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Anxiety in patients undergoing preoperative vitrectomy can have a significant impact on biological, psychological, social, and spiritual aspects, manifesting as increased blood pressure, pulse rate, respiratory rate, and sleep quality disturbances that can affect physiological and psychological balance. Blood pressure is influenced by the autonomic nervous system, making anxiety and sleep quality important factors related to cardiovascular stability. This study aims to explain the relationship between sleep quality and anxiety with blood pressure in preoperative vitrectomy patients. The research design used was a cross-sectional correlation study involving 108 respondents. The instruments used included the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality, the Zung Self-Rating Anxiety Scale (ZSAS) to assess anxiety, and blood pressure measurements before surgery. The analysis used the Spearman test. The results showed that most respondents were in the early elderly age category (34.3%), had a high school education (54.6%), and were employed (57.4%). Most experienced mild sleep disturbances (81.5%) and mild anxiety. The average systolic blood pressure of respondents was 133.50 mmHg (SD 11.569) and diastolic blood pressure was 84.29 mmHg (SD 11.081). Spearman's test showed a relationship between sleep quality and systolic blood pressure (r=0.237; p=0.014) and diastolic blood pressure (r=0.428; p=0.001), as well as between anxiety and systolic blood pressure (r=0.502; p=0.001) and diastolic blood pressure (r=0.326; p=0.001). It was concluded that there was a relationship between sleep quality and anxiety with the blood pressure of patients undergoing preoperative vitrectomy. Nurses are advised to conduct early screening and simple interventions to reduce anxiety and improve the sleep quality of patients

Colitis is an inflammatory characterized by thickening of the mucosal wall of the colon. The Colon In Loop examination is one of the diagnostic procedures for colitis, utilizing contrast media to assess the functional condition of the colon. At the Radiology Installation of RSUD (Regional General Hospital) Banyumas, the radiological procedure for Colon In Loop was performed on post-colostomy patients, thus differs from previous studies. This study aims to identify the examination procedure of Colon In Loop at RSUD Banyumas, the rationale for using Anteroposterior (AP) and Lateral projections, and the reason for not performing evacuation before the administration of negative contrast media. This qualitative descriptive study employed a case. The subjects included three radiographers, one radiology nurse, and one radiology specialist. The object of study was the Colon In Loop Post Colostomy examination procedure in colitis cases. Data were collected through observation, interviews, documentation. Data analysis involved data reduction and data presentation. confirmed with theory, and narrative presentation leading to conclusions. Result shows contrast media consisting of 250 grams of barium sulfate dissolved in 1000 ml of water (25% w/v). The examination is performed in stages followed by AP and Lateral projection imaging to evaluate contrast distribution in the colon. Negative contrast media administration is performed without prior evacuation to enhance patient comfort and reduce examination time. When administering negative contrast media, evacuation is not performed before air is introduced. This is done based on the patient's condition, to shorten the examination time, and due to considerations regarding the quality of barium sulfate; thus, evacuation could impair barium adherence to the colon mucosa. In conclusion, AP and lateral projections are considered adequate for establishing a diagnosis of colitis. The omission of evacuation is based on patient condition, time efficiency, and the suboptimal quality of barium. It is recommended to perform evacuation and increase barium concentration to improve adherence to the colon mucosal wall.

Non-Communicable Diseases (NCDs) are major health problems that are influenced by genetic, physiological, environmental, and behavioral factors of individuals. One of the most common NCDs is Diabetes Mellitus (DM). Based on data from the Semarang City Health Office in 2023, there are 5,991 cases of DM that not only affect the elderly, but also adolescents, adults, and pre-elderly groups. This condition shows that type 2 DM is a serious challenge that affects the quality of life of sufferers. This study aims to analyze the relationship between family support and quality of life of type 2 DM patients at the Mangkang Semarang Health Center. The research method used is quantitative with a correlative descriptive design. A sample of 120 respondents was obtained through accidental sampling techniques, while data was collected by standardized questionnaires. The results showed that the average age of the respondents was 54 years old with the majority being female (55.2%) and having an elementary school education level (53.3%). The average family support score was 81.38, while the average quality of life of patients reached 86.15. This study concluded that patients with type 2 diabetes generally received good family support and had a positive quality of life. Furthermore, there is a positive relationship between family support and quality of life, where the greater the support provided, the more optimal the quality of life of type 2 DM patients.

