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Introduction: Diabetes mellitus is a degenerative disease with an increasing number of patients characterized by hyperglycemia due to impaired insulin secretion. Ineffective management in managing DM disease will result in complications such as peripheral artery disease (PAP). One of the examinations that can be done to find out the condition of the blood vessels of the lower extremities is by measuring the Ankle Brachial Index. One of the efforts to prevent the occurrence of PAP is by exercising diabetic feet. The purpose of this study is to analyze the picture of the Ankle Brachial Index in the Persadia Community who undergo diabetic foot exercises at Subang Hospital. Method: The method used in this study is quantitative descriptive. The sample in this study was 59 people taken using a simple random sampling technique. Data collection in this study used a sphygmomanometer and observation sheet, data analysis using frequency distribution. Results: The results of the study showed that the characteristics of respondents in the Persadia Community were 59 women (100.0%) with an average age of 50.03 years, IRT jobs as many as 28 people (47.5%) with the last high school education level of 35 people (59.3%). Meanwhile, the majority of ABI scores in the persadia community with an average score of 1.02. Conclusion: This study can be an input for DM patients to conduct routine ABI examinations to detect early vascular disorders in the extremities and as a prevention of the risk of leg ulcers.    

Mental retardation is an intellectual disorder that is generally characterized by mental abilities or intelligence that feels below average. Self-care is indispensable for children with disabilities who find it challenging to carry out activities. The purpose of this study is to analyze the relationship of family support to the independence of self-care for mentally disabled children in SLB Negeri Subang. This study is a type of quantitative correlation research design that uses cross-sectional analysis. The sample in this study was 60 respondents from parents of mentally disabled children with purposive sampling techniques. Data collection used family support and self-care independence questionnaires and data analysis using the Chi-Square test. The study results showed that most respondents had the criteria of low-income family support (68.3%) and most self-care independence (65.0%). In addition, the results of the Chi-Square statistical test show p=0.000 < 0.05. The conclusion is that there is a relationship between family support and the independence of self-care for mentally disabled children in SLB Negeri Subang. So it is hoped that families can provide and increase good support for children with mental retardation by providing informational, emotional, judgmental, and instrumental support.      

Surgery is a way of making incisions in the patient's body. Symptoms that appear before surgery are anxiety. To reduce feelings of anxiety, family support is needed. The support provided by the family can provide feelings of joy, security and comfort. The aim of this study was to determine the relationship between family support and anxiety levels in pre-operative patients in the Surgical Inpatient Room at RSD Gunung Jati Cirebon. This research is a type of quantitative research. The sampling technique used was purposive sampling with a total sample of 69 patients. Data were collected using family support questionnaires and anxiety levels, data analysis used the Spearman rank test. The research results showed that almost all respondents had high family support with 58 patients 84.1%, and most respondents had mild levels of anxiety, 49 patients 71,0%. The Spearman rank test obtained a p-value of 0.000, which means the hypothesis was accepted. From this research, it can be concluded that there is a relationship between family support and the level of anxiety in pre-operative patients in the surgical inpatient room at Gunung Jati Hospital, Cirebon City. The results of this research can be used as input before taking action requiring family support to reduce the patient's preoperative anxiety level.    

Background; In Lampung province, the incidence of dysmenorrhea is quite high, the results of the study found that 54.9% of women experience it. Dysmenorrhea is lower abdominal pain that sometimes extends to the waist, lower back and thighs, caused by high production of prostaglandins then stimulates the uterus to contract. The most common impact of dysmenorrhea is limited physical activity and poor concentration, so it must be addressed immediately so as not to further interfere with daily activities. One of the non-pharmacological treatments is by drinking carrot juice where carrots contain vitamin E and beta-carotene which can suppress prostaglandin production so that it can reduce the pain experienced. Objective; To determine the effect of carrot juice on reducing dysmenorrhea in adolescent girls at JHS Muhammadiyah 2 Wonosobo, Lampung. Method; This type of research is quantitative research with a pre-experimental design with a one group pretest and posttest design approach, the population is 28 respondents, the number of samples is 22 respondents with Simple Random Sampling technique. Data collection tools using observation sheets, data analysis with Wilcoxon test ? = 0.05. Results; The results of observations for 1 day with a frequency of 2x a day obtained a p-value of 0.000 where 0.000 <0.05 this means H0 is rejected and Ha is accepted. Conclusion; There is an effect of giving carrot juice on reducing dysmenorrhea in adolescent girls at JHS Muhammadiyah 2 Wonosobo, Lampung.

