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Penuaan secara alami mengakibatkan penurunan struktur dan fungsi organ tubuh, sehingga memicu terjadinya gangguan degeneratif seperti hipertensi pada lansia. Meningkatkan sirkulasi darah dan menurunkan tekanan darah adalah tujuan terapi musik. Tujuan penelitian ini yaitu mengetahui bagaimana terapi musik alam mempengaruhi tingkat tekanan darah lansia dengan  hipertensi menggunakan metode kuantitatif desain kuasi eksperimen pada dua kelompok, dimana salah satunya kelompok kontrol. Convenience sampling digunakan pada 30 responden, yang kemudian dipisah masing-masing 15 orang untuk kelompok intervensi dan kelompok kontrol.  P-value 0,001 tekanan darah sistol ditemukan pada uji t dependen pada kelompok intervensi. Nilai p pre-test dan post-test 0,001 menunjukkan bahwa diastol mempunyai pengaruh yang besar pada kelompok intervensi. Uji t independen dengan nilai p-value 0,001 (?0,05) pada tekanan darah sistol dan diastol menampilkan perbedaan penurunan tekanan darah. Terapi musik adalah alat yang berguna dalam menurunkan tekanan darah lansia hipertensi, sehingga mereka dianjurkan melakukan terapi musik alam selain terapi farmasi guna menurunkan tekanan darahnya.

Post SC patients will complain of pain in the incision area caused by tearing tissue in the abdominal wall and uterine wall. Back pain or pain in the nape is also a complaint commonly felt by post-SC mothers, it is due to the effects of using epidural anesthesia during surgery. But after the operation is complete and the patient begins to regain consciousness, he will feel pain in the part of the body that undergoes surgery. Sectio caesarea surgery has complications of infection, bleeding, injury to the bladder, The purpose of this study was to determine the Comparison of the Effectiveness of aroma therapy lemon and classical music therapy lullaby Against the Pain Scale in Post Partum Mothers after sectio caesarea surgery in the Babusalam Room of Tugu Ibu Hospital in 2023. Research Design Quasi-experimental method is a research method that in its implementation does not use random assignment (random assignment) but by using existing groups. The population in this study is all postoperative caesarean section patients totaling 150 people from caesarean section data from April to May 2023 at Tugu Ibu Hospital. The sample in this study was 30 people divided into 2 intervention groups, each group consisting of 15 people. This study obtained data that before being given therapy, a comparison of post-test pain in the lemon aromatherapy group and lullaby classical music after caesarean section surgery obtained a p value of 0.000, because p > 0.05 it was concluded that there was a significant difference in pain scale after being given lemon aromatherapy therapy and lullaby classical music, which was more effective lemon aroma therapy. Advice For health workers or nurses can apply the administration of Aroma Therapy and Classical Music Therapy to reduce the Pain Scale in Post Partum Mothers after sectio caesarea surgery

A person's happiness with their sleep and the absence of symptoms of sleep deprivation and difficulty sleeping are indicators of good sleep quality. Sleep quality includes things like sleep duration, sleep latency, and subjective features of sleep. A person's capacity to maintain sleep conditions to achieve the appropriate REM and NREM sleep phases. The aim of this research is to determine the impact of gamelan music therapy. The research used a pre-experiment method with a one group pretest-posttest design. There is an influence of gamelan music therapy on sleep quality in the elderly in Banteran Village, Sumbang District, according to the sampling strategy, namely consecutive sampling, which shows a t-test analysis with a p-value of 0.001 (p 0.05).

A person's happiness with their sleep and the absence of symptoms of sleep deprivation and difficulty sleeping are indicators of good sleep quality. Sleep quality includes things like sleep duration, sleep latency, and subjective features of sleep. A person's capacity to maintain sleep conditions to achieve the appropriate REM and NREM sleep phases. The aim of this research is to determine the impact of gamelan music therapy. The research used a pre-experiment method with a one group pretest-posttest design. There is an influence of gamelan music therapy on sleep quality in the elderly in Banteran Village, Sumbang District, according to the sampling strategy, namely consecutive sampling, which shows a t-test analysis with a p-value of 0.001 (p 0.05).

