Hallucinations are one of the symptoms of positive schizophrenia. Hallucinations are the loss of human ability to distinguish between internal stimuli (thoughts) and external stimuli (the outside world). One therapy that can be given to patients with auditory hallucinations is psychoreligious therapy. One of the most effective psychoreligions is dhikr, scientific evidence states that dhikr is a manifestation of a person's religious commitment. Psychoreligious therapy: dhikr by reading istighfar (Astaqfirullahal'adzim) 3 times, followed by tasbih (Subhannallah) 33 times, tahmid (Alhamdulillah) 33 times, and takbir (Allahu akbar) 33 times, this therapy is carried out for 3 days with a duration of 10-20 minutes. The purpose of this study was to explain Evidence Based Practice as a therapy for patients with auditory hallucinations using dhikr therapy. The implementation method used was the experimental technique (treatment) for patients with auditory hallucinations. The number of respondents needed was 2 people with a nursing diagnosis of auditory hallucinations. The study was conducted for 5 days, starting from April 23-28, 2025. Assessed using the Auditory Hallucination Rating Scale (AHRS) and SLKI questionnaires with a pretest and posttest testing process. The results of the study showed a decrease in pretest and posttest scores for performing dhikr spiritual therapy.

As one of the cardiovascular diseases, heart failure is a condition in which the heart loses its ability to pump blood adequately to deliver oxygen throughout the body's tissues. According to a WHO survey in 2016, non-communicable diseases such as cardiovascular problems accounted for 38 million out of 56 million total global deaths. Of these, 17.5 million deaths were specifically caused by circulatory system disorders. In Indonesia, heart failure ranks as a leading cause of mortality. Based on the 2018 Basic Health Research (Riskesdas) data, the prevalence rate of heart disease in the country reached 1.5%. Hypertension has been identified as one of the main risk factors that can trigger heart failure. This study aims to analyze the correlation between the profiles of heart failure patients and the effectiveness of combination antihypertensive therapies involving Beta Blocker–ACEI, Beta Blocker–ARB, and Beta Blocker–Diuretic in patients hospitalized at Dr. Loekmono Hadi Regional Hospital, Kudus. The study employed an observational analytic method with a cross-sectional approach using patient medical records. The data were collected from Dr. Loekmono Hadi Regional Hospital, Kudus. The sample population included heart failure patients who received combination antihypertensive therapy (Beta Blocker–ACEI, Beta Blocker–ARB, or Beta Blocker–Diuretic) during their inpatient care in 2024. The sampling technique used was total sampling, with 77 patients meeting the established inclusion and exclusion criteria. Data analysis was performed using univariate and bivariate methods supported by the Chi-Square test. The most commonly used combination therapy was Beta Blocker + Diuretic, administered to 36 patients (46.8%). The average blood pressure of heart failure patients before therapy was 143.81/83.05 mmHg, and after therapy, it was 126.10/76.23 mmHg. Most patients (69 patients or 89.6%) achieved normal blood pressure levels (<140/90 mmHg) post-therapy. Chi-Square analysis indicated a significant correlation between age (p=0.04) and therapy effectiveness. In contrast, no significant association was found between gender (p=1.000) or the type of combination therapy used (p=0.895) and therapeutic outcomes.

Perineal robekane is a birth canal wound that can occur spontaneously due to a stiff perineum, precipitate labor, wrong delivery leadership, lack of good cooperation with the mother during the birth process, improper use of manual maneuvers. Perineal robekane due to episiotomy expands the birth canal due to large, premature babies, abnormalities in location and delivery with vacuum forceps. This study aims to determine the factors that influence the incidence of perineal robekane in normal delivery at PMB Roslina,S.Keb in 2023 with a population of all women giving birth normally with a total of 80 mothers. The research method used a cross sectional and sampling technique, data analysis using square test. In this study, it was found that there was a relationship between the age of the mother and the incidence of perineal robekane in normal delivery, a significance p-value = 0.000 (a <0.05), while the relationship between parity and the incidence of perineal robekane had a significance p-value = 0.000 (a <0.05) and the relationship between BBL and the incidence of perineal robekane, p-value = 0.000 (a <0.05). So there is a relationship between age, parity and BBL with the incidence of perineal robekane. There is a significant relationship between the appropriate age factor, and BBL and the incidence of perineal robekane in normal delivery.

