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The Effect of Deep Breathing Relaxation on Stress Levels in Hypertension Patients
Get PDFIntroduction: Hypertension is a significant risk factor for morbidity and mortality associated with cardiovascular disease. The relationship between hypertension and stress is bidirectional, where hypertension can trigger stress through physiological and emotional response mechanisms. Stress activates the nervous system by increasing the production of hormones such as cortisol and adrenal.
Objective: This study aims to analyze the effect of deep breathing relaxation on stress levels of hypertension patients.
Method: This study used a quasi eksperiment one-group Pretest-Posttest design conducted in May 2025 at the Tambora District Health Center, West Jakarta. The sample size was 34 with a purposive sampling technique. Stress levels were measured using the Depression Anxiety Stress Scale (DASS-21) questionnaire. The intervention provided was deep breathing relaxation for 14 days.
Result: The results showed that the average stress level before the intervention 21.71 in the moderate category, then after the intervention the stress level score decreased to 10.41 in the normal category. The Wilcoxon test showed a p-value of 0.00 (p<0.05), indicating a significant difference between stress levels before and after deep breathing relaxation.
Conclusion: This study concluded that deep breathing relaxation is effective in reducing stress levels in hypertension patients and can be used as a non-pharmacological intervention for hypertension patients that is easily implemented in primary health care
Relationship Between Depression, Anxiety Levels, and Coping Mechanisms in Patients with Congestive Heart Failure
Get PDFIntroduction: Congestive heart failure is a serious medical condition that often experiences severe physical symptoms and significant psychological distress, including depression and anxiety. Coping mechanisms are strategies used by patients with congestive heart failure to deal with depression and anxiety related to their medical condition. Patients with adaptive coping mechanisms can better manage symptoms and reduce the risk of depression and anxiety. However, patients with maladaptive coping mechanisms are more vulnerable to psychological distress.
Objective: This study aimed to determine the relationship between depression and anxiety levels and coping mechanisms in congestive heart failure patients attending the Heart Polyclinic of Sejiran Setason Regional General Hospital in 2025.
Method: This study used a cross-sectional design and chi-square test, with univariate and bivariate analyses. The study was conducted from May 21 to June 10, 2025. The population was 138 outpatients with congestive heart failure who were admitted to the Heart Polyclinic of Sejiran Setason Regional General Hospital between January and February. The sample consisted of 67 congestive heart failure patients.
Result: The results of this study indicate a relationship between depression (ρ = 0.016) and anxiety (ρ = 0.000) and coping mechanisms in patients with congestive heart failure.
Conclusion: This study suggests that it can serve as a basis for developing a holistic care program for patients with congestive heart failure, one that focuses not only on managing physical symptoms but also on psychological aspects and enhancing patients' coping skills to face daily challenges
Efficacy of Iron Tablet Supplementation on Hemoglobin Levels in Adolescents: A Systematic Review
Get PDFIntroduction: Iron deficiency anemia is one of the most common nutritional problems among adolescents and can significantly affect physical growth, cognitive development, and overall health. Iron tablet supplementation is widely recognized as a primary intervention to increase hemoglobin levels and prevent anemia in this population.
Objective: This study aims to evaluate the effectiveness of iron tablet supplementation in increasing hemoglobin levels among adolescents with anemia.
Method: A systematic literature review was conducted using four databases: PubMed, JSTOR, ProQuest, and Garuda. The review included studies published between 2019 and 2025 that examined iron tablet supplementation in adolescents diagnosed with anemia. Hemoglobin levels were assessed before and after supplementation to determine effectiveness. Study selection, data extraction, and quality appraisal were performed independently by two reviewers following the PRISMA guidelines and using the CASP checklist.
Results: Four studies involving a total of 430 adolescent participants met the inclusion criteria. All included studies reported a significant increase in hemoglobin levels following daily iron tablet supplementation, particularly among adolescent girls. One month of supplementation was found to be effective in reducing the prevalence of anemia.
Conclusion: Iron tablet supplementation is an effective intervention for increasing hemoglobin levels and reducing the incidence of anemia in adolescents. These findings support the continued use of iron supplementation programs as a public health strategy to improve adolescent health and prevent long-term complications associated with iron deficiency anemia
Effectiveness of the Prolanis Program in Controlling Blood Pressure among Hypertension Patients at Doktor Fuzti Clinic
Get PDFIntroduction: Chronic health conditions caused by genetic, physiological, and environmental factors are common among individuals with Non-Communicable Diseases (NCDs). Hypertension is one of the most prevalent chronic NCDs. If left untreated, it may lead to serious complications such as heart disease, stroke, and kidney failure. Effective management strategies are crucial to control blood pressure and prevent further health risks.
Objective: This study aimed to evaluate the effectiveness of the Chronic Disease Management Program (Prolanis) as a healthcare initiative to control blood pressure in patients with hypertension.