This study aims to determine and analyze the influence of Servant Leadership, Work Motivation, and Work Environment on Employee Job Satisfaction at the Jimbun Medika Inpatient Primary Clinic. The background of this research is based on the phenomenon observed in the field, where employee job satisfaction levels show frequent fluctuations. These fluctuations have the potential to impact not only individual productivity but also the overall quality of healthcare services provided to patients. The research method used is a quantitative approach with a survey technique as the primary data collection method. The population in this study includes employees of the Jimbun Medika Inpatient Primary Clinic, with data collected using structured questionnaires. The data were analyzed using statistical tools, including multiple linear regression analysis, to determine the effect of the independent variables on the dependent variable. The research findings indicate that Servant Leadership (X1), when tested partially, does not have a significant effect on employee job satisfaction. In contrast, Work Motivation (X2) and Work Environment (X3) each show a positive and significant influence on employee job satisfaction. Furthermore, when analyzed simultaneously, all three independent variables—Servant Leadership, Work Motivation, and Work Environment—have a significant combined effect on job satisfaction levels among employees at the clinic. These findings suggest that to improve employee satisfaction and ultimately enhance service quality, the management of Jimbun Medika should prioritize improving motivation and providing a supportive work environment, while also re-evaluating leadership strategies to better align with employee needs and expectations.

One part of the large intestine can be affected by an anal fistula or rectovaginal fistula due to infection of the anal glands. In patients who have undergone colonostomy, radiological examinations such as lopography are necessary to detect abnormalities, especially in the anal region. Pediatric lopography with clinical rectovaginal fistula post colonostomy at the Radiology Department of Dr. Sardjito General Hospital involves inserting contrast media into the proximal section through the proximal stoma with an anteroposterior projection and into the distal section through the anal opening with a lateral projection. The study aimed to determine the contrast enema examination procedure in pediatric patients with clinical rectovaginal fistula post-colonostomy, including examination techniques, patient preparation, equipment and materials used, as well as handling problems such as blockages in the distal intestine. Methods: The study was conducted in May–June 2025 using a qualitative descriptive method through observation, interviews, and documentation, involving three radiographers and one radiologist. Data analysis was performed through data collection, data reduction, data presentation, discussion, and conclusion drawing. Results: The results showed that lopography examinations used water-soluble iodine contrast media mixed with NaCl at a ratio of 1:3, which was inserted through the proximal stoma and anus. Preparation included fasting from breast milk, confirming patient identity, informedconsent, and preparation of equipment such as an X-ray machine with fluoroscopy, catheters, syringes, and Computed Radiography.

The incidence of violent behavior among mental health patients globally reaches 9%. One of the independent interventions carried out by nurses is the application of implementation strategies for patients with violent behavior tendencies, whose risk level is greater than that of other patients. This study aims to analyze the effect of implementation strategies on the risk of violent behavior in patients with mental disorders at the Aceh Mental Hospital. The implementation strategy consists of four main techniques: building trust, training in controlling violent behavior through medication, training in social/verbal risk control, and training in spiritual control. The study used a quasi-experimental design with a one-group pretest-posttest approach. A total of 2,166 inpatients at risk of violent behavior were identified over a one-year period, and 10 respondents were selected as samples using purposive sampling based on inclusion criteria. The research instrument was the BPAQ questionnaire, with aggression assessment ranging from low to very high. The results showed that the pretest average for signs and symptoms was 38.40, while the posttest score decreased to 11.60 after the implementation strategy intervention. Data analysis was performed using univariate and bivariate methods, with a paired t-test yielding a p-value of 0.000 (less than 0.05). This study concluded that the implementation strategy had a significant impact in reducing the risk of violent behavior in patients. It is recommended that patients' understanding of the implementation strategy therapy be continuously improved as an effort to control violent behavior.

