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Hypertension is one of the most common chronic diseases among the elderly and is often accompanied by insomnia. This condition can increase anxiety and reduce quality of life. Progressive Muscle Relaxation (PMR) is an effective non-pharmacological therapy to lower blood pressure and improve sleep quality. This paper describes nursing care for elderly patients with hypertension and insomnia through PMR application at RSUD Embung Fatimah Batam City in 2025. A case study approach was used through the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The main nursing diagnosis was sleep pattern disturbance related to physical discomfort and anxiety. Interventions included education and PMR exercises for six consecutive days. Results showed blood pressure decreased from 180/100 mmHg to 130/80 mmHg, sleep quality improved from difficulty sleeping to 6–7 hours per night, and anxiety levels reduced. Progressive muscle relaxation therapy proved effective as an independent nursing intervention to reduce blood pressure and improve sleep quality in elderly patients with hypertension and insomnia. Nurses should use this therapy as a routine non-pharmacological intervention in gerontological nursing practice.

Background: Anxiety can affect physiological functions in patients prior to surgery, including increased heart rate and respiration, changes in blood pressure and temperature, relaxation of smooth muscles in the bladder, cold and clammy skin, and dry mouth, which may reduce the patient’s energy level. Psychologically, anxiety can lead to increased postoperative pain, delayed wound healing, increased physical disability, and decreased quality of life. One effective non-pharmacological intervention to reduce anxiety is Benson relaxation therapy. Objective: This study aimed to determine the effect of benson relaxation therapy on reducing anxiety levels in pre operative. Methods: This study used a case study design involving one preoperative patient with anxiety symptoms in the Teratai Ward of Prof. Dr. Margono Soekarjo Hospital, Purwokerto. Benson relaxation therapy was administered for 3 days, twice daily, with a duration of 15 minutes per session. Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (ZSAS) before and after the intervention. Results: The patient showed a decrease in anxiety score from 55 (moderate anxiety) to 40 (mild anxiety) after receiving Benson relaxation therapy. Subjectively, the patient reported feeling calmer, more accepting, and motivated. Objectively, there was a reduction in heart rate and physical signs of anxiety. Conclusion: Benson relaxation therapy is effective in reducing anxiety levels in preoperative patients. This intervention can be used as a non-pharmacological alternative to support psychological recovery of pre-operative patients.

Meningitis is a serious infectious disease that can be prevented through vaccination; however, the vaccination process often causes anxiety in patients, especially during the pre-procedure phase. Uncontrolled anxiety can affect patient readiness and comfort. Therapeutic communication by nurses is one intervention that has the potential to reduce this level of anxiety. This study aims to determine the relationship between nurses’ therapeutic communication and the anxiety levels of patients prior to meningitis vaccination at Pambalah Batung Amuntai Regional General Hospital. This study used a quantitative analytic design with a cross-sectional approach. The sample consisted of 107 respondents selected using a convenience sampling technique. Data on therapeutic communication were collected using an observation sheet, while anxiety levels were measured using the DASS questionnaire (anxiety subscale). Data analysis was conducted using univariate and bivariate methods with the Chi-Square test at a significance level of 0.05. The results showed that most therapeutic communication was in the good category, and patient anxiety levels were predominantly in the normal category. Statistical test results indicated a significant relationship between nurses’ therapeutic communication and patient anxiety levels (p = 0.000 < 0.05). The better the therapeutic communication provided, the lower the patient’s anxiety level. In conclusion, nurses’ therapeutic communication plays an important role in reducing patient anxiety prior to meningitis vaccination and needs to be optimized in nursing practice.

