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Andryani Mutiara; Syurrahmi Syurrahmi; Wibisono SL; Najizah Fitratun

Jurnal ilmu Kesehatan Umum 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Dysmenorrhea is a painful cramping or aching sensation in the lower abdomen, often radiating to the lower back, hips, and thighs. This condition significantly affects daily activities, limiting women’s physical and academic performance, particularly among female students who frequently experience dysmenorrhea during menstruation. Various interventions can help prevent or reduce the prevalence and severity of dysmenorrhea, including specific physical exercises such as McKenzie exercises and Kegel exercises. McKenzie exercises focus on strengthening and mobilizing the lower back and abdominal muscles, whereas Kegel exercises target the pelvic floor muscles to enhance circulation and reduce uterine tension. The purpose of this study was to determine the difference in effectiveness between Kegel exercises and McKenzie exercises in alleviating dysmenorrhea pain among adolescents aged 12–15 years at SMP Negeri 28 Semarang. The study employed an experimental two-group pre-posttest design with a total sample of 22 female students who met the inclusion criteria. The Randomized Controlled Trial (RCT) technique was used to assign participants to the intervention groups. Pain intensity was measured using the Quadruple Visual Analog Scale (QVAS) both before and after the interventions, which were administered three times per week over a three-week period. The results showed a statistically significant reduction in pain for both groups, with a p-value of 0.001 (p < 0.05), indicating that both McKenzie and Kegel exercises effectively decreased dysmenorrhea pain. The study concluded that there is a measurable difference in the effectiveness of these two exercise interventions, emphasizing the importance of selecting appropriate physical exercises tailored to adolescent students for dysmenorrhea management. These findings provide evidence-based guidance for educators, healthcare providers, and adolescents seeking non-pharmacological strategies to reduce menstrual pain and improve quality of life.

Heti Putri Utami; Mudy Oktiningrum; Kristina Maharani

Jurnal Ilmu Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

The rate of deliveries by cesarean section (CS) continues to increase globally and is projected to reach 29% by 2030. Although CS is medically effective in ensuring maternal and neonatal safety, the procedure often results in moderate to severe postoperative pain, which may hinder early mobilization, slow recovery, and reduce the mother’s overall quality of life. Effective pain management is therefore crucial. Non-pharmacological therapies such as endorphin massage and lavender aromatherapy have been recognized as complementary approaches that stimulate the release of relaxation hormones, provide natural analgesic effects, and help reduce anxiety. This study aimed to analyze the effect of combining endorphin massage and lavender aromatherapy on reducing pain levels in post-cesarean section mothers. A quasi-experimental design with a pre–posttest control group was employed. A total of 34 respondents were selected using purposive sampling and divided into intervention and control groups. The study was conducted in the maternity ward of SMC Telogorejo Hospital from March to April 2025. The intervention group received endorphin massage combined with lavender aromatherapy for 10–30 minutes, while the control group was given deep breathing relaxation only. Pain levels were measured before and after the intervention using the Numeric Rating Scale (NRS). Data were collected through questionnaires and medical records, and analyzed using univariate and bivariate techniques with the Mann–Whitney test. Results showed a p-value of 0.000 and Z = -3.774, indicating a significant effect of the intervention. These findings suggest that endorphin massage combined with lavender aromatherapy is effective in reducing postoperative pain. Further studies with larger samples are recommended to explore the optimal duration and frequency of therapy.

Josia Edyanta Purba; Mucti Yuda Pratama; Nina Olivia

Jurnal Praba : Jurnal Rumpun Kesehatan Umum 2025 STIKES Columbia Asia Medan

Gout arthritis is a metabolic disease characterized by elevated uric acid levels in the blood. This condition causes joint pain, especially in the lower extremities. Elderly people with gout arthritis often experience decreased mobility and quality of life due to chronic joint pain. Stretching exercises are an effective non-pharmacological intervention to reduce pain and increase joint flexibility. The purpose of this study was to examine the implementation of stretching exercises in reducing lower extremity joint pain in elderly people with gout arthritis. This study used a descriptive case study approach that applied the medical-surgical nursing care process, including assessment, diagnosis, intervention, implementation, and evaluation. This study used two elderly subjects with gout arthritis and moderate pain scales. Stretching exercises were implemented twice daily for 25-30 minutes for six days, based on the development of nursing interventions according to SIKI (2018). The results showed a decrease in moderate pain scale to mild pain scale after the implementation of stretching exercises in both subjects for six days. The results of this study are expected to be implemented independently and provide motivation to improve the quality of life of gout arthritis sufferers.

