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Hypertension, often called the "silent killer," is a leading non-communicable disease contributing to high mortality and morbidity, particularly in the elderly. As individuals age, peripheral blood vessel elasticity decreases, increasing vascular resistance and leading to systolic hypertension, commonly seen in older adults. Hypertension requires long-term treatment, which can result in non-compliance among elderly patients. Family support plays a crucial role in assisting and encouraging adherence to treatment regimens. This quantitative correlation study, with a cross-sectional approach, aimed to examine the relationship between emotional family support and treatment compliance in elderly hypertensive patients. The study was conducted at the Sei Agul Health Center, with a sample size of 65 elderly individuals selected using the Slovin formula and purposive sampling technique in October 2023. The Morisky Medication Adherence Scale (MMAS-8) was used to measure treatment compliance, while the emotional support instrument was developed by the researcher. Data were analyzed using the chi-square test, showing a significant relationship between emotional family support and treatment compliance (p-value < 0.05). The findings conclude that emotional support from family positively influences the compliance of elderly patients undergoing hypertension treatment at the Sei Agul Health Center. Health workers are encouraged to involve families in supporting hypertensive patients to enhance treatment outcomes.

Providing Complementary Food with Breast Milk (MP-ASI) to babies must pay attention to the recommended Nutritional Adequacy Rate (AKG) based on age group and food texture that is appropriate to the development of the toddler's age. This research aims to determine the relationship between maternal knowledge and attitudes and the provision of complementary foods for breast milk (Mp-Asi) in children aged 6 - 24 months at the Laubaleng Community Health Center, Karo Regency in 2023. This type of research is research using an analytical survey with a cross sectional method approach. The population is all mothers who have children aged 6 - 24 months, totaling 46 people. The number of samples used was 46 people obtained using the total sampling technique. The data analysis technique uses chi square. The results obtained in this study were that from 46 respondents, there was a relationship between maternal knowledge and the provision of complementary foods for breast milk (MP-ASI) in children aged 6 - 24 months, showing that the p value = 0.023 < 0.05. It is recommended for Health Workers to increase education regarding Complementary Feeding for Breast Milk (MP-ASI).

This study aims to determine the effect of classical music therapy on pain intensity in active phase in-partu mothers during the first stage of labor at the Independent Midwife Practice of Pertiwi Sengkang, Wajo Regency. This type of research is quantitative research using the Pre-experimental design method "One Group pretest - posttest design". The sampling technique used in this study used total sampling with a total sample of 30 mothers giving birth at the Pertiwi Sengkang Midwife Independent Practice, Wajo Regency, while data analysis used the Wilcoxon Signed Rank test. The results of the study showed a p-value of 0.000 (p <0.05) which means that the alternative hypothesis is accepted. This means that the alternative hypothesis is that there is an effect of classical music therapy on pain intensity in active phase in-partu mothers during the first stage of labor at the independent practice of midwives in Pertiwi Sengkang, Wajo district. By him, it is hoped that health workers, especially midwives as birth attendants, can help mothers in childbirth to meet their needs for comfort in controlling pain and can use classical music therapy in the delivery process which helps mothers in labor to reduce pain during labor.

The prevalence of gout in Indonesia is the fourth largest country in the world whose population suffers from gout. 35% of gout occurs in men over the age of 45 years. Joint disease in those aged 55-64 years is 45%. Age 65-74 years 51.9%. Age ≥ 75 years 54.8%. The incidence of joint disease based on diagnosis by health workers in Indonesia is 7.3 and based on diagnosis or symptoms 24.7% (RISKESDAS, 2018). This type of research is quantitative using a quasi-experimental research method with pre-test and post-test with control methods. The population of all elderly people suffering from gout who underwent examination and treatment in the Batu Aji Health Center UPT area, namely 140 people as of April 2021. The number of samples in this study was 30 people, divided into 15 elderly people in the experimental group and 15 elderly people in the experimental group. Control. Based on the results of research and data processing that has been carried out by researchers, regarding the effect of boiling bay leaf water on reducing uric acid levels in the elderly in the Batu Aji Health Center UPT area, Batam City in 2021 with a total of 30 respondents, consisting of 15 intervention groups and 15 control groups . The research carried out not only provides conclusions but also provides suggestions to various parties to help improve health and prevent complications in gout patients.

