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Abdominal pain is a general term for any symptom of a disease that affects the area between the chest and pelvis (abdominal wall) depending on the severity, duration and location of the pain. The purpose of this paper is to find out and provide nursing care for Ms. S with digestive system disorders: abdominal pain in the dahlia ward of dr. Soeselo hospital, Tegal Regency according to nursing standards. The data collection techniques in this scientific paper are in the form of interviews, observations, documentation studies and literature studies. From the case review, it was found that the client’s main complaint was abdominal pain in the upper left side, P: pasin when eating spicy food (pain decreases when lying down), Q: like being pressed, R: upper left abdomen quadrant 2, S: pain scale 5, T: continuous. The nursing problems found were acute pain, nausea and knowledge deficit. Interventions were arranged based on the theory in SDKI, SLKI and SIKI as well as on the client’s condition and can be implemented.

Fibroadenoma of the breast (FAM) is a benign tumor that is painless, movable, has clear boundaries, and a rubbery texture. The incidence of cancer worldwide has increased, with the most common cancers reaching 24.5% and deaths reaching 15.5%, according to the WHO. In Indonesia, the prevalence reached 1.79% per 1,000 population in 2018, and in Central Java, it was 0.7% in 2019. Data from Dr. Soeselo Hospital in Tegal shows an annual increase of 2%, with prevalence reaching 1.9% in 2023, up from 1.7% in 2022. The aim of this research is to provide an overview of nursing care for patients who have undergone left breast tumor surgery. This research specifically focuses on the study involving diagnosis, determination of interventions, implementation, and evaluation. Using a case study design, a descriptive method was employed in this research. The writer narrates and explains the important events that occurred with the patient. Patients who have undergone surgery may experience pain after the operation, which could potentially lead to the risk of infection and a decline in knowledge. As a result, the nursing diagnosis that arises for the patient is acute pain. In the concept of pain, pain measurement is assessed using a numerical rating scale, and the patient's pain management involves relaxation breathing therapy and analgesics.

Tumor is a disease that is currently one of the health problems that causes death, soft tissue tumor or soft tissue tumor is an abnormal lump that is formed due to the growth of new cells (Irsal et al., 2020). The signs and symptoms in soft tissue tumor patients include pain due to the surgical process. The purpose of this writing is to find out and provide nursing care to Mr. A with a medical diagnosis post-operative soft tissue tumor (STT) left flank in the rose room 2 RSUD dr. Soeselo Tegal Regency in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was found that Mr. A complains of pain. Three diagnoses were found, namely acute pain, impaired physical mobility and knowledge deficit. Interventions are prepared based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.    

Gout arthritis, commonly known as gout, is a degenerative disease caused by abnormal purine metabolism, characterized by elevated levels of uric acid in the blood. (hiperurisemia). According to data from the World Health Organization, the number of people suffering from gout reaches 230 million, or 34.2% of all non-communicable diseases. In Indonesia, it is increasing. Gout disease based on age characteristics is particularly high in individuals aged ≥ 75 years (54.8%). Central Java is estimated to be around 2.6 - 47.2%, varying across different populations. The percentage of the population suffering from gout arthritis at Puskesmas Kecipir is 13.67%. The number of people affected is 3,084 out of 22,560 in the productive age group. In the village of Kalibuntu, the percentage of the elderly population suffering from gout arthritis is 9 out of 37. The purpose of this scientific paper is to provide nursing care for Mrs. R's family with musculoskeletal system disorders: gout arthritis in Kalibuntu Village, Rt 04 Rw 01, Losari District, Brebes Regency. The assessment results of Mrs. R's family indicate that they are unaware of gout arthritis, its causes, classification, symptoms, as well as how to prevent and manage gout arthritis when pain occurs. The nursing problems that arise are knowledge deficit and chronic pain.