Dita Adelina, Dita Adelina; Nopi Nur Khasanah; Kurnia Wijayanti

Jurnal Mahasiswa Ilmu Kesehatan 2025 STIKes Ibnu Sina Ajibarang

Phlebitis is one of the most common complications that occur as a result of intravenous infusion, especially in pediatric patients. This condition is characterized by inflammation of the vein wall, which can cause pain, redness, and swelling around the puncture site. The high incidence of phlebitis in children requires serious attention because it can prolong hospitalization, increase healthcare costs, and reduce the overall quality of care. This study aimed to identify the factors associated with the occurrence of phlebitis in pediatric patients at RSUI Harapan Anda, Tegal City. This research employed a correlational analytic design with a cross-sectional approach. The sample consisted of 46 pediatric patients undergoing intravenous therapy in the inpatient ward, selected using purposive sampling. The research instrument was an observation sheet that included independent variables such as age, chronic illness, duration of infusion, infusion site, type of infusion fluid, and nurses’ skills. The dependent variable was the incidence of phlebitis. Data were analyzed using the chi-square test to determine the relationships between variables. The results showed that most patients were in the toddler age group (1–3 years), had chronic illnesses, underwent infusion for more than 72 hours, had high-risk puncture sites, used hypotonic fluids, and were treated by nurses with insufficient skills. Statistical analysis revealed significant associations between all independent variables and the occurrence of phlebitis. These findings highlight the importance of improving nurses’ competence through continuous training, strict monitoring of infusion duration and fluid type, as well as special attention to high-risk pediatric patients. Such efforts are expected to reduce the incidence of phlebitis and improve the quality of nursing care in hospitals.

Ririn Septrianingsih; Mohammad Arifin Noor; Suyanto Suyanto

Jurnal Mahasiswa Ilmu Kesehatan 2025 STIKes Ibnu Sina Ajibarang

Fractures are conditions of discontinuation of bone or cartilage, either partially or completely, which often require surgical treatment. One of the commonly used procedures is Open Reduction Internal Fixation (ORIF), which is an open surgical procedure with the installation of fixation tools such as pins, screws, and plates to repair broken bones. This procedure generally causes postoperative pain that needs to be treated effectively. Pain management can be done through pharmacological and non-pharmacological approaches. Lavender aromatherapy is one of the non-pharmacological methods that has the potential to provide a relaxing and analgesic effect. This study aims to determine the effect of lavender aromatherapy on the level of pain in patients after ORIF surgery. The research method uses a qualitative approach with a Quasi Experiment design. The sampling technique was carried out in total sampling with a total of 28 respondents post-operative ORIF patients at Dr. H. Soewondo Kendal Hospital. The data were analyzed using the Wilcoxon test to determine the difference in pain levels before and after the administration of aromatherapy. The results showed a p value of 0.000, which indicated a significant influence between the administration of lavender aromatherapy on the reduction of the patient's pain level. The conclusion of this study is that lavender aromatherapy is effective in reducing the intensity of postoperative pain of ORIF, so that it can be used as an alternative to nonpharmacological therapy in postoperative pain management. This study recommends the integration of aromatherapy in nursing practice to improve patient comfort.

