Publication Search

The intensity of menstrual pain in adolescent girls can decrease study concentration due to discomfort and anxiety affected by hormonal changes during menstruation. This study aims to determine the relationship between the level of anxiety and intensity of menstrual pain with adolescent girls' study concentration. This study uses a quantitative method with a cross sectional analytical approach, with a total of 133 respondents determined by the solvin formula. Data collection used three instruments: Anxiety level, intensity of menstrual pain, and study concentration. The data analysis was carried out using the Spearman Rank test with valid and rebable questionnaires. The study showed that there was a significant relationship between anxiety level and learning concentration P-Value = 0.000 and rho = 0.426 while menstrual pain and learning concentration P-Value = 0.000 and rho = 0.515. so it can be concluded that there is a relationship between the level of anxiety and intensity of menstrual pain and the concentration of adolescent girls' learning. This research can increase the role of community nurses in counseling, reproductive education and relaxation training for female students with menstrual pain, anxiety and learning concentration disorders.

Breast cancer is a type of cancer that is often experienced by women and is generally treated with chemotherapy which causes physical side effects such as pain and psychological impacts in the form of anxiety. Apart from that, sleep disorders can also affect the quality of life of breast cancer patients. Sleep hygiene and guided imagery therapy have been proven effective in reducing anxiety, pain and sleep disorders. Therefore, this study aims determined the difference in the effectiveness of sleep hygiene and guided imagery on anxiety and pain in breast cancer sufferers who are undergoing chemotherapy. This research uses a comparative cross-sectional design with a quasi-experimental approach. The data collection technique used purposive sampling with the Federer formula so that 16 respondents were obtained. Wilcoxon test. Before intervention the average anxiety was 63.5% and pain was 4.31%. After the intervention the average anxiety decreased to 45.81% and pain to 3.13%. The results of this study show the influence of Sleep Hygiene and Guided Imagery Therapy on anxiety and pain in breast cancer patients undergoing chemotherapy with a p value of 0.000 < 0.05.

One of the health issues that can lead to significant consequences, including heart disease and organ damage, is hypertension. For hypertensive patients, non-pharmacological treatments such as progressive muscle relaxation (PMR) offer an alternative to reduce discomfort and blood pressure. This study uses a quantitative methodology and a quasi-experimental design. For two weeks, 66 hypertensive patients from Puskesmas Bangetayu Semarang participated in the ROP intervention. The T-Test and Wilcoxon statistical tests were used to measure blood pressure and pain levels before and after the intervention. According to the Numeric Rating Scale (NRS), ROP therapy reduced pain from 2.68 to 1.76 and systolic blood pressure from an average of 150.15 mmHg to 133.64 mmHg. With a p-value of less than 0.05, statistical analysis revealed a significant difference. It has been proven that progressive muscle relaxation helps hypertensive individuals with their pain and blood pressure. This approach can be used both independently and in healthcare settings as a simple and safe non-pharmacological treatment. the effect of progressive muscle relaxation on pain and blood pressure in hypertensive patients

Phytochemistry is a method used to determine the compounds found in plant essence. Phytochemical identification is carried out using chemical substances used in a reaction to determine the collection of secondary metabolite compounds. Indonesia is a country that has various types of medicinal plants, one of which is the leaves of Katang-katang (Ipomoea pes-caprae). Katang-katang is a tropical vine that is easy to find and belongs to the Convolvulaceae family. The utilization of this medicinal plant is one of the alternatives in an effort to treat a disease.  Along the road in the sandy beach area, many of these plants are found growing creeping on the edge of the shoreline, this plant has a trumpet-like flower and is known as Katang-katang (Ipomoea pes-caprae). (Ipomoea pescaprae L.). Empirically, people often use katang-katang plants to treat infections in wounds, relieve pain, and as antioxidants. The active compounds of katang-katang as antibacterial are terpenoids, steroids, saponins, tannins and flavonoids. The active compound that plays the most role is thought to be the flavonoid compound content.

