Drinking water is a basic human need that must meet health requirements to be suitable for direct consumption without causing health risks. Drinkable water must be free from various contaminants, both physical, chemical, and microbiological that can harm the human body. One of the sources of drinking water that is widely used by the community is refillable drinking water (DAMIU), which is now growing due to its affordable price and ease of access. However, the water quality from DAMIU is often a concern due to potential contamination due to sanitation that does not meet standards. This study aims to analyze the sanitary conditions of the refillable drinking water depot (DAMIU) and assess the quality of drinking water based on physical, chemical, and microbiological parameters in the working area of the Punti Kayu Health Center, Palembang. A total of 15 DAMIU are the object of research that are examined through laboratory tests and direct observation of the sanitary conditions and equipment of the depot. The results showed that all DAMIU (100%) had met the general sanitation requirements, such as room cleanliness, equipment, and workers. However, microbiological testing found that 33.4% of the water samples contained E. coli and Coliform bacteria, indicating the presence of contamination. In addition, all samples (100%) did not meet the ideal drinking water pH requirements, and as many as 40% of the samples had aluminum content that exceeded the threshold set by the Indonesian Minister of Health. From these findings, it can be concluded that although the sanitary conditions of DAMIU are relatively good, the quality of the drinking water produced still requires serious attention.

Background: Stevens-Johnson Syndrome (SJS) is extensive skin damage, accompanied by involvement of the mucosa and muscle-joint tissue due to immobilization with a set of symptoms in the form of abnormalities characterized by erythema, vesicles, bullae, purpura on the skin. Objective: to explore the benefits of physiotherapy in managing these problems and to identify the most effective approach in the rehabilitation process. Method: this study uses a case study approach in patients with Stevens-Johnson Syndrome (SJS) taken from RSUD Sumberglagah Mojokerto. Results: There was a decrease in pain in both ankles, there was an increase in muscle strength in both ankles, there was an increase in the range of motion of the joints in both ankles, there was an increase in functional ability in patients from moderate dependence to independence. Conclusion: Based on the results that have been carried out, physiotherapy interventions in the form of ROM exercises (Active, resisted and stretching) are effective in overcoming physiotherapy problems in cases of Stevens-Johnson Syndrome (SJS).

This research aims to describe anti-bullying behaviour among employees in Indonesia and its relationship to individual and organizational characteristics. The research used a quantitative approach involving 107 employees in Indonesia who were obtained through incidental sampling. Data was obtained using the Negative Act Questionnaire-Revised (NAQ-R), distributed online and then analyzed using descriptive statistical analysis. The results of the research are that anti-bullying behaviour among employees in Indonesia tends to be in the high category. However, the number of respondents who have anti-bullying behaviour tends to be low and is also relatively large (>10%). Internal and external factors enable anti-bullying behaviour. Internal factors, such as gender, while external factors, such as anti-bullying policy practices.

Laparotomi is a surgical procedure in which the abdominal wall layer is operated on to remove the part that is experiencing problems. One of the problems that can occur in post laparotomy patients is pain. Pain is a person's emotional experience due to tissue damage that occurs after surgery. Laparotomy postoperative pain management must include all aspects, both in pharmacological and non-pharmacological aspects because pain is not only influenced by surgical wounds but also influenced by emotions. One of the non-pharmacological treatments that can be given to laparotomy postoperative patients is early mobilization. The purpose of this study was to determine the effect of early mobilization on reducing pain intensity in postoperative laparotomy patients at Cengkareng Hospital, Belimbing Room in 2024. This research design is a quantitative study with a quasi experimental method using a one group pre-post test design approach, the sample technique uses total sampling, the samples in this study were 20 intervention group samples, the results of statistical tests with the Wilcoxon Signed Ranks Test obtained the results of the p value = 0.001 or <0.05 there is a difference between the pain scale before and after early mobilization. So it can be concluded that there is an effect of early mobilization on reducing pain intensity in patients post laparotomy surgery
 

Centella asiatica (L) urban is a plant that has the potential to be a source of immunomodulatory agents because it contains several groups of active compounds, asiaticoside, madecassoside, madecassic acid and asiatic acid, which can act as anti-allergic, anti-inflammatory, and immunomodulators. This study aims to review relevant literature to summarize the immunomodulatory effects produced by Centella asiatica (L.) urban. This study used a literature review design involving 4 experimental study articles published in the last 10 years in the electronic databases  PubMed and ScienceDirect. The results of this study showed that C. asiatica has been shown to provide immunomodulatory effects through various mechanisms, including as an anti-inflammatory by decreasing nitrite production, PGE2 and TNF-?, reducing NF-?? activation, and inhibiting pro-inflammatory mediators induced by IFN-? and TNF-?, including IL-6 and COX-2. C. asiatica can also act as an antioxidant that inhibits ROS production, stimulates GSH, and binds free radicals. In addition, C. asiatica can also play a role in the adaptive immune response.

This study aims to examine the influence of knowledge and awareness on safety riding behavior among online motorcycle taxi drivers. Considering the rapid growth of online transportation and the increasing risk of accidents, understanding the factors that affect driver behavior is crucial. This literature review analyzes 15 relevant studies. The researcher conducted a series of studies involving various sources such as books, Google Scholar, Mendeley, PubMed, ScienceDirect, focusing on open access and full paper articles in Indonesian or English. The analysis shows a significant relationship between drivers’ knowledge and awareness of safety riding practices and their compliance with safe driving behavior. Higher levels of knowledge and awareness correlate with increased adherence to traffic regulations, proper use of safety equipment, and better understanding of potential road hazards. These findings emphasize the importance of continuous safety training programs and policy interventions to improve the safety and welfare of online motorcycle drivers.
 
 

Background: Morbus Hansen or better known as leprosy is a chronic infectious disease caused by Mycobacterium leprae which can affect the skin, nerves, respiratory tract, and other body tissues. Objective: the effectiveness of physiotherapy intervention in patients with drop foot e.c. morbus hansen in the form of active ROM exercises, strengthening and sensory stimulation. Method: this study uses a case study approach in patients with drop foot e.c. morbus hansen taken from RSUD Sumberglagah Mojokerto. Results: the provision of strengthening interventions increased muscle strength after 8 therapy sessions on the left plantar flexion movement from a value of 3 to 4, active ROM workouts also increased Range of Motion (ROM) after 8 therapy sessions in the sagittal plane of the left dorsi flexion movement from 20° to 35°, decreased tenderness in the left foot area after 8 therapy sessions from a value of 4 to a value of 1 and increased sensory on both soles of the feet on the left lateral and deskra inferior medial sides. Conclusion: Based on the research of the case study of droop foot ec morbus hansen, it shows that the intervention of ROM exercises, strengthening and stimulation of sensibility produces good results even though there are several aspects that have not shown significant results.

Background: Hypertension is a chronic disease that requires long-term management through effective self-care behavior. Family support plays a crucial role in encouraging adherence and success in disease management among hypertensive patients. Method: This study used a quantitative approach with a cross-sectional design. A total of 106 respondents were selected using a consecutive sampling technique. Data were collected using validated and reliable questionnaires and analyzed using the Somers’ D test to determine the relationship between family roles and self-care management. Result: The majority of respondents received good family support (76.4%) and demonstrated good self-care management (61.3%). Statistical analysis showed a significant relationship between family roles and self-care management (p < 0.001), with a Somers’ D coefficient of 0.430. Family roles explained approximately 24.6% of the variation in patients' self-care behavior. Conclusion : There is a significant relationship between family roles and self-care management among hypertensive patients. Good family support, particularly emotional and instrumental support, can enhance the effectiveness of self-care in managing hypertension.
 
 

 Immunisation is the stage of prevention of infectious diseases such as ‘hepatitis, tuberculosis, polio, tetanus, diphtheria, pertussis, and measles’ Knowledge of parents, especially mothers, plays an important role in the success of immunisation programmes, where education level affects knowledge about the importance of immunisation. The following study aimed to analyse the correlation between parents' education level and knowledge in providing complete basic immunisation to children. The following quantitative approach uses a Cross Sectional design, on 88 respondents selected through Purposive Proportional Random Sampling using a questionnaire in the form of a questionnaire and obesrvasion. Data were collected through questionnaires and analysed using the Chi-Square test. The results showed a significant relationship between education level and parental knowledge in providing complete basic immunisation at Bangetayu Health Centre, Semarang City (p-value <0.05). Thus, the higher the level of education of parents, the better their knowledge in providing complete basic immunisation to children. This study highlights the importance of complete basic immunisation to prevent disease. Health offices and health centres need to improve education through counselling and information distribution. Parents' awareness plays an important role in ensuring children are fully immunised. This study is useful for parents in increasing knowledge, health centres in improving services, and researchers as a reference for further studies.
 

