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Heart failure or congestive heart failure (CHF) is a condition where the heart is unable to pump blood optimally to meet the body's metabolic needs, resulting in symptoms such as shortness of breath, excessive fatigue, and edema (Majid, 2017). According to WHO data in 2023, CHF is one of the main causes of death with a total of 17.5 million deaths from a total of 58 million cases recorded worldwide. This paper aims to describe and provide an overview of nursing care for patient Mr. H who experiences cardiovascular system disorders in the form of CHF in the Dahlia room of Dr. Soeselo Regional Hospital, Tegal Regency in accordance with nursing practice standards. The method used is a descriptive method through a case study with data collection techniques using interviews and observations. From the results of the case review, the main complaint experienced by the patient was shortness of breath which was quite disruptive to daily activities. Based on this condition, four main nursing diagnoses were found, namely ineffective airway clearance, hypervolemia, activity intolerance, and knowledge deficits related to the disease and self-care. The interventions provided are based on theoretical references in the Indonesian Nursing Diagnosis Standards (IDHS) and the Indonesian Nursing Outcome Standards (SLHS), and are tailored to the patient's actual condition. The implemented action plan is expected to help reduce symptoms, improve the patient's ability to function, and provide a better understanding of CHF so that the patient can actively participate in the care process.

Coronary heart disease is one of the major health problems that not only affects the physical condition of patients but also impacts their psychological state, particularly anxiety. Anxiety levels in patients with coronary heart disease usually increase when they are about to undergo invasive medical procedures such as Percutaneous Coronary Intervention (PCI). Anxiety can be influenced by several factors, including age, gender, educational level, and occupation. High levels of anxiety may worsen the patient’s clinical condition, making appropriate non-pharmacological interventions highly necessary to help reduce anxiety. This study aims to determine the effect of spiritual support in the form of dzikir on the anxiety levels of patients with coronary heart disease. The research design used was a true experimental design with a pretest-posttest control group design. The sample consisted of 30 respondents who were evenly divided into two groups: 15 respondents in the intervention group and 15 respondents in the control group. The sampling technique used was total sampling. The instrument for measuring anxiety was the Hamilton Anxiety Rating Scale (HARS). The results showed that providing spiritual support in the form of dzikir was effective in reducing patient anxiety, with a p-value of 0.001. In addition, there was a significant difference in post-therapy anxiety levels between the control and intervention groups, with a p-value of 0.019 (p < 0.05). These findings demonstrate that dzikir, as a form of spiritual support, can be used as a non-pharmacological intervention to reduce anxiety in patients with coronary heart disease. Thus, spiritual support can be an important component of nursing care for patients in the ICU.

Kangaroo mother care is a treatment for low-birth-weight infants that involves direct skin-to-skin contact between the infant and the mother (skin-to-skin contact). This provides health and psychological benefits, particularly in providing warmth to the infant, enhancing maternal bonding, increasing maternal trust and satisfaction, and reducing stress. The difference in body temperature of low-birth-weight infants treated with kangaroo mother care for one hour and three hours. Research Method: The research design used was a quasi-experimental, pre-post test with control group design, which involves administering treatment or intervention to the experimental group and then measuring and analyzing the effects of the treatment. The sample size for this study was 30 people. Bivariate analysis was conducted using the independent t-test and paired t-test. The results showed that the infant's body temperature before the kangaroo mother care intervention was in the below-normal. The infant's body temperature after the intervention was in to normal range. The infant's body temperature after the kangaroo mother care intervention in the one-hour had a p value = 0,000 or <0,05). The infant's body temperature after the intervention was in to normal range. The infant's body temperature after the kangaroo mother care intervention in the three-hour had a p value = 0,000 or <0,05). The infant's body temperature after the kangaroo mother care intervention in the one-hour had a p value = 0,000 or <0,05). The infant's body temperature after the kangaroo mother care intervention in the three-hour had a p value = 0,000 or <0,05).

