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Smoking behavior is a function of both the environment and the individual, which means that smoking behavior is not only caused by internal factors, but also by environmental factors. Furthermore, smoking behavior in adolescents is a symbolic behavior that represents leadership maturity and opposite-sex attractiveness. After China and India, Indonesia has the third-highest number of smokers in the world. When a boy has a positive relationship with adults that makes him feel understood, valued, and wanted, and when he feels supported so that he excels in school, he becomes competent and confident. Similarly, a girl learns to socialize and face the future with confidence and courage as a result of her various attachments. The goal of this study is to determine whether there is a correlation between smoking and self-confidence among vocational students. This research used a cross-sectional, observational, analytic methodology. 13 individuals (19.1%) had a positive smoking behavior status with strong self-confidence, while 36 individuals (52.9%) had a negative smoking behavior status. Based on the chi-square test, the p-value was found to be 0.001: 0.05, indicating a link between smoking behavior and self-confidence. The majority of teenage males' smoking behavior is bad, and the majority of male self-confidence falls into the category of low self-esteem. There is a correlation between vocational students' smoking behavior and their confidence.

Introduction: The development and support of digital technology have provided new opportunities to provide learning in the form of interesting educational games for early childhood. Because children are closely related to games, digital educational games are a strategic step to provide new experiences in learning, especially to improve children's memory and fine motor skills. Purpose: The purpose of this community service is to carry out play therapy using card media with Augmented Reality which children have never done before. Methods: Play therapy activities focused on school-age children are carried out by lecturers and a group of students from the D3 Nursing Study Program STIKes Muhammadiyah Ciamis. The method in play therapy activities uses simulation methods and direct practice in games using Augmented Reality card media. Location This service was held at SDN 1 Kalipucang Pangandaran with 20 students participating. Results: This community service activity can illustrate how play therapy improves fine motor skills and memory in early childhood by using the Augmented Reality card approach that is displayed on the cellphone screen and changes from a 2-dimensional image to a 3-dimensional image. The children became very enthusiastic and became very curious about what kind of images would appear from the Augmented Reality cards they held. The overall age of children is (6-13 years) and in this game, they have memory and fine motor skills that are quite good according to their developmental age. Conclusion: During the play therapy activities, it was successful and it was concluded that children were able to remember and know what type of cards and objects or creatures they were exploring with the help of a smartphone screen.

Gastritis is an inflammation of the gastric mucosa caused by an irregular diet. Gastritis can be an emergency if not treated immediately, even in some conditions gastritis can also cause perforation to death. This study aims to obtain an overview of benson relaxation interventions to reduce pain in gastritis clients. The writing used uses a descriptive case study method through a nursing process approach that includes assessment, nursing diagnosis, planning, implementation and evaluation. With gastritis patient participants with acute pain problems in the Dahlia Room BLUD RSU Kota Banjar. Data collection through interviews, observation, physical examination, and documentation. Based on the results of the pain scale assessment, the results of the original scale reduction from 5 (0-10) to 2 (0-10) using the Numeric Rating Scale (NRS) measuring instrument method. The author found an effect after giving benson relaxation intervention on reducing pain intensity in gastritis patients and getting effective results, as evidenced by a decrease in the intensity of the pain scale. From the case study of benson relaxation intervention can be an alternative intervention that is done to gastritis patients so that there are no complications from the disease.

Objective: To present care with lemon aromatherapy intervention as an effort to overcome nausea and vomiting in gastritis patients. Methods: The method used is descriptive and uses nursing care that refers to the IDHS and SIKI books. The subject of this study was 1 patient with a nursing diagnosis of nausea and vomiting in gastritis patients who were treated in the Dahlia Room, Banjar City Hospital. Data collection includes interviews, observations, physical examinations and documentation. Results: The results of the case studies conducted showed a change after the non-pharmacological technique of lemon aromatherapy was proven by the final results, namely the evaluation carried out by the patient not feeling nauseated, the INVR scale 3. Conclusion: The conclusion from the results of the lemon aromatherapy intervention was considered effective for reducing nausea and vomiting with a decreased INVR scale. with the results of the final evaluation of the INVR 3 scale, the client said that nausea was reduced.

