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The Indonesia National Single Window (INSW) is an integrated system designed to facilitate, accelerate, and simplify port administration processes through real-time data exchange among relevant agencies. The purpose of this study is to analyze the effectiveness of implementing the INSW system in synchronizing data between customs and other related agencies within the ship agency process at PT. Samudera Shipping Agency Dumai. The research method employed is qualitative, with data collected through library research and field studies. The field study was conducted through direct observation and interviews at PT. Samudera Shipping Agency Dumai, while the library research involved reviewing various related sources, including journals, books, and government regulations. The results of the study indicate that the INSW system makes a significant contribution to harmonizing data between agencies, which positively impacts administrative efficiency, information transparency, and the reduction of data errors, particularly in interactions with customs. The system also supports improved coordination among related parties, such as quarantine offices, harbor masters, and port authorities, thereby enabling more effective services. However, several challenges still hinder optimal performance, including human resource readiness, limited internet connectivity, and dependence on the stability of the central system. These obstacles may lead to technical issues such as system errors, delays in document verification, and even risks of power outages, which could potentially cause delays in data submission and result in sanctions from authorities. In conclusion, the INSW system has proven effective in expediting and simplifying ship agency processes at PT. Samudera Shipping Agency Dumai. Nevertheless, to achieve greater effectiveness, continuous training for human resources, improvement of digital infrastructure, and the development of a more modern, transparent, and internationally competitive system are required.

Oil palm is a leading commodity that makes a major contribution to Indonesia’s economy, yet a significant productivity gap remains between actual and potential yields. A principal cause is suboptimal water management, which leads to flooding during the rainy season and drought in the dry season. This study develops a Conceptual Design (CD) for water management to map existing problems, analyse root causes, formulate improvement measures, and present a macro-level cost estimate for the study site. The research was conducted at an oil palm plantation in East Kalimantan anonymized as “PT XYZ.” The site was selected due to recurrent flooding and a recent change in ownership that limited data availability, making it well-suited for a CD-stage assessment. The objective is to identify water management issues and propose effective recommendations. A quantitative approach integrates primary data from field observations and measurements with secondary data. The analyses cover flood problem assessment, Water Management Zoning (WMZ/ZPA), rainfall analysis, hydrology, hydraulics, improvement proposals, and macro cost estimation. Results indicate that challenges are driven by swampy land conditions and inadequate channel and hydraulic structure capacity. Micro-watershed delineation using DEMNAS identified four ZPAs totalling 479–4,061 ha. Design rainfall was derived from CHIRPS satellite data using a log-normal distribution. Hydrologically, peak discharges range from 3.87–22.58 m³/s for the 2-year return period and 4.46–26.31 m³/s for the 5-year return period. Hydraulically, the proposed dimensions for rivers, outlet drains, carrier drains, and field-edge drains are 4×3×2 m to 9×7×3 m (T=2 years) and 4×3×2 m to 10×8×3 m (T=5 years), while collection and main drains are proposed at 3×2×2 m for both return periods. The total estimated investment for the 5-year design scenario is IDR 27,999,263,000.

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.

Sidewalks are a crucial element of urban infrastructure that support pedestrian mobility. However, on Jalan Dr. Mansyur, Medan Selayang, sidewalk conditions present various problems, such as damaged surfaces, a lack of accessibility facilities, and the presence of street vendors occupying the lanes. This study aims to analyze the impact of sidewalk quality on pedestrian activity by examining three main factors: the physical condition of the sidewalk, environmental safety, and accessibility. Using a mixed methods approach, the sample for the quantitative approach was taken using a stratified random sampling method with a total of 150 respondents. Quantitative data were analyzed using descriptive statistics and SPSS software, while qualitative data were collected through in-depth interviews with key informants. The results showed that sidewalk accessibility had the strongest relationship with pedestrian activity (correlation coefficient 0.72), followed by the physical condition of the sidewalk (0.68) and environmental safety (0.55). Minimal accessibility factors, such as the lack of special lanes for the disabled, proved to be the main obstacle to pedestrian activity. In addition, the damaged physical condition of the sidewalk and the use of sidewalks for activities that are not in accordance with their function further reduce user comfort. Based on these findings, key recommendations include physical improvements to sidewalks with regard to the principles of universal accessibility, including the addition of dedicated lanes for the disabled, repair of damaged surfaces, and reconfiguration of spaces to discourage use by street vendors. The government needs to ensure adequate street lighting to improve user safety. The public is expected to maintain the function of sidewalks by utilizing them according to their intended purpose, while future researchers are advised to explore the impact of sidewalk improvements on broader social and economic aspects, as well as consider the integration of technology in sidewalk design and management. The conclusion of this study is the need for collaborative action between the government, the community, and other relevant parties to create inclusive sidewalk infrastructure that supports active mobility.

