Lasalle Health Journal

POLA ASUH ORANG TUA DAN PERILAKU SELF-HARM PADA REMAJA: STUDI DESKRIPTIF

Henny Kusumawati, Syenshie Virgini Wetik — Sun, 31 May 2026 00:00:00 +0800

Introduction: Self-harm among adolescents has become an increasingly complex and concerning mental health phenomenon, along with rising psychological, social, and academic pressures during this developmental stage. This behavior not only reflects impaired emotion regulation but also represents an expression of psychological distress that is not adaptively channeled. Particularly parenting styles, plays an important role in shaping adolescent vulnerability and psychological resilience. Objective: To identify the description of parenting styles and Self-harm behavior among adolescents. Method: This study used a quantitative descriptive design with a survey approach. The population consisted of 120 students, while the respondents are 91 were those identified as having experienced Self-harm. Result: 91 students (75.83%) reported having engaged in Self-harm. Based on severity, most were in the low category, 68 students (74.73%), followed by the moderate category with 20 students (21.98%), and the high category with 3 students (3.29%). Respondents who had engaged in Self-harm most commonly experienced permissive parenting from both fathers and mothers, totaling 48 students (52.75%). Conclusion: The prevalence of Self-harm among adolescent is relatively high and is most commonly found among those raised with permissive parenting styles. This highlights the important role of parenting in emotional regulation and the prevention of Self-harm behavior.

RHYTHMIC AUDITORY STIMULATION TERHADAP PENINGKATAN KECEPATAN BERJALAN PADA PASIEN LANSIA PASCA STROKE

Ephyfano Hansun, Friets Eman, Filly Mamuaja — Sun, 31 May 2026 00:00:00 +0800

Introduction: Post-stroke is a neurological condition that can cause motor impairments, muscle weakness, coordination disorders, and decreased walking ability. In elderly post-stroke patients, impaired walking speed is one of the most common functional problems that may affect daily activities. Rhythmic Auditory Stimulation (RAS) is a physiotherapy intervention that uses rhythmic auditory cues to help improve gait pattern and walking speed in patients. Objective: To determine the effectiveness of Rhythmic Auditory Stimulation in improving walking speed in elderly post-stroke patients. Methods: This study used a case study method on an elderly post-stroke patient who experienced decreased walking speed. Physiotherapy intervention using Rhythmic Auditory Stimulation was administered for 6 therapy sessions over a period of 3 weeks. Walking ability was measured using the 10 Meter Walk Test to assess the patient’s walking speed before and after the intervention. Results: Showed an improvement in the patient’s walking speed after the Rhythmic Auditory Stimulation intervention. The walking speed increased from 0.75 m/s at the initial evaluation to 1.25 m/s at the final evaluation after 6 therapy sessions. Conclusion: Rhythmic Auditory Stimulation was effective in improving walking speed in elderly post-stroke patients. This intervention can be used as one of the physiotherapy modalities to improve functional walking ability in post-stroke patients.

MOBILISASI DINI PADA PASIEN POST OPERASI FRAKTUR FEMUR

Oscar Ari Wiryansyah, Lidya Pronika — Sun, 31 May 2026 00:00:00 +0800

Introduction: The incidence of fractures worldwide is increasing, with an estimated 13 million cases, indicating a prevalence of around 2.7%. The most common type of fracture in Indonesia is lower extremity fractures, which are mostly caused by trauma due to accidents. Objective: To analyze how early mobilization is implemented in patients with post-operative femoral fractures. Method: This study uses a qualitative descriptive method with a case study approach. Participants consisted of 4 people, namely 3 patients and 1 key informant, namely a surgeon. Results: Based on the results of in-depth interviews, it was found that all patient informants in moving the affected limbs were assisted by their families. They moved the affected limbs starting from the heel then the ankle, rotating them to the left and right alternately. They were able to explain the purpose of mobilization, although not completely, namely to prevent muscle stiffness, improve blood circulation, and accelerate wound healing. Conclusion: The informants performed early mobilization after femoral fracture surgery with the help of their families and understood the benefits of mobilization, such as preventing muscle stiffness, improving blood circulation, and accelerating the healing process, although this understanding was incomplete. Recommendations are expected to provide guidance on early mobilization for patients after femoral fracture surgery and explain the benefits of postoperative mobilization in language that is easily understood by patients, thereby increasing their awareness of independent mobilization.

