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Hypertension is a condition where arterial blood pressure is persistently above normal values. Hypertension management does not only rely on pharmacological therapy, but also requires a non-pharmacological approach as a complementary effort. One non-pharmacological intervention that can be used is Benson relaxation therapy and murottal Surah Al-Kahfi. Both therapies are believed to contribute to lowering blood pressure through the mechanism of reducing stress responses, increasing physiological relaxation, and achieving psychological calm. This study aims to test the effectiveness of the combination of Benson relaxation therapy and murottal Surah Al-Kahfi in lowering blood pressure in hypertensive patients. The study design used a quasi-experimental approach with a pretest-posttest approach and a control group. The study population was 40 people who participated in the prolanis program in Kedungdowo Village. Based on inclusion and exclusion criteria, a sample of 36 respondents was taken, divided into two groups: 18 people in the intervention group who received a combination of Benson relaxation therapy and murottal, and 18 people in the control group who were not given any intervention. The Wilcoxon signed-rank test results in the intervention group showed an effect of Benson relaxation therapy and recitation of Surah Al-Kahf in the elderly (p-value 0.004). The control group showed a p-value of 0.102. The Mann-Whitney test results showed a p-value of 0.044, indicating a difference in post-test blood pressure in those with hypertension in the control and intervention groups.

Hypertension is one of the most common non-communicable diseases in Indonesia. Hypertensive patients must have high self-efficacy to comply with antihypertensive medication so that blood pressure can be controlled and complications prevented. Therefore, intervention is needed to improve therapy compliance. One intervention that can be given is the provision of pill cards. This study was a quasi-experimental design with a pre-intervention post-intervention control group design. Sampling was conducted using non-probability purposive sampling from July to September 2025. A total of 106 respondents were divided into two groups, with 53 respondents in the control group and 53 respondents in the intervention group. The control group was only given the MMAS-8 questionnaire, while the intervention group was given pill cards and the MMAS-8 questionnaire. In the intervention group, prior to intervention, 25 patients (47.2%) had low compliance, 21 patients (39.6%) had moderate compliance, and 7 patients (13.2%) had high compliance. After the intervention, there was a significant increase, with 21 patients (39.6%) showing high compliance, 26 patients (49.1%) showing moderate compliance, and 6 patients (11.3%) showing low compliance. Providing pill cards to outpatients with hypertension can improve patient medication adherence. Based on the results of the Wilcoxon Signed Ranks Test, a value of (p<0.001) was obtained, indicating that H0 was rejected and there was a significant effect.

Adolescent girls' adherence to taking iron tablets is still lacking, iron intake is very important to prevent anemia. Based on the 2018 Riskesdas, the coverage rate of iron tablets is 76.2%, but the awareness of adolescent girls of the importance of preventing anemia by consuming iron tablets is still low. One way to increase compliance with taking blood supplement tablets is by utilizing peer group education. This study aims to determine the effect of peer group education in an effort to increase adherence to taking blood tablets for adolescent girls. This is a quantitative pre-experimental study using One-Group Pretest-Posttest Design. The population was all students of class XI SMAN 1 Godean. Simple random sampling technique with a sample size of 58 female students. Education time was 40 minutes with peer educators in each group. Data analysis using the Wilcoxon test with the results of compliance with iron tablet consumption before education in adolescent girls at SMA Negeri 1 Godean in the category of non-compliant as many as 51 people (87.9%) and compliant as many as 7 people (12.1%), compliance with iron tablet consumption after education has increased in the category of compliant as many as 16 people (27.6%) and non-compliant as many as 42 people (72.4%). In the Wilcoxon Test, the results obtained p = 0.013, therefore it was concluded that there was an effect of peer group education on increasing compliance with blood supplementation tablet consumption in adolescent girls of SMA Negeri 1 Godean.

