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Patients undergoing hemodialysis require effective and adaptive coping mechanisms to manage both the physical and psychological stress experienced during treatment. Inadequate or maladaptive coping strategies may result in physiological disturbances and heightened emotional distress, ultimately reducing the quality of life of patients with chronic kidney disease (CKD). This study aims to analyze the relationship between coping mechanisms and anxiety levels among patients undergoing hemodialysis. The research employed a quantitative approach with a cross-sectional correlational design. A total of 35 respondents were recruited using purposive sampling based on specific inclusion criteria, including diagnosis of CKD and ongoing hemodialysis treatment. The study was conducted in the hemodialysis unit of RSUI Harapan Anda, Tegal, in 2025. Data collection was carried out through structured questionnaires, while statistical analysis utilized the Pearson Chi-Square test. Results indicated a p-value of 0.001 (p < 0.05), confirming a statistically significant association between coping mechanisms and anxiety levels. Patients who employed adaptive coping strategies demonstrated lower levels of anxiety, whereas those relying on maladaptive strategies experienced heightened anxiety. These findings highlight the importance of targeted nursing interventions that focus on strengthening adaptive coping skills to reduce psychological burden. Furthermore, the study emphasizes the need for comprehensive patient education and structured psychosocial support programs to promote resilience, improve coping capacity, and enhance overall psychological well-being in patients undergoing long-term hemodialysis.

Work stress is a prevalent and complex phenomenon frequently encountered by inpatient nurses as a result of the intense physical, emotional, and psychological demands inherent in their professional responsibilities. Nurses are required to deliver high-quality care under conditions of time pressure, emotional strain, and patient diversity, which can increase their susceptibility to stress. Individual factors—including age, gender, marital status, years of service, personality type, and self-assessment—play a crucial role in shaping nurses’ capacity to adapt to these pressures and maintain their performance. This study aims to comprehensively describe the influence of individual factors on work stress among inpatient nurses at RSUP Dr. Sitanala in 2025. Employing a quantitative descriptive design with a cross-sectional approach, a total of 34 inpatient nurses were recruited using total sampling. Data were collected using the NIOSH Job Stress Questionnaire, which measures multiple aspects of job-related stress. The results indicate that younger nurses, those with shorter work tenure, and individuals exhibiting type A personality traits are more vulnerable to experiencing high levels of stress compared to their counterparts. These findings underscore that individual characteristics significantly contribute to variations in work stress levels. The study emphasizes the importance of developing responsive human resource management strategies, such as stress management training, mentoring, and supportive work environments, to strengthen resilience and improve nurses’ well-being. By identifying and addressing these individual factors, healthcare organizations can enhance employee retention, promote patient safety, and ensure sustainable quality of care.

This study was conducted at PT Catur Mitra Sejati Sentosa, where high work pressure was observed due to daily production or sales targets that must be achieved within 8 working hours. Employees who fail to meet these targets are not allowed to leave on time, leading to increased workload and work stress. This condition is suspected to significantly affect employee productivity. The aim of this research is to examine the influence of workload and work stress on employee productivity, both partially and simultaneously. The research uses a quantitative approach with a survey method by distributing questionnaires to 51 respondents. Data analysis was carried out using SPSS version 26 through validity and reliability tests, classical assumption tests, multiple linear regression analysis, t-tests, and F-tests. The findings of the study indicate that workload has a significant effect on employee productivity, as does work stress. Both workload and work stress are positively correlated with lower productivity levels. Moreover, when assessed together, both variables also simultaneously influence productivity significantly. This suggests that the company’s high work pressure, driven by unmet targets, contributes directly to reduced work efficiency and increased stress. Therefore, the company needs to manage workload and work stress effectively, ensuring that work expectations are realistic and that employees are given adequate support to meet these expectations. Optimizing these factors can enhance employee productivity, reduce stress, and improve overall company performance.