Hypertension is a disease that can be experienced by various groups of people from high to lower middle social levels, from teenagers to the elderly where this condition experiences an increase in blood pressure from normal conditions (130/80 mmHg). One non-pharmacological intervention, namely foot reflexology, is an option because this action is safe for patients because it is not invasive and is easy to do by traffic. Foot reflexology massage is able to improve blood flow, the nerve points of the feet are massaged and have a relaxing effect on the body. Foot massage has a mechanical effect of improving blood circulation so it can lower blood pressure. To determine the results of applying foot reflexology massage on blood pressure in hypertensive patients at Karanganyar Regional Using a descriptive method in the form of a case study for 2 patients with hypertension. Respondent 1 before applying foot reflexology massage found blood pressure from 176/100 mmHg to 165/90 mmHg. Meanwhile, Respondent 2 before applying foot reflexology massage found that his blood pressure was 150/90 to 143/80. Foot reflexology massage can be used as a non-pharmacological technique to reduce blood pressure in hypertension patients.

Critical patients are patients who are in the Intensive Care Unit (ICU) because they have lost consciousness, one of the reasons being respiratory failure. In patients with respiratory failure who have an ETT installed and connected to a mechanical ventilation device, there can be a buildup of phlegm/secretions in the bronchi and alveoli area so that the patient's airway can be disrupted, so an effective intervention is suction. In the suction process, hyperoxygenation can be carried out first to maintain oxygen saturation levels within normal limits. To overcome airway clearance in patients who experience ineffective airway clearance nursing problems and describe nursing care. The method used in this research is a case study that describes the nursing care of a patient who had an Endotraceal Tube (ETT) installed who experienced ineffective airway clearance. The results of the assessment of the three patients experienced problems with ineffective airway clearance and hyperoxygenation was carried out in the open suction process to maintain oxygen saturation values ??within normal limits. The results obtained showed changes in oxygen saturation before and after the open suction procedure. It is hoped that the provision of hyperoxygenation intervention in the open suction process can be carried out according to the SOP so that complications do not occur.

Along with getting older, women will experience a developmental process so that there will be changes experienced by every woman. These changes can occur due to the aging process and of course every woman will experience a menopause phase. One of the Evidence Based Practices of Nursing that has been implemented and is popular among the community, especially women, is aerobic gymnastics. The aim of this application is to reduce menopausal symtoms in menopausal women. This method of application uses one group pretest and posttest on 3 menopausal female clients. The results of the application were obtained in clients 1 and 2 experienced a decrease in MRS scores but still remained in the interpretation of moderate symptoms and client 3 experienced a decrease in MRS scores from interpretation of severe symptoms to moderate symptoms. The application of aerobic gymnastics can reduce menopausal symptoms in 1 menopausal woman in RT 27 Sukarami Village because through gymnastics there are increased metabolic changes but physical activity will generally be more effective if done for 3 months to get more effective results. This application is expected to help menopausal women to reduce menopausal symptoms.

Diabetes mellitus is a degenerative disease characterized by high blood sugar levels caused by impaired insulin secretion in the body. The main chronic complications in diabetes mellitus sufferers are macrovascular, microvascular and neuropathy. One of the consequences of peripheral neuropathy is ulcers. To prevent trauma to the feet or ulcers, you can provide foot care. This research aims to develop the application of foot care that contains the risk of ulcers in diabetes mellitus sufferers in Sukarami Village. This research uses qualitative research with a case study approach. There were 3 respondents who suffered from diabetes mellitus with inclusion and exclusion criteria. This research was carried out by providing foot care interventions carried out for 4 consecutive days in diabetes mellitus sufferers. The results of implementing EBP showed that there was an improvement in the condition of the respondents' feet. It is hoped that the results of this research will increase independent foot care behavior to prevent the risk of ulcers.