Patients admitted to the Intensive Care Unit (ICU) often experience physiological disturbances caused by both medical conditions and intensive treatment procedures. One of the most common problems encountered is sleep disturbance. Several factors contribute to poor sleep quality in ICU patients, including repeated medical procedures, environmental noise from medical equipment and staff activities, discomfort due to body positioning, frequent interactions with health workers, continuous exposure to lighting, pain, and the underlying disease process. Persistent sleep disturbances can delay the healing process, increase blood pressure, and even elevate the risk of stroke. This study aimed to analyze the relationship between anxiety levels and sleep quality in compos mentis patients in the ICU of Sultan Agung Islamic Hospital Semarang. The research design employed a correlational approach with a cross-sectional method. A total of 30 respondents were selected according to the inclusion criteria. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality and the Hamilton Anxiety Rating Scale (HARS) to assess anxiety levels. The Chi-Square test was used for statistical analysis. The results showed an equal distribution of male and female respondents (15 each). Ten respondents had a post-laparotomy medical diagnosis, and the majority belonged to the late elderly age group (10 respondents). Most respondents experienced moderate anxiety (18 respondents), while poor sleep quality was reported by 17 respondents. The Chi-Square test revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, higher anxiety levels were associated with poorer sleep quality among compos mentis patients in the ICU. These findings highlight the importance of nursing interventions that address both the physical and psychological aspects of patients to improve sleep quality and support recovery.

Hospitalization in preschool children often causes anxiety due to several factors, such as unfamiliar environments, uncomfortable medical procedures, and separation from parents. This condition can negatively affect the child’s psychological state, which may influence both the healing process and adaptation during hospital care. Therefore, it is important to understand the description of anxiety experienced by children during hospitalization so that health workers can provide appropriate interventions. This study aimed to describe the anxiety caused by hospitalization among preschool children admitted to the Parkit Ward of Qolbu Insan Mulia (QIM) Hospital Batang. The study employed a descriptive quantitative design with a purposive sampling technique. A total of 65 preschool children aged 3–6 years who met the inclusion criteria were recruited as samples. The instrument used was the Spence Children’s Anxiety Scale (SCAS) Preschool Parent Report, which was completed by parents to assess the children’s level of anxiety. Data analysis was carried out using frequency distribution to present both the respondents’ characteristics and the level of anxiety. The results showed that most respondents were 5 years old (36.9%) and predominantly male (61.5%). A majority of the respondents had never been hospitalized before (63.1%), making hospitalization a first-time experience that could trigger anxiety. The highest proportion of anxiety levels was in the mild category (38.4%), followed by moderate anxiety (30.7%). Only a small proportion of children experienced severe anxiety. In conclusion, preschool children undergoing hospitalization in the Parkit Ward of QIM Hospital Batang mostly experienced mild to moderate anxiety. These findings provide an important overview for nursing staff in designing interventions to reduce children’s anxiety. Suggested approaches include play therapy, effective communication, and active parental involvement in the care process. With such strategies, it is expected that children’s anxiety can be reduced, making hospitalization a more adaptive experience that supports the recovery process.

  Medication adherence among pulmonary TB patients is crucial to prevent recurrence and ensurecomplete recovery. Patient knowledge of tuberculosis treatment and adherence to prescribed dosages andadministration methods are key components to successful treatment. This study aimed to determine therelationship between knowledge and medication adherence in pulmonary TB patients at Harapan Anda IslamicHospital, Tegal City. This study used a quantitative cross-sectional design. A sample size of 60 pulmonary TBpatients at Harapan Anda Islamic Hospital, Tegal City, was selected through purposive sampling. Data werecollected using a knowledge questionnaire and a medication adherence questionnaire. Data were analyzed usingthe chi-square test. Based on the analysis results, it was found that of the 60 patients with pulmonary TB atHarapan Anda Islamic Hospital, Tegal City, most were in the early elderly age (46-55 years), most were malebecause they were men, the majority were married, most had graduated from high school and most had privateemployment status. The level of compliance with taking medication in patients with pulmonary TB at HarapanAnda Islamic Hospital, Tegal City was in the high category. There was a relationship between the level ofknowledge and compliance with taking medication in patients with pulmonary TB at Harapan Anda IslamicHospital, Tegal City. There was a relationship between the level of knowledge and compliance with takingmedication in patients with pulmonary TB at Harapan Anda Islamic Hospital, Tegal City. Patients who had goodknowledge tended to be more compliant in undergoing treatment. These results serve as input for health servicesto provide health service programs to improve knowledge and compliance with taking medication in patients withpulmonary TB better.