Anxiety is an emotional condition that causes feelings of discomfort, helplessness, and uncertainty, often without a clear reason. Among breast cancer (carcinoma mammae) patients, anxiety commonly arises due to treatment processes, physical changes, and uncertainty regarding recovery. Spirituality, which involves belief in God Almighty and connection with transcendental aspects, is believed to help individuals cope with uncertain and challenging situations, including serious illness. This study aimed to determine the relationship between spiritual level and anxiety level among breast cancer patients in Semarang. The research used a quantitative correlational design with a sample of 110 respondents selected through purposive sampling based on inclusion criteria. The instruments employed were the Depression Anxiety Stress Scale (DASS-42) to assess anxiety levels and the Daily Spiritual Experience Scale (DSES) to measure spirituality. Data were analyzed using the Chi-Square test to examine the relationship between variables. The results showed a p-value of 0.000 (p < 0.05), indicating a significant relationship between spirituality level and anxiety level in breast cancer patients. The findings suggest that higher levels of spirituality are associated with lower anxiety levels. Therefore, interventions that support and strengthen spiritual aspects may be effective in reducing anxiety among breast cancer patients. This study recommends that healthcare professionals incorporate spiritual approaches as part of holistic care to improve psychological well-being in patients undergoing cancer treatment.

Turnover intention is widely recognized as one of the earliest indicators of potential employee resignation, which in turn can generate considerable organizational challenges such as increased operational costs, the erosion of organizational knowledge, and declining productivity levels. While a significant body of international research has explored the antecedents of turnover intention, studies that specifically provide a narrative synthesis within the Indonesian workforce context remain scarce. Recognizing this gap, the present study seeks to identify the dominant factors that influence turnover intention in Indonesia by conducting a narrative literature review. The review focused on nine selected articles published between 2018 and 2023 in nationally indexed journals. To ensure rigor, the selection was based on predefined criteria: the articles had to employ empirical designs involving full-time employees, apply quantitative research methodologies, and explicitly examine the relationships between independent variables and turnover intention. The data extracted from the studies were analyzed thematically to identify recurring patterns and dominant themes. The analysis revealed four key factors that consistently shaped turnover intention across the reviewed literature. First, job stress was found to be a critical determinant, where prolonged work pressure and role overload significantly increased employees’ desire to leave. Second, job satisfaction emerged as a central variable, with dissatisfaction related to compensation, recognition, and career development strongly linked to turnover intention. Third, leadership style played an important role, as authoritarian or unsupportive leadership approaches heightened employees’ intention to resign. Finally, the leader’s role in fostering workplace relationships and support systems was identified as a factor influencing employee attachment and loyalty. In conclusion, this study contributes theoretically by mapping the dominant factors of turnover intention within the Indonesian context and highlights their interconnections.

A parenting seminar on maternal and child mental health organized by KPM UI Bunga Bangsa Cirebon students in Pegagan Village is a form of community service aimed at raising awareness and understanding of the importance of mental health in parenting. The limited knowledge of mental health issues in rural communities, coupled with high levels of stress experienced by parents, often negatively impacts parenting practices. This has the potential to hinder optimal child development, both physically, psychologically, and socially. Therefore, this activity was designed with a participatory approach, where the community is not merely an object but is also involved from the beginning of the planning process. This process includes coordination with village officials, seminars, and monitoring and evaluation stages, so that the community feels ownership and plays an active role in the program. The seminar featured speakers from psychology and legal academics who explained the relationship between parental mental health and fulfilling legal obligations to protect children's rights. The material presented emphasized how parental stress and emotions can affect child development, as well as the importance of parents' ability to manage the pressures of everyday life. Participants gained an understanding of strategies for maintaining mental health, including good time management, building open communication within the family environment, and strengthening social support as an emotional support system. The results of the activity showed an increase in participants' awareness of the importance of mental health not only as an individual need, but also as a moral, social, and legal responsibility in creating a healthy, safe, and resilient family environment. Therefore, this parenting seminar can be seen as an effective educational strategy, not only strengthening parents' capacity to raise children but also building sustainable local support networks for the well-being of families and communities.

Job satisfaction is a crucial indicator in achieving optimal employee performance. Satisfied employees tend to be more productive and perform better in their roles. Various factors affect job satisfaction, including career development and work-life balance. Career development provides direction and motivation for employees to reach higher career levels, enhancing their sense of achievement and attachment to their work. Meanwhile, work-life balance plays an essential role in maintaining a balance between work responsibilities and personal life. A good balance helps prevent stress, burnout, and improves overall employee well-being. This study aims to examine the impact of career development and work-life balance on job satisfaction among production employees in the Speaker Department at PT X. The research used a quantitative method with a causal associative approach. Total sampling was applied, involving 71 respondents from the department. Data were collected through direct observation and questionnaires focusing on employees' perceptions of career development and their work-life balance. The collected data were analyzed using SPSS version 23 with various statistical tests, including validity, reliability, classical assumption tests, multiple linear regression, t-tests, f-tests, and the coefficient of determination. The results showed that both career development and work-life balance positively and significantly influence job satisfaction, both partially and simultaneously. These two factors collectively impact the job satisfaction levels of employees in the company. These findings offer strategic insights for human resource management, which can be used to design better policies that support employee satisfaction and performance.

