Interest : Jurnal Ilmu Kesehatan <p>Jurnal Ilmu Kesehatan <strong>(E-ISSN :&nbsp;<a href=";1490748152&amp;1&amp;&amp;" target="_blank" rel="noopener">2579-6135</a>; P-ISSN :&nbsp;<a href=";1333083907&amp;1&amp;&amp;" target="_blank" rel="noopener">2252-5432</a>)</strong>, with <span class="il">&nbsp;</span><strong><span class="st">Digital Object Identifier&nbsp;</span><span class="il">(DOI)</span>&nbsp;prefix&nbsp;<a href="">10.37341&nbsp;</a></strong>known as Interest, is an Indonesian language journal published by Health Polytechnic of Surakarta Ministry twice a year in May and November. This journal provides a forum for exchanging ideas about theory, methodology and fundamental issues related to the world of health which include nursing, midwifery, physiotherapy, acupuncture, herbal medicine (herbal), occupational therapy, prosthetic orthotics, speech therapy, public health, medicine, and health education. The submission process is open throughout the year. All texts submitted will be through multiple peer reviews and editorial reviews before being accepted for publication. In 2012, the magazine published online with the name of Jurnal Ilmu Kesehatan Interest, starting with Vol.1 No.1 with the printed version of ISSN 2252-5432 and the online version from 2579-6135 in accordance with LIPI policy. Starting in June 2019, Jurnal Ilmu Kesehatan Interest uses an Open Journal System that requires all authors to register before they are allowed to upload the manuscript they write online. After that, editors, peer reviewers, and writers can monitor the processing of the manuscript. Publisher of Jurnal Ilmu Kesehatan is Poltekkes Kemenkes Surakarta&nbsp;incorporate with the organization of profesions : <strong><a href="" target="_blank" rel="noopener">Perhimpunan Akupuntur Terapis Indonesia (HAKTI)</a>.</strong></p> en-US (Yuyun Setyorini) (Rendi Editya Darmawan) Thu, 28 May 2020 08:37:15 +0700 OJS 60 Differences Influence of Single Task and Dual Task on The Relationship of Increasing The Speed of The Road <p><strong><em>Background: </em></strong><em>To increase of life expectancy have an affect for elderly population, is all about aging process, there will experience a setback their muscles it can be cause changes of the functional of the muscle. For example That is decrease in strength and muscle contraction, muscle elasticity and flesibility as well as speed and reaction time, as a result, the elderly will be vulnerable to falling. Objects: woman dan man elderly who have age ranges </em>60-74<em>, which are included to the category of inclusion and the category of exclusion. total patients are 44 persons, they are divided into two groups. Group I are 21 subjects and Group II are 23 Subjects, the group-one subject were given single task , while the group-two subject were given dual task. <strong>Methods:</strong> this research employs two groups pre and post test design. Data analysis to find out the difference of pre and post this research employs wilcoxon test. <strong>Results:</strong> There is increase walking speed to elderly effect between pre and post in group one after 2 weeks (12 times of therapy) is p = 0.000. The result of increase walking speed to elderly effect between pre and post in group two is p = 0.000 and the test increase speed to elderly with ten meters walking test between group one and group two in measn group I is 3,28 and group II is 8,13. There is an difference effect of giving single task and dual task to increase walking speed to elderly. <strong>Conclusion:</strong> there is have difference in effect between the group one and group increase walking speed to elderly so that the results can be seen which is more effective is the group II with dual task. </em></p> Jasmine Kartiko Pertiwi, Afif Ghufroni ##submission.copyrightStatement## Thu, 28 May 2020 07:46:01 +0700 Strategi Mengurangi Stigma Penyakit Kusta di Komunitas <p><strong><em>Background: </em></strong><em>The impact of the stigma caused people with leprosy not only suffer physically but also psychologically because they were isolated and ignored by family members and the surrounding community</em><em>. </em><em>Aims this study is to describe strategy to decrease stigma for leprae patient. </em><strong><em>Method</em></strong><strong><em>s</em></strong><strong><em>:</em></strong> <em>The type of research design included in the literature review. The studies will be reviewed in English using qualitative, quantitative, and mixed methods. Searches were carried out using Science direct, PubMed (Medline), Google Search and Proquest with keywords for each variable. Keywords in leprosy search, AND (Stigma or discrimination) AND (Intervention or IEC or counseling)</em><em>.