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Nowadays, insomnia symptoms are experienced by many people, especially those who are in the final semester and are working on their final assignments. The common causes of insomnia are anxiety and stress. Therefore, this study tries to investigate the correlation between anxiety and stress levels and the incidence of insomnia among college students completing the thesis at the Health Sciences Faculty of Universitas Abulyatama. This study employs an analytical design with a cross-sectional approach involving 134 college students as the sample chosen using a total sampling technique. The data was analyzed using univariate and bivariate data with the Chi-Square test. The result reveals that from 134 respondents, the majority experienced sleep disorder indicated by 51 students (38, 1%). On the anxiety variable, the majority experienced severe anxiety 36 students (26, 9%), and the variable of stress level indicated that the majority experienced moderate stress 63 students (47%). Based on the Chi-Square test, there is a correlation between the anxiety variable (p=0,008) and stress level variable (p=0,005) towards the incidence of insomnia in final-year students. This study concludes that the incidence of insomnia in final-year students is influenced by anxiety and stress. This study recommends campuses provide information consultation on insomnia, such as health socialization through social media on how to deal with anxiety and stress management.

Good communication between midwives and pregnant women greatly influences maternal satisfaction in receiving health services from midwives, so that a sense of mutual trust is built between midwives and pregnant women. This mutual trust will have an impact on changes in attitudes for both service providers and service recipients. the proportion of pregnancy checks in North Sumatra Province was 92.4%, while those who did not have pregnancy checks was 7.6%. The ANC K1 coverage rate in North Sumatra Province was 90.0%, while ANC K4 was 85.9%. This shows that ANC coverage in North Sumatra Province is still low because the national ANC target is 95%. The general aim of this research is to analyze the relationship between midwife communication and the level of satisfaction of pregnant women with ANC services at the Gebang Community Health Center, Langkat Regency in 2024. The research method used is quantitative, information about what you want to know is examined using numerical data through a retrospective survey. Conducting a retrospective survey is one method of collecting historical data. This research uses a cross-sectional strategy. The sample for this in-depth research was all midwives in the Gebang Health Center working area, totaling 40 people. Data analysis uses univariate and bivariate analysis. From the statistical test results, it was obtained that p.value = 0.004 and ? = 0.05, where the value of P.value (0.004) < ? (0.05), so it can be concluded that there is a relationship between midwife communication and pregnant women's satisfaction with antenatal care services in Health Center. Gebang Langkat Regency in 2024. Midwives are expected to further improve their good communication skills with patients by participating in training on effective communication methods so that patients feel satisfied with the services provided.

The impact of hospitalization on children is anxiety. To reduce this, it can be done by applying atraumatic care, which focuses on family-centered care in carrying out nursing actions. This study aims to determine the relationship of the application of atraumatic care to anxiety in children experiencing hospitalization at Pertamedika Ummi Rosnati Hospital Banda Aceh. This type of research is quantitative with a correlation study analytic design. Data collection was carried out on 5 to 26 July 2024. The population in the study were all children admitted to Pertamedika Ummi Rosnati Hospital Banda Aceh and a sample of 33 respondents with sampling techniques using purposive sampling. Data analysis using chi square test showed there was a relationship between the application of traumatic care and anxiety in children at Pertamedika Ummi Rosnati Hospital Banda Aceh with a p value of 0.000 (p <0.05). So it can be concluded that there is a relationship between the application of atraumatic care and anxiety in children who experience hospitalization. It is expected that parents know how to care for children while hospitalized so that children do not experience anxiety.

Hand hygiene is an important aspect in maintaining individual health and preventing the spread of disease, an effective practice for maintaining hand hygiene is washing hands regularly. Health education is an application of educational concepts in a learning process, namely health education using animated videos. This research aims to determine the effect of health education using animated videos on hand and nail hygiene in elementary school children at SDN Sekarputih 01 Bondowoso. The method in this research used a pre-experimental design with a one-group pre-post test approach. The population was 90 student respondents at SDN Sekarputih 01 Bondowoso, 73 samples studied were taken using purposive sampling. Data collection includes editing, coding, scoring, and tabulating. The instruments used are Animation Videos, SOPs, and Modules. The data obtained from this research was analyzed using the Wilcoxon Test. The results of this research showed that the cleanliness of hands and nails before being given health education using animated videos was mostly poor 31 (42.5%), after health education using animated videos was mostly very good 52 (71.2%), from the test results The Wilcoxon Signed Rank Test shows a value of p = 0.000 with ? = <0.05 (p = 0.000 with ? = <0.05) p is smaller than ?, then H0 is rejected and H1 is accepted, it can be concluded that there is an influence of health education using animated videos on hand hygiene and nails. It is hoped that respondents who has lack knowledge about washing hands and cutting nails can apply health education using animated videos very effective because animated videos have interesting advantages and can make respondents focus on their interest in the images displayed.

