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Individuals over the age of 60 are vulnerable to a decline in body functions, including nervous system functions that can lead to cognitive impairment and dementia. This condition can cause the elderly to be unable to perform activities, thereby impacting their well-being and happiness. One effort to overcome this is through crossword puzzle therapy to stimulate and improve cognitive function. To implement research-based nursing actions for the elderly with decreased cognitive function. The design used in this final nursing thesis is a case study with an intervention involving crossword puzzle therapy. The number of respondents was four, with the intervention conducted over one week at a frequency of twice daily, starting from June 22–28, 2025, and continuing from June 28–July 5, 2025, at the Dharma Bhakti Elderly Care Home KM 7 Palembang. After undergoing crossword puzzle therapy for one consecutive week, the four elderly participants showed changes in their MMSE scores at the final meeting: Mrs. L from 20 to 22, Mrs. M from 18 to 20, Mrs. A from 21 to 22, and Mrs. N from 22 to 23. Here was an improvement in cognitive function before and after crossword puzzle therapy was administered to the four participants. The application of this EBP is expected to add information about the provision of crossword puzzle therapy in the elderly with cognitive decline.

Introduction: The incidence of postpartum blues is a change in the mother's psychology which is influenced by fatigue factors that arise after the birth and breastfeeding process. This can influence changes in the routine of caring for the baby which requires extra attention from the mother. Handling postpartum blues can use spiritually based non-pharmacological techniques in the Islamic religion using murattal Al-Qur'an. This study aims to determine the influence of spiritual cognitive therapy murattal Al-Qur'an (Surah Ar-Rahman) on the incidence of postpartum blues in RSUD SUBANG. Methods: This research method is quantitative with a quasi-experimental design with pre and post with control group. The number of respondents in this study was 24 in the intervention group and 24 in the control group. Data collection for this research used the EPDS scale (Edinburgh Postpartum Depression Scale) with data analysis using the Wilcoxon test and the Man-Whittney test. Result: The results of this study showed a difference in the pre-test and post-test of the intervention group with p = 0.000. It can be concluded that spiritual cognitive therapy murattal Al-Qur'an (Surah Ar-Rahman) has an influence on the incidence of postpartum blues in RSUD Subang. It is hoped that this research will further investigate more deeply and be able to control confounding variables that might interfere with the influence of the Murattal Al-Qur'an spiritual cognitive therapy (Surah Ar-Rahman) on the incidence of postpartum blues.    

Aging is often accompanied by sleep problems that have a negative impact on the well-being of older adults, such as reducing their quality of daily life and triggering a higher risk of chronic diseases, depression, and cognitive decline. To address this issue, the physiotherapy team held an educational program at the Arjosari Village ILP in Malang City, which aimed to equip older adults with knowledge about the value of quality sleep. The material was delivered through simple brochures, two-way discussion sessions, and assessments through initial and final tests. A total of 15 people participated, and from the opening discussion, about 80 percent of them admitted to having frequent sleep disturbances. Before the event, a survey showed that their understanding was still minimal, especially regarding what healthy sleep is, the triggers of sleep disturbances, the benefits of good sleep, the signs of sleep disturbances, and steps to overcome them. After the counseling, there was a significant increase, with the level of understanding reaching more than 86 percent on all topics. These results prove that community-based educational approaches such as this are very effective as a means of empowerment and early prevention. Activities such as this should be made a routine to support the overall health of the elderly.

Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. It is transmitted through the air, specifically through droplets expelled by sufferers when coughing or sneezing. TB is divided into two main types: pulmonary TB, which attacks the lungs, and extrapulmonary TB, which can affect other organs such as the pleura, lymph nodes, skin, bones, and meninges. In the Community Health Center (Puskesmas) work area, 77 new cases of pulmonary TB were recorded from January to April 2025. Meanwhile, coverage of Tuberculosis Prevention Therapy (TPT) only reached 44.7%, still below the national target of at least 50%. This condition indicates the need for increased health promotion activities and community diagnostic approaches as promotive and preventive measures, in order to increase TPT coverage and reduce the incidence of TB. The results of the respondent questionnaire showed that the level of public knowledge about TB reached 64.6%, positive attitudes at 94%, and preventive behavior at 72%. Based on these findings, it is recommended that outreach activities be conducted regularly to improve public understanding, which can ultimately encourage behavioral changes and reduce TB cases.

