Publication Search

Background: Primary dysmenorrhea is abdominal pain, cramps and back pain experienced by women at the beginning of menstruation for 48-72 hours. This condition is most often experienced by women in their late teens to young adults (15-25 years) due to optimization of uterine function so that prostaglandin secretion increases. In Indonesia, the prevalence of primary dysmenorrhea reaches 54.89%, with a significant impact on adolescent activities. One of the effective non-pharmacological methods to overcome primary dysmenorrhea is abdominal effleurage massage, which is performed directly on the site of pain so that endogenous analgesics (endorphins) are released and pain transmission to the cerebral cortex is inhibited. Purposes: To analyze the effect of abdominal effleurage massage on reducing primary dysmenorrhea in adolescents. Research method: This study used a quantitative method with a pre-experimental one group pretest posttest design method. The population of this study was 45 adolescents. The sample was taken using a simple random sampling technique of 21 female students who experienced primary dysmenorrhea. Data collection was carried out using the NRS (Numeric Rating Scale) pain scale observation sheet. Data were analyzed using the Wilcoxon Signed Rank Test. Results: Based on the analysis test using the Wilcoxon Signed Rank Test, a significance value of 0.00 (p <0.05) was obtained, which means Ha was accepted. In other words, abdominal effleurage massage has an effect on reducing primary dysmenorrhea in adolescents. Conclusion: There is an effect of abdominal effleurage massage on reducing primary dysmenorrhea in adolescents.

Osteoporosis is a metabolic bone disorder characterized by decreased bone density, resulting in brittle, porous, and easily broken bones. This condition is more common in the elderly, especially women over 60 years of age, due to hormonal changes, the aging process, and lifestyle factors. Common clinical manifestations experienced by sufferers include back pain that can interfere with daily activities and reduce quality of life. Osteoporosis treatment does not only rely on pharmacological therapy, but can also be done through non-pharmacological therapies such as progressive muscle relaxation techniques that aim to reduce muscle tension and pain perception. This study aims to determine the effect of progressive muscle relaxation techniques on pain reduction in elderly osteoporosis sufferers in Bangun Rejo Village, Tanjung Morawa District, North Sumatra Province. The research method used a quasi-experimental design with a pre-test post-test control group design. The study involved 28 elderly respondents who met the inclusion criteria, divided into two groups: an experimental group that received progressive muscle relaxation intervention and a control group that did not receive intervention. The intervention was carried out in a structured manner according to standard procedures throughout the study period. Pain levels were measured using a numeric pain scale before and after treatment. Data analysis showed a significant reduction in pain levels in the experimental group compared to the control group, with a p-value of 0.040. These results indicate that progressive muscle relaxation techniques are effective as a non-pharmacological method for reducing pain in elderly people with osteoporosis. The findings of this study are expected to provide input for healthcare professionals, particularly nurses, in developing simple, safe, and affordable interventions to improve the quality of life of elderly people with osteoporosis, as well as encourage the routine implementation of this therapy in primary and community healthcare settings.

Gastritis usually occurs in people with irregular eating patterns and consuming foods that stimulate stomach acid production. Inflammation of the gastric mucosa or lining can be caused by various factors. The purpose of this study was to determine the effect of soursop leaf decoction on reducing gastritis pain. This research used a quasi-experimental design with a one-group pretest-posttest approach. The sample size was 15 people, using accidental sampling. This study was conducted from June 12 to 18, 2025. Data were obtained through observation sheets using the Numeric Rating Scale (NRS). Normality was tested using the Shapiro-Wilk test, and data analysis used the paired t-test. The results showed that before the soursop leaf decoction, the average pain score for respondents was 0.074, while after the decoction, the pain score decreased to 0.151, a decrease of 0.007 with a P-value of 0.001 (<0.05). Conclusion: The soursop leaf decoction is effective in reducing gastritis pain. Respondents are encouraged to regularly consume the soursop leaf decoction when experiencing pain, and it can serve as a reference for future research using different variables.

