An Idea Health Journal

Benson Relaxation Technique to Reduce Anxiety in Inpatients: A Case Study

Ni Luh Emilia, Fadila Herman, I Gede Restawan — Sat, 13 Sep 2025 00:00:00 +0000

Background: Anxiety is a common psychological condition often experienced by
inpatients due to changes in health status, unfamiliar environments, and
uncertainty about treatment. If left untreated, anxiety can lead to various negative
outcomes, including increased blood pressure, sleep disturbances, and excessive
restlessness. One effective non-pharmacological intervention to reduce anxiety is
Benson relaxation therapy, which combines deep breathing techniques with the
repetition of calming words or prayers. This study aimed to apply Benson
relaxation therapy to reduce patient anxiety in the inpatient ward of Woodward
Hospital, Palu.Methods: A descriptive case study design with a nursing care
approach was employed. The subject of the study was one patient experiencing
moderate anxiety. Benson relaxation therapy was administered for four days,
twice daily, with each session lasting 10–20 minutes. Anxiety levels were
measured using the Hamilton Anxiety Rating Scale (HARS). Result: The HARS
score decreased from 25 (moderate anxiety) to 16 (mild anxiety). The patient also
showed improvements in sleep patterns, reduced muscle tension, and alleviation
of somatic symptoms such as dizziness and restlessness. Conclusion: Benson
relaxation therapy effectively reduces anxiety in hospitalized patients,
contributing to the resolution of anxiety-related problems.

The Effectiveness of Nebulizer Therapy and Pursed-Lip Breathing in the Management of Acute Asthma: A Case Study

Kessi Anggraeni Puspita Dewi, Azizah Khoriyati, Widayat Priyo Krisyanto — Sun, 14 Sep 2025 00:00:00 +0000

Background:Asthma is a chronic respiratory disorder marked by airway inflammation, narrowing, edema, and excessive mucus production, resulting in impaired ventilation and ineffective airway clearance. Effective interventions are essential to alleviate symptoms and optimize respiratory function. Nebulizer therapy and pursed-lip breathing are widely employed to manage asthma symptoms; however, the synergistic impact of these two modalities remains underexplored.Methods:This case study involved a patient with a clinical diagnosis of asthma presenting with acute shortness of breath. The intervention protocol consisted of 10 minutes of nebulizer therapy followed by 5 minutes of pursed-lip breathing. Clinical parameters oxygen saturation (SpO?), respiratory rate, heart rate, sputum consistency, adventitious breath sounds, and dyspnea scale were measured before and after the intervention.Results and Discussion: Post-intervention assessment revealed notable clinical improvements. Oxygen saturation increased from 89% to 96%, respiratory rate declined from 37 to 24 breaths per minute, and heart rate decreased from 127 to 98 beats per minute. Additionally, sputum consistency became thinner, adventitious sounds such as wheezing and rhonchi subsided, and the dyspnea scale improved from level 2 (moderate) to level 0 (normal). These findings suggest that the combined application of nebulizer therapy and pursed-lip breathing enhances airway patency, reduces respiratory distress, and improves ventilation. Conclusion: The combined use of nebulizer therapy and pursed-lip breathing technique proved effective in improving airway clearance and respiratory function in an asthma patient, indicating potential for broader clinical application in acute asthma care.

Analysis of Lavender Aromatherapy Application to Reduce Blood Pressure with Hypertension in Patients: A Case Study

Sun, 14 Sep 2025 00:00:00 +0000

Introduction: Hypertension is defined as a condition in which an individual has

a systolic blood pressure ? 140 mmHg and a diastolic blood pressure ? 90

mmHg. Systolic blood pressure is the main measure used to diagnose

hypertension. Hypertension is often referred to as a "silent killer" due to its

asymptomatic nature, causing patients to be unaware of their condition.

Globally, 1.28 billion people are affected by hypertension; in Indonesia, 70

million people (28%) have hypertension, with Jakarta ranking 9th among

Indonesian provinces in 2017 with a prevalence of 33.43%. Methods: This study

employed a descriptive narrative case study design. The subjects were three

adult patients diagnosed with hypertension. Results: The case study showed a

non-pharmacological effect of lavender aromatherapy in lowering blood

pressure among hypertensive patients. All three patients were given lavender

aromatherapy over three days. The goal was to reduce pain and stabilize blood

pressure. Expected outcomes included decreased pain complaints, improved

vital signs, and reduced BP. Conclusion: This study suggests that lavender

aromatherapy can serve as an alternative nursing intervention for reducing blood

pressure in hypertensive patients and can be independently administered by

nurses as a non-pharmacological therapy.

