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THE EFECT OF BAY LEAFT (SYZYGIUM POLYANTHUM) DECOCTION ON URIC ACID LEVEL REDUCTION IN ELDERLY PATIENTS WITH GOUT ARTHRITIS IN SERANG VILLAGE

Sofiyatun Hasanah, Dwi Astuti, Priyatin Sulistyowati
Abstract: Background: Elderly individuals are at high risk of experiencing degenerative diseases, one of which is gout arthritis, caused by the accumulation of monosodium urate crystals in the joints due to hyperuricemia. Non-pharmacological… macological therapies such as bay leaf (Syzygium polyanthum), which contains flavonoids, tannins, and essential oils, are believed to naturally reduce uric acid levels. Objective: To determine the effect of bay leaf decoction on reducing uric acid levels in elderly patients with gout arthritis in Serang Village. Method: This research used a descriptive approach with a case study method. The subject was one elderly person with gout arthritis who was given an intervention in the form of bay leaf decoction twice a day for four days. Results: The uric acid level before the intervention was 8.2 mg/dL and after the intervention was 4.2 mg/dL. The reduction of 4 mg/dL indicates that the bay leaf decoction was effective in lowering uric acid levels. Conclusion: Bay leaf decoction affects the reduction of uric acid levels in elderly patients with gout arthritis and can be used as a safe, easy, and affordable nonpharmacological alternative therapy.

AN OVERIVEW OF TOMATO JUICE ADMINISTRATION ON BLOOD PRESURE REDUCTION IN ELDERLY PATIENTS WITH HYPERTENSION IN GEMURUH VILLAGE

Luthfi Nafisa Agustina, Dwi Astuti, Wiwik Priyatin
Abstract: Background: Hypertension is a common non-communicable health problem among the elderly and poses a risk of serious complications. Nonpharmacological therapy using tomato juice—which is rich in potassium and lycopene—has… has the potential to naturally lower blood pressure. Objective: To observe the changes in blood pressure in elderly patients with hypertension following the administration of tomato juice. Method: A case study design involving one elderly respondent (78 years old) with mild hypertension. The intervention consisted of administering 200 ml of tomato juice every morning before meals for 7 consecutive days. Blood pressure was measured every morning before and after consuming the juice. Results: There was an average reduction of 7.4 mmHg in systolic blood pressure and 5.4 mmHg in diastolic blood pressure after 7 days of intervention, indicating a positive effect of tomato juice in lowering blood pressure. Conclusion: Daily administration of tomato juice for 7 days effectively reduced blood pressure in an elderly hypertensive individual, suggesting it as a safe and practical non-pharmacological therapy.

DESCRIPTION OF MODERN WOUND CARE USING RED FRUIT OINTMENT DRESING FOR Mr. S WITH DIABETICT ULCER IN GELANG VILLAGE RAKIT DISTRICT

Meli Nur Azizah, Sudiarto, Eko Julianto
Abstract: Background: Diabetic ulcers are a chronic complication frequently experienced by individuals with diabetes mellitus and significantly contribute to morbidity, mortality, and lower extremity amputation rates. Effective wound… und management is key to preventing further complications. Modern dressings based on the moist wound healing principle have been proven more effective than conventional methods, as they maintain wound moisture and support tissue regeneration. Objective: To describe the treatment of diabetic ulcers using the modern dressing method with red fruit (Pandanus conoideus Lamk) ointment in Gelang Village, Rakit District. Methods : This study used a descriptive case study approach involving one diabetic ulcer patient who met the inclusion criteria. Wound care was performed every two days for 14 days using modern dressing and red fruit ointment. Data were collected through observation, interviews, and documentation. Results: There was an improvement in wound conditions after the application of red fruit ointment, marked by an increase in granulation tissue and a decrease in necrotic tissue. The active ingredients in the ointment such as β-carotene, tocopherol, oleic acid, and linoleic acid have antioxidant and anti-inflammatory effects that accelerate the healing process. Conclusion: Modern dressing with red fruit ointment is effective in accelerating the healing process of diabetic ulcers and can serve as an alternative topical therapy to support optimal wound recovery

NURSING CARE FOR SOCIAL ISOLATION: WITHDRAWAL IN Mr. S WITH A FOCUS ON SOCIALIZATION THERAPY AT DR. RM. SOEDJARWADI KLATEN REGIONAL PSYCHIATRIC HOSPITAL

