International Conference and Proceeding of Advancements in Nursing Care

Enhancing palliative care for non-hemorrhagic stroke patients: The power of a spiritual approach

Vivi Alfiani, Robiul Fitri Masithoh, Estrin Handayani — Wed, 04 Jun 2025 12:40:14 +0000

This study focuses on the impact of palliative care with a spiritual approach on patients suffering from non-hemorrhagic stroke. The patient selected for the study had been living with the effects of a stroke for three years, experiencing a significant decline in motivation and feelings of worthlessness. The primary objective was to assess whether integrating spiritual care into the palliative approach could improve the patient’s overall quality of life. The findings revealed that palliative care, enriched with spiritual support, effectively enhanced the patient's quality of life by rekindling their enthusiasm for coping with their condition and mitigating feelings of uselessness. The implementation of this care followed a comprehensive nursing plan, which aimed to address both physical and psychological needs. Upon evaluating the outcomes of the nursing interventions, it was observed that among the three identified diagnoses—spiritual distress, mobility disorders, and verbal communication disorders—only spiritual distress showed significant improvement and was successfully resolved. The diagnoses related to mobility and verbal communication, however, remained unresolved, indicating areas where further care and intervention are necessary. This study underscores the potential of spiritual approaches within palliative care to foster emotional and psychological healing, although it also highlights the need for continued focus on the physical rehabilitation of stroke patients.

Keywords: Stroke; nursing care; palliative care; spiritual care; supportive therapies

Kegel exercises to improve bladder function in patient with type 2 diabetes and urinary incontinence

Melda Saumaningrum, Sumarno Adi Subrata, Margono Margono — Wed, 04 Jun 2025 12:58:41 +0000

According to data from the World Health Organization (WHO), around 200 million people worldwide experience urinary incontinence. Patients with diabetes mellitus often exhibit characteristics such as polyuria, caused by elevated blood glucose levels that exceed the kidney’s ability to absorb glucose. This results in osmotic diuresis, where excess glucose pulls fluids and electrolytes, leading to frequent urination. Urinary incontinence is best initially managed with non-pharmacological approaches, such as Kegel exercises. This study aims to assess the effectiveness of Kegel exercises in improving bladder function for diabetes mellitus patients with urinary incontinence. The patient reported difficulty holding urine, especially while coughing or laughing, and had a history of diabetes mellitus. The frequency of urination was initially 10 times per day. On the first day of the study, the patient’s urination frequency remained high. By the second day, the frequency decreased to 9 times per day. By the final day, the patient was urinating 9 times daily, and episodes of urine leakage during coughing, laughing, or standing had significantly reduced. These findings suggest that Kegel exercises, when performed consistently, can effectively manage urinary incontinence in diabetic patients.

Keywords: Kegel exercise; diabetes care; urinary incontinence; adult nursing; hospital care

Empowering seniors: The role of physical exercise in managing hypertension

Imam Aly Aulia Rahman, Estrin Handayani, Robiul Fitri Masithoh — Wed, 04 Jun 2025 12:42:12 +0000

Hypertension is defined as a systolic blood pressure exceeding 140 mmHg and a diastolic blood pressure above 90 mmHg. If left unmanaged, it can lead to serious complications, including heart failure, heart attacks, strokes, and vision impairment. This study aims to explore the impact of physical exercise on managing hypertension in elderly individuals. One participant with hypertension (168/90 mmHg) engaged in a structured exercise program consisting of two sessions per week, each lasting 30 minutes. The results revealed a significant reduction in blood pressure levels (137/81 mmHg) following the completion of the exercise regimen. These findings underscore the potential of incorporating physical exercise into hypertension management strategies for the elderly, promoting healthier lifestyles and improved cardiovascular health.

