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Background- Elderly is a transitional period in which a person experiences a decrease in the body's abilities physically and psychologically. One of changes that occurred significantly was the psychological condition of anxiety. Progressive muscle relaxation therapy can prevent anxiety by regulating the parasympathetic nervous system and the hypothalamus to increase positive attitudes so that stressor activation in the hypothalamus is minimized. Purpose: This case study aims to determine the effectiveness of progressive muscle relaxation therapy in reducing anxiety in the elderly. Method: This study used a method in the form of a case study on one patient. Previously, the patient's anxiety level was measured using the Hamilton Anxiety Rating Scale questionnaire and then given progressive muscle relaxation therapy intervention for 7 days on a regular basis and then observed on the 4th and 7th day to assess the effectiveness of the intervention. Results: The results of the study showed that after therapy, the anxiety level of the elderly decreased from moderate anxiety (score 24) to mild anxiety (score 16) within 7 days of the intervention. Conclusion: There is an effect of progressive muscle relaxation therapy on the level of anxiety in elderly.

Sectio caesarea delivery is a form of labor process that is carried out by making incisions in the abdominal wall and uterine wall to deliver the fetus from the uterus. Patients who give birth by cesarean section method will usually feel various discomforts. One of the discomforts felt is pain originating from an abdominal incision. So we need a management that can reduce complications and improve quality in post partum mothers, namely by doing foot massage relaxation techniques. The purpose of this case study was to determine the effect of foot massage in reducing pain in post-cesarean section patients. This study used a case study method with a nursing care approach, namely taking 1 patient as a descriptive analysis. Methods of data collection by interviews, observation, pre-test, intervention, and post-test. The research was conducted on March 16-18 2023 at the PKU Gamping Firdaus Ward. The results of the case study showed a decrease in the pain scale in post sectio caesarea patients after foot massage was performed. From the results of the case study, it can be concluded that there is a significant effect of foot massage on changes in pain in post-cesarean section patients.

Symptoms of stemi can cause patients to feel more anxious, this anxiety can be overcome pharmacologically and nonpharmacologically. However, pharmacological therapy can cause various side effects. Therefore, nonpharmacological therapies can be recommended including progressive relaxation techniques. The purpose of this study was to determine the application of progressive muscle relaxation therapy to anxiety using the HARS scale in stemi patients in the CVCU Room of Prof. Aloei Saboe Hospital. Pre-experimental research method with one group pre post test design, a sample of 4 people who met the sample criteria, the instrument used HARS (Hamilton Anxiety Rating Scale) and the data analysis used was univariate analysis. The study findings are that progressive relaxation techniques carried out by researchers for 3 days can reduce the HARS score of the first patient from a score of 11 to 4, the second patient from a score of 12 to 6, the third patient from a score of 13 to 7 and the fourth patient from a score of 12 to 6, so that progressive muscle relaxation therapy can be applied in reducing anxiety of stemi patients in the CVCU Room of Prof. Aloei Saboe Hospital. The implication of this study is that the nursing profession is expected to improve the provision of nursing interventions in carrying out the nursing care process comprehensively, namely from bio to psychosocial patients so that it can help patients overcome psychosocial problems in this case the anxiety experienced by patients.    

Background: Life in prison can trigger stress that affects blood pressure. One way to control blood pressure in hypertensive patients is to use non-pharmacological therapy interventions. One of them is to use autogenic relaxation and music therapy methods. Purpose: This study aimed to determine the effect of autogenic and music therapy on reducing blood pressure for inmates. Method: The research method is quasi-experimental, with one group pretest and posttest design. This research was conducted in a prison in the Surabaya area. The total sample of this study is 20 respondents. Result: After autogenic and music relaxation therapy, participants with normal blood pressure levels increased to 60%. Based on the Wilcoxon Sign Rank Test result, it's known that p-value = 0,001 with (?<0.05), which means this program may affect participants' blood pressure. Conclusion: The use of autogenic and music therapy may reduce blood pressure. This program significantly lowered participants' perception of stress, and it enhanced their perception of health