Post partum is the period after giving birth or also known as the postpartum period, namely the period needed for the uterine organs to recover to their pre-pregnancy state, the postpartum period starts from the birth of the baby and lasts for 6 weeks or 42 days (Saudah & Certainlya, 2023). The purpose of this writing is to find out and provide nursing care to Mrs. A with spontaneous post partum in the Nusa Indah room at Dr. RSUD. Soeselo, Tegal Regency. The methods used are descriptive methods and data collection methods. From the case review, it was found that the client's main complaint was that there were no complaints of occasional pain. There were two nursing diagnoses found, namely risk of infection and knowledge deficit. Interventions are structured based on theory on the SDKI, SLKI, and SIKI as well as on the client's condition and can be implemented.

Caesarean section (CS) delivery is a surgical process to deliver a fetus through an incision in the abdominal wall and uterine wall. The purpose of this paper is to determine and provide nursing care for Mrs. Swith post-operative cesarean section indications of fetal distress in the Nusa Indah ward of dr. Soeselo hospital, Tegal Regency in accordance with nursing standards. The method used is descriptive with a case study approach. The data collection tchniques in this scientific paper are in the form of interviews, observations, documentation studies and literature studies. From the case review, it was found that the client’s main complaint was pain in the surgical stitches, P: pain when moving, Q: pain like being pressed, R: pain in the surgical stitches, S: scale 5, T: intermittent. The nursing problems found were acute pain, impaired skin/tissue integrity and knowledge deficit. Interventions were arranged based on the theory in DKI, SLKI and SIKI as well as on the client’s condition and could be implemented.  

Atypical endometrial hyperplasia which is an endometrial charismatic lesion triggered by estrogen in endometrial tissue with a relative deficiency of the imbalanced effect of progesterone deviation (Hum reprod, 2019). The purpose of this paper is to find out and provide nursing care to Mrs. S with post-laparotomy surgery indications of atypical endometrial hyperplasia in the Nusa Indah room of Dr. Soeselo Hospital, Tegal Regency. The method used is a descriptive method and data collection method. From the case review, it was found that the client's main complaint was post-operative abdominal pain. There are two nursing diagnoses found, namely acute pain and risk of infection. Interventions are arranged based on the theory of SDKI, SLKI, and SIKI as well as on the client's condition and can be implemented.      

Diabetes mellitus, also called diabetes, is a serious disease caused by the inability of the pancreas to produce insulin effectively, leading to an increase in blood glucose. In recent years, the number of diabetes cases has increased (Masturoh & Anggita, 2018). According to WHO data, Indonesia occupies 7th position in the world with 10 million people suffering from diabetes and it is estimated that there will be 21.3 million people in 2021. Because it is the only country in Southeast Asia with the highest number of diabetes mellitus sufferers, Indonesia contributing to the increasing prevalence of diabetes in Southeast Asia (Anisah et al., 2023). The purpose of this writing is to find out and provide nursing care to Mrs. D with endocrine system disorders: diabetes mellitus in the kemuning ward of RSUD dr. Soeselo Tegal Regency in accordance with nursing standards. The method used is descriptive and data collection methods. From case observation, it was found that the main complaint was weakness. There were three diagnoses found, namely instability of blood glucose levels, acute pain and knowledge deficit. Interventions are structured based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.

The post partum period is divided into three, namely early puerperium (immediate puerperium) or recovery period 0-24 hours after delivery, immediate puerperium (later puerperium) or recovery period 1-7 days after delivery and remote puerperium (later puerperium) or the period to recover and be completely healthy (Rohmah et al, 2022). The purpose of this paper is to find out and provide nursing care to Mrs. S with postpartum in the Nusa Indah ward, dr. Soeselo Hospital, Tegal Regency according to nursing standards. The method used is a descriptive method in the form of interviews, observations, documentation studies, library studies and literature. From the case review, it was found that the patient’s main complaint was pain in the stitches in the birth canal, P: pain when moving, Q: pain like being pressed, R: pain in the stitches in the birth canal, S: pain scale 5, T: intermittent. There were 2 diagnoses found, namely labor pain and knowledge deficit. Interventions are designed based on the theories in SDKI, SLKI and SIKI as well as on the client’s condition and can be implemented.

