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Schizophrenia is a serious mental disorder that affects the way an individual thinks, feels, and behaves. Family, as a source of support, is crucial for individuals with schizophrenia as an essential aspect of the recovery process. This support includes overseeing medication intake, providing continuous and optimal care, and empowering individuals with schizophrenia. The issue observed at the Mental Health Clinic of the Regional General Hospital dr. Murjani Sampit is the insufficient family support in accompanying patients for check-ups, leading to many patients experiencing relapses due to inadequate adherence to regular medication intake. This study aims to determine the relationship between family support and medication adherence in patients with schizophrenia at the Mental Health Clinic of RSUD dr. Murjani Sampit. The research design used is correlational with a cross-sectional approach. The instrument used is a questionnaire, and statistical analysis is performed using the Spearman's rho test. The sample consists of family members of patients, totaling 68 individuals. Statistical analysis with Spearman's rho shows a p-value of 0.000, where (α < 0.05), indicating that H1 is accepted, meaning: "There is a relationship between family support and medication adherence in patients with schizophrenia at the Mental Health Clinic of RSUD dr. Murjani Sampit." The conclusion of this study is that family support becomes a significant factor influencing individuals' beliefs and health values, as well as determining the treatment programs they will receive. Families also play a crucial role in providing support and making decisions regarding the treatment of their ill family members.

Perineal wounds are injuries to the urogenital diaphragm and anal muscle during vaginal delivery, either normal delivery or instrumental delivery. Knowledge is a very important domain for the formation of a person's attitudes and behavior. The aim of the research was to determine the relationship between maternal knowledge, attitudes and behavior regarding perineal suture wound care and the healing time for perineal suture wounds. This type of quantitative research with a cross sectional design. The research was conducted in June-July 2023. The research population was postpartum mothers with perineal wounds in June-July 2023. The total was 30 people. The population in this study was 30 people. The sampling technique is the total sampling population. The research results obtained from 30 respondents showed that there were 22 mothers who had good knowledge (73.3%), 22 mothers who had a positive attitude (73.3%), 23 mothers who had good behavior (76%). .7%). The results of the Chi-Square analysis test for the knowledge category obtained a p value = 0.002 (p = <0.05), for the attitude category the p value = 0.002 < (0.05) while for behavior the p value = 0.001 < (0). .05). The conclusion is that there is a relationship between knowledge, attitudes and behavior regarding perineal wound care and the healing time for perineal wound sutures in the work area of the UPTD Campaka Community Health Center in 2023. The suggestion is that postpartum mothers should improve their behavior regarding wound care as an effort to speed up the healing of perineal wounds.

Background: Pregnancy is a natural process, but if you do not receive proper care during pregnancy it can cause morbidity and even death in the mother. In Indonesia, the maternal mortality rate is still quite high and still below the SDGs (Sustainable Development Goals) targets. The causes of maternal death can be reduced and can be prevented through quality care, one of which is early detection of complications during pregnancy. Apart from that, pregnant women must also know about the danger signs of pregnancy by making maximum use of the KIA Book which contains information about Maternal and Child Health. If the mother knows about the danger signs within herself, the pregnant woman will be more aware of her condition.

Children's health is an important factor that needs to be considered. A child will feel happier and more confident with a good diet. There are still many residents of Bandar Magodang Village, Serdang Berdagai Regency, North Sumatra, who do not realize how important it is to maintain healthy hair. Increasing awareness about the health of newborn children's hair in Bandar Magodang Village is the aim of this research. Survey and interview approaches were used in this research. The research results show that there are still many people who do not know about safe and reliable child care practices. Apart from that, they ignore how important it is to maintain the health of the younger generation.

Babies have three needs that must be met by parents, namely physical-biological needs which are useful for brain growth, sensory systems and motor skills. Interpersonal and intrapersonal emotional intelligence through the need for affection, as well as the need for stimulus or stimulation to improve the working mechanisms of the sensory and motor systems. The most important thing in a child's growth and development is stimulation (Maharani, 2017). This study aims to analyze the effect of baby massage on weight gain in babies aged 3-6 months at the Uluan Community Health Center, Toba Regency in 2023. In this research, researchers used a quasi-experiment with a non-equivalent control group design to compare the results of health program interventions. in a similar control, but not necessarily the same group (Zulkarnain, 2018) Statistical test using Microsoft Excel and Paired Test to test differences in dependent data (dependent samples). The error rate or significance level (a) used is 0.05 with a confidence interval (CI) of 95% (Hardani, 2020). Based on the research results. Based on the results of statistical tests using Chi-Square, it was obtained that Based on the results of statistical tests using the paired t test, t = 6.610. Because t count (6.610) > t table (2.0345), HO is rejected and Ha is accepted. This shows that there is an influence of baby massage on increasing postpartum mothers regarding breast care with smooth breast milk production in Jatimulyo Village, Serdang Bedagai Regency in 2023