The Effect of Progressive Muscle Relaxation on Fatigue Levels in Hemodialysis Patients: A Case Report

Sun, 14 Sep 2025 00:00:00 +0000

Introduction: Chronic kidney disease (CKD) is a disease development from acute kidney failure that is progressive and slow which usually lasts for a long time, causing the kidneys to lose their ability to maintain the composition and amount of fluid in a normal state. Hemodialysis is a therapy that can improve the condition of patients with chronic kidney failure, but on the other hand this treatment method also makes patients have to face various problems, one of which is fatigue. The purpose of this study was to determine the effect of Progressive muscle relaxation on the level of fatigue in patients undergoing hemodialysis. The method used in this intervention study was a case study with a quantitative descriptive approach by evaluating the implementation of the Progressive muscle relaxation intervention. The instrument for measuring the level of fatigue used the FACIT-fatigue scale questionnaire. The results of this study showed that in the initial assessment the patient experienced severe fatigue with a score of 11 and after being given Progressive muscle relaxation intervention, the patient's fatigue score became 24, which is moderate fatigue. From the results of this study it can be concluded that there is an effect of giving Progressive muscle relaxation on reducing the level of fatigue in patients undergoing hemodialysis.

Analysis Of The Application Of Lavender Aromatherapy To Reduce Fatigue In Patients With Chronic Kidney Disease (CKD) Undergoing Hemodialysis: A Case Study

Sun, 14 Sep 2025 00:00:00 +0000

Chronic kidney disease is a progressive and irreversible condition that leads to a decline in kidney function, requiring renal replacement therapy. The intensive and prolonged treatment process often results in fatigue, which is one of the most common problems in CKD patients undergoing hemodialysis. Elevated urea levels affect erythropoietin production, resulting in decreased red blood cell count or anemia (low hemoglobin levels), leading to energy and protein loss, decreased appetite, nausea, vomiting, and reduced creatinine production—contributing to decreased skeletal energy production, fatigue, and weakness. Despite the frequent pharmacological interventions, fatigue management is often inadequate due to lack of energy, limiting patients' ability to perform therapeutic activities. One of the easiest and most efficient complementary therapies is lavender aromatherapy, which does not interfere with pharmacological treatments. However, it remains underutilized. In 2022, 143 CKD patients in one hospital presented with fatigue complaints, often leading to repeated care episodes. This case study aims to analyze the application of lavender aromatherapy in reducing fatigue levels in CKD patients undergoing hemodialysis.Methods: This study used a case study design with a pre-post test approach involving 3 patients selected through simple random sampling based on inclusion and exclusion criteria. Data were collected through direct observation using the FACIT-Fatigue Scale.Results: The results showed a reduction in fatigue levels in all three patients. Initially, they exhibited severe fatigue. After three days of lavender aromatherapy, fatigue levels decreased to mild. Conclusion: The application of lavender aromatherapy led to a decrease in fatigue levels, suggesting that it can be an effective supportive intervention.

Structured Education and Daily Reminders to Improve Medication Adherence in Tuberculosis Patients: A Case Study

Aulia Insani Latif, St Ramona Dini Fadjrianti J — Fri, 12 Sep 2025 00:00:00 +0000

Introduction: Background: Non-compliance with TB treatment is one of the main and most crucial challenges in global TB control efforts. This condition contributes to high rates of treatment failure. Approximately 40% of patients in developing countries are known to have low compliance with pulmonary TB treatment. Methods: This was a descriptive case study using a pre- and post-test approach. The instrument used in this case study was the 8-Item Morisky Medication Adherence Scale questionnaire to measure the level of medication adherence among tuberculosis patients, namely Ms. S. This study was conducted in the treatment room of the Infection Center RSUP Wahidin Sudirohusodo Makassar held from June 27, 2025 to July 11, 2025. Before conducting the intervention, the researchers obtained informed consent from the patients and their families, and the study obtained permission from the hospital. Result: The provision of structured educational interventions and daily reminders in the form of reminder books can be considered effective in improving medication adherence among TB patients, as evidenced by the post-intervention questionnaire score of 6 (moderate adherence level), which increased from the pre-intervention questionnaire score of 1 (low adherence level). Conclusion: From this case study, it was found that the implementation of structural educational interventions and daily reminders was effective in improving medication adherence among TB patients.

