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Perimenopause is an important phase in a woman's life characterized by extensive hormonal changes as the ovaries gradually lose their function. During this period, the body experiences significant hormonal fluctuations, particularly a decrease in estrogen and progesterone production, which can cause various physical discomforts such as fatigue. One way to overcome fatigue is through low-impact exercise. This exercise is a light, safe activity that can improve physical fitness and enhance the body's endurance, thereby potentially reducing fatigue levels in perimenopausal women. This study used a descriptive method with a case study approach conducted on two perimenopausal women, Mrs. T and Mrs. N. The results of the nursing care showed that after six sessions of low-impact exercise over two weeks, the fatigue levels of both respondents decreased, as evidenced by their Fatigue Assessment Scale (FAS) scores. Mrs. S's FAS score decreased from 28 to 23, while Mrs. N's decreased from 30 to 27. The symptoms experienced by Mrs. T decreased on the third day and further decreased on the sixth day. For Mrs. N, symptoms decreased on the third day and further decreased on the fifth day. The results of this study indicate that low-impact exercise is effective as an intervention for fatigue issues in perimenopausal women.

Hypertension is a public health problem that requires educational approaches and nonpharmacological interventions. This community service activity aimed to improve knowledge and support community-based hypertension management through health education, hypertension exercise, and cucumber juice therapy in RT 03 RW 08 Lenteng Agung, South Jakarta. The activity was conducted in three stages. The preparation stage included site selection, door-to-door screening of individuals with hypertension, which identified 32 hypertensive residents, obtaining informed consent, and preparing the instruments. The implementation stage consisted of hypertension education with pre-test and post-test knowledge assessments, as well as demonstrations of hypertension exercise and cucumber juice preparation involving 29 participants. Participants were encouraged to perform the exercise and consume cucumber juice regularly for seven days at home. The evaluation stage assessed changes in blood pressure after the intervention. The results showed improved knowledge and reduced blood pressure in most participants. This activity was effective in supporting hypertension management in the community.

Latar Belakang: Hipertensi merupakan salah satu masalah kesehatan utama yang berdampak pada meningkatnya angka kesakitan dan kematian, terutama pada kelompok lansia. Kurangnya kesadaran masyarakat terhadap deteksi dini dan gaya hidup sehat menjadi faktor yang memperburuk kondisi ini. Tujuan: Kegiatan pengabdian masyarakat ini bertujuan untuk memberdayakan masyarakat melalui peningkatan pengetahuan, sikap, dan perilaku dalam pengendalian tekanan darah melalui Program SEHATI (Sehat Bersama Hipertensi Terkendali). Metode: Kegiatan dilaksanakan di Posbindu lansia dengan melibatkan 45 peserta. Metode kegiatan meliputi skrining tekanan darah dan status kesehatan, edukasi tentang pencegahan dan pengendalian hipertensi, serta pelatihan senam hipertensi. Evaluasi dilakukan melalui pre dan post-test pengetahuan serta observasi partisipasi senam. Hasil: Terdapat peningkatan pengetahuan peserta tentang hipertensi sebesar 35%, partisipasi aktif dalam senam mencapai 90%, dan sebagian besar peserta menunjukkan penurunan tekanan darah setelah mengikuti kegiatan. Kesimpulan: Program SEHATI efektif meningkatkan pengetahuan, kesadaran, dan perilaku sehat masyarakat dalam pengendalian tekanan darah, serta dapat menjadi model pemberdayaan masyarakat berbasis promotif dan preventif di komunitas lansia.