KOMBINASI TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION DAN CORE STABILITY EXERCISE TERHADAP NYERI DAN AKTIVITAS FUNGSIONAL PADA PASIEN SPONDYLOSIS LUMBAL

Andre Banua, Joanne I. Robot, Filly Mamuaja — Sun, 31 May 2026 00:00:00 +0800

Introduction: Lumbar spondylosis is a degenerative condition of the lumbar spine that frequently causes low back pain and limitations in functional activities. Transcutaneous Electrical Nerve Stimulation (TENS) and core stability exercise are known to help reduce pain and improve patient function. Objective: To determine the effectiveness of the combination of TENS and core stability exercise in pain and functional activity in patients with lumbar spondylosis. Methods: This study used a case study design involving a 59-year-old female patient diagnosed with low back pain due to lumbar spondylosis at the Physiotherapy Clinic of RSUD Tondano. The intervention was administered over six therapy sessions using TENS and core stability exercises, including pelvic tilt, marching in place, seated knee lifts, and modified bird-dog exercises. Evaluation was conducted using the Visual Analogue Scale (VAS) to assess pain intensity and the Oswestry Disability Index (ODI) to evaluate functional activity. Results: Showed a reduction in movement pain, with the VAS score decreasing from 4 to 2 after six therapy sessions, there was an improvement in functional activity, indicated by a decrease in the ODI score from 32% (moderate disability) to a lower level of disability after the intervention. Conclusion: The combination of TENS and core stability exercise was effective in reducing pain and improving functional activity in patients with lumbar spondylosis.

EDUKASI PERAWATAN PAYUDARA TERHADAP PENINGKATAN PENGETAHUAN PADA IBU HAMIL PRIMIGRAVIDA DALAM MENYUSUI

Siska N. Sibua, Gita Sandy Patonengan, Alya Nurhasanah Dilly — Sun, 31 May 2026 00:00:00 +0800

Introduction: Breast care during pregnancy is vital for preparing for future breastfeeding. To ensure the breasts function optimally once the baby is born, breast care should be planned throughout the pregnancy. A lack of awareness among pregnant women regarding breast care can impact milk production and the behavior of providing exclusive breastfeeding for the first six months. Many pregnant women do not perform breast care due to a lack of understanding of the necessary information. Objective: To analyze the impact of Breast Care Education on the knowledge improvement of primigravida pregnant women regarding breastfeeding at the Public Health Center (UPTD). Methods: This study utilized a one-group pre-test and post-test design with a quantitative quasi-experimental method. The sampling technique used was total sampling, involving the entire population as the research sample; thus, the total population of 15 pregnant women was included. Results: There is an influence of breast care education on the increase of knowledge among pregnant women. This is evidenced by the results of the Wilcoxon Signed-Rank Test, which showed a p-value = 0.001. Conclusion: It is expected that the Motoboi Kecil Public Health Center (UPTD) will establish breast care education as a routine program within antenatal services. Health workers should provide consistent counseling so that pregnant women, particularly primigravidas, are encouraged to actively participate and independently practice the breast care techniques taught.

TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION DAN TERAPI LATIHAN TERHADAP NYERI DAN KEKUATAN OTOT PADA OSTEOARTHRITIS GENU

Dewi Cristina Belekubun — Sun, 31 May 2026 00:00:00 +0800

Introduction: Knee osteoarthritis is a degenerative disease of the knee joint characterized by pain, muscle weakness, and limitations in functional activities. Objective: This study aimed to determine the effectiveness of Transcutaneous Electrical Nerve Stimulation (TENS) and exercise therapy in reducing pain and improving muscle strength. The method used was a case study involving a 60-year-old female patient diagnosed with bilateral knee osteoarthritis. The intervention was administered over 8 therapy sessions consisting of TENS and exercise therapy, including free active movement, active resisted exercise, and quadriceps setting exercises. Measurements were conducted using the Visual Analog Scale (VAS) for pain assessment and Manual Muscle Testing (MMT) for muscle strength evaluation. Results: showed a reduction in pain from 6.1 cm to 4.8 cm in the left knee and from 5.3 cm to 4.1 cm in the right knee. In addition, muscle strength increased from grade 4 to 4+ in both flexor and extensor muscles. Conclusion: of this study is that the combination of TENS and exercise therapy is effective in reducing pain and improving muscle strength in patients with knee osteoarthritis.

AROMATERAPI LEMON DAN SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE TERHADAP PERUBAHAN TEKANAN DARAH LANSIA DENGAN HIPERTENSI

Adinda Kurnia Sari, Maria Theresia Arie Lilyana, Ninda Ayu Prabasari — Sun, 31 May 2026 00:00:00 +0800

Introduction: Older adults are at high risk of developing hypertension due to degenerative processes in the heart and blood vessels, which can lead to complications such as stroke, heart failure, myocardial infarction, and even death. Blood pressure can be managed through nonpharmacological or complementary therapies, such as Lemon Aromatherapy and Spiritual Emotional Freedom Technique (SEFT)Objective: To determine whether the administration of SEFT and lemon aromatherapy has an effect on blood pressure in the elderly. Methods: A pre-experimental one-group pretest-posttest design was used, with the intervention consisting of Spiritual Emotional Freedom Technique (SEFT) and lemon aromatherapy administered over 3 days. Participants (n) = 30 elderly individuals diagnosed with stage 1 hypertension. Results: The mean systolic blood pressure decreased from 150.3 ± 5.266 mmHg to 141.1 ± 5.234 mmHg, while diastolic blood pressure decreased from 93.266 ± 2.476 mmHg to 87.3 ± 2.380 mmHg after the intervention. Conclusion: The combination of lemon aromatherapy and Lemon Aromatheraphy has been shown to help lower blood pressure and can therefore be used as a complementary therapy for elderly individuals with hypertension.

