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Submandibular Abscess is an accumulation of pus in the neck space resulting from the spread of infection, most commonly originating from dental infection. This condition requires surgical incision and drainage along with comprehensive nursing care to prevent serious complications. This study used a descriptive method in the form of a case study approach through the nursing process, aimed at describing nursing care for patients with Pre and Post Op Submandibular Abscess. Nursing diagnoses that emerged in Ny. T consisted of five diagnoses: Pre-op: Acute Pain related to physiological injuring agent and Anxiety related to situational crisis. Post-op: Acute Pain related to physical injuring agent, Risk of Infection evidenced by invasive procedures, and Knowledge Deficit related to lack of information exposure. Interventions provided included Pain Management, Relaxation Therapy, Infection Prevention, and Health Education. After nursing implementation for four days (February 12-15, 2026), out of the five diagnoses, two were fully resolved: anxiety and knowledge deficit, while three others were partially resolved due to time constraints, requiring continuous follow-up of nursing care.

In response to the evolving landscape of public healthcare services, hospitals are expected not only to maintain operational efficiency but also to adapt to the shifting needs and expectations of patients as healthcare consumers. The presence of non-BPJS patients in regional public hospitals plays a strategic role not only contributing to revenue diversification but also reflecting service quality, institutional competitiveness, and shaping public perception. The declining trend in outpatient visits by general patients at RSUD Balaraja over the past three years highlights the need to understand the factors influencing consumer behavior in determining revisit intentions. This study examines the effect of co-creation and hospital image on the revisit intention of outpatient general patients at RSUD Balaraja, with patient experience as a mediating variable. The research employed a quantitative explanatory design involving 278 outpatient general patients selected through purposive sampling. Data were collected via structured questionnaires and analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results indicate that patient experience plays a significant mediating role in shaping revisit intention among general outpatients at RSUD Balaraja. These findings confirm that patient experience serves as a central factor in post-service evaluation processes, which ultimately drive patients’ intention to return. Therefore, hospitals need to enhance patient involvement in service processes (co-creation), improve public perception of institutional image (hospital image), and develop patient-centered service systems as a key strategy to increase revisit intention among general outpatients.

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.  

The surgery often causes anxiety, which has an impact on physical and psychological conditions of preoperative patients. The data from WHO shows that 50% patients all over the world experienced anxiety, where 5-25% patients are between 5 and 20 years old, and 50% patients are 55 years old. Pre-operational anxiety reaches 534 million patients. Many factors affect anxiety in patients, including family support. This study aims to acknowledge the correlation between family support and anxiety of post-surgery patients in Meuraxa Regional General Hospital, Banda Aceh. This study employs an analytical correlational method with a cross-sectional approach by involving 51 patients selected using an accidental sampling technique. A family support questionnaire is adopted from Nurwulan, with a Cronbach's alpha 0.856. The questionnaire of anxiety using the APAIS scale of Cronbach's alpha 0.825. Univariate and bivariate analysis using the chi-square test. The results indicate that among 51 respondents, the level of anxiety is in a medium state, as 26 respondents (51.0%), family support is in the high category, 47 respondents (92.2%), with a P-value 0.026 (P-value < 0.05). In conclusion, there is a significant relationship between family support and preoperative anxiety at Meuraxa General Hospital Banda Aceh. Families are expected to continuously provide emotional, informational, instrumental, and appraisal support so that patients feel calmer, are able to reduce excessive anxiety, and are better prepared to undergo surgery.

When problems such as antepartum hemorrhage, fetal distress, atypical fetal presentation, and gestational hypertension occur, a cesarean section can save the lives of both mother and baby. A cesarean section (CS) is a surgical technique in which the uterus and abdominal wall are opened to deliver the fetus. In many countries, cesarean sections are the most common surgical procedure, and over the past 30 years, their use has gradually increased. Intrauterine fetal death is the death of a fetus weighing 500 grams or more in the womb at 20 weeks of gestation or later. The partial or complete separation of a normally implanted placenta after 22 weeks before birth is known as placental abruption. he purpose of this paper is to provide nursing care to Mrs. P with a Caesarean section indicating intra uterine fetal death (IUFD) due to placental abruption in the Nusa Indah room of dr. Soeselo Regional General Hospital, Tegal Regency, according to nursing standards. The method used is descriptive with a case study approach. The data collection techniques in this scientific paper are in the form of interviews, observations, documentation studies and literature studies. From the case review, the main complaint was pain in the operated area, pain increased when moving, pain like being squeezed with a pain scale of 5, pain that comes and goes. The patient appeared to be grimacing in pain and restless, the patient always held the area that had been operated on, the results of the vital signs examination obtained: BP: 139/100 mmHg, pulse: 103 x / minute, S: 36.5oC, RR: 20 x / minute, there was a bandage on the lower abdomen along 15 cm with a horizontal line, the patient did not know and was confused about the birth control used after the CS. The nursing problems identified were acute pain, risk of infection, and knowledge deficit. Interventions were developed based on the theory in the SDKI, SLKI, and SIKI, as well as the client's condition, and were implementable

