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Sectio caesarea is a solution for handling births with complications, Sectio Caesaria in Indonesia every year deliveries with sectio caesaria are increasing. Surgical procedures such as Sectio Caesaria are actions that cause tension (stress) because this action involves removing the fetus through the abdomen (Laparotomy) which requires an incision into the uterus (Hysterotomy). The aim of this research is to find out the relationship between pain intensity and breast milk production in post-cesarean section mothers at RSUD. Data analysis using univariate, bivariate analysis. The results of this study show that there is a significant relationship between pain intensity and breast milk production in post-cesarean mothers at the Bandarkar Subdistrict, Simalungun District Trade Hospital in 2022. It can be used as a source of information for mothers who are about to give birth and postpartum mothers to know about description of the intensity of pain in mothers post Sectio Caesaria at the Trade Hospital which causes disruption in breast milk production.

Background: Menstruation is the process of shedding of the uterine wall (the inner layer of the endometrium) which is accompanied by bleeding that occurs repeatedly every month, except during pregnancy. Dysmenorrhea consists of primary and secondary dysmenorrhea. This study aims to determine the impact of giving sour turmeric infusion on changes in the level of dysmenorrhoea. Giving tamarind turmeric infusion on changes in desmenorrhea in female students at SMPN 19 Bandar Lampung. Research Objective: To determine the impact of giving sour turmeric infusion on changes in the level of dysmenorrhoea in female students at SMPN 19 Bandar Lampung Research Method: The type of research used is quantitative with a cross sectional approach. Pre-experimental research design with a one group pretest-posttest design without a control group. The sampling technique uses the Accidental Sampling technique. The data analysis technique used is the Wilcoxon test. Research result : Giving tamarind turmeric is a feasible intervention given to reduce dysmenorrhea pain experienced by young women. Suggestion for health workers to provide knowledge about treatment non-pharmacological dysmenorrhoea by administering tamarind turmeric drink. Conclusion : Giving tamarind turmeric is a suitable intervention to reduce dysmenorrhea pain experienced by young women. Suggestions for health workers to provide knowledge about non-pharmacological treatment of dysmenorrhoea by giving tamarind turmeric drinks

Background: The elderly are vulnerable to chronic diseases and musculoskeletal issues, such as rheumatoid arthritis, which is characterized by pain in the joints and extremities. This disease can lead to persistent pain, fatigue, and an increased risk of injury. One effective non-pharmacological therapy for reducing joint pain in patients with rheumatoid arthritis is rheumatic exercise, which focuses on maintaining range of motion and physical health. Objective: The objective of this research is to describe the comparison of the final results between two respondents before and after the application of rheumatic exercises. Method: This research uses a case study approach with a descriptive method. Descriptive research aims to present or describe the events observed in society. The application of rheumatic exercises was carried out for 4 weeks with a frequency of once a week for 8 minutes. Result: From this study, a decrease in pain levels was found in both respondents, with N. Y's pain level dropping from 5 to 1 and Ny. Y's from 6 to 2. Conclusion: Rheumatic exercise therapy can reduce pain levels in patients with rheumatoid arthritis. (RA).

Primary dysmenorrhea is menstrual pain that is generally experienced by young women which is not accompanied by physical disorders or pathology in the reproductive organs. This condition often interferes with daily activities, including academic performance and psychological well-being. Many non-pharmacological approaches are used to reduce the intensity of dysmenorrhea pain, such as massage and physical exercise. This study aims to compare the effectiveness of the Cat Stretch Exercise and lumbar massage in reducing the pain intensity of primary dysmenorrhea at SMA Negeri 3 Tuban. The research design uses True Experimental with the Pretest-Posttest Control Group Design method. A total of 32 female students who experienced primary dysmenorrhea were selected as samples using a purposive sampling technique, divided into two groups: one group was given Cat Stretch Exercise therapy and the other group was given lumbar massage. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after treatment. The results showed that there was a significant reduction in pain in both groups, but the Cat Stretch Exercise was more effective in reducing pain intensity compared to lumbar massage. The p-value obtained was 0.005, which shows a significant difference between the two groups.

