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Banyuanyar is a village in Banjarsari district, Surakarta. This district has Puskesmas as its role in public health of the first level with two buildings namely Banyuanyar and Source. The second-largest visit data available at Puskesmas Banyuanyar Physiotherapy Poli in 2023 was obtained from 104 patients and 11 patients in the last 1 month, which is knee osteoarthritis characterized by pain, stiffness in the knee joints so impaired day-to-day activity. The aim of this program is to help provide education and treatment as well as training in the case of knee osteoarthritis in order to reduce and prevent complaints felt worse. The method used for educational purposes is dissemination as well as providing leaflets to the Lansia Post Community at RW 14 Kelurahan Source City of Surakarta. To see the improvement in understanding, the authors using pre-test and post-test questionnaires obtained results that are significant improvements in the understanding of the physical therapy material with an average pre test score of 4,55 and an average post test rating of 95.45.

Latar Belakang: Lymph node cancer in the case of Hodkin's Lymphoma is a type of cancer. Lymphoma is a solid tumor of the immune system. Hodgkin lymphoma (HL) accounts for about 10% of all lymphomas. The Intensity Modulated Radiation Therapy (IMRT) technique is one of the cancer treatment techniques in Hodgkin's Lymphoma cases. The aim of this research is to determine the procedure and reasons for using the IMRT technique in lymph node cancer in Hodkin's Lymphoma cases.Metode: This research is qualitative research with a case study approach using retrospective data. The research time is from 24 to 30 May 2023 and the research location is in the Department of Radiation Oncology, RSUP Dr. Hasan Sadikin Bandung. The research subjects consisted of Radiation Oncologists, Medical Physics, Radiotherapists. Researchers collected data from patient medical records, made interview transcripts and carried out data reduction and processed it using open coding, and provided it in the form of quotations and then drew conclusions.Hasil: The procedure for irradiating Hodgkin's Lymphoma using the IMRT technique at the RSHS Department of Radiation Oncology begins with positioning the patient on the examination table with a fixation device and arranging the patient according to the reference point of the CT Simulator and making a thermoplastic mask then carrying out verification and irradiation. The IMRT technique has the advantage of using MLC so that the radiation is modulated according to the contour of the target and the disadvantage of precise dose distribution in limiting the radiation dose to organs at risk.Kesimpulan: In the case of the Department of Radiation Oncology, Dr. Hasan Sadikin Hospital, Bandung, the IMRT technique was used with consideration, namely that the IMRT technique already uses MLC which creates individual blocks automatically according to the projections depicted on the TPS.  

Old age is said to be the final stage of development in the human life cycle which experiences various health problems and is at high risk of dangerous diseases. Health problems that occur in the elderly in general are a decrease in organ function, changes in lifestyle, diet and physical activity which are often the main factors in degenerative diseases including hypertension which disrupts blood flow. This hypertension often occurs in the elderly where the blood pressure is at the upper limit ( Systole) is more than 140 mmHg and lower limit blood pressure (diastole) is more than 90 mmHg. One non-pharmacological treatment that can improve the flow of oxygen in the blood is laughter therapy. The aim of this research is to analyze the effect of laughter therapy using comedy videos on reducing blood pressure in elderly people with hypertension at the Tiban Baru Community Health Center, Batam City. The Batam City Health Service noted that hypertension occurs more frequently in elderly people aged 60-70 years and over with the highest number being 9,282 people at the Tiban Baru Community Health Center, Batam City. This research uses a quasi-experimental method with a pre-test and post-test design without control. The sample provided used the purpose sampling method with a total research sample of 20 respondents. Therefore, it can be concluded that there is an effect of laughter therapy on reducing blood pressure in elderly people with hypertension.

According to The International Association for the Study of Pain, pain is an unpleasant sensory and emotional experience accompanied by potential and actual tissue damage. Pain is a condition that is more than just a single sensation caused by certain stimuli, including post-operative pain. One way to reduce post-operative pain in patients with diabetes mellitus (DM) gangrene is the music distraction technique which can produce endorphins to reduce pain. The aim of this research is to determine the effect of applying musical distraction techniques on post-op patients with diabetes mellitus (DM) gangrene during wound care at the Tanjungpinang City Regional Hospital. This research design is a pre-experimental design. The sample for this study was 30 respondents and analyzed using the Wilcoxon range test. The results show that there is a significant difference in influence between the pre-test and post-test after being given the musical distraction technique, so it can be concluded that there is an influence of applying the musical distraction technique on post-op gangrene diabetes mellitus (DM) patients during wound care at the Tanjungpinang City Hospital. Suggestions This research is one of the non-pharmacological therapy options for pain management. So it can be applied to post-op patients with diabetes mellitus (DM) gangrene during wound care.