In the delivery process, family assistance through the active role of family members by bringing loved ones to the birth process can provide physical and psychological support to the mother which can create a feeling of security and comfort for the mother. Support from the husband is a form of family support that has the greatest impact on the mother's behavior in the delivery process. This community service activity is carried out by providing counseling to pregnant women who are in the Muzzle Bulu Village area, Maros Regency. The purpose of this activity is to educate pregnant women about the importance of assistance in the delivery process, support for childbirth assistance, the importance of assistance in the delivery process, the benefits of the importance of assistance in the delivery process. The knowledge of pregnant women related to the use of the Doula labor coach application to help relax the mother in the 1st stage of labor has increased significantly. Doulas are able to balance the patient's emotions and can provide positive support to face labor calmly and comfortably. Counseling Program Regarding the benefits of the importance of assistance during childbirth carried out well and running smoothly according to the activity plan that has been prepared, without significant obstacles accompanied by the enthusiasm of the participants in participating.

Sub Arachnoid Block (SAB) regional anesthesia produces a sympathetic block of muscle relaxation, and a sensory block against peripheral temperature receptors thereby inhibiting the compensatory response to temperature. A factor that can cause a decrease in core temperature and disruption of the information pathways coming from the first receptor is a sympathetic blockage that causes peripheral vasodilation. This research is a non-experimental quantitative research with correlational analytical research methods and cross sectional research design. The study sample amounted to 72 respondents of spinal anesthesia patients. Sampling with consequential sampling techniques, the statistical test used is distribution frekuency. Of the 16 people who experienced high blocks, (75%) experienced shivering and (25%) did not experience shivering. Of the 36 respondents who experienced moderate blocking, (58.3%) experienced shivering and (41.7%) did not shivering. Of the 20 respondents who experienced low spinal block, (70%) did not experience shivering and (30%) experienced shivering.. In conclusion, there is the height of the anesthetic spinal block and the incidence of intraoperative shivering at the Central Surgical Installation of RSUD Jombang.

Fear of dental care is a common problem that can hinder people's access to optimal dental health services. In Panakkukang District, Makassar City, this phenomenon often causes delays or avoidance of dental care, which ultimately has the potential to worsen the community's dental and oral health conditions. This study aims to reduce fear of dental care through a comprehensive psychological approach and community education. This study aims to reduce fear of dental care through a comprehensive psychological approach and community education. The methods used in this study involve providing education to the community through dental health counseling, as well as the application of psychological techniques such as relaxation and desensitization techniques to help overcome fear. Education is delivered through socialization activities at various strategic points in Panakkukang District, while psychological techniques are applied in clinical situations and in community-based simulations. The results of the study showed that this approach significantly reduced the level of fear of dental care among the local community. Participants reported increased knowledge about the importance of dental care and decreased anxiety levels when having to undergo dental care procedures. In conclusion, the approach that combines community education with psychological interventions has proven effective in reducing fear of dental care in Panakkukang District, Makassar City. Therefore, it is recommended that similar programs be implemented in other areas to improve community access to better dental health services.

Hypertension is an increase in blood pressure above normal which has a very close relationship with the elderly, so it can cause complications and cardiovascular disease if not treated properly. In the treatment of hypertension, the elderly can control blood pressure by using the Benson relaxation technique. Benson relaxation is a non-pharmacological therapy that uses the breathing relaxation method by involving the patient's belief factor. This case study aims to describe the application of Benson relaxation therapy 10-15 minutes, 2 times a day, for 3 days can reduce blood pressure in the elderly with hypertension in the Pegandan Public Health Center Semarang. The type of case study used is descriptive. The subjects used were 2 people with criteria of age > 60 years, BP 140/90 mmHg – 159/99 mmHg. The instrument used is a digital sphygmomanometer and Benson relaxation SOP. The final result of the application of Benson relaxation showed that subject I experienced a decrease in blood pressure on the first day, namely 158/92 mmHg to 138/84 mmHg on the third day, subject II experienced a decrease in blood pressure on the first day, namely 158/86 mmHg to 130/76 mmHg on the third day. The level of family independence of the two subjects increased from the level of independence of III to IV. Benson relaxation is recommended to help lower blood pressure in the elderly with hypertension

