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Afterpains are a common physiological complaint experienced by mothers during the postpartum period due to uterine contractions that occur after childbirth. This pain can disrupt comfort, inhibit the involution process, and affect the mother's physical and psychological well-being. Non-pharmacological treatment efforts such as the Effleurage Massage technique are an effective alternative because they can increase relaxation and stimulate the release of endorphins that play a role in reducing pain perception. This study aims to determine the effect of the Effleurage Massage technique on the level of afterpains in postpartum mothers at Midwife Sulastri, Percut Sei Tuan District, Deli Serdang Regency in 2022. The research design used was a quasi-experimental design with a one-group pretest-posttest without a control group. The study sample consisted of 45 postpartum mothers selected using the total sampling technique. Data were collected through observations with a numeric pain scale and analyzed using the Wilcoxon Signed Rank Test. The results showed that there was a significant decrease in pain levels after Effleurage Massage with a p value = 0.000 (<0.05). These findings demonstrate that the Effleurage Massage technique is effective in reducing the intensity of postpartum afterpains. Consequently, this massage can be used as a complementary therapy in postpartum midwifery care to increase comfort and accelerate the mother's recovery process.

Background: Schizophrenia is a psychiatric disorder that affects the work of the brain. The resulting disorders can attack thoughts, perceptions, emotions, movements, and behaviors. Based on the records of the Indonesian Ministry of Health in 2019, the prevalence in Indonesia with the highest psychiatric disorders is found in Bali and Yogyakarta Provinces with each prevalence showing 11.1% and 10.4% per 1000 with people with schizophrenia / psychosis. One of the therapies to reduce anxiety in schizophrenic patients with hallucinations is environmental therapy using drawing methods. Objective: To know the results of the implementation of occupational therapy drawing on the decrease in signs and symptoms of hallucinations in patients with hallucinatory sensory perception disorders. Method: applying sensory stimulation therapy applied to 2 patients in the form of a case study. Results: After the application of occupational therapy, both respondents experienced a decrease in hallucination scores, with a total score of 14 and 5 classified as moderate hallucinations. Conclusion: Based on the data obtained, both respondents experienced a development that was originally classified as a very severe hallucination to moderate hallucination.

Background: Poor sleep quality is a disorder that often occurs in the elderly. The impact of sleep disturbances in the elderly can result in the body's inability to restore its original state, causing weakness, headaches, drowsiness, and fatigue. Treatment of sleep quality disorders is carried out with non-pharmacological treatment, one of the non-pharmacological therapies that can be done is Al-Qur'an Murottal Therapy. Purpose: To find out changes in the level of sleep quality in the elderly before and after carrying out murottal Al-Qur'an therapy. Method: This application uses a descriptive method on 2 respondents, done 1 time in 7 consecutive days. The instrument used is the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality. Results: Treatment of sleep quality disorders with Al-Qur'an murottal therapy which is given 1 time for 7 days in 15 minutes can affect the level of sleep quality of respondents, so that there is a change in the sleep quality score of the elderly. Conclusion: The application shows that after the Al-Qur'an murottal therapy there was an increase in the quality of sleep in both respondents from poor sleep quality to light sleep quality.      

Background: Schizophrenia is a disease that affects various areas of individual functioning, including thinking, communicating, receiving, interpreting reality, feeling, and showing emotions. Based on data from 32% of schizophrenics who commit acts of violence, and 16% of violent behavior towards clients results in death. One of the treatments that can be done is Sensory Stimulation therapy which is an effort to stimulate all the five senses (sensory) in order to provide an adequate response so as to increase the ability to control violent behavior in schizophrenic patients. schizophrenia Method: applying sensory stimulation therapy applied to 2 patients in the form of a case study. Results: The results showed that there was an increase in the patient's ability to control violent behavior which resulted in an increase in the score of the ability to control angry behavior by 10 and 9 points. Conclusion: Based on the data generated by the two patients, after the sensory stimulation therapy strategy was carried out, the risk of violent behavior decreased. With different amounts but with the same treatment.

