Publication Search

Pemulihan kesadaran setelah general anestesi merupakan fase kritis yang dipengaruhi oleh berbagai faktor, salah satunya adalah penggunaan sevoflurane sebagai agen anestesi inhalasi. Waktu pulih sadar yang terlalu lama dapat berisiko menimbulkan komplikasi pascaoperasi dan memperpanjang waktu perawatan di ruang pemulihan. Variasi dalam penggunaan volume persentase sevoflurane dapat memengaruhi waktu pulih sadar pasien. Penelitian ini bertujuan untuk mengetahui hubungan antara persentase sevoflurane dengan lama pulih sadar pasien yang menjalani anestesi umum di Instalasi Bedah Sentral RSU PKU Muhammadiyah Bantul. Metode penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan kuantitatif dan rancangan cross-sectional. Sampel terdiri dari pasien dewasa (19–59 tahun) yang menjalani operasi dengan anestesi umum menggunakan agen inhalasi sevoflurane. Instrumen pengumpulan data meliputi lembar observasi, jam, dan data dari mesin anestesi. Analisis data dilakukan menggunakan uji korelasi Spearman Rank. Hasil penelitian dari 60 jumlah responden yang diteliti, responden yang mengalami pulih sadar lama sebanyak 21 responden (35,0%), lalu pulih sadar sedang sebanyak 24 responden (40,0%), dan yang mengalami pulih sadar cepat sebanyak 15 responden (25,0%). Hasil uji Spearman Rank menunjukkan nilai signifikansi (p-value) 0,000 < 0,05, yang mengindikasikan adanya korelasi positif antara kedua variabel tersebut.

Provinsi Daerah Istimewa Yogyakarta merupakan wilayah dengan indeks risiko bencana sedang (119, 56) tahun 2022. Erupsi gunung berapi dapat menimbulkan kerusakan fisik dan korban jiwa yang tinggi, terutama jika penanganan darurat tidak dilakukan dengan cepat dan tepat. Salah satu keterampilan penting dalam situasi darurat adalah Resusitasi Jantung Paru (RJP), yang dapat menyelamatkan nyawa korban henti jantung sebelum bantuan medis tiba. Tujuan penelitian ini untuk mengkaji pengaruh simulasi bencana letusan gunung berapi terhadap keterampilan resusitasi jantung paru (RJP) siswa SMA Negeri 1 Cangkringan. Penelitian ini menggunakan metode pra-eksperimen dengan one-group pretest-posttest design . Pengambilan sampel menggunakan teknik simple random sampling dengan jumlah responden sebanyak 30 orang. Responden diberikan intervensi berupa simulasi bencana letusan gunung berapi dan pertolongan pertama pada korban henti jantung. Instrumen penelitian berupa lembar observasi keterampilan CPR berdasarkan pedoman American Heart Association (AHA) 2020. Analisis data dilakukan menggunakan uji Wilcoxon . Hasil uji statistik menunjukkan adanya peningkatan keterampilan RJP siswa secara signifikan setelah mengikuti simulasi, dengan nilai p sebesar 0,000 (p<0,05). Hal ini menunjukkan bahwa simulasi bencana letusan gunung berapi efektif dalam meningkatkan keterampilan RJP siswa. Harapanya simulasi ini diterapkan secara sistematis dalam program Satuan Pendidikan Aman Bencana (SPAB) di sekolah.