Premature Rupture of Membranes (PROM) is a condition where the amniotic membranes rupture before signs of labor appear. Cases of premature rupture of membranes at Brebes District Hospital are cases that are often encountered; this case reached 273. The impact of PROM has a high risk to the continued health of the mother and fetus. The aim of this research is to analyze midwifery care comprehensively using Varney's 7 steps. This research uses a qualitative descriptive method with a case study approach. Data collection used interview methods, observation, physical examinations, supporting examinations, medical records, KIA books, and other literature. The main informant was Mrs. “J”, while the additional informants were the coordinating midwife, general practitioner, obstetrician, laboratory officer, husband, and family. Based on the results, Mrs. “J” experienced problems during labor with premature rupture of membranes. Based on the results, Mrs. “J” at the time of childbirth had problems with the cranium being broken prematurely after anamnesies and continuous examination by midwife by conducting an in-depth examination with thin portio results, opening 10 cm, UUK point, cranial membrane (-), presentation of the head, and head-down hodge IV. The baby is born spontaneously, with strong crying and normal reflexes

This research aims to gain an in-depth understanding of the meaning and importance of family experiences in caring for elderly people with diabetes in the city of Depok. This research uses a qualitative descriptive phenomenology method combined with in-depth interview methods. Participants in this study were the primary caregivers of elderly adults with diabetes who were collected using the criteria examining technique. Information collected in the form of audio recordings of interviews and field notes was analyzed using the Collaizi technique. This research identified 13 themes, namely changes in the elderly, ability to complete family health tasks, psychological responses, physical responses, economic responses, role responses, problem solving behavior, problem solving support, ideal life in the elderly. Capacity for services for the elderly, natural services, forms of service and respect for religious and cultural teachings.  

Adolescent reproductive health is a healthy condition originating from the systems, functions and processes of the reproductive organs of adolescents, namely men and women aged 10-19 years and who are not yet married. Teenagers' lack of knowledge about reproductive health will certainly have an impact on attitudes that don't care about their reproductive health. Adolescents experience various problems related to reproductive health such as unwanted pregnancies (KTD), sexually transmitted diseases (STDs) including Human Immunodeficiency Virus (HIV) infection, this is due, in part, to a lack of knowledge and caring attitude towards their reproductive health. The aim of this community service is to provide counseling related to reproductive health to adolescents and then evaluate their level of knowledge before and after the counseling is carried out. The stages are in the form of a pre-test, followed by a presentation of counseling material using the lecture method, followed by a question and answer session and discussion then ending with a participant post-test. The results showed that there was an increase in the level of knowledge of adolescents about reproductive health after the counseling was carried out.

This conceptual research article develops an eschatological-hope-based pastoral counseling model for congregants experiencing bereavement. Bereavement is not only an affective response to death but also a disruption of meaning, embodied routines, social belonging, and theological imagination. Contemporary grief research has clarified the distinction between normative grief, prolonged grief disorder, complicated spiritual grief, and the heterogeneous trajectories through which bereaved persons adapt. However, pastoral responses in local churches often remain fragmented, oscillating between sympathetic presence, doctrinal explanation, ritual care, and informal advice without an integrated model that is clinically cautious and theologically constructive. This study employs a qualitative constructive literature review, synthesizing bereavement psychology, meaning reconstruction theory, spiritual care research, and Christian eschatological theology. The article proposes the PASTOR model: Presence, Assessment, Story, Scripture, Theological lament, Ongoing communal practice, and referral and review. The main synthesis argues that eschatological hope should not be used to bypass grief but to hold lament, embodied absence, continuing bonds, and future-oriented resurrection hope within a disciplined pastoral process. The model contributes a practical framework for churches seeking to accompany mourners without medicalizing ordinary grief, minimizing suffering, or ignoring cases that require professional mental health referral.