Oral hygiene and dental health of ten samples of fourth grade students of SD Negeri 58, Banda Aceh City, were assessed at the first assessment on December 18, 2023 using the OHI-S technique. It was found that four of the children had moderate debris, six had poor category plaque, and no students had excellent debris index. The purpose of this research was ti assess the roll’s impact also bass methods of brushing teeth and oral hygiene on fourth grade students of SD Negeri 58. Using the type one group pre-experimental design method, the researcher used a quantitative research method in this investigation. After implementing the roll method brushing intervention of 1.36, a difference of 0.8 was found compared to brushing teeth using the roll method with an average OHI-s of 2.16. Used the bass method, an average of 2.08 OHI-s was brushed. However, after the bass method brushing intervention of 1.16, a difference of 0.92 was found. It was determined that in the pretest and posttest brushing with the bass method, the the probability value was greater than the significance value, which were 0.000 <0.05 and 0.002 <0.05, respectively. Regarding enhancing oral and dental hygiene, brushing teeth with the bass approach works better for fourth grade students at SD Negeri 58 Banda Aceh City. Based on the results of the study, students can be advised to brush their teeth using the bass approach.

Generation Z has emerged as a major force in today’s workforce, known for their enthusiasm in building careers and making meaningful contributions. They tend to favor flexible job environments that align with their skill sets. Despite this, many of them face job-related stress that leads to a higher likelihood of resignation. This study adopts a literature review method, analyzing 15 scholarly articles to explore the correlation between job stress and turnover intention among Generation Z employees in the creative industry. The findings reveal a significant positive relationship between stress and turnover intention, while job satisfaction and work environment help reduce the desire to quit. Key stressors include excessive workload, lack of appreciation, and mismatch between expectations and job reality. Thus, companies are encouraged to foster a supportive workplace culture and offer appropriate compensation to retain their young workforce.

Introduction : Central Line Associated Blood Stream Infection (CLABSI) or phlebitis is defined by the CDC as a bloodstream infection confirmed by laboratory results that occurs within 48 hours before developing into bacteremia, and is not associated with infection in other parts. Some research results conclude that several factors influence the occurrence of phlebitis, one of which is the selection of the insertion site. Purpose: to determine the effect of the insertion location of the infusion on the incidence of phlebitis. Design: Literature review method using Google Scholar and the Portal Garuda as database  (2018-2022). Method : keywords "location of infusion and phlebitis incident". Results: From 14 reviewed articles, it was found that the incidence of phlebitis due to insertion site factors was influenced by the selection of the vein, the distance between the infusion site and the joint and the selection of the dominant extremity (which is often used for activities). Conclusion: Infusion is done by selecting a good vein, choose a vein that is far from the joint (minimum > 3.5 cm distance from the joint), Avoid choosing a vein in the location or extremity dominant to minimize the movement of the intravenous catheter when the patient moves.

Diabetes mellitus is a serious problem in public health and one of the four priority non-communicable diseases that are of global concern (Dewi, 2022). The etiology of type 2 diabetes mellitus is insulin resistance, with higher than normal insulin concentrations required to maintain normoglycemia. When insulin production by pancreatic beta cells is inadequate to compensate for increased insulin resistance, blood glucose levels will increase. Secondly, pancreatic beta cell dysfunction occurs as a result of a combination of genetic and environmental factors. Lastly, environmental factors which also play an important role in the occurrence of DM are obesity, eating too much and lack of physical activity (Dewi, 2022). Diabetes mellitus was the direct cause of death for 1.6 million people in 2016. The latest data released by the International Diabetes Federation (FDA) shows that around 415 million people aged 20-79 years worldwide experienced diabetes mellitus in 2015. This figure is predicted will increase to 642 million people in 2040 with prevalence increasing from 8.8% to 10.4%. China, India and the United States are the three countries with the highest number of diabetes mellitus sufferers. According to the World Diabetes Foundation, from 2014 until now 382 million people in Indonesia suffer from diabetes mellitus. This number is predicted to increase to 592 million people in 2035 (Maria, 2021).

Patient loyalty is often closely related to patient satisfaction with the experience they get during medical treatment. Issues related to service quality, long waiting times, lack of effective communication with patients, or disrespectful attitudes from medical staff can all cause patients to feel dissatisfied and unmotivated to return to the same health facility. This type of quantitative research with a design using correlation analysis, cross sectional. The population in the study were 193 patients treated at a private hospital in Jakarta. The research sample was 130 with the Slovin formula, the sampling technique used quota sampling and the data collection instrument used a questionnaire. Analysis of research data used multiple linear regression. The results showed that service quality partially had a significant effect on patient loyalty with a sig value of 0.036. Partial satisfaction has a significant effect on patient loyalty with a sig value of 0.001 Service quality and satisfaction simultaneously have a significant effect on patient loyalty with a sig value of 0.001 and each effect is 94.1%. In conclusion, the quality of hospital services and patient satisfaction have a significant effect on patient loyalty..
 

Background: One of the non-pharmacological intervention techniques that can be used is the guided imagery relaxation technique. When doing Guided Imagery Relaxation it produces endorphins. Endohrpin is a neurohormone associated with pleasant sensations so it is expected to lower blood pressure. This study aims to determine the effect of Guided Imagery Relaxation on reducing blood pressure in hypertensive patients. Method: This type of research is Quasy Experiment with a one group pretest posttest design. The sampling technique used purposive sampling with the population that will be taken in this study is the community of the Cikalongkulon Cianjur Health Center in people with hypertension aged 45-70 years who do not experience complications and do not regularly take hypertension medication. The number of samples is 16 respondents. Statistical analysis using the Wilcoxon Signed Rank T-Test. Results: From the results of the Wilcoxon Signed Rank T-Test analysis, it shows that there is a significant effect between Guided Imagery Relaxation and a decrease in blood pressure in the Working Area of ??the Cikalongkulon Health Center, Cianjur p-value 0.002 (<0.05). Conclusion: From this study it shows that there is an effect of guided imagery relaxation on reducing blood pressure in the Working Area of ??the Cikalongkulon Health Center.

can have a negative impact, if their use is not in accordance with the recommendations from the American Academy of Pediatrics (AAP). The purpose of this study was to determine a significant correlation between the freedom to give gadgets and the emotional mentality of children aged 3-5 years at Kartika Kindergarten, Lumajang. The cross-sectional research design was used with 40 respondents at Kartika Kindergarten, Lumajang Regency. The measuring tools in this study are the KMME questionnaireand the use of gadgets. Spearman's rho test was used to answer the purpose of this study. The results showed that the majority of mothers gave gadgets to children in the good category, 28 respondents (70%). The majority of emotional and mental children aged 3-5 years are in the normal category as many as 37 respondents (92.5%). There is a significant correlation between the flexibility of giving gadgets and the emotional mentality of children aged 3-5 years in Kartika Kindergarten, Lumajang, namely p- value 0.001.
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An increase in systolic and diastolic blood pressure is known as hypertension.When people are unaware of how to effectively treat their hypertension, the prevalence of high blood pressure (hypertension) can lead to a host of issues.Hypertension, or high blood pressure, is one of the leading causes of death from cardiovascular disease.As many as 26.5% of Indonesian people were hypertensive in 2013. Premature mortality, heart failure, and neurological diseases are all increased by hypertension. Factors related to socioeconomic status, age, and lifestyle can all contribute to the development of hypertension.As we get older, our big blood arteries undergo structural changes that raise cytolic blood pressure and constrict the channel lumen, increasing the chance of developing hypertension.Google Schoolar, published between 2019 and 2021, is utilized in this research.This research aims to better understand hypertension, or high blood pressure.High Blood Pressure (Hypertension) is the subject of this journal's qualitative research, which consists of reading a variety of publications.The general population has accurate information regarding hypertension, according to this journal's findings.
 

