European Journal of Molecular & Clinical Medicine

Family support plays an essential role in understanding lifestyle changes associated with chronic illness, changes needed to help sick members. Family support for patients with hypertension can improve health, and intensive support can reduce pain and help carry out a more disciplined diet program to be maximized. Low adherence to treatment makes it difficult to control his blood pressure. The purpose of this study was to determine the relationship between family support and commitment in implementing a diet program for elderly Hypertension in Muarasanding Village, Garut Regency.The type of correlative descriptive study that describes the relationship of family support with hypertension diet compliance. This study's population is hypertension sufferers in the Muara Sanding village located in the SiliwangiGarut Health Center working area. The sample is a total sampling of 51 respondents. The instrument used was a questionnaire. The validity test uses the product-moment correlation technique; the reliability test in GarutJayaraga Village is 20 elderly. Data analysis uses chi-square.The results of this study received as much support as 57% with a level of adherence to carrying out a diet of 55%, and categories that lacked family support 43% and who did not carry out dietary compliance 45%. Results of analysis Sig = 0.42 (a <0.05) means that HO is rejected and accepts H1. There is a relationship between family support and adherence in implementing a diet in the elderly with hypertension. The analysis also found a significant correlation value, with an equivalent odds ratio of 3,889, meaning families who support have the possibility of 3,889 times to comply with the hypertension diet program. Conclusion: There is a relationship between family support with adherence to implementing the diet.

Objective of the research was to find out the influence of education in preventing foot
ulcers on compliance in DM Type 2 patients. Material and Methods: the research used
quasi-experimental method with pretest-posttest control group design. It was done at USU
Hospital from July to August, 2019. The samples were 43 DM Type 2 patients in control
and intervention grouprespectively, taken by using convenience sampling technique. The
data were analyzed by using Wilcoxon statistic test. Result: the result showed that there
was the influence of education in preventing diabetic foot ulcers (p<0.05) on the level of
patients’ compliance. Conclusion: Education in preventing diabetic foot ulcers was done to
increase compliance in DM patients to prevent more complication and to increase the
quality of life the diabetic patients.

The process of treating pulmonary tuberculosis patients must be done regularly so that the disease can be completely cured. Treatment of pulmonary tuberculosis that is incomplete will have an impact on the resistance of Mycobacterium tuberculosa so that it will be more difficult in the healing process. This research design is correlation analytic. The population in this study were all patients with pulmonary TB in the Wajak Public Health Center in Malang Regency, there were 33 respondents, a large sample of 30 respondents with accidental sampling technique. The independent variable is the nurse of nursing agency while the dependent variable is compliance. The test used is rho spearment. The results showed that 22 (73.3%) respondents thought that the nursing agency of nurses was sufficient, most respondents of family nursing agencies were quite good as many as 16 respondents (53.3%) and the majority of respondents complied with taking medication as many as 21 respondents (70%) . Based on the results of the analysis using the rho spearment test. The results obtained p = 0.020 there is a relationship between nursing agency nurses with medication adherence in TB patients and the research results obtained that p = 0.033, which means that there is a relationship between family nursing agency and medication adherence in TB patients in Puskesmas Wajak. The existence of a family and nurse nursing agency is a psychosocial support that is able to provide emotional strength, family affection and the attention of health workers increases the patient's enthusiasm to spend drugs with the aim of being cured

The process of treating pulmonary tuberculosis patients must be done regularly so that the disease can be completely cured. Treatment of pulmonary tuberculosis that is incomplete will have an impact on the resistance of Mycobacterium tuberculosa so that it will be more difficult in the healing process. This research design is correlation analytic. The population in this study were all patients with pulmonary TB in the Wajak Public Health Center in Malang Regency, there were 33 respondents, a large sample of 30 respondents with accidental sampling technique. The independent variable is the nurse of nursing agency while the dependent variable is compliance. The test used is rho spearment. The results showed that 22 (73.3%) respondents thought that the nursing agency of nurses was sufficient, most respondents of family nursing agencies were quite good as many as 16 respondents (53.3%) and the majority of respondents complied with taking medication as many as 21 respondents (70%) . Based on the results of the analysis using the rho spearment test. The results obtained p = 0.020 there is a relationship between nursing agency nurses with medication adherence in TB patients and the research results obtained that p = 0.033, which means that there is a relationship between family nursing agency and medication adherence in TB patients in Puskesmas Wajak. The existence of a family and nurse nursing agency is a psychosocial support that is able to provide emotional strength, family affection and the attention of health workers increases the patient's enthusiasm to spend drugs with the aim of being cured

The coronavirus (COVID-19) pandemic is a great concern in the global health sector. This isdueto the large number of people infected within a wide area. The possibility of transmission from one person to anotherraises the need for isolation or restrictions in terms of physical and social interactions within the community. This study aims to determine the extent of community compliance in conducting Physical Distancing.
The research design was observational analytic, using cross sectional method,and was performed with 753 respondents. In addition, data was collected using internet-based questionnaire in the first Government Emergency Response period from March 23 to April 11, 2020. The information obtained includes demographics, physical social compliance variables and risk level. Therefore, qualitativeanalysis was performed to evaluate the frequency distribution, while the relationship between risk categories with Covid 19 cases was determined using chi square.
The results showed the majority of respondents performedoutdoor activities (60.4%), althoughwith good health protocol awareness. Also, mostparticipants wear masks (75.6%), conductgoodhand washing habit (86.6%), always use hand sanitizers (76.5) and maintain a distance from others (87%). Furthermore, the risk categories of respondents were low (95.2%),hence a relationship is established between Covid 19 cases and risk categories.This is reflectedin physical and social distancing compliance (p <0.00001),classified in the moderate category,with an odd ratio value of 9.42 (CI: 4.45-19.97).
In conclusion, moderate physical and social distancing compliance poses a greater risk for covid19 cases, thus the need to increase discipline with Large Scale Social Restrictions (PSBB) implementation.

Purpose - To evaluate what effect spreading the maintenance BCG regimen from 12 to 18 months has on the treatment completion rate. Patients and methods - Retrospective data about patients diagnosed with intermediate or high risk nonmuscle invasive bladder cancer were collected. Suggested regimen started with 6 weekly induction intravesical full dose BCG instillations followed by 3 weekly instillations, 3 months after the 6th instillation. Thereafter, 3 weekly instillations were delivered 6 months after the 9th and the 12th instillation. In total, 15 BCG instillations were administered within 18 months. Cystoscopy and urine cytology were performed one month following the 6th, 9th, 12th and 15th instillations and then according to guidelines Results - 195 patients met the inclusion criteria. 190 (97.4%) patients completed the induction instillations and 141 (72.3%) completed the treatment protocol. 39 patients discontinued treatment for medical reasons and 15 patients due to non-compliance. 162 patients completed follow up as recommended for a median of 46±20.1 months. Of those, 45 patients (27.8%) and 8 (4.9%) had disease recurrence and progression, respectively. Conclusion - Spreading BCG instillations during maintenance protocol might achieve a better treatment completion rate, mainly due to improved patient compliance. No impacts on recurrence and progression rates have been observed in our cohort. Prospective randomized trials are warranted before suggesting clinical application.