Lack Of Self-care Research Articles

Foreseeably Early Deaths in Patients With Psychiatric Disorders: Challenges in Caring for Patients Manifesting Likely Fatal Trajectories.

Patients with psychiatric disorders often have foreshortened lives, attributed both to "natural" medical and "unnatural" external causes of death such as suicide, homicide, and accident. Many deaths are foreseeable due to circumstances linked to patients' psychiatric disorders. These can include illness-associated disparities, adverse treatment effects, lack of self-care, and behaviors stemming directly from psychopathological processes. Whereas some of these processes contribute indirectly to patients' causes of death, others are more directly consequential, causing patients to "die from" their psychiatric disorders. Some patients manifest likely fatal trajectories that may lead to "end-stage" psychiatric disorders. Palliative approaches may optimize their quality of life and potentially alter these trajectories, but patients with psychiatric disorders are less likely to receive optimal end-of-life care. Although assuring a "good death" can be challenging, systematic efforts can assist in providing patients with psychiatric disorders deaths with dignity rather than indignity.

THE RELATIONSHIP BETWEEN EFFECTIVE FAMILY COMMUNICATION AND PERSONAL HYGIENE IN THE ELDERLY IN JATIMAKMUR BEKASI CITY

A person who is in the elderly phase experiences changes both physically and mentally and socially. Physical changes include decreased physical strength, stamina and appearance. In Indonesia, it has not been supported by improving the quality of health care for the elderly. Knowledge about elderly care, both by family, parents themselves and other social institutions is still very inadequate. The factors that cause lack of self-care in the elderly are due to lack of knowledge or cognitive deficits. The application of effective communication in the family is a form of interaction between children and elderly parents which has implications for personal hygiene. The method that will be used by the researcher is quantitative with an analytical research design. The design of this study was cross sectional with the technique of Probability Sampling simple random sampling. The population in this study were 85 elderly and after entering into the Slovin formula, a sample of 70 elderly people was obtained. The results of statistical analysis using the chi-square test obtained a p-value of 0.000 0.05. This shows that Ha is accepted and Ho is rejected. It was obtained from the bivariate result that 63 (90.0%) respondents had good effective family communication with good personal hygiene. Based on the results of the study, there is a significant relationship between effective family communication and personal hygiene in Jatimakmur, Bekasi City.

Personal hygiene pada odgj dengan defisit perawatan diri di kelurahan Padang harapan kecamatan Gading Cempaka kota Bengkulu, 38225

Personal hygiene is an independent self-care activity, including maintaining the cleanliness of body parts consisting of hair, clean eyes, nose, mouth, teeth and skin. Self-care deficit is a situation where a person experiences a lack of technological level to carry out individual personal hygiene activities including bathing, hygiene and defecation (Abdul, 2015). According to Orem, lack of self-care is an individual's inability to carry out personal hygiene adequately, so several systems are needed that can help clients meet their self-care needs (Erlando, 2019).

THE LIFESTYLE OF SINGLE MOTHERS IN THE EAST COAST OF MALAYSIA: THE IMPACT ON THEIR HEALTH AND WELLBEING

This study focuses on the health challenges and support mechanisms for single mothers in Malaysia, a demographic that faces unique socio-economic issues. Employing a quantitative approach, the research uses a self-report questionnaire to gather data from 20 single mothers in Kuala Nerus, Terengganu. Analysis reveals that these mothers, predominantly Malay, Muslim, and widowed, face significant health risks including chronic diseases, cardiovascular issues, and psychological strain, exacerbated by factors like financial stress and societal stigma. Physical health challenges among single mothers include an increased prevalence of chronic diseases due to stress and lack of self-care. The study corroborates global trends of health deterioration in single parents, with a specific focus on conditions like back pain, chest infections, and cardiovascular issues. Psychological wellbeing is also a critical concern, affected by factors such as sleep disturbances, financial stress, and societal perceptions. Government initiatives like BKIT provide financial support, but often fall short of addressing the complex needs of this demographic. Community support, while advocated by Islamic teachings, shows a gap in practical implementation. The study highlights the need for more effective strategies to enhance community support. The research uncovers that the number of years without a spouse significantly impacts the financial and overall well-being of single mothers. The limited financial resources affect their access to healthcare and their ability to afford essential treatments. Social support systems in Malaysia are found to be lacking, with non-governmental organizations playing a crucial role in advocacy and support. The study concludes that single mothers in Malaysia face multifaceted challenges that require holistic approaches from government, researchers, and society. The paper proposes expanding research to include diverse demographic representations, longitudinal studies, and qualitative exploration of religiosity. The recommendations emphasize the need for a comprehensive understanding of the experiences and challenges of single mothers, advocating for more inclusive and supportive environments.

