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The prevalence of hypertension in Indonesia has increased, in 2013 the prevalence of hypertension was 25.8% while in 2018 the prevalence of hypertension increased by 34.1%. In addition to pharmacological techniques, hypertension management can use non-pharmacological techniques, one of which is deep breathing relaxation techniques. The purpose of this study was to analyze the effect of deep breathing relaxation techniques on blood pressure in hypertension patients at the Industrial Health Center. This study used the Pre-Experiment one group pretest and posttest method. The sampling technique was random sampling with a sample size of 46 people who met the inclusion criteria. The instruments used were digital tension, SOP for deep breathing relaxation techniques, and observation sheets. Data analysis used the Wilcoxon statistical test. Blood pressure before the relaxation technique averaged systolic 157.83. Blood pressure after the relaxation technique averaged systolic 137.65. The results of the Wilcoxon blood pressure test in hypertension patients before and after deep breathing relaxation techniques (p = 0.000). There is an effect of deep breathing relaxation techniques on blood pressure in hypertension patients at the Industrial Health Center.  

Aromatherapy candles made from used cooking oil represent an eco-friendly and economically valuable entrepreneurial innovation. This proposal presents the utilization of used frying oil as a base material in producing aromatherapy candles, aiming to support the circular economy concept and provide an alternative solution to environmental pollution. The product formulation combines paraffin, beeswax, and natural essential oils, offering relaxation and comfort while also opening up new business opportunities. SWOT analysis and marketing strategies based on the 4Ps (Product, Price, Place, Promotion) serve as the foundation for business development. The results of the study show that aromatherapy candle businesses have strong potential to attract consumer interest, especially among young people, and can deliver significant social, economic, and environmental impact.

This study explores the strategies and effectiveness of the recovery of Micro, Small, and Medium Enterprises (MSMEs) in Medan City following the COVID-19 pandemic. By reviewing recent scholarly articles, it examines the roles of government policies, digital transformation, product diversification, and multi-stakeholder collaboration in supporting MSME sustainability. The review findings show that economic stimulus policies such as cash assistance, credit relaxation, and digital training significantly impact the resilience and growth of MSMEs. Moreover, MSMEs' adaptation to technology and the role of communities further strengthen local economic resilience. This study contributes to the literature on regional economic recovery and serves as a foundation for data-driven policy-making.

Appendicitis ranks highest among emergency cases in the abdomen if not treated immediately will cause severe infection until the intestinal lumen can rupture. Pain will appear as a nursing problem for patients who have undergone appendectomy surgery because it is an act of removing the infected appendix through surgery. Pain can be minimized, one of which is with autogenic relaxation training. Activities start from measuring vital signs, pain scale, assessing anxious expressions, then autogenic relaxation training. Education is carried out to assess the knowledge of the community with a history of post-appendectomy surgery about autogenic relaxation and is carried out in collaboration with local village officials. The method used in this activity is counseling about autogenic relaxation training from a team of nursing lecturers and nursing students as many as 36 respondents. The results obtained from respondents before being given education were 36 people who stated that they did not know about autogenic relaxation training and the pain scale felt was above 6 after appendectomy surgery. The output of the PkM that has been implemented is expected to increase knowledge about autogenic relaxation training after autogenic relaxation training is implemented in the community.

In today’s digital era, the rapid advancement of technology has reshaped the way people seek entertainment, with online games becoming a dominant pastime, particularly among university students. While gaming provides an outlet for relaxation and escapism, its excessive use often leads to addictive behaviors that interfere with academic responsibilities, physical health, and social functioning. This research was designed to explore how self-control influences the tendency toward online game addiction among students. Utilizing a quantitative correlational method, the study gathered data from 111 university students across various disciplines who actively engage in online gaming. The measurement tools consisted of validated Likert-scale questionnaires, and statistical analysis was conducted using simple linear regression. The findings revealed a statistically significant negative relationship between self-control and gaming addiction, indicating that individuals with stronger self-regulation skills are less likely to develop problematic gaming behaviors. These results highlight the vital role of self-control in maintaining a balanced academic and personal life. The study emphasizes the need for strategic interventions within educational settings to foster better emotional regulation among students as a preventative measure against gaming addiction.

