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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.

Heart failure is a major cause of morbidity and mortality worldwide. Based on data from the World Health Organization (WHO), one of the most non-communicable diseases in the world is cardiovascular disease, whose spectrum is heart failure. To diagnose heart failure, a clinical history, physical examination and investigations are required. This study aims to determine the characteristics of heart failure patients at the heart polyclinic of RSUD Dr. M. Haulussy Ambon City March 2022. This research is a descriptive study. The number of samples in the study was determined using a categorical descriptive formula and the samples were taken using a simple consecutiv sampling technique. The data obtained were analyzed using the Statistical Package for the Social Science (SPSS). The results showed that from 74 samples of heart failure patients, 37 people aged >60 years (50%), 42 men (56.8%), 55 people had a history of coronary heart disease (74.3%). , as many as 21 people had a history of hypertension grade 1 (35.1%), as many as 7 people had a history of diabetes mellitus (9.5%), as many as 27 people took diuretic drugs (36.5%), as many as 34 people had a history of smoking (45.9%), as many as 31 people had a history of hospitalization (41.9%), as many as 26 people had a history of arrhythmias (35.1%), as many as 8 people had a history of valve abnormalities (10.8%).

Antimicrobial resistance (AMR) poses a major global health threat, with severe impacts in developing countries due to weak health systems, poor regulation, and low sanitation standards. This review summarizes 12 studies from Asia and Africa on AMR’s clinical, social, economic, and environmental effects. AMR leads to first-line treatment failure, prolonged hospital stays, increased morbidity and mortality, and necessitates costly, toxic last-line antibiotics. Economic consequences include higher treatment costs, productivity loss, and poverty risk from high medical expenses. Environmental contributors such as contamination from medical waste, livestock, and the food industry accelerate resistant bacteria spread. Effective control requires integrated strategies, including Antimicrobial Stewardship Programs (ASP) based on AWaRe classification, laboratory strengthening, One Health approaches, public education, strict antibiotic distribution regulations, and cross-sector monitoring. These measures aim to curb AMR progression and reduce health burdens in developing nations. The rise of AMR further complicates healthcare delivery in countries already struggling with limited resources and underfunded healthcare systems. The growing prevalence of multidrug-resistant (MDR) and extensively drug-resistant (XDR) organisms threatens the effectiveness of current medical treatments, including those for common infections such as tuberculosis and pneumonia. Infections that were once easily treatable with antibiotics are now leading to longer and more complicated hospitalizations, greater healthcare costs, and higher death rates. Additionally, the lack of access to newer, more effective antibiotics and diagnostic tools makes managing resistant infections in these regions even more challenging. Environmental factors, particularly contamination from healthcare facilities and agricultural practices, play a key role in the proliferation of resistant pathogens.  

One of the key indicators of nation’s health development is life expectancy, which reflects the overall quality of public health. As life expectancy increases, the prevalence of non-communicable diseases (NCDs) also tends to rise, with Type 2 Diabetes Mellitus (DM) being one of the most common. In Indonesia, the number of individuals with Type 2 DM has reached approximately 10.7 million, and this figure is projected to increase significantly to 21.3 million cases by 2030, posing a serious public health challenge. This study aimed to describe the process of clinical nutrition care based on the Nutrition Care Process (NCP) for a patient diagnosed with Radiculopathy accompanied by Non-Insulin-Dependent Diabetes Mellitus (without complications), Essential (Primary) Hypertension, Spondylosis, and Spinal Stenosis, through the application of a regulated diabetic diet (DM RG) during hospitalization. The case study was conducted in November 2024 at RSI Ayani Surabaya and involved systematic monitoring of food intake and clinical outcomes during treatment. Findings indicated that within three days of observation, the patient’s dietary intake reached the target goals, demonstrating effective implementation of the prescribed meal plan. From physical and clinical monitoring, a notable decrease in blood pressure was observed on the second and third days, suggesting improvements in cardiovascular response to dietary management. Additionally, the patient’s temperature, pulse, respiratory rate, and oxygen saturation remained within the normal range throughout the treatment period, further supporting the effectiveness of the intervention. These results emphasize the importance of structured nutrition care in managing patients with multiple comorbidities, particularly those with diabetes and hypertension, as dietary regulation plays a central role in stabilizing health conditions. Overall, the study demonstrates that the application of the NCP framework combined with consistent monitoring can lead to positive patient outcomes and highlights its potential as a model for improving clinical nutrition management in hospital settings.