Dysmenorrhea is a physical disorder in women who are menstruating in the form of abdominal pain/cramping disorders. Benson relaxation is the development of a deep breathing relaxation method involving the patient's belief factor that can create a calm environment so that it can help patients achieve higher health and well-being conditions. This study aims to describe and analyze the application of Benson's relaxation technique in reducing the pain scale of dysmenorrhea in nursing students. The type of research used is descriptive with a case study approach. The subjects used were 2 people with criteria, namely students of STIKES Kesdam IV/Diponegoro Semarang, female students with dysmenorrhea pain, and female students who were willing to be given Benson relaxation measures. Pain measurement using the Numerical Rating Scale (NRS). Benson's relaxation intervention was carried out for 3 consecutive days. The results of the analysis showed that subject I experienced a decrease in the pain scale from the results of a scale of 4 (moderate) to II (mild), subject II from a scale of 3 (mild) to 0 (no pain). The results of the case study concluded that there was a decrease in the pain scale in female students with dysmenorrhea pain. Benson relaxation is recommended as a nursing intervention in pain management in female students who experience dysmenorrhea pain because it can reduce the pain scale significantly and is easy to do

Labor is the process of opening and thinning the cervix, where the fetus is pushed out through the birth canal. Finger Grip Relaxation is a muscle relaxation action that is believed to reduced pain. The purpose of this research was to find out the effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients at the 2nd Grade Hospital of R.W. Monginsidi in Manado.This research was conducted by using a quasi experimental one group pre-test and posttest design. Sampel in this research amounted to 15 respondents using accidental sampling technique. Data collection was done by sharing SOP. Then, the collected data was processed by running the SPSS computer program version 16.0 to be analyzed by a Wilcoxon test with the significance level ? = 0,05.The result showed that there is an effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients.The conclusion of this research is that there is an effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients at the 2nd Grade Hospital of R.W. Monginsidi in Manado. It is suggested to update information about the effect of finger grip relaxation technique on pain reduction in post sectio caesarea patients.

It is estimated that 60% of deaths in pregnancy occur after delivery and 50% of deaths postpartum within the first 24 hours. After the baby is born, the uterus which during labor contracts and retracts will become hard so that it can close the large blood vessels that lead to the former implantation of the placenta. If the involution process does not go well, a condition called uterine sub involution will arise. If the sub involution of the uterus is not handled properly, it will result in bleeding, for that the mother needs certain exercises that can accelerate the process of involution. According to several studies, to speed up the process of uterine involution, one of the recommended exercises is postpartum gymnastics, an integration model of relaxation techniques and exercises for the 'Otaria' abdominis muscles. The purpose of this study was to determine whether postpartum exercise model integration of relaxation techniques and 'Otaria' abdominis muscle exercises had an effect on the speed of uterine involution in post partum mothers at PKM Sayung 2, Demak Regency. This study uses a quantitative approach, the method used in this study is a quasi-experimental or quasi-experimental. The design used in this study was Post-test Only Control Group Design. Data analysis used univariate analysis and bivariate analysis. The results showed that respondents who did puerperal exercise 'otaria' experienced uterine involution faster than respondents who did postpartum exercise with a value of (p-value <0.05) at TFU and (p-value <0.05) at lochia.   Keywords: Otaria Postpartum Gymnastics, Uterine Involution Speed

The purpose of this research to revisits methods that are more effective in nonlinear Optimization with single variable polynomial functions at high degrees. Models with linear objective functions and constraint functions are Polynomials of third, fourth and fifth degree reconstructed into subproblems that are easier to solve, namely quadratic programs, using bilinear Auxiliary Functions and solved by MATLAB simulations. The method used is the development of Tawarmalani & Sahinidis' research regarding relaxation with Auxiliary Functions. Examples of nonlinear Optimization with polynomial functions are also given to illustrate the implementation of this algorithm. The results of the research show that the application of the development reconstruction method produces a global solution that is no better than the solution to the original problem so that it is not an effective alternative method to use.

