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Perineal wounds are tears that occur during childbirth, either spontaneously or through assisted delivery. If not properly treated, they can lead to infections. The healing time varies depending on hygiene and the mother's health condition. Perineal wound healing can be facilitated through non-pharmacological treatments, including binahong leaves. The binahong plant has antibacterial, antioxidant, and anti-inflammatory properties, making it potentially effective in accelerating perineal wound healing. This study aims to determine the effect of boiled binahong leaf water on perineal wound healing in postpartum mothers at Susiani, Amd. Keb Independent Midwife Practice Banyuwangi in 2024. The research was conducted at TPMB Susiani, Amd. Keb Banyuwangi, Gang Lombok Perum Villa Asri I Block A-6 Sukowidi, Klatak Village, Kalipuro District, Banyuwangi Regency, from May to June 2024. This study evaluated the effect of boiled binahong leaf water on perineal wound healing using a quasi-experimental design with a posttest-only control group. Of 40 postpartum mothers, 20 received binahong leaf treatment, while 20 did not. The sampling technique used was consecutive sampling. The boiled binahong leaf water was administered for five days, twice daily in the morning and evening. Data analysis was performed using the Wilcoxon test with SPSS. Ethical approval number: 179/01/KEPK-STIKESBWI/V/2024. The results showed that after the intervention, nearly all respondents experienced a reduced wound severity by day 5, with perineal wounds showing signs of healing. The Wilcoxon test yielded an Asymp. Sig. (2-tailed) value of 0.000, indicating a significant effect of this therapy, with 60% of mothers in the intervention group experiencing good wound healing. The data indicate an impact on perineal wound healing in postpartum mothers at Susiani, Amd. Keb Independent Midwife Practice Banyuwangi in 2024. Binahong leaves can serve as a complementary alternative for postpartum mothers with perineal tears.

Several psychological and physical physiological changes take place in pregnant women during the third trimester. Complaints of back pain, which can cause discomfort during pregnancy, are one of the frequent physical changes that occur. Endorphin massage, a light massage approach that may help alleviate these complaints, is one strategy that may be utilized to promote relaxation and comfort for expectant mothers, particularly during the later stages of pregnancy before delivery. The purpose of this research is to assess the impact of endorphin massage on the severity of back discomfort in expectant women during their third trimester. The study used a quantitative methodology with a sample size of 65 participants that were representative of the study population. The Wilcoxon Signed Rank Test was used to compare pain ratings before and after the intervention. According to the test findings, there is a substantial difference between the two measurement outcomes, as evidenced by a value of Z = -8.062 with p = 0.000. The study's results indicate that every subject's pain was reduced after receiving endorphin massage. In conclusion, endorphin massage is beneficial for alleviating back pain in pregnant women during the third trimester.

Adolescence is marked by growth and development in various aspects, including physical, psychological, and intellectual. They tend to have a great sense of curiosity, like challenges, and dare to take risks. However, this also makes them vulnerable to various risks, both in the short and long term. Therefore, health services are needed that care about the needs of adolescents, especially in terms of reproductive health. This study aims to determine whether there is an Influence of Health Education About "the influence of health education about early marriage on the level of Knowledge and attitudes of adolescents at the Tinggi Raja Health Center. Tinggi Raja Village, Tinggi Raja District in 2023. The type of quasi-experimental research with a One Group Pretest-Posttest Design, the research sample amounted to 30 people, who were selected using a sampling technique with the Total Sampling Technique. Based on the results of statistical tests using the Wilcoxon test, the results of the p value of knowledge = 0.000 <0.05 and the p value of attitude = 0.000 <0.05. So it is proven that there is a significant influence between health education about early marriage on the level of knowledge and attitudes of adolescents at the Tinggi Raja Health Center. Tinggi Raja Village, Tinggi Raja District in 2023.

