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Background : Self-management of hyperglycemia refers to a series of efforts carried out independently by individuals suffering from diabetes or hyperglycemia to manage and control their health condition. These efforts include regulating diet, physical activity, medication adherence, blood glucose monitoring, and preventive measures to avoid complications. Such complications may include vascular issues like heart disease and stroke, as well as neuropathic problems such as nerve damage. Proper implementation of self-management practices can help stabilize blood glucose levels and significantly improve the overall quality of life for patients. General Objective : This study aims to examine the effect of self-management on the risk of complications in patients with hyperglycemia in the working area of the Kandangan Health Center, Kediri Regency.Research Method : This research utilized a quasi-experimental design with a one-group pretest-posttest approach accompanied by a control group. The sampling technique applied was probability sampling using simple random sampling, involving a total of 45 respondents. The research instruments included the Diabetes Self-Management Questionnaire (DSMQ) and observation sheets to assess the risk of complications. The study population consisted of all hyperglycemic patients residing in Putuk Hamlet, Banaran Village, Kandangan District, Kediri Regency. Data processing was carried out through editing, coding, and tabulation, followed by data analysis using the Wilcoxon statistical test. Results : The Wilcoxon test results showed a significance value of p = 0.000 (p < 0.05), indicating a significant effect of self-management on reducing the risk of complications in hyperglycemic patients. Therefore, the alternative hypothesis (H1) was accepted. Recommendation : The implementation of self-management in hyperglycemic patients is essential to prevent long-term complications. Thus, healthcare professionals, especially nurses, are encouraged to provide continuous education regarding diabetes self-management. This will enable patients to manage their health conditions independently and reduce the risk of further complications.

Cases of child sexual abuse in Indonesia continue to increase each year. In the Special Region of Yogyakarta, Yogyakarta City ranks among the areas with the highest incidence. A preliminary study conducted at SD Negeri Dalem revealed that students had a low level of understanding about sexual abuse, with some having experienced it firsthand. One promising and age-appropriate intervention is the use of animated video media. To determine the effect of animation-based sex education on knowledge and self-awareness in preventing sexual harassment among students at SD Negeri Dalem Yogyakarta in 2025. This study employed a quantitative method with a pre-experimental one-group pre-test post-test design. A sample of 50 students from grades 3 to 6 was selected using proportionate stratified random sampling. The research instruments consisted of questionnaires measuring knowledge and self-awareness. Data were analyzed using univariate analysis and bivariate analysis with the Wilcoxon signed-rank test. The Wilcoxon test showed a significant effect on the improvement of knowledge (p-value = 0.012), indicating that the null hypothesis (Ho) was rejected and the alternative hypothesis (Ha) was accepted. However, there was no significant effect on self-awareness (p-value = 0.672), meaning the null hypothesis was accepted and the alternative hypothesis was rejected. The number of students in the “good” knowledge category increased from 10 students (20.0%) to 22 students (44.0%) after the intervention, while those in the “good” self-awareness category increased from 30 students (60.0%) to 34 students (68.0%). Animated video education is effective in increasing students' knowledge about the prevention of sexual harassment; however, it is not yet sufficient to significantly improve self-awareness. This indicates that enhancing self-awareness requires more in-depth, repeated, and interactive educational methods.

This study explores the influence of locus of control on junior high school students’ creative mathematical thinking and its implications for instructional strategies. Using a quantitative approach with a descriptive correlational method, 16 eighth-grade students from various Jakarta schools participated. The research instruments consisted of a questionnaire and a creative thinking test. The Shapiro-Wilk normality test indicated that the data were not normally distributed, prompting the use of the Wilcoxon non-parametric test. The findings revealed a significant relationship between locus of control and students’ creative thinking abilities (p = 0.013 < 0.05). These results highlight the importance of strengthening internal control beliefs to foster creativity in mathematical problem-solving.

