Publication Search

Correctional institutions impose sustained psychological burdens on inmates, including social isolation, fractured family bonds, and disrupted identity development, which collectively heighten the risk of mental health deterioration. Unlike preventive psychoeducational approaches, group counseling operates as a curative, therapeutically structured service that enables participants to process shared difficulties through interpersonal dynamics. This community service study implemented group counseling within a Participatory Action Research (PAR) framework involving 50 early adult inmates at Lapas Kelas III Rangkasbitung. PAR was operationalized as an implementation framework in which each counseling cluster cycle followed the Plan-Act-Observe-Reflect sequence, enabling iterative refinement of therapeutic content. Pre-service needs assessment using the Alat Ungkap Masalah (AUM) Umum Masyarakat instrument identified dominant problems in family relations (13.33%), personal self (12.97%), and social relations (10.76%). Group counseling was conducted across three thematic clusters. Program evaluation revealed improvements in social interaction, self-acceptance, and emotional regulation among participants, with the PAR reflective cycle enabling context responsive adaptation of each session. These findings affirm that PAR-grounded group counseling constitutes a contextually adaptive model for psychosocial rehabilitation in correctional settings.

Fractures are one of the most common musculoskeletal disorders caused by trauma, repetitive stress, or pathological factors. Supracondylar femur fracture is a type of femur fracture occurring at the distal 12 cm of the femur, and Open Reduction and Internal Fixation (ORIF) is the primary surgical intervention. Post-operative ORIF patients commonly experience impaired physical mobility and impaired skin integrity. This study aimed to provide comprehensive nursing care to a patient post-ORIF for right supracondylar femur fracture in the Mawar 2 Ward of RSUD dr. Soeselo, Tegal Regency. A descriptive method with a nursing process approach was used, employing interview, observation, documentation study, and literature study. Nursing assessments conducted on February 8, 2026 revealed that the patient (Ny. S, female, 68 years) experienced pain at the surgical site with a scale of 7, inability to move both lower extremities (muscle strength score 2), and a post-operative wound approximately 10 cm in length with redness and edema. Two nursing diagnoses were established: impaired physical mobility related to neuromuscular disorders and impaired structural bone integrity, and impaired skin/tissue integrity related to invasive procedure effects. Nursing interventions included mobilization support, pain management, wound care, and collaborative administration of medical therapy. After two days of nursing implementation, both diagnoses were partially resolved. Discharge planning focused on gradual mobilization, independent wound care, and high-protein and high-calorie diet to accelerate recovery.

Background: Distal radius fracture is the most common fracture of the radius bone near the wrist joint. The prevalence of fractures in Indonesia in 2024 was 3.8%, indicating that approximately 20 million people experienced fractures. Therefore, nursing care planning is required to address musculoskeletal disorders. Objective: To describe the nursing care for patients with Musculoskeletal System Disorders: Post-Op ORIF Fracture of One-Third Distal Radius Dextra. Method: This study used a descriptive narrative method by providing an overview of nursing care through a nursing process approach. Results: Nursing diagnoses that emerged in the patient included acute pain, impaired physical mobility, risk of infection, and knowledge deficit. Interventions performed included pain management, mobilization support, infection prevention, and health education. Conclusion: After two days of nursing implementation, one diagnosis was fully resolved and three diagnoses were partially resolved due to time constraints. Discharge planning was provided including deep breathing relaxation techniques, passive ROM exercises, and wound dressing changes every two days.  

