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Tuberculosis (TB) is a disease that is ranked 10th with the highest number of deaths. Side effects caused by Anti-Tuberculosis Drugs (OAT) are often experienced by TB patients and result in physical disorders that reduce the quality of life of TB patients. This study aims to analyze the relationship between OAT side effects and the quality of life of TB patients at the Banyuglugur Community Health Center The research design in the study used a cross sectional approach. The population of this study was all TB patients in the Banyuglugur health center working area who underwent treatment for <6 months according to the inclusion criteria in January 2022 - May 2023, totaling 40 people using the Total Sampling sampling technique. Data were collected using a questionnaire on OAT side effects and quality of life. The analytical test used was the Spearman Rank test. The results of this study showed that the side effects of OAT in 27 TB patients (67.5%) were severe and the quality of life of 31 TB patients (77.5%) was poor. The results of the analysis show a p value of .001 (smaller than 0.05), so there is a significant linear relationship between the OAT side effect variable and the quality of life of TB patients at the Banyuglugur Community Health Center. This research shows that the side effects experienced by TB sufferers, both mild and severe, greatly affect the quality of life of TB patients. Health workers must always carry out routine monitoring of OAT side effects experienced by TB sufferers and treat them as soon as possible so that they do not affect the quality of life of TB patients in terms of physical, nutritional or psychological aspects in order to prevent them from dropping out of treatment.

Men's participation in the Family Planning (KB) program is still very minimal due to the limited choice of contraceptive methods. Efforts need to be made to develop contraceptive methods, one of which is using natural ingredients. Bitter melon (Momordica charantia L) is known to have potential benefits as a male antifertility agent. This research used an experimental design with a sample size of 20 mice divided into 4 groups randomly. Treatment groups 1-3 were given different doses, namely 100, 80, 60 mg of bitter melon ethanol extract/100g BW/day, and the control group was given distilled water for 35 days. The mice were sacrificed the day after the last dose, then spermatozoa were collected from the epididymis and their number, motility, viability and morphology were examined. The results of this study showed a significant decrease in the number and motility of spermatozoa and was directly proportional to the size of the dose given. In terms of viability parameters, there was a significant decrease at all doses. Meanwhile, for spermatozoa morphology, only a dose of 100 mg had a significant impact. The conclusion from the results of this research is that giving bitter melon fruit extract has an effect on the number, motility, viability and morphology of spermatozoa. The most effective dose is 100 mg/100 gBB/day.

This study aims to determine the effect of the effectiveness of abdominal stretching exercises and warm compresses on dysmenorrhea pain in young women at MTS Tanwiriyyah Cianjur in 2022. Young women often experience pain during menstruation (menstruation), causing discomfort, especially in daily activities. This complaint is not very good for adolescent development. By using non-pharmacological treatment, namely abdominal stretching exercises and warm compresses for dysmenorrhea pain, it can reduce pain in young women. This research method uses a quantitative research design with a quasi-experiment method with a two group pre-test and post-test design. Results achieved based on the research results in the stretching group was 80.0%, and the results of the Pairet Sample t test with a P value of 0.004 < 0.005. Meanwhile, in the warm compress group, it was 86.7% with Pairet Sample t test results with P Value 0.000 < 0.005. The conclusion of the research shows that there is an influence of the effectiveness of abdominal stretching exercises and warm compresses on dysmenorrhea pain in young women at MTS Tanwiriyyah Cianjur in 2022.

The third trimester of pregnancy is the gestational age from 29 weeks to about 40 weeks and ends with the baby being born. Pregnant women entering the third trimester of pregnancy will experience lower back pain due to enlarged uterus and changes in the center of gravity causing discomfort in daily activities. One of the treatments to help reduce low back pain in third trimester pregnant women is progressive muscle relaxation. This type of research is quantitative research using quasy experimental with a one groups pre test-post test design approach and sampling using purposive sampling technique. The research location at the Kagok Health Center with 19 respondents. The instrument used to assess dysmenorrhea pain is the Numeric Rating Scale (NRS). The research data were analyzed using a statistical test, namely the Wilcoxon test. The results of this study indicate that there is an effect of giving progressive muscle relaxation measures to the level of dysmenorrhea pain with a p value of 0.00 (<0.05).