Dementia or senility is an aging process so it is considered a normal thing and if dementia is not prevented or treated it will have an impact such as a decrease in cognitive function. Cognitive function is mental and intellectual abilities and memory. Cognitive function ability was measured using the MMSE (Mini Mental State Examination) questionnaire which consisted of 11 questions. Efforts to improve cognitive function one of them with classical music therapy. This case study aims to describe the application of classical music therapy to improve cognitive function in the elderly at the Sekaran Health Center in Semarang. This case study uses a type of case study with a descriptive approach. The subjects of this case study used 2 people with inclusion criteria: age between 60-74 years, able to communicate well, elderly with mild dementia (MMSE score 24-30) and moderate (probable) MMSE score 17-23, elderly who are cooperative and can read and write, the elderly who are not hearing impaired. This case study was conducted 4 meetings over 2 weeks. The results of this case study showed an increase in cognitive function felt by both subjects. Subject I from a score of 22 (probable cognitive disorder) to 28 (normal). Subject II from a score of 19 (probable cognitive disorder) to 25 (normal). Classical music therapy in conclusion can improve the cognitive function of elderly people with dementia and is recommended as an effective therapy application in improving cognitive function.

Background: Mental disorders are conditions in which mental functions, thought processes, emotions, feelings, psychomotor and verbal behavior are disrupted which becomes a group of clinical symptoms accompanied by suffering and results in disruption of an individual's humanistic function (Ramadani et al, 2020). One type of mental disorder is schizophrenia, where the main perception disorder in schizophrenic patients is hallucinations. Hallucinations are changes or perceptions that there is unfavorable stimulation from within the individual or from outside the individual accompanied by a reduced, excessive or distorted response (Rustika, 2020). One non-pharmacological implementation strategy for patients with hallucinations is by providing music therapy (Alfionita, 2016). Method: Giving therapy to listen to dangdut music to patients for 4 days is carried out 1 day once therapy for 10-15 minutes. Results: After the intervention of giving menmusic therapy for 4 days, it was found that the patient experienced a decrease in signs and symptoms of hallucinations from initially a score of 8 to 2. Conclusion: Providing dangdut music therapy can help reduce the frequency of hallucinations. This is due to the diversion of the patient's attention from the hallucinatory sounds to the dangdut music he hears. rebuking and music to reduce the symptoms of the hallucinations he was suffering from.

Background: Mental disorders are a description of a syndrome with a variety of causes, many of which are not yet known with certainty and the course of the disease is not always chronic, in general it is characterized by fundamental deviations, characteristics of thoughts and perceptions, as well as the presence of unnatural or blunted affect. One of the mental disorders that occurs is sensory perception disorder: hallucinations. Hallucinations are a loss of human ability to differentiate between internal stimuli (thoughts) and external stimuli (outer world). How to treat hallucinations can be done in pharmacological and non-pharmacological forms. One non-pharmacological therapy that is effective in reducing hallucinations is music therapy. Method: Giving classical music listening therapy to patients for 4 days is carried out 1 day once therapy for 10-15 minutes. Results: Classical music activity therapy nursing intervention greatly influenced the level of hallucinations in patients with hallucinatory auditory sensory disorders. Conclusion: Providing classic music therapy can help reduce the frequency of hallucinations. This is due to the diversion of the patient's attention from the hallucinatory sounds to the classic music he hears. rebuking and music to reduce the symptoms of the hallucinations he was suffering from.

Insomnia is one of the most common sleep problems in the elderly due to aging. These sleep problems have an impact on reducing the quality of sleep in the elderly. Lavender aromatherapy and English music are one way to increase sleep needs. This study aims to analyze the effect of a combination of lavender aroma therapy and English music on the sleep quality of elderly people with insomnia. The design of this research is quasi-experimental with a pre-test and post-test control group approach. The population is elderly people with sleep disorders at the Roasro Simalingkar B Medan Foundation. The total sample was 32 elderly people with insomnia who were divided into two groups using random sampling who met the inclusion criteria. The independent variables of this research are lavender aromatherapy and English music, while the dependent variable is the sleep quality of elderly people with insomnia. Data were collected using a structured questionnaire and analyzed using the Wilcoxon Signed Rank Test and Mann Whitney Test with a significance level of 0.05. The results showed that there was an effect of the combination of lavender aromatherapy and English music on sleep quality (p=0.000) in the treatment group. Meanwhile, in the control group there was no effect on sleep quality results (p=0.564). The comparison results stated that there was a difference in the post test sleep quality (p=0.000). The combination of lavender aromatherapy and English music has a significant effect on the sleep quality of elderly people with insomnia.

