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Sectio caesarea is an act of removing the fetus and placenta through an incision in the abdominal wall and uterine wall in an intact state. Sectio caesarea is certainly inseparable from anesthesia, namely spinal anesthesia which will later use the bromage score as an indicator of anesthesia recovery. Range of Motion (ROM) can be interpreted as the maximum movement possible in a joint without causing pain. ROM is an important action that can affect the recovery of muscle movement after surgery. Purpose: To determine the difference in providing passive Range of Motion (ROM) of the lower extremities to the bromage score of patients after sectio caesarea surgery with spinal anesthesia. This study used a quasi-experimental research method (Quasi Experiment Method) with a Pre-post-test Design design with 15 respondents receiving intervention. Sampling with consecutive sampling. The test used was the Wilcoxon test. Data analysis using Wilcoxon with p = 0.005 (p <0.05). There is a difference in providing passive ROM of the lower extremities to the bromage score of patients after sectio caesarea surgery with spinal anesthesia.  

Background: Pre-operation is the initial stage to prepare the patient as much as possible, more than two-thirds of patients waiting for surgery experience anxiety because it is their first time undergoing spinal anesthesia surgery. As a result of the patient's intense preoperative anxiety, there is a possibility that the operation cannot be carried out. The way to overcome anxiety is through deep breathing relaxation techniques. Objective: To determine the effect of deep breathing relaxation on anxiety in preoperative patients. Research methods: This research uses quantitative research design using Quasy Experiment, namely an experimental design carried out without randomization. This research was conducted at PKU Muhammadiyah Gombong Hospital in the operating room in February 2024. This population consisted of 42 patients in one month with a research sample of 30 respondents. This research instrument uses the APAIS questionnaire. This research technique uses purposive sampling. Results: The data that can be generated when using the deep breathing relaxation technique is 30 respondents using the pre test-post test technique. During the pre-test, those experiencing moderate anxiety amounted to 40.0%, severe anxiety amounted to 40.0%, the most severe anxiety/panic amounted to 20.0%. At the time of the post test, those experiencing mild anxiety were 66.7%, and those experiencing moderate anxiety were 33.3%. Conclusion: When the observation was carried out, there was a decrease in the level of anxiety, so that the respondent's anxiety had reduced.

This study aims to evaluate the impact of ergonomic exercises on blood pressure in hypertensive patients in the village of Setia Suka Maju Sirihit – Rihit. The research employed a One Group Pre-test – Post method using purposive sampling, with 10 respondents selected from a population of 50 who met the criteria. Data were collected using an ordinal scale and observational instruments. The results of the Wilcoxon Signed Ranks Test using SPSS indicated significance < 0.05 (p=0.00), signifying the influence of ergonomic exercises on lowering blood pressure. The conclusion of this study asserts the effectiveness of ergonomic exercises in reducing blood pressure in hypertensive patients in Setia Suka Maju Sirihit – Rihit Village, Pahae Jae Subdistrict, North Tapanuli Regency in 2023.

Erysipelas is an infection of the nonnecrotic superficial skin accompanied by lymphangitis. This infection will cause a clinical picture in the form of well-defined erythematous plaques. Most cases of erysipelas are caused by bacteria, most often the normal skin flora such as Streptococcus bacteria but erysipelas can also be caused by S. aureus and group C or G Streptococcus. Erysipelas can occur at any age. Erysipelas is closely related to the patient’s physical condition and cellular immune status which underlies or facilitates the occurrence of infections, including chronic systemic diseases suffered by these patients, such as diabetes mellitus, immunocompromised states. The lower extremities are the most common predilection for erysipelas. Most erysipelas patients come for treatment with the main complaint of swelling, redness, and pain experienced by the patient accompanied by other complaints such as burning and itching which are predisposing factors to the occurrence of this infection. The diagnosis of erysipelas is based on anamnesis, physical examination and laboratory tests. The management of erysipelas is the administration of antibiotics and wound care.

