Abstract:Menstrual pain or dysmenorrhea can cause disruption of daily activities in teenage girls, lessen concentration, and even affect their academic achievement. Lemon aromatherapy is a non-pharmacological method used to reduce…
e dysmenorrhea pain by giving relaxation and analgesic effects with its active compounds, such as limonene and linalool. Based on the data from the World Health Organization (WHO), around 90% of women experience dysmenorrhea, and 10–15% of them suffer from severe dysmenorrhea that requires intervention. This study aims to determine the effect of lemon aromatherapy in reducing the level of dysmenorrhea pain among girls. This study was a quantitative research with a quasi-experimental approach using a one-group pretest-posttest design. The population was all seventh and eighth-grade female students of SMP Negeri 1 Simpang Tiga, Aceh Besar, who experienced dysmenorrhea. A total of 15 respondents were selected using purposive sampling. The study was conducted from May 29 to June 21, 2025. The intervention was carried out by giving lemon aromatherapy on the first to third day of menstruation, once a day intake for about 15 minutes. The pain level was assessed using the Numerical Rating Scale (NRS). The data were analyzed using the Paired Samples T-Test. The results showed that most respondents experienced moderate pain (93.3%) before receiving the treatment, and a small proportion experienced severe pain (6.7%). After receiving lemon aromatherapy, the pain level decreased to mild pain (46.7%) and moderate pain (53.3%). The mean pain score before intervention was 3.07 and decreased to 2.53 after intervention, with a difference of 0.54. The statistical analysis obtained a p-value of 0.001 (p < 0.05), indicating that there was a significant effect of lemon aromatherapy on reducing dysmenorrhea pain. Thus, based on the findings, this study recommends that teenage girls use lemon aromatherapy as an alternative independent treatment to reduce menstrual pain complaints.
Abstract:Background: Cardiovascular disease (CVD) continues to be the predominant cause of global mortality. Polypill techniques that integrate various cardiovascular drugs into a single formulation have emerged as a potential method…
thod for primary prevention, especially in intermediate-risk populations.
Objective: To systematically review and synthesize evidence regarding the efficacy and safety of polypill formulations (comprising antihypertensive medications, statins, with or without aspirin) in comparison to standard care or placebo for the primary prevention of major adverse cardiovascular events (MACE) in intermediate-risk populations.
Methods: We conducted systematic review and meta-analysis in accordance with PRISMA 2020 standards (Systematic Review Registration: PROSPERO CRD420251184718). Various databases (PubMed, Cochrane Library, ScienceDirect, Scopus) were examined for original research published from January 2015 to October 2024. Studies were eligible if they assessed polypill therapies in individuals aged 30 to 70 years with intermediate cardiovascular risk (10-20% 10-year risk), reported composite major adverse cardiovascular events (MACE) outcomes, and included a minimum follow-up of 6 months. Two independent reviewers conducted screening, data extraction, and risk of bias evaluation utilizing the Cochrane RoB 2.0 tool.
Results: Of the 161 records discovered, 4 randomized controlled studies (HOPE-3, TIPS-3, PolyIran, PolyPars) with 31,501 people fulfilled the inclusion criteria. Polypill therapies showed a substantial decrease in composite MACE relative to control groups (pooled HR 0.67 (95% CI 0.60-0.75, p<0.001). Individual trial hazard ratios varied from 0.50 (PolyPars) to 0.66 (PolyIran) and 0.79 (TIPS-3) with moderate heterogeneity (I²=35.2%, p=0.20). Polypills were generally well- tolerated, with a safety profile consistent with the individual components. Medication adherence was enhanced with the polypill in comparison to multiple-pill regimens.
Conclusions: Polypill techniques markedly reduce major adverse cardiovascular events (MACE) in intermediate-risk patients for primary cardiovascular prevention, achieving around a 33% relative risk reduction. The fixed-dose combination strategy provides benefits in compliance and ease of use. These findings hold significant implications for healthcare systems in low-to-
middle-income nations, such as Indonesia, where the burden of cardiovascular disease is substantial and access to long-term cardiovascular drugs is frequently hindered by cost and complexity.
Abstract:Background: Preschool-Aged children, aged 3–6 years, where the preschool period becomes a very fun time and get various new things. The weakness experienced by preschool children is that their immune system is weaker than…
han adults, which makes them more susceptible to infections, as well as the risk of falls and injuries, so they require medical treatment in the hospital. Childern who undergoing treatment at the Puskesmas can cause anxiety for them because they must leave their familiar, safe, loving, and enjoyable home environment. Hospitalization is a planned medical procedure that requires care and treatment but can trigger anxiety in children, both mentally and physically. Anxiety will cause children to become uncooperative and difficult to cooperate with health workers. During this process, children may face traumatic experiences that cause stress. One of the efforts to reduce the level of anxiety is by implementing play therapy, one of which is the coloring play therapy technique. Objective: This research describes the application of coloring play therapy on anxiety levels in preschool-aged children at Padamara Health Center. Methods: This research used a case study research design method. Results: This research indicate that before the intervention score was 25 (moderate anxiety) and after the intervention score was 9 (no anxiety). Conclusion: Coloring play therapy can reduce anxiety levels in preschool-aged children undergoing treatment at Padamara Health Center.