Operationally, subjective well-being can be understood as an individual's assessment of their life experiences, involving affective components in the form of positive and negative emotions, as well as cognitive components. Individuals with subjective well-being experience more positive emotions and fewer negative emotions, and feel satisfied with their lives. One factor that influences subjective well-being is academic resilience. The purpose of this study was to determine the contribution of academic resilience to subjective well-being in final year psychology students at Padang State University. The research subjects were 174 final year psychology students at Padang State University who were taking thesis courses. The research design used was quantitative. Data collection used a non-probability sampling technique. Data were analyzed using simple regression analysis techniques. The analysis results obtained a sig. value of 0.000 (sig <0.05) with an r-square value of 0.550. From the results obtained, it was concluded that there was a contribution of academic resilience to subjective well-being in final year psychology students at Padang State University. The findings of this study strengthen the view that academic resilience is an important aspect in facing complex academic challenges, especially for final year students. Students with high levels of academic resilience tend to be better able to manage stress, maintain motivation, and remain focused on their academic goals despite facing various obstacles such as research difficulties, time pressure, and social demands. This ability directly contributes to increased life satisfaction and the dominance of positive emotions, which ultimately improves students' subjective well-being. Furthermore, the results of this study provide practical implications for universities to consider and develop programs that can improve students' academic resilience. For example, this could include providing counseling services, stress management skills training, and strengthening social support from supervisors and peers.

Trace elements such as copper, zinc, selenium, and chromium play essential roles in various enzymatic reactions, antioxidant defense mechanisms, and overall metabolic regulation, making them crucial for maternal and fetal health. During pregnancy, the demand for these micronutrients increases significantly due to physiological changes and the needs of the developing fetus. Inadequate or excessive levels of these trace elements can lead to altered fetal development and may impact neonatal outcomes immediately after birth. Given the sensitive developmental window of gestation, the intrauterine environment—including micronutrient status—has been hypothesized to influence neonatal physiological parameters such as heart rate, respiratory rate, and Apgar scores, which are commonly used to assess neonatal wellbeing in the early minutes of life. This study attempts to explore the impact of maternal trace element status—specifically copper, zinc, selenium, and chromium—along with selected maternal parameters (BMI, parity, gravida) on indicators of neonatal wellbeing, including heart rate, respiratory rate, and 5-minute Apgar score. A cross-sectional study was conducted in the Delivery Room of the Obstetric Hospital in Al-Diwaniya City, Iraq, involving 50 mother-infant pairs. Data collection occurred from December 1, 2024, to February 10, 2025. Maternal blood samples were analyzed using atomic absorption spectrophotometry to determine serum concentrations of copper, zinc, selenium, and chromium. Neonatal outcomes were assessed via standard clinical evaluations: heart rate and respiratory rate were measured immediately postpartum, and Apgar scores were recorded at five minutes. Statistical analyses included Pearson correlation and multiple linear regression to assess associations between maternal factors and neonatal outcomes. Bivariate and multivariate analyses indicated limited but noteworthy associations. Maternal serum chromium levels were significantly associated with increased neonatal respiratory rate (p = 0.026), suggesting a possible stimulatory or stress-related effect.

This study aims to determine the effectiveness of mindfulness training in reducing academic stress levels in college students. The background of this study is based on the high academic pressure experienced by college students, which can impact mental health, learning motivation, and academic achievement. Mindfulness was chosen as an intervention because this approach focuses on increasing full awareness of the present moment in a non-judgmental manner, which is believed to help individuals manage stress more adaptively. The study population was college students, with a sample of 15 participants selected using a simple random sampling technique. The study was conducted in a psychology laboratory under controlled conditions to minimize confounding factors. The research approach used was quantitative with an experimental design. The academic stress measurement instrument consisted of 31 items compiled based on the theory of Sarafino and Smith, which has been tested for validity and reliability. The research procedure included measuring academic stress levels before and after mindfulness training. Data analysis was carried out using a t-test to examine differences in pre-test and post-test scores, and a correlation test to examine the relationship between mindfulness application and stress reduction. The results showed a significance value of 0.00 (p < 0.05) and a correlation value of 0.991, which means Ha was accepted. These findings indicate a very strong positive relationship between mindfulness training and reduced academic stress levels. Therefore, it can be concluded that mindfulness training is effective in reducing academic stress in college students. The implication of this study is the need for higher education institutions to consider mindfulness training programs as a preventive and curative intervention strategy to maintain student mental health, enabling them to face academic demands more healthily and productively.

