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Low back pain merupakan salah satu gangguan musculoskeletal akibat dari ergonomi yang salah dan dapat didefinisikan sebagai nyeri yang terlokalisasi antara batas costae dan lipatan gluteus inferior yang berlangsung lebih dari sehari. Pada tahun 2018 di Indonesia, tenaga kesehatan pernah mendiagnosis sebanyak 11.9% kasus penyakit musculoskeletal  sedangkan  kasus  yang  terdiagnosis  menurut  gejala  yang  muncul  sebesar  24,7%. Persentase penderita LBP di Indonesia diperkirakan antara 7.6%-37% pada tahun 2018. Pada tahun yang sama didapatkan sekitar 26.74% penduduk Indonesia yang berusia 15 tahun keatas dan bekerja yang mengeluh mengalami nyeri di  daerah  punggung  bawah.  Hal  ini  diakibatkan  karena  seiring  bertambahnya  usia  maka  kekuatan  otot  akan mengalami penurunan sehingga rentan mengalami gangguan kesehatan. Kami berinisiatif untuk memberikan penyuluhan terkait nyeri punggung bawah pada Mahasiswa yang berada di Universitas Muhammadiyah Surakarta khususnya pada program studi fisioterapi angkatan 2019 kelas praktek E dan juga kegiatan pengabdian ini di support dengan pemberian leaflet, pre-test, post-test untuk mengukur tingkat pengetahuan dan penambahan wawasan responden terhadap nyeri punggung bawah baik gejala, faktor resiko, cara pencegahan serta penanganan secara mandiri maupun medis., agar kedepannya para lansia menambah pengetahuan perihal low back pain dan dapat menerapkan pola hidup sehat untuk mencegah penyakit ini. Berdasarkan hasil pengisian kuesioner pre- test dan post-test yang kami berikan, pengetahuan lansia tentang nyeri punggung bawah meningkat dari yang awalnya belum mengerti perbedaan nyeri lutut biasa dengan osteoarthritis menjadi paham, dan adanya peningkatan pengetahuan akan tanda dan gejala low back pain

Low back pain during pregnancy occurs due to changes in pregnancy hormones which increase relaxant hormones that affect the flexibility of the ligament tissue which ultimately increases joint mobility in the pelvis and will have an impact on spinal and pelvic instability and cause back pain. One way to reduce low back pain is to do pregnancy exercises. Pregnancy exercise can relieve lower back pain that is felt by pregnant women because in pregnancy exercise there are movements that can strengthen the abdominal muscles, make the elasticity of the muscles and ligaments in the back and relax, so that pregnant exercise can reduce lower back pain. The purpose of this study was to determine the effect of pregnancy exercise on reducing low back pain in pregnant women in the second and third trimesters in Panei District 2021. This study used a quasi-experimental research design with a pre-post-test design with one group test. The population in this study were all pregnant women in the second and third trimesters in Panei Tongah Health Center many as 30 people. The sample in this study amounted to 28 people. Analysis of the data used is univariate analysis and bivariate analysis using the Paired-Samples T Test. The average lower back pain before treatment was 3.32 and the Std. Deviation was 0.772. The average low back pain after treatment was 2.25 and the Std. Deviation was 1.005. There is an effect of pregnancy exercise on reducing low back pain in pregnant women in the second and third trimesters in Panei Tongah Health Center in 2021 with a value of p = 0.000 p <0.05. It is recommended for further researchers to develop other variables in order to get better results Panei Tongah Health Center.

