https://adisampublisher.org/index.php/nasional Adisam Publisher id-ID Prosiding Seminar Nasional Indonesia https://adisampublisher.org/index.php/nasional/article/view/1080 <p><em>Researchers made initial observations of students' abilities regarding facial makeup. Problems were found in geriatric makeup materials. This is due to the boring learning model and the learning strategies applied by the teacher, which limit students from exploring their knowledge, while an effective learning environment can increase student competency. The goal of this investigation was to ensure: (1) implementation of syntax; (2) improvement of students' competence in doing geriatric makeup; and (3) student responses to the PjBL learning model. In this study, classroom action research (CAR) of this kind was employed, and the participants were 26 students from SMK Negeri 3 Kediri. The results showed: (1) The implementation of the syntax of the PjBL learning model from cycle I to cycle II had been corrected appropriately so that there was an increase in mark. (2) The success rate on cognitive learning outcomes tests increased from 69.23% to 96.15%; the success rate on performance tests increased from 84.61% to 96.15%; the percentage of students' attitude scores with good and very good predicates were initially 88, 46%, and 11.54%; the numbers increased to 42.31% and 57.69%. (3) The percentage of students' responses to the predicate of very good and good was initially 31% and 31% of 26 students, but the number increased to 54% and 35% of 26 students. The percentage in the sufficient category decreased from 19% to 11%.</em></p> Nabila Tri Afifah Arrori Ashar Hidayad Hak Cipta (c) 2025 Prosiding Seminar Nasional Indonesia 2025-04-10 2025-04-10 3 2 121 139 https://adisampublisher.org/index.php/nasional/article/view/1078 <p>Chronic Kidney Disease (CKD) requires regular hemodialysis therapy to replace impaired kidney function. However, this procedure often causes anxiety that impacts psychological well-being and patient compliance with treatment. One of the developing non-pharmacological interventions is Virtual Reality (VR), which is used as a distraction technique to reduce anxiety during hemodialysis. This review aims to evaluate the effectiveness of using VR in reducing anxiety in patients undergoing hemodialysis therapy. This study is a systematic review with a literature search from the Google Scholar, ProQuest, and PubMed databases for the period 2020–2025. The keywords "Virtual Reality," "Anxiety," and "Hemodialysis" were used with Boolean operators to filter the search results. Studies were selected based on the PICOS framework, and their quality was assessed using the Joanna Briggs Institute (JBI). Of the 1,414 studies found (960 from Google Scholar, 129 from ProQuest, and 325 from PubMed), four relevant studies were identified and further analyzed. The review results showed that VR is effective in reducing anxiety in hemodialysis patients. VR serves as a cognitive distraction, relaxation method, and parasympathetic response stimulant that helps reduce stress hormone levels and increase patient comfort during procedures. The implementation of VR has the potential to improve patient comfort, minimize dependence on anti-anxiety medications, and support technological innovation in healthcare. Further research is needed to explore the duration, frequency, and type of VR content that is most effective in reducing anxiety in hemodialysis patients and its impact on other psychological aspects, such as quality of life and adherence to therapy.</p> Mesya Mesya Reni Muhka Hak Cipta (c) 2025 Prosiding Seminar Nasional Indonesia 2025-04-04 2025-04-04 3 2 107 120