Background: Urinary catheter insertion is an invasive medical procedure that often causes pain due to friction between the catheter and the urethra. This pain can lead to discomfort and stress for the patient. Based on initial observations in the Emergency Department (ED) over a period of three days, it was found that all patients undergoing urinary catheter insertion complained of pain. As an alternative pain management approach, one non-pharmacological method that can be used is a combination of Quranic murotal therapy and deep breathing relaxation techniques. This therapy is chosen because it is believed to have a calming effect and can reduce the perception of pain without the need for medication. Objective: This study aims to determine the difference in pain levels before and after the application of the combination of Quranic murotal therapy with deep breathing relaxation techniques during urinary catheter insertion in the ED. Method: This research uses a descriptive case study design involving two respondents. Both patients received an intervention consisting of Quranic murotal therapy played during the procedure, accompanied by instructions to practice deep breathing relaxation techniques. The therapy was applied during the urinary catheter insertion to assess changes in pain levels experienced by the patients. Results: The results showed that the pain level of the first respondent decreased from moderate pain to mild pain after the intervention. The second respondent experienced a reduction in pain from severe to moderate after the combined therapy was applied. Both respondents reported improved comfort after the therapy. Conclusion: The combination of Quranic murotal therapy with deep breathing relaxation techniques was proven effective in reducing pain levels in patients undergoing urinary catheter insertion in the ED. This therapy can serve as a beneficial non-pharmacological alternative for reducing pain during invasive medical procedures.

This study was conducted at Family Pharmacy in Pekanbaru City with the objective of examining the relationship between emotional intelligence and work stress, as well as their combined effect on employee performance. The research population consisted of all 150 employees in the production department. Using the Slovin formula, a sample of 60 respondents was selected through accidental sampling. Data collection was carried out via an online questionnaire distributed through Google Forms. The analytical methods employed were correlation analysis to assess the relationship between variables and multiple linear regression to measure their simultaneous influence on performance. The results indicated a negative relationship between emotional intelligence and work stress, meaning that employees with higher emotional intelligence tended to experience lower levels of work stress. Furthermore, when examined together, emotional intelligence and work stress had a significant impact on employee performance. Specifically, these two variables contributed 47.4% to the variance in performance, while the remaining 52.6% was influenced by other factors not addressed in this study. The findings highlight the importance of emotional intelligence as a critical factor in managing workplace stress and enhancing performance, especially in the pharmaceutical industry where precision, cooperation, and adaptability are essential. Improving employees’ emotional intelligence may serve as a strategic approach to reducing work-related stress and fostering better performance outcomes. Organizations are therefore encouraged to invest in training and development programs that emphasize emotional regulation, empathy, interpersonal skills, and effective communication. Future research should consider incorporating additional variables such as work motivation, organizational culture, leadership style, and job satisfaction to gain a more comprehensive understanding of the determinants of employee performance. Expanding the research scope to different departments and industries could also provide broader insights into how emotional intelligence and work stress interact across diverse work settings.

Exclusive breastfeeding coverage remains a challenge in several areas, including Bojongkerta Village, within the Cipaku Community Health Center (Puskesmas) jurisdiction, South Bogor District, Bogor City. Lack of knowledge, high levels of stress during breastfeeding, and minimal family support are often major obstacles to successful exclusive breastfeeding. One approach that can be applied to address these issues is hypnobreastfeeding, a relaxation technique combined with positive affirmations to support mothers' readiness to breastfeed. The objective of this activity is to increase the capacity of breastfeeding mothers in exclusive breastfeeding through community-based hypnobreastfeeding training, which also involves Posyandu RW 1 cadres as the main supporting partners of the activity. The method used in this activity involves three stages: first, education and training in hypnobreastfeeding techniques for breastfeeding mothers; second, practical mentoring by lecturers involving students from the Midwifery Diploma Three Program at Ummi University Bogor; and third, evaluation of results through knowledge measurement and observation of breastfeeding practices. A total of 10 breastfeeding mothers and 4 Posyandu cadres participated in this activity. The evaluation results showed an increase in understanding of the benefits of exclusive breastfeeding and a positive change in attitudes towards breastfeeding practices. Furthermore, the active involvement of Posyandu cadres is expected to strengthen ongoing support at the community level. In conclusion, the hypnobreastfeeding training had a positive impact on empowering breastfeeding mothers and strengthening the role of Posyandu cadres as supporters of the exclusive breastfeeding program at the community level. This program also has the potential to expand the reach of education about exclusive breastfeeding and increase the success of sustainable exclusive breastfeeding in the community.