Breast milk (ASI) is the primary and best food for infants because it contains almost all the nutrients in the right composition to meet the needs of the baby for optimal growth and development. Breastfeeding mothers require additional nutrients such as carbohydrates, protein, and iron. One of the food ingredients that contains carbohydrates, protein, and iron is sorghum and katuk leaves. Sorghum is rich in carbohydrates and protein, while katuk leaves contain lactagogue, which helps increase breast milk production. This study aims to analyze the effect of sorghum flour substitution and the addition of katuk leaves in wet noodles on the level of preference, organoleptic quality, and nutritional content of wet noodles as an alternative food for breastfeeding mothers. This study used a true experimental method with a 3x2 factorial design, involving three levels of sorghum flour substitution (10%, 20%, 30%) and two levels of katuk leaf flour addition (2%, 4%). A preference test was conducted with 35 panelists, while an organoleptic quality test was conducted with 25 panelists using a hedonic scale, analyzed with Friedman, Wilcoxon, and Two-Way Anova tests. The results showed that sorghum flour and katuk leaf flour substitutions significantly affected preference levels in terms of color, aroma, texture, and taste, with formula X1Y1 being the most preferred. Sorghum flour and katuk leaf flour substitution affected the organoleptic quality parameters of color and texture but did not influence aroma and taste. The best nutritional content of noodles from the preference test in formula X1Y1 (10% sorghum, 2% katuk leaves) per 100 grams was 6.08% protein, 42.51% carbohydrates, and 3.11% iron.

Breast milk is a baby's main food that should be given exclusively for 6 months. The thing that can increase breast milk production is by doing oxytocin massage. The purpose of this study was to determine the effect of health education on Oxytocin Massage and Exclusive Breastfeeding on the Motivation of Exclusive Breastfeeding Mothers in the Working Area of Karang Ayu Semarang Health Center. This type of research is a Quasi Experiment, using an extended Pretest-Postest Group design approach involving one experimental group and one control group. The population in this study were all pregnant women at the Karang Ayu Semarang Health Center from January to March 2021. Samples were taken according to the inclusion and exclusion criteria. The results of the Wilcoxon test gave a P value of 0.000, meaning that there was an effect on the motivation of respondents before and after being given health education.

He primary issue in hyperglycemia is insulin resistance, a condition where the body becomes less responsive to insulin, preventing glucose from being effectively absorbed by cells. One method to address insulin resistance in patients is through physical activities such as exercise. This study aims to analyze the impact of diabetes mellitus exercises on blood glucose levels in patients with hyperglycemia. This study employed a One Group Pretest-Posttest design with a Cross-Sectional approach. The population consisted of all hyperglycemia patients in Dusun Putuk, Banaran Village, Kandangan Subdistrict, Kediri Regency, totaling 50 respondents. The study sample included 44 hyperglycemia patients selected using the Simple Random Sampling method. The independent variable was diabetes mellitus exercises, while the dependent variable was blood glucose levels, measured using a glucose test device. Data processing involved editing, coding, and tabulation. Data analysis was conducted using the Wilcoxon Test. The results showed that, before the exercises, blood glucose levels (BGL) were low in 9 respondents (20%), moderate in 15 respondents (35%), and high in 20 respondents (45%). After the exercises, BGL were low in 29 respondents (66%), moderate in 10 respondents (23%), and high in 5 respondents (11%). The Wilcoxon Test results indicated a p-value < 0.05, specifically p=0.009, thereby accepting H1. Nurses are encouraged to include diabetes mellitus exercises as part of hyperglycemia management programs, especially to enhance the effectiveness of blood glucose control. Further research with larger sample sizes and extended intervention durations is recommended to strengthen these findings.

Nausea and vomiting are symptoms that a reasonable and often happen in the first trimester of pregnancy. It usually occurs in the morning, but can occurs at any time including at night. This condition can cause dehydration or lack of fluid and electrolyte inbalance, hence the condition of pregnant mother's get worse. Lemon aromatherapy is one of alternative method to decrease nausea and vomiting in the first trimester of pregnancy. It provides relaxation and sedative by stimulating the limbic system. This study was conducted to find the effect of lemon aromatherapy to decrease nausea and vomiting in the first trimester of pregnancy. Design used in this study was pre-experiment (one-group pretest-posttest designed). The population were all pregnant women that have nausea and vomiting in the first trimester of pregnancy. The samples were 12 respondent taken by purposive sampling according to the inclusion criteria. The independent variable was lemon aromatherapy. While the dependent variables were nausea and vomiting in the first trimester of pregnancy. Data were collected using structured questionnaire and observation. Data were then analyzed using statistic test (wilcoxon signed rank test) with level of significance α≤0.05.