Congenital abnormalities are abnormalities in the growth of fetal organ structures from birth that can be caused by genetic or non-genetic factors. This abnormality is often an indication for a cesarean section, which is an operation to deliver a baby. This Final Nursing Scientific Paper aims to analyze nursing care for post-cesarean section patients with indications of congenital abnormalities and the application of evidence-based practice of effleurage massage therapy to overcome acute post-operative pain. The method used is a descriptive method with the application of effleurage massage therapy to the nursing problem of acute pain in patient Mrs. I, a 37-year-old woman who experienced pain in the wound after a cesarean section. The results of the assessment showed that the patient was in a compos mentis state and complained of pain that felt like being cut in the lower abdominal area with a pain scale of 6 on a scale of 0-10. The pain was intermittent. The diagnosis that emerged was acute pain related to the cesarean section surgical procedure. To overcome this problem, nursing actions were carried out in the form of effleurage massage therapy for 3x24 hours. After the procedure, results showed a significant reduction in the patient's pain level. The patient reported reduced pain after the therapy. These results suggest that effleurage massage therapy can be effective in reducing acute pain in post-cesarean section patients with congenital abnormalities. This therapy offers benefits as a non-pharmacological approach to managing post-operative pain. Implementing this therapy can be an important part of nursing care, helping to improve patient comfort and accelerate post-operative recovery. Furthermore, effleurage massage therapy also has a positive impact on increasing relaxation and reducing patient anxiety.

Sectio caesarea is a surgical operation to help pregnant women give birth by making an incision in the abdominal wall (laparotomy) and uterus (hysterectomy). Non-pharmacology can be used together to relieve pain. Within 24 hours after a cesarean section, patients can feel a five-fold reduction in pain thanks to lavender aromatherapy. linalyl acetate, and linalool, which can have a calming effect. When lavender aromatherapy is inhaled, the compounds it contains trigger the hypothalamus to produce endorphins that can calm and soothe. the purpose of this study was to determine whether lavender aromatherapy can reduce the pain scale of post-Sectio Caesarea patients. This type of research is a one-shot case study,design with the application of Evidence Based Practice with 4 respondents. The intervention was carried out once a day for 2 consecutive days with a duration of 15 minutes. The results of this study showed a decrease in pain scores in the range of 2-0, so it can be concluded that the intervention of providing lavender aromatherapy can reduce the pain scale of post-Caesarean section patients. For post caesarean section patients they can apply lavender aromatherapy in pain management efforts.

Mobilization is a basic human need required by individuals to carry out daily activities in the form of joint movement, posture and gait in order to meet activity needs and maintain health. The World Health Organization (WHO) says that births by caesarean section are around 10-16% of all births in developing countries, in the last 30 years the incidence of caesarean sections has increased very rapidly, for many reasons but some also don't have the right reasons, just because the patient wants the operation or the doctor wants an easy way, in Australia around 16% to 20% of the reason for the high number of caesareans in the United States is because most obstetricians. The aim of the research was to analyze the relationship between early mobilization post cesarean section and the surgical wound healing process in the postpartum room at Kartika Pulomas Hospital. The type of research used is qualitative analytic with a cross sectional approach design. The sampling technique uses accidental sampling. The number of samples used was 61 people. There is a relationship between early mobilization post cesarean section and the surgical wound healing process in the postpartum room at Kartika Pulomas Hospital. The paired sample t-test showed a value of p = 0.002, meaning p<0.05. Recommendations for hospitals need to have a policy for early mobilization of patients after caesarean section. Early mobilization accelerates wound healing and shortens the period of hospital treatment, so that it is a promotion for the hospital, namely: establishing independent hospitals as the main choice with quality services.  