Background: Anxiety before childbirth is a psychological disorder often experienced by pregnant women, especially in the third trimester of pregnancy. Fear of pain, worry about the condition of the fetus, and uncertainty about the delivery process are the main triggering factors. If not handled properly, this anxiety can have serious consequences, such as increased stress hormones (cortisol), sleep disorders, high blood pressure, and even labor complications. Therefore, interventions are needed that not only focus on physical aspects, but also support mental and emotional balance. Objective: The purpose of this activity is to provide education and practical training to pregnant women on anxiety management before childbirth through the application of complementary therapies, and to evaluate the effectiveness of this approach in increasing the readiness and calmness of participants. Method: The activity was carried out at PMB Lismarini, Tulungagung, involving 20 pregnant women in their third trimester. Education was carried out interactively using visual media and group discussions. Next, participants participated in the practice of three types of complementary therapies: (1) deep breathing relaxation with diaphragmatic breathing techniques, (2) aromatherapy using lavender as a relaxation agent, and (3) classical music with a slow rhythm played during the session. Results: This activity showed positive results. Eighty-five percent of participants experienced an increase in knowledge scores after the educational session, and 60% showed a significant decrease in anxiety levels based on questionnaire results. Most participants also reported feeling calmer, more prepared, and more confident in facing childbirth. The satisfaction rate with the activity reached 90%, indicating that the methods implemented were well-received by participants. Conclusion: Complementary therapy combined with education is effective in helping pregnant women manage anxiety before childbirth. This activity emphasizes the importance of a holistic approach to antenatal care.

Background: Anxiety before childbirth is a psychological disorder often experienced by pregnant women, especially in the third trimester of pregnancy. Fear of pain, worry about the condition of the fetus, and uncertainty about the delivery process are the main triggering factors. If not handled properly, this anxiety can have serious consequences, such as increased stress hormones (cortisol), sleep disorders, high blood pressure, and even labor complications. Therefore, interventions are needed that not only focus on physical aspects, but also support mental and emotional balance. Objective: The purpose of this activity is to provide education and practical training to pregnant women on anxiety management before childbirth through the application of complementary therapies, and to evaluate the effectiveness of this approach in increasing the readiness and calmness of participants. Method: The activity was carried out at PMB Lismarini, Tulungagung, involving 20 pregnant women in their third trimester. Education was carried out interactively using visual media and group discussions. Next, participants participated in the practice of three types of complementary therapies: (1) deep breathing relaxation with diaphragmatic breathing techniques, (2) aromatherapy using lavender as a relaxation agent, and (3) classical music with a slow rhythm played during the session. Results: This activity showed positive results. Eighty-five percent of participants experienced an increase in knowledge scores after the educational session, and 60% showed a significant decrease in anxiety levels based on questionnaire results. Most participants also reported feeling calmer, more prepared, and more confident in facing childbirth. The satisfaction rate with the activity reached 90%, indicating that the methods implemented were well-received by participants. Conclusion: Complementary therapy combined with education is effective in helping pregnant women manage anxiety before childbirth. This activity emphasizes the importance of a holistic approach to antenatal care.

This study explores the meaning of love and courage in the lyrics of Nadin Amizah's song "Taruh". Music serves as a cultural medium that reflects the construction of social reality, and song lyrics often become a space for expressing personal and collective experiences. The song "Taruh" illustrates the emotional complexity present in human relationships, particularly in interpreting the feelings of love intertwined with acts of bravery. This research employs Ferdinand de Saussure's semiotic theory by examining the syntagmatic and paradigmatic relations within the song's lyrics. The descriptive qualitative method is applied, with data obtained through non-participant observation and literature study. The findings indicate that the lyrics of "Taruh" do not portray an idealized version of love; instead, they express a more realistic view of love as something that includes pain, vulnerability, and imperfection. Interestingly, within those imperfections, there is a profound sense of courage—a willingness to endure, to remain, and to accept wounds as a part of emotional life. The syntagmatic analysis highlights how the arrangement of words in each stanza reflects stages of emotional struggle, longing, acceptance, and resilience. On the other hand, the paradigmatic analysis reveals that while alternative words could have been chosen, the selected diction intensifies the emotional nuance without shifting the central message of the narrative. Overall, the song constructs a layered narrative of love, where courage is found not in grand gestures but in silent endurance. This study shows how popular music, through its poetic structure, can communicate complex emotional truths and contribute to deeper cultural understandings of human emotion.