The most common health problem suffered by the elderly is hypertension. In Indonesia, hypertension is in first place with the most problems experienced by the elderly, followed by arthritis, diabetes mellitus, heart disease and stroke. One non-pharmacological treatment that can be done is consuming Ambon bananas twice a day for 7 days. Objective: This research is to determine the effect of Ambon bananas on reducing blood pressure in elderly people with hypertension in the Tebing Tanjung Balai Karimun health center working area. This research design uses a Group Experimental with a Quasy Experiment design using a One Group Pretest and Posttest Design. The respondents in this study were 30 respondents divided into 15 intervention groups and 15 control groups. The sampling technique used was purposive sampling. Results: statistical paired sample t test showed p value = 0.000 (< 0.05) so Ho was rejected. This shows that there is an influence of consumption of Ambon bananas on reducing blood pressure in the intervention group. Conclusion: with this research, consumption of Ambon bananas can be used as a non-pharmacological therapy to lower blood pressure. Suggestion: Respondents should always apply non-pharmacological walking exercises to control blood pressure.

Maternal health issues refer to reproductive health issues, including comprehensive information and education on sex, contraception, access to legal and safe abortion, sexually transmitted diseases, and HIV/AIDS diagnosis. The high MMR and low understanding of reproductive health are indicators of the government's weakness in protecting and implementing the reproductive health rights of citizens. This study aims to find out how the influence of health promotion on adolescents' knowledge about reproductive health. The method used in this study is a type of literature study research. The results of the study convey that health promotion affects adolescents' knowledge about reproductive health. Adolescent reproductive health is a healthy situation that affects the organs, functions, and reproductive efforts of an adolescent. What is meant by health here is not only being free from illness or disability, but also mental, social, and cultural health. Adolescents are at high risk of various sexual and reproductive health problems, including the risk of unwanted pregnancy, the risk of sexually transmitted infections (STIs), including HIV/AIDS, unsafe abortion, and sexual violence.

Dengue, or what people often call dengue fever, is a viral infectious disease that is transmitted through mosquitoes. The incidence of dengue has increased significantly worldwide in recent decades. Dengue has become a public health problem in the world, not only in Indonesia. In early 2020, WHO listed dengue as a global health threat among 10 other diseases. By the end of 2022 the number of dengue cases in Indonesia will reach 143,000 cases, dengue cases occur equally in women (49%) and men (51%). Most dengue cases occur in the 15-44 year age group (39%). This pattern is different from deaths due to dengue, which are more dominant in women (55%) and in the younger age group, namely 5-14 years (45%). Cases of Dengue Hemorrhagic Fever (DHF) in 2021 have doubled compared to the same period in 2020, which was only 41 cases. DHF cases in the city of Ambon have experienced a significant increase, as of June 2021 there were 81 cases of dengue fever recorded with 2 patients dying. The highest number of dengue fever cases was in Sirimau sub-district with 43 cases, followed by Nusaniwe with 18 cases, Baguala with 11 cases, South Leitimur with 6 cases, and Teluk Ambon sub-district with 3 cases. Based on data from the Tulehu Community Health Center, Salahutu District, Central Maluku Regency. There were 11 cases of dengue fever from 2022 to September 2023. Among them, there was 1 case of dengue fever in RT 002 Al-Muhajirin Hamlet, Tulehu Village, Salahutu District, Central Maluku Regency. The type of research used in this research is descriptive research to calculate the percentage of houses positive for Aedes aegypti and calculate the density of larvae in water reservoirs inside and outside people's houses in RT 002 Al-Muhajirin Hamlet, Tulehu Village, Salahutu District, Central Maluku Regency. The results of the research that has been carried out show that RT 002 Al-Muhajirin Hamlet, Tulehu Village, Salahutu District, Central Maluku Regency, the HI index has a Density Figure (DF) of 8 so it is in the high density category, while the CI Index has a Density Figure (DF) of 9 so it is in the high density category.