Fibroadenoma of the breast (FAM) is a benign tumor that is painless, movable, has clear boundaries, and a rubbery texture. The incidence of cancer worldwide has increased, with the most common cancers reaching 24.5% and deaths reaching 15.5%, according to the WHO. In Indonesia, the prevalence reached 1.79% per 1,000 population in 2018, and in Central Java, it was 0.7% in 2019. Data from Dr. Soeselo Hospital in Tegal shows an annual increase of 2%, with prevalence reaching 1.9% in 2023, up from 1.7% in 2022. The aim of this research is to provide an overview of nursing care for patients who have undergone left breast tumor surgery. This research specifically focuses on the study involving diagnosis, determination of interventions, implementation, and evaluation. Using a case study design, a descriptive method was employed in this research. The writer narrates and explains the important events that occurred with the patient. Patients who have undergone surgery may experience pain after the operation, which could potentially lead to the risk of infection and a decline in knowledge. As a result, the nursing diagnosis that arises for the patient is acute pain. In the concept of pain, pain measurement is assessed using a numerical rating scale, and the patient's pain management involves relaxation breathing therapy and analgesics.

Patients with schizophrenia may experience an indirect social exclusion, leading those in their immediate vicinity to grow intolerably intolerant of their abnormal conduct and viewpoints. This can exarcebate mental health issues that may lead to relapses, so therapy is necessary, including the use of relaxation techniques such as guided imagert, The purposes of this study was to ascertain how relaxing methods affected the mental state shifts in the number of schizophrenia patients at the Limboto Health Center’s operational region. A single-group pre-post test design was used in this pre-experimental study, which included 88 schizophrenia patient in total. Purposive sampling was used to choose a total of 19 patients for the sample and the Wilcoxon statistical test was used to evaluate the data. According to the study findings, most schizophrenia patients (73.7%) had a severe mental state prior to receiving relaxation technique; afterward, most were classified as moderate (52.6%); the p-value was 0.000 (<α0.05). The Limboto Community Health Center’s working area’s schizophrenia patient’s mental status alterations were found to be influenced by relaxing techniques.

A fracture is an interrupted occurrence of bone continuity determined by the type and extent of the injury. One of his treatments is Open Reduction and Internal Fixation (ORIF). A common problem in post-operative patients is pain, so it requires non-pharmacological implementation of one of which is compressed ice gel pack. To find out the results of ice gel pack compression therapy in post-operative patients. The application was performed with a descriptive method of case study to 2 respondents with a diagnosis of fracture and performed the operation Open Reduction and Internal Fixation (ORIF) performed 6 hours after the operation for 1x within 10-15 minutes. Based on the results of the application already performed there was a decrease in the intensity of pain in postoperative patients. ice gel pack compression therapy can be used as one of the non-pharmacological techniques or independent intervention in post-operative patients in particular on the action Open Reduction and Internal Fixation (ORIF)

Background: Pain is the reason most frequently complained by patients to seek help from a health facility and this condition almost always indicates a disease condition or pathological process. Surgery as one of the causes of pain is an invasive medical procedure used to diagnose or treat disease, injury or body deformity. Objectives: To determine the effect of early mobilization on reducing the pain scale in post-operative patients at K.R.M.T Wongsonegoro Hospital Semarang. Methods: This type of research is descriptive research in the form of a case study in November 2023 at K.R.M.T Wongsonegoro Hospital Semarang. The sample was 2 post-operative patients. Data analysis by changing the data obtained in narrative form and interpreting the results. Findings: In the first respondent, after early mobilization for 3 days, the pain scale decreased from scale 6 (moderate pain) to scale 2 (mild pain), in the second respondent, before early mobilization for 3 days, the pain scale decreased from scale 7 (severe pain) to scale 3 (mild pain). Implications: provide information for nurses and future researchers regarding early mobilization as a development of nursing interventions to reduce postoperative pain

Perioperative anesthesia management is divided into preoperative preparation, intraoperative services (during the operation), and postoperative services. Preoperative anesthetic management is the first step in a series of anesthetic procedures carried out on patients who are planned to undergo surgery. Intraoperative anesthesia management is carried out by pre-induction, induction and maintenance assessments. Postoperative anesthetic management consists of discontinuing the anesthetic drug and stabilizing the patient.

