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Hypertension is a health problem that is quite dangerous in the world, because it is a major risk factor for cardiovascular disease. Hypertension can be treated with nonpharmacological therapies, such as hypertension exercise and natural music therapy. The purpose of this study was to determine the effect of a combination of hypertension exercise and natural sound music therapy on reducing blood pressure in hypertension sufferers in the working area of ​​the Modo Health Center. The research design used a pre-experimental one group pre-post test design on 52 hypertensive patients who were selected using a consecutive sampling technique from a total population of 109. The intervention was in the form of giving a combination of hypertension exercise and natural sound music for 10-15 minutes according to the SOP for hypertension exercise and natural sound music. After that, it was analyzed using paired t-test. The results showed that the average blood pressure before treatment was 168.77/95.12 mmHg. After being given treatment the average blood pressure was 156.69/85.88 mmHg. The results of the pre-post systolic and pre-diastolic statistical tests obtained a significance value of p=0.000 (p<0.005), which means that there is an effect of a combination of hypertension exercise and natural sound music therapy on reducing blood pressure. The mechanism for reducing blood pressure after exercise is because exercise can relax blood vessels, so that by dilating blood vessels blood pressure will decrease. Providing natural sound music therapy can cause relaxation of arteriolar smooth muscles which play an important role in maintaining blood pressure. It is hoped that the combination of hypertension exercise and natural sound music therapy can be applied as an intervention at the Prolanis Health Center in Modo.

Background: According to the World Health Organization (WHO), in 2018 the incidence of CKD worldwide reached 10% of the population, chronic kidney failure patients undergoing hemodialysis are estimated to reach 1.5 million people worldwide. Chronic kidney failure sufferers who will undergo hemodialysis often experience anxiety. One technique that can overcome the level of anxiety in patients undergoing hemodialysis is distraction technique. The distraction technique that will be given to reduce anxiety is the application of classical music, apart from being able to influence mood, now music is known to have amazing powers both physically, emotionally and spiritually. Objective: To find out the results of implementing classical music therapy for anxiety in patients with chronic kidney failure. who underwent hemodialysis in the ICU Room at Pandan Arang Boyolali Regional Hospital. Method: descriptive case study. To create a picture of classical music therapy nursing care for anxiety in Chronic Kidney Failure patients undergoing hemodialysis in the ICU room at Pandan Arang Hospital, Boyolali Regency. Results: Application of classical music therapy to 2 responses in Mr. A before therapy 4 statements of very severe anxiety after therapy 1 statement of mild symptoms, while for Mr. S before therapy 3 statements of severe anxiety and after therapy 1 statement of mild anxiety. Conclusion: there was a decrease in anxiety in both respondents after classical music therapy.      

Hallucinations are disorders of human perception that assume something exists that actually does not occur. Auditory hallucinations that are not treated properly can have a negative impact on oneself, others and the environment. One treatment to control hallucinations is classical music therapy which can reduce the symptoms of hallucinations. The aim of this research is to determine the possibility of applying classical music therapy to reduce signs and symptoms of auditory hallucinations using the single group pretest and posttest method of applying music therapy to reduce signs and symptoms of auditory hallucinations. The results of the application of EBP classical music therapy which was carried out for 3 days for 10-15 minutes on respondent I (Mr.A), the signs of hallucinations before music therapy were 12 (100%) after classical music therapy the symptoms decreased. hallucinations 3 (25%), Respondent II (Mr. K) had 12 (100%) signs of symptoms down to 4 (33%), Respondent III (Mrs. %). Based on the application of classical music therapy, it was found that signs of auditory hallucinations decreased in three respondents.

Student comes from the word student which means someone who studies or researches, students have an average age of 19 – 21 years. Stress is a common occurrence in everyday life that cannot be avoided. Stress can be experienced by individuals from all backgrounds. In reducing stress levels there are various methods used, one of which is lavender aromatherapy combination therapy and classical music therapy. To determine the effect of lavender aromatherapy and classical music therapy combination therapy on the stress level of regular nursing students at the University of Indonesia Maju Year 2023 before and after the intervention. This study used a One-Group Pretest-Posttest Pre-Experiment design with a population of 371 students, with purpossive sampling of  20 students. The data collection technique used the Depression Anxiety Scale questionnaire (DASS 42). The results showed the age of the dominant respondents 21 years as many as 15 people (75%), the majority gender of women as many as 17 people (85%), the pre-test stress level with a mean of 21,40 and the post-test stress level with a mean of 15,70. The results of bivariate analysis with shapiro wilk pretest normality test 0.202 > 0.05 posttest 0.190 > 0.05 then the data are normally distributed and dependent t-test 0.000 < 0.05 then it can be concluded that H0 is rejected, lavender aromatherapy combination therapy and classical music therapy affect the stress level of regular nursing students at the University of Indonesia Maju. Students who experience stress can do a combination therapy application of lavender aromatherapy and classical music therapy.