Latar Belakang: Pemberian anestesi spinal menimbulkan efek samping mual muntah pasca operasi yang dapat menimbulkan kekurangan cairan.Terapi non farmakologi yang dapat digunakan ialah pemberian aromaterapi lemon. Aromaterapi lemon dapat menurunkan intensitas mual muntah pada pasien pasca operasi karena akan memberikan efek relaksasi pada pasien. Tujuan: Untuk mengetahui Pengaruh Pemberian Aromaterapi Lemon Terhadap Penurunan Intensitas Mual Muntah Pasca Operasi Dengan Anestesi Spinal di RSUD R.A.A Tjokronegoro Purworejo. Metode Penelitian: Penelitian ini menggunakan desain Pre-Experimental dengan one group pretest and posttest design. Sampel pada penelitian ini pasien pasca operasi dengan anestesi spinal yang mengalami mual muntah di RSUD R.A.A Tjokronegoro Purworejo berjumlah 30 responden.Uji statistik yang digunakan adalah uji wilcoxon signed rank test.Hasil: Hasil uji statistik Nilai p-value 0.000<0,005 Ha diterima ada pengaruh Pemberian Aromaterapi Lemon Terhadap Penurunan Intensitas Mual Muntah Pasca Operasi Dengan Anestesi Spinal di RSUD R.A.A Tjokronegoro Purworejo. sebelum diberikan aromaterapi Mayoritas responden merasa mual saja sebanyak 21 (70%),setelah pemberian aromaterapi lemon mayoritas responden tidak merasa mual dan muntah sebanyak 26 (86,7%).Simpulan: Adanya pengaruh Pemberian Aromaterapi Lemon Terhadap Penurunan Intensitas Mual Muntah Pasca Operasi Dengan Anestesi Spinal di RSUD R.A.A Tjokronegoro Purworejo.Saran: peneliti selanjutnya diharapkan menggunakan sampel yang lebih besar dan dapat mengendalikan faktor durasi pembedahan.

Kualitas pelayanan kesehatan merupakan faktor penting dalam menentukan kepuasan pasien, maka industri kesehatan perlu terus melakukan transformasi untuk memenuhi kebutuhan yang terus meningkat. Kepuasan pasien adalah tingkat perasaan atau kepuasan seseorang setelah membandingkan kinerja atau hasil yang dirasakan dengan harapan. Kualitas pelayanan kesehatan yang baik dirumah sakit dapat memberikan kepuasan kepada pasien, dari pelayanan yang diterima oleh pasien apabila hasil yang dirasakan oleh pasien sama atau meleihi harapan makan akan timbul perasaan puas dan tidak puas. Untuk mengetahui ada atau tidaknya hubungan kualitas pelayanan fisioterapi terhadap tingkat kepuasan pasien di poli fisioterapi, RSU Astrini Wonogiri. Penelitian ini menggunakan metode deskriptif kuantitatif dengan pendekatan analitik observasional. Populasi pada penelitian ini merupakan seluruh pasien di poli fisioterapi RSU Astrini Wonogiri. Teknik pengambilan sampel menggunakan teknik convenience sampling.  Jumlah sampel 120 responden yang diambil berdasarkan kriteria inklusi dan ekslusi, dengan membagikan kuesioner Service Quality (Servqual) dan  Measuring Patient Satisfaction With Physical Theraphy Care (MRPS/Medrisk). Setelah semua data didapatkan, peneliti mengolah data menggunakan SPSS version 23.0.0 yaitu dengan uji chi-square. uji korelasi menggunakan uji chi-square pada program SPSS. Berdasarkan hasil uji korelasi signifikansi (2-tailed) 0.000 menunjukan nilai <0,05 dengan keterangan H0 ditolak dan H1 diterima. Hal ini dapat diartikan bahwa servqual mempunyai korelasi dengan medrisk. Maka dapat disimpulkan bahwa terdapat hubungan antara kualitas pelayanan dengan kepuasan pasien. Berdasarkan hal ini diharapkan pelayanan Fisioterapi dapat lebih ditingkatkan baik disegala aspek untuk dapat memberikan pelayanan yang terbaik sehingga kepuasan pasien terpenuhi.