Abstract:This study aims to develop a Pre-Marital Education Model for prospective brides and grooms at the Office of Religious Affairs (KUA) Padang Bolak. The purpose of the model is to enhance the readiness of couples in facing…
marital life and to promote the establishment of sakinah, mawaddah, and rahmah families based on Islamic values. The research employs the Research and Development (R&D) method adapted from the Borg and Gall model, consisting of seven main stages: needs analysis, planning, product development, expert validation, revision, limited field trials, and final product refinement. Data were collected through expert validation sheets, observation, questionnaires, and interviews, then analyzed using quantitative and qualitative descriptive techniques. The validation results showed high feasibility, with average expert ratings of 90% (content), 92% (design), 96% (language), and 90% (implementation). The trial results indicated that the model is valid, practical, and effective in improving participants’ understanding, communication skills, and emotional readiness for marriage. This study concludes that the developed pre-marital education model can be effectively implemented as an innovative framework for family education at KUA. It contributes to strengthening Islamic marriage preparation programs and supports the government’s efforts to reduce divorce rates through comprehensive pre-marital guidance.
Abstract:Electronic Medical Records (EMR) are designed to improve service quality, documentation accuracy, and administrative efficiency, including reimbursement through the Indonesian Case-Based Groups (INA-CBGs). However, incomplete…
plete medical assessments remain a challenge, potentially leading to service gaps and reduced hospital claims. This qualitative descriptive study was conducted at Dharma Yadnya General Hospital, Denpasar, which has fully implemented EMR since 2024. Data were obtained through in-depth interviews with five informants: two medical record officers, the head of the emergency nursing unit, the head of the inpatient nursing unit, and the head of the medical record department. Data analysis used the 3M framework: Man, Method, and Material. From the Man aspect, heavy workloads of doctors and the lack of administrative support staff often caused delays and incomplete documentation. From the Method aspect, although Standard Operating Procedures (SOPs) and system reminders existed, monitoring relied mainly on manual follow-ups via WhatsApp groups, limiting effectiveness. From the Material aspect, the EMR system was user-friendly and supported by weekly vendor maintenance, but occasional network disruptions and insufficient administrative staff still hampered real-time documentation. Incomplete medical assessments in EMR directly affect INA-CBGs claims, especially when comorbidities, complications, or procedures are not recorded, resulting in under-coding and reduced reimbursement. Strengthening human resources, enforcing SOPs, and improving system support are essential to ensure documentation completeness, service quality, and financial sustainability
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.
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.
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.
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.
Abstract:This research was motivated by the scarcity of Indonesian language teaching materials for foreign speakers (BIPA). The large interest of foreigners in learning Indonesian is still hampered by the lack of availability of…
BIPA teaching materials. This limited teaching material is an important problem that teachers often face in BIPA learning activities. Therefore, the development of BIPA teaching materials is urgently needed. The problems studied in this research are (1) characteristics of BIPA 1 teaching materials currently used in BIPA learning, (2) development of BIPA 1 teaching materials based on the Animaker application as alternative teaching materials in BIPA learning, (3) feasibility of developing BIPA teaching materials 1 based on the Animaker application in BIPA learning, and (4) the effectiveness of developing BIPA 1 teaching materials based on the Animaker application based on BIPA learners' understanding. This research uses a Research and Development (R&D) approach. This research uses three data collection techniques, namely observation, questionnaires, and documentation to obtain data on the needs for developing teaching materials and evaluating teaching material prototypes. The data sources consist of BIPA teachers, BIPA students and expert lecturers. Data analysis in this research uses descriptive qualitative which consists of data presentation and data conclusions. The results of this research are that BIPA students often feel bored and confused by teaching materials that are only presented in the form of textbooks and very short material. Therefore, teaching materials need to be developed in accordance with Widodo and Jasmadi's theory of teaching material characteristics so that they can support independent learning, deeper understanding, contextualization of material, increased motivation, comprehensive language skills, adaptation to technological developments, learning flexibility, and strengthening skills. grammar. The development of teaching materials through Animaker shows the dominance of changes in substantial and visual aspects, which shows a comparison of characteristics between original and developed teaching materials. The teaching materials developed are more interactive and communicative, so that they can reduce boredom, increase understanding of the material, and increase enthusiasm for learning Indonesian for students