Indonesia is a country with a high disaster risk, particularly earthquakes. Schools play a strategic role in enhancing students' preparedness for disasters. This study aims to determine the effect of splint bandage simulation training on earthquake preparedness at SMAN 1 Kasihan Bantul. This quantitative study used a pre-experimental one-group pretest-posttest design. The sample consisted of 90 tenth-grade students selected through purposive sampling. The research instrument was a preparedness questionnaire administered before and after the training, analyzed using the Wilcoxon test. The results showed an increase in preparedness from the "less prepared" category to "prepared" and "very prepared" after the training, with a significance value of 0.000. In conclusion, splint bandage simulation training significantly improves students’ earthquake preparedness. Future research is suggested to use animated videos as a more interactive intervention method.

Sexual violence among adolescents is an increasingly serious issue, exacerbated by limited knowledge and lack of education, which heightens their vulnerability. One innovative approach to addressing this problem is the use of educational applications such as BEYDI (Self-Empowerment), designed to enhance adolescents’ awareness and knowledge of sexual violence prevention. This study aimed to determine the effect of BEYDI application-based education on students’ knowledge regarding sexual violence prevention at SMPN 3 Lamongan. The study employed a pre-experimental design with a one-group pretest-posttest approach. The population consisted of 63 eighth-grade students from classes 8A and 8B, selected through total sampling. Data were collected using pretest and posttest questionnaires and analyzed using the Wilcoxon test. The results indicated a significant increase in students’ knowledge after receiving the educational intervention via the BEYDI application (p < 0.05). It can be concluded that the BEYDI app-based education was effective in enhancing students’ knowledge of sexual violence prevention and can be considered an interactive and efficient alternative educational tool in the school setting.

Sectio caesarea is one of the surgical delivery methods performed when normal delivery is not possible. Although this procedure is considered safe, prospective patients often experience high stress due to fear of surgery, interventions such as religious music therapy that have spiritual value can calm emotions. This study aims to determine the effect of religious music therapy on stress levels in pre-section caesarean patients at RSUD dr. Tjitrowardojo Purworejo. This study used a quasi-experimental design with a non-randomized control group pretest-posttest design approach. The study sample was 30 patients who were divided into two groups, namely 15 people as the intervention group and 15 people as the control group. The research instruments were music therapy and stress level questionnaires. To analyze the data, the Wilcoxon Signed Rank Test and the Mann-Whitney Test were used.. The results showed a significant decrease in patient stress levels after listening to religious music. The average stress score before the intervention was higher than after the intervention, and the statistical test showed a p value <0.05, which means that religious music therapy has a significant effect on reducing stress. Religious music therapy can reduce stress levels in pre-cesarean section patients. This intervention can be used as part of anesthesia maintenance to improve patient comfort and mental readiness before surgery.

Preoperative anxiety is common for patients, especially those who will undergo spinal anesthesia. The level of anxiety can vary, from mild anxiety to panic attacks, which can potentially affect the outcome of surgery and the recovery process. To overcome this problem, rose aromatherapy with a diffuser offers a non-pharmacological solution. A study was conducted in the Operating Room of PKU Muhammadiyah Gamping Hospital to determine the effect of rose aromatherapy on the level of anxiety of pre-operative patients with spinal anesthesia. This study used a pre-experimental one group pretest posttest design, which showed that rose aromatherapy can significantly reduce anxiety levels in patients who will undergo surgery with spinal anesthesia. This study involved 30 respondents selected through a purposive sampling technique. Data were collected using a questionnaire and analyzed statistically using the Wilcoxon Signed Rank Test. The results of the analysis showed a significance value of 0.000, which means that there is a significant effect of giving rose aromatherapy on the level of patient anxiety. In other words, the alternative hypothesis (Ha) is accepted and the null hypothesis (H0) is rejected. Conclusion, rose aromatherapy is proven to be effective in reducing pre-operative anxiety in patients with spinal anesthesia at PKU Muhammadiyah Gamping Hospital. This study is expected to be an additional reference for future research and provide valuable information for health workers in pre-operative anxiety intervention efforts.

