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The postpartum period is a critical phase in which mothers experience physiological and psychological recovery. Bengkung, a traditional abdominal binding cloth, is commonly used by Indonesian postpartum mothers, but inappropriate application may cause discomfort and may not support recovery optimally. This community service program aimed to improve postpartum mothers' knowledge and skills regarding safe and appropriate bengkung use. The activity was conducted through counseling, demonstration, guided practice, and evaluation using a one-group pre-test and post-test approach involving 30 postpartum mothers at a community-based maternal health service setting. The educational content covered postpartum physiological changes, indications and contraindications, safe binding principles, hygiene, duration of use, warning signs, and when to seek professional care. The evaluation showed an increase in good knowledge from 26.7% before education to 86.7% after education, and correct practice skills increased from 20.0% to 83.3%. Participants also reported better understanding of avoiding overly tight binding, maintaining breathing comfort, and discontinuing use when pain, shortness of breath, excessive bleeding, or wound problems occur. This activity indicates that structured education and demonstration can strengthen postpartum self-care and support safer integration of traditional practices into maternal health services.

Children at the elementary school level are in a phase of rapid growth, encompassing intellectual, physical, and social development. Within the age range of 6–12 years, children are expected to begin managing their own self-care, including maintaining daily personal hygiene. Personal hygiene refers to a set of self-care practices performed to maintain physical health and psychological well-being. Independence in personal hygiene can be defined as a child’s ability to carry out personal hygiene activities independently without reliance on others, related to both physical cleanliness and psychological comfort. This study aimed to describe the level of personal hygiene independence among school-age children at SD Negeri 1 Gianyar. The research employed a quantitative descriptive design with a cross-sectional approach. The study population consisted of 376 students from grades I to III, with a sample of 194 students selected using proportionate stratified random sampling. The results showed that the majority of respondents demonstrated good independence in personal hygiene, with 186 children (95.9%) categorized as independent, while 8 children (4.1%) were categorized as moderately independent. Children’s independence tended to increase with age, and no significant differences were found between male and female students. These findings indicate that the role of families and schools, through consistent habituation and support, plays a crucial role in fostering children’s independence in maintaining personal hygiene.  

Menstrual pain (dysmenorrhea) is a common complaint among adolescent girls and often disrupts school activities. Limited understanding of its causes and appropriate self-care practices contributes to the persistence of symptoms. This study examined the effect of dysmenorrhea health education on improving knowledge among female students at SMK Pasundan Jatinangor. A method A pre-experimental one-group pretest–posttest design was used in this study. A total of 42 students participated and completed a dysmenorrhea knowledge questionnaire before and after a 60-minute educational session delivered through presentation media and group discussion. The results were analyzed descriptively to observe changes in knowledge levels. Resulted The intervention produced a notable improvement in students’ knowledge. The proportion of participants with good knowledge increased from 45.2% at pretest to 73.8% at posttest, while those in the low-knowledge category decreased substantially. Participants demonstrated clearer understanding of dysmenorrhea symptoms, contributing factors, and simple management strategies. Dysmenorrhea education effectively enhanced students’ knowledge at SMK Pasundan Jatinangor. Regular reproductive-health education programs in schools are recommended to support adolescents in managing menstrual discomfort independently and appropriately.

The skincare industry in Indonesia is experiencing rapid growth, primarily driven by the significant development of e-commerce and increased consumer awareness of self-care. This surge has resulted in intense competition among brands. This comparative study aims to analyze the role of trust as a mediating variable that connects price fairness, celebrity endorsements, and e-WOM to repurchase intentions for two brands: Somethinc (a science-based brand) and Wardah (a halal-based brand). A quantitative research method was used, involving a survey with a 5-point Likert scale distributed to 150 millennials and Gen Z respondents in Semarang City. The data were analyzed using PLS-SEM (SmartPLS). The findings reveal that both celebrity endorsements and trust have a significant impact on repurchase intentions for both brands. In contrast, price fairness and e-WOM do not have a significant direct effect on either brand. However, the study shows that trust effectively mediates the influence of price fairness, celebrity endorsements, and e-WOM on repurchase intentions. This underscores the vital role of trust in enhancing customer loyalty to Somethinc and Wardah. These findings suggest that strengthening brand trust in skincare products can significantly boost customer loyalty.

