Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal http://journal.stikeskendal.ac.id/index.php/PSKM <p>Jurnal ilmiah permas: jurnal ilmiah stikes kendal &nbsp;(JIPJISK) merupakan bagian&nbsp; integral dari jurnal yang diterbitkan oleh LPPM STIKES Kendal. JIPJISK merupakan sarana pengembangan dan publikasi karya ilmiah bagi para peneliti, dosen dan praktisi. JIPJISK menerbitkan artikel-artikel yang merupakan hasil penelitian, studi kasus, hasil studi literatur, konsep keilmuan, pengetahuan dan teknologi yang inovatif dan terbaharu yang berfokus pada delapan (8) pilar kesehatan masyarakat, meliputi Biostatiska dan Kependudukan, Epidemiologi, Promosi Kesehatan, Kesehatan Lingkungan, Keselamatan dan Kesehatan Kerja, Administrasi dan Kebijakan Kesehatan, Gizi Masyarakat, Kesehatan Reproduksi. JIPJISK&nbsp; diterbitkan pertama &nbsp;kali dengan &nbsp;ISSN versi cetak pada Volume 1 No 1 Oktober 2011 &nbsp;dan &nbsp;ISSN versi online pada Volume &nbsp;7 No 1 April 2017.&nbsp; JIPJISK &nbsp;terbit 2 kali dalam setahun yaitu bulan April dan Oktober. JIPJISK mulai Januari 2019 akan terbit 4x dalam setahun, yaitu bulan Januari, April, Juli, dan Oktober. Artikel akan ditelaah secara peer review oleh mitra bestari dari berbagai institusi.&nbsp;</p> LPPM STIKES KENDAL en-US Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal 2089-0834 Paschimottanasana and Adho Muka Padmasana Therapy on the Intensity of Pain in Young Women Primary Dismenorhea http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/779 <p><em>Teenagers after menarch always complain of the pain felt during menstruation. This makes him uncomfortable, sick and not even concentrating in class lessons. Many of the absence of young women at school due to not being able to withstand pain during menstruation. So that there is a need for complementary therapy by implementing yoga Paschimottanasana and Adho Mukha Padmasana. The purpose of this study was to assess differences in pain intensity in young women who were given postchimonttanasana therapy and Adho Mukha Padmasana with those who were only given conventional knowledge and therapeutic information. The quantitative research method used a quasi-experimental design with a pretest-posttest control group design. The population was all young women in SMA Negeri 3 Singaraja with a minimum sample of treatment and control groups of 188 respondents. Sampling with stratified random sampling technique in class 10-12. Provision of yoga was given to the treatment group then assessed pre and posttest using the Verbal Descriptor Scale / VDS questionnaire that was valid and reliable Analysis using univariate and bivariate analysis with paired t-test and independent t-test statistical tests. The results of statistical tests using paired t-test there were differences in pain intensity between before and after from the treatment group (p value 0.001) while in the control group there was no difference. Judging from the effect of using the independent t-test, it was found that Paschimottanasana yoga and Adho Mukha Padmasana had an effect on reducing the intensity of pain during menstruation 1.22 (0.517-1.911) with a p value &lt;0.05 than those not only given conventional knowledge and therapy. The conclusion is that there is a difference and the effect of reducing the intensity of pain from giving yoga Paschimottanasana and Adho Mukha Padmasana.</em></p> Putu Wahyu Sri Juniantari Sandy I Wayan Sujana Aditha Angga Pratama ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-05-31 2020-05-31 10 3 271 280 Nursing Students’ Experience on Fulfillment of Basic Human Need: Recreation http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/766 <p><em>Recreation is one of the basic human needs, however&nbsp; people are not often able to meet this need because they are too busy with work or having too many tasks to do. These people include nursing students, who are well known to have a lot of tasks and examinations. Studies on recreation needs among nursing students had been conducted, yet little is known of studies which explore topics with qualitative methods. This study is aimed to explore nursing students’ experience on fulfillment of recreation needs while doing many tasks and examination. Qualitative method with phenomenology design was chosen in order to attain the goal. Samples were determined using purposive sampling technique with inclusion criteria: students who experience that their tasks and examination were too many. Four nursing students were involved as participants. Data were gathered by employing in-depth interview in a focus group discussion (FGD). Subsequently the data were analyzed using Colaizzi method. There were three themes that emerged and are as follows “We have our own way to refresh our mind”, “Yes, our basic human need: recreation is fully met”, and “Sometimes obstacles are inevitable” which then were formulated to an essential structure “Be creative to create our own recreation although sometimes there were obstacles.” This study encourages nursing educators to ensure that the recreation needs of every nursing student is fulfilled.