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Reka Puspita Djumaati; Silvia D Mayasari Riu; Zainar Kasim

Jurnal Riset Ilmu Farmasi dan Kesehatan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Autogenic Relaxation Therapy is an exercise of one of the relaxation techniques that comes from oneself in the form of short sentences to be able to make the mind peaceful. The aim was to determine the effect of autogenic relaxation therapy on acute pain levels in abdominal pain patients with post appendectomy in the flamboyant room of Rumkti Tk II Robert Wolter Mongisidi Manado. The research method is qu a si experiment with One group pre test and post test design design with a sample of 11 respondents. The sampling technique using Total Sampling is a sampling method using SOPs and observation sheets. Furthermore, the collected data was processed using McNemar's statistical test. The results showed that most respondents experienced changes after doing Autogenic Relaxation Therapy. The results of data analysis tested using McNemar obtained results p = 0.004 (a < 0.005) meaning that there was an effect of autogenic relaxation therapy on post-appendectomy patients in the flamboyant room of Rumkit TK II Robert Wolter Mongisidi Manado.  Conclusion There is an effect of autogenic relaxation therapy on acute pain levels in abdominal pain patients with post appendectomy in the flamboyant room of Robert Wolter Mongisidi Kindergarten II Hospital.

Yerry Soumokil; Siti Rochmaedah; Demelza Ester Bulubili

Jurnal Sains dan Kesehatan (JUSIKA) 2023 Universitas Muhamadiyah Manado

Hypertension or high blood pressure is an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg in two measurements with an interval of five minutes in a state of sufficient rest/calm. One of the non-pharmacological therapies to reduce pain is a deep breathing relaxation technique consisting of slow, rhythmic chest and abdominal breathing which has the benefit of relieving acute and chronic pain by doing it constantly.

Bunga Mayang Sari; Agnes Isti Harjanti; Danny Putri Sulistyaningrum

Medical Laboratory Journal 2023 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Menstrual pain (dysmenorrhea) is a pain that is felt during menstruation and is felt in the lower abdomen. The incidence of dysmenorrhea is still common in young women, including in SMK Nurul Islami Semarang. One way to reduce dysmenorrhea pain is with warm electric compresses and deep breathing relaxation. This study aimed to analyse the effectiveness of giving electric warm compresses and deep breathing relaxation on the level of dysmenorrhea pain in adolescents at SMK Nurul Islami Semarang. The research plan is a quasi-experimental design with a two-group pre-test-post-test design approach. The population in this study was composed of female students in grades 10 and 11. The sampling technique was purposive, and a total sample of 64 respondents was obtained. The statistical test used is the normality test using Kolmogorov-Sminonov, followed by the Wilcoxon test. This study found that giving electric warm compresses and deep breathing relaxation was more effective in reducing dysmenorrhea pain than giving electric warm compresses. This finding is based on the intervention group's score of 16.50, while the control group's value is 14.50. The results of this study recommend that it can be used as material for carrying out interventions for young women who experience menstrual pain (dysmenorrhea).    

Siti Khasanah; Musa’adah, Musa’adah; Dwi Fitriyanti

Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi 2023 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Cancer is a condition in which cells have lost their normal controls and mechanisms, resulting in abnormal, fast and uncontrolled growth and threatens the lives of sufferers. Central Java ranks second in the highest cancer prevalence in Indonesia with a prevalence of 2.1% after Yogyakarta (4.9%). Meanwhile in the city of Semarang, there were 3,590 cancer sufferers recorded. At the SMC Telogorejo Hospital, cancer cases were recorded in 2020 as many as 1361 patients, then in 2021 there were 1261 patients and in 2022 there were 1125. The management of cancer patients is one of them with chemotherapy which can have a sleep disturbance effect. Handling sleep disorders can be done with a non-pharmacological approach, one of which is Progressive Muscle Relaxation. This study aims to determine the effect of Progressive Muscle Relaxation on sleep quality in cancer patients undergoing chemotherapy at the SMC Telogorejo Hospital. This research is a quasi-experimental design with one group pre test-post test design. the sample in this study amounted to 39 respondents using a purposive sampling technique. The results of the study based on the Wilcoxon test showed that there was an effect of progressive muscle relaxation on the sleep quality of cancer patients undergoing chemotherapy at SMC Telogorejo (p = 0.000), where the sleep quality of patients before being given progressive muscle relaxation averaged 7.85 in the category of poor sleep quality, then after being given progressive muscle relaxation an average of 4.26 was obtained in the category of good sleep quality. Therefore nurses need to apply Progressive Muscle Relaxation as a relaxation method for treating sleep disorders.