Physical mobility is highly influenced by the integrity of the musculoskeletal and neuromuscular systems, which play a fundamental role in facilitating body movement. Impairment in these systems, such as muscle weakness, limited joint range of motion, pain, or injury, may lead to decreased physical movement and functional limitations. This case study aimed to describe the implementation of joint strengthening exercise techniques in a patient with impaired physical mobility at RSUD Bayu Asih Purwakarta. Joint strengthening exercise techniques, as a nursing intervention, may improve joint flexibility and enhance physical mobility. This study employed a case study design using a comprehensive nursing care approach. Assessment findings revealed decreased extremity movement, reduced muscle strength, and limited joint range of motion. The nursing diagnosis established was impaired physical mobility. Nursing interventions were implemented through joint strengthening exercise techniques over three days in two sessions. Evaluation findings demonstrated partial improvement in extremity movement, muscle strength, and joint range of motion. The implementation of joint strengthening exercise techniques contributed to improved patient mobility; however, the problem of impaired physical mobility was not fully resolved, as the outcome indicators remained at scores of three to four, below the expected target score of five.

Fracture is a condition characterized by the disruption of bone continuity that often causes acute pain, especially in patients following Open Reduction and Internal Fixation (ORIF). Effective pain management is essential to support the recovery process and improve patient comfort during hospitalization. This study aimed to determine the effectiveness of cold compress therapy (cryotherapy) in reducing pain intensity in post-ORIF patients. This study used a case study method on a patient diagnosed with a right humerus fracture at PKU Muhammadiyah Bantul Hospital. Data were collected through interviews, interventions, and documentation using the PQRST method. Cryotherapy was administered once daily for three consecutive days using an ice bag applied to the painful area. The results showed a gradual decrease in pain intensity from scale 7 to 6 on the first day, 5 on the second day, and 4 on the third day. The patient also reported increased comfort after the intervention. These findings indicate that cryotherapy is effective as a non-pharmacological intervention in reducing postoperative pain and improving patient comfort.

Floods are the most frequent hydrometeorological disasters in Indonesia and significantly contribute to increased trauma cases and disruption of healthcare services, particularly in vulnerable regions such as Aceh Province. These conditions are exacerbated by limited resources, damaged health facilities, and restricted access to referral centers. This study aims to examine the implementation of early emergency surgical management during flood disasters based on damage control surgery principles and international guidelines. A descriptive qualitative approach was employed through a literature review combined with field observations conducted during the emergency response phase of flood disasters in Bireuen Regency. Data were collected from direct clinical observations, brief interviews with healthcare providers, and documentation of trauma cases requiring early surgical intervention. The results indicate that effective patient stabilization can be achieved despite limited resources through airway, breathing, and circulation (ABC) management, hemorrhage control, wound irrigation, and fracture immobilization using simple and improvised equipment. Approximately 90% of patients were successfully stabilized prior to referral to definitive healthcare facilities. In conclusion, adaptive and timely application of damage control surgery principles plays a crucial role in saving lives and strengthening emergency surgical response during flood disasters.

Non-hemorrhagic cerebrovascular disease (CVD) results from blood flow obstruction in the brain due to thrombus or embolus formation, often leading to balance disorders that affect standing and walking. This loss of motor function increases the risk of falls and fractures, which are major complications. Additionally, reduced physical activity can lead to depression. Active exercise has been shown to improve motor function in CVD patients, with nurses playing a key role in supporting these exercises. One effective intervention is the bridging exercise (BE), used for lumbopelvic stabilization, which enhances muscle strength and coordination. BE is particularly beneficial for improving balance in post-CVD patients with hemiplegia. This case study examines the effects of evidence-based bridging exercise (EBP) on balance in three hospitalized non-hemorrhagic CVD patients. Over eight 15-minute sessions, balance was assessed using the Berg Balance Scale (BBS). All patients showed significant balance improvement, with an average BBS score increase of 40 points. These results highlight the effectiveness of non-pharmacological bridging exercises in enhancing balance in CVD patients and recommend BE as a routine therapy to continue at home after discharge.