Background: LBW babies face difficulties adapting to life outside the womb because their organs, such as the lungs, heart, kidneys, liver and digestive system, are not fully mature. The neonatal period is the most vulnerable period for a baby's survival, and one of the causes of newborn deaths is asphyxia. One of the complementary therapy techniques that can be used to increase saturation and hemodynamics in LBW babies is music therapy and murrotal therapy. Research method: The research method used in the intervention is a case report using the intervention method. The research was carried out in the NICU room at Tjitrowardojo Regional Hospital, Purworejo, when the research was carried out on 01-05 May 2024. The research participants were one neonate patient with a diagnosis of LBW accompanied by asphyxia. Oxygen saturation measurements were carried out before and after Murottal Surat Ar-Rahman Therapy was given. Results: After being given the Murotal Al-Qur'an Surah Ar-rahman therapy intervention within 30 minutes for five days, there was an increase in oxygen saturation in LBW babies with asphyxia on the first day from 88% to 93%, and on the fifth day there was an increase in oxygen saturation from 99 % becomes 100%.Conclusion: Murottal Al-Qur'an Surah Ar-Rahman therapy has a positive effect on oxygen saturation in patients with LBW accompanied by asphyxia

Dementia or senility is an aging process so it is considered a normal thing and if dementia is not prevented or treated it will have an impact such as a decrease in cognitive function. Cognitive function is mental and intellectual abilities and memory. Cognitive function ability was measured using the MMSE (Mini Mental State Examination) questionnaire which consisted of 11 questions. Efforts to improve cognitive function one of them with classical music therapy. This case study aims to describe the application of classical music therapy to improve cognitive function in the elderly at the Sekaran Health Center in Semarang. This case study uses a type of case study with a descriptive approach. The subjects of this case study used 2 people with inclusion criteria: age between 60-74 years, able to communicate well, elderly with mild dementia (MMSE score 24-30) and moderate (probable) MMSE score 17-23, elderly who are cooperative and can read and write, the elderly who are not hearing impaired. This case study was conducted 4 meetings over 2 weeks. The results of this case study showed an increase in cognitive function felt by both subjects. Subject I from a score of 22 (probable cognitive disorder) to 28 (normal). Subject II from a score of 19 (probable cognitive disorder) to 25 (normal). Classical music therapy in conclusion can improve the cognitive function of elderly people with dementia and is recommended as an effective therapy application in improving cognitive function.

Abdominal pain is the main symptom of acute abdomen which occurs suddenly and is non-specific. Pain management includes providing analgesic therapy and non-pharmacological therapy in the form of cognitive behavioral interventions such as relaxation techniques, slow deep breathing, music therapy and aroma therapy, imagery and biofeedback. The aim of the research was to determine the effect of the slow deep breathing technique with lemon aroma therapy on reducing pain intensity in abdominal pain patients. This type of quasi-experimental quantitative research uses a one-group pretest-posttest design. The population in this study were 42 patients with complaints of abdominal pain who were treated. Sampling used a total sampling technique so that a sample of 42 respondents was obtained. The data collection instrument uses the Numeric Ratting Scale. The data analysis technique used in this research is Paired t-Test. The results of the study showed that there was an effect of the slow deep breathing technique with lemon aroma therapy on reducing pain intensity in abdominal pain patients with a p value of 0.001 (<0.005). The average value of the pain scale before the intervention was on a scale of 6-8 with a standard deviation of 0.650, while the average value of the pain scale after the intervention was on a scale of 2-6 with a standard deviation of 0.504. The conclusion of the research is that there is an effect of the slow deep breathing technique with lemon aroma therapy on reducing pain intensity in abdominal pain.

