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Hospitalization in preschool children often causes anxiety due to several factors, such as unfamiliar environments, uncomfortable medical procedures, and separation from parents. This condition can negatively affect the child’s psychological state, which may influence both the healing process and adaptation during hospital care. Therefore, it is important to understand the description of anxiety experienced by children during hospitalization so that health workers can provide appropriate interventions. This study aimed to describe the anxiety caused by hospitalization among preschool children admitted to the Parkit Ward of Qolbu Insan Mulia (QIM) Hospital Batang. The study employed a descriptive quantitative design with a purposive sampling technique. A total of 65 preschool children aged 3–6 years who met the inclusion criteria were recruited as samples. The instrument used was the Spence Children’s Anxiety Scale (SCAS) Preschool Parent Report, which was completed by parents to assess the children’s level of anxiety. Data analysis was carried out using frequency distribution to present both the respondents’ characteristics and the level of anxiety. The results showed that most respondents were 5 years old (36.9%) and predominantly male (61.5%). A majority of the respondents had never been hospitalized before (63.1%), making hospitalization a first-time experience that could trigger anxiety. The highest proportion of anxiety levels was in the mild category (38.4%), followed by moderate anxiety (30.7%). Only a small proportion of children experienced severe anxiety. In conclusion, preschool children undergoing hospitalization in the Parkit Ward of QIM Hospital Batang mostly experienced mild to moderate anxiety. These findings provide an important overview for nursing staff in designing interventions to reduce children’s anxiety. Suggested approaches include play therapy, effective communication, and active parental involvement in the care process. With such strategies, it is expected that children’s anxiety can be reduced, making hospitalization a more adaptive experience that supports the recovery process.

Patients admitted to the Intensive Care Unit (ICU) often experience physiological disturbances caused by both medical conditions and intensive treatment procedures. One of the most common problems encountered is sleep disturbance. Several factors contribute to poor sleep quality in ICU patients, including repeated medical procedures, environmental noise from medical equipment and staff activities, discomfort due to body positioning, frequent interactions with health workers, continuous exposure to lighting, pain, and the underlying disease process. Persistent sleep disturbances can delay the healing process, increase blood pressure, and even elevate the risk of stroke. This study aimed to analyze the relationship between anxiety levels and sleep quality in compos mentis patients in the ICU of Sultan Agung Islamic Hospital Semarang. The research design employed a correlational approach with a cross-sectional method. A total of 30 respondents were selected according to the inclusion criteria. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality and the Hamilton Anxiety Rating Scale (HARS) to assess anxiety levels. The Chi-Square test was used for statistical analysis. The results showed an equal distribution of male and female respondents (15 each). Ten respondents had a post-laparotomy medical diagnosis, and the majority belonged to the late elderly age group (10 respondents). Most respondents experienced moderate anxiety (18 respondents), while poor sleep quality was reported by 17 respondents. The Chi-Square test revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, higher anxiety levels were associated with poorer sleep quality among compos mentis patients in the ICU. These findings highlight the importance of nursing interventions that address both the physical and psychological aspects of patients to improve sleep quality and support recovery.

Coronary heart disease is one of the major health problems that not only affects the physical condition of patients but also impacts their psychological state, particularly anxiety. Anxiety levels in patients with coronary heart disease usually increase when they are about to undergo invasive medical procedures such as Percutaneous Coronary Intervention (PCI). Anxiety can be influenced by several factors, including age, gender, educational level, and occupation. High levels of anxiety may worsen the patient’s clinical condition, making appropriate non-pharmacological interventions highly necessary to help reduce anxiety. This study aims to determine the effect of spiritual support in the form of dzikir on the anxiety levels of patients with coronary heart disease. The research design used was a true experimental design with a pretest-posttest control group design. The sample consisted of 30 respondents who were evenly divided into two groups: 15 respondents in the intervention group and 15 respondents in the control group. The sampling technique used was total sampling. The instrument for measuring anxiety was the Hamilton Anxiety Rating Scale (HARS). The results showed that providing spiritual support in the form of dzikir was effective in reducing patient anxiety, with a p-value of 0.001. In addition, there was a significant difference in post-therapy anxiety levels between the control and intervention groups, with a p-value of 0.019 (p < 0.05). These findings demonstrate that dzikir, as a form of spiritual support, can be used as a non-pharmacological intervention to reduce anxiety in patients with coronary heart disease. Thus, spiritual support can be an important component of nursing care for patients in the ICU.