</em> <strong><em>Results:</em></strong> <em>The stigma is explained in five categories, namely the integration of leprosy services into health care, communication, information and education programs, socio-economic rehabilitation, change in name of leprosy, and counseling</em><em>.</em> <strong><em>Conclusion:</em></strong> <em>The interventions carried out provide at least evidence of success in efforts to deal with stigma with various strategies, namely the integration of leprosy programs into health care, IEC and SER interventions</em><em>.</em></p> Koko Wahyu Tarnoto, Junaiti Sahar ##submission.copyrightStatement## Wed, 27 May 2020 00:00:00 +0700 Kesiapan Mahasiswa Kesehatan terhadap Penerapan Pendidikan Interprofesional di Indonesia <p><strong><em>Background: </em></strong><em>Interprofessional education (IPE) is important to create effective interprofessional collaboration also improve quality of health care. Student readiness and perception</em><em> of IPE</em><em> will influence the implementation of IPE. This study </em><em>aimed to analyze</em><em> an overview, factors that influence and obstacles related to students' readiness and perception of the application of IPE in Indonesia. </em><strong><em>Method</em></strong><strong><em>s</em></strong><strong><em>:</em></strong> <em>Literature reviews with multi-step literature </em><em>searched </em><em>on IPE from online databases such as ProQuest; ScienceDirect; SpringerLink and Google scholars by applying the inclusion and exclusion criteria. </em><em>Samples of 8 studies met the criteria and then analyzed for the study</em>. <strong><em>Results:</em></strong> <em>Most of students have a positive perception and readiness for IPE</em><em>. </em><em>F</em><em>actors influencing students' readiness and perception</em><em> such as</em><em> motivation; study program options; student cognitive level; culture; initial clinical experience / exposure; IPE experience in the curriculum; and the readiness of </em><em>lectures. </em><strong><em>Conclusion:</em></strong> <em>It is necessary to find a solution in anticipating obstacles in encouraging students' readiness and perception of the application of IPE in Indonesia, including unclear role constraints </em><em>(role blurring</em><em>) and the stigma of feeling inferior compared to other health professions.</em></p> Reny Ayu Damayanti, Adang Bachtiar ##submission.copyrightStatement## Thu, 28 May 2020 07:43:28 +0700 Efektivitas Latihan Rhytmic Stabilitation dan Combination Of Isotonic Terhadap Penurunan Nyeri pada Nyeri Punggung Bawah <p><strong><em>Background:</em></strong><em> Low back pain is a complaint that is often encountered and very disturbing in carrying out daily activities. Myogenic pain is the most common complaint, around 49%.Physiotherapy modalities that can be given are Proprioceptive Neuromuscular Facilitation</em> (<em>rhythmic stabilization and combination of isotonic). Purpose this study to analyze effectivity rhythmic stabilitation exercise and combination of isotonic to decreased pain for myogenic pain</em>. <strong><em>Methods:</em></strong><em> this research is two groups pre and post test design. Subjects: 30 subject diagnosed with myogenic pain in Dr Moewardi Hospital during the period between 2019 June –Augs. <strong>Results: </strong>The result of test toward pain effect between pre and post in group one after 3 weeks (6 times of therapy) is p = 0.009 with Wilcoxon test. The result of test toward pain between pre and post in group two is p = 0.001 and the test of pain between group one and group two shows p = 0.051. <strong>Conclusion:</strong> there is no difference in effect between the group one and group two toward the reduction of pain of patients with myogenic pain so that the results cannot be seen which is more effective.