Digital transformation and advances in artificial intelligence (AI) have fundamentally changed the demands of the workplace, creating a gap between graduate competencies and industry needs. This study aims to evaluate the effectiveness of AI Agent-based career adaptability psychoeducation as a community empowerment strategy to improve the work readiness of high school/vocational school and university graduates. The study design used a descriptive-interventional approach with 27 participants who participated in a four-week online training. Data were collected through a pre-post survey using the Career Adapt-Abilities Scale (CAAS) and qualitative observations during the training. The results of the Wilcoxon Signed-Rank test showed a significant increase in career adaptability scores (Z = –4.543, p < .001), with all participants experiencing increased career adaptability. Observations showed that participants became more confident, reflective, and proactive in designing their career directions after interacting with the AI ​​Agent. These findings indicate that psychoeducational interventions integrated with intelligent technology can strengthen the adaptive capacity and work readiness of the younger generation. Theoretically, this study expands the application of the career adaptability concept in the context of AI-based learning; In practice, the results provide a relevant community empowerment model for educational and employment institutions in the era of digital disruption.

Digital transformation and advances in artificial intelligence (AI) have fundamentally changed the demands of the workplace, creating a gap between graduate competencies and industry needs. This study aims to evaluate the effectiveness of AI Agent-based career adaptability psychoeducation as a community empowerment strategy to improve the work readiness of high school/vocational school and university graduates. The study design used a descriptive-interventional approach with 27 participants who participated in a four-week online training. Data were collected through a pre-post survey using the Career Adapt-Abilities Scale (CAAS) and qualitative observations during the training. The results of the Wilcoxon Signed-Rank test showed a significant increase in career adaptability scores (Z = –4.543, p < .001), with all participants experiencing increased career adaptability. Observations showed that participants became more confident, reflective, and proactive in designing their career directions after interacting with the AI ​​Agent. These findings indicate that psychoeducational interventions integrated with intelligent technology can strengthen the adaptive capacity and work readiness of the younger generation. Theoretically, this study expands the application of the career adaptability concept in the context of AI-based learning; In practice, the results provide a relevant community empowerment model for educational and employment institutions in the era of digital disruption.

Diabetes Mellitus (DM) is disease metabolic chronic which causes various complications including decline strength muscle extremities below , which impacts mobility and risk falls in the elderly . Research This aim analyze effectiveness of Resistance Exercise with combination of Tai Chi gymnastics against improvement strength leg muscles in the elderly with DM. Research design use quasi experimental one group pretest –posttest with amount sample of 32 elderly in the Community Seroja Cahya Kawaluyan Hospital . Intervention done for 3 months with frequency 3 times/ week , intensity moderate (50–70%), and duration 45 minutes . Strength muscle legs measured use leg dynamometer . Data not normally distributed (Shapiro-Wilk p < 0.05), so that analysis using the Wilcoxon test. The results showed 26 elderly experience improvement strength muscles , 3 experienced decrease , and 3 remains , with mark Asymp . Sig. 0.000 (< 0.05), so proven there is improvement strength significant leg muscles after intervention . Exercise program This can recommended as intervention safe and effective for elderly with DM for increase strength muscles and function mobility .

This study aims to determine the effect of interactive learning media based on Math Playground on student learning outcomes on fraction materials in class IV SDN Kedung Dalem III. The problem studied is whether there is a significant influence between the use of interactive learning media based on Math Playground on student learning outcomes in grade IV SDN Kedung Dalem III. This study uses a quantitative method with a one group pretest-posttest design. The sample of this study were fourth grade students of SDN Kedung Dalem III, totaling 17 students. The research instrument used is a test (Pretest-Postest) of student learning outcomes on fraction material, which consists of 10 multiple choice questions. The results of the analysis using the wilcoxon test show that the sig value (2 tailed) is 0.000 which indicates significance <0.05 so that H0 is rejected and H1 is accepted. This shows that the interactive learning media Math Playground has a significant effect on improving student learning outcomes. The conclusion of this study is that Math Playground interactive learning media can improve student learning outcomes on fraction material. Therefore, teachers and educators can use Math Playground as an alternative learning media to improve student learning outcomes.

