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Background: Diabetes Mellitus is a significant cause of morbidity and mortality today. The risk of death on diabetes mellitus patients due to its complication is steadily increasing. A low level of knowledge about diabetes mellitus complications influences the behavior and prevention of further complications. A routine blood glucose control is an important prevention of diabetes mellitus complication, especially on patients with insulin therapy. Purpose:This descriptive study aimed to describe the knowledge about signs and symptoms of hypoglycemia among diabetes mellitus patients in the Public Health Centre of I East Denpasar. Methods: This was a descriptive study conducted in the Public Health Centre of I East Denpasar. There were 72 diabetes mellitus patients chosen by the purposive sampling technique that participated in this study. The Knowledge Attitude Practice (KAP) questionnaire employed to collect the participant's knowledge about hypoglycemia. Results: Statistical analysis showed that 69.4%, 25%, and 5.5% of participants were having a moderate, good, and poor level of knowledge, respectively. Conclusion: The majority of diabetes mellitus patients in the Public Health Center of I East Center Denpasar was having a moderate level of knowledge about the signs and symptoms of hypoglycemia (64.9%). ABSTRAK Latar Belakang :. Diabetes Mellitus merupakan salah satu masalah kesehatan utama yang menyebabkan kecacatan dan kematian. Peningkatan angka kematian pada diabetes mellitus disebabkan pasien mengalami komplikasi karena pengetahuan pasien tentang Penyakit DM berdampak pada perilaku dan pola pencegahan komplikasi lanjutan, salah satu upaya penanganan yang dilakukan pasien DM adalah dengan pengendalian kadar glukosa darah secara rutin dan komplikasi Diabetes Mellitus yang menjalani terapi obat khususnya terapi insulin. Tujuan: Untuk mengetahui Gambaran Pengetahuan Pasien DM Tentang Tanda dan Gejala Hipoglikemi di Puskesmas I Denpasar Timur. Metode : Penelitian ini menggunakan metode penelitian deskritif. Tempat penelitian dilaksanakan di Puskesmas 1 Denpasar Timur. Cara pengambilan sampel secara purposive sampling dengan jumlah sampel 72 orang dan cara pengumpulan data dengan pengisian kuesioner KAP (Knowledge Attitude Practice). Hasil : Hasil penelitian ini didapatkan bahwa sebagian besar memiliki tingkat pengetahuan cukup sebesar (69.4%), Baik (25%), Kurang (5.5%). Simpulan : Berdasarkan hasil dari gambaran pengetahuan pasien DM tentang tanda dan gejala hipoglikemi Puskesmas 1 Denpasar Timur memiliki tingkat pengetahuan Cukup sebesar (69.4%)

Hypertension is a chronic condition that results in an increase in blood pressure. Hypertension can cause headaches, headache is pain in the head that causes discomfort. One way to overcome them is by massage. The purpose of this case study is to describe the application of massage from shoulder to head to the level of headache in hypertensive patients. The method used is descriptive research. This research was conducted on 2 subjects. The subjects of this study were hypertension patients with criteria of being willing to be respondents, stage 1 hypertension with mild headaches, age 40 years and above. Analysis of the level of headache was done descriptively and measured based on the Numeric Rating Scale. The results of the analysis showed a decrease in the level of headache after the intervention. In subject I mild headache with a scale of 3 to scale 1 and subject II of mild headache with a scale of 3 became a scale 1. Conclusion that massage from the shoulder to the head is effective for reducing headaches, especially in hypertensive patients who experience headaches. Recommendations for nurses can apply massage therapy to reduce the level of headache in hypertensive patients