This study aims to analyze the difference in anxiety levels before and after the administration of Qur’anic murottal therapy among third-trimester pregnant women. The third trimester is often associated with increased physical discomfort and psychological stress, which may lead to higher anxiety levels. This research employed a pre-experimental design using a one-group pretest-posttest approach involving 25 respondents selected through purposive sampling. Anxiety levels were measured using the Perinatal Anxiety Screening Scale (PASS), and the data were analyzed using the Wilcoxon Signed Ranks Test. The findings showed that before the intervention, 48% of respondents experienced moderate anxiety and 52% experienced severe anxiety. After the intervention, 40% experienced mild anxiety, 48% moderate, and only 12% severe anxiety. The statistical test result indicated a Z value of -4.376 with a p-value of 0.000 (p < 0.05), which means there was a significant difference in anxiety levels before and after the intervention. These results suggest that murottal therapy is effective in reducing anxiety among third-trimester pregnant women and can be considered as a safe non-pharmacological intervention.

Background: Anxiety in postpartum mothers is a psychological problem that can negatively impact maternal mental health, marital relationships, and the lactation process. This psychological disorder can inhibit the production and let-down of breast milk, which, if not addressed promptly, can lead to physical complications such as breast engorgement or mastitis, as well as hinder the fulfillment of the infant's nutritional needs. Objective: This study aimed to determine the relationship between anxiety levels and delayed breast milk let-down in postpartum mothers at Prof. Dr. R.D. Kandou General Hospital Manado. Methods: This research is an analytical survey with a cross-sectional design. The sample consisted of 30 postpartum mothers selected using non-probability sampling. Research instruments included questionnaires and interviews, with data analysis using the chi-square test. Results: The majority of respondents experienced moderate anxiety (60.0%) and had non-smooth breast milk let-down (53.3%). Statistical test results showed a p-value = 0.030, indicating a significant relationship between anxiety levels and delayed breast milk let-down. Conclusion: High anxiety levels in postpartum mothers contribute to delayed breast milk let-down. Psychological support for postpartum mothers is needed to maintain the smoothness of the breastfeeding process.

Anxiety among family member in the Intensive Care Unit (ICU) is a common psychological issue. This situation arises from the uncertainty about the patient’s condition. Effective therapeutic communication by nurses is one of the key strategies to help reduce anxiety. This study was conducted from June 4 to July 20, 2025. This study aims to analyze the relationship between nurses’ therapeutic communication and the anxiety levels of family members in the ICU of RSUD Meuraxa, Banda Aceh. This research employed a quantitative, correlational design. The population consisted of 66 family members of ICU patients, with a sample of 57 respondents selected using a purposive sampling technique. The results showed that most families received therapeutic communication at a moderate level (50.9%) and a good level (49.1%). The anxiety levels experienced by the families were mostly moderate (54.4%) and mild (45.6%). The analysis revealed a p-value of 0.003, indicating a statistically significant relationship between nurses’ therapeutic communication and the anxiety levels of family member. These findings prove that therapeutic communication given by nurses plays a vital role in influencing the anxiety levels of patients’ families in the ICU. Therefore, the hospital management is encouraged to improve nurses’ therapeutic communication skills and establish supportive communication policies to enhance services and reduce anxiety among the family members in the ICU.

Mental health problems, particularly anxiety disorders, are increasingly prevalent among adolescents and have become a significant concern for the church as a spiritual community. This study aims to analyze the role of God’s servants in preventing and addressing anxiety disorders among adolescents at GKSI Maranatha Anugrah Sewan, Tangerang. The research employs a qualitative method through direct observation of youth ministry activities and informal interviews with participants. The findings reveal that church ministers play a strategic role in enhancing adolescents’ mental well-being through practical biblical teaching, empathetic pastoral counseling, and the establishment of prayer and openness communities. The application of Scripture Therapy, devotional counseling, and Healing Prayer Circles has proven effective in reducing anxiety levels, strengthening spiritual security, and fostering healthy social relationships. A holistic and collaborative pastoral approach involving professional support is essential for the church to create a safe environment that promotes recovery and spiritual growth among youth.

