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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.

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.

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.

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.

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.

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.

Background: According to the National Pressure Ulcer Advisory Panel, a decubitus wound is an area of ??scar tissue on the skin or soft tissue that covers a protruding bone. Wound treatment from various traditional medical sciences such as Ayurveda, traditional Chinese medicine, or traditional Roman medicine, one of which uses honey as a wound treatment modality. Research Objective: To determine nursing care for decubitus ulcer patients using honey therapy intervention for wound healing. Research Results: The results of the first day of implementation were that wounds that were previously open became closed. The results of the second day of implementation were that granulation tissue began to appear. And the results of the implementation on the third day were a reduction in the area of ??the wound from 4x3 cm to 3x3 cm. Conclusion: Based on the results of implementation and evaluation for 3 days with the intervention of providing honey therapy for wound healing. Honey therapy intervention for wound healing carried out in a multidisciplinary manner produces significant changes both objectively and subjectively. Suggestion: It is hoped that honey therapy can become an independent nursing action in healing wounds.

Congestive heart failure is a pathophysiological condition in which the heart as a pump is unable to meet the need for blood for tissue metabolism. It has been reported that a 56-year-old patient with complaints of shortness of breath is felt to be worse when sleeping in a supine position and improves when sitting in a sitting position. The complaint was accompanied by chest pain that radiated to the back and left arm and palpitations. Patients also complain of getting tired easily when doing activities even to walk to the bathroom. On physical examination, it was found that irregular S1-S2 was accompanied by a murmur. On the examination of ECG and Echocardiograph, it was found that the picture of AF and EF was 41%. In the thorax photo examination, cardiomegaly. The management of this patient is the administration of drugs that reduce shortness of breath and chest pain in patients.

Radiation protection is an action to reduce the impact of radiation arising from radiation exposure. Radiation sign lights are one of the requirements of x-ray aircraft facilities for radiation safety in hospitals intended for officers and the surrounding community in the radiology installation area. After the radiation indicator light is bright red and the door of the radiology examination room is closed, the patient's family is not allowed to enter so as not to be exposed to radiation or scattered radiation which has a very dangerous impact on health. The type of research used is a type of quantitative research using a descriptive method. This method aims to create an objective picture or descriptive description of a situation using numbers, starting from data collection, interpretation of the data as well as its appearance and results. The majority of respondents in this study were between 26 and 45 years old. The majority of respondents (78%) do not know about Indicator lights in the radiology room. Only (16%) or 8 respondents knew enough about the topic, and (6%) or 3 respondents knew it well. Based on the results of the study on "The Level of Patient Family Knowledge Regarding Indicator Lights in the Radiology Room at Kertha Usada Buleleng Hospital", the following conclusions can be drawn: The majority of respondents showed a low level of knowledge related to indicator lights. Analysis of demographic characteristics such as age, education, and gender significantly affects their level of knowledge.

Introduction: Hypertension is a chronic condition in which blood vessel walls experience increased blood pressure, requiring a faster heart rate to pump blood throughout the body. The presence of hypertension influences changes in the results of mean arterial pressure, if the mean arterial pressure is more than 100 mmHg it can cause cerebral circulation disorders resulting in cerebral vascular resistance in hypertensive patients. One non-pharmacological effort to overcome and reduce MAP can be done by providing foot massage therapy. Method: This type of research is quantitative research with a pre-experimental one group pre-post test design approach. The instruments used by researchers were a digital spygmomanometer and observation sheet. Results: Descriptive statistical results showed that the average MAP value before giving a foot massage was 112.49 mmHg and the average MAP after giving a foot massage was 108.43 mmHg. Conclusion: The results of the Wilcoxon sign rank test, a non-parametric statistical test, obtained a p value of 0.000 (? = 0.05). So that p < a, it can be concluded that H0 is rejected and H1 is approved, this shows that foot massage therapy can influence the results of mean arterial pressure in elderly hypertensive patients in the Kalijati Health Center working area. This research is expected to provide initial information by carrying out foot massage therapy 6 times in 6 consecutive days as an effort to control hypertension and reduce mean arterial pressure (MAP) results.

