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The surgery often causes anxiety, which has an impact on physical and psychological conditions of preoperative patients. The data from WHO shows that 50% patients all over the world experienced anxiety, where 5-25% patients are between 5 and 20 years old, and 50% patients are 55 years old. Pre-operational anxiety reaches 534 million patients. Many factors affect anxiety in patients, including family support. This study aims to acknowledge the correlation between family support and anxiety of post-surgery patients in Meuraxa Regional General Hospital, Banda Aceh. This study employs an analytical correlational method with a cross-sectional approach by involving 51 patients selected using an accidental sampling technique. A family support questionnaire is adopted from Nurwulan, with a Cronbach's alpha 0.856. The questionnaire of anxiety using the APAIS scale of Cronbach's alpha 0.825. Univariate and bivariate analysis using the chi-square test. The results indicate that among 51 respondents, the level of anxiety is in a medium state, as 26 respondents (51.0%), family support is in the high category, 47 respondents (92.2%), with a P-value 0.026 (P-value < 0.05). In conclusion, there is a significant relationship between family support and preoperative anxiety at Meuraxa General Hospital Banda Aceh. Families are expected to continuously provide emotional, informational, instrumental, and appraisal support so that patients feel calmer, are able to reduce excessive anxiety, and are better prepared to undergo surgery.

This study analyzes the partial and simultaneous influence of four factors—Publication (X_1), Access Convenience (X_2), Perceived Ease of Use (X_3), and Trust (X_4)—on the dependent variable, Intention to Use/Purchase (Y) Tiket.com for airline ticket purchases in Semarang City.1 Using an associative quantitative method, data were collected from 100 Tiket.com users (N=100) and analyzed via Multiple Linear Regression (SPSS 25.0).1 The analysis confirmed that all four independent variables positively and significantly influence the Intention to Use (all t_{hitung} > t_{tabel} 1.98498).1 The variable Perceived Ease of Use (X_3) was identified as the most dominant factor, showing the highest regression coefficient (\beta = 0.375), suggesting that the intuitive and effort-free experience of the application is the primary psychological driver for adoption among Semarang users.1, The overall model demonstrated a very strong explanatory capability, with an Adjusted R^2 of 0.792. This means 79.2\% of the variation in Intention to Use Tiket.com is jointly explained by these four variables, with 20.8\% attributed to factors outside the model.1 Managerial implications suggest prioritizing user experience design, clear information presentation, and maintaining transaction security to convert high interest into committed use.  

This study aims to determine the contribution of self-efficacy to teachers' work stress at SLB Negeri 1 Harau, the only public special school in Harau District. Teachers at SLB face complex challenges in dealing with students with special needs, which has the potential to cause work stress. The study used a quantitative approach with a correlational method to test the relationship between self-efficacy and work stress. The research population is all teachers at SLB Negeri 1 Harau as many as 20 people, with a total sampling technique. The research instrument was in the form of a questionnaire on self-efficacy and work stress which was compiled based on the Likert scale. The results of the analysis showed a correlation value of 0.795** with df = 18 and r table = 0.443, which means that there is a significant and strong relationship between self-efficacy and work stress. The regression test using SPSS version 29 produced an Fcount of 21.974 > a Ftable of 3.28, so that H₀ was rejected and Hₐ was accepted. These findings show that self-efficacy contributes significantly to teachers' work stress. Teachers with high levels of self-efficacy tend to have better ability to manage work pressure and respond to learning challenges positively. This research provides important implications for the development of psychological intervention programs and self-efficacy improvement training for educators in an inclusive education environment.

This study explores key antecedents of turnover intention among employees in the warehouse industry, with a focus on workload, work stress, and job satisfaction. Conducted at CV. Sejati Pati, the research involved 102 respondents selected using a saturated sampling technique. The study applied a quantitative approach, using a structured questionnaire with a five-point Likert scale. Data were analyzed through multiple linear regression using IBM SPSS 27, including classical assumption tests such as normality, multicollinearity, and heteroscedasticity. The results showed that workload and work stress have a positive and significant effect on turnover intention, while job satisfaction has a negative and significant effect. In contrast, compensation and work environment were found to be statistically insignificant. Simultaneously, all variables jointly contribute to explaining 64.9% of the variation in turnover intention. These findings underscore the critical role of managing job demands and psychological pressure while enhancing employee satisfaction to reduce the likelihood of resignation. The research provides empirical insights for human resource management in high-pressure sectors, particularly warehouses, where operational continuity and labor stability are crucial. It also offers practical implications for developing targeted strategies to improve employee retention and foster a more resilient workforce in logistics operations.

