Proceeding International Conference of Advancements in Nursing Care

The effectiveness of infant massage on immunity in stunting infants: Il-6 levels and infection rates

Sutarmi Sutarmi, Medina Sianturi, Warijan Warijan, Tavip Indrayana — Thu, 23 Oct 2025 22:15:14 +0000

Stunting represents chronic malnutrition in early childhood that significantly impairs immune function and increases susceptibility to infections. Infant massage has emerged as a promising non-pharmacological intervention that enhances immunity through lymphatic stimulation. The objective of this study was to assess the efficacy of baby massage on immunological function in stunted infants aged 6-12 months, evaluated through IL-6 concentrations and infection incidence measurements. A quasi-experimental pre-post-test design involved 80 stunted infants in Blora Regency, randomly assigned to an intervention group (n=40) and a control group (n=40). The intervention group received standard nutritional supplementation plus infant massage (30 minutes daily) for three months, while the control group received only standard supplementation. Baseline IL-6 levels were significantly elevated in the control group (4.59±3.30 pg/ml) compared to the intervention group (1.39±0.90 pg/ml, p<0.001). Post-intervention, both groups showed a reduction in IL-6 levels: the intervention group achieved 1.03±0.45 pg/ml and the control group 3.87±1.90 pg/ml (p<0.001). The post-intervention infection incidence was markedly lower in the intervention group (20%) compared to the control group (62.5%, p<0.05). The intervention group demonstrated statistically significant IL-6 improvement (p=0.003), while the control group showed no significant change (p=0.245). Infant massage significantly enhances immune functionality in stunted infants through reduced IL-6 concentrations and decreased infection incidence, demonstrating its potential as a complementary nutritional intervention in stunting management.

Keywords: IL-6, immunology, infant massage, infection, stunting

Implementation of simple inhalation therapy to improve airway clearance in children with bronchopneumonia

Andita Novtiana Sari, Dwi Sulistyono, Reni Mareta, Septi Wardani — Fri, 24 Oct 2025 12:13:46 +0000

Bronchopneumonia in children is a type of pneumonia that requires careful attention because it can lead to complications and even death. According to UNICEF data from 2024, pneumonia claims the lives of more than 700,000 children under five each year. Children tend to be unable to cough up phlegm effectively, resulting in phlegm accumulating in the bronchi over time, narrowing the airways and causing shortness of breath. Inhaling hot steam increases the humidity of the inhaled air, thus softening the thick mucus that accumulates in the airways and facilitating expectoration through coughing. Eucalyptus oil (Eucalyptus globulus) contains active compounds such as eucalyptol (1.8-cineole), which has anti-inflammatory, mucolytic, and antimicrobial effects. The case study aimed at understanding the concept of nursing care for children with bronchopneumonia, focusing on the inhalation of warm steam and eucalyptus oil in improving airway clearance in paediatric patients with bronchopneumonia. The case study uses a descriptive case study approach that aims to comprehensively and thoroughly describe the nursing care for paediatric patients with bronchopneumonia by implementing simple inhalation therapy using hot steam and eucalyptus oil. The problem of airway clearance was resolved on the 3rd day, the cough was reduced, rhonchi were minimal, shortness of breath was absent, oxygen saturation increased to 97-98%, respiratory rate decreased to 25x/minute, the child was no longer fussy and cooperative and was allowed to go home by the doctor. This simple inhalation therapy can be an alternative supporting intervention in an effort to improve the respiratory condition of paediatric patients with bronchopneumonia.

Keywords: Bronchopneumonia, child care, eucalyptus oil, Ronchi, simple inhalation

Kangaroo mother care as a holistic non-pharmacological approach to enhancing physiological stability in infants with congenital heart disease

Reni Widyaningsih, Dwi Sulistyono, Reni Mareta, Septi Wardani — Fri, 24 Oct 2025 14:11:53 +0000

Congenital Heart Disease (CHD) is a structural heart abnormality commonly found in newborns. This condition often causes physiological instability, such as respiratory distress, thermoregulation, and feeding difficulties. The management of CHD often requires intensive medical intervention, but a non-pharmacological approach can be an effective complement to improve the infant's physiological stability. One such non-pharmacological intervention that has proven effective is Kangaroo Mother Care (KMC). KMC involves skin-to-skin contact between the infant and the parent, which provides various benefits, including stabilization of body temperature, respiration, and heart rate, as well as reducing stress in the infant. The purpose of this article is to analyse the application of KMC to the physiological stability of infants with CHD. This case analysis shows that KMC can be a safe and effective nursing intervention to improve the outcomes of physiological stability in infants with CHD, as part of a holistic nursing care approach.