Depression and self-care in diabetes; adjustment for misclassification bias: application of predictive weighting method

ObjectiveThis study aimed to investigate the association between depression and self-care in diabetic patients potentially influenced by biases in depression measurement using weighting the positive and negative predictive values.MethodsIn this cross-sectional study, 1050 patients informedly consented to participate in the study. Using a WHO-5 well-being index, the participants were examined for depressive mood as exposure. The sensitivity and specificity of this index in a systematic review study were 0.86 and 0.81, respectively. Self-care (that is outcome) was assessed using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. To correct the misclassification bias of exposure, the predictive weighting method was used in the multivariable logistic regression model adjusted for covariates. Bootstrap sample with replacement and simulation was used to deal with random error.ResultsThe mean age of patients was 42.8 ± 7.5 years. In this study, 70.1% of diabetic patients (n = 720) were depressed based on the questionnaire score and only 52.7% (n = 541) of them had appropriate self-care behaviors. Our study revealed a close relationship between self-care and covariates such as gender, depression, having comorbidities, abdominal obesity, economic status and education. The odds ratio of the association between depressive mood and lack of self-care in primary multivariable logistic regression was 2.21 (95% CI: 1.62-3.00, p < 0.001) and after misclassification bias adjusting, it was equal to 3.4 (95% CI: 1.7–6.6, p < 0.001). The OR percentage of bias was − 0.55.ConclusionAfter adjusting for depression misclassification bias and random error, the observed association between depression and self-care was stronger. According to our findings, psychiatric interventions, and counseling and education along with self-care interventions are necessary for these patients. Special attention should be paid to male, low economic classes, less educated and those having a history of comorbidities along with psychological assessment when improving the care and progress of treatment in diabetic patients is expected. Future studies are needed to clarify the role of other psychological disorders on self-care of diabetics.

ASUHAN KEPERAWATAN DENGAN STUDI KASUS DEFISIT PERAWATAN DIRI DENGAN PENDEKATAN SELF CARE TEORI DOROTHEO OREM

The biggest challenge in the world of health today that is still of concern to the world is the increasing cases of mental disorders in children and other vulnerable communities, especially teenagers and adults. This is due to several factors, including a family history of mental disorders, promiscuity, parenting patterns, and unpleasant experiences. Using Dorotheo Orem's self-care hypothesis method, contextual investigation aims to determine a picture of nursing care through contextual analysis of caring for one's own deficits. Contextual inquiry is a type of exam setting. Three clients are used in this example: This client has deficits related to self-care. The problem identified was a lack of self-care. The tasks given are self-care and self-administration. The patient looked dirty, had unkempt hair, yellow teeth, dental caries, had an unpleasant odour, and had long and dirty nails before receiving treatment. After receiving the third nursing care, patients are given the opportunity to maintain personal hygiene, care for themselves, and represent themselves. Following this logic, it is possible to argue that self-care interventions may help patients who struggle with self-care.&#x0D;

Effects of social confinement during the first wave of COVID-19 in Mexico City.

The COVID-19 pandemic led to global social confinement that had a significant impact on people's lives. This includes changes such as increased loneliness and isolation, changes in sleep patterns and social habits, increased substance use and domestic violence, and decreased physical activities. In some cases, it has increased mental health problems, such as anxiety, depression, and post-traumatic stress disorder. The objective of this study is to analyze the living conditions that arose during social confinement in the first wave of COVID-19 within a group of volunteers in Mexico City. This is a descriptive and cross-sectional analysis of the experiences of volunteers during social confinement from 20 March 2020 to 20 December 2020. The study analyzes the impact of confinement on family life, work, mental health, physical activity, social life, and domestic violence. A maximum likelihood generalized linear model is used to determine the association between domestic violence and demographic and health-related factors. The findings indicate that social confinement had a significant impact on the participants, resulting in difficulties within families and vulnerable conditions for individuals. Gender and social level differences were observed in work and mental health. Physical activity and social life were also modified. We found that suffering from domestic violence was significantly associated with being unmarried (OR = 1.4454, p-value = 0.0479), lack of self-care in feeding habits (OR = 2.3159, p-value = 0.0084), and most notably, having suffered from a symptomatic COVID-19 infection (OR = 4.0099, p-value = 0.0009). Despite public policy to support vulnerable populations during confinement, only a small proportion of the studied population reported benefiting from it, suggesting areas for improvement in policy. The findings of this study suggest that social confinement during the COVID-19 pandemic had a significant impact on the living conditions of people in Mexico City. Modified circumstances on families and individuals, included increased domestic violence. The results can inform policy decisions to improve the living conditions of vulnerable populations during times of social confinement.