Low back pain, also known as low back pain, is a common condition characterized by pain or discomfort in the lower back area, which is between the lower ribs and the buttock folds. This condition can be mild to severe, and can be temporary or chronic. One of the nonpharmacological methods that is often used to reduce the intensity of pain is ice packs. Ice packs are able to provide an analgesic effect by lowering local blood flow and reducing inflammation in the area experiencing pain. This study aims to determine the effectiveness of ice packs in reducing low back pain in office administration employees. The research design uses an experimental method with a one group pre-test–post-test design approach. The research sample consisted of 25 respondents who were administrative employees at the Helvetia Health Institute. Pain intensity measurements were taken before and after the administration of ice packs to determine the effect of this therapy on low back pain. The results showed a decrease in the intensity of low back pain with an average value before treatment of 51.63 and after treatment decreasing to 38.8. Statistical analysis yielded a significance value (p) of 0.004 < 0.05, which showed that ice packs had a significant effect on reducing low back pain in administrative employees. Regular application of ice packs can be a simple, safe, and effective intervention that can be done independently at home by employees to reduce pain. This study provides recommendations for health workers to promote ice pack therapy as a non-pharmacological pain relief method, especially for office workers who often experience low back pain due to static work positions.

Deteksi nyeri objektif merupakan tantangan dalam dunia medis, terutama bagi pasien yang tidak mampu mengungkapkan rasa sakit secara verbal. Dengan kemajuan teknologi sensor dan kecerdasan buatan, sistem otomatis untuk mendeteksi nyeri berbasis sinyal fisiologis dan ekspresi wajah mulai dikembangkan. Studi ini bertujuan mengidentifikasi tren, metode, dan kualitas metodologis dari penelitian yang menggunakan database publik seperti BioVid Heat Pain, UNBC-McMaster, dan SenseEmotion dalam pengembangan sistem deteksi nyeri berbasis sensor. Penelitian dilakukan dengan pendekatan Systematic Literature Review (SLR) berdasarkan protokol PRISMA 2020 melalui pencarian artikel di Google Scholar dalam rentang tahun 2015–2024. Setelah seleksi berdasarkan kriteria inklusi dan eksklusi, 26 studi dimasukkan ke dalam sintesis naratif. Data dianalisis berdasarkan jenis sensor, metode algoritma, akurasi, dan ukuran sampel, serta dievaluasi menggunakan pendekatan GRADE. Hasil menunjukkan bahwa BioVid dan UNBC-McMaster adalah database paling sering digunakan, dengan sensor EDA, EMG, dan ekspresi wajah sebagai modalitas dominan. Metode klasifikasi umum mencakup CNN, SVM, dan Random Forest. Studi menyimpulkan bahwa pendekatan multimodal dan deep learning meningkatkan akurasi deteksi nyeri, namun validasi klinis dan perhatian terhadap keragaman demografis masih dibutuhkan.

Gout arthritis is an inflammatory joint condition that causes severe pain and impacts the patient's quality of life. Joint pain management involves more than just pharmacological therapy using medications; it also requires non-pharmacological approaches. The goal of this community service activity is to improve the knowledge and skills of gout arthritis sufferers in managing joint pain using various non-pharmacological therapy modalities. The results of the community service program indicate an increase in knowledge about non-pharmacological management of joint pain in gout arthritis patients. Non-pharmacological therapy education is an effective way to help people with gouty arthritis manage their joint pain. The significant increase in knowledge following the intervention demonstrates the importance of ongoing education and hands-on demonstrations. The next step is to increase the scope of education and support for the implementation of non-pharmacological therapies in various communities to ensure sustainability.

Dysmenorrhea is one of the most common menstrual disorders, but it often receives little attention. The purpose of this study was to determine the relationship between nutritional status, fat intake, and iron intake with the incidence of dysmenorrhea in female Nutrition students at Surabaya State University. The method in this study was quantitative with a cross-sectional study design. The sample consisted of 92 female Nutrition students at Surabaya State University using a purposive sampling technique. The instruments used were the NRS questionnaire to measure the level of dysmenorrhea pain and the SQ-FFQ form to measure fat and iron intake. Data analysis used the Spearman Rank correlation test which showed that there was a significant relationship between excess nutritional status of 33.7% with the incidence of dysmenorrhea (p = 0.000, r = 0.832), there was a significant relationship between excess fat intake of 58.7% with the incidence of dysmenorrhea (p = 0.000, r = 0.793), and there was a significant relationship between insufficient iron intake of 94.6% with the incidence of dysmenorrhea (p = 0.000, r = 0.610).