Eka Aprilia Diah Syafitri; Erna Melastuti; Indah Sri Wahyuningsih

Jurnal Mahasiswa Ilmu Kesehatan 2025 STIKes Ibnu Sina Ajibarang

Appendicitis is an inflammatory condition of the small intestinal tract that is about 4 inches in size and located at the end of the secum. This condition often causes significant pain and requires effective management. In addition to pharmacological approaches, non-pharmacological methods such as relaxation techniques and alternative therapies are beginning to be widely applied to reduce pain and anxiety. One promising method is 5-finger hypnosis therapy, which is a relaxation technique that harnesses the power of the mind to achieve calmness and reduce the perception of pain. This study aims to determine the effect of 5-finger hypnosis therapy on pain reduction in appendicitis patients at RSI Sultan Agung Semarang. The research design used was quasi-experimental with a pre-posttest one group approach. A total of 32 appendicitis patients were selected as samples using the total sampling technique. Pain scales were measured before and after the intervention, then analyzed using the Wilcoxon Signed Ranks Test. The results showed a Z-value of -3.097 and a p-value of 0.002 (p < 0.05), indicating a significant difference between pain levels before and after therapy. These findings prove that 5-finger hypnosis therapy is effective in reducing pain in appendicitis patients. This study recommends the application of 5-finger hypnosis therapy as a non-pharmacological approach that can support patient comfort and accelerate the recovery process holistically.

Herni Murnaliyanti Munte; Urip Pratama; Mansuriza, Mansuriza

Jurnal ilmu Kesehatan Umum 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Menstrual pain is one of the most common health complaints experienced by many women and often interferes with daily activities, both in academic and social contexts. This study aimed to examine the effect of red ginger decoction in relieving menstrual discomfort. The research employed a quasi-experimental design with a One Group Pretest-Posttest approach. From a total population of 487 students enrolled in the Diploma III Nursing program, 15 participants were selected using purposive random sampling. The study was conducted over a three-week period, from May 7 to May 27, 2025, using an observation sheet as the research instrument. The initial pain level was measured before the intervention using the Numeric Rating Scale (NRS). Each participant who reported menstrual pain was then given 200 ml of red ginger decoction, and after 30 minutes, pain levels were reassessed to determine any changes. The Shapiro-Wilk test was applied to examine data distribution, while differences in mean scores before and after the intervention were analyzed using the Paired Sample t-Test. The findings showed that the average pain score before treatment was 7.53 and decreased to 5.67 after the intervention, with a mean difference of 1.89. The statistical analysis yielded a significance value of p = 0.001 (p < 0.05), indicating a meaningful difference. Therefore, it can be concluded that consuming red ginger decoction is effective in reducing menstrual pain intensity. Consequently, red ginger may be recommended as a natural alternative for managing dysmenorrhea, while educational institutions are encouraged to provide health education regarding the use of herbal remedies, particularly red ginger, for menstrual pain relief. Future researchers are expected to use these findings as a reference and further explore other variables in subsequent studie.

Azza Husnu Wahda; Dwi Retno Sulistyaningsih; Erna Melastuti

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Hemodialysis is a medical procedure used to correct blood biochemical abnormalities caused by impaired kidney function, with the aid of a hemodialysis machine. One of the most commonly used accesses in this procedure is the Arteriovenous Fistula (AVF), which is an anastomosis between the artery and vein in the arm or other parts of the body to facilitate the cannulation process. However, during the AVF cannulation procedure, patients often experience pain, which can cause discomfort and anxiety. Cold compresses are one of the non-pharmacological techniques that can be used to alleviate this pain. This study aims to examine the effect of cold compresses on reducing pain during AVF cannulation in hemodialysis patients. This research uses a Quasi-Experimental design with a Pretest-Posttest Control Group Design model, involving 116 hemodialysis patients at RSI Sultan Agung Semarang. Patients were divided into two groups: the intervention group, which received cold compresses, and the control group, which did not receive treatment. Pain intensity was measured before and after cannulation using a visual analog scale (VAS). The results of the study show that the administration of cold compresses significantly reduced pain intensity, with a p-value of 0.000 (< 0.05). In addition, there was a significant difference in effectiveness between the intervention group and the control group, with the same p-value. In conclusion, cold compresses proved to be an effective, simple, safe, and easy-to-apply non-pharmacological intervention to reduce pain in hemodialysis patients during the AVF cannulation procedure. Therefore, the use of cold compresses can be recommended as a method to improve the comfort of hemodialysis patients.