Nursing services are an integral part of healthcare in hospitals. Nursing staff are responsible for providing optimal nursing services to improve and maintain the quality of nursing care. This will affect day-to-day performance if not balanced with increased knowledge, skills, and supporting factors to enhance job satisfaction, as it will be perceived as a heavy workload. This study aims to determine the relationship between workload and job satisfaction of nurses at Bhayangkara Level III Hospital in Palangka Raya. The research design used is correlational with a cross-sectional method. The instruments used in this study were questionnaires and the Spearman Rank statistical test directed to 30 Police Nurses at Bhayangkara Level III Hospital in Palangka Raya. The results of the workload research show that 17 respondents (85.0%) are "satisfied" with their work in the heavy category. The significance value of the relationship between workload and job satisfaction of nurses at Bhayangkara Level III Hospital is 0.280 > 0.05, where H1 is rejected. The correlation coefficient value in this study is weak, which is 0.204. Thus, H1 is rejected, meaning there is no relationship between workload and job satisfaction of nurses at Bhayangkara Level III Hospital in Palangka Raya. The conclusion is that the heaviness or lightness of the workload does not affect job satisfaction if the job satisfaction indicators are fulfilled, such as job suitability, colleagues, salary, promotion opportunities, supervision, and facilities.

Christian Generation Z is negotiating adulthood within an unusually dense field of uncertainty: unstable work transitions, digital comparison, climate concern, post-pandemic disruption, and shifting religious participation. These conditions intensify future anxiety, understood here as anticipatory apprehension toward an unfavorable personal future. This article aims to construct a pastoral counseling model for Christian Gen Z who experience future anxiety without reducing their distress either to a clinical disorder alone or to insufficient faith. Because no field data were collected, the study uses a constructive conceptual design grounded in an integrative literature review, practical theological reasoning, and a critical synthesis of psychological, pastoral, and youth mental health scholarship published before 2024. The analysis identifies three main findings. First, future anxiety among Christian Gen Z is best interpreted as a narrative disruption of agency, meaning, belonging, and hope. Second, pastoral counseling requires an integrative stance that combines spiritual competence, evidence-informed anxiety care, digital awareness, and ecclesial accompaniment. Third, the article proposes the SELAH model: Situational-spiritual assessment, Empathic presence, Lament and meaning reconstruction, Adaptive agency planning, and Hope-building ecclesial accompaniment. The model offers a non-reductive framework for churches, counselors, and Christian educators while emphasizing referral, ethical boundaries, and further empirical testing.

Nurses play a crucial role in healthcare systems but often face work stress due to heavy workloads, high responsibilities, and irregular schedules. Excessive work stress can impair sleep quality, affecting nurses' physical and mental health and patient care quality. Preliminary data at RS Medika Lestari showed that many nurses experienced moderate to severe work stress and poor sleep quality. This study aims to analyze the relationship between work stress levels and sleep quality among nurses at RS Medika Lestari in 2024. The research design used was descriptive-correlational with a cross-sectional approach. A total of 42 nurses were selected as samples through cluster random sampling. Work stress levels were measured using the DASS 42 questionnaire, and sleep quality was assessed using the PSQI. The analysis revealed a significant positive relationship between work stress levels and sleep quality (r = 0.594; p = 0.000). Most nurses experienced moderate work stress (40.5%) and poor sleep quality (69%). This study highlights the importance of stress management programs and improved working conditions to enhance nurses' sleep quality and overall well-being.

Background: Health is something that is very important for human life. Health and lifestyle are influenced by developments over time. One example is the lack of consumption of foods with fiber to meet daily needs, which causes health problems, namely appendicitis. Appendicitis is a common cause of acute inflammation of the right lower quadrant of the abdominal cavity, which is treated by emergency abdominal surgery. The inflammatory process that occurs in the appendix increases intraluminal pressure which causes the pain to become more severe, generalized or periumbilical and move to the right lower quadrant. One way to deal with pain is by applying the effleurage technique (massage/touch therapy). The aim of this case study is to determine the reduction in pain scale in post-appendectomy patients after effleurage technique therapy (massage/touch therapy). The method used in this case study is case study design with a nursing care process approach. The subjects in this case study were 2 patients, who were obtained from inclusion and exclusion criteria, data collection using the numeric rating scale (NRS). The results of the case study show that the average pain level of the two patients after being given effleurage technique therapy intervention (massage/touch therapy) for 3 days experienced a change from moderate pain to mild pain. The conclusion of this case study shows that there were changes that occurred after the effleurage technique (massage/touch therapy) was given to the 2 patients and they experienced a decrease in the pain scale.