Damayanti, Siska; Suryadi, Karim

Jurnal Global Citizen : Jurnal Ilmiah Kajian Pendidikan Kewarganegaraan 2023 Prodi PPKn Universitas Slamet Riyadi

The world of education, especially Civics learning, requires innovation and variation in the learning methods applied. The brain-based learning method is very interesting because optimizing brain work can be started in a simple way. Educators' knowledge of fundamental questions about "what is good for a child's brain?" is the essence of applying this learning method. This is research that uses a qualitative approach with a literature study method. The process of data analysis is done through reduction, display, verification, and drawing conclusions. The results of the study state that the Brain-Based Learning Method with cybernetic learning theory is an innovative alternative in Civics subjects, so that learning is more efficient and fun. This learning method can be carried out in simple ways, such as paying attention to brain nutrition in students, paying attention to brain relaxation such as stretching or relaxing and listening to music, paying attention to plants and class aromas that can improve brain performance, paying attention to recess, and playing games in class.

Amirah Maritsa; Hasrini Hasrini; Zahrawi Astrie Ahkam; Faradillah Usman; Suciyati Sundu

Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat 2023 Asosiasi Riset Ilmu Kesehatan Indonesia

Patient anxiety during tooth extraction is a common challenge in dental practice that can affect patient experience and outcome of the procedure. This study aimed to evaluate the effectiveness of approaches and strategies to address patient anxiety during tooth extraction procedures. Through counseling designed to improve patient understanding of the causes of anxiety, relaxation skills, and communication with the dentist, this study measured its impact on patient anxiety levels and preparedness. The study involved patients undergoing tooth extraction procedures, where they attended a counseling session that included information on factors that cause anxiety, breathing relaxation techniques, and communication skills. Data were collected before and after the counseling through a survey that assessed patient knowledge, ability to apply relaxation techniques, self-confidence, and anxiety levels. The results showed a significant increase in patient understanding of the causes of anxiety from 50% to 85%, ability to apply relaxation techniques from 30% to 75%, and self-confidence in facing the procedure from 40% to 80%. In addition, the ability to communicate with the dentist increased from 45% to 78%, and anxiety levels decreased from 70% to 40%. These findings confirm that an educational approach is effective in reducing patient anxiety, increasing preparedness, and improving the experience during tooth extraction. This strategy can be implemented widely to improve the quality of care and patient well-being in dental practice.

Rahayu Winarti; Machfud Saifudin; Meirita Pranawati; Raidha Febria Handayani; Wahyu Griyaningsih +3 more

Compromise Journal : Community Proffesional Service Journal 2023 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Stress can worsen disease and reduce quality of life in patients with chronic diseases. This is because a chronic illness that is suffered for a long time will disrupt all aspects of life, including financial problems, career, role disorders, and including psychosocial problems. The aim of this community service is to increase the knowledge and abilities of chronic disease sufferers regarding stress management through training activities.The results of a preliminary study through interviews with cadres, residents and community health center officers show that mental health services are not yet optimal, especially for people with chronic illnesses. People, especially those suffering from chronic diseases, do not yet know about stress management techniques and there is no special program from the Community Health Center for health services for patients experiencing psychosocial problems. Health services are only provided to patients with serious mental disorders. The activity method used to overcome the problem is 1) Education through counseling to community groups suffering from chronic diseases and about psychosocial problems such as stress and ways to reduce and overcome it. 2) Training and Demonstration, after being given education through partner counseling, demonstrations of deep breathing and muscle relaxation are given. 3) Evaluation to determine the extent of the program's success and to ensure the sustainability of the program. Evaluation activities will be carried out using instruments to measure the partner's level of knowledge and skills. Activities continued with consolidation with the community health center and village government for the sustainability of the mental health service program, including the psychosocial early detection program.The results of the education were that participants' knowledge about stress management increased by almost 95%, participants were able to carry out deep breathing and progressive muscle relaxation techniques independently and stated their attitude that they would apply them at home.