Keywords: Congenital heart disease, holistic nursing, Kangaroo Mother Care, nursing care, physiological stability

Acupressure to reduce vomitus in children with dehydration

Indah Saputri Dewi, Reni Mareta, Heni Setyowati Esti Rahayu, Dwi Sulistyono — Sat, 25 Oct 2025 00:48:04 +0000

Children are individuals who are in a range of developmental changes starting from infancy to adolescence. Children are unique individuals and have needs according to their stage of development. Children's needs can include physiological needs such as nutritional and fluid needs, activity and elimination, sleep rest, and others, children are also individuals who need social and spiritual psychological needs. Nausea and vomitus in children are a problem for parents. Parents' lack of understanding of digestive tract diseases is considered normal by parents. Protracted and poorly managed nausea and vomitus in children have an impact on nutritional problems, especially weight loss, severe dehydration, and hypovolemic shock. The existence of this case study research is expected that this final scientific work can be used as additional knowledge for the health care profession, especially nursing and provide an understanding of nursing care with vomitus in children who get complementary therapy, namely acupressure therapy, which must be carried out by combining massage techniques with storytelling techniques and playing with children to reduce fear. As for management using pharmacology and non-pharmacology, one of which is acupressure therapy which is carried out 2 times a day and carried out 30 times round in a clockwise direction in the massage, it has proven effective in reducing nausea and vomiting in children, especially with cases of dehydration, acupressure therapy is very effective given as a supporting therapy in addition to using pharmacological therapy in these patients.

Keywords: Acupressure, complementary therapy, nursing care, paediatric nursing, vomitus

Pain reduction in post operative caesarean section with biologic nurturing baby led feeding techniques

Indah Purnama Sari, Reni Mareta, Septi Wardani, Dwi Sulistyono — Sat, 25 Oct 2025 06:06:07 +0000

Caesarean section is a surgical method of childbirth in which the baby is delivered through an incision in the abdominal wall and uterus. According to the Indonesian Basic Health Research (RISKESDAS) in 2018, the prevalence of caesarean deliveries was 17.6%, which increased significantly to 25.9% in 2023. One of the most common complications following caesarean section is postoperative pain, which must be managed effectively, as prolonged pain can elevate health risks and delay recovery. One complementary pain management technique is the biological nurturing baby-led feeding approach. This study aimed to analyze the case management of a post-caesarean section patient using the biological nurturing baby-led feeding technique to reduce pain in the Bougenville Room of Tidar Regional General Hospital, Magelang City. A case study design was employed, focusing on the application of biological nurturing baby-led feeding as a complementary therapy for postoperative pain management. The subject was one post-caesarean section patient. The intervention demonstrated a positive effect, with a reduction in the patient's pain scale from 6 to 3 following the application of the biological nurturing baby-led feeding technique. The biological nurturing baby-led feeding technique can effectively reduce pain in post-caesarean section patients. This approach offers a non-pharmacological option that supports maternal comfort and recovery. Further research with larger sample sizes is recommended to validate these findings and explore the broader applicability of this technique in clinical practice.