Around 41.8% of pregnant women around the world experience anemia. The prevalence of anemia in pregnant women in the world is estimated at around 57.1% in Africa, 48.2% in Asia, 25.1% in Europe and 24.1% in America. The results of Basic Health Research (Riskesdas) in 2013, the prevalence of anemia in pregnant women in Indonesia was around 37.1%, with hemoglobin levels < 11.0 g/dL approaching the proportion between urban areas 36.4% and rural areas 37.8%. Based on the 2001 Household Health Survey (SKRT), the prevalence of anemia in pregnant women was 40.1%. Meanwhile, the 2004 DKI Jakarta survey showed that the prevalence rate of anemia in pregnant women was 43.5%. The general aim of this research was to determine differences in hemoglobin levels in pregnant women in the first, second and third trimesters at the Gebang Health Center, Langkat Regency in 2024. Hemoglobin examination in pregnant women aims to To find out whether the mother is experiencing blood deficiency or not, namely by checking hemoglobin levels during pregnancy. The method is quantitative research with an analytical survey method using a cross sectional design, namely, a study that concerns risk factors using a retrospective approach. Analysis shows that there are differences in hemoglobin levels in the first, second and third trimesters. The average hemoglobin levels in the first trimester (11.7 g/dL) and II (11.0 g/dL) were still within normal limits, while the hemoglobin in the third trimester (10.2 g/dL) was abnormal. Hemoglobin levels < 11.0 g/dL in pregnant women can be said to be anemia, whereas if hemoglobin levels in pregnant women are > 11.0 g/dL it is not said to be anemia. So it can be seen that hemoglobin levels in the third trimester are lower than hemoglobin levels in the first and second trimesters. Pregnant women are expected to be able to check their pregnancy by carrying out an HB examination.

Continuity of care (COC) or sustainable care is the care provided by a midwife to clients or patients from pregnancy, childbirth, the puerperium, newborn care, and family planning. This study aimed to provide continuity of midwifery care for a primigravida pregnant woman, Mrs. D, at a midwife practice. A case study method was used. The subject was Mrs. D, G1P0A0. Data collection was carried out from September to December 2023. The results showed that during pregnancy Mrs. D complained of sleep difficulties, during childbirth there was bloody show, in the puerperium period milk production was insufficient, the baby had diaper rash, and for family planning she wanted to use the pill. Interventions provided were health education on third trimester discomforts, normal childbirth management with 60 steps of APN, oxytocin massage, and olive oil for the baby. In conclusion, continuity of midwifery care was provided for Mrs. D with oxytocin massage and olive oil interventions. Milk production increased and the baby's diaper rash reduced.

This research is a comprehensive midwifery care case study on Mrs. K from pregnancy to postpartum family planning conducted at the PMB Okta Saprina, S.Tr.Keb and Mrs. K's home from October-December 2023. The assessment during pregnancy found complaints of frequent urination which were addressed by counseling on reducing drinking at night. During labor, Mrs. K experienced severe pain on a scale of 8, which was reduced to moderate pain on a scale of 5 after being given lavender aromatherapy. Labor care stages I-IV were normal according to theory and without complications. The baby was born spontaneously, full-term, without complications. During the postpartum period, Mrs. K experienced breast engorgement which was treated with aloe vera compresses for 7 days until the complaint was resolved. Care for the newborn and postpartum period was according to standards. At 42 days postpartum, Mrs. K chose to use 3-month injectable contraception after being screened with the KLOP wheel. The management provided to Mrs. K was in accordance with evidence-based practice in providing comprehensive midwifery care, namely counseling for frequent urination, lavender aromatherapy for labor pain, and aloe vera compresses for breast engorgement with satisfactory results.