Acute pain is a common complaint following surgery in patients with femur fractures and can hinder recovery if not managed effectively. This study aimed to describe the application of Benson’s relaxation therapy in reducing pain after Open Reduction and Internal Fixation (ORIF) for femur fracture. A nursing care case study was conducted on Mrs. S, an 82-year-old woman, in the Central Operating Theatre of Labuang Baji General Hospital, Makassar. Assessment was performed in the post-anesthesia care unit, followed by the identification of the nursing diagnosis Acute Pain (D.0077), intervention using Benson’s relaxation therapy combined with collaborative pharmacological analgesia (ketorolac), implementation, and one-hour evaluation. Results showed a reduction in pain intensity from a score of 6 to 4 on the Numeric Rating Scale, a change in pain pattern from continuous to intermittent, and improved vital signs along with decreased behavioral indicators of pain (grimacing, restlessness, and protective posture). These findings indicate that Benson’s relaxation therapy is an effective non-pharmacological intervention for managing acute postoperative pain, consistent with theoretical evidence that this technique reduces pain perception through muscle relaxation, deep breathing, and reinforcement of spiritual beliefs.

An autoimmune condition that targets the joints is rheumatoid arthritis. The joints and surrounding tissues are inflamed due to this disease. Symptoms of this arthritis include joint stiffness, edema, and persistent discomfort. Women are more likely to suffer from rheumatoid arthritis than men, especially those between the ages of 40 and 75. Chronic pain is a sensory or affective experience that lasts >3 months, has mild to severe intensity, and can begin suddenly or gradually. This is related to real or functional tissue damage. To minimize the chronic pain experienced by rheumatoid arthritis patients, this case study aims to assess the effectiveness of cutaneous stimulation, also known as skin stimulation (foot massage). The nursing care method provided to patients with rheumatoid arthritis who complained of discomfort during five morning sessions using skin stimulation therapy (Foot Massage) is described in this case study using descriptive methodology. The application questionnaire was used to measure pain levels before and after the procedure, and the Rheumatoid Arthritis Pain Scale (Raps) was used to evaluate the results. After five sessions, the patient's pain level decreased, according to the case study findings. Conclusion: Discomfort is reduced by applying cutaneous stimulation (foot massage). Since foot massage helps alleviate pain, it can be used as an intervention for RA patients experiencing chronic pain.

Background: Stroke is a medical condition characterized by a disruption in blood flow to the brain, most commonly resulting in ischemic stroke, which accounts for 70%–85% of all stroke cases. Prolonged immobility in stroke patients increases the risk of pressure ulcers. Effective prevention strategies Include regular repositioning and meticulous skin care. Effleurage massage, when combined with Virgin Coconut Oil (VCO), enhances blood circulation and skin hydration, thereby potentially reducing the risk of impaired skin integrity. Objective: To analyze the management of a non-hemorrhagic stroke patient Through the application of Effleurage Massage therapy using Virgin Coconut Oil (VCO) to reduce the risk of skin integrity impairment. Methods: This case study involved a non-hemorrhagic stroke patient who was observed during hospital visits over a three-day period. Effleurage massage using VCO was applied twice daily—once in the morning and once at night. Skin integrity was assessed before and after the intervention using the Braden Scale Results: A decrease in the risk of skin integrity impairment was observed following the intervention, as evidenced by improved Braden Scale scores. Conclusion: Effleurage Massage using Virgin Coconut Oil may serve as an effective complementary therapy to reduce the risk of skin integrity Impairment in non-hemorrhagic stroke patients.

Labor is the process of expelling the products of conception, namely the fetus and placenta, after reaching full term and being viable in the womb. There are two types of delivery: normal delivery and caesarean section (SC). Caesarean section (SC) is a surgical procedure performed through an incision in the uterine wall to deliver the fetus. Caesarean delivery is indicate in cases of cephalopelvic disproportion, breech or transverse fetal position, fetal weight exceeding 4,000 grams, or maternal health conditions that may endanger the mother and fetus. One of the common complications following caesarean delivery is pain. Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. An intervention that can be applied to reduce post SC pain is Guided Imagery Therapy. Guided imagery therapy is a non-pharmacological intervention aimed at reducing and controlling pain by creating pleasant and relacing thoughts, focusing on breathing, and visualizing positive scenarios. This study employed a descriptive case study design using the nursing process from assessment to evaluation. The study was conducted on two patients with moderate pain (pain scale 4-6) after SC at TK II Putri Hijau Hosiptal Medan. The results showed that after the application of guided imagery therapy for three days with a duration of 40 minutes per session, pain levels decreased to mild (pain scale 1-3). In ptient I, pain decreased from a score of 5 to 3, an in patient 2, from a score of 6 to 3. In conclusion, guided imagery therapy was successfully applied in reducing post -SC pain levels and can serve as a reference for further research on pain reduction following caesarean section.