Social media has become an alternative space for emotional expression among university students, particularly as a medium for sharing personal problems or emotional distress. This study aims to examine the effect of social media use as a venting platform on the mental health of students at STAIN Mandailing Natal. A quantitative associative research design was employed, involving 25 fifth-semester students as respondents. Data were collected using a Likert-scale questionnaire measuring the intensity of social media venting behavior and mental health indicators, including stress, anxiety, mood, and self-confidence. The data were analyzed using descriptive statistics and inferential tests, including correlation and simple linear regression. The findings indicate that social media use as a place for venting has a significant relationship with students’ mental health. Positive responses received through social media tend to improve emotional well-being, while negative responses may increase stress and anxiety levels. These findings suggest that social media can function both as a supportive and risky environment for students’ mental health, depending on how it is used. Therefore, students are encouraged to use social media wisely, and educational institutions are advised to provide mental health literacy and guidance related to healthy social media use.

This study aimed to examine the relationship between maternal anxiety levels and the timing of Early Initiation of Breastfeeding (EIBF) among primiparous mothers. EIBF, also known as Inisiasi Menyusu Dini (IMD), is a vital procedure that supports the establishment of effective breastfeeding and is recommended globally. Nevertheless, various maternal factors, particularly psychological conditions, may influence the implementation of EIBF. The main objective of this research was to determine whether increased anxiety during the peripartum period is associated with delays in initiating breastfeeding. A correlational analytic design with a cross-sectional approach was utilized in this investigation. The study population consisted of 77 eligible participants, while the final sample included 69 primiparous mothers who met the inclusion and exclusion criteria. Participants were chosen through purposive sampling. The independent variable was the maternal anxiety level, and the dependent variable was the timing of EIBF implementation. Data were gathered using a structured self-administered questionnaire designed to measure both variables. Statistical analysis was conducted using the Mann-Whitney U test. The findings demonstrated a p-value of 0.0389, which was below the significance threshold of 0.05 (p < 0.05), indicating the rejection of the null hypothesis. Therefore, the results revealed a significant relationship between anxiety levels and the timing of EIBF among primiparous mothers. Elevated anxiety was identified as a factor contributing to delayed initiation of breastfeeding. These findings highlight the importance of regular psychological screening and effective anxiety management for first-time mothers during childbirth to facilitate optimal postnatal care, particularly the timely initiation of EIBF.

The third trimester of pregnancy is a phase prone to anxiety due to physical and psychological changes and preparation for childbirth. Knowledge of pregnant women plays an important role in shaping mental readiness and reducing anxiety. This study aims to determine the relationship between knowledge levels and anxiety levels of pregnant women in the third trimester. The study used a quantitative correlational approach with 24 respondents selected through accidental sampling technique at Jatirogo Community Health Center, Central Kalimantan. Data were collected using a closed questionnaire and analyzed univariately and bivariately using the Chi-Square test. The results showed that 41.7 % of respondents had good knowledge and 66.7% did not experience anxiety. The Chi-Square test produced a significance value of p = 0.018, indicating a significant relationship between knowledge levels and anxiety of pregnant women. In conclusion, the higher the level of knowledge, the lower the anxiety experienced by pregnant women in the third trimester.

Hyperemesis gravidarum is a condition of severe nausea and vomiting during pregnancy that can cause serious physical and psychological effects on pregnant women. In addition to biological and hormonal factors, psychological aspects such as anxiety are thought to play an important role in the occurrence of hyperemesis gravidarum. This study aims to analyze the relationship between the level of anxiety in pregnant women and the occurrence of hyperemesis gravidarum. The study uses a quantitative approach with an analytical observational design through a cross-sectional method. The study sample consisted of 30 pregnant women in their first trimester who were selected using purposive sampling. Anxiety levels were measured using a standardized anxiety questionnaire and categorized as moderate and severe anxiety, while the incidence of hyperemesis gravidarum was determined based on complaints of excessive nausea and vomiting and clinical data. Data analysis was performed univariately and bivariately using the Goodman–Kruskal tau test with a significance level of 0.05. The results showed that most respondents experienced moderate to severe anxiety, and some respondents experienced hyperemesis gravidarum. Bivariate analysis showed a significant and very strong relationship between anxiety levels and the incidence of hyperemesis gravidarum. These findings indicate that the higher the anxiety level of pregnant women, the greater the likelihood of hyperemesis gravidarum. The conclusion of this study confirms that anxiety is an important psychological factor associated with the occurrence of hyperemesis gravidarum. Therefore, the integration of anxiety screening and management into antenatal care is essential as part of a comprehensive, mother-centered approach to pregnancy care

