Jurnal Kesehatan Komunitas Indonesia

Influence of Progressive Muscle Relaxation Therapy on Blood Pressure Reduction in Families with Hypertension: A Literature Review

2025-06-14T20:07:15+00:00

The risk of disease is related to congenital genetic factors, one of which is hypertension. Hypertension is a condition in which blood pressure increases from normal limits caused by unhealthy lifestyles such as excessive salt consumption, obesity, smoking, consumption of alcoholic beverages, and others. How to reduce high blood pressure is done by administering drugs and non-pharmacological therapy, one of which is progressive muscle relaxation therapy. The method used in this final project report is a literature review by reviewing 1 international article and 6 national articles. The collection process uses the PRISMA method (Prefer Reporting Items for Systematic Reviews and Meta-Analysis), and data analysis uses Thematic Analysis to test articles using compare, contrast, and criticism. Progressive muscle relaxation therapy significantly reduces blood pressure. Blood pressure decreases due to relaxation after administration of progressive muscle relaxation therapy. The authors state that progressive muscle therapy can be used as educational material and can be implemented as a nursing intervention in lowering blood pressure in groups or families with a history of hypertension.

The Relationship Between Supplementary Feeding Consumption Made from Local Foods and the Nutritional Status of Wasting and Stunting Toddlers

2025-08-24T07:03:16+00:00

Indonesia still faces nutritional problems in toddlers, especially malnutrition (wasting) and stunting, which can lead to the loss of a quality generation. The government has implemented a PMT (Supplementary Feeding) program made from local foods to improve nutritional problems in toddlers. The purpose of this study was to examine the relationship between the consumption of PMT made from local foods and the nutritional status of toddlers with wasting and stunting. This study used a quantitative method with an analytical observational research type that used an ex post facto research design. Sampling used a proportional random sampling technique with a total of 43 respondents. Data collection techniques used an interview guide sheet, an observation sheet for changes in nutritional status in the form of weight data before and after the PMT program was implemented. The results of the study after conducting interviews with toddler mothers showed that the majority of respondents (58.1%) had consumed PMT made from local foods in accordance with the program's recommendations, and as many as 58.2% of respondents experienced an increase in nutritional status after being given PMT made from local foods according to the program. The results of statistical tests showed a significant relationship between the consumption of PMT made from local foods and the nutritional status of toddlers. Consumption of PMT made from local foods can improve the nutritional status of toddlers with malnutrition and stunting.

SP6 Acupressure Point for Reducing Joint Pain Among Elderly in Jombang Regency

2025-08-24T07:04:36+00:00

Joint pain due to gout is common among the elderly and becomes a major issue if not treated. The resulting pain can interfere with daily activities and affect the quality of life of older adults. Long-term pharmacological treatment can lead to severe conditions; therefore, non-pharmacological interventions such as acupressure can be beneficial for elderly populations. This study aims to analyze the effect of SP6 (San Yin Jiao) acupressure therapy in reducing joint pain among the elderly. This was a pre-experimental study using a one-group pretest-posttest design. The sample consisted of 14 respondents selected through purposive sampling. SP6 acupressure therapy was administered twice a week for 5 minutes, involving 30 presses per session. Pain levels were measured using the Numerical Rating Scale (NRS). Data analysis using the Paired Sample T-Test showed a p-value of 0.000, which is less than 0.05, indicating that SP6 acupressure therapy significantly reduces joint pain in the elderly. This study supports the use of acupressure as a safe and affordable complementary therapy. Future research is recommended to extend the intervention duration and combine SP6 with other acupoints.

Application of Positive Affirmation Therapy to Improve The Quality of Life in Patients with Low Self-Esteem at dr. RM Soedjarwadi Mental Hospital Klaten

2025-08-24T07:03:14+00:00

Background: Low self-esteem is a psychological problem commonly experienced by patients with mental disorders, particularly schizophrenia, which can negatively impact their quality of life. Positive affirmation therapy is one effective non-pharmacological intervention to enhance both quality of life and self-esteem. This therapy works by embedding positive thoughts through repeated self-statements to shape a better self-perception, boost self-confidence, and reduce negative thinking patterns. Objective: This study aims to determine the effectiveness of positive affirmation therapy in improving the quality of life of patients with low self-esteem at the Flamboyan Ward of dr. RM Soedjarwadi Mental Hospital Klaten. Method: This research employed a descriptive case study approach involving two patients diagnosed with low self-esteem. The positive affirmation therapy was administered twice daily for three consecutive days. The patients’ quality of life was assessed before and after the intervention using the WHOQOL-BREF instrument. Results: The results showed increased quality of life in both patients. Patient B improved from a WHOQOL score of 50 (moderate) to 75 (good), while patient A improved from 50 (moderate) to 100 (excellent) after receiving the positive affirmation therapy. Conclusion: Positive affirmation therapy has proven to be an effective, safe, and simple non-pharmacological method for improving the quality of life in patients with low self-esteem. This intervention can be a supportive therapy in mental health nursing, especially in strengthening patients' self-concept.