Hospitalized children often experience anxiety due to the unfamiliar hospital environment, frightening medical procedures, and separation from family. This anxiety, if left untreated, can negatively impact a child's psychological well-being and hinder the healing process. One non-pharmacological intervention that can be implemented to help reduce anxiety in children is play therapy. This therapy is a fun and developmentally appropriate approach, one of which is through coloring activities. This study aims to describe the application of coloring play therapy in reducing anxiety levels in preschool-aged children undergoing hospitalization. The research design used a case study with two preschool-aged children treated in the Dahlia Ward of Dr. Tjitrowardojo Regional General Hospital, Purworejo. The anxiety measurement instrument used the FIS (Face Image Scale), which allows the assessment of children's facial expressions as an indicator of anxiety levels. The results showed that before therapy, subject I was in the mild anxiety category with an FIS score of 2, while subject II was in the moderate anxiety category with an FIS score of 4. After coloring play therapy, both children experienced a significant decrease in anxiety levels, namely becoming no longer anxious (FIS score 1). These findings indicate that play therapy, including coloring activities, is effective in reducing anxiety in hospitalized preschool children. This intervention could be an easy, affordable, and enjoyable alternative for healthcare providers in providing holistic care to children.

Acute Coronary Syndrome (ACS) is an emergency condition in which a group of symptoms of acute ischemic chest pain are part of coronary heart disease (CHD) and require immediate treatment. The prevalence of CHD in Aceh is higher than the national average of 1.6% or around 20,244 people. This study is expected to describe the prevalence, number of deaths (mortality) and average length of stay (LOS) of STEMI patients during hospitalization so that this data can significantly enhance knowledge for health practitioners and be used as a warning to be more aware of STEMI incidents in Aceh. This study uses a retrospective descriptive research design with a research sample of all patients diagnosed with ACS with ST-Elevation who were hospitalized at Dr. Fauziah Hospital in June 2022-June 2023. The data collection technique is total sampling obtained from medical record data. It was concluded that the majority of patients were male, namely 80.7% (71 patients), the highest age was 45-60 years with 45 cases (51.1%). History of CHD was the dominant risk factor (62% of cases). The most dominant type of ACS with ST-Elevation was Anterior STEMI as many as 32 cases (52.3%) with onset <12 hours (51% of cases) and predominantly came with KILLIP I (62.5% of cases). The most dominant management was with conservative therapy 56 cases (61.4%). The average length of patient care was 5 days (45.1%) and the most outcomes with outpatients as many as 72 cases (81.8%).

Type 2 diabetes mellitus (T2DM), hypertension, anemia, nephrotic syndrome, and urinary tract infection (UTI) are interrelated clinical conditions frequently encountered in patients with chronic kidney disease (CKD). This case report presents a 33-year-old woman who was admitted with complaints of generalized weakness, accompanied by headache, generalized edema, and pruritus. Laboratory findings revealed hyperglycemia (>300 mg/dL), elevated blood pressure (210/120 mmHg), increased urea and creatinine levels, 2+ proteinuria, and microcytic hypochromic anemia (hemoglobin ranging from 7.9 to 9.9 g/dL). Urinalysis showed leukocyturia, hyaline casts, and bacteriuria. The patient was diagnosed with uncontrolled T2DM, hypertensive urgency, microcytic hypochromic anemia, nephrotic syndrome, and UTI. Management included basal-bolus insulin regimen, combined antihypertensive therapy, packed red cell transfusions, and supportive treatments. Throughout the hospitalization, improvements were observed in hemoglobin levels and blood pressure, although subjective symptoms such as fatigue and headache remained fluctuating. This case highlights the importance of comprehensive and multidisciplinary management in patients with complex multisystem chronic conditions to prevent complications and improve clinical outcomes.