Hypertiroidism that continues into a thyroid storm is one of the rarest complication to be found in Indonesia. The pathogenesis of thyroid storm hasn’t been identified, but this condition is suspected as a result of the free thyroid hormones that escalates after a thyroidectomy or I-131 therapy, infection, acute stress, non-tiroid surgery, parturition, and overmanipulated thyroid glands. Thyroid storm is an emergency condition that can happened to a hyperthyroidism patients that needs a specific and fast management. If this condition is being treated correctly, the mortality rate of patient could be decreased, therefore a case of a 63 years old woman with the loss of consciousness with hyperthyroidism goiter node as the trigger factor that leads into a thyroid storm, happens with a congestive heart failure and pneumonia. The assessment with Burch-Wartofsky obtained a score of 55, then treated with the right diagnostic assessment and treatment. After the treatment, that patient’s condition was getting better day by day, but the patient’s family later decided to bring the patient home in the third day of treatment.

Dental erosion is described as the loss of the enamel on the teeth. At first, people who experience tooth erosion will not feel that their teeth are experiencing tooth erosion, until when tooth erosion has reached the dentin. Tooth erosion that has reached the dentin is characterized by, among other things, a feeling of pain in the teeth. However, there are many people who are unfamiliar with dental erosion, so a system that can be accessed online is needed to help patients or the public to consult independently. This expert system is designed using the PHP Programming Language and MySQL Database and the method used is a certainty factor. The result of concultationtest with the system is able to determine the disease along with the intial treatment or treatment that be must be carried out based on the symstoms selected by the user.

Background:  PCOS is a problem experienced by females due to interrupted hormones until the reproduction process is interrupted. This matter leads to anxiety and requires social support. Objective: This research determined the correlation between social support and the anxiety of polycystic ovary syndrome patients. Research design: this descriptive quantitative took 48 respondents as the samples. Research results: most respondents were in early adulthood (52.1%). Most respondents graduated from high education (54.25). They had high social support (89.4%) and got mild anxiety (79.2%). The Spearman rank test obtained a p-value of 0.000 lower than 0.05, indicating the correlation between social support and anxiety levels of PCOS patients. Conclusion: High social support could relieve the patient's anxiety. Suggestion:  The researcher expects future researchers will apply qualitative design to reveal the new PCOS patients' knowledge.

Health services in hospitals must be able to manage risks to patients and have the ability to learn how to follow up on incidents or injuries that occur and be able to implement solutions to reduce the risk of patient safety incidents occurring. Therefore, through hospital accreditation, service quality must be carried out in accordance with predetermined patient safety standards. This study aims to determine the experience of implementing nurses in carrying out patient safety at dr. Bratanata in 2022.

The problem of medication adherence in individuals with hypertension remains a challenge, even in developing countries. The purpose of this study was to determine the effect of Emo demo education on adherence to taking medication in hypertensive patients enrolled in the Prolanis program at Puskesmas Sumbersari Lumajang. This study was conducted at Sumbersari Health Center in March 2023. This study used a quasi-experimental research design with a one group pre-post test design. The purposive sampling technique was chosen to select a sample of 50 respondents. This study used the MMAS-8-4 (Morisky Medication Adherence Scale) questionnaire as a measuring tool for medication adherence. Statistical tests using the Wilcoxon Signed Rank test. Before the emo-demo, most of the 22 (44%) respondents were at a low level of compliance. After emo-demo education, most of the respondents were in moderate compliance 33 (66%) and high compliance 14 (28%).  The results of bivariate analysis show that Emo demo education has a significant effect on drug compliance in hypertensive patients participating in Prolanis, with a p-value of 0.000 which is smaller than the predetermined level of significance of 0.05. The provision of Emo Demo in health education with a focus on the target group is expected to be facilitated by the puskesmas. Effective medication adherence among hypertensive patients can improve control of blood pressure and prevent complications of the disease.