Acute Coronary Syndrome (ACS) is an emergency condition in which a group of symptoms of acute ischemic chest pain are part of coronary heart disease (CHD) and require immediate treatment. The prevalence of CHD in Aceh is higher than the national average of 1.6% or around 20,244 people. This study is expected to describe the prevalence, number of deaths (mortality) and average length of stay (LOS) of STEMI patients during hospitalization so that this data can significantly enhance knowledge for health practitioners and be used as a warning to be more aware of STEMI incidents in Aceh. This study uses a retrospective descriptive research design with a research sample of all patients diagnosed with ACS with ST-Elevation who were hospitalized at Dr. Fauziah Hospital in June 2022-June 2023. The data collection technique is total sampling obtained from medical record data. It was concluded that the majority of patients were male, namely 80.7% (71 patients), the highest age was 45-60 years with 45 cases (51.1%). History of CHD was the dominant risk factor (62% of cases). The most dominant type of ACS with ST-Elevation was Anterior STEMI as many as 32 cases (52.3%) with onset <12 hours (51% of cases) and predominantly came with KILLIP I (62.5% of cases). The most dominant management was with conservative therapy 56 cases (61.4%). The average length of patient care was 5 days (45.1%) and the most outcomes with outpatients as many as 72 cases (81.8%).

Childbirth is a natural physiological process, but it is often accompanied by intense pain, especially during the first stage, the cervical dilation phase. This pain arises from uterine contractions, cervical dilation, and fetal pressure on the pelvic structures. For primiparous mothers, this experience of childbirth is a first-time experience that can cause anxiety, tension, and even trauma if not managed properly. The research design used in this study was a quasi-experimental study with a two-group pretest-posttest. The sample size in this study was 38 participants: 19 in the intervention group and 19 in the control group, using a simple random sampling technique. The data analysis used was the t-dependent and t-independent tests. The results of the study obtained the characteristics of the intervention group respondents, most of the respondents were aged 30-35 years as many as 8 people (40.1%), parity of 2 children as many as 8 people (38.5%), and education level was high school as many as 14 people (73.7%). While in the control group most of the respondents were aged 30-35 years as many as 7 people (32.8%), parity of 2 children) as many as 9 people (40.5%), and education level was high school as many as 18 people (94.7%). The intensity of pain in the intervention group before effleurage massage was an average of 6.26 and after an average of 5.74 while in the control group before massage was an average of 6.97 and after an average of 5.83. The results of the dependent t-test of pain intensity before and after effleurage massage in the intervention group obtained a P value of 0.000 and in the control group before and after massage obtained a P value of 0.006. The results of the independent t-test can be concluded that there is a significant difference after the effleurage massage method was carried out in the intervention group, namely a P value of 0.001. From the results of this study, it is known that there is an effect of the effleurage massage method on reducing the intensity of labor pain in the active phase of the first stage of labor in mothers inpartu. Therefore, it is recommended that midwives apply the effleurage massage method as an intervention to reduce pain in the care of mothers in normal labor.   Keywords: ,   

Background: Postoperative pain is a common physiological response that can negatively affect the patient’s healing process. Deep breathing relaxation is a non-pharmacological method proven effective in reducing pain. Objective: To determine the effect of deep breathing relaxation technique on postoperative pain intensity in the Surgical Room of RSUD Hamba Muara Bulian. Methods: This study used a quasi-experimental design with a one-group pretest-posttest design involving 28 respondents. Data were analyzed using paired t-test to assess pain intensity differences before and after the intervention. Results: The mean pain intensity before the intervention was 5.36 (moderate category), which decreased to 2.89 (mild category) after the intervention. Statistical analysis showed a significant result with a p-value of 0.000. Conclusion: Deep breathing relaxation is effective in reducing postoperative pain intensity. It is recommended for implementation as a non-pharmacological intervention in surgical care settings.