Low back pain termasuk salah satu gangguan muskuloskeletal yang menyebabkan penurunan produktivitas kerja dan disabilitas. Low back pain diklasifikasikan ke dalam tiga kategori berdasarkan lamanya waktu dari gejala yaitu akut, sub akut, dan kronis. Upaya pencegahan nyeri punggung bawah dengan melakukan kegiatan sehari-hari dengan baik dan benar seperti ketika duduk posisinya harus tegak dan tidak membungkuk bisa dibantu dengan menggunakan bantal pada punggung untuk membantu menopang tulang belakang, mengangkat barang dengan beban yang tidak berat, dan posisi tidur yang benar seperti side lying atau miring dengan kaki salah satu ditekuk, karena nyeri punggung sering diakibatkan karena postur yang salah serta akibat beban di tulang belakang. Kegiatan penyuluhan ini bertujuan agar ibu-ibu PKK dapat mengetahui dan melakukan pencegahan maupun penanganan pada kasus low back pain. Metode yang digunakan adalah ceramah dan tanya jawab. Penyuluhan ini terkait permasalahan kesehatan yang terjadi pada ibu PKK yaitu nyeri punggung bawah. Kegiatan ceramah dimulai dengan melakukan pre-test dan diakhiri dengan post-test untuk mengukur pemahaman dan pengetahuan pada ibu-ibu PKK terhadap topik yang disampaikan. Berdasarkan pre-test dan post-test yang telah dilakukan didapatkan hasil bahwa terdapat peningkatan pemahaman pada ibu-ibu PKK mengenai low back pain.

Background: Dysmenorrhea is discomfort in the lower abdomen spreading to the waist which is often experienced by young women aged 12-18 years or even almost all women during menstruation, usually often felt before menstruation or during menstruation. Benson relaxation technique is one of the complementary therapies developed as a relaxation technique that is simple and easy to implement and is a combination of relaxation response techniques with individual belief systems or faith factors. Purpose : Knowing changes in the level of dysmenorrhea in adolescents before and after doing benson relaxation therapy. Method: this application with descriptive research methods and observing events or events that have occurred. Descriptive research is research conducted to describe or describe an event that occurs. Results: handling dysmenorrhea with benson relaxation therapy given for 2 days with 1 time a day for 15 minutes can affect the patient's level of dysmenorrhea so that there are changes in the patient's pain scale. Conclusion: Benson relaxation therapy can reduce the level of dysmenorrhea in adolescents who are experiencing menstrual pain.  

Background: Spinal anesthesia is a type of extensive nerve block by inserting a local anesthetic drug into the subarachnoid space at the lumbar level (Rehatta, 2019). This method produces anesthesia by blocking transmission, deactivating motor and sensory abilities, thus creating loss of pain sensation in the perineum. lower abdomen to lower extremities. Among the effects of spinal anesthesia that often occur, post-spinal anesthesia headache is a complication that often does not receive special attention. Due to the minor effects of spinal anesthesia. Management of headaches after spinal anesthesia, one of which is using non-pharmacological techniques with Head Up therapy, namely providing a 30 degree head elevation position with the aim of increasing blood flow to the brain in an effort to maximize oxygen flow to the brain which is believed to reduce the sensation of headaches. Objective: To analyze the effect of giving Head up therapy on headaches in post-operative patients with spinal anesthesia. Method: This research is a quantitative research using a type of experiment with a pre-experimental design, post-test control group design. Sampling technique: accidental sampling Population: The population of this study was 300 people. Sample: This study involved 76 respondents with a division of 38 respondents who were given Head Up therapy and 38 respondents who were not given Head Up therapy. Data analysis: Data were analyzed using the Mann Whitney test. The research instruments were Head Up SOP and Posttest Numeric Rating Scale (NRS) questionnaire. This research was carried out in February-April 2024 at Dr Hardjono Ponorogo Regional Hospital. Results: Based on research and after data analysis, the significance value (P value) in the Mann Whitney test was 0.001 (p>0.05). Conclusion: It was found that there was an effect of giving Head up therapy to post-operative patients with spinal anesthesia

Background: General anesthesia is the act of administering a combination of drugs during surgery with the aim of reducing consciousness and eliminating pain in the patient. There are 2.5% of patients experiencing intra-anesthesia complications including hypotension.Objective: To determine the comparison of giving fluid loading and reducing inhaled gas with giving ephedrine to prevent hypotension in patients in central surgery installations.Research Metod: Quantitative method with experimental research type with quasi-experiment. This research used a Pretest-Posttest Two Group Design with 22 respondents.Research Result: Based on test statistics, it is known that the results of the Independent Sample T Test data analysis test show a P value (>0.05), namely H0 is accepted. Based on this test, it was concluded that there was no significant relationship between administering fluid loading and reducing inhaled gas with administering ephedrine to prevent hypotension.Conclusion: Based on this research, researchers are more effective in using fluid loading and reducing inhaled gas than administering ephedrine in the ETT technique for general anesthesia.