Fasting as a spiritual and health practice has been practiced for thousands of years in various religious and cultural traditions around the world. In the last decade, researchers have shown increasing interest in the health aspects of fasting, not only from a physiological but also a psychological perspective. This phenomenon is interesting to study further, especially in the context of modern society which often faces stress, anxiety, and various mental disorders. The approach used in this study was a qualitative approach with a literature study method that analyzed in depth various reference sources related to the mental impact of fasting. The results of the review of several studies show that fasting has been proven to have an effect on mental health because it has a significant impact on overall mood improvements, with reduced anxiety levels and increased feelings of calm. Furthermore, another important aspect of mental health is cognitive function, which includes attention, concentration, memory, and executive function. It was found that cognitive alertness is generally maintained during short- to medium-term fasting, but begins to decline after longer fasting durations. Fasting also has an impact on extraordinary psychological resilience and good mental health despite advanced age. Researchers attribute this extraordinary mental resilience to the consistent practice of long-term fasting, which may have induced significant neuroplastic and psychological adaptations.

Adolescent girls living in orphanages face more complex psychosocial challenges compared to their peers in general. Experiences of loss, limited family support, and uncertainty about the future often lead to heightened anxiety. One effective psychological intervention to manage anxiety is mindful breathing training, or conscious breathing exercises. This community service activity aimed to provide mindful breathing training for adolescent girls at the Aisyiyah Muhammadiyah Orphanage in Banjarmasin as an effort to reduce anxiety and enhance inner calmness. The implementation method employed educational, participatory, and practical approaches, consisting of four stages: preparation, implementation, evaluation, and follow-up. The results of the activity showed that participants gained a good understanding of the concepts of anxiety and mindfulness, and were able to correctly practice the mindful breathing technique. Based on the evaluation results, more than 80% of participants stated that the training was engaging, clear, and beneficial in helping them manage anxiety. Therefore, mindful breathing training proved to be an effective, simple, and applicable strategy for reducing anxiety levels among adolescents in the orphanage.

This study aimed to examine the relationships among mindset, anxiety, and the achievement of the Assessment of Regional Education Standardization (ASPD) results among ninth-grade students in public junior high schools in Yogyakarta City. Using a quantitative survey approach, the study involved 871 students selected through stratified random sampling based on the TPM stage 1 test scores from schools categorized into high, medium, and low strata for the 2022/2023 academic year. Data were collected using a questionnaire instrument, validated by two expert validators, and construct validity was confirmed through standardized loading factors, showing all items to be valid. Reliability was measured using Cronbach's Alpha, yielding 0.508 for mindset and 0.724 for anxiety. Data analysis employed Structural Equation Modelling (SEM) in R Studio, with model fit assessed through RMSEA, GFI, AGFI, and CFI criteria. Results revealed that the mindset measurement model demonstrated an excellent fit, and the anxiety measurement model also fit the data well after minor modifications. Structural model testing confirmed a good overall fit. Findings indicated that anxiety directly influenced ASPD achievement, with higher anxiety associated with lower results. Mindset did not have a direct effect on ASPD outcomes but negatively influenced anxiety, meaning a stronger growth mindset led to lower anxiety levels. Furthermore, mindset indirectly affected ASPD achievement through its impact on anxiety, demonstrating that fostering a growth mindset can enhance students’ performance by reducing anxiety.