Background : Adolescence is a period of transition from children to adults which is accompanied by growth and physical changes, including the growth of the reproductive organs. The maturity of the female reproductive organs is marked by the arrival of menstruation, one of the problems during menstruation experienced by young women is dysmenorrhea. Dysmenorrhea is usually concentrated in the lower abdomen that occurs before and during menstruation caused by uterine contractions. The management of dysmenorrhea can use non-pharmacological therapy, one of which is by giving tamarind turmeric drink. Tamarind contains curcumin and anthocyanins which inhibit cyclooxygenase, thereby reducing inflammation and inhibiting uterine contractions. The content of curcumenol in turmeric acts as an analgesic agent that can reduce the production of prostaglandins. Research Methods: This study used quantitative research with the pre-experimental one group pretest posttest method. The population in this study were 35 teenagers. The sampling technique used was simple random sampling, with a sample of 21 adolescents who experienced dysmenorrhea in May-July in Pelem Hamlet. Data collection used a pain scale observation sheet, namely the NRS (Numeric Rating Scale) before and after administration of tamarind turmeric. Data were analyzed using the Wilcoxon Signed Rank Test. Results: Based on the analysis test using the Wilcoxon Signed Rank Test, a significance value of 0.00 (p <0.05) was obtained, which means that Ha was accepted. Conclusion: There are differences in the degree of pain in dysmenorrhea before and after administration of tamarind turmeric, so it can be concluded that there is an effect of tamarind administration on dysmenorrhea in young women.   Keywords: Dysmenorrhea, Tamarind Turmeric, Adolescents Background : Adolescence is a period of transition from children to adults which is accompanied by growth and physical changes, including the growth of the reproductive organs. The maturity of the female reproductive organs is marked by the arrival of menstruation, one of the problems during menstruation experienced by young women is dysmenorrhea. Dysmenorrhea is usually concentrated in the lower abdomen that occurs before and during menstruation caused by uterine contractions. The management of dysmenorrhea can use non-pharmacological therapy, one of which is by giving tamarind turmeric drink. Tamarind contains curcumin and anthocyanins which inhibit cyclooxygenase, thereby reducing inflammation and inhibiting uterine contractions. The content of curcumenol in turmeric acts as an analgesic agent that can reduce the production of prostaglandins. Research Methods: This study used quantitative research with the pre-experimental one group pretest posttest method. The population in this study were 35 teenagers. The sampling technique used was simple random sampling, with a sample of 21 adolescents who experienced dysmenorrhea in May-July in Pelem Hamlet. Data collection used a pain scale observation sheet, namely the NRS (Numeric Rating Scale) before and after administration of tamarind turmeric. Data were analyzed using the Wilcoxon Signed Rank Test. Results: Based on the analysis test using the Wilcoxon Signed Rank Test, a significance value of 0.00 (p <0.05) was obtained, which means that Ha was accepted. Conclusion: There are differences in the degree of pain in dysmenorrhea before and after administration of tamarind turmeric, so it can be concluded that there is an effect of tamarind administration on dysmenorrhea in young women. Keywords: Dysmenorrhea, Tamarind Turmeric, Adolescents  

Background; Hypertension is a "sillent killer" disease that is mostly experienced by the elderly. According to data from the World Health Organization (WHO) in 2021, the prevalence is 1.28 billion people with hypertension aged 30-79 years. The prevalence of the elderly in the world and Indonesia continues to increase because the elderly experience a decline in physical conditions, including the cardiovascular system, which increases the risk of degenerative diseases such as hypertension. Therefore, progressive muscle relaxation can be used as an alternative therapy for the elderly with hypertension. The Objectives of the research; Knowing the results of the implementation of progressive muscle relaxation on blood pressure in the elderly with hypertension. Method; This application uses a case study method by observing blood pressure in two elderly respondents. The instruments used are observation sheets, sphygmomanometer, and stopwatch. Results; After application for 20 minutes with a frequency of four times a week for two consecutive weeks showed a decrease in blood pressure in both respondents to prehypertension. Summary; Progressive muscle relaxation therapy can potentially reduce blood pressure in the elderly with hypertension.