This report discusses the mental workload of employees in the Human Resources (HR) Department of PT X in Gresik, which is an important concern in the context of employee productivity and well-being. The purpose of this research is to identify the factors that influence mental workload and provide recommendations for improvement. The research methods used include observation, interviews, and the distribution of questionnaires to all HR employees, with the NASA TLX approach to measure the level of mental workload. The research sample consists of eight employees selected based on the questionnaire results. The data analysis technique was carried out by identifying factors that influence mental workload and evaluating the effectiveness of interventions through counseling sessions. The research results show that mental workload is influenced by high job demands, lack of team support, and poor communication. The counseling sessions conducted had a positive impact on employee stress management. The novelty of this research lies in its focus on mental workload within the organizational context, as well as recommendations for more humane policies. The implications of this research highlight the importance of paying attention to employees' mental well-being to enhance productivity and create a healthier work environment. This research is expected to serve as a reference for management in designing strategies that support employee well-being.

Background : Nausea and vomiting are common physiological complaints during the first trimester of pregnancy, caused mainly by increased levels of hCG, estrogen, and progesterone. Although considered normal, these symptoms can disrupt daily activities and decrease quality of life. If excessive, they may result in complications such as dehydration, electrolyte imbalance, weight loss, and hyperemesis gravidarum, which threaten maternal and fetal health. Management can involve pharmacological and non-pharmacological strategies. One safe, simple, and widely applied non-pharmacological approach is acupressure at the Pericardium 6 (PC6) point, believed to regulate the nausea center in the brain. Objective : This study aimed to determine the effectiveness of acupressure at the PC6 point in reducing nausea and vomiting among first-trimester pregnant women at PMB Ariyawati Susiandari, S.Tr.Keb., Central Lampung Regency. Method : This pre-experimental study used a one-group pretest–posttest design. Acupressure was performed at the PC6 point for 30 seconds, twice daily (morning and evening). Data were collected by observing changes in the intensity of nausea and vomiting before and after the intervention.The assessment was conducted by observing changes in the intensity of nausea and vomiting before and after the intervention. Result : Before acupressure, all respondents experienced moderate nausea and vomiting. After the intervention, most reported improvement, with symptoms reduced to the mild category. Statistical analysis with the Wilcoxon test showed a significance value of p=0.000, indicating a significant difference between pre- and post-intervention scores. Conclusion : Acupressure at the PC6 point effectively reduced nausea and vomiting in first-trimester pregnant women. This method can be recommended as a complementary non-pharmacological therapy that is safe, practical, and easily integrated into midwifery care.

This study was motivated by the low performance of students’ drop shot skills in elementary school badminton extracurricular activities, where the success rate of shots remained low despite regular training. The aim of this research was to analyze the effect of drop shot training using two methods—fixed targets and variable targets—on improving students’ shot accuracy. The study employed an experimental method with a pretest-posttest control group design. The sample consisted of 30 students selected through purposive sampling, with the requirement of having participated in badminton extracurricular activities for at least one year. The participants were divided into two groups: 15 students underwent fixed-target training, and 15 students underwent variable-target training. The training program was implemented over six weeks with a frequency of three sessions per week. The results indicated that both training methods significantly improved students’ drop shot accuracy. However, the variable-target training group showed greater improvement compared to the fixed-target group. This was due to the training variation, which required better concentration, adaptability, and decision-making, making it more similar to real game conditions. These findings highlight the importance of applying varied training methods in developing students’ basic badminton skills. Therefore, this study provides practical implications for coaches to prioritize variable-target training methods in coaching programs to enhance the effectiveness of technical skills, particularly the drop shot.  