Post SC patients will complain of pain in the incision area caused by tearing tissue in the abdominal wall and uterine wall. Back pain or pain in the nape is also a complaint commonly felt by post-SC mothers, it is due to the effects of using epidural anesthesia during surgery. But after the operation is complete and the patient begins to regain consciousness, he will feel pain in the part of the body that undergoes surgery. Sectio caesarea surgery has complications of infection, bleeding, injury to the bladder, The purpose of this study was to determine the Comparison of the Effectiveness of aroma therapy lemon and classical music therapy lullaby Against the Pain Scale in Post Partum Mothers after sectio caesarea surgery in the Babusalam Room of Tugu Ibu Hospital in 2023. Research Design Quasi-experimental method is a research method that in its implementation does not use random assignment (random assignment) but by using existing groups. The population in this study is all postoperative caesarean section patients totaling 150 people from caesarean section data from April to May 2023 at Tugu Ibu Hospital. The sample in this study was 30 people divided into 2 intervention groups, each group consisting of 15 people. This study obtained data that before being given therapy, a comparison of post-test pain in the lemon aromatherapy group and lullaby classical music after caesarean section surgery obtained a p value of 0.000, because p > 0.05 it was concluded that there was a significant difference in pain scale after being given lemon aromatherapy therapy and lullaby classical music, which was more effective lemon aroma therapy. Advice For health workers or nurses can apply the administration of Aroma Therapy and Classical Music Therapy to reduce the Pain Scale in Post Partum Mothers after sectio caesarea surgery

With a scar from a caesarean section operation sectio caesarea cause pain to the patient so the patient tends to just lie down, therefore postpartum mothers with a history sectio caesarea early mobilization care is needed. On mother sectio caesarea allowed to get out of bed no later than 24-48 hours after giving birth. one way to reduce pain in mothers after surgery sectio caesarea is by doing reflexology massage therapy. The purpose of this case study is to find out adaptation of pain levels in post-mothers sectio caesarea after reflexology massage therapy. The method used in this case study case study design with a nursing care process approach. The subjects in this case study were 2 patients, obtained from inclusion and exclusion criteria, data collection using Numerik rating scale (NRS). The case study results show that on average pain level of the two patients after being given therapeutic intervention reflexology massage for 2x8 hours, namely experiencing changes from severe pain to moderate pain and the patient looks more comfortable and relaxed. The conclusion of this case study shows that there are changes that occur after it is given reflexology therapy intervention for the two patients and experienced a decrease in the pain scale so that both patients are able to adapt to the pain what they feel.

Feelings of anxiety in pre-Section Caesarea mothers can cause unstable conditions that will disrupt the operation process itself, so appropriate ways are needed to overcome anxiety in mothers, one of which is lavender aromatherapy. This study aims to determine the effect of lavender aromatherapy on maternal anxiety levels before Caesarean section surgery. This type of research is pre-experimental with a one group pretest-posttest design. Respondents in this study were mothers pre-operatively with Sectio Caesarea in the Azra Hospital inpatient room, totaling 30 respondents using a non-probability sampling technique using consecutive sampling. Pre-test and post-test data were collected by filling in the Self Anxiety Rating-Scale (SAS) questionnaire. Research analysis was carried out in stages, namely univariate analysis and bivariate analysis using the Paired Sample T-Test. The results of the research showed that the average anxiety level of respondents before being given lavender aromatherapy was 55.7 and the average anxiety level of respondents after being given lavender aromatherapy was 37.6 and there was an effect of giving lavender aromatherapy on the anxiety level of mothers before Caesarean section surgery p value 0.001 (CI; 95% ). The conclusion of the research is that giving lavender aromatherapy can be a non-pharmacological therapy option to reduce anxiety levels in pre-caesarean section surgery patients..