The anxiety felt by children will have an impact on stress in children. Some children are unable to express their anxiety openly and quiet children usually do not have good coping skills in dealing with anxiety. Many methods have been used to approach children with the aim of reducing hospitalization, starting with play therapy, music, reading stories, drawing. Touch and talk therapy is carried out by providing touch and motivation to children. Where children feel more comfortable when touched. This study aims to find out the effect of touch and talk therapy on preoperative anxiety in school-aged children at the Bintan District Hospital. This research design is a quasi-experimental one group pretest-posttest design. The sample in this study was 30 school-aged children treated in the Gardenia Room at the Bintan District Hospital and the data were analyzed using the Wilcoxon range test. The results show that there is a significant influence between the average anxiety level score during the pre-test and post-test (mean pre-test = 60.17 to mean post-test = 26.07) with p value = 0.000 (p value <0.05). This therapy can be used as an alternative for pre-operative intervention in children at the hospital.

Diabetes is a chronic disease in the form of a metabolic disorder characterized by blood sugar levels that exceed normal limits and one of them is Diabetes Mellitus Type II. Effective education to improve self-management in Type II Diabetes Mellitus sufferers. Non-compliance with Diabetes Mellitus treatment is currently still a quite important problem in the management of Diabetes Mellitus patients. To find out and analyze the effect of education on the level of compliance with medication and diet in Type II Diabetes Mellitus Patients at the Bintan Regency Regional Hospital. The research used Pre-experimental, with a One Group Pretest Posttest research design by analyzing the effect of providing education on the level of compliance with taking medication and diet in Type II Diabetes Mellitus Patients at the Bintan Regency Hospital. The results of the analysis of the Wilcoxon signed ranks test, the level of compliance with taking medication and dietary behavior after being given education was better than before being given education with a significance value of P < 0.0001, less than 0.05, meaning that there was a significant influence before and after being given education on the level of compliance. taking medicine and diet. For future researchers, the problem of patient education should be deepened so that patients understand more about the disease they are suffering from.

Background The World Health Organization (WHO) estimates that the number of fever cases in children reaches 62%. Management of fever can be in the form of non-pharmacological therapy. One non-pharmacological therapy for fever is to apply a compress using aloe vera. Aloe vera contains lignin and saponin which can vasodilate the skin and reduce body temperature. The aim of this research is to determine the effect of information and actions on giving aloe vera compresses on reducing body temperature in children with fever at the Nassau Kec.Nassau Kab.Toba Tahun 2024. This research is a type of quantitative research with a quasi-experimental research design with a pre-test and post-test design without control with subjects of 30 children aged 3 – 6 years who had a fever at the nassau public health center,nasaau district,toba regency in 2024. Community Health Center. The sampling technique in this research is total sampling, namely a sampling technique when all members of the population are used as samples. The intervention carried out was applying compressaloe vera to the forehead for 15 minutes. Temperature measurement using a digital thermometer. The data analysis used is univariate and bivariate analysis. The test used is the non-parametric Wilcoxon test. The results of this research, namely the results of statistical tests using the Wilcoxon test stated that giving aloe vera compresses had an effect on changes in body temperature in fever sufferers with a p value = 0.002 (α < 0.005) with a temperature decrease of 0.486 ºC. The conclusion of this study is that there is a significant influence on the results of measuring body temperature before and after giving aloe vera compresses to children who have fever at  the nassau public health center,nasaau district,toba regency in 2024.