Auditory hallucinations are a common sensory perception disorder in patients with mental disorders. Dhikr therapy as a non-pharmacological intervention is proven to have a calming effect and help patients focus more on reality. A case study was conducted on one patient at Prof. Dr. M. Ildrem Mental Hospital in North Sumatra for seven days using the nursing process approach. Evaluation results with the AHRS scale showed a decrease in scores from 25 to 13. Patients experienced a decrease in the intensity of hallucinations and increased self-control. The conclusion of this case study is that dhikr therapy is effectively applied in mental nursing care as a nonpharmacological intervention to help patients control auditory hallucinations.

Hypertension is one of the main health problems in the elderly that can reduce the quality of life and increase the risk of complications such as stroke and kidney failure. Hypertension treatment is not only through pharmacological therapy, but also non-pharmacological interventions such as hypertension exercise which has been proven effective in lowering blood pressure. This study aims to implement and evaluate the effect of hypertension exercise on reducing blood pressure in the elderly in the work area of ​​the Kampung Baru Health Center UPT. The method used is a case study of a 71-year-old elderly with blood pressure of 160/100 mmHg. The exercise intervention was carried out for seven consecutive days with blood pressure measurements taken before and after the intervention. The results showed a decrease in blood pressure and complaints of headaches, as well as an increase in patient knowledge about hypertension. Hypertension exercise has been proven to be an effective independent nursing intervention to lower blood pressure and improve the quality of life of the elderly.

An electrostimulator is a medical device designed to deliver controlled electrical stimulation to nerves and muscles, supporting rehabilitation and therapy for patients with neuromuscular disorders. This study focuses on designing and developing a portable electrostimulator that offers three distinct waveform modes: continuous wave, discontinuous wave, and dense-disperse wave, providing versatility for different therapeutic needs. The device is powered and controlled by an Arduino Mega 2560 microcontroller, coupled with a Nextion touchscreen LCD interface that allows users to adjust waveform type, frequency, and stimulation intensity with ease. Waveforms are generated through an NE555 IC circuit, with amplitude adjusted via a potentiometer and subsequently amplified using a step-up transformer to achieve therapeutic voltage levels. Functionality and performance tests were conducted using an oscilloscope, and the device was benchmarked against a commercial KWD-808 electrostimulator. Results demonstrate that the developed electrostimulator reliably produces the intended waveforms, achieving peak voltages up to 32V and frequencies ranging from 33.3 Hz to 66.6 Hz, confirming its effectiveness and feasibility for non-clinical nerve and muscle therapy applications.

Chronic Kidney Disease (CKD) is a medical condition that requires renal replacement therapy such as hemodialysis. Patient compliance with this therapy is essential to prevent complications and maintain quality of life. Patient motivation, both intrinsic and extrinsic, plays a significant role in determining the level of compliance. This study aims to examine the relationship between patient motivation and compliance with hemodialysis treatment in CKD patients at RSI PKU Muhammadiyah Pekajangan Pekalongan. This research uses a quantitative correlational design with purposive sampling, involving 67 respondents from a population of CKD patients undergoing hemodialysis, with an average of 80 patients per month. The instruments used were patient motivation questionnaires and hemodialysis compliance questionnaires. The results showed that most respondents had good motivation (74.6%) and positive compliance (76.1%). Bivariate analysis using the Spearman Rank test revealed a significant relationship between motivation and compliance (p = 0.000) with a strong correlation (r = 0.685). This study suggests nursing interventions that focus on enhancing patient motivation to support long-term therapy success. The limitations of this study include the cross-sectional design, which cannot prove causal relationships, and the potential social bias in the self-report instruments.