</em></p> Natalia Ratna Yulianti Dea Rachel Noela Eva Dwi Fransiska Lumintan Efriyanti Vera Dwi Kristyana Yuventia Ratna Pratiwi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-05-31 2020-05-31 10 3 281 288 The Role of Early Married Parents to Investing Discipline in Children http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/744 <p><em>Early marriage is a marriage conducted at the age ofe adolescents. Women who are early married are at risk of reproductive health and psychologis and marriage rates in Indonesia were still high so it is feared are at risk of reproductive healt and psychologis increase too.&nbsp; Early marriage can be influenced by several factors, one of which is parenting. The purpose of this research was to description the role of&nbsp; early married parents to investing discipline. The research method used quantitative descriptive with cross sectional approach. The sampling technique used total sampling with a total of 32 respondents. The instruments compiled by researchers with validity and reliability tests results of 0.392-0.863 with r tables of 0.361 with Alpha Cronbach 0.913. The analyzed used a frequuency and percentage distribution. The study was conducted at Rancabango village, Tarogong Kaler Sub-district in the District of Garut in September 2019 after being approved by Padjadjaran University Research Ethics Committee with the letter No.1130/UN6.KEP/EC/2019. The results of this research showed that&nbsp; the role of&nbsp; early married parents in the category of democratic (59.4%), authoritarian (40.6%), permissive (37.5%). Based on the data it can be concluded that parenting of parents who married early in instilling discipline to children was democratic parenting, however authoritarian and permissive types are also high therefore early marriage must be avoided by maintaining parenting to children.</em></p> Sobur Setiawan Tetti Solehati Udin Rosidin ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-05-31 2020-05-31 10 3 289 296 Pesticide Use Behavior Related to Rice Farmer Health Complaints http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/758 <p><em>The use of pesticides that are not in accordance with the rules can cause health complaints to farmers. This study aims to analyze the behavior of pesticide use on health complaints on rice farmers in the Village Kebonsari District Rowosari Kendal. This research is an observational analytic research with cross sectional approach (cross section). The population in this study amounted to 277 farmers with a total sample of 67 respondents. Samples were taken by purposive sampling technique from all farmer population of pesticide user in KebonsariVillag. Data were collected through observation and questionnaires.The results obtained were analyzed using Fisher Exact Test. The results showed that there was a significant correlation between pesticide use behavior with health complaints felt by farmers(p value = 0.000.</em></p> Risma Widianingsih Ratna Muliawati Mushidah Mushidah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-05-31 2020-05-31 10 3 297 306 Determinans of Breast-Self Examination Regularly Once by Women of Childbearing Age http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/780 <p><em>Awareness of breast cancer prevention methods is very important in reducing morbidity and mortality caused by breast cancer. One of them is by breast self-examination (BSE) because it is easy, cheap, privacy, safe and does not require special equipment. In fact this method has not been widely applied by most women. The purpose of this study was to determine the determinants of the implementation of breast self-examination once a month on a regular basis by women of childbearing age in the Kubutambah&nbsp; District. The method of research was observational with a cross sectional approach. The population in this study is all women of childbearing age in the Kubutambah&nbsp; District. Samples were taken by purposive sampling with a large number of samples determined as many as 154 respondents. Data collection using a questionnaire. Researchers filled out the questionnaire with structured interview techniques and assisted respondents. The study began in June-September 2019. After the data were collected, an univariate analysis was performed with a frequency distribution test, bivariate with the Spearman Rank test and