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Labor pain occurs due to the contraction of uterine muscles, which can cause discomfort and pain for the mother, potentially affecting the labor process. Acupressure is a complementary therapy that involves applying pressure or massage and stimulation at specific points on the body. The purpose of this study is to determine the effectiveness of acupressure point pressure in reducing labor pain for Mrs. N at PMB Silvi Ayu, S.Keb in Pekanbaru. This research used a descriptive method with a case study design. The results of this study indicate that acupressure point pressure is proven to be effective in reducing pain during labor, especially in the active phase. This method is safe and can be used as an alternative or complementary approach to other pain management methods.

Lower back pain is pain in the lower back area that is felt down to the buttocks and thighs which is often found in society, especially in housewives. The core is the central part of the body including the pelvis, lower back and hips. Core exercises train the muscles to work in harmony and improve body balance. This study uses leaflet media and direct tutorials to members of the Dharma Wanita Persatuan Balai Perikanan Budidaya Laut (BPBL) Ambon to overcome lower back pain (Low Back Pain).      

Background: Surgical procedures can be a potential or actual threat to a person's integrity that can evoke physiological and psychological reactions. Based on WHO 2022, patients with surgery are recorded at 234 million people. The problem caused by surgery or surgery is pain. Pain management can be done by pharmacological or non-pharmacological methods. The application of dhikr therapy can be used as a non-pharmacological therapy to be combined with pharmacological therapy so that person's pain scale can be further reduced. Objective: Describe results the implementation of dhikr therapy on post-operative patients at RSUD Bagas Waras Klaten. Method: Application of Dhikr Therapy to the Pain Scale in Post-operative Patients with descriptive method was carried out for 3 days in 1 day there were 2 sessions with each session 10 minutes and interval between each session was given 2 hours. Results: There was decrease in the pain scale in 2 post-operative patients, after applying dhikr therapy for 3 days from a controlled severe pain scale to mild pain scale. Conclusion: The results the application of Dhikr Therapy for 3 consecutive days can reduce the pain scale in post-operative patients at RSUD Bagas Waras Klaten.

Sectio caesarea is a solution for handling births with complications, Sectio Caesaria in Indonesia every year deliveries with sectio caesaria are increasing. Surgical procedures such as Sectio Caesaria are actions that cause tension (stress) because this action involves removing the fetus through the abdomen (Laparotomy) which requires an incision into the uterus (Hysterotomy). The aim of this research is to find out the relationship between pain intensity and breast milk production in post-cesarean section mothers at RSUD. Data analysis using univariate, bivariate analysis. The results of this study show that there is a significant relationship between pain intensity and breast milk production in post-cesarean mothers at the Bandarkar Subdistrict, Simalungun District Trade Hospital in 2022. It can be used as a source of information for mothers who are about to give birth and postpartum mothers to know about description of the intensity of pain in mothers post Sectio Caesaria at the Trade Hospital which causes disruption in breast milk production.

Background: The elderly are vulnerable to chronic diseases and musculoskeletal issues, such as rheumatoid arthritis, which is characterized by pain in the joints and extremities. This disease can lead to persistent pain, fatigue, and an increased risk of injury. One effective non-pharmacological therapy for reducing joint pain in patients with rheumatoid arthritis is rheumatic exercise, which focuses on maintaining range of motion and physical health. Objective: The objective of this research is to describe the comparison of the final results between two respondents before and after the application of rheumatic exercises. Method: This research uses a case study approach with a descriptive method. Descriptive research aims to present or describe the events observed in society. The application of rheumatic exercises was carried out for 4 weeks with a frequency of once a week for 8 minutes. Result: From this study, a decrease in pain levels was found in both respondents, with N. Y's pain level dropping from 5 to 1 and Ny. Y's from 6 to 2. Conclusion: Rheumatic exercise therapy can reduce pain levels in patients with rheumatoid arthritis. (RA).