Hypertension is one of the most common cardiovascular diseases and is most common in society. Hypertension is now a major problem for all of us, not only in Indonesia but in the world, because hypertension is a risk factor for heart disease, kidney failure, diabetes and stroke (Indonesian Ministry of Health, 2019). Data from the World Health Organization (WHO) in 2018 shows that around 1.13 billion people in the world have hypertension, meaning that 1 in 3 people in the world are diagnosed with hypertension. The number of people with hypertension continues to increase every year, it is estimated that by 2025 there will be 1.5 billion people affected by hypertension and it is estimated that every year 10.44 million people die due to hypertension and its complications (Ministry of Health, 2019). Based on Riskesdas 2018, the prevalence of hypertension based on measurement results in the population aged 18 years was 34.1%, the highest in South Kalimantan (44.1%), while the lowest was in Papua (22.2%). Hypertension occurred in the age group 31-44 years (31.6%), age 45-54 years (45.3%), age 55-64 years (55.2%). From the prevalence of hypertension of 34.1%, it is known that 8.8% were diagnosed with hypertension and 13.3% of people diagnosed with hypertension did not take medication and 32.3% did not regularly take medication. This shows that the majority of hypertension sufferers do not know that they have hypertension and therefore do not receive treatment (Ministry of Health, 2019).

Cuts are defined as a form of damage or loss of body tissue caused by a sharp object. Incision wounds are also called incision wounds which are a type of acute wound. The method used in this research is an experimental method which aims to determine the presence of wound healing activity of extract and spray gel of nipah leaf extract (Nypa fruticans. Wurmb) as well as test the physical quality of spray gel preparation using New Zealand White (male) rabbits. There were 4 test animals divided into 4 groups, the sample was divided into 4 groups, namely the positive control group with Hansaplast spray and the negative control spray gel preparation without extract, the treatment group Nipah leaf extract gel spray (Nypa fruticans. Wurmb) with extract concentration 2 %,3%,5%. In nipah leaves (Nypa fruticans. Wurmb) there are compounds such as alkaloids, flavonoids, and saponins. This study proved that the ethanol extract of nipah leaves (Nypa fruticans. Wurmb) could be used as an anti-inflammatory, the result was that the ethanol extract gel preparation of nipah leaves (Nypa fruticans. Wurmb) had activity towards wound healing in rabbits

Background; Emesis gravidarum is a physiological thing but if it is not treated immediately it will become a pathological thing. Most emesis gravidarum can be treated with outpatient treatment, but a small number of pregnant women cannot cope with nausea and vomiting, so that it interferes with their daily activities and falls into a condition called hyperemia gravidarium. From these problems can be overcome by being given a treatment that can reduce nausea and vomiting in pregnant women in the first trimester, namely PC6 acupressure point. Objective; Knowing the effect of PC6 point acupressure on reducing the frequency of emesis gravidarum. Method; In this study using a quantitative design with an experimental approach to the design of one group pre test post test. The data analysis technique uses the Wilcoxon test. Sample; the sampling technique used in this study was quota sampling with a sample size of 28 respondents. Results; Based on the results of the analysis with the Wilcoxon test, the p value was obtained - 0.000 or (0.000) < (-0.05) then H0 was rejected and H1 was accepted. So it can be concluded that there is an effect of PC6 acupressure on the frequency of Emesis gravidarum in first trimester pregnant women at the Independent Practice of Midwife Yohana Puspiyati A.Md Keb Mukiran, Kaliwungu, Semarang. Conclusion; There was a decrease in emesis gravidarium after PC6 point acupressure was performed on first trimester pregnant women.

, This research aims to determine: the effectiveness of audio-visual learning media on Writing Skills, Personal Experiences of Class IV students at Rappojawa State Elementary School. This type of research uses a descriptive quantitative approach with a type of experimental research. Experimental research involving one class, this research includes pretest, treatment and posttest tests. This design was used because this research only involved one class, namely the experimental class which began with a pretest before being given treatment and a posttest after being given treatment. The results of the research show that the use of audio-visual media on writing skills. Personal Experience of Grade IV students at Rappojawa State Elementary School is effective, as can be seen from. The average score of the Indonesian language learning results test in writing Personal Experiences using audio-visual media is 87.20 with a standard deviation of 4.10. From these results it was found that 26 students (100%) had achieved individual completeness and this means that classical completeness had been achieved. achieved, there was effectiveness in student learning outcomes after applying audio-visual learning media because the average value of the normalized N-Gain Test results was 0.70 and was generally in the medium and high categories. From the results of this research, it can be concluded that audio visual media is applied in Indonesian language learning in class IV of Rappojawa State Elementary School, there is significant effectiveness in the use of audio visual media in improving Personal Experience writing skills.    