Adolescent mental health is an important issue in the world. In Indonesia, the prevalence of mental disorders in adolescents is still high, but awareness of prevention and treatment is relatively low. This research aims to analyze the influence of knowledge on behavior to prevent mental disorders in students at SMA Muhammadiyah 4 Yogyakarta. The research uses quantitative methods with a pre-test and post-test design without a control group (one group pre-test post-test design). Education is provided in the form of counseling, followed by measuring the level of knowledge and behavior before and after the intervention. Data analysis was carried out using the Wilcoxon test with SPSS software. The results showed a significant increase in post-test scores compared to pre-test (significant value = 0.011). Effective education increases students' awareness and preventive behavior towards mental disorders. Therefore, mental health education programs need to be implemented on an ongoing basis to create a mentally and emotionally healthy generation.

The problem of under-five nutrition, especially stunting, is still the focus of the government. Stunting in toddlers can have an impact on physical, mental and emotional development, as well as brain development. Children who suffer from stunting, as adults, will be more susceptible to diseases, both infectious and non-communicable diseases. Jambi Province's stunting prevalence of 13.5% in 2023 has not yet reached the reduction target. Based on SSGI in 2021, the stunting prevalence rate in Jambi City is 14.0%. This study aims to determine the effect of healthy food education on the knowledge of mothers of toddlers. This study is a quasi-experimental study (pre- test and post-test), the respondents were mothers of toddlers in Pinang Merah Village, Jambi City. Data analysis using the Wilcoxon test. The results of the study were an increase in knowledge seen from the results of the pre- test and post-test which statistically proved a significant increase in knowledge (p-value <0.001). It is concluded that there is an effect of healthy food education on the knowledge of mothers of toddlers. It is hoped that local health centers will often carry out counseling or educational activities to the community to increase knowledge, attitudes and behavior so as to increase the degree of public health.

Promiscuity is a form of deviant behavior that crosses the boundaries of obligations, demands, rules, conditions and feelings. If this interaction and experimentation is without limits, teenagers can be dragged into negative or promiscuous relationships. Teenagers who fall into promiscuity are usually due to their lack of knowledge about the dangers and impacts of promiscuity both on their health and their future. The aim is to find out the effect of health education. about the dangers of promiscuity on knowledge among teenagers at SMA Negeri 2 Buru. This type of research is quantitative pre-experiment with the design used is one group pretest-posttest design. The sampling technique is purposive sampling technique. Data analysis using the Wilcoxon test. The results of this research showed that there was an increase in knowledge after being given health education about the dangers of promiscuity on knowledge among teenagers at SMA Negeri 2 Buru p-value = 0.000, where the α value <0.05. This shows that Ho was rejected and Ha was accepted, which means there is an influence of health education about the dangers of promiscuity on the knowledge of teenagers at SMA Negeri 2 Buru. Based on the research results, it shows that there is an influence of health education about the dangers of promiscuity on knowledge among teenagers at SMA Negeri 2 Buru with a p value = 0.000

Childbirth is often perceived as frightening and causing extreme pain. Some mothers also feel traumatized by their first childbirth process because of various difficulties and pain during childbirth so that they are reluctant to plan to have children again. Labor pain is caused by uterine contractions and dilation of the cervix and lower uterine segment. Survey data from PMB Restu Bunda in 2024 on 5 mothers who gave birth, it was found that overall respondents experienced pain, as many as 3 people with a pain scale of 7 (severe pain) and as many as 2 people with a pain scale of 6 (moderate pain). One non-pharmacological therapy that can reduce the intensity of pain is back massage using Virgin Coconut Oil (VCO). The research objective was to determine the effect of back massage with Virgin Coconut Oil (VCO) on the intensity of active labor pain in the first stage of labor at the IMP Restu Bunda Gunung Terang Sub-District of West Tulang Bawang Regency. The quantitative research type is a pre-experimental design, one group pre-test - post-test design. The population in this study were all mothers who were going to give birth, as many as 22 mothers, with a sample of 18 people taken by accidental sampling. The study was conducted at the IMP Restu Bunda of Gunung Terang Sub-District West Tulang Bawang Regency. Data collection used observation sheets. Data analysis was carried out using univariate and bivariate tests (Wilcoxon test). The study results showed that the average labor pain before being given a back massage with virgin coconut oil (VCO) was 7.0 and after being given a back massage with virgin coconut oil (VCO) was 5.2. There was an influence of back massage with virgin coconut oil (VCO) on the intensity of active labor pain in the first stage at the IMP Restu Bunda of Gunung Terang Sub-District of West Tulang Bawang Regency with a p-value = 0.001 (p-value <α = 0.05). Suggestions for health workers can recommend back massage with virgin coconut oil (VCO) can be used as complementary therapy for mothers in the first stage of labor.

