Demam merupakan masalah yang timbul pada pasien yang menderita demam tifoid. Tindakan yang dapat dilakukan untuk menurukan suhu tubuh dengan menggunakan kompres hangat. Tujuan penelitian untuk mengetahui efektivitas antara pemberian kompres hangat daerah axilla dan daerah femoral terhadap penurunan suhu tubuh pasien demam tifoid. Metode penelitian menggunakan quasi experiment dengan rancangan nonequivalent control group (pretest-posttest). Sampel penelitian berjumlah 30 responden. Hasil penelitian pada kelompok kompres hangat di axilla sebelum ( =38,43°C) dan sesudah ( =37,52°C), pada kelompok kompres hangat di femoral sebelum ( =38,43°C) dan sesudah ( =37,91°C). Uji paired t test menunjukkan ada perbedaan suhu tubuh sebelum dan sesudah diberikan kompres hangat di axilla dengan ρ value 0,000 dan di femoral ρ value 0,000. Uji independent sample t test menunjukkan ada perbedaan antara pemberian kompres hangat di axilla dan di femoral terhadap penurunan suhu tubuh pada anak demam dengan ρ value 0,000. Hasil dari penelitian ini bisa digunakan untuk bukti terbaru untuk keefektifan penggunaan kompres hangat di area axilla dan femoral anak.

Kondisi stres kerja perawat pada masa pandemi COVID-19 perlu diperhatikan dikarenakan dapat mempengaruhi kualitas pelayanan keperawatan yang diberikan. Stres kerja dapat memberikan dampak negatif diantaranya yaitu tidak masuk kerja, keluar dari pekerjaan dan penurunan kinerja jabatan. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara stres kerja dengan kualitas hidup selama masa pandemi COVID-19. Penelitian ini menggunakan deskriptif korelasi dengan pendekatan cross sectional dan dianalisis dengan Spearman Rank. Sampel penelitian ini menggunakan teknik total sampling dengan melibatkan 49 perawat dari ruang rawat inap. Penelitian ini menunjukkan bahwa terdapat 38 (77,6%) perawat memiliki tingkat stres dalam kategori normal dan 44 (90%) perawat dengan kualitas hidup baik. Hasil analisis korelasi menunjukkan bahwa terdapat hubungan antara stres kerja dengan kualitas hidup perawat dengan p value 0,00 < 0,05. Selain itu diperoleh nilai koefisien korelasi sebesar -0,803 yang berarti terdapat hubungan yang sangat kuat dan tidak searah antara stress kerja dengan kualitas hidup yang artinya semakin rendah stres kerja maka semakin meningkat kualitas hidup perawat. Stres kerja perawat merupakan salah satu faktor yang dapat mempengaruhi kualitas hidup yang akan berdampak pada kinerja perawat di rumah sakit. Perawat hendaknya meningkatkan kemampuan diri baik dalam hal pengetahuan maupun ketrampilan dalam membangun koping yang adaptif terutama saat pandemi COVID-19 ini sehingga dapat menurunkan tingkat stres kerja perawat. Rumah sakit perlu menciptakan suasana dan lingkungan kerja yang saling mendukung sehingga dapat menurunkan tingkat stres kerja di tempat kerja bagi perawat yang akan mempengaruhi kualitas hidupnya. Oleh karena itu, pelatihan manajemen stres pada perawat dianggap penting guna menurunkan tingkat stres kerja perawat.

ABSTRACT
 
 Introduction: Anxiety is something that is faced by children before performing circumcision. Video game therapy is done to reduce the level of anxiety. The purpose of this study was to analyze the effect of video game therapy on anxiety levels of pre-circumcision children.
 Methods: The design of this study is Quasy experimental with a two group pre and post experimental design approach. Samples were taken using the Quota Sampling technique at the KRJ Fasyfini Clinic (Ganjaran Sehat), Gondanglegi, Malang Regency and independent practice nurses Bastamil Anwar Azis, S.Kep, Ns, Klepu Sumbermanjing.The measurement of anxiety using the HARS (Hamilton Anxiety Rating Scale) questionnaire.
 Results: Mann-Whitney test results obtained p value 0.000 (p <0.05).
 Discussion: Based on this, it can be seen that there is an effect of video game therapy on the level of anxiety in pre-circumcision children, so it is hoped that video games will be an intervention in reducing anxiety due to circumcision.
 
