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Analyzing how counseling services affect students' motivation to learn is the goal of this study. A quasi-experimental design with control and experimental groups is the methodology employed. Questionnaires completed both before (pre-test) and after (post-test) the treatment were used to collect data. According to the study's findings, students who receive counseling services report feeling far more motivated to learn. With an average rise of 12.78%, the average learning motivation score rose from 55.91% (low category) to 68.70% (high category). Wilcoxon test statistical analysis supports these findings, demonstrating that counseling services have a significant impact on students' increased drive to learn (p < 0.05). The utilization of counseling services as a successful strategy to increase students' motivation to learn is one area in which this research greatly contributes to the field of education. Students who lack motivation to learn can benefit from this in order to enhance their academic performance.

Labor pain is a complex experience, with 65-80% of mothers in Indonesia experiencing severe pain during childbirth, requiring effective management. The SP6 (Sanyinjiao) acupressure technique offers a non-pharmacological, easy-to-apply, and safe alternative with minimal side effects for reducing labor pain. This study aimed to evaluate the effect of SP6 acupressure on labor pain in mothers giving birth at the Obstetrics Emergency Room of Tidore Islands City Hospital. A quasi-experimental design with a pre-test and post-test approach was used. The sample included 30 mothers in the active phase of labor (4-7 cm dilation), with singleton pregnancies and gestational ages of 37-42 weeks, selected through purposive sampling. The intervention involved applying acupressure at the SP6 point for 20 minutes with moderate pressure. Pain intensity was measured before and after the intervention using a Numeric Rating Scale (NRS) from 0-10. The Wilcoxon Signed Rank Test showed a significant decrease in pain intensity (p = 0.000), with 50% of participants reporting moderate pain post-intervention, and no participants experiencing uncontrolled severe pain. In conclusion, SP6 acupressure significantly reduced labor pain intensity and can be recommended as an effective, safe, and easy-to-apply method for managing labor pain.

In Indonesia, the low coverage of exclusive breastfeeding and the high rate of stunting are mostly due to inadequate breast milk production. The purpose of this research is to examine the efficacy of infrared therapy, ginger boreh, and ginger herbal therapy in promoting breast milk production in nursing moms. With a pre-experimental layout using a one-group pretest–posttest design, this research employed a quantitative methodology. Prior to the intervention and again after it was administered, the study participants were watched. Postpartum women in the Rum Balibunga Community Health Center's working area comprised the study population. Using a purposive sampling approach, 30 breastfeeding moms were chosen for the study sample based on pre-established inclusion and exclusion criteria. The statistical analysis, which utilized the Wilcoxon test, revealed a significance value of 0.000, which is less than the significance threshold of 0.05 (p < 0.05). It may therefore be concluded that infrared therapy, ginger boreh, and ginger herbal therapy are all successful in boosting breast milk output in postpartum moms. This study's findings can serve as a foundation for future research, as well as an alternative therapy for postpartum women in breastfeeding care, by enhancing procedures and introducing other interventional advances.

Breast milk production in the early postpartum period often experiences obstacles due to physiological and psychological factors, which can affect the success of exclusive breastfeeding. Non-pharmacological interventions such as oxytocin massage are known to help stimulate the milk ejection reflex, but their application in primary health facilities is still limited. This study aims to determine the effect of oxytocin massage on breast milk production in breastfeeding mothers. The study design used a quasi-experimental approach with a one-group pretest–posttest design. The study sample consisted of 30 breastfeeding mothers who met the criteria and were selected using total sampling technique at the Galala Inpatient Health Center. Breast milk production was measured based on volume and clinical signs of breast milk production before and after the oxytocin massage intervention. Data analysis used the Wilcoxon Signed Rank Test. The results showed a significant increase in breast milk volume and signs of production after the intervention with a p-value < 0.001. This indicates that oxytocin massage is effective in increasing breast milk production through a neurohormonal stimulation mechanism that enhances the let-down reflex. In conclusion, oxytocin massage can be recommended as a lactation support intervention in primary care facilities to support successful exclusive breastfeeding.