Savira Chaerunisa; Tutik Rahayu; Apriliani Yulianti Wuriningsih

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

This study aims to determine the effectiveness of progressive muscle relaxation techniques in reducing headache pain in hypertensive patients in the inpatient ward of Harapan Anda Hospital in Tegal City. Hypertension is often accompanied by complaints of headaches, which is a significant problem for patients. One non-pharmacological approach that can be used to alleviate headaches caused by hypertension is progressive muscle relaxation therapy. In this study, 55 respondents with hypertension and complaints of headache were involved. The research used a quasi-experimental design with a quantitative approach. Before and after the intervention, patients underwent progressive muscle relaxation therapy for three consecutive days, with a duration of fifteen minutes per session. Pain levels were assessed using a pain scale before and after the intervention. Data analysis was conducted using the Wilcoxon test. The results showed that 53 patients (96%) experienced a decrease in pain levels after the therapy. The average pain scale significantly decreased, with moderate pain levels reducing from 89.1% to 3.6%, while mild pain increased from 10.9% to 85.5%. The Wilcoxon test results indicated a p-value of 0.000 (p < 0.05), indicating that progressive muscle relaxation therapy is effective in reducing headache pain in hypertensive patients. This therapy has been shown to be a simple, safe method that can be applied both independently by patients and in healthcare services. Therefore, progressive muscle relaxation can be an effective alternative in managing headaches in hypertensive patients.

Indah Puji Lestari; Wahyu Endang Setyowati; Dwi Heppy Rochmawati

Jurnal Ilmu Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Patients admitted to the Intensive Care Unit (ICU) often experience physiological disturbances caused by both medical conditions and intensive treatment procedures. One of the most common problems encountered is sleep disturbance. Several factors contribute to poor sleep quality in ICU patients, including repeated medical procedures, environmental noise from medical equipment and staff activities, discomfort due to body positioning, frequent interactions with health workers, continuous exposure to lighting, pain, and the underlying disease process. Persistent sleep disturbances can delay the healing process, increase blood pressure, and even elevate the risk of stroke. This study aimed to analyze the relationship between anxiety levels and sleep quality in compos mentis patients in the ICU of Sultan Agung Islamic Hospital Semarang. The research design employed a correlational approach with a cross-sectional method. A total of 30 respondents were selected according to the inclusion criteria. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality and the Hamilton Anxiety Rating Scale (HARS) to assess anxiety levels. The Chi-Square test was used for statistical analysis. The results showed an equal distribution of male and female respondents (15 each). Ten respondents had a post-laparotomy medical diagnosis, and the majority belonged to the late elderly age group (10 respondents). Most respondents experienced moderate anxiety (18 respondents), while poor sleep quality was reported by 17 respondents. The Chi-Square test revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, higher anxiety levels were associated with poorer sleep quality among compos mentis patients in the ICU. These findings highlight the importance of nursing interventions that address both the physical and psychological aspects of patients to improve sleep quality and support recovery.

Umi Mahmudah; Tati Karyawati; Siti Fatimah

VitaMedica : Jurnal Rumpun Kesehatan Umum 2025 STIKES Columbia Asia Medan

Ovarian cyst is one of the most common reproductive system disorders among women of reproductive age, often asymptomatic and discovered only during advanced stages. This study aimed to describe the nursing care process for a patient diagnosed with ovarian cyst using a comprehensive nursing approach. A descriptive case study was conducted on a patient named Mrs. D, hospitalized at Nusa Indah Ward of RSUD dr. Soeselo, Tegal. Data were collected through interviews, observation, physical examination, and documentation. The identified nursing diagnoses included acute pain, anxiety, knowledge deficit, risk of infection, and nutritional risk. Interventions were implemented according to the Indonesian Nursing Intervention Standards (SIKI), including non-pharmacological pain management and patient education. The evaluation showed improvement in pain levels, anxiety, and patient understanding of the disease. This study confirms the importance of comprehensive and holistic nursing care in managing ovarian cyst patients, especially through effective communication and collaboration with multidisciplinary teams.