Appendicitis is a common health problem in Indonesia. Appendicitis requires surgery because it's an acute inflammation. Appendicitis can be treated with surgery to remove the appendix, namely appendectomy, by performing surgery on the abdominal tract. Appendectomy is a clean-contaminated surgery that can cause surgical wound infection in around 5-15% of cases. Prophylactic antibiotics are included in infection prevention. It is important to evaluate the use of prophylactic antibiotics in appendicitis surgery patients to reduce drug side effects and prevent surgical site infections. Infections can be caused by microorganisms such as pathogenic bacteria, and antibiotics are the most commonly used drugs to treat such infections. SSI can cause morbidity, mortality, increased length of stay, and increased patient care costs. The researchers chose Arun Lhokseumawe Hospital as the research site because no research had ever been conducted at Arun Lhokseumawe Hospital on the use of prophylactic antibiotics in appendicitis surgery patients. Preliminary survey results based on Arun Lhokseumawe Hospital medical records from 2020 to 2022 showed that 202 patients underwent surgery. The purpose of this study was to determine the profile of prophylactic antibiotic use in appendicitis surgery patients using the Gyssens method at Arun Lhokseumawe Hospital from 2020 to 2022. This study was observational in nature, using total sampling as the sampling technique. The Results of the study showed that the most frequently used type of prophylactic antibiotic was Cefotaxime (53.5%) and the appropriateness of antibiotic use was category 0 (97%) because it was appropriate and category IVA (3%) because there were other antibiotics that were more effective. It can be concluded that Cefotaxime is the most frequently used antibiotic, and the appropriateness of prophylactic antibiotics at Arun Hospital in Lhokseumawe City is already appropriate.

Liver cirrhosis is a chronic disease characterized by progressive fibrosis, altered liver architecture, and the formation of regenerative nodules. Although it develops slowly, cirrhosis often leads to serious complications such as ascites, variceal bleeding, jaundice, and hepatic encephalopathy. According to the Global Burden of Disease Study 2019, cirrhosis is among the leading causes of death worldwide, with more than 1.4 million deaths annually. In Indonesia, the prevalence of cirrhosis is reported at 0.4% (Riskesdas, 2021) and shows an increasing trend over the years. This case study aims to describe the application of comprehensive nursing care in a patient diagnosed with liver cirrhosis using the nursing process approach. The research design was a case study conducted on Mr. R, who was admitted to Dahlia Ward at RSUD dr. Soeselo, Tegal. Data collection was carried out through interviews, observations, physical examinations, and medical record reviews. The results revealed that the main nursing problems identified were ineffective peripheral perfusion, ineffective breathing pattern, and knowledge deficit. Nursing interventions provided included positioning the patient in semi-fowler, monitoring vital signs, educating the patient about low-sodium diet and fluid restriction, and collaborating in the administration of diuretics and albumin. After three days of nursing care, the evaluation indicated clinical improvement, evidenced by reduced edema, decreased shortness of breath, and increased patient understanding of his disease and treatment plan. In conclusion, nursing care with a comprehensive process approach has a significant positive impact on the condition of patients with liver cirrhosis. Nurses play an essential role in assessment, planning, implementation, evaluation, and providing health education to prevent complications and improve patients’ quality of life.

