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Chronic Kidney Disease (CKD) is a structural or functional abnormality of the kidneys that lasts ≥3 months with the criteria of eGFR <60 mL/min/1.73 m² or the presence of kidney damage such as albuminuria and urinary abnormalities (Kidney International, 2024). CKD patients, especially those treated in intensive care units, often experience gastrointestinal disorders such as increased volume of gastric residues. Giving enteral nutrition to patients with NGT can increase the volume of gastric residue which is at risk of causing complications. One of the non-pharmacological interventions that can be carried out is abdominal massage, which is a light massage technique in the abdominal area that can stimulate intestinal peristalsis and improve gastrointestinal motility. The purpose of this case study was to determine the effect of  giving abdominal massage on reducing the volume of gastric residue in CKD patients in the ICU. This scientific paper uses a case study design using abdominal mass therapy. The number of respondents was 3 people, the intervention was carried out for 3 days with a time of 10-15 minutes. The application of abdominal massage therapy in the three respondents showed a decrease in the volume of gastric residue after admixture was carried out  for three consecutive days with an average decrease in the volume of gastric residue, which was 50 cc - 75 cc. Abdominal massage is a safe and effective nonpharmacological nursing intervention to help reduce gastric residue volume and support enteral nutrient tolerance in CKD patients in the ICU.

Ankle sprain is one of the most common musculoskeletal injuries in sports activities and often results in pain, limited range of motion, muscle weakness, and decreased functional ability. Appropriate physiotherapy management is essential to accelerate recovery and restore ankle function. This study aims to analyze the effectiveness of combining electrotherapy modalities and exercise therapy in the rehabilitation of bilateral grade II ankle sprain caused by sports injury. The research used a case study approach with physiotherapy interventions conducted through several treatment sessions. The interventions consisted of electrotherapy modalities combined with therapeutic exercises designed to reduce pain, improve joint mobility, and increase muscle strength and functional stability of the ankle. Clinical evaluation was carried out through observation of pain levels, range of motion, and functional ability during the therapy period. The findings indicated a gradual improvement in the patient’s condition, including decreased pain, increased ankle range of motion, improved muscle strength, and better functional performance during daily activities. These results suggest that the integration of electrotherapy and exercise therapy can provide a comprehensive rehabilitation approach for ankle sprain injuries. The combined intervention not only supports pain reduction but also enhances joint stability and functional recovery, enabling patients to return safely to their physical activities and reducing the risk of recurrent injury.

This is a worrying issue in the digital age and has been shown to significantly contribute to low student academic achievement. This research aims to examine the role of Guidance and Counseling (BK) services in addressing social media addiction in students with low academic achievement. The method used in this research is library research with a qualitative approach through content analysis and literature synthesis techniques sourced from various scientific references published between 2020 and 2025. The results show that students addicted to social media have low self-control, resulting in academic procrastination and a consistent decline in learning achievement. GC services have proven to play a strategic role through preventive, curative, and developmental functions implemented through classical guidance, individual counseling, and group counseling. The Cognitive Behavioral Therapy (CBT) approach and self-management technique have proven most effective in helping students reduce social media addiction and improve learning discipline. However, the effectiveness of GC services is still constrained by the non-ideal ratio of counseling teachers, the lack of digital literacy-based GC programs, and students' negative stigma toward counseling services. This study recommends developing GC programs specifically designed to address digital addiction by involving the entire school ecosystem consistently.

The risk of violent behavior is a condition where a person commits an act that can be physically dangerous, either to themselves, others or their own family. To overcome this, a special therapy is needed. Laughter therapy will release endorphins so that the body becomes more comfortable, relaxed and makes the client's emotional state better so that it can suppress the desire to get angry. This study uses a descriptive case study with a nursing process approach to 5 respondents. With laughter therapy intervention for 20-30 minutes. The intervention was carried out on June 4 to 6, 2025, located at the Palembang ODGJ shelter. Client 1(Mr. H) before the intervention there were 9 signs and symptoms of the risk of violent behavior and after the intervention it became 1. In client 2 (Mr. L) before the intervention there were 9 signs and symptoms after the intervention 0 signs and symptoms. In client 3 (Mr. A) before the intervention there were 8 signs and symptoms after the intervention 1 sign and symptom. Client 4 (Mr. F) had 7 signs and symptoms before the intervention, but after the intervention, it became 1. Client 5 (Mr. S) had 5 signs and symptoms before the intervention, but after the intervention, it became 1 sign and symptom.