Indah Puji Lestari, Indah Puji Lestari; Wahyu Endang Setyowati; Dwi Heppy Rochmawati

Jurnal Ilmu Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Patients admitted to the Intensive Care Unit (ICU) frequently experience physiological disturbances that significantly affect their sleep quality. These disturbances are triggered by various factors, including repeated medical procedures, environmental noise, discomfort from medical devices, intensive interactions with healthcare workers, inappropriate lighting that disrupts circadian rhythms, pain, and the underlying disease process. Sleep disturbances in ICU patients may slow down the healing process, elevate blood pressure, trigger metabolic disorders, and increase the risk of serious complications such as stroke. This study aims to examine the relationship between anxiety levels and sleep quality among compos mentis patients in the ICU of Sultan Agung Islamic Hospital, Semarang. The research employed a correlational design with a cross-sectional method. A total of 30 respondents were included based on specific criteria. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS), while sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using the Chi-Square test to determine the relationship between the two variables. The findings showed that the distribution of male and female respondents was balanced (15 respondents each). The most common medical diagnosis was post-laparotomy (10 respondents), with the dominant age category being late elderly (10 respondents). Anxiety levels were predominantly in the moderate category (18 respondents), while the majority of respondents demonstrated poor sleep quality (17 respondents). Statistical analysis revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, the study highlights that higher levels of anxiety are associated with poorer sleep quality among compos mentis patients in the ICU. These findings emphasize the importance of nursing interventions aimed at reducing anxiety to improve patient sleep quality and support recovery.

Muhammad Daniyal; Emelda Emelda

Jurnal ilmu Kesehatan Umum 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

A 64-year-old male patient presented to the emergency department (ED) of RS Cut Meutia with complaints of left-sided chest pain radiating to both arms, which had been occurring for two days prior to his hospital admission. The chest pain was described as sharp, sudden, and progressively worsening, and it persisted without relief from positional changes. The pain intensity was rated as 9/10 and was accompanied by cold sweats and nausea. The patient had a history of type 2 diabetes mellitus for 15 years and had been on antidiabetic medications, although he could not recall the names of the medications. The patient was a smoker but had quit smoking upon being diagnosed with diabetes. Vital signs and general status were within normal limits upon examination. Local examination of the heart revealed a murmur on auscultation. Laboratory results showed anemia, leukocytosis, hyperglycemia, and hypercholesterolemia. Electrocardiography (EKG) indicated signs of inferior STEMI (ST-Elevation Myocardial Infarction). The patient was treated with furosemide 1 amp/12 hours, atorvastatin 1x20 mg, arixtra 1x0.25 mg, aspilet 1x8 mg, clopidogrel 1x75 mg, nitrokaf retard 2x2.5 mg, and bisoprolol 1x2 mg, along with non-pharmacological management, including three-way catheter insertion and oxygen therapy at 2-4 liters per minute. Acute Coronary Syndrome (ACS) carries a poor prognosis if not managed promptly and correctly. Understanding the appropriate management of ACS is crucial in preventing further myocardial occlusion and improving patient outcomes. Therefore, rapid and accurate intervention is vital in improving the prognosis for patients with ACS.

Dhea Ayu Retno Palupi; Enny Yuliaswati

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Background: Dysmenorrhea is a common menstrual pain experienced by adolescent girls, often interfering with daily activities. Curcuma xanthorrhiza contains curcuminoids with anti-inflammatory and analgesic properties, making it a potential non-pharmacological treatment for menstrual pain. A preliminary study in Batuwarno Village showed a high prevalence of dysmenorrhea among adolescents. Objective: To determine the effect of Curcuma xanthorrhiza consumption on the reduction of dysmenorrhea in adolescents in Batuwarno Village. Methods: This study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 24 adolescent girls with dysmenorrhea, selected using consecutive sampling. The intervention involved administering 200 ml of boiled Curcuma xanthorrhiza twice a day for one day. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. Data were analyzed using the Wilcoxon test. Results: The average pain score before the intervention was 6.54, and after the intervention, it decreased to 1.50. The Wilcoxon test yielded a Z value of -4.448ᵇ, where the negative Z value indicates that the more the intervention is given, the more the experienced pain decreases. The resulting p-value was 0.000 (p < 0.05), indicating a significant effect of Curcuma xanthorrhiza administration on the reduction of dysmenorrhea. Conclusion: Curcuma xanthorrhiza is effective in reducing dysmenorrhea in adolescents and can be considered a non-pharmacological alternative for managing menstrual pain.

