The effectiveness of hypertension treatment is closely linked to blood pressure control. Ineffective treatment can lead to uncontrolled blood pressure, increasing the risk of serious complications, such as stroke, heart disease, and kidney failure. The rationality of treatment is an important factor that influences the effectiveness of therapy. Rational treatment, which is tailored to the patient's condition, can help achieve optimal blood pressure control and reduce the risk of complications. This review article aims to summarize and review the evaluation results of antihypertensive drug use in hypertension patients treated at healthcare facilities. The review process involved searching for relevant articles on Google Scholar using keywords such as evaluation, rationality, and hypertension treatment, published over the past 10 years. The review results showed that the evaluation of hypertension treatment should be assessed from four main aspects: right patient, right indication, right drug, and right dose. Hypertension treatment, whether with comorbidities or without, may involve single therapy or a combination of three drugs. Based on the data obtained, the majority of the treatments were rational in terms of right patient and right indication. However, there were still instances of inaccuracy, particularly in selecting the right drug and appropriate dosage. Inaccurate drug selection and dosing can reduce the effectiveness of treatment and increase the likelihood of adverse side effects. It is crucial to ensure that the therapy provided is suitable for the patient’s medical condition, with appropriate drug selection and dosage. Education on treatment rationality for healthcare professionals and patients is essential to optimize hypertension treatment outcomes. This approach will help improve hypertension management in the community and reduce the burden of complications caused by uncontrolled hypertension.

Background : Menstrual pain is caused by an increase in prostaglandin production triggered by a decrease in estrogen and progesterone hormone levels. Among the non-pharmacological approaches that can be used to reduce pain during menstruation is yoga therapy. Objective: The purpose of this literature review is to examine the relationship between yoga exercises and dysmenorrhea in reducing pain intensity among adolescents. The research method used in this literature review study is to obtain from the search for scientific research articles using the google scholar data base. As many as 279 articles were obtained and then identification and screening were carried out, so that 5 random articles were obtained that fit the criteria. The population in all five studies consisted of adolescent girls. Results: The findings from the five studies show that there is a relationship between yoga exercises and dysmenorrhea in reducing pain intensity among adolescents. Conclusion: It is recommended that adolescent girls, especially those who frequently experience dysmenorrhea, practice yoga exercises regularly to minimize the pain level during menstruation.

Social media has become an integral part of students' daily lives in the digital era. However, it also poses risks, such as negative social comparisons, which impact self-compassion and self-esteem. This study investigates the relationship between social media use, self-compassion, and self-esteem among final-year nursing students. Utilizing a cross-sectional correlational design, data were collected from 144 respondents at Universitas Indonesia Maju using validated questionnaires. The findings revealed a significant relationship between social media use and self-esteem (p=0.018) and between self-compassion and self-esteem (p=0.000). This study highlights the importance of fostering self-compassion and promoting healthy social media use among students to enhance their psychological well-being.

Background: Stroke is damage to brain tissue caused by a sudden reduction or cessation of oxygen supply in the blood. Brain tissue that experiences a decrease in oxygen supply in the blood will die and no longer function. Stroke can cause weakness in muscles or body movement coordination. Elderly stroke sufferers feel low self-esteem due to disability and anxiety about death. One of the non-pharmacological techniques to overcome muscle weakness and overcome anxiety is rubber ball grip therapy and mindfulness therapy. The purpose of this case study is to determine the effect of Rubber Ball Grasp and Mindfulness Therapy on muscle strength and anxiety levels. The method used in this case study design is a nursing care process approach. The subjects in this case study were 2 patients, obtained from inclusion and exclusion criteria, data collection using Manual Muscle Testing (MMT) and the Hamilton Anxiety Rating Scale (HARS). The results of the case study show that the average muscle strength and anxiety level after being given the rubber ball grip therapy intervention for 6 days and mindfulness therapy for 3 days experienced changes from muscle strength without movement, muscle contractions could be felt/visible to normal full movement against gravity. and combat minimal resistance and severe to moderate levels of anxiety. In conclusion, there is an influence of rubber ball handheld therapy and mindfulness therapy on stroke elderly in the Paduwau Maumere Elderly Social Welfare Section.

Introduction: The World Health Organization (WHO) reports that cancer sufferers worldwide in 2020 will reach 19.3 million cases with a death rate of up to 10 million people. Riskesdas data for 2018 shows the prevalence of cancer in Indonesia is 1.49%. Chemotherapy in cancer patients often causes anxiety as a psychological effect. Family is the closest person for cancer patients in dealing with their illness. Family support for cancer patients is needed to lift the patient's mentality and enthusiasm for life. Purpose: This study was to determine the relationship between family support and anxiety levels in cancer patients undergoing chemotherapy. Method: Correlational descriptive with cross sectional approach. The study was conducted at the Dharmais Cancer Hospital in December 2022 - January 2023, with a sample of 185 respondents taken using a purposive sampling technique. Results: 38.9% of cancer patients undergoing chemotherapy at Dharmais Cancer Hospital experienced severe anxiety, 49.7% patients experienced moderate anxiety, 11.4% of patients experienced mild anxiety, and most of the cancer patients had good family support (60.5%). The results of the bivariate analysis of the Spearman rank test obtained p value: 0.000, and r: 0.506. Conclusion: there is a significant relationship between family support and the anxiety level of cancer patients undergoing chemotherapy, where the better the family support, the lighter the anxiety of cancer patients undergoing chemotherapy