The Children’s Reading and Learning Corner program is a community service activity implemented by Group 7 of the Community Service Program (KKN) from Universitas 17 Agustus 1945 Jakarta in Kalibaru Subdistrict, North Jakarta. This program was designed to address the challenge of low reading interest and the limited access to learning facilities among children in the local community. The main target of the activity was children aged 5–8 years, with the objective of increasing reading interest, strengthening basic cognitive skills, and fostering positive learning habits from an early age. The program was carried out through interactive learning methods with a thematic approach, combined with group discussions, question-and-answer sessions, shared reading, and simple practices that encouraged active participation. The learning materials covered Basic Mathematics, Indonesian Language, and General Knowledge, all adjusted to the children’s comprehension levels. In addition, a coloring competition was held to foster creativity, train fine motor skills, and create a fun and engaging learning atmosphere. Evaluation results indicated a significant improvement in children’s enthusiasm for learning, better understanding of the provided materials, and more active involvement during the sessions. The children also demonstrated increased self-confidence, particularly when asked to read aloud or answer questions in front of their peers. Furthermore, the provision of a bookshelf in the community hall became a strategic step to establish a sustainable reading space that could be used outside of program hours. Overall, the program successfully achieved its intended goals and is considered feasible to be expanded to other areas. Additional support in the form of a wider collection of books, more creative learning media, and consistent community involvement will be key factors in ensuring the sustainability and long-term impact of the program.

Waste remains one of the major environmental issues and a serious challenge in rural communities. The lack of discipline in waste disposal and limited knowledge of the impact of non-biodegradable waste have contributed to declining environmental quality and potential health problems. In Buniwangi Village, Pagelaran Subdistrict, Cianjur Regency, these conditions highlight the need for educational programs that provide practical understanding while fostering community awareness. This community service activity aimed to improve residents’ awareness of waste management through visual education media in the form of information boards displaying the decomposition time of various types of waste, ranging from organic to non-organic materials. The implementation method applied an asset-based community development (ABCD) approach, emphasizing active community participation. The program was carried out in three main stages: preparation, implementation, and evaluation. The preparation stage included location surveys, needs mapping, and obtaining permission from village authorities. The implementation stage involved designing attractive educational boards, installing them at strategic points in the village, and conducting socialization to explain the information provided. The evaluation stage was carried out through direct observation and short interviews to assess the program’s impact on community knowledge and behavior.The results indicated an improvement in residents’ understanding of the differences between biodegradable and non-biodegradable waste. Villagers began to show awareness of reducing single-use plastics and started applying the 3R principles (reduce, reuse, recycle) in daily life. Overall, this program had a positive impact by fostering greater environmental concern and became an initial step toward building a sustainable waste management culture in Buniwangi Village.

Abandoned mining sites often experience a decline in soil fertility, which impacts soil quality and agricultural sustainability. This study aims to explore the potential of Pseudomonas fluorescens in rehabilitating limestone mining lands and enhancing the growth of Sengon (Falcataria moluccana) trees grown in polybag media. Sengon was selected as a pioneer species due to its resilience in degraded soils and its ability to improve soil structure. This study used an experimental design involving eight different treatments, which included the application of manure and varying concentrations of Pseudomonas fluorescens. Evaluations were conducted on the 25th and 50th days by measuring plant growth parameters such as plant height, root length, and key soil chemical properties, including pH, organic carbon, total nitrogen, total phosphorus, total potassium, and cation exchange capacity (CEC). The results showed that the application of 15 mL of Pseudomonas fluorescens on day 50 resulted in optimal plant growth, as indicated by an increase in plant height, root length, and soil quality improvement. The application of Pseudomonas fluorescens also enhanced soil pH, organic carbon, total nitrogen, and cation exchange capacity, all of which contributed to the improvement of soil fertility in the limestone mining land. This study provides evidence that Pseudomonas fluorescens can play a role in the rehabilitation of abandoned mining lands and improve the growth of Sengon trees, contributing to the recovery of degraded ecosystems.