Recently, many teenagers have been doing mountain climbing, one of which is Mount Lorokan. This study examines the motivation of teenagers in climbing Mount Lorokan and looking for differences in heart rate before and after climbing. This study uses a quantitative descriptive type with a purposive sampling technique and a sample size of 30 respondents. The respondents' heart rate data was taken before and after climbing and then given a questionnaire consisting of 29 questions. It is known that the results of the pretest and posttest heart rate obtained a significant figure of 0.00 <0.05, which means that there is a difference in the heart rate of teenagers. Furthermore, the results of the motivation questionnaire show that the motivation of teenagers to climb Mount Lorokan is more influenced by intrinsic factors with a percentage value of 83.44%, compared to extrinsic factors which obtained a percentage value of 66.67%. Where each indicator has a percentage value, such as the indicator of the desire to explore one's abilities with an average value of 79.33% in the high category, the indicator of enjoying the beauty of nature with an average value of 86.33% in the very high category, the indicator of the need for relaxation with an average value of 84.67% in the very high category, the indicator of social pressure with an average value of 76.67% in the high category, the indicator of social media trends with an average value of 68.33% in the high category, and the indicator of recognition from others with an average value of 55% in the sufficient category.

Community service has been carried out by the service team involving students from the Padangsidimpuan Midwifery Study Program, Poltekkes Kemenkes Medan. The community service activities carried out were to provide counseling and demonstrations about Endorphine massage which is a light touch or massage therapy that is quite important to be given to pregnant women, in the time leading up to and during childbirth. This massage can stimulate the body to release endorphin compounds which are pain relievers and can create a feeling of comfort. Endorphins in the body can be triggered through various activities, such as deep breathing and relaxation, and meditation. Endorphine massage should be done to pregnant women who are 36 weeks pregnant. Because endorphin massage can stimulate the release of the hormone oxytocin which can trigger the labor process (Kuswandi, 2014). This Community Service aims to demonstrate endorphin massage to reduce pain in mothers giving birth in the first stage in the Pintu Padang Health Center work area, South Tapanuli Regency. Target pregnant women in the third trimester, young couples, Participants 40, endorphin massage is expected to be implemented in the management of the first stage to reduce pain and speed up the labor process. The results of this community service are an increase in knowledge of 50% and skills of 87% about endorphin massage correctly applied when pregnant women later undergo the labor process. This community service is carried out in collaboration with partners used as the location of this activity, namely Kalurahan Pintu Padang, Batang Angkola District, South Tapanuli Regency and Health Cadres, Village Midwives at the local Health Center. This activity received a positive response from local participants, and as a follow-up, it can be carried out by Health Cadres and midwives at the Health Center to monitor the skills that have been obtained when pregnant women are in the labor process that will be undergone

Infant anxiety following routine immunizations, such as DPT vaccination, can lead to distress, prolonged crying, and negative behavioral responses, affecting both the child and caregivers. Non-pharmacological interventions, including aromatherapy, have been explored to alleviate such anxiety. This study aimed to examine the effect of lavender aromatherapy inhalation on anxiety levels in infants after DPT immunization at Puskesmas Rum Balibunga Tidore. A quasi-experimental design with pre-test and post-test measurements was employed, involving 30 infants aged 2–6 months. Anxiety was assessed using a validated observational scale, focusing on behavioral indicators such as crying duration, facial expressions, and body movements. Lavender essential oil was administered via inhalation for five minutes immediately after immunization. Data were analyzed using paired t-tests to evaluate changes in anxiety scores before and after the intervention. The results demonstrated a significant reduction in infant anxiety following lavender inhalation, with mean scores decreasing from 14.5 ± 2.8 to 9.3 ± 2.1 (p < 0.001). Behavioral indicators, including the frequency and duration of crying, were also markedly reduced, supporting the effectiveness of the intervention. These findings align with prior research indicating that lavender essential oil can modulate the autonomic nervous system, promoting relaxation and reducing stress responses. In conclusion, inhalation of lavender aromatherapy effectively decreases post-immunization anxiety in infants. Incorporating this intervention into routine vaccination procedures at community health centers offers a safe, non-invasive, and culturally acceptable method to improve infant comfort and enhance the overall immunization experience.

