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Background: Childbirth is a series of events when a baby is released from the mother's womb, followed by the expulsion of the placenta and fetal membranes from the mother's body. The main problem that is usually complained of by labor patients in labor during the first active phase is that pain causes the mother to feel stressed and excessively worried. Respiration and pulse will also increase thereby disrupting the supply of fetal needs from the placenta. The simple way that can be done to reduce labor pain is to give endorphins massage. Objective: Knowing the analysis of differences in pain intensity in the active phase of labor in the first stage of labor before endorphin massage and after endorphin massage. Method: This study used a quasy experimental design. This type of research is pre-experimental design with one group pret test-post test design. Results: The results of the study obtained by the researchers were 20 respondents during the active phase of the first active phase of brenatal mothers who experienced severe pain with a scale of 7-9 and very severe 10 as measured by a numeric rating scale. Before doing the endorphin massage, it was found that those who experienced pain on average had a minimum of 5 and a maximum of 10 after the endorphin massage had an average minimum of 4 pain and a maximum of 9. Conclusion: There is a difference in the decrease in pain intensity in labor in labor during the 1st active phase before and after being given endorphine massage treatment.

Introduction: According to the Indonesian Medium-Term Development Plan IV for the year 2020 - 2024, stroke is ranked as the top disease in Indonesia, with a 93.4% increase from the previous period. Additionally, data from the 2018 Riskesdas P2TM shows that out of 3 individuals who experienced a stroke, 2 of them suffered disabilities. Objective: To analyze the role of family support in post-stroke patients' engagement in medical rehabilitation exercises. Method: This study utilized data from a literature review based on previous research. High-quality secondary data sources such as Google Scholar, Mendeley, and Research Gate were used to search for data in the literature review. These databases facilitate access to reputable journals as the primary references. Results: Based on the analysis of 5 journals conducted by various researchers, it was found that family support plays a significant role in motivating post-stroke patients to engage in medical rehabilitation exercises. Conclusion: There is a correlation between family support and the motivation of post-stroke patients to participate in medical rehabilitation exercises. Families serve not only as sources of social support but also actively encourage and motivate patients to achieve optimal recovery levels.

Nurses must correctly identify patients as people who will be given certain services or treatment, this must be done by adapting the service or treatment to each patient. This identification process requires at least two ways of identification, such as name, identification number, date of birth, barcoded bracelet or others. The aim of this research is to analyze the behavior of nurses in wearing patient identification bracelets in the children's inpatient installation at RSUD. Dr. RM. Djoelham Binjai. This research uses qualitative research (In-depth interviews). From this research, the sample consisted of 6 (six) people, namely 1 key informant and 5 main informants. The results of the research are that not all nurses know about the Fixed Procedure (PROTAP) for using patient identification bracelets in the class III children's inpatient room at Dr. RSUD. R.M. Djoelham Binjai is good, not all nurses' attitude in carrying out the Permanent Procedure (PROTAP) for wearing patient identification bracelets in the class III children's inpatient room at RSUD Dr. R.M. Djoelham Binjai is not yet good, not all of the nurses' actions were correct in carrying out the Permanent Procedure (PROTAP) for wearing patient identification bracelets in the class III children's inpatient room at Dr. R.M. Joelham Binjai, Suggestions are expected for hospital management to avoid things that are undesirable for babies to also wear identity bracelets, not just mothers. Protap disseminates affirmations and hospital policies that include rewards and punishments for nurses so that there are no mistakes in identity. And continues to provide socialization, education and understanding of the importance of nurse behavior when installing patient identification bracelets in pediatric inpatient rooms.

Hospitals are an integral part of social and media organizations whose function is to provide comprehensive health services to the community, both curative and rehabilitative, where hospital services reach family and environmental services. The aim of the study was to analyze the effect of the quality of health services on patient satisfaction in the inpatient room of the Medan Indonesian Workers' Imelda Hospital. The research design used in this study was an analytic survey with a cross sectional design. The population in this study were all patients who were treated from November 2022 to February 2023 in the Inpatient Room of the Imelda Indonesian Workers Hospital in Medan, totaling 167 people. The number of samples to be examined by the entire population is 62 people. Data analysis was performed using univariate, bivariate and multivariate analysis. The statistical test used is the chi square test and logistic regression. The results of the chi square test showed that there was an influence of 8 variables, namely technical competence, human relations, effectiveness, efficiency, continuity, security, human relations and convenience, which had a p-value <α 0.05, meaning technical competence, human relations, effectiveness, efficiency, continuity, security, human relations and comfort affect patient satisfaction in the inpatient room of Medan Indonesian Workers Imelda Hospital, and the multivariate test with the results of multiple logistic regression tests shows that the variable of technical competence is the most dominant with an odds ratio (OR) of 45,348 meaning 4 times affect patient satisfaction. The conclusion was that the dominant technical competency variable had the most influence on patient satisfaction in the inpatient room of Imelda Indonesian Workers Medan Hospital. It is recommended for the hospital to make policies in order to improve technical competence in the treatment room so as to produce optimal patient satisfaction..

