Penentuan jenis media promosi kesehatan merupakan bagian penting dari upaya merubah perilaku kesehatan di rumah sakit, tidak terkecuali pengetahuan dan perilaku seluruh pengunjung rumah sakit untuk cuci tangan dengan benar, termasuk keluarga pasien. Tujuan: mengetahui perbedaan efektifitas media audio-visual dengan media leaflet terhadap perilaku cuci tangan keluarga pasien di rumah sakit. Metode: Penelitian berdesain quasi experimental dengan rancangan pre-test post-test with control group. Teknik sampling dengan consecutive sampling, besar sampel 122 keluarga pasien dibagi dalam dua kelompok, dengan memperlihatkan video tentang cuci tangan pada kelompok perlakuan dan kelompok kontrol membaca leaflet, masing-masing dengan durasi 30 menit. Instrumen yang digunakan adalah kuesioner pengetahuan dan lembar observasi perilaku cuci tangan.  Analisis data menggunakan uji Mann Whitney.  Hasil: Setelah dilakukan intervensi, terdapat peningkatan skor secara bermakna pada pengetahuan dan perilaku cuci tangan dibanding sebelum dilakukan intervensi, baik pada kelompok audio visual (AV) maupun kelompok leaflet (LF). Kedua media pendidikan kesehatan, baik AV maupun LF, efektif terhadap perubahan skor pengetahuan dan perilaku cuci tangan. Diskusi: Media audio visual lebih efektif sebagai media promosi kesehatan cuci tangan, dimana media audio visual meningkatkan pengetahuan melalui suara dan gambar yang ditampilkan pada layar monitor, sedangkan media leaflet dengan pendekatan narasi yang ditampilkan dalam bentuk tulisan dan gambar pada lembaran kertas terkesan membosankan dan kurang menarik.  Kesimpulan: Rumah sakit sebaiknya melakukan kajian tentang karakteristik pasien dan keluarganya untuk memberikan promosi kesehatan dengan media pendidikan kesehatan yang tepat untuk meningkatkan kualitas perilaku cuci tangan untuk menghindari penyebaran infeksi.Kata kunci: audio-visual, health promotion, keluarga pasien, leaflet, perilaku cuci tangan. Health Promotion Through ‘Audio Visual Vs Leaflet’: Investigation of Knowledge and Hand Washing Behavior of Patient’s FamilyABSTRACTDetermining the type of health promotion media is an essential part of efforts to change health behavior in hospitals, including knowledge and behavior of all hospital visitors to wash their hands properly, including patient's family. Objective: to reveal the difference between the effectiveness of audiovisual media and leaflet media on the handwashing behavior of patient's family in the hospital. Methods: This research employed a quasi-experimental design using a pretest-posttest design with a control group. Samples were taken using a consecutive sampling technique. The sample size of 122 patients' families was divided into two groups: the treatment group watched a video about handwashing in and the control group read leaflets, each given 30 minutes. The instruments used were a knowledge questionnaire and handwashing behavior observation sheets. Data were analyzed using the Mann-Whitney test. Results: After the intervention, there was a significant increase in the score on knowledge and handwashing behavior compared to before the intervention, both in the audiovisual (AV) and leaflet (LF) groups. Both health education media, both AV and LF, were effective in changing handwashing knowledge and behavior scores. Discussion: Audiovisual media is more effective as a media for promoting handwashing health because audiovisual media increases knowledge through sound and images displayed on the monitor screen, while leaflet media with a narrative approach displayed in the form of writing and pictures on sheets of paper seem boring and not interesting.   Conclusion: Hospitals should conduct studies on the characteristics of patients and their families to provide health promotion with appropriate health education media to improve handwashing behavior to avoid the spread of infection.Keywords: audiovisual, health promotion, patient's family, leaflet, handwashing behavior.