Background: Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system and often leads to fatigue, mobility impairments, and psychological issues such as anxiety and depression, all of which significantly reduce the quality of life of those affected. Yoga therapy, as a holistic non-pharmacological approach, has gained attention as an alternative rehabilitative intervention for MS patients. Objective: The aim of this review is to literatureally examine the effectiveness of yoga therapy on the physical and psychological aspects of individuals with MS, with a particular focus on the duration, frequency, and forms of yoga practice used. Methods: The method employed in this study was a literature literature search across databases including Google Scholar, PubMed, ScienceDirect, and ResearchGate, using clearly defined inclusion and exclusion criteria. A total of 15 articles with experimental and quasi-experimental research designs published within the past 10 years were analyzed in this review. Result: The results indicate that yoga is effective in reducing fatigue levels, improving balance and muscle strength, and enhancing daily physical functioning. Psychologically, yoga has been shown to significantly reduce anxiety, stress, and depression, while also improving self-efficacy, focus, and emotional quality of life. Conclusion: In conclusion, yoga is a safe and effective intervention that can serve as a complementary rehabilitative strategy in the management of MS, both physically and psychologically, although further research with stronger methodologies is needed to support its implementation in clinical practice.

Background: Patients with chronic kidney failure must undergo hemodialysis/dialysis therapy. Chronic kidney failure patients undergoing hemodialysis experience several changes in their lives due to the patient's illness. Objective: This study aims to gain an in-depth understanding of the life experiences of chronic kidney failure patients undergoing hemodialysis. Methods: This research uses a qualitative research method with a phenomenological approach. The instruments for this research were the researcher himself, voice recorder, field notes, stationery, interview guide, and informed consent form. The informants used in this research were 7 informants. Results were analyzed using thematic analysis techniques. Results: Based on the results obtained in this study, 4 themes were found, namely (1) physiological, psychological, social, spiritual and economic changes, (2) Coping techniques in overcoming problems or changes due to chronic kidney failure, (3) Experiences in undergoing the hemodialysis process , (4) The hardest experience while suffering from chronic kidney failure. Conclusion: All informants experienced physiological, psychological and spiritual changes, while only a few informants experienced social and economic changes. Coping techniques for dealing with these changes are good except for economic changes where there is no solution for these changes. Experiences in undergoing the hemodialysis process include some being positive and some being negative. Meanwhile, the hardest experiences while suffering from chronic kidney failure vary according to what happens in the informant's life.

Minority clients’ self-confidence is often influenced by various obstacles that arise within the context of multicultural counseling. These obstacles can be internal or external, including experiences of discrimination, social prejudice, language differences, and conflicts related to cultural identity. Counselors who are not sensitive to clients’ cultural and social dynamics risk reinforcing low self-confidence and hindering the counseling process. This study aims to analyze these barriers and identify effective intervention strategies to enhance minority clients’ self-confidence. The method used is a comprehensive literature review of studies related to multicultural counseling, self-esteem, and empowerment of minority clients. The analysis shows that culturally-based counseling approaches, adaptive communication, and the application of empowerment techniques can help clients overcome psychological and social barriers. Additionally, creating an inclusive and emotionally safe counseling environment has been proven to increase client engagement and strengthen self-confidence. This study emphasizes the importance of multicultural training for counselors and the implementation of strategies that respect clients’ cultural identities. The findings provide practical implications for counselors to develop effective interventions that support the psychological well-being of minority clients.

The contemporary digital era has triggered the normalization of pornography and promiscuous sexual behavior, which significantly threatens the theological understanding and sacramental practice of Catholic marriage among young adults. This article aims to examine, from a theological-juridical perspective, how canons 1055–1101 of the Code of Canon Law (CIC) serve as the authoritative foundation for the Church in safeguarding the dignity and validity of the sacrament of marriage. The method employed is a comprehensive literature study of the CIC, relevant magisterial documents of the Church, and contemporary scholarly works on the dynamics of young adult relationships. The concise findings indicate that exposure to and normalization of pornography directly weaken three fundamental aspects of Catholic marriage, namely the capacity to give free consent, the intention to practice permanent fidelity, and the correct understanding of the body’s meaning as a total self-gift. Nevertheless, the Church possesses solid canonical and pastoral instruments to address these challenges and facilitate restoration. In conclusion, a synergistic integration of canonical approaches, moral teachings, and pastoral guidance is required to assist young adult couples so that they may realize marriages that are not only canonically valid but also psychologically mature and sacramentally holy.