Immature permanent teeth with open apices and pulpal necrosis present a significant challenge in endodontic treatment. Apexification procedures have been developed to stimulate the formation of a hard tissue barrier at the apex, thereby allowing adequate obturation. Objective: This case report aims to describe the evaluation of apexification treatment based on radiographic findings. Case Report: An 8-year-old boy accompanied by his mother presented to PKU Muhammadiyah Surakarta Hospital with a history of a fall one week earlier. The affected tooth had previously received a temporary restoration from another dentist. According to the patient’s mother, medication had been placed in tooth to devitalize the pulp prior to temporary filling. Clinical examination revealed that tooth 11 exhibited a fracture involving approximately half of the crown and extending into the pulp chamber. Discussion: Initial radiographic examination in 2018 indicated that immature teeth have lower structural resistance compared with mature teeth; therefore, endodontic intervention such as apexification is required to establish apical barrier and adequate obturation. The material used for apexification in this case was a combining calcium hydroxide and iodoform. In contrast to the initial stage, radiographic evaluation in 2024 demonstrated that root development had progressed to stage V. According to Cvek’s classification of root development, stage V (Cvek stage V) represents a condition in which root development is fully completed. Conclusion: Based on long-term clinical and radiographic evaluation in this case, apexification treatment proved effective in stimulating the formation of an apical barrier and supporting root maturation in immature permanent teeth.

Long fishing is an environmentally friendly traditional fishing tool that is commonly used by fishermen to catch fish passively using bait, both in sandy waters and in coral reef areas. Grouper fish (Epinephelus sp.) tend to inhabit waters of a certain depth, especially in areas of coral fractures and dead corals that serve as shelter and foraging. Determining the right depth setting in the operation of a fishing rod is essential to optimize the catch. This study aims to determine the effect of the difference in setting depth on grouper fish catch in the waters of Pengambengan Beach and determine the most effective depth. The study used an experimental method with three depth treatments, namely 10 m, 15 m, and 20 m, each repeated nine times. Data analysis was carried out by Group Random Design (RAK) and ANOVA test. The results showed that a depth of 10 m produced the highest catch with a total of 35 fish (average 3.89 fish/trip), followed by a depth of 15 m with 10 fish (average 1.11 fish/trip), and a depth of 20 m with 7 fish (average 0.78 fish/trip). Statistically, the difference in depth has a real influence on the number of grouper catches. A depth of 10 m is recommended as the optimal setting for the operation of long fishing rods in the waters of Pengambengan Beach.

A fracture occurs when bone continuity is disrupted due to external pressure or force that exceeds the bone's capacity. Fractures constitute a medical emergency requiring immediate treatment. A primary surgical intervention for this condition is the Open Reduction and Internal Fixation (ORIF) procedure, which aims to reposition broken bone fragments to their normal anatomy. This procedure is considered crucial for achieving proper bone union and minimizing the potential for postoperative complications. As a consequence of the surgical incision and tissue trauma, patients commonly experience postoperative pain. The management of this pain can broadly be categorized into two approaches: pharmacological and non-pharmacological. Among non-pharmacological methods, cold compress therapy has proven effective in alleviating pain in patients following ORIF surgery. The sensation of pain can be alleviated through the application of a cold pack by inhibiting sensory nerve conduction and suppressing local inflammation. Simultaneously, cryotherapy also reduces blood flow to the injury site, which in turn limits blood extravasation and the accumulation of edema fluid. A descriptive case study analysis of four patients with acute pain after lower extremity ORIF surgery. The effectiveness of the intervention was measured using the Numeric Rating Scale (NRS).: The application of cold compresses using cold packs for 3 days to 4 respondents before the cold compress was applied was on a pain scale of 6–7 (moderate to severe category), after the intervention the pain scale became 2–3 (mild category). The results indicate that cold compress therapy in patients with lower extremity post-ORIF fractures is effective in reducing pain levels. Therefore, cold compress therapy is recommended as a non-pharmacological therapy to reduce pain in patients with fractures after ORIF.