Patients admitted to the Intensive Care Unit (ICU) frequently experience physiological disturbances that significantly affect their sleep quality. These disturbances are triggered by various factors, including repeated medical procedures, environmental noise, discomfort from medical devices, intensive interactions with healthcare workers, inappropriate lighting that disrupts circadian rhythms, pain, and the underlying disease process. Sleep disturbances in ICU patients may slow down the healing process, elevate blood pressure, trigger metabolic disorders, and increase the risk of serious complications such as stroke. This study aims to examine the relationship between anxiety levels and sleep quality among compos mentis patients in the ICU of Sultan Agung Islamic Hospital, Semarang. The research employed a correlational design with a cross-sectional method. A total of 30 respondents were included based on specific criteria. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS), while sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using the Chi-Square test to determine the relationship between the two variables. The findings showed that the distribution of male and female respondents was balanced (15 respondents each). The most common medical diagnosis was post-laparotomy (10 respondents), with the dominant age category being late elderly (10 respondents). Anxiety levels were predominantly in the moderate category (18 respondents), while the majority of respondents demonstrated poor sleep quality (17 respondents). Statistical analysis revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, the study highlights that higher levels of anxiety are associated with poorer sleep quality among compos mentis patients in the ICU. These findings emphasize the importance of nursing interventions aimed at reducing anxiety to improve patient sleep quality and support recovery.

Stroke is a neurological disorder that often causes severe complications, including physical and cognitive impairments. Family involvement is essential in the recovery process, especially in home-based care. This case study aims to describe the application of family nursing care to a patient with hemorrhagic stroke in Purwodadi Village, Tonjong District, Brebes Regency. Data collection methods included interviews, observations, physical examinations, and nursing documentation using the SOAP format. The intervention focused on family support in mobilization, Range of Motion (ROM) exercises, and health education. The results showed an increase in family knowledge and participation, and improvements in the patient's mobility and self-care abilities. This study confirms that family-centered nursing care is effective in improving the quality of recovery and should be integrated into community nursing practice.

Tonsillitis is an inflammation of the pharyngeal tonsils, commonly caused by viral infections, and typically resolves on its own without medical intervention. The first-line treatment for tonsillitis generally involves supportive care, such as analgesics and hydration, to alleviate symptoms. However, in cases of chronic or severe tonsillitis that cannot be managed conservatively, tonsillectomy is the recommended surgical procedure. Tonsillectomy is typically performed by an ENT specialist, and candidates for this surgery must meet the absolute and relative criteria outlined in the 2004 Health Technology Assessment (HTA) Indonesia clinical guidelines. Although tonsillectomy is a common procedure, one of the serious complications that can arise post-surgery is hemorrhage, which can lead to fatal consequences if not managed appropriately. Post-tonsillectomy bleeding is a significant cause of mortality and requires immediate and effective management. Effective management of post-tonsillectomy hemorrhage is crucial to prevent life-threatening situations that may develop without appropriate intervention. Bleeding can be addressed through close observation, bedside interventions, or additional surgery if necessary, with the initial focus on stabilizing the patient's hemodynamics and controlling active bleeding. Given the high incidence and severity of post-operative bleeding, it is vital for healthcare professionals to identify patients who experience this complication and those at high risk, providing timely and appropriate interventions to reduce the risk of fatality. Therefore, in-depth knowledge of post-tonsillectomy hemorrhage management is essential for ENT specialists in daily clinical practice.