This study aims to determine the effect of classical music therapy on pain intensity in active phase in-partu mothers during the first stage of labor at the Independent Midwife Practice of Pertiwi Sengkang, Wajo Regency. This type of research is quantitative research using the Pre-experimental design method "One Group pretest - posttest design". The sampling technique used in this study used total sampling with a total sample of 30 mothers giving birth at the Pertiwi Sengkang Midwife Independent Practice, Wajo Regency, while data analysis used the Wilcoxon Signed Rank test. The results of the study showed a p-value of 0.000 (p <0.05) which means that the alternative hypothesis is accepted. This means that the alternative hypothesis is that there is an effect of classical music therapy on pain intensity in active phase in-partu mothers during the first stage of labor at the independent practice of midwives in Pertiwi Sengkang, Wajo district. By him, it is hoped that health workers, especially midwives as birth attendants, can help mothers in childbirth to meet their needs for comfort in controlling pain and can use classical music therapy in the delivery process which helps mothers in labor to reduce pain during labor.

The background of this literature review study is the many people still suffer from mental illnesses, and the number of people who suffer from them is growing every year. Types of mental disorders such as depression, anxiety, stress, hallucinations, and others. The purpose of this literature is to see how efficient Classical Music Therapy is at lowering the rate of mental problems in people of all ages, from children to the elderly. The method of literature review review was obtained using the keywords "efficacy of classical music treatment," "impact of classical music therapy," and "mental problems" in the Google Scholar, Garuda, and Mendeley databases. The results of the literature review study based on fifteen journals that have been presented that classical music therapy is effective in reducing the rate of mental disorders in children to the elderly. The journal review found that: 1) Depression is reduced; 2) Anxiety is reduced; 3) Stress is reduced; 4) Hallucinations are reduced; and 5) The psychological improvement. Conclusions from the study of literature, that classical music therapy reduces the risk of mental problems in people of all ages, from children to the elderly This literature review study suggests that classical music therapy can be utilized as a non-pharmacological treatment for those suffering from mental illnesses.    

Pregnancy is the intrauterine growth and development of the fetus starting from conception and ending until the start of labor. The length of pregnancy from ovulation to parturition is approximately 280 days (40 weeks), and no more than 300 days (43 weeks). Anxiety is a response to certain threatening situations and is a normal thing that occurs accompanying development, change, and in finding one's identity and the meaning of life. One way to deal with anxiety is non-pharmacological therapy, namely distraction techniques. This research uses a quasi-experimental research design with a One Group Pretest-Posttest Design research design. This research was conducted to determine the effectiveness of providing classical music therapy to reduce anxiety levels in pregnant women.That before classical music therapy was given a non-anxious level of anxiety, namely 9 respondents (16.7%), a moderate level of anxiety, namely 8 respondents (16.7%). Then, after being given classical music therapy, the majority of respondents had a non-anxious level of anxiety, namely 20 ( 66.7%) The level of mild anxiety was 10 respondents (33.3%). The pre-test and post-test show a significant relationship with the criteria for the level of anxiety of pregnant women with a p value = 0.000, <0.05 N = 30, so it can be concluded that there is a significant effect of effectiveness between classical.

The trimester III pregnant women at Public Health Care Tempel 2 were anxious while preparing for their delivery, such as the anxiety of giving birth abnormally, the fear of incapability to endure the labor pain, the situation of the pregnant women after giving birth, the unwanted delivery, and the situation of not meeting the babies after the delivery. This research determined the influence of Yoga calisthenics and classic Mozart therapy on the anxiety level of trimester III pregnant women at Public Health Care Tempel 2. This quantitative research applied a pre- experimental model with a one-group-pretest-posttest design. The population consisted of 50 trimester III pregnant women at Public Health Care Tempel 2. The researcher took 33 pregnant women as the samples with a purposive sampling technique. The researcher analyzed the data with Shapiro-Wilk. The result showed a p-value of 0.000, indicating abnormal data distribution. The result of the Wilcoxon test obtained a p-value of 0.000. The result denies Ho and accepts Ha, indicating the influence of Yoga calisthenics and classic Mozart music therapy on the anxiety level while preparing for the delivery of trimester III pregnant women. From the Wilcoxon test, the obtained Z-count is 4.347. From the Wilcoxon test, the researcher found the Z-count was 4.347, indicating Yoga calisthenics and classic Mozart therapy could relieve the anxiety of the respondents by 4.347 while preparing for their delivery. The implementations of Yoga calisthenics and classic Mozat music therapy influence the endocrine hormone to relieve the anxiety while preparing the delivery and make the trimester III pregnant women relax.