This study aimed to evaluate the effect of murrotal therapy on pain and anxiety levels in patients after radiofrequency action. This study uses a quantitative approach with a pre-experimental design of one group pretest-posttest involving 50 post-radiofrequency patients at Sultan Agung Hospital Semarang. The research data were collected using the Numeric Rating Scale (NRS) instrument to assess pain levels and the Zung Self-Rating Anxiety Scale (SAS) to assess anxiety levels. Univariate analysis showed that most of the respondents were women with an average age of 44.04 years, included in the intermediate adult category. The results of bivariate analysis with the Wilcoxon Signed Rank Test showed a significant decrease in both pain and anxiety levels after being given murrative therapy, with a p-value of 0.000 for both variables. This shows that murrotal therapy is effective in providing psychological relaxation and spiritual distraction effects, so that it can reduce the intensity of pain while reducing anxiety in patients. Based on these findings, it can be concluded that murrotal therapy is a non-pharmacological intervention that is simple, safe, and easy to apply by health workers. It also has great potential as a complementary therapy that supports the management of pain and anxiety after medical procedures, especially invasive procedures such as radiofrequency. Thus, the application of murrotal therapy can be used as an additional alternative in improving the quality of nursing services in hospitals.

Menopause is a natural biological transition that often presents with health issues such as anxiety, sleep disturbances, and mood changes, which may negatively affect women’s quality of life. With the growing number of women entering menopause worldwide, including in Indonesia, effective interventions are needed to help them adapt positively. This study aimed to evaluate the effect of psychoeducation on anxiety levels among premenopausal women in the working area of the Jaboi Community Health Center, Sabang City. A quantitative quasi-experimental pre–post design without a control group was employed. The study involved 60 premenopausal women selected through purposive random sampling from a population of 146. The intervention, conducted from May 16 to June 10, 2025, consisted of structured psychoeducational sessions designed to increase knowledge and coping abilities related to menopause. Data were analyzed using the Wilcoxon signed-rank test. Results showed that the mean anxiety score decreased significantly from 20.13 (moderate category) before the intervention to 18.17 after the intervention (p < 0.001). These findings indicate that psychoeducation effectively reduces anxiety and enhances preparedness among premenopausal women. It is therefore recommended that routine psychoeducational counseling be integrated into primary healthcare services as a promotive effort to support women in facing menopause in a healthier and more confident manner.

Coronary heart disease is one of the major health problems that not only affects the physical condition of patients but also impacts their psychological state, particularly anxiety. Anxiety levels in patients with coronary heart disease usually increase when they are about to undergo invasive medical procedures such as Percutaneous Coronary Intervention (PCI). Anxiety can be influenced by several factors, including age, gender, educational level, and occupation. High levels of anxiety may worsen the patient’s clinical condition, making appropriate non-pharmacological interventions highly necessary to help reduce anxiety. This study aims to determine the effect of spiritual support in the form of dzikir on the anxiety levels of patients with coronary heart disease. The research design used was a true experimental design with a pretest-posttest control group design. The sample consisted of 30 respondents who were evenly divided into two groups: 15 respondents in the intervention group and 15 respondents in the control group. The sampling technique used was total sampling. The instrument for measuring anxiety was the Hamilton Anxiety Rating Scale (HARS). The results showed that providing spiritual support in the form of dzikir was effective in reducing patient anxiety, with a p-value of 0.001. In addition, there was a significant difference in post-therapy anxiety levels between the control and intervention groups, with a p-value of 0.019 (p < 0.05). These findings demonstrate that dzikir, as a form of spiritual support, can be used as a non-pharmacological intervention to reduce anxiety in patients with coronary heart disease. Thus, spiritual support can be an important component of nursing care for patients in the ICU.