Vina Rohmatul Ummah; Ahmad Zakiudin; Anna Maulina Lestari

VitaMedica : Jurnal Rumpun Kesehatan Umum 2025 STIKES Columbia Asia Medan

Post-cesarean section (SC) patients with premature rupture of membranes (PROM) require comprehensive nursing care due to their high risk of pain, infection, and limited mobility. This case study aims to describe the nursing care process applied to a 39-year-old woman post-SC with PROM indication. The study was conducted over five days in Nusa Indah Room at RSUD dr. Soeselo, Tegal. Data collection included interviews, observation, physical examination, and medical record review. The nursing interventions were guided by the Indonesian Nursing Diagnosis Standards (SDKI), Interventions (SIKI), and Outcomes (SLKI). Results showed a reduction in pain scale from 6 to 2, improved mobility, and wound healing without signs of infection or bleeding. These findings indicate that structured and holistic nursing care, combined with patient education and family involvement, can significantly enhance recovery outcomes. The implications suggest the need for clinical protocols in managing post-SC patients with PROM to ensure consistent, evidence-based nursing practice.

Azza Nurlaili Tsani; Tati Karyawati; Arisnawati

VitaMedica : Jurnal Rumpun Kesehatan Umum 2025 STIKES Columbia Asia Medan

Rheumatoid arthritis (RA) is a chronic autoimmune disease that primarily affects the musculoskeletal system and often causes severe pain and functional limitations, especially among the elderly. This study aimed to provide a comprehensive overview of nursing care for a patient diagnosed with RA through a family-based approach. The research employed a descriptive qualitative method with a case study design conducted in a rural village in Brebes, Central Java. Data were collected through in-depth interviews, observation, and documentation. The results showed that the integration of non-pharmacological interventions, including warm compresses using ginger and lemongrass, and deep breathing techniques, significantly reduced pain intensity. Additionally, increased family involvement in caregiving, facilitated by structured health education, enhanced the patient's quality of life. This study confirms the importance of applying Dorothea Orem’s Self-Care Deficit Theory to support the independence and well-being of RA patients within their home environments. The findings suggest that community nurses should prioritize family empowerment in chronic disease management, particularly in areas with limited health access.

Anis Nurul Fadilah; Tati karyawati; Siti Fatimah

VitaMedica : Jurnal Rumpun Kesehatan Umum 2025 STIKES Columbia Asia Medan

Post-cesarean section (SC) patients with premature rupture of membranes (PROM) require comprehensive nursing care due to their high risk of pain, infection, and limited mobility. This case study aims to describe the nursing care process applied to a 39-year-old woman post-SC with PROM indication. The study was conducted over five days in Nusa Indah Room at RSUD dr. Soeselo, Tegal. Data collection included interviews, observation, physical examination, and medical record review. The nursing interventions were guided by the Indonesian Nursing Diagnosis Standards (SDKI), Interventions (SIKI), and Outcomes (SLKI). Results showed a reduction in pain scale from 6 to 2, improved mobility, and wound healing without signs of infection or bleeding. These findings indicate that structured and holistic nursing care, combined with patient education and family involvement, can significantly enhance recovery outcomes. The implications suggest the need for clinical protocols in managing post-SC patients with PROM to ensure consistent, evidence-based nursing practice.