multivariate with a Logistic Regression test using software. The results of this study found that the variables that were determinants of breast self-examination every month were the level of education (OR = 5,321.95% CI: -0.324--0.213), mass media access (OR = 3,543.95% CI: -0.213-- 0.124), spouse / family support (OR = 7,002.95% CI: -1.342--0.543) and peer age group support (OR = 5,326.95% CI: -3.234--1.342) still jointly influence the examination breast once a month regularly. </em></p> Ari Pertama Watiningsih Desak Ketut Sugiartini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-05-31 2020-05-31 10 3 307 318 Improvement of Postpartum Mother Comfort with Oxytosin Massage Colcaba Comfort Teory Approach http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/783 <p><em>Postpartum discomfort can cause significant physical distress. Discomfort factor that the mother feels often causes the mother to stop breastfeeding. By stopping breastfeeding, the baby's sucking stimulation will decrease so that the milk production will decrease. The purpose of this study is to prove the Increased Comfort of Postpartum Mothers after Oxytocin Massage. The design of this study was a quasi-experimental design with pre-post test design with control group. The sampling technique was consecutive sampling, totaling 18 primiparous Postpartum mothers, divided into 2 groups (Oxytocin Massage Group and control group). The independent variable in this study is oxytocin massage and the dependent variable: maternal postpartum comfort. Data collection using a questionnaire: GCQ (General Comfort Questionarre) for the Comfort of Postpartum Mothers. The measurement of the validity of the GCQ instrument uses the product moment correlation formula, while the instrument reliability measurement uses the Cronbach alpha coefficient formula. From the results of statistical tests with the Analysis of Variance (ANOVA) parametric statistical tests, there were differences between the oxytocin massage group and the untreated group with a p value of 0.035 (p &lt;0.05), which means that there was a significant difference in the group undergoing oxytocin massage, where an increase in comfort in postpartum mothers who do oxytocin massage.</em></p> Dwi Rahayu Yunarsih Yunarsih ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-06-05 2020-06-05 10 3 319 326 Reduction of Blood Pressure Throught Exercises Among Elderly with Hipertension http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/784 <p><em>Hypertension causes morbidities for everyone especially in elderly. In the management of hypertension in cardiovascular disease, one of the non-pharmacological aspects is physical activity, one of which is elderly exercise, which can reduce the risk of lipid buildup in the walls of blood vessels and maintained elasticity thereby increasing cardiac physiology and lowering blood pressure. The purpose of this study was to identify the effect of elderly exercise on reducing blood pressure in hypertensive patients. Quantitative study with One Group Pre-Posttest Design. The sample consisted of 45 elderly with hypertension. The study was conducted on May 12-16, 2020. The intervention carried out was elderly exercise for 3 times, the value of blood pressure measurement was recorded on the observation sheet. Data analyzed used paired t-test. The results obtained p = 0,000 (P &lt;0.05) that there are differences in systole and diastole blood pressure before and after elderly gymnastics. The importance of the elderly to do regular exercise to reduce and reduce the presence of hypertension complaints.</em></p> Solihin Solihin Neny Setia Ningsih Stevany Sholikhah Tri Aulianta Mangunsong Emanuel Emartinus Giawa Kristina L Silalahi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-06-11 2020-06-11 10 3 327 334 Deviation of Interpretation of Fetal Weight for Birtht Weight http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/769 <p><em>Estimated fetal weight is very important in making clinical decisions during pregnancy and childbirth. This helps the midwife predict the possibility of complications of childbirth pregnancy such as growth disturbance, macrosomia / large babies, CPD (Cephalopelvic disproportion) when labor progress is poor, or early detection of possible shoulder dystocia. Estimating fetal weight is an important task for midwives to be able to predict if there is a problem in newborns, so that knowing the estimated birth weight of a midwife will be able to make better labor preparation. The purpose of this study was to determine the level of accuracy of the formula for interpreting fetal weight for birth weight. This type of research is comparative research. The research method uses analytic survey with retrospective time approach. The population in this study was 40 TM III pregnant women, the total sampling technique. Measuring instruments using a questionnaire / research form. Data analysis using paired t test. Statistical test results using paired t test showed p value value 0.00 &lt;0.05 which means there is a difference in interpretation of fetal weight according to Johson Tausak, Niswander, Risanto on the birth weight of babies. While the comparison test results show the calculated F value (7258)&gt; F Table (3252) the mean value of Johson tausak 3350, Niswander 2757.14, Risanto 2986, 36 shows the formula of johnson tausak is closer to the facts.