Preoperative anxiety is one of the psychological problems that patients often experience and can affect physiological stability, response to anesthesia, and the postoperative recovery process. High levels of anxiety in patients leading up to surgery can have negative impacts, both physically and emotionally. One of the interventions that can be done to reduce anxiety is therapeutic communication by nurses. Therapeutic communication has an important role in creating a relationship of mutual trust, providing a sense of security, and helping patients understand the medical procedures to be undertaken. However, there are still conditions where therapeutic communication has not been implemented optimally. This study aims to determine the relationship between nurses' therapeutic communication and the level of anxiety of preoperative patients at RSI Pekajangan. The study used a quantitative approach with a correlational design and involved 72 respondents who were selected through purposive sampling techniques. The research instruments included a therapeutic communication questionnaire and the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data analysis was carried out using the Spearman Rank test. The results showed that most respondents rated therapeutic communication in the categories of good (81.9%) and moderate anxiety (72.2%). Statistical tests showed a significant relationship between nurses' therapeutic communication and preoperative patients' anxiety levels (p = 0.027) and moderate correlation strength (r = -0.260). The conclusion of this study confirms that therapeutic communication plays a role in lowering patients' anxiety, so it is recommended that nurses improve therapeutic communication skills as part of pre-surgical interventions.

A high-sodium and low-potassium consumption pattern can increase the risk of hypertension. Excess sodium can cause fluid retention and increase blood volume, while potassium plays a role in regulating fluid balance and blood pressure. This study aims to determine the relationship between high-sodium and high-potassium consumption patterns and the incidence of hypertension at the City Community Health Center (UPT Puskesmas) in Bantaeng Regency. The research method used was quantitative analytic with a cross-sectional study approach. The study population was all 278 patients visiting the City Community Health Center (UPT Puskesmas) in Bantaeng Regency. The sample size was 74 residents of the community at the City Community Health Center (UPT Puskesmas). Purposive sampling was used. The research instrument used was a questionnaire, which was distributed to respondents. The Food Frequency Questionnaire (FFQ) was used for sodium and potassium consumption. The results showed a relationship between sodium consumption and the incidence of hypertension (p=0.003 meaning Ha was accepted.The results showed a relationship between potassium consumption and the incidence of hypertension (p=0.001) meaning Ha was accepted. Researchers hope that this research can be used as a support or source of information to develop knowledge in the field of community health, especially in nursing, related to sodium and potassium consumption in reducing blood pressure in hypertension patients.

Background: There are still shortcomings in the implementation of a truly safe and optimal thoracic examination protocol for toddlers in certain hospital settings. Furthermore, data related to direct radiation dose measurements and evaluation of the effectiveness of thoracic examination techniques for toddlers specifically in the local context in Indonesia are very limited. Objective: To examine the thoracic examination procedure that can be performed with a high level of safety without compromising the quality of diagnostic results and to evaluate the radiation exposure dose and thoracic examination techniques in toddlers at Hospital. Methodology: This study used a mixed methods approach with a convergent parallel design. Quantitative data were obtained from radiation dose measurements and examination parameters, while qualitative data were collected through observation, interviews, and group discussions, then analyzed thematically to understand the factors that influence radiation dose in infant thoracic examinations. Results: Research on thoracic radiology examinations in toddlers at Heart and Vascular Hospital was conducted systematically and in accordance with established procedures. Some limitations emerged from limited radiation dose records and inconsistent use of protective shields. Efforts to reduce radiation exposure include optimizing examinations, proper collimation, selecting exposure parameters, and educating families and staff. Continuous training and strict implementation of standard operating procedures (SOP) are essential to raise awareness of the ALARA principle. Internal policies and routine oversight are also needed to improve radiation dose monitoring, with the hope of improving the quality of radiology services and optimizing protection for toddler patients.