Background: The results of an interview with Dr. Gunawan Leonard, the incidence of OA Genu is often complained of by female patients at the Primary Metro Pundu clinic. This is due to long working hours and hard work. Management from the clinic still uses pain relievers such as ibuprofen. Long-term use of this drug will cause side effects on the body. To minimize these side effects, the researchers carried out non-pharmacological treatment with acupressure at the ST 36, ST 35, EX-LE 2, EX-LE 4, and BL 40 points in reducing OA pain. Objective: To determine the difference before and after being given acupressure in reducing OA pain in perimenopausal women. Method: This type of research is quantitative. The population of this study were all women of perimenopausal age who had osteoarthritis genu at the Metro Pundu Primary Clinic, Central Kalimantan, as many as 32 people. The number of samples used Freder's formula was 20 samples, and data processing used Shapiro Wilk for the normality test to obtain normally distributed data results and paired sample t test with the results of ha accepted. Results: There was a decrease in OA pain scale in perimenopausal women before and after being given acupressure treatment, This shows the effect of acupressure in reducing genu osteoarthritis pain in perimenopausal women.

Background: Childbirth is a series of events when a baby is released from the mother's womb, followed by the expulsion of the placenta and fetal membranes from the mother's body. The main problem that is usually complained of by labor patients in labor during the first active phase is that pain causes the mother to feel stressed and excessively worried. Respiration and pulse will also increase thereby disrupting the supply of fetal needs from the placenta. The simple way that can be done to reduce labor pain is to give endorphins massage. Objective: Knowing the analysis of differences in pain intensity in the active phase of labor in the first stage of labor before endorphin massage and after endorphin massage. Method: This study used a quasy experimental design. This type of research is pre-experimental design with one group pret test-post test design. Results: The results of the study obtained by the researchers were 20 respondents during the active phase of the first active phase of brenatal mothers who experienced severe pain with a scale of 7-9 and very severe 10 as measured by a numeric rating scale. Before doing the endorphin massage, it was found that those who experienced pain on average had a minimum of 5 and a maximum of 10 after the endorphin massage had an average minimum of 4 pain and a maximum of 9. Conclusion: There is a difference in the decrease in pain intensity in labor in labor during the 1st active phase before and after being given endorphine massage treatment.

Nurses must correctly identify patients as people who will be given certain services or treatment, this must be done by adapting the service or treatment to each patient. This identification process requires at least two ways of identification, such as name, identification number, date of birth, barcoded bracelet or others. The aim of this research is to analyze the behavior of nurses in wearing patient identification bracelets in the children's inpatient installation at RSUD. Dr. RM. Djoelham Binjai. This research uses qualitative research (In-depth interviews). From this research, the sample consisted of 6 (six) people, namely 1 key informant and 5 main informants. The results of the research are that not all nurses know about the Fixed Procedure (PROTAP) for using patient identification bracelets in the class III children's inpatient room at Dr. RSUD. R.M. Djoelham Binjai is good, not all nurses' attitude in carrying out the Permanent Procedure (PROTAP) for wearing patient identification bracelets in the class III children's inpatient room at RSUD Dr. R.M. Djoelham Binjai is not yet good, not all of the nurses' actions were correct in carrying out the Permanent Procedure (PROTAP) for wearing patient identification bracelets in the class III children's inpatient room at Dr. R.M. Joelham Binjai, Suggestions are expected for hospital management to avoid things that are undesirable for babies to also wear identity bracelets, not just mothers. Protap disseminates affirmations and hospital policies that include rewards and punishments for nurses so that there are no mistakes in identity. And continues to provide socialization, education and understanding of the importance of nurse behavior when installing patient identification bracelets in pediatric inpatient rooms.

Hospitals are an integral part of social and media organizations whose function is to provide comprehensive health services to the community, both curative and rehabilitative, where hospital services reach family and environmental services. The aim of the study was to analyze the effect of the quality of health services on patient satisfaction in the inpatient room of the Medan Indonesian Workers' Imelda Hospital. The research design used in this study was an analytic survey with a cross sectional design. The population in this study were all patients who were treated from November 2022 to February 2023 in the Inpatient Room of the Imelda Indonesian Workers Hospital in Medan, totaling 167 people. The number of samples to be examined by the entire population is 62 people. Data analysis was performed using univariate, bivariate and multivariate analysis. The statistical test used is the chi square test and logistic regression. The results of the chi square test showed that there was an influence of 8 variables, namely technical competence, human relations, effectiveness, efficiency, continuity, security, human relations and convenience, which had a p-value <α 0.05, meaning technical competence, human relations, effectiveness, efficiency, continuity, security, human relations and comfort affect patient satisfaction in the inpatient room of Medan Indonesian Workers Imelda Hospital, and the multivariate test with the results of multiple logistic regression tests shows that the variable of technical competence is the most dominant with an odds ratio (OR) of 45,348 meaning 4 times affect patient satisfaction. The conclusion was that the dominant technical competency variable had the most influence on patient satisfaction in the inpatient room of Imelda Indonesian Workers Medan Hospital. It is recommended for the hospital to make policies in order to improve technical competence in the treatment room so as to produce optimal patient satisfaction..

