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: Counseling and screening anxiety in adolescents is an important activity in supporting adolescent mental health. Counseling activities aim to provide relevant understanding and information about anxiety in adolescents, including definitions, causes, impacts, and effective management strategies. Through interactive methods, participants are given the opportunity to share experiences and gain a better understanding of anxiety. Meanwhile, anxiety screening in adolescents aims to early detect adolescents who may experience anxiety. Using structured questions and questionnaires, mental health professionals can evaluate adolescents' anxiety levels and direct them to appropriate sources of help. Early detection of anxiety allows adolescents to get appropriate interventions and prevent further negative impacts. Counseling activities and anxiety screening in adolescents have significant benefits. Education helps reduce the stigma associated with anxiety and provides youth with the knowledge and skills to recognize and deal with anxiety in healthy ways. Anxiety screening allows teens to get help earlier and prevent anxiety from getting worse. By actively involving adolescents in counseling and screening activities, they can feel supported and gain a better understanding of anxiety. It is hoped that through these activities, youth can develop positive stress management skills, improve mental well-being, and live a more balanced and productive teenage years.

The objective of this study is to examine the impact of organizational culture, communication, and job stress on the performance of employees at Yayasan Perguruan Dr. Wahidin Sudirohusodo Medan. We employed a survey methodology by administering a questionnaire to a sample of employees from the foundation, picked at random. The acquired data was examined using regression techniques to ascertain the correlation between the variables under study. The analytical findings suggest that a favorable company culture exerts a substantial impact on employee performance. The values, conventions, and behaviors within a corporate culture have a significant impact on enhancing employee motivation, engagement, and performance. Furthermore, the establishment of efficient communication channels between management and employees is also crucial in enhancing work performance by fostering a clearer comprehension of organizational objectives, job responsibilities, and valuable input. Nevertheless, research has demonstrated that work-related stress has a detrimental impact on the performance of employees. Elevated levels of stress can disrupt employee focus, drive, and psychological well-being, resulting in diminished productivity and job excellence. These findings indicate that Yayasan Perguruan Dr. Wahidin Sudirohusodo Medan's management should strengthen a favorable organizational culture by emphasizing the principles of cooperation, creativity, and employee assistance.

Background Surgical planning for preoperative patients is a psychosocial stressor that can cause stress, anxiety, and depression. Preoperative is the period before surgery is performed, starting from the time the decision is made for surgery until the patient is on the operating table. Laparotomy is one of the major surgical procedures by making an incision in the lining of the abdominal wall to obtain problems in the abdominal organs, such as cancer, bleeding, obstruction, and perforation. Research objectives: The general objective of this study was to determine the effect of implementing education on anxiety levels in preoperative apparatus patients with general anesthesia. Research methodology: This type of research is a quantitative study, with a quasy experimental research plan, with a non-randomized post-test one group design. . Results: It is known that the asymo.sig, (2-tailed) value is 0.000 <0.05. So it can be concluded that the "hypothesis is accepted". Thus it can be said that there are differences in the results of the intervention group and the control group. Because there is a significant difference, it is said that "there is an effect of providing education to preoperative laparotomy patients" Conclusion: Based on the results of the research and discussion that has been put forward under the title "the effect of providing pre-anesthesia education on anxiety levels in laparotomy patients with general anesthesia" it can be concluded as follows: There is a significant effect on providing education on preoperative anxiety of laparotomy with general anesthesia p = 0.000 (p <0.05) in the central surgical installation of Siti Fatimah Az-Zahra Hospital, South Sumatra Province.  

This study aims to examine the relationship between family communication patterns and adolescent stress levels in Bandung City. Using a survey method with 150 adolescent respondents aged 13-18 years, data were collected through a questionnaire measuring the dimensions of openness, support, conflict, and control in family communication as well as adolescent stress levels. Descriptive analysis showed variation in family communication patterns, with high levels of openness and support and low conflict. Pearson correlation tests showed a significant relationship between communication patterns and stress levels. Linear regression analysis revealed that openness and support in family communication significantly decreased stress levels, while conflict and control increased them. The t-test and F-test showed that the regression model was significant overall and each independent variable had a significant effect on stress levels. These findings emphasize the importance of open and supportive communication in the family to reduce stress levels in adolescents.  