Karangtalun Village, located in Kalidawir District, Tulungagung Regency, East Java, has significant potential for developing Family Medicinal Plants (TOGA) to support community-based health practices. However, the utilization of TOGA in daily health care remains limited due to a lack of knowledge and practical skills among residents. At the same time, the community faces a growing social challenge—digital exposure among young children, which negatively affects their physical, psychological, and social well-being. To address these issues, a capacity-building program was implemented for women involved in the Integrated Guidance Post (Posbindu) through training on TOGA cultivation and digital literacy education using the Community-Based Participatory Research (CBPR) approach. This participatory model actively engaged community members in the planning, implementation, and evaluation stages. The program results showed an increase in participants’ understanding of TOGA as an alternative for self-care and traditional medicine, greater awareness of the adverse effects of excessive gadget use among children, and positive behavioral changes in parenting, such as setting screen-time limits and replacing gadget use with creative family activities. These findings demonstrate that integrating local wisdom–based education with digital literacy can effectively strengthen family resilience and promote sustainable well-being in the digital era.

Karangtalun Village, located in Kalidawir District, Tulungagung Regency, East Java, has significant potential for developing Family Medicinal Plants (TOGA) to support community-based health practices. However, the utilization of TOGA in daily health care remains limited due to a lack of knowledge and practical skills among residents. At the same time, the community faces a growing social challenge—digital exposure among young children, which negatively affects their physical, psychological, and social well-being. To address these issues, a capacity-building program was implemented for women involved in the Integrated Guidance Post (Posbindu) through training on TOGA cultivation and digital literacy education using the Community-Based Participatory Research (CBPR) approach. This participatory model actively engaged community members in the planning, implementation, and evaluation stages. The program results showed an increase in participants’ understanding of TOGA as an alternative for self-care and traditional medicine, greater awareness of the adverse effects of excessive gadget use among children, and positive behavioral changes in parenting, such as setting screen-time limits and replacing gadget use with creative family activities. These findings demonstrate that integrating local wisdom–based education with digital literacy can effectively strengthen family resilience and promote sustainable well-being in the digital era.

Hypertension is a primary risk factor for cardiovascular diseases, including stroke, coronary artery disease, atrial fibrillation, and peripheral vascular disease. Often referred to as "The Silent Killer," its onset is frequently asymptomatic, making early detection challenging. Effective interventions, both pharmacological and non-pharmacological, are necessary to manage hypertension and reduce complications. Long-term treatment requires adherence to prescribed medications, with self-care management playing a vital role in minimizing hypertension's adverse effects. Self-efficacy, or an individual's belief in their abilities, is crucial for improving medication adherence and self-care activities. This study aimed to examine the correlation between self-efficacy and self-care management in relation to medication adherence among hypertension patients at RSUD Mandau District. A non-experimental, quantitative, analytic correlation study with a cross-sectional design was conducted, involving 38 hypertension patients. Self-efficacy was measured using the MASES-R (Medication Adherence Self-Efficacy Scale-Revision), medication adherence was assessed with the MMAS-8 (8-item Morisky Medication Adherence Scale), and self-care management was evaluated using the HBP-SCP (Hypertension Self-Care Profile). The findings revealed a significant correlation between self-efficacy and medication adherence (p=0.000, r=0.594). Additionally, self-care management was significantly correlated with medication adherence (p=0.027, r=0.360). In conclusion, self-efficacy and self-care management both significantly correlate with medication adherence in hypertension patients at RSUD Mandau District.