Faizal Dwi Cahyo; Ita Apriliyani; Arni Nur Rahmawati

Jurnal Riset Rumpun Ilmu Kesehatan 2025 Pusat riset dan Inovasi Nasional

Introduction: The increase in life expectancy among the elderly has directly contributed to the rise in the global elderly population. According to global data, the number of elderly individuals is projected to reach 1.4 billion by 2030. This demographic growth is often accompanied by various health problems associated with aging, such as the decline in vital organ function and the emergence of degenerative diseases. One of the most common degenerative diseases among the elderly is hypertension. Hypertension is widely known as a “silent killer” because it can lead to serious complications, including stroke and heart disease, if not managed properly. A common complaint experienced by individuals with hypertension is headache, particularly in the posterior region, which significantly affects the patient’s quality of life. Management of hypertension can be carried out through pharmacological therapy with antihypertensive drugs as well as non-pharmacological interventions. One of the non-pharmacological approaches increasingly being applied is isometric handgrip exercise, which involves static muscle contractions performed at light to moderate intensity. Method:This study aimed to evaluate the effect of isometric handgrip exercise on pain reduction in patients with hypertension. The research design employed a descriptive case study involving one individual with hypertension who experienced pain complaints. The study was conducted on September 16–18, 2024, at Roujin Home X. The instruments used included observation, interview, and the provision of isometric handgrip exercise therapy. Pain measurement was carried out using a numerical rating scale before and after the intervention. Results:The three-day intervention demonstrated a significant reduction in pain levels. On the first day, the patient reported a pain score of 6, which decreased to 4 on the second day, and further declined to 2 on the third day after the intervention. Conclusion:The findings of this study indicate that isometric handgrip exercise is an effective non-pharmacological method for alleviating acute pain in patients with hypertension. This simple intervention has the potential to be applied as a complementary therapy in elderly care facilities to improve the quality of life of individuals living with hypertension.

Cita Setya Utami; Wahyu Endang Setyowati; Dwi Heppy Rochmawati

Jurnal ilmu Kesehatan Umum 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Surgical procedures, including laparoscopic surgery, may cause preoperative anxiety arising from fear of the surgery process, uncertain outcomes, and postoperative pain. This anxiety can affect anesthesia and recovery aspects. The purpose of this study was to determine the effect of Murottal recitation of Surah Ar-Rahman on anxiety in preoperative laparoscopy patients. This study employed a quasi-experimental design with a pretest–posttest control group. A total of 40 respondents were recruited using total sampling. Data were collected through questionnaires. Data analysis was conducted using the Wilcoxon test for within-group differences and the Mann-Whitney test for between-group differences. The majority of respondents in both intervention and control groups were late elderly, employed, male, and had no history of illness. Before therapy, anxiety levels in both groups were predominantly moderate. After therapy, most respondents in the intervention group experienced mild anxiety, whereas in the control group most remained in the moderate category. Statistical analysis showed a significant effect of Murottal recitation of Surah Ar-Rahman on reducing anxiety, both in the intervention group (Z = -5,477; p = 0.000) and the control group (Z = -2.000; p = 0.046). Overall, Murottal recitation of Surah Ar-Rahman was proven to be significantly effective in reducing respondents’ anxiety levels (Z = -4,534; p = 0.000). It is recommended that families play an active role in supporting anxiety reduction in patients undergoing surgery, for example, by suggesting or facilitating the patients to listen to Murottal recitation of Surah Ar-Rahman.

Astrit Apriliana Putri; Ahmad Zakiudin; Yusriani Saleh Baso

Jurnal Ilmu Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

A tumor is a collection of abnormal cells that develop due to excessive and uncontrolled cell division (Angkotasan & Vioneery, 2022). Currently, tumors are considered one of the leading causes of morbidity and mortality worldwide (Maryati, 2023). The purpose of this study is to provide an in-depth understanding and description of nursing care for Mr. T, a patient with a medical diagnosis of post-operative soft tissue tumor (STT) in the right arm, who was treated in Room Mawar 2 at RSUD dr. Soeselo, Tegal Regency, in accordance with standardized nursing care guidelines. This study employed a descriptive case study method, with data obtained through interviews, observations, physical examinations, and documentation reviews. Based on the case analysis, the patient’s main complaint was severe pain following surgery. Three priority nursing diagnoses were identified: acute pain, knowledge deficit related to the disease and its management, and risk of infection due to post-surgical wound. Nursing interventions were planned and implemented according to SDKI (Standar Diagnosa Keperawatan Indonesia), SIKI (Standar Intervensi Keperawatan Indonesia), and SLKI (Standar Luaran Keperawatan Indonesia), adapted to the patient’s condition. The interventions included pain management techniques, health education, wound care, and infection prevention strategies. The results showed that after the nursing care was carried out, the patient reported a decrease in pain intensity, demonstrated increased knowledge regarding his condition, and exhibited no signs of infection. This study highlights the importance of systematic nursing care in post-operative soft tissue tumor patients to reduce complications, promote recovery, and improve quality of life. The findings are expected to contribute as a reference for nursing practice and further research on tumor management in clinical settings.