Motivasi belajar merupakan dorongan yang berasal dari internal maupun eksternal diri seseorang. Motivasi belajar menjadi faktor penting dalam keberhasilan pendidikan mahasiswa. Tetapi, rendahnya motivasi belajar masih menjadi kendala utama, yang disebabkan oleh kurangnya minat terhadap media pembelajaran yang digunakan. E-pocket book menjadi salah satu solusi alternatif karena bersifat praktis, mudah diakses, dan memuat materi pembelajaran secara ringkas namun padat. Tujuan dari penelitian ini untuk mengetahui adakah efektivitas pemberian E-pocket book anestesi untuk meningkatkan motivasi belajar mahasiswa pra-klinik. Penelitian ini menggunakan jenis eksperimen dengan desain one group pretest and posttest. Populasi dalam penelitian ini ialah mahasiswa D4 Keperawatan Anestesiologi Angkatan 2023. Teknik pengambilan sampel menggunakan teknik simple random sampling yaitu berjumlah 30 orang. Instrumen penelitian menggunakan kuesioner motivasi belajar. Analisa data menggunakan uji Wilcoxon. Hasil yang didapatkan ialah sebelum diberikan E-pocket book anestesi sebagian besar responden berada pada tingkat motivasi yang sedang dengan presentase 50% dan sesudah diberikan sebagian besar responden berada pada tingkt motivasi belajar yang tinggi dengan presentase 86.7% . Hasil uji Wilcoxon nilai p-value 0,001 maka nilai p-value <0,05.

This study aims to analyze the implementation of the Think Pair Share (TPS) learning model in improving problem solving skills in fractional materials for grade V students at SD Negeri 3 Mantingan. The background of this research is the low ability of students to solve fractional problems, mainly due to procedural misconceptions and lack of opportunities to discuss and construct understanding collaboratively. The method used is the Kemmis and McTaggart model Class Action Research (PTK), which consists of four stages: planning, action, observation, and reflection. The research was conducted in one cycle, involving 28 students as subjects. Data collection was carried out through evaluation tests (pre-cycle and cycle I) as well as observation of student learning activities. The results of the study showed a significant increase in problem solving ability. The average score of students increased from 36.43 in the pre-cycle to 93.21 in the first cycle, with a t-test of 25.18 and a p< value of 0.001, indicating a high significance. Learning completeness increased from 0% to 100%. The TPS model has been proven to be able to overcome misconceptions, especially through the peer scaffolding process in the "pair" stage, which helps students in identifying variables and choosing the right calculation operations. In addition, there was an increase in students' collaborative skills in terms of expressing opinions and asking questions, with an achievement range between 68% to 75%. The main obstacles faced in the implementation of polling stations are the management of discussion time and class noise. However, this was successfully overcome through the use of timers and Student Worksheets (LKPD) equipped with scaffolding questions. It can be concluded that the TPS model is an innovative and effective approach in improving mathematical problem solving skills contextually, in line with the principles of the Independent Curriculum.

Gojek, as a leading on-demand service company in Indonesia, continues to leverage technological advancements and shifts in consumer behavior from offline to online shopping. One of its flagship services, GoFood, faces challenges in maintaining its market position and increasing the number of transactions due to increasing competition in the food delivery industry. This study aims to explain the role of positive emotions in mediating the influence of promotional appeals on impulse purchases among GoFood customers. This study uses consumer behavior theory and the Stimulus-Organism-Response (S-O-R) model as a theoretical basis. The study was conducted in Denpasar City, involving 180 respondents through a survey method using questionnaires distributed offline and online. The sampling technique used was non-probability sampling with a purposive sampling approach. Data analysis was carried out using path analysis, classical assumption tests, Sobel tests, and Variance Accounted For (VAF) tests with the help of SPSS 25 software. The results showed that all proposed hypotheses were accepted. Promotional appeals had a positive and significant effect on impulse purchases. Promotional appeals also had a positive and significant effect on positive emotions. Furthermore, positive emotions also significantly influence impulse buying. Positive emotions have been shown to partially mediate the effect of promotional appeal on impulse buying. Practical implications of this research suggest that GoFood optimize attractive discount promotions by providing users with greater flexibility and control to evoke positive emotions that encourage impulse buying behavior. Discount promotions should be designed creatively and personally, using engaging visuals, persuasive language, and offers tailored to customer preferences.