Physiological newborns are babies born with a gestational age of more than or equal to 37 weeks with a body weight of 2500 grams to 4000 grams. During the birth period, many physical and psychological changes begin to occur in the baby's body, therefore it requires careful supervision to determine how to adjust to life outside the womb. The purpose of this study was to apply midwifery physiology care to By "Z" at the Panincong Health Center. The care provided uses the Varney 7 Step Midwifery Care Management approach and forms of documentation through SOAP. The case study conducted on By “Z” revealed that there were no obstacles when implementing Varney's 7 Step Midwifery Care Management approach. Thus, it is easy for caregivers to solve problems related to this. The form of midwifery care provided to By "Z" includes taking anamnesis on the baby's parents, carrying out physical examinations, and providing counseling to the parents, in this case to By "Z"'s mother about how to carry out effective care when caring for babies. This case study uses a descriptive observational method with a Continuity of care approach. The subject is By “Z” newborn. How to collect data anamnesis, observation, examination and documentation. Next, compare the data obtained with the existing theory

Background: Diabetes Mellitus is a heterogeneous disorder characterized by increased glucose levels in the blood. Insulin, a hormone produced by the pancreas, controls glucose levels in the blood by regulating its production and storage (Smeltzer and Bare, 2019). Diabetes Mellitus occurs if the pancreas produces little or no insulin so that the sufferer is forever dependent on external insulin, or if the pancreas continues to produce insulin but the body develops immunity to its effects. Diabetic neuropathy is nerve damage caused by increased blood glucose, which results in decreased blood circulation to cells and decreased nerve cell function. Initial symptoms are paresthesia (prickling, tingling or increased sensitivity) and burning (especially at night). As neuropathy increases, the feet feel numb (numb). Decreased sensitivity to pain and temperature puts neuropathy sufferers at risk of experiencing injury and infection in the feet without knowing it (Smeltzer and Bare, 2019). Foot exercises are activities or exercises carried out by Diabetes Mellitus patients which aim to improve blood circulation so that nutrition reaches the tissues more smoothly, strengthen small muscles, calf muscles and thigh muscles, and overcome the limited joint movement often experienced by Diabetes Mellitus sufferers. Method: The method for writing this final scientific paper is a literature review by examining journals that discuss the effect of diabetic foot exercises on reducing neuropathy symptoms in Diabetes Mellitus sufferers. Results: Based on the results of the implementation carried out by the author, namely encouraging patients to carry out routine extremity movements, namely by carrying out diabetes foot exercise therapy for three consecutive days from 09 to 11 January 2024, differences were found between conditions before and after implementation. The patient data before implementation was that the patient said both feet often felt tingling, the patient said both feet sometimes felt like they were numb, the results of scoring symptoms of diabetic neuropathy were 4, while the patient data after implementation was that the patient complained of tingling both times and feeling like numbness. begins to decrease and the results of scoring symptoms of diabetic neuropathy have decreased, namely to a value of 2, so it can be concluded that there is an influence of diabetic foot exercise therapy on reducing symptoms of diabetic neuropathy in diabetes mellitus sufferers. This is in accordance with the journal that the author studied, namely according to Febrina Angraini S, 2020.

The high prevalence of Scabies is due to the lack of attitude and poor environmental sanitation conditions. The lack of these will lead to the emergence of bad habits, such as poor personal hygiene, which can cause the body to be attacked by skin diseases that often occur in students, such as Scabies. This research aimed to determine the effect of snakes and ladder game media on the attitude of students in preventing Scabies at the Babun Najah Islamic Boarding School of Banda Aceh. This research used quasi-experimental methods with the pretest and post-test control group design. The population in this research was 53 students, while the sample was 15 students chosen by the Simple Random Sampling technique. The research instrument used a questionnaire to determine attitude of students about scabies prevention. the Likert scale to assess students' attitudes. This research was conducted at Babun Najah Islamic Boarding School of Banda Aceh on August 18, 2023. The analysis using the t-test obtained a ?-value of 0.002 < ? = 0.05 for attitudes, thus indicating that Ho was rejected, and Ha was accepted. This research concludes that there is a correlation between snakes and ladder game media on the attitude of students in preventing Scabies at the Babun Najah Islamic Boarding School of Banda Aceh. The researcher suggests that the Islamic boarding school can maintain the cleanliness of students to avoid Scabies.

Hospital service quality can be seen from the professional appearance of hospital personnel, efficiency and effectiveness of services and patient satisfaction. Communication was very important for nurses in interacting with clines. Clines satisfaction is a level of patient feeling that arises as a result of health services performance obtained after patient compares it with expectation. clines satisfaction was determined by the overall service provided in patient or family complaints. The study was to determine the relationship between nurse communication and postoperative clines satisfaction at Medan Hospital.The research design used analytical survey method with a Cross-Sectional approach. The population in this study were postoperative patients totaling 477 respondents. The sampling used is purposive sampling, namely taking for a purpose by determining certain characteristics that are considered representative of the population, sampling is the slovin technique, totaling 83 respondents.The results of the analysis using the Chi-Square test showed that the significant probability value (Asymp.Sign) of nurse communication was 0.002 < sig value .05, this proves that there was a relationship between nurse communication and clines satisfaction at Medan Hospital.The conclusion was that statistically a relationship between nurse communication with postoperative clines at Medan Hospital. It is recommended for nurses to maintain communication therapeutic nurse to obtain quality health services for postoperative patients.
                                              
 

Background: Breast cancer is a disease condition in which abnormal cell proliferation occurs in the breast tissue which occurs quickly and uncontrollably, so this Final Scientific Work aims to identify nursing care for post-chemotherapy ca mammae patients by providing oral hygiene interventions with NaCl 0.9% which is useful for reducing the degree of mucositis. The method used in this case study was to provide nursing care for 3 days. The results obtained show that there are changes in pain, appetite and fatigue felt by patients as an effect of oral hygiene intervention with 0.9% NaCl which can help reduce post-chemotherapy complaints.

Every woman experiences the process of giving birth, it is natural for women to give birth normally, namely through the vagina or normal birth canal. If a woman cannot give birth normally, medical personnel will perform an alternative delivery to help expel the fetus. If the conditions of the mother and fetus have complications during delivery, then to immediately save both of them it is necessary to carry out delivery procedures, one of the actions taken is caesarean section delivery (Safitri, 2020).

Leprosy infectious disease can cause peripheral nerve disorders and skin disorders. The problem in question is not only from a medical point of view but extends to the social, namely leprosy sufferers can be ostracized or shunned by society. So important is the role of the family in providing support for leprosy sufferers to achieve recovery through adherence to taking medication. The purpose of writing this literature review is to determine the relationship between family support and medication adherence in leprosy patients. The research design used a literature review conducted on a data base including Google Schoolar, PubMed, and Spinger. Article analysis found 16,776 but only 10 articles that met the inclusion criteria. The results of journal analysis showed that for each of the 10 articles, it was found that in 7 articles there was a relationship between family support and adherence to taking medication in leprosy patients. In addition, the other 4 articles said that the family plays an important role in providing support, encouragement, and motivation for family members who have leprosy to adhere to treatment. One of the factors that can increase treatment adherence in patients with chronic diseases is good family support.

Introduction: Mother's Milk is the best life liquid that is needed by babies which contains various substances that are important for the growth and development of babies and in accordance with their needs. The importance of exclusive breastfeeding for babies is like nutrition in general, breast milk contains components of macro and micro nutrients. Macronutrients are carbohydrates, protein and fat, while micronutrients are vitamins and minerals. Each component of breast milk has its own benefits for the baby's growth. The lack of exclusive breastfeeding can be caused by various conditions, demographic, socioeconomic, and clinical factors greatly determine the continuity of breastfeeding. Objective: To determine the factors that influence mothers in giving exclusive breastfeeding. Methods: The method used in this study is the narrative review method with literature sourced from the Google Scholar and PubMed databases. Results: Of the 7 articles, there are 5 articles that discuss internal factors that influence mothers in giving exclusive breastfeeding. Internal factors that influence mothers in giving exclusive breastfeeding according to the 5 articles reviewed are knowledge, education, occupation, age, attitude and parity. And from 7 articles there are 4 articles that discuss external factors that influence mothers in giving exclusive breastfeeding. External factors that influence mothers in giving exclusive breastfeeding according to the 4 reviewed journals are social culture, family support and support from health workers. Conclusion: Based on the 7 articles presented, it indicates that there are so many factors that trigger mothers not to give exclusive breastfeeding, both internal factors that come from the mother herself and external factors that come from outside the mother herself.

Covid-19 has become a disease outbreak with an alarming level of spread and severity. The Covid-19 pandemic not only affects physical health, but also affects a person's mental health (Advocacy, 2020). The spread of Covid-19 throughout the world has caused the global health status to become a pandemic. Apart from causing physical problems for humans, the Covid-19 pandemic can also cause stress and increase the risk of various mental problems (Pfefferbaum & North, 2020). Apart from that, 53.8% of people felt psychological impacts such as depression, anxiety and stress due to Covid-19 (Wang et al., 2020).

Cervical brachytherapy is a type of treatment for cervical cancer by providing direct radiation to the cancer or tumor area. The brachytherapy itself is usually a booster combined with external radiotherapy. Evaluation of the success of radiation can be seen from the survival rate of patients or local control. In patients, survival and local control can be influenced by several prognostic factors such as the stage of the cancer, the size of the cancer diameter, and the pathology of the cancer itself. The aim of this research is to determine the impact of brachytherapy radiation on the life survival of cervical cancer patients by paying attention to the relationship between cancer stage, cancer size, cancer pathology on patient survival. This research uses a qualitative descriptive method with a literature study approach regarding the impact of brachytherapy radiation on patient life survival. cervical cancer. It was concluded that prognostic factors such as tumor or cancer size, cancer stage and cancer pathology in cervical cancer have a relationship with patient survival.