Carpal tunnel syndrome (CTS) is a condition that causes pain, tingling and weakness in the hand due to compression of the median nerve in the wrist. Treatment of CTS is based on two main approaches, namely steroid injection therapy and endoscopic surgical decompression therapy. Steroid injection therapy provides greater temporary pain relief, but the benefits are not permanent. At the same time, surgical decompression treatment with endoscopy is a definitive treatment that is more effective in the long term and has a lower therapeutic failure rate than steroid injection treatment. This literature research explores various scientific studies and related literature that have been conducted in recent decades to understand the effectiveness and relative superiority of these two treatment methods. This review covers clinical aspects, such as the rate of pain recovery, recovery of hand function, as well as the impact on the patient's quality of life. The results of this literature review indicate that both treatment methods have their respective advantages and disadvantages. Steroid injection therapy can provide rapid and minimally invasive symptom relief, while endoscopic surgical decompression therapy tends to provide more lasting and complete improvement. Factors such as symptom severity, patient preference, and medical recommendations may influence the choice between these two methods.

Hypertension or high blood pressure is a disease that is often suffered by many people, hypertension itself sometimes has symptoms that the sufferer does not know about. A condition that causes about half of all deaths from stroke and heart disease. The aim of this study aims to determine the effect of classical music therapy on changes in blood pressure in hypertensive patients at the Ambalat SESKO TNI Bandung Clinic. This research uses a quantitative questionnaire method with a pre-post test research design (Quasy experiment), the data analysis used is the Wicoxon test. The respondents were 25 TNI members at the Ambalat SESKO TNI Bandung Clinic. The instruments in this study used a sphygmomanometer and classical music.    

Control efforts with the DOTS (Directly Observed Treatment Short-course) strategy have been implemented. The side effects of this drug will continue as long as the sufferer takes it, furthermore anti-TB drugs (OAT) will change the metabolism in the sufferer's body. Chronic effects that arise from OAT treatment include increased levels of uric acid, glucose and hemoglobin in the blood. From the results of a preliminary study, data collection was carried out on the number of pulmonary TB sufferers in Kupang City in 2021, amounting to 385. Of this number, 72 cases were found at the Oesapa Community Health Center who were smear positive for pulmonary TB and had recovered and were still undergoing treatment. For this reason, it is necessary to carry out research to determine blood glucose, uric acid and hemoglobin levels in pulmonary tuberculosis (TB) patients who take OAT (anti-TB drugs) before taking, after taking 2 months and 6 months of treatment. This research method is descriptive and statistical. Statistical analysis using One Way Anova and Linear Regression tests was used to determine the effect of length of treatment on blood profiles in pulmonary tuberculosis sufferers. TB sufferers with anti-tuberculosis drug therapy at the Oesapa Community Health Center based on the age of the patient, there were 11 sufferers aged <30 years (55%), 9 sufferers aged >30 years (45%). Based on gender, 13 sufferers were female (65%), 7 sufferers were male (35%). Hemoglobin levels checked before treatment showed a mean of 13.015 g/dL, during 2 months of treatment 13.185 g/dL, and after 6 months of treatment the mean was 11.94 g/dL. The current blood sugar levels from table 1.3 above which were checked before treatment showed an average of 137.7 g/dL, during 2 months of treatment 145.15 g/dL, and after 6 months of treatment the average was 144.15 g/dL. Uric acid levels were based on the respondent's length of treatment with an average uric acid level before treatment of 6.16 mg/dL, 2 months of treatment 5.92 mg/dL and 6 months of treatment 6.43 mg/dL. Hemoglobin levels, instant blood sugar and uric acid before, 2 months and 6 months of treatment showed a p value <0.05, meaning the data was not normally distributed. The results of the analysis using the Friedman anova test showed a p value (0.137) > 0.05. This means there is no difference in uric acid measurement values ??before, 2 months and 6 months of treatment. The results of the analysis using the Friedman anova test showed a p value (0.142) > 0.05. This means that there is no difference in blood sugar measurement values ??before, 2 months and 6 months of treatment. The results of the analysis using the Friedman anova test showed a p value (0.378) > 0.05. This means there is no difference in Hb measurement values ??before, 2 months and 6 months of treatment