Using chemical drugs to relieve pain after caesarean section surgery can cause dangerous side effects when used for a long time. The aim of this research is to provide nursing care for postpartum mothers and caesarean section mothers including: assessment, diagnosis, planning, implementation and evaluation. In writing this scientific work, the author used methods including: observation, interviews, documentation, and literature study. There are 5 analytical methods used, namely: assessment, nursing diagnosis, nursing intervention, nursing implementation, and nursing evaluation. During the assessment, pain and sleep disturbances were found. The nursing diagnosis showed that there was a wound in the lower abdomen from the operation. Nursing intervention by providing health education materials and media so that knowledge increases. Implement health care by removing the dressing slowly, cleaning with NaCl fluid, and monitoring for signs of infection. Nursing evaluation found that cleaning the wound and changing the dressing had no complaints and the wound on the stomach was dry, there was no redness and there were no signs of infection. The application can provide good nursing care for caesarean-section mothers and increase knowledge about parenting patterns for mothers who have had caesarean-section operations.

Background: The prevalence of gouty arthritis has increased significantly by 2023, reaching 33.3% according to WHO. In Indonesia, 35% of cases occur in men aged over 45 years, while Central Java has a prevalence of 26.4%. In Sukoharjo District, Mandan Village recorded the highest number of gout patients with 150 cases, followed by Gayam (75 cases) and Sukoharjo (35 cases). The use of warm water compresses is recommended to relieve joint pain due to gouty arthritis by increasing blood flow and reducing joint stiffness. Objective: Knowing changes in the pain scale in two respondents with gouty arthritis before and after a warm compress method: This research is applied research with a case study using pre-post test results: There was a decrease in Mrs. S's pain scale which initially 6 decreased to 3 while in Mr. T, the pain scale 7 decreased to 5. Mr. T is a pain scale of 7 decreasing to 5. Conclusion: After the application of warm compresses on Mrs. S and Mr. T, there was a decrease in the pain scale. T there is a decrease in the pain scale. Mrs. S from moderate pain to mild pain, Mr. T from severe pain to moderate pain. T from severe pain to moderatepain. This shows that warm compresses can reduce pain in people with gout.

Background: Menstrual pain in the world is very high, 50% of women worldwide, Bulgaria 8.8%, Finland 94% while Indonesia 64.25%. Menstrual pain causes short and long term adverse effects including interference with daily activities and even an increase in absenteeism at the campus, long-term effects cause tissue growth outside the uterus. Menstrual pain can be treated with pharmacological and non-pharmacological therapies. One of the non-pharmacological therapies is inhaling lemon aromatherapy. Limeone contains lots of vitamin C which will control prostaglandins and reduce pain. Objective: To describe the results before and after the application of lemon aromatherapy on reducing menstrual pain. Methods: Case study with descriptive design on 2 respondents who were given lemon aromatherapy for 15 minutes twice a day for 2 days, and measured using Numeric Rating Scale. Results: After lemon aromatherapy was performed on both respondents with menstrual pain, it showed a decrease in the pain scale from moderate pain to mild pain. Conclusion: The application of lemon aromatherapy can reduce menstrual pain in female students from moderate to mild

Gastritis is a disease that is often found in the general public, this disease affects all walks of life according to the World Health Organization. The incidence of gastritis in the world is around 1.8-2.1 million of the total population each year. According to data obtained from the Weru Health Center ranks 10th out of 20 major diseases at the Weru Health Center, reaching 149 cases. Guide Imagery is one of the pain distraction techniques aimed at handling pain, lowering blood pressure, relieving anxiety. One group pre test and post design method, the subjects in this research case study were 2 respondents who experienced gastritis, 1 application of guide imagery was carried out for 3 days with a duration of 15 minutes. After the guide imagery technique, 1 application for 3 days, both respondents experienced a decrease in the epigastric pain scale from a moderate pain scale to a mild pain scale, Mrs. S from scale 5 to 2 and Mrs. M from scale 4 to 1. Guide imagery is very effective for reducing epigastric pain in gastritis patients.