Background: Diabetes mellitus is a chronic metabolic disorder caused by inadequate insulin action. Poor disease control can lead to complications such as neuropathy, commonly marked by tingling or sensory loss. Effective prevention requires structured management through the five pillars of diabetes care. This case study describes the application of these pillars in a patient with hyperglycemia. Case: A 58-year-old male with diabetes mellitus presented with reduced sensation in the feet, abdominal discomfort, and consistently elevated blood glucose levels. The patient had limited disease knowledge and misconceptions related to diabetes self-management. Intervention: Education on the five pillars of diabetes was provided using a structured approach consisting of three self-care pillars and two collaborative pillars. Leaflet-based educational materials developed by the author were used to facilitate understanding for both the patient and family. Results: Following the intervention, the patient demonstrated increased knowledge, awareness, and improved ability to manage hyperglycemia. The family also showed enhanced understanding and support for diabetes care. Conclusion: Nurse-led education using the five pillars of diabetes effectively improves knowledge, awareness, and self-management abilities in individuals with diabetes mellitus, contributing to better glycemic control and prevention of complications.

Type 2 diabetes mellitus (DM type 2) is a chronic metabolic disorder marked by elevated blood glucose due to insulin resistance and impaired insulin secretion. Its prevalence continues to rise worldwide, including in Indonesia. Psychological stress is known to worsen glycemic control by activating the sympathetic nervous system and increasing cortisol levels, which can cause fluctuations in blood glucose. This case report aims to describe the effect of combining Benson relaxation techniques with warm foot soaking on blood glucose regulation in a type 2 DM patient. The subject was Mrs. M, a 52-year-old woman diagnosed with type 2 DM. The intervention was conducted for seven consecutive days and consisted of daily Benson relaxation followed by warm foot soaking for 15–20 minutes. Blood glucose levels were measured before and after each session using a glucometer and analyzed descriptively. After seven days, the patient’s blood glucose level decreased from 248 mg/dL to 186 mg/dL. She also reported improved relaxation, better sleep quality, reduced anxiety, and decreased fatigue. These findings suggest that Benson relaxation helps activate the parasympathetic response and reduce stress hormones, while warm foot soaking supports improved circulation and metabolic processes. In conclusion, the combination of Benson relaxation and warm foot soaking is a simple, safe, and effective complementary therapy to support blood glucose regulation in type 2 DM patients. This intervention can be integrated into self-care routines and community nursing practice as part of evidence-based non-pharmacological management.

Self-care independence is an essential aspect that must be developed so that children can live more independently and achieve a better quality of life. This is based on the vital role of the family in facilitating growth, development, and the formation of independence, especially for children with special needs such as those with intellectual disabilities. Children with intellectual disabilities often experience limitations in adaptive and intellectual abilities, making family support a key factor that helps them learn to perform daily activities independently. This study aims to determine the relationship between family support and self-care independence among children with intellectual disabilities at SLB Bukesra Banda Aceh. The research used a quantitative method with a descriptive-analytic design and a cross-sectional approach. The sample consisted of 40 children with intellectual disabilities selected through purposive sampling from a total of 69 registered students. The research instruments were family support and self-care independence questionnaires using the Guttman scale. The study was conducted from June 1 to June 7, 2025. The results showed that most children received good family support (82.5%) and demonstrated good self-care independence (60%). The bivariate analysis using the Chi-Square test indicated a significant relationship between family support and self-care independence (p-value = 0.001, p < 0.05). Based on these findings, it can be concluded that family support plays a crucial role in improving the self-care independence of children with intellectual disabilities. Therefore, parents are encouraged to provide consistent emotional, appreciation, instrumental, and informational support to help their children learn to care for themselves independently. Self-care independence is an essential aspect that must be developed so that children can live more independently and achieve a better quality of life. This is based on the vital role of the family in facilitating growth, development, and the formation of independence, especially for children with special needs such as those with intellectual disabilities. Children with intellectual disabilities often experience limitations in adaptive and intellectual abilities, making family support a key factor that helps them learn to perform daily activities independently. This study aims to determine the relationship between family support and self-care independence among children with intellectual disabilities at SLB Bukesra Banda Aceh. The research used a quantitative method with a descriptive-analytic design and a cross-sectional approach. The sample consisted of 40 children with intellectual disabilities selected through purposive sampling from a total of 69 registered students. The research instruments were family support and self-care independence questionnaires using the Guttman scale. The study was conducted from June 1 to June 7, 2025. The results showed that most children received good family support (82.5%) and demonstrated good self-care independence (60%). The bivariate analysis using the Chi-Square test indicated a significant relationship between family support and self-care independence (p-value = 0.001, p < 0.05). Based on these findings, it can be concluded that family support plays a crucial role in improving the self-care independence of children with intellectual disabilities. Therefore, parents are encouraged to provide consistent emotional, appreciation, instrumental, and informational support to help their children learn to care for themselves independently.

