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Pain in labor is an unpleasant emotional and sensory experience arising from actual or potential tissue damage or demonstrated. Pain is a natural process in labor. If it is not handled properly, it will cause other problems, namely increased anxiety or worry due to lack of knowledge in the mother about the processes that occur when facing labor. This study aims to determine the effect of back massage on reducing the pain scale of labor in the first active phase at UPTD Puskesmas Maga, Mandailing Natal district in 2022. This type of research is a quasi-experimental study with a research approach using a prepost test design with one group test. The population is all pregnant women who are at the UPTD Puskesmas Maga, Mandailing Natal Regency in 2022, totaling 54 mothers in partu. The number of samples used was 54 people obtained by using total sampling technique. The data analysis technique uses the Paired-Samples T Test. The results obtained in this study were from 54 respondents, there was an effect of back massage on a decrease in the active phase of labor pain scale in the first active phase with a value of p = 0.011. There is an Effect of Back Massage on Reducing the Pain Scale of Labor in the Active Phase I. It is recommended for health workers to improve counseling related to reducing the pain of the active phase of labor in the first stage of labor for mothers in labor with back massage

Management of labor pain is an attempt to reduce MMR. Labor pain must be treated in an effective way because if the pain is accompanied by a stress reaction, it will have harmful side effects for the mother and also the fetus. The midwife at the Ngesrep Health Center has never used birth balls as an intervention to treat inpartu mothers. The purpose of this study was to determine the effect of using a birth ball on reducing labor pain in the active phase of the 1st stage. This type of research is a quasi-experimental design with one group pretest posttest design. The population in this study were all mothers with an estimated day of birth in July to August 2022 who will give birth at the Ngesrep Health Center Semarang. The sampling technique was purposive sampling and the number of samples was 31 people. Data collection tools used in this study include Standard Operating Procedures (SOP), Birth Ball Techniques, Numerical Rating Scale (NRS), Observation Sheets and birth balls with a diameter of 55 cm or 65 cm. Data analysis was carried out using the paired sample t test. The results of the study obtained a t value of 9.613 which means that every 1 time birth ball intervention with 4 movements for 30 minutes makes the primigravida have the potential to be 9.613 times to be able to reduce labor pain in the active phase of the 1st stage. The p-value is 0.000 <0.05, so the hypothesis (H0) is rejected and (Ha) is accepted, so it can be concluded that there is an effect of using birth balls on reducing labor pain in the active phase of the 1st stage of labor in primigravida at Ngesrep Health Center Semarang. For health services, it is expected that the use of birth balls can be used as an alternative to reduce labor pain in the active phase of the 1st stage of primigravida.

Back pain during pregnancy peaks at week 24 to week 28, when abdominal enlargement reaches its maximum. Pregnancy and childbirth are natural processes that can cause pain. However, many women feel the pain more severely than they should because they are affected by panic and stress. This is known as the fear-tension-pain concept, where fear triggers tension or panic which causes muscles to stiffen and ultimately increases pain. Overcoming this discomfort requires non-conventional therapy, one of which is pregnant gymnastics. Based on this, the community service team conducted the implementation of pregnant exercises for third-trimester pregnant women with the aim that pregnant women can do pregnant exercises independently at home and reduce complaints of back pain they experience. This training method is carried out using lectures and demonstrations of pregnant exercises. Implementation was carried out 1x / once a week for 1 month at Puskesmas Lembang Lego Village, Lembang Kec. Lembang, Polman Regency in January 2021 which 20 pregnant women attended. The care method used is qualitative with case research (CSR) by collecting pre- test and post-test data with pain scale observation using Numeric Rating Scale (NRS) measurement. Physical training of pregnant women to prepare for their labor through pregnancy exercises is considered effective as a preventive measure for pregnant women in preparing for their labor. It can reduce the intensity of back pain in Trimester III pregnancy.