Fractures can lead to disabilities in individuals, which may result from trauma due to accident (Ramadhan & Pristianto, 2022)s. The purpose of this paper is to develop and apply nursing care for Mrs. M, who underwent post-operative hemiarthroplasty for a femoral neck fracture, in the Mawar 2 room at RSUD dr. Soeselo, Tegal Regency. This paper utilizes a descriptive method with a focus on the nursing process approach. The results of the nursing care show that the patient reports pain at the surgical site on the upper right leg, post-operative hemiarthroplasty, with pain described as a pulling sensation in the upper right leg, at a pain scale of 6, and continuous. The client states that she can only lie in bed, with all post-operative activities being assisted by family members. She also reports that she has not received health education on early mobilization and has limited understanding of early immobilization. The nursing diagnoses identified are acute pain, impaired physical mobility, and knowledge deficit. Interventions were based on the SIKI (Nursing Care Standards) and implementation followed the planned interventions. Upon evaluation, one diagnosis—knowledge deficit—was resolved, acute pain was partially resolved, and impaired physical mobility remained unresolved. The results of the nursing care are consistent with the theory. This paper aims to improve skills in providing nursing care.  

This meta-analysis investigates the impact of negative emotions on the effectiveness of endometriosis treatment. Of the 1,245 articles identified, 32 studies (n=4,876 patients) met the inclusion criteria. The results revealed a significant negative correlation between negative emotions and treatment effectiveness (r = -0.38, 95% CI [-0.45, -0.31], p < 0.001). Subgroup analysis further demonstrated a stronger effect on medical treatments (r = -0.43) compared to surgical treatments (r = -0.29, p = 0.02). Additionally, negative emotions were most strongly correlated with pain intensity (r = -0.45), followed by quality of life (r = -0.39), medication adherence (r = -0.33), and patient satisfaction with treatment (r = -0.28, p = 0.02). The meta-analysis of randomized controlled trials (RCTs) (n=8) indicated that psychological interventions could significantly enhance endometriosis treatment outcomes (SMD = 0.58, 95% CI [0.39, 0.77], p < 0.001), with cognitive-behavioural therapy (CBT) being the most effective intervention (SMD = 0.67). Furthermore, the study found that the average age of patients moderates the relationship between negative emotions and endometriosis treatment (β = -0.015, p = 0.03), specifically indicating that the strongest effects of negative emotions are observed in younger patients. Finally, mediation analysis identified that pain perception, medication adherence, and maladaptive coping mechanisms are key mechanisms in the relationship between negative emotions and treatment effectiveness. These findings extend previous research by As-Sanie et al. (2014) and Lagana et al. (2017) by quantifying the impact of negative emotions and validating the effectiveness of psychological interventions as a novel contribution. The researchers advocate for a biopsychosocial approach in endometriosis management to facilitate routine screening for psychological issues and recommend the integration of holistic interventions combining medical and psychological support into standard endometriosis care.

This study evaluates the impact of positive emotions on rheumatoid arthritis (RA) treatment outcomes through a meta-analysis of 47 studies (2015-2024) involving 12,384 patients. The primary findings reveal a significant positive correlation between positive emotions and improved RA treatment outcomes (r = 0.42, p < 0.001), with the strongest effects observed in enhanced quality of life (r = 0.51) and physical function (r = 0.45). Patients exhibiting high positive emotions demonstrated greater reductions in pain (d = 0.38), decreased inflammation (d = 0.29), and improved physical function (d = 0.45) compared to control groups. Moreover, moderator analyses uncovered stronger effects among elderly patients (? = 0.012, p = 0.025) and those with longer RA duration (? = 0.018, p = 0.009). Finally, mediational analyses indicated that positive emotions contributed to improved treatment adherence (indirect effect = 0.09, 95% CI [0.05, 0.13]) and increased physical activity (indirect effect = 0.07, 95% CI [0.03, 0.11]) in RA patients. These findings extend Fredrickson's (2001) Broaden-and-Build theory and support Keefe et al.'s (2002) biopsychosocial model. Compared to meta-analyses by Brosseau et al. (2018) and Zhou et al. (2020), this study provides more comprehensive evidence on the role of positive emotions in various RA treatment outcomes. The novelty of this research lies in the analysis of previously unexplored mediating and moderating mechanisms, as well as a comparison of effectiveness with pharmacological interventions (SMD = 0.18, 95% CI [-0.05, 0.41], p = 0.124). These results support the integration of positive emotion-based interventions in RA management and expand upon Strand et al.'s (2019) findings on patient expectations in RA treatment.