This study aims to evaluate the Resource Development and Installation (RDI) technique to reduce symptoms of Posttraumatic Stress Disorder (PTSD) in female victims of domestic violence. Domestic violence (which falls under the category of intimate partner violence/IPV) is a global public health problem that contributes significantly to women's mental health disorders, including post-traumatic stress disorder (PTSD). Recent systematic evidence shows a strong association between various forms of IPV and adverse mental health outcomes in women, with large variations in prevalence across contexts. Resource Development and Installation (RDI) is a psychological stabilization procedure within EMDR aimed at generating positive resources in individuals exposed to traumatic experiences. The research method used in this study was multiple baseline with a single case (single case research), namely research conducted on subjects with the aim of determining the magnitude of the effect of treatment given repeatedly over a certain period. This study involved three adult female participants who experienced trauma symptoms due to violence perpetrated by an intimate partner in a domestic context. The data analysis technique used in this study was visual inspection by comparing changes in trauma scores in respondents between the baseline and intervention phases. Trauma symptoms were measured using the Harvard Trauma Questionnaire (HTQ). There was a decrease in HTQ scores from an average of 2.9 (presence of PTSD symptoms) before the intervention to 2.1 (minimal). Resources Development and Installation were effective in reducing trauma symptoms in female victims of violence. This was evident in the decrease in trauma symptom scores between before and after the provision of Resources Development and Installation to female victims of violence.

The third trimester of pregnancy is a phase prone to anxiety due to physical and psychological changes and preparation for childbirth. Knowledge of pregnant women plays an important role in shaping mental readiness and reducing anxiety. This study aims to determine the relationship between knowledge levels and anxiety levels of pregnant women in the third trimester. The study used a quantitative correlational approach with 24 respondents selected through accidental sampling technique at Jatirogo Community Health Center, Central Kalimantan. Data were collected using a closed questionnaire and analyzed univariately and bivariately using the Chi-Square test. The results showed that 41.7 % of respondents had good knowledge and 66.7% did not experience anxiety. The Chi-Square test produced a significance value of p = 0.018, indicating a significant relationship between knowledge levels and anxiety of pregnant women. In conclusion, the higher the level of knowledge, the lower the anxiety experienced by pregnant women in the third trimester.

This study analyzes the role of families and caregivers at Panti Sosial Tresna Werdha Wana Seraya Denpasar in implementing elderly care programs and examines the implications of these programs for the quality of life of older adults. Using a qualitative method with an ethnographic approach, data were collected through participant observation, in-depth interviews, and documentation. Two theoretical frameworks guided the analysis: Carrolyn Smith-Morris’ Social Support Theory, which highlights the importance of emotional, informational, and instrumental support for elderly well-being, and Robert J. Havighurst’s Activity Theory, which states that active involvement in social, physical, and spiritual activities enhances happiness and life satisfaction in old age. The findings show that families’ involvement remains limited due to time and distance constraints, yet their emotional presence still contributes positively to the psychological comfort of the elderly. Caregivers play a dominant role in meeting the physical, social, emotional, and spiritual needs of residents. The care program demonstrates positive implications, including improved health stability, increased social interaction, strengthened feelings of appreciation, and enhanced spiritual peace. Additionally, Balinese cultural values such as tatwam asi and menyama braya reinforce empathy, togetherness, and respectful relationships within the care system. The study concludes that synergy between families, caregivers, and local cultural values forms a crucial foundation for a meaningful and humane elderly care system.  

This study analyzes the role of families and caregivers at Panti Sosial Tresna Werdha Wana Seraya Denpasar in implementing elderly care programs and examines the implications of these programs for the quality of life of older adults. Using a qualitative method with an ethnographic approach, data were collected through participant observation, in-depth interviews, and documentation. Two theoretical frameworks guided the analysis: Carrolyn Smith-Morris’ Social Support Theory, which highlights the importance of emotional, informational, and instrumental support for elderly well-being, and Robert J. Havighurst’s Activity Theory, which states that active involvement in social, physical, and spiritual activities enhances happiness and life satisfaction in old age. The findings show that families’ involvement remains limited due to time and distance constraints, yet their emotional presence still contributes positively to the psychological comfort of the elderly. Caregivers play a dominant role in meeting the physical, social, emotional, and spiritual needs of residents. The care program demonstrates positive implications, including improved health stability, increased social interaction, strengthened feelings of appreciation, and enhanced spiritual peace. Additionally, Balinese cultural values such as tatwam asi and menyama braya reinforce empathy, togetherness, and respectful relationships within the care system. The study concludes that synergy between families, caregivers, and local cultural values forms a crucial foundation for a meaningful and humane elderly care system.  