Fever in children, if not properly managed, can lead to several negative effects such as excessive fluid loss through evaporation, dehydration, seizures, decreased consciousness, and even death if left untreated. Non-pharmacological interventions to reduce fever include water tepid sponge therapy and cool patch therapy. This study used a quasi-experimental design with a pretest and posttest three-group approach. Respondents were divided into three groups: water tepid sponge, cool patch, and control. Data were analyzed using the Wilcoxon test and the Mann-Whitney test. The Wilcoxon test showed a significance value of 0.000 in the Water Tepid Sponge group, 0.000 in the Cool Patch group, and 0.002 in the control group. The Mann-Whitney test showed no significant difference between the pre-test body temperature of the Water Tepid Sponge group and the control group (p = 0.063 > 0.05), while a significant difference was found in the post-test (p = 0.000 < 0.05). For the Cool Patch group, there was no significant difference in the pre-test compared to the control (p = 0.672), but a significant difference was found in the post-test (p = 0.001). The Mann-Whitney test comparing the pre-test and post-test temperature differences between the Water Tepid Sponge and Cool Patch groups showed a significance value of 0.000. The mean rank for temperature reduction in the Water Tepid Sponge group was 35,27, while in the Cool Patch group it was 17,73. Both Water Tepid Sponge and Cool Patch therapies have an effect on reducing fever in pediatric patients in the Parkit Ward of QIM Hospital Batang. Water Tepid Sponge therapy is more effective than Cool Patch therapy in reducing fever.

Hypertension is a non-communicable disease that significantly contributes to morbidity and mortality, particularly among the elderly. Patient knowledge about hypertension plays a crucial role in determining their adherence to medication, especially in taking antihypertensive drugs regularly. This study aims to analyze the relationship between the level of hypertension knowledge and medication adherence in elderly patients at the Sultan Agung Islamic Hospital Banjarbaru Polyclinic. This study used a quantitative correlational approach with a cross-sectional design. A sample of 35 respondents was obtained using accidental sampling technique. Data were collected using standardized questionnaires to measure knowledge (correct/incorrect scores) and adherence (using the modified MMAS-8 score 0–8). Data analysis included descriptive statistics, chi-square test, and Odds Ratio (OR) calculation at α = 0.05. The results showed a significant relationship between the level of knowledge and medication adherence (p = 0.002). The OR value of 17.33 (95% CI: 2.17–138.18) indicates that elderly patients with low knowledge have a much higher chance of non-adherence to medication compared to those with good knowledge. Based on these findings, it is recommended to develop targeted educational programs for the elderly focusing on increasing knowledge about hypertension and the importance of medication adherence, along with involving families to support medication adherence in hypertensive patients. This educational program could help improve the quality of life for the elderly by better managing hypertension.

Breast cancer is the leading cause of death globally, following heart disease and stroke. One of the most commonly used treatments is chemotherapy, which offers various benefits but also causes physical and mental side effects. One of the psychological side effects often experienced is anxiety. Extreme fear and the threat of death from cancer can affect adherence to treatment. This study aims to assess the relationship between anxiety levels and medication adherence in breast cancer chemotherapy patients at RSUD Semarang. This research used a quantitative approach with a descriptive correlational method, involving 110 participant samples. The questionnaires used for data collection were DASS-42 to measure anxiety levels and MMAS-8 to assess medication adherence. The study was conducted from June 30 to July 31, 2025, in the Oncology Center room of RSUD Sultan Agung Semarang. Bivariate analysis using Pearson's correlation test showed a p-value of 0.001 < 0.05, indicating a significant relationship between anxiety levels and medication adherence in breast cancer chemotherapy patients. The measured correlation coefficient of -0.325** shows a moderately strong negative relationship, meaning that the higher the anxiety level, the lower the patient's adherence to medication. Based on these findings, it is recommended that nurses in the oncology unit provide additional education and support to patients regarding their anxiety. Effective psychological support can help patients reduce anxiety and increase adherence to treatment, which in turn can improve the outcomes of chemotherapy treatment.