Elderly (elderly) is someone who has entered the final stages of the phase of life. This cycle can be seen from the symptoms of physical, psychological, and psychosocial changes. These changes will result anxiety. Anxiety is a feeling of fear that is not clear or even has no known cause. Knitting therapy is one method of lowering anxiety. The goal of this study was to examine how knitting therapy affected older people's anxiety levels. This research method uses a Pre-Experimental approach with aone group pre-post test.The population is 33 respondents and uses a simple random sampling technique. The research sample is 30 respondents. The instrument used is an anxiety questionnaire sheet withHamilton Anxiety Rating Scale (HARS) Indonesian version, then the data is collected through a process Editing, Coding, Scoring,andTabulating. The data obtained were analyzed using the testpaired T-Test. The results showed the average value of anxiety before knitting therapy was 16.63 while after knitting therapy the average value of anxiety was 6.50. The results of the data analysis test showed that there was an effect of knitting therapy on reducing anxiety in the elderly with -valeu = 0.000 <α = 0.05. Knitting therapy can be used to improve focus, and develop patience. knitting activities can train the left and right brain when doing the same movement, besides sitting quietly and focusing on knitting can reduce heart rate and blood pressure, so we feel relaxed and calm, this situation acts as a pain reliever. This also makes the feeling happy so that it can provide positive energy in a person, this is what makes the mood happy so that feelings of anxiety decrease easily. It is hoped that knitting therapy can be applied to fill the spare time of the elderly and future researchers canmake modifications to the therapeutic media that will be used, one of which can be equipped with making video media.    

Hypertension is a condition where the systolic pressure is above 140 mmHg, while the diastolic pressure is above 90 mmHg. Some hypertension patients often complain of headache, weakness, fatigue, shortness of breath, restlessness, nausea and vomiting, epistaxis and decreased consciousness. This can cause sleep problems in hypertensive patients. Sleep disorders are a collection of conditions characterized by disturbances in the amount, quality or timing of sleep in an individual. One technique to improve sleep quality is progressive muscle relaxation therapy and murotal Al-Quran.This research method uses Pre-Experimental with one group pre-post test approach. The population is 40 respondents and uses a total sampling (technique).The instrument used was a sleep quality questionnaire, measured by the Indonesian version of the Pittsburgh Sleep Quality Index (PSQI), then data were collected through Editing, Coding, Scoring, and Tabulating processes. The data obtained were analyzed using the Wilcoxon test.The results showed that the average value of sleep quality before progressive muscle relaxation and murotal Al-Quran therapy was performed was 8.30, while after progressive muscle relaxation and murotal Al-Quran the average value of sleep quality was 6.08. The results of the analysis test showed that there was an effect of progressive muscle relaxation therapy and murotal Al-Quran on improving sleep quality of hypertensive patients with -value = 0.000 <α = 0.05. This therapy performs 15 relaxation movements accompanied by the sound of murotal Al-Quran which makes a person relax and calm so that this calmness acts as a pain reliever that makes the patient happy and gives positive energy in a person. this makes the mood to be happy so as to create a good quality sleep.   Keywords: Hypertension, sleep quality, progressive muscle relaxation therapy and murotal Al-Quran.  

Hypertension is one of the issues challenging the medical community today. In Indonesia, the prevalence of hypertension is 34.1%, or 63,309,630 million individuals. Since hypertension is frequently referred to as the "silent killer," it needs to be treated right once in order to prevent problems like heart failure, stroke, and kidney failure as well as other disorders caused by hypertension. One of the treatments for hypertension is complementary therapy such as yoga therapy. Objective: This research aims to determine the changes in blood pressure as a result of the implementation of yoga exercises in hypertensive patients in Jebres Village, Surakarta City. Methods: This research used a descriptive case study  method by observing 2 female respondents aged 45-55 years who were given the implementation of yoga exercises for 4 meetings in 2 weeks with a time of ± 15-20 minutes. Results: Blood pressure dropped following the application of yoga exercises, and grade 1 patients were included. Conclusion: The application of yoga exercises can reduce blood pressure in patients with hypertension.