 Keywords: Video Game Therapy, Anxiety, Circumcision

Hemodialysis is a modality of life-saving therapy for patients with chronic renal failure (CRF). However, this therapy can cause various complications. One of the most common complication is intradialysis hypotension of up to 20-30%. The chronic effect of hemodialysis is fatigue that has a high prevalence reaching 60-97%. Fatigue will also be felt when the patient has intradialysis hypotension. 
 This research aims to determine the correlation between intradialysis hypotension with fatigue level in CRF patients undergoing hemodialysis at Hemodialysis Room Ratu Zalecha Martapura Hospital. This research method is cross sectional. The population were CRF patients who undergoing hemodialysis as many as 71 people. The research sample was taken using by Purposive Sampling as many as 45 people, analyzed by Spearman Rank test using software program SPSS version 23 year 2015. The research instrument uses observation sheet of blood pressure per hour during intradialysis and Fatigue Measurement Scale (FAS). 
 Univariate analysis result from 45 respondents, there were 25 people (56%) who get decreased normal systolic BP (< 20 mmHg) and 29 people (64%) who experienced the tiredness fatigue level (score ³ 22). Bivariate analysis result showed there was the correlation between intradialysis hypotension with fatigue level in CRF patients with the value of p-value < 0.05 is 0.044 and the correlation coefficient value is r: 0.257 which showed the weak correlation. 
 The conclusion is patients with decreased systolic BP will probably experience the tiredness fatigue level. Suggestions for nurses to further improve monitoring during HD progress and evaluate patient complaints periodically.

Unhealthy lifestyle among farmers contributed a risk for increasing blood pressures. The aim of this study was to analyze the relationship between lifestyle and the incidence of hypertension among farmers in public health services of Panti, Jember Regency. A cross-sectional study was conducted among 248 farmers using stratified random sampling. A self-administered questionnaire was used to measure sociodemographic of farmers, lifestyles questionnaire, while sphygmomanometer was measured blood pressure. Chi Square test was used to analyze the relationship between lifestyle and incidence of hypertension. This study found that lifestyle of farmers were 52.4% of moderate physical activity, 59.3% of no smoking, 61.2% of sodium consumption, and 59.3% of no stress. Meanwhile, the incidence of hypertension was 39,5% of systolic prehipertension and 33.5% of normal diastolic. There were significantly relationship between physical activity (X2 = 75,657 and P-value= <0,001), smoking (X2= 18,621 and P-value= <0.001), sodium consumption (X2= 13.291 and P-value= 0,039), stress (X2= 44,386 and P-value= <0.001) and the incidence of hypertension in systolic blood pressure. The relationship between physical activity (X2= 43,002 and P-value= <0,001), smoking (X2= 25.702 and P-value= <0.001), sodium consumption (X2= 12.541 and P-value= 0,014), stress (X2= 36,378 and P-value= <0.001)and the incidence of hypertension in diastolic blood pressure. The conclusion of this study, there are relationship between lifestyle and incidence of hypertension. Therefore, farmers could modify their lifestyle to maintain a blood pressure.

ABSTRACT
 Workload among farmers affected increasing blood plusure that accumulated incidence of hypertension. The purpose of this research was to analyze the relationship between workload and incidence of hypertension among farmers in publichers service of Panti Kabupaten Jember. cross sectional study was used among 248 farmers using Stratified Random. The data was taken by questionnaire of NASA-TLX and sphygmomanometer digital to measure workload and blood pressure. The data was analyzed using Chi Square (p<0,05). The result showed a little Workload of farmers (66,1%), systolic pre-hypertension (37,5%), and normal diastolic blood pressure (35,9%). There were a no relationship between workload and hypertension systolic (X2 = 0.881; p value = 0.830), and hypertension diastolic (X2 =0.650; p value =0.885 ) among farmers in public health services of Panti Kabupaten Jember. The conclusion this of study, frequency of little workload is no related with incidence of hypertension sistolic and diastolic. Therefore, monitoring of blood pressure and regulating of consumption food among farmers should be maintained regulary permonth through posyandu non-communicable disease.
 