 Central Java was recorded as the area with the highest fire rate in the period from January 1 to July 24 2023, with 637 cases recorded. In 2018, a fire hit Agustinus Junior High School, at Semarang City. The aim of the research is to determine the effect of implementing a fire disaster preparedness simulation in increasing the knowledge and attitudes of Agustinus Middle School residents regarding fire disasters. The research design used was a quasi experiment with a quantitative approach. This research used a one group pretest-posttest design. In this research design, the entire population is used as research respondents. The pretest was given before the fire disaster simulation activity began and the posttest was given after all respondents carried out the fire disaster simulation activity. The research instrument used a questionnaire sheet. Data were analyzed with wilcoxon test. The results of the research show that there is an effect of implementing a fire disaster preparedness simulation on the knowledge and attitudes of Agustinius Junior High School residents with a wilcoxon p value of 0.000 and there is an increase in the knowledge of the school community by 24.3% and the attitude of the school community by 34% compared to before the simulation. This research suggests that schools should hold regular disaster preparedness simulations at least once a year and collaborate with related professional institutions to increase the capability and effectiveness of school emergency response teams in handling emergency situations.

Background. The paradigm of treatment using herbal plants is still attached to the Indonesian people for wound healing. One of the plants that is often used for treatment and has the effect of accelerating wound, is the binahong plant (Anredera cordifolia). The aim of this study is to determine the effect of hydrogel of binahong leaf extract (Anredera Cordifolia(Ten.) Stennis) on the healing of incisional wounds in wistar rats. Method. This study uses a True Experimental research design with the Post Test Only Control Group Design method. The samples were 30 wistar Rattus norvegicus rats, divided into 5 groups, namely: K (control group), P1 (was given 10% puvidone iodine ointment), P2 (was given 5% binahong leaf extract hydrogel), P3 (was given 10% binahong leaf extract hydrogel), P4 (was given 20% binahong leaf extract hydrogel). The treatment was carried out for 14 days. Wound examination was carried out on days 1,3,6,9,12,14. The REEDA score parameter were used to assess wound healing. Result. The bivariate analysis using the Wilcoxon paired difference test in each experimental group showed a significant difference only in group P2 (was given 5% binahong leaf extract hydrogel) with group K (control group), group P1 (was given 10% puvidone iodine ointment) and group P2 (was given 5% binahong leaf extract hydrogel) during days 12 and 14. incision wound compared to groups P3 and P4 on the same day. The average score of the REEDA scale on days 1,3,6,9,12, and 14, the most significant incisional wound healing in wistar rats was given hydrogel binahong leaf extract with a concentration of 5%. Conclusion. There is an effectiveness of healing incision wounds in wistar rats by giving hydrogel binahong leaf extract. The hydrogel binahong leaf extract 5% is the most significant concentration assessed from the average REEDA scale score.

Cases of bullying in the world of education, especially at the elementary school level, are increasing and becoming a serious concern. This research aims to develop an understanding of bullying in elementary school students through a positive psychology approach, especially in the aspect of emotional intelligence. This study uses an experimental quantitative method with a pre-experimental design and One Group Pre-test–Post-test Design. The sample of this study is 18 MI Miftahul Huda students, who were selected using a simple random sampling technique. The intervention provided involves psychoeducation with lecture and role play methods to improve understanding of bullying, which is measured by emotional intelligence-based knowledge instruments. Data analysis was carried out using the Wilcoxon Test with the help of SPSS. The results of the research are expected to contribute to the prevention of bullying in elementary schools by increasing student awareness and empathy.

