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Background Exclusive breastfeeding in the world is still very low. The problem is that mothers do not breastfeed their babies on the first day because of the mother's fear of not having enough breast milk, flat nipples, swollen breasts, breast abscesses, sore or cracked nipples. This pain will make a mother become stressed. The aim of this community service program (PKM) is to increase the empowerment of husbands in carrying out oxytocin massage for breast milk production in postpartum mothers at the independent midwife practice of Rimenda Br Tarigan, Medan Denai District in 2024. The method used is counseling on targets carried out verbally. The results are based on the results of the service implementation. Participants in this activity were postpartum mothers who visited the Rimenda Br Tarigan Independent Midwife Practice as many as 46 people.

Non-hemorrhagic stroke is a clinical sign of dysfunction or damage to brain tissue caused by lack of blood flow to the brain, thereby disrupting the need for blood and oxygen in brain tissue. Slow stroke back massage therapy is a non-pharmacological therapy to overcome problems in patients with stroke. This research aims to be able to carry out nursing care for clients with non-hemorrhagic stroke using slow stroke back massage therapy in the Flamboyan Room at RSUD dr. T.C Hillers Maumere. The research design used was a case study. The approach used is a nursing care approach which includes identifying data from assessment results, nursing diagnoses, planning, implementation and evaluation. Slow stroke back massage therapy is carried out for 3 days. Data collection techniques used a medical-surgical nursing care assessment format, observation and literature study. The results of the case study showed that clients were diagnosed with ineffective cerebral perfusion and impaired physical mobility. The application of slow stroke back massage therapy showed improvements or changes on the third day, which resulted in the client experiencing a decrease in blood pressure from 180/100 mmHg to 160/90mmHg, not complaining of dizziness, and the patient's right hand was starting to be able to move. The conclusion of this case study is that slow stroke back massage therapy is effective in reducing blood pressure and also helps in increasing physical mobility in non-hemorrhagic stroke patients.

Background: The pregnancy period is a period of adaptation felt by pregnant women because they experience physical and psychological changes. All needs during pregnancy must be met, one of which is sleep. Sleep is one of the basic human needs that is needed and must be fulfilled by every human being, especially pregnant women, to maintain health before giving birth. In the third trimester of pregnancy, pregnant women will experience difficulty sleeping, resulting in reduced sleep quality. Research Objective: To determine the effectiveness of giving lavender aromatherapy on sleep quality in third trimester pregnant women. Research Method: This research uses a quasi experimental design method. The approach taken in this research used a two group pre test and post test design technique, namely research carried out to assess two groups as a whole. Results: the results of statistical tests using the Paired Samples Test, the P value produced by the inhalation intervention group was 0.000 < 0.05, and the results of statistical tests using the Paired Samples Test, the P value produced by the massage intervention group was 0.000 < 0.05. Conclusion: it can be concluded that there is an influence of giving lavender aromatherapy using the inhalation method on sleep quality and there is an influence of giving lavender aromatherapy using the massage method on the sleep quality of pregnant women in the third trimester in the UPTD Working Area of ??the Cibolang Kidul Community Health Center. Suggestion: It is recommended for people or pregnant women who have difficulty sleeping, to implement lavender aromatherapy to overcome difficulty sleeping.

Background: Health is something that is very important for human life. Health and lifestyle are influenced by developments over time. One example is the lack of consumption of foods with fiber to meet daily needs, which causes health problems, namely appendicitis. Appendicitis is a common cause of acute inflammation of the right lower quadrant of the abdominal cavity, which is treated by emergency abdominal surgery. The inflammatory process that occurs in the appendix increases intraluminal pressure which causes the pain to become more severe, generalized or periumbilical and move to the right lower quadrant. One way to deal with pain is by applying the effleurage technique (massage/touch therapy). The aim of this case study is to determine the reduction in pain scale in post-appendectomy patients after effleurage technique therapy (massage/touch therapy). The method used in this case study is case study design with a nursing care process approach. The subjects in this case study were 2 patients, who were obtained from inclusion and exclusion criteria, data collection using the numeric rating scale (NRS). The results of the case study show that the average pain level of the two patients after being given effleurage technique therapy intervention (massage/touch therapy) for 3 days experienced a change from moderate pain to mild pain. The conclusion of this case study shows that there were changes that occurred after the effleurage technique (massage/touch therapy) was given to the 2 patients and they experienced a decrease in the pain scale.