Pregnancy is the intrauterine growth and development of the fetus starting from conception and ending until the start of labor. The length of pregnancy from ovulation to parturition is approximately 280 days (40 weeks), and no more than 300 days (43 weeks). Anxiety is a response to certain threatening situations and is a normal thing that occurs accompanying development, change, and in finding one's identity and the meaning of life. One way to deal with anxiety is non-pharmacological therapy, namely distraction techniques. This research uses a quasi-experimental research design with a One Group Pretest-Posttest Design research design. This research was conducted to determine the effectiveness of providing classical music therapy to reduce anxiety levels in pregnant women.That before classical music therapy was given a non-anxious level of anxiety, namely 9 respondents (16.7%), a moderate level of anxiety, namely 8 respondents (16.7%). Then, after being given classical music therapy, the majority of respondents had a non-anxious level of anxiety, namely 20 ( 66.7%) The level of mild anxiety was 10 respondents (33.3%). The pre-test and post-test show a significant relationship with the criteria for the level of anxiety of pregnant women with a p value = 0.000, <0.05 N = 30, so it can be concluded that there is a significant effect of effectiveness between classical.

Hypertension in pregnancy is a common pregnancy complication, affecting 2% of pregnant women worldwide. It is the cause of death of pregnant women in the world, hypertension is treated conventionally, namely hypertension-reducing drugs, but this conventional treatment has many problems because it is related to pregnant women which will definitely be related to the fetus they are carrying. At the Bestari Community Health Center, Medan Petisah District, the health status of mothers and children is good, but there are still problems for pregnant women who experience hypertension during their pregnancy, which is around 30%. The incidence of hypertension in pregnancy is high in the working area of the Bestari Community Health Center, Medan Petisah District, because people consume more than the amount of salt, the food menu is haphazard, and if they are treated with hypertension medication, they are not consumed because it will have a bad impact on their child, to solve the problem, to resolve the treatment. An alternative to non-pharmacological treatment is using music therapy and providing counseling about correct eating patterns. The aim of this community service is to increase knowledge and reduce the incidence of hypertension in pregnant women by using counseling methods and applying music therapy. Method: By providing counseling and music therapy, the results of the implementation of Beethoven's classical music therapy activities are: knowledge of the community (pregnant women) about eating patterns increased by approximately 89% and hypertension which was successful decreased in the 2-4th week of therapy, namely on average 110/70 mmHg..

Background: Data obtained from the Palembang city health office that the incidence of head injuries in 2018 there were (16.15) patients. Head injury (trauma capitis) is a mechanical injury that directly or indirectly affects the head that results in head wounds, fractures of the bones of the skull, tearing of brain membranes, and damage to brain tissue, as well as resulting in neurological disorders. One of the nonpharmacological therapies that can be given to patients who experience pain in minor head injuries is music therapy. Objectives: to gain real experience and knowledge and to document the application of music therapy to pain scales in nursing care for minor head injuries. Methods: this type of scientific paper uses a descriptive method with a case study approach to explore the problem of nursing care in two patients with minor head injuries. Nursing care was carried out on two patients, which was carried out on June 15 to 17, 2022. Results: from music therapy actions to Mr. A and Mr. D with the first diagnosis of acute pain related to physical injury agents. The results of the evaluation of the first patient, Mr. A, found that the patient experienced a decrease in the pain scale to 3 (mild), before music therapy the pain scale was 5 (moderate), the pain problem was resolved, and the intervention was stopped. For the evaluation, the second patient, Mr. D, obtained a pain scale of 2 (mild), before music therapy the pain scale was 4 (moderate), the pain problem was resolved, and the intervention was stopped. Conclusion: the results of the nursing evaluation on Mr. A and Mr. D problems resolved the intervention was stopped. It can be concluded that music therapy can reduce pain in patients with mild head injuries.

Hypertension or high blood pressure is a disease that is often suffered by many people, hypertension itself sometimes has symptoms that the sufferer does not know about. A condition that causes about half of all deaths from stroke and heart disease. The aim of this study aims to determine the effect of classical music therapy on changes in blood pressure in hypertensive patients at the Ambalat SESKO TNI Bandung Clinic. This research uses a quantitative questionnaire method with a pre-post test research design (Quasy experiment), the data analysis used is the Wicoxon test. The respondents were 25 TNI members at the Ambalat SESKO TNI Bandung Clinic. The instruments in this study used a sphygmomanometer and classical music.    