Background: Nurses are the most dominant health workers in hospitals including inpatient installations. This dominance tends to have an impact on the main focus of the community including patients. When the nurse's performance is good, being able to cover all services in the hospital will be of good value in the eyes of the community and patients, making it a crucial point for nurses to work in accordance with the competencies, main tasks and functions and practice standards set by health care facilities. This study examines the relationship between nurse performance and patient satisfaction treated at the inpatient installation of Bhayangkara Hospital Jayapura. Method: This study is a type of non-experimental quantitative research with correlation studies. Data collection was carried out using questionnaires. The number of respondents was 98 people with the same number of nurses and patients, namely 49 people. The sampling technique used was incidental. Data were analyzed using spearmank rho. Result: Based on the results of the study, it was found that the age of 26-45 years, female, with a Diploma III education, and a length of work of more than 3 years. While the majority of patient respondents were aged 18-25 years, female, with the most education being high school, having a self-employed job, and a length of care of 1-3 days. The performance of nurses found to be categorized as good while the majority of patient satisfaction was very satisfied. The results of the spearman rho analysis obtained a correlation strength level of 0.924 with a p-value of 0.000. Conclusion: Nurse performance is related to patient satisfaction treated at the inpatient installation of Bhayangkara Hospital Jayapura. It is expected that the measurement of nurse performance with patient satisfaction will be carried out periodically, a maximum of once a year to evaluate nursing services.

Enhanced Recovery After Surgery (ERAS) is a multidisciplinary, evidence-based perioperative care approach designed to minimize the stress response to surgery, preserve organ function, and improve clinical outcomes. A substantial body of evidence has demonstrated that implementing ERAS protocols in elective procedures not only accelerates patient recovery but also reduces healthcare costs. Surgery, one of the most commonly performed medical interventions worldwide particularly major procedures such as abdominal and colorectal surgery carries a high risk of postoperative complications. These complications contribute to increased morbidity, mortality, and economic burden for both patients and healthcare systems. This situation presents a particular challenge in the era of universal health coverage, which demands efficiency in terms of time, cost, and resource utilization. ERAS implementation has been proven to enhance postoperative recovery, shorten hospital stays, and expedite the return of normal physiological function compared to conventional surgical care, especially in lower abdominal surgeries and colorectal resections. A literature review was conducted by searching relevant articles through Google Scholar using inclusion criteria such as publications from 2018 onwards, focused on ERAS in abdominal surgery, full-text availability, and academic journal sources. The data were analyzed using a matrix table comparing research methods, study populations, research locations, and reported outcomes. ERAS protocols have shown to be effective in abdominal surgical procedures for improving patient recovery and reducing postoperative complications.

Mammary tumor is a condition where an abnormal mass or lump forms in the breast, caused by excessive and continuous cell reproduction. This condition often develops unnoticed and can be dangerous if not promptly treated. In 2018, the incidence rate of breast cancer in Indonesia was 136.2 per 100,000 people, making it one of the most common cancers in Southeast Asia, ranking 8th in the region. If untreated, mammary tumors have the potential to spread to other parts of the body, and in many cases, can be fatal for the patient. One of the common medical treatments for mammary tumors is surgery. This surgery aims to remove the tumor and prevent further spread. In this context, the role of nurses is critical, as according to Orem's theory, nurses have the responsibility to help improve the health status of patients, especially in situations where patients are unable to perform self-care. In such cases, nursing assistance is necessary to ensure that the patient can undergo proper post-operative care. This study aims to provide an overview of nursing care for patients with post-operative right mammary tumor in the Mawar 2 room at RSUD dr. Soeselo, Tegal Regency. The nursing care provided includes several important steps: patient assessment, nursing diagnosis, planning, implementation of care, and evaluation of the care outcomes. This research uses a descriptive case study design, offering an in-depth view of the nursing approach applied to patients after mammary tumor surgery. With this approach, the study aims to provide clearer insights into the role of nurses in supporting patient recovery and improving the quality of care in hospitals.