</em></p> Yuliana Ratmawati, Yoni Rustiana Kusumawati ##submission.copyrightStatement## Wed, 27 May 2020 21:46:29 +0700 Efektifitas Latihan Integrasi Visual Motorik terhadap Kemampuan Kesiapan Menulis Anak Attention Deficit Hyperactivity Disorder (ADHD) <p><strong><em>Background:</em></strong><em> Attention Deficit-Hyperactivity Disorder (ADHD) is a behavioral disorder characterized by inattention, hyperactivity, impulsivity that affected to the children’s occupational performance&nbsp; in their activities. &nbsp;Individuals suffering from this disorder have a delayed development of visual-motor integration, difficulty participating in learning activities including writing readiness and poor academic progress. This research aims to (1)&nbsp; determine the effect of visual-motor integration activity interventions on writing readiness in ADHD children (2) find out the demographics of ADHD children based on age, gender and education. <strong>Methods:</strong> The design of &nbsp;this study was conducted</em> <em>a o</em><em>ne group </em><em>&nbsp;pre-experimental study using a pretest -posttest design.&nbsp; Samples were taken by purposive sampling technique. There were 35 samples consisting of 15 women and 20 men. The research instrument was the Beery DTVMI. Data analysis with paired parametric comparison test (paired sample t-test). <strong>Results: </strong>This study are (1) visual-motor integration activity interventions have a positive and significant effect on the writing readiness in ADHD children (p = 0,001). (2)</em> <em>ADHD children in YPAC Surakarta Occupational Therapy&nbsp; Clinic is dominated at the age of 5-6 years (54.3%). (3) Most of the ADHD children in the YPAC Surakarta Occupational Therapy Clinic were male (57.1%). (4) The education level of ADHD children in Surakarta YPAC Therapy Occupational Clinic was at the kindergarten level (51.4%). <strong>Conclusion:</strong> This study is visual motor integration activity interventions be able to&nbsp; improve writing readiness in ADHD children.</em></p> Prasaja Prasaja; Linda Harumi ##submission.copyrightStatement## Wed, 27 May 2020 22:02:41 +0700 Pengaruh Pijat Bayi yang dilakukan oleh Ibu terhadap Tumbuh-Kembang dan Tidur Bayi di Kabupaten Klaten <p><strong><em>Background:</em></strong><em> Optimal growth and development of babies can be done through stimulation of the touch by containing massage. Babies who are massaged sleep more and compile waking up fresher. In Klaten District, parents ask for masseur services because their children are fussy and have trouble sleeping. No less than 30 babies every day who come in one massage place, even on holidays more than 60 babies who come. If you can do the massage yourself, you will be able to save money and get closer to the relationship between mother and baby, including other developments and developments, and help the baby's development. Purpose this study is analyze the effect of infant massage conducted by the mother on the growth and development of infants in Klaten Regency, it can be seen the growth and development of infant sleep. <strong>Methods</strong>: The research method is quasi-experimental with control. The study was conducted for 6 months, the intervention for 1 month consisted of training in infant massage in the group of mothers who had babies and conditioning other groups as a control group (not suitable for training). The group treated massage their babies every week for 1 month, while the other group (control) did not do massage. Data collected includes body, body length, the ability of motion received by the baby and the quality of sleep performed before and after massage in the control groups, as well as in the control groups at the time performed for 1 month. The research location is in Klaten Regency with a sample of the area in the working area of ​​Trucuk and Central Klaten Puskesmas. Data analysis was carried out for 1 month to test hypotheses using the paired "t" test to measure body weight, body length and sleep quality before and then get a good massage in the treated group with good control, through the unpaired "t" test to measure the babies given massage compared to babies who are not massaged. <strong>Results</strong>: Tests of growth and development of babies and sleep between before and after the baby was massage by the results obtained with p &lt;0.05 and in infants who were massaged by babies who were massaged obtained with p &lt;0.05. <strong>Conclusion</strong>: Infant massage is provided by the mother for baby's growth and development and sleep in Klaten Regency.