Backround: Basic immunization is a crucial step in preventing communicable diseases that can be controlled through vaccination in infants. However, the coverage of basic immunization in Indonesia has not yet reached the desired target. One of the factors influencing immunization coverage is the low level of maternal knowledge about immunization. This issue was identified in a preliminary study conducted at PMB Suratni. The objective of this study is to evaluate the effectiveness of health education using audio-visual media in improving mothers' knowledge about basic immunization at PMB Suratni.Methods: This study employed a quasi-experimental design with a control group. A total of 50 mothers with infants aged 0–12 months at PMB Suratni were selected as respondents. The intervention group received health education using audio-visual media, while the control group was given conventional lecture-based education. Data were collected through pretest and posttest questionnaires and analyzed using the Wilcoxon test and N-Gain score.Results: Expert evaluations of the material and media categorized them as appropriate. The study results from both interventions indicated a significant improvement in maternal knowledge in the group that received audio-visual education compared to the control group. The average N-Gain score in the intervention group was 0.72 (high category), whereas the control group scored 0.45 (moderate category). The Wilcoxon test showed a p-value of <0.05, indicating a significant difference between the two groups.Conclusion: Health education using audio-visual media is proven to be more effective in enhancing mothers' knowledge about basic immunization compared to the lecture method. Audio-visual health education can serve as an interactive and informative alternative in health education programs to improve basic immunization coverage in infants.  

Verbal bullying involves hurtful words, such as insults and degrading nicknames, and remains a growing issue in Indonesia, with 87 cases reported as of August 2023. Health counseling is an approach to addressing this problem, and audiovisual media like short films can enhance adolescents' understanding of such counseling. This study examines the effectiveness of short films as a health education medium on verbal bullying among early adolescents at MTs Munir Ismail Gondanglegi. Using a quantitative pre-experimental pretest-posttest one-group design with simple random sampling, 60 students were selected from a population of 150. A questionnaire measured respondents' knowledge before and after receiving health education through a short film. Wilcoxon signed ranks test analysis showed a significant increase in knowledge, with a mean difference of 3.93 and a p-value of 0.000. These results confirm that short films are an effective medium for improving adolescents' understanding of verbal bullying, making audiovisual approaches valuable in health education.

Background: Vertigo is a group of symptoms caused by a disturbance in the balance of the vestibular or central nervous system. Complaints of vertigo can come in the form of nausea, dizziness, spinning, or a feeling of being pulled or drawn in an upright position. Dizziness can also be caused by disturbances in the body's balance organs, including receptors in the eye (retina), in the vestibular and semicircular canals, as well as in tendons, joints, and internal sense organs. Objective: Identifying the characteristics of respondents including age, gender, and measuring the scale of moderate, mild and severe symptoms after performing brandt daroff combination therapy accompanied by lemon aromatherapy. Methods: Pre-experiment research design with one group pretest and post test design with purposive sampling technique, a total of 14 respondents with observation sheet instruments. Results: Based on the analysis, the average number of vertigo complaints experienced by respondents was a score of 32.9. After the respondents were given Brandt Deroff therapy accompanied by lemon, the level of vertigo headache decreased to a score of 1.50. wilcoxon test showed a significance value.2 marked 0.001 <0.05, also Ho is rejected and Ha is accepted. Conclusion: So it can be concluded that there is an average difference between the results of therapy before (pre-test) and after (post-test) which means that there is an effect of Brandt Daroff treatment accompanied by lemon aromatherapy on reducing the pain scale of vertigo patients in cases at RSI Sultan Agung Semarang.