Chalazion is granulomatous inflammation with lipogranuloma or chronic non-infectious inflammation of the eyelids, in the form of nodules formed by inflammation and obstruction of the Meibomian Tarsal or Zeis glands. This chalazion often occurs in all age groups, but is more common in adults than children, and affects men and women equally. A chalazion usually appears as a painless swelling of the eyelid that has been present for weeks to months, which can cause cosmetic deformity in the patient. The priority management of chalazion to reduce existing complaints is conservative management. Some methods for conservative management in cases of chalazion include warm compresses, cleaning the eyelids with baby shampoo, and massaging the eyelids. If conservative management fails, patients can be treated with pharmacotherapy or surgery

Respiratory tract infections are one of the causes of high mortality and morbidity in children, especially in children under the age of 5 years whose immune system is still susceptible to various diseases. The purpose of this study was to determine the rationality of giving antibiotics for acute respiratory tract infections (ARI) to toddlers at the Jamanis Health Center. The type of research used is descriptive research, the sampling method is purposive sampling and data collection is carried out retrospectively. Then data analysis was carried out and compared with references from MTBS guidelines. This research was conducted at the Jamanis Health Center when the research was conducted in March-May 2023. The population used in this study was all ARI patients at the Jamanis Health Center for the January-December 2022 period. Based on the data obtained, the number of medical records of ARI patients in toddlers at the Jamanis Health Center for the 2022 period is 1121 people. The results of the study of the most widely used antibiotic drug were amoxicillin with 82 cases (89.13%). The results of rationality of drug administration based on the criteria of Right diagnosis that is equal to 100% (Rational), Right indication that is equal to 65.21% (Not Rational), Right drug that is equal to 65.21% (Not Rational), Right patient that is equal to 100% (Rational), Right dose that is equal to 100% (Rational)

Background of study: Diabetic ulcers is a complication of diabetes mellitus resulting from sensory, motor, autonomic neuropathy and/or vascular disorders of the limbs. One of the diabetic ulcer treatment techniques is using aloe vera gel. Aloe vera contains anti-bacterial, anti-inflammatory and can repair tissue damage of diabetic ulcers. Objective: to determine changes and developments after applying aloe vera gel to diabetic ulcer wound healing. Methods: This research uses descriptive case studies by observing nursing care for diabetic ulcer patients using aloe vera gel at the Rasika Gunungkidul Wound Clinic with an application 6x and application is carried out every 2 days using the Bates-Jensen Wound Assessment Tool. Results: The results of the assessment score before application in respondent 1 score 32 points with categories wound degeneration and respondent 2 score 21 points with categories wound degeneration. After application with aloe vera gel the score on respondent 1 was 21 points with categories wound degeneration while on respondent 2 was 10 points with categories wound regenration. The two respondents had a decrease in score which indicated that the wound had progressed significantly. Conclusion: The application of aloe vera gel can be used as an effective non-pharmacological method for diabetic ulcer wound.  

Background: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia. Type 2 diabetes mellitus is the most common type of diabetes mellitus, accounting for about 90% of all diabetes cases. If not treated immediately can cause damage to the eyes, kidneys, heart disease, hypertension, stroke and even cause gangrene. One of the non-pharmacological treatments is progressive muscle relaxation therapy. Objective: To determine changes in blood sugar levels in patients with type 2 diabetes mellitus before and after progressive muscle relaxation therapy. Method: Descriptive method with a case study approach to 2 respondents in Jengglong Hamlet, Karanganyar Regency. The duration of giving progressive muscle relaxation therapy to respondents was 20 minutes in the morning and evening for 7 days from 25 May 2023 to 31 May 2023. Results: The blood sugar levels of the two respondents before applying progressive muscle relaxation therapy were 243 mg/dL and 255 mh/dL. After application, blood sugar levels dropped to 167 mg/dL and 221 mg/dL. Conclusion: The application of progressive muscle relaxation is able to reduce blood sugar levels in both type 2 diabetes mellitus patients in Jengglong Hamlet, Karanganyar Regency.