The Application of Progressive Muscle Relaxation Therapy to Reduce Signs and Symptoms in Patients at Risk of Violent Behavior at dr. RM. Soedjarwadi Regional Mental Hospital

2025-08-24T07:03:13+00:00

Background: Risk for Violent Behavior (RPK) refers to aggressive actions that may result in harm to oneself or others, often triggered by unmet needs, perceived failure, frustration, or ineffective stress management. Non-pharmacological interventions play a crucial role in managing such behaviors, and one effective approach is Progressive Muscle Relaxation (PMR) therapy. Objective: This study aims to evaluate the effectiveness of Progressive Muscle Relaxation therapy in reducing signs and symptoms of violent behavior among patients at risk of aggression at Dr. RM. Soedjarwadi Regional Mental Hospital, Central Java. Methods: A descriptive case study design was employed, incorporating a pre-test and post-test approach using the RUFA (Rating Unit for Aggressive Behavior) observation sheet to assess changes in violent behavior. Two respondents were observed before and after the intervention. Results: Prior to the intervention, both respondents exhibited moderate levels of violent behavior, classified as Intensive Stage II, with baseline scores of 11 and 14, respectively. Following three consecutive days of PMR therapy, both respondents showed improvement, transitioning to Intensive Stage I (mild), with post-intervention scores of 8 and 9. Conclusion: Progressive Muscle Relaxation therapy demonstrates a positive impact in reducing violent behavior among psychiatric patients. The findings indicate a noticeable reduction in aggression levels after the intervention, suggesting that PMR is an effective non-pharmacological strategy for managing patients at risk of violent behavior.

Application of Classical Music Therapy to Reduce the Level of Auditory Hallucinations in Patients with Psychiatric Disorders at Dr. RM Soedjarwadi Regional Mental Hospital

2025-08-24T07:03:11+00:00

Background: Hallucinations are perceptual disturbances that occur without external stimuli, affecting one or more of the five senses while the individual is fully conscious. In 2024, schizophrenia patients experiencing hallucinations accounted for 2,335 (54.2%) of total admissions at Dr. RM Soedjarwadi Regional Mental Hospital, Central Java Province, making them the largest patient group treated at the facility. Non-pharmacological interventions play a vital role in managing psychiatric symptoms, and music therapy, particularly classical music has shown potential in reducing psychological distress and improving cognitive and emotional functioning. Objective: This study aims to evaluate the effectiveness of classical music therapy in reducing the severity of auditory hallucinations among patients with psychiatric disorders at Dr. RM Soedjarwadi Regional Mental Hospital. Methods: A descriptive case study design was employed, with two respondents undergoing classical music therapy based on the pretest-posttest method. The Auditory Hallucinations Rating Scale (AHRS) questionnaire was used to assess changes in the frequency, intensity, and impact of hallucinations before and after the intervention. Results: Prior to the intervention, both respondents exhibited severe levels of auditory hallucinations, with baseline AHRS scores of 23 and 26, respectively. Following the implementation of classical music therapy, scores decreased significantly to 8 and 9, both falling within the mild category. Conclusion: The findings indicate that classical music therapy, particularly the use of Mozart compositions, is effective in reducing the severity of auditory hallucinations in patients with psychiatric disorders. This suggests that music therapy can serve as a valuable non-pharmacological adjunct in the management of hallucinatory symptoms in clinical psychiatric settings.

The Application of Al-Qur'an Surah Ar-Rahman Recitation Therapy on Hemodynamic Status in Stroke Patients at Dr. Soediran Mangun Sumarso Regional General Hospital, Wonogiri

2025-08-24T07:03:10+00:00

Background: Stroke is a disruption of blood flow to the brain that can cause hemodynamic instability, leading to complications and even death. Its prevalence is high in Indonesia, including at Dr. Soediran Mangun Sumarso Regional General Hospital, Wonogiri. Stroke management can be supported with non-pharmacological therapies, such as listening to the recitation (murottal) of the Qur’an. Surat Ar-Rahman is believed to have a relaxing effect and help stabilize bodily functions. Objective: To determine the application of Qur’anic Murottal Therapy (Surat Ar-Rahman) on hemodynamic status in stroke patients in Dr. Soediran Mangun Sumarso Regional General Hospital, Wonogiri. Method: This study used a descriptive case study with a pre-test and post-test design. The therapy was applied to two respondents for 15–20 minutes over three days. Results: The results showed decreased hemodynamic parameters after implementing Qur’anic Murottal Therapy (Surat Ar-Rahman). This therapy can be considered a non-pharmacological technique or an independent nursing intervention for inpatients in the stroke unit with unstable hemodynamic status. Conclusion: Qur’anic Murottal Therapy of Surat Ar-Rahman can serve as a non-pharmacological or independent intervention for improving hemodynamic status in stroke unit inpatients.