</em></p> Paryono Paryono, Ari Kurniarum ##submission.copyrightStatement## Wed, 27 May 2020 21:40:15 +0700 Efek Resusitasi Jantung Paru Menggunakan Mechanical Chest Compressions Terhadap Keselamatan Pasien Henti Jantung <p><strong>Background:</strong> Cardiac arrest is the biggest cause of death. The number of patients who survived is low. Data in the UK shows only 7% of patients who survived. The key factor to increase the amount of survival is the quality of cadiopulmonary resuscitation (CPR). CPR that is done manually or by humans tends to be of inferior quality due to fatigue. Mechanical chest compressions use machines and pistons to compress the chest, so that the frequency and depth of chest compression quality for a long time. The purpose of this systematic review is to analyze research evidence of the effect CPR using mechanical chest compressions to survival cardiac arrest. <strong>Methods :</strong> Systematic review is used to analyze the effectiveness of mechanical chest compressions against cardiac arrest. The article is traced from the data base of science direct, pub med, and EBSCO with the main keywords are mechanical chest compressions and cardiac arrest. Search on google search using the keywords mechanical chest compressions for cardiac arrest. Researchers only take research in the form of randomized controlled trials (RCT), and there are no language restrictions. The interventions carried out were mechanical chest compressions, measured outcomes were survival cardiac arrest, and side effects of the action. The quality of the study was assessed using the critical appaisal skill program. Data was synthesized based on the implementer, the intervention carried out, the blinding process, the results, conclusions and side effects of the action. <strong>Results:</strong> Findings in the form of 4 articles with high quality. The entire article states there is no difference in survival cardiac arrest between mechanical chest compressions and manual chest compressions. Mechanical chest compressions have more adverse side effects than manual chest compressions.&nbsp;<strong>Conclusion:</strong> The results of a systematic review show that mechanical chest compressions are no better than manual chest compressions, so they are not recommended for use.</p> Sudiro Sudiro ##submission.copyrightStatement## Thu, 28 May 2020 07:37:32 +0700 Pengaruh Transtibial Prosthesis terhadap Activity Of Daily Living Pasien Amputasi Bawah Lutut <p><strong><em>Background:</em></strong> <em>The physical condition of patients with transtibial amputations affects the fulfillment of activity of daily living. Transtibial Prosthesis is used to increase the patient's activity abilities. This </em><em>research is to find</em><em> the effect of using transtibial prosthes</em><em>e</em><em>s on the activity of daily living.</em> <em>This study aims to determine the effect of the use of transtibial prostheses on the activities of daily life</em><em>. <strong>Methods:</strong></em><em> This research method uses Quasi Experiment in the form of two-group post test only design. The study population was transtbial amputee at PT. Kuspito Prosthetic Orthotics. The sample in this study 40 people, namely 20 people using Transtibial Prosthesis,&nbsp; 20 people using Axial Crutches. The study was conducted at PT. Kuspito Prosthetic Orthotics from April to May 2019. This study used an observation sheet prepared by Kempen, et al (1996), namely The Groningen Activity Restriction Scale. </em><strong><em>Results:</em></strong> <em>The normality test used is Shapiro Wilk. Mann Whitney test resuls show</em><em>s</em><em> an average difference of ADL between users of transtibial prosthesis users (22.40) and axillary crutch users (19.95) with a p value = 0.008 where a p value &lt;0.05</em><em>. <strong>Conclusion:</strong> So </em><em>&nbsp;there is a difference in ADL which is statistically significant in patients using transtibial prosthesis and patients using axillary crutches. Where for transtibial prosthesis users better in ADL than axillary crutch users.