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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.

Labor pain refers to sensory and emotional experiences since the early phase of laboring. One of the indications is continuous and progressive contraction. This matter causes enormous pain in the first active phase. Pain without management may influence the delivery process. Thus, pain management is important to relieve the pain. The administration of peppermint aromatherapy and acupressure therapy on the L14 point, the hegu point, could relieve the labor pain. This research determined the influence of peppermint aromatherapy and the L14 acupressure point, the high point, toward the labor pain of mothers with the first active phase at SMC Telogorejo. This quasi-experimental research applied a pretest-posttest deign without a control group. The applied sampling technique was consecutive. The obtained samples were 31 respondents. 28 respondents were aged between 20 and 35 years old, 90.3%. Respondents with multipara status were 20 respondents, 64.5%. Most respondents graduated from high educational levels, with 26 respondents (83.9%). the respondents also mostly worked, 17 respondents (54.8%). The Wilcoxon test obtained a p-value of 0.000 ≤ 0.05. The results showed peppermint aromatherapy and L14 acupressure, the hegu, could relieve the pain level of mothers with the first active phase. The researcher expects future researchers to calculate the duration of the managed pain after the intervention.

Herpes zoster (HZ) or shingles is clinically manifested by the reactivation of endogenous latent infection of the varicella zoster virus (VZV) in the dorsal roots of sensory fibers and cranial or autonomic nerve ganglia. This reactivation occurs after the primary infection when decrease of immune system. A case of a 78-year-old patient came with eritematous fluid-filled vesicle, burning pain on the left side of her face. This patient was given non-medical therapy such as education on maintaining hygiene, do not scratching the lesions and 0.9% Nacl compresses on the vesicle area. Medical therapy was given topical and systemic therapy.  

Sectio caesarea (SC) is a surgical procedure performed to give birth to a baby. Caesarean sectio action can cause anxiety in preoperative mothers. Anxiety can cause discomfort, so therapy is needed to reduce anxiety levels. Giving lavender aromatherapy and lullaby classical music can reduce anxiety. This study aims to determine the effect of lavender aromatherapy and lullaby classical music on the anxiety level of preoperative sectio caesarea mothers at SMC Telogorejo Hospital. This type of research is a quasi experiment with a pretest-posttest design without a control group design, the consencutive sampling used is accidental, with a total sample of 40 respondents. The characteristics of the respondents were obtained by all respondents aged 20-30 years by 40 (100%), tertiary education by 30 respondents (75%), primigravida 21 respondents (52.5%). Wilcoxon test results, obtained a p-value of 0.000. So it can be concluded that giving lavender aromatherapy and lullaby classical music can reduce the level of anxiety in preoperative sectio caesarea mothers. For future research, it is expected to pay attention to the duration and the most effective time to reduce anxiety levels after being given an intervention.

Background : The number of elderly in RSUD dr. Soediran Mangun Soemarso in April there were 48 people, while in the Anyelir ward itself there were 37 people. Over time, complaints that appear in elderly people who have had a stroke are sudden facial weakness, sudden feeling of confusion, difficulty speaking, nausea, sudden vomiting and numbness or tingling. Objective : To find out the results of implementing rubber ball handheld therapy on muscle strength in stroke patients. Method : This type of research uses a descriptive method with a case study approach. Findings: The muscle scale before hand-held rubber ball therapy in stroke patients was 3, and the muscle scale after hand-held therapy in stroke patients was 4. Implication There are differences in development before and after being given hand-held rubber-ball therapy in the elderly who have had a stroke, namely experienced an increase in motor muscle strength in elderly patients.

Background: The prevalence of extreme pain in medical and surgical patients admitted to the Intensive Care Unit (ICU) is more than 80.0%. One of the nonpharmacological therapies that can be used to control pain is the distraction technique with music therapy, where this application uses gamelan music therapy. Objective: To determine the results of the implementation of gamelan music therapy to reduce postoperative pain intensity in the Intensive Care Unit of Pandan Arang Hospital Boyolali. Method: The design used in this application is using a descriptive case study approach. Application is carried out for 30 minutes 2x a day in 4 consecutive days. Findings: Comparison of the final results of application showed that on the 4th day after the implementation of the VDS scale the two respondents were the same, namely on the pain scale 3. The results of the CPOT scale on the 4th day of Mrs. W after implementation are a scale of 4. The results of the CPOT scale on the 4th day of Mrs. S after implementation are a scale of 3. Implication: From the final results of the application before and after it can be concluded that gamelan music therapy can reduce the intensity of pain in postoperative patients in the ICU of Pandan Arang Hospital Boyolali.  