Elderly is an age group that is susceptible to disease due to decreased function in the body due to the aging process. Uric acid is produced by every living thing as a result of the main metabolic process, namely a chemical process in the cell nucleus that functions to support survival. To overcome complaints of pain that appear in patients with gout, there are various pharmacological and non-pharmacological therapies. The usual pharmacological therapy is taking painkillers, namely the Nonstereoidal Antiinflammatory Drugs (NSAID) group. Complementary therapy is a natural therapy including herbal therapy in the form of bay leaves. The aim of the study was to describe a decrease in uric acid levels by giving bay leaf boiled water to the elderly at the Cilacap Dewanata Institution. The results of this study were obtained after therapy by giving boiled bay leaf water, the patient was more comfortable, the pain was reduced, the last day's observations of vital signs (TTV) showed Td: 110/80 mmHg, Respiration: 20 x/minute, Pulse: 96 x /minute pain scale 2. In conclusion, the application of giving bay leaf boiled water is proven to be able to overcome the problem of diagnosing acute pain associated with physical injury agents, the implementation of self-invasion care was carried out for 3 days, with extraction the results of reduced pain.

Fine motor development is a movement that uses fine muscles or parts of certain limbs that are influenced by opportunities to learn and practice. This study aims to analyse the effectiveness of folding paper and puzzle games on children's fine motor development. The study's research design was a pre-experimental type one-group pretest-posttest design. The population of this study were all children aged 4-5 years at PAUD Ceria Panji Lor Village in September 2023, as many as 28 people with the Total Sampling technique—data collection using DDST Denver II measurement. Analytical test used with Wilcoxon Test. The results showed that children's fine motor development before therapy mainly developed as expected, namely 15 children (54%); after treatment, most developed very well, namely 19 children (68%). This study shows an influence between the value before and after being given folding paper and puzzle game therapy on the fine motor development of children aged 4-5 years.

Anxiety is a mistake, doubt in something that will happen with an unclear cause or object related to feelings of uncertainty such as worry about facing surgery. To overcome anxiety, there are types of therapy that can be applied by nurses, namely pharmacological therapy and non-pharmacological therapy. One type of non-pharmacological therapy that can be used is the Benson relaxation technique. This study aims to determine the effect of Benson relaxation on reducing anxiety levels in pre-operative patients in the Dahlia Room, Tanjungpinang City Hospital. The design of this research is a pre-experiment with one group pretest posttest type. The number of samples in this study was 21 preoperative patients using the Accidental Sampling technique. The instrument used was the Amsterdam Preoperative Anxiety And Information Scale (APAIS) questionnaire. Then analyzed using the non-parametric Wilcoxon test. Univariate results before being given Benson relaxation showed that 33.3% had mild anxiety, 66.7% had moderate anxiety, and after Benson relaxation 85.7% had mild anxiety, 14.3% had moderate anxiety. Bivariate results show that the hypothesis is accepted with a p-value of 0.000. It was concluded that there was an effect of Benson relaxation on reducing anxiety levels in pre-operative patients in the Dahlia Room, Tanjungpinang City Hospital. From this research, it is hoped that the Benson relaxation technique can be used as an alternative therapy to reduce patient anxiety levels that does not have harmful side effects for patients.

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

Introduction: Insomnia is a problem or sleep disorder experienced by a person. One non-pharmacological therapy to reduce insomnia is lavender aromatherapy. Objective: The aim of this research is to determine the effect of lavender aromatherapy on the incidence of insomnia in adolescent girls. Method: This research design is quasi-experimental with One-Group Pretest – Posttest Design. The sampling technique used purposive sampling with a total of 17 respondents. Analysis uses the Paired Sample T-test statistical test. Results: The description of insomnia before being given lavender aromatherapy was categorized as mild insomnia by 71% or 12 people. The description of insomnia after being given lavender aromatherapy was categorized as not having insomnia by 88% or 15 people. The results of the study showed that there was an effect of lavender aromatherapy on the incidence of insomnia in young women with a value of p = 0.001 (α < 0.05). Conclusion: From the research results, there is an influence of lavender aromatherapy to reduce insomnia in young women at the Tanwiriyyah Cianjur Islamic Boarding School.