Introduction: Hypertensive disease is called the silent disease because the sufferer is not aware if he suffers from hypertension before checking blood pressure to health services. The prevalence of hypertension in West Java is 39.6%. Karawang Regency is included in West Java Province with hypertension sufferers ≥15 years in 2022 as many as 625,156 people, where Rengasdengklok District is in 6th position at 61.87%. This study aims to determine the effectiveness of leaflets, animated videos, and statement card games on knowledge and attitudes regarding hypertension in Rengasdengklok, Karawang Regency. Method: The research method is quantitative research with a cross-sectional design. The population of 30 respondents was grouped into three groups, namely media leaflets, animated videos, and statement card games. Results: For the analysis technique, the data used are univariate and bivariate analysis with the Wilcoxon test for data that is not normally distributed and Paired Simple T-Test for data that is normally distributed. For the media leaflet, animation video, and games based on the results of the Paired Simple T-test and Wilcoxon test, the knowledge variable obtained p-values of 0.604>0.05, 0.031<0.05, and 0.018<0.05 respectively. Conclusion: In conclusion, in this study there was a significant influence on respondents' knowledge before and after being given animated video media and statement card games, while there was no significant effectiveness on respondents' knowledge before and after being given leaflet media.
 

Good nutritional knowledge can help individuals to consume macronutrient intake in accordance with the body's needs, so that nutritional status can be adequately met. A cross-sectional study design and quantitative research methodology are employed. The study's sample consisted of twenty people who were chosen by purposive sampling. The Spearman rank correlation test was applied in both univariate and bivariate analyses. The results showed that most individuals' nutritional status was normal status (55%). Based on the Spearman rank test, no significant association was identified between nutritional knowledge (p=0.206), protein consumption (p=0.762), and carbohydrate consumption (p=0.772) with nutritional status. Nevertheless, fat consumption (p=0.049) showed a significant link with nutritional status. The results of this research suggest that nutritional status does not correlate with nutritional awareness, protein intake, or carbohydrate intake. However, fat intake is associated with nutritional status. It is intended that this study will inspire participants to practice mindfulness of their macronutrient intake. Coaches are also expected to provide guidance to UNESA volleyball club members to be more discerning in selecting foods for consumption

The third trimester of pregnancy is a period highly vulnerable to anxiety, as expectant mothers begin to face fears related to the labor process and the safety of their babies. If left unaddressed, this anxiety can negatively impact both maternal and fetal health. Murottal therapy, which involves listening to rhythmic recitations of the Holy Qur'an, is a non-pharmacological approach considered effective in reducing anxiety through its relaxing and spiritually calming effects. This study aims to determine the effect of murottal therapy on anxiety levels among third-trimester pregnant women in Tawangrejeni Village, Turen District. The method used is descriptive quantitative with a comparative design involving two groups: intervention and control, each consisting of 20 respondents selected through total sampling. A Guttman-scale questionnaire was used to assess anxiety levels. Data analysis using the Mann-Whitney U test showed a significant result (p = 0.000), indicating that murottal therapy had a significant effect in reducing anxiety in pregnant women. Therefore, murottal therapy can be considered a simple, low-cost, and culturally appropriate non-pharmacological alternative for addressing anxiety, especially in primary healthcare settings such as community health posts (posyandu).

