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Pain is one of the main problems that cancer patients who undergo chemotherapy often experience, both as a direct result of the development of the disease and as a side effect of the therapy undergone. Pain that is not handled properly can decrease the quality of life, interfere with daily activities, and negatively impact the patient's psychological state. Therefore, non-pharmacological interventions are important as a companion effort to medical treatment. This study aims to analyze the effect of the combination of Benson relaxation technique and Quranic Healing therapy on the pain level of cancer patients undergoing chemotherapy at the Sultan Agung Islamic Hospital Semarang. The research uses a quasi experiment design with a nonequivalent control group design approach. The sample size was 36 respondents, divided into intervention groups and control groups, each consisting of 18 respondents. Pain levels were measured with the Numeric Rating Scale (NRS) instrument before and after the intervention. Data analysis was performed using the Wilcoxon test for differences within groups and the Mann–Whitney test for differences between groups. The results showed a significant decrease in pain levels in the intervention group (p = 0.000) compared to the control group (p = 0.046), with a significant difference between the two groups after the intervention (p = 0.001). In conclusion, the combination of Benson relaxation techniques and Quranic Healing has been shown to be effective in reducing pain in cancer patients undergoing chemotherapy. These interventions can be recommended as an alternative to non-pharmacological nursing measures to improve the comfort and quality of life of cancer patients.

This study aimed to evaluate the effect of murrotal therapy on pain and anxiety levels in patients after radiofrequency action. This study uses a quantitative approach with a pre-experimental design of one group pretest-posttest involving 50 post-radiofrequency patients at Sultan Agung Hospital Semarang. The research data were collected using the Numeric Rating Scale (NRS) instrument to assess pain levels and the Zung Self-Rating Anxiety Scale (SAS) to assess anxiety levels. Univariate analysis showed that most of the respondents were women with an average age of 44.04 years, included in the intermediate adult category. The results of bivariate analysis with the Wilcoxon Signed Rank Test showed a significant decrease in both pain and anxiety levels after being given murrative therapy, with a p-value of 0.000 for both variables. This shows that murrotal therapy is effective in providing psychological relaxation and spiritual distraction effects, so that it can reduce the intensity of pain while reducing anxiety in patients. Based on these findings, it can be concluded that murrotal therapy is a non-pharmacological intervention that is simple, safe, and easy to apply by health workers. It also has great potential as a complementary therapy that supports the management of pain and anxiety after medical procedures, especially invasive procedures such as radiofrequency. Thus, the application of murrotal therapy can be used as an additional alternative in improving the quality of nursing services in hospitals.

Cancer is one of the leading causes of morbidity and mortality in Indonesia. Chemotherapy treatment often causes both physical and psychological side effects, which can reduce the patient's quality of life. Various factors, such as family support, economic status, education level, and knowledge, are suspected to influence the quality of life of cancer patients undergoing chemotherapy. This study aims to analyze the factors associated with the quality of life of cancer patients undergoing chemotherapy at Sultan Agung Islamic Hospital Semarang. This study used a non-experimental quantitative design with a correlational approach. Data were collected using questionnaires distributed to 84 respondents undergoing chemotherapy at the hospital. Bivariate analysis was performed using the Chi-Square test to examine the relationship between factors that are suspected to affect the quality of life of patients. The results showed that family support, economic status, education level, and knowledge level were significantly related to the quality of life of cancer patients. Specifically, the p-values obtained were 0.035 for family support, 0.000 for economic status, 0.036 for education level, and 0.049 for knowledge level. These findings indicate that social, economic, and educational factors play a crucial role in improving the quality of life of cancer patients undergoing chemotherapy. Therefore, special attention should be given to family support, knowledge enhancement, and better access to economic resources for cancer patients. As a result, their quality of life, especially during chemotherapy, can be improved. Keywords: quality of life, family support, economic status, education level, knowledge level.

Families of terminal patients often experience anxiety triggered by the deterioration of the patient’s condition, limited information received, and feelings of loss due to facing separation from their loved ones in a critical situation. This anxiety may occur at varying levels, ranging from mild to panic, and if not properly managed, it can affect the psychological well-being of family members as well as their ability to support the patient. Therefore, appropriate interventions are needed to help reduce the psychological burden of families. One approach that can be applied is mindfulness combined with dhikr, which integrates full awareness with spiritual practice to calm thoughts and emotions. This study employed a quasi-experimental design with a one-group pretest–posttest approach without a control group, involving 20 respondents who were family members accompanying terminal patients in the ICU. Respondents were selected using total sampling according to the inclusion criteria. The research instrument consisted of an anxiety observation questionnaire, and data were analyzed using the Wilcoxon test. The results showed that before the intervention, all respondents experienced anxiety at different levels. After the intervention, there was a significant reduction, with 14 respondents (70%) in the mild anxiety category and 6 respondents (30%) reporting no anxiety. The Wilcoxon test yielded a p-value of 0.000 (<0.05), indicating a statistically significant difference between pre- and post-intervention. In conclusion, mindfulness and dhikr interventions were effective in reducing anxiety among family members accompanying terminal patients in the ICU. This method can be recommended as a spiritually based psychological support strategy to help families cope with critical situations more calmly and adaptively.