Inguinal hernia is a condition where an organ protrudes into a cavity through a thin or weak part of the wall. The small intestine is usually the organ that enters the cavity, causing the protrusion. In 2018, hernia ranked 8th in Indonesia with a total of 18,145 cases or around 1.05%. The number of hernia cases in Central Java is estimated to be over 500, or approximately 1.01% of cases. If an inguinal hernia is not treated promptly, it will continue to grow and exert significant pressure on the surrounding tissues. A common consequence of untreated hernia is that it will enlarge and interfere with the patient's daily activities. One of the complications of hernia is swelling around the lump. One of the treatments for hernia is surgery. The writer is expected to provide optimal nursing care for patient. S, who has experienced a right lateral inguinal hernia post- operatively following herniorraphy in Mawar 2 ward of dr. Soeselo Regional Hospital, Tegal Regency.

School educational institutions are institutions that provide teaching and learning processes that must be supported by good facilities and infrastructure. Not only that, you also need a sense of security and comfort in the classroom so that it is hoped that there will be a feeling of enthusiasm for learning. The aim of Community Service (PKM) in the social, cultural and environmental fields by the Student Work Lecture (KKM) group 40 of Cikerai Subdistrict is to increase students' enthusiasm for learning through repairing and painting classroom walls both inside and outside the classroom. The method used is the ABCD (Asset Based Communities Development) approach which emphasizes an inventory of existing assets in the community. The PKM results show that there are changes in the atmosphere produced before and after painting, this is expected to make students enthusiastic and feel at home studying at the school. Long-term efforts need to be made to maintain and preserve the school environment so that the program becomes even more perfect.

Combustio is an injury caused by fire chemicals, electricity which can cause skin and tissue damage (Antoro, 2023). The purpose of this writing is to find out and provide nursing care to An. M with post operative debridement indicating grade II combustio in the mawar room RSUD dr. Soeselo Kabupaten Tegal in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was foundthat the main complaint was pain. There were three diagnoses found, namely acute pain, impaired skin integrity and knowledge deficit. Interventions are prepared based on the theory of SDKI,SLKI, and SIKI as well as on the client’s condition and can be implemented.

Typhoid is an acute febrile condition caused by infection with Salmonella enterica bacteria, especially the Salmonella typhi variant. Typhoid fever or what we usually know as typhoid fever. However, this disease can also be caused by other types such as Salmonella paratyphi A, Salmonella typhi B, and Salmonella paratyphi C. Typoid fever or typhus abdominalis is an acute infectious disease of the small intestine with symptoms of fever for one week or more accompanied by disorders of the intestinal tract. digestion and with or without impaired consciousness. Bayes' theorem is a theory of probability conditions that takes into account the possibility of an event (hypothesis) depending on other events (evidence). Future events can be predicted if previous events have occurred. Bayes' theorem is a mathematical equation used in probability and statistics to calculate conditional probabilities. In other words, it is used to calculate the probability of an event based on its relationship to other events. Based on the weight value given by the expert to each patient's typhoid symptom data, from the results of the analysis carried out with the diagnosis results from the consultation, the symptoms are High fever (lasting up to two weeks), Headache, Chills, Skin rash, Muscle and joint pain, Extreme fatigue, Dry cough, Confusion or delirium, Nausea and vomiting, Swollen spleen, Abdominal pain with predicted results for Epidemic Typhus with a value of 76.26%.