An adequate understanding on health workers on use antibiotics can prevent the treatment ineffective. Increased risk for the security patient and the spread resistence. The purpose of this research that is, to know the knowledge of midwives in provision of antibiotics for the patient. The kind of research non experiment by using the method case study a qualitative approach. The data using a method of in- depth interviews. The determination of inform with purposive technique. Inform were 6 people consisting of 3 informants midwives and 3 informants patients. Based on the results of the study, the knowledge of midwives' knowledge of rationality in the administration of antibiotics based on 4 T (exact patient, precise indication, proper drug, correct dose) and 1 W (side effect) is still not appropriate because in midwife antibiotics using empirical therapy, the use of antibiotics for empirical therapy is the use of antibiotics in cases of infection that have not been known to the type of bacteria the cause. And rician drug information submitted is the name of the drug, the purpose of therapy, how to take medication with a time interval of 3 x 1 in a day, the drug should be spent and back in case of abnormalities when taking the drug.

Background: Breast milk is ideal nutrition for babies which contains nutrients and a set of protective substances to fight disease. Lactation education is a learning process to prepare oneself psychologically and physically to be able to breastfeed exclusively. Based on observations and interviews of third trimester pregnant women at Panti Waluyo Hospital from February to April 2023, 289 mothers had not received information about lactation education. Objective: To determine the effect of lactation management education on mothers' motivation and readiness to provide exclusive breastfeeding. Design: This type of research is a one group pre-post test design with pre and post experimental. This research was conducted at Panti Waluyo Hospital in August – December 2023. The research instruments used educational videos, pre and post questionnaires. Data analysis used the Shapiro Wilk test, Oneway Anova test, and Paired T Test. Results: Most of the respondents were aged 17-25 years as many as 32 respondents, the last level of education was DIII was 20 respondents, parity had never given birth as many as 20 respondents and history of childbirth had never given birth as many as 22 respondents. There are differences in mothers' motivation and readiness before and after being given lactation management education as shown by a p value of 0.044. Data on mothers' motivation and readiness before and after being given lactation management education varied the same as shown by p values of 0.199 and 0.499. There is an influence of lactation management education on mothers' motivation and readiness to provide exclusive breastfeeding, shown by a p value of 0.001. Conclusion: there is an influence of lactation management education on mothers' motivation and readiness to provide exclusive breastfeeding.

Introduction: Human immunodeficiency virus (HIV) can be transmitted sexually, through blood transfusions, sharing needles, and from mother to child during birth and breastfeeding. HIV/AIDS is a disease known in society as a curse for immoral behavior. Objective: In this study, to find out whether there is a relationship between factors and public stigma towards HIV/AIDS sufferers. Method: The type of research used in this research is descriptive correlation with a cross-sectional research approach. The sample in this research was 104 people. The sampling technique in this research is purposive sampling using the Chi-Square test. Results: based on the results of the Chi-square test, it shows that the significant p-value = 0.000 (<0.05). This means that H0 is rejected and Ha is accepted. Conclusion: there is a relationship between age, knowledge, level of education and environment and community stigma towards HIV/AIDS sufferers.

Stunting is a growth disorder due to malnutrition that occurs in children under five years old. Stunting in children under five is a consequence of several factors that are often associated with poverty, including nutrition, health, knowledge and social and cultural factors. The aim of this research is to look at the factors that cause stunting in toddlers. The research method uses Scoping Review to map literature and identify problems or shadows in the research area to be studied. The results of the research show that data obtained that the number of stunting cases in Jorong Lubuk Sao can be worrying, the results of the data show that there is an average for each stunting indicator (TB, BB, LK) which indicates stunting. The intervention that has been carried out from the data above is by providing outreach and counseling regarding healthy food as well as introducing the electronic application ready for marriage and pregnancy (elsimil) to the local community, this is an accompanying screening application for prospective brides (catin), prospective couples of childbearing age (CaPUS) , pregnant women, postpartum mothers, and families with babies aged 0-59 months. The conclusion of this research is that the stunting prevalence rate in Indonesia is still above 20%, meaning it has not reached the WHO target. Influencing factors are low levels of exclusive breastfeeding, low protein energy intake, poor provision of MP-ASI, low family income, completeness of immunizations.