A clot or bleeding in the brain causes a stroke or a cerebral vascular disease that damages the nervous system. Patients suffering from strokes may have physical, mental, sensory, and intellectual disabilities that impede their interaction with the environment and prevent them from performing daily activities and quality of life. This research determines the correlation between the disability level and the quality of life of patients suffering from stroke treated at the Kedungmundu Public Healt Care. The quatitative research applied a cross sectional approach and collected the samples from 67 respondents using proposive sampling. The applied measuring tools were mRS and SSQOL. The Spearmen Rank statistical test obtained a p-value of 0,000. The result accepts Ha, indicating a significant  correlation between  the disability level and the quality of life of the post-stroke patient with a value of r = -0,542. The value indicates a moderate and negative correlation between the level of disability and the life quality of post-stroke patients. The research result suggest the implementation of the intervention to lower the disability level because it influences post-stroke patients with low quality life.

Pregnancy is a physiological process and can be pathologically risky if there are changes in blood pressure and DJJ. Therefore, to maintain stable blood pressure or DJJ, prenatal yoga is needed. The purpose of this study was to determine the effect of prenatal yoga on blood pressure and DJJ. This research method is a quasi-experimental design using a one group pretest posttest design. Sampling of 50 respondents, using an observation sheet. The results of the study showed that the majority were aged 20-35 years as many as 43 respondents (86.0%), the majority of multigravida parity as many as 42 respondents (84.0%). Analysis of the average blood pressure pre-test 91.430 and post-test 84.810. In DJJ, the average pre-test was 144.48 and post-test 135.54, before being given prenatal yoga intervention showed MAP in the pre-hypertension category and DJJ in the normal category, then after being given intervention showed MAP and DJJ in the normal category. The conclusion of the statistical test using the paired sample t test obtained a MAP P-Value of 0.000 or P-Value ? 0.05 and for DJJ P-Value 0.000 or P-Value ? 0.05, namely Ha is accepted and Ho is rejected, which means that there is an effect of prenatal yoga on Blood Pressure and DJJ. Suggestions for further researchers to be able to add variables by involving her husband.

Head injury is mechanical trauma to the head, either directly or indirectly, which causes neurological function disorders, which are temporary or permanent physical, cognitive and psychosocial function disorders. The incidence of head injuries in Indonesia in 2018 from 34 provinces in Indonesia reached 11.9% of cases in the last year, mostly due to motorbike traffic accidents. The clinical condition and level of consciousness after a head injury are assessed using the Glasgow Coma Scale (GCS), which can classify head injuries into mild head injuries, moderate head injuries and severe head injuries. The prognosis for head injury patients will be better if management is carried out appropriately and quickly.

A relaxation technique known as slow deep therapy is a non-pharmaceutical method for treating high blood pressure. The same matter goes for rose aromatherapy. The research attempts to relieve pregnant women’s hypertension using rose aromatherapy. This quasi-experimental research used a cross-sectional approach with one group pretest-posttest design. The respondents were 35 individuals taken with a total sampling technique. The results showed that 31 respondents (88.6%) were aged between 20 and 35 years, 20 of them were multigravida (57.1%), and 33 respondents had no concomitant disease (94.3%). Before the implementation of combined slow-deep breathing and rose aromatherapy, the mean score of pre-systolic blood pressure was 138.66 mmHg while the mean of pre-diastolic pressure was 86.69 mmHg. After the intervention, the pre-systolic blood pressure mean was 130.80 mmHg while the pre-diastolic blood pressure was 85.06 mmHg. The Wilcoxon statistic test obtained a p-value of 0.000 lower than 0.05, This means that there is an effect of Slow Deep Breathing therapy combined with Rose Aromatherapy on the blood pressure of pregnant women with hypertension at the Semarang City Health Center. It is hoped that the results of this research can be used as another alternative to reducing blood pressure in pregnant women with hypertension.      