The first year of college is a critical transition period that can affect students’ motivation, stress levels, and risk of dropping out. This study aimed to determine the effect of psycho-education focusing on self-awareness on the social adaptability of 2024 Diploma III Nursing students. A quantitative quasi-experimental design with a one-group pretest-posttest approach was applied. The population consisted of 190 students, with 20 participants selected through purposive random sampling. The intervention involved eight 60-minute psycho-educational sessions designed to help students recognize, understand, and reflect on their emotions, thoughts, and behaviors in social contexts. The program was conducted from March 28 to May 3, 2025. Social adaptation was measured using the SACQ questionnaire, which demonstrated high reliability (Cronbach’s Alpha = 0.877). Results from the paired t-test revealed a significant difference between pretest and posttest scores, with a p-value of 0.000 (p < 0.05) and an average score increase of -12.050. These findings indicate that self-awareness interventions positively influence social adaptability, enabling first-year students to build relationships, adjust to new cultures, and face academic and social challenges more effectively. The study recommends implementing psycho-education programs as part of campus initiatives to strengthen social adaptation skills and provide preventive support for first-year students.

Background: Anxiety before childbirth is a psychological disorder often experienced by pregnant women, especially in the third trimester of pregnancy. Fear of pain, worry about the condition of the fetus, and uncertainty about the delivery process are the main triggering factors. If not handled properly, this anxiety can have serious consequences, such as increased stress hormones (cortisol), sleep disorders, high blood pressure, and even labor complications. Therefore, interventions are needed that not only focus on physical aspects, but also support mental and emotional balance. Objective: The purpose of this activity is to provide education and practical training to pregnant women on anxiety management before childbirth through the application of complementary therapies, and to evaluate the effectiveness of this approach in increasing the readiness and calmness of participants. Method: The activity was carried out at PMB Lismarini, Tulungagung, involving 20 pregnant women in their third trimester. Education was carried out interactively using visual media and group discussions. Next, participants participated in the practice of three types of complementary therapies: (1) deep breathing relaxation with diaphragmatic breathing techniques, (2) aromatherapy using lavender as a relaxation agent, and (3) classical music with a slow rhythm played during the session. Results: This activity showed positive results. Eighty-five percent of participants experienced an increase in knowledge scores after the educational session, and 60% showed a significant decrease in anxiety levels based on questionnaire results. Most participants also reported feeling calmer, more prepared, and more confident in facing childbirth. The satisfaction rate with the activity reached 90%, indicating that the methods implemented were well-received by participants. Conclusion: Complementary therapy combined with education is effective in helping pregnant women manage anxiety before childbirth. This activity emphasizes the importance of a holistic approach to antenatal care.

Background: Anxiety before childbirth is a psychological disorder often experienced by pregnant women, especially in the third trimester of pregnancy. Fear of pain, worry about the condition of the fetus, and uncertainty about the delivery process are the main triggering factors. If not handled properly, this anxiety can have serious consequences, such as increased stress hormones (cortisol), sleep disorders, high blood pressure, and even labor complications. Therefore, interventions are needed that not only focus on physical aspects, but also support mental and emotional balance. Objective: The purpose of this activity is to provide education and practical training to pregnant women on anxiety management before childbirth through the application of complementary therapies, and to evaluate the effectiveness of this approach in increasing the readiness and calmness of participants. Method: The activity was carried out at PMB Lismarini, Tulungagung, involving 20 pregnant women in their third trimester. Education was carried out interactively using visual media and group discussions. Next, participants participated in the practice of three types of complementary therapies: (1) deep breathing relaxation with diaphragmatic breathing techniques, (2) aromatherapy using lavender as a relaxation agent, and (3) classical music with a slow rhythm played during the session. Results: This activity showed positive results. Eighty-five percent of participants experienced an increase in knowledge scores after the educational session, and 60% showed a significant decrease in anxiety levels based on questionnaire results. Most participants also reported feeling calmer, more prepared, and more confident in facing childbirth. The satisfaction rate with the activity reached 90%, indicating that the methods implemented were well-received by participants. Conclusion: Complementary therapy combined with education is effective in helping pregnant women manage anxiety before childbirth. This activity emphasizes the importance of a holistic approach to antenatal care.