Keywords: Feeding technique, nursing care, paediatric nursing, pain management, section caesarean

Puzzle play therapy to reducing pre-transfusion anxiety in patient with thalassemia

Tifana Yusuf, Sigit Priyanto, Puguh Widiyanto, Priyo Priyo — Sat, 25 Oct 2025 09:51:27 +0000

Thalassemia, a chronic blood disorder, requires regular blood transfusions, which can cause significant anxiety in children during the pre-transfusion period. If left unmanaged, this anxiety can negatively impact the child's comfort, cooperation, and overall healing process. This study aimed to investigate the effectiveness of puzzle play therapy as a non-pharmacological intervention to reduce pre-transfusion anxiety in a child with thalassemia. A descriptive case study approach was employed, involving a child with thalassemia major who undergoes routine blood transfusions. Data were collected through nursing assessments, observations of the child's behaviour before and after the intervention, and documentation based on the nursing process stages. Puzzle play therapy was provided during the pre-transfusion waiting period as an engaging distraction tailored to the child's developmental stage. The results showed a reduction in anxiety symptoms following the intervention, evident in the child's calmer demeanour, increased cooperation, and active participation during the pre-transfusion process. These findings suggest that puzzle play therapy is an effective nursing intervention for reducing pre-transfusion anxiety in children with thalassemia. Incorporating puzzle play therapy into holistic paediatric nursing care can provide a valuable supportive strategy in child-friendly healthcare settings. With promoting a more positive experience for children undergoing blood transfusions, this intervention can enhance their overall care and well-being.

Keywords: Paediatric nursing, puzzle play therapy, symptoms management, thalassemia, well-being

Occlusive polyethylene method to treat hypothermia in baby with low birth weight

Dwi Priyanti, Retna Tri Astuti, Muhammad Khoirul Amin, Sambodo Sriadi Pinilih — Sat, 25 Oct 2025 11:43:52 +0000

Low Birth Weight (LBW) is a condition of babies with a birth weight of less than 2500 grams. Babies with LBW tend to experience problems due to immaturity of the organ system. One of the biggest problems is the limitation in regulating body temperature which can cause hypothermia. Occlusive polyethylene is one way to overcome hypothermia by putting the baby in a plastic bag. The case study aimed to describe the application of the occlusive polyethylene method to LBW with hypothermia care problems in patient at RSUD Tidar, Magelang. The results of the study showed that the application of the occlusive polyethylene showed positive results as improved thermoregulation. The application of occlusive polyethylene can be an alternative non-pharmacological therapy to maintain thermoregulation in infants with LBW.

Keywords: Body temperature, hypothermia, Low Birth Weight, nursing care, paediatric nursing

Tui Na massage to increase appetite in children

Yuli Supriyanto, Dwi Sulistyono, Reni Mareta, Septi Wardani — Sun, 26 Oct 2025 03:47:17 +0000

Malnutrition, or inadequate nutrition, is a condition in which the body does not receive sufficient nutrients to function properly. It can be caused by insufficient food intake, impaired nutrient absorption, or certain underlying diseases. Malnutrition can lead to serious health consequences, particularly in children, and may result in various growth and developmental disorders. In infants with low body weight (LBW), Tui Na massage has been shown to stimulate blood circulation to the spleen and digestive system, enhance appetite, and optimize nutrient absorption, thereby contributing to weight gain. This massage technique focuses on specific acupuncture points located on the head, arms, legs, and back. The implementation of Tui Na massage therapy at Tidar Regional General Hospital in Magelang City demonstrated positive outcomes, including improved appetite and increased body weight in toddlers experiencing nutritional deficiencies. These findings suggest that Tui Na massage is an effective complementary therapy for enhancing appetite and supporting nutritional recovery in undernourished children.

Keywords: Food care, Low Body Weight, malnutrition, paediatric care, Tui Na massage