The misuse of social media in Indonesia has become an increasingly concerning issue, particularly among teenagers and university students who lack awareness of the legal consequences of digital activities. Students at Universitas Teknologi Mataram (UTM), as active social media users, are vulnerable to committing violations, whether consciously or unconsciously, due to limited understanding of the Information and Electronic Transactions Law (UU ITE). To address this, digital law literacy is necessary to help students become more aware of existing legal boundaries and to encourage them to use social media as a positive tool for self-development and academic purposes. This community service program was designed to provide digital law education as a preventive measure against social media misuse among students. The methods employed included interactive socialization through lectures, discussions, case studies, and the distribution of legal literacy materials such as leaflets and infographics. The results showed an improvement in students’ understanding of the importance of ethics, legal compliance, and the risks of digital misconduct, including hate speech, hoax dissemination, and other online violations. The program also introduced the latest provisions of Law No. 1 of 2024 concerning the amendment of Law No. 11 of 2008 on Information and Electronic Transactions (UU ITE). Overall, this activity highlights the importance of continuous digital law education to encourage UTM students to be wiser, more critical, and responsible in their use of social media.

The development of digital technology and the impact of the pandemic have shifted the learning paradigm in elementary schools from traditional face-to-face models to technology-based online systems. However, the limited mastery of teachers in utilizing digital learning media, particularly Google Classroom, has become a major obstacle in implementing effective online learning. This community service activity aims to improve the competence of teachers at SD Negeri Gollu Sapi in managing technology-based learning through the use of Google Classroom. The implementation method consists of four stages: preparation, workshop implementation, practice mentoring, and evaluation. The workshop was designed interactively by combining material presentation, demonstration, discussion, and hands-on practice, covering the creation of virtual classes, uploading teaching materials, assigning tasks, and conducting online assessments. The results of the activity showed a significant improvement in teachers’ skills, both in independently managing online classes and in applying the main functions of Google Classroom. Teachers were able to create digital teaching materials, set assignment schedules, provide feedback, and prepare technology-based assessments. In addition, this activity also produced an online article publication and video documentation as additional outputs. The teachers’ enthusiasm during the implementation indicates that this activity is useful and relevant to the needs of 21st-century learning. With this training, teachers are expected to become more adaptive to the digital transformation in education, thereby supporting the achievement of a more interactive, effective, and sustainable learning process in the digital era.

Tennis elbow, or lateral epicondylitis, is an inflammatory condition of the lateral epicondyle commonly caused by repetitive overuse of the forearm extensor muscles. It is characterized by pain, limited joint range of motion, decreased muscle strength, and reduced functional capacity. Physiotherapy interventions, particularly ultrasound and exercise therapy, have been widely applied to reduce pain and restore functional performance. This study employed a case study design involving a 42-year-old female patient diagnosed with left-sided tennis elbow. The intervention was conducted over four therapy sessions. The modalities consisted of ultrasound, providing thermal and micromassage effects to reduce pain, combined with exercise therapy, including passive stretching to increase soft tissue flexibility and eccentric exercise to improve tendon strength and function. After four sessions, the patient showed significant improvement, including reduced pain during movement and palpation, increased joint range of motion in elbow flexion-extension, forearm pronation-supination, and wrist dorsiflexion-palmarflexion. Muscle strength, particularly in the extensors, pronators, supinators, and wrist dorsiflexors, also improved. Functional activity, measured using the PRTEE scale, demonstrated notable enhancement from mild disability to better functional independence. The combination of ultrasound, passive stretching, and eccentric exercise is effective in reducing pain, enhancing range of motion, strengthening muscles, and improving functional ability in patients with left-sided tennis elbow.

The purpose of this research is to analyze the effect of investment and firm growth on the improvement of firm value, with profitability serving as a mediating factor. This study employs a quantitative research design using secondary data obtained from the Indonesia Stock Exchange (IDX). The population includes infrastructure sector companies listed on the IDX from 2021 to 2023, and purposive sampling was applied to select 29 companies, yielding a total of 87 firm-year observations. Path analysis with SPSS software was used to test the hypotheses and examine both direct and indirect relationships among the variables. The findings reveal that investment has a significant positive impact on firm value, indicating that firms with higher levels of investment tend to enhance their market valuation. Similarly, firm growth contributes positively to firm value, suggesting that sustainable expansion fosters greater investor confidence. Moreover, profitability is proven to mediate the relationship between investment and firm value, showing that the benefits of investment are maximized when they lead to improved profitability. Profitability also significantly mediates the relationship between firm growth and firm value, underscoring its role as a key driver in translating growth strategies into shareholder value. These results highlight the importance of profitability as a strategic element in strengthening firm value. Practically, the study suggests that managers should prioritize profitable investments and sustainable growth strategies to maximize firm value, while investors may consider profitability as a central indicator when evaluating firm performance.