The incidence of nausea and vomiting in Indonesia during 2019 there were 543 pregnant women in Lampung Province in 2019 there were 50-90% of 19,896 pregnant women experiencing nausea and vomiting. The impact of nausea and vomiting if not handled properly will cause severe nausea and vomiting. Ginger has the property of providing anti-nausea effects, giving ginger preparations in the form of candy is more effective in reducing the side effects of ginger such as an unpleasant taste in the mouth. Objective; To determine the effect of giving ginger candy on reducing nausea and vomiting in pregnant women in the first trimester. Method; Pre-experimental with a one group pretest-posttest design. The sample in this study was 32 people. The sampling technique used simple random sampling. The research instrument used the Pregnancy Unique Quantification of Emesis and Nausea (PUQE) scoring system questionnaire. Statistical tests using the Wilcoxon test. Results; There is a difference in reducing nausea and vomiting before and after being given ginger candy with a p-value of 0.000 <0.05. Conclusion; There is an effect of giving ginger candy on nausea and vomiting in pregnant women in the first trimester.

Contact dermatitis is skin inflammation that involves direct contact between the skin and toxic substances. The aim of this research is to find out the description of complaints of contact dermatitis in Orbit car wash workers in the city of Semarang. This type of research is observational analytic with a cross sectional design. The results of the research were that the most common complaints about the skin were itching (53%), skin blisters (53%), skin peeling (40%), redness (40%), swollen skin (20%), skin experiencing bumps. (47%), the skin experiences wrinkles (47%), the skin experiences cracking (20%) and small lumps filled with fluid (40%).  

The impact of pregnancy anemia will be a risk to fetal development and complications during pregnancy, childbirth, postpartum and can even cause death. The government requires pregnant women to consume Fe tablets but anemia is still not resolved. Apart from consuming Fe tablets, green beans can be used as an effort to increase Hb levels in pregnant women. to determine the effect of giving Green Bean Juice on increasing Hemoglobin levels in pregnant women. Pre-experimental research with a one group pretest posttest research design with a population of all pregnant women, sample 20. Intervention by administering Green Bean Juice at a dose of 100 grams in the morning and evening for 7 days. Analysis test with Paried Sample t-test .average Hemoglobin before treatment was 11.8 gr/dl, while the average hemoglobin after treatment was 12.7 gr/dl, an increase of 0.9 gr/dl. Statistical analysis obtained a p value of 0.000 (<0.005). There is an effect of giving Green Bean Juice on increasing Hemoglobin levels in pregnant women.

Lung cancer is all malignant diseases in the lungs. In Indonesia in 2020, it was ranked third with 34,783 cases. The nutritional problem faced by lung cancer patients is the difficulty of receiving food. As a result of the presence of cancer in the body and the effects of treatment therapy, cancer patients experience various nutritional problems that if not overcome immediately can worsen their health conditions. Experts state that cancer patients need nutritional screening to detect nutritional disorders, as well as weight loss (BB) and body mass index (BMI) since the patient is diagnosed with cancer. Balanced nutrition can inhibit the likelihood of further weight loss and infection. Although the cure rate of cancer patients is still very low, with the right nutritional therapy and a supportive environment, it is hoped that it can support the success of lung cancer patient therapy.    

Soursop is a traditional medicinal plant used as a therapy for hypertension. One of them is Flavonoids which work as ACE inhibitors which will inhibit the change of AIR into AIR thereby reducing the secretion of antidiuretic hormone (ADH ) thus causing a drop in blood pressure.This study aims to determine the effect of boiled soursop leaves on reducing blood pressure in elderly people with hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency in 2023. This research uses a quantitative experimental research method using a quasi-experimental design with pre and post using a one group pre test and post test design. The population in this study was elderly people suffering from hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency with a sample of 17 people. The analysis used is Univariate and Bivariate using the Paired Sample T test. The blood pressure of hypertensive patients before being given soursop leaf decoction treatment to obtain information on the Mean Arterial Preasure value) before being given the intervention, the mean MAP value was 124.09 mmHg from 17 respondents. After being given the intervention, the results obtained were an average MAP value of 95.24 mmHg.That there is an effect of boiled soursop leaves on reducing blood pressure in elderly people with hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency in 2023. Should be more overcoming the problems of the Indonesian people due to the increase in patients with hypertension.