Rheumatoid arthritis (RA) is a chronic autoimmune disease that primarily affects the musculoskeletal system and often causes severe pain and functional limitations, especially among the elderly. This study aimed to provide a comprehensive overview of nursing care for a patient diagnosed with RA through a family-based approach. The research employed a descriptive qualitative method with a case study design conducted in a rural village in Brebes, Central Java. Data were collected through in-depth interviews, observation, and documentation. The results showed that the integration of non-pharmacological interventions, including warm compresses using ginger and lemongrass, and deep breathing techniques, significantly reduced pain intensity. Additionally, increased family involvement in caregiving, facilitated by structured health education, enhanced the patient's quality of life. This study confirms the importance of applying Dorothea Orem’s Self-Care Deficit Theory to support the independence and well-being of RA patients within their home environments. The findings suggest that community nurses should prioritize family empowerment in chronic disease management, particularly in areas with limited health access.

Introduction: The increase in life expectancy among the elderly has directly contributed to the rise in the global elderly population. According to global data, the number of elderly individuals is projected to reach 1.4 billion by 2030. This demographic growth is often accompanied by various health problems associated with aging, such as the decline in vital organ function and the emergence of degenerative diseases. One of the most common degenerative diseases among the elderly is hypertension. Hypertension is widely known as a “silent killer” because it can lead to serious complications, including stroke and heart disease, if not managed properly. A common complaint experienced by individuals with hypertension is headache, particularly in the posterior region, which significantly affects the patient’s quality of life. Management of hypertension can be carried out through pharmacological therapy with antihypertensive drugs as well as non-pharmacological interventions. One of the non-pharmacological approaches increasingly being applied is isometric handgrip exercise, which involves static muscle contractions performed at light to moderate intensity. Method:This study aimed to evaluate the effect of isometric handgrip exercise on pain reduction in patients with hypertension. The research design employed a descriptive case study involving one individual with hypertension who experienced pain complaints. The study was conducted on September 16–18, 2024, at Roujin Home X. The instruments used included observation, interview, and the provision of isometric handgrip exercise therapy. Pain measurement was carried out using a numerical rating scale before and after the intervention. Results:The three-day intervention demonstrated a significant reduction in pain levels. On the first day, the patient reported a pain score of 6, which decreased to 4 on the second day, and further declined to 2 on the third day after the intervention. Conclusion:The findings of this study indicate that isometric handgrip exercise is an effective non-pharmacological method for alleviating acute pain in patients with hypertension. This simple intervention has the potential to be applied as a complementary therapy in elderly care facilities to improve the quality of life of individuals living with hypertension.

Hypertension is one of the most prevalent non-communicable diseases and a major contributor to cardiovascular complications among the elderly. This study aimed to provide a comprehensive nursing care intervention for Mrs. K, a hypertensive patient living with her family in Purwodadi Village, Tonjong District, Brebes Regency. The method employed was a case study with a family-centered nursing approach involving assessment, diagnosis, planning, implementation, and evaluation. Data were collected through interviews, observation, documentation, and literature review. The results showed improvements in the patient's blood pressure, increased knowledge and awareness in the family, and positive changes in health-related behaviors. These findings suggest that family-based nursing interventions can significantly enhance hypertension management outcomes. The study implies that nurses should integrate family involvement as a critical component in the care of chronic illness to promote sustainable health improvements.

Anomalous positioning is an abnormal position of the fetal vertex (with the small fontanelle as a marker) relative to the maternal pelvis. Oblique malposition is a cause of maternal mortality rate (MMR) of 3-10%. Obesity in pregnancy is a condition characterized by an imbalance between body weight and height. According to WHO data, the prevalence of obesity in 2021 was 340 million, with data in Central Java province reaching 6.62%. In Brebes Regency, the figure was 20.51% (2019). In the Bumiayu Community Health Center, data on obesity in pregnant women reached 63 in 2022. This study aims to provide comprehensive midwifery care for pregnant women, childbirth, postpartum, newborns, and family planning for Mrs. N, 23, with malposition and obesity. This study used a qualitative descriptive method with a comprehensive case study approach. Based on the comprehensive midwifery care provided to Mrs. N, 23, with malposition and obesity, the pregnancy outcome was found to be grade I. Her gestational age was not commensurate with her gestational age. Delivery was performed by vaginal delivery. No problems were found during newborn care up to 28 days. No problems were found during the postpartum period. Mrs. N chose intrauterine contraception (IUD) during pregnancy, but her husband did not allow it due to religious reasons. Appropriate midwifery care during pregnancy, childbirth, newborn care, postpartum care, and family planning is crucial for the health of both mother and baby. This allows early detection of risk factors, preventing potential complications, and reducing maternal and infant mortality.