Sri Riwayati; Musa’adah Musa’adah; Dwi Fitriyanti

Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran, 2023 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Breast cancer occurs due to abnormal, uncontrolled, and irregular cellular growth in the breast. The management of breast cancer includes surgery, chemotherapy, radiation therapy, hormonal therapy, immunotherapy, and bone marrow manipulation. The physical impacts of chemotherapy include sleeping problems and fatigue. The non-pharmacological efforts to relieve this fatigue include progressive muscle relaxation (PMR). The research objective was to determine the effect of Progressive Muscle Relaxation (PMR) on the level of fatigue in breast cancer patients undergoing chemotherapy. The research design was a pre-experimental one group pre-posttest design. The population is breast cancer patients undergoing chemotherapy as many as 35 patients. The number of respondents is 35 respondents. The sampling technique used is total sampling. The research instrument used is the Fatigue Assessment Scale (FAS). The test used is the Wilcoxon test. The results showed that there was an effect of Progressive Muscle Relaxation (PMR) on the level of fatigue in breast cancer patients undergoing chemotherapy with a p value = 0.000 (<0.05). The research recommendation is Progressive Muscle relaxation (PMR) intervention as a non-pharmacological intervention to reduce the fatigue level of breast cancer patients undergoing chemotherapy in health services.

Indra Ruswadi; Nafisah Itsna Hasni; Kayubi Kayubi

Publikasi Hasil Pengabdian dan Kegiatan Masyarakat 2023 Asosiasi Periset Bahasa Sastra Indonesia

Anxiety is a normal emotion that everyone has. Anxiety appears as a brain response to stress that warns of potential danger. Problems arise if the anxiety occurs continuously and even interferes with life. Anxiety like this can have a bad impact on body health and this is what is called an anxiety disorder. To reduce this anxiety problem, deep breathing relaxation and cognitive therapy can be done. The aim of community service is to find out about the application of the Si Mas Latif application (Overcoming Anxiety with Relaxation and Cognitive Therapy), in people who experience psychosocial anxiety problems at the Kertasemaya Health Center, Indramayu Regency.The method used is to create an application that can be used as a guide in overcoming anxiety using deep breathing therapy and cognitive behavioral therapy and outreach to program holders and the community using health services.Result: availability of the Si Mas Latif application (Overcoming Anxiety with Relaxation and Cognitive Therapy) and this application has been in HKI and socialization has been carried out to the Kertasemaya Community Health Center program holders.

Wili Suciani Wahono; Marisca Agustina; Nurul Ainul Shifa

Jurnal Rumpun Ilmu Kesehatan 2023 Pusat Riset dan Inovasi Nasional

Background: Students who are writing their theses experience several psychological disorders, one of which is anxiety disorders. One suitable treatment for treating anxiety disorders is to carry out Autonomous Sensory Meridian Response relaxation or commonly known as (ASMR). Watching ASMR videos can make students who feel anxious become calmer and more relaxed so that they can reduce their anxiety level and can complete their thesis according to the desired time. Objective: This research is to determine the effect of Autonomous Sensory Meridian Response (ASMR) relaxation on students' anxiety levels in facing a thesis for final year regular nursing students at the University of Indonesia Maju in 2023. Method: This research uses a quantitative research design with a one-group pre-test design approach before the treatment is given and a post-test after the treatment is given. Results: The majority of respondents are women (86.7%) and the majority of respondents were aged 21-22 years (86.7%). The majority of respondents before being given the intervention were in the mild anxiety category (46.7%) and the majority of respondents after being given the intervention were in the no anxiety category (73.3%). The Wilcoxon test result was p = 0.001 < 0.05, which means HA was accepted. Conclusion: There is an influence of Autonomous Sensory Meridian Response (ASMR) relaxation on final year regular nursing students in preparing their thesis at the Advanced Indonesia University.  