Chronic kidney failure patients experience excess fluid, so fluid restrictions are needed. Fluid restrictions in hemodialysis patients cause dry mouth.  The dry mouth experienced by the patient can cause high thirst, high thirst can cause non-compliance with a fluid restricted diet. As a result of limiting fluid intake carried out ini hemodialysis patients, it results in a feeling of thirst which causes the patient to have the desire to drink. The aim of this study is to determine the effect of giving slimber ice on the intensity of thirst in patients with chornic kidney failure undergoing hemmodialysis. This research uses one group pretest-posttest design. The sampling technique is purposive sampling with a total of 20 respondents. The instrument used in this research is the Visual Analogue Scale fo Assessment of Thirst Intensity. The research results showed that the average thirst intensity score of patients with chronic kidney failure undergoing pre-intervention hemodialysis was 4.80, standard deviation 1,936, and post test intervention 3.10,, standard deviation 1,410. The result of statistical tests show that there is an effect of giving slimber ice on the intensity of thirst in patients with chronic kidney failure undergoing hemodialysis. The results of the paired t-test, obtain p value = 0.001. This intervention can be a form of therapeutic management that can be applied to reduce complaints of thirst at home or in hospital.

Arumanis mango rind (Mangifera indica L) usually becomes organic waste, but contains flavonoid secondary metabolites. Arumanis mango rind extract was chosen so that it can be used as an antioxidant compound, which is an antidote to free radicals. The aim of this research was to examine the antioxidant activity and toxicity tests of arumanis mango rind extract. The result is that the maximum absorption wave of DPPH is 518 nm, with an absorbance of 0.788. The results of comparative antioxidant activity for gallic acid obtained IC50 = 4.424 µg/mL, while the arumanis mango rind extract sample had an IC50 value = 18.294 µg/mL. For toxicity test results, the LC50 value = 169.043 µg/mL. Based on the research results obtained, it can be concluded that the antioxidant activity of arumanis mango rind extract is classified as very strong (<50 µg/mL) and the toxicity is classified as toxic (<1,000 µg/mL).

Diabetes Mellitus (DM) is a chronic metabolic disease that often occurs in the elderly, characterized by hyperglycemia due to impaired insulin secretion or action. This research focuses on family nursing care for Mr. A, a DM sufferer, in Kalibuntu Village, Losari District, Brebes Regency. Based on data, the prevalence of diabetes in Indonesia is very high, with Indonesia ranking third in Southeast Asia. In Brebes Regency, the prevalence of DM is also significant, requiring special attention in management. The Friedman model is used in family nursing care, which emphasizes the role of the family in supporting the patient's health management. The care process includes assessment, diagnosis, planning, implementation, and evaluation. The assessment is carried out by collecting family data using clear and simple language. Nursing diagnoses are established based on data analysis, while nursing interventions are designed to meet the patient's specific needs. Implementation is carried out by carrying out the plans that have been prepared, followed by ongoing evaluation to assess the effectiveness of the intervention and make necessary adjustments. Management of DM in Mr. A involves five main pillars: education, meal planning, physical exercise, pharmacological interventions, and blood sugar checks. A positive attitude towards treatment plays an important role in achieving good glucose control and improving quality of life. These findings emphasize the importance of family involvement in DM care to ensure effective and sustainable management.

This study evaluates the impact of positive emotions on rheumatoid arthritis (RA) treatment outcomes through a meta-analysis of 47 studies (2015-2024) involving 12,384 patients. The primary findings reveal a significant positive correlation between positive emotions and improved RA treatment outcomes (r = 0.42, p < 0.001), with the strongest effects observed in enhanced quality of life (r = 0.51) and physical function (r = 0.45). Patients exhibiting high positive emotions demonstrated greater reductions in pain (d = 0.38), decreased inflammation (d = 0.29), and improved physical function (d = 0.45) compared to control groups. Moreover, moderator analyses uncovered stronger effects among elderly patients (? = 0.012, p = 0.025) and those with longer RA duration (? = 0.018, p = 0.009). Finally, mediational analyses indicated that positive emotions contributed to improved treatment adherence (indirect effect = 0.09, 95% CI [0.05, 0.13]) and increased physical activity (indirect effect = 0.07, 95% CI [0.03, 0.11]) in RA patients. These findings extend Fredrickson's (2001) Broaden-and-Build theory and support Keefe et al.'s (2002) biopsychosocial model. Compared to meta-analyses by Brosseau et al. (2018) and Zhou et al. (2020), this study provides more comprehensive evidence on the role of positive emotions in various RA treatment outcomes. The novelty of this research lies in the analysis of previously unexplored mediating and moderating mechanisms, as well as a comparison of effectiveness with pharmacological interventions (SMD = 0.18, 95% CI [-0.05, 0.41], p = 0.124). These results support the integration of positive emotion-based interventions in RA management and expand upon Strand et al.'s (2019) findings on patient expectations in RA treatment.