Background : Feelings of anxiety are the impact of hospitalization experienced by preschool children. This impact has the risk of disrupting the child's growth and development and the child's healing process. To reduce anxiety, children can be given play therapy. Hospitalization anxiety in children can make children difficult to eat, restless, afraid, restless, anxious, unwilling to cooperate in treatment, thus disrupting the child's healing process, the hospitalization period in preschool children can also cause post-traumatic stress disorder (PSTD) which makes children became traumatized while being treated in hospital. Purpose : To find out the results of anxiety values when applying coloring play therapy in Flamboyan Room 9, Dr. RSUD. Moewardi. Methods : The application was carried out using a descriptive case study method for 2 respondents and was carried twice every 3 day for 30 minutes. Result : Respondent 1, before being given coloring play therapy, obtained an anxiety score of 4 (moderately anxious) and after being given coloring play therapy it became 1 (very not anxious). Meanwhile, for Respondent 2, before being given coloring play therapy, the anxiety score was 5 (Severely Anxious) and after being given coloring play therapy it was 2 (Not anxious). Based on the results of the implementation that has been carried out, there is a reduction in anxiety due to hospitalization. Conclusion : Coloring play therapy can be used as a technique to reduce anxiety in preschool children due to hospitalization.
 
 

Early marriage is a reproductive health problem that has a negative impact on adolescent survival. The limited knowledge of adolescents about reproductive health has an impact on a lack of attitude which results in adolescents committing deviant acts. Interventions to increase youth knowledge and attitudes about the impact of early marriage are urgently needed, one of which is peer education. The purpose of this study was to analyze the effectiveness of health promotion using the peer education method on the knowledge and attitudes of young women about the impact of early marriage. The design of this study was the Pre-Experimental Pretest-Posttest without Control Group. The sample in this study were 59 class VII girls using the accidental sampling technique. The results showed a p value of 0.000, so it could be concluded that peer education was effective in increasing the knowledge and attitudes of young women about the impact of early marriage. It is hoped that schools can cooperate with local health agencies in the form of counseling and health education.

Hypertension is a chronic condition characterized by an increase in systolic blood pressure ?140 mmHg and diastolic blood pressure ?90mmHg in the walls of arterial blood vessels. Hypertension rarely causes symptoms so many do not realize that they have suffered from hypertension. This condition needs more attention, as hypertension can cause a variety of chronic diseases such as strokes, heart failure and even death. Efforts to implement hypertension can basically be done through both pharmacological and non-pharmacological therapies. To find out the results of application of Inner Breath Relief Technique with combination of Dzikir Asmaul Husna against blood pressure in hypertensive patients in RSUD Dr. Soediran Mangun Sumarso. This research design uses case study methods with descriptive research modes. Blood pressure test results after application of deep breath relaxation technique with a combination of dzikir asmaul husna at Tn. I 165/98 mmHg whereas at N. S 194/112 mm Hg due to N.S as a control group. There was a change in blood pressure before and after the application of deep breath relief therapy with the combination of dzikir asmaul husna in Mr. I.

Stunting is a condition of growth failure in infants that occurs during a critical period of the process of growth and development in the womb and during the initial period after the baby is born. It is not only affected the physical growth of the baby but also the brain. The purpose of this research was to determine the factors associated with the stunting prevalence among the children under five years old of age in Jetis 1 Primary Health Care Center, Bantul. The research method is quantitative, case control research design with retrospective approach. The data analysis methods were chi-square and logistic regression. The results of this research were some factors could be associated with stunting prevalence. The factors were the history of exclusive breastfeeding (p: 0.037 or: 0.253) and the nutritional status of the mother during pregnancy (p: 0.001 or: 5.634). Meanwhile, gender (p: 0.153), history of birth weight (p: 0.677) and mother's education (p: 0.127) were found to have no relationship with stunting prevalence. It is expected that the mothers of children under five years old can prepare for pregnancy in the future by calculating nutritional intake before and during pregnancy and provide exclusive breastfeeding for 6 months.

Background: Parenting relationships in the family have a very influential role in improving and changing children's behavior, especially in the level of self-disclosure. Another factor that causes or influences self-disclosure on students is the school environment. A good school environment can make children's behavior open. Likewise, if the school environment is not good, it will have an impact on the child's own behavior and make children less open. Purpose: to find out whether there is a relationship between parenting styles and the school environment with self-disclosure to students at MTS Al-Ikhlas Sukaluyu Cianjur. Type of research: This research is a quantitative study with a sample of 77 students in grades 7, 8 and 9 students of MTS Al-Ikhlas Sukaluyu who were made research respondents. The sampling technique is: simple random sampling and the design used in this study is a correlation with a cross-sectional approach. Results: Found the results of univariate analysis of parenting parents with a good category of 51 (67.1%) and school environment with a good category of 51 (67.1%), self-disclosure in students with a good category of 45 (59.2%) %). The results of multivariate analysis on parenting parents obtained a sign value. 0.782 > 0.05 and a correlation value of 0.32 means that there is no relationship between parenting style and self-disclosure. Then for the school environment and self-disclosure there is a Sign value. 0.052 > 0.05 and a correlation value of 0.224 means that there is no relationship between the school environment and self-disclosure.

Background: CT (Computed Tomography) Scan modality is very useful for obtaining a diagnosis of tumors in the abdominal cavity. The procedure carried out in abdominal MSCT uses contrast media. The contrast media commonly used in abdominal MSCT examinations can be intravenous, oral and anal. Kupang Hospital uses contrast media intravenously, orally and anally. The aim of this study was to determine the procedure for examining abdominal MSCT with clinical lower abdominal tumors using a multiphase technique using intravenous contrast media in the form of iodine water soluble with a dual syringe injector and NaCl liquid and orally with a volume of 750 ml of mineral water mixed with 5 ml of contrast media to drink before The examination then takes place via anal examination in the form of negative water contrast media mixed with iodine water soluble contrast media with a 50 cc syringe and also to find out the reasons for using contrast media intravenously, orally and anally in abdominal MSCT examinations with clinical lower abdominal tumors.
Method: This research design is qualitative with a case study approach. The subjects of this study were patients with clinical lower abdominal tumors. Research respondents were 2 Radiographers, 1 Radiology Specialist. The data collection method was taken by observation, Focus Group Discussion (FGD) and documentation, then data analysis and conclusion drawing were carried out.
Results: The results of this study are about the abdominal MSCT examination procedure and the reasons for using contrast media injection techniques with clinical lower abdominal tumors in the Kupang Hospital Radiology Installation.
Conclusion: The use of the technique of intravenous administration of contrast media aims to anatomically visualize vascularization, distinguish blood vessels from masses, determine the level of vascular displacement or invasion by tumors and by inserting contrast media orally it aims to provide opacification of the intestine and assist in diagnosing existing abnormalities in the intestine such as ulceration, perforation, obstruction, and space occupying lesions then through anal purposes to fill the large intestine, able to provide an overview of colonic distension and colon cancer. The use of contrast media injection techniques via intravenous, oral and anal is because the patient can make preparations as expected .

Introduction : Sleep quality is a person getting enough sleep is characterized by not being easily tired, not irritable, restless, lethargic, headaches and not easily drowsy. The purpose : of this study was to analyze the effect of jazz music therapy on sleep quality. Method : This type of research used the Pre-Experimental method with the One Group Pre-Post Test Design approach, the sample in this study was 18 respondents, using the Purposive Sampling technique and the data collection method used the PSQI sheet. Result : The test used was the Wilcoxon Sign Rank with p 0.05. The results showed that before jazz music therapy the average sleep quality in the sleep quality category was quite bad, reaching 61.1%, whereas after jazz music therapy there was an increase in good sleep quality. Conclution : This is proven based on the Wilcoxon test data processing with the result (p = 0.001) that there is an effect of jazz music therapy on students. The results of the study are expected that giving jazz music therapy can be further developed as an intervention to improve the quality of good sleep in students.

Chronic Kidney Disease (CKD) This is a gradual and irreversible kidney disorder that affects the body's capacity to regulate metabolism, fluids, and electrolytes, leading to the development of uremia. Hemodialysis (HD) patients with chronic renal failure are subject to fluid, dietary and pharmaceutical restrictions as well as activity and medication limits. Weight gain, edema, and high blood pressure will occur if fluid balance is not maintained or if there is excess fluid between dialysis sessions. But limiting fluids while receiving hemodialysis can have a number of negative consequences on the body, one of which is thirst and dry mouth (xerostomia), caused by decreased salivary gland production. This scientific study uses a descriptive methodology along with nursing care strategies to apply the "sipping ice cubes therapy" strategy to reduce thirst in CKD patients receiving hemodialysis. Evidence-based practice of nursing This procedure is carried out in the Nursing Room of RSUD Dr. dr. Aloei Saboe Gorontalo City on December 26 2022 and January 26 2023. According to researchers, the administration of the innovative therapy "Sipping Ice Cubes Therapy" can significantly reduce thirst levels in CKD (Chronic Kidney Disease) patients. It can be seen from the 6 respondents who were given the innovative therapy "sipping ice Cubes Therapy" all of which gave a positive response after evaluation, both direct evaluation after giving therapy or evaluation after 3 days of giving the implementation of "sipping ice Cubes Therapy"

The problem that most often arises in women giving birth normally is labor pain, this pain occurs due to uterine contractions, dilatation and effacement of the cervix, decreased presentation of the vagina and perineum. If this pain is allowed to persist, the mother feels uncomfortable, anxious, scared and worried, which will help the condition of the mother and fetus. One way to reduce pain is by doing endorphin massage therapy. The aim of this case study is to determine the adaptation of labor pain levels in primigravida mothers after endorphin massage therapy. The method used in this case study was designed using a case study approach with a nursing care process approach. The subjects in this case study were 2 patients, obtained from inclusion and exclusion criteria, data collection using the Numerical Rating Scale (NRS). The results of the case study show that the average pain level of the two patients after being given endorphin massage therapy intervention for ± 2 hours changed from severe pain to moderate pain and the patients looked more comfortable, calm and relaxed. The conclusion of this case study shows that there were changes that occurred after the endorphin massage therapy intervention was given to the two patients and the pain scale decreased so that the two patients were able to adapt to the pain they felt.

