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Hyperuricemia is defined as increased levels of uric acid in the blood, this can result in gout which is characterized by pain and redness in the joints. Currently, increased uric acid levels are often caused by excessive consumption of red meat including offal, being overweight, consuming foods high in cholesterol, and rarely exercising. The purpose of this counseling and examination of uric acid levels is to increase public knowledge about gout and gout screening by conducting uric acid examinations using POCT. The implementation method used is direct delivery of material related to gout, symptoms, and prevention including screening of uric acid examinations using the POCT method.

Background: Adolescence is a dynamic developmental phase in a person's life. One of the biological signs of youth is the start of menstruation by teenagers. Many young women experience menstrual problems, one of which is dysmenorrhoea. Dysmenorrhea is caused by increased production of endometrial alpha prostaglandin, resulting in dysrhythmic uterine contractions and increased uterine muscle tone which results in uterine ischemia. Dysmenorrhea treatment can be done using pharmacological and non-pharmacological methods. Pharmacologically, menstrual pain can be treated with medication. Meanwhile, non-pharmacologically, menstrual pain can be treated with dysmenorrhoea exercises Objective: This study aims to determine the effect of dysmenorrhea exercise on dysmenorrhea in young women at junior high school 23 Bandar Lampung.  Method: Pre-experiment with one group pretest – posttest design, technique simple random sampling, sample of 26 teenagers, questionnaire instrument Numeric Rating Scale and Wilcoxon test. Research result: Before carrying out the Dysmenorrhea exercise, all respondents experienced pain which was quite disruptive to their activities during Dysmenorrhea, whereas after implementing the Dysmenorrhea exercise, the majority of respondents experienced a decrease in the level of pain. Test results Wilcoxon shows the Asymp value. Sig. (2-tailed) value <0.05, which means there is an influence of Dysmenorrhea Exercise on reducing Dysmenorrhea pain in young women. Conclusion: There is an effect of dysmenorrhea gymnastics on dysmenorrhea in adolescent girls.    

A fracture is an interrupted occurrence of bone continuity determined by the type and extent of the injury. One of his treatments is Open Reduction and Internal Fixation (ORIF). A common problem in post-operative patients is pain, so it requires non-pharmacological implementation of one of which is compressed ice gel pack. To find out the results of ice gel pack compression therapy in post-operative patients. The application was performed with a descriptive method of case study to 2 respondents with a diagnosis of fracture and performed the operation Open Reduction and Internal Fixation (ORIF) performed 6 hours after the operation for 1x within 10-15 minutes. Based on the results of the application already performed there was a decrease in the intensity of pain in postoperative patients. ice gel pack compression therapy can be used as one of the non-pharmacological techniques or independent intervention in post-operative patients in particular on the action Open Reduction and Internal Fixation (ORIF)

The phenomenon of inner child or childhood experiences is one of the factors that shapes a person's character. Everyone experiences their own inner child to varying degrees and with different impacts. Family conflicts experienced during childhood, harsh treatment or words received by parents during childhood can have the impact of painful emotional wounds on a child who becomes an inner child. Parenting style is an important factor in the formation of an inner child. Parenting is the interaction between parents and children, what is the attitude or behavior of parents when interacting with children, for example how to set rules, teach normative values, provide attention and affection and show good attitudes and behavior so that they become role models and role models for children. -his son. The research aims to review one of the factors causing mental health disorders, namely the inner child and how the book of Isa reconciles and escapes the negative influence of the inner child based on research journals that have been conducted previously. The method used in this research is the Literature Review research method.. The result requires self-awareness of the inner child within oneself and this will help to reprogram one's conscious mind to be more adaptable to current life. Try to make peace with the existence of your inner child so you can live a more positive and happy life. This inner child cannot be considered trivial because it can have a negative impact on the person's personality and a solution needs to be found, so that it doesn't happen again in future generations, because if this inner child is not cured it will become a chain of inner children that will continue to repeat itself in the next generation..  