The waste problem in Tamanan village is an issue that needs serious attention because of its impact on environmental pollution and public health. One of the main challenges is the low awareness of residents, especially elementary school children, in terms of good and correct waste management. A lot of waste is thrown carelessly without sorting, which results in a decrease in the quality of cleanliness and health of the village environment. This community service program aims to improve students' understanding and skills in waste management through a Participatory Action Research (PAR) approach for 40 days. This program involves students of MI Nurur Rahman and SDN Tamanan 1 as the main subjects. The activities carried out include socialization about the importance of waste management, the delivery of material on types of waste, as well as the practice of sorting organic, inorganic, and B3 waste. In addition, the installation of educational media in the school environment and evaluation monitoring were also carried out. The results of the evaluation showed that 73% of students were able to answer the quiz questions correctly ≥70%, which indicates their good understanding of waste management. Some students also began to implement the habit of separating waste at home and inviting families to participate. Support from village officials and the existence of educational media are expected to strengthen the sustainability of this program. Participatory approaches have proven to be effective in raising environmental awareness and can be implemented sustainably through collaboration between schools, communities, and village governments.

A tumor is a collection of abnormal cells that develop due to excessive and uncontrolled cell division (Angkotasan & Vioneery, 2022). Currently, tumors are considered one of the leading causes of morbidity and mortality worldwide (Maryati, 2023). The purpose of this study is to provide an in-depth understanding and description of nursing care for Mr. T, a patient with a medical diagnosis of post-operative soft tissue tumor (STT) in the right arm, who was treated in Room Mawar 2 at RSUD dr. Soeselo, Tegal Regency, in accordance with standardized nursing care guidelines. This study employed a descriptive case study method, with data obtained through interviews, observations, physical examinations, and documentation reviews. Based on the case analysis, the patient’s main complaint was severe pain following surgery. Three priority nursing diagnoses were identified: acute pain, knowledge deficit related to the disease and its management, and risk of infection due to post-surgical wound. Nursing interventions were planned and implemented according to SDKI (Standar Diagnosa Keperawatan Indonesia), SIKI (Standar Intervensi Keperawatan Indonesia), and SLKI (Standar Luaran Keperawatan Indonesia), adapted to the patient’s condition. The interventions included pain management techniques, health education, wound care, and infection prevention strategies. The results showed that after the nursing care was carried out, the patient reported a decrease in pain intensity, demonstrated increased knowledge regarding his condition, and exhibited no signs of infection. This study highlights the importance of systematic nursing care in post-operative soft tissue tumor patients to reduce complications, promote recovery, and improve quality of life. The findings are expected to contribute as a reference for nursing practice and further research on tumor management in clinical settings.

Stroke is one of the leading causes of disability, resulting in a decline in the quality of life of its sufferers. In addition to physical impairments, stroke patients often experience anxiety, which can hinder the recovery process and lower overall quality of life. This study aims to analyze the relationship between anxiety levels and the quality of life of stroke patients. The research design used a correlational descriptive approach with a cross-sectional method. The study population consisted of stroke patients receiving care or rehabilitation in healthcare facilities, with a total sampling technique for sampling. The research instruments included an anxiety questionnaire and a quality of life questionnaire. Data analysis was performed using Somers’ d statistical test. The results showed that most stroke patients experienced moderate anxiety and had low quality of life. The Somers’ d test indicated a significant relationship between anxiety and the quality of life of stroke patients (p < 0.05). These findings suggest that the higher the anxiety level, the lower the quality of life perceived by the patients. Therefore, healthcare providers are expected to not only focus on physical therapy but also provide psychological interventions to reduce anxiety, thus improving the quality of life of stroke patients.