Postpartum exercise is exercise that is carried out from the first day of birth every day until the tenth day, consisting of a series of body movements carried out to speed up the mother's recovery. The aim of postpartum exercise is to help speed up the mother's recovery, speed up the involution process and restore the function of the womb. The benefits of postpartum exercise include improving blood circulation, body and back posture after giving birth, improving muscle tone, pelvic and abdominal muscle stretching and helping mothers to be more relaxed and fresh after giving birth. Postpartum exercise is rarely done because postpartum mothers are afraid to do a lot of movement, are afraid of the stitches coming out, the perineal wound still hurts and there is a belief that has developed and is believed by society, namely that if it has not been 40 days after giving birth, the mother is not allowed to do activities. The aim of the research was to determine the effect of postpartum exercise on uterine involution during normal postpartum delivery at the Semambawa Community Health Center BPM, South Nias in 2023.This research used a quasi-experimental research design with a post test only design with one comparison treatment, the sample in the research was 30 people using a Random Sampling System. The data collected in the research is primary data, namely data obtained directly from respondents. The data analysis used was the Wilcoxon signed ranks test.The results of research on uterine involution before postpartum exercise intervention during normal postpartum delivery, the majority experienced subinvolution, 30 people (100%), uterine involution after postpartum exercise intervention during normal postpartum period, the majority experienced normal, 22 people (73.3%), there was an effect Postpartum exercise on uterine involution in normal postpartum with a value of p=0.000 p<0.05. So Ho is rejected and Ha is accepted, which means that there is an influence of postpartum exercise on uterine involution during normal postpartum delivery at the Semambawa Community Health Center, South Nias in 2023. Midwives are expected to improve and provide midwifery services by applying postpartum exercise methods and relaxation techniques to postpartum mothers so that the process of uterine involution goes well.

ST Elevation Myocardial Infarction (STEMI) is an emergency condition caused by rupture of atheroma plaque in the coronary arteries which blocks blood flow to the heart. If this condition is not treated immediately it can result in disability and death. The family has an important role in determining the treatment needed by the patient in the Intensive Care Unit. However, families are vulnerable to experiencing anxiety which will slow down the process of decision making and patient care, so the role of nurses is very important in overcoming family anxiety. One of them is the intervention of providing educational therapy. The aim of this research is to provide nursing care to Paisen families with STEMI to overcome anxiety. The type and research design used is a descriptive method with a case study approach. The subjects of this case study are families who have met the inclusion criteria, namely the patient's wife with anxiety problems, can read and write, and is willing to be a respondent. The participant collection technique used purposive sampling. The research instrument used the HARS (Hamilton Anxiety Raiting Scale) questionnaire. The research was carried out in 2 days. The research results show that educational therapy intervention can reduce the patient's family's anxiety from severe to mild anxiety. For this reason, nurses are expected to be able to provide social support both informationally and emotionally so that there is no anxiety in the family.

Background: Production of breast milk is influenced by prolacine hormones and oxytocin. An exclusive provision of breast milk is to improve the growth and development of infants and their health. Research objectives: To find out if there is a influence of the effectiveness of the katuk leaves to the adequacy of breast milk in Pagintungan village. Research method: Used in this study is quantitative research with pre experimental methods with the design of One group Pretest- Posttest Design. Collection of data by sharing an observation sheet of 30 people. Sampling in this study used Purposive Sampling and analysis of bivariate data using Wilcoxon test. The results of the research in the value of P value = (0.00 < 0.05) Then there is expressed influence of water inhalation of the leaf decoction is effective in increasing breast milk in breastfeeding mothers. Conclusion: There is an effective influence on the stew of the leaves of the catuk to the adequacy of breast milk in Pagintungan village.

Plants contain several active ingredients beneficial for health, one of which is the persimmon plant, known for its tannins and phenolic compounds. This research aims to determine the effect of Black Persimmon Leaf Extract (Diospyros nigra) as an alternative for lowering glucose levels in White Rats (Rattus norvegicus). This is a True Experimental research, which controls all external variables that could affect the experimental results. There are four control groups: a negative control using glucose and positive controls using extracts with concentrations of 15%, 30%, and 60%. The research data were measured using a UV-Vis Spectrophotometer and analyzed using One Way ANOVA with SPSS. The results of the Shapiro-Wilk normality test showed a significance value >0.05; Levene's Test for homogeneity showed a significance value >0.05; the One Way ANOVA test showed a significance value <0.05; and the Tukey HSD test showed a significance value >0.05. The objective of this research is to test the effectiveness of black persimmon leaves (Diospyros nigra) as an alternative to lowering blood glucose levels in white rats (Rattus norvegicus). Sample absorbance data were obtained using UV-VIS Spectrophotometry and analyzed using One Way ANOVA in SPSS.

Background: One of the most popular contraceptives in Indonesia is injectable contraception. However, each contraceptive method certainly has its own side effects, hormonal methods such as injections generally have side effects in the form of menstrual disorders, weight changes, dizziness or headaches and an increase in blood pressure. The purpose of this study is to determine the long-term relationship between the use of injectable birth control and menstrual cycle disorders in birth control acceptors at PMB Neneng Mahfuzah Banjarmasin in 2024.   This study uses a quantitative descriptive method with a cross sectional approach with a sample of 85 people with details of 48 respondents for 1-month injectable birth control and 37 respondents for 3-month injectable birth control.  The results obtained from the bivariate analysis of the chisquare statistical test showed that the value of p = 0.010 > α = 0.05. The conclusion is that there is a relationship between the length of use of birth control and menstrual cycle disruption in injectable birth control acceptors at PMB Neneng Mahfuzah Banjarmasin in 2024.  Advice is expected that health workers can provide KIE about the side effects of using Injectable Family Planning, one of which is menstrual cycle disruption. So that the acceptor can choose wisely the contraceptive method he wants to use.