Breastfeeding is a natural process that is not easy to do. The coverage of exclusive breastfeeding cannot be separated from problems that occur in the breastfeeding process, including the wrong belief that little milk comes out or breast milk is not sufficient for the baby's needs. This situation is caused by several factors including food and drinks consumed by the mother, psychological or emotional conditions of the mother, abnormal breast shape. New methods introduced to prevent and overcome this problem include endorphine massage and lactation massage, massage techniques performed on the head or neck, back, spine, and breast areas that aim to stimulate the hormones prolactin and oxytocin. The purpose of this dedication is to improve the knowledge and skills of breastfeeding mothers in doing lactation massage. The method carried out is to provide training starting with the correct preparation of breastfeeding material. The results of the training that has been given to breastfeeding mothers who attend the posyandu already know and are skilled in practicing lactation massage.

This study aims to determine the effect of a combination of Progressive Muscle Relaxation (PMR) exercises and back massage on blood pressure in hypertension sufferers in the RW001 Sarua Indah Ciputat area, South Tangerang. This research uses a descriptive study type of research with a quantitative approach. The appropriate method for this research is the pre-experimental research method. Design Pre-experimental design is a design that includes only one group or class that is given pre- and post-tests (Sugiyono, 2014). This research design only uses a single group, so it does not require a control group. Before being given treatment, the experimental group first underwent a pretest, followed by action (intervention), namely using a combination of Progressive Muscle Relaxation and Back Massage exercises, then continued with giving a posttest.

Low Back Pain (LBP) has long been recognized as the only musculoskeletal condition that adversely affects more than three adults in daily life, known as the second skeletal ganglion. Hot Stone Massage uses bones that have been trained to be used as a means of relaxing muscles, ligaments and tendons. Objective: to determine the effectiveness of Hot Stone Massage in reducing pain in LBP sufferers. The research method used is a literature review approach, by searching for references using the PICO method on the Google Scholar database over a period of 10 years. Results: From the 3 journals studied, Hot Stone Massage had an effect on reducing pain in patients suffering from LBP, with temperature intensity >38°C and p-value p<0.05 showing a significant effect. Conclusion: The use of hot stone therapy also reduces the amount of pain that interferes with daily activities, such as the ability to manage loads, work performance, and sleep quality, in addition to providing long-lasting pain protection for most users during use and for two weeks after use.

Acute Coronary Syndrome (ACS) is a major cardiovascular problem because it causes high rates of hospitalization and mortality. The clinical manifestations of ACS are that the patient feels pain and discomfort that is not specific in the chest and legs radiating to the neck, left shoulder and arms and back then accompanied by cold sweat, nausea, vomiting, weakness and dizziness and can faint which occurs suddenly with high intensity.  Objective: To find out the results of applying Thermotherapy therapy to relieve chest pain in patients with Acute Coronary Syndrome. Moewardi Surakarta. Method: This type of research is a descriptive case study. The application was carried out on 2 patients selected by purposive sampling method with inclusion and exclusion criteria. Thermotherapy is carried out for 10-20 minutes 1x/day for 3 days. The research instrument used SOP foot massage, hemodynamic status observation sheets, and informed consent. Results: After being given the application to both respondents for 1 time a day for 3 consecutive days, a decrease in the level of the chest pain scale was found in the patient Mr. S with a pain scale level before being carried out by Thermotherapy therapy, severe pain and after being carried out by Thermotherapy therapy for 1 time in 3 consecutive days to mild pain. Meanwhile, in the patient Mr. A with the level of pain scale before the Thermotherapy therapy is severe pain and after the Thermotherapy therapy is done for 1 time in 3 consecutive days it becomes mild pain. Conclusion: there is a reduction in the chest pain scale in patients with Acute Coronary Syndrome at RSUD Dr. Moewardi Surakarta after being given thermotherapy.