The elderly are a vulnerable group to experience decreased physical and cognitive function, such as hypertension and dementia, which can affect their quality of life. The Activity Therapy Program aims to improve the well-being of the elderly through laughter therapy, listening to music, and playing guess the word. The method used is group dynamics, which involves fun activities to stimulate the cognitive and social of the elderly. This activity is expected to increase social interaction, sensory stimulation, and improve the cognitive function of the elderly. The implementation of therapy was carried out involving 60 elderly people, with stages that included orientation, work, and termination. Evaluations showed that 60% of participants actively participated in laughter and guess therapy, as well as being able to express their feelings. This program has shown success in improving the quality of life of the elderly by encouraging them to be more active and social. In conclusion, TAK can be an effective solution to improve the quality of life of the elderly through physical and cognitive stimulation. It is recommended that this program be carried out regularly to maintain the memory and social health of the elderly.

The most frequent complaint among pregnant women, particularly during the second and third trimesters, is sleep difficulties. Emotional disorders, physical exhaustion, and a higher chance of pregnancy difficulties can all result from poor sleep. Back massage combined with lavender aromatherapy is one non-pharmacological treatment that has been shown to be safe for enhancing the quality of sleep. The purpose of this study was to evaluate the impact of lavender back massage on pregnant women's sleep quality. Thirty third-trimester pregnant women in the West Halmahera Community Health Center (Puskesmas) operating area participated in the study, which employed a pre-experimental design and a one-group pretest-posttest methodology. The Pittsburgh Sleep Quality Index (PSQI) was used to assess the quality of sleep. According to the findings, the majority of respondents (76.7%) experienced poor sleep quality before to the back massage, with an average PSQI score of 11.2. The PSQI score dropped to 6.1 following three days of lavender back massages, indicating a substantial improvement in sleep quality. The Wilcoxon statistical test revealed a substantial increase in sleep quality following the intervention, with p = 0.000. According to the study's findings, back massage with lavender can be suggested as a safe supplemental therapy in prenatal care services as it effectively improves pregnant women's sleep quality.

Truancy among high school students continues to be a serious concern that has negative effects on both academic outcomes and social development. This study seeks to analyze the application of reality therapy as an intervention to minimize truancy behavior. The research utilizes a literature review approach by evaluating six relevant scholarly articles published over the past decade. The findings suggest that truancy is caused by a combination of internal factors, such as lack of learning motivation and feelings of boredom, and external factors, including family environment and peer influence. Conventional approaches that rely heavily on punishment and external control are considered less effective in creating lasting behavioral improvements. On the other hand, reality therapy emphasizes personal responsibility, present actions, and self-assessment, allowing students to better understand their behavior and make more positive decisions. The results demonstrate that this approach enhances students’ self-awareness, responsibility, and decision-making abilities. Therefore, reality therapy can be regarded as an effective alternative counseling method to address truancy behavior in schools and to support long-term behavioral change.

Hallucinations are false sensory perceptions unrelated to real external stimuli. Patients will have difficulty distinguishing whether the stimuli they experience originate internally (thoughts or feelings) or externally. This condition may affect any of the five senses. The most common type of hallucination is auditory hallucinations. One way to reduce the signs and symptoms of auditory hallucinations is through Art Therapy: freehand painting. To determine nursing care with the application of free painting therapy in patients with auditory hallucinations at the Mitra Mulia Husada Foundation, Palembang. The design used was a case study describing the cases of four patients with auditory hallucinations. Subjects were selected according to inclusion and exclusion criteria. The intervention provided was free-drawing therapy for four days, each lasting 30 minutes.After the intervention of applying free painting therapy for 4 days with a time of 30 minutes per visit, it was found that there was a decrease in signs and symptoms of hallucinations as shown through the results of the observation sheet in each patient. Mr. A. originally 9 became 3 signs of symptoms, Mr. S originally 7 became 3 signs of symptoms, Mr. AJ originally 9 became 3 signs of symptoms and Mr. M originally 10 became 5 signs of symptoms of auditory hallucinations. There was a decrease in auditory hallucination scores in each patient after being given Art Therapy: free painting. For future researchers, it is hoped that they can conduct research on the application of free painting therapy so that it can be carried out more frequently so that the therapy carried out is more effective in reducing the signs and symptoms of hallucinations and also add respondents so that the application of the therapy given is more effective in reducing the signs and symptoms experienced by patients.