Introduction : Pain in labor is pain due to uterine contractions which can lead to increased activity of the sympathetic nervous system, changes in blood pressure, heart rate, breathing, and if not treated it will increase feelings of worry, tension, fear and stress. Warm and cold water compress therapy is a non-pharmacological method to meet the need for comfort and to treat pain. Objective : to determine the effectiveness of giving warm and cold compresses to reduce pain in active phase 1 infartu mothers at RSIA Siti Khadidjah Aisyiyah, Gorontalo city. Research Methods : One group of subjects will be used in this study with a pre-experimental research design with a one-group pre-post test strategy to determine cause and effect. Before the intervention, the subject group was monitored, and then after the intervention. Mothers who were in the early phase of the active phase of physiological labor in the VK room of RSIA Siti Khadijah Aisyiyah, Gorontalo City, were used as research subjects. Research Results : The results of this study found acute pain in the four patients, it was found that 2 patients were given warm water compresses, the pain level decreased to a pain scale of 4 (moderate) and in the administration of cold water compresses to 2 patients, the pain level decreased to a pain scale of 6 and 5 (currently). Conclusion : the conclusion of this study is seen from the level of pain that has decreased when given warm water or cold water compresses. Hot and cold compress therapy is a non-pharmacological method to treat pain.

Background: Surgery is an invasive medical procedure to diagnose or treat a disease, which causes pain. Postoperative pain is a common and frequent problem. Early mobilization is very important as a gradual return to the previous mobilization stage. Early mobilization is carried out in stages to reduce the intensity of pain felt by the patient by carrying out early ambulation in stages from the first 8 hours. Objective: To determine the results of implementing early mobilization to reduce pain intensity in post-operative patients at the Cempaka HCU, Regional General Hospital (RSUD) Dr. Moewardi Surakarta. Method: This type of research is descriptive research in the form of a case study. Involving 2 post-operative patients. The research instrument used the Numeric Rating Scale (NRS) questionnaire. Results: research shows that before implementing early mobilization on Mr. S, an NRS score of 8 (severe pain) was obtained, while for Mrs. S obtained an NRS score of 4, likewise for Mrs. Conclusion: After applying early mobilization for 3 consecutive days to Mr.S and Mrs.N, it can be concluded that there was a decrease in the level of pain in both patients.
 
 

Hypertension causes high rates of morbidity (sickness) and mortality (death). Hypertension is an increase in blood pressure in systolic and diastolic that comes and goes or persists. Hypertension is pressure higher than 140/90mmHg (Pangestika et al., 2022). Hypertension is also called the silent killer because this disease does not have specific symptoms, can attack anyone, and can cause degenerative diseases, even death (Yanita N.I.S, 2022).

The world is facing a triple burden caused by various disease problems. These problems include the presence of New Emerging and Re-Emerging Infectious Diseases such as Covid 19, Non-Communicable Diseases (NCDs) tend to increase every year and Infectious diseases that have not been resolved properly. This causes Indonesia to only focus on curative health efforts (Nina et al, 2018). Non-Communicable Diseases (NCDs) such as heart disease, stroke. cancer, chronic respiratory diseases and diabetes are the main causes of death in the world (WHO, 2018). Non-Communicable Diseases (NCD) or Non-Communicable Diseases (NCD) are diseases that cannot be transmitted from person to person, whose development progresses slowly over a long period of time (chronic). Non-Communicable Diseases (NCDs), also known as chronic diseases, tend to last a long time and are the result of a combination of genetic, physiological, environmental and behavioral factors (WHO, 2018).

Diabetes Mellitus is a chronic metabolic disorder with multiple etiologies characterized by high sugar levels. Patients with chronic illnesses are very susceptible to depression. This can be overcome if the respondent has good enough resilience and self-efficacy so that he can manage self-care and regulate glycemic levels and strive for better health. The aim of the research is to determine the relationship between resilience, self-efficacy and depression with self-care management in patients with diabetes mellitus in the Besuki Community Health Center working area.
This research design is cross sectional/analytic correlation. The study population included 38 Diabetes Mellitus patients with Gangrene. The sampling technique uses probability sampling, total sampling. The sampling used was 38 people. The instrument uses a questionnaire sheet. And multiple linear regression statistical tests.
The research results showed that the average resilience was 70.02, self-efficacy was 71, mild depression was 17 respondents and the average self-care management score was 72. Resilience increased self-care management with a p value of 0.000 ? ? 0.005. Self-efficacy increases self-care management with a p value of 0.000 ? ? 0.005 with an average coefficient of . the results of multiple linear regression obtained a p value of 0.000 ? ? 0.005. There is a relationship between self-efficacy, resilience and depression with self-care management in patients with diabetes mellitus in the Besuki Community Health Center working area with a p value of 0.000 ? ? 0.005 with a coefficient value of 0.608 so, Self-efficacy influences self-care 6 times more than other variables.
Self-efficacy, good resilience can reduce depression in chronic patients such as gangrene so that patients have adequate self-care management.

Background:  Elderly is a condition where a person is 60 years old. Hypertension is a condition of a person who has mixture of salt and lemongrass that can facilitate blood circulation in the body. systolic blood pressure of 140 mmHg and diastolic 80 mmHg. Data from the Kaliwungu Health Center (2023) shows that the number of hypertensive elderly is 18 elderly people. Non-pharmacological therapy that can be done by soaking warm water feet with aObjective: to determine the effect of the application of foot soak therapy using warm water with salt and lemongrass on blood pressure in elderly people with hypertension in Kaliwungu Village, Semarang Regency. Method: this application uses a case study research design with prestest and post-test design. Samples were 2 elderly people who had 2nd degree hypertension. Results: the application of  there was a decrease in blood pressure that was different between respondent 1 and respondent 2 after the application of warm water foot soak with salt and lemongrass for 3 consecutive days for 20 minutes. Both respondents were categorized as grade 2 hypertension decreased to normal-high based on the PDHI classification (2019). Conclusion: Application of warm water foot soak with a mixture of salt and lemongrass can lower blood pressure in elderly people with hypertension.
 

Gouty arthritis is a metabolic disease that mostly occurs in middle-aged to elderly men and women in the post-menopausal period. This metabolic disease is caused by the accumulation of monosodium urate monohydrate crystals in the joints and connective tissue tophi. Joint pain is a problem for elderly people in the world and in Indonesia. It was recorded according to (WHO, 2023) that in 2019, around 528 million people worldwide suffered from joint pain, an increase of 113% since 1990. Around 73% of joint pain sufferers were over 55 years old, and 60% were women. With a prevalence of 365 million people, the knee is the joint most frequently affected, followed by the hip and hand. By using cinnamon as a non-pharmacological measure to reduce pain caused by signs and symptoms of gouty arthritis. Method: Case study using nursing care for Mr. S by doing a warm cinnamon compress for 7 days. Results and Conclusions: Chronic pain problems were resolved with warm cinnamon compresses marked by Mr. S said the pain had disappeared and he could carry out daily activities. P: pain caused by gout Q: none R: none S: 1 T: none. Mr. S still looks smiling and no longer grimacing, Mr. S doesn't seem anxious, Mr. S appears to be able to carry out activities and does not avoid pain. TTV results TD: 130/80 mmH N: 84x/m RR: 22x/m S: 36.6?.

Efforts to prevent drug abuse will be able to live with the encouragement of parents. The Center on Addiction and Substance Abuse (CASA) suggests that key families to prevent drug addiction, and the social environment, provide ethical, moral and counseling, teaching and training according to adolescent self-development. The purpose of research to determine the influence of family and social relationships against drug abuse prevention in Kuta Baro Aceh Besar. Correlative research design with cross-sectional approach. The number of samples is 68 respondents. The result of univariate research shows that as many as 54,4% respondent with family is not harmonic, 52,9% respondent with negative social environment, 51,5% respondent with negative drug abuse prevention. Bivariate results show that there is a family relationship with the action of prevention of drug abuse in Cot Yang District of Aceh Besar Regency with P value = 0,031 and there is social environment relation with the action of prevention of drug abuse in Gampong Cot Yang Sub-district of Aceh Besar Regency with p value = 0.035. It is suggested that the Geuchik Gampong can work together with religious leaders and youth of the village to provide information for adolescents about the dangers of abuse.