According to WHO, the incidence of prolonged labor in the world is currently estimated to occur at 17% of total births. The Indonesian Demographic and Health Survey or abbreviated (SDKI) by the National Population and Family Planning Agency reported that the majority of birth complications are long labor (30%) to facilitate the normal birth process, so pregnancy exercises are carried out to reduce the occurrence of long labor. The aim of this study was to determine the relationship between pregnancy exercise and parity with the length of labor in the first stage of labor in the active phase of women giving birth at Karya Medika 1 Hospital, West Cikarang, 2023. This type of research is quantitative analytical using a cross-sectional study design approach. Mothers giving birth at Karya Medika 1 Hospital, West Cikarang in the period January – August 2023. The population of women giving birth is 80 people. The instruments used in this research are primary data and secondary data. Data were analyzed using the chi-square test. The results show that the variables that are related to the length of labor in the first active phase of labor for women giving birth at Karya Medika 1 Hospital, West Cikarang 2023 are pregnancy exercise (p=0.002) with an OR of 10,000, and parity (p=0.039) with an OR of 0.255. The conclusion is that the variables studied (pregnancy exercise, and parity) are all related to the length of labor in the first active phase of labor in women giving birth at Karya Medika 1 Hospital, West Cikarang 2023.Researchers advise pregnant women to take care of their pregnancy and are advised to take part in a pregnancy exercise program so that the birth process runs normally. And, Karya Medika 1 Hospital Cikarang Barat is advised to continue the pregnancy exercise program in the future.  

The quality of nursing care services is a form of professional service and an integral part of healthcare. Patient satisfaction with nursing care is when patients and their families feel that everything meets their expectations. The current phenomenon is that some patients still report not receiving optimal nursing care, lack of communication in providing services, leading to dissatisfaction during their hospital stay. The aim of this research is to determine the relationship between the quality of nursing care services and patient satisfaction in the Bougenville Inpatient Room at dr. Murjani Regional General Hospital Sampit. The research method uses a correlation research design with a cross-sectional method. The instruments used in this study were questionnaires and the Rank Spearman statistical test aimed at 66 patients in the Bougenville Inpatient Room at dr. Murjani Regional General Hospital Sampit. The Spearman rho test result is 1.000, and the P-value is 0.000, which means the alpha value is 0.05, indicating that H1 is accepted. Therefore, there is a positive and significant relationship between the quality of nursing care services and patient satisfaction. The conclusion of this study is that there is a relationship between the quality of nursing care services and patient satisfaction in the Bougenville Inpatient Room at dr. Murjani Regional General Hospital Sampit. It is recommended for dr. Murjani Regional General Hospital Sampit to evaluate service satisfaction, especially improving the quality of nursing care services in the Bougenville Room.

One of the health services needed by pregnant women is maternal and child health counseling. The pregnant women class is a means to learn together about health for pregnant women, in the form of face-to-face in groups that aim to improve mothers' knowledge and skills regarding pregnancy, pregnancy care, childbirth, postpartum care, newborn care, myths, infectious diseases and birth certificates. The class for pregnant women coordinated by the Sungai Turak village health center is considered less than optimal, where the level of attendance and motivation of mothers in participating in classes for pregnant women is considered to be lacking. Other facilities are also needed that can support the implementation of classes for pregnant women. The resolution of obstacles or obstacles is to cooperate with village institutions (Village Government, Village Consultative Bodies, and Village Community Institutions), to include the budget for pregnant women classes in the Village Revenue and Expenditure Budget (APB). Based on the results of discussions with village officials, it was decided to include some proposals for pregnant women classes in the Village Revenue and Expenditure Budget (APB).