Maternal Mortality Rate (MMR) is a component of the development index and quality of life index which is calculated by considering and taking into account women's health status (MMR). The aim of this study was to determine the effect of pregnancy exercise on reducing lower back pain in pregnant women III at the Sidomulyo Banyuasin Community Health Center. The research population was pregnant women in the third trimester at the Sidomulyo Banyuasin Community Health Center with a total of 16 pregnant women. Univariate and bivariate data analysis.  The results of research show that pregnancy exercise has an effect on reducing lower back pain in pregnant women. This shows that 0.018 is smaller than 0.05. Through this research, pregnant women understand the benefits of pregnancy exercise during pregnancy, especially during the third trimester of pregnancy, which has a very good impact so that mothers feel comfortable and reduce complaints during pregnancy, such as lower back pain, especially.

Dysmenorrhea is pain during menstruation, caused by an imbalance of the hormones progesterone, prostaglandins, and stress or psychological factors. Although generally harmless, it can cause discomfort for women. Dysmenorrhea can be treated in various ways, one of which is with cinnamon aromatherapy which is one of the therapies of choice to treat dysmenorrhea in adolescent girls. Objective to determine the effect of cinnamon aromatherapy with inhalation method on dysmenorrhea pain intensity in female students at SMAN 1 Jogorogo Ngawi. This study used a pre-experimental design with a one group pretest-posttest design method with a total of 34 adolescent girls who experienced dysmenorrhea. The measuring instrument used NRS (Numeric Rating Scale) and data analysis using Wilcoxon Sign Rank test. The results of the study is the intensity of dysmenorrhea pain before being given cinnamon aromatherapy was dominated by moderate pain (85.3%) and the intensity of dysmenorrhea pain after being given cinnamon aromatherapy was dominated by mild pain (88,2%). The results of the Wilcoxon test showed a p value of 0.000 <0.05, meaning that Ho was rejected and Ha was accepted. There is an effect of cinnamon aromatherapy with inhalation method on dysmenorrhea pain intensity in female students at SMAN 1 Jogorogo.

The purpose: To determine the effect of differences between SWD and neural mobilization with SWD and William’s flexion exercise to improve of functional ability on patient’s with low back pain ischialgia. Design: Two group pretest and posttest design. Participants and interventions: Ten patients with low back pain ischialgia from both sexes were involved (outpatient hospital clinic). Age of the patients between 46 – 65 years. They were divided into two equal groups, Group (I) received SWD and neural mobilization intervention and Group (II) received SWD and William’s flexion exercise. Outcome measure: The Oswestry disability index (ODI) was used to assess changes in perceived disability. The mean differences between week 0 and week 3 were compared across the two treatment groups using Mann-Whitney. Ninety-five percent (95%) confidence intervals (CIs) for the differences between groups were calculated. Results: The results of study revealed that: there was significant difference in functional ability group I (p=0.034) and group II (p=0.038). Howeverthere wasn’t a significant difference between both groups on functional disabilities improvement (p=0.245), so there wasn’t intervention which better of both. Conclusion: It is concluded that SWD addition neural mobilization and SWD addition William’s flexion exercise may be beneficial in the management of patients with low back pain ischialgia to improving of functional ability in two groups.

Gout arthritis is a disease in which there is excessive accumulation of uric acid in the body. Based on WHO, the prevalence of gouty arthritis in the world is 34.2%. The impact of gouty arthritis pain can be caused in the form of decreased quality of life of sufferers due to pain that greatly interferes with daily activities: Research objectives the description of the pain level of gouty arthritis in UPTD Puskesmas 1 Baturetno Wonogiri. Methods: Descriptive with a quantitative approach. The research subjects were 196 patients with purposive sampling technique totaling 66 patients. Research instrument (NRS) nurmetic rating scale. Results: Characteristics The majority of gouty arthritis pain levels were elderly at 35 respondents (53%), female gender at 37 (56.1%), the majority of the length of suffering ≥ 5 years at 44 (67.7%), the majority of moderate pain levels with a scale of 4-6 at 31 (47%). Conclusion: the description of the pain level of gouty arthritis at UPTD Puskesmas 1 Baturetno is mostly elderly, female gender, long suffering ≥ 5 years, moderate pain level.