Dysmenorrhea is a medical condition that occurs during menstruation or menstruation, which can interfere with activities and requires treatment. Characterized by pain or tenderness in the abdomen or pelvis. The impact of dysmenorrhea is reduced concentration when studying, hampered sports activities and reduced time for social activities. With the increase in Covid-19 cases, people are becoming anxious if they have to come to health services for fear of contracting Covid-19. One action to reduce dysmenorrhea pain is using a warm compress combined with music therapy. This research is quantitative research using quasi-experimental research using a one-group pre-test-post-test design method and purposive sampling techniques. The location where the research will be conducted is STIKES Kesdam IV/Diponegoro with 30 respondents. The Numeric Rating Scale (NRS) is a tool used to evaluate dysmenorrhea pain. The Wilcoxon test was used to analyze research data. The results of this study show that giving a warm compress has an effect. with a combination of music therapy on the level of dysmenorrhea pain with a p value of 0.00 (<0.05).

Background: The number of pregnant women who experience anxiety before giving birth is rising year over year. Pregnancy in a primigravida produces both psychological and physical changes. Anxiety is one of the psychological factors that frequently manifests during pregnancy. Relaxation techniques can be used to manage anxiety; one such treatment is classical music therapy, which can lower anxiety levels. Purpose: Understanding the changes in anxiety levels among primigravida pregnant women in the third trimester at the Mojopurno Health Center. Methods: With each respondent receiving an intervention for 4 straight days, this application used a descriptive design on 2 female respondents and was conducted from April 18–21, 2023, in Munggut Hamlet, RT 12 RW 03 Munggut Village, Wungu District, Madiun Regency. The Hamilton Anxiety Rating Scale HARS observation sheet was the tool used to gauge the patient's degree of anxiety before and after therapy. Results: Before the two respondents' implementation, there was moderate anxiety, and after their implementation, there was mild anxiety or no worry. Conclusion: At the Mojopurno Health Center, the use of classical music therapy helps lower the degree of anxiety in third-trimester primigravida pregnant women.

Leukemia is a progressive malignant disease of the blood-forming tissues. Leukemia is caused by abnormal growth of white blood cells (leukocytes) in the bone marrow. These cells then spread in the blood circulation. This disease is still a public health problem in the country and in the world, which affects children to adults, leukemia is a cancer with the highest death cases in the world. One of the complementary therapies that can be used to improve the psychological response of cancer patients is music therapy. Music therapy can increase relaxation and reduce anxiety in leukemia patients during the chemotherapy process. Objective : Knowing the results of the application of music therapy to hemodynamics in children with leukemia in the room Flamboyan 9 RSUD Dr. Moewardi surakarta. Method : Methods of data collection in this application is to use the method of interviews, and observation. Findings : After performing music therapy for 1 day, the results were the same for both respondents, that is, children can lower blood pressure and pulse frequency within normal limits. Implication : Music therapy can affect the decrease in hemodynamics in children with leukemia because there are significant changes in hemodynamics from height to decrease.  

Background: The prevalence of extreme pain in medical and surgical patients admitted to the Intensive Care Unit (ICU) is more than 80.0%. One of the nonpharmacological therapies that can be used to control pain is the distraction technique with music therapy, where this application uses gamelan music therapy. Objective: To determine the results of the implementation of gamelan music therapy to reduce postoperative pain intensity in the Intensive Care Unit of Pandan Arang Hospital Boyolali. Method: The design used in this application is using a descriptive case study approach. Application is carried out for 30 minutes 2x a day in 4 consecutive days. Findings: Comparison of the final results of application showed that on the 4th day after the implementation of the VDS scale the two respondents were the same, namely on the pain scale 3. The results of the CPOT scale on the 4th day of Mrs. W after implementation are a scale of 4. The results of the CPOT scale on the 4th day of Mrs. S after implementation are a scale of 3. Implication: From the final results of the application before and after it can be concluded that gamelan music therapy can reduce the intensity of pain in postoperative patients in the ICU of Pandan Arang Hospital Boyolali.  