Reality of Family Caregiving for Hispanics With Alzheimer's Disease and Related Dementias: A Qualitative Analysis.

Background: Underserved Hispanic patients often experience unmet palliative care (PC) needs, particularly those with noncancer diagnoses such as Alzheimer's disease and related dementias. Most caregivers for Hispanic patients are family relatives who are less likely to use health care and community resources and experience high caregiver burden. We adapted a culturally tailored patient navigator (PN) intervention to provide support and improve PC outcomes for Hispanics with Alzheimer's disease and related dementias and their family caregivers (FCGs). Objectives: To explore Hispanic FCGs' experiences and perceptions of caregiving for a loved one, and how our PN intervention impacted their needs. Design: Qualitative descriptive. Setting/Subjects: FCG participants (n = 10) from our randomized control trial's intervention group were recruited from academic and safety net hospitals and community-based clinics across urban and rural Colorado in the United States. Measurements: Data obtained from individual, semistructured, 30-minute telephone interviews were recorded, transcribed, translated, and analyzed using NVivo and qualitative thematic analyses. Results: Four major themes emerged: Methods of Support, Cultural Expectations and Varying Family Contributions, Lack of Self-Care, and Awareness. Subthemes highlighted differing definitions of "contributing," role resentment, and interpersonal issues. Varying familial expectations underscore FCG strain when the burden of caregiving is not shared. Participants used various coping strategies as necessary support and gained awareness through education, guidance, and referrals to resources. Conclusions: PNs helped FCGs and patients beyond the intervention's scope. Providing support and awareness to FCGs, and incorporating cultural beliefs, may improve PC access to disparate populations and guide future interventions. Clinical Trial Registration Number NCT03181750.

Sexually transmitted infections and mental health: Integrative review

Mental disorders increase the risk of developing diseases and lack of self-care, with Sexually Transmitted Infections (STIs) being one of the major causes of infection in this group. This study is an integrative review with the objective of answering the guiding questions: Which professional category is most public on the subject? What are the years of greatest publication? Which journal published the most on the subject? Which region has the largest number of publications on the subject? What is the population cited in the studies? Given the inclusion criteria, four articles were selected. Because it is a serious problem to be faced by professionals, as well as the need to advance in care and care practices for a comprehensive and positive care, aiming to reduce the incidence of STIs in this population.

Work-life balance for aspiring clinical psychologists: Topics from reflective practice sessions

Work-life balance is vital in clinical psychology, especially in early career stages. In reflective practice sessions, ten aspiring clinical psychologists raised topics of financial constraints, employment insecurities, time commitment, industry competitiveness, guilt, risk of burnout, and lack of self-care.

Management of Blood Glucose Levels in Type 2 Diabetes Mellitus Patients Through Ramadan Fasting: a Literature Review

Diabetes Mellitus causes about 5% of deaths from all total deaths in the world due to lack of self care in DM patients, causing instability of blood glucose levels that cause acute and chronic complications. Nurses have a role in overcoming the instability of blood glucose levels by performing the main intervention, namely hyperglycemia management. From these interventions, Ramadan fasting is a safe dietary choice for patients with type 2 diabetes. This study uses a literature review method with article searches conducted on the PubMed electronic database, Science Direct, and Open Knowledge Maps. The results of the literature review show that the length of Ramadan fasting carried out by participants from all journals is 30 days, with a fasting duration of 10-15 hours/day. Blood sugar levels of type 2 DM participants after Ramadan fasting showed a decrease of 4-43.33 mg/dl, and 1.81-3.01 mmol/L, and the HbA1c value decreased by 0.21-2.2%. The results of statistical tests showed that fasting during Ramadan was quite effective in reducing KGD/HbA1c with a p value of &lt; 0.05. This literature review concludes that Ramadan fasting is effective in reducing blood glucose levels in type 2 DM patients and the practice still conforms to the International Diabetes Federation – Diabetes And Ramadan (IDF-DAR) guidelines.