Background: Menstrual pain in the world is very high, 50% of women worldwide, Bulgaria 8.8%, Finland 94% while Indonesia 64.25%. Menstrual pain causes short and long term adverse effects including interference with daily activities and even an increase in absenteeism at the campus, long-term effects cause tissue growth outside the uterus. Menstrual pain can be treated with pharmacological and non-pharmacological therapies. One of the non-pharmacological therapies is inhaling lemon aromatherapy. Limeone contains lots of vitamin C which will control prostaglandins and reduce pain. Objective: To describe the results before and after the application of lemon aromatherapy on reducing menstrual pain. Methods: Case study with descriptive design on 2 respondents who were given lemon aromatherapy for 15 minutes twice a day for 2 days, and measured using Numeric Rating Scale. Results: After lemon aromatherapy was performed on both respondents with menstrual pain, it showed a decrease in the pain scale from moderate pain to mild pain. Conclusion: The application of lemon aromatherapy can reduce menstrual pain in female students from moderate to mild

Background: The prevalence of gouty arthritis has increased significantly by 2023, reaching 33.3% according to WHO. In Indonesia, 35% of cases occur in men aged over 45 years, while Central Java has a prevalence of 26.4%. In Sukoharjo District, Mandan Village recorded the highest number of gout patients with 150 cases, followed by Gayam (75 cases) and Sukoharjo (35 cases). The use of warm water compresses is recommended to relieve joint pain due to gouty arthritis by increasing blood flow and reducing joint stiffness. Objective: Knowing changes in the pain scale in two respondents with gouty arthritis before and after a warm compress method: This research is applied research with a case study using pre-post test results: There was a decrease in Mrs. S's pain scale which initially 6 decreased to 3 while in Mr. T, the pain scale 7 decreased to 5. Mr. T is a pain scale of 7 decreasing to 5. Conclusion: After the application of warm compresses on Mrs. S and Mr. T, there was a decrease in the pain scale. T there is a decrease in the pain scale. Mrs. S from moderate pain to mild pain, Mr. T from severe pain to moderate pain. T from severe pain to moderatepain. This shows that warm compresses can reduce pain in people with gout.

Gastritis is a disease that is often found in the general public, this disease affects all walks of life according to the World Health Organization. The incidence of gastritis in the world is around 1.8-2.1 million of the total population each year. According to data obtained from the Weru Health Center ranks 10th out of 20 major diseases at the Weru Health Center, reaching 149 cases. Guide Imagery is one of the pain distraction techniques aimed at handling pain, lowering blood pressure, relieving anxiety. One group pre test and post design method, the subjects in this research case study were 2 respondents who experienced gastritis, 1 application of guide imagery was carried out for 3 days with a duration of 15 minutes. After the guide imagery technique, 1 application for 3 days, both respondents experienced a decrease in the epigastric pain scale from a moderate pain scale to a mild pain scale, Mrs. S from scale 5 to 2 and Mrs. M from scale 4 to 1. Guide imagery is very effective for reducing epigastric pain in gastritis patients.

Background: Osteoarthritis often occurs in the elderly aged more than 60 years which is characterized by pain in the joints when moved. In Indonesia, 65% of elderly people aged 60 years and over experience osteoarthritis. Red ginger compress is an alternative nonpharmacological treatment to reduce joint pain in the elderly with osteoarthritis. Objectives: Knowing changes in pain scale in the elderly before and after doing red ginger compresses. Method: This application uses descriptive methods on 2 respondents, with pretest and posttest in the observation sheet of pain scale measuring instruments in the form of NRS (Numeric Rating Scale). Red ginger compress is given 2x a day in the morning and evening for 14 consecutive days within 20 minutes Result: There was a change in the intensity of the pain scale in both respondents. Mrs. P from moderate scale to mild scale and Mrs. E from moderate scale to painless scale. Conclusion: The application shows that there are changes in the pain scale before and after the red ginger compress, both in the first respondent and the second respondent. Red ginger compress can reduce osteoarthritis joint pain in the elderly.    