A landslide disaster is a life-threatening event that can result in loss of life, environmental damage, and property loss, so it is necessary to have self-evacuation capabilities. Self-evacuation capabilities can be improved with the DEMASI method (Video Animation and Simulation). The aim of this research is to determine the effect of DEMASI (Video Animation and Simulation) on the ability to self-evacuate landslides in class X students at SMA Negeri 1 Dongko. Pre-experimental design research design with a one-group pretest-posttest approach without control. The purposive sampling technique obtained 34 respondents from 170 populations. The research instrument used an observation sheet on self-evacuation capabilities for landslide disasters. Wilcoxon Signed Rank Test statistical test with α 0.05. The results of the research before being given DEMASI intervention (Video Animation and Simulation) were that all (100%) respondents had poor abilities, and after the intervention almost all (85.3%) respondents had good abilities. Results: The statistical analysis showed that the p-value was 0.000 < α 0.05, so there was an influence of DEMASI (Video Animation and Simulation) on students' self-evacuation ability for landslide disasters. The DEMASI method (Video Animation and Simulation) combines two methods that are more interesting, effective, and interactive because audiovisuals recorded by optic and auditory nerves are sent to the occipital lobe and temporal lobe to be described and processed, which involves many brain regions and the frontal lobe so that they can influence the respondent's abilities. The DEMASI method can be used as an educational medium for students and other school residents in an effort to improve their ability to self-evacuate in landslide disasters.

Pulmonary tuberculosis (TB) remains a major public health concern in Indonesia. Active family involvement in both prevention and treatment is crucial; however, many families have yet to fulfill their health-related responsibilities effectively. This study aimed to evaluate the effect of health education through the IKAT TB (Tuberculosis Health Information) application on family health responsibilities in the prevention and treatment of pulmonary TB. A pre-experimental design with a one-group pretest-posttest approach was used. The sample consisted of 46 respondents selected through total sampling. The intervention involved providing education via the IKAT TB application, and data were collected using a family health responsibility questionnaire. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed an increase in family health responsibility scores following the educational intervention. The Wilcoxon test produced a p-value of 0.000 (p < 0.05), indicating a significant difference between pre- and post-intervention scores. The findings suggest that health education delivered through the IKAT TB application is effective in enhancing family engagement in TB prevention and treatment. Digital media platforms such as mobile applications offer accessible information and can strengthen family involvement in TB care.

Illegal logging is one of the leading causes of environmental degradation, triggering natural disasters such as floods, landslides, and droughts. Children of Generation Alpha, who are still in the cognitive development stage, are considered vulnerable due to their limited understanding and preparedness for such disasters. This community service program aimed to enhance elementary school students’ awareness and knowledge of disaster mitigation through educational media in the form of printed comics. The activity was conducted by the KKN Team of Universitas Ivet Semarang at SDN Plalangan 02, involving 24 students from grades 3 and 4. The procedure consisted of preliminary observation to assess school needs, comic development on the theme of illegal logging-related disaster mitigation, delivery of the material through comic reading sessions, interactive discussions, and evaluation through pretest and posttest. The pretest results showed that most students were in the "moderate" knowledge category (45.8%). After the intervention, 75% of students reached the "good" category. The Wilcoxon test yielded a significance value of p = 0.001 (p < 0.05), indicating a statistically significant difference in students’ knowledge before and after the intervention. Printed comics proved effective in conveying complex disaster mitigation content in a visually engaging and narrative-driven format. The approach aligns with the characteristics of Generation Alpha, who are highly responsive to visual media. It is recommended that printed comics be further developed and integrated into disaster education programs in elementary schools, especially those located in disaster prone areas.