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Patients with chronic kidney disease during their treatment or during hemodialysis therapy will experience various health problems in their lives, especially in their quality of life. Hemodialysis therapy is the last form of therapy for patients with stage 5 chronic kidney disease. Setting and monitoring the Quick of Blood (QB) in accordance with the vascular access capability used, as well as the patient’s hemodynamic condition and comfort, is expected to affect the quality of life of chronic kidney disease patients. This research aimed to find the correlation between Quick of Blood (QB) and patient quality of life. The research employs a quantitative approach with a correlational study, and the data was taken at Hemodialysis Unit at Wava Husada Hospital Kepanjen Malang. The sampling technique used was purposive sampling, with a total of 105 respondents. The instrument used was SF 36 questionnaire. The analysis of the data used the Pearson test. The result of the analysis shows a p-value of 0.037, so there is a significant correlation between quick of blood (QB) and the quality of life of hemodialysis patients. Most of the respondents were discovered to have a moderate quality of life. Keywords: hemodialysis, quality of life, quick of blood

Obesitas anak merupakan masalah yang perlu diwaspadai karena angka kejadian cenderung meningkat. Obesitas mempunyai dampak terhadap tumbuh kembang anak dalam aspek fisik dan psikososial serta berisiko tinggi menjadi obesitas pada masa dewasa dan berpotensi mengalami berbagai penyebab kesakitan dan kematian. Sulitnya tatalaksanan obesitas menyebabkan pencegahan menjadi prioritas utama dengan pendekatan keluarga dalam menjaga pola makan dan aktivitas yang sehat. Orang tua terutama Ibu memegang peranan penting terhadap pemenuhan gizi keluarga karena ibu bertanggung jawab di rumah termasuk apa yang dimakan oleh anak. Perilaku terencana dalam pencegahan obesitas dapat diidentifikasi dengan pendekatan Theory of Planned Behavior (TPB). Rancangan penelitian deskriptif eksploratif dengan sampel 25 responden yaitu ibu dari anak prasekolah di TK Wonokerso Pakisaji Malang melalui teknik sampling purposive. Pengumpulan data menggunakan instrumen. Data yang diambil yaitu demografi dan data khusus yaitu sikap, norma subyektif, perceived behavior control (PBC), intensi. Sikap Keyakinan orangtua dalam pencegahan obesitas Anak 64% baik. Subyektive Norms Persepsi dukungan sosial yang dirasakan 52% baik, persepsi terhadap pengendalian (PBC) yaitu keyakinan mudah atau sulit tentang pencegahan obesitas 68% baik, Intensi Keinginan/ niat orangtua 52% baik. Tenaga kesehatan diharapkan melakukan pendidikan kesehatan dengan topik pencegahan obesitas pada anak, kebiasaan makan, jenis bahan makan yang biasa dikonsumsi, frekuensi makan, porsi makan, asupan makan, pantangan makan, riwayat aktivitas fisik. Kata kunci: perilaku pencegahan, obesitas anak, theory of planned behavior

Stress is a common issue in youth nowadays. Stress that arises is often caused by biological, psychological, family, school, and friend factors. In times of stress, the body automatically carries out stress management, one of which is smoking. This study aimed to determine the relationship between stress levels with smoking behavior in junior high school boys in Gondanglegi. This research uses a descriptive-analytic method with a cross-sectional approach. The population is junior high school boys in Gondanglegi, and the sample is 36 respondents. Sampling was done by purposive sampling technique. The measuring instruments used were the DASS questionnaire and the smoking behavior questionnaire. Processing data using Spearman Rank statistical tests. The results showed that 29 respondents (80.6%) were in the normal stress category, and 19 respondents (52.8%) in the smoking behavior category were light smokers. Based on the statistical test results obtained, Spearman Rank p value = 0.039 <α (0.05), then H0 is rejected, meaning that there is a relationship between stress levels with smoking behavior in adolescent boys in Gondanglegi. These results indicate a significant relationship between stress levels and smoking behavior among teenage boys in Gondanglegi. So it is hoped that there will be counseling for teenagers for stress management and smoking behavior at school