Background: Unpreparedness physically, psychologically, mentally and spiritually in facing this period will make mothers experience problems related to involution and postpartum pain. Many things are risk factors for failure of involution and lactation. These factors include mobilization, nutrition, lactation, environmental, cultural and family factors. Objective: To determine the effect of effleurage massage on reducing the pain scale due to uterine involution in postpartum mothers on day 1. Research Location: UPT Buay Pemaca Health Center. Research Method: Quantitative research type with a pre-experimental design type one group pretest and posttest. Results: Almost all postpartum mothers before being given effleurage massage experienced uterine involution pain on a moderate pain scale of 19 people (95%), more than half of postpartum mothers after being given effleurage massage experienced uterine involution pain on a moderate pain scale of 12 people (60 %), there is an influence of the Effluurge Massage Technique on Reducing the Pain Scale of Uterine Involution in Post Partum Mothers on Day 1. Conclusion: Effleurage massage can reduce the level of uterine involution pain in postpartum mothers.

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

Background: A survey in Indonesia reported that 38% of mothers stopped giving breast milk due to a lack of milk production.Oxytocin massage is one of the solutions to overcome the irregularity of milk production. Oxytocin massage is massage along the spine (vertebrae) to the fifth-sixth costae and is an attempt to stimulate the hormones prolactin and oxytocin after childbirth. Oxytocin massage is done to stimulate the oxytocin reflex (milk ejection) or the let down reflex (flow reflex). Purpose: the purpose of this study was to determine the effect of oxytocin massage by husbands on increasing milk production in postpartum mothers in Ngrukuh Village, Klaten Regency. Methods: This research was conducted in June 2023. This type of research uses a case study research design. Samples were 2 (two) postpartum mothers. Measuring the adequacy of breast milk in the oxytocin massage procedure with the length of time the intervention was carried out for ± 15 minutes and the frequency of giving therapy 1-2x a day for 14 days. Data analysis was carried out by looking at the breastfeeding adequacy observation sheet. Results: The results of the study showed that the level of milk production before the oxytocin massage was carried out, namely that milk production did not include signs of sufficient milk supply and after being given oxytocin massage, the level of milk production included signs of sufficient milk supply. Conclusion: There is a significant influence between the level of milk production experienced by postpartum mothers before and after being given oxytocin massage.

Background: The post partum period is the period in the mother which starts from the day of birth up to 6 weeks after birth during this time the mother is obliged to provide breast milk to the baby. WHO data shows that 46% of post partum mothers do not give exclusive breastfeeding during the first 6 months because of problems with milk insufficiency. The problem of failure to give exclusive breastfeeding to babies that needs attention is because mothers who experience breast milk are not smooth. Efforts that can be made to increase the smoothness of breast milk production can be by oxytocin massage by the husband. Objective: To find out the results of implementing oxytocin massage on the smoothness of breastfeeding in post partum mothers in Kebakkramat District, Karanganyar Regency. Method: This type of research is descriptive in the form of a case study. Results: The smooth expulsion of breast milk before the application of Oxytocin Massage by the husband shows that breast milk is not smooth. The smoothness of breastfeeding after an oxytocin massage by the husband for the two respondents showed smooth breastfeeding. There was a smooth development of ASI during the 3 days of applying oxytocin massage. There was a change in the smoothness of milk production in the two respondents after the application of Oxytocin Massage or Increased Breast Milk. Conclusion: There was a change in the smoothness of breastfeeding before and after the oxytocin massage was performed on the two post partum mother respondents.

Background; Effleurage massage is a form of massage using the palms of the hands that apply gentle pressure to the surface of the body in a circular direction repeatedly. The number of mothers giving birth in the Ponek room (Maternity Room) with January 01, 2021 - July 31, 2023 amounted to 1047 patients and 15 patients gave birth normally. Objective; To determine the results of implementation in the application of Effleurage Massage techniques to reduce the pain scale in postpartum mothers in the Ponek Room of Dr. Moewardi Surakarta Hospital. Method; This type of research is descriptive in the form of a case study. The approach taken uses a nursing care approach, planning, implementation and evaluation. The application instrument uses the Numeric Rating Scale (NRS) and checklist sheet as a measuring tool to determine the level of pain scale. Results; The results of the application using Effleurage Massage techniques found that respondents had a pain scale of 4 (moderate pain) down to 0 (none pain). Conclusion; There is a difference in pain scale before and after Effleurage Massage at Dr. Moewardi Surakarta Hospital.