Diabetic ketoacidosis (DKA) is a life-threatening acute metabolic complication of diabetes mellitus characterized by hyperglycemia, metabolic acidosis, and ketosis due to absolute or relative insulin deficiency. DKA may present as the initial manifestation of previously undiagnosed diabetes, particularly in young adults. We report a case of a 27-year-old male who presented with decreased consciousness preceded by shortness of breath. The patient had a three-month history of polyuria, polydipsia, polyphagia, and significant weight loss. Physical examination revealed a Glasgow Coma Scale score of 9 and signs of dehydration. Laboratory findings showed severe hyperglycemia (426 mg/dL), elevated HbA1c (8.5%), leukocytosis, and severe metabolic acidosis (pH 6.8; HCO₃⁻ 5.8 mmol/L). The diagnosis of DKA was established based on clinical and laboratory criteria. Management included aggressive fluid resuscitation, continuous intravenous insulin infusion, electrolyte correction, and antibiotic therapy for suspected infection. The patient showed gradual clinical improvement. This case highlights the importance of early recognition, identification of precipitating factors, and prompt management to reduce morbidity and mortality associated with DKA.

Hypertension is a chronic health problem whose prevalence continues to increase and is a major risk factor for cardiovascular disease. In addition to pharmacological therapy, non-pharmacological interventions are needed to help control blood pressure safely and sustainably. One complementary therapy that has the potential to lower blood pressure is Slow Stroke Back Massage (SSBM), which works through relaxation mechanisms and modulation of the autonomic nervous system. This study aims to determine the effect of SSBM therapy on reducing blood pressure in hypertensive patients in the Camar Room of RSKD Dadi, South Sulawesi Province. The study used a quantitative quasi-experimental design with a two-group pretest–posttest design. A sample of 32 respondents was selected using a purposive sampling technique, divided into an intervention group and a control group. Data collection was carried out by measuring systolic and diastolic blood pressure before and after the intervention using a standard sphygmomanometer. The results showed a significant decrease in systolic and diastolic blood pressure in the group receiving SSBM therapy compared to the control group. Thus, SSBM therapy has a significant effect on reducing blood pressure in hypertensive patients and can be recommended as a complementary therapy in nursing care.

Bronchopneumonia is a lower respiratory tract infection that remains a major health problem, especially in children, which can cause impaired gas exchange and ultimately decrease oxygen saturation. This condition, if not immediately treated, can lead to hypoxia and improve the patient's clinical condition. One intervention frequently administered in the emergency room is nebulizer therapy, which functions to help widen the airways, reduce secretion production, and improve pulmonary ventilation. This study aims to determine the effect of nebulizer therapy on increasing oxygen saturation in bronchopneumonia patients in the emergency room of Dr. Dody Sardjoto Air Force Hospital. This study used a quasi-experimental design with a one-group pretest-posttest approach. The study sample was bronchopneumonia patients who received nebulizer therapy intervention in the emergency room. The results showed an increase in oxygen saturation after nebulizer therapy with a p-value of 0.000 (p < 0.05), indicating a significant effect. Thus, nebulizer therapy is proven effective in increasing oxygen saturation and can be used as a treatment intervention in the management of oxygenation disorders in bronchopneumonia patients.  

Cardiovascular dysfunction is a disorder of the blood vessels, such as hypertension, heart failure, and stroke. In 2016, cardiovascular disease was the leading cause of death worldwide, based on data from the World Health Organization (WHO). Coronary Heart Disease (CHD) is the leading cause of death, along with stroke, as shown by the Sample Registration System survey in 2014.This case involves a 64-year-old male, Mr. N, who presented to the emergency department of RSUD dr. Fauziah Bireuen with complaints of chest pain that developed gradually and worsened over the past month. The pain was located across the entire chest and radiated to the back and neck. The pain was described as severe, like being crushed by a heavy load, worsened during strenuous activities such as cutting grass and chopping wood, and relieved when the patient bent forward. The pain could occur at any time, with a Visual Analog Scale (VAS) score of 10 (severe pain). The patient also reported easy fatigue during heavy physical activity over the past month. Laboratory examination revealed elevated leukocytes, mean corpuscular volume (MCV), segmented neutrophils, troponin I, cholesterol, and triglycerides. The patient was diagnosed with extensive anterior ST-elevation myocardial infarction (STEMI) post successful fibrinolytic therapy.