Keywords: Hypertension; complementary therapy; physical exercise; elderly care; prevention strategy

Acupressure for patients with diarrhea

Intan Octavia, Nurul Hidayah, Kartika Wijayanti — Wed, 04 Jun 2025 13:55:42 +0000

Diarrhea is characterized by the production of feces with increased frequency (three times a day or more) and a change in consistency to soft or watery, which may occur with or without blood or mucus. Managing diarrhea is not straightforward; while providing fluids that contain essential electrolytes is crucial for preventing dehydration, administering anti-diarrheal medications inappropriately can be dangerous. In nursing practice, several non-pharmacological techniques can be utilized for patients with diarrhea, one of which is acupressure. The aim of acupressure therapy at points CV12 and ST25 is to reduce the frequency of diarrhea, while stimulating point P6 is intended to alleviate nausea. This research was conducted at PKU Muhammadiyah Temanggung Hospital on a patient diagnosed with gastroenteritis. The results of applying acupressure therapy indicated a reduction in the frequency of diarrhea in the patient.

Keywords: Diarrhea; acupressure; nursing care; paediatric nursing; prevention

The effectiveness of water tepid sponge in children with hyperthermia

Iqbal Fahmi Rizzal, Muhammad Khoirul Amin, Retna Tri Astuti — Wed, 04 Jun 2025 13:20:24 +0000

Fever is a condition in which body temperature exceeds the normal set point. Fever in children is generally caused by identifiable microbiological agents and usually resolves in a short period. Hyperthermia can be managed both pharmacologically and non-pharmacologically. There are various non-pharmacological therapies, one of which is Water Tepid Sponge Therapy. This study aims to determine the effect of Water Tepid Sponge Therapy on reducing body temperature in children. The study was designed as a case study conducted on children with fever over three consecutive days, with each session lasting approximately 10-15 minutes. The results of the study show that Water Tepid Sponge Therapy has an effect on reducing body temperature in children with fever. Based on the findings, it is recommended that hyperthermia can be managed using the non-pharmacological Water Tepid Sponge Therapy, allowing patients to avoid dependence on antipyretic drugs.

Keywords: Complementary therapy; water tepid sponge; paediatric nursing; children care; nursing intervention

Effectiveness of warm compresses in reducing fever in children with typhoid fever

Mukhammad Khabib Dimyati, Puguh Widiyanto, Sodiq Kamal — Wed, 04 Jun 2025 13:04:27 +0000

Typhoid fever is an infectious disease caused by the Salmonella Typhi bacteria, commonly transmitted through fecal contamination and infected food. After entering the digestive system, the bacteria colonize and infect the small intestine. One of the primary symptoms of typhoid fever is a rise in body temperature above 37.5°C, known as hyperthermia. Non-pharmacological nursing interventions, such as applying warm compresses, are often used to help reduce elevated body temperatures. This study aimed to evaluate the effectiveness of warm compresses in lowering hyperthermia in children with typhoid fever at PKU Muhammadiyah Temanggung Hospital. This study utilized a structured case study approach, with interventions administered at regular intervals. Findings showed that the application of warm compresses was effective in reducing hyperthermia. In conclusion, the study suggests that warm compresses are an effective non-pharmacological intervention for lowering body temperature in children experiencing hyperthermia due to typhoid fever.

Keywords: Typhoid fever; hyperthermia; warm compress; complementary therapy; hospital care

Nutrition care in baby with low birth weight

Kurnia Uji Hartati, Margono Margono, Nurul Purborini — Wed, 04 Jun 2025 14:09:58 +0000

Low Birth Weight (LBW) refers to infants born with a birth weight of less than 2.500 grams. Low weight can affect the nutritional status of the infant. Providing adequate nutrition to premature LBW infants plays an essential role in helping them reach growth and developmental milestones similar to those of full-term infants and ensuring a better quality of life in the future. The most important aspect of early LBW care is providing optimal and adequate nutrition to increase weight gain, thereby supporting brain growth and development through rapid postnatal high-protein nutrition. This can be achieved through breast milk and Total Parenteral Nutrition (TPN), which helps prevent extrauterine growth restriction and promotes post-term growth due to the immaturity of the gastrointestinal tract. Additional support, such as Kangaroo Mother Care (KMC), is beneficial for temperature stabilization, allowing the infant to improve their sucking reflex. This study was conducted on LBW infants with moderate asphyxia. The results showed an improvement in nutrition following gradual nutritional management, including parenteral and enteral therapy and KMC over five days, as evidenced by weight gain, increased breastfeeding frequency, and more frequent bowel movements.