Honey as a therapeutic agent for diarrhea treatment in children

Sun, 26 Oct 2025 05:30:22 +0000

Diarrheal disease is a significant cause of mortality and morbidity among children worldwide, particularly in those under five years old. According to the World Health Organization, diarrhoea is a leading cause of death in this age group, with approximately 760,000 children dying each year due to dehydration. If not properly managed, diarrhoea can lead to severe dehydration and death. In addition to pharmacotherapy, complementary therapies like honey administration have been explored for their potential benefits. At Soerojo Hospital Magelang, diarrhoea is a primary concern in the Tulip 2 Ward, particularly among infants and toddlers. A case study was conducted to implement nursing care for paediatric patients with diarrhoea who received complementary therapy through honey administration. The patient was diagnosed with acute diarrhoea, and an evaluation over three sessions revealed that the nursing diagnosis of diarrhoea related to intestinal malabsorption was successfully resolved. The patient's mother administered honey as a non-pharmacological therapy, which proved to be highly effective in managing diarrhoea due to its antibacterial properties against intestinal bacteria such as Shigella, Salmonella, E. coli, and Vibrio cholerae. The sweet taste of honey also made it more appealing to the child, making it an ideal supplement to conventional medication. Through this case study, the author aims to contribute knowledge on the innovative use of honey administration in managing diarrhoea in paediatric patients.

Keywords: Diarrhoea, honey, infection, intervention, paediatric care

Water tepid sponge to reduce hyperthermia in children with dengue fever

Hira Rona Salsabila, Sodiq Kamal, Puguh Widiyanto, Margono Margono — Sun, 26 Oct 2025 09:42:27 +0000

Dengue Haemorrhagic Fever (DHF) is an infectious disease caused by the Dengue virus and transmitted through mosquito vectors of the Aedes aegypti or Aedes albopictus species. The role of vectors in the spread of the disease causes many cases to be found during the rainy season when there are many puddles of water that become breeding places for mosquitoes. Fever is a condition when the body temperature rises above normal body temperature. One of the non-pharmacological techniques applied to reduce high body temperature/fever is the water tepid sponge technique. This case study aims to describe the application of the water tepid sponge technique in children with high fever. The research subject is a 10-year-old girl with a fever for 5 days with a body temperature of 39.5ºC and complaints of dizziness, nausea and vomiting, red and pale skin. The nursing process was carried out for 3 days including assessment, establishing a nursing diagnosis, planning, implementation of the water tepid sponge technique and evaluation. The water tepid sponge technique was carried out for 15 minutes in one session in several areas with large blood vessels such as the armpits (axilla), in the groin (femoral) and on the forehead (frontal) plus wiping several areas of the chest and abdomen. The results obtained showed a decrease in body temperature from 39.5º C to 37.5º C. The water tepid sponge technique has been proven to provide benefits in reducing body temperature in paediatric patients significantly. In conclusion, the water tepid sponge technique can be a safe and effective alternative in reducing body temperature in children by maximizing the provision of pharmacological and non-pharmacological therapy.

Keywords: Hyperthermia, non-pharmacological treatment, nursing care, paediatric care, water tepid sponge

Swedish abdominal massage technique for managing defecation elimination disorders in the elderly

Zuba Nur Arifah, Sigit Priyanto, Puguh Widiyanto, Priyo Priyo — Mon, 27 Oct 2025 06:33:27 +0000

Constipation is a prevalent issue among the elderly, often resulting from decreased gastrointestinal motility, which can exacerbate conditions like haemorrhoids. Elderly individuals frequently experience symptoms such as hard stools, abdominal distension, incomplete defecation, and dependence on laxatives. Non-pharmacological interventions, including Swedish abdominal massage, have been shown to increase intestinal peristalsis and improve defecation patterns. A case study involving a 71-year-old individual with constipation and haemorrhoids utilized a descriptive approach. The initial assessment revealed a bowel movement frequency of less than 2 times per week, hard stools, and abdominal distension, leading to a primary nursing diagnosis of constipation. The implemented interventions included education on a high-fiber diet, regular bowel habits, and abdominal massage therapy, which were carried out over three visits. The evaluation results demonstrated an increase in peristaltic frequency from 10 times per minute to 15 times per minute and successful defecation by the third visit. This therapy proved effective in addressing fecal elimination disorders in the elderly, suggesting that it can be a safe and measurable nursing intervention alternative. The findings support the potential benefits of incorporating abdominal massage into the management plan for constipation in older adults.