Sectio caesarean (SC) is a major surgical procedure performed to save the mother and baby when normal delivery is not possible. However, this procedure may cause postoperative complications such as impaired physical mobility due to pain, muscle weakness, and anesthesia effects. These limitations can delay the healing process, increase the risk of infection, and reduce the mother's self-care ability. One effective non-pharmacological intervention to accelerate recovery is early mobilization through Range of Motion (ROM) exercises. This case study aims to analyze the effectiveness of early mobilization (ROM) intervention on improving mobility and reducing pain in post-sectio caesarean mothers. The study was conducted in June 2025 at RSUD Kajen with three respondents who underwent SC for different obstetric indications (postterm, CPD, and severe preeclampsia). The research design used a descriptive case study with pre–post intervention approach. The results showed that after performing ROM exercises gradually from six hours post SC, pain intensity decreased from a scale of 7–8 to 1–3 within three days. Mobility ability improved from only being able to turn sideways to sitting and walking with assistance. Respondents also showed increased motivation and independence in self-care activities. In conclusion, early mobilization (ROM) intervention is effective in accelerating recovery for post-sectio caesarean mothers. This intervention helps reduce pain, improve circulation, strengthen muscles, and enhance psychological adaptation. Early mobilization should be applied as part of routine nursing interventions in the postpartum ward.

The high number of hypertension cases is due to the still low level of hypertension control, specifically medication adherence. Treatment adherence is crucial for maintaining health and well-being in patients with hypertension. In contrast, non-adherence to medication leads to treatment failure. This study aims to determine the relationship between self-management and adherence to hypertension medication in the elderly. This research employed an analytical design with a cross-sectional approach. The study consisted of 49 elderly people with hypertension in Cot Cut Village, Kuta Baro, Aceh Besar. The sample was chosen using a total sampling technique. The MMAS-8 questionnaire was used to assess adherence to hypertension medication with a Cronbach's alpha of 0.860. The self-management questionnaire showed a Cronbach's alpha of 0.766. The research was conducted from April 8th to 14th, 2025. The data analysis used univariate and bivariate methods, using the chi-square test. The results showed that out of 49 respondents, 21 (42.9%) were less adherent to hypertension medication, and 29 (59.2%) had less adherence to self-management. The chi-square test indicated a p-value of 0.001, showing a relationship between self-management and adherence to hypertension medication among the elderly. This research suggests that hypertensive patients should be supervised to improve medication adherence and self-care management to maintain stable blood pressure.

Myalgia is a muscle pain condition that can occur in a specific area of the body or spread to several regions. Its main symptoms include pain, soreness, or discomfort in the muscles, whether during movement or at rest. The pain may range from mild to severe and is sometimes accompanied by stiffness, muscle tension, or even cramps that interfere with daily activities. This condition is commonly experienced by the elderly due to aging, loss of muscle mass, improper physical activity, stress, lack of stretching, or an unhealthy lifestyle. This community service activity aimed to provide education and raise awareness about myalgia among 10 elderly participants in the Elderly Community of Kalirejo, Malang, to help them better understand prevention, pain management, and self-care strategies. The method used was service learning (SL) with achievement parameters measured through pre-test and post-test evaluations. The results showed an increase in participants’ knowledge regarding the definition, causes, and rehabilitation of myalgia from 10% to 90%, demonstrating that this program effectively improved the elderly’s understanding and awareness of myalgia.