Hypertension is an increses of blood pressure which  the systolic pressure is above 140 mmHg and the diastolic pressure is above 90 mmHg. SEFT therapy includes mind-body relaxation techniques that combine the body's energy system (energy medicine) and spiritual therapy with the tapping method at certain points on the body along the 12 energy pathways (energy meridians) of the body. The purpose of the case study was to describe the effect of SEFT therapy on the reduction of blood pressure in hypertension patients at Ungaran Regional General Hospital. The case study method used is a descriptive case study. The case study subjects were used as many as two people and had blood pressure above the normal limit. The data are obtained by observing and measured using a sphygmomanometer before and after therapy. The results of the case study show that the blood pressure of subject I decreases from 140/100 mmHg to 130/90 mmHg, while the blood pressure of subject II decreases from 150/110 mmHg to 140/100 mmHg. The conclusion of the case study is that the application of SEFT therapy is effective for reducing the blood pressure in patients with hypertension. For the development of nursing science and technology we suggest that to be able to apply SEFT therapy together with medical therapy in hospitals.

Elderly is an end stage in the span of human life. Age that is not young makes the elderly vulnerable to degenerative diseases such as insomnia. Insomnia is a condition where a person has difficulty sleeping, especially sleeping at night. Foot soak therapy is a therapy using warm water which aims to overcome insomnia. The purpose of this case study is to describe the application of foot bath therapy with warm water to insomnia in the elderly. This type of research belongs to descriptive using the case study approach method. The subjects used were two respondents with criteria for elderly who were over 60 years old and experienced mild, moderate and severe insomnia. The form of intervention was the application of foot soak therapy with warm water for 2 days. The measuring instrument used was an insomnia rating scale questionnaire. The results of the case study showed that there was a decrease in the score of insomnia after doing foot bath therapy with warm water, proven in subject I from a score of 28 (weight) to a score of 25 (mild) and in subject II from a score of 26 (mild) to a score of 24 (mild).

Hypertension is an increase in blood pressure above 140/90 mmHg. One of the causes of hypertension that is difficult to control is stress which can worsen the client's condition so that it is needed to handle through stress management. Zikir relaxation therapy is one of the relaxation therapies with an elemental approach to spirituality that is useful for reducing stress. The purpose of this case study is to illustrate the application of Zikir Relaxation Therapy to stress on clients with essential hypertension in the area assisted by the Rowosari Health Center Semarang. This type of research is descriptive using the case study approach method. The subjects used were two respondents with the criteria of clients with essential hypertension, level I-II hypertension, and moderate stress levels. The form of intervention is the application of Zikir relaxation therapy 4 times in 2 weeks (twice a week). The analysis is used to determine the stress level using the DSS (Distress Symptom Scale) measuring instrument. The results showed a decrease in stress levels before and after the administration of Zikir therapy from moderate stress to mild stress for subject I with a decrease of 36 scores and from moderate stress to normal for subject II with a decrease in 40 scores. The average reduction in stress levels of the two subjects after Zikir relaxation from an average score of 63 to 38. From the results of these studies, the provision of zikir therapy can be used as an intervention to reduce stress levels in clients with essential hypertension.

Diabetes mellitus type 2 is most often occurring and cause acute vascular diseases of vascular perifer and the loss of perifer blood circulation. One management of peripheral blood circulation in people with diabetes mellitus is to use diabetic feet spa therapy. The purpose of this case study is to describe the application of diabetic feet spa to peripheral blood circulation after and before therapy of diabetic feet spa. The type of the study belongs descriptive with a case study approach. The subjects of this study were two patients with type 2 diabetes mellitus, experienced mild peripheral blood circulation disorders who did not have ulcer wounds, and had the will and willing to follow a diabetic feet spa. Analysis of peripheral blood circulation was carried out descriptively and measured by the Ankle Brachial Index (ABI). The results of the case study showed that there was an increase in peripheral blood circulation subjects in both subjects, in subject I  from 0.83 (mild) to 0.92 (normal) and in subject II from 0.88 (mild) to 0.95 (normal) after being done therapy for diabetic feet spa. It is suggested to Puskesmas officers need to treat spa diabetics as one of the peripheral blood circulation management in patients with type 2 diabetes mellitus.