Breast milk production during the postpartum period is a crucial factor in successful breastfeeding and achieving exclusive breastfeeding. However, during the early postpartum period, many postpartum mothers experience difficulties in breast milk production, influenced by physical and psychological conditions. One non-pharmacological intervention that can be used to help facilitate breast milk production is oxytocin massage, which aims to stimulate the release of the hormone oxytocin and increase the let-down reflex. This study aims to analyze the effect of oxytocin massage on breast milk production in postpartum mothers at the Marisa Community Health Center. This study used a quantitative pre-experimental design with a one-group pretest–posttest approach. The study sample consisted of 30 postpartum mothers selected using purposive sampling according to the inclusion criteria. Breast milk production was measured before and after the oxytocin massage intervention using a structured observation sheet with units of milliliters (ml). Data analysis was performed using univariate and bivariate methods. Normality was tested using the Shapiro–Wilk test, while differences were tested using the Wilcoxon signed-rank test. The results showed that the average milk output before oxytocin massage was 18.00 ± 5.95 ml, and increased to 51.83 ± 10.94 ml after the intervention. The Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant effect of oxytocin massage on increasing breast milk output. It was concluded that oxytocin massage is effective as a non-pharmacological intervention to increase breast milk production in postpartum mothers and can be integrated into postpartum care in primary health care services.

Anxiety during pregnancy, particularly near the time of delivery, is a common issue that may adversely affect both maternal and fetal health. Elevated anxiety levels are associated with increased pain perception, prolonged labor, and a higher likelihood of complications. Non-pharmacological approaches, such as aromatherapy, are increasingly utilized due to their safety, simplicity, and effectiveness. Lavender aromatherapy is especially recognized for its calming effects and its ability to enhance emotional well-being. Previous research has indicated that lavender scent exposure can reduce both physiological and psychological indicators of anxiety, including among pregnant women. However, evidence from Indonesian primary healthcare settings remains limited. This study aimed to evaluate the effectiveness of lavender aromatherapy in reducing anxiety levels among pregnant women approaching childbirth. An analytical observational design with a pretest-posttest approach was applied to 30 participants selected through purposive sampling. Anxiety levels were assessed using a validated questionnaire before and after inhalation of lavender aromatherapy administered under standardized conditions. Data were analyzed using the Wilcoxon signed-rank test.The findings revealed a significant reduction in anxiety levels after the intervention (p < 0.05), with all participants experiencing improvement and no adverse effects reported. In conclusion, lavender aromatherapy is an effective complementary intervention to reduce anxiety and support maternal readiness for labor.

Background: Early Breastfeeding Initiation (IMD) is the practice of allowing newborns to breastfeed within the first hour after birth. This practice is not only beneficial for establishing mother-infant bonding but also plays a crucial role in stimulating uterine contractions through the release of oxytocin, which can accelerate uterine involution in postpartum mothers. Uterine involution is an important physiological process that prevents postpartum hemorrhage and supports maternal recovery. Despite the known benefits, not all mothers practice IMD immediately after delivery, which may affect the process of uterine involution. Objective: This study aimed to analyze the relationship between Early Breastfeeding Initiation (IMD) and the incidence of uterine involution in postpartum mothers at the Benao Community Health Center Work Area. Methods: A quantitative, observational study with a cross-sectional design was conducted involving 30 postpartum mothers selected through purposive sampling. Data were collected on IMD practices and uterine involution assessments. The Wilcoxon signed-rank test was used to analyze the relationship between IMD and uterine involution. Results: The study found a significant relationship between IMD and uterine involution (p = 0.000). Mothers who practiced IMD within the first hour postpartum showed a faster and more effective uterine involution process compared to those who did not. Conclusion: Early Breastfeeding Initiation (IMD) is significantly associated with the incidence and speed of uterine involution in postpartum mothers. Promoting IMD immediately after birth is essential for supporting maternal recovery and preventing postpartum complications