</em></p> Irfana Tri Wijayanti Siti Marfu’ah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-06-11 2020-06-11 10 3 335 340 Factors Affecting the Event of Anemia in High School Students http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/821 <p><em>Anemia is a condition with hemoglobin and erythrocyte levels lower than normal. Iron nutrient anemia in adolescent girls is at higher risk because it causes a person to experience a decrease in endurance so he is susceptible to health problems. This study aims to determine what factors influence the incidence of anemia in class X students of SMA Negeri 1 Kalibawang. This research uses analytic survey type with cross sectional approach. Sampling using total sampling, with a sample of 69 students. The research instrument used a questionnaire and a check tool for hemoglobin levels. The questionnaire was tested for validity using Pearson product moment valid data obtained by r count&gt; r table (0.329) on all four questionnaires. Reliability test using Cronbach alpha showed reliable results with a value of α = 0.746&gt; 0.6. Data analysis using chi square test. The results of this study, of 69 students there were 14 (20.3%) with abnormal hemoglobin levels and 55 (79.7%) with normal hemoglobin levels. After being tested using chi square there was an influence of knowledge with value (p = 0.003), attitude (p = 0.046), diet (p = 0.003), and family income (p = 0.025) with the incidence of anemia. Anemia in class X students of SMA Negeri 1 Kalibawang is influenced by several factors including knowledge, attitudes, eating patterns, and family income</em>.</p> Sarni Anggoro ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-06-29 2020-06-29 10 3 341 350 Vena Detectors Object Effectively Controls Pain in Children During Infusion Installation http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/789 <p><em>The vascular access procedure is a common procedure for treated children. Children need vascular access for various indications. Children who are hospitalized will receive treatment and care according to their basic needs and illness. One of the routine actions is infusion. Determination of venous location to be infused is a process that must be done first, to improve vein visualization, the use of infrared systems can be used to assist in the process of dilation of blood vessels. This study aims to determine the effect of venous detectors on pain response in children who performed infusion. The design of this study is a quantitative study with a quasi-experimental approach to pre-test and post-test nonequivalent control group design on 20 respondents. This study consisted of 2 groups: an intervention group and a control group. The intervention group was measured before stabbing during infusion (pre-test) and measured after infusion (post-test). Whereas in the control group no intervention was carried out but pre-test and post-test measurements were taken. The results showed there was a difference between the pain scores before and after the infusion was performed with a p value &lt;0.001. The use of vein detectors is effective in reducing pain in children during infusion.</em></p> Rifka Putri Andayani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-07-04 2020-07-04 10 3 351 358 Overview of Knowledge and Health Care Performance http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/793 <p><em>In&nbsp; 2019 heahth program&nbsp; in Semarang tend to increase, The partnership between health workers and health cadres&nbsp; is important. The performance of health cadres in the community has essence that cannot be released with health service. Methods descriptive analytic with cross-sectional. Population all health cadres in the Gondoriyo region. samples&nbsp; 68 respondents. primary data obtained through direct interviews using a structured questionnaire.Analysis using uni variate analysis, frequency distribution and bivariate analysis using the Spearman Rank test. Result, good knowledge level (73,5%) ,good level cadre performance ( 73,5%) health cadre knowledge is not related to cadre performance (p value = 0.883 and r = 0.089.