Based on the 2018 Riskesdas results, the proportion of breastfeeding patterns for babies aged 0-5 months in Indonesia is 37.3% exclusive breastfeeding, 9.3% partial breastfeeding and 3.3% predominant breastfeeding. Predominant breastfeeding is breastfeeding the baby but giving a little water or a water-based drink, for example tea, as a prelacteal food/drink before the milk comes in. Meanwhile, partial breastfeeding is breastfeeding a baby and giving artificial food other than breast milk such as formula milk, porridge or other food before the baby is 6 months old, whether given continuously or as prelacteal food. North Sumatra Province Nutrition Program Data in 2018. The percentage of exclusive breastfeeding for babies 0-6 months in North Sumatra in 2018 was 65.57 percent, an increase compared to the percentage of exclusive breastfeeding in 2017, namely 54.4 percent (Sumatra Provincial Health Service, 2017). 2018). In the breastfeeding process, problems sometimes arise that can prevent giving breast milk to babies. Problems that mothers often experience when breastfeeding include inverted nipples, swollen breasts, sore and painful nipples, blocked milk ducts, breast inflammation and insufficient milk production (Purwoastuti, 2015). There are many non-pharmacological methods that can help postpartum mothers increase breast milk production, ranging from marmet massage, oxytocin massage, Woolwich massage to areola and rolling massage. Currently, based on the results of related research, there are non-pharmacological methods that are cheaper, easier, non-invasive and acceptable to respondents and without side effects. Nursing interventions that can be applied to help increase lactation in post partum mothers are the SPEOS method (Endorphin, Oxytocin and Suggestive Massage Stimulation).

This final work aims to visualize the various negative impacts caused by early marriage on the lives of children resulting from the marriage in a surrealist painting. The hope of this work is to increase public knowledge and awareness and enrich ideas in realizing surrealist painting. The method used by the author is the art concertium method which consists of: (1) Preparation, in the form of observation, collection of information and ideas. (2) Elaboration, to determine the main idea through analysis, abstraction, generalization, and transmutation. (3) Synthesis, to realize the concept of the artwork. (4) Realization of the concept into various art media. (5) Completing it into the final form of the artwork. These stages are a reference for the author in working on the painting. Based on the understanding and determination of the idea, the author can visualize 10 works with the titles: first "Cage", second "Control", third "Silent", fourth "Gloomy", fifth "Free", sixth "Grow", seventh "Towards Light", eighth "Tertindih", ninth "Melebur", tenth "Anger".

This study aims to explore Islamic legal views on euthanasia, particularly in the context of terminally ill patients. Using a literature study approach, this study analyzes Quranic verses, hadiths, and the views of scholars on euthanasia, which is generally rejected in Islamic law. As an alternative, palliative care is identified as a more appropriate ethical solution, focusing on alleviating pain and improving the patient's quality of life. This study also underlines the importance of dialogue between health professionals and scholars to develop care protocols that comply with sharia principles. These findings suggest the need for better education and training for health professionals on medical ethics in the context of Islamic law. In doing so, it is hoped that health practices can better respect religious values ​​and meet patient needs more effectively.

Hypertension is a condition where a person experiences an increase in blood pressure above normal which can lead to an increase in mordibity and mortality rates. One of the nonpharmacological therapies that has been widely proven to reduce blood pressure is Benson relaxation. The design of this scientific paper uses a case study design of one patient subject in the Medan Sunggal Health Center work area. Data collection instruments used sphygnomanometer, stethoscope and observation sheet. The implementation of the application of benson relaxation is done by checking blood pressure before and after doing benson relaxation therapy, therapy is done once a day for 7 days with a duration of 10 minutes. After the application of benson relaxation therapy on Mrs.A, it was found that there was a decrease in blood pressure in Mrs.A with systolic results of 150 mmHg to 140 mmHg and diastolic 90 mmHg to 85 mmHg Benson relaxation therapy performed for 7 days on Mrs.A had an effect on lowering blood pressure. With this it is found that blood pressure decreases and relieves pain.

 Mojolaban is one of the sub-districts in Sukoharjo Regency, Central Java, which has 15 villages. The district has Mojolaban main health center, Jatimalang auxiliary health center and Kustati Clinic. Low back pain (LBP) is a disease that is widely suffered in Sukoharjo Regency, according to the Sukoharjo Regency Health Office, LBP sufferers amounted to 3,670 people from 2018-2022. LBP is one of the health problems that is often not taken seriously by the community, especially the elderly. Even though if left unchecked it can interfere with daily life and reduce quality of life. The purpose of this counseling is to prevent, promote health related to LBP with the target participants of the Matahari Elderly Posyandu located in Ds. Wirun Mojolaban. The measurement used in this activity is a pre-test and post-test questionnaire to measure the understanding of the elderly. The results of the questionnaire showed a good improvement with an average pre test and post test increase of 50%. For this reason, posyandu cadres always follow-up so that the elderly can do this exercise not only during counseling but also at home.