The main function of the kidneys under normal conditions is to regulate fluids and electrolytes and the acid-base composition of body fluids, remove metabolic wastes that are no longer needed by the body, regulate blood pressure and hormonal function. Chronic Kidney Disease (CKD) is the final stage of chronic kidney failure where GFR <15 ml/min/1.73m2 so that the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia, namely retention of urea and other nitrogenous wastes in the blood (Smeltzer et al. al, 2008; National Kidney Foundation in Kallenbach, et al, 2005). With the increasingly real decline in kidney function or worsening of symptoms of uremia, renal replacement therapy is required for survival, namely dialysis and organ transplantation. There are two methods of dialysis, one of which is Hemodialysis (Potter, 2005; Smelzer, 2008). Cases of chronic kidney failure in the world have increased by more than 50%, in the United States which is a very developed country every year there are about 20 million adults suffering from chronic kidney failure and undergoing hemodialysis in more than 100,000 patients, while in Indonesia, according to the Indonesian Kidney Diatrans Foundation, YDGI), in 2007 there were about 100,000 chronic kidney failure patients but only a few patients were able to undergo hemodialysis. Kidney replacement therapy in Indonesia was started in 1972 in Jakarta (Dr. Cipto Mangunkusumo Hospital/FKUI), in Bandung in 1976 (Hasan Sadikin Hospital/FK UNPAD).

Diabetes Mellitus is a group of chronic metabolic disorders due to abnormal metabolism of carbohydrates, fats, and proteins, characterized by hyperglycemia which is results in long-term microvascular, macrovascular and neuropathic complications. Oral antidiabetic therapy is the main pharmacological therapy to treat type II diabetes mellitus. This therapy can be oral antidiabetic therapy. Thus, to find out the effectiveness of either combination or single of antidiabetics on diabetes mellitus patients, researchers conducted a studies of inpatients at RSUD Madiun. This study included as non-experimental observational study with a cross-sectional study design at RSUD Madiun. Data were collected from Medical Records in October 2018. The sampling method that used in this study was non probability with purposive sampling technique, so there are 58 patients as a total sample. The results showed that the effectiveness of controlling blood sugar levels when using an effective single ADO was Metformin, because Metfomin was able to reduce blood sugar levels with an average length of stay of 6.17 and the effectiveness of controlling blood sugar levels when using an effective combination of ADO was Metformin and acarbosa, because Metfomin and acarbosa are able to reduce blood sugar  average length of stay 7 days inpatient.

Proses  menua  menimbulkan  permasalahan  baik  secara  fisik,  biologis, mental maupun sosial ekonomi. Lansia merasa terbatas aktivitasnya, sering sakit, lingkungan kurang bersahabat, dan tidak percaya diri dengan penampilan fisiknya dan ini menjadi tanda rendahnya kualitas hidup lanjut usia karena mereka tidak menikmati masa tuanya.  Hasil  survey menggunakan  Mini  Mental  Status  Exam (MMSE)  diperoleh  data  bahwa  lansia  sebanyak  45  orang  yang  terdaftar  di Posyandu Setya Manunggal III Dusun Lempuyangan Bulan Januari 2020 menunjukkan yang mengalami penurunan kognitif sedang sebanyak 13 orang, penurunan kognitif berat sebanyak 5 orang. Hasil wawancara dengan kader lansia didapatkan data yang banyak mengalami pikun dikarenakan lansia hanya di rumah tanpa  adanya  aktivitas  lain  karena  adanya  keterbatasan  mobilitas  fisik.  Kader sendiri  oleh  penanggunggjawab  BKL  (Bina  Keluarga  Lansia)  dari  kecamatan Bergas sudah diarahkan untuk memberikan edukasi kepada lansia dan keluarga, baik itu bisa berupa permainan ataupun memberikan pelatihan kerajinan tangan, namun karena keterbatasan informasi, minimnya dana operasional, dan kurangnya kemampuan kader menjadikan program tersebut hanya wacana. Analisis fenomena tersebut menjadi latar belakang tim pengabdian masyarakat Akper Kesdam IV/Diponegoro bekerjasama dengan Puskesmas Bergas untuk melaksanakan kegiatan bertema, “ Penerapan Brain Gym, Puzzle Therapy, dan Handycraft Training  sebagai  Upaya  Meningkatkan  Kualitas  Hidup  Lansia  Dusun Lempuyangan, Gebugan, Kab.Semarang”.    