Labor pain is a complex experience, with 65-80% of mothers in Indonesia experiencing severe pain during childbirth, requiring effective management. The SP6 (Sanyinjiao) acupressure technique offers a non-pharmacological, easy-to-apply, and safe alternative with minimal side effects for reducing labor pain. This study aimed to evaluate the effect of SP6 acupressure on labor pain in mothers giving birth at the Obstetrics Emergency Room of Tidore Islands City Hospital. A quasi-experimental design with a pre-test and post-test approach was used. The sample included 30 mothers in the active phase of labor (4-7 cm dilation), with singleton pregnancies and gestational ages of 37-42 weeks, selected through purposive sampling. The intervention involved applying acupressure at the SP6 point for 20 minutes with moderate pressure. Pain intensity was measured before and after the intervention using a Numeric Rating Scale (NRS) from 0-10. The Wilcoxon Signed Rank Test showed a significant decrease in pain intensity (p = 0.000), with 50% of participants reporting moderate pain post-intervention, and no participants experiencing uncontrolled severe pain. In conclusion, SP6 acupressure significantly reduced labor pain intensity and can be recommended as an effective, safe, and easy-to-apply method for managing labor pain.

Background: “The highest prevalence of LBP at Awal Bros Hospital in Pekanbaru is estimated to be 0.70% or 3,238 people in 2022, 1.38% or 5,584 people in 2023, and 2,084 people or 1.11% in 2024. The impact of low back pain can make movement difficult, affect quality of life, and limit work activities and mental health. Method: The design of this research is quantitative research, with a cross sectional approach. The sampling technique used the consecutive formula and the sample size was 83 respondents. The data collection method uses a questionnaire. The data analysis used is univariate analysis and bivariate analysis using Somer's test. Results: Characteristics of the majority of respondents were women, 51 people (61.4%), 60 people aged > 35 years (72.3%), 54 people with a working period of > 5 years (65.1%), with BMI obesity amounted to 49 people (59.0%), amounted to 53 people (63.9%) who never did physical activity (exercise per week). The majority experienced moderate lower back pain, amounting to 34 respondents (41.0%), and had poor sleep quality, amounting to 51 respondents (61.4%). Based on the analysis test results, the d value was 0.482, meaning there was a moderate positive correlation with the p value (0.000 < 0.05), meaning there was a relationship between lower back pain and sleep quality in LBP patients at Awal Bros Hospital, Pekanbaru. Conclusion: There is a relationship between lower back pain and sleep quality. This shows that the higher the lower back pain, the worse the sleep quality.”    

Osteoarthritis is a type of arthritis that occurs in the area around the joints because the cartilage that protects the ends of the bones begins to break down accompanied by reactive changes at the edges of the joints which can cause pain and difficulty moving. Drug use is said to be rational if the patient receives treatment that is in accordance with clinical needs, namely correct diagnosis, correct drug selection, correct indication, correct dose, correct method of administration, and correct patient. This research aims to use a descriptive analysis design for observational research. The research design used was quantitative research to determine the rationality of using NSAIDs anti-pain medication in osteoarthritis patients undergoing treatment at the Klinik Teluk Banten. The rationality results in this research are, 100% correct diagnosis, 100% correct indication. 100% correct choice of drug, 89% correct dose, 100% correct method of administration, 94% correct patient for Osteoarthritis at Klinik Teluk Banten.

This case report discusses a 54-year-old female patient diagnosed with Stage V Chronic Kidney Disease (CKD) undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD). The patient presented with clinical symptoms such as nausea, vomiting, abdominal pain, and reduced ultrafiltration volume, raising suspicion of Encapsulated Peritoneal Sclerosis (EPS). EPS is a rare but serious complication in long-term CAPD patients. Management includes discontinuation of CAPD, adequate nutritional support, and symptomatic therapy. This report aims to enhance understanding of the diagnosis and management of EPS in Stage V CKD patients.

