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Background: Chronic Kidney Disease (CKD) patients undergoing long-term hemodialysis often experience anxiety due to therapy dependency, changes in health conditions, and uncertainty regarding the disease. Unresolved anxiety can reduce quality of life, comfort, and patient adherence to treatment. Therefore, non-pharmacological interventions are needed that are safe, easy to implement, and aligned with the patient's spiritual values. Mantram Tri Sandya has the potential to provide relaxation and psychological calm, thus helping to reduce anxiety. However, scientific evidence regarding the effectiveness of this therapy in hemodialysis patients is still limited, making this research crucial.  Purpose: The aim of this research is to determine the effect of the Tri Sandya mantra on reducing anxiety levels in CKD patients who are undergoing hemodialysis at the Buleleng Regency Regional Hospital. Methods: Pre-Experimental One Group Pre-Test & Post-Test research design with the Wilcoxon Signed Rank Test conducted at the Buleleng Regency Regional General Hospital. Data were collected using the HARS (Hamilton Anxiety Rating Scale) questionnaire sheet with Purposive Sampling technique with a sample size of 88 people. Results: The results obtained from this study were that there was a decrease in anxiety levels when given Mantra Tri Sandya therapy to CKD patients who were undergoing hemodialysis with a P value <0.001 (p<0.05). Conclusion: There is a significant effect of administering the Tri Sandy mantra on reducing anxiety levels in CKD patients who are undergoing hemodialysis at the Buleleng Regency Regional Hospital.

Soft Tissue Tumor (STT) is an abnormal lump or swelling caused by new cell growth originating from connective tissue. Post-operative STT presents major nursing problems including acute pain, knowledge deficit, and risk of infection that require comprehensive nursing care. This scientific paper aims to describe nursing care for Mr. R with post-operative Soft Tissue Tumor (STT) Gluteal Sinistra in Mawar 2 Ward of RSUD dr. Soeselo Tegal Regency. The writing method used is descriptive with a case study plan through interviews, physical examination, observation, and documentation. Assessment was conducted on February 8, 2026 on Mr. R, a 37-year-old male, who underwent left gluteal tumor removal surgery on February 7, 2026. Assessment results identified three nursing diagnoses: acute pain related to physical injury agent (D.0077), knowledge deficit related to lack of information exposure (D.0111), and risk of infection evidenced by invasive procedure effects (D.0142). After nursing interventions for 2x24 hours on February 8–9, 2026, evaluation showed all three nursing diagnoses resolved: pain scale decreased from 6 to 2, the client was able to re-explain the tumor disease, and the surgical wound was clean without signs of infection. The conclusion of this nursing care shows that the application of deep breathing relaxation techniques, health education, and proper wound care are effective in addressing nursing problems in post-operative Soft Tissue Tumor patients.

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.  

Old age is the final phase in the human life cycle, characterised by a decline in physiological function. Global data shows that the prevalence of old age will increase from 33.69 million to 48.19 million by 2035. One of the effects of this decline in physiological function is a disruption in the quality of sleep among the elderly. As many as 50-60% of elderly people in Indonesia experience sleep disorders. One way to overcome sleep disorders is through relaxation therapy. Progressive Muscle Relaxation is a technique performed by stretching and relaxing certain muscles to relax the body. The purpose of this study was to determine the effectiveness of progressive muscle relaxation on the quality of sleep in elderly people. This research method involved a nursing care process from assessment to evaluation using a case study design. The research sample consisted of one elderly person with moderate sleep quality. The intervention was given for 10-15 minutes using eight movements with a frequency of twice a week for one month. The data were analysed using pre-test and post-test PSQI questionnaires to determine sleep quality. The results of this study indicate that progressive muscle relaxation training has an effect on improving sleep quality in the elderly.

Background: Dysmenorrhea is a problem that women often experience during menstruation, in the form of dull pain in the lower abdomen because the uterine muscles contract. This pain can appear before menstruation, during menstruation, or after menstruation is finished. Dysmenorrhea refers to pain or discomfort that occurs during menstruation and can interfere with daily work. Objective: The aim of this study was to determine the effect of abdominal stretching exercises and deep breathing relaxation techniques on the level of dysmenorrhea pain in adolescent girls. Methods: This type of research is quantitative research using a quasi-experimental design with a pre-test and post-test nonequivalent control group design with a purposive sampling technique, with a sample size of 80 female respondents from class X. The data collection tool used was an observation sheet with an NRS measuring instrument. Data were processed and analyzed using SPSS 23 with intergroup analysis using the Mann-Whitney test. Results: The results of the bivariate analysis of the Wilcoxon test in the experimental group showed a p value of 0.000 where (p<0.05), then the Mann-Whitney test showed a p value of 0.000 where (p<0.05) so that H0 was rejected and Ha was accepted, which means there is a significant influence and difference. Conclusion: This shows that there is an influence of Abdominal Stretching Exercise and Deep Breathing Relaxation Techniques on the Level of Dysmenorrhea Pain in Young Women (Research Study Conducted at SMK Negeri 1 Kubutambahan).