Patients who are admitted to the Intensive Care Unit (ICU) often require mechanical ventilation due to respiratory failure. One of the common problems that arises in patients with mechanical ventilation is the buildup of sputum, which can interfere with the ventilation process as well as lower the tidal volume. To overcome this, a combination of clapping and suction interventions are used as a therapeutic method with the aim of helping to clear the airways and improve ventilation function. This study aims to determine the effect of the combination of clapping and suction on tidal volume in patients with respiratory failure using mechanical ventilation. The research design used a pre-experiment with a one-group pretest-posttest approach on 43 respondents in the ICU room. Interventions in the form of clapping and suction are given in a structured manner according to standard nursing procedures. The results showed that the majority of respondents were female (53.5%), with the most medical diagnosis being SNH (23.3%). Most of the respondents were in the late adult age category (32.6%) and used PCV ventilation mode (51.2%). Before the intervention, most respondents had a low tidal volume (72.1%), while after the intervention the majority had an increase to the normal category (90.7%). The Wilcoxon test showed a value of p = 0.001, which means that there is a significant effect of the combination of clapping and suction on the increase in tidal volume. Thus, it can be concluded that the combination of clapping and suction is an effective intervention in increasing tidal volume in patients with respiratory failure with mechanical ventilation at the ICU of RSI Sultan Agung Semarang.

This study aimed to evaluate the effect of murrotal therapy on pain and anxiety levels in patients after radiofrequency action. This study uses a quantitative approach with a pre-experimental design of one group pretest-posttest involving 50 post-radiofrequency patients at Sultan Agung Hospital Semarang. The research data were collected using the Numeric Rating Scale (NRS) instrument to assess pain levels and the Zung Self-Rating Anxiety Scale (SAS) to assess anxiety levels. Univariate analysis showed that most of the respondents were women with an average age of 44.04 years, included in the intermediate adult category. The results of bivariate analysis with the Wilcoxon Signed Rank Test showed a significant decrease in both pain and anxiety levels after being given murrative therapy, with a p-value of 0.000 for both variables. This shows that murrotal therapy is effective in providing psychological relaxation and spiritual distraction effects, so that it can reduce the intensity of pain while reducing anxiety in patients. Based on these findings, it can be concluded that murrotal therapy is a non-pharmacological intervention that is simple, safe, and easy to apply by health workers. It also has great potential as a complementary therapy that supports the management of pain and anxiety after medical procedures, especially invasive procedures such as radiofrequency. Thus, the application of murrotal therapy can be used as an additional alternative in improving the quality of nursing services in hospitals.

Tuberculosis (TB) is a contagious disease, caused by Mycobacterium tuberculosis, primarily affecting the lungs, but also capable of involving other organs. According to data from the Indonesian Ministry of Health, pediatric TB cases increased by 20.9% in 2021. Similarly, at the Aceh Provincial Health Office reported an 87.3% rise in TB cases in the same year, with North Aceh being one of the regions with the highest prevalence. This study aims to describe the nutritional status of children diagnosed with TB at Cut Meutia Hospital. A descriptive research design was employed, using medical record data of pediatric TB patients. The sampling of technique used was total sampling, comprising 53 children. The findings showed that among the 53 pediatric pulmonary TB cases, most were male (28 children or 52.8%). The most affected age group was school-aged children (29 children or 54.7%). Regarding nutritional status, the majority had good nutrition (32 children or 60.4%). Pulmonary TB was the most prevalent form of TB, found in 41 children (77.4%). When analyzed by age and gender, pulmonary TB was the predominant type across all groups. In conclusion, pulmonary TB was the most common form of TB, predominantly affecting school-aged boys with good nutritional status.