Background: Major surgery is a method of treatment that is most often performed to treat a medical condition or disease. World Health Organization (WHO) in 2020 the worlds laparratomy patients increase every year until 10%. In Indonesia, laparotomy cases are ranked 5th, it is recorded that the total number of operationsthere are1.2 milion peoplesand an estimated 42% of them are laparotomy surgeries. Nausea and vomiting are the two most common postoperative side effects. Early mobilization exercises can have an effect on reducing postoperative nausea and vomiting in anesthetized patients. Objective: to determine the effect of early mobilization on the frequency of nausea and vomiting due to anesthesia in post-laparotomy patients at Dharmais Cancer Hospital, Jakarta. Research Method: pre-experimental design with one group pretest posttest design. The sample size of this study was 56 post-laparotomy patients using a purposive sampling technique. Data analysis using Wilcoxon test. Results: nausea, vomiting before early mobilization in large post-laparotomy patients, mild nausea (50.0%) and after early mobilization, most of them were not nauseous (53.6%). Bivariate analysis with the Wilcoxon test obtained p-value: 0.000 (α: <0.05). Conclusion: There is an effect of early mobilization on the frequency of nausea and vomiting due to anesthesia in post-laparotomy patients at Dharmais Cancer Hospital, Jakarta.

Anxiety is a mistake, doubt in something that will happen with an unclear cause or object related to feelings of uncertainty such as worry about facing surgery. To overcome anxiety, there are types of therapy that can be applied by nurses, namely pharmacological therapy and non-pharmacological therapy. One type of non-pharmacological therapy that can be used is the Benson relaxation technique. This study aims to determine the effect of Benson relaxation on reducing anxiety levels in pre-operative patients in the Dahlia Room, Tanjungpinang City Hospital. The design of this research is a pre-experiment with one group pretest posttest type. The number of samples in this study was 21 preoperative patients using the Accidental Sampling technique. The instrument used was the Amsterdam Preoperative Anxiety And Information Scale (APAIS) questionnaire. Then analyzed using the non-parametric Wilcoxon test. Univariate results before being given Benson relaxation showed that 33.3% had mild anxiety, 66.7% had moderate anxiety, and after Benson relaxation 85.7% had mild anxiety, 14.3% had moderate anxiety. Bivariate results show that the hypothesis is accepted with a p-value of 0.000. It was concluded that there was an effect of Benson relaxation on reducing anxiety levels in pre-operative patients in the Dahlia Room, Tanjungpinang City Hospital. From this research, it is hoped that the Benson relaxation technique can be used as an alternative therapy to reduce patient anxiety levels that does not have harmful side effects for patients.

Background; The problem in postoperative patients is the pain felt due to surgical wounds. This results in patients feeling uncomfortable, uneasy, and various other emotional disturbances. So it is necessary to do dzikir therapy to treat pain. Purpose; Describe the effect of dhikr therapy on changes in postoperative pain scale. Method; Using a descriptive method in the form of a case study the two respondents focused on the implementation of dzikir therapy to reduce postoperative pain by giving dhikr therapy once for 3 days. Results; Dzikir therapy has an effect on changes in the postoperative pain scale so that the acute pain experienced by patients can be reduced. Patient 1 from a pain scale of 6 becomes a pain scale of 3 and Patient 2 from a pain scale of 6 becomes a pain scale of 2. Conclusion; Dzikir therapy in postoperative patients with pain can effectively reduce surgical pain and can be developed for further research

Sectio is a surgical operation to help pregnant women give birth by making an incision in the abdominal wall (laparotomy) and uterus (hysterectomy). Compared with regular births, which only cause about 9% more suffering, births by cesarean section cause about 27.3% more pain. Pharmacology and non-pharmacology can be used together to treat pain. Within 24 hours after a caesarean section, patients can experience a five times greater reduction in pain thanks to lavender aromatherapy. There are no risks associated with using the main active components of lavender oil, linalyl acetate, and linalool, which may provide a calming effect. When lavender aromatherapy is inhaled, the compounds it contains trigger the hypothalamus to produce endorphins which can calm and soothe. Lavender aromatherapy also has properties that make it antibacterial, analgesic, antidepressant and antispasmodic. By offering and using lavender aromatherapy, this research approach is descriptive and takes the form of a case report. The aim of this research is to determine whether the use of lavender aromatherapy can help patients after giving birth by caesarean section reduce their discomfort. After receiving lavender aromatherapy, the research findings changed from a scale of 7 to 3. Research findings show that the use of lavender aromatherapy can help postpartum patients undergoing cesarean section reduce their discomfort.