Hypertension is a condition in which Systolic Blood Pressure (SBP) is greater than 140 mm Hg and Diastolic Blood Pressure (DBP) is greater than 90 mm Hg. This disease is one of the most common chronic diseases and can affect anyone, both young and old. Hypertension is often called a silent killer because it has no major symptoms, so sufferers are often unaware that they have high blood pressure until serious complications occur. This study aims to determine the relationship between medication adherence and the use of complementary therapies in hypertensive patients at Mitra Medika Amplas Hospital. The research design used an analytical survey method with a cross-sectional approach. The population in this study were all hypertensive patients who received treatment at the internal polyclinic of Mitra Medika Amplas Hospital, with a total population of 1,398 people. The sampling technique used was purposive sampling with the Slovin formula, resulting in 94 respondents. Based on the results of the analysis using the chi-square statistical test, the P-Value was obtained at 0.685 or P-Value > 0.005, which indicates that the alternative hypothesis (Ha) is rejected and the null hypothesis (Ho) is accepted. Thus, it can be concluded that there is no significant relationship between medication adherence and the use of complementary therapy in hypertensive patients at Mitra Medika Amplas Hospital. The conclusion of this study shows statistically that there is no relationship between medication adherence and the use of complementary therapy at Mitra Medika Amplas Hospital this year, which indicates the need for more attention in improving patient adherence to recommended treatment. The conclusion of this study statistically shows that there is no relationship of medication adherence in the use of complementary therapy at Mitra Medika Amplas Hospital.

Hospitalized children often experience anxiety due to the unfamiliar hospital environment, frightening medical procedures, and separation from family. This anxiety, if left untreated, can negatively impact a child's psychological well-being and hinder the healing process. One non-pharmacological intervention that can be implemented to help reduce anxiety in children is play therapy. This therapy is a fun and developmentally appropriate approach, one of which is through coloring activities. This study aims to describe the application of coloring play therapy in reducing anxiety levels in preschool-aged children undergoing hospitalization. The research design used a case study with two preschool-aged children treated in the Dahlia Ward of Dr. Tjitrowardojo Regional General Hospital, Purworejo. The anxiety measurement instrument used the FIS (Face Image Scale), which allows the assessment of children's facial expressions as an indicator of anxiety levels. The results showed that before therapy, subject I was in the mild anxiety category with an FIS score of 2, while subject II was in the moderate anxiety category with an FIS score of 4. After coloring play therapy, both children experienced a significant decrease in anxiety levels, namely becoming no longer anxious (FIS score 1). These findings indicate that play therapy, including coloring activities, is effective in reducing anxiety in hospitalized preschool children. This intervention could be an easy, affordable, and enjoyable alternative for healthcare providers in providing holistic care to children.

Children born with physical or mental limitations certainly make parents sad and sometimes not ready to accept them for various reasons. The presence of children with special needs has the potential to be a source of stress or stressors, which is influenced by parental acceptance. This method is designed to achieve the stated goals by combining theoretical insights with practical applications. This webinar has a significant impact on webinar participants, especially parents who have children with special needs with the aim of equipping parents with knowledge and understanding so that they are expected to accept the presence of their children who have mental or physical limitations. The stages of parental acceptance of children with special needs in this study include (1) the rejection phase, starting from a feeling of disbelief that the doctor has given a verdict that the child is a child with special needs; (2) the anger phase, usually occurs when parents realize that the child's condition is undeniable; (3) the bargaining phase, where parents try to bargain for the condition that occurs in the child; (4) the depression phase, experiencing problems in daily life due to pressure after pressure that cannot be denied; (5) the acceptance phase, where parents wholeheartedly accept that they have a child with special needs.

Prenatal exercise is a program designed specifically for pregnant women, featuring movements tailored to their condition, aimed at reducing discomforts during pregnancy and preparing them both physically and mentally for childbirth. The lack of awareness among pregnant women regarding prenatal exercise is likely a contributing factor to their limited participation. This study aims to explore the level of knowledge pregnant women have about prenatal exercise at Alisah Clinic, Medan, during the period of March to May 2025. The research employed primary data collection using a total sampling technique, with questionnaires as the instrument, involving 30 pregnant women as subjects. Data analysis was conducted using frequency distribution in percentages. The results showed that the majority of respondents with knowledge about prenatal exercise were aged 20–35 years, accounting for 19 individuals (63.4%), while the minority were aged over 35 years, totaling 3 individuals (10%). Based on education level, most respondents had completed high school (14 individuals or 46.6%), and the fewest had completed elementary school (3 individuals or 10%). Regarding occupation, the majority were housewives (17 individuals or 26.6%), and the minority were private employees (3 individuals or 3.3%). It is recommended that Alisah Clinic, Medan, use this scientific paper as a reference and input for midwifery practice, particularly in providing health education to pregnant women. Future researchers are advised to conduct broader studies with more comprehensive methods and variables to improve and refine this research.  