Heart failure is the most common cardiovascular disease. Gambiran Regional Hospital has the 1st position of heart failure cases out of the top 10 diseases with the largest population in hospitalizations. To determine the prediction of heart failure disease in 2025-2028 which will increase or decrease. Using a descriptive research method, with a retrospective study research approach The population of all heart failure patients in 2021-2024 at Gambiran Regional Hospital, with a sampling technique of total sampling, the number of samples of inpatient heart failure patients in 2021-2024 at Gambiran Regional Hospital. Data collection was carried out by observation. The total number of heart failure patients increased significantly to 259 (2022). The trend has increased and decreased, the number of male patients jumped sharply to 150,3 (2024), while for women it jumped to 92,3 (2024). Overall, the prediction of the highest heart failure patient in 2028 will reach 316,2 while the lowest will be in 2025. The number of heart failure hospitalizations shows a trend of change that tends to increase during 2021–2024. Based on gender, male patients dominated visits. The 2025–2028 prediction predicts an increase in the number of patients, with the highest number in male patients and total visits reaching 316,2.: Hospitals can collaborate with local health departments to hold routine screening programs for those at high risk.

Ovarian cysts are ovarian tumors that can be either neoplastic or non-neoplastic, with varying characteristics in terms of size, consistency, and malignancy. During pregnancy, the most commonly encountered types include dermoid cysts, endometriomas, and lutein cysts. The actual prevalence of ovarian cysts is difficult to determine as most cases remain undiagnosed, with studies indicating that around 4% of women will experience hospitalization due to ovarian cysts by the age of 65. Evaluation of ovarian masses requires a multidisciplinary approach, including ultrasonography and tumor markers to assess the likelihood of malignancy. This case involves a 45-year-old woman who presented with lower abdominal pain, bloating, and significant weight loss. Ultrasound findings revealed a cystic mass with solid components, suspected to be a malignant ovarian cyst. The provisional diagnosis was cystic ovarian neoplasm with suspected malignancy, and the patient underwent laparotomy with right salphingo-oophorectomy. Post-surgery, the patient's condition improved, though she continued to experience pain at the surgical site. Ovarian cysts can present with nonspecific symptoms and are often found incidentally. Further evaluation is necessary to assess malignancy and determine appropriate treatment. Surgical intervention is required for cases with suspected malignancy, especially in cysts with solid masses and large size.

Pets and livestock play an important role in everyday life, both economically and socially. However, both require optimal care and health to ensure their well-being and prevent potential health risks to humans. Annajah Vet Care, Pet & Poultry Shop comes as a veterinary clinic that provides comprehensive health services, such as vaccinations, hospitalization, grooming, and provision of feed for livestock and pets. Despite operating for two years, the clinic does not yet have a strong and consistent visual identity, as evidenced by the use of two similar logos that do not reflect the brand image. Promotion is also still limited to physical media and conventional methods such as word of mouth, with no utilization of social media. Surveys show that the majority of people recognize Annajah Vet Care as an animal health service provider, but brand awareness of its role as a pet shop is still low. To overcome this challenge, concept design was conducted as a strategic effort to strengthen brand identity through the application of a consistent and representative visual identity. In addition, the use of social media was optimized to reach a wider audience and support effective promotional efforts. Rebranding is expected to increase brand awareness, improve public perception of the services offered. With the right branding approach, Annajah Vet Care is expected to be able to compete in the market.

Hypertension is a chronic disease that often attacks the elderly and can cause serious complications, including stroke and heart disease. This study aims to evaluate the use of antihypertensives and analyze drug interactions based on severity in hospitalized patients at RSU Royal Prima Marelan. The research method is descriptive retrospective of patient medical records in 2024. The results showed that the majority of patients were women (62.5%) aged 60–74 years (50%). The use of a combination of two antihypertensive drugs was most commonly found (40%), with the combination of amlodipine and candesartan being the most frequently used. The severity of the most drug interactions was in the moderate category (82.35%), followed by major (10.50%) and minor (7.14%). The most significant interactions occurred in the combination of candesartan and spironolactone (major), and amlodipine and bisoprolol (moderate).    

