KLASICS

Relationship between the Level of Online Game Addiction and Emotional Problems and Aggressive Behavior Among Adolescents: A Literature Review

Khayla Arcadya Suprianto — 2026-07-24

The increasing use of online games among adolescents has raised concerns about their psychological well-being. Excessive gaming may lead to addiction, which is associated with emotional problems and aggressive behavior. This study aimed to analyze the relationship between the level of online game addiction and emotional problems and aggressive behavior among adolescents through a literature review. Articles published between 2016 and 2025 were systematically reviewed, resulting in 15 studies that met the inclusion criteria. The findings consistently showed that higher levels of online game addiction were significantly associated with increased emotional problems, including anxiety, depression, stress, and difficulties in emotional regulation, as well as aggressive behavior among adolescents. Several studies also suggested that emotional problems may strengthen the relationship between online game addiction and aggression, although variations in findings were influenced by differences in study design and participant characteristics. In conclusion, online game addiction is closely associated with emotional problems and aggressive behavior among adolescents. Preventive efforts through digital literacy, parental supervision, school counseling, and mental health promotion are recommended.

The Relationship Between Participation in the Chronic Disease Management Program (Prolanis) and Physical Activity with Blood Pressure Stability Among Older Adults in the Working Area of Andoolo Community Health Center

wayan sriantari — 2026-07-30

Hypertension in the elderly requires comprehensive management to prevent cardiovascular complications. This study aims to determine the relationship between Prolanis participation and physical activity with blood pressure stability in the elderly. This quantitative study utilized a cross-sectional design. A sample of 35 respondents was selected using a total sampling technique. Program participation and physical activity level data were collected through questionnaires, while blood pressure stability was sourced from medical records in April 2026. Bivariate data analysis was performed using Fisher's Exact Test.The results showed that the majority of respondents actively participated in Prolanis (82.9%), engaged in heavy physical activity (74.3%), and had stable blood pressure (85.7%). Statistical analysis revealed no significant relationship between Prolanis participation and blood pressure stability (p = 0.195), and no significant relationship between physical activity level and blood pressure stability (p = 1.000).The absence of a statistical relationship was driven by the homogeneity effect and the ceiling effect, where the elderly's blood pressure was already uniformly stable (homogeneous) due to routine program attendance and regular physical labor (farming). In conclusion, from a community nursing clinical perspective, the combination of Prolanis and daily physical activity significantly contributes to maintaining cardiovascular health in the elderly, despite being statistically insignificant due to data uniformity. Public health centers (Puskesmas) are advised to maintain the Prolanis program and enhance independent monitoring regarding medication adherence and low-salt diet compliance at home

Factors Influencing Smoking Initiation Among Adolescents at Ar-Ridho Islamic Boarding School

Fitriana Fitriana — 2026-07-30

Background: Smoking initiation during adolescence remains a major public health concern because early exposure to tobacco increases the risk of nicotine dependence and long-term health complications. Identifying the factors that encourage adolescents to smoke for the first time is essential for developing effective prevention strategies, particularly in educational settings such as Islamic boarding schools. Methods: This study employed a quantitative descriptive cross-sectional design involving 63 adolescent students at Ar-Ridho Islamic Boarding School, Depok, in May 2026. Data were collected using a structured questionnaire to identify respondents' primary reasons for smoking initiation. Descriptive statistical analysis was performed to summarize the frequency and percentage distribution of each influencing factor. Results and Discussion: The findings revealed that peer influence was the most dominant reason for smoking initiation, reported by 48 respondents (76.2%), followed by other influencing factors reported by 14 respondents (22.2%), while exposure to cigarette advertisements accounted for only 1 respondent (1.6%). These findings indicate that social interaction with peers plays a substantially greater role in smoking initiation than media exposure. Adolescents are more likely to adopt smoking behavior to gain social acceptance, conform to group norms, or strengthen interpersonal relationships within their peer groups. The limited contribution of advertising suggests that interpersonal social environments exert a stronger influence than external promotional factors in this population. Conclusions and Suggestions: Peer influence is the primary factor associated with smoking initiation among adolescents at Ar-Ridho Islamic Boarding School, Depok. School administrators, parents, and public health professionals should strengthen peer-based health promotion programs, tobacco education, and social skills interventions to improve adolescents' resistance to negative peer pressure. Future studies are recommended to examine additional psychosocial and family-related determinants using larger and more diverse samples to provide a broader understanding of adolescent smoking initiation.

The Effect Of Finger-Grasping Relaxation Techniques On Acute Post-Operative Pain Intensity With a Diagnosis Of Cystic Ovarian Neoplasma (OCN) In The Icu Of Toto Kabila Hospital

Nurjanah Kalasi — 2026-07-31

Ovarian cysts are a common reproductive health condition affecting women. Ovarian cysts are fluid-filled sacs in the ovaries or fallopian tubes that accumulate and surround the membrane formed from the outermost layer of the ovary. Patients undergo laparotomy surgery to remove the cysts. In postoperative patients, pain is a major issue that must be addressed immediately to ensure optimal recovery. Therefore, pain management interventions in postoperative pain reduction include finger grip relaxation therapy. The finger grip technique involves deep breathing and finger gripping, and requires relatively little time. This case study aims to describe the nursing care of finger grip relaxation in reducing postoperative pain. This case study design uses a descriptive approach with a flood containment process, with one respondent. Finger grip relaxation was performed for three days, each lasting 15 minutes, with therapy administered once daily. This case study demonstrates that after performing finger grip relaxation in patients experiencing postoperative pain, the pain scale changed from severe to moderate. Finger grip relaxation is effective in reducing postoperative pain. Keywords: finger grip, cystic ovarian neoplasm, pain

Application of Slow Deep Breathing Technique in Reducing Acute Pain Intensity in Postoperative Patients with Acute Kidney Failure in the ICU of Toto Kabila Regional Hospital

Moh. Elson Asim — 2026-07-31

Abstract: Acute kidney failure (AKI) is a clinical condition characterized by a sudden decline in kidney function within hours to days, resulting in disturbances in fluid and electrolyte balance, and metabolism. The causes of acute kidney failure are diverse and generally related to impaired blood flow to the kidneys, direct damage to kidney tissue, or obstruction of urine flow. Management includes adequate fluid management, close monitoring of kidney function, correction of electrolyte disturbances, discontinuation of exposure to nephrotoxic substances, and administration of renal replacement therapy if necessary. Pain is one of the main problems often experienced by patients after nephrostomy surgery. Appropriate pain management is a crucial aspect of nursing care for post-nephrostomy patients. Relaxation techniques produce an integrated physiological response and also disrupt a part of consciousness known as the slow deep breathing relaxation response. Objectives: The purpose of this study was to provide nursing care to post-nephrostomy patients with acute pain nursing problems using the slow deep breathing technique.Methods: This type of research is a case study with data collection techniques through interviews, observation, physical examination and documentation. The implementation of slow deep breathing was carried out for 3 days for 5-10 minutes and the patient rested for 30 minutes.Results: The slow deep breathing technique is one of the interventions that can be used to reduce acute pain. Conclusions: Slow deep breathing is effective in reducing the pain scale in post-nephrostomy patients.