Hospitalization is a form of stressor in children that lasts as long as the child is hospitalized, hospitalization becomes a crisis that must be faced by children. Feelings of anxiety are the impact of hospitalization experienced by pre-school children. This impact has the risk of interfering with child development and the healing process in children. To reduce children's anxiety, we need a media that can express anxiety, one of which is play therapy. Forms of games that are suitable for children aged 3-6 years are coloring pictures. The purpose of this application is to find out the results of applying play therapy to reducing anxiety due to hospitalization. The application method was carried out using a case study descriptive method to 3 respondents and the coloring play therapy was carried out once in 30 minutes. The results of the application that has been carried out are a decrease in anxiety due to hospitalization. The conclusion in this study is that coloring play therapy can be used as a technique to reduce feelings of anxiety in preschool children due to hospitalization.

ARI is an acute respiratory infection that affects one or more parts of the respiratory system. The high prevalence and risk factors in the prescription of ARI patients need to be considered in the completeness of the prescription and the provision of appropriate drugs to increase the effectiveness of treatment therapy. The purpose of this study was to determine the suitability of prescribing ARI patients aged 0-12 years administratively, pharmaceutically, and clinically based on PMK No. 72 of 2016. This type of research is descriptive observational and retrospective data collection. The sample used was the prescription of ARI patients at Bendan Hospital who met the inclusion criteria for the period April-May 2023, totaling 25 prescription sheets. The sampling technique used total sampling technique. The results showed that in administrative aspects including patient name, gender, age, address, doctor's name, SIP, telephone number, doctor's address, doctor's signature, prescription date was fulfilled 100% and body weight was fulfilled 92%. The pharmaceutical aspects include the name of the drug, dosage form, dosage strength, drug dosage, amount of drug, rules of use and how to use are fulfilled 100%. Clinical aspects include 100% indication accuracy, 100% dose accuracy and 52% drug interactions. It can be concluded that the suitability of prescribing ARI patients for children aged 0-12 years is administratively 100%, pharmaceutically 92%, and clinically 48%.                                       

Background: Skizofrenia is a mental disorder where the prevalence is actually small, affecting about 1% of the world's population. In Central Java alone, there are 8.7% of the population who have schizophrenia, this is one of the fifth highest number of professions. Planting occupational therapy aims to minimize the patient's interaction with his unreal world, bring out thoughts, feelings, or emotions that have influenced unconscious behavior, provide joy, entertainment, and distract the patient from the hallucinations he is experiencing so that the patient's mind is not focused on his special hallucinations. in patients with auditory hallucinations (Yuniar N.S et al., 2019). Objective: To find out the results of the implementation of the application of occupancy therapy to control the level of hallucinations. Method: The method used in this application is descriptive with a case study research design totaling 2 respondents, the research instrument is the AHRS questionnaire observation sheet. Findings Before being given occupational therapy, Mrs. G was planted in the category of moderate hallucinations and Mrs. M was in the category of severe hallucinations. After being given occupational therapy, planting for 6 times, Mrs. G was in the category of mild hallucinations and Mrs. M was in the category of moderate hallucinations. Implication:  Planting Occupational Therapy has an effect on controlling the level of hallucinations in patients with auditory hallucinations.

Background: Schizophrenia is a common health problem worldwide, around 70% of people suffering from schizophrenia experience auditory hallucinations. Auditory hallucinations are where patients feel that they can hear voices without a sound source. This situation causes the patient's inability to perceive reality accurately. One of the nursing interventions performed for auditory hallucinations is perceptual stimulation group activity therapy. Method: The method used in this application is descriptive with a case study research design, research subjects totaling 2 respondents, sheet research instruments observation that is AHRS . Findings: There were differences in scores before and after being given Group Activity Therapy (TAK), namely a decrease in the hallucination level score on Mr. F and Mr. W. Implication: Based on the results of the study, it was found that there was an effect of Group Activity Therapy (TAK) in controlling auditory hallucinations in schizophrenic patients after being given Group Activity Therapy (TAK) for 2 applications. In addition to providing Group Activity Therapy (TAK), the patient's recovery or stability is also supported by continued treatment and rehabilitation.

Background: Blood pressure is an important indicator in assessing the cardiovascular system and the performance of a person's body so it is necessary to know that someone has hypertension. There are 1.28 billion adults with hypertension in the world in 2021 who suffer from hypertension. While the number of patients in the ICU who suffered from hypertension in the last 1 year was 140 patients. Based on these conditions, management is needed to reduce blood pressure by providing Foot Massage intervention. Objective: To find out the results of the implementation of giving Foot Massage on Lowering Blood Pressure in Hypertensive Patients in the ICU Room at PKU Muhammadiyah Karanganyar Hospital. Method : This type of research is a case study of foot massage in hypertensive patients. Results: The results of the implementation of Foot Massage found a decrease in blood pressure in both rospenden Mr. M from 145/90mmHg to 125/80mmHg, and Mrs. W 159/100mmHg to 130/90mmHg Conclusion: There are differences in blood pressure in hypertensive patients after Foot Massage therapy at PKU Muhammadiyah Karanganyar Hospital.