Lower back pain is a common complaint among pregnant women in the third trimester. It is estimated that approximately 70% of pregnant women experience some form of back pain during pregnancy, childbirth, or postpartum. Non-pharmacological therapies such as deep breathing relaxation techniques and effleurage massage therapy can effectively reduce pain levels in these women. This study employs a quantitative approach using a quasi-experimental research method and employs purposive sampling with a sample size of 37 participants. Data analysis includes both univariate and bivariate analyses. Most respondents (64.9%) were aged between 20 and 35 years old. Additionally, the majority (64.9%) were experiencing their first pregnancy. All respondents (100%) were confirmed to have no comorbidities. Furthermore, 73% of the participants had tertiary education (Diploma, Bachelor's, Master's, or Doctorate degrees), and 62.2% continued working during pregnancy. The results of the Wilcoxon test indicated a significant effect (p = 0.000 < 0.05), confirming that effleurage massage and deep breathing relaxation techniques effectively reduce lower back pain in pregnant women. This reduction is attributed to the stimulation of tactile fibers in the skin by effleurage massage, which inhibits pain signals. In conclusion, the findings suggest that implementing effleurage massage and deep breathing relaxation techniques is beneficial for alleviating lower back pain in pregnant women. Public health advice advocates for the application of these techniques to manage such pain effectively.

Breast milk (ASI) is a natural nutrition for babies with the most appropriate nutritional content for optimal growth. Decreased breast milk production in breastfeeding mothers is one of the causes of the failure to provide exclusive breastfeeding for the first 0-6 months. Some mothers experience difficulties and failures in breastfeeding because breast milk has not come out, little breast milk or sore nipples. Lactation massage is one method of painless breast care that can stimulate the strength of the breast muscles to increase breast milk production. The purpose of this service is to provide education and skills to mothers about the benefits of lactation massage and how to do lactation massage to increase breast milk production. The service method used is a lecture on the benefits of lactation massage and practice on how to do lactation massage. The results of the evaluation of the implementation before the counseling were given, the knowledge category was sufficient (58.8%) and after the counseling was given it became (88.2%), meaning that the activities carried out could increase the knowledge and skills of mothers.

Pregnancy is a very important experience for a woman. Based on the journal Of Midwifery issued in 2020, it is stated that lower back pain is the most common complaint in the third trimester of pregnancy. Predisposing factors for back pain include uterine growth which causes changes in posture, weight gain, the influence of the relaxin hormone on ligaments, previous history of back pain, parity and activity. Research Objective: to determine the effect of progressive muscle relaxation on lower back pain in third trimester pregnant women at the Malifut Community Health Center. This type of research is experimental research involving one group of subjects with a pre-experimental approach, one group pretest posttest design. The respondents for this research were 30 people. Purposive sampling technique. Results: This study showed that 30 respondents who had not been treated with progressive muscle relaxation techniques experienced moderate pain as many as 18 people (60%) and experienced mild pain as many as 12 people (40%). Shows that 30 people (100%) experienced a reduction in pain. The results after it was discovered that the Wilcoxon test was carried out above the P value = 0.000 (< 0.05) so that there was a significant difference between lower back pain before the relaxation intervention was given. Advice for pregnant women who experience levels of pain is to carry out progressive muscle relaxation to reduce the level of lower back pain  

Urinary Tract Stones (Urolithiasis) are a pathological condition due to hard masses such as stones that form along the urinary tract and can cause pain, bleeding, or infection in the urinary tract. The formation of stones is caused by urine being saturated with salts that can form stones or because the urine lacks materials that can inhibit stone formation, lack of urine production, and other idiopathic conditions. To find out the results of applying five finger hypnosis therapy to reduce anxiety levels in pre-operative ureteral stone patients in the Mawar Room at RSUD dr. Soehadi Prijonegoro Sragen. The type of research used is descriptive quantitative with survey methods. The research results showed that after being given 5 finger hypnosis to patients Mr.S and Mrs. K both respondents experienced a decrease in anxiety to mild anxiety level where Mr.S's anxiety level was 43 while Mrs. K anxiety level 44. Solid 5 finger hypnosis reduces anxiety levels in preoperative patients