Menstrual pain caused by the release of excess prostaglandin causes the increasing contraction of the uterus, a common gynecology disorder in young women that can interfere with learning and social activity. Based on a preliminary study in the village of the gadung young women take pharmacological medicines and warm compresses to hold or reduce menstrual pain. The study to learn the aromatherapy of cinnamon on primary menstrual pain in young women in the village of gadung tangerang. This method of research USES quantitative with research design quasi nity, one group pre-existing and post-existing. The study conducted according to the inclusion and exclusion criteria amounts to 38 respondents and instrument of the observation sheet. That was done with Shapiro wilk and a statistic wilcoxon signed rank. Studies show 7 days of cinnamon aromatherapy intervention, a scale of pain reduced from 1.79 to 1. Wilcoxon signed rank test results of a significant influence between the scale of pain before and after an intervention on cinnamon aroma recipients in the village of gadung sand. Aroma of cinnamon therapy may be an alternative to reduce menstrual pain.

Background: Lower back pain (NPB) Ischialgia is a pinched ischialgia nerve in the lower back area which causes the buttocks, thighs, lower legs and even feet to become tingling, painful, and sometimes causing weakness. Nerve mobilization is a manipulation technique by moving and stretching nerve tissue to increase axonal transportation so that it can improve nerve conduction. Nerve mobilization can reduce the pressure in the nerves so that there is an increase in blood flow to the nerves, which can have a regenerative and healing effect on injured nerves (Butler, 1991). Nerve mobilization is often used as a form of diagnosis and treatment for musculoskeletal conditions with nerve involvement (Butler, 1991). Nerve mobilization in the Lower Limb Tension Test (LLTT) is carried out at the branches of the Brachial plexus such as the radial nerve, median nerve and ulnar nerve. But here the author only discusses LLTT in the ishiadic nerve, namely LLTT 1 which is related to lower back pain. The aim is to determine physiotherapy management and the effect of Ultrasoundtherapy therapy and nerve mobilization using the LLTT 1 method in cases of lower back pain on reducing pain and increasing the functional ability of the hand. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy clinic, RSU Sidoarjo. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.152), so there was no better treatment between the two groups. Conclusion: It is concluded that ULTT is useful in treating CTS patients to reduce pain in two groups. The targeted outcomes are publications in national journals indexed by Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2.

Background: Lower back pain (NPB) Ischialgia is a pinched ischialgia nerve in the lower back area which causes the buttocks, thighs, lower legs and even feet to become tingling, painful, and sometimes causing weakness. Manipulation is a term to cover all forms of passive movement techniques used to treat musculoskeletal disorders. Manipulation techniques are passive movement techniques that are carried out quickly so that the movement is completed before the patient can prevent it. The movement that occurs should not exceed the physiological range of motion of the joint. G.D. Maitland (1997), The aim is to determine the effect of physiotherapy management on manual therapy in cases of lower back pain. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy polyclinic, KRMT Wongsonegoro Hospital. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.00), so there was a better effect between the two groups. Conclusion: It is concluded that manual therapy is useful in treating patients with lower back pain to reduce pain in two groups. The targeted outcome is publication in national indexed journals Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2

The post partum period is a sensitive period for mothers which will affect newborn care. Mother's anxiety and fear because she is afraid of stitches that arise causes her not to mobilize early. The most important thing at this time is that midwives provide support on an ongoing basis according to the mother's needs to reduce physical and psychological tension during the postpartum period. This study aims to prove the anxiety level of perineal suture pain in post partum mothers regarding mobilization. This study used an analytic survey with a cross-sectional research design. The data collection technique was carried out by observation, namely data collection on anxiety levels was taken using the Hamilton Rating Scale for Axsiety (HRS-A) while data for perineal suture pain was obtained from a pain level questionnaire. The population was taken with a total of 37 post partum mothers and a total sample of 22 post partum mothers.