</em></p> Rinayati Rinayati Ambar Dwi Erawati Sri Wahyuning ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-07-06 2020-07-06 10 3 359 364 Cognitive Behaviour Therapy Reduce Online Gaming Addiction in the Senior High School Students http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/797 <p><em>Online gaming addiction is a world phenomena which take interest. There has been a significant increase in the number of empirical studies examining various aspects of problematic online gaming addiction. Online gaming addiction causes bad effect in the physical health, anxiety and sleeplessness. One of the attempt to reduce online gaming addiction is cognitive behavior therapy. The study aimed to identify the effect of Cognitive Behaviour Therapy to online gaming addiction. The study used quasy experiment design without control group. </em><em>The study used online gaming addiction questionnaire which was valid and reliable to measure students online gaming addiction. </em><em>There were four sessions of Cognitive Behaviour Therapy were given to the respondents. The sample of the study were 30 students of senior high school who were taken by purposive sampling technique. The data were analized using paired t test.</em> <em>The study indicated that the mean score of online gaming addiction reduced after 4 sessions of Cognitive Behaviour Therapy. The mean score of online gaming addiction was 57,17 before intervention and 43,23 after intervention. The statictical analysis showed that there was significant effect of Cognitive Behaviour Therapy to reduce online gaming addiction. (p value &lt; 0,05). The conclusion was Cognitive Behaviour Therapy can reduce online gaming addiction.</em></p> Febriana Sartika Sari Irna Kartina Heni Nur Kusumawati S. Dwi Sulisetyawati1 ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-07-07 2020-07-07 10 3 365 372 Pandemic Covid-19, Body Immunity Response, and Herd Immunity http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/830 <p><em>The World Health Organization has stated that COVID-19 is a "global pandemic". However, community attitudes and compliance in maintaining protocols during the pandemic were minimal and raised the issue of "herd immunity". What exactly is herd immunity, how exactly does the body's immune system react to COVID-19 and what is a COVID-19 pandemic? The purpose of writing articles is to provide information about the definition of a pandemic, the body's immune system in dealing with COVID-19, and herd immunity. A systematic review was carried out in May 2020 by searching databases: PubMed, google scholar, NIH, CDC, and Science Direct. Keywords: "Pandemic and COVID 19" and "COVID 19 rapid test and accuracy", "PCR accuracy" and "PCR COVID 19 vs Rapid test" and "Herd immunity". The COVID-19 pandemic occurred because there was a discovery and a new mutation of the SARS-CoV virus becoming very infectious and of high virulence. Herd Immunity cannot be said to be the relevant treatment for COVID-19. It requires a large minimum threshold of immunity to achieve Herd Immunity, and it is very unethical to allow large numbers of individuals to be infected.</em></p> Rina Tri Handayani Dewi Arradini Aquartuti Tri Darmayanti Aris Widiyanto Joko Tri Atmojo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-07-07 2020-07-07 10 3 373 380 Relationship of Level of Knowledge of Plywood Factory Employees about Dangers of Lung Disease Due to Work With use of Self Protection Tools http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/844 <p><em>The industrial sector becomes a job that requires a lot of</em> <em>&nbsp;human resources, developing industries can give negative results such as air pollution by dust arising from industrial processing. This study discusses the level of knowledge of plywood factory employees about the dangers of occupational diseases with the use of personal protective equipment. This data collection uses questionnaires and collection sheets. The design of this study used</em> <em>a descriptive research design with the study "Cross sectional study". The study was conducted on 95 respondents at&nbsp;&nbsp; Asia</em><em> Citra Factory </em><em>&nbsp;in Tanjung Melawan Tanah Putih Subdistrict use</em><em>d </em><em>&nbsp;the cluster sampling technique. The analysis used was the Chi-square test. The results of this study indicate there is no relationship between the level of knowledge of plywood factory employees about the dangers of occupational diseases and the use of personal protective equipment (p value 0.91&gt; 0.05).