Pain is an uncomfortable and highly individualized feeling that others cannot feel. Lidocaine is a drug to relieve pain or has a numbing effect on the body. This study aims to determine the effect of lidocaine use on the pain level of urinary retention patients during catheter insertion in the emergency room of Dr Haryoto Lumajang Hospital. The research design used quasi-experiments with Two Group Post-test design. Accidental sampling was used to determine the number of samples and obtained 30 respondents, every 15 people in the intervention group and control group. The pain was measured using the NRS (Numeric Rating Scale) pain scale. The intervention group was given lidocaine 2% as much as one ampoule mixed with lubricant inserted into the urethra using a syringe. The control group only used lubricant. Statistical tests using the Mann-Whitney U Test. In the intervention group, 11 (73.3%) respondents experienced mild pain, and 4 (26.7%) respondents felt moderate pain. In the control group, 14 (93.3%) respondents experienced moderate pain and 1 (6.7%) respondent felt severe pain. Statistical test with a p-value of 0.000 means that lidocaine use has an effect on the pain level of patients with urine retention during catheter insertion. Taking into account the findings of this study, nursing can play a role in improving patient experience and providing better care during catheter insertion in patients with urine retention.

Chronic Kidney Disease (CKD) This is a gradual and irreversible kidney disorder that affects the body's capacity to regulate metabolism, fluids, and electrolytes, leading to the development of uremia. Hemodialysis (HD) patients with chronic renal failure are subject to fluid, dietary and pharmaceutical restrictions as well as activity and medication limits. Weight gain, edema, and high blood pressure will occur if fluid balance is not maintained or if there is excess fluid between dialysis sessions. But limiting fluids while receiving hemodialysis can have a number of negative consequences on the body, one of which is thirst and dry mouth (xerostomia), caused by decreased salivary gland production. This scientific study uses a descriptive methodology along with nursing care strategies to apply the "sipping ice cubes therapy" strategy to reduce thirst in CKD patients receiving hemodialysis. Evidence-based practice of nursing This procedure is carried out in the Nursing Room of RSUD Dr. dr. Aloei Saboe Gorontalo City on December 26 2022 and January 26 2023. According to researchers, the administration of the innovative therapy "Sipping Ice Cubes Therapy" can significantly reduce thirst levels in CKD (Chronic Kidney Disease) patients. It can be seen from the 6 respondents who were given the innovative therapy "sipping ice Cubes Therapy" all of which gave a positive response after evaluation, both direct evaluation after giving therapy or evaluation after 3 days of giving the implementation of "sipping ice Cubes Therapy"

Interprofessional Collaboration (IPC) is professional collaboration with different educational backgrounds and collaborates to improve service quality. The purpose of this study was to explore SBAR communication carried out by nurses and doctors in IPC at the Hospital X. The research method is qualitative. The research participants were 10 health workers (5 nurses and 5 doctors). Data analysis was carried out by processing and preparing data, reading data, coding, coding interpretation, presenting themes, and interpreting data. The results showed that there were three themes produced: 1) A thorough assessment by nurses and doctors; 2) Collaboration between nurses and doctors to patients; 3) Barriers communication between nurses and doctors. The form of communication that is applied between doctors and nurses in the emergency room at the hospital x is SBAR communication that has been implemented well. The main barriers to SBAR communication are the shortage of staff and the increase in the number of patients. And the obstacle from the doctor's side is the new nurse personnel who do not really understand their duties. The conclusion of this study is that the application of SBAR communication in the Interprofessional Collaboration (IPC) relationship between nurses and emergency room doctors at the hospital x is good, but there are still barriers to SBAR communication when there is an increase in the number of patients due to lack of staff in the hospital.

Hypertension is a condition where a person's blood pressure increases above normal which can inhibit the work of the heart. Strategies that can be used to reduce the incidence of hypertension is to utilize products favored by the public that have the potential to lower blood pressure. Food ingredients such as milkfish, white radish, and broccoli. All three have the opportunity to be processed into food products that are well known among the public, efficient, practical, and acceptable to all circles where the product is Nugget. This study aims to determine the effect of adding white radish and broccoli to the preference level of milkfish nuggets as an alternative snack for hypertensive patients. This study used an experimental design, namely RAL with 6 treatments. The treatment was factor L as the addition of white radish with 3 levels and factor B as the addition of broccoli with 2 levels. The results showed that the milkfish nuggets with the addition of 70% white radish and 30% broccoli were preferred by the panelists with a protein nutrient content of 9.48% using the Kjeldahl test, 16.4% fat using the Weibull test, 0.18% potassium using the ASS, 2.24% sodium using the ASS test, and 248.98 kcal energy using calculations.  