Non-Communicable Diseases (NCDs) such as hypertension, diabetes mellitus and heart disease are the main causes of morbidity and mortality in the elderly (elderly). The elderly need early detection and health promotion to reduce the risk of NCD complications and improve quality of life. This activity aims to increase awareness and understanding of elderly people in Barusari Village regarding the importance of early detection and control of NCDs, as well as providing health education through community-based health promotion. Implementation Method: Free Health Check: Carry out a health check to detect early signs of NCDs, such as measuring blood pressure, blood sugar levels, and checking cholesterol. Community-Based Health Promotion: Holding a health promotion campaign involving community leaders, elderly families, and health workers to create an environment that supports a healthy lifestyle for the elderly. Results: Increased public awareness about the importance of early detection and prevention of NCD complications. Elderly people who take part in health checks gain knowledge about their health conditions and are given referrals to health facilities if necessary. Conclusion: This activity was successful in increasing elderly participation in early detection and health promotion, as well as forming a community that is more concerned about controlling NCDs in the elderly group.

Background: To achieve optimal use of exclusive breastfeeding, it is stated in the Government Regulation of the Republic of Indonesia number 33 of 2012 concerning exclusive breastfeeding that health workers and health service facility providers are obliged to provide information and education on exclusive breastfeeding to mothers and/or family members. of babies who are cared for from the pregnancy check up to the end of the exclusive breastfeeding period. Method: The research carried out was a Narrative Literature Review (NLR). Results: There were 10 selected scientific articles ranging from 2017 to 2023. To increase the success of exclusive breastfeeding, appropriate health promotion strategies are needed, such as creating special Standard Operating Procedures (SOPs) for the promotion of exclusive breastfeeding, the availability of media and educational tools such as posters, leaflets, and providing training for health workers to increase the knowledge of health workers, especially midwives, as close contacts in providing counseling during pregnancy, postpartum and newborns. Conclusion: Health promotion during pregnancy can increase the success of exclusive breastfeeding.    

Immunization is an act of providing immunity to children against diseases that can be prevented by immunization before the age of 12 months, namely tuberculosis, polio, hepatitis B, diphtheria, pertussis, tetanus and measles. Complete and regular basic immunization by receiving all types of basic immunization when children are less than 11 months old can reduce morbidity and mortality rates for toddlers by around 80-95%. Incomplete basic immunization, maximum can only provide 25-40% protection. The role of a mother in the immunization program is very important, because the use of health facilities by babies/children is related to factors that influence the mother. The aim of this study was to determine the relationship between factors that influence mothers on basic immunization status in babies aged 12-24 months. This research uses a descriptive correlation design with a cross sectional approach. The number of samples in this study was 40 people. Sampling was taken using the total population. This research was conducted in Nauli Village, Sigumpar District, Toba Regency in 2023. The instrument in this research was a questionnaire. Data analysis used chi-square. From the research results, it was concluded that there was a significant relationship between maternal age with a value of p=0.001, education with a value of p=0.004, employment with a value of p=0.001, number of children with a value of p=0.000, and knowledge with a value of p=0.000 on basic immunization status . From this research, it is hoped that health workers will improve the quality of health services, health promotion efforts in the form of social support, namely improving the quality of health education, providing motivation in utilizing health services, especially immunization.

To achieve recovery, TB sufferers must have self-confidence about how serious the condition and symptoms of the disease are and the impact on daily life. So that TB sufferers are able to carry out treatment for a long period of time and TB sufferers have the confidence to recover from the disease. The aim to be achieved in this research is to analyze the success factors for treatment of pulmonary TB sufferers at the Imelda Workers Indonesian RSU in 2023. This type of research uses a descriptive analytical survey with a cross sectional design. The population in this study were all category I pulmonary tuberculosis patients who visited the Imelda Workers Indonesian Hospital from January to September 2023, a total of 118 people were sampled using the accidental sampling method while the sample was 91 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. Based on the results of the chi-square test, it is known that patient success influences knowledge, family support, supervision of taking medication and support from health workers with a value of p = 0.001, meaning that there is an influence of knowledge, family support, supervision of taking medication and support from health workers on the success of TB treatment. Lungs. From the results of the multivariate analysis, it is known that the most influential variable in this study is the medication monitoring variable with an OR value of 15.104. The conclusion in this study is that medication-taking supervisors are the dominant factor influencing the success of pulmonary TB treatment at the Indonesian Imelda Workers RSU. The advice given is in the form of instructions for using a daily insulated medicine box, using a smart calendar during treatment which is brought to you every time you come for treatment and in the current digital era, using the mHealth application is also very helpful in providing TB information notifications and reminders to take medication regularly for sufferers and PMOs.