Patients admitted to the Intensive Care Unit (ICU) often experience physiological disturbances caused by both medical conditions and intensive treatment procedures. One of the most common problems encountered is sleep disturbance. Several factors contribute to poor sleep quality in ICU patients, including repeated medical procedures, environmental noise from medical equipment and staff activities, discomfort due to body positioning, frequent interactions with health workers, continuous exposure to lighting, pain, and the underlying disease process. Persistent sleep disturbances can delay the healing process, increase blood pressure, and even elevate the risk of stroke. This study aimed to analyze the relationship between anxiety levels and sleep quality in compos mentis patients in the ICU of Sultan Agung Islamic Hospital Semarang. The research design employed a correlational approach with a cross-sectional method. A total of 30 respondents were selected according to the inclusion criteria. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality and the Hamilton Anxiety Rating Scale (HARS) to assess anxiety levels. The Chi-Square test was used for statistical analysis. The results showed an equal distribution of male and female respondents (15 each). Ten respondents had a post-laparotomy medical diagnosis, and the majority belonged to the late elderly age group (10 respondents). Most respondents experienced moderate anxiety (18 respondents), while poor sleep quality was reported by 17 respondents. The Chi-Square test revealed a p-value of 0.001, indicating a significant relationship between anxiety levels and sleep quality. In conclusion, higher anxiety levels were associated with poorer sleep quality among compos mentis patients in the ICU. These findings highlight the importance of nursing interventions that address both the physical and psychological aspects of patients to improve sleep quality and support recovery.

Hospitalization in preschool children often causes anxiety due to several factors, such as unfamiliar environments, uncomfortable medical procedures, and separation from parents. This condition can negatively affect the child’s psychological state, which may influence both the healing process and adaptation during hospital care. Therefore, it is important to understand the description of anxiety experienced by children during hospitalization so that health workers can provide appropriate interventions. This study aimed to describe the anxiety caused by hospitalization among preschool children admitted to the Parkit Ward of Qolbu Insan Mulia (QIM) Hospital Batang. The study employed a descriptive quantitative design with a purposive sampling technique. A total of 65 preschool children aged 3–6 years who met the inclusion criteria were recruited as samples. The instrument used was the Spence Children’s Anxiety Scale (SCAS) Preschool Parent Report, which was completed by parents to assess the children’s level of anxiety. Data analysis was carried out using frequency distribution to present both the respondents’ characteristics and the level of anxiety. The results showed that most respondents were 5 years old (36.9%) and predominantly male (61.5%). A majority of the respondents had never been hospitalized before (63.1%), making hospitalization a first-time experience that could trigger anxiety. The highest proportion of anxiety levels was in the mild category (38.4%), followed by moderate anxiety (30.7%). Only a small proportion of children experienced severe anxiety. In conclusion, preschool children undergoing hospitalization in the Parkit Ward of QIM Hospital Batang mostly experienced mild to moderate anxiety. These findings provide an important overview for nursing staff in designing interventions to reduce children’s anxiety. Suggested approaches include play therapy, effective communication, and active parental involvement in the care process. With such strategies, it is expected that children’s anxiety can be reduced, making hospitalization a more adaptive experience that supports the recovery process.

Breast cancer is the leading cause of death globally, following heart disease and stroke. One of the most commonly used treatments is chemotherapy, which offers various benefits but also causes physical and mental side effects. One of the psychological side effects often experienced is anxiety. Extreme fear and the threat of death from cancer can affect adherence to treatment. This study aims to assess the relationship between anxiety levels and medication adherence in breast cancer chemotherapy patients at RSUD Semarang. This research used a quantitative approach with a descriptive correlational method, involving 110 participant samples. The questionnaires used for data collection were DASS-42 to measure anxiety levels and MMAS-8 to assess medication adherence. The study was conducted from June 30 to July 31, 2025, in the Oncology Center room of RSUD Sultan Agung Semarang. Bivariate analysis using Pearson's correlation test showed a p-value of 0.001 < 0.05, indicating a significant relationship between anxiety levels and medication adherence in breast cancer chemotherapy patients. The measured correlation coefficient of -0.325** shows a moderately strong negative relationship, meaning that the higher the anxiety level, the lower the patient's adherence to medication. Based on these findings, it is recommended that nurses in the oncology unit provide additional education and support to patients regarding their anxiety. Effective psychological support can help patients reduce anxiety and increase adherence to treatment, which in turn can improve the outcomes of chemotherapy treatment.