Asthma Bronchiale is inflammation in the airways (bronchi) where excessive lung mucus production makes breathing difficult. One treatment that can be given is by giving nebulizer therapy to ease the cough response to the presence of mucus in the respiratory tract with the addition of mint oil. The purpose of the case study is to illustrate the effect of adding mint (pappermint oil) and liquid with a nebulizer on the handling of asthma bronchiale cough in Ungaran District Hospital. The subject of this case study used two patients with asthma bronchiale, willing to be investigated, cooperative and more than 5 years old. Data was collected by observation and administration of nebulizer therapy by adding pappermint oil and liquid using a nebulizer. The results of the case study found that subject I had a cough frequency of 25 (moderate), no inflammation, no wheezing and easy sputum discharge, whereas in subject II the frequency of cough became 24 (moderate), no inflammation, no wheezing, and easy phlegm Exit. This study is recommended to apply pappermint oil therapy to reduce the frequency of cough bronchial asthma patients

Hypertension is situation where blood pressure exceeding the limit of normal with blood pressure 140/90 mmHg and which includes non contagious disease. Complementary therapy can reduce the risk of hypertension complications. SEFT therapy one of a complementary therapy that can be used to overcome the problem of increasing blood pressure. The purpose of this study was to carried out SEFT therapy towards decreasing blood pressure in hypertension patients in the built area of Puskesmas Rowosari Semarang. This type of researAch is descriptive using the case study approach method. The criteria used in the case study: primary hypertension patients, hypertension sufferers were able to communicate well, hypertension patients who did not take anti-hypertension drugs. Case study analysis was carried out by processing data through observation of blood pressure before and after SEFT therapy. The results of the case study showed that there was a decrease of blood pressure. Before therapy the blood pressure of  the subject I was 170/110 mmHg decreased to 120/80 mmHg and in subject II before therapy, blood pressure 160/100 decreased to 140/80 mmHg. The recommendation is with control of blood pressure by using SEFT therapy, the society can apply this therapy.

Hypertension is a medical condition in which the systole and diastole pressure abnormally elevate. Q.S. Ar Rahman Murottal is a complementary therapy for lowering blood pressure. This case study aims at describe the effect of Q.S. Ar Rahman Murottal therapy on the blood pressure pattern in patients with hypertension at RSUD Ungaran. The method of this study is descriptive. The subjects of this case study are two Moslem patients with hypertension who have no hearing problems. The data are collected through observation and measurement by using medical tools such as sphygmomanometer and stethoscope before and after the therapy. The result of this study shows that the blood pressure in Subject I decreases from 150/90 mmHg to 120/80 mmHg, while in Subject II the blood pressure decreases from 160/90 mmHg to 120/90 mmHg. It means that Q.S. Ar Rahman Murottal therapy is effective in lowering the blood pressure in patients with hypertension at RSUD Ungaran. It is hoped that this case study can be the beginning of extensive researches in Q.S. Ar Rahman Murottal in lowering the blood pressure in hypertension patients. Hopefully, Ungaran Hospital will make Q.S. Ar Rahman Murottal as an SOP to be given to hypertension as a nonpharmacological therapy for pharmacological therapy.