This article discusses academic stress as a serious problem that is often experienced by university students and has a negative impact on mental health and academic performance. To address this, individual counselling approaches are considered an effective solution. This study is a literature review that aims to evaluate the effectiveness of various individual counselling strategies in relieving academic stress. Using the literature review method, the study reviewed relevant literature from journals, books and reputable academic sources, with selection based on rigorous methodological criteria. Analyses were conducted systematically using a qualitative approach and a descriptive-analytical framework. The results showed that techniques such as relaxation training, time management, enhancing study skills, social support, self-regulation, and developing a positive and flexible mindset were effective. The role of professional counsellors was also identified as an important factor in successful counselling. This study makes both practical and theoretical contributions to the field of counselling, by providing strategic guidance for more targeted interventions. In addition, the findings open up opportunities for further research into approaches to handling academic stress.

This activity aims to raise awareness and understanding among PKK mothers in Padang Cermin Village, Langkat Regency, regarding the importance of mental health. Mental health issues are often overlooked, especially in rural areas where access to information and support services is limited, and where social stigma against mental disorders persists. Lack of knowledge about the early signs of mental health disorders can cause preventable problems to develop into more serious conditions. Through this outreach activity, participants were introduced to the basic concepts of mental health, the factors that influence it, the early signs of mental disorders such as prolonged stress, anxiety, and depression, and simple steps that can be taken to maintain mental health within the family environment. Methods used included interactive material delivery, educational videos, group discussions, and question-and-answer sessions, allowing participants to understand the material more deeply and relate it to their personal experiences. Additionally, practical tips were provided, such as breathing relaxation techniques, establishing positive communication within the family, time management, and the importance of social support among community members. This approach is expected to empower mothers, as central figures in the family, to recognize, prevent, and address mental health issues early on. The results of the activity showed a very positive response. Participants demonstrated high enthusiasm, openness in sharing experiences, and a greater awareness of the importance of maintaining mental health. Many participants acknowledged that they previously lacked understanding of the importance of mental health care and tended to ignore early symptoms. This activity demonstrated the strategic role of community-based mental health education in preventative efforts to create healthier, more harmonious, and more resilient families. Going forward, follow-up efforts in the form of regular mentoring programs, dissemination of advanced educational materials, and collaboration with relevant parties are needed to ensure continued understanding and support for mental health issues in rural communities.

Indonesia's rich natural resources offer immense potential for tourism development, with various locations evolving into popular tourist destinations. Kledung Pass, with its stunning views of three mountains, is an attractive stopover for travelers heading to cities across Java. Despite its popularity, however, there is no clear technical framework for designing rest areas in such locations. This study addresses the gap by proposing a new concept that reimagines rest areas as tourist destinations, providing brief yet meaningful stops for travelers. The research conducted surveys with road users to understand their rest needs while traveling. It focused on identifying key factors influencing the need for rest from a neuroscience perspective, considering both the physiological and psychological aspects. These findings were analyzed using William Peña’s space programming theory to develop appropriate design standards. The results indicated two main factors driving the need for temporary stopovers: physical fatigue from long journeys and emotional boredom. These findings underscore the necessity for spaces that cater to both physical relaxation and mental rejuvenation, creating a more holistic rest area experience. The proposed design standards move beyond traditional rest areas, integrating recreational features to enhance user experience. The design that considers the effective zoning layout and the use of environmentally friendly materials is expected to be able to create an economically efficient rest area, while providing a positive experience that is environmentally friendly. Overall, planning non-toll rest areas with neuroarchitectural principles can create functional rest areas that support mental health, as well as strengthen Indonesia's tourism appeal through sustainable and highquality space experiences.

Cesarean section (Sectio Caesarea) is a surgical procedure performed by making an incision in the anterior wall of the uterus to assist the childbirth process. This study aims to examine the application of Benson relaxation technique in reducing the intensity of pain scale in post-cesarean section mothers at Bengkalis Regional General Hospital (RSUD Bengkalis). This research is a quantitative study using a quasi-experimental design. The study was conducted from November to December 2024, involving a sample of 15 respondents. Data were analyzed using univariate and bivariate analysis, with the Chi-Square test applied. All respondents were post-cesarean section mothers. The findings showed that before the intervention, all 15 respondents (100%) experienced severe pain. After receiving the Benson relaxation intervention for 10–15 minutes, a decrease in pain scale was reported. The data indicated that the majority of respondents (86.7% or 13 respondents) experienced a reduction from severe to moderate pain. The statistical test results yielded a p-value of 0.000, indicating a significant effect of Benson relaxation therapy on pain reduction in post-cesarean section patients in the Mawar Ward of RSUD Bengkalis. It is recommended that RSUD Bengkalis consider adopting this technique as an innovation in health services, particularly in nursing care, to help reduce pain in post-cesarean section mothers.