Latar Belakang: Hipertensi merupakan penyakit kronis yang prevalensinya tinggi pada kelompok lanjut usia serta berperan signifikan dalam timbulnya komplikasi kardiovaskular. Salah satu faktor risiko yang dapat dimodifikasi dalam penatalaksanaan hipertensi adalah rendahnya tingkat aktivitas fisik. Tujuan: untuk memberdayakan lansia dalam melakukan aktivitas fisik dalam menurunkan tekanan darah pada lansia dengan hipertensi. Metode: pelaksanaan pengabdian masyarakat berupa pembelian Latihan fisik pada lansia dengan tujuan menurunkan tekanan darah yang terdiri dari tahap I: sharing materi perihal pentingnya aktivitas fisik terhadap tekanan darah sebanyak 1 kali pertemuan dan tahap II berupa kegiatan pelatihan aktivitas fisik berupa senam lansia 1 hari seklai dilakukan selama 3 kali seminggu dan diukur tekanan darah sebelum dan sesudah kegiatan senam lansia. Hasil: kegiatan ini menghasilkan meningkatnya pengetahuan lansia perihal pentingnya aktivitas fisik berupa senam lansia terhadpa tekanan darah dan menurunnya tekanan darah pada lansia yang menderita hipertensi. Kesimpulan: lansia dengan hipertensi sudah mampu melakukan aktivitas fisik untuk menurunkan tekanan darah dan mempraktekkan senam lansia secara mandiri ataupun golongan (secara bersama-sama dengan lansia yang lain).

Hypertension in the elderly is one of the common and significant health problems. The purpose of this study was to determine the effect of elderly exercise on hypertension in the working area of ​​the Krueng Barona Jaya Aceh Besar Community Health Center. The study method applied was a quasi-experimental design through a pre-test-post-test approach with a total population of 413 hypertension sufferers and a total sample of 15 people. The sample collection method was through Snowball Sampling. This research was conducted on April 20-24, 2025 in Meunasah Village, Papeun, with the research instrument in the form of an observation sheet with a measuring instrument using a sphygmomanometer. First, blood pressure was measured before the intervention, using a blood pressure monitor. Next, the elderly were given 20 minutes of exercise, followed by another 30-minute evaluation to assess changes in blood pressure. The results showed that before being given elderly exercise activities, the average systolic blood pressure of respondents was 179.60 mmHg and diastolic blood pressure was 102.73 mmHg, while after being given elderly exercise activities, the average systolic blood pressure of respondents was 170.80 mmHg and diastolic pressure was 92.80 mmHg with a difference of 8.8 mmHg systolic blood pressure and 10.13 mmHg diastolic blood pressure using a paired t-test of ρ value 0.000 (ρ <0.05). The conclusion is that there is an effect of elderly exercise on hypertension. It is hoped that hypertension sufferers and researchers will carry out routine elderly exercise activities, educational institutions will provide books on hypertension and complementary materials to increase students' knowledge and insight, and further research will be able to use the findings of this study as reference material and can improve this study through different variables.

Elderly aged 60-70 years will experience changes in body condition, both physical and mental changes such as decreased physical fitness and cognitive disorders. This study aims to determine the level of fitness and cognitive disorders of elderly aged 60-70 years who participate in Tai Chi gymnastics. The method used is descriptive analytical with a Cross Sectional approach. The subjects of the study were 20 elderly aged 60-70 years, using a purposive sampling technique. The data collection technique for physical fitness levels was measured through the Six minutes walk test, while cognitive disorders used the mini-mental state examination (MMSE) questionnaire. The results of the study showed that the average level of male fitness was in the moderate fitness category (40.3%), the good category was (50%) and the very good category (6.3%), while female physical fitness was in the moderate fitness category (75%) and the very good category (25%). Research Results Cognitive disorders in elderly men who were in the normal category were 87.5% and probable cognitive disorders were 12.5%, while in elderly women cognitive disorders were in the normal category were 100%. In conclusion, the level of physical fitness of the elderly is in the good category, while cognitive disorders of the elderly are in the normal category

Mojolaban is one of the sub-districts in Sukoharjo Regency, Central Java. Mojolaban Sub-district has a Health Center as its role in the field of public health at the first level with 2 health centers, namely Mojolaban Health Center as the main health center and Jati Malang Health Center as a supporting health center. The 10 largest number of diseases in Mojolaban Health Center is in the elderly. When the elderly experience a degenerative process due to the aging process, one of which is changes in the neurological system so that the elderly experience cognitive decline. The purpose of this program is to help provide education, prevention and maintain these changes so that they do not worsen. The method used is education in the form of counseling and providing leaflets to the Healthy Jaya Abadi Elderly Post Community in Wirun Village. The results of the pre-test and post-test questionnaires to assess understanding showed a significant increase in understanding with an average pre-test value of 20% and an average post-test value of 80%.