Anxiety is an emotional condition that causes feelings of discomfort, helplessness, and uncertainty, often without a clear reason. Among breast cancer (carcinoma mammae) patients, anxiety commonly arises due to treatment processes, physical changes, and uncertainty regarding recovery. Spirituality, which involves belief in God Almighty and connection with transcendental aspects, is believed to help individuals cope with uncertain and challenging situations, including serious illness. This study aimed to determine the relationship between spiritual level and anxiety level among breast cancer patients in Semarang. The research used a quantitative correlational design with a sample of 110 respondents selected through purposive sampling based on inclusion criteria. The instruments employed were the Depression Anxiety Stress Scale (DASS-42) to assess anxiety levels and the Daily Spiritual Experience Scale (DSES) to measure spirituality. Data were analyzed using the Chi-Square test to examine the relationship between variables. The results showed a p-value of 0.000 (p < 0.05), indicating a significant relationship between spirituality level and anxiety level in breast cancer patients. The findings suggest that higher levels of spirituality are associated with lower anxiety levels. Therefore, interventions that support and strengthen spiritual aspects may be effective in reducing anxiety among breast cancer patients. This study recommends that healthcare professionals incorporate spiritual approaches as part of holistic care to improve psychological well-being in patients undergoing cancer treatment.

Early detection of kidney disease is measured in terms of positive aspects where patient care can be given at the right time, improving a person's quality of life, and intervention can be given at an early stage of kidney disease, thus saving medical costs. The purpose of this activity is to provide education to health cadres to understand early detection and prevention of kidney disease so that the community understands and has knowledge about kidney disease. The stages of the implementation method, namely the socialization and training methods, aim to provide education to the community about the prevention and early detection of kidney disease. Health cadres who participated in PKM before being given education on prevention and early detection of kidney disease were 70% with a low level of knowledge, after being given education on prevention and early detection of kidney disease, it increased to 90% with a good level of knowledge. This proves that health education can be understood by health cadres. It is important to provide education on how to increase family support to help prevent and detect kidney disease early.

Self-medication is a form of pharmaceutical service that allows the public to treat mild symptoms independently without a doctor’s prescription. While beneficial, improper self-medication practices can pose health risks such as drug resistance and misuse of prescription-only medicines. If not carried out carefully, it may lead to further issues such as bacterial resistance and dependency. This study aims to evaluate the self-medication services at Sehat Farma Pharmacy in Banjarharjo. A descriptive method was employed using interviews and direct observations to provide a comprehensive overview of self-medication practices in the field. Informants included a pharmacist, pharmaceutical vocational staff, and patients engaged in self-medication. The results indicate inconsistencies in the service flow, including the provision of prescription-only medications without proper medical consultation. There is a need to improve the understanding and adherence to appropriate service standards to enhance the safety and effectiveness of self-medication practices.

Personal hygiene during menstruation is a crucial aspect in maintaining the reproductive health of adolescent girls. Failure to adhere to personal hygiene practices during menstruation can potentially lead to various health problems, such as reproductive tract infections, pruritus vulvae, and vaginal discharge. Parents play a crucial role in shaping healthy behaviors in adolescent girls by providing education regarding the reproductive process and how to properly care for their genitals. Parents' roles in this context are considered effective if they actively provide reproductive health education, establish open communication, and model healthy behaviors. This education includes providing accurate information about reproductive organ function, techniques for cleaning genitalia during menstruation, and discussing health issues related to menstruation. This study aims to determine the relationship between parental role and menstrual personal hygiene practices among adolescent girls at SMP Negeri 1 Sambirejo, Sragen. The study used a quantitative method with a descriptive correlational design and a cross-sectional approach. The study sample consisted of 81 respondents, selected using a purposive sampling technique. The instruments used were questionnaires on parental roles and menstrual personal hygiene practices. The results showed that 53 respondents (65.4%) had parents with good roles, and 62 respondents (76.5%) had good menstrual personal hygiene practices. Data analysis using the Spearman Rank test resulted in a p value = 0.000 (p < 0.05), which indicates that the alternative hypothesis (Ha) is accepted and the null hypothesis (H0) is rejected. Thus, there is a significant relationship between parental roles and menstrual personal hygiene practices in adolescent girls at SMP Negeri 1 Sambirejo. This finding underscores the importance of parents' role in supporting proper menstrual hygiene practices through providing accurate information, open communication, and examples of healthy behavior, thus contributing to the prevention of reproductive health disorders among adolescents.