Background: Hypertension is a health problem in all parts of the world and one of the main risk factors for cardiovascular disease. It is estimated that 1.28 billion adults aged 30-79 years worldwide suffer from hypertension as well as the Karanganyar District Hospital where there have been 889 cases with hypertension since the last 1 year. One of the non-pharmacological therapies that can be used for hypertension is foot massage. Foot massage is one of the complementary therapies currently used for hypertension. Objective: To find out the results of the implementation of giving foot massage to reducing blood pressure in 2 respondents with hypertension at the Karanganyar Regency Hospital. Methods: Using a descriptive method with a case study design approach, respondents used 2 hypertensive patients. Determination of respondents according to the inclusion and exclusion criteria was carried out for 3 days. Foot massage and blood pressure measurement using a sphygmomanometer Results: Providing foot massage was able to reduce blood pressure in 2 respondents at the Karanganyar District Hospital Conclusion: There were changes in 2 respondents after foot massage was carried out for 3 days at the Karanganyar District Hospital.

Background: Blood pressure is an important indicator in assessing the cardiovascular system and the performance of a person's body so it is necessary to know that someone has hypertension. There are 1.28 billion adults with hypertension in the world in 2021 who suffer from hypertension. While the number of patients in the ICU who suffered from hypertension in the last 1 year was 140 patients. Based on these conditions, management is needed to reduce blood pressure by providing Foot Massage intervention. Objective: To find out the results of the implementation of giving Foot Massage on Lowering Blood Pressure in Hypertensive Patients in the ICU Room at PKU Muhammadiyah Karanganyar Hospital. Method : This type of research is a case study of foot massage in hypertensive patients. Results: The results of the implementation of Foot Massage found a decrease in blood pressure in both rospenden Mr. M from 145/90mmHg to 125/80mmHg, and Mrs. W 159/100mmHg to 130/90mmHg Conclusion: There are differences in blood pressure in hypertensive patients after Foot Massage therapy at PKU Muhammadiyah Karanganyar Hospital.

Childbirth is a series of events when a baby is released from the mother's womb, followed by the release of the placenta and fetal membranes from the mother's body (Fitriana and Nurwiyandani, 2018). Experimental research method with a design that is Control group pre test-Post test. The population in this study were all primigravid postpartum patients without complications during the first active phase in the working area of ​​the Halilulik Health Center, Naitimu Village, West Tasifeto District, East Nusa Tenggara, Using a purposive sampling technique, a sample of 16 people was obtained with a distribution of 8 people for the back rubbing massage treatment using the Power Massager (group 1) and 8 people for the back rubbing massage treatment using the hands (group 2). The results showed that the back rubbing massage treatment using a power massager obtained an average decrease in pain of 2.375, while the treatment of back rubbing massage using hands obtained an average decrease in pain of 1.250, obtained P count of 0.0013 P <0.05, So it can be concluded that back rubbing massage using a power massager is more effective than using hands in reducing pain in primigravida in parturient patients in the active phase 1. In conclusion, back rubbing massage using a power massager is more effective in reducing pain in primigravid patients in labor in the first active phase.