Keywords: Nutrition care; hospital care; low birth weight; kangaroo mother care; nursing intervention

The use of acupressure for managing hypertension in the elderly

Alfi Rochmawati, Kartika Wijayanti, Heni Setyowati Esti Rahayu — Wed, 04 Jun 2025 13:10:09 +0000

Hypertension is defined as a systolic blood pressure above 140 mmHg and a diastolic blood pressure above 90 mmHg. If left uncontrolled, hypertension can lead to serious complications such as heart failure, heart attack, stroke, and eye damage. These complications can be prevented through two main approaches: pharmacological and non-pharmacological therapy. Pharmacological therapy involves the use of medications or medical treatments, while non-pharmacological therapy focuses on lowering blood pressure without reliance on drugs or associated side effects. One such non-pharmacological method is acupressure therapy, a form of physiotherapy that involves massaging and stimulating specific points on the body. In this case, acupressure therapy was applied over three visits. The patient cooperated well during the therapy sessions, and a significant reduction in blood pressure was observed after the intervention. Before the first session of acupressure therapy, the patient's blood pressure was recorded at 178/90 mmHg. After three days of therapy, the blood pressure had decreased to 130/83 mmHg, representing a reduction of 48 mmHg. This suggests that acupressure therapy, when applied to the Hegu, Zusanli, and Taichong points, is effective in lowering blood pressure in patients with hypertension.

Keywords: Acupressure; hypertension; nursing care; complementary therapy; elderly care

The impact of tomato juice on hypertension management in the elderly community

Faradila Nur Oktaviani, Sodiq Kamal, Sri Hananto Ponco Nugroho — Wed, 04 Jun 2025 13:14:19 +0000

Hypertension is a prevalent cardiovascular condition often experienced by the elderly, affecting 57.6% of this population. One non-pharmacological therapy that can be beneficial for hypertensive patients is nutritional therapy, specifically through dietary management that includes the consumption of tomato juice. The potassium content in tomato juice has the potential to effectively lower both systolic and diastolic blood pressure, making it a promising breakthrough in addressing hypertension. This scientific paper aims to explain gerontic nursing care through the application of tomato juice therapy to reduce blood pressure in the elderly, thereby minimizing the complications associated with hypertension. Using a descriptive approach in the form of a case study, we examined three elderly clients with hypertension. The intervention involved administering tomato juice at a dosage of 150 ml once a day for seven days. The results indicated that while the administration of tomato juice did not lead to a significant decrease in blood pressure—due to the varying lifestyles of each client—it was observed that the consumption of tomato juice could lower hypertension by 10-30 mmHg. The findings suggest that the use of tomato juice may serve as a complementary alternative to pharmacological treatments, considering the numerous benefits of tomatoes, particularly in lowering blood pressure.

Keywords: Hypertension; elderly; tomato juice; gerontic nursing; nursing care

Health education on a low-salt diet to reduce high blood pressure in patients with hypertension

Vania Karisa Putri, Priyo Priyo, Sigit Priyanto — Wed, 04 Jun 2025 00:00:00 +0000

Abstract Hypertension, or high blood pressure, is an increase in blood pressure in the arteries. The term "hyper" means excessive, and "tension" refers to pressure, so hypertension is a disorder of the circulatory system that causes blood pressure to rise above normal levels. Specifically, hypertension is characterized by blood pressure readings above the optimal limits of 120 mmHg for systolic and 80 mmHg for diastolic. This condition can trigger serious health issues such as stroke, heart failure, and is a leading cause of chronic kidney failure. Hypertension, often referred to as a cardiovascular disease, is commonly known as the "silent killer" because it typically presents no symptoms, leading individuals to unknowingly experience complications in vital organs. Diet plays a crucial role in managing hypertension. Adhering to a proper diet is essential for those suffering from this condition. Patients with hypertension should consistently follow a hypertension-friendly diet to prevent further complications, regardless of the presence or absence of symptoms. This adherence is vital to ensure that their blood pressure remains stable, helping them avoid hypertensive crises and related complications. One effective dietary approach to reduce hypertension is adopting a low-salt diet. Implementing a low-salt diet can significantly help lower blood pressure. Research by Niga et al. (2023) supports this, concluding that a low-salt diet effectively reduces blood pressure in hypertensive patients after a 14-day intervention. The study found that participants experienced a decrease in blood pressure from an initial assessment of 159/99 mmHg to 142/83 mmHg by following a type III low-salt diet, which involved adding only one teaspoon of salt to their daily meals. In conclusion, implementing a low-salt diet is an effective strategy for helping to lower blood pressure in individuals with hypertension.