Post-Cesarean Section (C-Section) patients commonly experience pain caused by surgical incisions in the abdominal area. Unmanaged pain may hinder mobility, interfere with breastfeeding, reduce comfort, and negatively affect maternal psychological well-being. Non-pharmacological pain management is considered an alternative to reduce dependence on analgesics. Foot massage has been proven to improve blood circulation, stimulate endorphin release, and reduce pain intensity, while Qur’anic recitation therapy (murottal) provides psychological and spiritual relaxation that helps decrease pain perception. This study aims to examine the effect of combining foot massage and murottal therapy on pain levels in post-C-section patients at Wijaya Kusuma ward, Limpung General Hospital. The benefit of this study is expected to provide a reference for nursing practice, particularly in implementing holistic non-pharmacological interventions to enhance patient comfort. This research employed a case study design with a nursing care approach involving four post-C-section patients. Interventions included a scheduled combination of foot massage and murottal therapy. Pain levels were measured using the Numeric Rating Scale (NRS). Data were analyzed descriptively by comparing pain levels before and after intervention. The results showed a reduction in pain intensity from moderate to mild after the combination intervention. Patients also reported increased comfort, improved rest, and reduced anxiety. In conclusion, the combination of foot massage and murottal therapy effectively reduces pain in post-C-section patients. This intervention can be recommended as a non-pharmacological method in nursing care for post-C-section patients.

This research aims to describe the collaboration between teachers and parents in meeting the learning needs of students with speech delays at Karangan 1 State Kindergarten. It focuses on examining strategies applied to overcome learning barriers while identifying both supporting and inhibiting factors in the practice of inclusive education. The central concern is how interaction and cooperation between home and school create a consistent, responsive learning environment for children with special needs. Employing a qualitative descriptive approach with a case study design, the study was conducted for one trimester of the 2024/2025 academic year. Research participants included classroom teachers, parents of children with speech delays, and relevant documentation related to inclusive education policies. Data were collected through in-depth interviews, observations, and document studies, with interview guides and observation sheets as instruments. Validity was ensured through triangulation and member checking, while data analysis followed the Miles and Huberman model: reduction, display, and conclusion drawing. Findings reveal active teacher-parent collaboration characterized by regular communication, joint discussion of learning strategies, and parental involvement in school programs. Supporting factors include open communication, shared commitment, and policy support, while obstacles involve limited teacher training, insufficient learning media, and lack of access to speech therapy specialists. The study highlights the need for continuous inclusive training, adequate learning resources, and regular communication forums to optimize education for children with speech delays.

Back discomfort is a common musculoskeletal complaint among pregnant women, particularly in the third trimester, caused by biomechanical and physiological changes during pregnancy. This condition can interfere with daily activities, reduce sleep quality, and decrease overall comfort. Pharmacological treatments during pregnancy are limited due to safety concerns, making non-pharmacological therapies essential in primary healthcare. One alternative is the use of warm ginger compresses, which combine the benefits of heat therapy with the anti-inflammatory properties of ginger. This study aimed to examine the effect of warm ginger compresses on reducing back pain intensity in third-trimester pregnant women at the Jailolo Community Health Centre. The research used a pre-experimental one-group pretest–posttest design. The sample consisted of 16 pregnant women selected through purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. The treatment involved applying warm ginger compresses to the lower back following a standardized procedure. Data analysis was conducted using univariate and bivariate methods with the Wilcoxon signed-rank test. The results showed a significant reduction in back pain intensity after the intervention (p < 0.05). These findings indicate that warm ginger compresses are an effective, safe, and simple non-pharmacological method for reducing back pain in third-trimester pregnant women.

Acne vulgaris is one of the most prevalent dermatological disorders in Indonesia, often affecting adolescents and young adults. This condition not only causes visible skin lesions but also has a profound impact on psychological well-being, leading to decreased confidence and reduced quality of life. Effective management of acne vulgaris requires consistent use of prescribed medications, with doxycycline being one of the commonly recommended systemic antibiotics. This study aimed to evaluate the level of patient adherence to doxycycline therapy for acne vulgaris at Roels Clinic, Ponorogo, during the period of March to April 2025, and to identify factors that may influence this adherence. A descriptive research design was utilized, employing a structured questionnaire distributed to patients who met specific inclusion criteria. The adherence level was assessed using a 5-point Likert scale, and the average percentage was computed and classified into compliance categories. The findings revealed that among 50 respondents, 70.6% demonstrated a “fairly high” level of adherence to doxycycline treatment. These results suggest that most patients follow the prescribed regimen appropriately. High adherence is expected to improve therapeutic outcomes, accelerate recovery, and minimize the potential for antibiotic resistance, which remains a growing concern in dermatological and public health settings.

The aim of this research is to determine the assistance of parents using child therapy in regulating emotions when accompanying children to study at home. This research was conducted at the homes of 3 families who had children aged 4-7 years and the parents could not control their emotions when accompanying their children to study at home. The object of this research is parental assistance in the child's learning process at home. The data collection techniques used were observation, interviews and image documentation. The research method using data analysis is an interactive model. The research results showed that by being given Filial Therapy treatment, namely regulatory skills, setting boundaries, attentive listening, and focused play with children for 1 month, the informants were able to carry out Filial Therapy in a flexible and integrated manner. By applying Filial Therapy skills, parents become better able to regulate emotions, namely by reassessing cognitive and expression abilities. The assistance provided by parents is through filial therapy, parents accompany children to play and are directly involved in the game, there must be communication with parents, children are given the freedom to play, so that it will regulate parents' emotions in accompanying children to study at home.