Background: The number of pregnant women who experience anxiety before giving birth is rising year over year. Pregnancy in a primigravida produces both psychological and physical changes. Anxiety is one of the psychological factors that frequently manifests during pregnancy. Relaxation techniques can be used to manage anxiety; one such treatment is classical music therapy, which can lower anxiety levels. Purpose: Understanding the changes in anxiety levels among primigravida pregnant women in the third trimester at the Mojopurno Health Center. Methods: With each respondent receiving an intervention for 4 straight days, this application used a descriptive design on 2 female respondents and was conducted from April 18–21, 2023, in Munggut Hamlet, RT 12 RW 03 Munggut Village, Wungu District, Madiun Regency. The Hamilton Anxiety Rating Scale HARS observation sheet was the tool used to gauge the patient's degree of anxiety before and after therapy. Results: Before the two respondents' implementation, there was moderate anxiety, and after their implementation, there was mild anxiety or no worry. Conclusion: At the Mojopurno Health Center, the use of classical music therapy helps lower the degree of anxiety in third-trimester primigravida pregnant women.

Fine motor development is a movement that only involves small muscles in the body, such as skills in using fingers and wrist movements. Delays in fine motor development are caused by the lack of opportunities for children to play, the stimulation that children receive is good by parents. This study aims to determine the effectiveness of playing collage and plasticine therapy on fine motor development in children 4-5 years old at Zainul Hasan Genggong Kindergarten, ProbolinggoThis type of research is pre-experimental with a two group pretest-posttest research design. The population was 46 respondents who met the inclusion requirements of the study were selected using a total sampling technique. Children's fine motor development was measured using an observation sheet, and information was gathered using editing, coding, scoring, and tabulating procedures. In both groups, the data were evaluated using the Wilcoxon test hypothesis.The results showed that the value of ρ Value α = 0.000 in the collage playing group and the value of ρ Value α = 0000 in the plasticine playing group. The significant level of ρ Value < α 0.05, it is stated that both therapies are effective in developing children's fine motor development. However, judging by the results of the observation, the post-test value of playing plasticine therapy was more with the results of the BSB category being 20 children. Due to the age characteristics in group 2, there were more 4 years of age at that age, children's fine motor development was more rapid.Collage and plasticine games are a series of therapies to develop fine motor development in children. For further researchers, it is recommended to add variety of images in collage play therapy, to approach children more when given play therapy.    

Background: Traditional medicine can be used to treat cough in ARI. WHO recommends the use of traditional medicines including herbs in maintaining public health, prevention and treatment of disease, especially for chronic diseases and cancer. Objective: to determine the effect of giving ginger and honey drinks on coughs in toddlers. Method: This type of research is pre-experimental with the research design used is one group pre-test-post test design with a sample of 20 subjects. The instrument used in collecting this data is the respondent's characteristic sheet which contains the name, age, gender along with the observation sheet. Honey ginger therapy intervention was given in the morning and evening for 5 consecutive days with a dose of 1 glass containing 150 ml and 2 teaspoons of pure honey. Result: the results of observations in studies that have been conducted for 5 consecutive days with a frequency of 2x a day obtained a p value of 0.00. Conclusion: There is an Effect of Giving Ginger and Honey Drinks to Ease Coughs in Toddlers.

Pemphigus vulgaris (PV) is a chronic intraepidermal bullous disease that causes extensive skin lesions. Pemphigus vulgaris initially appears in the form of vesicles and loose-walled bullae that break easily on normal skin, which then develop into bullae with an erythematous base, then rupture, causing erosion, excoriation, which is usually accompanied by crusting and pain. Bullae occur due to damage or damage to intercellular adhesion due to IgG autoantibodies to desmoglein 3, causing epithelial cells called acantholysis (epidermal cell separation reaction). The hallmark of pemphigus is erosion that extends into normal skin by pulling on remnants of the blister wall or rubbing on the periphery of an active lesion. Erosion can be induced on normal-appearing skin away from the active lesion by mechanical stress or shear, a phenomenon known as the Nikolsky sign. Prognosis before corticosteroids are used, death occurs in 50% of patients within the first year. Treatment with corticosteroids makes the prognosis better. Pemphigus vulgaris in the early stages will be easier to control than those with widespread manifestations, the mortality rate will increase if there is a delay in therapy.