Sectio is a surgical operation to help pregnant women give birth by making an incision in the abdominal wall (laparotomy) and uterus (hysterectomy). Compared with regular births, which only cause about 9% more suffering, births by cesarean section cause about 27.3% more pain. Pharmacology and non-pharmacology can be used together to treat pain. Within 24 hours after a caesarean section, patients can experience a five times greater reduction in pain thanks to lavender aromatherapy. There are no risks associated with using the main active components of lavender oil, linalyl acetate, and linalool, which may provide a calming effect. When lavender aromatherapy is inhaled, the compounds it contains trigger the hypothalamus to produce endorphins which can calm and soothe. Lavender aromatherapy also has properties that make it antibacterial, analgesic, antidepressant and antispasmodic. By offering and using lavender aromatherapy, this research approach is descriptive and takes the form of a case report. The aim of this research is to determine whether the use of lavender aromatherapy can help patients after giving birth by caesarean section reduce their discomfort. After receiving lavender aromatherapy, the research findings changed from a scale of 7 to 3. Research findings show that the use of lavender aromatherapy can help postpartum patients undergoing cesarean section reduce their discomfort.

Background : The elderly will experience various declines that have an impact on one of the problems in the endocrine system, namely diabetes mellitus. One of the reasons for lack of physical exercise. Data from Riskesdas 2018, the prevalence of diabetes mellitus diagnosed aged 65 to 74 years is 6.03%. Based on data from PKD Mliwis cadres, there were 76 cases of elderly people with DM. One of the recommended physical exercises for diabetic patients is walking. Walking can help muscles absorb blood sugar in the body. Purpose: To find out the results of implementing walking in the elderly on blood sugar levels in Mliwis Village. Method: This type of case study research uses descriptive research methods. Prior to the research, interviews and observations were carried out through observation sheets (pre-test) and after the intervention, results were observed (post-test). Management of diabetes mellitus by walking is given 3 times in 1 week. This therapy is given for 3 days in 30 minutes at one meeting. Results: Obtained an average reduction in sugar levels in the first respondent by 11,6 mg/dl while the second respondent obtained an average decrease of 16 mg/dl. Conclusion: This walking therapy can reduce blood sugar levels in 2 respondents.

Background; Progressive Mobilization Level I can affect blood pressure and oxygen saturation in critically impaired patients with reduced consciousness. Progressive mobilization can affect oxygen saturation, this is because after being given level 1 progressive mobilization in the Head of Bed position, gravity will pull the diaphragm down resulting in better lung expansion (distributing oxygen in the lungs) so that the oxygen bound by hemoglobin increases. increase in oxygen saturation values. Objective; Knowing the results of applying level I progressive mobilization to blood pressure and oxygen saturation in patients with decreased consciousness. Method; The application was carried out using a case study descriptive method to 2 respondents in patients with decreased consciousness for 3 days with a frequency of 2 times a day for 15 minutes. Results; Based on the results of the application that has been carried out, there is a decrease in blood pressure and an increase in oxygen saturation before and after the application of level I progressive mobilization. Conclusion; Level I Progressive Mobilization can be used as a non-pharmacological technique or independent intervention in patients with decreased consciousness to reduce blood pressure and increase oxygen saturation.

Hypertension is a condition that experiences an abnormal increase in blood pressure, the elderly are said to be hypertensive if their blodd pressure reaches ≥130/80 mmHg and is a non-communicable disease. A study has been carried out regarding the Evaluation of Prescribing in Outpatient Geriatric Hypertension Based on the Beers Criteria for Internal Medicine at RSUD dr. Soekardjo City of Tasikmalaya using a descriptive method of retrospective medical record data of hypertensive geriatric patients. This study aims to determine the treatment profile and the percentage of drug use included in the 2019 beers criteria list. The results showed that the most commonly prescribed treatment combination in this study was the combination of the ACE Inhibitor drug class (Ramipril) and the CCB drug group (Amlodipine), and Inappropriate drug prescribing in geriatric patients with hypertension in the outpatient installation of RSUD dr. Soekardjo City of Tasikmalaya in the 2020 period is still high with the number of inappropriate prescriptions as many as 47 (67,1%) prescriptions classified as PIMs (Potentially Inappropriate Medication). So it can be concluded that the high mismatch of therapy can be caused becaused because patients receive more than one drug that is not suitable for geriatric when getting drug prescriptions and to reduce these incidents it can be done by increasing the selection os safe drugs in geriatric using the 2019 beers criteria

Thalassemia is a genetic disease that is still a problem in Indonesia. Patients often face emotional problems and difficulties in social relationships. This condition can affect the management and treatment of thalassemia. Family gatherings play an important role in strengthening the support system for thalassemia patients and their families. The collective strength and determination gained from this family gathering helps thalassemia patients and their families face the challenges of this condition head-on, bringing a sense of hope and optimism for the future. Family gathering activities were carried out which were attended by more than 200 patients and their families. Overall, family gatherings focused on strengthening thalassemia families and patients provide an important platform for support, education, and empowerment. Family gatherings increase emotional support, belonging, remove stigma, and motivate to always be better.