Background : Stress is an event that often occurs can be caused by external factors such as task demands, and  internal factors such as behavior. Objective: to determine the effectiveness of Emotional Freedom Technique (EFT) therapy on the stress level of final year nursing students at the University of Indonesia Maju. Methods: This type of research is quantitative with a quasy experimental one group pretest-posttest design. The sampling technique used is non-random sampling. The instruments used are observation sheets and the DASS questionnaire (Depression Anxiety Stress Scales-42). Statistical tests use the Wilcoxon test. . Results: the study showed a p-value of 0.000 <0.005, which means that there is effectiveness of Emotional Freedom Technique (EFT) therapy on stress levels.  

Breast cancer is a type of cancer that often occurs in women, in the treatment of breast cancer is radiotherapy and fixation tools used, namely breast boards and thermoplastic masks which are aids for patients not to move during radiation therapy. The purpose of the study was to determine the procedure and reasons for using thermoplastic mask fixation devices in radiation therapy cases of breast cancer. This research is qualitative with a case study approach, the research time is from June 7 to July 15, 2023 and the research location at the Radiotherapy Installation of Dr. Hasan Sadikin Hospital Bandung. The subjects of the study were Radiation Oncology Doctors, Medical Physicists, Radiotherapists and Patients. By collecting data, making interview transcripts and reducing data and processed with open coding, given in the form of quotations and then drawing conclusions.The results showed that the procedure for using a thermoplastic mask fixation device was inserted into a waterbath with a temperature of 65.50C until the thermoplastic mask became flexible, the reason for using fixation was a shift in smaller objects at the time of irradiation, and better aesthetic value, because concentration marks and field boundaries did not need to be drawn directly on the patient's body but were drawn on the thermoplastic mask. Using a mask does not need to be marked on the patient's chest so that by using a thermoplastic mask the shift towards the target object is smaller during irradiation.

According to the Law of the Republic of Indonesia number 13 of 1998 concerning elderly welfare, an elderly person is someone who has reached the age of 60 years and above.  Indonesia alone ranks fourth in the world with 24 million elderly people who have not received much attention. The decline in various body functions in old age can cause elderly people to have difficulty eating due to various causes. For example, the appetite of the elderly tends to decrease because their sense of taste and smell is no longer as sharp as it used to be to inhale aromas and taste food. The elderly are also more prone to decreased saliva production, loose teeth, weakened intestinal and gastric functions, and decreased stomach acid production which makes it difficult for the body to absorb food. Weakness or paralysis of the face, also known as facial frown, will cause impairment in the ability of facial muscles. Miror Therapy exercises can help improve facial muscle strength in patients with stroke. Regular exercise for 2 times a week can help increase the muscle strength of stroke patients.

Infancy is a golden period for a child's growth and development so it needs special attention. One of the factors that influences a baby's growth and development is sleep and rest. The need for sleep is not only seen from the quantity aspect but also the quality. With good quality sleep, the baby's growth and development can be achieved optimally. One way that can be used to fulfill these needs is baby massage. Baby massage is a gentle stroking or massaging therapy for babies, this is stimulation through tactile stimulation, gentle massage approaching soft and gentle massage on the surface of the baby's skin gently, on the tissues and organs of the body. Baby massage is useful for increasing the baby's concentration and making the baby sleep soundly, to increase the baby's growth and weight, increase the body's endurance, build bonds of love between parents and children and improve blood circulation and breathing. A baby's weight is influenced by heredity, nutrition, environment, gender and social status. Body weight is an anthropometric indicator for assessing growth in babies or children. Balanced nutrition and basic health care in the form of immunizations. Regular massage for babies can increase the baby's weight and the length of time the baby sleeps. This happens when the baby is massaged and the baby feels relaxed so it is easy for the baby to sleep. The initial survey was conducted through direct interviews with AsyfAlesha Mom n' Baby Care, which opened a baby massage practice. Therefore, researchers are interested in examining the effectiveness of baby massage on weight gain and baby sleep quality at AsyfAlesha Mom n' Baby Care, whether its implementation is effective in supporting weight gain and baby sleep quality to prevent stunting in babies.