Regurgitation or often called spitting up is the passage of refluxed gastric contents into the pharynx or mouth, sometimes with expulsion from the mouth. Complications that occur when excessive spitting up causes Gastroesophageal Reflux, which is backflow from the stomach to the esophagus which causes damage to the esophageal wall. In Indonesia, the incidence of spitting up in infants aged 2 months is higher than other countries. 25% of babies spit up >4 times during the first month, 50% spit up 1-4 times a day until 3 months of age. 30% of mothers also experience anxiety about spitting up, where anxiety is related to spitting up frequency of 66% and spitting up volume of 9%. As well as symptoms that accompany spitting up such as crying and fussing. (IDAI, 2016). This type of research is experimental (experimental research) with a one shot case study/post test only design approach. The population in this study were all infants aged 0-6 months. The sampling technique in this study was carried out using a non-probability sampling technique, namely the type of purposive sampling technique, with a total sample of 16 people. The instrument used is the observation sheet. The univariate analysis aims to explain or describe the distribution of spitting up frequencies in infants before and after massage. For numerical data, the mean or average value is used, and for categorical data, the chi-square is used. This study uses the Shapiro Wilk normality test to determine whether the data is normally distributed or not. Then a paired sample T-test was performed. The average value of spitting up before baby massage is 0.500 with a standard deviation of 0.516. The average value of spitting up after baby massage is done with an average value of 0.686 with a standard deviation of 0.479. The results of the statistical test using the Paired T-Test obtained a p value of 0.003, which means that Ho was rejected, so it can be concluded that there is a difference in the frequency of spitting up before and after baby massage. There are differences in spitting up disorders in babies who are massaged and not massaged. Where the average baby who was massaged did not spit up while the baby who was not massaged had spit up.

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

Background : The period of breastfeeding in children aged 0-6 months is one part of the first 1,000 days of life (golden period). Exclusive breastfeeding aims to guarantee the right to exclusive breastfeeding up to the age of 6 months by taking into account the growth and development of the baby. Some mothers find it difficult to express breast milk because more and more mothers are influenced by myths. When a mother is concerned about her baby's ability to breastfeed, the hormone oxytocin decreases, causing her to stop producing and eventually breastfeed soon after birth. One way to stimulate the mother's prolactin and oxytocin hormones after giving birth is breastfeeding massage. Writing purpose : To determine the effectiveness of the combination of consumption of smoothy spinach and oketani massage to increase the amount of milk production in postpartum mothers in the UPT area dcomparison of giving snakehead fish extract and smoothy spinach to increasing hemoglobin levels in pregnant women in the UPT Puskesmas Kalri Karawang area in 2023. Research methods : This type of research used is quantitative research. This research method is experimental with the type of Quasy Experimental (pseudo-experimental) with a post test only design approach.This research was conducted in the UPT Kalri Health Center, Karawarang December 2022 to January 2023. The population in this study were all postpartum mothers at the Mukoyurli Buol Hospital with a total of 63 people. Samples were taken using non-probability sampling method with purposive sampling technique. The number of samples in this study were 32 research samples. Research result : The results of the independent statistical test sample T test obtained a value of p = 0.000 (p <0.05), which means that the combination of smoothy spinach and massage oketani has a significant effect on milk production. Conclusion : There is a significant relationship between the combination of smoothy spinach and oketani massage on milk production.It is hoped that health workers (doctors, midwives, nurses) can assist postpartum mothers in communicating providing information and education about the benefits of a combination of smoothy spinach and oketani massage in helping patient families to provide oxytocin reflex massage to postpartum mothers.

Background : The age of infants and toddlers is the golden age of the period of growth and development of a human being. To stimulate the growth and development of the baby, it is necessary to stimulate the baby. Baby massage and spa are activities to optimize the growth and development of babies. Research objective : to determine the effect of baby massage and baby spa on the growth and motoric development of babies aged 3 to 6 months. Research Methods : This study used a quasi-experimental and pretest and post-test design with a control group. The number of samples of infants aged 3-6 months was 60 babies, 20 babies for the baby massage group, 20 babies for the baby spa group (solus per aqua) and 20 babies who were not treated because their parents refused. The instruments used in this study were baby scales, tape measure and DDST II. Data analysis in this study was the Wilcoxon and Mann Whitney tests. The results of the study: There is an influence of baby massage and baby spa interventions on the growth and motor development of infants aged 3-6 months with p-Value = 0.000 (<0.05). The Mann Whitney test results obtained a p-value of 0.000 (p-value <0.05 at α = 5%), so that it can be concluded that there are differences in the growth and motor development of infants aged 3 to 6 months between the control group and the intervention group (who get baby massage and baby spa). Conclusions and suggestions : It is hoped that baby massage and baby spa can optimize baby growth and development. There is a difference in the effect of giving baby massage and baby spa on the growth and motoric development of infants aged 3-6 months. So that giving actions like this can be routinely carried out to maximize the growth and development of the baby.