Background: Cervical cancer is the fourth most common disease of the female reproductive system worldwide. The incidence of cervical cancer in the world is entering a critical period, where every year the incidence of cervical cancer is increasing. Until now, cervical cancer is the leading cause of death in developing countries. Aim: To find out about women's knowledge and attitudes towards cervical cancer. Method: Scoping review using Arksey and O'Malley frameworks, using databases from PubMed, EBSCO and Wiley. Result: A total of 14 articles from 2016-2021 used critical appraisal from JBI (Joanna Briggs Institute). Women's knowledge and attitudes towards cervical cancer have six themes. The first theme is knowledge about cervical cancer which consists of knowledge about risk factors, signs and symptoms and early detection of cervical cancer. The second theme is the attitude of women towards cervical cancer consisting of positive and negative attitudes. The third theme is the factors that influence knowledge consisting of age, education, family income and sexual frequency. The fourth theme of factors that influence attitudes is age and education. The fifth theme of information sources consists of mass media, family and friends, health workers and health services. Theme six is the barriers to accessing information and services consisting of a lack of awareness and the high cost of vaccination. Conclusion: Knowledge about cervical cancer in women is still low. Women only have a general idea of cervical cancer. However, women show a good attitude about cervical cancer screening, because cervical cancer can cause death and if early diagnosis of the disease is very helpful in preventing disease.      

Pregnancy and childbirth are natural events. Even though it is a natural event, sometimes pregnancy and childbirth are accompanied by risks in the form of complications for both the mother and baby. Complications of pregnancy, childbirth and postpartum are major health problems for women's health, because they are the biggest cause of maternal and infant mortality. The aim of this service is to socialize the importance of pregnancy checks to health workers in order to detect early danger signs of pregnancy. Data was collected through initial data observation and analysis of documents related to the socialization program. The results of this service activity show that the socialization program has been implemented well for pregnant women in the Kamonji Community Health Center working area and it has been proven that Antenatal Care visits have increased. During the process of this activity there were several obstacles such as pregnant women who were not willing to come to the activity location, pregnant women who happened to be busy with the socialization activity schedule. The final results show that pregnant women are aware of the importance of carrying out pregnancy checks with health workers to find out the danger signs of pregnancy. This activity is routinely carried out on an ongoing basis so that it can support health policy programs.

Anaemia is a public health problem that occurs throughout the world, especially in developing countries such as Indonesia, the prevalence of anaemia in women of reproductive age between the ages of (15-49) in the world in 2019 ranged as much as 29.9%. This study aims to determine the relationship between menstrual pattern variables and the incidence of anaemia. The design of this study was cross sectional. The sample in this study was 100 respondents. The hypothesis test used was the Chi-square test. The results of this study are that there is a significant relationship between menstrual patterns and the incidence of anaemia in adolescent girls at SMPN 6 Tapung Kampar Regency in 2023, the value of P value = 0.002 OR (95% CI: 1.778-9.87), and there is a significant relationship between menstrual patterns and the incidence of anaemia in adolescent girls at SMPN 6 Tapung Kampar Regency. It is expected for health workers to be able to make creative and innovative policies in the prevention of anaemia through increasing health education and promotion in schools and fostering the PIK-KRR program (Adolescent Reproductive Health Information and Counseling Center) and UKS (School Health Unit), as well as facilitating adolescents to participate.

Introduction: third-trimester pregnant women at the Karangdoro Health Center in Semarang experience anxiety in facing labour. Stress due to anxiety about facing labour impacts the length of the labour process and the welfare of the fetus. Providing CIE can increase mothers' knowledge and reduce the appearance of psychosocial factors such as ignorance and lack of attention from health workers, which have a negative impact, so that pregnant women are better prepared and anxiety in facing childbirth can be minimized. Objective: to determine the effectiveness of CIE preparation for delivery to reduce anxiety in third-trimester pregnant women facing labour. Method: This study used a quantitative method with a quasi-experimental type of research and a one-group pretest-post-test design. Population: all third-trimester pregnant women at the Karangdoro Health Center Semarangfrom June to July 2023 with 62 respondents. Sample: The sampling technique used accidental sampling and obtained a total sample of 54 respondents. Results: The results of the study were that Communication Information Educational (CIE) for childbirth preparation was effective in reducing anxiety in third-trimester pregnant women facing labour with a value of 0.00 (<0.005), where every single delivery of CIE for childbirth preparation can make third-trimester pregnant women potentially 6,280 times more likely to experience a decrease in the level of anxiety in facing childbirth (Z = 6,280). Of the 54 respondents, 52 (96.3%) experienced a decrease in their level of anxiety, there were no (0%) respondents who experienced an increase in their level of anxiety, and there were 2 (3.7%) respondents with a constant level of anxiety.