Background: Vertigo is a group of symptoms caused by a disturbance in the balance of the vestibular or central nervous system. Complaints of vertigo can come in the form of nausea, dizziness, spinning, or a feeling of being pulled or drawn in an upright position. Dizziness can also be caused by disturbances in the body's balance organs, including receptors in the eye (retina), in the vestibular and semicircular canals, as well as in tendons, joints, and internal sense organs. Objective: Identifying the characteristics of respondents including age, gender, and measuring the scale of moderate, mild and severe symptoms after performing brandt daroff combination therapy accompanied by lemon aromatherapy. Methods: Pre-experiment research design with one group pretest and post test design with purposive sampling technique, a total of 14 respondents with observation sheet instruments. Results: Based on the analysis, the average number of vertigo complaints experienced by respondents was a score of 32.9. After the respondents were given Brandt Deroff therapy accompanied by lemon, the level of vertigo headache decreased to a score of 1.50. wilcoxon test showed a significance value.2 marked 0.001 <0.05, also Ho is rejected and Ha is accepted. Conclusion: So it can be concluded that there is an average difference between the results of therapy before (pre-test) and after (post-test) which means that there is an effect of Brandt Daroff treatment accompanied by lemon aromatherapy on reducing the pain scale of vertigo patients in cases at RSI Sultan Agung Semarang.

Background:Gastritis is an inflammation of the stomach wall caused by irritation of the gastric mucosa. Gastritis caused by bacterial infections such as Helicobacteri pylory and irritant foods and drinks. The problem posed is acute pain. Nursing interventions to address this problem are pain management. Objective: This case study aims to describe the implementation of nursing pain management in gastritis patients with acute pain. Method: This case study design is a descriptive design in the form of a case study with a nursing care process approach. The case study subjects were 4 patients in the emergency room with the criteria of experiencing gastritis with problems acute pain. This case study was conducted at Muhammadiyah Palembang Hospital on March 16- 23, 2023. The nursing implementation provided was in the form of warm compress and deep breath relaxation to reduce pain in gastritis patients, in patient 1 before the implementation of the pain scale was 5 and fell to 3, the second patient initially had a pain scale of 4 decreasing to 2, in patient 3 the initial scale of 5 was reduced to a scale of 2, and finally patient 4 before the technique was carried out. out the pain scale in patients is 5 after being carried out down to a scale of 3. Using data collection techniques by means of observation, and interviews. Results: The research results describe the need for implementation of pain management (warm compress and deep breath relaxation) to reduce pain in gastritis patients from a moderate pain scale to a mild pain scale.Conclusion:There is an influence in implementing pain management on acute pain in gastritis patients.

Typhoid fever is one of the main causes of death and morbidity in densely populated areas and unhygienic environments. The most common causative agent of typhoid fever in children is Salmonella typhii. Typhoid fever is enteric fever with main clinical symptoms such as abdominal pain and fever. Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by dengue viruses types I-IV with clinical manifestations of fever lasting 2-7 days accompanied by bleeding symptoms and if a shock occurs, the death rate is quite high. This case report is an 8 years old girl with complaints of fever accompanied by abdominal pain, nausea and vomiting and headache. On physical examination, it was found that the patient's general condition appeared to be moderately ill, composmentis consciousness, pulse 86 times/minute, respiratory rate 22 times/minute, temperature 36.5 °c, and the patient's SpO2 was found to be 98%. From the supporting examination, it was found that the tubex value increased by +4. The Dengue results showed Dengue IgG (+) and IgM (-).