The situations frequently faced by final-year students while preparing scientific papers often have an impact on their mental health and learning process. The purpose of this study was to evaluate the effectiveness of Mozart music therapy in reducing stress among final-year students in the Diploma III Nursing Program at Abulyatama University. This study used a quantitative method with a one-group pre-Test and post-Test design. The population studied included all final-year students in the Diploma III Nursing Program at Abulyatama University, totaling 168 students. The sample consisted of 15 respondents selected using purposive sampling technique. The instrument used in this study was the DASS-42 questionnaire with a Cronbach’s Alpha value of 0.8806, and Mozart classical music therapy was administered in accordance with the Standard Operating Procedure sheet. This research was conducted from May 20 to May 23, 2025. Data analysis used the T-test. The results showed a decrease in the mean stress score from 26.07 (pre-Test) to 20.67 (post-Test), with a p-value = 0.000. Based on these results, it can be concluded that Mozart classical music therapy has an effect in reducing stress among final-year students during the process of writing scientific papers. It is expected that students can make Mozart classical music therapy a routine practice in daily life to maintain mental balance, and educational institutions are advised to organize Mozart classical music therapy programs regularly as a preventive effort against academic stress

Hysterectomy is a procedure performed to remove the uterus, either partially or completely. This surgery often causes psychological responses in the form of anxiety. One non-pharmacological therapy that can be used to overcome anxiety is Benson relaxation. The design used in this Final Nursing Scientific Paper is a case study using Benson relaxation intervention. Three respondents participated, and the intervention was carried out for two days preoperatively with three sessions, taking place in the Lukas Charitas Hospital Palembang room. After two days of Benson relaxation, changes in anxiety scores were obtained using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire. At the final meeting, Mrs. E's anxiety decreased from 18 to 10, Mrs. H's from 16 to 7, and Mrs. S's from 13 to 7. There was a decrease in anxiety before and after Benson relaxation therapy was administered to all three respondents. The implementation of this EBP is expected to provide additional information regarding the provision of Benson relaxation in preoperative hysterectomy patients.

Surgery is a medical procedure performed by opening a part of the body and ending with the closure or suturing of the wound. This procedure often causes anxiety in preoperative patients. One non-pharmacological intervention that can be used to reduce anxiety is classical music therapy, which helps promote relaxation and supports the healing process. This study aims to determine the effect of classical music therapy on reducing anxiety levels in preoperative patients in the implementation of nursing care. The method used was a case study design with a nursing care approach involving three preoperative patients experiencing anxiety. The intervention consisted of classical music therapy delivered through headphones for 5 minutes and administered twice to each respondent. The results showed that after receiving classical music therapy, the anxiety levels of all three patients decreased from severe anxiety with an average score of 19 to moderate to mild anxiety with scores ranging from 7–13. In addition, symptoms such as worry, restlessness, and tension also appeared to decrease after the intervention. It can be concluded that classical music therapy is effective in reducing anxiety levels in preoperative patients during the nursing care process. Therefore, nurses are expected to apply classical music therapy as one of the interventions for patients experiencing anxiety.

Background: Thel postpartum periodl is al recovery phase involving lphysical and psychologicall changes, during which mothersl often experience fatigue due to increased cortisol levels. Excessive fatigue can interfere with the breastfeeding process and reduce motivation for exclusive breastfeeding. Lavender aromatherapyl is al non-pharmacologicall therapy containing linalool with sedative effects to provide relaxation and reduce fatigue levels. lObjective: This studyl aimed tol determine thel effect ofl lavender aromatherapy onl reducing fatigue in postpartuml mothers atl Puskesmas Ibu, West Halmahera Regency. Methods: Thisl study was al Pre-Experimentall study withl a Onel Group lPretest-Posttest lDesign. The studyl population consisted of lall postpartum mothersl at Puskesmas Ibu, with a total sampling technique of 30 respondents. The research instrument used anl observation lsheet, and ldata analysis wasl performed usingl the Paired Sample T-Testl (α = 0.05). Results: The majorityl of lrespondents' characteristics were inl the agel range of 20-35 yearsl (76.7%), had Senior High School education (60%), were unemployed/housewives (70%), and were primiparous (60%). The resultsl of thel Paired Samplel T-Testl showed al mean fatigue score before the intervention of 27.33, which decreased to 11.50 after the intervention (mean difference 15.833) with a lp-value = l0.000. lConclusion: There isl al significant effectl ofl lavender aromatherapyl administration on reducing fatigue lin postpartum lmothers at Puskesmas Ibu, Halbar Regency. Lavender aromatherapy is effective as a complementary therapy to aid postpartum maternal recovery.