</em></p> <p><em>&nbsp;</em></p> Muhammad Syafii, Nur Rachmat ##submission.copyrightStatement## Thu, 28 May 2020 08:15:51 +0700 Prototype Alat Olah Limbah Cair Laboratorium dengan Prinsip Fisika, Kimia dan Biologi dengan Hasil Akhir yang Aman dibuang dan tidak Mencemari Lingkungan <p><strong><em>Background: </em></strong><em>Laboratory of Chemical Engineering Environmental Pollution is one of the laboratories that produce liquid waste. However, during this treatment, liquid waste is only stored in a temporary storage area. It will cause part and quality of wastewater produced. It is necessary to research the design of laboratory-scale sports equipment to minimize pollution due to the accumulation of wastewater in conditions without maintenance. <strong>Methods: </strong>in its design, this tool applied three methods of physical, chemical and biological. This tool will be applied in management using coagulation, electrocoagulation, adsorption, and phytoremediation technologies<strong>. Results: </strong>This tool can work optimally with an initial capacity of 45 Liters. The parameters tested were pH, TDS, Total Hardness and Lead. The test is carried out to find out the rate of decrease of parameters in each process and the decrease parameter.<strong> Conclusion: </strong>After testing, it was proven that the biggest decrease in the adsorption process and the result of the calculation of the biggest decrease in TDS was 72.64%. The existence of this tool is expected to overcome the presence of accumulation of liquid waste in the laboratory so that no environmental pollution occurs.</em></p> Saipul Bahri, Sumayya Syarafina, Seli Tamara, Venesa Thalia Putri, Muhammad Naufal Candra Halim, Putri Novitasari ##submission.copyrightStatement## Thu, 28 May 2020 07:55:21 +0700 Pengaruh Pola Makan terhadap kadar hemoglobin Pada Anak Pra Sekolah <p><strong><em>Background: </em></strong><em>Pre school children need adequate nutrition for growth and development, as one of the most &nbsp;vulnerable &nbsp;groups is primarily anemia. &nbsp;Nutritional &nbsp;disorders of &nbsp;anemia&nbsp; can be caused by various &nbsp;factors, one &nbsp;of &nbsp;which &nbsp;is &nbsp;a &nbsp;diet &nbsp;(amount, frequency and variety ) that does not meet the balance</em><em>. </em><em>Objective <strong>&nbsp;</strong>to analyze &nbsp;The &nbsp;Effect of Diet on Hemoglobin Levels In Pre-School children. <strong>Methods: </strong>Cross-sectional &nbsp;study was conducted on 28 chlidren</em><em>. </em><em>Sampling is done by Purposive Sampling &nbsp;technique. &nbsp;Data &nbsp;collect &nbsp;from &nbsp;food Record and misson Hb. Data analyze used Pearson product moment correlation test and Multiple Regression Analysis. &nbsp;<strong>Results: </strong>The results of this study obtained the average hemoglobin &nbsp;level &nbsp;of children is 10.18 (0.99). The &nbsp;results &nbsp;of &nbsp;the &nbsp;test &nbsp;on &nbsp;energy intake (ρ = 0.820), iron intake (ρ = 0.300), vitamin C intake (ρ = 0.300) which &nbsp;states &nbsp;no &nbsp;significant relationship &nbsp;with &nbsp;hemoglobin &nbsp;levels. &nbsp;Protein &nbsp;intake (ρ = 0,007), variation (ρ = 0,000), and &nbsp;frequency (ρ = -0,035) have significant relationship with hemoglobin level. Multivariate analysis of dietary variations &nbsp;significantly &nbsp;influenced &nbsp;hemoglobin &nbsp;levels &nbsp;in &nbsp;pre-school &nbsp;children (ρ = 0.000, r = 0.0636; R2 = 0.405).</em> <em>&nbsp;<strong>Conclusions: </strong></em><em>T</em><em>hat &nbsp;daily &nbsp;intake, &nbsp;iron &nbsp;intake &nbsp;and vitamin C alone have no effect on hemoglobin, but it is necessary to increase protein intake, eating &nbsp;frequency &nbsp;setting &nbsp;especially &nbsp;variation in food menu. &nbsp;Required &nbsp;intervention &nbsp;strategies to increase &nbsp;intake, &nbsp;selection of &nbsp;foodstuffs, &nbsp;processing, &nbsp;presentation &nbsp;to children &nbsp;for iron &nbsp;absorption &nbsp;and control of anemia can be solved.</em></p> Rosalinna Rosalinna, Sugita Sugita ##submission.copyrightStatement## Thu, 28 May 2020 08:08:07 +0700 Upaya dan Kendala Konselor Puskesmas dalam Perawatan Pasien Skizofrenia <p><strong>Introduction</strong>&nbsp;: Schizophrenia is a severe mental disorder and chronic affecting 20 million people worldwide.