This journal article explores the application of multicultural counseling for students who experience identity-based intolerance and discrimination in school settings. Such experiences often affect students’ psychological well-being, self-esteem, and their ability to grow academically and socially. Multicultural counseling is understood as an approach that places cultural, religious, ethnic, gender, and other personal identity backgrounds at the center of the recovery process. This study highlights the role of counselors in building safe and empathetic relationships, understanding students’ identity dynamics, and applying counseling techniques that align with their lived experiences. The article also emphasizes the importance of collaboration among counselors, teachers, and school administrators in creating an inclusive environment. These efforts include developing anti-discrimination policies, strengthening diversity education, and establishing ongoing support mechanisms. Through a holistic approach, multicultural counseling not only helps students recover from the impact of discrimination but also supports the creation of a school culture that is fair and respectful of differences. This article is intended to serve as a reference for educators and school counselors in designing culturally responsive interventions that address the needs of students affected by intolerance.

This study aims to analyze and synthesize findings from various scientific literature on the implementation of multicultural counseling as an effective intervention in addressing language discrimination conflicts in school environments. Language discrimination (linguisticism) is a social justice issue that seriously impacts the psychological well-being and academic outcomes of minority students. Unfair treatment of someone based on their language is not only a social issue but can also cause students to feel sad and stressed, and can affect their grades or academic achievement. The research method used was a Systematic Literature Review, which focused on an in-depth analysis of the concept of multicultural competence and the role of counselor advocacy in a linguistic context.  The results of this study indicate that culturally respectful counseling can be an effective method to address language discrimination, by championing changes in the school system and making counselors more sensitive to cultural differences. This study concludes that the implementation of multicultural counseling is an effective way to create a fair learning environment and respect linguistic diversity.

Emesis gravidarum, or nausea and vomiting during early pregnancy, is a common condition affecting the health and comfort of first-trimester pregnant women. Persistent symptoms can lead to dehydration, electrolyte imbalance, reduced nutrient intake, and psychological distress, potentially affecting both maternal and fetal health. Although pharmacological treatments are available, many pregnant women prefer non-pharmacological approaches due to concerns about fetal safety. Aromatherapy, using essential oils such as lemon, peppermint, and lavender, has emerged as a complementary therapy that may reduce nausea and vomiting through olfactory stimulation and autonomic nervous system modulation. This study aimed to examine the effect of aromatherapy on reducing emesis gravidarum in first-trimester pregnant women at Puskesmas Pagatan. A quasi-experimental design with pretest-posttest control group was conducted, involving 40 participants divided into an intervention group (n=20) and a control group (n=20) using purposive sampling. The intervention group received lemon essential oil inhalation twice daily for seven consecutive days, while the control group continued standard antenatal care. Data were collected using the Visual Analog Scale (VAS) for nausea severity and a structured diary for vomiting frequency. Results showed that the intervention group experienced a significant reduction in nausea severity (pretest mean 6.8 ± 1.2, posttest mean 3.2 ± 1.0, p < 0.001) and vomiting frequency (pretest mean 5.2 ± 1.0, posttest mean 2.1 ± 0.9, p < 0.001). In contrast, the control group showed minimal, non-significant changes. These findings indicate that aromatherapy is an effective, safe, and culturally acceptable non-pharmacological intervention for managing emesis gravidarum. The study concludes that integrating aromatherapy into routine antenatal care can improve maternal comfort, adherence to nutritional intake, and overall well-being in first-trimester pregnancies, supporting holistic prenatal care practices.

This study aims to analyze the role of catechesis in preparing couples for marriage in the Catholic Church comprehensively, encompassing theological, spiritual, mental, and emotional dimensions. The background of this study is based on the phenomenon that some couples still enter into marriage without adequate faith preparation, thus implicating a low understanding of the meaning of the sacrament of marriage as a holy and inseparable life partnership. The research method used is a quantitative approach with a Likert-scale questionnaire as the data collection technique. The research instrument was compiled based on three main indicators, namely understanding the teachings of the sacrament, family function, and church life. Data were analyzed descriptively to measure respondents' perceptions of the effectiveness of catechesis in preparing for Catholic marriage. The results showed that the role of catechesis obtained a high average score of 37.34, with 83.87% of respondents in the strongly agree category. This indicates that catechesis plays a significant role in shaping the spiritual and psychological readiness of prospective couples. The implications of this research confirm that catechesis does not only function as a process of teaching faith, but also as an integral pastoral tool in building Catholic families based on love, loyalty, and Christian responsibility, and contributes to strengthening the faith of the church community. .