Factors Influencing Nurses' Self Care Practices.

Background: The COVID-19 pandemic has exposed nurses to more stress and inability to practice self-care activities. These have resulted in conditions that threaten their health, well-being, and ability to work. Nurses' lack of self-care can predispose them to chronic health conditions and staff burnout which may adversely affect patient care. The panacea for this concern is a deliberate effort to promote holistic health and wellbeing through self-care activities targeted towards physical, mental, social and spiritual aspects of nurses. The purpose of this study was to explore factors influencing self-care practices among registered nurses during COVID-19 pandemic. Methods: Convenience sampling was used to select 294 nurses from four urban hospitals in Kingston Jamaica. A questionnaire was utilized for data collection. Logistical regression analysis was conducted using Statistical Package for Social Sciences (SPSS) software version 22.0. Ethical approval was obtained. Results: The response rate was 46% (Out of 294 questionnaires distributed, only 136 were returned). Although 93% of participants engage in self-care activities during COVID-19 pandemic, only 45% practiced self-care on a daily basis. Half of the participants (50%) practiced self care activities sometimes while 5% do not engage in self care practices. Activities that promote psychological and social wellbeing were not common among participants. Most self care activities were towards the promotion of physical health and wellbeing. Majority of respondents indicated that excess workload, fatigue, lack of time and poor remuneration are factors that prevent their practice of self-care. Findings also revealed that demographic data such as age, sex, income, gender and ethnic background influences self-care practices among nurses. Conclusion: The practice of self care among nurses needs improvements. Although respondents engage in some activities to care for self, majority are not consistent with this practice.

Mothers’ Experiences Post-Childhood Cancer Treatment: A Qualitative Study

Every year in Australia, ~770 children aged under 15 years of age are diagnosed with cancer. Due to the increasing incidence and survival rates of paediatric cancer more families are contending with life post-childhood cancer. Research has demonstrated that mothers of children with cancer experience significant psychological distress. Our study explored the lived experiences of mothers of children diagnosed with cancer after completion of treatment. We recruited participants via notices distributed at a childhood cancer support group and on childhood cancer social media sites. The sample consisted of 14 mothers (aged 35–57 years, M = 45) whose children had completed treatment. Children’s age at diagnosis ranged from 14 months to 16 years old, 57% (n = 8) were male and 42% (n = 6) female. Our study employed a qualitative design using a phenomenological approach. Mothers participated in semi-structured face-to-face interviews. Six themes were identified: cast adrift; fear never ends; guilt and loss (containing two sub-themes: siblings: ongoing guilt & lost opportunities; lack of self-care; everything is different (containing three sub-themes: lost connections; reassessment; and peer support); and a way forward. Our findings suggest mothers experience substantial negative effects. They often struggled to manage complex emotions and develop a new way of ‘mothering’ their children following cancer treatment. Mothers feared relapse and late effects and felt guilt about impact on siblings. These findings contribute to an understanding of mothers’ lived experience of childhood cancer, highlighting the need to improve post-treatment services. Findings can be used to formulate improvements in end of treatment.

Prognostic implications for patients after myocardial infarction: an integrative literature review and in-depth interviews with patients and experts

BackgroundAs patients with myocardial infarction (MI) survive for a long time after acute treatment, it is necessary to pay attention to the prevention of poor prognosis such as heart failure (HF). To identify the influencing factors of adverse clinical outcomes through a review of prospective cohort studies of post-MI patients, and to draw prognostic implications through in-depth interviews with post-MI patients who progressed to HF and clinical experts.MethodsA mixed-method design was used that combined a scoping review of 21 prospective cohort studies, in-depth interviews with Korean post-MI patients with HF, and focus group interviews with cardiologists and nurses.ResultsA literature review showed that old age, diabetes, high Killip class, low left ventricular ejection fraction, recurrent MI, comorbidity of chronic disease and current smoking, and low socioeconomic status were identified as influencing factors of poor prognosis. Through interviews with post-MI patients, these influencing factors identified in the literature as well as a lack of disease awareness and lack of self-care were confirmed. Experts emphasized the importance of maintaining a healthy lifestyle after acute treatment with the recognition that it is a chronic disease that must go together for a lifetime.ConclusionThis study confirmed the factors influencing poor prognosis after MI and the educational needs of post-MI patients with transition to HF. Healthcare providers should continue to monitor the risk group, which is expected to have a poor prognosis, along with education emphasizing the importance of self-care such as medication and lifestyle modification.