Pain in labor is a physiological process.contractions are used to divert women from pain during contractions, Yoga is a movement that is relatively safe and is performed on pregnant women, very useful for dealing with shortness of breath, back pain. Hypnobirthingdeep relaxation, through slow and deep breathing patterns so that the body automatically releases endorphins which are natural morphines in the body which are useful for reducing and even eliminating pain during contractionscan also increase the formation of endorphins DestinationIncrease the knowledge of midwives about effluerage massage and Hypnobirthing in pregnant women. The process of giving birth becomes very pleasant, smooth and fast with trainingeffluerage massageand hypnobirthing on imom is pregnant so that mothers enjoy a safe, gentle, smooth and comfortable delivery process through pregnant women classes in Silian Satu village, K1 and K4 in pregnant women will be achieved. After being evaluated from 10 pregnant women, there were 7 pregnant women who felt comfortable after doing effluerage massage followed by Hypnobirthing.

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.

Background: Pregnancy is something that naturally happens to productive women. During pregnancy, changes occur in the mother, both physical and psychological. In general, the physical changes during pregnancy are, no menstruation, enlargement of the breasts, changes in the shape of the uterus, changes in the working system of the body's organs, enlargement of the stomach, weight gain, weakening of the relaxation of the muscles of the digestive tract, sensitivity to the senses, and the feet and hands begin to enlarge. The psychological changes in mothers in the first trimester are estimated to be 80%, resulting in feelings of disappointment, rejection, anxiety and sadness. In the second trimester, the mother's psychological life appears calmer and begins to adapt, and in the third trimester, changes in the mother's psychology seem more complex and increase again compared to the previous trimester, and this is none other than because the condition of the pregnancy is getting bigger. Psychological impacts on pregnant women include being sensitive, tending to be lazy, asking for more attention, easily jealous, and anxiety. Pregnant women will be more open to themselves and like to share their experiences with other people. Pregnant women will reflect on all their dreams, dreams, fantasies about objects, events or abstract concepts, such as death, life, success and happiness during pregnancy.Objective: Knowing how the knowledge of pregnant women about psychological changes in the first trimester is related to the attitude of pregnant women in facing pregnancy at the Medan Amplas Community Health Center, Medan City in 2022. Method There is a relationship between the knowledge of pregnant women about psychological changes in the first trimester and the attitude of pregnant women in facing pregnancy at the Medan Amplas Community Health Center, Medan City in 2022. Advice is given for research and for research sites and for educational institutions regarding perennial wound care.

Anxiety is a common psychological response that can negatively impact a person's well-being if not properly managed. One effective method to alleviate anxiety is through distraction relaxation services, which help divert attention from stressors and promote relaxation. This study explores the effectiveness of distraction relaxation techniques in reducing anxiety levels among individuals experiencing psychological distress. The intervention includes guided relaxation,sensory distraction, and mindfulness-based activities aimed at calming the mind and body. The findings indicate that distraction relaxation services significantly reduce anxiety, improve emotional stability, and enhance overall mental well-being. This study highlights the importance of incorporating relaxation techniques into mental health interventions to support individuals dealing with anxiety.