Methods: A quantitative one-group pre-test and post-test design was employed. A total of 25 participants diagnosed with hypertension were selected using purposive sampling based on predefined inclusion criteria. Blood pressure was measured before and after participation in the Prolanis program. The data were analyzed using the paired sample t-test.
Results: The analysis showed a statistically significant reduction in mean systolic blood pressure from 154 mmHg to 136 mmHg after the intervention. The paired sample t-test yielded a p-value of 0.001 (p < 0.05), indicating that the observed reduction was significant.
Conclusion: The findings suggest that the Prolanis program is effective in controlling blood pressure among hypertensive patients. Integrating structured chronic disease management programs like Prolanis into routine healthcare services can contribute to improved patient outcomes and reduced risk of complications associated with hypertension
The Relationship between Peer and Family Factors with The Tendency for Aggressive Behavior in Adolescents
Get PDFIntroduction: Adolescence is a critical developmental stage characterized by significant biological, cognitive, and socio-emotional changes. Both peer and family factors have been identified as influential in shaping adolescent aggression.
Objective: This study aims to examine the relationship between peer and family factors and the tendency of aggressive behavior among adolescents at SMP Negeri 1 Pulau Panggung in 2024.
Method: A quantitative correlational study with a cross-sectional design was conducted involving 265 students selected through simple random sampling. Data were collected using validated questionnaires and analyzed with univariate and bivariate statistical methods, including the Pearson chi-square test.
Results: The findings revealed a significant relationship between peer factors and aggressive behavior tendencies, with students experiencing poor peer influences showing higher aggression levels. Similarly, family factors were significantly associated with aggressive tendencies, where adolescents from less supportive family environments exhibited increased aggression. Statistical analysis confirmed these associations with p-values below 0.05.
Conclusion: Peer and family environments play crucial roles in influencing aggressive behavior among adolescents. Interventions targeting positive peer interactions and supportive family dynamics are essential to mitigate aggressive tendencies. Future research should consider larger sample sizes and focus on developing effective strategies to reduce adolescent aggression
The Effectiveness of Lemongrass Aromatherapy in Reducing Dysmenorrhea Pain
Get PDFIntroduction: Dysmenorrhea is a common menstrual complaint among adolescent girls, often impacting daily activities and emotional well-being. Non-pharmacological interventions, such as aromatherapy, are gaining attention for their potential in pain management. Lemongrass (Cymbopogon citratus) contains compounds with analgesic and calming properties that may reduce menstrual pain.
Objective: This study aimed to evaluate the effectiveness of lemongrass aromatherapy in reducing dysmenorrhea pain intensity among adolescents.
Method: An experimental study using a one-group pre-test post-test design was conducted at Al-Riyadl Islamic Boarding School, Cipanas, from March to May 2025. A total of 30 female adolescents were selected through accidental sampling. Pain intensity before and after the aromatherapy intervention was measured using the Numerical Rating Scale (NRS). Data were analyzed using univariate and bivariate methods.
Result: The average pain intensity before aromatherapy was 15.50 (SD = 8.803), which significantly decreased to 1.23 (SD = 7.281) after treatment. Statistical analysis revealed a p-value < .001, indicating a significant reduction in pain.
Conclusion: Lemongrass aromatherapy is effective in significantly reducing dysmenorrhea pain among adolescents. Its natural, accessible, and low-risk characteristics make it a promising complementary therapy, particularly in settings with limited access to conventional medical care
Optimizing Nurse Staffing: The Impact of Nurse-to-Patient Ratios and Empowerment on Patient Satisfaction in Riyadh Health Clusters
Get PDFIntroduction: Saudi Arabia’s Vision 2030 has transformed healthcare delivery through the Riyadh Health Clusters, integrating hospitals and primary care centers to improve efficiency and patient outcomes. Within this context, nurse-to-patient ratios and employee empowerment have emerged as critical factors influencing patient satisfaction but remain underexplored in the Saudi healthcare system.
Objective: This study examines the impact of nurse-to-patient ratios and employee empowerment on patient satisfaction within Riyadh Health Clusters, a transformative healthcare model under Saudi Arabia’s Vision 2030.
Methods: Using a quantitative, cross-sectional design, data were collected from 384 healthcare professionals, predominantly nurses, across three clusters.
Results: Linear regression analyses revealed a statistically significant but modest positive relationship between nurse-to-patient ratios and employee empowerment (β = 0.18, R² = 0.04, p < 0.05), underscoring the limited explanatory role of staffing adequacy in isolation. In contrast, employee empowerment demonstrated a robust impact on patient satisfaction (β = 0.45, R² = 0.56, p < 0.001), highlighting its centrality to care quality. The findings align with Kanter’s Structural Empowerment Theory but diverge from Western models due to Riyadh’s unique challenges, including hierarchical organizational cultures, a predominantly expatriate nursing workforce (70%), and urban-rural resource disparities.