Fractures are conditions where there is a separation or rupture in the continuity of the bone structure, caused by excessive pressure that the bone cannot withstand. According to the World Health Organization (WHO), the incidence of fractures is expected to increase with the growing number of vehicles. The productive age group is particularly vulnerable to injury due to accidents. A lack of knowledge about fractures and First Aid methods can exacerbate the situation. This study aims to determine the impact of fracture education and First Aid simulation methods on the knowledge of students at SMA N 1 Lhokseumawe. The research used a quantitative quasi-experimental design with a one-group pretest-posttest design, involving 91 students. The instrument used was a knowledge questionnaire. The results showed that before the education and simulation, 44 respondents (48.4%) had a poor knowledge category, while after the education and simulation, 84 respondents (93.4%) were in the good category. The Wilcoxon test resulted in a P-value of 0.000, indicating a significant impact. The conclusion of this study is that fracture education and First Aid simulation methods are effective in improving students' knowledge about fractures and First Aid.

Tooth extraction is a procedure to remove a tooth from its alveolar bone socket. The causes for tooth extraction include caries, periodontitis, fractures, impacted teeth, the need for orthodontic treatment, and persistent primary teeth. Post-extraction bleeding is the most common complication that occurs. Hemostasis is a mechanism to stop bleeding from blood vessels to prevent excessive blood loss when an injury occurs, ensuring that blood continues to flow smoothly. In stopping bleeding, there are three processes involved: vasoconstriction (the narrowing of blood vessels), platelet activity, and the activity of blood clotting factors. Bleeding time is the time interval from when blood exits the blood vessel until the bleeding stops. The normal range for bleeding time is 1 to 3 minutes. Balakacida leaves contain active compounds including alkaloids, tannins, flavonoids, saponins, and phenolics. To determine the effect of Balakacida leaf extract (Chromolaena odorata) as a hemostatic agent following tooth extraction in Wistar rats (Rattus norvegicus). This study uses an experimental method with a Post-Test Only Control Group Design. The samples used in this research are male Wistar rats (Rattus norvegicus), aged 2–3 months, weighing between 200–250 grams. The research data were processed and analyzed using the One-Way ANOVA test. The results showed that treatments at concentrations of 10%, 20%, and 30% were able to significantly accelerate bleeding time compared to the control group. The administration of Balakacida leaf extract is effective as a hemostatic agent following tooth extraction in Wistar rats.  

Lower extremity injuries are one of the health problems that are often encountered in first-level health care facilities, especially due to physical activity, sports, and accidents. This study aims to describe the practice of handling lower extremity injuries at the Koiloda Health Center. The research method uses a qualitative descriptive approach through direct observation and interviews with health workers. The results showed that the most commonly treated types of injuries included muscle strains, ankle ligament sprains, contusions, open wounds, and suspected fractures. Treatment is carried out according to the standards of first-level health services, namely through initial examinations, the application of RICE principles (Rest, Ice, Compression, Elevation), simple immobilization, pain management, wound care, and referral to advanced health facilities in severe cases. Although the handling practice has been carried out according to procedures, this study also found that there are limitations in facilities and supporting facilities that can affect the quality of service. The conclusion of the study emphasizes that the Koeloda Health Center has carried out the handling of lower extremity injuries according to standards, but it is necessary to improve facilities, training health workers, and support for the referral system so that services are more optimal and comprehensive.

Musculoskeletal injuries are common health problems encountered in sports activities and daily life. Primary Health Care Facilities (PHCF) such as community health centers play an important role in the initial management of musculoskeletal injuries before referral to higher-level health facilities. This study aimed to describe the management of musculoskeletal injuries at the PHCF of UPTD Mangulewa Health Center. The methods used were field observation, structured interviews with health professionals, and simulation of musculoskeletal injury management. The results showed that UPTD Mangulewa Health Center has adequate facilities, equipment, and health personnel for managing musculoskeletal injuries at the primary care level. The management procedures were carried out systematically through anamnesis, physical examination, initial treatment based on RICE principles and immobilization, pharmacological therapy, and an integrated referral system. Fracture management simulations indicated that students gained practical understanding of immobilization techniques and early injury management. In conclusion, the management of musculoskeletal injuries at the PHCF of Mangulewa Health Center is in accordance with primary health care service standards and supports the prevention of injury complications.