Effectiveness of Peppermint Aromatherapy and Pericardium Six Acupressure in Reducing Emesis Gravidarum Among First Trimester Pregnant Women

Rina Ristawani Simamora Purba, Hidayani Hidayani, Fanni Hanifa — Sun, 01 Jun 2025 00:00:00 +0000

Background:Emesis gravidarum, commonly characterized by nausea and occasional vomiting, affects many women during the first trimester of pregnancy. Although generally self-limiting, it can significantly reduce quality of life and daily functioning. Objective:This study aimed to assess the effectiveness of peppermint aromatherapy and Pericardium 6 (P6) acupressure in alleviating symptoms of emesis gravidarum in first-trimester pregnant women. Methods:A qualitative case study approach was employed. Two pregnant women in their first trimester experiencing emesis gravidarum were selected using purposive sampling. Data were collected through in-depth interviews and direct observation. The severity of nausea and vomiting was measured using the Pregnancy-Unique Quantification of Emesis (PUQE) score before and after the interventions. Results:Peppermint aromatherapy reduced PUQE scores from 9 (moderate) to 6 (mild), while Pericardium 6 acupressure reduced PUQE scores from 10 (moderate) to 3 (mild). This indicates that both interventions were effective in reducing nausea and vomiting, with Pericardium 6 acupressure showing greater effectiveness. Conclusion:Both peppermint aromatherapy and Pericardium 6 acupressure are effective non-pharmacological methods for reducing emesis gravidarum in the first trimester. Pericardium 6 acupressure demonstrated greater effectiveness and may be recommended as a complementary therapy for managing early pregnancy-related nausea and vomiting

The Association of Hypertension Risk Factors among Employees of the Health Quarantine Office: A Cross-Sectional Study

Sandra Parengkuan, Irfansyah Baharudin Pakki, Ratih Wirapuspita Wisnuwardani — Sun, 01 Jun 2025 00:00:00 +0000

Background: Hypertension is the leading cause of mortality worldwide, with 90– 95% of cases classified as essential hypertension. According to data on noncommunicable or degenerative diseases in East Kalimantan, 595,689 individuals over the age of 15 were projected to suffer from hypertension in 2023. Several factors contribute to the prevalence of hypertension in Indonesia, including age, sex, family history of hypertension, educational level, occupation, place of residence, nutrition and lifestyle, and physical activity. The aim of this study was to examine the association between individual characteristics and nutritional status with the risk of hypertension among employees of the Class I Health Quarantine Office (Balai Karantina Kesehatan/BKK) in Samarinda, aged between 27 and 57 yearsMethods: This research employed a cross-sectional design involving 47 civil servants, comprising both permanent (PNS) and contract-based (PPPK) staff. Blood pressure and nutritional status (body mass index) data were obtained through direct measurements conducted in March 2025 at the BKK Class I Samarinda Office.The findings of this study indicate a significant association between individual characteristics specifically age and nutritional status and the incidence of hypertension among the employees.

Utilization of the Chronic Disease Management Program (Prolanis) at Suak Ribee Primary Health Center, Indonesia

Tue, 10 Jun 2025 00:00:00 +0000

Background: The Prolanis Program at the Suak Ribee Health Center includes monthly health education, biannual supporting examinations, pharmaceutical services (DRR), group exercise sessions, and home visit activities. This study aimed to identify the determinants influencing the utilization of the BPJS Health Prolanis program at the Suak Ribee Health Center.Method: The research was conducted from January 7 to February 7, 2025, involving 66 randomly selected participants using a quantitative cross-sectional design. Data were analyzed through univariate and bivariate analyses using the chi-square test, and multivariate analysis using logistic regression..Result: The results revealed that age (p = 0.048), gender (p = 0.003, OR = 6.167), knowledge (p = 0.042, OR = 3.630), the role of health workers (p = 0.015, OR = 4.750), and family support (p = 0.045, OR = 3.600) were significantly associated with the utilization of Prolanis. Education level, however, showed no significant effect (p = 0.374, OR = 1.875). Gender emerged as the most dominant factor (p = 0.002, OR = 8.930).Conclusion: n conclusion, age, gender, knowledge, the role of health workers, and family support influence the utilization of the Prolanis program, whereas education does not. It is recommended that the Suak Ribee Health Center increase male participation in Prolanis, for example by organizing exercise sessions on weekends or in the afternoon, and by conducting home visits as a separate program to better target less active participants