Ovarian cyst is one of the most common reproductive system disorders among women of reproductive age, often asymptomatic and discovered only during advanced stages. This study aimed to describe the nursing care process for a patient diagnosed with ovarian cyst using a comprehensive nursing approach. A descriptive case study was conducted on a patient named Mrs. D, hospitalized at Nusa Indah Ward of RSUD dr. Soeselo, Tegal. Data were collected through interviews, observation, physical examination, and documentation. The identified nursing diagnoses included acute pain, anxiety, knowledge deficit, risk of infection, and nutritional risk. Interventions were implemented according to the Indonesian Nursing Intervention Standards (SIKI), including non-pharmacological pain management and patient education. The evaluation showed improvement in pain levels, anxiety, and patient understanding of the disease. This study confirms the importance of comprehensive and holistic nursing care in managing ovarian cyst patients, especially through effective communication and collaboration with multidisciplinary teams.

Schizophrenia is a chronic mental disorder characterized by cognitive, emotional, and behavioral disturbances that may lead to aggressive behavior. Violent behavior risk is one of the most common nursing diagnoses in paranoid schizophrenia patients, which can endanger themselves, others, and the environment. This study aimed to describe psychiatric nursing care for a patient with the main problem of violent behavior risk due to paranoid schizophrenia at Arimbi Ward, RSJD dr. Amino Gondohutomo, Central Java Province. A descriptive case study design was applied, involving data collection through interviews, observation, documentation review, and literature study. The nursing process included assessment, nursing diagnosis, planning, implementation, and evaluation. The results showed that the patient exhibited symptoms of verbal aggression, tension, and refusal to take medication. Nursing interventions provided included pharmacological therapy, family psychoeducation, and group activity therapy. After the interventions, the patient showed decreased frequency of anger, improved cooperation with nurses, and willingness to participate in group activities. These findings highlight the importance of comprehensive psychiatric nursing care that integrates medical treatment and psychosocial interventions to reduce violent behavior risk in schizophrenic patients and to promote recovery and reintegration into the community.

Stroke is a neurological disorder that often causes severe complications, including physical and cognitive impairments. Family involvement is essential in the recovery process, especially in home-based care. This case study aims to describe the application of family nursing care to a patient with hemorrhagic stroke in Purwodadi Village, Tonjong District, Brebes Regency. Data collection methods included interviews, observations, physical examinations, and nursing documentation using the SOAP format. The intervention focused on family support in mobilization, Range of Motion (ROM) exercises, and health education. The results showed an increase in family knowledge and participation, and improvements in the patient's mobility and self-care abilities. This study confirms that family-centered nursing care is effective in improving the quality of recovery and should be integrated into community nursing practice.

Stunting is a chronic nutritional problem that impacts the physical growth and cognitive development of children, one of the causes is inappropriate parenting patterns such as exclusive breastfeeding, diet, and lack of nutritional fulfillment so that children are at risk of malnutrition. In Jember Regency itself, the high rate of stunting is a serious challenge for the government and the community that needs to be addressed. The selection of Gunungmalang Village as the location of community service is based on the high rate of stunting and early marriage as one of the causes of stunting. This community service activity began with training for Family Support Team (TPK) and Posyandu cadres, outreach to pregnant women, parents of infants/toddlers regarding the prevention and treatment of stunting, and a cooking demonstration of vegetable nuggets as an output of the activity by utilizing food ingredients that are easily available in the Gunungmalang community as an initial step to fulfill the nutrition of toddlers. This study uses a descriptive qualitative approach as a method from a case study of scientific paper research that describes factually and in detail related to the activities of the CINTA (Prevent Stunting and Increase Nutrition) work program. The objective of this scientific study is to implement a community service program through collaborative Community Service Programs (KKN) to prevent and address stunting in Gunungmalang Village. Data collection techniques used triangulation (observation, interviews, and documentation). This study demonstrates that the implementation of the community service program has a positive impact on increasing community awareness and changing behavior regarding stunting