Cervical root syndrome (CRS) is a clinical condition  caused by compression of the nerve roots in the neck area, often experienced by workers in static positions for long periods such a tailors. CRS can cause significant pain symtomps, affecting daily activities and quality of life. This study aims to determine the effect of a combination of neck calliet exercise and Neuromuscular taping on reducing pain in suffers of cervical root syndrome among tailors in Sragen. This research uses a design quasi-exsperimental with pre-test and post-test. the research subjectsw ere 26 tailor in sragen who where selected based on inclusion and exclusion criteria. The invertion provided is a combination of neck caliet exercise and Neuromuscular taping. pain levels were measured using NRS scale before and after the intervention. Before the intervention 76.9%  of respondens experienced moderate pain (NRS score 4-6). while 23.1% experienced mild pain (NRS score 1-3). After the intervention 69.2% of respondents experienced in pain to the mild category, and only 30.8% still felt moderate pain. data analysis shows a significant reduction in pain levels after being given this combination intervention.The combination of neck calliet exercise and Neuromuscular taping  is effective in reducing pain in sufferers of cervical root syndrome among tailors. this intervention can be an afficient pharmacological alternative treathment for chronic neck pain.

Posyandu Kemuning is one of the posyandu in Sondakan Laweyan Subdistrict, Surakarta and is included in the UPT Puskesmas Pajang Surakarta area. Posyandu Kemuning has 20 health cadres. Like posyandu in general, the monthly activity at Posyandu Kemuning is checking babies and toddlers and pregnant women. Data for April 2024 showed that the number of pregnant women was 23, with details of 6 pregnant women in the first trimester, 7 pregnant women in the second trimester and 10 pregnant women in the third trimester. Of the 10 pregnant women in the third trimester, all experienced complaints of back pain and had not received assistance from cadres. The negative impact of back pain is interference in daily physical activities. Back pain that is not treated properly in pregnant women can cause poor quality of life for the mother. The priority problem found at Posyandu Kemuning was the limited knowledge and skills of cadres in assisting pregnant women with back pain. Cadres do not understand about back pain during pregnancy and do not have the complementary Pelvic Rocking Exercise skills to treat back pain during pregnancy. The focus of this community service activity is to provide training to cadres on Pelvic Rocking Exercise as an effort to assist in handling back pain for pregnant women at Posyandu Kemuning Sondakan Laweyan Surakarta. The method used consists of 6 stages, namely Preparation, Apperception, Training, Post-training assistance, Evaluation and Termination of activity results. The results of the activity were that cadres' knowledge in the good category before and after counseling increased by 25%, most of the cadres' skills regarding Pelvic Rocking Exercise were in the good category, namely 13 cadres (65%). Cadre assistance activities in treating back pain in pregnant women at Posyandu Kemuning Sondakan Laweyan Surakarta have gone well. Cadres are committed to carrying out and implementing the results of activities in assisting pregnant women.

Background: Based on world data, there have been 2.7 million cases of perineal rupture in mothers giving birth. This figure is estimated to reach the highest number collected until 2050, which is 6.3 million. Perineal rupture in Asia also often occurs in society, which is around 50%. According to data from the Indonesian Demographic Health Survey (SDKI), 75% of mothers who give birth in Indonesia experience perineal tears or perineal rupture. Objective: To describe the results of measuring the pain scale using the cold compress method. Method: This study method uses a case study method with a descriptive design and uses a Numeric Rating Scale (NRS) pain measurement sheet, in the cold compress method, the variable measured is perineal wound pain that has been given intervention 3 times a day in a span of 5-10 minutes for 3 days. Results: After cold compresses were given to two respondents who experienced perineal wounds, there was a change in the pain scale which was included in the mild pain category. Conclusion: The application of cold compresses can reduce the scale of perineal wound pain in postpartum patients.    