Mojolaban is a sub-district located in Sukoharjo Regency. Osteoarthritis is one of the most common complaints experienced by elderly people in Mojolaban. Knee osteoarthritis is inflammation of the knee due to damage to the knee joint which can be caused by age or trauma. This condition causes pain, stiffness in the joints and limitations in movement in the knee. The aim of the physiotherapy program in cases of osteoarthritis is education and demonstration of exercise therapy in the form of closed kinetic chain exercises to reduce pain and prevent complaints from getting worse. The method used is the counseling method (lecture and question and answer), providing leaflets, education, and demonstrations about closed kinetic chain exercises related to osteoarthritis knee targeting participants at Bekonang RW 09 Elderly Posyandu. To evaluate the increase in understanding, the author used a questionnaire before and after the test. The results showed a significant increase in understanding of osteoarthritis material and exercise therapy, with the average score increasing from 2.25 on the pre-test to 4.35 on the post-test. It is hoped that the results of this Community Service activity will become a reference for physiotherapists and other health professionals to encourage the implementation of similar activities, so that they can improve public health, especially in cases of osteoarthritis genu in the elderly.

Patients who are going to undergo surgery often experience anxiety, and the inability to overcome this anxiety can lead to pathological behavior and psychological reactions. Anxiety that is not handled properly can result in longer recovery times, increased postoperative pain, and decreased immunity to infection. This study aims to assess the relationship between family support and preoperative anxiety levels in caesarean section patients undergoing spinal anesthesia at RSUD dr. Soedirman Kebumen. The method used is a quantitative approach with a cross-sectional design. The study sample consisted of 95 respondents of elective pre-operative caesarean section patients using measuring instruments in the form of the APAIS questionnaire and family support questionnaires. The results showed that there was no significant relationship between family support and preoperative anxiety levels in caesarean section patients with spinal anesthesia, with a p-value of 0.859> 0.05 and a correlation coefficient of -0.019, so it can be concluded that family support does not affect the level of anxiety in preoperative caesarean section patients.  

Maternal Mortality Rate (MMR) is a component of the development index and quality of life index which is calculated by considering and taking into account women's health status (MMR). The aim of this study was to determine the effect of pregnancy exercise on reducing lower back pain in pregnant women III at the Sidomulyo Banyuasin Community Health Center. The research population was pregnant women in the third trimester at the Sidomulyo Banyuasin Community Health Center with a total of 16 pregnant women. Univariate and bivariate data analysis.  The results of research show that pregnancy exercise has an effect on reducing lower back pain in pregnant women. This shows that 0.018 is smaller than 0.05. Through this research, pregnant women understand the benefits of pregnancy exercise during pregnancy, especially during the third trimester of pregnancy, which has a very good impact so that mothers feel comfortable and reduce complaints during pregnancy, such as lower back pain, especially.

Hypertension is a condition where there is an abnormal and continuous increase in blood pressure caused by one or several risk factors that do not work as they should in maintaining normal blood pressure (Majid, 2018). The signs and symptoms in hypertensive patients are the onset of pain. due to increased blood pressure. The purpose of this writing is to find out and provide nursing care to Mr.  T With Cardiovascular System Disorders: Hypertension in Kalibuntu Village Rt 02 Rw 02 Losari District, Brebes Regency in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was found that Mr. T complains of pain. There were two diagnoses found, namely acute pain and knowledge deficit. Interventions are prepared based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.

Rheumatism is a disease in which the body attacks its own joints. As a result, the joints become swollen, painful and mayy change shape. This disease not only attacks the joints, but also important organ such as the hearth and lungs. The purpose of this paper is to provide nursing care to the family of Mr. M who has members with rheumatism. Mr.M’s family who has a member with rheumatism. The author will conduct assesment, diagnosis, implementation and evaluation of the health problems faced by the family. The methods used are interviews, observation and dokumentation. The results of this writing are expected to be a new innovation in providing effective family nursing care for people with rheumatism in the community.    

Dysmenorrhea is pain during menstruation, caused by an imbalance of the hormones progesterone, prostaglandins, and stress or psychological factors. Although generally harmless, it can cause discomfort for women. Dysmenorrhea can be treated in various ways, one of which is with cinnamon aromatherapy which is one of the therapies of choice to treat dysmenorrhea in adolescent girls. Objective to determine the effect of cinnamon aromatherapy with inhalation method on dysmenorrhea pain intensity in female students at SMAN 1 Jogorogo Ngawi. This study used a pre-experimental design with a one group pretest-posttest design method with a total of 34 adolescent girls who experienced dysmenorrhea. The measuring instrument used NRS (Numeric Rating Scale) and data analysis using Wilcoxon Sign Rank test. The results of the study is the intensity of dysmenorrhea pain before being given cinnamon aromatherapy was dominated by moderate pain (85.3%) and the intensity of dysmenorrhea pain after being given cinnamon aromatherapy was dominated by mild pain (88,2%). The results of the Wilcoxon test showed a p value of 0.000 <0.05, meaning that Ho was rejected and Ha was accepted. There is an effect of cinnamon aromatherapy with inhalation method on dysmenorrhea pain intensity in female students at SMAN 1 Jogorogo.