The low level of public awareness regarding hand hygiene has become a contributing factor to the spread of infectious diseases transmitted through contact. This condition has sparked innovation in the development of hand sanitizer products made from natural ingredients, which are not only effective in killing germs but also safe and environmentally friendly. One promising natural ingredient is pineapple peel (Ananas comosus L.), which is generally considered organic waste. Pineapple peel contains bioactive compounds such as flavonoids, tannins, and the enzyme bromelain, all of which possess antibacterial properties. This study aims to evaluate the antibacterial effectiveness of pineapple peel extract against the growth of Escherichia coli and assess its feasibility as an active ingredient in spray hand sanitizer formulations. The research method involved preparing spray hand sanitizer with varying concentrations of pineapple peel extract: 50%, 60%, 70%, 80%, and 90%. Antibacterial activity was tested using the disk diffusion method to measure the inhibition zone against E. coli. Additional evaluations included physical quality tests such as pH, spreadability, homogeneity, organoleptic properties, skin irritation test, storage stability, and consumer preference. The results showed that the 90% concentration formulation had the highest antibacterial effectiveness, with an inhibition zone of 22 mm. This formulation was also the most preferred by respondents due to its strong and fresh aroma, appealing color, and pleasant texture on the skin. All formulations had pH values within the safe range (5.5–7), did not cause skin irritation, and demonstrated stability during storage. In conclusion, pineapple peel extract is effective as a natural active ingredient in spray hand sanitizer formulations. This product not only exhibits strong antibacterial activity against E. coli but is also safe, stable, and presents an environmentally friendly alternative to support improved public hand hygiene.

Adolescence is a crucial phase in shaping behavior and knowledge, including regarding nutritious food selection. The increased use of social media among adolescents provides opportunities for delivering nutrition education, but also carries risks associated with exposure to misleading information, including inaccurate nutrition claims. This study aims to analyze the relationship between exposure to nutrition education on social media and adolescents' awareness of food products with nutrition claims. The method used in this study was quantitative with an associative study design. The study sample consisted of 302 respondents, students from the Faculty of Public Health and the Faculty of Economics and Business, Airlangga University, class of 2022. Data collection was conducted online through a Google Form questionnaire, which included respondent characteristics and measured perceptions in shaping behavior related to exposure to nutrition education on social media and awareness of nutrition claims on food products. Data analysis was performed using Kendall's tau-b test to measure the relationship between variables. The results showed that TikTok was the most widely used social media platform by respondents, and there was a significant relationship between exposure to nutrition education on social media and adolescents' awareness of food products with nutrition claims (p < 0.01). Respondents who were more frequently exposed to educational content tended to have a better understanding and were able to respond more critically to nutrition claims. These findings emphasize the importance of utilizing social media as an effective nutrition intervention tool, particularly for adolescents who are active social media users, to increase their awareness of the importance of choosing nutritious foods. These results indicate the importance of optimizing social media as an effective nutrition intervention tool, especially for adolescents as a group of active social media users.

 The Community Service Program (PKM) was implemented with the primary objective of improving the motivation and skills of Global International School high school students in managing independent business units established within the school environment. This activity was designed as a practice-based entrepreneurial development effort, especially for students directly involved in school business activities. The program was implemented through a series of training sessions covering entrepreneurial motivation, digital and conventional marketing strategies, and sales practice simulations. The motivation training aimed to build an independent and resilient mindset in facing business challenges, while the promotional strategy training emphasized the importance of branding, the use of social media, and effective communication with consumers. During the implementation process, students were encouraged to actively participate, be creative, and directly apply the material learned through simulations and group discussions. Evaluation results showed that this activity successfully increased the enthusiasm and confidence of students in running their own businesses. They also began to understand the basic concepts of branding, targeted promotional strategies, and the importance of building relationships with consumers. The enthusiasm of the participants was very high, especially during the promotional and direct sales practice. Overall, this PKM activity had a positive impact on students' mental and technical readiness to face the business world. This program also has the potential to be further developed as the basis for a practice-based entrepreneurship curriculum, as well as a medium for character building, creativity, and student independence at the secondary education level.

