The main factor in the problems of hypertensive patients is lack of dietary compliance. Consumption of high sodium and high fat causes uncontrolled hypertension, leading to complications such as stroke. Efforts to treat hypertension with a dietary approach are the Dietary Approach to Stop Hypertension (DASH). DASH, which has been modified in the form of a hypertension random card game, is a method of improving the dietary patterns of the elderly. The implementation of community service to change dietary behavior in elderly people with hypertension uses a case series method where the number of respondents is 17 elderly people. After health education and playing the Hypertension Random Card Game, the elderly experienced an increase in dietary behavior changes, namely 14 elderly (82%) in the positive category or already on a hypertension diet and 2 elderly (18%) in the negative category or not yet on a hypertension diet. Health education with educational games is more fun than health education with conventional lecture and discussion methods. After the intervention, the hypertension diet behavior of the elderly in all aspects including cognitive aspects, affective aspects, and psychomotor aspects has increased. Recommendations that can be given are to conduct periodic evaluations on hypertension diet behavior through hypertension random card games so that a more detailed analysis picture is obtained.

Misuse of Narcotics, Psychotropic and Other Addictive Substances is still a problem in the community. International drug abuse has increased. Drug dependence can be rehabilitated medically but rehabilitation does not guarantee that a drug addict will recover from his addiction. Many users, even though they have undergone rehabilitation programs, have not been able to truly leave drug or recover. The purpose of this paper is to find out in detail the factors that influence the relapse behavior of former drug users. The writing method used in this article was a literature review, which searched in 5 international databases were Science Direct, Willey Online Library, Sage Journal, and ProQuest. The author used several search keywords namely "factor"; "Cause"; "Drug", "abuse"; "Substance" and used boolean "AND" and "OR". Based on the 8 articles analyzed, it was found that the causal factors related to the recurrence of drug abuse can be broken down into 7 included individual emotional states, conflict, environment and family, peers, wrong treatment, failed treatment and the desire to return to use. The emotional state, the desire to re-use, family factors and peer influence were the most influential factors. Keywords: relapse; narcotics; caused ABSTRAK Penyalahgunaan Narkotika, Psikotropika dan Zat Adiktif lainya (NAPZA) masih menjadi masalah di kalangan masyarakat. Tren penyalahgunan NAPZA internasional mengalami peningkatan. Ketergantungan narkoba dapat direhabilitasi secara medis namun rehabilitasi tidak menjamin pecandu narkoba akan sembuh dari ketergantungannya. Banyak pengguna yang meskipun telah menjalani program rehabilitasi, namun belum bisa benar-benar meninggalkan NAPZA atau sembuh. Tujuan penulisan ini untuk mengetahui secara merinci faktor yang mempengaruhi perilaku kambuh mantan penyalahguna NAPZA. Metode yang digunakan dalam penulisan artikel ini adalah tinjauan literatur, yakni sebuah pencarian internasional yang menggunakan 5 database Proquest, Science Direct, Willey Online Library, Sage Journal, dan ProQuest. Penulis menggunakan beberapa kata kunci pencarian yaitu “factor”; “cause”; “drug”, “abuse”; “substance”. dengan menggunakann boolean “AND” dan “OR”. Berdasarkan 8 artikel yang dianalisis, didapatkan bahwa faktor penyebab yang berkaitan dengan kekambuhan penyalahgunaan NAPZA dapat di uraikan menjadi 7 antara lain keadaan emosi individu, konflik, lingkungan dan keluarga, rekan sebaya, pengobatan yang salah, pengobatan yang gagal serta keinginan kembali menggunakan. Keadaan emosional, keinginan kembali menggunakan, faktor keluarga dan pengaruh rekan sebaya adalah faktor yang paling berpengaruh. Kata kunci: kekambuhan; NAPZA; penyebab

Tuberkulosis paru (TB paru) merupakan infeksi yang disebabkan oleh bakteri Mycobacterium tuberculosis yang menyerang paru- paru serta dengan mudah menular melalui bersin, batuk, dan berbicara. TB paru menyebabkan berbagai macam dampak pada individu, dan juga dirasakan oleh keluarga. Salah satu dampak psikososial yang dialami keluarga dengan penderita TB paru adalah kecemasan yang menjadi beban subjektif keluarga, sehingga perlu diatasi agar keluarga dapat mendukung pengobatan secara optimal. Laporan kasus bertujuan untuk mengetahui manfaat psikoedukasi keluarga untuk mengurangi beban subjektif kecemasan keluarga. Psikoedukasi keluarga merupakan tindakan yang diberikan kepada keluarga untuk meningkatkan komunikasi keluarga, menangani masalah, dan meningkatkan fungsi serta kemampuan keluarga. Laporan kasus ini menggunakan satu orang klien TB Paru dengan keluarga yang mengalami beban subjektif kecemasan. Hasil studi menunjukkan pemberian psikoedukasi keluarga menggunakan 6 sesi dan 4 kali pertemuandapat mengurangi kecemasan keluarga, (skor HARS 29) menjadi kecemasan rendah (skor HARS 16). Psikoedukasi keluarga direkomendasikan untuk keluarga dengan beban subjektif kecemasan berat.

An intervention that can be used by nurses who treat DM patients is acceptance and commitment therapy (ACT). ACT is a therapy that has the goal of helping individuals to be able to accept unpleasant self-experiences and be willing to commit to behaving and acting in accordance with values so as to achieve a more valuable life. Diabetes can also cause stress which is usually called diabetes distress. One strategy that can be used at this time is the use of the internet–mobile–based interventions. Systematic review is based on Preferred Reporting Items for Systematic Review and Meta-Analyzed (PRISMA). The databases used are Scopus, Proquest, Science Direct, and Pubmed which are limited to publications for the last 5 years from 2018 to 2022, full-text articles, and use English. The keywords used in the search for articles are "Diabetes Mellitus" AND "Acceptance and Commitment Therapy" AND "mobile" AND "Distress". This systematic review uses 10 articles that meet the inclusion criteria. The initial literature search yielded 56 articles. There are 10 articles selected for review. conclusions: The results of this systematic review provide evidence for policymakers to consider alternative interventions using this method to reduce distress in patients with diabetes mellitus.