Pregnancy is defined as fertilization or union of spermatozoa and ovum and followed by nidation or implantation. If calculated from the fertility phase until the birth of the baby, a normal pregnancy will take place within 40 weeks or 10 lunar months or 9 months according to the international calendar. Pregnancy lasts in three trimesters, the first trimester lasts 13 weeks, the second trimester 14 weeks (weeks 14 to 27), and the third trimester 13 weeks (weeks 28 to 40)). Pregnancy is a normal process that produces a series of physiological and psychological changes in pregnant women Lower back pain during pregnancy occurs due to changes in pregnancy hormones which increase relaxant hormones (hormones that make muscles relax and become weak), this affects the flexibility of the ligament tissue which ultimately increases joint mobility in the pelvis and will have an impact on spinal and pelvic instability and cause pain. on the back. Other predisposing factors that cause back pain are related to weight gain, changes in body posture due to uterine enlargement, previous back pain and repetitive stretching. Apart from that, back pain is also felt due to incorrect body posture when sitting, standing, lying down and even when doing household activities

Background: Lower back pain is one of the complaints felt by almost all pregnant women, especially in the third trimester due to stretching, especially in the spine due to the enlargement of the uterus. Efforts to reduce back pain in pregnant women non-pharmacologically include warm compresses. The aim of the research was to determine the effect of warm compresses on the level of lower back pain in third trimester pregnant women. Method: This research uses a pre-experiment method with a research design using one group pre test post test. The sampling technique used total sampling, totaling 40 pregnant women in the Kutamendala Community Health Center Working Area, Brebes Regency. Results: Of the 40 respondents before the warm compress was applied, it was found that 30 respondents (75%) experienced mild levels of lower back pain, while 10 respondents (25%) experienced moderate levels of lower back pain, and after doing this Warm compresses showed that 32 respondents (80%) did not complain of lower back pain, while 8 respondents (20%) experienced low back pain at a mild level. The results of the analysis using the Wilcoxon test showed p value = 0.000 < 0.05. Conclusion: There is an influence of warm compresses on the level of lower back pain in third trimester pregnant women

Background: Acute Myocardial Infarction (AMI) is one of the cardiovascular emergency diseases. Sign and symptoms of IMA that accompany patients coming to the Emergency departement are complaints of chest pain. Chest pain is a response that occurs due to ischemia in the myocardium. Untrained chest pain more than 20 minutes will result in irreversible heart damage. The purpose of this case study is to describe emergency nursing care in IMA patients with acute pain Method: The method used in this paper is a descriptive method with a case study approach that describes the condition of two patients suffering from IMA with acute pain. The tools used to retrieve data are IMA observation checklists and interview sheets. The data obtained were analyzed by narrating the data obtained and comparing the existing theory. Results: The IMA patient assessment focused on secondary assessment of SAMPLE. Chest pain data were obtained through the PQRST approach so that the main nursing problem was acute pain. Emergency measures performed by oxygen delivery as nonpharmacological therapy and administration of anti-ischaemic therapy and fibrinolysis as pharmacological therapy. Evaluation performed for 1 hour, the results obtained are reduced pain from the weight scale to moderate. Conclusions: As emergency nurses should pay attention to IMA assessment on secondary assessment and collaborate with medical personnel to reduce pain with pharmacological and nonpharmacological therapies.Keywords: Acute Myocardial Infarction (AMI); Acute Pain; Nursing Care; Emergency

Background : Hypertension is a medical condition characterized by increased contraction of arteries which causes resistance to blood flow which increases blood pressure against the walls of blood through narrow blood vessels. Objective : To determine the effect of finger grip relaxation techniques and deep breathing on reducing blood pressure in hypertensive patients. Methods : Research design with descriptive method with case study approach. The implementation of Hypertension nursing care was carried out in the internal medicine room starting from June 15 to June 21, 2021. The subjects in this study were 2 patients suffering from hypertension morning and afternoon. Results : After being treated for 3 days, the results showed that the blood pressure of both patients decreased in patient 1 Mr “I” from 180/100 mmHg to 160/90 mmHg, in patients 2 Mrs “S” from 160/100 mmHg to 140/90 mmHg the pain scale of the two patients from 6 (moderate) to 3 (mild) the body is not weak, has started to be energetic and can sleep at night. cooperation between the health team and patients and families is very necessary for the success of nursing care for patients. Conclusion : With the management of finger grip relaxation techniques and deep breathing to reduce blood pressure in hypertensive patients with the results of the nursing evaluation the problem was partially resolved.