Low back pain is one of the diseases that contributes greatly to disability. The World Health Organization (WHO) states that the incidence of low back pain is 619 million people throughout the world and is expected to increase to 843 million cases in 2050. One of the interventions that supports this is Mc Kenzie Exercise therapy to treat lower back pain. The aim of this research was to determine the effect of the Mc Kenzie Exercise on the level of lower back pain in batik craftsmen. This research method is a type of Pre-Experimental research with a One-Group Pre Test-Post Test Design. Using a sampling technique in the form of non-probability sampling, namely the purposive sampling method. Sample of 15 batik craftsmen. Mc Kenzie Exercise is done 8x for 4 weeks. Data analysis used was the Wilcoxon sign rank test. The results of this research, before the intervention was carried out, most batik craftsmen experienced moderate pain with a percentage of 46.7%, after the intervention it decreased to mild pain with a percentage of 53.3%, and the Wilcoxon test results showed a p-value of 0.005 < 0.05, which means There is an effect of Mc Kenzie Exercise on reducing lower back pain. The conclusion of this research is that the Mc Kenzie Exercise has the effect of reducing lower back pain in batik craftsmen.

Menstruation or menstruation is a sign that the reproductive system and organs in women are functioning. Menstruation causes various complaints such as discomfort caused by excessive bleeding during menstruation and complaints of pain known as dysmenorrhoea. Around 55 percent of women of childbearing age in Indonesia suffer from menstrual pain. Non-pharmacological therapies that can treat dysmenorrhoea are warm compresses and ginger aromatherapy. The aim of the research was to determine the effectiveness of ginger aromatherapy and warm compresses on menstrual pain in adolescents. The research design uses a quasi-experimental with control group design. The intervention group was given ginger aromatherapy and warm compresses on the first day of menstruation, while the control group was not given any intervention. Data analysis used the Mann Whitney test. The population in this study were all class IX female students at Sriwijaya Middle School, Palembang. The sampling technique used purposive sampling totaling 30 respondents. The menstrual pain scale uses the Numeric Ratting Scale (NRS). The results of the Mann Whitney test obtained a p value of 0.001, meaning that there was a difference in the pain scale in the intervention group that was given ginger aromatherapy and warm compresses for menstrual pain in teenagers compared to the control group that was not given the intervention. It is recommended that health workers intensify education regarding complementary therapies in reducing menstrual pain in adolescents.

Background; In Lampung province, the incidence of dysmenorrhea is quite high, the results of the study found that 54.9% of women experience it. Dysmenorrhea is lower abdominal pain that sometimes extends to the waist, lower back and thighs, caused by high production of prostaglandins then stimulates the uterus to contract. The most common impact of dysmenorrhea is limited physical activity and poor concentration, so it must be addressed immediately so as not to further interfere with daily activities. One of the non-pharmacological treatments is by drinking carrot juice where carrots contain vitamin E and beta-carotene which can suppress prostaglandin production so that it can reduce the pain experienced. Objective; To determine the effect of carrot juice on reducing dysmenorrhea in adolescent girls at JHS Muhammadiyah 2 Wonosobo, Lampung. Method; This type of research is quantitative research with a pre-experimental design with a one group pretest and posttest design approach, the population is 28 respondents, the number of samples is 22 respondents with Simple Random Sampling technique. Data collection tools using observation sheets, data analysis with Wilcoxon test ? = 0.05. Results; The results of observations for 1 day with a frequency of 2x a day obtained a p-value of 0.000 where 0.000 <0.05 this means H0 is rejected and Ha is accepted. Conclusion; There is an effect of giving carrot juice on reducing dysmenorrhea in adolescent girls at JHS Muhammadiyah 2 Wonosobo, Lampung.