Diabetes mellitus is a chronic metabolic disease that causes hyperglycemia. Diabetic neuropathy is a complication of diabetes mellitus due to hyperglycemia. People who experience diabetic neuropathy complain of tingling, numbness, stabbing pain sensations, burning pain sensations, squeezing sensations, and allodynia, which can reduce their quality of life. Administering vitamin B reduces patient symptoms and improves nerve cell function. The aim of this study was to explain the effect of vitamin B on patients with diabetic neuropathy based on a literature review. The research method used was literature review. The results of this study, based on some of the reviewed literature, found that vitamin B has an effect on reducing pain complaints in neuropathic patients with diabetes mellitus.

Pulmonary Hospital dr. Ario Wirawan Salatiga is a health service institution that organizes plenary health. In the era of the Covid-19 pandemic, dr. Ario Wirawan experienced a significant increase so that during administration the patient experienced a long waiting time. The preparation of this research aims to develop an independent registration system so that it can manage long and ineffective queues. This self-registration platform system uses a web-based FIFO (First in First Out) algorithm. The system development stage is the analysis, design, design and testing stage. The method for developing an independent registration platform system uses the prototype method according to needs. While the coding stage of this system was built using the Python programming language with the PostgreSQL database. With the existence of an independent registration platform system, it is hoped that the hospital and patients can be facilitated in the examination registration process and managing patient data at the Pulmonary Hospital dr. Ario Wirawan Salatiga.  Keywords: FIFO, Automated Pavement System

Background: Jobs related to hospitals or health are often exposed to high work stress, namely nurses. Nurses who experience work stress show negative emotional responses. The negative impact of increased work stress and low emotional intelligence on nurses has an impact on the quality of health services. Therefore, when a nurse is exposed to work stress and low emotional intelligence, her performance in providing nursing services will decrease, which in turn will get complaints from patients. Prolonged job stress can contribute to nurse burnout, increased dropout rates, and decreased job satisfaction. In the long term, this can affect nurse retention and reduce the availability and quality of the nursing workforce. Methods: Quantitative research with a correlational type of research using Cross Sectional. Sampling using the Total Sampling approach totaling 46 nurses. Data analysis using Univariate Analysis and Bivariate Analysis. Results: 1) 56.52% emotional intelligence in nurses at Dr. Hospital. Bratanata Kota Jambi is categorized as low and 43.48% is categorized as high; 2) 54.35% work stress on nurses at Dr. Hospital. Bratanata Kota Jambi is categorized as high and 45.65% is categorized as low; 3) There is a relationship between emotional intelligence and work stress on nurses in the inpatient rooms of Akasia, Cemara and Cendana at Dr. Hospital. Bratanata Jambi City in 2022 with a Spearman correlation value of -0.869. That is, high emotional intelligence, the work stress experienced by nurses will be low. Conclusion: There is a relationship between emotional intelligence and work stress of nurses in the Inpatient Room of Akasia, Cemara and Cendana Dr. Jambi City Bratanata Hospital. It is hoped that the hospital can provide various programs for nurses not to experience high stress, and can increase the emotional intelligence of nurses to reduce work stress with training for nurses such as Gathering which can reduce nurse work stress.

Benign Prostatic Hyperplasia (BPH) is an enlargement of the prostate that can cause obstruction of the prostatic urethra. One of the measures to treat patients with benign prostate hyperplasia is surgery. Surgery can irritate the bladder mucosa, causing pain. One of the non-pharmacological pain management that can be used is Benson relaxation. This relaxation is an action to free mentally and physically from tension and stress so that it can increase tolerance to pain. The purpose, the application of Benson relaxation was carried out for 2 days with a frequency of 2 times a day and a duration of 15 minutes. Methods of this research includes descriptive research with a case study approach, which aims to determine the description and effect of differences between 1 patients in the application of Benson therapy to reduce pain in postoperative patients with benign prostatic hyperplasia. The results of study, researchers get an overview of the application of benzene therapy so that the results show that both respondents experienced a decrease in pain, the respondent complained of pain on a 6 scale after 2 days of benzene relaxation pain complaints decreased with a pain scale of 3. In conclusion, the application of Benson relaxation has an effect on reducing pain scale in postoperative patients with benign prostate hyperplasia.

