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

. Children with acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (LMA) undergoing chemotherapy have one of the side effects, namely experiencing mucositis, this is also influenced by oral hygiene. The aim of the study was to determine the relationship between oral hygiene and mucositis in. The design of this study used quantitative research with descriptive analytic, namely cross sectional. The number of samples is 56 respondents with purposive sampling data collection technique. Measuring tools used Oral Hygiene questionnaire and mucositis assessment questionnaire (OAG). The results of the study were the majority of respondents with male sex 60.7%, the length of the chemotherapy period for the majority of respondents was more than 2 years 67.9%, the majority of oral hygiene obtained the most results with sufficient oral hygiene 57.1% and the majority of mucositis obtained mucositis results being 51.8%. Spearman test Rank p value obtained 0.000 so that there is a relationship between Oral Hygiene and Mucositis in cancer children, with a value of r = -0.799 very strong strength with a negative. The results of this study are expected that health workers can apply good oral hygiene for patients undergoing inpatient and outpatient care regarding the importance of good oral hygiene for children with cancer so as not to cause severe mucositis.

Chronic disease in children requires long-term care because of the prognosis and development of the disease. Chronic illness is not an easy thing for children and parents to deal with. Children undergoing medical and nursing care are scary things, these conditions require them to adapt to new routines that are part of their lives every day. This condition can be categorized as a traumatic event, which can affect psychological changes. These psychological changes are called post traumatic growth. Changes in these conditions become one of the factors that affect the quality of life. This study aims to determine the relationship between post traumatic growth and the quality of life of school-age children who are undergoing palliative care. This type of quantitative research with cross sectional approach method. The sampling technique used was purposive sampling with a sample size of 63 respondents. Based on the results of the Sperm- rank statistical test, a p-value of 0.013 was obtained with a positive correlation with a result of 0.312, so that it can be interpreted that there is a relationship between post traumatic growth and the quality of life of school-age children undergoing palliative care. Suggestions to parents or families are expected to always pay attention to physical and psychological conditions, as well as provide motivation and enthusiasm in undergoing palliative care so as to improve the quality of life in patients after experiencing a post traumatic growth process.

Background: Most hypertensive patients do not exhibit symptoms, although some symptoms occur unintentionally and are believed to be related to hypertension. This results in an increase in blood pressure with advancing age. Aging causes physiological changes in the body, such as the thickening of arterial walls due to the accumulation of collagen in the muscle layer, leading to the narrowing and stiffening of blood vessels starting at the age of 45 years. Objective: Aims to determine the results of implementing Isometric handgrip exercise in elderly hypertension patients. Method: A descriptive research design with a case study approach was conducted on two respondents. Results: Before the implementation of Isometric handgrip exercise, both respondents were at moderate risk of hypertension, however after performing the Isometric handgrip exercise with two contractions lasting 45 seconds each and a 15-second rest between the contractions, their blood pressure decreased. Conclusion: Isometric handgrip exercise shows a good influence on elderly hypertension patients.

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

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

Patient loyalty is often closely related to patient satisfaction with the experience they get during medical treatment. Issues related to service quality, long waiting times, lack of effective communication with patients, or disrespectful attitudes from medical staff can all cause patients to feel dissatisfied and unmotivated to return to the same health facility. This type of quantitative research with a design using correlation analysis, cross sectional. The population in the study were 193 patients treated at a private hospital in Jakarta. The research sample was 130 with the Slovin formula, the sampling technique used quota sampling and the data collection instrument used a questionnaire. Analysis of research data used multiple linear regression. The results showed that service quality partially had a significant effect on patient loyalty with a sig value of 0.036. Partial satisfaction has a significant effect on patient loyalty with a sig value of 0.001 Service quality and satisfaction simultaneously have a significant effect on patient loyalty with a sig value of 0.001 and each effect is 94.1%. In conclusion, the quality of hospital services and patient satisfaction have a significant effect on patient loyalty..  

Research on the Identification of Drug Related Problems (DRPS) has been carried out in Congestive Heart Failure (CHF) patients at the Outpatient Installation of RSUD dr. Soekardjo City of Tasikmalaya used a descriptive method of medical record data of CHF patients retrospectively. This study aims to determine the frequency and categories of DRPs that occur based on the Pharmaceutical Care Network Europe V9.0 classification. The results showed that out of 80 patients, 288 DRPs were found consisting of 4 symptoms (indications) that were not treated (1.4%), adverse drug events may occur as much as 1 event (0.3%), inappropriate drug combinations or drug interactions as many as 279 events (96.9%), and the dose was too high in 4 incidents (1.4%), so that it can be concluded that the categories of causes and problems of DRPs that most often occur in RSUD dr. Soekardjo City of Tasikmalaya in 2022, namely drug interactions.