<em>&nbsp;</em>Schizophrenia is characterized by impaired of language, sense of self and behaviour distortions in thinking, perception, and emotions. Some case include &nbsp;delusions (fixed, false beliefs) and &nbsp;hallucinations (hearing voices or seeing things that are not there). &nbsp;Schizophrenia is treatable disease with &nbsp;psychosocial support and medicines is effective. The role of public health service counselor is important to give &nbsp;psychosocial support and medicines to patient. Aim of this studi to &nbsp;describe efforts and constraints &nbsp;public health care counselor &nbsp;in the care of schizophrenic patients. <strong>Methods </strong>: A descriptive qualitative study with 4&nbsp;informants from public health service counselor. Purposive sampling&nbsp;is used to selecting informants. Analize of data was carried out qualitatively. The triangulation of sources, methods, researchers, and theories&nbsp;is used to test validity. The study was conducted in January-November 2019, in Pilang Kenceng Village, Madiun Regency. Data collection was carried out by in-depth interviewing using guide questions. <strong>Results </strong>: The results showed that there were 6&nbsp;themes in answering research objectives&nbsp;are submission of training, optimizing the role of the community, early detection, providing treatment, counseling&nbsp;and constraints. <strong>Conclution :</strong>&nbsp;Efforts made by counselors have not been running optimally because of the synergy and communication with the community is not going well. Contraints in efforts in the care of schizophrenic patients is support from the government that is minimum.</p> Rendi Editya Darmawan, Sudiro Sudiro ##submission.copyrightStatement## Wed, 27 May 2020 21:32:02 +0700 Peningkatan Hasil Belajar Speaking Menggunakan Teknik Know, What To Know, Learned And Monologue Text <p><strong><em>Background: </em></strong><em>Speaking in english learning was crucial and important. An increase in english language learning is not easy. The limitation of student speaking inhibits self-development in science, technology and the arts. This study aims to determine the increase in the outcome of speaking learning using the technique of know, what to know, learned and monologue text in physiotherapy students college.</em><em>&nbsp;</em><strong><em>Method</em></strong><strong><em>s</em></strong><strong><em>:</em></strong><strong><em>&nbsp;</em></strong><em>A quantitavive experiment research with out control grup design. Amount of sample is 48 physiotherapy students in first grade. Instrumen to describe result of study consist of 40 questions. Students study using</em><strong><em>&nbsp;</em></strong><em>know, what to know, learned and monologue text during 2 month. Date was analized using paired t test. </em><strong><em>Results:</em></strong><strong><em>&nbsp;</em></strong><em>Result</em><strong><em>&nbsp;</em></strong><em>of paired t test show that P vslue is 0,000. Based on the results the technical influence testing technique of know, what to know, learned and monologue text, there is an increase in the outcome of learning outcomes, from results pretest, postest. This can be noted there are influences of the technique of know, what to know, learned and monologue text in improving the outcome of learning physiotherapy students college of Poltekes Surakarta.</em><em>&nbsp;</em><strong><em>Conclusion:</em></strong><strong><em>&nbsp;</em></strong><em>Recommendation and implication of the study, students are expected to be able to provide new knowledge about KWL techniques that are applied in understanding monologue texts and speaking practices so that students are easy to understand a text in English and spoken in speaking prantice.</em></p> Noerdjanah Noerdjanah, Sugiono Sugiono ##submission.copyrightStatement## Thu, 28 May 2020 07:32:29 +0700 Efektivitas Penggunaan Terapi Akupunktur Metode Korean Hand Therapy pada Lansia dengan Nyeri Muskuloskeletal di Posyandu Lansia Poltekkes Kemenkes Surakarta <p><strong><em>Background:</em></strong><em> Disorders of the musculoskeletal system can affect the functions of the body's movers consisting of bones, muscles, cartilage, tendons, ligaments and other connective tissue. Acupuncture therapy began to develop with various types of micro acupuncture that began to be widely applied, such as the Korean Hand Therapy technique. The purpose of this study was to analyze the effectiveness of acupuncture methods or techniques in elderly patients who experience musculoskeletal