Hipertensi merupakan salah satu kondisi medis yang dapat menyebabkan berbagai komplikasi serius, seperti penyakit jantung koroner, stroke, dan gagal ginjal . Manajemen perawatan diri (self-care management) menjadi faktor penting dalam mengontrol tekanan darah pada penderita hipertensi . Self-care management mencakup regulasi diri, kepatuhan terhadap pengobatan, pemantauan tekanan darah, serta interaksi dengan tenaga medis . Penelitian ini menggunakan pendekatan kuantitatif dengan desain deskriptif korelasional dan metode cross-sectional . Sampel penelitian berjumlah 159 pasien hipertensi yang berobat di RS Islam Sultan Agung Semarang. Dari analisis univariat, mayoritas responden berada dalam rentang usia 45-59 tahun, berpendidikan terakhir SD, bekerja sebagai wiraswasta, serta memiliki tekanan darah tinggi selama rata-rata 3 tahun. Hasil analisis bivariat menunjukkan terdapat hubungan signifikan antara self-care management dan tekanan darah sistolik (p = 0,035) serta tekanan darah diastolik (p = 0,041) . Kesimpulannya terdapat hubungan antara self-care management dengan tekanan darah pada pasien hipertensi . Dengan meningkatkan self-care management, pasien dapat mengelola tekanan darah secara lebih efektif.

Mammary tumor is a condition where an abnormal mass or lump forms in the breast, caused by excessive and continuous cell reproduction. This condition often develops unnoticed and can be dangerous if not promptly treated. In 2018, the incidence rate of breast cancer in Indonesia was 136.2 per 100,000 people, making it one of the most common cancers in Southeast Asia, ranking 8th in the region. If untreated, mammary tumors have the potential to spread to other parts of the body, and in many cases, can be fatal for the patient. One of the common medical treatments for mammary tumors is surgery. This surgery aims to remove the tumor and prevent further spread. In this context, the role of nurses is critical, as according to Orem's theory, nurses have the responsibility to help improve the health status of patients, especially in situations where patients are unable to perform self-care. In such cases, nursing assistance is necessary to ensure that the patient can undergo proper post-operative care. This study aims to provide an overview of nursing care for patients with post-operative right mammary tumor in the Mawar 2 room at RSUD dr. Soeselo, Tegal Regency. The nursing care provided includes several important steps: patient assessment, nursing diagnosis, planning, implementation of care, and evaluation of the care outcomes. This research uses a descriptive case study design, offering an in-depth view of the nursing approach applied to patients after mammary tumor surgery. With this approach, the study aims to provide clearer insights into the role of nurses in supporting patient recovery and improving the quality of care in hospitals.

Post-operative care is a critical phase in the recovery process, beginning immediately after the completion of surgery until the patient is stabilized and transferred to the inpatient ward. Among various surgical procedures, lumpectomy is a common intervention performed to manage mammary tumors, aiming to preserve breast tissue while removing the tumor (Arif et al., 2021). This paper presents a case study of Mrs. D, a patient with an endocrine disorder who underwent a right breast lumpectomy at Mawar 2 Ward, Dr. Soeselo Regional General Hospital, Tegal Regency. The study employed a descriptive method to explore the patient’s condition and nursing interventions. Upon assessment, the main complaint reported by the patient was pain localized in the post-operative area. Based on the findings, two primary nursing diagnoses were established: acute pain related to surgical trauma and knowledge deficit related to post-operative care and self-management. Nursing interventions were designed and implemented according to the Indonesian Nursing Diagnosis Standard (SDKI), the Indonesian Nursing Outcomes Standard (SLKI), and the Indonesian Nursing Interventions Standard (SIKI). Interventions included pain management strategies, such as pharmacological support and non-pharmacological relaxation techniques, as well as health education to improve patient knowledge and self-care ability. The case highlights the importance of comprehensive nursing care that addresses both physical discomfort and the patient’s understanding of recovery, thereby promoting optimal health outcomes after breast surgery.