Conclusion: The study emphasizes the need for context-specific strategies that integrate staffing reforms with empowerment initiatives, such as leadership training and participatory decision-making, to mitigate workforce burnout and standardize care practices. These insights advance global healthcare literature by contextualizing empowerment dynamics in non-Western settings and offer actionable recommendations for policymakers to align Riyadh’s cluster model with Vision 2030’s patient-centered goals
Case Study: Implementation of Simple Inhalation Therapy Using Eucalyptus Oil Aromatherapy for Ineffective Airway Clearance in a Child with Acute Respiratory Infection
No full textIntroduction: Upper Respiratory Tract Infections (URTIs) are acute infections that affect the respiratory tract from the nose to the alveoli, including related organs such as the sinuses, middle ear cavity, and pleura. According to the World Health Organization (WHO) report in 2024, URTIs account for 6% of the global disease burden, resulting in approximately 6.6 million child deaths annually, with 95% of these fatalities occurring in low-income countries. The incidence of pneumonia in West Java was reported at 32.2% in 2020, increasing to 44.9% in 2022. Data from Ciamis Regency indicates that URTIs represent the disease with the highest prevalence. In 2019, the highest number of cases of pneumonia among toddlers was recorded in Cipaku (350 cases), Rancah (324 cases), and Banjarsari.
Objective: The objective of this case study is to examine children experiencing Upper Respiratory Tract Infections (URTIs) with ineffective airway clearance.
Method: The research design employed is a descriptive case study with a nursing care approach for children with Upper Respiratory Tract Infections (URTI).
Result: The results of the case study during the assessment phase revealed that the client was experiencing productive cough. Following the assessment, a diagnosis of Upper Respiratory Tract Infection (URTI) was established, specifically identifying ineffective airway clearance (D. 0001) related to retained secretions. The intervention plan focused on administering simple inhalation therapy using eucalyptus oil aromatherapy. This inhalation was conducted for 10-15 minutes in two sessions per day, in the morning and evening, over a consecutive three-day period. The evaluation indicates an improvement in airway patency in the patient, An.M, diagnosed with URTI.
Conclusion: In conclusion, the implementation of simple inhalation therapy using eucalyptus oil has proven to be effective in demonstrating improvements in airway clearance in the patient, An.M
The Impact of Calcium Alginate Dressings on Wound Healing in Patients with Diabetic Ulcers
Get PDFIntroduction: Diabetic foot ulcers often occur due to a combination of neuropathy (sensory, motor, autonomic) and ischemia. This condition is further exacerbated by infection which generally requires proper care for wound healing. Calcium Alginate Dressing is a group of exudate and odor-absorbent dressings that aim to accelerate the healing process of diabetic mellitus wounds, this support material is made from seaweed with hemostatic properties.
Objective: To determine the effect of using calcium alginate dressings in the healing process of diabetic ulcer wounds.
Method: This study used a literature review method by searching for articles in the Google Scholar, PubMed, and Research Gate databases with a publication range of 2015-2025. Of the 18 articles found, 8 articles met the inclusion criteria.
Result: The use of calcium alginate has been shown to have an effect on diabetic wound healing by creating a moist and protected wound environment, which reduces the risk of infection and improves patient comfort.
Conclusion: Calcium alginate creates a moist wound environment, facilitates keratinocyte proliferation and epithelial cell migration, which supports the epithelialization process. The use of calcium alginate as a wound dressing in diabetic wounds provides significant results in accelerating the healing process
Effectiveness of Music and Art Therapy on Hemodynamic Status in Pediatric Cancer Patients Undergoing Chemotherapy
Get PDFIntroduction: Cancer in children is a major global health issue, with over 400,000 new cases annually. Pediatric cancer treatment often results in fatigue and psychological stress, which may influence hemodynamic status such as pulse, blood pressure, respiration, and oxygen saturation. Music and art therapy have emerged as supportive nursing interventions that may help stabilize these indicators.
Objective: This study aims to evaluate the effectiveness of combined music and art therapy on the hemodynamic status of pediatric cancer patients undergoing chemotherapy.
Method: This study used a descriptive case study design involving three pediatric cancer patients with varying diagnoses: Hodgkin’s lymphoma, rectal adenocarcinoma, and ovarian clear cell carcinoma. The intervention consisted of simultaneous music and art therapy sessions administered for 15–20 minutes daily over three consecutive days. Hemodynamic indicators, including pulse rate, blood pressure, respiration rate, and oxygen saturation, were monitored before and after each session.
Result: All three respondents showed a consistent decrease in pulse rate over the three days of therapy, indicating reduced physiological stress. However, changes in other hemodynamic indicators, such as systolic and diastolic blood pressure, respiratory rate, andoxygen saturation, were inconsistent across the participants. Despite variability in clinical outcomes, verbal and observational feedback indicated positive emotional responses and improved engagement during therapy.
Conclusion: Music and art therapy interventions positively influenced the pulse rate of pediatric cancer patients, suggesting an impact on autonomic nervous system regulation. Although other hemodynamic parameters showed inconsistent changes, the interventions contributed to psychological comfort and may enhance the overall well-being of pediatric oncology patients. Further research with larger samples and extended intervention durations is recommended to confirm clinical significance