Typhoid fever is an acute infection of the small intestine caused by Salmonella typhi, commonly occurring in developing countries with poor sanitation, including tropical regions such as Indonesia, where the climate supports the proliferation of this bacterium (Yustati & Dinata, 2023). The primary symptoms include high fever, nausea, abdominal pain, and gastrointestinal disturbances. This study employs a descriptive method with a case approach to identify and address nursing issues such as hyperthermia, knowledge deficit, and risk of nutritional deficit. The aim of this writing is to provide and describe comprehensive nursing care for typhoid fever patients at RSUD Dr. Soeselo, Tegal Regency, in accordance with established nursing standards, to ensure effective care and improved patient outcomes.  

Gouty arthritis or gout is a joint disease caused by high levels of purines in the blood. A person is said to be suffering from gout if the uric acid level in their body exceeds the normal limit, the normal limit is 7 mg/dL for men and less than 6 mg/dL for women. Excessive uric acid can cause a buildup of purines in the joints and other body organs, causing pain and inflammation in the joints. This condition can make the joints feel painful when moved and can also cause joint abnormalities and disabilities (Efendi et al., 2022). In Central Java, the prevalence of gout sufferers is approximately 2.6 - 47.2%, which varies in various populations (Zakiudin et al., 2024). Based on data from the Kecipir Community Health Center, the prevalence of gouty arthritis at the Kecipir Community Health Center in 2023 will reach 13.67%. The percentage of residents in Kalibuntu Village who suffer from gouty arthritis in 2023 will reach 24.3% in old age (Kecipir Community Health Center, 2023).

This community service work program aims to make people aware of the importance of the benefits of immunization for pregnant women and toddlers, to prevent various diseases. Health is an important foundation in life, through immunization children will have a good immune system, and will not get sick easily. Various diseases that can be prevented through immunization include tuberculosis, measles, tetanus and other diseases that are transmitted through viruses. This outreach discusses the importance of immunization and at the same time invites the public to diligently attend the routine posyandu that the local government has organized. This activity was carried out with posyandu activities for approximately 3 hours, held in Kadu Pereup Village, Kubang Baros Village, Cinangka District, Serang Regency.

Breast milk dam is a swelling of the breast due to an increase in venous and lymph flow, causing breast milk dam. Data (SDKI) showed that 42% of mothers experienced breast milk dams. Breast milk dams are caused by discontinuous breastfeeding, the baby has not breastfed properly, improper breastfeeding position, wearing BH that is too tight, nipple abnormalities, absence of breast care before and after childbirth and lack of maternal knowledge about breast care. The aim is to determine the relationship between breastfeeding position and breast care with the incidence of breast milk dam in the working area of Sei.Langkai Health Center, Batam City 2023. The method in this study used quantitative research with analytical descriptive research and used a Cross Sectional research design, the sample in this study was 65 postpartum women, statistical tests using Chi-Square, purposive sampling technique. The distribution of breastfeeding positions was not correct as many as 36 postpartum women (55.4%), postpartum women did not perform breast care as many as 55 postpartum women (84.6%), the majority of postpartum women who experienced breast milk dams were 36 postpartum women (55.4%). The results of statistical analysis with Chi-Square found that there was no relationship between breastfeeding position and the incidence of breast milk dam with a value (P-Value) = 0.099 where (P < ?) = 0.05, and there was a relationship between breast care and the incidence of breast milk dam with a value (P-Value) = 0.030 where (P < ?) = 0.05. The conclusion is that there is no relationship between breastfeeding position and the incidence of breast milk dam and there is a relationship between breastfeeding position and breast milk dam. it is hoped that midwives and other health workers can teach mothers directly during breastfeeding how to do the correct breastfeeding position and breast care technique.

The infancy period is a crucial phase for a child's growth and development, where attention to sleep and stimulation is paramount. Sleep disturbances, such as sleeping less than nine hours per night, frequent awakenings, and difficulty returning to sleep, can affect a baby's emotions and development. This study aims to explore the impact of infant massage on the quality of sleep in infants. The method used was a pre-experimental study with a one-group pretest-posttest design, conducted at the Sei Langkai Public Health Center in Batam City from July to August 2023. The sample consisted of 15 infants selected through purposive sampling. The independent variable was infant massage, and the dependent variable was the quality of infant sleep. Data were analyzed using the Shapiro-Wilk normality test and the Wilcoxon test to assess differences before and after the intervention. The results showed a p-value of 0.001, which is less than 0.05, leading to the rejection of the null hypothesis (H0). This indicates that infant massage has a significant effect on the quality of infant sleep. In conclusion, infant massage is effective in improving the quality of infant sleep and can be recommended as an intervention to address sleep disturbances in infants in the Sei Langkai Public Health Center area.