Unhealthy lifestyle, stress, health problems, physical activity, hormonal imbalance, and nutritional status are all factors that contribute to irregular menstruation. Stress is a common cause of menstrual cycle disorders. It induces the pituitary gland to release ACTH (Adrenocorticotropic Hormone), which increases cortisol levels, disrupting the menstrual cycle. This study aims to investigate the relationship between stress levels and the occurrence of menstrual pain (dysmenorrhea) among adolescent girls at SMA Negeri 1 Kutalimbaru, Kutalimbaru District, in 2023. The research uses a cross-sectional design with an analytic survey approach. A sample of 45 adolescent girls was selected, consisting of two groups: case and control. Data were collected using a questionnaire, and data analysis was performed using univariate and bivariate analysis techniques. The results show that the majority of adolescents experience moderate stress (51.1%) and mild menstrual pain (48.9%). The analysis reveals a significant relationship between stress levels and the occurrence of dysmenorrhea, with a Spearman Rank correlation coefficient of 0.656 and a p-value of 0.000. This study highlights the importance of stress management in reducing menstrual pain among adolescent girls.

Wound care has also developed rapidly after the dissemination of the concept of TIME (Tissue, Infection, Moisture, and Wound Edge) in modern dressing (MD). The aim of this study was to compare modern dressings (MDs) and classic dressings (CDs) in terms of patient comfort, cost effectiveness and wound healing.  A prospective study design with total of 25 participants. The sampling technique used was consecutive sampling. Patient comfort was assessed through the frequency of wound care and pain scale using the Visual Analogue Scale (VAS). Cost-effectiveness was assessed using direct and indirect costs. Wound healing was assessed using the Bates-Jensen Wound Assessment Tool (BWAT) score. The data was analyzed using the independent t and Mann-Whitney tests.  The application of MD has the same cost-effectiveness as CD with a more satisfactory outcome for the wounds in terms of comfort and healing.

Rheumatoid Arthritis is an autoimmune disease.. This system attacks joints and other parts of the body such as tendons, ligaments, and bones. One implementation of reducing rheumatoid arthritis pain is to massage the feet of the painful joints. This study used a quasi-experimental design. The population in this study was 48 people and the research sample was 20 people with two groups, namely the experimental group and the control group. The results of the study were obtained after rheumatoid arthritis foot massage had a significant effect in reducing pain in the experimental group with a p-value of 0.007. Foot massage on painful joints has benefits in reducing the pain scale in the elderly.

Chronic Kidney Disease (CKD) is a condition caused by structural or functional abnormalities characterized by a decrease in the glomerular filtration rate (GFR). One of the treatments for CKD patients is hemodialysis (HD). Sleep disorders are among the complications of hemodialysis. Administering lavender aromatherapy is a method to improve the sleep quality of patients. This study uses a literature review method. Articles were searched on ScienceDirect, PubMed, and Google Scholar using advanced search with the keywords "Chronic Kidney Disease, Hemodialysis, Lavender Aromatherapy," resulting in 10 relevant articles to compile this review. The results showed that lavender aromatherapy was effective in addressing complications such as poor sleep quality, fatigue, pain, and anxiety in hemodialysis patients. In conclusion, lavender aromatherapy has been proven effective in improving the sleep quality of HD patients.

Labor pain during the first stage of active phase is visceral, arising from uterine contractions and cervical dilation, processed through sympathetic efferent nerve fibers. One therapy that can be used to reduce this pain is the administration of red ginger extract, which is known to have the highest oleoresin content compared to other types of ginger. This study aims to assess the factors influencing the knowledge of third-trimester pregnant women about the benefits of red ginger drink as a pain reliever during the first stage of active labor at the RSUD Daerah Perdagangan. The study used an analytic cross-sectional design involving 66 respondents who met specific inclusion and exclusion criteria. The results showed that education, age, received information, and culture influenced pregnant women’s knowledge about the benefits of red ginger. Based on statistical tests, it was found that education, age, information, and culture have a significant impact on the level of knowledge among pregnant women. This study is expected to contribute to increasing pregnant women’s knowledge of alternative pain relief methods using red ginger and to enrich awareness of the importance of health information during pregnancy.