Old age is a final stage in the span of human life. Health problems that are often found in the elderly, one of which is psychological disorders, namely anxiety, depression, readiness. These psychological disorders usually cause the emergence of sleep disorders, namely insomnia. Insomnia has an impact on physical effects, namely fatigue and muscle pain. The combination of progressive relaxation techniques and keroncong music is a non-pharmacological therapy given to clients by tensing certain muscles and then relaxing chili sauce accompanied by keroncong music. The purpose of this study was to determine the effect of a combination of progressive relaxation therapy and keroncong music on insomnia in the elderly at the Setya Manunggal III Posyandu, Semarang Regency. This type of research is a quasi-experimental approach with a one group pre-post-test design without control approach. The population of the study was the active elderly who were registered at the Setya Manunggal III Posyandu Lansia as many as 33 elderly. The research sample was determined by purposive sampling by taking into account certain criteria, namely: 1) the elderly who were registered at the Setyamanunggal III Posyandu, 2) aged 60-74 years. 3) Does not experience limitations or paralysis of limbs 4) Likes keroncong music. The exclusion criteria set included: 1) Elderly people with dementia 2) Elderly people who received medication to help sleep/anti-depressants/sedatives 3) Elderly people with total hearing loss. Insomnia measuring instrument using the KSBPJ Questionnaire. The results showed that there was an effect of Combination of Progressive Relaxation Therapy and Keroncong Music on insomnia in the elderly with a t value of 16,142 > t table.

Fever itself is a condition in which the body temperature is experiencing an increase in heat above the normal temperature. Fever can be treated pharmacologically and non-pharmacologically in various ways, one of which is by using water tepid sponge therapy. This study aims to determine the effectiveness of giving water tepid sponge to pre-school age children who have fever at the Bhakti Wira Tamtama Army Hospital Semarang. The design of this study used Quasy experimental pre-post test equivalent control group. The number of samples is 20 respondents with the total sampling method. The results showed that there was an effect of water tepid sponge on decreasing body temperature in children aged 36-60 months who had fever with p value 0.000, an average decrease of 1.50C. The recommendation of this study is that the provision of a water tepid sponge can be used as an independent nursing intervention in reducing the body temperature of preschool-aged children who have fever.

The purpose of training therapy and functional activities in the elderly is to increase understanding of how to do exercise therapy and increase functional activities in the elderly in Raya Kahean Village, Simalungun Regency. The implementation method carried out in this community service activity is by conducting two-way discussions or communication and by conducting demonstrations by strengthening the process of internalizing knowledge because of direct practice carried out to the community, especially the elderly. The activity plan carried out is by conducting surveys, analyzing the needs of the elderly, socializing exercise therapy programs and functional activities to the elderly, as well as carrying out exercise therapy programs and functional activities, as well as evaluating whether the program is able to improve the health of the elderly in Raya Kahean Village, Simalungun Regency

Schizophrenia is a neurological disease that affects the person's perception, thinking, language, emotional, and social behavior of a person. One of the symptoms of schizophrenia is hallucinations. Hallucination is a lost person's ability in distinguishing the stimulation from the outside or from within. The results of a survey obtained from RSJD Dr. Amino Gndohutomo central java province of hallucinations is the most common problem that is reaching 2.398 inhabitants. One of the efforts to deal with the hallucination is scolded. Scolded is an effort that can be done to control his hallucinations by way of rejecting the hallucinations that arise. The purpose of this case study to find out the decrease in the score of the hallucinations of schizophrenia patients have heard before and after the therapy done and scolded. This research uses descriptive analysis type by using the method of approach to the case studies. The subjects used are 2 subjects with impaired auditory hallucinations. The results showed there is a difference between before and after the therapy is carried out on the subject I from 42 became 37, and subject II from 39 became 30. It can be concluded that the result of this study indicate that scolded therapy able to reduce the level of hallucinations in schizophreia patients, therefore if done with a routine then the level of hallucination will come down and help the healing process.