This study examines the relationship between life satisfaction and the effectiveness of systemic lupus erythematosus (SLE) treatment through a systematic review and meta-analysis of 32 studies (N=8,746) published between 2018 and 2023. The analysis reveals a moderate negative correlation between life satisfaction and lupus disease activity (r=-0.38, 95% CI: -0.44 to -0.32, p<0.001). More specifically, the data demonstrate a strong positive correlation between life satisfaction and quality of life in the context of health (r=0.52, 95% CI: 0.47-0.57, p<0.001) and a moderate positive correlation with medication adherence (r=0.34, 95% CI: 0.28-0.40, p<0.001). Longitudinal analysis (n=6 studies) shows that early improvements in life satisfaction are significantly predictive of reductions in lupus disease activity (?=-0.24, p<0.001) and enhancements in quality of life (?=0.29, p<0.001) over six months to 2 years. Meta-regression analysis further identifies age (?=0.008, p=0.03) and disease duration (?=0.015, p=0.01) as significant moderators of the effect of life satisfaction on SLE treatment outcomes. These findings extend previous research by Diener and Chan (2011) on well-being and health and by Mok et al. (2019) on depression in SLE by emphasizing the specific role of life satisfaction in SLE management. The novelty of this study lies in its focus on life satisfaction rather than solely negative risk factors, highlighting the potential for life satisfaction-based interventions in the management of SLE. This research supports the integration of life satisfaction assessments and psychosocial interventions into standard SLE care protocols, offering new insights into the psychoimmunological approach to SLE treatment.

One reason for the lack of information regarding the economic costs of disability or death and the benefits of immunisation when children in the vicinity are not fully immunised is the discovery of signatures. Many people are confused by the terms vaccination and immunisation. Immunisation is given to neonates as soon as possible because it can avoid primary diseases through vaccination. If the baby receives the right vaccination, he will be protected from dangerous diseases such as disabilities. Basic immunisation of infants and toddlers is a routine immunisation programme as well as an additional immunisation programme to prevent communicable diseases (PD3I) such as tuberculosis, diphtheria, pertussis, tetanus, polio, hepatitis B, and measles to reduce morbidity, mortality and disability in infants and children. BCG once, DPT-HB three times, Polio four times, HB Uniject once, and measles once are the basic vaccines. These vaccines must be given to all infants to prevent diseases from entering the body. The method used was analytical survey research. Exploration of how and why this phenomenon occurs is the goal of the analytical survey research approach.

Crohn's disease is a chronic inflammatory condition of the gastrointestinal tract that is often accompanied by psychological disorders such as depression. This study aims to analyze the impact of depression on the effectiveness of Crohn's disease treatment through a systematic review and meta-analysis. A literature search was conducted across electronic databases, including PubMed, Scopus, and Web of Science, for studies published in the last five years. Of the 1,247 articles identified, 28 studies met the inclusion criteria. The meta-analysis results indicate that Crohn's disease patients with depression have a lower remission rate (OR = 0.65, 95% CI: 0.54-0.78) and a higher relapse rate (HR = 1.58, 95% CI: 1.32-1.89) compared to patients without depression. Additionally, subgroup analysis reveals that the negative effects of depression are more pronounced in patients receiving biological therapy. These findings underscore the importance of a holistic approach in the management of Crohn's disease, considering the psychological aspects of patients to optimize treatment outcomes.

Accination actively seeks to create/enhance a person's immunity to disease. Vaccination protects children from several immunisation-preventable diseases (VPDs). Some of the infectious diseases included in VPDs are tuberculosis, diphtheria, tetanus, hepatitis B, whooping cough, measles, polio, and meningitis. Vaccinated children will be protected from dangerous diseases that can cause injury or death. This study is included in analytical observational research, which does not conduct treatment on research subjects with the aim of providing a clearer picture of the problem in the subject. This type of research is a type of survey with a cross sectional design or where the data collection process is carried out at the same time between independent variables, namely factors that influence the provision of complete basic immunisation in infants. Based on the table, it can be seen that the majority of mothers have a high school education as many as 30 people, the majority of mothers who work as housewives as many as 46 people, the majority of mothers have less knowledge as many as 52 people, the majority of mothers with incomplete basic immunisation as many as 56 people.