Heart attacks are caused by a blockage that keeps blood from flowing to the heart and to the brain, resulting in further complications such as failure of the heart muscle to get oxygen supply which results in a person's death. Therefore, patients with heart disease require Percutaneous Coronary Intervention to deal with their treatment. PCI is also known as cardiac angioplasty or percutaneous coronary intervention. PCI installation in patients with heart disease can affect physical activity so that patients really need family support. Family support will increase self-confidence and motivation to face problems and increase the standard of living to improve the patient's quality of life. This type of research uses a quantitative technique with a cross sectional approach. Sampling was carried out by purposive sampling technique with a total sample of 54 people.The results showed that the majority of respondents had good family support, with all dimensions of family support having a good percentage which showed a significant good percentage (100.00%), and had a very good quality of life (75.93%) , with those who have a good quality of life (24.07%). There is a significant relationship between family support and the quality of life of post-percutaneous coronary intervention (PCI) patients in the cardiac clinic room of Raden Mattaher Hospital, Jambi, with the Sig. (2-tailed) is 0.032 less than α (0.05). In addition to the analysis significance value, a correlation coefficient (cc) value of 0.293* was also obtained.The relationship between family support and quality of life of post-percutaneous coronary intervention (PCI) patients in the cardiac clinic room at Raden Mattaher Hospital Jambi in 2023 resulted in a relationship that was sufficient or strong enough and led to a positive relationship, that is, better family support.

Background: Because of the very high mortality in children and children under the age of five, bronchopneumonia is the leading cause of death in children under the age of five worldwide. When viruses, bacteria, microbes and fungi enter the lungs through the respiratory system, they infect the lung parenchyma and cause pneumonia. Objective: Analyzing ineffective airway clearance nursing care in children with bronchopneumonia by collaborative action of administering a nebulizer in the Picu Room of Prof. Hospital. Dr. H Aloei Saboe Methods: Participants in this study, which used a quasi-experimental design, received treatment or intervention before measuring and analyzing the impacts. The pre-post-test group design method served as the basis for the research design. In children with bronchopneumonia, this strategy is used to check the results before and after administration of the nebulizer. Two young people who fight against crime become samples. Results: The results of the study show the overall evaluation results after nursing actions, namely: Based on the results before being given a nebulizer to patients the problem was not resolved in 2 patients and after being given a nebulizer to patients the problem was resolved in 2 patients Conclusion: Based on the description above, inhalation therapy to reduce symptoms of shortness of breath in children with bronchopneumonia is effective where inhalation therapy or steam inhalation therapy using drugs can widen the bronchial airways resulting in complaints such as shortness of breath and disappearance of breath sounds.

. Phlebitis is the area of skin around an intravascular catheter that is swollen, red, hot and painful. The aim of this research is to find out how nurses prevent phlebitis in patients. For this research, the design used is descriptive. The population consisted of all inpatients who were placed on an IV by a nurse in the emergency room and then admitted to the hospital. Data was collected using probability sampling techniques using the Slovin formula for 69 samples, using checklists and observation sheets, and analyzed using frequency distribution. The results of research conducted on 69 nurses in the Thamrin Medan inpatient room showed that there was an increase in the actions of respondents before the training was carried out. The majority had "bad" actions, namely 39 people (65.5%), 30 people (43.5%) had "good" actions. %). After the phlebitis prevention training was carried out, the results showed that those with "bad" actions decreased to 24 people (34.8%) and those with "good" actions increased to 45 people (65.2%). The results of the study showed that nurses' actions in preventing phlebitis averaged a score of 8, a minimum score of 4 and a maximum score of 10. This happened because the majority of nurses had taken action to prevent nosocomial infections well, so it was seen that there was a change in nurses' behavior before and after after training in phlebitis prevention at Bunda Thamrin Hospital, Medan.