Pengabdian Masyarakat Tentang Personal Hygiene Di Lembaga Pemasyarakatan Kelas II A Pekanbaru

Personal hygiene is an action to maintain one's cleanliness and health for physical and psychological well-being, lack of self-care is a condition where a person is unable to carry out hygiene care for himself. Seeing this, personal hygiene is defined as personal hygiene which includes all activities aimed at achieving body hygiene including washing, bathing, caring for hair, nails, teeth, and gums, and cleaning the genital area. If someone is sick, usually less attention to personal hygiene. This happens because they think that cleanliness is a trivial problem, even though if it is not paid attention to it it can affect personal health problems in terms cleanliness which will lead to skin diseases. The correctional institution is a correctional business unit that accommodates, treats, and fosters prisoners. A skin disease that usually occurs in prisoners is scabies. This is due to the condition of the correctional facilities not being fully optimal, the habits are not clean and personal hygiene is not maintained.

Determining the genital hygiene behaviours of visually impaired women

Genital hygiene is one of the most important factors in the protection of women’s reproductive health. Thus, detailed knowledge of the genital hygiene behaviours of visually impaired women is crucial for preventive and curative health services. This descriptive study was conducted to determine the genital hygiene behaviours of visually impaired women. The study was conducted with 90 visually impaired women who were members of the ‘Altı Nokta Körler’ association. A data collection form was developed within the scope of the study. The data were collected through the face-to-face interview method between October 2018 and June 2019. The results show that the ratios of women who think that self-care and genital hygiene behaviours are affected by their visual impairment are 18.9% and 21.1%, respectively. Of those who think that visual impairment affects their self-care, 76.5% need someone else to notice their lack of self-care, and the remaining women notice this lack through their bodily reactions, such as bad odours and dirt. It was found that more than half of the women (58.9%) had a vaginal shower only after sexual intercourse. Among women, 35.6% of them thought that visual impairment was an obstacle to gynaecological examination. The regular gynaecological examination rates of these women were only 8.9%. It was found that the majority of women (78.9%) experienced abnormal vaginal discharge, but only 23.9% applied to a health institution. Visually impaired women have similar deficient genital hygiene behaviours to non-disabled women. In addition, visually impaired women face difficulties in maintaining personal and genital hygiene and in receiving health services.

Exploring low-income migrant workers' health information-seeking behavior during COVID-19 in Taiwan: A qualitative study.

BackgroundCOVID-19 pandemic is reported to exacerbate existing vulnerabilities of marginalized groups, and the lack of self-care can lead to the spread of the virus across society. Therefore, effective responses to the challenges imposed by the health crisis should consider the health information needs of migrant workers.ObjectiveWe aimed to explore how migrant low-income workers seek health information and how their health-related information needs were met during a health crisis. We also investigated migrant workers’ preferred information sources and types of content with the theoretical concept of health literacy to understand the development of health competencies among migrant workers.MethodsWe conducted semi-structured interviews with Thai low-income migrant workers. A total of 13 Thai migrant workers participated in the study, among whom five were undocumented. The interviews were audio-taped, transcribed, and analyzed with the thematic analysis approach.ResultsOur findings indicated that migrant workers’ health literacy and health information behavior could be improved through technology when facing a health crisis. We found that participants sought health information proactively to reduce their perceived risks. However, there is still space for design to support the ability to process jargon information and apply local policy, such as providing easy-to-understand, accurate, and timely information. The findings of this study provide some insights for the authority and technological design to respond to migrant workers’ health information needs.ConclusionsThis study acknowledges and understands the needs of vulnerable migrant workers in society. The findings of this study provide insights for the authority and technological design to respond to migrant workers’ health information needs. We also outline the areas worth further investigation, such as the communication between information seekers and providers, and the navigation of the healthcare system for migrants in the host country.