Hospitalization is a disruptive experience for children that can also induce anxiety. Generally, the reactions of children undergoing inpatient care are anxiety, crying, and restlessness. Play therapy can help distract children from pain and provide relaxation. This study aims to determine the effect of squishy toy play therapy on reducing anxiety in preschool-aged children (3-6 years old) undergoing hospitalization. This study employs a Pre-Experimental method with a One Group Pre-Post Test Design. The population for this research is 200 children each month. The sample consists of 80 respondents who are preschool-aged (3-6 years old) and have been admitted to Rizani Paiton Probolinggo Hospital. The sampling technique used is accidental sampling. Data management involves processes such as Editing, Coding, Scoring, and Tabulating, and the data are analyzed using the Wilcoxon test.Top of FormBottom of Form The results of this study show that the average anxiety score before the squishy toy play therapy was 2.54. The average anxiety score after the therapy was 1.56. The analysis using the Wilcoxon test indicates that there is an effect of squishy toy play therapy on reducing anxiety in preschool-aged children (3-6 years old) undergoing hospitalization, with a p-value of 0.000. Squishy play therapy is carried out twice a day for three consecutive days, squishy play therapy is suitable for preschool children because this therapy is easy to do, does not require a lot of facilities and takes a short time. Suggestions for further researchers observe parents and closest people as one of the factors that influence the effectiveness of squishy play therapy.

Children often experience feelings of discomfort, anxiety and anxiety when undergoing treatment at the hospital, and some are even traumatized by medical actions. Clay play therapy is an alternative therapy that can reduce children's anxiety. Play therapy using clay involves shaping or making various shapes/characters from clay (plasticine). Objective; Reducing children's anxiety due to hospitalization with Clay Therapy. Methods: The methods used in Community Service are the Preparation Stage, Implementation Stage, and Evaluation Stage. Results: There is a significant increase in changes in anxiety levels with 95% of children experiencing mild anxiety after playing clay therapy. Conclusion: There is a Significant Impact of Clay Play Therapy on Children's Anxiety Due to Hospitalization in the Hospital.

Quality is not easy to define but easy to feel, its form is the service of unfriendly officers, queues of visitors at the counter, long waiting times for service. This will be complained of as a service that is not in accordance with expectations, services that are of less quality so that patients feel less satisfied after getting the services provided. The formulation of the problem in this study is how is the relationship between the quality of nursing services and satisfaction of inpatients at the hospital. Mitra Sejati Medan in 2024? This research uses quantitative research using analytic survey and cross sectional approach. The population in this study were all hemodialysis outpatients, the sample of this study used accidental sampling as many as 64 people. The results of this study using the chi square statistical test, the results obtained are Responsiveness (pvalue = 0.021), Reliability (pvalue = 0.018), Assurance (pvalue = 0.030), Empathy (pvalue = 0.025), direct evidence (pvalue = 0.004), which shows that there is a relationship between The significant variables are responsiveness, reliability, assurance, empathy and direct evidence with satisfaction of inpatients at Mitra Sejati Medan hospital, and by using logistic regression test, the most dominant variable is responsiveness. This can be seen from the EXP(B) value of 4.766 times, which means that direct evidence has a relationship of 4.7 times with inpatients at Mitra Sejati Medan hospital. With suggestions to create a conducive atmosphere to improve the quality of professional health services so that patient satisfaction can be maintained as expected.

The prevalence of diabetic ulcers in Indonesia is approximately 15%, with an amputation rate of 30% and a mortality rate of 32%. Diabetic ulcers account for 80% of hospitalizations among Diabetes Mellitus patients, due to a combination of peripheral neuropathy and ischemia. The Moist Wound Healing (MWH) method is used to accelerate the healing of diabetic ulcers. MWH maintains wound moisture, creating an optimal environment for tissue growth, speeding up healing, and reducing the risk of infection. This study used a quasi-experimental approach with a pre-test and post-test design, involving 15 patients at the Diabetic Wound Specialist Clinic, Antapani Unit, Bandung. Wound care was carried out over 21 days with weekly observations. Data were analyzed using the Wilcoxon test. The results showed a significant improvement in wound condition after MWH treatment. Before treatment, 40% of patients were in the inflammatory phase, and 60% in the proliferative phase. After treatment, 66.7% were in the proliferative phase, and 20% had reached the remodeling phase. The Wilcoxon test showed a p-value of < 0.001, indicating a significant difference before and after treatment. Conclusion: MWH is effective in accelerating diabetic ulcer healing by promoting the proliferative and remodeling phases. Recommendation: Future studies may explore other factors affecting healing and compare MWH with other wound care method