This study emphasizes the importance of mental health among students in Islamic boarding schools (pondok pesantren), who often face various academic and social pressures. According to the World Health Organization (WHO), mental health is defined as a state in which individuals feel happy and healthy, are capable of facing life's challenges, and maintain a positive attitude towards themselves and others. The objective of this research is to evaluate the effectiveness of stress management-based education on the mental health of students at Pesantren X. A quantitative pre-experimental design was employed, involving 28 students selected through purposive sampling. The DASS-42 questionnaire was utilized to assess mental health before and after the intervention. Results indicated that post-education, 64.3% of students exhibited normal levels of depression, 53.6% showed normal anxiety, and 67.9% reported normal stress levels. The Wilcoxon test yielded a p-value of 0.000 (p < 0.05), indicating a significant effectiveness of the educational program. The findings affirm that mental health education through stress management is effective in enhancing both the mental health and knowledge of students. Therefore, it is recommended that Islamic boarding schools incorporate this program into their curriculum to support the psychological well-being of their students.

This study aims to (1) describe the characteristics of e-LKPD based on realistic mathematics education on system of linear equations with three variables oriented towards critical thinking skills and self-efficacy of vocational school students, (2) describe the feasibility of e-LKPD based on realistic mathematics education on system of linear equations with three variables oriented towards critical thinking skills and self-efficacy of vocational school students in terms of validity,  practicality and effectiveness. This type of research is research and development (Research and Development) with the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). The research subjects were 34 students of class X TKP SMKN 2 Tarakan. In this research, One Group Pretest - Posttest Design was used. The research instruments used were validation sheets, practicality assessment sheets by teachers and students, learning implementation observation sheets, critical thinking ability tests and self-efficacy questionnaires. The results of the research show: (1) the e-LKPD developed contains characteristics found in the RME approach to the material of on system of linear equations with three variables oriented towards critical thinking skills and self-efficacy. The characteristics contained in RME-based e-LKPD include integrated learning, use of context, mathematization and construction processes and interactivity. (2) the RME-based e-LKPD developed meets the criteria for feasibility in terms of validity aspects with a percentage of feasibility according to material experts of 93.4% and media experts of 98.9% with the validation result criteria being very feasible; practicality with a very practical category based on the results of student and teacher responses; effectiveness based on critical thinking skills with classical completeness of students reaching 82.4%, the results of the T-test paired samples-test with a significance level of 5% obtained that there was an influence on students' critical thinking skills after treatment using RME-based e-LKPD, the N-Gain result was 0.73 with a high category, and the effectiveness of e-LKPD on self-efficacy with an increase in each self-efficacy indicator,  the N-Gain result was 0.3 in the moderate category, and the results of the Wilcoxon test on self-efficacy data with a significance level of 5%, it was obtained that there was an influence on students' self-efficacy after treatment using RME-based e-LKPD.

Tooth extraction often triggers anxiety in patients due to the use of invasive medical instruments. Anxiety management can be addressed pharmacologically or non-pharmacologically. Aromatherapy using red ginger essential oil (Gingiber Officinale var. Rubrum) is a non-pharmacological method that has the potential to reduce anxiety effectively. This study aims to determine the effectiveness of red ginger essential oil in reducing the anxiety levels of patients undergoing tooth extraction. This quasi-experimental study employed a pretest-posttest design on 96 tooth extraction patients at RSKDGM Makassar. Anxiety levels were measured using the Modified Dental Anxiety Scale (MDAS) questionnaire before and after inhaling red ginger essential oil aromatherapy for 10 minutes. Data were analyzed using the Wilcoxon test with SPSS 26. The results showed a significant decrease in patients' anxiety levels after inhalation of red ginger essential oil aromatherapy. Before the intervention, the majority of patients had moderate anxiety (58.3%), while after the intervention, mild anxiety increased to 59.4% (p-value = 0.000). Red ginger essential oil (Gingiber Officinale var. Rubrum) is effective in reducing patients' anxiety during tooth extraction procedures.