Hypertension is a non-communicable disease that can lead to cardiovascular complications and requires both pharmacological and non-pharmacological management. One of the non-pharmacological therapies that can be applied is warm water foot soaking and progressive muscle relaxation, which may help reduce blood pressure through peripheral vasodilation, stimulation of the parasympathetic nervous system, and decreased sympathetic nervous system activity. This study aimed to analyze the implementation of nursing care through warm water foot soaking therapy and progressive muscle relaxation to reduce blood pressure in patients with hypertension. The method used was a case study with a pre-experimental design using a one group pre-test post-testapproach involving three hypertensive patients, with the intervention administered once daily for three days. The results showed a decrease in blood pressure in all patients. The average systolic reduction was 5.3 mmHg, 12.3 mmHg, and 5.6 mmHg, while the diastolic reduction was 1.6 mmHg, 2.6 mmHg, and 4 mmHg, respectively. In addition, all patients reported a reduction in pain scale. It can be concluded that warm water foot soaking therapy combined with progressive muscle relaxation is effective as a complementary nursing intervention to help reduce blood pressure in patients with hypertension.

Pulmonary Tuberculosis is a disease cause an infection by Mycobacterium tuberculosis which attacking the lungs. The problem that often appears is Respiratory system disorder that this symptomatically happens with shortness.  Shortness occurs due to an imbalance between oxygen demand and supply, thereby increasing respiratory effort and reducing patient comfort. A non-pharmacological measure to reduce shortness of breath is orthopnea positioning.This therapy aims to increase lung expansion, improve ventilation, and relax the respiratory muscles, thereby helping to reduce Asphyxiate in patients with pulmonary tuberculosis. To determine the effectiveness of orthopneic positioning in reducing dyspnea in patients with pulmonary tuberculosis. Case study design with 3 respondents who were placed in the orthopneic position for 5 minutes with a stopwatch used to measure respiratory rate The results of this study show that the orthopneic position is effective in reducing shortness of breath, as evidenced by Mr. R, who had a respiratory rate of 24 breaths per minute before being placed in the orthopnea position. After being placed in the orthopneic position, his respiratory rate decreased to19 breaths per minute. Mr. K's respiratory rate was 24 breaths per minute before being placed in the orthopneic position and decreased to 20 breaths per minute after being placed in the orthopneic position. Mr. M's respiratory rate was 24 breaths per minute before being placed in the orthopneic position and decreased to 19 breaths per minute after being placed in the orthopneic position

This study aims to explore the effectiveness of various intervention strategies, including counseling services, learning strategies, and occupational therapy in treating children with Attention Deficit Hyperactivity Disorder (ADHD). Through a qualitative method based on literature studies, this study applies systematic data processing to evaluate the impact of a holistic approach on children's behavior and concentration. Analysis is carried out through data reduction procedures, data presentation, and verification of conclusions to measure the extent to which a holistic approach influences the development of children's behavior and concentration abilities. The results of the study indicate that multimodal approaches, such as Cognitive Behavior Therapy (CBT) and occupational therapy, are effective in improving children's self-control, emotional regulation, and motor skills. In addition, the implementation of an Individual Learning Program (IPP) in schools and intensive collaboration with parents play a major role in creating a supportive environment for children with ADHD. This study concludes that integrated treatment between behavioral interventions and the success of optimizing children's potential depends heavily on the integration of professional behavioral treatment with active support from the family.

Acute Respiratory Tract Infection (ARI) is a global health problem that significantly contributes to high morbidity and mortality rates. The goal of this activity is to educate residents about preventing ARI, so that they have a good understanding of the disease and are able to take preventive measures independently. The program included information on ARI, simple inhalation therapy, and proper waste disposal. Prior to the health promotion on ARI prevention, 70% of residents had poor knowledge about the disease. After the activity, there was a significant increase in knowledge, with 90% of residents demonstrating a good level of understanding. This improvement indicates a positive shift in public awareness regarding ARI prevention. The activity successfully emphasized the importance of prevention efforts for ARI, focusing on promoting Clean and Healthy Living Behaviors (PHBS). Educating the community about ARI prevention is crucial in reducing the incidence of the disease. Regular health promotion activities, particularly those targeting community participation and practical steps for prevention, are vital for enhancing public health and preventing ARI, which remains a major cause of illness and death worldwide. The results highlight the effectiveness of health education in raising awareness and improving knowledge on preventing ARI.