Schizophrenia is a severe mental disorder characterized by a decline in cognitive abilities and social skills, an inability to care for oneself, and potential brain function impairment. One of the consequences often observed in schizophrenia patients is social isolation, where the individual is unable to interact with others around them. This study aims to assess and provide psychiatric nursing care for Sdr. A, who is experiencing the primary issue of social isolation: withdrawal due to paranoid schizophrenia at the Gatotkaca ward of RSJD dr. Gondohutomo in Central Java Province. Initial assessment of the patient revealed that Sdr. A is experiencing social isolation, particularly withdrawal from their social environment. Four nursing problems were identified, including social isolation: withdrawal, low self-esteem, sensory perception disturbances such as hallucinations, and self-care deficits. A nursing care plan was developed based on the Indonesian Nursing Diagnosis Standard , Indonesian Nursing Service Standard, and Indonesian Nursing Information System , tailored to the patient's condition at the time. The care plan includes interventions to enhance social interaction, improve self-esteem, address sensory perception disturbances, and promote self-care abilities. The nursing implementation was carried out using a holistic approach involving psychosocial support and appropriate medical therapy based on the patient’s needs. It is expected that through this approach, the patient can reduce social isolation symptoms and improve their quality of life. This study emphasizes the important role of psychiatric nursing care in addressing social issues in patients with paranoid schizophrenia and how a structured nursing care plan can support patient recovery.

Heart failure or congestive heart failure (CHF) is a condition where the heart is unable to pump blood optimally to meet the body's metabolic needs, resulting in symptoms such as shortness of breath, excessive fatigue, and edema (Majid, 2017). According to WHO data in 2023, CHF is one of the main causes of death with a total of 17.5 million deaths from a total of 58 million cases recorded worldwide. This paper aims to describe and provide an overview of nursing care for patient Mr. H who experiences cardiovascular system disorders in the form of CHF in the Dahlia room of Dr. Soeselo Regional Hospital, Tegal Regency in accordance with nursing practice standards. The method used is a descriptive method through a case study with data collection techniques using interviews and observations. From the results of the case review, the main complaint experienced by the patient was shortness of breath which was quite disruptive to daily activities. Based on this condition, four main nursing diagnoses were found, namely ineffective airway clearance, hypervolemia, activity intolerance, and knowledge deficits related to the disease and self-care. The interventions provided are based on theoretical references in the Indonesian Nursing Diagnosis Standards (IDHS) and the Indonesian Nursing Outcome Standards (SLHS), and are tailored to the patient's actual condition. The implemented action plan is expected to help reduce symptoms, improve the patient's ability to function, and provide a better understanding of CHF so that the patient can actively participate in the care process.

Telemedicine is a significant innovation in modern healthcare, enabling the provision of remote healthcare services using telecommunications technology. This service allows medical personnel to conduct consultations, examinations, and even monitor patient conditions without face-to-face interaction. Implementations of telemedicine include video conferencing between doctors and patients, remote health monitoring using digital devices, and the use of integrated health applications on mobile devices. This technology offers significant opportunities to overcome geographical barriers, particularly for people living in remote, hard-to-reach areas, or with limited access to conventional healthcare facilities. This study aims to increase understanding of the role and benefits of telemedicine as part of the digital transformation in the healthcare sector to improve public health. The activities were conducted through lectures and demonstrations, structured in three stages: planning, implementation, and evaluation. During the planning stage, the implementation team prepared materials, media, and delivery strategies appropriate to the participants' level of understanding. The implementation stage focused on delivering educational materials related to the concepts, benefits, and examples of telemedicine applications in everyday life, followed by a demonstration session on the use of digital health applications. The final stage, an evaluation, measured participants' knowledge levels before and after the activity. The results showed a significant increase in students' understanding of telemedicine. The knowledge level increased from 23.0% before the training to 84.6% after the training. This increase demonstrates the effectiveness of the lecture method combined with interactive demonstrations in conveying information. Furthermore, students became more aware of the importance of utilizing digital health technology and felt more involved in the decision-making process regarding self-care.

In 2025, cadre groups in the working area of Puskesmas Martapura Timur have mostly never been involved in education about health issues including the problem of anemia in pregnant women. This community service expects cadre groups to increase knowledge and skills about Anemia Prevention during pregnancy. The method used is to identify health problems, train health cadres to provide health education about anemia in pregnant women, healthy and nutritionally balanced foods to prevent anemia, self-care during pregnancy, and recognition of signs of anemia in pregnant women with a peer educator approach suitable for the field of health promotion to change knowledge, attitudes, and healthy living behavior. The results of community service showed an increase in knowledge and skills to 90%.