Background: The birthing process can affect breast milk production because it tends to cause lactogenesis to be slower. This is one of the factors why breast milk is not smooth at the beginning of the birth period. One treatment that can be done to facilitate breast milk production is by consuming Black Seed. Because black seed contains lagtogonum which functions to facilitate breast milk production. Objective: To determine the effect of giving black seed on the smooth production of breast milk in breastfeeding mothers at PMB Bidan Ning, Tawangmangu District. This research method uses a quasi-experimental method with a post test control group design. The research sample used accidental sampling, totaling 30 breastfeeding mothers on days 3-14 after giving birth who were divided into 2 groups, namely 15 control groups and 15 experimental groups. Results: The results of bivariate analysis using the Mann-Whitney test showed that the results for the black seed experimental group and the control group were p=0.000. Conclusion: There is a significant difference in the smoothness of breast milk between those given black seed and those not given black seed in PMB Bidan Ning, Tawangmangu District.

Dysmenorrhea is a medical condition that occurs during menstruation or menstruation, which can interfere with activities and requires treatment. Characterized by pain or tenderness in the abdomen or pelvis. The impact of dysmenorrhea is reduced concentration when studying, hampered sports activities and reduced time for social activities. With the increase in Covid-19 cases, people are becoming anxious if they have to come to health services for fear of contracting Covid-19. One action to reduce dysmenorrhea pain is using a warm compress combined with music therapy. This research is quantitative research using quasi-experimental research using a one-group pre-test-post-test design method and purposive sampling techniques. The location where the research will be conducted is STIKES Kesdam IV/Diponegoro with 30 respondents. The Numeric Rating Scale (NRS) is a tool used to evaluate dysmenorrhea pain. The Wilcoxon test was used to analyze research data. The results of this study show that giving a warm compress has an effect. with a combination of music therapy on the level of dysmenorrhea pain with a p value of 0.00 (<0.05).

Backgound: Dysmenorrhea is a medical condition during menstruation that hinders women from doing activity because of soreness or pain in the abdomen or pelvis. Dysmenorrhea can be found in some women in different ages including teenage girls. In Indonesia the rate of dysmenorrhea is approximately around 64,25% consisting of 54,89% of primary dysmenorrhea and 9,36% of secondary dysmenorrhea. If it is not appropriately treated, the symptoms could interrupt daily activities. A non-pharmacology therapeutic method that alleviates pain can be applied using hot water compression (37-40C) for about 15 minutes. Research Objective: The research purpose is to investigate and discover the effect of hot water compression method for the teenage girls at SMP Takhasus Al-Quran Wonosobo. Research Methods: This research employs a pre-experimental design (Pre-test – Treatment – Post-test). The data was collected from respondents that were made up of 33 populations and 30 sampling of teenage girls using random sampling methods before it was analysed by Wilcoxon signed test. Result:  The average scale of pain before treatment by hot water compress was 5,67, while after the care, were decreasing to 4,03 scale. Conclusion: Hot water compress has a positive response in decreasing the dysmenorrhea pain for teenage girls at SMP Takhasus Al-Quran Wonosobo.

Giving breast milk to babies is very important to support the baby's growth and development, and breast milk contains the best nutrition for newborn babies and is the only healthy food that babies need in the first month of life. However, not all mothers can provide exclusive breast milk for their babies, this is due to the mother's inability to overcome breastfeeding problems in the early period due to several factors that influence breast milk production including socio-cultural changes, psychological factors, physical factors of the mother, increasing promotion of formula milk, staff factors. health, mother's diet, baby's birth weight, use of contraception. One method of care that can be given to mothers to support smooth breastfeeding is an Oxytocin massage during home care services. The research aims to determine the effect of oxytocin massage on breast milk production in postpartum mothers, Bulukumba Regency. The design used in this research was Case Control and the sample in this research was 10 respondents. And the measuring instrument in this research uses a measuring cup. The results showed that breast milk production before the oxytocin massage treatment was 0% smooth and after the oxytocin massage treatment the average increase in breast milk production was 0.4 with the amount of smooth breast milk being 100%. Meanwhile, in the control group there was no increase in breast milk production. The results of the statistical test using the dependent t-test showed that the value was p=0.003, meaning there was a significant difference before the oxytocin massage and after the oxytocin massage. Conclusion There is an effect of Oxytocin Massage on breast milk production in postpartum mothers in Bulukumba Regency.