Stunted is a growth disorder in children due to chronic malnutrition and repeated infections. Stunted is characterized by the child's length or height being below the standard identified through anthropometric measurements using the PB/U or TB/U index. One of fulfillment of toddler nutritional is MP ASI (Complementary Food for Breast Milk). MP ASI that rich in animal protein can provide sufficient nutrients for toddlers so that can avoid stunted problems. Therefore, it is necessary to increase the knowledge of toddlers’ mothers regarding MP ASI that rich in animal protein. This event was carried out at 2 Posyandu : Posyandu Induk Desa Pemanggilan and Posyandu Srimulyo I H on February 6 and 7, 2024. Target of this activity was mothers of toddlers at both Posyandu. The results showed an increase in knowledge before and after nutrition education that indicated by the results of Wilcoxon Test : p value of 0.025 (<0.05) on the first day and p value of 0.047 (<0.05) on the second day.

Background: The urgency of adolescent reproductive health problems that have not been resolved is cases of unwanted pregnancies (Dr.Fitriana, 2023). Based on a preliminary study conducted for approximately 1 week, it was found at the Paris 2 Community Health Center that pregnancy cases increased by as much as 29% of young women in Pontianak City experienced symptoms of blood deficiency or anemia. According to the Head of the Pontianak City Department of Health (Dinkes), Saptiko, suffering from anemia will have an impact on the pregnancy readiness of young women, after conducting a data survey, the highest number of teenagers experiencing anemia was at Muhammadiyah 1 High School, Pontianak City. Research Method: The research design is Pre-Experimental Design with One Group Pretest-Posttest Control group design. The research sample consists of 78 people who will be given video educational media. The instrument used in the research was a knowledge questionnaire about reproductive health. The sampling technique used was simple random sampling. Analysis uses t test with α ≤ 0.05. Research Results: The results of this research obtained an average knowledge before 70.39 and after 86.73. The results of increasing knowledge before and after are 16.34. The Wilcoxon test results obtained p value = 0.000 < 0.05. Conclusion: There is a difference in the provision of video-based educational media on the level of knowledge of adolescents regarding reproductive health at SMA Muhammadiyah Pontianak.

The prevalence of diabetic ulcers in Indonesia is approximately 15%, with an amputation rate of 30% and a mortality rate of 32%. Diabetic ulcers account for 80% of hospitalizations among Diabetes Mellitus patients, due to a combination of peripheral neuropathy and ischemia. The Moist Wound Healing (MWH) method is used to accelerate the healing of diabetic ulcers. MWH maintains wound moisture, creating an optimal environment for tissue growth, speeding up healing, and reducing the risk of infection. This study used a quasi-experimental approach with a pre-test and post-test design, involving 15 patients at the Diabetic Wound Specialist Clinic, Antapani Unit, Bandung. Wound care was carried out over 21 days with weekly observations. Data were analyzed using the Wilcoxon test. The results showed a significant improvement in wound condition after MWH treatment. Before treatment, 40% of patients were in the inflammatory phase, and 60% in the proliferative phase. After treatment, 66.7% were in the proliferative phase, and 20% had reached the remodeling phase. The Wilcoxon test showed a p-value of < 0.001, indicating a significant difference before and after treatment. Conclusion: MWH is effective in accelerating diabetic ulcer healing by promoting the proliferative and remodeling phases. Recommendation: Future studies may explore other factors affecting healing and compare MWH with other wound care method

Background: Teenage pregnancy remains a significant public health concern due to its potential risks to both mother and child, including health complications, social challenges, and educational disruption. One of the factors influencing teenage pregnancy is parental patterns, which include parenting styles, communication, supervision, and emotional support. Studies have shown that adolescents from families with authoritarian or neglectful parenting are more likely to engage in risky sexual behavior, increasing the risk of early pregnancy. Understanding the relationship between parental patterns and teenage pregnancy can help develop targeted interventions to prevent adolescent pregnancies. Objective: This study aimed to examine the relationship between parental patterns and the incidence of teenage pregnancy. Methods: A quantitative analytical study with a cross-sectional design was conducted. The sample consisted of 30 teenage mothers selected using a total sampling technique. Data were collected through structured questionnaires assessing parental patterns, including communication, supervision, and emotional support, as well as information about pregnancy incidence. Data analysis was performed using the Wilcoxon signed-rank test to determine the statistical relationship between parental patterns and teenage pregnancy incidence. Results: The study found that 30 respondents (100%) reported experiencing parental patterns that influenced their behavior. Among them, teenagers from families with supportive and communicative parenting had a lower risk of teenage pregnancy. The Wilcoxon signed-rank test showed a significant relationship between parental patterns and the incidence of teenage pregnancy (p = 0.000), indicating that parental guidance and involvement play a critical role in preventing early pregnancy. Conclusion: There is a significant relationship between parental patterns and the incidence of teenage pregnancy. Supportive and communicative parental patterns reduce the likelihood of teenage pregnancy, while neglectful or authoritarian patterns increase the risk. These findings highlight the importance of parental involvement, education, and guidance in adolescent reproductive health.