“Hallyu” (the Korean Wave) refers to the popularity of everything originating from Korea. Aims to examine the description of students’ K-Pop celebrity worship behavior before and after receiving group counseling with the Cognitive Restructuring technique, analyze the differences in students’ behavior, and test the effect of the counseling on reducing celebrity worship tendencies. The findings are expected to provide theoretical contributions to the field of guidance and counseling, particularly regarding the application of Cognitive Restructuring to mitigate obsessive behaviors, as well as practical benefits for school counselors and institutions in helping students reduce celebrity worship tendencies so they can remain focused on academic and social development. The research employed an experimental method with a One-Group Pretest–Posttest design. The subjects consisted of eight tenth-grade students at SMK Negeri 1 Kuantan Mudik who were identified as having a high level of K-Pop celebrity worship. The instrument used was a 19-item K-Pop celebrity worship scale that had been tested for validity and reliability. Data were analyzed using the Wilcoxon test and N-Gain calculations to determine treatment effectiveness. The results showed that prior to receiving group counseling with Cognitive Restructuring techniques, most students were categorized as having high or moderate levels of celebrity worship. After the intervention, all students experienced a decrease in celebrity worship behavior, falling into the low category. This demonstrates that group counseling using Cognitive Restructuring is effective in helping students shift irrational thinking patterns toward more rational ones, enabling them to control excessive celebrity worship behavior.  

Nausea and vomiting are common symptoms experienced during early pregnancy, especially in the first trimester, and can adversely affect maternal comfort, nutritional intake, and overall well-being. In primary health care settings, these symptoms are often managed with pharmacological treatments; however, such approaches may raise concerns regarding safety, potential side effects, and accessibility for pregnant women. Therefore, there is increasing interest in non-pharmacological interventions that are safer and more practical. One alternative method is lemon aromatherapy (Citrus limon), which is believed to reduce nausea and vomiting by stimulating the olfactory system and promoting a relaxing effect. This study aimed to assess the effectiveness of lemon aromatherapy in decreasing the frequency of nausea and vomiting among first-trimester pregnant women diagnosed with emesis gravidarum at the Rum Balibunga Community Health Center. The research applied a pre-experimental design using a one-group pretest–posttest approach. A total of 30 pregnant women in their first trimester were selected through purposive sampling. The intervention involved inhalation of lemon aromatherapy over a specified duration. Data on the frequency of nausea and vomiting were collected before and after the intervention using a structured observation instrument. The data were analyzed using both descriptive and inferential statistics, with the Wilcoxon signed-rank test employed to determine differences between pre- and post-intervention results. The findings revealed a significant reduction in nausea and vomiting frequency after the intervention. Overall, lemon aromatherapy proved to be an effective, safe, and practical non-pharmacological option to support antenatal care services.

Syphilis is one of the reproductive health problems that remains a challenge in Indonesia, with a trend of increasing cases, while the level of adolescent knowledge about this disease is still low. Educational efforts are needed to improve adolescent understanding, one of which is through video media which is considered more interesting because it combines visual and audio elements. This study aims to evaluate the effectiveness of video as an educational medium in improving adolescent knowledge about syphilis at SMKS Al Hikmah 2 Sirampog, Brebes Regency. This type of research is a pre-experimental study with a one group pretest-posttest design. The study sample consisted of 47 students selected using a purposive sampling technique. The research instrument was a syphilis knowledge questionnaire administered before and after the educational video intervention. Data analysis used the Wilcoxon Signed Rank Test and N-Gain calculation. The study showed that Results Before the intervention, the level of knowledge of respondents was in the good category for 24 students (51.1%), sufficient for 11 students (25.5%), and poor for 12 students (23.4%). After being given the educational video intervention, there was a significant increase with all respondents (100%) being in the good category. The Wilcoxon Signed Rank Test showed a significant difference between pretest and posttest scores (p-value = 0.000). N-Gain analysis categorized the increase in knowledge as high. The study concluded that video media has proven effective as an educational tool in increasing adolescent knowledge about syphilis, making it a viable alternative learning medium in reproductive health programs.