Tuberculosis is one of world health problem, especially in developing countries. Treatment regimen with multiple first-line anti-tuberculosis drugs (ATD) such as Isoniazid, Rifampicin, Pyrazinamide, Ethambutol, And Streptomycin remains the most effective for treatment of tuberculosis. Adverse drug reactions (ADRs) to antituberculosis drugs may range from mild gastrointestinal disturbances to serious hepatotoxicity, peripheral neuropathy, and cutaneous adverse effects. We report a 65 year old male patient with a  complaint of yellowish discoloration of sclera, nausea and vomitting after three days of initiation of ATD theraphy. The patient has been diagnosed with Tuberculosis relaps and has been taking ATD since June 2024. Patient noted epigastric pain. Laboratory examination found an increase in bilirubin level and imbalance electrolyte. The treatment is in the form of discontinuation of ATD, supportive therapy and followed by hepatoprotective supplements. ATD should be discontinued in patients with hepatotoxicity and fixed drug eruption until liver function and clinical symptoms improve. Initiation of ATD administration is carried out by administering one by one regimen. The patient is currently experiencing antituberculosis drug-induced hepatotoxicity, which is managed by providing supportive care and  different AT regimen was prescribed.

Diabetes mellitus is a chronic metabolic disease that affects not only the physical condition but also the psychological aspect of patients, particularly anxiety. This psychological condition can influence blood glucose stability and potentially worsen the clinical state of patients. The aim of this study was to analyze the relationship between anxiety and blood glucose levels among patients with diabetes mellitus at Fakfak General Hospital. The study applied a quantitative approach using an observational analytic method with a cross-sectional design. The sample consisted of 50 patients selected through total sampling. Anxiety data were collected using a questionnaire, while blood glucose levels were obtained from laboratory results. Data were analyzed using univariate and bivariate methods with the Chi-Square test at a significance level of p < 0.05. The findings showed that most patients experienced anxiety (96%) and the majority had normal blood glucose levels (70%). The Chi-Square test revealed a p-value of 0.000, indicating a significant relationship between anxiety and blood glucose levels in patients with diabetes mellitus at Fakfak General Hospital. This study highlights the importance of addressing psychological conditions as part of a comprehensive diabetes management program. It is recommended that health care services provide special attention to anxiety management as an effort to improve the quality of life of diabetic patients.

Hypertension is one of the major health problems often experienced by the elderly, with complaints of headaches predominantly in the nape and forehead area. This complaint, if not optimally managed, can reduce the quality of life of the elderly and risk worsening overall health conditions. Non-pharmacological interventions such as warm compresses are one of the nursing interventions that are safe, effective, easy to implement, have minimal side effects and can be done independently at home. Objective: This study aims to determine the effectiveness of providing warm compresses in reducing the intensity of headaches in elderly with hypertension. Method: The method used is a descriptive case study with a nursing process approach that includes assessment, diagnosis, intervention, implementation, and comprehensive evaluation. Subjects: The subjects in this study were two elderly people aged 60–75 years with hypertension and a pain scale between 3–7 who were given warm compresses for six consecutive days at the same time each day. Results: The results of the study showed that after the intervention, there was a significant decrease in the pain scale. In the first subject, the pain scale decreased from 7 to 3, while in the second subject, it decreased from 6 to 3. Both subjects also reported a sense of comfort, body relaxation, and improved sleep quality after warm compress therapy. Recommendation: Based on these findings, warm compress is recommended as a non-pharmacological nursing action that can be used independently or in primary health care to help reduce headaches in elderly people with hypertension effectively and sustainably.