Background: Exclusive breastfeeding is a crucial factor in improving infant growth and health during the first six months of life. However, the achievement of exclusive breastfeeding is often influenced by various maternal factors, including the mother’s occupation. Working mothers frequently face challenges related to time constraints, workplace support, and breastfeeding facilities, which may affect their ability to provide exclusive breastfeeding. Understanding the relationship between maternal occupation and exclusive breastfeeding is essential to improve breastfeeding promotion programs at primary health care levels. Objective: This study aimed to determine the relationship between mother’s occupation and exclusive breastfeeding at the Posi Posi Community Health Center. Methods: This study employed an analytical observational design with a cross-sectional approach. The sample consisted of 30 mothers who had infants aged 6–12 months, selected using a total sampling technique. Data were collected through structured questionnaires and maternal health records. Statistical analysis was performed using the Wilcoxon test to examine the relationship between mother’s occupation and exclusive breastfeeding practices. Results: The results showed a statistically significant relationship between mother’s occupation and exclusive breastfeeding practices. The Wilcoxon test analysis obtained a p-value of 0.001 (p < 0.05), indicating that maternal occupation significantly influenced the provision of exclusive breastfeeding at the Posi Posi Community Health Center. Conclusion: There is a significant relationship between mother’s occupation and exclusive breastfeeding. Working mothers tend to experience more barriers in providing exclusive breastfeeding compared to non-working mothers. Strengthening workplace support, breastfeeding-friendly policies, and continuous health education is recommended to improve exclusive breastfeeding coverage.

Hypertension is a non-communicable disease with an increasing prevalence and is a major risk factor for cardiovascular diseases. In Cikabuyutan Timur, Hegarsari Subdistrict, hypertension is a significant health problem, primarily caused by unhealthy dietary habits. As a community-based effort to control hypertension, the GEMILANG (Educational Movement and Utilization of Butterfly Pea Innovation) program was implemented through a community empowerment approach. This program includes hypertension education, training on processing butterfly pea flowers into herbal tea, and a Training of Trainer (ToT) for the Kelompok Wanita Tani (KWT) on butterfly pea cultivation techniques. The evaluation results from pre-test and post-test assessments indicated an increase in participants’ understanding of hypertension and the benefits of butterfly pea flowers, with the average pre-test score rising from 83.33 to 93.89 in the post-test. The Wilcoxon test showed a significant difference between pre-test and post-test results (p-value = 0.007). This program successfully enhanced community knowledge and skills in managing hypertension naturally. It is expected that this initiative will be sustainable through the active involvement of KWT and health cadres in promoting a healthy lifestyle based on herbal plants.