Hypertension is the main cause of death from cardiovascular diseases such as heart attacks, strokes and heart failure. The prevalence of hypertension is increasing rapidly in many countries, placing a large health burden on the health care system and increasing the risk of cardiovascular disorders in this population. The process of implementing community service to the community is carried out in several stages. Activities include checking blood pressure, health education and health consultations. Participants who took part in community service activities were mostly women (76%) with an age range between 45-60 years (68%), the highest education level was junior high school (42%), and people with hypertension level 1 (74%). Community knowledge about hypertension complementary therapy has increased significantly after being given counseling. Hypertension sufferers are advised to consume ginger and mint decoction and check themselves regularly at the nearest health facility.

Background: Hypertension or high blood pressure is when the systolic pressure is more than 140 mmHg and the diastolic blood pressure is more than 90 mmHg. WHO data (2015) shows that around 1.13 billion people in the world have hypertension. The number of people with hypertension continues to increase every year, it is estimated that every year 20.44 million people die from hypertension and its complications. Non-pharmacological management to lower blood pressure can be done independently and naturally, namely foot hydrotherapy (warm foot bath). Foot soaks can be combined with other herbal ingredients, one of which is ginger. Objective: To determine the effect of soaking feet with warm ginger water in lowering blood pressure in hypertensive patients. Method: The application was carried out using a descriptive method in the form of a case study to 2 respondents with hypertension in the form of a pretest-posttest. The application is carried out within two days for 15 minutes by sitting on a bed or chair and then soaking the feet in a basin containing warm red ginger water with a water temperature of 37°C. Findings: Based on the results of the application of warm red ginger water foot soak therapy is decrease in blood pressure in elderly patients with hypertension, namely 160/100 mmhg and 150/100 mmhg. Implications: warm red ginger water foot soak therapy can be used as a non-pharmacological technique or independent intervention in elderly patients with hypertension

This at finding out the types of language disorders and finding out the kinds of language therapy given to the main character of Tyson’s Run movie. The data was taken from the Tyson’s Run movie. The method used in collecting the data was documentation and note-taking of the utterances of the main character. In presenting the data analysis, descriptive qualitative methods were utilized to address the problems of this study. Following the data collection, the mixed method and reducing technique were used in analyzing the data in this study. The theory applied in this study is the theory of language disorder proposed by Carroll (2008), and the theory of language therapy proposed by Beukelman (2013), Scarpa (2013), and Adams (2005).  Considering the outcomes of this study, the main character, Tyson Hollerman experiences two types of language disorder, namely expressive and receptive language disorder. From this study, there were 15 data found which indicated the presence of language disorders in Tyson. The 15 data consist of 8 data as expressive disorders and 7 data found as receptive language disorders. Furthermore, based on Tyson’s condition, he was provided with various types of language therapies such as Cognitive Behavioral Therapy, Augmentative and Alternative Communication (AAC) and Pragmatic Language Therapy to address his language disorder.

Diabetes mellitus is a frequently encountered degenerative disease. Indonesia, being one of the most populous countries, experiences a notable increase in the global prevalence of diabetes mellitus. Type 2 diabetes mellitus constitutes the most prevalent form, with approximately 90-95% of diabetics falling into this category. Notably, patient compliance in Indonesia falls short of meeting the recommended glycemia target. The root cause of this non-compliance is linked to a lack of understanding among individuals with diabetes mellitus regarding the purpose of therapy, leading to a lack of awareness about potential complications. This research aims to explore the connection between patient characteristics and adherence to medication in Type 2 diabetes mellitus patients at the Tiban Baru Health Center in Batam City. Employing a descriptive correlation approach with a prospective cross-sectional research design, the study utilized purposive sampling, including 92 patients meeting the inclusion criteria. Data collection involved the administration of a compliance questionnaire (MMAS). The study's conclusion reveals a significant association between job characteristics and medication adherence in Type 2 diabetes mellitus patients, evidenced by a p-value of 0.046. Conversely, factors such as gender, age, education, duration of suffering, and comorbidities were not found to be correlated with medication adherence (p-value > 0.05). It is anticipated that healthcare professionals at the Tiban Baru Health Center will impart accurate information to patients, enhancing their awareness of the potential complications associated with diabetes mellitus.