Kamelia Sinaga; Citra Anugerah; Azri Yani

Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) 2023 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Maternal who is difficult to adapt to the pain of labor can cause uncoordinated uterine contractions which can lead to prolongation of the first stage of labor and impaired fetal well-being. The purpose of this study was to see whether there was an effect of respiratory relaxation on the intensity of the first stage labor pain in the maternal love clinic Erlina Herawati, sub-district in 2023. This type of quantitative research used the One Group Pre Test- Post Test Design method with a population of all inpartum mothers in April 2023- June 2023 and a sample of 15 respondents. The results that have been obtained during the study including before the treatment showed mild pain by 2 respondents (13.3%), moderate pain by 6 respondents (40.0%), severe pain by 7 respondents (46.7%). Meanwhile, after treatment of mild pain 8 respondents (53.3%), moderate pain 4 respondents (26.7%), severe pain 3 respondents (20.0%). From the results of the study, it was found that the effect of before being treated and after being treated had a significant change in pain in the mother in labor. Therefore, it is hoped that in the future midwives in clinics will be able to facilitate mothers in giving birth by relaxing breathing it can reduce pain during labor, especially during the first stage of labor.

Fransiskus Borgias; Wihelmus Nong Baba

Jurnal Riset Rumpun Ilmu Kedokteran 2023 Pusat riset dan Inovasi Nasional

Hypertension is a non-communicable disease which is one of the main causes of death in the world. A person can be said to be diagnosed with hypertension if the systolic blood pressure is at a level of 140 mmHg or more and the diastolic blood pressure is at a level of 90 mmHg or more. Interventions that can be done in preventing and reducing high blood pressure by providing education on controlling progressive muscle relaxation exercises. This study aims to determine the effect of Progressive Muscle Relaxation Exercises on reducing blood pressure in the working area of the Kopeta Health Center, Alok District, Sikka Regency. Methods of data collection techniques through observation, interviews, physical examination and documentation. The results of data analysis showed several diagnoses, namely health behavior tends to be risky, risk of decreased cardiac output, readiness to increase knowledge. Hypertension education with control using progressive muscle relaxation is one of the non-pharmacological interventions that can be used to reduce blood pressure. Conclusion: based on the results of the case evaluation conducted, it was found that the application of progressive muscle relaxation exercises can lower blood pressure slowly, besides that this intervention can have a relaxing effect on Mr. I.B and Mr. F.W.

Devina Anggrainy Dencik

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2023 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Babies get their main nutrition, namely breast milk, through the breastfeeding process. However, in some cases breast milk can be low, one of the reasons is the mother's psychological condition. Mothers who feel unhappy, not calm, not relaxed, this will affect their breast milk. Hypnobreastfeeding is a relaxation technique to help smooth the breastfeeding process, by adding positive affirmations to your mind when you relax. Deep and regular relaxation makes the endocrine system, blood flow and other systems in the body function better because the endorphins produced by the mother will flow to the baby through breast milk and also make the baby feel comfortable and calm. Research objective: to determine the effect of hypnobreastfeeding on the smooth flow of breast milk in postpartum mothers at PMB Soraya Palembang. Method: This research uses a pre-experimental research design (one-group pre-post test design). The sampling technique used was total sampling with a total of 32 people. Univariate data analysis for homogeneity and bivariate tests used the dependent t test. The results of this study showed that respondents experienced an increase in breast milk production obtained from the pretest and posttest. The results of the dependent t test obtained a Z value of -2.129 and Asymp Sig of 0.001 < 0.005. The conclusion of this research states that there is an influence of the hypnobreastfeeding technique in expressing breast milk to the mother

Heni Purnama Sari; Nafolion Nur Rahmat; Ainul Yaqin Salam

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2023 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