Background: Menarche in young women can cause anxiety. Many teenagers view menarche as a frightening thing, because menarche will cause discomfort, pain, dizziness and so on, Psychological symptoms to reject the physiological process. Anxiety is an excessive emotional reactivity, a dull depression, or a sensitive context, an emotional response. Purpose: The objective of the study was to understand the relationship of attitude knowledge and family support with the level of anxiety of adolescent girls. Methods: This research is quantitative type with anlitik design with coss sectional approach. The study was conducted in February - April 2018. The sample in this study was female teenager amounting to 25 people. The sampling technique used is simple random sampling. The study was conducted using primary data obtained from the questionnaire, and univariate and bivariate analysis using chi-square statistical test. Results: From the result of research analysis of knowledge relationship with anxiety level got 15 respondents who have high knowledge of 8 people (53,3%) with high level of anxiety and 7 people (46,70%) with low level of anxiety. 13 respondents were positive attitude 6 people (46,2%) with high level of anxiety and 7 people (53,8%) with low level of anxiety. of 14 respondents who received family support and 7 people (46.2%) with high anxiety level and 7 people (53.8%) with low anxiety level. Conclusion: Based on the results of the study found no relationship of knowledge with anxiety level with p value 0.742> ? 0.05, Based on the results of the study found no relation attitude with anxiety level with p value 0,529> ? 0.05, Based on the results obtained did not there is a relationship of family support with anxiety level with p value 0,495> ? 0,05. Latar Belakang: Menarche yaitu haid pertama kali pada remaja putri dapat menimbulkan kecemasan. Banyak remaja memandang menarche adalah hal yang menakutkan, karena menarche akan menimbulkan ketidaknyamanan, sakit, pusing dan sebagainya, Gejala psikologis untuk menolak proses fisiologis tersebut. Kecemasan  merupakan  reaktivitas  emosional  berlebihan, depresi  yang  tumpul,  atau  konteks  sensitif,  respon  emosional. Tujuan: Tujuan penelitian adalah untuk mengetuhui hubungan pengetahuan sikap dan dukungan keluarga dengan tingkat kecemasan remaja putri. Metode: Penelitian ini berjenis kuantitatif dengan desain analitik dengan pendekatan cross sectional. Penelitian dilakukan pada bulan Februari – April 2018. sampel dalam penelitian ini adalah remaja putri yang berjumlah 25 orang. Teknik sampling yang digunakan adalah simple Random sampling. Penelitian dilakukan menggunakan data primer yang diperoleh dari kuesioner, dan analisis secara univariat dan bivariat menggunakan uji statistik chi-square. Hasil: Dari hasil analisis penelitian hubungan pengetahuan dengan tingkat kecemasan didapatkan  15 responden yang berpengetahuan tinggi 8 orang (53,3%) dengan tingkat kecemasan yang tinggi dan 7 orang (46,70%) dengan tingkat kecemasan yang rendah. 13 responden yang sikap positif 6 orang (46,2%) dengan tingkat kecemasan yang tinggi dan 7 orang (53,8%) dengan tingkat kecemasan yang rendah. dari 14 responden yang mendapat dukungan keluarga dan 7 orang (46,2%) dengan tingkat kecemasan yang tinggi dan 7 orang (53,8%) dengan tingkat kecemasan yang rendah. Kesimpulan: Berdasarkan hasil dari penelitian didapatkan tidak ada hubungan pengetahuan dengan tingkat kecemasan dengan p value 0,742 > ? 0,05, Berdasarkan hasil dari penelitian didapatkan tidak ada hubungan sikap dengan tingkat kecemasan dengan p value 0,529 > ? 0,05, Berdasarkan hasil dari penelitian didapatkan tidak ada hubungan dukungan keluarga dengan tingkat kecemasan dengan p value 0,495 > ? 0,05.