Hypertension is a condition where blood pressure is higher than the normal limit, namely for systolic ≥140 mmHg and for diastolic ≥90 mmHg. The purpose of this writing is to find out and provide nursing care for Mr. B’s family with cardiovascular system disorders: hypertension in Mr. J in Kalibuntu Village Rt 05 Rw 02 Losari District Brebes Regency according to nursing standards. The method used s the data collection method in the form of interviews, observations, documentation studies and physical examinations. From the case rewiew, it was found that the client’s main complaint was pain in the back of the head and pain in the neck, P: pain increases during activity, Q: pain like being cut, R: pain in the back of the head, S: pain scale 4 (moderate), T: pain comes and goes. The nursing problems found were acute pain and knowledge deficit. Interventions are arranged based on the theory in SDKI, SLKI and SIKI as well as on the client’s condition and can be implemented.

The purpose: To determine the effect of differences between SWD and neural mobilization with SWD and William’s flexion exercise to improve of functional ability on patient’s with low back pain ischialgia. Design: Two group pretest and posttest design. Participants and interventions: Ten patients with low back pain ischialgia from both sexes were involved (outpatient hospital clinic). Age of the patients between 46 – 65 years. They were divided into two equal groups, Group (I) received SWD and neural mobilization intervention and Group (II) received SWD and William’s flexion exercise. Outcome measure: The Oswestry disability index (ODI) was used to assess changes in perceived disability. The mean differences between week 0 and week 3 were compared across the two treatment groups using Mann-Whitney. Ninety-five percent (95%) confidence intervals (CIs) for the differences between groups were calculated. Results: The results of study revealed that: there was significant difference in functional ability group I (p=0.034) and group II (p=0.038). Howeverthere wasn’t a significant difference between both groups on functional disabilities improvement (p=0.245), so there wasn’t intervention which better of both. Conclusion: It is concluded that SWD addition neural mobilization and SWD addition William’s flexion exercise may be beneficial in the management of patients with low back pain ischialgia to improving of functional ability in two groups.

A fracture or what is called a broken bone is an event that often occurs due to trauma or physical exertion which can cause disability and even complications (Appley & Solomon, 2021). The signs and symptoms in fracture patients include pain. The purpose of this writing is to find out and provide nursing care to An. E with musculoskeletal system disorders: post-operative open reduction internal fixation right clavicle fracture in the rose room 2 RSUD dr. Soeselo Tegal Regency in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was found that An's main complaint was. E complains of pain. There were two diagnoses found, namely acute pain, impaired skin and tissue integrity. Interventions are prepared based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.

Pleural effusion is an excessive accumulation of fluid in the pleural cavity, which causes disruption to the respiratory system. This condition can inhibit lung function and cause severe shortness of breath and chest pain. This study aims to apply nursing care to Mr. B who was diagnosed with pleural effusion in the hospital. B who was diagnosed with pleural effusion at RSUD dr. Soeselo, Tegal Regency. The research method used was a case study with a nursing approach consisting of assessment, nursing diagnosis, intervention, implementation, and evaluation. Based on the evaluation results, the interventions carried out such as the installation of Water Seal Drainage (WSD), oxygen administration, and health education are effective in improving the quality of breathing and reducing the symptoms experienced by patients. It is hoped that this study can be a reference in the management of patients with pleural effusion in the clinical environment.

Gout arthritis is a disease in which there is excessive accumulation of uric acid in the body. Based on WHO, the prevalence of gouty arthritis in the world is 34.2%. The impact of gouty arthritis pain can be caused in the form of decreased quality of life of sufferers due to pain that greatly interferes with daily activities: Research objectives the description of the pain level of gouty arthritis in UPTD Puskesmas 1 Baturetno Wonogiri. Methods: Descriptive with a quantitative approach. The research subjects were 196 patients with purposive sampling technique totaling 66 patients. Research instrument (NRS) nurmetic rating scale. Results: Characteristics The majority of gouty arthritis pain levels were elderly at 35 respondents (53%), female gender at 37 (56.1%), the majority of the length of suffering ≥ 5 years at 44 (67.7%), the majority of moderate pain levels with a scale of 4-6 at 31 (47%). Conclusion: the description of the pain level of gouty arthritis at UPTD Puskesmas 1 Baturetno is mostly elderly, female gender, long suffering ≥ 5 years, moderate pain level.