Background: Diabetes mellitus is a metabolic disorder caused by increased blood glucose levels in the bloodstream or hyperglycemia, which is caused by abnormalities in insulin secretion or abnormalities in insulin work. Physical activity can also affect blood sugar levels, one of which is the physical activity of foot exercises which is recommended for people with diabetes mellitus. Objective: To determine the effectiveness of foot exercise activities in reducing blood glucose levels in diabetes mellitus sufferers. Method: The research design used a descriptive method with a nursing process approach with a case study design. This research was carried out by providing foot exercise physical activity intervention for 3 consecutive days. Results: Based on the application of EBP, the results obtained from 3 patients who experienced a decrease in blood glucose levels before and after being given foot exercise therapy, there was an average decrease in P1 of 13.66mg/dL, P2 of 11.66mg/dL, and P3 of 13mg/dL every day. Suggestion: It is hoped that the results of this research can provide insight to diabetes mellitus sufferers in efforts to manage diabetes mellitus with foot exercise physical activity and be able to apply it.

Lower back pain in pregnant women is caused by hormonal changes that loosen joints in the back of the pelvis, a lack of muscle in the abdomen, and reduced blood flow. Prenatal exercise in conjunction with citrus aromatherapy is a non-pharmacological treatment option for pregnant women to alleviate back pain. Objective: This research determined whether providing pregnancy exercises combined with citrus aromatherapy at Indri Sujarwo Midwifery Clinician Demak could relieve back pain in pregnant women. Method: This quantitative research applied a quasi-experimental design, utilizing a pretest and posttest framework. This study involved 44 respondents, who were pregnant women in their second and third trimesters and collected data through purposive sampling. The observation sheet and the NRS checklist served as the measuring instruments. Results: This study showed a p-value of 0.000 (<0.05). The study's findings denied Ho and accepted Ha, indicating the capability of pregnancy exercise and citrus aromatherapy to relieve back pain in pregnant women in their second and third trimesters. Conclusion: Pregnancy exercise, combined with citrus aromatherapy, has effects, four times higher, on relieving back pain for pregnant women, making this combination a viable alternative for pregnant women experiencing lower back painleaves (Piper ornatum) against vaginal discharge.

Non-pharmacological therapies for managing dysmenorrhea include yoga exercises and clary sage aromatherapy. This pre-experimental research determined the effect of yoga exercises and clary sage aromatherapy to relieve dysmenorrhea pain scale among 11th and 12th-graders at Advanced High School Nurul Islami Semarang with a one-group pretest-posttest design. The population in this study consists of students from the XI and XII grades of Advanced High School Nurul Islami Semarang, 70 students, with a research sample of 42 respondents. The data collection technique for this research was purposive sampling. The numeric rating scale serves as the measuring tool. The statistical test conducted before and after yoga exercises and clary sage aromatherapy in this study is the Wilcoxon test, obtaining a p-value of 0.000 < 0.05. The result accepts the alternative hypothesis (Ha). This indicates that yoga exercises and clary sage aromatherapy relieve dysmenorrhea pain in 11th and 12th graders at Advanced High School Nurul Islami Semarang. The conclusion is that yoga exercises and clary sage aromatherapy have an impact on reducing dysmenorrhea.  

He primary issue in hyperglycemia is insulin resistance, a condition where the body becomes less responsive to insulin, preventing glucose from being effectively absorbed by cells. One method to address insulin resistance in patients is through physical activities such as exercise. This study aims to analyze the impact of diabetes mellitus exercises on blood glucose levels in patients with hyperglycemia. This study employed a One Group Pretest-Posttest design with a Cross-Sectional approach. The population consisted of all hyperglycemia patients in Dusun Putuk, Banaran Village, Kandangan Subdistrict, Kediri Regency, totaling 50 respondents. The study sample included 44 hyperglycemia patients selected using the Simple Random Sampling method. The independent variable was diabetes mellitus exercises, while the dependent variable was blood glucose levels, measured using a glucose test device. Data processing involved editing, coding, and tabulation. Data analysis was conducted using the Wilcoxon Test. The results showed that, before the exercises, blood glucose levels (BGL) were low in 9 respondents (20%), moderate in 15 respondents (35%), and high in 20 respondents (45%). After the exercises, BGL were low in 29 respondents (66%), moderate in 10 respondents (23%), and high in 5 respondents (11%). The Wilcoxon Test results indicated a p-value < 0.05, specifically p=0.009, thereby accepting H1. Nurses are encouraged to include diabetes mellitus exercises as part of hyperglycemia management programs, especially to enhance the effectiveness of blood glucose control. Further research with larger sample sizes and extended intervention durations is recommended to strengthen these findings.