This study aims to find out: (1)Effect Of Emotional Intelligence on Organisational Culture On The Nurse Nurse Performance(Study on Emergency on nurse performance (Study on emergency room and Intensive Care nurse of Benyamin Guluh hospital/kolaka SMS Berjaya BLUD). (2) Effect of Organizational Culture on Nurse Performance (Study on Emergency room and  Intensive Care Unit nurses of Benyamin Guluh Hospital/Kolaka SMS Berjaya BLUD). This study uses an approach with quantitative methods.Data collection in this study through observation, literature study and questionnaires. The population of this study ware all emergency room and intensive care unit nurses at Benyamin Guluh Hospital/Kolaka SMS Berjaya BLUD. While the sampel of this study amounted to 30 nurses with the determination of the sample using purpositive sampling with hair formula. Testing of research instruments using validity tests and reliability tests with SPSS 25.0. The data analysis technique used in this research is Structural Equation Modeling (SEM) based on Partial Least Square (PLS) through measurement model test (outer model) and structural model testing (inner model) with Smart PLS 3.0.Based on the results of the study, it is known that the Emotional Intelligence variable has a positive and significant effect on Nurse Performance as indicated by the P-Values value of 0.005.And the Organizational Culture variable also has a positive and significant effect on Nurse Performance, this is indicated by the P-Values value of 0.037.

Surgery is an invasive treatment that involves opening a part of the body through an incision which ends with closing or suturing the wound. Molecular mechanisms for treating pain have led to the development of multimodal analgesia, combining pharmacological and non-pharmacological interventions. Benson Relaksas? is a development of the deep breathing relaxation method by involving the patient's key factors which can create a calm environment. To find out the results of applying Benson relaxation therapy to reduce pain intensity in post laparotomy patients at HCU Cempaka Regional General Hospital (RSUD) Dr. Moewardi Surakarta. This type of research is descriptive research in the form of a case study. Involving 2 post-operative patients. The research instrument used the Numeric Rating Scale (NRS) questionnaire. The results of the study showed that before applying Benson relaxation therapy to Mr. M, an NRS score of 7 (severe pain) was obtained, while for Mrs. Trn.M obtained an NRS score of 3, indicating both patients experienced mild pain after the intervention.  After applying benson relaxation for 3 consecutive days on Mr. M and Mrs. H, it can be concluded that there was a decrease in the level of pain in both patients.

Background: Hypertension is one of the factors that is the main cause of death for stroke sufferers and is also a factor that can aggravate heart attacks. Non-pharmacological treatment usually includes exercise, improving diet and relaxing. Autogenic relaxation is relaxation that comes from oneself by using a word or sentence that calms a person's mind and is proven to be able to control several body functions such as blood pressure and blood flow. Objective: To determine the application of autogenic relaxation to reduce blood pressure in hypertension patients in the lotus ward at RSUD dr. Soediran Mangun Sumarso Wonogiri. Method: Autogenic relaxation with patients suffering from hypertension was carried out on 2 respondents for 3 days with a duration of 15-20 minutes and blood pressure was measured before and after application. Results: It was found that there was an effect of autogenic relaxation on reducing blood pressure in the blood pressure of respondents Mrs. W 215/109 to 177/96 and Mrs. N 173/100 to 158/92. Conclusion: Based on research that has been conducted, auogenic relaxation has been proven to be significant in reducing blood pressure in hypertension patients.
 
 
 

Background: Acute Lung Oedema (ALO) is an emergency condition that requires immediate action and has fatal and more dangerous consequences which will disrupt the gas exchange process in the alveoli due to the alveoli being filled with fluid. Based on the results of the initial survey in the ICU room at Tangerang Regional Hospital, it was found that the number of ICU patients with cases of pulmonary edema or ALO in 2023 was 14 people and from June to January 2024 there were 14 people. Nursing actions as an evidence base that can be provided include sucking mucus for less than 15 seconds and emptying the ETT cuff periodically. This implementation can increase airway clearance, thereby preventing accumulation of secretions that can cause aspiration. Proving the theory through providing nursing care carried out 5x with results showing that providing mucus suction in less than 15 seconds, and emptying the ETT cuff periodically, can improve the airway clearance status as indicated by a decrease in sputum production, color and consistency. Method: This writing method uses patient intervention and observation carried out for five days, to determine the patient's condition and provide appropriate nursing care which is then documented. Results: Based on the results of the monitoring carried out, it can be concluded that there are differences in the conditions of secretion production before and after the suction intervention was carried out by deflating the ETT (Cuff) balloon for 5-15 seconds. With the results criteria, secretion production is reduced. Conclusion: for patients with thick and purulent secretions, suction by deflating the ETT balloon (Cuff) becomes more effective and secretion production decreases. Nursing actions as an evidence base that can be given include sucking mucus for less than 15 seconds and emptying the ETT cuff periodically.

Hypertension is one of the most common cardiovascular diseases and is most common in society. Hypertension is now a major problem for all of us, not only in Indonesia but in the world, because hypertension is a risk factor for heart disease, kidney failure, diabetes and stroke (Indonesian Ministry of Health, 2019). Data from the World Health Organization (WHO) in 2018 shows that around 1.13 billion people in the world have hypertension, meaning that 1 in 3 people in the world are diagnosed with hypertension. The number of people with hypertension continues to increase every year, it is estimated that by 2025 there will be 1.5 billion people affected by hypertension and it is estimated that every year 10.44 million people die due to hypertension and its complications (Ministry of Health, 2019). Based on Riskesdas 2018, the prevalence of hypertension based on measurement results in the population aged 18 years was 34.1%, the highest in South Kalimantan (44.1%), while the lowest was in Papua (22.2%). Hypertension occurred in the age group 31-44 years (31.6%), age 45-54 years (45.3%), age 55-64 years (55.2%). From the prevalence of hypertension of 34.1%, it is known that 8.8% were diagnosed with hypertension and 13.3% of people diagnosed with hypertension did not take medication and 32.3% did not regularly take medication. This shows that the majority of hypertension sufferers do not know that they have hypertension and therefore do not receive treatment (Ministry of Health, 2019).

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

Dementia is a cognitive decline that is so severe that it interferes with activities of daily living and social activities. Cognitive decline in dementia usually begins with a decline in memory or memory (forgetfulness). Cognitive function is the main human capital in the activities of daily life. Brain gymnastics is a light exercise that is carried out with cross movements in order to harmonize and optimize the performance of the right and left brain so that it can improve cognitive function. This study aims to determine the results of the application of brain exercise on cognitive function in the elderly with dementia. Quantitative research with a cross sectional approach and sampling collection technique with purposive sampling with a sample of 34 respondents. The data collection tool used was the Mini Mental Status Examination (MMSE) questionnaire. It was found from this study that before brain exercise, normal cognitive function was 0, while moderate was 2 respondents (5.9%) and mild cognitive function was 32 respondents (94.1%). After brain exercise, normal cognitive function was 14 respondents (41.2%) while 20 respondents (58.8%) had moderate cognitive function and 0. mild cognitive function.

Birth Ball is a birth ball that can be used by mothers in labor in the first stage to a position that can help progress labor. The purpose of this study was to determine the effect of the Birth Ball on reducing the intensity of labor pain during the first active phase. The type of research used in this study was a quasy experiment. The research was conducted at PMB Karmila, Bantan District. The population in this study were all third trimester pregnant women. The sample in this study were 20 pregnant women using purposive sampling. Data analysis was carried out univariately, bivariately using the T-Dependent statistical test (paired T-Test). The results showed that there was an effect of birth ball on the intensity of labor pain in the first stage. to the community, especially primigravida women who experience labor pain to be able to do birth ball therapy to reduce the level of pain in the first stage of labor.\
 
 
 

value = 0.000 or valuer rAdolescence is a period of transition between childhood into adulthood, problem that often occurs in adolescence are less nutrition resulted in malnourished. Hb is a quantitative indicator to determine iron deficiency with the most severe level. Menstruation adalahperdarahan derived from this research uterus.Jenis Praeksperimen with the design of "The One Shot Case Study" to obtain information about the menstrual cycle in young girls. The sample in this study were taken by the formula vincean as many as 52 samples. With independent variable hemoglobin levels in young women and adolescents dependent variable menstrual cycle putri.Pada univariate analysis presented in the form of a frequency distribution expressed in absolute frequency which is the number of occurrences and relative frequencies in the form of presentation (%) and on a bivariate analysis used chi-test square.Hasil research shows the majority of respondents have irregular menstrual cycles 61.5% and the mean Hb 10-11gr%, based on chi-square statistical test showed  < = 0.000.r0.005, so it can be concluded that Ho refused and Ha received means there singnifikan relationship between hemoglobin levels with the menstrual cycle in young women are a significant association between hemoglobin levels with the menstrual cycle, where the better levels of hemoglobin, the possibility of a regular menstrual cycle is getting better, with the value.