This study aimed to improve the English learning outcomes of 9B grade students at UPT SMP Negeri 28 Medan in the 2024/2025 academic year through the implementation of the Student Teams Achievement Division (STAD) method. This research applied a Classroom Action Research (CAR) approach conducted in two cycles. Data were collected through learning outcome tests administered in the pre-cycle, Cycle I, and Cycle II. The results showed that the STAD method improved students’ average scores from 67.125 in the pre-cycle to 73.75 in Cycle I, and further to 78.81 in Cycle II. The percentage of students achieving the Minimum Mastery Criteria (KKM) increased from 25% to 78.1%. The Wilcoxon test indicated a statistically significant difference in learning outcomes before and after the intervention. The findings suggest that the STAD method is an effective cooperative learning strategy to enhance students’ English performance and foster collaborative classroom skills. Nevertheless, teachers must consider individual differences within teams to ensure equitable learning experiences for all students.

Iron deficiency anemia (ADB) is anemia that arises due to reduced iron supply for erythropoiesis, due to empty iron stores (depleted iron stores) which ultimately results in reduced hemoglobin formation. This study aims to determine the effect of giving blood supplement tablets on HB levels in female students suffering from anemia at SMAN 1 Tambakboyo, Tuban Regency. The research design used a pre-experiment using a one group pre test post test approach, with a total sampling technique on a population of 34 female students suffering from anemia in class X and analyzed using the Wilcoxon test. The instruments in this research were Standard Operating Procedures (SOP), hemoglobin level observation sheets and Easy Touch GCU brand hemoglobin measuring equipment. The results of the study showed that the average HB level before 10.17 g/dl and after 15.46 g/dl given blood supplement tablets was normal. The results of the Wilcoxon test obtained a significant value of p=0.000 (p<0.05), which means that there was a significant difference in the HB levels of class X female students before and after being given blood supplement tablets. Health workers, especially in school health offices, should provide blood supplement tablets at the right time so that female students can take the blood supplement tablets regularly and finish them.

Hypertension is referred to as “the silent killer”, the World Health Organization (WHO) estimates that 29% of the world's population will experience hypertension in 2025, the potential increase in essential hypertension in adolescents can continue into adulthood due to lifestyle changes. So, it is necessary to provide nutrition education as a prevention of hypertension through the media of card games. The purpose of this study was to determine the effect of nutrition education on the prevention of hypertension through card game media on increasing the knowledge and attitudes of adolescents at SMAN 1 Krian. This type of research is quasi-experimental with Two Group Pre test-Post test Control Group Design. The research sample was 48 adolescents at SMAN 1 Krian, divided into experimental and control groups. Knowledge data with multiple choice knowledge test and attitude from attitude questionnaire using linkert scale. Data analysis of the Wilcoxon test was 0.00 < 0.05 for the increase in knowledge in the control group and the experimental group, while the increase in attitude was 0.00 < 0.05 for the control group and the experimental group. Data analysis using the Mann-Whitney Test (p>0.05), obtained a different test for increasing knowledge (0.22> 0.05), while a different test for increasing attitudes (0.02 < 0.05).  The results showed that there was no significant difference in nutrition education on the prevention of hypertension through card game media on improving knowledge, while there was a significant difference in nutrition education on the prevention of hypertension through card game media on improving adolescent attitudes at SMAN 1 Krian.