High blood pressure, marked by a sustained rise in arterial pressure, poses a complex medical challenge with diverse origins. Internal factors like gender, age, and heredity, combined with external elements such as obesity, unhealthy habits, and stress, contribute to its development. The aging process in elderly individuals often results in reduced adaptive capacity, making them more susceptible to various ailments, including hypertension. To address this issue, Therapeutic Touch is explored as a non-pharmacological intervention, utilizing touch energy to modulate the nervous system and hormonal responses, thereby restoring energy balance and reducing pain and blood pressure levels. This study investigates the impact of Therapeutic Touch on blood pressure reduction in hypertensive elderly individuals in Balung Village, Kendit District, Situbondo Regency, using an experimental design with a one-group pre- and post-test setup. The research involves the entire hypertensive elderly population of Balung Village (32 individuals), with 30 participants selected through purposive sampling for a six-session Therapeutic Touch intervention over two weeks. Data collection employs observation sheets with coded responses, revealing a significant post-intervention shift towards normal blood pressure. Statistical analysis, using the Wilcoxon signed test (p-value: 0.000 ? ? 0.005), supports the acceptance of the  hypothesis. In conclusion, Therapeutic Touch proves effective in reducing blood pressure among elderly individuals with hypertension, operating through mechanisms influencing nerves, hormones, and overall body relaxation.

Sri Hartini

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2023 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Anxiety is a mistake, doubt in something that will happen with an unclear cause or object related to feelings of uncertainty such as worry about facing surgery. To overcome anxiety, there are types of therapy that can be applied by nurses, namely pharmacological therapy and non-pharmacological therapy. One type of non-pharmacological therapy that can be used is the Benson relaxation technique. This study aims to determine the effect of Benson relaxation on reducing anxiety levels in pre-operative patients in the Dahlia Room, Tanjungpinang City Hospital. The design of this research is a pre-experiment with one group pretest posttest type. The number of samples in this study was 21 preoperative patients using the Accidental Sampling technique. The instrument used was the Amsterdam Preoperative Anxiety And Information Scale (APAIS) questionnaire. Then analyzed using the non-parametric Wilcoxon test. Univariate results before being given Benson relaxation showed that 33.3% had mild anxiety, 66.7% had moderate anxiety, and after Benson relaxation 85.7% had mild anxiety, 14.3% had moderate anxiety. Bivariate results show that the hypothesis is accepted with a p-value of 0.000. It was concluded that there was an effect of Benson relaxation on reducing anxiety levels in pre-operative patients in the Dahlia Room, Tanjungpinang City Hospital. From this research, it is hoped that the Benson relaxation technique can be used as an alternative therapy to reduce patient anxiety levels that does not have harmful side effects for patients.

Syurrahmi Syurrahmi; Purna Luberto; Anisa Mutiara Hanani; Eriga Yessyra Syafitri; Cintya Putri Anisah

Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia (JPPMI) 2023 Sekolah Tinggi Ilmu Administrasi Yappi Makassar

Public Health is a part of science that discusses and studies the prevention and treatment of diseases in each individual. Some disease conditions found in the community are complaints of knee pain and back pain. The knee pain that is commonly found is Osteoarthritis. Osteoarthritis is the most common form of arthritis, suffered by millions of people worldwide. It is a degenerative joint disease that affects many joint tissues. This problem arises when the protective cartilage at the ends of bones deteriorates over time. Osteoarthritis is usually experienced in the age of 40-60 years. This is due to the advanced age of the degeneration process. In addition to Osteoarthritis, diseases of the shoulder are also found, such as spasm and Triger Point in the upper trapezius muscle. One of the interventions or modalities provided by infrared or infrared physiotherapy.  Infrared is one of the Physiotherapy modalities in providing services to patients with the aim of causing relaxation effects and decreasing pain. Infrared is a peacock wave that can relieve pain and stiffness in joints and muscles. The process of vasodilation of blood vessels produced by infrared rays can accelerate the removal of several pain-stimulating chemicals including bradykinin, serotonin, histamine, and proteolytic enzymes. As well as prostaglandins and substance P which increase the sensitivity of the ends of pain fibers, so that in the end infrared can reduce pain intensity. In addition to being given Physiotherapy Interventions also provide Socialization or counseling to the community in accordance with the conditions complained of. Providing explanations related to the conditions or complaints of each community by providing education and home programs.