Stres merupakan reaksi seseorang baik fisik maupun emosional apabila ada perubahan dari lingkungan yang mengharuskan seseorang menyesuaikan diri. Salah satu teknik non-farmakologi yang dapat digunakan untuk menurunkan stres yaitu dengan terapi musik karena penggunaan terapi musik dapat mengaktifkan syaraf menjadi rileks sehingga dapat membuat tubuh dan pikiran menjadi tenang dan perasaan menjadi nyaman. Penelitian ini bertujuan untuk menurunkan tingkat stres dimasa pandemi covid-19. Desain penelitian one group pre test and post test design menggunakan metode kuantitatif eksperimen. Tehnik pengambilan sampel purposive sampling. Hasil penelitian menunjukan tingkat stres sebelum dilakukan terapi musik mayoritas stres sedang dan setelah dilakukan terapi musik berubah menjadi mayoritas stres ringan. Sehingga dapat disimpulkan bahwa terdapat perbedaan tingkat stres sebelum dan sesudah dilkukan terapi musik. Disarankan kepada masyarakat dapat menjadikan terapi ini sebagai alternatif untuk menurunkan tingkat stres di masa pandemi covid-19.    

Adolescence is a period of transition or transition due to biological and psychological growth, development, and changes. Biological changes are marked by the growth and development of primary sex, while psychological changes are characterized by changes in attitudes, feelings, and emotions. This transitional period is dubbed a period full of storms and stress, because it causes emotional upheaval, anxiety, and discomfort because the teenager is required to adapt and accept all the changes that occur. The role of nurses that can be used is to provide complementary therapies, namely a combination of aromatherapy and music therapy in reducing anxiety during online learning. The method in this study is a quasi-experimental design with a pre-post test with control group. The sampling technique used was purposive sampling with a total of 60 respondents. The treatment was given in 4 sessions for 4 weeks. The treatment given is a combination of aromatherapy and music therapy. The measuring instrument used is the RCMAS anxiety instrument. The results of this study showed the effect of giving a combination of aromatherapy and music therapy on adolescent anxiety levels during online learning during the covid-19 pandemic (p <0.05). The results of the study are recommended to be able to reduce anxiety in adolescents during online learning during the covid-19 period.    

Anxiety is a normal adaptive response to stress due to surgery. Anxiety caused by fear of pain, fear of physical changes and not functioning normally after surgery, one of the ways to overcome it is with relaxation and distraction techniques, namely with religious music therapy. The purpose of this case study was to describe the application of religious music therapy "Demi Masa" to decrease the anxiety level of preoperative patients with regional sub arachnoid anesthesia blocks in hospitals in the surgical room of RSUD K.R. Wongsonegoro Semarang. This study belongs to descriptive using a case study approach. Subjects in this study were appendicitis patients who would undergo surgery with sub-arachonoid block regional anesthesia, willing to be respondents aged 20-40 years, still cooperative, level of anxiety from mild 14 - 20 to moderate 21-27, like religious music, Muslim. Analysis of anxiety level was carried out descriptively and measured based on anxiety scale without rating scale for anxiety. The results of the analysis showed that there was a decrease in the level of anxiety after the intervention. In subject I moderate anxiety (score 25) became low anxiety (score 15) and low subject II anxiety (score 15) became no anxiety (score 9). In conclusion, this study recommends nurses can apply religious music therapy "Demi Masa" to reduce the patient's anxiety level preoperatively.

Depression is one form of psychiatric disorders in nature of feeling (affective or disorder) is characterized by melancholy, lethargy, feeling of no use, and despair. A nursing action that needs to be administered to patients with depression disorder with the provision of music therapy. Music therapy is a therapy that can improve the effects of analgesics, comfort effects that can reduce depression. Musik used with dangdut music fast rhythm. The purpose of this case study illustrates the changes in depression levels before and after the dangdut music therapy performed rapidly in the space Gatot Kaca RSJD Dr. Amino Gondhohutomo. This type of research is descriptive by using case study approach method. Subyek in this case study were two patients with mild to moderate depression, 18 to 20 years og age, and like dangdut music. Analysis was done descriptively and measured using an HRS-D scale assessment. The result of analysis after the music therapy dangdut fast rhythm for 4 times on subjects I and subjects II, showed that the occurrence of decreased depression rate with subjects I score 13 (mild depression) to 6 (normal) and subjects II 16 (moderate depression) to 12 (mild depression). Recommendations for nurse may continue nursing actions to lower dep levels.