 Keywords : Workload, Hypertension Accident, Farmer

Lack of physical activity and reducing resto f time among farmer has improved body safety. This condition affected increasing weight gain and risk for incidence of hypertension among farmers. The purpose of this research was to analyze the correlation between obesity and hypertension incident to farmers at Panti Sub-District Jember Regency. A cross-sectional study desaign was conducted among 248 of farmers aged 20-55 using Stratified Random Sampling. Visual observation, scale, stature meter was used to measure obesity among farmers, and digital tensimeter was used to measure blood pressure. Chi-square test was performed to analyze relationship between Obesity and Hypertension incident. Among 248 of farmers, obesity of farmers were 27,4%. Hypertension among farmers were 36,3% of sistole and 36,7% of diastole. There were significantly relationship between obesity and Hypertension of sistole (p Value = 0,001), meanwhile there is no correlation between obesity and the hypertension incidence based on diastolic blood pressure (p Value = 0,779). Furtheremore, low obesity and hypertension among farmers are indicated health problems. Therefore, health workers should be more vigilant and can develop programs to reduce the incidence of these health problems.
 Keywords: Hypertension, Obesity, Farmers

Introduction: Getting married at an early age is a marriage that is carried out at the age of less than 20 years (Anwar & Rahmah). Data recorded in Subdistrict Of North Samarinda in 2017 were 51.31% of 612 married women aged less than 20 years. UU no. 36 of 2009 concerning health encourages women who marry under the age of 20 to postpone pregnancy until they are even 20 years old. Based on the description above, the researchers were interested in conducting a study "Determinants of Early Marriage on Women in Subdistrict Of North Samarinda". The purpose of this study was to determine the determinants of the most dominant early marriage in women at Subdistrict of North Samarinda. Method: research design using cross sectional study on 612 of population. The samples size is 60 respondents using the Rule of Thumb Theory (Dharma, 2015) and used consecutive sampling techniques. The instrument uses a questionnaire adopted from Thantowy's (2016) study. The study time is two weeks on Februaryof 2019, so data were analyzed using Chi-Square test and Multiple Logistic Regression test. Results: showed the factors of education, community tradition, and perceptions of parents are related to early marriage with a value of p = 0.001; 0.023 and 0.01. for educational factors and perceptions of parents have OR = 4.232 and 8.658. Conclusion: education factor is the main dominant factor related to early marriage on woman in sub-district of north Samarinda. Recommendation : to community in particular the group of adolescense in Subdistrict Of North Samarinda to achieve the highest education level to improve their knowledge and awareness of the an early married

The work Shift is a setting of working hours in the hospital which plays an important important role in human problems that can expand into sleep disorders, physical health, psychology, as well as social and family life, in the long term work Shifts can result in decreased motivation.
 This study aims to determine the effect of work Shifts on the motivation of nurses in the emergency room and ICU at Ratu Zalecha Hospital Martapura. The method used is quantitative non-experimental, with a population of 40 nurses and using total sampling techniques. Data was analyzed by simple logistic regression test with a significance level of 0.05
 The results showed that there was an effect of work Shifts on the motivation of nurses in the emergency room and ICU at Ratu Zalecha General Hospital Martapura with a p-value of 0.040 for work Shifts.
 For implementing nurses, especially the emergency room and ICU, they are expected to maintain good communication and attitude with employers and colleagues so as to create a comfortable atmosphere, reduce stressors and boredom at work and make work Shifts a motivation for work.

Farmers with hypertension need to restricting their sodium intake to have a better condition. The purpose of this study was describe the restricting sodium intake among farmers with hypertension in Panti District, Jember Regency. A cross-Sectional study design was conducted among 131 hypertensive farmers using consecutive sampling. A self-administered questionnaire was used to identify the socio-demography of farmers. Dietary Sodium Restriction Questionnaire (DSRQ-I) and Sphygmomanometer was used to measured restricting sodium intake and blood pressure among farmers with hypertension, respectively. One sample t test was used to analyze the objective of the study (p >0,05). Among 131 farmers with hypertension were experienced 75,6% of hypertension systolic stage I and 74,8% of hypertension diastolic stage I, respectively. Meanwhile, score of subjective attitudes and norms was 27,29 ± 4,602 among farmers with hypertension. Meanwhile, farmers with hypertension have a bad attitude toward limiting sodium intake. Furthermore, score of control of perceived behavior was 17,12 ± 4,237 among farmers with hypertension. Meanwhile, farmers with hypertension have many obstacles to limiting their sodium intake. Therefore, monitoring of blood pressure and regulating of restricting sodium intake among farmers with hypertension should be maintained regularly per month through Posyandu Non-Communicable Disease (PTM).