A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFECT OF VRIKSHAMLA TWAK KASHAYA AND DASHAMOOLA KASHAYA IN UDAVARTHINI YONIVYAPAT

Menstruation is a physiological, natural event in the reproductive stage of the female. Due to a sedentary lifestyle and lack of self-care, stress, untimely food and other factors, many gynaecological problems occur and one of the most common among them is Dysmenorrhea. Painful menstruation is the most common cause which disturbs the mental state of the woman also affecting her day to day activities during the cycle. Pain is the Pratyatma Lak- shana of Vata vikruti mentioned in Ayurveda. Artava Nishkramana is the normal function of Apana vayu which moves in Pratiloma gati and obstructs the pathway of Artava. In our Classics, most of the gynaecological prob- lems are discussed under Yonivyapat. Udavartini Yonivyapat can be co-related and defined as painful menstrua- tion i.e. Dysmenorrhea. Considering the prevalence of dysmenorrhea in the present era, the trial drug Vrikshamlatwak kashaya which possess the properties such as Shoolprashamana and Vatahara was selected to evaluate its effect in the management of Udavartini yonivyapat. Objectives: To compare and evaluate the effect of Vriksham- la Twak kashaya and Dashamoola kashaya in Udavarthini yonivyapat w.r.s primary dysmenorrhea. Methodolo- gy: This research work was a randomized comparative clinical study of 40 patients suffering from symptoms of Udavartini Yonivyapat, who were randomly selected and categorized into 2 groups of 20 patients each. Group A was treated with Vrikshamla Twak kashaya and group B with Dashamoola Kashaya. Both Kashayas were given in Apanakaala (before food) with Sukhoshna Jala as Anupana. Duration of Treatment: 10 days (Starting 7days before the commencement of cycle till 3rd day of the menstrual cycle) for 3 consecutive cycles. Results and In- terpretation- Both the groups showed statistically significant results. Statistically, there was no significant differ- ence between the groups. Conclusion: Both Vrikshamla Twak kashaya and Dashamoola Kashaya had an equal effect in treating Udavartini Yonivyapat. Keywords: Udavartini, Dysmenorrhea, Vrikshamla Twak Kashaya, Dashamoola kashaya.

Effects of Illness Perception on Self-Care Agency and Hopelessness Levels in Liver Transplant Patients: A Descriptive Cross-Sectional Study.

Individuals with liver transplantation (LT), hopelessness, and lack of self-care may occur and change in the illness perceptions; however, no study has examined the effects of the illness perceptions on self-care agency and hopelessness levels in individuals with LT. This study was conducted to examine the effects of the illness perceptions of patients who had received LT surgery on their self-care agency and hopelessness levels. A descriptive cross-sectional study with a convenience sample (N = 120) was conducted at a center in eastern Turkey. The data were collected by using the "Brief Illness Perception Questionnaire" (B-IPQ), "Self-Care Agency Scale" (SCAS), "Beck Hopelessness Scale" (BHS). In the study, the mean total B-IPQ, SCAS, BHS scores was found as 57.50 ± 3.61, 83.83 ± 9.43, 10.19 ± 3.81, respectively. There was a positive and significant relationship between the B-IPQ and BHS total scores.

Implementasi Sistem Pakar Untuk Mendiagnosa Penyakit Pada Perokok Aktif Dan Perokok Pasif Dengan Menggunakan Metode Anfis

Abstract. Cigarettes or cigars are cylinders of paper measuring between 70 and 120 mm long and about 10 mm in diameter containing chopped dried tobacco leaves. A person who inhales cigarette smoke is called a smoker. Smokers are divided into active smokers and passive smokers. An active smoker is someone who regularly consumes the smallest amount of cigarettes even though it's only 1 cigarette a day, and a passive smoker is someone who inhales cigarette smoke from an active smoker. Exposure to secondhand smoke can cause serious illness and death. The dangers of smoking on the health of the body have been researched and proven by many people. Lack of self-care, and lack of knowledge about the dangers of smoking make some people no longer think about their health in the future. Many rule out the bad effects caused by cigarette smoke. This is because these effects are not immediately visible when you first smoke. Many smokers are reluctant to get checked out for various reasons. Therefore, researchers made the implementation of an expert system to diagnose diseases in active smokers and passive smokers using the Anfis method. Anfis is an amalgamation of the system's fuzzy interface mechanism described in a neural network architecture. From the results of the implementation trial, the accuracy of the learning rate was 70% - 90% by including the same symptoms.Keywords: Expert System, Cigarettes, Anfis