</em></p> Bayu Azhar Siti Siti Ramalia Veny Elita ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-07-09 2020-07-09 10 3 381 388 Focal Stimulal Relations: Working with the Quality of Life of Menopause Women http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/843 <p><em>Menopause is getting more attention in developed countries besides the health problems that have emerged. With increasing life expectancy as well as the number of women population being transferred at menopause, which was not much discussed at first becomes something very important to be discussed. The purpose of this study was to study the relationship of focal stimuli: with the quality of life of menopausal women in the Pekanbaru City Health Center Work Area. Correlative descriptive research design with cross sectional discussion. The sample of menopausal women was 107 respondents, taken by simple random sampling technique. </em><em>Data were collected by questionnaire sheet and analyzed by univariate and bivariate</em><em>. </em><em>The results of the study obtained from half of the working elderly have a good quality of life (70.9%) and more than half of the elderly who do not work have a poor quality of life (67.1%). From the results of statistical tests it was found that the p value of focal stimulus: The work of the elderly with the quality of life of the elderly is 0,000 (&lt;0.05), so it can be concluded that there is a significant or related relationship between the focal stimulus: The work of the elderly with the quality of life of menopausal women.</em></p> Donny Hendra ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-07-09 2020-07-09 10 3 389 394 Resistance Exercise Influence on Diabeticum Neuropathy Improvement in Type 2 DM Patients http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/806 <p><em>Diabetic neuropathy is a microvascular complication of diabetes mellitus that attacks the peripheral parts and causes nerve damage. One effort to improve the complications of diabetes mellitus is to apply exercise. The exercise that can be carried out is resistance exercise which is a modality therapy in the implementation of type 2 diabetes mellitus which is expected to control blood sugar levels and facilitate peripheral tissue circulation to improve diabetic neuropathy. The purpose of this study was to determine the effect of resistance exercise on the improvement of diabetic neuropathy in patients with type 2 diabetes mellitus. The study design was a quasi-experiment with the untreated control group design with dependent pre-test and post-test samples. The probability sampling technique is a type of random sampling that meets the inclusion and exclusion criteria with a sample size of 120 respondents. The instrument used to measure diabetic neuropathy uses a modified MNSI (Michigan Neuropathy Screening Instrument) and MDNS (Michigan Diabetic Neuropathy Score). Statistical tests using Paired Sample t-Test and Independent t-Test with a significant p &lt;0.05. The results showed a mean improvement in diabetic neuropathy in the intervention group 8.37 and the control group 17.48. Data analysis showed that resistance exercise affected the improvement of diabetic neuropathy with p = 0.00. Resistance exercise that is routinely done can reduce neuropathy scores so that there is an improvement in diabetic neuropathy in people with type 2 diabetes mellitus.</em></p> Ratna Yunita Sari Imamatul Faizah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-07-09 2020-07-09 10 3 395 406 Ergo Care Heel Raise Exercise Is Affecting Towards Elderly Balance http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/807 <p><em>Elderly has decreased the ability of body functions both physically and psychologically that is physiological. Decreased body function in the elderly is caused by morphological changes in muscles and degenerative diseases, this can cause problems with balance disorders in the elderly. The purpose of this study is to explain the effect of ergo care heel raise exercise on elderly balance. This study uses a quasy experiment research design with pre-test and post-test groups. the control group with a sample of 52 respondents and the intervention group with a sample of 52 respondents. The sampling technique uses consecutive sampling. The intervention was carried out for 4 weeks (15 minutes for each intervention). This study uses the TUGT (Time up and Go Test) observation instrument. Analyze data using, Paired sample t-Test and Independent sample t-Test. The results showed that the mean decrease in TUGT scores in the intervention group 9, and in the control group 0.09. Analysis of the data obtained ergo care heel raise exercise affects the balance of the elderly in the intervention group with a value of p = 0,000 in the intervention group. Whereas in the control group the paired t-test results obtained p = 0.302. Ergo care heel raise exercise functions to control neuromuscular muscles in the joints that work to send propfferentive afferent input to the central nervous system so that it can maintain the balance of the elderly.