Cancer is one of the leading causes of death in the world. A highly-effective therapy in cancer is chemotherapy using doxorubicin. Sustainable doxorubicin usage could damage the kidneys due to Reactive Oxygen Species (ROS) formation that could be seen by increased levels of BUN and creatinine. Curry leaves are commonly found in Aceh and has high antioxidant rate so it has the potential to suppress kidney damage due to the use of doxorubicin. These antioxidants could be useful for decreasing levels of BUN and creatinine. The purpose of this research is to test the nephroprotective effect of Ethanol Extract of Curry Leaves (EECL) to prevent kidney failure on doxorubicin induced wistar strain male white rats. The method of this research is experimental with post test only control group design. The number of samples used was 25 rats which were divided into 5 groups. Positive control group (given vitamin E), negative control group (given CMC-Na 0,5%), and treatment groups (given EECL at doses 50 mg/kgBB, 100 mg/kgBB, and 200 mg/kgBB) orally for 7 days straight and doxorubicin 15 mg/kgBB was induced on the 8th day. The results show that the BUN levels in the treatment group given EECL at doses 50 mg/ kgBB and 100 mg/kgBB are close to the positive control group, but the creatinine levels are still significantly different. Meanwhile, the treatment group that was given EECL at dose 200 mg/kgBB, both BUN and creatinine levels, are close to the positive control group. The conclusion of this study is that EECL has a nephroprotective effect on doxorubicin induced rats and the most effective dose is 200 mg/kgBB.

Background:Nearly 70-94% of acute stroke patients experience increased blood pressure (hypertension). Hypertension is the main triggering factor for the occurrence of strokes, both hemorrhagic and ischemic strokes, one way is to provide non-pharmacological therapy with dhikr relaxation (remembrance of Allah). Objective: to find out the application of dhikr therapy to reduce blood pressure in acute stroke patients at HCU Neuro Anggrek 2 RSUD Dr. Moewardi Surakarta. Method: the application of this journal uses a descriptive method with a case study approach to 2 respondents according to the inclusion and exclusion criteria, the independent variable of the research is dhikr therapy, namely therapy that is carried out by reminding respondents to Allah SWT through recordings of reading recitation sentences, by adjusting the position of the respondent first first, namely supine position with head elevation of 30o, then listen to the recorded dhikr sentences using hands-free to the respondent 3 times a day for 10 minutes for 3 days. Results: Based on the results of the application that has been carried out, there is a decrease in blood pressure before and after the dhikr relaxation therapy is performed. Conclusion: There is a decrease in blood pressure before and after the application of dhikr from first degree hypertension to prehypertension.  

Background:  Elderly is a condition where a person is 60 years old. Hypertension is a condition of a person who has mixture of salt and lemongrass that can facilitate blood circulation in the body. systolic blood pressure of 140 mmHg and diastolic 80 mmHg. Data from the Kaliwungu Health Center (2023) shows that the number of hypertensive elderly is 18 elderly people. Non-pharmacological therapy that can be done by soaking warm water feet with aObjective: to determine the effect of the application of foot soak therapy using warm water with salt and lemongrass on blood pressure in elderly people with hypertension in Kaliwungu Village, Semarang Regency. Method: this application uses a case study research design with prestest and post-test design. Samples were 2 elderly people who had 2nd degree hypertension. Results: the application of  there was a decrease in blood pressure that was different between respondent 1 and respondent 2 after the application of warm water foot soak with salt and lemongrass for 3 consecutive days for 20 minutes. Both respondents were categorized as grade 2 hypertension decreased to normal-high based on the PDHI classification (2019). Conclusion: Application of warm water foot soak with a mixture of salt and lemongrass can lower blood pressure in elderly people with hypertension.  

Leukemia is a progressive malignant disease of the blood-forming tissues. Leukemia is caused by abnormal growth of white blood cells (leukocytes) in the bone marrow. These cells then spread in the blood circulation. This disease is still a public health problem in the country and in the world, which affects children to adults, leukemia is a cancer with the highest death cases in the world. One of the complementary therapies that can be used to improve the psychological response of cancer patients is music therapy. Music therapy can increase relaxation and reduce anxiety in leukemia patients during the chemotherapy process. Objective : Knowing the results of the application of music therapy to hemodynamics in children with leukemia in the room Flamboyan 9 RSUD Dr. Moewardi surakarta. Method : Methods of data collection in this application is to use the method of interviews, and observation. Findings : After performing music therapy for 1 day, the results were the same for both respondents, that is, children can lower blood pressure and pulse frequency within normal limits. Implication : Music therapy can affect the decrease in hemodynamics in children with leukemia because there are significant changes in hemodynamics from height to decrease.  