End-stage kidney disease (ESRD) has an impact on the sufferer's physical, psychological, social, and spiritual well-being. These problems can reduce the quality of life of ESRD patients undergoing hemodialysis. This requires the patient to be fully involved, both in management and therapeutic decision-making, symptom management, and self-care. This literature review aims to describe various programs to improve the self-management skills of ESRD patients undergoing hemodialysis. The articles used in this literature review are sourced from the CINAHL, MEDLINE, and Google Scholar electronic databases with the keywords self-management, self-care, adherence, ESRD, and hemodialysis with inclusion criteria: published in 2015-2020, full text, using English or Indonesian, and experimental studies conducted on hemodialysis patients. Eight articles were obtained discussing programs that can be used to improve self-management of ESRD patients undergoing hemodialysis, including education and counseling programs, self-management programs, self-efficacy training, self-monitoring programs, and social support. The differences between each program include the time and technical implementation, while the similarities are that each program cannot be separated from education for providing health information to patients. Providing structured education and involving social support can be used as a program to improve self-management in ESRD patients undergoing hemodialysis.

Tujuan: Tujuan dari literature review ini yaitu untuk menjelaskan pengaruh relaksasi otot progresif dan dzikir al-matsurat terhadap penurunan kadar gula darah pada penderita DM. Metode: Pada literature review ini data diidentifikasi dari lima database jurnal diantaranya PubMed, JSTOR, Taylor Francis Online, Sage Journal, Willey Online Library dengan menggunakan metode PIOS (Participant, Intervention, Outcomes and Study Design) dan istilah MESH pada mesin pencari tingkat lanjut. Desain yang digunakan dalam literature review ini adalah Quasy Eksperiment pretest and posttest yang melibatkan laki-laki dan perempuan yang menderita DM. Jumlah total sampel diperoleh sebanyak 321 massa secara random sampling dengan menggunakan intrumen Glukometer dan Kuesioner. Hasil: Dari jumlah artikel yang telah di review didapatkan hasil yang telah dilakukan dengan menggunakan desain quasy eksperiment pre and post test, didapatkan bahwa terapi dzikir al-matsurat tidak signifikan untuk penurunan gula darah bagi pengidap DM, karena tidak diberikan treatment (perlakuan) yang dibutuhkan dengan persentase hasil 40% dengan p value < 0,005. Penerapan teknik selanjutnya yaitu dengan cara relaksasi otot progresif pada responden. Teknik ini, sangat berpengaruh signifikan dalam penurunan gula darah, karena teknik relaksasi otot progresif mengaktifkan sistem saraf parasimpatis dan menghentikan kerja saraf simpatis sehingga hormon kortisol menurun yang pada akhirnya glukosa darah menurun didapatkan persentasi hasil 60% dengan p value 0,291. Kesimpulan: Studi ini menyatakan bahwa dengan dilakukannya tindakan relaksasi pada otot-otot secara progresif lebih signifikan untuk menurunkan gula darah dibandingkan dzikir al-matsurat. Karena relaksasi otot progresif lebih berfokus pada perlakuan sedangkan terapi dzikir al-matsurat lebih berfokus kepada ketenangan jiwa dan pikiran.

Background: Head injury is a serious problem that can lead to death and even death. Handling of head injuries starts from protecting the brain with blood flow to the brain so that hypoxia or brain ischemia does not occur. Hemodynamics is the result of measuring systolic and diastolic blood pressure, pulse rate, and respiratory rate. Objectives: This literature review aims to find out what interventions can be done when there is an increase in hemodynamic status in head injury patients Methods: This database search was conducted by searching on google scholars with the keywords head injury, hemodynamics. The inclusion criteria of this literature review are articles that were researched within the last 5 years with the year published 2015-2020, full text, using the Indonesian language, the article that used is the article. Results: Interventions that can be done when there is an increase in hemodynamic status in head injury patients are giving oxygen and increasing 30o, giving oxygen through a simple mask and head position 30o, giving head-up position 30o compared to 15o position, giving nasal prong oxygenation therapy and murotal therapy Al-Qur'an for 30 minutes 3 times/day. Conclusion: All interventions resulting from this literature review were in the form of giving oxygen and increasing the head 30o, giving oxygen through a simple mask and head position 30o, giving the head position 30o compared to 15o position, giving nasal branch oxygenation therapy, and murotal Al-Qur'an therapy for 30 minutes 3 times/day.

Diabetes Mellitus is now a serious threat to humans in the world. One of the factors that cause Diabetes Mellitus is diet. Diabetes Mellitus is a degenerative disease that is closely related to diet. Improper dietary regulation as recommended by 3J (Schedule, Amount, and Type) can result in an increase in blood sugar levels Objective: This study aims to determine the relationship between Diet and Type 2 Diabetes Mellitus at dr. Mamik in 2020. The research method used is a quantitative analysis using a cross-sectional approach. The population in this study were all patients who went to dr. Mamik in May 2020 as many as 142 people. Samples were taken using the quota sampling technique of as many as 59 people. The results of the study show an overview of the diet of patients with type 2 diabetes mellitus at the dr. Mamik, most of whom were in the bad category as many as 40 people (67.8%), a description of the incidence of type 2 diabetes mellitus at the dr. Mamik, the highest frequency was in the category of Type 2 DM as many as 37 people (62.7%) and there was a significant relationship between diet and type 2 diabetes mellitus at Dr. Mamik Clinic because the value of alpha > value. Conclusion: there is a relationship between diet and type 2 diabetes mellitus.