During pregnancy, a woman must be able to adapt to various physical changes that often occur and can cause uncomfortable conditions, such as back pain which begins to be felt in the second and third trimesters. If this condition is not treated immediately, it can cause anxiety and disruption to the pregnant woman's activities. As a way to reduce complaints of back pain, pregnant women can do prenatal gentle yoga exercises. This study aimed to assess the effectiveness of prenatal yoga in reducing pain in the lower back of pregnant women at the Ngletih Community Health Center, Kediri City. This study aims to assess the effectiveness of prenatal yoga in reducing pain in the lower back of pregnant women at the Ngletih Community Health Center, Kediri City. Research method: This research adopted a quantitative design with a Pre-Experimental design, using the One Group Pretest-Posttest method. The sample of pregnant women in the second and third trimesters was 31 respondents. The sampling method involved Total Sampling and the use of a pain level measuring tool with the Numeric Rating Scale (NRS), while data analysis used the Wilcoxon Test. Research Results: Before carrying out prenatal yoga exercises, the majority of pregnant women felt lower back pain on a mild scale, the number of respondents was 17 (54.8%). After doing prenatal yoga exercises twice in 2 weeks, the majority of pregnant women no longer felt back pain, the number of respondents was 18 pregnant women (58%). The p-value of the analysis using the Wilcoxon test is 0.000.

The purpose of this research is to produce a media in the form of a module so that students become more effective in learning about what bullying is. The module is created to assist guidance and counseling teachers in providing guidance and counseling services and to attract students' interest in learning about what bullying is so that they do not become perpetrators of bullying. This research uses the R&D (Research and Development) approach with the ADDIE development model, which consists of the steps: analyze (analysis phase), design (design phase), develop (development phase), implement (implementation phase), and evaluate. (tahap evaluasi). The data collection technique used in this study was conducted through the distribution of questionnaires to 170 students in the X grade at SMK Negeri 1 Malingping, resulting in 0% bullying in the high category, 5% bullying in the moderate category, and 95% bullying in the low category. Then, from the results of the questionnaire distribution, the findings were compiled into a product in the form of a module and the product's validity was tested by several experts, namely content experts, media experts, language experts, and practitioner experts. The product trial was conducted through a service with reference to the pretest and post-test results carried out on 8 students in the moderate bullying category. The 8 samples received scores from the test results using the Wilcoxon matched pairs test, and it was found that all 8 samples were in the negative ranks, meaning these 8 students experienced a decrease in pretest to post-test scores. This indicates that the 8 samples experienced a reduction in bullying behavior with an average score of 4.50 and a sum of ranks of 36.00. Additionally, the results from the statistical table of the Wilcoxon matched pairs test showed an Asymp. Sig. (2-tailed) value of 0.012. Referring to the hypothesis decision-making process, the value of 0.012 is lower than 0.05, indicating that the hypothesis is accepted, meaning the stop bullying module can be considered effective for implementation to students.

Childbirth is a natural way that every mother must go through where the results of conception in the form of a baby and placenta are released from the uterus. Normal labor is characterized by uterine contractions that cause thinning, dilation of the cervix and push the fetus out through the birth canal, causing a sensation of pain felt by the mother. The purpose of this study was to determine whether there is an Effect of Murrotal Al-Qur'an Therapy on Reducing the Intensity of Labor Pain in the First Active Phase at the Juliana Dalimunthe Clinic. The research method used was Pre-Experiment One Group Pre and Posttest Design. Samples were taken by Accidental Sampling from mothers in the first active phase of labor who met the inclusion criteria totaling 30 people. Data collection was carried out using a face pain rating scale questionnaire. Data analysis with the Shapiro Wilk test and tested with the Wilcoxon Signed Ranks test statistical test. The results of the study conducted from May to July, found the average pain scale before therapy was 6.83 and the average after therapy was 6.17, the decrease in pain scale from before to after Murottal therapy was 0.66. From the statistical test, the P value = 0.001 was obtained, indicating that there was an effect of Murottal Al-Qur'an therapy on reducing the intensity of labor pain. The conclusion of this study is that the provision of Murottal Al-Qur'an therapy has been proven to be able to reduce labor pain in the first active phase. It is hoped that the provision of Murottal Al-Qur'an therapy will be an alternative intervention in reducing labor pain in the first active phase.