Almost all surgeries cause pain, the pain that is felt is the result of the incision. The effects of pain that do not subside are myocardial ischemia, increased morbidity, and hopelessness. One intervention to relieve postoperative pain is Spiritual Emosional Freedom Technique (SEFT). The purpose of this case study is to describe the reduction in pain scale of postoperative patients in Nusa Indah Room TK.III 04.06.02 Bhakti Wira Tamtama Semarang Hospital after SEFT intervention. This type of research is descriptive using a case study approach. The subjects in this study were 2 postoperative patients with criteria of moderate to high pain. Analysis of pain measurements using the Numerical Scale Branch scale. The analysis showed that there was a decrease in pain scale after the intervention. On subject 1 the pain scale 7 (high pain) became the pain scale 4 (moderate pain) and subject 2 the pain scale 8 (high pain) became the pain scale 4 (moderate pain). Effective SEFT therapy is used to reduce postoperative pain in the room because it is easy and simple. Good therapy is applied by nurses in the room to reduce the scale of pain in postoperative patients.

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

Pain is a sensory and emotional experience unpleasant result of tissue damage that is actual or potential. Pain is very disturbing and difficult for many person than any disease. Music is an effective distraction technique. It has the best influence in a short time. Music reduces the physiological pain, stress and anxiety by distracting someone’s attention from the pain. Measures infusion can cause pain in school-age children. One of the ways to minimize it is the distraction of music. The research objective was to determine the effect of music distraction when infusion to pain in school-age children. The population of this study 111 person the research is a client of school-age children with a sampel of 20 respondens. Research using quasi experiment study with post test only nonequivalent control group design. The results using univariate : frequency distribution and bivariate analysis : independent t test. Distraction of music was given five minutes before to infusion for up to five minutes after the infusion. The scale of the pain felt in the control group who did not provide a distraction to music when infusion is done on 10 respondens is 60% of respondents experiencing severe pain . While the scale of perceived distraction intervention group were given music when infusion conducted in 10 respondents 20% of respondents experiencing severe pain.  Evident from the results of these observation it is known that there is a significant influence on the effect of music on the infusion distraction to pain in school-age children (6-12 years) in IGD RSUD Majalaya with a significant extent (p=0,0, α=0,05). The results of this study are expected to be used as reading material and references distraction students that muaic can reduce pain.

Bell's palsy is a neurological disorder and disorder of the cranial nerve VII (facial nerve) in the temporal bone area that causes weakness or paralysis of the facial muscles around the stylomastoid foramen. The cause is not known to be vascular ischemia, viral disease (Herpes simplex, Herpes zoster), autoimmune disease, or a combination of these factors. The purpose of this study was to determine the effect of Physiotherapy Management in Bell's Palsy with Infra Red, Electrical Stimulation of Faradic Current and Exercise Therapy as modalities. The study was conducted at Bendan Hospital, Pekalongan City with descriptive analytic method in patients with Bell's Palsy condition. Methods of collecting research data using autoanamnesis and physical examination. The research instrument consisted of examining pain using the Visual Analogue Scale, muscle spasm with palpation, muscle strength using manual muscle testing, and functional activity using the Ugo Fisch scale. After therapy 1 to therapy 4 there was a decrease in pain from T1 = tenderness 4 to T4= tenderness 0. Increased facial muscle strength T1 = m. orbicularis oculi 3 to T4 = m.orbicularis oculi 5. Decreased muscle spasm T1 = m. frontalis 1, m. corrugator supercilli 1, m. zygomaticum 1, m. orbicularis oris 1, m. mentality 1 to T4 = m. frontalis 0, m. corrugator supercilli 0, m. zygomaticum 0, m. orbicularis oris 0, m. mentalis 0. The conclusion is Infra Red, Electrical Stimulation of faradic currents and Exercise Therapy can reduce pain, decrease muscle spasm and increase muscle strength on Bell’s Palsy Sinistra.