Stroke is a reduced blood flow and oxygen to the brain due to blockage, narrowing, or rupture of blood vessels. Stroke leading weakness of the face, according to damage in the frontal motor area. One way to overcome a facial weakness is to apply mirror therapy of the face which is a combination of mirror therapy and facial exercises. The purpose of this case study is to illustrate the application of facial mirror therapy in stroke patients with facial muscle abilities. This type of research is descriptive by using a case study approach. The subjects in this study were 2 stroke patients with the criteria for facial muscle weakness, which is having a sagging face, having a recurrent attack or having just had a stroke. The study showed that an increase in facial muscle ability in subject 1 from the sufficient category (score 21) to the good category (score 29), subject 2 from the sufficient category (score 24) to the good category (score 32). Recommendation : Nurses can apply Mirror Therapy of the Face to improve the ability of facial muscles in stroke patients.  

Children are an invaluable national asset. Children are part of the young population who need to be cared for, so that they can grow and develop optimally according to their potential. Motor development is an element of maturity in controlling body movements and the brain as the center of movement. Children's motor development can be assessed using the KPSP (Pre-Developmental Screening Questionnaire) which is an early detection instrument in the development of children aged 0 to 6 years. Gross motor skills are physical movements that require balance and coordination between body parts using the large muscles of some or all of the body parts. Gross motor development needs to be stimulated so that children can develop optimally. The aim of this research is to determine the effect of Brain Gym therapy on the gross motor development of preschool children. The design of this research is to use a Quasy experiment with a one group pre test-post test design. pre – post test. The total sample was 16 respondents with a purposive sampling model. The results of this research show that there is an effect of Brain Gym therapy on increasing gross motor development in preschool children with a p value of 0.001. The conclusion of this research is that there is an increase in gross motor development after implementing Brain Gym therapy in preschool children. Parents are advised to carry out this brain gym therapy at home to further optimize their child's development, especially gross motor development.

The rapid increase in emotional levels during early adolescence is known as a period of storm and stress. So parents complain and find it difficult to deal with teenagers, in this transition period. This emotional growth is the result of physical changes, especially the hormones of adolescence. If it is related to social conditions, this increased emotional level is a sign that teenagers are experiencing conditions that are different from previous times. This condition triggers teenagers to become stressed and confused. Adolescence is a transition period, so the counselees studied were teenagers who experienced feelings of anxiety due to the confusion experienced by the absence of the father's role, making the counselees stressed, emotional and demanding a lot of attention from their parents, fighting, disobeying and resulting in decreased concentration in learning. The OV counselor, a 12 year old male teenager, was given the CBT (Cognitive Behavior Therapy) technique. Cognitive therapy helps the counselor learn to recognize mistakes and change them. Apart from positive thinking, cognitive therapy is also related to happy thinking. Behavioral therapy helps link problematic situations and habits of responding to problems. Clients learn to change their behavior, calm their mind and body to feel better, think more clearly and help them make the right decisions. understand thought patterns by showing empathy so that you feel expected to be present with love and attention.    

Pregnancy is a fetal development event that takes place approximately 9 months after fertilization. It is not uncommon for pregnant women to be reluctant to engage in physical activity due to a decline in physical condition and the understanding that physical activity is considered to be harmful to the womb. The partners for this service activity are pregnant women at Posyandu Dewi Ratih 1, Ngadirejo, Sukoharjo. This service activity aims to provide information to pregnant women about the importance of physical activity through non-pharmacological therapy in the form of exercise which can help smooth the birthing process. The educational method provided is in the form of lectures accompanied by leaflets containing physical activities for pregnant women. The pre-test and post-test aims to measure the level of understanding of this educational provision. Based on the results of the comparison of pre-test and post-test on 9 respondents, there was an increase in the average score from 0% to 44% in answering all questions correctly. In this service activity, there was an increase in the understanding of pregnant women at Posyandu Dewi Ratih 1 regarding the importance of physical activity during pregnancy using leaflets as media.