Radius fracture and supracondylar joint stiffness are common post-traumatic complications that can reduce upper extremity function and limit daily activities. These problems are generally accompanied by pain, decreased range of motion (LGS), and muscle strength, thus disrupting the patient's functional independence. This study aims to evaluate the effectiveness of multimodal physiotherapy interventions in improving the clinical condition of patients with post-ORIF radius fractures and supracondylar joint stiffness. This study is a case study of a 47-year-old male patient treated at Panembahan Senopati Bantul Regional Hospital. Physiotherapy interventions were carried out twice, with modalities consisting of infrared therapy, muscle release techniques, assisted active exercises, strengthening exercises, and hold-relax techniques. Clinical evaluation was carried out using the Numerical Rating Scale (NRS) for pain, Manual Muscle Testing (MMT) for muscle strength, goniometer for LGS, and Mayo Elbow Score for joint function. The results of the study showed a decrease in pain levels, an increase in LGS and muscle strength, and an improvement in daily activity function. The synthesis of these findings indicates that multimodal physiotherapy interventions have a positive clinical impact on postoperative joint stiffness and musculoskeletal disorders. In conclusion, a combination of various physiotherapy techniques is effective in addressing pain, mobility limitations, and functional impairment in patients with post-ORIF radius fractures and supracondylar joint stiffness, and underscores the importance of a comprehensive and individualized rehabilitation approach.

Pregnancy is divided into three stages: the first trimester, second trimester, and third trimester. During pregnancy, the body undergoes various changes that can cause discomfort. Common discomforts experienced by pregnant women include varicose veins, back pain, muscle and joint aches, and lower back pain. These discomforts can be alleviated through pregnancy exercise (prenatal yoga or maternity gymnastics). The purpose of this study was to examine the relationship between pregnant women’s knowledge about the benefits of pregnancy exercise and the childbirth process at Ampelgading Public Health Center. The research design used was descriptive quantitative. The population consisted of 35 pregnant women in May 2025, with a total sampling technique. Data were collected using a questionnaire and analyzed using univariate analysis. The results showed that 36 respondents (50.0%) had moderate knowledge, 25 respondents (34.7%) had poor knowledge, and 11 respondents (15.3%) had good knowledge about pregnancy exercise. Overall, most pregnant women had a moderate level of knowledge. Based on the Spearman Rank statistical test with a 95% confidence level, the P-value was 0.000 (< 0.05), indicating a statistically significant relationship. The conclusion of this study is that there is a relationship between pregnant women's knowledge of the benefits of pregnancy exercise and the childbirth process at Ampelgading Public Health Center.

Suminagashi is a technique for decorating fabric or paper by dropping ink or paint onto the surface of water or a water-gelmixture, then placing the fabric or paper on the liquid so that the color is absorbed. The study aims to examine the effect of increasing water volume in acrilylic paint on the color quality of the suminagashi technique appiled too polyester scraves, specifially in terms of color sharpness and color absorption. Additionally, it investigates the variations in color outcomes across different water-to-point ratios. An experimental method was employed using three paint-to-water ratios 1:1, 1:2, and 1:3. Color quality was evaluated through observations by 30 respondents and analyzed using the Kruskal-Wallis H test with SPSS version 30. The result indicate that the volume of water in the acrylic paint mixture significantly influences color quality. The 1:1 ratio produced the higest color sharpness, while the 1:3 ratio showed the best color absroption. Distinct color differences were observed among the scarves produced with each ratio.

Nyeri punggung bawah (low back pain) merupakan salah satu masalah kesehatan muskuloskeletal yang sering terjadi di masyarakat, terutama pada kelompok usia produktif dan lanjut usia. Di Desa Tanjung Anom, kasus nyeri punggung bawah cukup tinggi akibat gaya hidup tidak aktif, posisi kerja yang salah, serta kurangnya pengetahuan mengenai pencegahan dan penanganan mandiri. Kegiatan edukasi ini bertujuan untuk meningkatkan pemahaman dan keterampilan masyarakat dalam mengelola nyeri punggung bawah melalui pendekatan self-care management. Metode yang digunakan dalam kegiatan ini adalah edukasi interaktif, demonstrasi latihan peregangan dan penguatan otot, serta pembagian leaflet sebagai media informasi. Hasil kegiatan menunjukkan peningkatan pengetahuan peserta sebesar 85% dan kemampuan praktik mandiri sebesar 75% dalam melakukan teknik self-care, seperti senam punggung, teknik relaksasi, dan ergonomi sederhana dalam aktivitas sehari-hari. Edukasi self-care management terbukti efektif dalam meningkatkan kapasitas masyarakat Desa Tanjung Anom untuk mencegah dan mengatasi nyeri punggung bawah secara mandiri dan berkelanjutan. Diharapkan kegiatan ini dapat menjadi model intervensi promotif-preventif yang dapat direplikasi di desa lain dengan masalah serupa.