This study aims to determine whether coping strategies contribute to compassion fatigue among nurses at a hospital in West Pasaman Regency. The research employed a quanitative approach using a non-probability sampling technique with saturated sampling. A total of 65 nurses from the ICU, Emergency Departement, and Surgical Unit participated in the study. The measurement instruments were developed by researcher, referring to the coping strategies theory proposed by Amirkhan (1990) and the compassion fatigue scale adapted by Eka and Tahulending (2017). Data analysis was conducted using SPSS version 22 for windows. Based on the result multiple linear regression analysis, coping strategies were found to contribute to compassion fatigue among nurses in the hospital. Specifically, the problem solving and seeking social support dimensions of coping strategies showed a significant contribution to compassion fatigue, while the avoidance strategy did not a significant contribution.

Schizophrenia is a complex psychiatric disorder, characterized by positive, negative, and significant cognitive impairment, and contributes significantly to global disability. This article is a literature review that comprehensively discusses the epidemiology, etiology, clinical features, diagnosis, and management of schizophrenia. The etiology of schizophrenia involves interactions between genetic, neurobiological, and environmental factors, including dysfunction of neurotransmitters such as dopamine, glutamate, and gaba. Diagnosis can be made based on the criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) or the Guidelines for the Classification of Mental Disorder Diagnosis III (PPDGJ III), with an emphasis on the combination of major symptoms and the exclusion of other conditions. Management of Schizophrenia Includes Pharmacological Therapy With First and Second Generation Antipsychotics, As Well As Nonpharmacological Interventions Such As Cognitive-Behavioral Therapy, Social Skills Training, And Family Support. The Social Stigma And Economic Burden That Accompanies It Makes This Disorder A Multidimensional Challenge In The Health System. This Article Emphasizes The Importance Of A Sustained Multidisciplinary Approach To Improve The Prognosis And Quality Of Life Of People With Schizophrenia.
 
 

Risk perception is a crucial element in occupational health and safety, particularly in high-risk environments such as mining. Workers with a better understanding of the risks in the workplace tend to be more cautious. Therefore, it is essential to comprehend how workers assess the risks they face and how this perception influences their behavior. This study aims to identify the risk perception levels of workers at PT Y in South Kalimantan, specifically in the context of occupational health and safety within the mining environment. Utilizing a descriptive quantitative approach and simple random sampling technique, the study involves 324 randomly selected respondents from the operational division. The results indicate that workers' risk perception tends to increase with age, with older age groups having a higher risk perception. The dimension of risk perception with the highest score is the Immediacy of Effect, which reflects workers' attention to risks with immediate consequences, such as work-related accidents. Conversely, the Chronic-Catastrophic dimension shows a low score, indicating a lack of attention to long-term risks. This study recommends that the company implement training based on visual simulations using the SMART approach to enhance workers' awareness of risks and strengthen the risk perception at PT Y.

Diabetes mellitus is a chronic disease that occurs when the pancreas cannot produce enough insulin (a hormone that regulates blood sugar or glucose) or when the body cannot use insulin effectively. According to the International Diabetes Federation, the prevalence of diabetes mellitus is increasing every year in the world, reaching 537 million people suffering from diabetes in the world. Currently, Indonesia ranks sixth as the country with the highest number of people with diabetes mellitus. At the Sei Langkai Health Center in the last 6 months (January-June) there were 40 people. This professional scientific paper aims to provide gerontic nursing care to Mrs.A with the application of diabetic foot exercise therapy in reducing blood glucose levels in patients with diabetes mellitus in the Sei Langkai Health Center Working Area. The method used in this Professional Scientific Writing is a case study conducted based on the stages of nursing care including assessment, diagnosis, intervention, implementation and nursing evaluation. The results showed a decrease in blood glucose levels from the first day of GDS examination results of 215 mg/dl and on day four down to 158 mg/dl, as well as decreased drowsiness, fatigue / fatigue decreased in accordance with the expected goals and criteria. For patients, it is hoped that it can provide knowledge and insight, and can know and understand foot exercise therapy can reduce blood glucose levels in patients with diabetes mellitus.