The reporting system is the presentation of data in the form of the results of activities in an organization as well as data from research results which are arranged systematically, so that it is easier to understand and easier to analyze and draw conclusions from an activity. The method in this research uses secondary data observation. The aim of this study was to determine the 10 most common diseases in outpatient and inpatient care (based on gender and age characteristics) at the Regional General Hospital, dr. Fauziah Bireun, This type of research is quantitative descriptive. The population and sample in this study are medical record recap data from January to December using total sampling. The results of the study showed that the highest number of diseases, namely Urolithiasis cases, had 314 outpatients, while the highest number of inpatients was Cerebral Infarction, there were 425 patients. There were 1,866 inpatients, based on the age range of 45-64 years, there were 1,042 outpatients and 958 inpatients. It is hoped that future researchers will carry out further research on the factors that cause health problems and health problems in patients with the highest cases of disease.

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

Background: Patient safety is one of the dimensions of quality that is the center of attention of health practitioners on a national and international scale. Patient safety is a top priority that must be implemented by hospitals with an optimal role of nurses that can support the patient safety movement. A good safety culture creates an increase in service quality in its implementation, the culture of reporting incidents has not been widely practiced because officers think that reporting incidents can threaten the work of medical staff. The purpose of this study was to determine the description of the implementation of patient safety culture in nurses in the inpatient room at Sanjiwani Gianyar Hospital. Method: The method used in this study was quantitative with descriptive research design. The sampling technique used was Nonprobability Sampling type of total sampling of 94 respondents. The research instrument used was a patient safety culture questionnaire which amounted to 42 questions. Results: The results of this study indicate that the implementation of patient safety culture with the culture category is sufficient (57.4%). Conclusion: The conclusion of this study is that the implementation of a patient safety culture is categorized as a sufficient culture, meaning that nurses have implemented a safety culture but are not optimal in carrying out services according to the SKP.  It is expected for hospitals to further optimize and pay attention to the implementation of patient safety culture.

Ectopic pregnancy can be interpreted as a pregnancy that occurs outside the uterine cavity. If this ectopic pregnancy ruptures, it is called a disturbed ectopic pregnancy. There are several factors that cause ectopic pregnancy such as a history of previous ectopic pregnancy, a history of tubal damage, a history of previous Salphingitis infection. In this case, a 27-year-old woman with a gestational age of 8-9 weeks came with complaints of bleeding from the birth canal and accompanied by severe pain in the lower abdomen that spread to the anus which had been felt for approximately the last 2 weeks. The patient underwent exploratory laparotomy. The patient's condition improved after the procedure and hospitalization, the patient was allowed to go home on the condition of a weekly check-up to evaluate the post-operative condition.

Background : Nurses play an important role in providing nursing care to Space Occupying Lession (SOL) patients. Nurses directly assist patients and educate them about their disease and prevent rehospitalization. During hospitalization, patients require hemodynamic stabilization monitoring, use of various monitoring and life support devices, postoperative patient care, and crisis management in the event of loss of consciousness or sedation programs.  Purpose : This case study aims to perform 30ᵒ head elevation with SOL Intracranial o/t (L) Temporoparietal who has head pain. Methods : This research is a case report where the source of research data comes from the patient and the patient's family using interview techniques, observation, physical examination, and documentation study of nursing management prioritized according to the SDKI (Indonesian Nursing Diagnosis Standard), SLKI (Indonesian Nursing Outcomes Standard), and SIKI (Indonesian Nursing Intervention Standard): acute pain, decreased intracranial adaptive capacity and impaired physical mobility. Results : Decreased pain quality, increased intracranial adaptive capacity, and decreased physical mobility impairment indicate improvement in the patient's condition along with the nursing care provided. Conclusion : The results of routine nursing implementation coupled with the application of evidence-based nursing practice 30ᵒ head elevation intervention (30ᵒ head position intervention) to reduce pain along with the collaboration of pharmacological therapy administration of ketorolac injections were found to reduce the pain scale from a scale of 3 - 4 (mild - moderate) NRS to a pain scale of 2 (mild) NRS.