Sewing workers at CV Cahaya Setia Mulia Abadi perform static and repetitive tasks, such as prolonged sitting in a bent posture and continuous sewing movements. These conditions lead to various physical complaints, including back pain (78%), lower neck pain (75%), upper neck discomfort (73%), as well as shoulder fatigue, wrist tingling, and lower back stiffness. This research is conducted to evaluate the potential risk of musculoskeletal disorders (MSDs) through the application of the Rapid Entire Body Assessment (REBA) method, determine the body parts most frequently affected using the Nordic Body Map (NBM) questionnaire, and develop posture correction strategies based on anthropometric measurements.The REBA results indicate that most sewing activities fall into the medium-risk category (score 5–7), with some in the high-risk category (score 8). The intervention involved adjusting chair dimensions based on anthropometry, and adding seat cushions and backrests. After the simulation of improvements, the REBA score decreased to 2, placing it in the low-risk category. These findings demonstrate that ergonomic chair design and proper working posture significantly reduce physical strain, increase comfort, and help maintain worker productivity. This study offers practical recommendations for creating a healthier and safer work environment in the manufacturing sector.

Background: Myxoid liposarcoma is a malignant tumor composed of uniform, partially round to oval cells with lipoblast, in the myxoid stroma with branching capillaries. Very rarely presents as a primary neoplasm of the subcutis or retroperitoneum. Myxoid liposarcoma in the retroperitoneum is the most common metastases. Case description: We reported a case of  Mr M, male, 48 years old, came to the hospital. Private in the city of Medan on April 19 2021 with complaints of upper left abdominal pain, nausea (+), vomiting (-), fever. vital sign, general condition: compos mentis, temperature: 36 ℃, Pulse: 80 x/min. Breathing: 20x/min, Blood pressure: 120/80 mmHg. Previously, a gastric biopsy was performed on suspicion of gastric carcinoma and a histopathological examination was carried out with the results of a gastric adenoma. Subsequently, an exploratory laparotomy was performed with tumor debulking and the tissue was sent to the H. Adam Malik Hospital unit. On macroscopic examination, the tissue was split in a state of 16 cm x 12 cm x 7 cm, yellowish-gray in color, chewy consistency. The of cutting, a solid mass of white, yellow, and brown color appears, the consistency is chewy and brittle. With a tissue-weight of 800 grams then labeled O/1260/21. On microscopic examination of the tumor mass, it appears that the tumor mass is mostly arranged in solid sheets, consisting of round, relatively uniform cells, arranged back to back. Round and oval nuclei with increased N/C ratio, coarse chromatin, eosinophilic cytoplasm. Among them are lipoblast cells with spider web and small signet ring lipoblast. Atypical mitoses are relatively easy to find > 19 mitoses / 10 LPB. Proliferative and congested blood vessels, necrotic masses <50% are also seen. Immunohistochemical examination was carried out with S100 positive staining results on the nuclear membrane and cytoplasm of tumor cells with a proportion of more than 70% moderate to strong intensity. Conclusion: Based on macroscopic and microscopic examination this patient was diagnosed with High grade myxoid round cell liposarcoma grade III with ICD-O 8852/3.

Lung adenocarcinoma is one of the most common types of lung cancer, especially in non-smoking women. This disease can develop progressively to cause complications such as pleural effusion and hydropneumothorax. Risk factors involved include exposure to secondhand smoke, air pollution, radon, and a history of previous tuberculosis. A 61-year-old woman came with complaints of right chest pain radiating to the back, shortness of breath, dry cough, weakness, and weight loss. The medical history showed that the patient had undergone chemotherapy for lung cancer and had a history of pulmonary tuberculosis that had been resolved. Supporting examinations such as CT-scan, bronchoscopy, and cytology showed a mass in the right lung inferior lobe and massive pleural effusion leading to a diagnosis of stage IVA right lung adenocarcinoma (T3N1M1A) complicated by hydropneumothorax. The patient underwent management in the form of chemotherapy, supportive therapy, and symptomatic care.