Proper complementary nutrition is critical for child growth. Currently, UPF consumption is common, affecting IYCFP, where many older persons use CCF. Indeed, CCF has a negative impact on children's growth and development. Many factors contribute to this, one of which is a lack of assistance from other health providers, especially midwives. In Indonesia, midwives are the primary health workers that offer direct care to mothers. According to several sources, midwives continue to provide little support in this area due to insufficient experience and expertise. The purpose of this study is to determine the level of awareness of UPF and ICYFP among midwives. The method employed is a hybrid strategy that employs successive explanation strategies. 114 midwives participated in the online study in 2022. The results of this study showed that there are still many midwives who do not know about UPF and IYCFP education and advocacy. There needs to be government support to conduct comprehensive education in the health sector, including midwives.

Introduction : Smart hospital is an emerging and fast-developing innovation in the context of a rapid increase of internet users, an increasing demand for high-quality medical resources, and an aging population worldwide. It generally involves the use of the optimized and automated processes built on an information and communications technology (ICT) environment, especially based on the Internet of things (IoT), to offer assessment, consultation, direct treatment, services, and integrated care. This innovation has the potential and has already gained initial evidence to improve healthcare access, efficiency, or even effectiveness. Yet, along with these positive impacts and promises, a number of issues and challenges also appear.Methods: Study This is study quantitative with design survey research. Study This done on the month of June 2023. Instruments used in study This use questionnaire with the HOT-Fit method consisting of the 47 questions divided in 6 groups question namely: Human, Organization, Technology, Knowledge Users Regulations and Benefits. Subject for this study is hospital managers, administration staff and health workers. Data analysis using analysis multivariate .Result: 22 hospital state that digitization service health to a very smart hospital important one of them is applied For increase quality service House hurts and improves satisfaction patient. In application of smart hospital Sick need integrate between technology, service and regulation.Conclusion : Smart hospitals can influence health and medical policies and create new medical values by defining and quantitatively measuring detailed indicators based on data collected from existing hospitals. Simultaneously, appropriate government incentives, consolidated interdisciplinary research, and active participation by industry are required to foster and facilitate smart hospitals.   Keywords: ,   

Stroke is still the main cause of disability in the world. The impact of a stroke relies heavily on the location and extent of damage, and age. Post-stroke is the most difficult period for patients in they personal care. Family support is essential to increase confidence for rehabilitation in post-stroke patients. Rehabilitation  in post-stroke patients is done so that post-stroke patients are able to perform daily activities independently. The aims of this study to determine the relationship family support with increasing muscle strength rehabilitation in  post-stroke adult. The Method : This research was an analytical observational and was conducted in Bukittinggi City on July, 2023. The variables studied family support with muscle strength. This research is a quantitative research with Cross-sectional design. The population in this study were post-stroke patients 50 people and the sample amounted to 42 respondent. Results : The result of this research shows that there is a strong relationship between family support and increasing muscle strength in rehabilitation p-value 0.006<0.05. The conclusion is family support has impact to inceasing muscle strength rehabilitation of post-stroke adult patients. It is recommended for health workers to provide counseling to improve family support in curing stroke patients. The study confirms the importance of family support in terms of information support and awards support to the quality of life of patients with post-stroke.

This paper aims abnalyze The physical and psychosocial development of children and adolescents is a broad topic and complex. Children begin to develop the ability to think, learn, and remember, and begin to develop the ability to control emotions and interact with people other. In adolescence, individuals experience a transition between childhood and adulthood adult life is characterized by biological growth and development and psychological. Children's physical and psychosocial development of adolescents can begin with an explanation of the importance of understanding physical and psychosocial development during childhood and adolescence. Matter This is because this period is a very important period in a person's life, in where many significant changes and developments occurred. Additionally, understanding of Physical and psychosocial development during childhood and adolescence is also very important for parents, teachers and health workers in providing appropriate care and upbringing. Physical development during childhood and adolescence includes growth and development of body organs, nervous system, and motor abilities. Meanwhile development Psychosocial includes emotional, social and cognitive development. During childhood, Physical and psychosocial development is greatly influenced by the environment and upbringing accepted. Meanwhile, during adolescence, physical and psychosocial development is influenced by internal and external factors, such as hormonal changes, social environment, and pressure from friends peer. In discussing children's physical development and adolescent psychosocial development, it needs to be emphasized that each individual has different developments, depending on factors which influences it.

