Gouty arthritis is a metabolic disease caused by a buildup of monosodium urate monohydrate crystals in the joints. The accumulation of uric acid in the joints can form crystals such as needles that cause pain and inflammation, causing interference with the motion system and changes in daily activities. Pain management caused by the accumulation of gout is one of them with physical activities in the form of ergonomic exercise based on spiritual care. This study aims to identify the effect of ergonomic exercise based spiritual care on reducing pain levels in the elderly with gouty arthritis. The design of this study used quasy experimental with control group pre test and post test. The population in this study were all patients with arthritis gout as many as 56 elderly. Samples were taken using total sampling and divided into two groups: 28 intervention groups and 28 control groups. The intervention group was given treatment in the form of ergonomic exercise for 4 weeks with the media being given a module. Pain levels are measured by visual analog scale (VAS). Analysis of the data used was paired T test with a significance of p <0.05. The results of data analysis showed that the intervention group showed an average level of pain before intervention 6.5 and after the intervention showed an average level of pain 3.2 with a p-value of 0,000. Whereas the control group showed an average pain level of 6.2 and after 4 weeks the average pain level increased by 7.0 with a p-value of 0.008. The application of ergonomic exercise based on spiritual care can be given to people with arthritis gout in reducing pain. It is hoped that nurses can implement ergonomic exercise based spiritual care for reducing pain levels in elderly patients with gouty arthritis.

Game addiction, smartphone addiction, and Internet disorder in children and adolescents have become the subject of parental concern in recent years. Parenting interventions are the most appropriate choice for parents to reduce excessive use of problematic games, and this review has not been carried out by other researchers before. The purpose of this review was to describe the preventive management of parenting in children and adolescents who are at risk for game addiction, smartphone addiction, and Internet disorders. This paper reviews findings, trends, and new developments in the field concerned (n = 5 studies). The current research was conducted based on a literature search with Preferred Reporting Items for Systematic Reviews and Meta-analyses, and articles were searched with five databases: ProQuest, Ebscohost, Springer Link, PubMed, and Scopus. Furthermore, the keywords used are MeSH determination based on PICOS framework using keywords of Game Disorder OR Smartphone Addictions OR Internet Disorder, parenting, as well as prevention without a time limit for publishing articles. In conclusion, parenting programs are a preventive method that needs to be understood and developed in order to provide significant results in long-term management of game addiction, smartphone addiction, and Internet disorders.

Kecenderungan untuk selalu mengggunakan media teknologi atau gadget adalah salah satu fenomena yang sangat pesat berkembang. Gadget memiliki banyak fungsi bagi penggunanya sehingga dinilai lebih memudahkan. Kemudahan yang didapat itulah menjadikan ketergantungan pada gadget di berbagai kategori usia terutama usia anak dan remaja. Kegiatan pengabdian masyarakat yang dilakukan bertujuan untuk meningkatkan pola asuh yang positif dan memberikan pelatihan pada anak guna mengurangi kecenderungan internet gaming disorder. Metode yang dilakukan adalah dengan memberikan ceramah, diskusi dan tanya jawab, serta pelatihan pada anak untuk memberikan keterampilan pada anak agar bisa mengendalikan dorongan-dorongan yang ada dalam dirinya serta sekitarnya. Pengetahuan peserta diukur oleh lembar kuesioner pre test dan post test. Dari hasil penyuluhan dan pelatihan maka didapatkan karakteristik peserta berdasarkan usianya untuk orang tua hampir setengahnya berusia 35-44 tahun dan untuk anaknya berusia >10 tahun. Hampir seluruhnya pola asuh orang tua dengan kategori penerimaan dan rata-rata pengetahuan anak mengenai kontrol diri setelah mendapatkan latihan meningkat.

Pemberdayaan kader Mahatta yang memfasilitasi ibu hamil dan ibu yang mempunyai anak sebelum usia 2 tahun, dari hasil penelitian Kamaraiyah tahun 2022 di desa Dharma Tanjung menunjukkan hasil yang signifikan.  Pada penelitian tersebut masih ditemukan sebagian besar  responden pada penelitian tersebut masih mempunyai tingkat pengetahuan, sikap, perilaku dan derajad kesehatan yang rendah.  Sebagai bentuk dari hasil penelitian tersebut sebagai peneliti melanjutkan kegiatan tersebut dalam bentuk pengabdian kepada masyarakat. Metode yang digunakan dengan memberdayakan kader Mahatta untuk memfasilitasi warga nya mulai dari ibu hamil sampai dengan ibu yang mempunyai anak sebelum usia 2 tahun untuk berdiskusi dengan petugas kesehatan untuk meningkatkan pengetahuan dan keterampilan untuk menyongsong 1000 Hari Pertama kehidupan. Waktu yang digunakan dalam pengabdian kepada masyarakat selama dua minggu untuk masing masing responden yang mempunyai permasalahan yang sama. Hasil yang di capai setelah difasilitasi oleh Kader Mahatta kepada tenaga kesehatan menyongosng 1000 Hari Pertama kehidupan telah didapatkan hasil terjadi peningkatan derajad kesehatan yanga ditunjukkan dengan data hampir seluruhnya (89%) terjadi peningkatan pengetahuan, hampir seluruhnya (92%)  terjadi peningkatan sikap, dan 96% terjadi peningkatan ketrampilan serta hampir seluruhnya (98%) terjadi peningkatan derajad kesehatan. Peningkatan pengetahuan, sikap, perilaku serta derajad kesehatan ibu hamil dan ibu yang mempunyai anak usia sebelum 2 tahun akan bermakan jika dilakukan pendampingan oleh tenaga kesehatan atau tenaga yang berkompeten dalam edukasi atau pemberian keterampilan kepada masyarakat.

Pandemics, which are elements of non-natural disasters, often have a prolonged impact on children, such as traumatic power. The biggest challenge for children with a pandemic is the growing risk that affects the development of cognitive, behavioral and emotional abilities. The purpose of this study was to analyze the effect of murottal Al-Qur'an therapy on social development in preschool children during the pandemic at TPQ Baitul Karim. The research design used Quasy-Experiment with pretest-posttest approach with control group design. The study population was all mothers and preschool children at TPQ Baitul Karim of 54 respondents. A sample size of 48 respondents was taken using the Cluster Sampling technique. The independent variable is Murottal Al-Quran therapy and the dependent variable is social emotional development. The instrument uses a questionnaire sheet. Data were analyzed by Mc.Nemar test and Chi-Square test with a significance ɑ = 0.05. The results showed that before being given murottal Al-Qur'an therapy, most of the treatment groups (66.6%) and control (58.3%) had unattainable social emotional development. The results after being given murottal Al-Qur'an therapy, most of the treatment groups (91.6%) and control (70.8%) had achieved social-emotional development. The results of the Mc.Nemar test analysis found ρ = 0,000, meaning ρ <ɑ then H0 was rejected, which means that there was an effect of Murottal Al-Qur'an therapy on social development. Chi Square test analysis showed that the value of ρ = 0.088, ρ> ɑ, then H0 is accepted, which means there is no difference in social emotional development between the treatment and control groups. Murottal Al-Quran therapy is effective for improving social emotional development. It is hoped that therapy can be applied to preschool children whose social emotional development is not achieved.