Character education plays a crucial role in shaping students who excel not only academically but also possess strong moral and social values. In this regard, the government, through the Ministry of Education and Culture, has launched the Strengthening Character Education (PPK) policy as a strategic step to create a generation of character. This study aims to explore how the PPK policy is implemented in elementary schools and analyze the factors that support and hinder its implementation. The method used in this study is descriptive qualitative, with data collection techniques through observation, in-depth interviews with principals and teachers, and documentation studies. The results show that the PPK policy has been implemented through the integration of character values into the learning process, extracurricular activities, and school culture. Several factors supporting the success of this implementation include the principal's visionary leadership, active teacher involvement, and support from parents and the community. However, several challenges remain, such as a lack of supporting facilities, uneven teacher training, and difficulties in consistently integrating character values across all subjects. Overall, the PPK policy in elementary schools has had a positive impact on student character development, although further strengthening is still needed in terms of training, evaluation, and collaboration between all stakeholders. Supporting factors for successful implementation include the visionary leadership of the principal, active teacher involvement, and support from parents and the community. However, several obstacles remain, such as a lack of supporting facilities, uneven teacher training, and difficulties in integrating character values consistently across all subjects. Overall, the PPK policy in elementary schools has had a positive impact on student character development, although further strengthening is needed in terms of training, evaluation, and synergy between stakeholders.

This study aims to determine the influence of students' learning habits on learning outcomes in Mathematics subjects in grade IV students of SD Negeri 200307 Padang Sidempuan. The background of this research is the importance of the role of structured and consistent learning habits in supporting the achievement of optimal learning outcomes, especially in logical and analytical subjects such as Mathematics. This study uses a quantitative approach with a descriptive survey method to obtain an objective picture of the relationship between variables. The population in this study is all grade IV students, and the sampling technique was carried out by purposive sampling, with a sample of 26 students selected based on certain criteria. Data collection was carried out through an instrument in the form of a Likert scale questionnaire as many as 60 previously validated statements, in order to measure the level of students' learning habits. Meanwhile, student learning outcome data is obtained from their academic scores in Mathematics subjects. Data analysis was carried out using a parametric statistical test in the form of a t-test to test the proposed hypothesis. The test results showed that the tcount value of 1.909 was greater than the ttable of 1.695, which means that there was a significant influence between students' learning habits on Mathematics learning outcomes. Thus, it can be concluded that good study habits make a real contribution to improving student learning outcomes. These findings are an important basis for teachers and schools to continue to encourage and foster positive learning habits among students. The implications of this study also recommend the need to strengthen independent learning strategies and effective study time management as part of the learning program in elementary schools.  

This study aims to determine the effect of the use of Word Search Puzzle media on English vocabulary mastery in grade IV students at MIS Nurul Hidayah Medan for the 2024/2025 academic year. Vocabulary mastery is an important aspect of learning English, as it is the basis for language skills such as reading, writing, speaking, and listening. In an effort to improve students' vocabulary skills, innovative, interesting, and interactive learning media is needed. One of the media used in this study is Word Search Puzzle, which is a game to find words in a letter box that can stimulate students' interest in learning and make it easier for them to recognize and remember new vocabulary. This study uses an experimental method with a One-Group Pretest-Posttest Design. The sample in this study is all fourth grade students of MIS Nurul Hidayah Medan, which totals 19 people. The research instrument was in the form of a multiple-choice test of 20 questions that measured students' English vocabulary mastery before and after treatment. The data was analyzed using the Paired Sample T-Test statistical test with the help of SPSS software. The results of the study showed a significant increase in the average score of students, from 55.26 in the pretest to 82.36 in the posttest. The hypothesis test showed a significance value of 0.000 (sig < 0.05), which means that Ho was rejected and Ha was accepted. Thus, it can be concluded that the use of Word Search Puzzle media has a significant influence on improving the English vocabulary mastery of grade IV students. These findings indicate that game-based learning media can be an effective strategy in English learning at the elementary school level.