Sectio caesarea is a common surgical procedure to deliver a baby when normal delivery is not possible or risky. Postoperatively, patients often experience acute pain that can interfere with the recovery process. The benson relaxation technique is a nonpharmacological method that has been shown to be effective in reducing pain through a relaxation and patient confidence approach. This study uses a case study approach on Mrs. T, a post-sectio caesarea patient at Harapan Bunda Hospital, Batam City. Nursing care is carried out comprehensively for three days, including assessment, diagnosis, intervention, implementation, and evaluation. The main intervention was the administration of benzone relaxation techniques for 10–15 minutes every day. After three days of applying the Benson relaxation technique, Mrs. T's pain intensity decreased from a scale of 6 (moderate pain) to a scale of 2 (mild pain). Patients show increased comfort, ability to be active, and decreased expressions of pain such as grimacing. These results support previous findings that benzon relaxation is effective as a nonpharmacological therapy in reducing postoperative pain. This technique can be a safe and easy-to-apply alternative in nursing practice, especially for post-sectio caesarean patients.

Hypertension is a chronic health problem whose prevalence continues to increase and is a major risk factor for cardiovascular disease. In addition to pharmacological therapy, non-pharmacological interventions are needed to help control blood pressure safely and sustainably. One complementary therapy that has the potential to lower blood pressure is Slow Stroke Back Massage (SSBM), which works through relaxation mechanisms and modulation of the autonomic nervous system. This study aims to determine the effect of SSBM therapy on reducing blood pressure in hypertensive patients in the Camar Room of RSKD Dadi, South Sulawesi Province. The study used a quantitative quasi-experimental design with a two-group pretest–posttest design. A sample of 32 respondents was selected using a purposive sampling technique, divided into an intervention group and a control group. Data collection was carried out by measuring systolic and diastolic blood pressure before and after the intervention using a standard sphygmomanometer. The results showed a significant decrease in systolic and diastolic blood pressure in the group receiving SSBM therapy compared to the control group. Thus, SSBM therapy has a significant effect on reducing blood pressure in hypertensive patients and can be recommended as a complementary therapy in nursing care.

Surgery is a medical procedure performed by opening a part of the body and ending with the closure or suturing of the wound. This procedure often causes anxiety in preoperative patients. One non-pharmacological intervention that can be used to reduce anxiety is classical music therapy, which helps promote relaxation and supports the healing process. This study aims to determine the effect of classical music therapy on reducing anxiety levels in preoperative patients in the implementation of nursing care. The method used was a case study design with a nursing care approach involving three preoperative patients experiencing anxiety. The intervention consisted of classical music therapy delivered through headphones for 5 minutes and administered twice to each respondent. The results showed that after receiving classical music therapy, the anxiety levels of all three patients decreased from severe anxiety with an average score of 19 to moderate to mild anxiety with scores ranging from 7–13. In addition, symptoms such as worry, restlessness, and tension also appeared to decrease after the intervention. It can be concluded that classical music therapy is effective in reducing anxiety levels in preoperative patients during the nursing care process. Therefore, nurses are expected to apply classical music therapy as one of the interventions for patients experiencing anxiety.

Background: Thel postpartum periodl is al recovery phase involving lphysical and psychologicall changes, during which mothersl often experience fatigue due to increased cortisol levels. Excessive fatigue can interfere with the breastfeeding process and reduce motivation for exclusive breastfeeding. Lavender aromatherapyl is al non-pharmacologicall therapy containing linalool with sedative effects to provide relaxation and reduce fatigue levels. lObjective: This studyl aimed tol determine thel effect ofl lavender aromatherapy onl reducing fatigue in postpartuml mothers atl Puskesmas Ibu, West Halmahera Regency. Methods: Thisl study was al Pre-Experimentall study withl a Onel Group lPretest-Posttest lDesign. The studyl population consisted of lall postpartum mothersl at Puskesmas Ibu, with a total sampling technique of 30 respondents. The research instrument used anl observation lsheet, and ldata analysis wasl performed usingl the Paired Sample T-Testl (α = 0.05). Results: The majorityl of lrespondents' characteristics were inl the agel range of 20-35 yearsl (76.7%), had Senior High School education (60%), were unemployed/housewives (70%), and were primiparous (60%). The resultsl of thel Paired Samplel T-Testl showed al mean fatigue score before the intervention of 27.33, which decreased to 11.50 after the intervention (mean difference 15.833) with a lp-value = l0.000. lConclusion: There isl al significant effectl ofl lavender aromatherapyl administration on reducing fatigue lin postpartum lmothers at Puskesmas Ibu, Halbar Regency. Lavender aromatherapy is effective as a complementary therapy to aid postpartum maternal recovery.