Factors Affecting Psychotic Disorders in Pregnant Women

Suryanti S, Sitti Nurana, Nurlina Akbar — Mon, 16 Jun 2025 00:00:00 +0000

Background: Psychotic disorders are one of the serious mental health problems, particularly among pregnant women. Various factors, both biological and psychosocial, are suspected to play a role in influencing the occurrence of psychotic disorders during pregnancy. However, to date, evidence regarding the most influential factors remains inconsistent. This study aims to analyze the factors affecting psychotic disorders in pregnant women..Method: The study used a quantitative design with a cross-sectional approach. A total of 72 pregnant women who attended antenatal care at the Rappokalling Health Center in Makassar City were selected as respondents. Data were collected using a structured questionnaire and analyzed using the chi-square test to assess the relationship between independent variables and psychotic disorders..Result: The analysis showed no significant relationship between age (P-value = 0.7), education (P-value = 0.8), parity (P-value = 0.1), gestational age (P-value = 0.3), employment status (P-value = 0.1), family income (P-value = 0.2), knowledge (Pvalue = 0.08), and social support (P-value = 0.1) with psychotic disorders in pregnant womenConclusion: This study concludes that factors such as age, education, parity, gestational age, employment status, family income, knowledge, and social support do not have a significant relationship with psychotic disorders in pregnant women in the population studied.

Strengthening Primary Health Services for Child Nutrition Interventions in Limited Access Area: A Cross-Sectional Study at Seko Health Center

Nurul Hikmah B, Ayu Puspitasari, Nurhidayati Islamiah — Wed, 18 Jun 2025 00:00:00 +0000

Background: One of the government’s policies to address nutritional problems is the strengthening of primary health services through the Integrated Health Service Post (Posyandu) program. This study aims to to analyze the strengthening of primary health services in the implementation of child nutrition interventions in the limited-access area of the Seko Health Center.Method: A quantitative research design with a cross-sectional approach was employed. The study sample consisted of 73 mothers of toddlers, selected using a simple random sampling technique. Data were collected using a structured questionnaire, and bivariate analysis was performed to examine the strengthening of primary health services for child nutrition interventions. The results showed that the variables of tangible evidence, reliability, responsiveness, and empathy collectively influenced the strengthening of nutrition interventions in primary health services, with a coefficient of determination (R²) of 45.9%. Conclusion: Strengthening primary health services requires enhancing the role of health cadres by improving training programs to increase their competence and knowledge—particularly for newly recruited cadres.

The Effect of Peer Educator Training on Knowledge of the Adolescent Reproductive Health Triad among Health Cadres

Muhammad Bachtiar Safrudin, Della Saputri, Kartika Setia Purdani — Thu, 26 Jun 2025 00:00:00 +0000

Background: Adolescent reproductive health is a critical issue that significantly influences the quality of life and future development of young people. The high incidence of sexually transmitted infections (STIs) and unintended pregnancies among teenagers underscores the urgent need for effective educational interventions. Peer educator training is considered a promising approach to improve adolescents' understanding and management of their reproductive health. This study aims to assess the effectiveness of peer educator training in enhancing adolescents’ knowledge and skills related to reproductive health. It also seeks to compare outcomes between the experimental and control groups. A quasi-experimental design was employed, involving two groups: an experimental group that received peer educator training and a control group that did not receive any intervention. Statistical analysis was conducted using independent and paired t-tests to examine significant differences within and between the groups. he analysis revealed a statistically significant improvement in knowledge within the experimental group, with a p-value of 0.000 (p < 0.05), indicating a substantial difference before and after the training. Furthermore, the post-intervention comparison between the experimental and control groups also showed a significant difference in knowledge levels (p = 0.000), supporting the effectiveness of the training intervention conducted at SMA 11 Samarinda.Peer educator training is effective in increasing adolescents' knowledge regarding reproductive health. This intervention can serve as a valuable model for youth health education programs. Sustained efforts are recommended to broaden its implementation and maximize its impact on adolescent health outcomes