Every hospital, industry and other sector experiences shifts in activity on a regular basis, and if the pace of construction and progress of the plant continues, this is absolutely necessary for the foreseeable future. Each individual's experience of fatigue is unique and subjective. Various conditions can result in fatigue accompanied by a decrease in body capacity and endurance while on duty. This study aimed to investigate the relationship between work fatigue and shift work in industrial plant employees. The research method used was a survey using questionnaires distributed to employees of industrial factories working in a shift system. The results showed a significant relationship between work fatigue and shift work in employees of industrial plants. High job fatigue can have a negative impact on employees' physical and mental health, as well as increase the risk of workplace errors and accidents. These findings point to the importance of effective shift management in reducing burnout and improving employee well-being. This research contributes to the understanding of the relationship between work burnout and shift work in employees of industrial plants. The practical implication of this study is the importance of greater attention to shift management in order to maintain employee well-being and productivity..

Community nursing or community health nursing is the practice of maintaining and improving public health using knowledge from nursing, social sciences and public health sciences. Another definition of community nursing is a form of professional service based on nursing knowledge and tips aimed primarily at high-risk groups to improve community health status by emphasizing efforts to improve health, disease prevention and not neglecting curative and rehabilitative (Kholifah & Widagdo, 2016). In RW 04 Kelurahan Periuk Jaya, which is a village with densely populated residential houses with houses attached to one another, the average building in Pabuaran village has new buildings but is not well maintained and settlements are dominated by old buildings. own property, in terms of the environment the area of ??the house has a yard, there are several cattle pens around the settlement. The characteristics of the area and health problems that arise in RW 04 Periuk Jaya Village are information about prevention and diet for Hypertension, Gout Arthritis and ISPA. To carry out this task requires a person nurses who are competent in providing community nursing care, to get optimal results requires experience in addition to knowledge. One way to gain experience is through community nursing practice in Periuk Jaya Village RW 04 Periuk District, Tangerang City

Herniated nucleus pulposus (HNP) is the leading cause of back pain in old age, occurring as a result of tearing of the fibrous annulus and the nucleus pulposus exiting through the tear. To optimize pathology, fat suppression techniques are needed to suppress fat and fluid. Fat Suppression techniques include Dixon and SPAIR. The use of Dixon is relatively longer but can produce four images at once, while SPIR has the advantage of being more resistant to inhomogeneous magnetic fields. The purpose of this study was to determine the difference between T2WI SPIR and T2WI diagnostic image information Dixon Sagital Cut Lumbar MRI with Hernia Nucleus Pulposus (HNP) cases as well as find out which one is better between the two techniques. The type of research used is quantitative research with an experimental approach that uses prospective data aimed at determining the difference in diagnostic image information T2WI SPIR and T2WI Dixon MRI examination of Sagital Cuts. The study population is patients who perform Lumbar MRI examinations with HNP cases at the Radiology Installation of NTB Provincial Hospital for the period May-July 2023. This study applied total sampling, using a research sample of 17 patients. The results showed a difference in image information between the T2WI SPIR and T2WI Dixon sequences on Lumbar MRI examination of Sagital Cut with a p-velue value smaller than ? (<0.05), namely in the anatomy of the Spinal Cord with a p-value (0.021), and the anatomy of the Corpus Vertebraewith value p-value (0.001). The T2 Spir sequence is more optimal in showing anatomical information on the Sagittal Cut lumbar MRI examination compared to the T2 Dixon sequence.  due to the more homogeneous emphasis of fat on the anatomy of the Spinal Cord and Corpus Vertebrae

Abstract. Cervical cancer is a disease caused by malignant tumors in the uterine area (cervical) as a result of uncontrolled growth of tissue and damage to the surrounding normal tissue. Family as a source of support plays an important role in providing support to improve the quality of life of cancer patients. The purpose of this study was to analyze the relationship between family support and the quality of life of cervical cancer patients. This type of research is descriptive quantitative. The sampling method is by accidental sampling. The sample of this study were cancer patients undergoing treatment with a total of 32 samples. The instrument used is a questionnaire. The results showed that more than half (56.25%) of the respondents were aged 46-65 years, more than half (53%) of the respondents did not work, and some (50%) of the respondents were in stage 3, and most (91%) family support in improving the quality of life of cervical cancer patients. The results of this study can be used as health promotion educational material about risk factors for cervical cancer and to re-effectively provide health counseling services for sufferers and their families who are diagnosed by doctors as having difficult cases to recover, so that patients can express their feelings about the illness they are suffering from so that it has an impact on their quality of life. better.
Abstrak. Kanker serviks merupakan penyakit akibat tumor ganas pada daerah rahim (leher rahim) sebagai akibat dari adanya pertumbuhan jaringan yang tidak terkontrol dan merusak jaringan normal disekitarnya. Keluarga sebagai sumber dukungan berperan penting dalam memberikan dukungan untuk meningkatkan kualitas hidup pasien kanker. Tujuan penelitian untuk menganalisis hubungan antara dukungan keluarga dengan kualitas hidup pasien kanker servik. Jenis penelitian ini adalah deksripti kuantitatif. Cara pengambilan sampel dengan cara accidental sampling. Sampel penelitian ini adalah pasien kanker yang menjalani pengobatan dengan jumlah 32 sampel. Instrument yang digunakan adalah kuesioner. Hasil penelitian menunjukan bahwa lebih dari sebagian (56,25%) responden berusia 46-65 tahun, lebih dari sebagian (53%) responden tidak bekerja, dan sebagian (50%) responden berada pada stadium 3, dan sebagian besar (91%) keluarga mendukung dalam meningkatkan kualitas hidup pasien kanker serviks. Hasil penelitian ini dapat digunakan sebagai bahan edukasi promosi kesehatan tentang faktor risiko kanker serviks dan mengefektifkan kembali layanan konsling kesehatan untuk penderita dan keluarga yang didiagnosa oleh dokter mengidap kasus sulit untuk sembuh, sehinga pasien dapat mengkungkapkan perasaan  mengenai penyakit yang dideritanya sehingga berdampak pada kualitas hidup yang lebih baik.
 

HIV stands for Human Immunodeficiency Virus, a virus which weakens immune system, while Acquired Immune Deficiency Syndrome (AIDS) is a collection of disease symptoms due to decreased immunity, which are acquired (not genetic). Education about HIV/AIDS to reduce the incidence rate of, because so far there is no medication or vaccine to prevent the spread of HIV/AIDS. To date, health education extension in order to enhance knowledge of HIV/AIDS is quite successful. The attempt to increase knowledge for formal and informal education as well as general and religious education is made by integrating HIV/AIDS materials systematically. The results of preliminary study on 10 students indicated that 40% (four student)can answer more than five questions , and 60 % ( 6 students ) can only be answered fewer than five questions investigators.Objective: To identify the effects of health education extension about HIV/AIDS on knowledge in tenth grade students at SMA Namira Medan Tahun 2022. Methods: This research employed a Quasi Experiment Design with one group pretest-posttest. Subjects of the research were tenth grade students of SMA Namira Medan. Sampling employed purposive sampling with a sample size of 40 students. Hypothesis was analyzed using statistical test, namely Wilcoxon test. Results: The Wilcoxon test indicated that there were significant differences in knowledge with p value of<0.05 (p = 0.001) and Z >1,96 (Z=3,212). Conclusion: There are effects of health education extension about HIV/AIDS on the knowledge of tenth grade students of SMA Namira Medan Tahun 2022 as indicated with p <0.05 (p =0.001) and Z >1,96 (Z=3,212).
Keywords: extension, knowledge, HIV/AIDS

Basalioma, also known as basal cell carcinoma (BCC), is the most common skin malignancy found throughout the world. Basaliomas commonly occur in the elderly population, which is associated with cumulative sun exposure and other exogenous damage. Older (65–79 years) to very old (>80 years) white individuals showed the highest increase in basalioma incidence rates. In Indonesia, data from the Cancer Registration Agency in 2009 shows that skin cancer ranks 4th out of the 10 most common types of cancer. The most common location is in the nose area. The incidence of metastasis is 0.01-0.1%, and occurs lymphogenously and hematogenously. The most significant causes are exposure to ultraviolet radiation and genetic predisposition. Basaliomas tend to occur in areas of chronic sun exposure and therefore the majority, about 74%, occur on the head, face and neck. Basaliomas usually arise from the lowest layers of the epidermis, although a small number may originate from the outer root sheath of the pilosebaceous unit. The incidence of basalioma is directly proportional to age and inversely proportional to the amount of melanin pigment in the epidermis. Surgery remains the first line of treatment for this disease. Surgical modalities include electrodessication, curettage, excision, cryosurgery, and Mohs micrographic surgery..
 