</em></p> Imamatul Faizah Ratna Yunita Sari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-07-09 2020-07-09 10 3 407 416 Husband Support Connected with Achievement of the Mother's Role using Ramona T. Mercer Approach to Primipara Mother http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/827 <p><em>Husband’s support</em><em> is a supporting factor of success in achieving the role of mother.</em><em>Up to now, many husbands found in the society pay low attention and do not accompany their wives since early pregnancy until childbirth process. The purpose of this study was to find out the correlation between the husband’s support and the achievement of primipara mother’s roles hospitalized in Mawar room - RSI Jemursari Surabaya</em><em>. This analytic study using cross sectional designinvolved the population of primipara mothers hospitalized in Mawar room - RSI Jemursari Surabaya, totaling 50 mothers. The samples of 44 respondents were collected using consecutive sampling technique. The independent variable was the husband’s support, whereas the dependent variable was the achievement of primipara mother’s roles. Questionnaires were used to collect the data analyzed using Mann-Whitney test with the level of significance α = 0.05. The result of study showed that nearly all of the 44 respondents (86.4%) received good husband’s support, whereas nearly all (90.9%) achieved their roles. Moreover, the result of Mann-Whitney test showed that p = 0.000 and the level of significance α = 0.05 so that H<sub>0</sub> was rejected because P &lt; 0.05 so that there was a correlation between the husband’s support and the achievement of primipara mother’s roles hospitalized in Mawar room - RSI Jemursari Surabaya. In conclusion, the bigger the husbands gave their supports, the easier the mothers achieved their roles. </em></p> Raden Khairiyatul Afiyah Ratna Yunita Sari Imamatul Faizah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-07-09 2020-07-09 10 3 417 428 Correlation Beetween Motivation and Supervision on Completeness Filling Medical Resume by Doctor http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/825 <p><em>Medical resume reflects all important information relating to patients, used as a basis for determining further action in the effort of medical services. Numbers for completing 2019 medical record documents at Pesawaran District Hospital are 43.33%, whereas for incomplete medical resumes are 37.4%.</em> <em>The purpose of this study was to</em><em> find out the correlation between motivation and supervision of the completeness of filling medical resumes by doctors at Pesawaran District Hospital</em><em>. </em><em>This study used an observational design with a cross sectional approach. conducted in February - May 2020 at the Pesawaran District Hospital. The study population was all doctors involved in the inpatient service at Pesawaran District Hospital with a total of 37 doctors with the study sample being the total population, a total of 37 respondents. Data analysis for univariate use frequency distribution and for bivariate use the chi-quere test.</em> <em>There is relation of motivation with the completeness of filling medical resumes by doctors at Pesawaran District Hospital (p value 0.029. OR 6) and there is a relation of supervision with completeness of filling medical resumes by doctors at Pesawaran District Hospital (p value 0.022. OR 7.04) (α &lt; 0.05).</em></p> Achmad Deza Farista Aila Karyus ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-07-09 2020-07-09 10 3 429 442 Effect of Nurse Therapeutic Communication on Patient Satisfaction http://journal.stikeskendal.ac.id/index.php/PSKM/article/view/820 <p><em>Therapeutic communication is important for nurses in nursing care. Good communication can foster trust between nurses and patients and can increase patient satisfaction and quality of care. The purpose of this study was to determine the effect of therapeutic communication on patient satisfaction. Correlation research with cross-sectional design. The sample consisted of 65 patients. Therapeutic communication questionnaire instrument and patient satisfaction with the validity 0,80 and 0,87 dand reliability test with cronbachapha 0,79 and 0,86. Data analysis using Pearson correlation. The results were obtained for the effect of therapeutic communication on patient satisfaction p = 0.00 (p &lt;0.05).</em></p> Mahyana Mahyana Efridariani Sari Gulo Erwasan Laia Reli Sugianto ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2020-07-10 2020-07-10 10 3 443 450