Sleep disorders are a common complaint among pregnant women, especially in the third trimester, and have the potential to negatively impact maternal well-being and pregnancy outcomes. Physiological, hormonal, and psychological changes during pregnancy increase the risk of decreased sleep quality, while pharmacological therapy options are limited due to safety considerations. Therefore, safe and easy-to-apply non-pharmacological interventions are needed. This study aimed to analyze the effectiveness of lavender aromatherapy in overcoming sleep disorders in third trimester pregnant women at the Bongo Nol Community Health Center. The study used a quasi-experimental design with a one-group pretest–posttest approach. The sample consisted of 30 third trimester pregnant women selected purposively. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) before and after the administration of lavender aromatherapy through inhalation for seven consecutive days. Data analysis was performed using the Wilcoxon signed-rank test. The results showed a significant decrease in PSQI scores after the intervention, indicating an improvement in sleep quality among the respondents. Lavender aromatherapy proved to be effective as a non-pharmacological intervention in reducing sleep disturbances in pregnant women in their third trimester. In conclusion, lavender aromatherapy can be considered a safe, simple, and applicable complementary therapy to improve the sleep quality of pregnant women in primary health care.

Traffic performance on urban road segments is strongly affected by vehicle volume and travel time, particularly during peak periods. This study analyzes the relationship between travel duration and the total number of vehicles passing along Otto Iskandar Road as an illustration of urban traffic conditions. Data were collected through field surveys, focusing on two main variables: average vehicle travel time and total traffic volume. Statistical analysis was performed using IBM SPSS Statistics, including normality testing and the Wilcoxon Signed Rank Test to identify potential differences between the observed variables. The results show a difference in average values between travel duration and vehicle volume; however, this difference is not statistically significant at the 95% confidence level (p = 0.180). These findings indicate that increases in traffic volume do not always lead to proportional increases in travel time, although they can still influence the stability and efficiency of traffic flow. The results are consistent with previous studies, such as Halim (2021), who reported that U-turn movements affect speed and traffic performance, and Handayani et al. (2024), who found that parking activities and vehicle maneuvers reduce road capacity. Other studies also highlight the impact of side friction and traffic flow variations on speed and saturation levels. Overall, this study emphasizes the importance of managing vehicle flow and monitoring travel time in urban transportation planning and traffic management.

Adolescent girls often complain of dysmenorrhea, or discomfort during menstruation, which can range from mild to severe and interfere with daily activities, especially learning. To prevent this disease from lowering the quality of life of adolescents, it must be treated. Education about dysmenorrhea and its treatment is one of the actions that can be taken. The study used a pre-experimental design approach, a quantitative research design, and a single-group pre-test-post-test research plan without a control group design. Using a proportional stratified random sampling approach, 57 female students of class X formed a research sample. The use of films on dysmenorrhea for health education serves as an independent variable of the study. Adolescent girls' knowledge and attitudes about dysmenorrhea function as a study-dependent variable. The validity and reliability of these instruments are checked. Univariate and bivariate analysis were used as data analysis methods in this study. The Wilcoxon Signed Rank Test is used for hypothesis testing. It was determined that health education using dysmenorrhea film had an impact on the knowledge and attitudes of adolescent girls about the treatment of dysmenorrhea based on the findings of the Wilcoxon Signed Rank Test (Asymp.) with a value of 2-tailed 0.000 (p<0.05). The findings of the study showed that among grade 10 students at SMA Negeri 13 Selatan Halamahera, health education through dysmenorrhea films had an impact on the knowledge and attitudes of adolescent girls about the treatment of dysmenorrhea.

Discomfort during pregnancy is a common experience resulting from physical, physiological, and psychological changes, yet it is often not well understood by pregnant women. Limited knowledge about normal bodily changes and pregnancy-related discomfort can reduce maternal comfort and increase anxiety. Counseling serves as an important educational strategy to improve pregnant women’s understanding, particularly within antenatal care services at primary health care facilities. This study aimed to examine the effect of counseling on pregnancy discomfort in improving mothers’ knowledge about changes during pregnancy. A quasi-experimental design with a one-group pretest–posttest approach was employed. The sample consisted of 50 pregnant women selected using a total sampling technique. Mothers’ knowledge levels were assessed before and after the counseling intervention using a structured questionnaire. Data analysis included univariate analysis to describe the distribution of knowledge levels and bivariate analysis using the Wilcoxon Signed Rank Test to evaluate differences before and after the intervention. The findings demonstrated a notable increase in knowledge following counseling, indicated by a shift from predominantly poor and moderate knowledge levels in the pretest to good knowledge in the posttest. Statistical analysis revealed a significant difference between pretest and posttest results (p < 0.05). In conclusion, counseling significantly improves pregnant women’s knowledge regarding pregnancy-related changes and discomfort.