Background: Diabetes mellitus is a metabolic disorder that causes an increase in blood glucose levels and can trigger chronic complications in various organs. Diabetic foot exercises are an exercise method carried out by diabetes mellitus sufferers to improve foot health. Goal: foot exercises for DM sufferers are to improve blood circulation, especially in the foot area, apart from strengthening the muscles and small nerves in the feet and preventing complications of diabetic feet, such as blood vessel disorders, open wounds. Method: The method for implementing health education is in the form of pre and post tests, then presentation of material using leaflets as well as demonstrations of foot exercises to prevent diabetes mellitus wounds. By delivering it via leaflets and demonstrations, it is hoped that the entire audience can understand and convey it well. Conclusion: Of the 15 audience members present, all of them understood the education about diabetes mellitus foot exercises which can increase knowledge in preventing foot wounds in diabetes sufferers.

Background; The number of people with diabetes mellitus in the Sukoharjo Regency area is 17,184, while the number of people with diabetes mellitus in Kartasura District is 2142. Blood sugar levels are affected by diet, activity patterns, and medication adherence. Diabetic foot exercises are one of the efforts to lower blood sugar levels. When exercising, the muscles contract and relax. Sugar will be burned and converted into energy, so blood sugar will drop. The objectives of research; To find out the results of the implementation of diabetic foot exercises on the reduction of blood sugar levels in patients with diabetes mellitus. Method; This type of research is a case study that uses a descriptive research method. Foot exercises are done for 3 consecutive days, done once a day for 20 minutes. Result: The results of blood sugar levels before diabetic foot exercises were carried out in Mrs. F were 221 mg/dl and in Mrs. R were 158 mg/dl. The results of blood sugar levels after diabetic foot exercises were 175 mg/dl for Mrs. F and 138 mg/dl for Mrs. R. Summary: Foot exercises done for three days in a row can lower blood sugar levels.

Background: The elderly are vulnerable to chronic diseases and musculoskeletal issues, such as rheumatoid arthritis, which is characterized by pain in the joints and extremities. This disease can lead to persistent pain, fatigue, and an increased risk of injury. One effective non-pharmacological therapy for reducing joint pain in patients with rheumatoid arthritis is rheumatic exercise, which focuses on maintaining range of motion and physical health. Objective: The objective of this research is to describe the comparison of the final results between two respondents before and after the application of rheumatic exercises. Method: This research uses a case study approach with a descriptive method. Descriptive research aims to present or describe the events observed in society. The application of rheumatic exercises was carried out for 4 weeks with a frequency of once a week for 8 minutes. Result: From this study, a decrease in pain levels was found in both respondents, with N. Y's pain level dropping from 5 to 1 and Ny. Y's from 6 to 2. Conclusion: Rheumatic exercise therapy can reduce pain levels in patients with rheumatoid arthritis. (RA).

Diabetes Mellitus is a metabolic disease that has hyperglycemia caused by abnormalities in insulin secretion, insulin performance, or both. DM will cause several complications, one of which is sensory neuropathy or damage to sensory nerve fibers which causes DM patients to experience decreased foot sensitivity. The number of DM sufferers at the Sangkrah Health Center in 2022 was 2,404 cases. To describe the results of the implementation before and after the application of diabetic foot exercises on foot sensitivity in patients with diabetes mellitus. This study used a descriptive design by observing foot sensitivity in 2 respondents, carried out in the morning for 1 week with 2 meetings each meeting 15 minutes. The instruments used were observation sheets, monofilament test tools, and newspapers. There was an increase in foot sensitivity scores after diabetic foot exercises were carried out for 2 days in 1 week each meeting 15 minutes to both respondents. The application of diabetic foot exercises can be useful for increasing foot sensitivity in both respondents with diabetes mellitus.