pain. <strong>Methods:</strong> This type of research is Quasi Experimental. The location of the study was at the Posyandu Elderly Ngemplak Boyolali in March-May 2019. The population is elderly musculoskeletal pain by 50 people. A sample of 30 people was divided into 3 treatment groups. Data analysis using the Anova Test. <strong>Results:</strong> Significance results&gt; 0.05 so it can be concluded that Ho is accepted, Ha is rejected, meaning there is no difference in the method of therapy in reducing pain. <strong>Conclusion:</strong> The Most Effective Method for Overcoming Musculoskeletal Pain in this Study There was no difference between the Acupuncture Therapy Group, the Korean Hand Therapy Group and the Combined Acupuncture Therapy Group and the Korean</em><em> H</em><em>and</em> <em>t</em><em>herapy.</em></p> Joko Tri Haryanto, Listina Ade Widya Ningtyas ##submission.copyrightStatement## Thu, 28 May 2020 08:01:32 +0700 Effectiveness of Beet Juice, Potato and Ambon Banana Diet to The Elderly with Hypertension for Blood Pressure <p><strong><em>Background</em></strong><em>: Hypertension is often called as “silent killer” and the common cause of cardiovascular disease. It’s also the main problem in both developed and developing country. The management of hypertension must be integrated between the essential standard medication and altering the life style which involved dietary habit management, stress coping management, activity management, avoiding alcohol and smoking. Purpose this study to analyze the effectiveness of beet juice, potato and ambon banana for blood pressure of the elderly with hypertension. <strong>Methods</strong>: The research design was pre experiment with Pre and Post Control Group Design. The independent variable was the beet juice, potato and ambon banana. The dependent variable was the blood pressure. The sample was the elderly with hypertension who take hypertension medication periodically. The sample consisted of 66 respondents. The blood pressure was examined once a</em><em>ten days</em><em> for a month. The data analysis was chi-square. <strong>Results</strong>: There was reduction of the blood pressure for 99.7% respondents. <strong>Conclusion</strong>: Beet juice, potato and ambon banana are effective in lowering the blood pressure of&nbsp; elderly with hypertension.</em></p> Sri Lestari DA, Yeni Tutu Rohimah ##submission.copyrightStatement## Thu, 28 May 2020 08:11:34 +0700 Spiritual Care Nurse To Patient With Breast Cancer At Last Stage : a Literature Review <p><strong><em>Background: </em></strong><em>Spiritual care is one of the strategies for managing care towards the end of life in the hospital as mentioned in the Nursing Intervention Classification. Aim this study is to describe spiritual care nurse to patient with breast cancer at last stage. <strong>Methods: </strong>A </em><em>literature review were obtained from PubMed, and google scholar using the keywords breast cancer AND palliative care and breast cancer AND spiritual care by adding filters: the type of article is Full text with Randomized Controlled Trial, published in the last 5 years, written in English and Indonesian, human studied, specific to cancer, and are in the category of nursing journals and MEDLINE.</em></p> <p><strong><em>Result</em></strong><em>: According to a review of existing research, spiritual care is effective to overcome psychological problems, such as anxiety, stress, or depression as it affects patients to solemnly accept their health condition including the complications in positive ways. Therefore, patients receiving spiritual care will be more adhere to their medical treatments, will have lack of emotional disturbances and substance abuse, have greater social support, will be more frequent performing their health behavior and have a longer period of survival.<strong>Conclusion</strong>: Spiritual care is highly needed in medical care, especially for those who have serious and life-threatening diseases. Assessing and addressing the spiritual needs of patients is associated with greater satisfaction with care, better quality of life, less depression, less unnecessary health services, and better nurse-patient relationships.</em></p> Nurul Rezki Anisa, Kadek Ayu Erika, Rini Rachmawaty ##submission.copyrightStatement## Thu, 28 May 2020 08:30:14 +0700