Background: Hallucinations are false perceptual distortions that occur in maladaptive neurobiological responses, sufferers actually experience sensory distortions as real things and respond accordingly. Hallucination sufferers will find it difficult to distinguish between stimuli that arise from internal sources such as thoughts, feelings, somatic sensations and external impulses and stimuli. According to the World Health Organization 2019 mental disorders around the world, according to data, there are 264 million people experiencing depression, 45 million people suffering from bipolar disorder, 50 million people experiencing dementia, and 20 million people experiencing schizophrenia. In this study, how to see an increase in the ability to control hallucinations by using the AHRS scale used to measure the score of auditory hallucinations Objective: Determine the results of the application of generalist hallucination therapy with increased ability to control hallucinations with hallucinatory sensory perception disorders Method: The application of generalist therapy was carried out using a case study descriptive method to 2 respondents for 2 consecutive days. The instrument used is the Auditory Hallucinations Rating Scale (AHRS). Results: based on the results of the application that has been carried out, there is a decrease in the symptoms of auditory hallucinations in patients, with a comparison of the final results between the two respondents for the level of auditory hallucinations, namely 29:34. Conclusion: Generalist therapy can be used as an intervention to improve the ability to control hallucinations in patients with auditory hallucination psychiatric disorders.

Old age is one of the risk factors that affect hypertension because the higher the age, the higher the risk of getting hypertension, this is caused by natural changes in the body that affect blood vessels, hormones, heart. by using non-pharmacological treatment, namely the administration of cucumber infused water and acupressure therapy at the point of LI 4 (Hegu) can reduce blood pressure for people with hypertension.  Purpose : This study aims to determine the effectiveness of cucumber infused water and acupressure therapy at the point of LI 4 (hegu) on reducing hypertension in the elderly. Methods: The population in this study was the elderly affected by hypertension with a total of 240 patients. In this study, the sample number was 30 respondents with each intervention group of 15 respondents. The type of this study is quantitative research that uses a two-group pretest-postest experimental model and is analyzed using statistical tests. Results: Based on the results of the study, it can be concluded that the results of the Wilcoxon test data there is an effectiveness between the administration of cucumber infused water and acupressure therapy at the LI4 (Hegu) point against reducing hypertension. With the results of v – palue 0.003 for the results of cucumber infused water against reducing hypertension and p-value 0.002 for the results of giving acupressure therapy at the LI4 point (Hegu) against reducing hypertension. In this study, there was a significant influence before and after intervention and blood pressure measurement was given in the working area of the Karangtengah Health Center. Conclusion : the effectiveness of cucumber infused water intervention and acupressure therapy at the LI4 (Hegu) point for the elderly affected by hypertension in the working area of the Karangtengah Health Center.

Background: Prevalence of patients with mild cedar heads recorded from March to July 2023 in the Emergency Room of RSUD Dr. Moewardi as many as 757 cases, and most of them complained of pain in the head, pain in CKR patients by nurses can be treated with pharmacological and non-pharmacological therapy. Non-pharmacological therapy such as behavioral therapy (relaxation, hypnotherapy, biofeedback). One of the relaxation techniques used is slow deep breathing. Objective: Changes in the application of the Slow Deep Breathing technique to reducing pain scale in mild head injury patients at RSUD Dr. Moewardi. Method : the method used in this application is a descriptive method. In this application, pain scale measurements were carried out using the Numeric Rating Scale both before and after slow deep breathing was carried out. Findings : the results of the implementation that has been done, it was found that respondent I experienced a decrease in the pain scale from a scale of 8 to a scale of 7, respondent II experienced a decrease in the pain scale from a scale of 6 to a scale of 4. Implication : slow deep breathing can reduce the pain scale in patients with mild head injuries at Dr. Moewardi.