Background: The prevalence of fractures in Indonesia is quite high, namely the incidence of fractures in the lower extremities is 46.2%. The habit of patients with extremity fractures does not mobilize, causing a negative impact on muscle and joint strength, namely physical mobilization barriers and followed by muscle atrophy. One of the efforts to improve muscle and joint strength is to do Range Of Motion independently. Objective: To determine the application of active Range Of Motion to muscle and joint strength in post op patients with extremity fractures in the operating room of RSUD Pandan Arang Boyolali. Method: This application is descriptive in the form of a case study conducted on 2 respondents using the standard operating procedure Range of Motion and the MMT (Manual Muscle Testing) observation sheet. Findings:  Before and after the application of active Range Of Motion, recovery of muscle and joint strength was obtained in the two respondents, Mrs. R from the value of bad muscle and joint strength to good and Mrs. S of the value of muscle and joint strength is slightly worse. Implication There are differences in development before and after active Range Of Motion in fracture post op patients

Bed rest is a condition when a person cannot move freely due to conditions that interfere with movement (activity). Pressure sores are one of the biggest impacts of bed rest. One of the interventions to prevent pressure sores is giving Virgin Coconut Oil (VCO) through massage. Aims; Knowing the results of the implementation of giving Virgin Coconut Oil (VCO) through Massage on the prevention of pressure sores on bed rest patients in the ICU Room of PKU Muhammadiyah Karanganyar Hospital. Method; This type of research is descriptive in the form of a case study. The approach used is the nursing care approach: planning, implementation, and evaluation. Respondents in this study amounted to two patients with a risk of pressure sores. The instrument uses an observation sheet and a Braden scale measurement questionnaire. Results; The results of the implementation showed that the Braden scale rose for both respondents for the first respondent, the Braden scale became 11, and for the second respondent, it became 15. Conclusion; There are differences in the Braden Scale in patients at risk of pressure sores after giving Virgin Coconut Oil (VCO) through Massage at PKU Muhammadiyah Karanganyar Hospital.

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

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

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

The Social Security Administrative Body is a legal entity in administering social security programs to ensure that all people are able to meet the basic needs of a decent life. The purpose of this research is to analyze the BPJS Kesehatan service system which is capable of anticipating a surge in patients seeking treatment abroad. This study uses a Statute Approach and a conceptual approach using the interview method. Data analysis used qualitative analysis techniques to test the validity of the data in this study by looking for existing reference sources. Based on the results of the research, it shows that the National Social Security System (SJSN) is organized with a Social Insurance mechanism in which each participant is required to pay contributions to provide protection for socio-economic risks that befall participants and/or their family members. The BPJS service arrangement or system is complete by providing basic services and referrals as long as the person is still alive but not for treatment abroad. In the absence of this regulation, it automatically prevents someone from seeking treatment abroad, so they continue to seek treatment at home. The BPJS Kesehatan office in serving patients seeking treatment abroad has not found BPJS patients consulting for treatment abroad.

Breastfeeding-related problems such as breast milk dams, mastitis, nipple blisters and others are widely experienced by breastfeeding mothers. Factors that can cause breast swelling and inhibition of ASi, one of which is the feeling of anxiety or stress felt by postpartum mothers.  Breast care has tremendous benefits, especially for postpartum mothers in the process of breastfeeding their babies. The benefits of breast care are that mothers understand how to keep breasts clean, make nipples stronger and flexible, care for flat or inverted nipples, and facilitate the release of breast milk. To find out the results of breast care implementation in the cempaka ward of RSUD dr. Soehadi Prijonegoro Sragen. This study used quasi-experiment, one group with pretest-posttes Without Control Group Design with 2 respondents postpartum mothers. The instrument used is a Checklist containing six-point engorgement scale (SPES) and Breast Care Procedure.: the  results of the application of breast care carried out 3 days in a row obtained the value of the Six Point Engorgement Scale questionnaire there was a decrease in scores, namely 2 and 1 from the original values of 5 and 4 which means there was a decrease in breast swelling. there was a significant difference in the Six Point Engorgement Scale (SPES) score in postpartum maternal patients between before and after breast care every 30 minutes for 3 days.

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

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

Elderly is a process of experiencing anatomical, physiological and biochemical aging in organ tissues which can affect the state of function and ability of the body as a whole (Fatmah, 2019). In Indonesia, fracture cases are the third largest cause of death under coronary heart disease and tuberculosis. According to data compiled by Wrong Diagnosis (Ropyanto, et al, 2013), Indonesia is the largest country in Southeast Asia that experiences the most fractures of 1.3 million each year out of a population of around 238 million. In postoperative fracture patients, they experience delays in making movements due to muscle weakness and perceived pain (Ningsih, 2019). In an elderly person, it will bring about a complete change in his physique related to a decrease in the ability of the body's tissues, especially in physiological functions in the musculoskeletal system and the neurological system. One of the changes that occur in the elderly is a change in decreased muscle strength, the impact of decreased muscle strength is an increased risk of falling and causes walking to be less stable (Padila, 2020). Purpose: ROM is an exercise used to improve normal joint movement to increase muscle tone. Doing ROM exercises early can increase muscle strength so that it can stimulate more motor units involved, there will be an increase in muscle strength (Anggriani et al., 2020) Method: Using a muscle strength scale instrument. Conclusion: That Range Of Motion has benefits and is

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

Service quality can be measured by comparing the perceptions between expected services and services received and felt by patients. Patient satisfaction is the level of patient feelings after comparing with his expectations. A patient if he is satisfied with the value provided by a product or service then it is very likely to become a customer for a long time. The purpose of this study was to analyze the relationship between service quality in the registration section and patient satisfaction for pregnant women at the highlands sub-district, Binjai sub-district health center, Kota Binjai in 2023. The type of research used in this study was analytic with a cross-sectional approach. Cross sectional is a research approach that emphasizes the time of measurement/observation of independent variable data and depends only once at a time. The chi-square test results obtained a p value of 0.0050.005. This means that there is a significant relationship between the quality of the registration section and the satisfaction of pregnant women. Reliability where the p value = 0.000. Responsiveness with p value = 0.000. Assurance with a p value = 0.000. Empaty with p value = 0.002.