Early Warning Score (EWS) is a useful assessment system for monitoring and detecting patient conditions before they worsen, so that appropriate decision-making can be made, including referring patients and providing interventions as needed. The purpose of this study was to determine the Level of Knowledge of Early Warning Score (EWS) Nurses in the Internal Medicine Room of Santa Elisabeth Hospital Medan in 2025. The research method used was descriptive. A population of 94 people was taken professionally. The results of the study showed the Level of Knowledge of EWS Care in the Internal Medicine Room of Santa Elisabeth Hospital Medan in 2025 Based on the Definition of Respondents More Category Sufficient as many as 2 People (2.1%), Based on Indications for Use of EWS Number of Respondents More Category Less overall 3 People (3.2%), Category Sufficient as many as 48 people (51.1%), Based on Physical Parameters in EWS Respondents More Category Less than 4 People (4.3%), Category Sufficient as many as 23 people (24.5%), Based on EWS Assessment Number of Respondents More Category Less as many as 1 Person (1.1%), Category Sufficient as many as 70 people (74.5%), Based on the Role of Nurses in EWS Number of Respondents More Category Less as many as 7 People (7.4%), Category Sufficient as many as 49 (52.1%), Based on EWS Standardization Number of Respondents More Category Less overall 17 People (18.1%), Category Sufficient as many as 45 people (47.9%). Conclusion Level of Nurses' Knowledge of Early Warning Score (EWS) at Santa Elisabeth Hospital Medan in 2025 knowledgeable with 94 respondents showed that nurses with sufficient knowledge were 39 respondents (41.5%), and nurses with good knowledge were 39 respondents (58.5%). It is recommended that Santa Elisabeth Hospital Medan organize or conduct training workshops on the use of EWS.

Background: Stroke is a health condition that significantly impacts quality of life and causes physical and mental disability, as well as death, in both productive and elderly individuals. The loss of bodily functions in stroke patients can hinder productivity and reduce the fulfillment of ADL (Activities of Daily Living). Dependence in ADL is the inability to perform all or some activities and the need for assistance from others. The high incidence of stroke in patients and its role as a leading cause of disability makes it difficult for stroke patients to perform daily activities, causing mental and emotional disturbances, reducing productivity and quality of life. The loss of independence and mobility in stroke patients necessitates family support, as they play a crucial role in the care and rehabilitation of their loved ones. Objective: The purpose of this study was to determine the relationship between family support and the fulfillment of daily living (ADL) in stroke patients. Methods: This study employed a correlational analytic method with a cross-sectional approach. A purposive sampling technique was used for the sample, employing 89 respondents. Data analysis used the Spearman rank sum. Results: The Spearman rank sum analysis yielded a ρ value of 0.000, less than 0.05, and an r value of 0.827 (very strong). Therefore, it can be concluded that there is a very strong relationship between family support and the fulfillment of daily needs (ADL) in stroke patients at Sunan Kalijaga Regional General Hospital, Demak.

The digestive system plays a role in processing food into nutrients so that they can be absorbed and utilized by the body, but it is often found that the digestive system experiences disorders that can be caused by various factors such as infection, inflammation, motility disorders, or even neoplasms (Suryati et al., 2025).One of the diseases caused by digestive system disorders is ileus obstruction, which is a disorder of the digestive system that occurs due to a mechanical blockage in the intestine and is often found in patients with intestinal obstruction. One of the diseases resulting from digestive system disorders isileus obstruction, which is a disorder of the digestive system caused by a mechanical obstruction in the intestines and is commonly found in patients who visit the emergency room. It is estimated that approximately 2-8% and 15% of patients require treatment in the surgical unit (Andi Nailah et al., 2024). Obstructive ileus occurs in the small intestine and can be caused by incarcerated hernia, intussusception, intestinal adhesions or adhesions, ascariasis, volvulus, tumors, or gallstones entering the ileum (Su’un, Gani, & Purnama, 2024). The purpose of this writing is to understand and provide nursing intervention  for Mrs. T with a digestive system disorders: a case of ileus obstruction in Mawar 2 ward dr. Soeselo Regional General Hospital, Tegal Regency. The method used in this writing is a descriptive method. From the case review, it was found that the patient's main complaint was pain in the lower right abdomen. Three diagnoses emerged: acute pain, anxiety, and knowledge deficit. Interventions were developed based on SDKI, SLKI, and SIKI, which can be implemented.