The population explosion resulted in a rapid rate of population growth which was caused by a lack of knowledge and patterns in the local community. Important aspects of population are: population size, population growth, population births, and population movements. This study aims to analyze the relationship between family support and the participation of women of childbearing age in the Family Planning (KB) program at the UPTD Puskesmas Kuta Baharu, Kota Baharu, Regency. This research used a quantitative method with a survey approach, involving 100 female respondents of childbearing age who were randomly selected. Data was collected through a questionnaire that measured the level of family support and participation in family planning programs. Data analysis was carried out using Pearson correlation statistical techniques to identify the relationship between family support and participation in family planning programs. The research results show that there is a significant relationship between family support and the participation of women of childbearing age in family planning programs, with a p value <0.05. These findings indicate that family support plays an important role in increasing women's participation in family planning programs. This research suggests that family planning programs should involve family members more in socialization and education to increase participation levels. 

A 3-month-old baby is a baby who needs a lot of breast milk assistance to support his growth and development. In supporting the growth and development in question, there are many ways or efforts that can be carried out by midwives, especially in increasing the baby's weight at the age of 3 months, one of which is by doing massage. The purpose of this study is to find out whether or not there is an effect of massage on the weight of 3-month-old babies at UIT Tourism Hospital Makassar City. The type of research used is Quasy Experimental (Pseudo-Experiment) using Pretest and Posttest Experiments and Control with sampling techniques using Purposive Sampling. Based on the results of statistical tests on infants who were sampled, namely 20 babies aged 3 months using paired T test with ? = 0.05, t count (11.005) > t table (1,729) were obtained. So it can be concluded that there is an effect of massage on 3-month-old babies on weight gain. All 3-month-old babies in the study sample experienced weight gain, but the difference in weight gain in the intervention group was greater than in the control group.  

This counseling focuses on the lack of awareness among teenagers about their body health, where up to now teenagers still seem to be indifferent to their body health. This is because teenagers now tend to prefer consuming fast food over healthy food. The aim of this counseling is to make teenagers aware of efforts to maintain body health by reducing consumption of fast food and to find out the reasons why teenagers don't like healthy food and are reluctant to consume it. This counseling was carried out because it was motivated by teenagers who tend to prefer consuming fast food compared to vegetables or other healthy foods. This extension uses quantitative methods by measuring the extent to which they understand about fast food and healthy food to find the necessary data. From the results found in the field, some teenagers prefer to consume fast food compared to healthy food. An obstacle to implementing a healthy lifestyle is that teenagers tend to prefer flavored foods or drinks rather than foods such as vegetables or water. So we as health promoters must be able to provide motivation, support and examples for teenagers to eat healthy food and adopt a healthy lifestyle.

Organizational commitment is one of the main factors that influence how human resource planning will be taken. This is inseparable from the influence of organizational commitment in many areas of human resource management. On the other hand, personality that influences organizational commitment is an essential part that is inherent in every individual that makes it difficult to change. Therefore, this study aims to determine the effect of individual personality on organizational commitment which indirectly affects organizational human resource planning. From the results obtained, personality in general has a significant influence on organizational commitment. However, a more in-depth study is needed using each personality theory and specific organizational fields.    

Craniotomy is a neurosurgical procedure for treating diseases or disorders in the head or brain. The craniotomy procedure can cause side effects in the form of pain. Pain is a sensation that arises due to tissue damage, involving a person's physical, emotional and mental reactions. Pain management is a non-pharmacological treatment used in the health world to reduce pain after patients undergo medical procedures. One of the pain management used in this case study is finger grip. This study aims to implement evidence-based practice of the finger grip method to reduce pain. This study uses a descriptive method with a case study approach. This study involved a patient who had undergone craniotomy surgery. Data was collected through interviews and document study. Data processing is carried out using pain scale measurements and monitoring vital signs such as blood pressure, pulse, respiration and temperature. The instruments used were books, pens and pain measurement scale paper. This case study shows that the finger grip technique is effective in reducing pain in patients who are experiencing pain. This is proven by the change in the level of pain when the finger grip management technique was applied for 3 days of application which decreased significantly. The results of the case study show that pain management using the finger grip technique is effective in reducing pain in patients, resulting in a significant reduction in pain scale