Jenang Jubung is a typical snack from Gresik City. Its shape is unique and different from jenang in general. Jenang jubung tends to have a chewy, soft, savory, and sweet taste. This study aims: 1) To determine the effect of mocaf flour substitution on the organoleptic properties (chewy, shape, aroma, color, texture, and taste) of jenang jubung. 2) To determine the best nutritional value of Jenang Jubung. This type of research is an experimental study with 3 treatments consisting of 3 levels of mocaf flour substitution 25%, 50%, 75%. The data collection method was carried out by organoleptic testing with a total of 35 panelists consisting of 7 trained panelists and 28 semi-trained panelists. Data analysis used was to find the mean value, single Anova (One Way Anova), and duncan. Furthermore, laboratory tests were carried out on the best products to determine energy, carbohydrates, fiber, protein, fat, ash content, vitamin B1 (thiamine), vitamin B6, vitamin E, vitamin C, potassium minerals, magnesium minerals, phosphorus minerals, calcium minerals, iron minerals, water content. The results of the analysis showed 1) Mocaf flour substitution had a significant effect on (chewy, shape, aroma, color, texture, and taste); 2) The nutritional content of the best jenang jubung was obtained energy 365.80kcal; carbohydrate 51.09%; fiber 2.91%; protein 9.86%; fat 12.91%; ash content 1.05%; vitamin B1 (thiamine) 1.08Mg; vitamin B6 0.92Mg; vitamin E 1.32Mg; vitamin C 4.08Mg; potassium mineral 5.11Mg; magnesium mineral 19.81Mg; phosphorus mineral 105.80Mg, calcium mineral 11.81Mg; iron mineral 2.11Mg; water content 22.16%.

The rapid development of affiliate marketing on social media necessitates strategies that effectively build audience trust and engagement. This study aims to analyze the application of visual storytelling and soft selling strategies in TikTok affiliate content, using a case study of 20 videos by Reizuka Ari. The research method employs qualitative content analysis, focusing on visual elements, personal narratives, audience interaction, and their relevance to engagement and trust building theories. The findings show that the use of personal visual storytelling, honest personal experience narratives, and soft selling without pressure significantly enhance emotional engagement and audience trust. Authentic testimonials, relevant captions and hashtags, as well as unobtrusive placement of affiliate links, maximize reach and conversion potential. These findings underscore the importance of content personalization in the success of affiliate marketing on short-video platforms like TikTok.

This study aims to examine the effect of leadership style and workload on employee productivity in the Finance and Risk Management Directorate of PT Pelindo Multi Terminal. The research was conducted from February to July 2025 with 31 employee respondents. The study employed a quantitative approach, collecting data through questionnaires and analyzing it using multiple linear regression. The research sought to understand how leadership style and workload influence the productivity of employees within this specific department. The results indicate that, partially, leadership style and workload have no significant effect on employee productivity, with significance values greater than 0.05. This suggests that individual leadership styles and workloads, when considered separately, may not have a strong direct impact on productivity. However, when analyzed simultaneously, both variables significantly influence employee productivity, with a significance value of less than 0.05. The coefficient of determination reveals that leadership style and workload contribute 16.3% to employee productivity, indicating that while these factors play a role, the majority of the variation in productivity (83.7%) is due to other factors not explored in this study. These findings highlight the need for the company to consider a holistic approach to human resource management, focusing not only on leadership style and workload but also on other variables that could further enhance employee productivity. This research provides valuable input for improving organizational strategies

This study is motivated by the importance of building an effective patient safety culture in the hospital environment, which can be influenced by factors such as clinical leadership and work engagement. This study aims to analyze the effect of Clinical Leadership and Work Engagement on patient safety culture mediated by Interprofessional Collaboration of nurses at Emhaka Hospital. The research design used was quantitative with a cross-sectional approach. The study sample consisted of 118 nurses selected using purposive sampling techniques and calculated using saturated side. Data were collected through a 4-point Likert scale questionnaire, which included the variables of Clinical Leadership, Work Engagement, Interprofessional Collaboration, and Patient Safety Culture. Data analysis was performed using SEMP-PLS (Structural Equation Modeling Partial Least Squares) software. The results showed that Clinical Leadership and Work Engagement had a significant effect on Patient Safety Culture, both directly and through the mediation of Interprofessional Collaboration. These findings emphasize the importance of improving clinical leadership and nurse involvement in improving interprofessional collaboration, which in turn can strengthen patient safety culture at Emhaka Hospital. This study contributes to the development of hospital policies that focus on improving patient safety through effective leadership and increasing nurse work engagement.  