Hipertensi merupakan gangguan pada sistem sirkulasi.Seseorang dikatakan hipertensi apabila keadaan tekanan darah mengalami peningkatan diatas normal yaitu ? 140 mmHg untuk tekanan sistolik dan atau ? 90 mmHg untuk tekanan diastolik secara terus-menerus. Penatalaksanaan dalam mengatasi hipertensi terbagi menjadi dua, yaitu pengobatan farmakologis dan nonfarmakologis. Terapi non farmakologis yang relatif praktis dan efisien yaitu saalah satunya dengan cara pemberian aromaterapi bunga mawar. Tujuan penelitian yaitu mengetahui pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado. Penelitian dilakukan bersifat eksperimental menggunakan desain penelitian one group pretest-postest design. Sampel diambil berdasarkan jumlah responden sebanyak 22 orang dengan menggunakan accidental sampling. Pengumpulan data dilakukan dengan cara melakukan observasi. Selanjutnya data yang terkumpul diolah dengan menggunakan bantuan komputer program SPSS versi 16.0 untuk dianalisa menggunakan uji wilcoxon sign test. Hasil penelitian diperoleh bahwa sebelum pemberian aroma terapi bunga mawar didapatkan rata-rata tekanan darah yaitu 151/90 mmHg. Setelah pemberian aroma terapi bunga mengalami penurunan rata-rata tekanan darah yaitu 136/81 mmHg. Data di uji dengan wilcoxon sign test. Dengan hasil nilai p value= 0,000 < ? = 0,05 dengan demikian H_0 ditolak dan H_aditerima.Artinya ada pengaruh pemberianaroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado. Kesimpulan dalam penelitian ini terdapat pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado. Saran agar penelitian ini dapat menjadi tambahan informasi kepada mahasiswa tentang pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pasien hipertensi danjuga dapat dijadikan sebagai bahan bacaan maupun pembelajaran bagi mahasiswa.

Heart failure has an impact not only on one's physical condition but also on the psychological impact of anxiety. Patients with heart disease who experience psychosocial problems, especially anxiety, will have a slower recovery process and more severe physical symptoms they experience. Thus, an intervention is needed to provide back massage to overcome anxiety. The purpose of this study was to describe the application of back massage towards anxiety scores in heart failure patients.This study belongs to descriptive research using the case study approach method. The sample in this study were 2 subjects who suffered classification II and III heart failure according to NYHA who experienced low to moderate anxiety. Both subjects were given back massage therapy. Hamilton Anxiety Rating Scale (HARS) was used as the instrument to measure the level of anxiety. The results showed that there was a significant decrease in the two subjects who initially fell into the anxiety category into the category of low anxiety after being given back massage therapy for 15 minutes at 24-hour intervals for 3 days. In conclusion, back massage is recommended to be applied in the hospital as a nursing intervention to overcome anxiety in heart failure patients.

Fine motor is the child's ability in relation to physical skills involving small muscles, eye, and hand coordination. Decorative drawing is one of the methods that is used to improve children's fine motor skills by decorating images on paper that involve nerve muscle elements, the brain, and the ability of the child's fingers. The purpose of the study is to apply decorative drawing therapy towards the fine motor development of children aged 4-5  years  in  the  region  of  Puskesmas  Rowosari  Semarang.  This  study  belongs  to descriptive case studies. The subject of this case study used two respondents who had normal fine motor development. Data were collected by observation and measured by Denver II sheet before and after therapy. The results of the case study were found in subject I with normal fine motor development of 70% increasing to a high of 78%, while in subject II with normal fine motor development 73% increased to high by 82%. It is suggested to  Puskesmas Rowosari  Semarang to use  decorative  drawings to improve children's fine motor skills as playing therapy in toddler posyandu activities.

Pressure  ulcer is local injury of skin of subtexture it, generally at bump of bone, the effect of pressure or pressure combination with friction or seraping. To preventing the risk of pressure ulcer at total bedrest patient need to treatmen of skin by Nigella Sativa Oil. The purpose of this case study is to be analyze of application by prevention of pressure ulcer pressure sores method at total bedrest patient. The type of this research is descriptive with method of the case study. The subject of this research use two patient who is sustain of total bedrest more than 3 eith enteria for assesment result by Norton 14 scale less than 14 which it is categorized risk of everage pressure ulcer. The result of this research can be conclude at subject I from 10 Norton scale to 13 scale, at subject II from 13 Norton scale to 16 scale. So, at the time from it review with high severe of injury to use the Design from every the category that obtains the result 0 which it means not happens pressure ulcer injury by both of subject. The nurse must be applies by Nigella Sativa Oil therapy at total bedrest patient to can prevent of pressure ulcer risk.