful to decrease the difficulties of normal childbirth for mothers, which means the mortalities will be decreased. The pre-survey in Negara RatuVillage, Natar District results in 6 from 10 pregnant women (60%) who don't know what the pregnancy gymnastics use to be, and 100% never do. Lack of knowledge and attitude are the reason pregnant women never do the pregnancy gymnastics. The research goals are knowing the difference between knowledge and attitude of pregnant women who get counseling by android applications and who get from the pregnancy gymnastic booklet in District Natar, South Lampung. This research is a Quasi Experiment type with a pre-test post-test control group design. With 129 population, 2nd and 3rd trimester and 90 samples obtained by probability sampling, divided into 3rd groups, 30th respondents are android application users, 30th respondents used booklet and 30th is controller respondent. Wilcoxon test result: the knowledge of pregnant women before counsel by android average is 10,57, after counsel is 15,67, and p-value=0,000; the attitude of pregnant women before getting counsel average is 46,27 after counsel is 45,03, and p-value=0,56. The knowledge before counsel by booklet average is 12,36, after counsel is 15,33, and p-value=0,000; the attitude before counsel average is 46,50, and after counsel is 48,63, and p-value=0,08. Result test by Mann-Whitney obtained: the difference of average between pregnant women who get knowledge counsel by android application, and of the booklet is 2,13 and p-value=0,68; the difference average attitude is 0,89 and p-value=0,563. The conclusions are no difference between knowledge and attitude the pregnant women who get counsel by android applications and booklets. </span></p>

<p class="Normal1">Postoperative Nausea and vomiting (PONV) is a common complication after surgery.The incidence of postoperative nausea vomiting is approximately 30% of all patients undergoing inpatient surgery and 70% of cases occur within the first 24 hours. One of nausea and vomiting treatment is non-pharmacological therapies with complementary acupressure therapy. Furthermore, the research was conducted to determine the effect of acupressure complementary therapies against postoperative nausea and vomiting.The research was Quasi-Experimental research design Non-equivalent Control Group, the sampling technique used purposive sampling technique. Based on results of sample calculation used amounted to 22 respondents, consisting of 11 experimental groups and 11 control groups. Collecting data was used questionnaire and analyzed using univariate and bivariate analysis by Wilcoxon and Mann-Whitney with α values (&lt;0.05).The results showed the difference in score of nausea and vomiting the first and second measurements in the control group given a placebo action is 0.91 with a p-value (0.26). Nausea and vomiting difference in scores obtained before and after acupressure complementary therapies in the experimental group was 2:18 with a p-value (0.004). As well as the difference in scores obtained post-operative nausea and vomiting in the control group and the experiment is 1:27 with the p-value (0.009). The above statistical test results can be concluded that there was the effect of complementary acupressure therapy on postoperative nausea vomiting. Based on the conclusion of the research, the authors suggest that complementary acupressure therapy can be applied as a companion therapy and it is expected that nursing staff can learn complementary acupressure therapy.</p>

The results of a preliminary study of Punggur District, Central Lampung, since 2018, the highest diseases are hypertension and DM. The purpose of this study was to determine the effectiveness of health education with a social group approach to increasing knowledge and attitudes towards controlling non-communicable diseases in the community in Punggur District, Central Lampung. This type of quasi-experimental research, with a nonequivalent group pretest-posttest control design. The population was 60 people consisting of experimental group 1 (Recitation Social Group) of 30 people and experimental group 2 (Posbindu Social Group) of 30 people. The intervention is in the form of health education with a social group approach. The Wilcoxon test was used to determine the effect of the intervention on both groups and the Mann-Whitney test to determine the effectiveness of health education methods with a social group approach to increasing people's knowledge and attitudes towards controlling NCDs. The significance limit (confidence interval) is 95% and the p-value is 0.05. The results showed that there were differences in knowledge and attitudes before and after the intervention in experimental group 1 (Recitation Social Group), with each p-value<0.001 and there were differences in knowledge and attitudes in experimental group 2 (Posbindu Social Group), with p- value<0.001. The results of the post-test revealed that there were differences in knowledge between experimental group 1 (Recitation Social Group) and experimental group 2 (Posbindu Social Group) (p-value 0.043) and there were also differences in attitudes (p-value 0.028). It is recommended to expand health education activities with other social group approaches with more conducive methods and techniques and a larger number of respondents.

Menurut World Health Organizatio (WHO) 2013 dalam Weiser (2016), jumlah pasien yang mendapatkan tindakan pembedahan mengalami peningkatan setiap tahunnya. Selama tahun 2011 terdapat 140 juta pasien di seluruh rumah sakit di dunia, selanjutnya pada tahun 2012 mengalami peningkatan menjadi 148 juta pasien. Di Indonesia pada tahun 2012 terdapat 1,2 juta kasus pembedahan. Penelitian ini bertujuan membantu pemulihan peristaltik usus pasca pasien mengalami pembedahan.  Metode yang digunakan pre test dan post test dengan Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan menggunakan metode quasi eksperimen desain. Teknik pengambilan sampel dengan menggunakan accidental sampling dengan jumlah 32 responden. Populasi dalam penelitian ini adalah seluruh pasien post operasi dengan anestesi umum. Pengumpulan data menggunakan uji wilcoxon untuk menguji 2 sampel yang berpasangan pada masing-masing kelompok dan menggunakan uji Mann Whitney untuk menguji perbedaan pada 2 sampel yang tidak berpasangan pada tingkat kemaknaan 95% (α = 0,05).Rata-rata peringkat peristaltik usus pada pada kelompok eksperimen didapatkan nilai 23,06, sedangkan pada kelompok kontrol setelah diberi intervensi didapatkan nilai 9,94. Hasil uji statistik menggunakan uji Mann-Whitney didapatkan nilai Z yaitu = 4,075 dan nilai p-value sama dengan 0,000. Dengan demikian dapat disimpulkan bahwa ada pengaruh mobilisasi dini dan kompres hangat terhadap pemulihan peristaltik usus pada pasien post operasi dengan anestesi umum di RSUD Jend. Ahmad Yani Kota Metro tahun 2021. Peneliti menyarankan perawat ruangan dapat melakukan tindakan mobilasasi dini dan kompres hangat dalam mengatasi masalah pemulihan peristaltik usus.