Keywords: Hypertension; community nursing; adult nursing; prevention; health education

The impact of Holy Qur’an therapy on anxiety reduction in patients with diabetic foot ulcers

Aziza Faziera Salsabila, Priyo Priyo, Sigit Priyanto — Wed, 04 Jun 2025 13:45:09 +0000

Patients with diabetes mellitus often face a range of complications, one of the most significant being diabetic ulcers. Those suffering from diabetic ulcers typically experience higher levels of anxiety compared to patients with diabetes who do not have complications. This heightened anxiety can be attributed to several factors, including increased dependency, feelings of fear, a greater need for healthcare, and reduced mobility. Furthermore, the anxiety among patients with diabetic ulcers is exacerbated by the prolonged wound healing process and the fact that the risk of mortality triples within 18 months following the onset of the first foot ulcer. To manage the anxiety levels in diabetic ulcer patients during wound care, non-pharmacological therapies can be effective, one of which is Al-Qur'an Murattal therapy. The recitation of the Qur'an, delivered through the human voice, serves as a powerful healing medium and is easily accessible. This therapeutic approach has been shown to decrease stress hormones, activate natural endorphins, and promote relaxation. It also serves as a distraction from fear, improves the body’s chemical balance, lowers blood pressure, and slows breathing, heart rate, and brain wave activity. A slower or deeper breathing rate fosters calmness, emotional regulation, clearer thinking, and enhanced metabolism. In this case study, the non-pharmacological intervention applied was Al-Qur'an therapy, administered for 30 minutes daily between 14:00 and 14:30 over a period of two days. Following the intervention, the anxiety score, measured using the Hamilton Rating Scale for Anxiety (HARS) questionnaire, decreased from 25 to 18, indicating a significant reduction in anxiety levels.

Keywords: Diabetic foot ulcers; anxiety; Holy Qur’an; complementary therapy; community nursing

Dhikr therapy to reduce pain in patient with gout arthritis

Finna Sela Oktavia, Sigit Priyanto, Priyo Priyo — Wed, 04 Jun 2025 14:05:24 +0000

Gout arthritis is an inflammatory joint disease characterized by elevated levels of uric acid in the blood, leading to acute and debilitating pain episodes. Managing this pain is a critical nursing challenge for patients suffering from this condition. Dhikr therapy, a form of meditation and remembrance in Islamic practice, has emerged as a potential non-pharmacological intervention to alleviate pain and enhance emotional well-being. This study aims to explore the application of dhikr therapy in managing acute pain in a gout arthritis patient, Mr. S, residing in Tulung Village. Employing a qualitative case study design, data were collected through interviews, direct observations, and review of relevant documentation. The focus was on a gout arthritis patient experiencing acute pain, allowing for an in-depth understanding of the impact of dhikr therapy on pain management. The findings revealed that Mr. S experienced significant relief from acute pain after participating in dhikr therapy for three consecutive days. This intervention not only helped reduce the intensity of his pain but also positively influenced his emotional state and overall sense of well-being. Dhikr therapy presents a viable alternative non-pharmacological approach for alleviating acute pain in gout arthritis patients. This study highlights the importance of incorporating complementary therapies into patient care to enhance pain management strategies and improve the quality of life for individuals affected by this condition. Further research is warranted to explore the broader applicability and mechanisms of dhikr therapy in diverse patient populations.