Hypertension is a chronic disease that requires long-term medication adherence to prevent more serious complications. However, there is still a high level of non-compliance among hypertension patients, which may worsen their condition. One way to improve compliance is through health education based on animated videos, which can enhance patients' understanding and motivation. This study aims to analyze the effect of animated video education on medication adherence and blood pressure control in hypertensive patients at Sultan Agung Islamic Hospital Semarang. The study used a quasi-experimental design with a pretest-posttest control group design. The sample consisted of 38 respondents selected through purposive sampling, divided into two groups: the intervention group (n=19) and the control group (n=19). The intervention group received animated video education, while the control group only underwent observation. Adherence was measured using the MMAS-8 questionnaire, and blood pressure was measured using a sphygmomanometer. Data analysis was performed using the Wilcoxon, McNemar, and Mann-Whitney tests to examine differences between groups. The results showed a significant increase in medication adherence and a reduction in both systolic and diastolic blood pressure in the intervention group compared to the control group (p<0.05). These findings suggest that animated video education is effective in improving medication adherence and helping control blood pressure in hypertensive patients. Therefore, animated video education can be recommended as a nursing education strategy to improve medication adherence and hypertension management.

Posyandu plays a crucial role in improving community health, particularly in monitoring the growth and development of children during the golden age. However, limitations in the knowledge and skills of Posyandu cadres are still frequently found, especially regarding anthropometric measurement of toddlers. This study aims to examine the effect of the flipped classroom educational method on the knowledge improvement of Posyandu cadres in anthropometric measurement of toddlers in Bumiharjo Village. This research employed a quasi-experimental design with a pretest-posttest control group. A total of 38 respondents were recruited and divided into two groups: the intervention group, which received education using the flipped classroom method, and the control group, which did not receive the same treatment. Data analysis was conducted using the Wilcoxon Signed Rank Test, Mann Whitney U Test, and ANCOVA to control for baseline differences. The results showed a significant improvement in knowledge in the intervention group after treatment (p=0.000), with the proportion of respondents in the “good” knowledge category increasing from 5.3% to 36.8%. In the control group, improvement was observed but limited (p=0.003), with no respondents reaching the “good” category. The Mann Whitney test indicated significant differences in posttest scores between the groups (p=0.000). Furthermore, ANCOVA analysis confirmed that after controlling for pretest scores, posttest scores remained significantly different (F=6.771; p=0.013). In conclusion, the flipped classroom method effectively improves the knowledge of Posyandu cadres regarding toddler anthropometric measurement. This strategy can serve as an innovative and sustainable alternative for cadre training, ultimately enhancing Posyandu service quality in addressing nutritional and health issues among toddlers.

Palliative care for HIV patients aims to improve the quality of life and manage the symptoms experienced. Sufficient knowledge of nurses regarding this care is essential for providing optimal care. The purpose of this study was to describe the level of knowledge of nurses about palliative care in HIV patients. This descriptive quantitative study involved nurses working in hospitals treating HIV patients. Data were obtained through a questionnaire that measured nurses' knowledge of the principles of palliative care. Data analysis was done descriptively. The results showed that out of 60 respondents, 54 people (90.0%) had good knowledge, 5 people (8.3%) had sufficient knowledge, and 1 person (1.7%) had poor knowledge.

One of the health issues that can lead to significant consequences, including heart disease and organ damage, is hypertension. For hypertensive patients, non-pharmacological treatments such as progressive muscle relaxation (PMR) offer an alternative to reduce discomfort and blood pressure. This study uses a quantitative methodology and a quasi-experimental design. For two weeks, 66 hypertensive patients from Puskesmas Bangetayu Semarang participated in the ROP intervention. The T-Test and Wilcoxon statistical tests were used to measure blood pressure and pain levels before and after the intervention. According to the Numeric Rating Scale (NRS), ROP therapy reduced pain from 2.68 to 1.76 and systolic blood pressure from an average of 150.15 mmHg to 133.64 mmHg. With a p-value of less than 0.05, statistical analysis revealed a significant difference. It has been proven that progressive muscle relaxation helps hypertensive individuals with their pain and blood pressure. This approach can be used both independently and in healthcare settings as a simple and safe non-pharmacological treatment. the effect of progressive muscle relaxation on pain and blood pressure in hypertensive patients

Chronic kidney failure is a terminal illness that requires hemodialysis therapy to sustain life. However, this therapy often impacts patients' quality of life, including physical, mental, social, and spiritual aspects. Low spiritual well-being can significantly affect the quality of life, causing stress, anxiety, and a decline in emotional balance. This research aims to analyze the relationship between spiritual well-being and the quality of life of hemodialysis patients, providing insights to support the improvement of their quality of life. This study is a type of Quantitative research with an Observational Analytic research design with a correlational study. Data collection was carried out using the KDQOL-SF and SWBS questionnaires. The number of respondents was 61 people with a total sampling technique. The obtained data were statistically processed using the Chi-square test. The result of this study shows that there is a relationship between spiritual well-being and the quality of life of hemodialysis patients with a P value = 0.000 (P value < 0.05). This study concludes that there is a significant relationship between spiritual well-being and the quality of life of hemodialysis patients. Improving spiritual well-being can enhance patients' quality of life; therefore, it is important to provide spiritual support in therapy to help patients overcome their health challenges.

Chemotherapy is an effective treatment for the destruction of cancer cells, but often causes side effects that affect the quality of life of patients, such as nausea, vomiting, hair loss, and fatigue. Chemotherapy patients need physical and psychological motivation to overcome these side effects. In these side effects, self-equipment is the key to treating and improving symptoms properly. The purpose of this study aims to determine how to manage self-care in patients undergoing chemotherapy. Quantitative research with a descriptive design Data were collected through purposive sampling techniques on 230 respondents. And statistical tests were used to process the data. Of the 230 respondents, most were women (53 percent), with an average age of 56-63 years (54.8%), the most recent education was PT/Academic (46.5%), most of the jobs were civil servants (32.2%), had undergone chemotherapy for <1 year (56.1%), the most cancer stage was stage IV (30%) and for the most side effects experienced hair loss/weight loss (42.2%). In this study, self-care management in the adaptive category was (66.5%) and in the maladaptive category (33.5%). It can be concluded that self-care management is very effective in reducing the side effects of chemotherapy.