Anxiety and pain are common problems experienced by postoperative patients and may negatively affect physiological and psyhological conditions as well as the recovery process. Management of anxiety and pain can be carried out throught pharmacological and non-pharmacological approaches, one of which is the autogenic relaxation technique. This technique is safe, simple easy to learn and does not cause side effects so it can be applied by healthcare professionals and performed independently by patients. This study aimed to determine the effect of autogenic relaxation on anxiety levels and pain intensity in postoperative patients in the general ward. This study employed a pre-experimental design with a pretest-posttest without control approach. The sample consisted of 31 respondents selected using a purposive sampling technique. Data were collected using the Hamilton Rating Scale for Anxiety (HRS-A) to measure anxiety levels and the Numeric Rating Scale (NRS) to assess pain intensity. The result of the Paired Sample T-test showed a p-value of 0,0001 (< 0,05), indicating a significant decrease in the mean anxiety level from moderate to mild after the intevention. The wilcoxon test also showed a p-value of 0,0001 (< 0,05), demonstrating a significant difference in pain intensity before and after the intervention, from moderate pain to mild pain. It can be cocluded that the autogenic relaxation technique has a significant effect on reducing anxiety levels and pain intensity in postoperative patients. This technique is recommended as a non-pharmacological intervention that can be applied by healthcare professionals to enhance patient comfort and support the postoperative recovery process.

Anxiety is a common psychological problem experienced by third-trimester pregnant women, particularly as they approach labor. If left unaddressed, this condition can negatively impact both maternal and fetal health. This community service activity aimed to provide education on deep breathing relaxation techniques as an effort to reduce anxiety among third-trimester pregnant women at Juliana Harahap Clinic in 2025. The methods used included lectures, direct simulation, and question-and-answer sessions supported by leaflet media, involving 20 third-trimester pregnant women as participants. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention and analyzed using the Wilcoxon Signed Rank Test. The results showed that prior to the education, the majority of respondents experienced moderate anxiety (55.0%) and severe anxiety (30.0%). Following the intervention, a significant reduction was observed, with 30.0% of respondents categorized as anxiety-free and 55.0% classified under mild anxiety, with no respondents remaining in the severe anxiety category. Statistical analysis yielded a p-value of 0.000 (p < 0.05), with a decrease in the mean anxiety score from 2.15 to 1.15. It is concluded that deep breathing relaxation education significantly reduces anxiety levels in third-trimester pregnant women and is recommended for integration into routine antenatal care service programs at healthcare facilities.

This study explores the effectiveness of a time management intervention in reducing academic procrastination among first- and second-semester undergraduate students at several universities in Malang. A quasi-experimental method was employed involving two groups with a total of 20 participants: 10 students in the experimental group who received a time management workshop and 10 students in the control group. The research instrument was the Academic Procrastination Scale developed by Onwuegbuzie. The intervention was conducted over six sessions focusing on techniques such as the Pomodoro Technique, Eisenhower Matrix, distraction management, relaxation, reward systems, to-do lists, leisure time management, and weekly scheduling. Data were collected through questionnaires and analyzed using an independent samples t-test and the nonparametric Mann–Whitney test. Participants were selected using a random sampling technique, and the academic procrastination scale was used as the primary measurement instrument. The results indicate that the time management intervention was effective in reducing academic procrastination, suggesting important implications for the development of more effective educational strategies. This research is expected to contribute to the design of more effective intervention programs to increase the academic productivity of students in higher education.