Background: Normal delivery is a significant moment in a mother's life, marked by the expulsion of the fetus after a full-term pregnancy, typically between 37 to 40 weeks, accompanied by intense uterine contractions. During the active phase of labor, mothers often experience peak pain due to increased frequency and strength of these contractions. One effective method to alleviate this pain is through counter pressure massage. This study aims to explore the differences in pain intensity among mothers in the active phase of labor before and after the application of counter pressure massage at RSU Permata Hati Klungkung. Method: This study used a pre-experimental design and purposive sampling technique. The population in this study were all mothers who underwent normal delivery in September to November 2024 with a total of 80 people, until a sample of 39 participants was determined. Data were collected through observations using a rating scale based on the Numerical Rating Score. Result: Data analysis was performed using the Wilcoxon test, revealing that the average pain score before the massage was 6.92, which decreased to 3.20 afterward. The Wilcoxon test yielded a p-value of 0.001, indicating a significant difference in labor pain intensity. Conclusion: This study shows that there is a difference in pain intensity before and after counter pressure massage is performed on mothers giving birth in the first active phase at Permata Hati Hospital, Klungkung with a p-value of 0.001.

Background: Stress faced by students is caused by academic stress, namely stress caused by the learning process on campus and the impact of lectures. Stress with an optimal level can improve learning ability, and excessive stress can cause health problems. One relaxation technique that can be used to reduce stress is PMR (Progressive Muscle Relaxation) therapy. This study aims to determine the Effect of Progressive Muscle Relaxation (PMR) Therapy to Reduce Stress in Nursing Students of STIKes Buleleng in Facing the SKS Load. Method: This study employed a pre-experimental one-group pre-test and post-test design with a total sample of 76 students. Data were collected using the DASS-21 questionnaire. The statistical test used was the Wilcoxon test. Results: The results of this study indicate that the sig. (2-tailed) or p-value = 0.000. Since the p-value is less than 0.05, the null hypothesis (H0) is rejected, and the alternative hypothesis (Ha) is accepted. Conclusion: There is an Effect of Progressive Muscle Relaxation (PMR) Therapy to Reduce Stress in Nursing Students of STIKes Buleleng in Facing the SKS Load.

Reproductive health is an important aspect in improving the quality of life of the community, but the level of knowledge about reproductive health is still relatively low due to cultural factors, social norms, and limitations of the educational methods used. This study aims to analyze the effectiveness of the peer educator method in increasing the level of reproductive health knowledge of the community in the Akelamo Community Health Center, Tidore. This study used a pre-experimental design with a one-group pretest-posttest approach. The study sample consisted of 24 respondents selected using a total sampling technique. The intervention was carried out through reproductive health education using the peer educator method in small groups. Measurements of knowledge levels were carried out before and after the intervention using a standardized questionnaire. Data analysis used the Wilcoxon test with a significance level of p < 0.05 . The results showed an increase in the average knowledge score from 56.3 before the intervention to 78.5 after the intervention. Statistical tests showed a significant difference between the levels of knowledge before and after the intervention (p = 0.001). These results indicate that the peer educator method is effective in increasing public reproductive health knowledge .

Breast Self-Examination (BSE/SADARI) is a practical and effective approach for the early identification of breast cancer, with the potential to reduce mortality rates by approximately 25–30%. Women who have limited Adequate understanding of breast cancer and Breast Self-Examination (BSE) necessitates appropriate health education beginning in adolescence. This study sought to assess and examine changes in the knowledge and skills of Women of Childbearing Age (WCA/WUS) in performing BSE before and after health education at the Butong Community Health Center, Central Kalimantan. This research employed an analytical survey design. The findings demonstrated a substantial improvement in participants’ knowledge of BSE, increasing from 21% in the good category during the pretest to 83% in the good category after the intervention. Prior to the educational session, 98% of WUS were unable to perform BSE correctly; however, following counseling, 95% were able to carry it out properly. The Wilcoxon test yielded a significance value of 0.000 (p < 0.05), indicating that the counseling intervention had a statistically significant impact on both knowledge and practical ability related to BSE. Therefore, collaboration among village authorities, healthcare providers, and the community is strongly recommended to routinely conduct educational programs in order to enhance awareness and skills in the early detection of breast cancer.