The quality of health services is a manifestation of the results of the performance of health workers which results in patient satisfaction, if the service meets or exceeds what the patient expected (Antari, 2019). Service quality is assessed from five variables, namely Reliability, Responsiveness, Physical Evidence, Guarantee and Empathy. The aim of the research was to determine the relationship between the quality of nursing services and the level of outpatient satisfaction at RSBT Karimun in 2023. The research carried out was descriptive correlational research and a cross-sectional approach. The sampling method used was consecutive sampling with a sample size of 174 outpatients at Bakti Timah Karimun Hospital in 2023. Research data was collected by filling in questionnaires by respondents. The research data were analyzed univariately with frequency tables and bivariate tests with the Chi Square test. The results of the univariate analysis show a picture of Service Quality from the reliability variable. The results of the bivariate analysis of the Reliability and Satisfaction variables were obtained, so it can be concluded that there is a significant relationship between service quality and satisfaction of outpatients at Bakti Timah Karimun Hospital in 2023. It is hoped that this research's suggestions will enable the educational institution at Awalbros University, Batam, to increase nurses' knowledge about the quality of nursing services. to increase patient satisfaction.

Stunting is a condition where a person's height is shorter than the height of other people in general (of the same age). Stunted (short stature) or low height/length for age is used as an indicator of chronic malnutrition which describes the history of under-nutrition in toddlers over a long period of time. The design used in this research is a research design with a correlational/causal analytical method with a cross sectional design. The population in this study was 82 mothers of toddlers. The sampling technique used in this research was the Slovin formula. The total sample in this study was 82 mothers of toddlers. The results of the research show that there is a significant relationship between healthy latrines and the incidence of stunting among toddlers in Waehaong subdistrict, Nusaniwe subdistrict, Ambon City with a p value of 0.000. For the government, in this case, village officials, especially village heads, are expected to be able to facilitate and plan budget procurement for environmental sanitation improvements such as improving healthy latrine facilities and making efforts to improve residential environmental sanitation programs with healthy behavior. Health workers, especially sanitarian officers, can carry out their role as educators by providing education related to the health of the family environment in order to increase knowledge about maintaining and creating a healthy family environment. And can also provide education about healthy latrine facilities and strive to improve residential environmental sanitation programs with healthy behavior.

Colostrum is also a thick viscous fluid with a yellowish color that is yellower compared to mature milk. Colostrum is the first fluid secreted by the breast glands, containing tissue debris and residual material found in the alveoli and ducts of the breast glands before and after the puerperium. The IMD approach currently recommended is the breast crawl method (crawling looking for the breast) after the baby The baby is immediately placed in the mother's stomach and left to crawl to find the mother's nipple herself and finally sucks it without help. Many post-natal mothers do not give breast milk or colostrum to their babies. This is due to many factors. One of them is ignorance, making mothers neglect the importance of giving breast milk to babies. Apart from that, most mothers don't understand how colostrum is very beneficial for babies. Research to determine the factors associated with giving colostrum to post partum mothers is very necessary, so that future efforts can be made to ensure that all newborn babies are given colostrum. This study aims to analyze the factors of giving colostrum to post partum mothers at the Kabanjahe District Health Center. Karo. The type of research used in this research is analytical with a cross sectional design. There were 29 research respondents. By collecting secondary and primary data. From the results of statistical tests using Chi-Square, it shows that p = 0.005, which means Ho is accepted (p value < 0.05), so it can be concluded that there is a significant relationship between the knowledge category and colostrum provision. From the results of statistical tests using Chi-Square, it shows that p = 0.005, which means Ho is accepted (p value < 0.05), so it can be concluded that there is a significant relationship between the role categories of health workers in providing colostrum. At the Kabanjahe district health center. Karo in 2023.

During pregnancy, pregnant women experience changes that occur physiologically, one of which is changes in the cardiovascular system which results in a blood volume greater than the growth of blood cells, then hemodilution or blood thinning occurs, causing a decrease in hemoglobin levels which results in pregnant women being anemic. World Health Organization (WHO) 4.5%? 10,000 Maternal Deaths worldwide are caused by anemia. The general research objective of this study was to determine whether there was an effect of giving red dragon fruit on increasing hemoglobin in pregnant women at Sambau Health Center, Batam City. This type of research is Pre-Experimental with one group Pre-test Post-test design. The sampling technique used was purposive sampling with 15 pregnant women respondents, each respondent was given the same treatment by giving dragon fruit as much as 100 grams per day on the first day. Measurements were carried out 2 times once during 7 days of treatment and the last measurement was on day 14. The results of the analysis using the Paired sample t-test analysis showed that the data was fig (2-tailed 0.000 < 0.05, so H0 was rejected and Ha was accepted, which means there is The effect of giving dragon fruit to pregnant women on increasing hemoglobin. It is recommended that health workers be able to pay attention and recommend the consumption of fruit rich in iron, one of which is giving red dragon fruit to help increase hemoglobin levels.