Juli Astria Mariani; Hamzani Wathoni; Ushuluddin Ushuluddin; Selamet Riyadi Jaelani; Muhammad Husnu

The purpose of this study is to know the factors causing students’ speaking anxiety and to know the students’ strategies to reduce their speaking anxiety. This study is focus on factor that caused students’ strategies to reduce their speaking anxiety. This study is qualitative descriptive. The participants of this study were fourth semester of Hamzanwadi University. The researcher took 16 participants. The were gathered through conducting observation, deep interview, and field notes. The results showed that the factors caused students’ speaking anxiety were fear of making mistake, limited exposure to English, and gap of competence. Because of those reasons, the students finally found their strategies to reduce their speaking anxiety such as preparation, relaxation, positive thinking, and peer seeking.

Citra Fitri Firotika; Nurul Ainul Shifa; Saiful Gunardi

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2023 International Forum of Researchers and Lecturers

Introduction: Anxiety is a physiological state that has an impact on heart rate increasing rapidly, in this condition occurs when a person is under stress which makes him uneasy, every individual who experiences anxiety becomes one of the psychological problems that arise. Anxiety itself often appears but with unclear circumstances. To overcome anxiety can be done relaxation meditation and dhikr. Purpose: This research is to find out about the effectiveness of relaxation meditation and dhikr on students' anxiety before facing national exams. Methods: In this study using a pre-experimental type with a research design of two groups pre test - post test design with questionnaire sheets. The sample used was 20 people using purposive sampling. Results: Based on the results of statistical tests the results obtained were p-value = 0,002 for meditation relaxation and p-value <,001 for dhikr. Seen there is effectiveness or a significant effect on students' anxiety before and after meditation and dhikr relaxation. Which means H0 is rejected and Ha is accepted. Conclusion: Based on the results of research conducted that there is effectiveness between meditation and dhikr relaxation on students' anxiety before facing national exams.

Yuni Astuti; Tuti Anggarawati; Alifiah Zahra Nurcahyani; Shella Nur Jayanti

Jurnal Riset Rumpun Ilmu Kedokteran 2023 Pusat riset dan Inovasi Nasional

The third trimester of pregnancy is the gestational age from 29 weeks to about 40 weeks and ends with the baby being born. Pregnant women entering the third trimester of pregnancy will experience lower back pain due to enlarged uterus and changes in the center of gravity causing discomfort in daily activities. One of the treatments to help reduce low back pain in third trimester pregnant women is progressive muscle relaxation. This type of research is quantitative research using quasy experimental with a one groups pre test-post test design approach and sampling using purposive sampling technique. The research location at the Kagok Health Center with 19 respondents. The instrument used to assess dysmenorrhea pain is the Numeric Rating Scale (NRS). The research data were analyzed using a statistical test, namely the Wilcoxon test. The results of this study indicate that there is an effect of giving progressive muscle relaxation measures to the level of dysmenorrhea pain with a p value of 0.00 (<0.05).

Sartika Ratna Sari; Yuyun Triani

Jurnal Inovasi Riset Ilmu Kesehatan 2023 Pusat Riset dan Inovasi Nasional

Background: Childbirth is a series of events when a baby is released from the mother's womb, followed by the expulsion of the placenta and fetal membranes from the mother's body. The main problem that is usually complained of by labor patients in labor during the first active phase is that pain causes the mother to feel stressed and excessively worried. Respiration and pulse will also increase thereby disrupting the supply of fetal needs from the placenta. The simple way that can be done to reduce labor pain is to give endorphins massage. Objective: Knowing the analysis of differences in pain intensity in the active phase of labor in the first stage of labor before endorphin massage and after endorphin massage. Method: This study used a quasy experimental design. This type of research is pre-experimental design with one group pret test-post test design. Results: The results of the study obtained by the researchers were 20 respondents during the active phase of the first active phase of brenatal mothers who experienced severe pain with a scale of 7-9 and very severe 10 as measured by a numeric rating scale. Before doing the endorphin massage, it was found that those who experienced pain on average had a minimum of 5 and a maximum of 10 after the endorphin massage had an average minimum of 4 pain and a maximum of 9. Conclusion: There is a difference in the decrease in pain intensity in labor in labor during the 1st active phase before and after being given endorphine massage treatment.