Anggita Presti Utami, Sudiarto, Wiwik Priyatin
Abstract: Background: Social isolation is a condition in which individuals feel lonely. This condition is often caused by a lack of interaction with others and reflects a negative and threatening situation. Therefore, nursing interventions… rventions are needed to reduce symptoms of social isolation and increase the interest in initiating interactions, one of which is through introduction training. Introduction training is an activity designed to develop an individual’s ability to initiate and maintain conversations, as well as to get to know others with the aim of building positive social relationships. Objective: This study aims to describe nursing care for social isolation disorder: withdrawal, with a focus on the intervention of introduction training. Method: This study used a descriptive method with a case study approach. Results: After three days of nursing interventions, the symptoms of social isolation: withdrawal were reduced, and the patient was able to introduce himself. Conclusion: Nursing care for social isolation: withdrawal, focusing on the introduction training intervention over three days, proved to be highly effective for patients with social isolation: withdrawal and can help reduce the associated symptoms.

THE LOCAL GOVERNMENT POLICY STRATEGY IN TOURISM DEVELOPMENT IN NORTH GALESONG, TAKALAR REGENCY

Nunu Febriana, Inayah Mutmainnah, Yudhi Andrew Pratama Leomindong
Abstract: This study aims to identify the local government’s policy strategy in developing tourism in North Galesong, Takalar Regency. The research uses a qualitative method, with data collected through observation, interviews, and… and documentation. The informants in this study consist of five individuals with different occupational backgrounds. The findings show that: (1) The local government’s strategy for developing tourism in North Galesong focuses on infrastructure development, digital promotion, and community empowerment through Pokdarwis (Tourism Awareness Group) training. Although there are still challenges such as limited facilities, insufficient promotion, and uneven mentoring, this strategy demonstrates the government’s commitment to achieving sustainable tourism. However, more systematic planning, technological support, and active community participation are needed to enhance tourism attractiveness. (2) The process of formulating the tourism development strategy begins with identifying obstacles such as limited funding and human resources, which are addressed through collaboration among the government, community, academics, and private sector. Strategic priorities are determined by considering economic factors, local culture, and environmental sustainability. Furthermore, the community is empowered through Pokdarwis and supported by village funds, culminating in the implementation of a pentahelix collaboration model to ensure that the strategy is well-directed, participatory, and sustainable.

NURSING CARE FOR MRS. A AT RISK OF VIOLENT BEHAVIOR WITH A FOCUS ON DEEP BREATHING RELAXATION AT DR. RM SOEDJARWADI REGIONAL MENTAL HOSPITAL, KLATEN

Ika Setiani, Fida Dyah Puspasari, Sudiarto
Abstract: Background: According to WHO (2022), there are 24 million people suffering from schizophrenia, with 3,980 of them at risk of violent behavior. The risk of violent behavior is an angry response that can manifest physically… y or verbally. If not addressed promptly, the risk of violent behavior can endanger both the individual and others. This condition poses a serious challenge as it can disrupt the patient’s recovery process and create anxiety in the surrounding environment. Therefore, appropriate nursing interventions are needed—not only to calm the patient but also to enhance the patient’s ability to control their emotions. One of the interventions that can be applied is the deep breathing relaxation technique. Objective: To describe the nursing care from assessment to evaluation for Mrs. A with a risk of violent behavior, focusing on the deep breathing relaxation intervention. Method: This scientific paper uses a descriptive research method in the form of a case study. Results: After three days of nursing interventions for patient with a risk of violent behavior using deep breathing relaxation, the client showed reduced tension and was able to control her emotions well. Conclusion: Deep breathing relaxation for patient was effective in reducing the risk of violent behavior.

NURSING CARE FOR SENSORY PERCEPTION DISTURBANCE: VISUAL HALLUCINATIONS IN MR. S WITH A FOCUS ON DHIKR INTERVENTION AT DR. RM SOEDJARWADI REGIONAL MENTAL HOSPITAL, KLATEN

Asiah, Yayuk Nur, Fida dyah Puspasari, Sudiarto
Abstract: Background: Visual hallucinations are sensory perception disturbances in which individuals perceive objects or shadows that do not actually exist, even though they appear vivid and real. Therefore, nursing interventions… are needed to reduce the occurrence of visual hallucinations in patients, one of which is through dzikir (remembrance of Allah). Linguistically, dzikir comes from the word dzakar, which means remembering. Remembering Allah implies maintaining one’s consciousness toward Him by following specific etiquettes prescribed in the Qur’an and Hadith. The purpose of dzikir is to purify the heart and glorify Allah SWT. Purpose: To determine the implementation of nursing care for patients with sensory perception disturbances: visual hallucinations, with a focus on dzikir practice. Method: This study used a descriptive method in the form of a case study. Results: The case study showed that the patient was able to carry out SP 1–3 with a focus on dzikir practice, as indicated by behavioral changes such as feeling calmer, being able to recite dzikir independently, and experiencing reduced hallucinations. This suggests that dzikir is quite effective. Conclusion: Nursing care for patients with sensory perception disturbances, specifically visual hallucinations, with a focus on dzikir intervention over three days, can help control hallucinations