Mother is a leader figure in a family who is in charge of managing family healthy food needs. The knowledge about hygienic food for the Family Welfare Coaching Mothers at Dasa Wisma Kalongan Kulon, Tasikmadu is still limited, because many of them come from poor families and have less educational background so that the basic knowledge of the family is not maximal (less attention). This community service activity aims to improve understanding of family welfare coaching mothers to know healthy and hygienic food, to improve understanding of family welfare coaching mothers about healthy and hygienic food characteristics and to improve awareness to society not to buy food at random. The method of counseling is done by lecturing method and explanation about healthy and hygienic food and contamination or contamination of bacteria in siomai sauce from peddlers with media poster and power point. The results of community service activities are family welfare coaching mothers understand about healthy and hygienic food and food contaminated or contaminated with bacteria, especially in siomai sauce. The conclusion of this community service activity is family welfare coaching mothers can know the benefits of healthy and hygienic food for body and family welfare coaching mothers are aware to be more careful in buying food outside so that family health, especially on school children is more secure and family welfare coaching mothers understood how to choose healthy and hygienic food for her family.Keywords: Family Welfare Coaching Mothers, health, hygienic, sauce of siomai

One of the factors causing the high maternal mortality rate in Indonesia is the low quality of behavior antenatal pregnant women who do not use services Antenatal Care well during pregnancy. General purpose Integrated antenatal care is so that all pregnant women receive quality and comprehensive pregnancy checks that enable pregnant women to face the pregnancy period using the positive experiences they have and give birth to healthy babies during delivery. This study aims to determine the relationship between knowledge and attitudes of pregnant women and compliance with visits antenatal care integrated services for mothers during the Covid-19 pandemic in the Kapau Community Health Center working area. Research design cross sectional conducted on 108 selected pregnant women accidental sampling. As many as 64.8% of pregnant women were obedient to attending antenatal visits, pregnant women with good knowledge were 62.0%, and those who had a positive attitude were 71.3%. The results of the analysis show that there is a relationship between knowledge (p-value=0.003) and attitude (p-value=0.003) with visitsantenatal, it is recommended for pregnant women to make regular visits antenatal and actively seek information about pregnancy health to increase knowledge and awareness in the use of pregnancy checks.      

Stunting is a national and global nutritional problem that requires attention from various sectors. Each individual's nutrition can be considered as an indicator to determine a person's health status, including the toddler group. Nutrition also has an impact on the level of harmony between a person's physical condition and mental condition. Insufficient knowledge and low family income are thought to be important factors in increasing the risk of stunting. The aim of this research is to determine the relationship between knowledge and family income and the incidence of stunting among toddlers in the work area of ​​the Idi Rayeuk Community Health Center, East Aceh Regency in 2023. This type of research is analytical observational with Cross-Sectional. The population in this study is the population in this study is all toddlers or all toddlers in the Idi Rayeuk Community Health Center Working Area, East Aceh Regency in 2023, a total of 61 people. The sample was taken as a total sampling, namely 61 people. Data analysis was carried out using statistical tests using chi-square, to see the relationship between the independent variable and the dependent variable. The results of the research show that there is a relationship between knowledge and family income (p<0.005) with the incidence of stunting among toddlers in the Idi Rayeuk Community Health Center Working Area, East Aceh Regency in 2023. It is recommended that the Community Health Center provide education to parents so that they have good knowledge of skills in the pattern of take care of toddlers so that the risk of stunting can be reduced.

Stunting is a national and global nutritional problem that requires attention from various sectors. Each individual's nutrition can be considered as an indicator to determine a person's health status, including the toddler group. Nutrition also has an impact on the level of harmony between a person's physical condition and mental condition. Insufficient knowledge and low family income are thought to be important factors in increasing the risk of stunting. The aim of this research is to determine the relationship between knowledge and family income and the incidence of stunting among toddlers in the work area of ​​the Idi Rayeuk Community Health Center, East Aceh Regency in 2023. This type of research is analytical observational with Cross-Sectional. The population in this study is the population in this study is all toddlers or all toddlers in the Idi Rayeuk Community Health Center Working Area, East Aceh Regency in 2023, a total of 61 people. The sample was taken as a total sampling, namely 61 people. Data analysis was carried out using statistical tests using chi-square, to see the relationship between the independent variable and the dependent variable. The results of the research show that there is a relationship between knowledge and family income (p<0.005) with the incidence of stunting among toddlers in the Idi Rayeuk Community Health Center Working Area, East Aceh Regency in 2023. It is recommended that the Community Health Center provide education to parents so that they have good knowledge of skills in the pattern of take care of toddlers so that the risk of stunting can be reduced.