High uric acid which causes joint pain is a disease where there is a buildup of purine which causes the joints to become inflamed to the point of swelling. Gout which occurs in people of course when they have a disease that causes gout they will undergo medical treatment to reduce uric acid levels and the pain that occurs in the elderly due to high levels. And most people assume that by taking medication they assume that the pain will disappear, according to Ilham (2019) that to reduce joint pain you can do ginger compress therapy on the joint pain, because the spicy effect of ginger can reduce pain in the joints. Objective: To determine the effect of ginger compress therapy on the level of joint pain in the elderly. Method: The design in this research uses a quasi-experiment using a one group pretest posttest design approach. Results: based on the results of statistical tests using the Paired Samples Test, the resulting P value is 0.000 < 0.05. Conclusion: it can be concluded that there is an influence of ginger compress therapy on the level of joint pain in the elderly in the working area of ??the Central Jampang Community Health Center. Suggestion: It is recommended for future researchers to measure the influence of respondent characteristics such as age, gender, education level, length of time suffering from joint pain, type of work and type of medication used.

This study explored the analgesic effectiveness of ethanol extract of red betel leaf (Piper crocatum) in white rats (Mus musculus L.) induced with acetic acid. A total of 15 rats were divided into five groups with different treatments, and the number of twitching movements as a pain response was measured for one hour. The extract was prepared using 96% ethanol solvent, and the analgesic effect was analyzed using the writhing test method. The results showed that the extract contained flavonoids, alkaloids, tannins, and saponins, which might contribute to its analgesic properties. It was found that the higher the dose of extract administered, the greater the inhibition of pain that occurred, with a dose of 800 mg/kgBB showing optimal analgesic effectiveness, almost equivalent to paracetamol as a positive control. Statistical analysis showed significant differences between treatment groups, with doses of 200 mg/kgBB and 400 mg/kgBB showing lower effectiveness. This study recommends further exploration of the therapeutic benefits of red betel leaf extract and formulation development for wider medical applications.  

Pain is the body's response to tissue damage that is often addressed using analgesic compounds. Purslane plants (Portulaca oleracea L) are known to contain flavonoids, saponins, tannins, and alkaloids that have potential as analgesics. This study aims to test the analgesic effectiveness of purslane ethanol extract by writhing test method using white mice (Mus musculus) induced by 1% acetic acid. A total of 15 mice were divided into 5 treatment groups, namely negative control, positive control (paracetamol), and three groups with doses of purslane extract 200 mg/kgBB, 400 mg/kgBB, and 800 mg/kgBB. The number of writhes was observed every 15 minutes for 1 hour, and the percentage of protective power was calculated. The results showed that the dose of 800 mg/kgBB gave the highest analgesic effect with a percent protection power of 65.28%, followed by doses of 400 mg/kgBB (52.4%) and 200 mg/kgBB (30.6%). The highest analgesic effect was achieved at a dose of 800 mg/kgBB, almost equivalent to the positive control. This shows the significant potential of purslane ethanol extract as an analgesic agent.

It is hoped that breastfeeding can help achieve SDGs goal 3, target 2, namely efforts to reduce the neonatal mortality rate to at least 12 per 1000 live births in all countries by 2030 and stop unnecessary deaths of newborns and toddlers. Encouraging healthy breastfeeding is so important that it can prevent more than 820,000 deaths of children under five every year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increases breast milk production.The research design uses the Pre Experimental Design method, namely in the form of a One Group pretest and posttest design without a control group. This research used purposive sampling, with a total sample of 22 respondents. Univariate and bivariate data analysis. The results of this study showed that the value before the oxytocin massage was a mean of 16.14 and after the oxytocin massage the mean was 27.73. The conclusion of this research shows that the results of the experimental test have a significant value with a p value = 0.000 <0.05. This proves that there is a significant difference in breast milk production between before and after oxytocin massage. It is recommended that midwives at the Afisya clinic use this research as input in efforts to increase breast milk production in post partum mothers.