Type 2 diabetes mellitus (T2DM) requires comprehensive management beyond pharmacological therapy, including sustainable lifestyle-based interventions. Yoga asana, as a form of mind–body intervention, integrates physical postures, breathing techniques, and relaxation practices that may influence metabolic and psychosocial pathways relevant to T2DM. This article aimed to synthesize evidence regarding the physiological mechanisms, clinical effectiveness, and healthcare implementation context of yoga asana in T2DM management, as well as to discuss the role of physicians in integrating this complementary therapy, including within health tourism settings. A narrative literature review was conducted using scientific databases, focusing on publications addressing yoga asana, mind–body interventions, T2DM, and clinical integration. The findings indicate that yoga asana is associated with improved glycemic control, including reductions in fasting blood glucose, postprandial glucose, and HbA1c, alongside modulation of stress-related physiological parameters and psychological well-being. Beyond clinical outcomes, yoga asana shows potential for community-based and health tourism contexts as part of chronic disease lifestyle management. Physicians play a central role in clinical assessment, patient education, coordination with complementary therapy providers, and ongoing monitoring to ensure safe, evidence-based integration. Although current evidence suggests consistent beneficial trends, methodological heterogeneity highlights the need for more standardized and mechanistic research.  

English is an international language that plays an important role for students in the era of globalization; however, speaking anxiety or fear of speaking remains a major obstacle in academic practice within higher education institutions. This anxiety emerges as a complex psychological phenomenon involving cognitive, affective, and social aspects, rather than merely an issue of language proficiency. This study examines the problems faced by students, particularly those majoring in non English disciplines, in overcoming speaking anxiety in English academic settings. A descriptive qualitative approach was employed, with data collected through semi-structured interviews involving students of PASIM National University who exhibited varying levels of speaking anxiety. The data were analyzed using qualitative analysis techniques to identify emerging patterns and themes.The findings indicate that speaking anxiety is caused by fear of making pronunciation and grammatical errors, concern about receiving negative evaluations, limited vocabulary, and a lack of experience in communicating in English. These conditions are further exacerbated by limited opportunities for speaking practice, non-interactive learning methods, and insufficient support from teachers and peers. Students developed adaptive strategies such as relaxation techniques, thorough preparation, positive self-talk, and consistent language practice. To create a safe learning environment in which students can speak English effectively, this study proposes learning strategies that are more inclusive, supportive, and grounded in psychological principles.  

The purpose of this community service (PkM) is to provide training on Emotional Management for PKK mothers to increase their understanding of the importance of self-compassion related to emotions so that they can maintain their physical and mental health. This Emotional Management Training is a practical method in managing emotions, such as relaxation techniques, effective communication, and solving daily problems experienced by individuals when interacting with their environment, both family and social environments. PKK mothers RT.02/RW.05, Gemah sub-district, Pedurungan district, are mostly housewives. Emotional management is very necessary so that it does not last long, which in the end can affect the mother's mental health, so that the impact becomes even greater. To prevent these things from happening continuously, the PkM team of the psychology faculty provides assistance to the mothers by holding Emotional Management training which aims to maintain the mothers' mental health from pressures that arise both in the environment and from home. This input made the PkM team want to help find solutions regarding the development of self-skills for mothers through Emotional Management Training. The team's outreach to these mothers resulted in a 40% increase in their understanding of emotional management. By improving these mothers' skills, it is hoped that they will find it easier to control their emotions, focus, and better understand themselves and their surroundings, enabling them to overcome the challenges and obstacles they encounter in their daily lives.

The goal of this community service (PkM) program is to provide Emotion Management training to the PKK mothers to enhance their understanding of the importance of self-compassion related to emotions, in order to support physical and mental health. The training includes relaxation techniques, effective communication, and problem-solving that help individuals manage their emotions in daily interactions. Relaxation techniques are used to improve subjective well-being and promote a healthy lifestyle that benefits both themselves and their environment. Most of the PKK mothers in RT.02/RW.05 of Kelurahan Gemah are housewives who face pressures from family and social environments. Emotional management is crucial to prevent negative impacts on mental health, which can affect both the family and the community. Therefore, the PkM team from the Faculty of Psychology conducts training to help the mothers manage their emotions. The training activities include lectures, storytelling, games, and discussions. As a result, there was a 40% improvement in their understanding of emotion management. Through this training, it is hoped that the mothers will find it easier to control their emotions, focus, and better understand themselves and their environment, thus enabling them to overcome challenges in their daily lives.  