Hypertension in pregnancy is a common pregnancy complication, affecting 2% of pregnant women worldwide. It is the cause of death of pregnant women in the world, hypertension is treated conventionally, namely hypertension-reducing drugs, but this conventional treatment has many problems because it is related to pregnant women which will definitely be related to the fetus they are carrying. At the Bestari Community Health Center, Medan Petisah District, the health status of mothers and children is good, but there are still problems for pregnant women who experience hypertension during their pregnancy, which is around 30%. The incidence of hypertension in pregnancy is high in the working area of the Bestari Community Health Center, Medan Petisah District, because people consume more than the amount of salt, the food menu is haphazard, and if they are treated with hypertension medication, they are not consumed because it will have a bad impact on their child, to solve the problem, to resolve the treatment. An alternative to non-pharmacological treatment is using music therapy and providing counseling about correct eating patterns. The aim of this community service is to increase knowledge and reduce the incidence of hypertension in pregnant women by using counseling methods and applying music therapy. Method: By providing counseling and music therapy, the results of the implementation of Beethoven's classical music therapy activities are: knowledge of the community (pregnant women) about eating patterns increased by approximately 89% and hypertension which was successful decreased in the 2-4th week of therapy, namely on average 110/70 mmHg..

Background: Data obtained from the Palembang city health office that the incidence of head injuries in 2018 there were (16.15) patients. Head injury (trauma capitis) is a mechanical injury that directly or indirectly affects the head that results in head wounds, fractures of the bones of the skull, tearing of brain membranes, and damage to brain tissue, as well as resulting in neurological disorders. One of the nonpharmacological therapies that can be given to patients who experience pain in minor head injuries is music therapy. Objectives: to gain real experience and knowledge and to document the application of music therapy to pain scales in nursing care for minor head injuries. Methods: this type of scientific paper uses a descriptive method with a case study approach to explore the problem of nursing care in two patients with minor head injuries. Nursing care was carried out on two patients, which was carried out on June 15 to 17, 2022. Results: from music therapy actions to Mr. A and Mr. D with the first diagnosis of acute pain related to physical injury agents. The results of the evaluation of the first patient, Mr. A, found that the patient experienced a decrease in the pain scale to 3 (mild), before music therapy the pain scale was 5 (moderate), the pain problem was resolved, and the intervention was stopped. For the evaluation, the second patient, Mr. D, obtained a pain scale of 2 (mild), before music therapy the pain scale was 4 (moderate), the pain problem was resolved, and the intervention was stopped. Conclusion: the results of the nursing evaluation on Mr. A and Mr. D problems resolved the intervention was stopped. It can be concluded that music therapy can reduce pain in patients with mild head injuries.

Introduction : Sleep quality is a person getting enough sleep is characterized by not being easily tired, not irritable, restless, lethargic, headaches and not easily drowsy. The purpose : of this study was to analyze the effect of jazz music therapy on sleep quality. Method : This type of research used the Pre-Experimental method with the One Group Pre-Post Test Design approach, the sample in this study was 18 respondents, using the Purposive Sampling technique and the data collection method used the PSQI sheet. Result : The test used was the Wilcoxon Sign Rank with p 0.05. The results showed that before jazz music therapy the average sleep quality in the sleep quality category was quite bad, reaching 61.1%, whereas after jazz music therapy there was an increase in good sleep quality. Conclution : This is proven based on the Wilcoxon test data processing with the result (p = 0.001) that there is an effect of jazz music therapy on students. The results of the study are expected that giving jazz music therapy can be further developed as an intervention to improve the quality of good sleep in students.

Dysmenorrhea is a medical condition that occurs during menstruation or menstruation, which can interfere with activities and requires treatment. Characterized by pain or tenderness in the abdomen or pelvis. The impact of dysmenorrhea is reduced concentration when studying, hampered sports activities and reduced time for social activities. With the increase in Covid-19 cases, people are becoming anxious if they have to come to health services for fear of contracting Covid-19. One action to reduce dysmenorrhea pain is using a warm compress combined with music therapy. This research is quantitative research using quasi-experimental research using a one-group pre-test-post-test design method and purposive sampling techniques. The location where the research will be conducted is STIKES Kesdam IV/Diponegoro with 30 respondents. The Numeric Rating Scale (NRS) is a tool used to evaluate dysmenorrhea pain. The Wilcoxon test was used to analyze research data. The results of this study show that giving a warm compress has an effect. with a combination of music therapy on the level of dysmenorrhea pain with a p value of 0.00 (<0.05).