Background: Indonesia is included in the category of rheumatism sufferers which is quite high, namely 6.3% in the world of the high rate of rheumatism in indonesia. if it is not treated, it will cause swelling and stiffness in the sufferer's joints, resulting in discomfort. for this reason, efforts are needed to control rheumatism.  one of the rheumatism therapies is doing back massage. back massage is a technique for giving massage to the back with slow rubbing which provides a feeling of comfort and relaxation to the body. objective: to determine the intensity of the pain scale before and after giving back massage therapy and to see the effect of giving back massage therapy on pain in rheumatism sufferers. method: this type of research uses descriptive research methods and by observing 2 respondents with a history of rheumatism and who were given the implementation of back massage therapy. results: there was a decrease in the intensity of rheumatic pain after giving therapy on Mr. S from a scale of 5 to 2 and in Mrs. G from a pain scale of 6 to a pain scale of 2. Conclusion: there is an effect of giving back massage therapy on pain in rheumatism sufferers.    

Background: One of the effects that occurs after Sectio Caesarea surgery is complaints of pain. Data from the World Health Organization (WHO) SC prevalence is 46% in China and 25% in Asia, Europe and Latin America. Based on 2021 RISKESDAS data, the number of deliveries using the Sectio Caesarea method in Indonesia is 17.6%. The data obtained at PKU Muhammadiyah Hospital included 1045 mothers giving birth by Sectio Caesarea. Post SC pain data is mostly on the moderate pain scale with 66.0%, mild pain with 25.7%, and severe pain with 7.7%. One non-pharmacological intervention is providing early mobilization measures. Objective: To determine the results of implementing early mobilization measures to reduce the intensity of Post Sectio Caesarea pain. Method: Descriptive observational research using a case study method carried out by 2 respondents from Post SC mothers who underwent early mobilization in the first 6 hours after caesarean section until the third day. Results: The pain scale in respondents after early mobilization was on the mild pain scale. Conclusion: There is a reduction in pain for Post Sectio Caesarea mothers by early mobilization.    

Based on Riskesdas, the rate of cesarean delivery  in Indonesia is 20-25% in government hospitals and 30-38% in private hospitals. Sectio Caesarea section is a non-surgical procedure that will injure tissue, so the mother's complaint after caesarean section surgery is pain. One of the non-pharmacological pain management is finger grip relaxation to describe the results of pain scale measurements with finger grip relaxation This application uses a case study method with a descriptive design and uses  a Numeric Rating Scale (NRS) pain measurement sheet, carried out for 30 minutes and for 2 days After the application was carried out on 2 respondents, there was a decrease in the pain scale, Mrs. A from a scale of 4 to 3 and Mrs. D from a pain scale of 5 to 3 including the mild category. Finger grip relaxation has an effect on reducing pain scale in patients after sectio caesarean section

Lemongrass has many benefits that can be processed into processed ingredients in traditional medicine to overcome diseases, especially to relieve leg pain that attacks children and adults. Lemongrass in Manen Kaleka village is quite abundant because it is easy to grow lemongrass in the area. Lemongrass plants are only widely sold in the Manen Kaleka village market only for cooking ingredients and its economic value can be said to be still low because of the level of processing. One of the measures that have been shown to be effective non-pharmacologically to reduce pain is to warm the affected joint. This lemongrass soak can be used in the treatment of pain and relax tense muscles. Plants that have substances as warmers, anti-inflammatories and can smooth blood flow such as lemongrass. The purpose of this activity is to describe the use of lemongrass decoction in traditional medicine for leg pain at the Manen Kaleka Village Posyandu in 2024, as well as to explore its potential benefits for public health.