Physical fitness is explored in relation to muscle strength. Back pain is a musculoskeletal complaint that often occurs in productive young adults in today's digital era. The aim of the service activity is to increase knowledge regarding muscle strength training to prevent back pain and early detection of factors that cause back pain. The method of implementing the activity is screening for BMI, back pain, muscle endurance and education on back strengthening exercises. Educational and examination activities were carried out on Friday 10 November 2023 at 15.00-18.00 attended by 25 participants with 11 male participants and 14 female participants. The average age of service participants was 24.32 years, in the range of 20-28 years. There were 15 participants with overweight and obesity nutritional status. There were 18 participants who often experienced stiffness in their shoulders and back during activities. There were 22 participants who often experienced back pain, 14 participants had never done muscle strength training and 1 participant did exercise more than 5 times in 1 week. Health education is also carried out regarding the knowledge that there is no need to be afraid to move actively if the shoulder or back muscles are weak or tense. Participants are introduced to types of exercise as well as exercises to strengthen and stabilize the inner abdominal muscles (stomach), back and pelvis, as well as stretching exercises for the calf and hip muscles. and thighs.

Introduction: Carpal Tunnel Syndrome is a stretch of the median nerve caused by pressure on the median nerve in the carpal tunnel when the nerve passes through the tunnel. So that pain, paraesthesia, and numbness appear in the area through which the median nerve passes. Purpose: This case report was aimed to determine the effect of physiotherapy interventions in the form of Ultrasound Therapy, Wrist Stretching, and Tendon Gliding exercise on a female patient aged 66 years. Method: A Case report was conducted 3 times over two weeks by evaluating pain using the Numeric Rating Scale (NRS), a wide range of motion using a goniometer, and the patient’s functional activity using the DASH questionnaire. Result: There was a decrease in motion pain from the value of the NRS scale 6 to the NRS scale 4, and tenderness from the value of the NRS scale 2 to the NRS scale 1. An increase in the range of motion of the joint in dorsiflexion and active palmar flexion movements from T1 (S: 40̊ - 0̊ - 45̊) to T3 (S: 40̊ - 0̊ - 45̊), in the active radial and ulnar deviation movements from T1 (F: 15̊ -  0̊ - 20̊) to T3 (F: 15̊ -  0̊ - 25̊). Functional improvement in patients with DASH results from 61 to 50. Conclusion: The effects of ultrasound therapy, wrist stretching, and tendon gliding exercises are that they can reduce pain, increase ROM, and increase functional activity in patients with carpal tunnel syndrome.

Background: Sectio Caesarea (SC) is a birth process through surgery in the abdominal area which will cause disruption of tissue and nerve continuity, resulting in pain in the post section caesarean incision area. Efforts to reduce pain with pharmacological and non pharmacological techniques, one of the non-pharmacological techniques is distraction techniques. This distraction technique is used to divert attention to pain and reduce pain. One effective distraction technique is murottal therapy. Murottal therapy is a form of nursing care, which teaches patients to provide therapy by listening to verse from the holy Koran. Objective: This case study is to determine the development of pain before and after the implementation of Murottal Quran therapy in Mrs. A with acute pain Post Sectio Caesarea at RSUD Indramayu. Method: This case study is a descriptive method with a case study approach and uses a nursing process approach. Results: There was a decrease in the pain scale in Mrs. A post caesarean section at Indramayu Regional Hospital from the moderate pain scale category to the mild pain scale category. Conclusion: Al-Quran murottal therapy has a positive impact on patients with acute pain post Sectio caesarea.