Injuries represent a common health issue associated with physical activity in both recreational and competitive sports settings. Appropriate initial management is essential to prevent complications and to facilitate optimal recovery. This study aims to describe the management of minor sports injuries at the Surisina Primary Health Center based on observational findings Sports and structured interviews with healthcare professionals. The study employed direct observation and structured interviews involving physicians and nurses at Surisina Primary Health Center on November 24, 2025. The findings indicate that sports injury management at the primary healthcare level involves a systematic initial assessment, comprehensive physical examination, and the implementation of simple immobilization techniques tailored to the type and severity of injury. Common injuries treated include sprains, muscle cramps, contusions, lacerations, ankle injuries, and minor fractures. Despite limitations in the availability of immobilization equipment, healthcare services were delivered effectively, supported by adequate patient education on injury care, warning signs, and activity recommendations during recovery. This study demonstrates the critical role of primary health centers in providing initial sports injury management and serving as practical learning sites for students in physical education and health programs.  

Postoperative pain is a prevalent condition encountered by patients after surgical interventions and may negatively influence physical recovery as well as psychological well-being when inadequately managed. Conventional pain management strategies that primarily depend on pharmacological agents may lead to undesirable side effects, thereby emphasizing the importance of complementary non-pharmacological approaches. One intervention increasingly applied in nursing care is guided imagery. This review aimed to systematically evaluate the effectiveness of guided imagery in alleviating pain intensity among postoperative patients. A scoping review methodology was employed, with article identification guided by the PICO framework across national and international academic databases. Eligible studies included full-text research articles published within the past five years, written in either Indonesian or English, and specifically examining the use of guided imagery in postoperative settings. A total of ten studies met the inclusion criteria and were subjected to in-depth analysis. The results consistently demonstrated a significant reduction in pain intensity following the implementation of guided imagery across various surgical procedures, including cesarean delivery, appendectomy, fracture surgery, cholelithiasis, and abdominal operations. The intervention, delivered for 10–20 minutes per session, effectively reduced pain levels from moderate to severe to mild, with statistically significant outcomes (p < 0.05). Moreover, guided imagery was found to enhance patient relaxation, comfort, and psychological stability. These findings indicate that guided imagery represents a safe and effective non-pharmacological nursing intervention that can be integrated into evidence-based postoperative pain management.  

Cold compresses or cryotherapy are one of the non-pharmacological therapies often used in nursing practice to help reduce pain, especially in patients with fractures. Fractures are often accompanied by acute pain that can inhibit mobilization, prolong recovery time, and reduce patient comfort. Therefore, a safe, effective, and easy-to-use pain management method is needed. This article was compiled with the aim of identifying and mapping scientific evidence regarding the effectiveness of cold compresses in reducing pain intensity in fracture patients. This study used the Arksey and O'Malley model in conducting the analysis, with articles searched through PubMed, ScienceDirect, and Google Scholar for the 2021–2025 publication period. The article selection process followed the PRISMA flow. A review of ten articles showed that most studies used quantitative designs, both experimental and quasi-experimental. The results of the analysis of 11 articles consisted of 8 quantitative articles with experimental and quasi-experimental designs, while 2 articles were case studies. These articles generally discuss the effectiveness of cold compresses in reducing pain intensity in fracture patients using various measurement instruments, such as NRS, VAS, Wong-Baker Faces Scale, and Bourbanis Pain Scale. In addition to reducing pain, several studies also reported that cold compresses can reduce edema, increase mobility, and improve patient comfort. However, variations in the duration, frequency, and method of cold compress application were still found, so there is a need to develop a more standardized protocol in nursing practice.