Diabetes mellitus is a chronic disease of insulin metabolism which is characterized by glucose levels exceeding normal values.  Diabetic ulcers are one of the causes of the risk of infection if not treated properly and correctly.  Factors that cause diabetic ulcers are poor blood circulation, age, gender, lack of physical activity, and an increase in diabetes mellitus. This application aims to determine the effect of foot exercises on the risk level of diabetic ulcers in people with diabetes mellitus. Descriptive by conducting an application to 2 respondents 3 times in 1 week with an interval of 2 days.  Respondents measured the highest systolic blood pressure between the right and left brachials and the right and left ankles which was then divided to obtain the Ankle Brachial Index (ABI) value before and after carrying out diabetic foot exercises. After implementing it 3 times, the result was that the ABI value for both respondents increased, namely by the difference between Mrs.  Sa 0.25 mmHg and Mrs.  Si 0.30 mmHg. It was found that there was an increase in the Ankle Brachial Index (ABI) value before and after carrying out diabetic foot exercises in both respondents.

Gout is a musculoskeletal disease that occurs in the joints due to an increased concentration of uric acid in the blood. Risk factors that can cause high levels of uric acid include age, gender, obesity, purine diet, alcohol, and some medications. Therapies that can be given to the elderly who experience gout include ergonomic exercises. Objective : To determine the effectiveness of applying ergonomic exercise therapy as a non-pharmacological method to reduce high uric acid levels in the elderly. This study used a case study approach with two elderly had high uric acid levels. The intervention was carried out for 2 weeks by giving ergonomic exercises 4 times in 1 week consecutively with a duration of 20 minutes of exercise. There were changes in uric acid levels in both respondents and they decreased. Ergonomic gymnastics is a potential non-pharmacological method in reducing high uric acid levels in the elderly.

Background: Hypertension or what can be called high blood pressure that occurs when blood vessel pressure is too high, said to be high if the blood pressure is 140/90 mmHg or more. According to the World Health Organization (WHO), the prevalence year is 1.28 billion people who experience hypertension aged 30-79 years. The prevalence of hypertension in Pucangsawit Health Center in 2022 was 4.492 hypertensive patients in Surakarta City, One of the non-pharmacological therapies that can be given to hypertensive patients is anti-stroke gymnastics. Objective: Describe the results of blood pressure comparison and after the application of Anti- Stroke Gymnastics in patients with hypertension. Method: This study uses a descriptive research design with a case study approach by observing blood pressure in 2 respondents with hypertension, conducted 2 weeks for 6x within 30 minutes. The instruments used are observation sheets, Blood Pressure Monitors, and anti-stroke gymnastics SOP videos. Results: There is a decrease in blood pressure after giving Anti-Stroke Gymnastics to Mrs. E from 148/81 mmHg to 130/78 mmHg and to Mrs. S from 157/111 mmHg to 143/101 mmHg. Conclusion: The application of anti-stroke gymnastics can potentially reduce blood pressure in hypertensive patients in both respondents.    

Background: Gout is a disease associated with high levels of uric acid in the blood. Apart from the aging process, gout can also occur due to the inhibition of the secretion process and a decrease in the enzyme uricase. The aging process in the elderly causes various health problems, as a result of which they are susceptible to diseases, one of which is an increase in uric acid. Uric acid numbers can be said to be abnormal if >6 mg/dl for women and >7.2 mg/dl for men. Non-pharmacological therapy that can be done is ergonomic exercise. The purpose of this study is to compare measurements of uric acid levels before and after ergonomic exercise. Methods: A case study of 2 respondents was conducted three times a week, with a duration of 19 minutes for each exercise. Results: The application of the two respondents resulted in a significant decrease in uric acid levels; namely, Mrs. S obtained a result of 4.8 mg/dl, while Mrs. T obtained a result of 5 mg/dl. Conclusion: The results of this study concluded that there was a decrease in uric acid levels in both respondents after ergonomic gymnastics.    

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.