Keywords: Dzikr therapy; nursing intervention; complementary therapy; community nursing; gout care

The use of five-finger hypnosis for soothing postpartum anxiety

Dina Nadifah, Sambodo Sriadi Pinilih, Muhammad Khoirul Amin — Wed, 04 Jun 2025 12:36:44 +0000

The postpartum period is a time of recovery that begins at the end of labor and lasts until the uterus returns to its pre-pregnancy state. This phase of transition can lead some mothers to experience a life crisis due to various physical and psychological changes, one of which is anxiety. This study aims to determine the effectiveness of five-finger hypnosis in reducing spontaneous postpartum anxiety. This scientific work employs a case study method, with data collection conducted at Muntilan Regional General Hospital from January 15 to January 31, 2024. Nursing interventions were provided to three postpartum clients experiencing anxiety. The results indicated varying responses among the three clients before and after the implementation of the five-finger hypnosis technique. Overall, the findings demonstrated a significant effect of five-finger hypnosis on reducing spontaneous postpartum anxiety.

Keywords: Postpartum period; anxiety; hospital care; five-finger hypnosis; mental health nursing

Sunbathing and walking morning exercise for patient with sundown syndrome

Ermawati Ermawati, Sumarno Adi Subrata, Puguh Widiyanto — Wed, 04 Jun 2025 12:52:23 +0000

One of the typical symptoms exhibited by patients with cognitive impairment is restlessness in the afternoon or evening, disorientation, and hallucinations. These symptoms are commonly referred to as sundown syndrome or sundowning. Sundown syndrome describes a series of neuropsychiatric symptoms that occur in the elderly, with or without dementia, typically in the early or late afternoon or at night. From a neurobiological perspective, the causes of sundown syndrome are often linked to primary alterations in normal circadian rhythms. One key component in the regulation of circadian rhythms is melatonin. Research has shown that melatonin levels decrease with age and decline even further in conditions such as Alzheimer's disease and other neurodegenerative disorders. Complementary therapies, such as sunbathing and morning walks, can help reduce the symptoms of sundown syndrome. These therapies are based on the understanding that exposure to sunlight influences the production of melatonin and serotonin, the precursors of melatonin. Serotonin has a calming effect, preparing the brain and body for sleep, while melatonin helps reduce sleep alertness. Sunbathing therapy aims to optimize melatonin production in the afternoon and evening. Meanwhile, morning walking exercises stimulate the pineal gland to secrete serotonin. Both sunbathing and walking are accessible activities that can be performed by elderly individuals who do not have significant mobility issues. In this case study, the complementary therapy provided to the client included sunbathing for 15 minutes each morning between 7:30 and 8:00 AM for five days, along with morning walking exercises for 15 to 20 minutes, depending on the client's tolerance. After the intervention, the score for sundowning symptoms decreased from 12 to 8, indicating a positive response to the complementary therapies.

Keywords: Sundowning syndrome; psychogeriatric; mental health nurses; walking exercise; prevention

Pain relief in motion: The benefits of early mobilization for patient with post-sectio caesarea

Aziza Vira Arunita, Heni Setyowati Esti Rahayu, Kartika Wijayanti — Wed, 04 Jun 2025 13:47:55 +0000

A cesarean section (sectio caesarea) is an alternative procedure when normal delivery is not possible due to factors related to the mother, fetus, or the birth canal. This surgical method involves making an incision to deliver the fetus. However, a cesarean section can lead to significant postoperative pain at the incision site, making early mobilization essential for improving blood circulation and reducing pain intensity. The study aimed is to describe the nursing care application of early mobilization in reducing postoperative pain intensity in patients after a cesarean section. In this case, Mrs. N, a 32-year-old patient, experienced early rupture of membranes and reported significant pain following her cesarean section. After implementing early mobilization, the results showed a decrease in pain intensity from a score of 6 to 5 on the first day post-surgery. The patient was able to perform right and left oblique mobilization just 6 hours after the procedure. On the second day, her pain score further decreased from 5 to 3, and she was able to sit up in bed and sit on the edge of the bed. By the third day, her pain score dropped to 1, and she was able to walk independently. These results indicate that early mobilization effectively resolved the problem, demonstrated by the reduction in pain intensity from a score of 6 to 1. Additionally, the patient progressed from being unable to move to walking independently after engaging in early mobilization exercises. In conclusion, the nursing intervention of early mobilization significantly lowers postoperative pain intensity after a cesarean section, enhances physical mobility, and promotes better breast milk production.

Keywords: Early mobilization; maternity nursing; post-sectio caesaria; complementary therapy; recovery