Radiographic examination of the wrist plays a crucial role in diagnosing fractures, particularly in traumatic cases, and requires precise projection selection, proper immobilization, and adequate radiation protection to obtain high-quality diagnostic images. In theory, wrist radiography commonly includes anteroposterior (AP) and lateral projections; however, observations at the Radiology Installation of RSU PKU Muhammadiyah Delanggu showed that fracture examinations are generally limited to posteroanterior (PA) and lateral projections. This difference highlights a gap between theoretical recommendations and clinical practice, as several references emphasize the importance of projection variation to enhance diagnostic accuracy. This study aimed to describe the wrist joint radiographic examination procedures for fracture cases at RSU PKU Muhammadiyah Delanggu and to examine the immobilization techniques applied during the procedure. A descriptive qualitative design with a case study approach was used, conducted from May to June 2025. The subjects included three radiographers, while the object of study was wrist radiography in fracture cases. Data were obtained through direct observation, interviews, and documentation, and analyzed descriptively. The findings showed that PA and lateral projections were consistently used, with immobilization achieved using sandbags and foam pads to ensure stability and minimize motion artifacts. Radiation protection was implemented through lead aprons, collimation, and appropriate exposure adjustments. Overall, the procedures followed established radiography guidelines, particularly the Bontrager standard, ensuring both diagnostic quality and patient safety.

The increasing proportion of the elderly population in Indonesia has led to a rise in degenerative health problems, one of which is osteoporosis. Osteoporosis is a bone disease characterized by decreased bone density, increasing the risk of fractures, particularly among elderly women. Low calcium intake, lack of physical activity, and limited knowledge regarding osteoporosis prevention are major contributing factors. This community service activity aimed to improve the knowledge of Aisyiyah women in Cirebon Regency regarding osteoporosis in the elderly, including its definition, risk factors, impacts, and prevention strategies through proper nutrition and regular physical activity. The activity was conducted from October to December at the Aisyiyah Study Hall in Cirebon Regency, targeting pre-elderly and elderly women. The methods used included health education through lectures and interactive question-and-answer sessions, supported by laptops, LCD projectors, and PowerPoint presentations. Evaluation of participants’ knowledge was carried out using oral pre-tests and post-tests related to the delivered material. The results indicated an improvement in participants’ understanding of osteoporosis, the importance of adequate calcium intake, and the role of physical activity in maintaining bone health. This community service program is expected to contribute to increasing health awareness and reducing the risk and prevalence of osteoporosis among the elderly.

Closed distal humerus fractures are injuries involving the distal portion of the humeral bone without disruption of the overlying skin, most commonly resulting from direct trauma such as the impact of a heavy object or blunt force to the elbow region. Although relatively uncommon in adults, this type of fracture presents considerable complexity due to its proximity to neurovascular structures and the elbow joint. Diagnosis is established through targeted anamnesis, comprehensive physical examination, and radiographic imaging in two standard projections to assess the location, fracture pattern, and degree of displacement. Additional modalities such as computed tomography (CT) may be indicated in cases of articular or comminuted fractures to enhance operative planning. Management depends on fracture stability, the extent of displacement, and the condition of surrounding soft tissues. In unstable or comminuted fractures, operative intervention such as Open Reduction and Internal Fixation (ORIF) is the preferred approach to restore bony continuity, reconstruct articular anatomy, and enable early mobilization. The primary therapeutic goals are to optimize elbow function, maintain joint stability, and prevent long-term complications including stiffness, malunion, delayed union, or non-union. Postoperative rehabilitation plays a crucial role in preventing restricted range of motion and restoring extremity strength. This case report describes a 49-year-old male with a comminuted closed distal humerus fracture of the left arm following direct trauma from a heavy object. The patient underwent complete clinical and radiological evaluation and was treated with ORIF. Early outcomes demonstrated adequate restoration of stability and alignment, affirming that accurate diagnostic assessment and timely intervention significantly contribute to optimal functional recovery of the affected extremity.