Effect of Prenatal Gentle Yoga on Low Back Pain Among Pregnant Women: A Quasi-Experimental Study

Wed, 10 Sep 2025 00:00:00 +0000

Introduction: Low back pain (LBP) during pregnancy can interfere with physical activity, sleep patterns, and quality of life. One safe and effective therapy to relieve it is prenatal gentle yoga. The purpose of this study was to determine the effect of prenatal gentle yoga on the level of LBP in pregnant women at Hulonthalangi Health Center. The research design used quasi-experiment with pretest-posttest control group. A total of 24 pregnant women were divided into two groups, those are intervention (prenatal gentle yoga) and control (educational leaflet). The prenatal gentle yoga intervention was carried out over four sessions, with a frequency of twice a week, and each session lasted for 30 to 45 minutes.Test results of independent t-test showed an average difference in pain of -2.83 points with a p-value of 0.000 (p<0.05), which means there was a significant decrease in pain in the intervention group. Around 83.3% respondents in the intervention group experienced a decrease in pain from moderate and severe pain to mild and no pain, while the control group only had 33.3%. This study shows that prenatal gentle yoga is significantly effective in reducing Low back pain (LBP) in pregnant women.

Effectiveness of the Dengue Hemorrhagic Fever (DHF) Control Program at Lhok Bengkuang Community Health Center, South Aceh

Sat, 13 Sep 2025 00:00:00 +0000

Background: Dengue Hemorrhagic Fever (DHF) remains a significant public health threat in South Aceh, Indonesia. This study aimed to evaluate the effectiveness of the DHF control program at Lhok Bengkuang Health Center using input, process, output, outcome indicators. A descriptive qualitative study was conducted from December 2024 to January 2025. Data were collected through in-depth interviews with officers from the South Aceh Health Office, the health center chief, program coordinators, and affected community members. Thematic analysis followed Miles and Huberman’s approach. Triangulation and member checking ensured data validity. DHF cases declined from 22 in 2023 to 7 in 2024. Control activities included source reduction (PSN), larviciding, fogging, health education, epidemiological investigations, and vector surveys. However, the Larvae Free Index (ABJ) remained below the national target of 95%. This indicates partial effectiveness, constrained by limited entomology staff and inadequate personal protective equipment for fogging. Strengthening resources and aligning local implementation with national standards are essential to sustain progress. The DHF control program effectively reduced cases but requires reinforced human resources, adequate equipment, and improved community engagement to meet national targets

Health Literacy Practices among Professional Nursing Students in Makassar City

Nur Fadilah, Aulia Insani Latif, Risna Risna, Sakinah Hardiyanti — Sun, 14 Sep 2025 00:00:00 +0000

Introduction: Health literacy is a competence that is not only important for patients

but also for nursing students. Nursing students will interact with patients with varying

health literacy levels during their education and throughout their careers. Despite its

importance, research on health literacy among professional nursing students is limited.

This study aims to assess the health literacy practices of professional nursing students in

Makassar City. This study used a quantitative method with a cross-sectional survey

approach. The population in this study consisted of nursing students in the professional

nursing stage. The sampling technique is non-probability sampling with consecutive

sampling. The respondents involved in this study were 72 nursing students. Data

collection was conducted online using a Google Form. The analysis used descriptive

statistics, with the results showing frequency distribution, mean, and SD. The study

found that among the students, 69.4% were aged 17-25 years, with a mean age of 26.22.

The majority were female (75.0%), and from South Sulawesi (80.6%). Related to their

education, 73.6% were in the first semester of clinical placement, and have graduated

from bachelor of nursing within a year (90.3%). In addition, the average scores for the

four aspects of health literacy were: knowledge 14.31 (SD 1.41), communication 34.32

(SD 4.22), shared decision-making 41.11 (SD 5.60), and interpersonal skills 37.49 (SD

4.54). As health literacy is a dynamic skill that needs to be improved through training

and experience, nursing education programs must continue to develop students' health

literacy competencies from the undergraduate level to the clinical placement stage.

Continuous training and periodic assessment of health literacy competencies are

recommended to ensure students can apply their knowledge in practice.