Introduction: acute postpartum pain is caused by physiological changes that occur in postpartum mothers such as degeneration and necrosis at the placenta, the return of the uterus to its pre-pregnant condition, and changes in the vulva and vagina, in which case postpartum mothers need knowledge in providing warm compress relaxation therapy to reduce the pain felt after childbirth. Purpose: This case study is to analyze the implementation of warm compresses on Mrs. K, postpartum pregnancy serotinous patient with a nursing diagnosis of acute pain in Gincu Room 1, Indramayu Regional Hospital. Method: The method in this writing uses a case study. Data collection uses nursing care process which includes assessment, diagnosis, intervention, implementation and evaluation. As well as NRS (Numerical Rating Scale) as a pain scale instrument. Results and Discussion: before the warm compress was applied, the pain scale was 9 (0-10) with a response to complaints of pain, the patient grimaced, said he had difficulty sleeping, the patient only focused on himself and did not follow orders. After 2 days of giving the warm compress for 15 minutes, there was a change in the scale pain becomes 5 (0-10) with the response to the patient's complaint of pain, the grimace has decreased, the patient can sleep, the patient can focus and follow orders well. Conclusion: based on the implementation of warm compresses that have been carried out on Mrs. For postpartum pregnancy serotinous patients with a nursing diagnosis of acute pain in the Gincu Room 1, Indramayu Regional Hospital, the problem of acute pain in the patient can be resolved and the patient's outcome target is achieved.

SA survey by the Indonesian Ministry of Health found that 25% of fracture sufferers died, 45% experienced physical disabilities, 15% experienced psychological stress due to anxiety and even depression and 10% recovered well. Both open and closed fractures will affect nerve fibers which can cause pain and discomfort. Efforts that can be made to reduce pain in fracture patients are with one of the non-pharmacological techniques, namely guided imagination. The aim of this research is to determine the effect of guided imagination on reducing pain intensity in fracture patients at Bumiayu Hospital 2024. The type of research is Quasi Experiment research with a One Group Pre-test Post-test design. The population in this study were all fracture patients at Bumiayu Regional Hospital in the period 4 March - 2 April 2024, totaling 52 people and the sample was taken using a purposive sampling method, namely 35 people. Data collection used a numerical scale research instrument sheet or The Pain Numerical Rating Scale (PNRS). The data analysis used is univariate and bivariate analysis. The results of this study show that statistical analysis showed that the difference in average pain intensity in fracture patients before guided imagination was 6.83 and after guided imagination was 3.46 with a probability value of (p=0.000), so Ho was rejected and Ha was accepted, meaning that guided imagination had an effect on reducing the intensity. pain in fracture patients. In conclusion, there is an effect of providing guided imagery on pain intensity in fracture patients at Bumiayu Regional Hospital in 2024.

Introduction: Low back pain is one of the most common musculoskeletal disorders in the world. In general, this pain is caused by muscle stretching and increasing age which will cause the intensity of exercise and movement to decrease. This will cause the back and abdominal muscles to become weak. Objective: In this study, to analyze the effect of warm compresses of red lemongrass (cymbopogon nardus) on reducing the scale of lower back pain in fishermen in Negeri Latuhalat, Nusaniwe District. Method: Using a one group pre test-post test design, this research design is included in the Pre-Experimental research type and the sample size is 56 fishermen using instruments in the form of SOPs and observation sheets. The analysis used is the Willcoxon test. Results: It was found that there was an effect of warm red lemongrass (Cymbopogon nardus) compresses on reducing the scale of lower back pain in fishermen (p-value = 0.000). Conclusion: There is an influence between the pain scale before and after being given a warm compress of red lemongrass (cymbopogon nardus) on reducing the scale of lower back pain in fishermen in Negeri Latuhalat, Nusaniwe District.  