KUALITAS TIDUR DENGAN PRESTASI AKADEMIK MAHASISWA KEPERAWATAN

Rivaldo Mawu, Theresia Hartono, Veronica Walansendow — Sun, 31 May 2026 00:00:00 +0800

Introduction: Nursing students often experience poor sleep quality due to high academic demands, which is believed to affect their academic performance. Objective: To identify the relationship between sleep quality and academic performance among fifth-semester students at the Faculty of Nursing, De La Salle Catholic University of Manado. Methods: This study employed a quantitative correlational design with a cross-sectional approach and involved 46 respondents selected through purposive sampling. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), while academic performance was assessed based on the Cumulative Grade Point Average (CGPA). Data analysis was performed using Spearman’s Rho test. Results: All respondents (100%) fell into the poor sleep quality category, while the majority had academic performance in the good category. The analysis results showed a correlation coefficient of 0.075 with a p-value greater than 0.05, indicating no significant relationship between sleep quality and academic performance. Conclusion: The academic performance of nursing students is not significantly related to sleep quality and is likely influenced by factors other than sleep patterns.

RELAKSASI NAPAS DALAM SEBAGAI INTERVENSI MANDIRI PERAWAT DALAM MENURUNKAN INTENSITAS NYERI ABSES LEHER PADA PASIEN DIABETES MELLITUS TIPE 2: STUDI KASUS

Dedi Krismiadi, Deden Reksawan Tarimana — Sun, 31 May 2026 00:00:00 +0800

Introduction: Hyperglycemia can lead to a decline in immune function, especially the ability of white blood cells to fight bacteria, and disrupt blood flow to the tissue. As a result, infections occur more easily and develop into abscesses, that cause unbearable pain. So non-pharmacological measures are needed suchas deep breathing relaxation. Objective: To determine the effectiveness of deep breathing relaxation therapy for reducing neck abscess pain in DM patients. Method: quantitative type with case study method. The application of assessment, diagnosis, planning, implementation and evaluation as a nursing process. Respondent 1 DM patient with inclusion criteria, namely having an abscess on the back of the neck and being treated for 3x24 hours. Results: At the beginning of the assessment, the patient complained of pain in the back of the neck. After being given deep breathing relaxation for 3 days, the intensity of the pain experienced by the patient decreased from a scale of 6 (moderate) to mild (3). Subjectively, complaints appeared to be reduced and felt more relaxed. The evaluation results show that there appears to be an improvement in condition and there is an increase in relaxation independently and in a structured manner. Conclusion: This therapy is effective in reducing the pain scale in post-op abscess debridement patients in DM patients, especially in post-op abscess debridement patients with DM who require comprehensive care due to the pain they feel.

CALLOUS UNEMOTIONAL TRAITS DAN PENGGUNAAN MEDIA SOSIAL TERHADAP TINDAKAN CYBERBULLYING

Fransisca Kerap, Wahyuny Langelo, Cindi T. M. Oroh — Sun, 31 May 2026 00:00:00 +0800

Introduction: Cyberbullying refers to harassment perpetrated through social media platforms, which can elicit a wide range of detrimental psychological, physical, and psychosocial consequences. The personality aspect of callous-unemotional (CU) traits has been identified as a potential contributing factor to Cyberbullying behavior. Objective: This study aims to examine the relationship between callous-unemotional traits, social media use, and Cyberbullying behavior among vocational high school students. Methods: This study employed a quantitative research design with a cross-sectional correlational approach. The research was conducted at SMK Negeri 6 Manado, targeting the entire student body as the study population. A sample of 283 respondents was selected utilizing a non-probability, purposive sampling technique. Data analysis was performed using the Chi-Square statistical test with a significance level of $\alpha = 0.05$. Results: The analysis of the relationship between callous-unemotional traits and Cyberbullying yielded a $p\text{-value} = 1.00$. Conversely, the analysis concerning social media use and Cyberbullying demonstrated a significant association with a $p\text{-value} = 0.008$. Conclusion: There is no significant relationship between callous-unemotional traits and Cyberbullying behavior. However, a significant relationship exists between social media use and Cyberbullying behavior among students at SMK Negeri 6 Manado.