Low back pain is one of the most common musculoskeletal complaints experienced by pregnant women, particularly during the third trimester, due to biomechanical, postural, and hormonal changes during pregnancy. This condition may interfere with daily activities, sleep quality, and overall maternal comfort. One safe and potentially effective non-pharmacological approach to manage this complaint is prenatal yoga. This study aimed to analyze the effect of prenatal yoga on the intensity of low back pain in third-trimester pregnant women at UPT Puskesmas Mampuak. This study employed a quasi-experimental design using a one-group pretest–posttest approach. The sample consisted of 30 third-trimester pregnant women selected through purposive sampling. The prenatal yoga intervention was delivered in a structured manner, including stretching exercises, breathing techniques, and relaxation adapted to pregnancy conditions. Low back pain intensity was measured before and after the intervention using a standardized pain scale. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed a reduction in low back pain intensity following the prenatal yoga intervention. The Wilcoxon test demonstrated a statistically significant difference between pain intensity before and after the intervention, with a p-value of 0.000 (p < 0.05). Descriptively, there was a decrease in the proportion of participants experiencing severe pain and an increase in those reporting moderate and mild pain. In conclusion, prenatal yoga has a significant effect on reducing the intensity of low back pain in third-trimester pregnant women. Prenatal yoga can be recommended as a safe, effective, and applicable non-pharmacological intervention to support antenatal care services at the primary healthcare level.

Pain is a prevalent issue frequently seen by pregnant women in their third trimester, attributable to physiological, biomechanical, and psychological alterations during gestation. Non-pharmacological pain management is essential as a secure alternative to enhance the comfort of pregnant women. Perinatal Yoga and Relaxation Techniques are two commonly endorsed non-pharmacological therapies; yet, comparative analyses of their efficacy remain scarce, particularly within primary health care settings. This study is to evaluate the efficacy of Perinatal Yoga against Relaxation Techniques in alleviating pain among pregnant women in their third trimester at the Bongo II Community Health Centre. The research employed a quasi-experimental design with a two-group pretest-posttest methodology. The sample comprised 38 pregnant women in their third trimester, categorized into two groups: 19 participants in the Perinatal Yoga group and 19 participants in the Relaxation Techniques group. The Numeric Rating Scale (NRS) was utilized to assess pain severity prior to and following the intervention. A paired t-test was utilized for intra-group differences, whereas an independent t-test was employed to assess inter-group efficacy.The findings indicated that both Perinatal Yoga and Relaxation Techniques markedly diminished pain intensity in pregnant women throughout their third trimester (p<0.001). The decrease in pain in the Perinatal Yoga group was statistically significant compared to the Relaxation Technique group (p<0.05). This study concludes that Perinatal Yoga is superior than Relaxation Techniques in alleviating pain in pregnant women during their third trimester. Perinatal Yoga is indicated as an effective and practical non-pharmacological technique in antenatal treatment inside primary health facilities.

This community service activity aims to increase the learning concentration of SD Negeri Pojok Kediri students through educational training with five simple and fun methods, namely focus games, Pomodoro Kids techniques, light physical activity, mindfulness exercises, and relaxation. The main problem faced by schools is the low level of focus of students during learning, especially when the material requires high concentration and sustained attention duration. The method of the activity includes initial observation to identify classroom conditions, teacher training related to the application of methods, direct application in the classroom, and periodic mentoring and evaluation. The results showed a significant improvement in students' focus skills, which was characterized by increased attention duration, faster response to instructions, and more active student involvement in the learning process. Teachers also reported that the classroom atmosphere became more conducive, orderly, and interactive after the methods were applied consistently. In addition, positive behavioral changes such as self-regulation skills, better emotion management, and more regular learning habits appear. Thus, this training has proven to be effective, easy to implement, and has the potential to be used as a sustainable strategy to improve the quality of the teaching and learning process in elementary schools.

Hypertension is one of the major health problems among the elderly and poses a risk of serious complications if not properly controlled. Slow deep breathing is a relaxation technique that can be used as a non-pharmacological intervention to reduce blood pressure. This study aimed to determine the effect of slow deep breathing on blood pressure in elderly patients with hypertension at the nursing home X Jakarta. The study employed a quasi-experimental design with a pretest-posttest control group approach. A total of 26 respondents were divided into two groups: intervention and control, each consisting of 13 people. The slow deep breathing intervention was performed for 10 minutes with a breathing frequency 6-10 breaths per minute. The results showed a significant reduction in systolic and diastolic blood pressure in the intervention group after the slow deep breathing exercise. Data analysis using the Wilcoxon and Mann-Whitney tests showed a p-value <0.05, indicating a significant difference before and after the intervention. Slow deep breathing proved to be effective in reducing blood pressure and can serve as a safe, simple, and affordable non-pharmacological therapy for elderly individuals with hypertension. This intervention also has the potential to improve quality of life and reduce dependence on antihypertensive medication.