Exercise has many physical benefits, including reducing stress. People who exercise regularly tend to appear more relaxed and cheerful, making them more resilient to physical and emotional stress. This is especially relevant for students who may experience stress due to the change in learning style from junior high school to higher education. The purpose of this study was to investigate the relationship between exercise habits and stress levels in the community of area X. This study used a cross-sectional design and used two basic instruments: the Exercise Habits Questionnaire and the DASS-42. This questionnaire was specifically intended for all adults aged 25-55 years, totaling 96 people and respondents were sampled and analyzed using the Chi Square test. The results showed that 38 respondents (39.6%) exercised regularly, while 58 respondents (60.4%) did not exercise. A total of 57 respondents (59.4%) reported normal stress levels, while 9 respondents (9.4%) reported mild stress levels, 13 respondents (13.5%) reported moderate stress levels, 12 respondents (12.5%) reported severe stress levels, and 5 respondents (5.2%) reported very severe stress levels. The Chi Square test produced a p-value of 0.144. The results showed that there was no significant correlation (p=0.144) between exercise habits and stress levels among residents of Village X.

The main problems that often occur in people with Diabetes Mellitus (DM) are stress and an increase in blood sugar. Uncontrolled stress for a long time can lead to an increase in blood sugar levels, which can lead to various complications. One of the physical activities that can be done with relaxation is Progressive Muscle Relaxation (PMR) is an intervention that can be done in people with diabetes. The purpose of the study was to determine the effect of Progressive Muscle Relaxation (PMR) on increasing stress and blood sugar levels. The research design used a quasi-experimental approach with a pre-post-test control group design approach. The sample consisted of 36 respondents who were divided into 18 intervention groups and 18 control groups. The group was given a therapeutic intervention for 1 week with a duration of 2 times a day, namely in the morning and afternoon for 10-15 minutes. The instruments used are a glucometer, blood sugar level observation sheet, and Diabetes Distress Scale (DDS) questionnaire. Data analysis used the Wilcoxon test and Paired t-test to see pair data. Then for the research group, the data used the Man-Whitney Test. The results showed that there was a significant effect on decreasing blood pressure (p=0.013) and that there was an effect on decreasing blood sugar levels (p=0.034). Conclusion: Progressive Muscle Relaxation (PMR) affects reducing stress and blood sugar levels in Type 2 DM patients.

Excessive anxiety can affect pregnancy and fetal growth. Irrational anxiety makes pregnant women uneasy and triggers stress. Babies born to stressed mothers tend to be hyperactive children and have difficulty controlling emotions(Maulana, 2016). To determine the level of anxiety of pregnant women and the factors that influence it in dealing with childbirth anxiety in the remote waters of Dabong Village, Kubu District, Kubu Raya Regency, West Kalimantan. The research methodology uses this research method using an analytical research method with a Cross Sectional approach. The sample in this study were 31 pregnant women respondents. Data analysis using univariate and bivariate data analysis. The sampling technique used was total sampling. The research instrument consisted of a DASS (Depression Anxiety Stress Scale) questionnaire for anxiety levels. Data were analyzed using Chi-square statistical test to determine the relationship between two independent variables and the dependent variable, namely the level of anxiety and the factors that influence it (age, education, occupation, parity, level of knowledge). The results of the univariate data analysis showed that the anxiety level of many pregnant women experienced anxiety with a mild level of 12 pregnant women, 7 pregnant women, 6 pregnant women heavy. Bivariate data analysis with statistical test results obtained p value = 0.018 for age, statistical test results obtained p value = 0.043 for education, statistical test results obtained value for work p = 0.035, statistical test results obtained p value = 0.024 for parity and test results statistically obtained p value = 0.029 for the level of knowledge, on the anxiety of pregnant women, it can be concluded that there is an effect of the level of anxiety of pregnant women on anxiety in facing childbirth and the factors that influence it, The conclusion of the study is that pregnant women experience anxiety with levels of anxiety from mild to severe and there is an influence on the level of anxiety of pregnant women on anxiety in facing childbirth. There is a need for health education related to pregnancy and focusing on the psychology of pregnant women as well as family support, husbands (active roles) and the environment for pregnant women. Anxiety assessments for pregnant women are also carried out.