Pregnancy is a physiological condition that causes physical and psychological changes, one of which is nausea and vomiting (emesis gravidarum), which often occurs in the first trimester. If left untreated, this condition can lead to nutritional disorders, dehydration, weight loss, and impact the health of the mother and fetus. Management can be carried out with pharmacological and non-pharmacological therapies, one of which is lemon aromatherapy, which is known to have a relaxing and refreshing effect and help reduce nausea symptoms. The purpose of this study was to determine the effectiveness of lemon aromatherapy in reducing nausea and vomiting in pregnant women in the first trimester at the Bies Community Health Center, Bies District, Central Aceh Regency in 2022. The study used a quasi-experimental design with a one-group pretest-posttest design for pregnant women in the first trimester. Thirty respondents were selected using a purposive sampling technique. The research instrument used an observation sheet, and data analysis was performed using the Wilcoxon test. The results showed that before the intervention, the majority of respondents experienced severe nausea (53.3%) and moderate vomiting (50%). After receiving lemon aromatherapy, the majority of respondents experienced mild nausea (90%) and mild vomiting (93.3%). The statistical test results showed a p-value of 0.000 (p < 0.05), indicating a significant difference between before and after the intervention. The conclusion of this study is that lemon aromatherapy is effective in reducing nausea and vomiting in pregnant women in the first trimester. Lemon aromatherapy can be recommended as a safe, simple, and easy-to-implement non-pharmacological therapy alternative for treating emesis gravidarum.

Background: Ischemic stroke is an acquired brain injury caused by blockage of blood vessels or inadequate blood supply resulting in infarction or hemorrhage in the brain parenchyma. Stroke is ranked as the second leading cause of death in the world and is the largest contributor to disability, resulting in a significant economic burden. The problem that often arises in ischemic stroke patients is the presence of a problem in the limbs so that the individual's ability to move cannot be free and limited which is commonly referred to as the problem of physical mobility disorders. Ischemic stroke is part of cardiovascular disease which is classified as a catastrophic disease because it has a wide economic and social impact. Ischemic stroke can cause permanent disability which can certainly affect the productivity of the sufferer. Purpose: Knowing the results of the application of Range Of Motion (ROM) exercises on the patient's muscle strength. Methods: Using case studies and subjects by collecting data from interviews and observations on Ischemic Stroke patients with nursing problems of Physical Mobility Disorders. Results: after carrying out Range Of Motion (ROM) therapy nursing actions on a routine schedule twice a day morning and evening for 6 days with 15-20 minutes, it was found that there was an increase in muscle to 4 5 4 5. Conclusion: there is an increase in muscle strength in Ischemic Stroke patients after Range Of Motion (ROM) therapy.

Low Back Pain (LBP) is often caused by spondylolisthesis, which causes pain, limited mobility, and disability. Conservative physiotherapy is the primary option to reduce symptoms and improve function. This study aims to evaluate the effectiveness of multimodal physiotherapy interventions in patients with LBP and spondylolisthesis. A case report study was conducted on a 59-year-old female patient diagnosed with LBP and spondylolisthesis. The patient underwent three physiotherapy intervention sessions: Infrared (IR), Short-Wave Diathermy (SWD), Transcutaneous Electrical Nerve Stimulation (TENS), William Flexion Exercise, Core Stability, and Strengthening. Evaluation was performed using the Numeric Rating Scale (NRS) for pain, a goniometer for joint range of motion (LGS), Manual Muscle Testing (MMT) for muscle strength, and the Oswestry Disability Index (ODI) for function. The results of the therapy showed a significant reduction in pain, namely silent pain from a score of 5 to 1 and pain on movement from a score of 6 to 3. Lumbar ROM increased with flexion from 70 degrees to 85 degrees. Lumbar muscle strength also improved, flexors from a score of 4 to 5 and extensors from a score of 3 to 5. ODI decreased from 55.5% (severe disability category) to 12% (minimal disability category). Multimodal physiotherapy interventions have been proven effective in reducing pain, improving LGS, muscle strength, and function in patients with LBP et causa spondylolisthesis.