This study aims to deeply uncover the learning management tactics implemented by teachers in an effort to improve student learning satisfaction at the elementary school level. Learning satisfaction is an important indicator of the success of the educational process because it is closely related to motivation, active involvement, and student academic outcomes. This study was conducted at SDN 3 Kaliombo, Jepara, using a descriptive qualitative approach. Data collection techniques used included observation of learning activities, interviews with teachers, and documentation in the form of learning notes and class activity plans. The results show that teachers use a variety of innovative and adaptive learning strategies, including a scientific approach, collaborative learning, the use of interactive learning media, and conducive and student-friendly classroom management. The role of teachers is not only as a deliverer of material, but also as a facilitator, motivator, and guide who creates a learning atmosphere that is fun, communicative, and meaningful for students. The tactics used by teachers also consider student characteristics, including their learning styles, levels of understanding, and emotional needs. Active student involvement in the learning process is key to improving their learning satisfaction. This study emphasizes the importance of teachers' role in designing and implementing appropriate learning strategies to support the achievement of educational goals. The implications of these findings suggest that ongoing training for teachers is essential to strengthen their professional capacity in implementing more creative, responsive, and student-oriented learning approaches.

This study aims to evaluate the relationship between affiliate marketing and celebrity endorse on purchasing decisions at TikTok Shop among Generation Z in Boyolali. This research is motivated by the increasing use of TikTok as a popular online shopping medium among Gen Z, as well as the development of digital marketing strategies through affiliates and public figures. The population in this study includes Gen Z in Boyolali who have made purchases at TikTok Shop. A sample of 100 respondents was obtained through the Slovin formula calculation. This study uses a quantitative method, with an online questionnaire distributed through Google Forms. Data analysis was conducted using the SmartPLS 3.0 application to test the relationship between variables. The results of this study indicate a positive and significant relationship between affiliate marketing and celebrity endorse on purchasing decisions. This finding provides a theoretical contribution to strengthening the Theory of Planned Behavior in the context of digital marketing, as well as suggesting strategies for business actors in developing more effective promotions at TikTok Shop.

Background : Self-management of hyperglycemia refers to a series of efforts carried out independently by individuals suffering from diabetes or hyperglycemia to manage and control their health condition. These efforts include regulating diet, physical activity, medication adherence, blood glucose monitoring, and preventive measures to avoid complications. Such complications may include vascular issues like heart disease and stroke, as well as neuropathic problems such as nerve damage. Proper implementation of self-management practices can help stabilize blood glucose levels and significantly improve the overall quality of life for patients. General Objective : This study aims to examine the effect of self-management on the risk of complications in patients with hyperglycemia in the working area of the Kandangan Health Center, Kediri Regency.Research Method : This research utilized a quasi-experimental design with a one-group pretest-posttest approach accompanied by a control group. The sampling technique applied was probability sampling using simple random sampling, involving a total of 45 respondents. The research instruments included the Diabetes Self-Management Questionnaire (DSMQ) and observation sheets to assess the risk of complications. The study population consisted of all hyperglycemic patients residing in Putuk Hamlet, Banaran Village, Kandangan District, Kediri Regency. Data processing was carried out through editing, coding, and tabulation, followed by data analysis using the Wilcoxon statistical test. Results : The Wilcoxon test results showed a significance value of p = 0.000 (p < 0.05), indicating a significant effect of self-management on reducing the risk of complications in hyperglycemic patients. Therefore, the alternative hypothesis (H1) was accepted. Recommendation : The implementation of self-management in hyperglycemic patients is essential to prevent long-term complications. Thus, healthcare professionals, especially nurses, are encouraged to provide continuous education regarding diabetes self-management. This will enable patients to manage their health conditions independently and reduce the risk of further complications.