Pain is one of the main problems often experienced by patients during treatment in hospitals, including in the Zam-Zam 1 Ward of Sultan Hadlirin Hospital, Jepara. High levels of pain can affect comfort, quality of rest, and slow the patient's healing process. Various non-pharmacological interventions have been developed to help reduce pain, one of which is music therapy, which works through distraction and relaxation mechanisms. This study aims to analyze the effectiveness of music therapy in reducing pain levels in patients in the Zam-Zam 1 Ward of Sultan Hadlirin Hospital, Jepara. The research method used a quasi-experimental design with a pretest-posttest approach without a control group. The study sample consisted of 47 patients who met the inclusion criteria and were selected using a purposive sampling technique. The research instrument used a Numerical Rating Scale (NRS) to measure the patient's pain levels before and after the intervention. The music therapy process was carried out by playing relaxation music for a certain period according to the research procedure. Data analysis was carried out using a paired t-test to determine the difference in pain levels before and after music therapy. The results showed an average decrease in pain levels of 1.79 with a standard deviation of 1.05. The t-test results yielded a t-value of 9.017 with a p-value of 0.000 (p < 0.05), indicating a significant difference between pain levels before and after the intervention. These findings demonstrate that music therapy is effective in reducing pain perception in hospitalized patients. In conclusion, music therapy can be used as an alternative non-pharmacological intervention that is easily implemented by healthcare professionals to improve patient comfort and quality of care in hospitals.  

Academic anxiety is a prevalent concern encountered by students before to examinations, which may adversely affect academic performance.  This article aims to illustrate successful approaches derived from the Cognitive Behavioural Therapy (CBT) approach to mitigate students' academic anxiety.  The used process may include a literature evaluation by examining 20 relevant and cohesive periodicals.  The findings demonstrate that CBT therapies, including individual or group counselling, self-talk techniques, progressive muscle relaxation, and systematic desensitisation, are very successful in reducing student anxiety.  Cognitive Behavioural Therapy enables students to identify and modify negative thought patterns that provoke anxiety into more rational and adaptive thinking.  By implementing appropriate methods, students may prepare for examinations with more tranquilly and confidence.  This article is anticipated to be a valuable reference for school counsellors and educators in developing mental intervention programmes to enhance kids' overall well-being.    

Background:Breastfeeding is expected to help achieve SDGs goal 3, target 2, which is to reduce neonatal mortality to at least 12 per 1,000 live births in all countries by 2030 and stop unnecessary deaths of newborns and children under five. Encouraging healthy breastfeeding is essential to prevent more than 820,000 deaths of children under five each year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increase breast milk production. Research Method:The research design used the Pre Experimental Design method, namely with the form of a One Group pretest and posttest design without a control group. This study used purposive sampling, with a sample size of 22 respondents. Data analysis used univariate and bivariate. Result:This study showed that the value before oxytocin massage was 16.14 and after oxytocin massage the mean was 27.73. The conclusion of the study shows that the results of the experimental test have a significant value with a p value of 0.000 <0.05. This shows that there is a significant gap in breast milk production between before and after oxytocin massage. Suggestion: It is hoped that midwives at the Lidya Clinic can use this study as input to support increased breast milk production in mothers, especially those in the postpartum period.

Hospitalization is a disruptive experience for children that can also induce anxiety. Generally, the reactions of children undergoing inpatient care are anxiety, crying, and restlessness. Play therapy can help distract children from pain and provide relaxation. This study aims to determine the effect of squishy toy play therapy on reducing anxiety in preschool-aged children (3-6 years old) undergoing hospitalization. This study employs a Pre-Experimental method with a One Group Pre-Post Test Design. The population for this research is 200 children each month. The sample consists of 80 respondents who are preschool-aged (3-6 years old) and have been admitted to Rizani Paiton Probolinggo Hospital. The sampling technique used is accidental sampling. Data management involves processes such as Editing, Coding, Scoring, and Tabulating, and the data are analyzed using the Wilcoxon test.Top of FormBottom of Form The results of this study show that the average anxiety score before the squishy toy play therapy was 2.54. The average anxiety score after the therapy was 1.56. The analysis using the Wilcoxon test indicates that there is an effect of squishy toy play therapy on reducing anxiety in preschool-aged children (3-6 years old) undergoing hospitalization, with a p-value of 0.000. Squishy play therapy is carried out twice a day for three consecutive days, squishy play therapy is suitable for preschool children because this therapy is easy to do, does not require a lot of facilities and takes a short time. Suggestions for further researchers observe parents and closest people as one of the factors that influence the effectiveness of squishy play therapy.