Background: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia. Type 2 diabetes mellitus is the most common type of diabetes mellitus, accounting for about 90% of all diabetes cases. If not treated immediately can cause damage to the eyes, kidneys, heart disease, hypertension, stroke and even cause gangrene. One of the non-pharmacological treatments is progressive muscle relaxation therapy. Objective: To determine changes in blood sugar levels in patients with type 2 diabetes mellitus before and after progressive muscle relaxation therapy. Method: Descriptive method with a case study approach to 2 respondents in Jengglong Hamlet, Karanganyar Regency. The duration of giving progressive muscle relaxation therapy to respondents was 20 minutes in the morning and evening for 7 days from 25 May 2023 to 31 May 2023. Results: The blood sugar levels of the two respondents before applying progressive muscle relaxation therapy were 243 mg/dL and 255 mh/dL. After application, blood sugar levels dropped to 167 mg/dL and 221 mg/dL. Conclusion: The application of progressive muscle relaxation is able to reduce blood sugar levels in both type 2 diabetes mellitus patients in Jengglong Hamlet, Karanganyar Regency.

Background of study: Diabetic ulcers is a complication of diabetes mellitus resulting from sensory, motor, autonomic neuropathy and/or vascular disorders of the limbs. One of the diabetic ulcer treatment techniques is using aloe vera gel. Aloe vera contains anti-bacterial, anti-inflammatory and can repair tissue damage of diabetic ulcers. Objective: to determine changes and developments after applying aloe vera gel to diabetic ulcer wound healing. Methods: This research uses descriptive case studies by observing nursing care for diabetic ulcer patients using aloe vera gel at the Rasika Gunungkidul Wound Clinic with an application 6x and application is carried out every 2 days using the Bates-Jensen Wound Assessment Tool. Results: The results of the assessment score before application in respondent 1 score 32 points with categories wound degeneration and respondent 2 score 21 points with categories wound degeneration. After application with aloe vera gel the score on respondent 1 was 21 points with categories wound degeneration while on respondent 2 was 10 points with categories wound regenration. The two respondents had a decrease in score which indicated that the wound had progressed significantly. Conclusion: The application of aloe vera gel can be used as an effective non-pharmacological method for diabetic ulcer wound.  

Elderly sleep disorders in Indonesia are quite high, namely 67%. Non-pharmacological treatment of sleep disorders can use warm water. Sleep disturbances have a negative impact, such as the elderly not being able to sleep at all at night and having nightmares. Warm water is able to provide relaxation which creates a feeling of comfort so that it can improve sleep quality. Objective : To determine the effect of soaking feet using warm water on the sleep quality of the elderly. Methods: The method used is descriptive with a pretest and posttest to 2 respondents in Cantel Kulon Sragen, the duration of soaking feet in warm water for 15 minutes with a water temperature of 40°C for 5 consecutive days on 25 May 2023-29 May 2023. Results : The sleep quality scores of the two respondents before the therapy were 12 and 10. After the therapy they were 7 and 6. Conclusion: Soaking feet in warm water for 15 minutes can improve sleep quality.    

Background: Anemia in pregnant women when the hemoglobin level is below 11gr/dL. Dates are one of the non-pharmacological therapies in the treatment of anemia. Research objective: to determine the effectiveness of giving dates to increase hemoglobin levels in anemic pregnant women. Research method: This research design uses experimental methods. In this study using the research design Two Group Pre test Post test Control Design. The population in this study were all pregnant women at the Independent Midwife Practice, a total of 50 people who experienced anemia. The sample studied was 20 pregnant women who experienced anemia. The experimental group was given 7 dates of dates every day for 7 days and the control group only consumed Fe tablets. Results: The average value of hemoglobin levels in the pretest control group was 10.090 ± 5685 gr/dl while the posttest was 10.210 ± 0.4999 gl/dl. The average value of hemoglobin levels in the pretest treatment group was 10.100 ± 0.6360 gl/dl while the posttest was 11.310 ± 0.7608 gl/dl. The Mann Witney test showed that the difference in hemoglobin levels between the treatment group and the case group resulted in a p value of 0.004 <0.005, which means that there was a difference in the results of hemoglobin levels between the dates given group and the case group. Conclusion: dates are effective in increasing hemoglobin levels in anemic pregnant women.