Adolescence is a period of transition or transition due to biological and psychological growth, development, and changes. Biological changes are marked by the growth and development of primary sex, while psychological changes are characterized by changes in attitudes, feelings, and emotions. This transitional period is dubbed a period full of storms and stress, because it causes emotional upheaval, anxiety, and discomfort because the teenager is required to adapt and accept all the changes that occur. The role of nurses that can be used is to provide complementary therapies, namely a combination of aromatherapy and music therapy in reducing anxiety during online learning. The method in this study is a quasi-experimental design with a pre-post test with control group. The sampling technique used was purposive sampling with a total of 60 respondents. The treatment was given in 4 sessions for 4 weeks. The treatment given is a combination of aromatherapy and music therapy. The measuring instrument used is the RCMAS anxiety instrument. The results of this study showed the effect of giving a combination of aromatherapy and music therapy on adolescent anxiety levels during online learning during the covid-19 pandemic (p <0.05). The results of the study are recommended to be able to reduce anxiety in adolescents during online learning during the covid-19 period.    

During the COVID-19 pandemic and the new normal, teacher innovation is urgently needed to make their students not bored and stressed in the learning process, either virtual or face-to-face. In North Maluku, face-to-face learning has been carried out with simulations and strict protocols. Learning variations using Blended Learning become a general solution that is applied. Infographics are information graphics which are visual representations of a collection of data, information and designs. Infographics require a large amount of information in the form of writing or numbers and then converted into a simpler form, namely a combination of images and text that allows readers to quickly understand the meaning of a message or image itself. Various efforts to educate covid 19 both non-formally and formally have been carried out to prevent infection, social restrictions and the provision of social and medical assistance have been carried out by the government, but the public still does not have good awareness and discipline towards covid 19. This study aims to educate about the virus and its dangers, especially covid 19 through the development of infographic-based science teaching aids in elementary schools. Research Development with reference to 4D models with modifications. The results of the study indicate that infographic media is suitable for use as media material or science teaching aids, especially virus education for elementary school students. The use of infographics related to viruses and infection mechanisms can be used in various ways in online and offline learning for elementary school students

Stress is a large imbalance between physical or psychological demands and the ability to respond when there is a failure to meet the demands faced. One method that can be used to reduce stress is hypnotherapy. This study aims to determine the effect of hypnotherapy on the reduction of stress levels in undergraduate students of nursing. The research design used a quasy experiment with two groups pre and post test using a purposive sampling approach which was carried out on the final year students of undergraduate nursing. This research instrument using perceived stress scale. Data analysis using Paired T test. The results of the study on 32 respondents using the Independent T test on the average stress after (posttest) in the Intervention with Control group obtained P value = 0.000 <? (0.05) there is a difference in the average stress after (posttest) in the Intervention group with the group control. Based on this research, hypnotherapy is effective in reducing stress levels and is expected to provide input to other educational and research institutions so that it can overcome stress on students with hypnotherapy.

Hypertension is an increase in blood pressure above 140/90 mmHg. One of the causes of hypertension that is difficult to control is stress which can worsen the client's condition so that it is needed to handle through stress management. Zikir relaxation therapy is one of the relaxation therapies with an elemental approach to spirituality that is useful for reducing stress. The purpose of this case study is to illustrate the application of Zikir Relaxation Therapy to stress on clients with essential hypertension in the area assisted by the Rowosari Health Center Semarang. This type of research is descriptive using the case study approach method. The subjects used were two respondents with the criteria of clients with essential hypertension, level I-II hypertension, and moderate stress levels. The form of intervention is the application of Zikir relaxation therapy 4 times in 2 weeks (twice a week). The analysis is used to determine the stress level using the DSS (Distress Symptom Scale) measuring instrument. The results showed a decrease in stress levels before and after the administration of Zikir therapy from moderate stress to mild stress for subject I with a decrease of 36 scores and from moderate stress to normal for subject II with a decrease in 40 scores. The average reduction in stress levels of the two subjects after Zikir relaxation from an average score of 63 to 38. From the results of these studies, the provision of zikir therapy can be used as an intervention to reduce stress levels in clients with essential hypertension.