Pregnant women really dream of a healthy pregnancy. To be able to have a healthy pregnancy, pregnant women can do pregnancy exercises. An old method that is still used in pregnancy services today is pregnancy exercise, where pregnancy exercise is also a method of relaxation and exercise for pregnant women which is a permanent program in antenatal care, aimed at making pregnant women mentally and physically ready to face the birthing process. In fact, even though there are pregnancy exercises for pregnant women, there are still many who don't know about pregnancy exercises. Based on a preliminary survey of 10 pregnant women with gestational age entering the 2nd and 3rd trimesters who came to the Posyandu regularly in RW 02 Sambiroto Village, there were 4 pregnant women who said that while participating in activities at the Posyandu they only received material regarding pregnancy information. This community service activity is an effort to increase the knowledge, skills and understanding of posyandu cadres and pregnant women about the methods and benefits of pregnancy exercise during the second and third trimesters of pregnancy in RW 02, Sambiroto Village, Tembalang District, Semarang City. The specific target of this PKM is to teach cadres and pregnant women how to do safe pregnancy exercises for the 2nd and 3rd trimester of pregnancy. This PKM program activity is carried out using counseling and training methods at the RW 02 hall, Sambiroto Village with implementation methods a) Pre-field survey, b ) Preparation of training tools and materials, c) Preparation of training methods, d) Training of Posyandu cadres and pregnant women, e) Mentoring, f) Evaluation, g) Making reports and publications. Based on the results of socialization and training, significant results were obtained, namely that posyandu cadres were able to guide pregnancy exercise correctly and pregnant women understood the benefits of pregnancy exercise.

Poverty is a problem faced by all countries in the world, especially in developing countries. Poverty is a complex problem that is influenced by many related factors, while this study aims to analyze how and how much influence the Human Development Index, Gross Regional Domestic Product and Unemployment Rate have on Poverty Rates in Indonesia in the period 2017 to 2021. This research using multiple regression analysis with panel data as the method of analysis. This research focuses on six provinces in Indonesia as cross section data and the time range from 2017 to 2021 as time series data. The results of the study show that simultaneously there is influence between the human development index variable Gross Domestic Regional Product and the response to poverty. Then partially, the human development index variable has a negative and significant effect on the poverty variable, and for the Gross Domestic Regional Product variable it shows positive and insignificant results on the poverty variable while the relaxation variable shows positive and significant results on the poverty variable. Furthermore, the coefficient of determination shows 99.6.

Background: Dysmenorrhea is discomfort in the lower abdomen spreading to the waist which is often experienced by young women aged 12-18 years or even almost all women during menstruation, usually often felt before menstruation or during menstruation. Benson relaxation technique is one of the complementary therapies developed as a relaxation technique that is simple and easy to implement and is a combination of relaxation response techniques with individual belief systems or faith factors. Purpose : Knowing changes in the level of dysmenorrhea in adolescents before and after doing benson relaxation therapy. Method: this application with descriptive research methods and observing events or events that have occurred. Descriptive research is research conducted to describe or describe an event that occurs. Results: handling dysmenorrhea with benson relaxation therapy given for 2 days with 1 time a day for 15 minutes can affect the patient's level of dysmenorrhea so that there are changes in the patient's pain scale. Conclusion: Benson relaxation therapy can reduce the level of dysmenorrhea in adolescents who are experiencing menstrual pain.  

The MDG`s national target is to reduce the maternal mortality rate by three quarters from the maternal mortality rate in 1990 of 405 per 100,000 live births to 102 per 100,000 live births in 2015. World Health Organization (WHO) Maternal Mortality Rate (MMR) in the world that is, 289,000 people, and estimates that 800 women die each day due to complications of pregnancy and childbirth. Approximately 99% of all maternal deaths occur in developing countries, about 80% of maternal deaths are the result of increased complications during pregnancy, childbirth and after delivery. The Health Profile of North Sumatra Province in 2016 states that the coverage of deliveries assisted by health workers shows an increasing trend, namely from 86.73% in 2010 to 90.05% in 2016, even the achievement in 2016 was the highest achievement in terms of delivery assistance by health worker in 7 years Effleurage technique is a massage technique using the palms of the hands in a circular motion pattern on the lower part of the waist. Massase effleurage technique can reduce labor pain during the first stage of the active phase if it is done correctly, which is done every time there is a contraction and done for about 20 minutes. The general objective of this study was to provide midwifery care for the first stage of labor to Mrs. A with the Effleurage Massage Relaxation Technique at the Pratama Marko clinic using Helen Varney's 7 steps midwifery management. In making this report the authors use descriptive methods with a case study model. The results showed that the respondent Ny. A 28 years old during the first stage of labor with massage relaxation technique at effleurage at the Pratama Clinic, Jl. Floodgate IV kec. Medan Johor.