Magnetic resonance imaging (MRI) is a diagnostic examination modality in medicine using a magnetic field without using X-rays, MRI has the advantage of being able to create images and can show clearer and more sensitive anatomical differences in soft tissues in the body such as the brain,Bone marrow and musculoskeletal. An MRI machine can produce diagnostic images of the inside of the human body, both in sagittal, coronal and transverse sections, without using ionizing radiation (X-rays) and also without using radioactive substances, but based on the principle of magnetic resonance of the hydrogen atom to reveal anatomy and pathology. clinical diagnosis, one of which is Hernia Nucleus Pulposus in the Cervical vertebrae. Hernia  Nuecleus pulposus is a condition of biochemical ad physical changes in the spinal disc tissue caused by degeneration in old age,or acute external pressure that causes a bulge into the spinal canal,putting pressure on the durameter or nerve roots, thereby triggering symptoms of neurological pain. The use of the Dixon sequence was proposed for the assessment of metaphyseal bone marrow water water content,with a short scan time. Dixon sequence imaging can be used for fat suppression in the extremities and spine, but also quantification of fat in the bones.. The research method used is descriptive research with an observation approach. Data collection was carried out from 01 January 2022 to 28 February 2023 using a Mr. Philips aircraft with a power of 3 Tesla. The sample of patients used in this study were 5 patients with vertebral complaints. Data collection was carried  out  through observation,interviews and documentation. Cervical MRI examination with clinical Hernia Nucleus Pulposus using a Philips 3 Tesla MRI machine has an examination procedure with a Survey sequence design, Myelo, Sagittal TSE T2 dixon, Sagittal TSE T1, Coronal TSE STIR, Axial TSE TA, and axial mFFE

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: 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.

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.

Drug storage is one of the security activities for drugs that have been received. Storage of drugs in pharmacy installations is part of the integrity or feasibility of drugs before they are given to patients. Because errors in drug storage can make the dose or potency of the drug decrease and cause losses to the hospital. This research includes non-experimental research in the form of quantitative descriptive research conducted by observation and interviews related to the process of storing pharmaceutical preparations through an evaluation based on the Minister of Health of the Republic of Indonesia No. 72 of 2016, and the Director General of Binfar in 2010 and analysis of drug storage indicators. The average result of conformity to the Permenkes is 86%, the average is obtained from 70% storage requirements, 100% storage components, 100% storage systems, 80% storage methods and 80% storage equipment. The average result of conformity at the Director General of Binfar is 93%, the average is obtained from the spatial arrangement of 100%, preparation of 100% drug stock and 80% storage facilities. And the average results of storage indicators are 40%, with a TOR value of 5,1 times a year, warehouse arrangement is based on FIFO/FEFO, the percentage of expired/damaged drugs is 0.25%, and the percentage of empty drugs is 92%, the percentage of drugs dead by 0.04%. Based on the evaluation of the suitability of drug storage in the Pharmacy Warehouse of RSUD dr. Soekardjo, City of Tasikmalaya, it is necessary to increase the suitability of drug storage.

Diabetes Mellitus is a metabolic disease indicated by hyperglycemia. This matter occurs due to the incapability of the pancreas to secret the insulin, the interrupted insulin performance, or the existence of both problems. Poor sleeping quality influenced the blood glucose level in the body. Normal individuals have blood glucose levels between 65 and 120 mg/dl after waking up. This research determined the blood glucose levels and the sleeping quality of diabetes mellitus type 2 patients. This quantitative research applied the analytical descriptive design with the cross-sectional approach. The sample consisted of 40 respondents taken by purposive sampling technique. The applied measuring instrument was the Pittsburgh Sleep Quality Index, PSQI. The Spearman Rank test obtained a p-value of 0.000 lower than 0.05. Thus, the result accepts Ha, indicating a significant correlation between blood glucose and the sleeping quality of diabetes mellitus type 2 patients with r = 0.786. The r-value had a negative correlation indicating a strong correlation between glucose level and the sleeping quality of the patients. If the blood glucose was abnormal, the sleeping quality would be poor and vice versa. The researcher recommends future researchers promote quantitative research to examine the influential factors of diabetes mellitus type 2 patients' quality.