Contraception as a form of prevention of pregnancy is one of the essences of family planning problems (KB) officially used by the National Family Planning Coordinating Board (BKKBN). One type of effective contraception that mothers choose is the type of injectable contraception. To determine the effect of DMPA injection use on weight gain in family planning acceptor in Puskesmas Tompobulu Gowa. Analytical observational with cross sectional study approach. This research was conducted at Puskesmas Tompobulu Kab. Gowa on 31 July - 31 August 2017. The sample in this study is total sampling with as many as 51 respondents of the instrument in this study is using a questionnaire. Statistical test using computerized system by using chi-square test at significance level 95% (? = 0,05). The Result of this research is p-value = 0.000 with significance level <0,05. This shows that there is significant influence between the duration of contraceptive use to weight gain. And obtained by p-value = 0,002 with significance level <0,05 this shows there is significant influence of physical activity activity to weight gain. The longer duration of use of DMPA injection will be more at risk of obesity on contraceptive injectors. The fewer activities performed by the KB acceptor will be more at risk of weight gain. This research is expected to be useful and become input for practice area in giving injection contraception service and observe acceptor body weight every time at visit.

Breast cancer is a cancer with a high mortality rate that primarily affects women. This disease can affect self-efficacy and quality of life. This study aims to determine the relationship between self-efficacy and the quality of life of breast cancer patients at SMC Telogorejo Hospital. This is quantitative research with a correlational approach. The purposive sampling technique was used in this study to sample 42 respondents. The study's results showed that most of the people who responded were between the ages of 46 and 55 (50.0%), had at least a high school diploma (47.6%), worked as housekeepers (47.6%), were married (90.5%), and had been through chemotherapy at least six times. Of those people, 39 (92.9%) had high self-efficacy and 36 (85.7%) had good quality of life. The Spearman test rank showed that there is no relationship between self-efficacy and quality of life in breast cancer patients (p-value = 0.077). Future researchers should consider expanding the scope of their research to enhance its quality by developing, adding variables, and conducting thorough analyses.

Home care is a comprehensive service for individuals and families at home which aims to minimize the impact of disease and increase the independence of patients and families in the care and treatment of family members who experience health problems. Patient satisfaction with health services is something that needs to get attention from providers. health services in carrying out their role, while obstacles are still found in homecare services. The aim is to determine the level of patient satisfaction with homecare services. Research method This type of research uses a descriptive research design with a survey method. This research was conducted in the Baula Community Health Center working area with a sample size of 30 respondents. The results of this research show that the level of patient satisfaction with homecare services in the Baula Community Health Center working area was that most respondents were satisfied, namely 83.3%. Conclusion Patient satisfaction is an important indicator of quality nursing services.

Background: School-age children are referred to as latent periods, the more independent school-age children are, the more they have problems in the selection of snacks. The findings of the Food and Drug Administration (BPOM) found several results of food content which showed 91.26% qualified, 8.71% ineligible,285 samples contained Rhodamin B, 211 samples contained Formalin, 162 samples contained Borax and 5 food samples contained Methanyl Yellow. Parenting is a factor that influences the behavior of snack, parents are the first source of information to understand about the behavior of healthy snacks in children.Objective: The purpose of this study was to foster journals regarding the relationship between snacking patterns in school-age children.Methods: Literature review method, which includes searching for journals from Elsevier, Pudmed, Google Scholer, and Garuda which received 6 journals because they have been tested based on the Critical Appraisal Checklist (JBI) instrument for analysis of Cross Sectional Studies. Then use PRISMA to select them and use the Plagiarsm Checker X application with 17% results.Results: Literature review data conducted on 6 journals that have been obtained shows that there is a relationship between parenting patterns and snack selection behavior in school age children and 1 journal there is no relationship. 6 research journals obtained the dominant value of journal 1 Lonto et al., (2019), with respondents of democratic fostering pattern category as many as 30 people or (46.9%) and 44 respondents (68.8%) with healthy snack behaviors. The better the parenting pattern applied to the child, the lower the level of snack selection behavior in the child.Suggestion: Literature review results are expected to be an educational material, especially school-age children and parents about the importance of foster care patterns to prevent snack selection behavior in school-age children.

HIV infection has been a global epidemic around the world. in the absence of intervention, the rates of HIV transmission during pregnancy, labor or breastfeeding vary from 15-45%. Data from Indonesia Health ministry 2011 shows 21.103 pregnancy women who undergone HIV test 534 (2,5%) are positive HIV infected. The use of antiretroviral (ARV) drugs has been success prevent mother to child transmission. Zidovudine monotherapy shows transmission rates (4,8%) higher than  ARV combination. ARV combination that can use during pregnancy vary from triple NRTI, 2 NRTI + NNRTI, or 2 NRTI + PI with similar high virological supression rates. it has beeen shows a changing trend from sectio caesar to vaginal delivery with decrease of viral load using ARV combination, with increase percentage for vaginal delivery from 17% to 52%. Women who receive >9 weeks pre partum prophylaxis significantly have undetectable viral load in plasma and breast milk during labor.
 

A hospital is an individual health care institution that provides inpatient, outpatient, and emergency services. The statement is based on the Regulation of the Minister of Health of the Republic of Indonesia No. 72 of 2016 concerning Pharmaceutical Service Standards in Hospitals. Drug processing management is an important part of drug management in hospitals, and if one process is not appropriate, it will hinder or affect the drug management system. The hospital does not have standards in recording and planning budgets for the procurement of drugs and other facilities, late delivery of expeditions or late disbursement of BPJS funds must be reconsidered seeing that many communities and hospitals use funds from the BPJS system. Collaborating with other hospitals, pharmacies and with the Health Office can help to meet the availability of drugs.

Uterine myoma is one of the most common tumors found in premenopause. Symptoms that can arise vary, ranging from asymptomatic to symptoms that interfere with daily activities. The most common symptoms arise, namely pain and vaginal bleeding. Women who have, myoma diagnosed certainly emits risk factors. Risk factors that can aggravate, among them are heredity, obesity, hormonal contraception, nullipara, hypertension, primipara age <20 years, deficiency of vitamins D Risk Factors Risk of land can be able to be able That, as for effective modalities is used for supporting examinations of uterine uterine and MRI uterine myomas. Ultrasound can be done as an initial screening, while MRI is better used for a more appropriate location when compared to ultrasound.

The hospital also has the main task of providing complete individual health services with efforts to heal, recover, improve, prevent, referral services, research and development and community service. The purpose of writing this scientific article is to find out and review theoretically from various literature and strategies to improve patient satisfaction and quality of service in hospitals. The method used is a theoretical study by analyzing and comparing existing theories. The results of this theoretical study, namely the strategies carried out by increasing human resources, the speed of staff response, and satisfaction can be identified by comparing the expectations and experiences of the performance of health service providers. By doing this strategy can provide a desire of patient hope. It was concluded that strategies to increase patient satisfaction and health quality can realize patient expectations arising from the actions of health workers as the performance of health services and during a good treatment process. In the strategy carried out the patient will evaluate and assess the product or service quality that has been received. Hospital agencies also need to improve service quality strategies to realize patient expectations. Patient satisfaction in assessing quality or good service, and is an important measurement that is fundamental to the quality of service. This is also because by providing information on the success of quality service providers, the values ??and expectations of patients will increase.

The hospital information system has become increasingly important due to the rapid development of technology. An effective information system can help manage patient data, medical records, doctor scheduling, medicine and medical equipment procurement, and facilitate hospital administration processes. This journal discusses the importance of hospital information systems, the benefits that can be gained, and the things that need to be considered in building and implementing an effective information system. Analysis of information system needs, information system development, training and utilization of the system, and information system maintenance are important factors to consider in building an effective system. With an effective and efficient information system, it is hoped that the quality of hospital services can be improved.

Quality of service caused by human resources, facilities, and referrals that are not optimal. This study aims to determine the effect of service quality on patient satisfaction at the Puskesmas. This type of research is quantitative research with associative methods. The population in this study were all visitors who came to the Puskesmas. Sampling was done by purposive sampling technique. The mnumber of samples used in this study were 100 respondents. The data collection technique used was a questionnaire with a Likert scale. The analysis technique was carried out using multiple regression analysis using SPSS. The results of the study show that the tangible dimension has a significant influence on patient satisfaction, the reliable dimension has a significant effect on patient satisfaction, the responsiveness dimension has a significant influence on patient satisfaction, the assurance dimension has a significant influence on patient satisfaction, the empathy dimension has a significant influence on patient satisfaction. The most dominant dimension of influence is tangible, while the lowest is responsiveness. Tangible, reliable, responsiveness, assurance and empathy dimensions simultaneously have a significant influence on patient satisfaction. The results of the study are expected that the management of the Banja Loweh Community Health Center, Fifty Cities District, will further improve service quality, especially on the lowest responsiveness dimension.