Conventional robotic surgical systems, while offering enhanced dexterity and 3D visualization, suffer from a critical limitation: the absence of tactile sensation. This sensory disconnect can lead to inadvertent tissue damage from excessive force application and complicates delicate maneuvers that rely on the surgeon's sense of touch. This research proposes and validates a novel surgical robotic system architecture designed to bridge this sensory gap by integrating high-fidelity 3D visual input with accurate, real-time force feedback from tactile sensors mounted on the end-effector. To rigorously evaluate this innovation, a structured comparative methodology was employed. A cohort of surgeons performed standardized surgical tasks, including suturing and tissue manipulation, on realistic soft-tissue phantoms. The performance of a conventional (visual-only) system was benchmarked against that of the proposed (visual-haptic) system. A comprehensive dataset was collected, which included objective metrics such as task completion time, precision deviation from the ideal tool path, and the magnitude of applied forces. Concurrently, subjective evaluations from the participating surgeons were gathered to assess perceived control, cognitive workload, and overall task confidence. The test data revealed statistically significant improvements when using the visual-haptic system. Participants not only completed tasks with greater speed and accuracy but also applied considerably lower and more consistent forces. The analysis underscores that haptic feedback, enabled by advanced sensor fusion, not only restores a crucial 'sense of touch' to the surgeon but also reduces the incidence of excessive force application, potentially minimizing tissue trauma and improving patient recovery. These findings confirm the hypothesis that haptic-visual integration constitutes a new paradigm in robotic surgery, shifting the paradigm from purely visual guidance to a more intuitive, multi-sensory surgical experience. This study also discusses future challenges and opportunities, including the potential for AI-driven partial autonomy, such as creating virtual safety boundaries or automating sub-tasks, and the development of next-generation sensor technologies to further enhance clinical outcomes.

Mikrotrans Jaklingko is one of the public transportation modes managed by PT Transjakarta and is designed as an alternative solution to meet the daily mobility needs of urban communities. Unlike conventional public minibuses (angkot), the Mikrotrans service operates with stricter regulations, such as fixed routes, designated stops, and more orderly service management. The program aims to encourage people to shift from using private vehicles to public transportation while improving user comfort and satisfaction in the Jakarta metropolitan area. This study specifically analyzes the influence of service quality and facilities on user satisfaction with the Mikrotrans Jaklingko service. The research employed a quantitative approach, with data collected through field observations and questionnaires distributed to 100 active Mikrotrans users. The data were processed and analyzed using SPSS through a series of tests, including validity, reliability, classical assumption testing, coefficient analysis, multiple linear regression, and hypothesis testing using both t-tests and F-tests. The findings reveal that service quality has a significant effect on user satisfaction. Furthermore, the available facilities, such as vehicle comfort, safety, and the adequacy of supporting infrastructure, also have a positive and significant effect on satisfaction levels. Simultaneously, both independent variables contribute significantly to enhancing user satisfaction. These results highlight that improving service quality and facilities should be a strategic priority to ensure greater comfort for the public when using Mikrotrans. Ultimately, these improvements will strengthen government efforts to encourage a transition from private vehicles to public transportation in Jakarta, thereby supporting sustainable urban mobility.