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

Trauma capitis is a form of penetration or rapid movement, and impact of the brain within the skull which results in changes in mental status. Traumatic capitis is one of the causes of child death. Often referred to as the silent. The aim of this research is to obtain a real picture in applying nursing care to clients An.''F'' with cases of neurological system disorders: trauma capitis. This research was carried out in the ICU room at Labuang Baji Hospital, Makassar for 3 days starting from 19-21 April 2023. Data collection techniques were carried out using interview techniques, observation and physical examination. The results of this study were an assessment of pain in the head, pain that felt like stabbing, pain scale 8 (severity 0-10), lasted for 3 minutes, bleeding on the right side of the head. In nursing diagnoses, there are 5 diagnoses found in cases of acute pain related to physical comfort, ineffective breathing patterns related to changes in the depth of breathing patterns, risk of infection related to bleeding in the brain, nutritional imbalances less than body requirements related to lack of appetite, impaired mobility physical related to difficulty turning positions. In implementing the action plan for patient An "F", nursing problems arise to reduce and prevent problems in patients by paying attention to the patient's condition. The implementation of nursing for patient An "F" is adjusted to the action plan that has been determined so that the nursing problems faced by the patient can be overcome or prevented. After providing nursing care for the five diagnoses, all diagnoses were resolved.

Anxiety is a normal adaptive response to stress due to surgery. Anxiety caused by fear of pain, fear of physical changes and not functioning normally after surgery, one of the ways to overcome it is with relaxation and distraction techniques, namely with religious music therapy. The purpose of this case study was to describe the application of religious music therapy "Demi Masa" to decrease the anxiety level of preoperative patients with regional sub arachnoid anesthesia blocks in hospitals in the surgical room of RSUD K.R. Wongsonegoro Semarang. This study belongs to descriptive using a case study approach. Subjects in this study were appendicitis patients who would undergo surgery with sub-arachonoid block regional anesthesia, willing to be respondents aged 20-40 years, still cooperative, level of anxiety from mild 14 - 20 to moderate 21-27, like religious music, Muslim. Analysis of anxiety level was carried out descriptively and measured based on anxiety scale without rating scale for anxiety. The results of the analysis showed that there was a decrease in the level of anxiety after the intervention. In subject I moderate anxiety (score 25) became low anxiety (score 15) and low subject II anxiety (score 15) became no anxiety (score 9). In conclusion, this study recommends nurses can apply religious music therapy "Demi Masa" to reduce the patient's anxiety level preoperatively.

Almost all surgeries cause pain, the pain that is felt is the result of the incision. One intervention to relieve postoperative pain is Self healing. The purpose of this case study is to describe the reduction in pain scale of postoperative patients in Cempaka Room Ungaran Regional Hospital after self-healing intervention. This type of research is descriptive using a case study approach. The subjects in this study were 2 postoperative patients with criteria of mild to moderate pain. Analysis of pain measurements using the Numerical Scalel Branch scale. The analysis showed that there was a decrease in pain scale after the intervention. On subject 1 the pain scale 3 (mild pain) became the pain scale 1 (mild pain) and subject 2 the pain scale 4 (moderate pain) became the pain scale 1 (mild pain). Effective self healing therapy is used to reduce postoperative pain in the room because it is easy and simple. Good therapy is applied by nurses in the room to reduce the scale of pain in postoperative patients.

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.

Hypertension is a chronic condition that results in an increase in blood pressure. Hypertension can cause headaches, headache is pain in the head that causes discomfort. One way to overcome them is by massage. The purpose of this case study is to describe the application of massage from shoulder to head to the level of headache in hypertensive patients. The method used is descriptive research. This research was conducted on 2 subjects. The subjects of this study were hypertension patients with criteria of being willing to be respondents, stage 1 hypertension with mild headaches, age 40 years and above. Analysis of the level of headache was done descriptively and measured based on the Numeric Rating Scale. The results of the analysis showed a decrease in the level of headache after the intervention. In subject I mild headache with a scale of 3 to scale 1 and subject II of mild headache with a scale of 3 became a scale 1. Conclusion that massage from the shoulder to the head is effective for reducing headaches, especially in hypertensive patients who experience headaches. Recommendations for nurses can apply massage therapy to reduce the level of headache in hypertensive patients

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.