Background: The number of pregnant women who experience anxiety before giving birth is rising year over year. Pregnancy in a primigravida produces both psychological and physical changes. Anxiety is one of the psychological factors that frequently manifests during pregnancy. Relaxation techniques can be used to manage anxiety; one such treatment is classical music therapy, which can lower anxiety levels. Purpose: Understanding the changes in anxiety levels among primigravida pregnant women in the third trimester at the Mojopurno Health Center. Methods: With each respondent receiving an intervention for 4 straight days, this application used a descriptive design on 2 female respondents and was conducted from April 18–21, 2023, in Munggut Hamlet, RT 12 RW 03 Munggut Village, Wungu District, Madiun Regency. The Hamilton Anxiety Rating Scale HARS observation sheet was the tool used to gauge the patient's degree of anxiety before and after therapy. Results: Before the two respondents' implementation, there was moderate anxiety, and after their implementation, there was mild anxiety or no worry. Conclusion: At the Mojopurno Health Center, the use of classical music therapy helps lower the degree of anxiety in third-trimester primigravida pregnant women.

Leukemia is a progressive malignant disease of the blood-forming tissues. Leukemia is caused by abnormal growth of white blood cells (leukocytes) in the bone marrow. These cells then spread in the blood circulation. This disease is still a public health problem in the country and in the world, which affects children to adults, leukemia is a cancer with the highest death cases in the world. One of the complementary therapies that can be used to improve the psychological response of cancer patients is music therapy. Music therapy can increase relaxation and reduce anxiety in leukemia patients during the chemotherapy process. Objective : Knowing the results of the application of music therapy to hemodynamics in children with leukemia in the room Flamboyan 9 RSUD Dr. Moewardi surakarta. Method : Methods of data collection in this application is to use the method of interviews, and observation. Findings : After performing music therapy for 1 day, the results were the same for both respondents, that is, children can lower blood pressure and pulse frequency within normal limits. Implication : Music therapy can affect the decrease in hemodynamics in children with leukemia because there are significant changes in hemodynamics from height to decrease.  

Sectio caesarea (SC) is a surgical procedure performed to give birth to a baby. Caesarean sectio action can cause anxiety in preoperative mothers. Anxiety can cause discomfort, so therapy is needed to reduce anxiety levels. Giving lavender aromatherapy and lullaby classical music can reduce anxiety. This study aims to determine the effect of lavender aromatherapy and lullaby classical music on the anxiety level of preoperative sectio caesarea mothers at SMC Telogorejo Hospital. This type of research is a quasi experiment with a pretest-posttest design without a control group design, the consencutive sampling used is accidental, with a total sample of 40 respondents. The characteristics of the respondents were obtained by all respondents aged 20-30 years by 40 (100%), tertiary education by 30 respondents (75%), primigravida 21 respondents (52.5%). Wilcoxon test results, obtained a p-value of 0.000. So it can be concluded that giving lavender aromatherapy and lullaby classical music can reduce the level of anxiety in preoperative sectio caesarea mothers. For future research, it is expected to pay attention to the duration and the most effective time to reduce anxiety levels after being given an intervention.

Background: The prevalence of extreme pain in medical and surgical patients admitted to the Intensive Care Unit (ICU) is more than 80.0%. One of the nonpharmacological therapies that can be used to control pain is the distraction technique with music therapy, where this application uses gamelan music therapy. Objective: To determine the results of the implementation of gamelan music therapy to reduce postoperative pain intensity in the Intensive Care Unit of Pandan Arang Hospital Boyolali. Method: The design used in this application is using a descriptive case study approach. Application is carried out for 30 minutes 2x a day in 4 consecutive days. Findings: Comparison of the final results of application showed that on the 4th day after the implementation of the VDS scale the two respondents were the same, namely on the pain scale 3. The results of the CPOT scale on the 4th day of Mrs. W after implementation are a scale of 4. The results of the CPOT scale on the 4th day of Mrs. S after implementation are a scale of 3. Implication: From the final results of the application before and after it can be concluded that gamelan music therapy can reduce the intensity of pain in postoperative patients in the ICU of Pandan Arang Hospital Boyolali.