Background: Pregnancy is the implantation of the fertilized egg and sperm in the endometrium, and can cause discomfort, one of which is nausea and vomiting, especially in the first trimester. This symptom is common and can cause decreased appetite, paleness, weakness and decreased body fluids. The prevalence of nausea and vomiting in Indonesia is 50-90% of pregnant women. This condition occurs in 60-80% of primigravida pregnant women, and 40-60% of multigravida pregnant women. Objective: This study aims to determine the effect of ginger administration on reducing nausea and vomiting in pregnant women in the first trimester. Method: The method used is a pre-experimental method with a one-group pretest-posttest approach. The sample consisted of 22 respondents who experienced nausea and vomiting at the Simo Community Health Center, Boyolali. The sampling technique used a non-probability method with a consecutive sampling technique. Data analysis used the Wilcoxon Signed Rank test. Assessment of nausea and vomiting using the Pregnancy Unique Quantification of Emesis (PUQE-24) before and after administration of ginger for 4 days. Results: The majority of respondents before the intervention experienced moderate nausea and vomiting (54.5%), while after the intervention, the majority experienced mild nausea and vomiting (59.1%), and those who did not experience nausea and vomiting (31.8%). The Wilcoxon signed rank test showed that nausea and vomiting before and after ginger administration resulted in a p value of 0.000 (<0.05). Conclusion: Ginger administration has a significant and effective effect on reducing the level of nausea and vomiting in pregnant women in the first trimester.

This study was conducted to isolate and identify lactic acid bacteria (LAB) present in nilem fish bekasam, a traditional fermented product from Muaro Jambi. A 1-gram sample of bekasam, which had been fermented for 7 days, was used as the test material. The sample was diluted in stages to 10⁻⁶ and then plated on Nutrient Agar medium using the pour plate method. The incubation was carried out at 37°C for 24-48 hours. Upon observation, bacterial colonies with characteristics typical of lactic acid bacteria were noted. These colonies were small in size, round in shape, white to cream in color, had smooth surfaces, and flat edges. Gram staining tests revealed that most isolates were Gram-positive bacteria with rod or oval shapes, which is consistent with the characteristics of the Lactobacillus genus. Further tests showed that these bacteria were catalase-negative, non-spore-forming, and produced lactic acid as their primary metabolic product. These findings suggest that lactic acid bacteria, particularly the Lactobacillus species, dominate the microbial population in the fermentation process of nilem fish bekasam. The study highlights the significant role of LAB, especially Lactobacillus, in the fermentation process, contributing to the unique flavors, texture, and preservation properties of this traditional fermented product. This research emphasizes the importance of LAB in traditional food fermentation processes.

Panglipuran Traditional Village in Bali has gained international recognition as one of the cleanest tourist villages in the world and serves as a model for culture-based sustainable tourism. The economic foundation of the village relies heavily on the development of Micro, Small, and Medium Enterprises (MSMEs) rooted in local wisdom, which simultaneously function as drivers of economic growth and instruments of cultural preservation. This study seeks to examine the management practices, marketing strategies, and challenges faced by MSMEs in Panglipuran Village. The research applied qualitative methods, including field observation, in-depth interviews with key stakeholders, documentation review, and descriptive analysis. The findings reveal a strong synergy between customary values and economic activities, reflected in flagship products such as bamboo handicrafts, traditional cuisine, and signature beverages. Success factors include an effective organizational structure, the support of customary institutions, and the ability to adopt adaptive marketing approaches. Nonetheless, several challenges were identified, including limited utilization of digital marketing platforms, constraints in production capacity, and insufficient product innovation to meet the demands of broader markets. Recommendations highlight the importance of strengthening online marketing, diversifying product variations, and expanding cooperative networks both within and beyond the village. Overall, the study underscores the significant potential of culture-based MSMEs to enhance community welfare, increase competitiveness, and ensure the sustainability of local traditions within the dynamics of modern tourism.