NURSING CARE FOR MENTAL HEALTH CLIENTS WITH SENSORY PERCEPTION DISTURBANCES: VISUAL HALLUCINATIONS IN MR. P WITH A FOCUS ON TALKING THERAPY INTERVENTION AT DR. RM SOEDJARWADI MENTAL HOSPITAL, KLATEN

Okti Isna Farihatin, Puspasari, Fida Dyah, Sudiarto, Sudiarto
Abstract: Background : Mental disorders are conditions in which individuals experience disturbances in psychological, social, and biological functions. One of the most common symptoms in patients with schizophrenia is visual hallucination,… cination, which refers to the perception of seeing something that does not actually exist. This condition affects the patient’s ability to function and interact with their social environment. Appropriate nursing interventions are required to help patients manage their hallucinations. One such intervention is the talking technique, a distraction strategy that redirects the patient’s attention from hallucinations to real-life interaction. Objective :  This study aims to determine the process of mental nursing care for patients with sensory perception disorders: visual hallucinations with a focus on conversation interventions at Dr. Soedjarwadi Klaten Regional Hospital. Method : The design of this study uses a case study method consisting of stages of assessment, determination of nursing diagnosis, planning, implementation, and evaluation. The subject in this study was Mr. P, a patient at the Dr. RM Soedjarwadi Klaten Regional Mental Hospital. Results : The results of the study showed that consistent implementation of conversational strategies during treatment can reduce the intensity of hallucinations, increase awareness of reality, and rebuild patients' social interaction abilities. Counclusion : Conversation intervention is an effective approach in treating visual hallucinations in mental disorders patients.

NURSING CARE FOR MS. Y WITH SELF-CARE DEFICIT WITH FOCUS ON TOOTH BRUSHING ACTIONS AT DR. R. M SOEDJARWADI MENTAL HOSPITAL, KLATEN

Hanif, Talitha Salsabila Putri
Abstract: Background: Mental disorders are conditions that affect a person's emotions, thought patterns, and behavior that can interfere with activities and social interactions. WHO (2022) notes that around 24 million people worldwide… wide experience mental disorders, where more than 60% of sufferers experience self-care deficits. Self-care deficit is a condition when a person is unable to care for themselves optimally, this has a major impact on the individual's social and self-care functions, including in personal hygiene activities such as brushing their teeth. Where around 45% of patients with self-care deficits show reluctance to brush their teeth which increases the risk of oral disease and other systemic infections. Brushing teeth in patients with self-care deficits is needed to improve oral hygiene and the patient's ability to care for themselves personally. Objective: To determine nursing care from assessment to evaluation in miss Y with self-care deficits with a focus on brushing teeth. Method: The method used is the case study approach method. Results: After nursing care was carried out on miss Y with self-care deficits, it was proven to increase the miss Y's self-care ability, especially brushing their teeth. Conclusion: The act of brushing teeth is effective in increasing self-care awareness in miss Y with self-care deficits.

ANALYSIS OF RISK FACTORS FOR HYPERTENSION IN BONTO TALLASA VILLAGE, ULUERE DISTRICT, BANTAENG REGENCY

Herdina, Azis, Rahmawati, Amiruddin, Fitriyah
Abstract: This study aimed to identify risk factors associated with hypertension in Bonto Tallasa Village, Uluere Subdistrict, Bantaeng Regency, in 2025. The research examined three factors: family history, excessive sodium intake,… , and stress. A quantitative case–control design was applied to 60 respondents (30 cases and 30 controls) selected through purposive sampling. The results showed that individuals with a family history of hypertension were about 26 times more likely to develop hypertension than those without such a history, indicating a strong and significant association. Excessive sodium intake increased the risk approximately 3.5 times and was statistically significant. Stress was associated with nearly double the risk, but this association was not statistically significant, possibly due to individual differences in coping mechanisms and measurement limitations of subjective stress levels. This suggests that stress may influence hypertension indirectly through behavioral or physiological pathways. In conclusion, family history and excessive sodium intake are significant predictors of hypertension, while stress contributes to an elevated yet statistically nonsignificant risk. Preventive strategies should emphasize sodium reduction, regular blood pressure monitoring, and effective stress management in daily life.