Objective: The number of deaths from traffic accidents over the years ever-increasing. According to the Global Status Report on Road Safety, more than 1.2 million people die annually due to traffic accidents, with millions more getting a serious injuries. The number of victims resulting from transportation accidents (traffic) that give rise to emergency conditions, need help quickly on the scene to prevent the morbidity and mortality of the victim. The traffic police is an apparatus that served to safeguard the safety of road users and minimize traffic accident victims. Method: This research aims to know the description of knowledge of traffic police about the assistance of Basic Life Support way of breath in Police Resort Ciamis. The research method used i.e. descriptive. The population in this study are all the police officers in the traffic Office Police Resort Ciamis as many as 120 people. Samples were taken using the technique of proportional random sampling. Result: The research results showed that the knowledge of respondents about the sense of the highest frequency of knowledge category Basic Life Support enough i.e. as many as 36 people (66.7%). The knowledge of respondents about the purpose and the initial steps of the highest frequency of good category Basic Life Support. that is as many as 37 people (68.5%). The knowledge of respondents about the stages of Basic Life Support way breath (airway) frequency-the highest category of good that is as many as 27 people (50.0%). Conclusion: The conclusions of the research on knowledge description of traffic police of traffic police about the assistance of Basic Life Support in Police Resort Cimias the highest frequency of good category i.e. as many as 28 people (51.8%).

Introduction: In postoperative patients, a patient requires maximum care to support the postoperative wound healing process for healing the patient's healing. The goals of patient care after laparotomy surgery include: Reducing surgical complications, accelerating healing, restoring patient functions as before surgery, maintaining patient self-concept, and preparing patients to go home, this is what makes postoperative patients require maximum care. Objective: This study aims to determine the relationship between mobilization and the incidence of fecal impaction in post-laparotomy patients. Method: the method used observational research, the population of this study was all post-laparotomy patients in the Wijaya Kusuma BLUD RSU Banjar City from July-August 2014 as many as 33 people using the consecutive sampling technique. Result: The results of statistical tests using the Chi-Square Test obtained a value of 0.000. So, it can be concluded that there is a relationship between mobilization and the incidence of fecal impaction in post-laparotomy patients. Conclusion: There is a relationship between mobilization and the incidence of impacted feces in postoperative patients, and we hope that future researchers can develop broader research with the latest knowledge and more respondents and use experimental methods

Intervensi Untuk Mengatasi Mual Antisipatori Pada Pasien Kanker Yang Menjalani Kemoterapi Litelatu r Review Dadi Hamdani. 1 Anggorowati. 2 Awal Prasetyo. 3 1 Departemen Ilmu Keperawatan, Fakultas Kedokteran Universitas Diponegoro, Semarang, Indonesia 2 Departemen Ilmu Keperawatan, Fakultas Kedokteran Universitas Diponegoro, Semarang, Indonesia 3 Departemen Ilmu Kedokteran, Fakultas Kedokteran Universitas Diponegoro, Semarang, Indonesia Email: dadi_ham@yahoo.co.id Abstrak Latar Belakang: Gejala mual muntah merupakan salah satu efek samping yang berat akibat pemberian obat kanker yang membuat stres pasien. Akibatnya, 27% pasien memilih menghentikan siklus terapi sehingga berpengaruh terhadap harapan hidupnya. Tujuan Utama : Menjelaskan berbagai intervensi untuk mengatasi mual antisipatori yang dialami pasien kanker yang menjalani kemoterapi. Met odologi : Basis data elektronik diidentifikasi dari EBSCO, Springer PubMed, Science Direct dan ProQuest dengan kata kunci: intervensi, mual, muntah, antisipatori, kanker dan kemoterapi. Kriteria inklusi dalam penelitian ini adalah artikel diterbitkan pada tahun 2009 – 2019, tersedia dalam teks lengkap, artikel menggunakan bahasa Inggris, dengan subyek manusia, desain RCT. Artikel terjaring adalah 7 artikel penelitian eksperimental yang kemudian dianalisis menggunakan PRISMA tanpa meta-analisis. Hasil : Sebanyak 7 artikel membahas tentang intervensi untuk menurunkan mual antisipatori terhadap pasien kanker yang menjalani kemoterapi. Semua penelitian pada kelompok intervensi memiliki efek positif dalam mengurangi mual dan muntah secara bermakna dengan nilai signifikansi: Satu artikel behavioral treatment (p