and well-being of pregnant women. This study aims to examine the effect of the Rebozo technique in reducing lower abdominal pain in third-trimester pregnant women. A total of 65 third-trimester pregnant women at UPT Puskesmas Rum Balibunga participated in the study. The results show a significant reduction in pain levels after applying the Rebozo technique, with all participants reporting negative ranks (pain reduction). The Wilcoxon Signed Ranks Test yielded a Z = -8.062 and p-value = 0.000, indicating that the reduction in pain after applying the Rebozo technique was statistically significant. This pain reduction can be attributed to the relaxation effect provided by the Rebozo technique, which helps relieve muscle tension and provide physical support to the pregnant woman's body. The study suggests that the Rebozo technique can be an effective non-pharmacological alternative for reducing pain in pregnant women, especially in the third trimester.

Green tea (Camellia sinensis) belongs to the genus Camellia from the Theaceae family. This plant has been used as traditional medicine for generations and is known to have various pharmacological activities. The purpose of this review is to discuss the benefits of green tea in reducing the risk of obesity by reviewing its botanical characteristics, phytochemical content, use and bioactivity to treat obesity obtained and compiled from literature searches through search engines such as Google Scholar, Science Direct, and PubMed. then discussed narratively. The results obtained indicate that green tea extracts and drinks can reportedly help increase the body's metabolism, which contributes to the reduction of body fat. Many studies report that this plant contains phytochemical compounds such as flavonoids, alkaloids, steroids, triterpenoids and carbohydrates. Epigallocationchin-3-gallate, L-theanine, and caffeine, which are respectively classified as flavonoids, amino acids, and alkaloids, are considered responsible for their pharmacological activity in treating obesity. EGCG has a hypocholesterolemic effect and suppresses cholesterol absorption in the intestine, L-theanine itself has physiological effects such as relaxation activities, and caffeine is useful in reducing food intake and has a thermogenic effect which can encourage weight loss.

Bronchopneumonia is an infectious disease that attacks the lower respiratory system, including the bronchioles and alveoli, charactherized by the presence of spots or patches on the lung lobes caused by Staphylococcus aereus bacteria in mild cases and followed by Klebsiella pneumoniae in severe cases. On of the non-pharmacological therapies for bronchopneumonia is peppermint aromatherapy and benson relaxation therapy. Peppermint aromatherapy has the effect of relieving the nose and making breathing easier combined with the benson relaxation technique which ultimately effects oxygen saturation. This study aims to determine the effect of administering peppermint aromatherapy and benson relaxation therapy on oxygen saturation levels in bronchopneumonia patients. This study used a quasi experimental design with a one group pre-post test design, involving 17 respondents selected through purposive sampling. The results of this study showed that there was a difference in oxygen saturation before and after the intervention with a p-value of 0.0001 < 0.05. The administration of peppermint aromatherapy and benson relaxation therapy influences the increase in oxygen saturation of broncopneumonia patients at RSI Sultan Agung Semarang.

Hypertension, which is common in the elderly, is a condition when blood pressure increases abnormally when measured in the systolic and diastolic phases. Blood pressure that exceeds 140/90 mmHg (systolic/diastolic) may indicate the presence of a health condition in the individual. comparison of the effectiveness of progressive muscle relaxation therapy and slow deep breathing on blood pressure of hypertensive clients at Perdha Pucang Gading Semarang is the main objective of this study. This study used a quantitative quasy-experiment method with a two group pretest and posttest group design, with 48 respondents selected through nonprobability sampling techniques. To ensure the normality assumption was met, the data was tested using the Shapiro-wilk test. Furthermore, statistical analysis was carried out with two types, namely paired t-test and independent t-test, to compare differences between data groups. The results showed that the elderly aged 60-75 years in the Panti experienced mild hypertension. Statistical analysis concluded that progressive muscle relaxation therapy and slow deep breathing were effective in reducing systolic and diastolic blood pressure significantly (p<0.05). However, no substantial variation was found in the effectiveness between the two therapies in reducing systolic blood pressure (p 0.066>0.05).