Background: Stunting remains a major public health concern in Indonesia, affecting children’s growth, development, and long-term health outcomes (Sari, 2020). Early childhood stunting can lead to cognitive delays, poor school performance, reduced productivity in adulthood, and increased risk of chronic diseases (Hapsari & Wulandari, 2019). Understanding the interaction of demographic, socioeconomic, and health-related factors is essential to reduce stunting prevalence and improve child health outcomes (Yuliani, 2019). Objective: This study aimed to analyze the factors influencing the incidence of stunting among children attending the Sagerat Public Health Center in Bitung City. Methods: A quantitative, observational study with a cross-sectional design was conducted. Thirty children were selected using purposive sampling based on inclusion criteria such as age under five years and available anthropometric data. The Wilcoxon signed-rank test was applied to examine the relationship between these factors and stunting incidence, with a significance level set at p < 0.05. Results: The analysis showed that 30 children (100%) in the study were at risk of stunting based on height-for-age measurements, with 20 children (90%) confirmed as stunted and 10 children (10%) having normal height. These results suggest that maternal education, socioeconomic status, nutrition, and access to healthcare are strongly associated with stunting in this population. Conclusion: Factors such as maternal education, socioeconomic status, dietary intake, and access to healthcare significantly influence the incidence of stunting among children at the Sagerat Public Health Center. Comprehensive community-based programs are recommended to reduce stunting prevalence and improve long-term health outcomes for children.

Diarrhea is one of the diseases that remains a leading cause of morbidity and mortality among elementary school-aged children. A mother's knowledge as the primary caregiver is an important factor in the prevention of diarrhea. This study aims to analyze the effect of health education through pop-up book media on mothers' knowledge about diarrhea prevention in children at SDN 160 Mulyorejo II, Luwu Utara Regency. The research design used a quantitative quasi-experimental approach with a one group pretest posttest design. The population consisted of 143 mothers with children attending SDN 160 Mulyorejo II, with a sample of 54 respondents selected using stratified random sampling. The intervention was carried out by providing education using pop-up book media, followed by measuring knowledge before and after the intervention using a questionnaire. Data analysis using the Wilcoxon Signed Rank Test yielded p < 0.001, indicating a significant effect of health education through pop-up book media on mothers' knowledge about diarrhea prevention. This media is effective because it combines three-dimensional visual and interactive elements that enhance mothers' interest and understanding of health material. The conclusion is that health education through pop-up book media can significantly improve mothers' knowledge about diarrhea prevention in children, and is recommended as an alternative educational medium in public health promotion.

The maternal mortality rate in Indonesia remains high, reaching 305 per 100,000 live births in 2021, with one contributing factor being the lack of maternal knowledge regarding pregnancy danger signs. Prenatal classes are considered a strategic intervention to improve pregnant women’s understanding of critical warning signs such as bleeding, severe abdominal pain, and infection symptoms. This study aims to analyze the influence of pregnancy classes on pregnant women’s knowledge of danger signs. The research employed a quantitative design with a cross-sectional approach involving 30 pregnant women selected through purposive sampling at several community health centers. Data were collected using validated and reliable questionnaires, with measurements conducted before (pre-test) and after (post-test) participants attended at least three prenatal classes. Data analysis used descriptive statistics and the Wilcoxon Signed Rank Test with SPSS. The results showed that most respondents were aged 20–35 years (63.3%), had a high school education (36.7%), were housewives (60.0%), and multigravida (56.7%). Before the intervention, 50% had poor knowledge and only 20% had good knowledge. After attending prenatal classes, 63.3% achieved good knowledge, while only 10% remained in the poor category. The Wilcoxon test showed a significant difference (p = 0.000). Thus, prenatal classes effectively improve knowledge and support early detection of complications, potentially reducing maternal and infant mortality rates.