This study aims to examine the influence of academic stress and self-regulation on academic procrastination among students at SMK Negeri 48 Jakarta. Academic procrastination is a behavior commonly observed among vocational students who are required to balance both theoretical learning and practical skills development. The research employed a quantitative approach using a correlational survey method. A total of 289 students from tenth and eleventh grades, representing six vocational programs, were selected through proportional random sampling. Data were collected through structured questionnaires utilizing a Likert scale and analyzed using multiple linear regression with SPSS version 22. The findings of this study revealed that academic stress has a positive and significant effect on academic procrastination, with a regression coefficient of 0.224 and a t-value of 8.668 (p < 0.05). This indicates that higher levels of academic stress are associated with greater tendencies to procrastinate. In contrast, self-regulation was found to have a negative and significant effect on academic procrastination, with a regression coefficient of -0.351 and a t-value of 7.943 (p < 0.05), suggesting that students with stronger self-regulation skills are less likely to engage in procrastination. Furthermore, the simultaneous influence of academic stress and self-regulation on academic procrastination was significant, as evidenced by an F-value of 64.765 (p < 0.05). The coefficient of determination (R²) was 0.644, indicating that 64.4% of the variance in academic procrastination can be explained by the two independent variables. These results underscore the critical role of stress management and the development of self-regulation abilities in mitigating academic procrastination among vocational school students. Educational interventions focused on reducing stress levels and enhancing self-regulatory behaviors may serve as effective strategies to promote better academic outcomes and reduce counterproductive procrastination habits.

Teachers frequently encounter heavy workloads, which can reduce job satisfaction. While various research have looked at this link, the function of job motivation as a deciding factor has not been thoroughly investigated. This systematic literature review seeks to investigate how motivation of work affects the relationship between workload with job satisfaction in teachers. Using the PRISMA framework, a thorough search was undertaken across major academic databases such as Crossref, Semantic Scholar, and Google Scholar, focused on publications published between 2015 and 2025. Inclusion criteria were peer-reviewed publications on motivation, workload, and job satisfaction in the context of school teacher. A total of 12 relevant studies were examined thematically. The data show that a high workload typically affects job satisfaction, although this impact can be mitigated or modulated by internal and extrinsic motivating variables. Teachers with higher levels of intrinsic motivation were more tolerant to workload-related stress and reported higher levels of satisfaction. This review emphasizes the necessity of improving motivating tactics in educational institutions in order to increase teacher well-being. More study is needed to investigate contextual variables including school culture and teacher tenure.

Pregnancy is one of the most important stages in a woman's life, accompanied by various physiological, psychological, and social changes. This period not only affects the mother's health but also plays a crucial role in the growth and development of the fetus. To adapt to these changes, a holistic approach is needed to support the physical and mental health of pregnant women. One form of non-pharmacological intervention that is increasingly gaining popularity is prenatal yoga. Prenatal yoga is an adaptation of classical yoga tailored to the physical condition of pregnant women, with movements performed in a gentler and slower manner. The core principle of prenatal yoga is the application of breathing techniques performed with full awareness. Prenatal yoga exercises are known to improve the health of pregnant women. This study aims to examine the effects of prenatal yoga on reducing stress levels in pregnant women through an analysis of relevant literature. The results indicate that prenatal yoga is effective in reducing stress levels, improving posture, and providing relaxation benefits for the mental health of pregnant womenPrenatal Yoga

Sectio caesarea is one of the surgical delivery methods performed when normal delivery is not possible. Although this procedure is considered safe, prospective patients often experience high stress due to fear of surgery, interventions such as religious music therapy that have spiritual value can calm emotions. This study aims to determine the effect of religious music therapy on stress levels in pre-section caesarean patients at RSUD dr. Tjitrowardojo Purworejo. This study used a quasi-experimental design with a non-randomized control group pretest-posttest design approach. The study sample was 30 patients who were divided into two groups, namely 15 people as the intervention group and 15 people as the control group. The research instruments were music therapy and stress level questionnaires. To analyze the data, the Wilcoxon Signed Rank Test and the Mann-Whitney Test were used.. The results showed a significant decrease in patient stress levels after listening to religious music. The average stress score before the intervention was higher than after the intervention, and the statistical test showed a p value <0.05, which means that religious music therapy has a significant effect on reducing stress. Religious music therapy can reduce stress levels in pre-cesarean section patients. This intervention can be used as part of anesthesia maintenance to improve patient comfort and mental readiness before surgery.