Background: Childbirth is a physiological thing where there is a series of processes that end with the release of the conception by the mother. The labor process is identical with the pain that will be experienced. All women who give birth will experience pain during labor and statistically, labor pain cannot be tolerated by two out of three mothers. Purpose: The purpose of this study was to determine the effect of Pranayama Yoga on First Stage Childbirth Pain. Methods: Pre-experimental research design with one group pretest posttest design. This research will be carried out for first-time active mothers in Midwife Independent Practice in November-December 2018. The sample that will be used in this study are all first-phase active mothers in Midwife Independent Practice in November-December 2018. Results: The results of this study are partly Most respondents experienced severe pain before being given Yoga Pranayama as many as 27 people (90%), and most respondents experienced moderate pain after being given yoga pranayama as many as 16 people (53.3%). The results of this study found that there was an influence of Pranayama Yoga on Active Stage I Stage Pain Pain with a value of p 0.00, indicating there was an influence of Pranayama Yoga on Phase I Active Stage Pain in Midwife Independent Practice with a value of 0.00 <0.05. Conclusion: There is a significant effect of Yoga Pranayama on the Pain of the Active Phase I Labor. ABSTRAK Latar Belakang: Persalinan merupakan hal yang fisiologis dimana terjadi rangkaian proses yang berakhir dengan pengeluaran hasil konsepsi oleh ibu. Proses persalinan identik dengan rasa nyeri yang akan dijalani. Seluruh wanita yang melahirkan akan mengalami nyeri selama proses persalinan dan secara statistik rasa nyeri persalinan tidak dapat ditoleransi oleh dua dari tiga orang ibu bersalin. Tujuan: Tujuan dari penelitian ini untuk mengetahui Pengaruh Yoga Pranayama terhadap Nyeri Persalinan Kala I. Metode: Desain penelitian praeksperimental dengan one group pretest posttest design. Penelitian ini akan dilaksanakan pada Ibu bersalin kala I Fase Aktif di Praktik Mandiri Bidan (PMB) pada bulan  November-Desember 2019. Sampel yang akan digunakan pada penelitian ini adalah semua Ibu bersalin kala I Fase Aktif di PMB pada bulan  November-Desember 2019. Hasil: Hasil penelitian ini sebagian besar responden mengalami nyeri berats ebelum diberikan Yoga Pranayama yaitu sebanyak 27 orang (90%), dan sebagian besar responden mengalami mengalami nyeri sedang setelah diberikan yoga pranayama sebanyak 16 orang (53,3%). Hasil penelitian ini mendapatkan hasil bahwa terdapat pengaruh Yoga Pranayama terhadap Nyeri Persalinan Kala I Fase Aktif dengan nilai p 0,00, menunjukan ada pengaruh Yoga Pranayama terhadap Nyeri Persalinan Kala I Fase Aktif di PMB denganp value 0.00 < 0.05. Simpulan: Terdapat pengaruh yang signifikan Yoga Pranayama terhadap Nyeri Persalinan Kala I Fase Aktif.

Background: Urinary catheterization is a medical action that is often carried out for diagnostic and therapeutic purposes. One side effect of catheter placement is pain. Pain felt during catheter placement due to urethral trauma. Pain can be affected by the length of time the catheter is attached. The results of a preliminary study of 5 different patients who were attached to a catheter at different times had different pain intensities. Objective: To find out the relationship between the length of time the catheter is attached to the pain intensity of a patient with a urethral catheter. Method: This study is a non-experimental study with a cross sectional approach. The sampling technique used was Purposive Sampling and the sample size was 38 people. Data collection tools use observation sheets and numeric rating scale (NRS) to assess pain intensity. Bivariate analysis using Pearson Product Moment correlation analysis. Results: The length of time the catheter is installed is at most two days and one day which are 21.1% and 18.4%, respectively. The pain intensity of patients with urethral catheters in the lightest category is 42.1% while the moderate and heavy categories are the same in the amount of 26.3%. The results of bivariate analysis obtained the value of the correlation coefficient (r) of -0.914 with p value 0,000 (p <0.05). Conclusion: There is a significant negative relationship between the difference in catheter-attached time and the pain intensity of a patient with a urethral catheter where the longer the catheter is attached, the less pain is felt.