JONAH : Journal of Nursing and Homecare

Application of Positive Affirmation Relaxation Techniques To Reduce Anxiety Levels of Primigravida in the Working Area of the Payung Sekaki Health Center

Nancy Jennifer Edwad — 2025-03-31

Primigravida mothers or mothers who are pregnant for the first time will experience physical and psychological changes so they will feel anxious and worried because this is a new experience. Anxiety has a bad impact on pregnant women because it can trigger stimulation of uterine contractions. One way to overcome anxiety is by applying positive affirmation relaxation techniques. The aim of this research is to describe the application of positive affirmation relaxation techniques to reduce the anxiety level of primigravida mothers in the working area of the Payung Sekaki Community Health Center. This type of research is descriptive with 2 subjects conducted on April 23-27 2024. In this research data was collected by observation and presented in narrative and tabular form. The results of the study showed that the anxiety level of the two subjects before being given the intervention experienced severe anxiety and after applying the positive affirmation relaxation technique for 5 consecutive days in subjects I and II, it was found that the anxiety level had decreased. It is hoped that positive affirmation relaxation techniques can be applied in every health service in order to reduce the anxiety level of pregnant women.

Application of Range Of Motion (ROM) Exercise to Increase Muscle Strength in Patients with Physical Mobility Disorders Due to Non-Hemorrhagic Stroke in the Garuda Health Center Work Area

Naomi Paulina — 2025-03-31

Non-hemorrhagic stroke is a disease caused by a narrowing of the blood vessels in
the brain resulting in obstructed blood and oxygen flow. Non-hemorrhagic stroke
causes facial paralysis, weakness in the arms, difficulty speaking. Treatment of Non
Hemorrhagic Stroke clients in a nonpharmacological way that has minimal side
effects, one of which is Range Of Motion (ROM) training to increase muscle
strength. The purpose of this case study is to describe how the application of Range
Of Motion (ROM) exercises to increase muscle strength in patients with impaired
physical mobility due to non-hemorrhagic stroke. The method used is descriptive
using qualitative research methods. The subjects in this study were two people who
suffered from Non Hemorrhagic Stroke. The implementation of Range Of Motion
(ROM) exercises is done by measuring the value of muscle strength before and after
being given range of motion exercises which are carried out within 20 minutes for
7 consecutive days. The results showed that there was an increase in the 2 subjects,
where in the first subject there was an increase in muscle strength value from scale
3 to scale 4 and for the second subject there was also an increase in muscle strength
from scale 3 to scale 4. There are changes in increasing muscle strength in the
provision of Range Of Motion (ROM) exercises in patients with impaired physical
mobility due to Non Hemorrhagic Stroke. Therefore, it is hoped that Range Of
Motion (ROM) exercises can be applied as a means in non-pharmacological therapy
in patients with Non Hemorrhagic Stroke with physical mobility problems.

Mental Nursing Care with Nursing Problems of Auditory Hallucinations at the Tampan Mental Hospital, Riau Province

Nabila Raswandari — 2025-03-31

Hallucinations are states in which the individual perceives something which is false. Auditory hallucinations are the state of an individual hearing voices or whispers that aren't actually there, the contents of auditory hallucinations can be in the form of sounds that contain orders that cause the patient to follow these orders so that the patient can injure himself or those around him, or just noise that causes the patient to be restless. In January 2023 there were 91 patients, with hallucination nursing problems totaling 74 people (81.3%) in the Kuantan Room. The aim of this research is to describe psychiatric nursing care for clients with auditory hallucination problems at the Tampan Hospital in Riau Province. This research was conducted specifically in the Kuantan Room with two research subjects, namely Mr. R and Mr. I. Nursing care was carried out from 5 to 11 April 2023. This study used interview and observation techniques. The results showed that there was a change in the symptoms of hallucinations in the research subjects, subject I Mr. R symptoms have not appeared so that it has been allowed to be outpatient, subject II Tn. I still likes to be lazy so he still needs treatment, the two research subjects know about the type, content, duration, frequency, duration and trigger factors of hallucinations, and are able to independently control hallucinations using SP 1-4 hallucinations. The researcher hopes that further research regarding Mental Nursing Care in Patients with Auditory Hallucinations Nursing Problems can be further developed.

Head Nurses’ Perception of Ergonomic Hazards Prevention In Intensive care and Emergency Room: A Qualitative Study

Dewi Sartika — 2025-03-31

Head nurses have the potential and a key role in fostering self-awareness and safety behaviors among nurses. However, the application of ergonomic principles in hospital settings, especially among nurses in intensive care and emergency departments, has not yet received full attention. Information on how head nurses perceive and experience ergonomic hazard prevention in these units remains limited. This qualitative study aimed to explore the experiences and perceptions of head nurses regarding ergonomic hazard prevention in nursing care. Data were collected through a Focus Group Discussion (FGD) conducted at a hospital in Pekanbaru, Indonesia. Participants consisted of all head nurses working in intensive care units and emergency departments. The data were analyzed using Colaizzi’s phenomenological strategy. The study revealed two main themes: The contribution of head nurses’ managerial functions in the prevention of ergonomic hazards, and the use of technology to support ergonomic hazard prevention among clinical nurses. All participants shared similar perceptions of the importance of ergonomic hazard prevention. The findings provide valuable insights that should be considered to improve ergonomic safety efforts in hospitals. Recommendations include the need for direction, motivation, and continuous education from head nurses, supported by technology such as smartphones equipped with educational content and reminder features.

Application of Puzzle Play Therapy on Fine Motor Development in Preschool Children at Preschool & Kindergarten Nurul Azhar

Liza Tania — 2025-03-31

Preschool children are children aged 3-6 years, during this period children's development is very rapid. One very important development is the development of fine motor skills, because it will make it easier for children to carry out their activities. Fine motor skills develop optimally by being stimulated, namely Puzzle Play Therapy can be applied. Research Objective: To describe the application of puzzle play therapy to fine motor development at the Nurul Azhar Preschool & Kindergarten. Research Method: This research is descriptive using a case study approach with 2 subjects, conducted on April 22–May 3 2024. In this research, data was collected by observation and presented in narrative form. Research Results: showed that the fine motor development of both subjects before being given the intervention had failed and after the intervention for 2 weeks with 6 meetings, both subjects found that their fine motor development had increased towards pass. Conclusion: The results of the study showed an increase in the fine motor development of preschool children after the puzzle playing therapy intervention.