Background: Dysmenorrhea, or menstrual pain, is a common health problem experienced by many adolescent girls worldwide. The prevalence of dysmenorrhea in Indonesia reaches 70%, significantly impacting adolescents' quality of life. This study aimed to explore the effectiveness of warm compresses as a method for managing dysmenorrhea pain among adolescent girls at SMA Negeri 1 Bonepantai. Objective: This study aims to measure the effect of using warm compresses on the level of dysmenorrhea pain in adolescent girls, as well as to provide insight into non-pharmacological methods that can be used as an alternative in dealing with this problem. Methods: This study used a pre-experimental design with one group pre- and post-test. The sample consisted of 35 tenth-grade female adolescents with dysmenorrhea, taken through purposive sampling. Initial data were collected using a visual analog scale (VAS) to measure pain levels before and after the warm compress intervention. Results: The analysis showed a significant decrease in pain levels after the application of warm compresses. The average pain score before the intervention was 7.5, while after the intervention it decreased to 3.2. The Wilcoxon Signed Rank Test showed a p-value of 0.000, indicating a significant difference between the pre-test and post-test scores. Conclusion: Warm compresses were proven effective in reducing dysmenorrhea pain in adolescent girls at SMA Negeri 1 Bonepantai. These findings demonstrate that simple interventions can have a positive impact on adolescent health and support the importance of further research into other methods of menstrual pain management.

Health problems in the elderly are increasingly becoming a major concern at global and national levels, along with increasing life expectancy. One of the most common health problems faced by the elderly is musculoskeletal disease, including rheumatism. This study aimed to determine the effect of rheumatic exercise on the ability of elderly individuals to perform daily activities. This study is a quantitative study using a quasi-experimental one-group pre-test and post-test design. The results showed that The results of the Wilcoxon rank test were p = 0.000, which was smaller than α = 0.05. This study shows the effect of rheumatic exercise on the ability of the elderly to perform daily activities. This shows that rheumatic exercise is an effective intervention to support the ability of the elderly to face physical and psychological challenges due to aging and chronic diseases, such as rheumatoid arthritis.

Tooth extraction is a minor surgical procedure involving hard and soft tissues in the oral cavity. The level of anxiety towards dental treatment procedures ranks fifth among several other common symptoms that can cause anxiety. Treatment to reduce the level of patient anxiety can be done with pharmacological and non-pharmacological approaches. Jasmine flower essential oil (Jasminun grandiflorum) is one of the non-pharmacological methods used to reduce the level of anxiety in tooth extraction patients. To determine the effectiveness of using jasmine flower essential oil (Jasminum grandiflorum) on the level of anxiety in tooth extraction patients. This study was conducted at the Regional Special Hospital for Teeth and Mouth (RSKDGM) in Makassar. This study is a quasi-experimental study with a pretest-posttest approach. The measuring instrument used was the Modified Dental Anxiety Scale (MDAS) questionnaire which was given before and after giving jasmine flower essential oil for 10 minutes to reduce the level of anxiety in tooth extraction patients. Based on the results of the Wilcoxon test, it showed a significant decrease in the level of anxiety in patients after inhalation of jasmine flower essential oil aromatherapy. Before treatment, the majority of patients had moderate anxiety (47.9%), while after treatment, mild anxiety increased to 89.6% (p-value 0.000). Jasmine Flower (Jasminun Grandiflorum) essential oil is effective in reducing the level of anxiety in tooth extraction patients.

Coffee is a drink that the Indonesian people have long favored. Coffee can affect blood pressure because polyphenols and potassium lower blood pressure, while caffeine increases blood pressure. The World Health Organization (WHO) has estimated that by 2025, 1.5 billion people in the world will suffer from hypertension per year. Blood pressure in adolescents who experience hypertension can have a higher risk of morbidity and mortality, not only that the more severe hypertension experienced in adolescents can lead to a fairly severe risk of complications such as heart attack, stroke, and coronary artery disease. This study aims to provide broad insights related to nutrition and hopes that our education can at least change the mindset of adolescents regarding the importance of frequent coffee consumption without clear reasons. This study used the Wilcoxon Signed Ranks Test method.This nutrition education was conducted at SMK Harapan Massa, Beji, Depok. On January 25, 2024. Using Descriptive Research type. Based on Wilcoxon analysis, 45 students experienced a decrease in scores, 3 students experienced an increase and 16 students had similar scores in the post-test and pre-test. Conclusion. there is an influence on the results of students' understanding before exposure to the material (Post-test) and after exposure (Pre-test).