The Effectiveness of Warm Lemongrass Compress Combined with Guided Imagery for Alleviating Osteoarthritis Pain in the Elderly: A Study in Pétoran Village, Surakarta

2025-08-24T07:03:08+00:00

Background: Osteoarthritis is a degenerative joint disease commonly experienced by the elderly, causing chronic pain that can reduce quality of life and hinder daily activities. Non-pharmacological approaches such as warm lemongrass compresses and guided imagery are safe alternatives to help reduce pain without the harmful side effects associated with long-term medication use. Objective: This study aims to determine the effectiveness of warm lemongrass compresses and guided imagery techniques in reducing osteoarthritis pain in the elderly in Kampung Petoran RT 02 RW 07, Jebres Village, Jebres District, Surakarta City. Methods: This study used descriptive research with a case study conducted on two elderly respondents with osteoarthritis and moderate pain. The intervention was carried out for 2 consecutive days, each lasting 15 minutes. Results: Following the intervention, there was a reduction in pain levels from moderate to mild. The first respondent experienced a decrease from a scale of 4 to 2, and the second respondent from a scale of 5 to 3. Conclusion: Warm lemongrass compresses and guided imagery effectively reduce osteoarthritis pain in the elderly and can be recommended as a non-pharmacological therapy in geriatric nursing.

Effectiveness of Digital Book-Based Discussions on Type 2 Diabetes Prevention in Obese-Risk Adolescents

2025-08-24T07:03:05+00:00

Type 2 diabetes mellitus is a chronic disease characterized by elevated blood glucose levels due to insulin resistance. It is increasingly prevalent among adolescents as a result of unhealthy lifestyles and obesity. The prevalence of adolescent obesity in Bengkulu Province continues to rise, particularly in the service area of Lingkar Barat Public Health Center, which includes Public High School (SMAN) 7 Bengkulu City. This study aimed to determine the effectiveness of the discussion method using digital book media on type 2 diabetes mellitus prevention behaviors among adolescents at risk of obesity at SMAN 7, Bengkulu City. This quantitative research employed a quasi-experimental design with a pre-test and post-test with a control group approach. The sample comprised 37 respondents in the intervention group and 37 in the control group. Data were collected using questionnaires and analyzed using the Shapiro–Wilk test for normality, the Wilcoxon signed-rank test, and the Mann-Whitney U test. The study was conducted from March to April 2025. The Wilcoxon signed-rank test results in the intervention group showed a p-value of 0.000 (<0.05), indicating a significant change in the mean prevention behavior score before and after the intervention. Similar results were observed in the control group; however, the improvement in the intervention group was greater. The discussion method using digital book media effectively improved type 2 diabetes mellitus prevention behaviors among adolescents at risk of obesity.

The Effect of Ginger Decoction Intervention on Nausea and Vomiting in First Trimester Pregnancy: A Literature Review

2025-08-24T07:03:06+00:00

Introduction: During pregnancy, many mothers experience discomfort such as vomiting and nausea. During pregnancy, nausea and vomiting are common in Indonesia, with 50-75% of women experiencing symptoms in the first trimester or early pregnancy. Nausea and vomiting during pregnancy are caused by an increase in estrogen and human chorionic gonadotropin (HCG) hormone. Objective: To determine the effect of ginger decoction intervention on nausea and vomiting during pregnancy in the first trimester. Method: The method used is a literature review with a PRISMA protocol approach, with 6 journals found, 3 international, 3 nationals. The literature search process in this literature review uses 3 databases: PubMed, Google Scholar, and Science Direct, with a publishing period of 2019-2023. Results: Six research journals have shown that steeping ginger can reduce nausea and vomiting in pregnant women in the first trimester. Ginger has pharmacological effects as an antiemetic and can reduce the frequency of nausea and vomiting. The use of ginger can help pregnant women overcome the problem of nausea and vomiting during pregnancy. Conclusion: From the 6 studies obtained, it can be concluded that there is a significant effect of giving boiled ginger water as a nursing intervention in first-trimester pregnant women. As a complementary therapy, ginger water can effectively reduce the frequency of nausea and vomiting in pregnant women.