Background: Hernia Nucleus Pulposus (HNP) is a condition when the pad or disc (soft gel disc or nucleus pulposus) between the vertebrae (spine) comes out of its original position or is torn and pinches the nerve behind it. Many people know it as "pinched nerve". HNP most often occurs in the cervical (neck) and lumbar (waist) vertebrae. The neck has 7 vertebrae. Cervical HNP (pinched neck nerve) most often affects the C6-C7 segment followed by the C5-6 segment because this segment is the part that moves most often and is easily affected by the degeneration process. Neck HNP most often occurs in men aged 45-55 years. Risk factors that increase the appearance of cervical HNP or pinched neck nerves include genetics, smoking, being overweight (obesity), work that often involves bending over and lifting heavy objects or operating machines with vibrating forces, and injury. Nerve mobilization in the Upper Limb Tension Test ( ULTT) is performed on branches of the Brachial plexus such as the radial nerve, median nerve and ulnar nerve. But here the author only discusses ULTT on the median nerve, namely ULTT 1 which is related to CTS. The aim is to determine physiotherapy management and the effect of Ultrasoundtherapy therapy and nerve mobilization using the ULTT 1 method in cases of Carpal Tunnel Syndrome on reducing pain and increasing the functional ability of the hand. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy clinic, RSU Sidoarjo. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.152), so there was no better treatment between the two groups. Conclusion: It is concluded that ULTT is useful in treating cervical HNP patients to reduce pain in two groups. The targeted outcomes are publications in national journals indexed by Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2.

Prenatal gentle yoga (yoga during pregnancy) is a type of modification of hatha yoga which is adapted to the conditions of pregnant women. Some discomforts in the third trimester in pregnant women include frequent urination 50%, vaginal discharge 15%, constipation 40%, flatulence 30%, swelling in the legs 20%, cramps in the legs 10%, headaches 20%, striae gravidarum 50%, hemorrhoids 60%, shortness of breath 60% and back pain 70%. The aim of the research was to see whether there was an effect of Prenatal Gentle Yoga on reducing complaints of lower back pain in third trimester pregnant women. The conclusion of the Wilcoxon test results shows that 0.000 < 0.05, meaning that there is an acceptable effect of prenatal gentle yoga on lower back pain in third trimester pregnant women. It is hoped that pregnant women will take part in prenatal gentle yoga classes with prenatal gentle yoga facilitators who have undergone training and received certificates so that they can apply prenatal gentle yoga which is useful for reducing maternal complaints during pregnancy, including lower back pain.    

Analgesics are compounds that in therapeutic doses relieve or suppress pain, without having general anesthetic action. Traditionally, the herb bamboo grass (Lophatherum gracile Brongn.) has been used and proven empirically to reduce pain, so it may have an analgesic effect. This can be caused by the content of secondary metabolite compounds, flavonoids, tannins, alkaloids, steroids/triterpenoids, saponins and glycosides, but this has not been scientifically proven. This research aims to determine the secondary metabolite compounds contained in fresh bamboo grass herbs, simplicia and dekokta and the effectiveness as an analgesic of the bamboo grass herb dekokta in mice.This research was carried out experimentally, including making simplicia and decoction, phytochemical screening and analgesic effectiveness testing. bamboo grass herb dekokta in male mice induced with 0.5% acetic acid intraperitoneally under the stomach, orally administered bamboo grass herb dekokta at a dose of 100 mg/kgBW, 200 mg/kgBW, 300 mg/kgBW, CMC 0.5% (blank), methampirone 65 mg/kgBB. Count the number of animal movements every 5 minutes for 1 hour. From the number of writhes obtained, the percentage of analgesic power and analgesic effectiveness were calculated. Next, the data obtained was analyzed statistically using SPSS ver.20 One Way ANOVA followed by the Tukey test. The results of the phytochemical screening of fresh bamboo grass, simplicia and dekokta contain alkaloids, flavonoids, tannins, saponins, steroids and glycosides. The greater the dose of bamboo grass herb dekokta given, the greater the percentage of reduction in writhing, so that the analgesic power and analgesic effectiveness are greater. . The results of the One Way ANOVA test and the Tukey test showed that the dose of 300 mg/kgBB had the best analgesic power at 50 minutes, not significantly different from administering 65 mg/kgBB of methampirone.