The Emergency Department (ER) serves as a critical unit in hospitals with the primary objective of providing fast, precise, and integrated health services aimed at preventing disability and death. According to national standards, the maximum response time for ER services is 5 minutes. However, increasing patient volume combined with limited capacity and resources often hinders compliance with this standard, potentially affecting the quality of service and patient satisfaction. This study aimed to determine the relationship between response time and patient satisfaction in the ER of QIM Batang Hospital. The research employed an observational method with a correlational design and a cross-sectional approach. Data were collected using a stopwatch to measure response time and a structured questionnaire to assess satisfaction. A total of 100 patients who visited the ER were included as respondents through accidental sampling. Data analysis using the Chi-Square test revealed a significance value of ρ = 0.000, while the correlation test showed a coefficient value of 0.639, indicating a statistically significant relationship with a strong correlation between response time and patient satisfaction. These findings suggest that shorter and timely response times are closely associated with higher levels of patient satisfaction. In conclusion, adherence to response time standards and continuous improvement in the five key satisfaction indicators are crucial strategies to enhance the quality of ER services.

This study aims to analyze the influence of career development and work motivation on employee career improvement at PT Wasteforchange Alam Indonesia. The method used is a descriptive quantitative approach with a population as well as a sample of 45 permanent employees. Data collection was carried out through Likert scale questionnaires, semi-structured interviews, documentation, and literature studies. Data analysis techniques include descriptive percentages and cross-tabulation to identify the tendency of influence between variables. The results of the study show that career development is in the high category and makes a positive contribution to employee career improvement. Similarly, work motivation is in the high category and has a significant influence in supporting career acceleration. Cross-tabulation analysis revealed that the combination of career development and work motivation contributed more strongly to career advancement than the partial influence of each variable. These findings confirm the importance of a human resource management strategy that balances aspects of career development and work motivation in creating more optimal career opportunities. The practical implication of this research is the need for companies to design career development programs that are integrated with an adaptive work motivation system, in order to increase employee retention and productivity in a sustainable manner. This research also provides a foundation for HR policy making based on a holistic and participatory approach.

Preterm birth remains a global health concern, with 1 in 10 babies worldwide born prematurely. In Indonesia, the preterm birth rate is 29.5%, with 19% in Central Java and as high as 30% in Kendal Regency. Preterm infants require specialized care, making maternal readiness a crucial factor in ensuring optimal home care. This study aimed to analyze the effect of educational interventions using a booklet on mothers’ knowledge and skills in caring for preterm infants. A quantitative quasi-experimental design with a pre- and post-test control group was employed. A total of 20 respondents were selected using purposive sampling. Bivariate analyses were conducted using the McNemar test for paired data and the chi-square test for unpaired data. The results showed a significant improvement in mothers’ knowledge after receiving education with the booklet (p < 0.05), whereas the lecture and leaflet methods showed no significant difference (p > 0.05). However, there was no significant improvement in caregiving skills in either the booklet group or the lecture and leaflet group (p > 0.05). In conclusion, booklet-based education effectively enhances maternal knowledge regarding preterm infant care but does not significantly improve caregiving skills. This highlights the need for practice-based interventions, such as hands-on training and demonstrations, to strengthen maternal competence in managing preterm infant care at home.

Hypertension, often referred to as high blood pressure, is a major global health problem that significantly increases the risk of atherosclerotic cardiovascular disease, heart failure, stroke, and kidney failure. Various complementary and alternative therapies have been explored to support conventional treatments in reducing blood pressure, one of which is smile therapy. This study aimed to analyze the effect of smile therapy on blood pressure among hypertensive patients at RSUI Harapan Anda Tegal. The research employed a quantitative approach with a quasi-experimental design using a one-group pretest-posttest method. A total of sixty hypertensive patients were selected through exhaustive sampling. Data were collected before and after the intervention and analyzed using the Wilcoxon test to determine the statistical significance of changes in blood pressure. The demographic characteristics of participants showed that most were in their early to mid-forties (36 individuals, 60%), predominantly female (38 individuals, 63.3%), with a junior high school education or below (25 individuals, 41.7%), and unemployed (41 individuals, 71.7%). The findings indicated that prior to the intervention, 41 participants (68.3%) had uncontrolled blood pressure. After undergoing smile therapy, 48 participants (80%) demonstrated improvement with more stable blood pressure levels. Statistical analysis revealed a significant effect of smile therapy on reducing blood pressure with a p-value of 0.000. These results suggest that smile therapy can serve as an effective, simple, and low-cost complementary intervention to help hypertensive patients manage their condition and improve overall health outcomes