Pre-menopause is a transitional phase before menopause characterized by physiological and psychological changes, including physical changes of body shape. These changes often trigger anxiety, especially when body image is perceived negatively. This study aims to determine the relationship between body image and anxiety levels in premenopausal women in Dham Ceukok Village, Ingin Jaya, Aceh Besar, 2025. This research used a quantitative method with a cross- sectional design. The population consisted of all women aged 40–50 years in Dham Ceukok Village, totaling 35 women, chosen using a total sampling technique. The instruments used were a body image questionnaire and an anxiety level questionnaire based on the Hamilton Anxiety Rating Scale (HARS). The data were analyzed using univariate and bivariate analysis with the Chi-square test. The study was conducted from May 5 to May 10, 2025. The results showed a significant relationship between body image and anxiety among premenopausal women in Dham Ceukok Village, with a value of 0.035 (p < 0.05). The results indicate that there is a relationship between body image and anxiety in premenopausal women in Dham Ceukok Village, Ingin Jaya, Aceh Besar District. It is recommended that health workers collaborate with the village to be more active in providing counseling or educational activities to maintain physical and mental health, especially for women in the premenopausal stage.

The Top Schedule plays a vital role in the audit process by summarizing the accounts being examined. Despite its importance, the preparation of this document is often hindered by human errors and psychological pressures faced by auditors, such as tight deadlines and fatigue. These challenges can result in inaccurate analysis and delays in audit completion. This study explores the implementation of standardized templates as a strategic approach to enhance the accuracy and consistency of Top Schedule preparation. A consistent format allows auditors to perform their tasks more methodically, thereby minimizing errors in documentation. Furthermore, the research examines how psychological factors influence auditors' attention to detail and how the use of templates can help alleviate these effects. Utilizing a literature review method, this study evaluates the effectiveness of standardized templates. The findings suggest that adopting such templates can significantly reduce human error, improve the efficiency of audit documentation, and streamline the overall audit process.

Bullying is an aggressive act that is often repeated and directed at individuals in a weaker position, causing detrimental effects on psychological aspects, particularly children's self-esteem. When children's self-esteem is low, they tend to consider themselves worthless and choose to avoid social interaction. This study aims to analyze the correlation between Bullying behavior and self-esteem levels among elementary school students. The research was conducted using a quantitative approach with a cross-sectional design. All 97 students in grades IV, V, and VI at SD Negeri 11 Banda Aceh were used as research subjects through total sampling. The questionnaire used included indicators of Bullying behavior and self-esteem levels. Based on the data obtained, of the 54 students identified as experiencing high levels of Bullying behavior, 44 children or 45.4% showed low self-esteem. On the other hand, of the 43 students who were exposed to low levels of Bullying, 35 of them, or about 36.1%, had high self-esteem. The chi-square test in this study produced a p-value of 0.000, indicating a significant relationship between Bullying patterns and self-esteem levels in children. Thus, it can be concluded that an increase in Bullying experiences in the school environment has an impact on the decline in students' self-esteem.

The phenomenon of introduction through social media has become very common in this digital era. Social media offers ease and efficiency in introducing individuals to others, allowing them to meet, interact, and build relationships in a different way than traditional methods. However, the introduction of a partner through social media also brings its own challenges, emotional manipulation, and limitations in understanding the partner in depth. In the context of Catholic marriage, this phenomenon poses a serious challenge to canonical law. Canon law strictly regulates marriage in order to remain faithful to the Church's teaching of lifelong union and openness to procreation. However, the introduction of a couple through social media can affect the validity of the agreement, psychological readiness, and understanding of the nature of marriage. The Church needs to meet these challenges with a new pastoral approach, including the development of specific guidelines for the companionship of couples who start relationships through social media. This approach includes strengthening more intensive and comprehensive pastoral mentoring, utilizing social media as a tool for education and counseling and reminding couples of the importance of transparency and honesty in relationships. Thus, the Church faces the challenge of ensuring the psychological readiness of both parties and helping couples to understand more deeply about the marital commitments they make and to maintain the values of the sacrament of marriage in an ever-evolving digital world.