Keywords: Abdominal massage, complementary therapy, constipation, haemorrhoids, Swedish technique

Using Eucalyptus oil steam therapy to improve airway clearance in community-dwelling patients with asthma

Ivon Hanifah, Priyo Priyo, Sigit Priyanto, Sodiq Kamal — Mon, 27 Oct 2025 11:21:43 +0000

Bronchial asthma is a chronic inflammatory disease of the respiratory tract that can impair airway clearance and negatively impact the quality of life of those affected. Eucalyptus oil steam therapy has emerged as a potential non-pharmacological intervention to address this issue. This case study aimed to investigate the application of eucalyptus oil steam therapy in managing ineffective airway clearance in a patient with bronchial asthma. Using a descriptive case study design with a nursing care approach, the study included assessment, diagnosis, planning, implementation, and evaluation of nursing care. The subject was an adult patient with bronchial asthma experiencing ineffective airway clearance. The intervention involved administering eucalyptus oil steam therapy for 10-15 minutes, following standard operating procedures. The evaluation results showed significant improvements in airway clearance, including reduced shortness of breath, thinner and more easily expelled phlegm, and decreased frequency of coughing. These findings suggest that eucalyptus oil steam therapy can be an effective non-pharmacological intervention for managing ineffective airway clearance in patients with bronchial asthma. As a result, eucalyptus oil steam therapy can be applied at the family level to improve the quality of life of individuals with bronchial asthma. This intervention offers a promising approach to complement existing treatments and enhance patient outcomes.

Keywords: Asthma, community nursing, eucalyptus oil steam therapy, ineffective airway clearance, nursing care

Quran recitation as a therapeutic intervention for sleep disorders in elderly living in the community

Agus Puji Santoso, Priyo Priyo, Kartika Wijayanti, Puguh Widiyanto — Tue, 28 Oct 2025 02:19:03 +0000

Hypertension is a significant health concern among the elderly, as it can lead to cardiovascular complications and impact overall quality of life. In addition to pharmacological interventions, complementary therapies can play a crucial role in managing hypertension and related symptoms, such as sleep pattern disorders. Therefore, it is essential to explore effective nursing care strategies that address both hypertension and sleep pattern disorders in this population. A descriptive case study was conducted to investigate the implementation of nursing care for elderly hypertensive patients with sleep pattern disorders who received complementary therapy in the form of Al-Quran recitation audio. The patient received murottal Al-Quran recitation therapy, specifically Surah Ar-Rahman, which is known for its calming and soothing effects. The therapy was administered to help improve the patient's sleep quality, and the effectiveness was measured using the Pittsburgh Sleep Quality Index (PSQI). Prior to the therapy, the patient's PSQI score was 16, indicating poor sleep quality. However, after receiving the Al-Quran recitation therapy, the patient's PSQI score decreased to 4, indicating a significant improvement in sleep quality. The results of this study demonstrate the potential benefits of using Al-Quran recitation as a complementary therapy to improve sleep quality in elderly hypertensive patients.

Keywords: Community nursing, complementary therapy, hypertension, quality of life, Quran recitation

The impact of health promotion on chronic kidney disease awareness in the community

Tue, 28 Oct 2025 03:02:41 +0000

Chronic kidney disease (CKD) has emerged as a significant public health concern globally, with its prevalence continuing to rise due to the increasing burden of diabetes, hypertension, and obesity. The role of health promotion in enhancing awareness and fostering preventive behaviours among community members is well-documented. This study aims to analyse the effect of health promotion on increasing public awareness in preventing chronic kidney disease. Health promotion was conducted through various methods, such as outreach, distribution of information media (pamphlets, posters), and community health campaigns. The results showed a significant relationship between the intensity of health promotion and increased public knowledge and attitudes regarding risk factors, early symptoms, and preventive measures for chronic kidney disease. Effective education encourages active community participation in adopting a healthy lifestyle, such as maintaining a healthy diet, regular health check-ups, and avoiding bad habits that trigger kidney disorders. Thus, health promotion has been shown to play a crucial role in increasing awareness and preventive measures for chronic kidney disease at the community level.