The use of formula milk for infants is still common in the early stages of life and has the potential to hinder successful breastfeeding, even though the benefits of breast milk have been widely proven. Education and lactation counseling are considered important strategies to support breastfeeding practices and reduce the unnecessary use of formula milk. However, empirical evidence on the effectiveness of lactation counseling in reducing the intensity of formula milk use is still limited, especially in the context of primary health care in Indonesia. This study aims to analyze the effectiveness of lactation counseling in reducing the intensity of formula feeding in infants. This study uses a quantitative approach with a one-group pretest–posttest pre-experimental design. The sample consisted of 20 mothers who had infants and met the inclusion criteria in the Popayato Community Health Center working area, selected using total sampling technique. The intervention took the form of structured lactation counseling provided by health workers. The intensity of formula feeding was measured before and after the intervention using a structured questionnaire. Data analysis was performed descriptively and bivariately using the Wilcoxon Signed Rank Test. The results showed a decrease in the intensity of formula feeding after lactation counseling. The Wilcoxon test showed a significant difference between the intensity of formula feeding before and after education (p = 0.000). Lactation counseling was proven to be effective in reducing the intensity of formula feeding in infants. This educational intervention has the potential to be an important promotional strategy in maternal and child health services to support more optimal breastfeeding practices..

The third trimester of pregnancy is a critical period with increased risks of obstetric complications, necessitating adequate knowledge of pregnancy danger signs. The Pregnant Women's Class (Kelas Bumil) is a preventive and educational initiative in antenatal care designed to enhance knowledge and preparedness among pregnant women. This study aimed to assess the impact of the Pregnant Women's Class on the knowledge of pregnancy danger signs and changes in hemoglobin levels among third-trimester pregnant women. Using a quasi-experimental pretest-posttest design, the study involved 30 pregnant women selected through purposive sampling. Knowledge was assessed via structured questionnaires before and after attending the class, while hemoglobin levels were measured at both intervals. Univariate and bivariate analyses were conducted, with the Wilcoxon test used for comparing pre- and post-intervention data (p < 0.05). Results revealed a significant increase in knowledge levels, with most women showing good knowledge after the intervention. Hemoglobin levels also improved significantly (p = 0.001). These findings demonstrate that the Pregnant Women's Class effectively enhances both cognitive knowledge and health status in pregnant women. In conclusion, strengthening and sustaining the Pregnant Women's Class should be a continuous part of integrated antenatal care to improve maternal health outcomes.

Background: Exclusive breastfeeding is essential for infant growth, immunity, and overall health. However, many breastfeeding mothers experience difficulties in maintaining exclusive breastfeeding due to improper breastfeeding techniques, low maternal knowledge, and lack of guidance from health workers. Proper application of breastfeeding techniques, including correct latch-on, positioning, and frequency, can improve breastfeeding consistency and prevent early weaning (Sari, 2020; Putri, 2021). Objective: This study aimed to determine the effect of the application of breastfeeding techniques on the consistency of exclusive breastfeeding in breastfeeding mothers at the Dambalo Community Health Center. Methods: A quantitative, pre-experimental study with a one-group pretest-posttest design was conducted. Thirty breastfeeding mothers were selected using purposive sampling based on inclusion criteria, including mothers of infants aged 0–6 months who were willing to participate and had no medical conditions preventing breastfeeding. Results: All 30 participants (100%) applied the recommended breastfeeding techniques after the intervention. Following the intervention, 27 mothers (90%) consistently practiced exclusive breastfeeding, while three mothers (10%) showed partial improvement. Statistical analysis using the Wilcoxon signed-rank test revealed a significant difference in exclusive breastfeeding consistency before and after the intervention (p = 0.000), indicating that the application of proper breastfeeding techniques significantly improved breastfeeding practices. Conclusion: The application of breastfeeding techniques has a significant positive effect on the consistency of exclusive breastfeeding among mothers at the Dambalo Community Health Center. Structured guidance and practical support from health workers, particularly midwives, are essential to improve maternal skills, reinforce proper practices, and ensure the health and growth of infants.