Diabetes mellitus is a metabolic disorder in which the pancreas does not produce enough insulin and is characterized by hyperglycemia. Tests to diagnose diabetes include fasting blood sugar (FBS), random blood sugar (RBS) , blood sugar 2 hours after eating (GD2PP) and glycated hemoglobin (HbA1C). Purple sweet potato is a non-pharmacological therapy that has a high fiber content, low glycemic index carbohydrates. Dietary foods containing antioxidants, including anthocyanins, can protect pancreatic β-cells from glucose-induced oxidative stress. Administration of purple sweet potato extract can protect pancreatic β-cells from the harmful effects of free radicals. Study shows that purple sweet potato have different glucose level according to how the sweet potato being processed which is  boiled, steamed, grilled and fried purple sweet potato, namely 3.30%, 4.92%, 7.72%, and 7.36%, respectively. So it can be concluded that the lowest glucose content was obtained from the boiled purple sweet potato sample. Anthocyanins that found in purple sweet potatoes (Ipomoea batatas poiret) contain substances  that can control blood sugar levels, thus preventing insulin resistance in people with diabetes mellitus. The purpose of this program for the resident of Kavling Senjulung RT 02 RW 09 is to know  about non-pharmacological prevention of diabetes and start applying it to control blood sugar for people with diabetes mellitus. The implementation method was carried out by providing education related to purple sweet potato processing and demonstrating how to process it and perform medical examination including  blood pressure and random blood sugar (RBS) .  

Background: Diabetes Mellitus is called the silent killer, because this disease causes various kinds of complaints and can attack all organs of the body. In Southeast Asia, people with Diabetes Mellitus in Indonesia are ranked 3rd with a prevalence of 11.3%. There are four pillars of diabetes mellitus control including physical activity, diet, pharmacological interventions, and education. Of the four pillars, physical activity is the most effective therapy to prevent blood sugar levels from remaining normal. Physical activities recommended for people with Diabetes Mellitus include walking, cycling, gymnastics and jogging. Purpose:  The purpose of this literature review is to determine the effect of non-pharmacological diabetes mellitus therapy on blood sugar levels.Methode: In the search for data sources the article is carried out through the databases Google Scholar, Publish or Perish and Mendeley. Inclusion of study design using Literature Review. Results: The results of the literature review analysis there are 12 journals that ha stated or the alternative hypothesis is accepted. Conclusion:  So it can be concluded that there is an influence of non-pharmacological therapy (diet and physical activity) diabetes mellitus on blood sugar levels. The effect of physical activity therapy on a decrease in blood sugar levels by 66.6%. And the effect of dietary therapy on reducing blood sugar levels by 33.3%. 

Uncontrolled diabetes could lead to serious complication. Diabetes therapy consists of four pillars where nutrition education is very important in managing the disease. Objective : To analyze the effect of nutrition education (Diabetes’ four pillars management) through android mobile application on the knowledge of Diabetes’ four pillars management in patients with DMT2. Method : A quasi experiment research with a pretest posttest control group design. Twenty-six participants were selected by simple random sampling method. Data were collected based on identity and knowledge which were done by interviewing with questionnaires. Changes on knowledge levels were determined by Mann Whitney test. Result : There were significant changes on knowledges related to diabetes (p=0.034), medical nutrition therapy (p=0.008) and physical exercise (0.014) between intervention and control groups, and there was an increase in pharmacological therapy knowledge but we did not observe any significant differences between intervention and control group (p=0.976). Conclusion : Nutrition education (Diabetes four pillars management) through android mobile application can increase knowledge of diabetes, medical nutrition therapy and physical exercise

Insomnia is one of the most common diseases in modern society, with its characteristics being difficulty sleeping at night or failure to maintain effective sleep after sleep. Conventional treatments for existing insomnia have undesirable effects when used for a long time. Treatment with acupuncture and herbs can be used as an alternative and complementary therapy in the treatment of insomnia. Research purposes to determine the effect of a combination of acupuncture and herbal therapy Bai Zi Yang Xin Tang  on client insomnia with heart and kidney disharmony syndrome at Yayasan Dharma Warga Surabaya. Research methods is one group pre-test and post-test design. Respondents in the study amounted to 14 people received acupuncture therapy at point (Feng Chi, An Mian, Bai Hui, Si Shen Cong, Shen Men, Nei Guan, Zu San Li, San Yin Jiao, Tai Xi, Tai Chong) and consumed Bai Zi Yang Xin Tang. The average length of sleep for respondents before therapy was 3.75 ± 0.47 hours and after therapy 6.0 ± 0.65 hours (p < 0.05). The combination of acupuncture and  Bai Zi Yang Xin Tang for insomnia with heart and kidney disharmony syndrome can increase the patient's sleep duration after therapy.