Keywords: Community, health promotion, kidney disease, nursing care, prevention

Combining zikr and nursing interventions to manage hallucinations in patients with schizophrenia experiencing sensory perception disorders

Karisa Amanda Dara Ninggar, Angga Sugiarto, Suharsono Suharsono, Utik Dewiyana — Tue, 28 Oct 2025 06:09:17 +0000

This case study explores the application of psycho-religious therapy, specifically the practice of zikr (Islamic chanting or remembrance of God), as a complementary intervention for managing hallucinations in schizophrenic patients with sensory perception disorders at Soerojo Hospital Magelang, Indonesia. The intervention was conducted on three patients diagnosed with schizophrenia who frequently experienced auditory and visual hallucinations, impacting their ability to function socially and emotionally. Through a structured schedule of the intervention all three patients demonstrated notable clinical improvements, including a reduction in both major and minor symptoms. The findings suggest that integrating spiritual practices like zikr into psychiatric care not only respects patients’ religious values but may also serve as an effective tool to support traditional medical treatments, particularly in culturally and religiously devout populations.

Keywords: Hospital care, Islamic intervention, mental health nurses, psycho-religious therapy, zikr

Dhikr therapy to reduce anxiety in patients undergoing breast tumour surgery

Probo Laksono, Kartika Wijayanti, Heni Setyowati Esti Rahayu, Nurul Hidayah — Sun, 02 Nov 2025 09:16:08 +0000

Breast lumps, which can be composed of mass, fat, or fluid, are abnormal tissue growths resulting from physiological changes in the body. These lumps can be benign tumours, malignant tumours, or breast hyperplasia. Surgery to address these lumps can be a daunting experience for patients, often triggering anxiety due to concerns about potential complications and outcomes. This anxiety can affect both patients and their families. Managing preoperative anxiety is crucial to ensure patients are physically and psychologically prepared for surgery. One effective non-pharmacological approach to alleviating anxiety is dhikr therapy. By stimulating the brain to produce endorphins, dhikr therapy improves feelings of comfort, confidence, and optimism, while promoting calmness and peace. This therapy helps reduce stress and anxiety by strengthening the patient's spiritual connection. A descriptive case study applying a nursing care approach with dhikr therapy demonstrated its effectiveness in reducing anxiety in preoperative patients with breast tumours. Using the Hamilton Anxiety Rating Scale (HARS), the patient's anxiety score decreased from 16 (mild anxiety) to 7 (no anxiety) after undergoing dhikr therapy. This case highlights the potential benefits of incorporating dhikr therapy into preoperative care to alleviate anxiety in patients with breast tumours.

Keywords: Anxiety, breast tumour, complementary therapy, dhikr therapy, surgery

Hallucination management in patient with schizophrenia experiencing sensory perception disorders

Sun, 02 Nov 2025 12:39:30 +0000

Schizophrenia is a severe mental disorder characterized by disturbances in thought, perception, emotions, and behavior, with auditory hallucinations being one of its most prominent symptoms. This case study explores the application of hallucination management nursing interventions in a 35-year-old male patient with schizophrenia and sensory perception disturbances, who was admitted to Soerojo Hospital, Magelang. The patient presented with behaviors such as talking to himself, restlessness, poor concentration, social withdrawal, and repeated auditory hallucinations, often hearing whispering voices in the evening or late at night. Over four sessions, the interventions included monitoring hallucinatory behavior, providing psychoeducation on hallucination control techniques (e.g., rebuking voices, scheduled activities), encouraging communication, and collaborating in the administration of antipsychotic medications (clozapine and risperidone). The results showed a notable reduction in hallucination frequency, improved concentration, decreased social withdrawal, and better emotional control. These improvements indicate that hallucination management is effective in enhancing patients' sensory perception, reality orientation, and self-control. From a nursing perspective, this case highlights the importance of comprehensive and structured intervention in managing sensory perception disorders in schizophrenia. The therapeutic relationship, consistent education, and collaboration in pharmacological treatment were instrumental in achieving the desired outcomes. Hallucination management effectively reduces the intensity and frequency of hallucinations and enhances the patient's ability to cope with psychotic symptoms, making it a valuable component of psychiatric nursing care for patients with schizophrenia experiencing sensory perception disturbances.

Keywords: Hallucination management, mental health nursing, nursing care, schizophrenia, sensory perception disorders