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Pregnancy is a period when pregnant women experience physiological and psychological changes. Physical changes that occur during pregnancy can cause complaints or discomfort during pregnancy, which include physical discomfort during pregnancy including back pain, low back pain, difficulty sleeping at night/insomnia, and leg cramps. Meanwhile, psychological discomfort that can occur in pregnant women is anxiety and fear of facing the birth process. Anxiety is one of the psychological changes in the third trimester because it is getting closer to the birth process. Resulting in excessive anxiety during pregnancy can trigger abortion, premature birth, low birth weight, fetal defects, fetal growth retardation, and postpartum depression. Three out of five third trimester pregnant women who were encountered experienced anxiety approaching labor, namely sleep disturbances. Practicing yoga during pregnancy is a useful solution as a self-help medium that will reduce discomfort during pregnancy and help with the birthing process. When pregnancy enters the third trimester, the mother will experience increasingly serious and intense anxiety in dealing with the birth process.

Background; The problem in postoperative patients is the pain felt due to surgical wounds. This results in patients feeling uncomfortable, uneasy, and various other emotional disturbances. So it is necessary to do dzikir therapy to treat pain. Purpose; Describe the effect of dhikr therapy on changes in postoperative pain scale. Method; Using a descriptive method in the form of a case study the two respondents focused on the implementation of dzikir therapy to reduce postoperative pain by giving dhikr therapy once for 3 days. Results; Dzikir therapy has an effect on changes in the postoperative pain scale so that the acute pain experienced by patients can be reduced. Patient 1 from a pain scale of 6 becomes a pain scale of 3 and Patient 2 from a pain scale of 6 becomes a pain scale of 2. Conclusion; Dzikir therapy in postoperative patients with pain can effectively reduce surgical pain and can be developed for further research

Pain is a phenomenon that is often found in life and is a sign of tissue damage in the body. Pain is a form of discomfort that can be caused by many things. Pain can arise due to the effects of certain diseases or the result of injury. Pain is often considered a sign that something is physiologically disturbed, causing someone to ask for help. Pain is also a serious problem that must be responded to and intervened by providing a sense of security and comfort and even relieving the pain (Fathoni & Cindy, 2019).

According to Rahmi (2019) in Rimadeni et al. (2022), Sectio Caesarea (SC) is the act of removing the fetus and placenta by making an incision in the abdominal wall and uterus. SC can be an alternative delivery both for causes from the mother and from the fetus, one of which is because the fetus is entangled in the umbilical cord. The purpose of this writing is to find out and provide nursing care to Mrs. K in Nusa Indah Room, dr. Soeselo Hospital, Tegal Regency according to nursing standards. The method used is descriptive observation with a nursing process approach. From the case review, it was found that the client's main complaint was acute pain in the incision wound. There were three nursing diagnoses found, namely acute pain, risk of infection, and knowledge deficit. Interventions are prepared based on the theory of SLKI and SIKI as well as on the client's condition, and can be implemented. Based on the evaluation carried out on the client, two problems were resolved and one problem was partially resolved. During the research, the author found gaps in theory and data studied from patients

The growth of teenage girls change physically and psychologically. These girls tend to experience several symptoms before the menstrual phase-physical, psychological, and behavioral alteration that occur regularly during the menstrual period. The PMS symptoms that experience by teenage girls is painful cramps often accompanied by sleep quality disturbance. Poor sleep quality can affect to long-term physical disorders. This study aims to analyze the relationship between incidences of premenstrual syndrome and sleep quality among teenage girls. This study was a quantitative correlation study with a cross-sectional design. The primary data collection carried out on March 2nd-15th, 2023. The population in this study were all female students of SMPN 3 Unggul Ingin Jaya, a total of 280 students. The sampling technique used a proportional sampling technique involving 74 respondents. The Chi-Square test using univariate and bivariate statistical analysis showed the level of premenstrual syndrome among these girls experienced mild category (32.4%), moderate (37.8%), and severe (29.7%). The result also indicated that the level of sleep quality (10.8%) of respondents had good sleep quality. The rest of respondents (89.2%) had poor sleep quality. In conclusion, the result shows a relationship between PMS and sleep quality (p=0.020) of premenstrual syndrome among students at SMPN 3 Unggul Ingin Jaya, Aceh Besar. It expects that female students as respondents can utilize this study as input to enrich in-depth information if they experience premenstrual syndrome.

Diabetic ulcers are partial or total damage to the skin which can extend to the tissues under the skin, tendons, muscles, bones or joints that occur in someone who has diabetes mellitus. The symptoms of a diabetic wound, namely a person experiencing a change in the shape of the foot, decreased pain sensation, decreased function of the oil and sweat glands, are early signs of the appearance of a diabetic wound (Purnomo et al., 2020).

Background: According to the Indonesian Ministry of Health in 2016, the prevalence of adolescent girls in Indonesia who experienced menstrual pain was around 55% (Susanti, et al, 2018). Based on a preliminary study conducted by researchers on December 5 2022 at MTS Al Mukmin Cemani Grogol Sukoharjo. Information obtained was that 6 out of 10 students said they experienced menstrual pain at the beginning of menstruation as well as feeling lazy to move, weak body and easily felt tired. So from the results of the information obtained, it is necessary to reduce menstrual pain by giving chocolate to find out its effect. Objective: To determine whether there is an effect of giving chocolate on reducing menstrual pain in class VII MTS Al Mukmin Cemani Grogol Sukoharjo. Research method: this research uses a pre-experiment with a one group pretest posttest design. The sample of this research is 20 respondents. Results and discussion: This research uses the Wilcoxon statistical test with a pre-test mean of 3.10 and a post-test mean of 1.10 so that a p-value (asymp.sig 2-tailed) is 0.000 < 0.05, this means H0 is rejected and H1 is accepted. H1 is accepted, meaning there is a significant effect before and after being given chocolate on changes in pain reduction. Conclusion: There is an effect of giving chocolate on reducing the intensity of menstrual pain as proven by the analysis results of p value (0.000) < α value (0.05).

Backgound: Dysmenorrhea is a medical condition during menstruation that hinders women from doing activity because of soreness or pain in the abdomen or pelvis. Dysmenorrhea can be found in some women in different ages including teenage girls. In Indonesia the rate of dysmenorrhea is approximately around 64,25% consisting of 54,89% of primary dysmenorrhea and 9,36% of secondary dysmenorrhea. If it is not appropriately treated, the symptoms could interrupt daily activities. A non-pharmacology therapeutic method that alleviates pain can be applied using hot water compression (37-40C) for about 15 minutes. Research Objective: The research purpose is to investigate and discover the effect of hot water compression method for the teenage girls at SMP Takhasus Al-Quran Wonosobo. Research Methods: This research employs a pre-experimental design (Pre-test – Treatment – Post-test). The data was collected from respondents that were made up of 33 populations and 30 sampling of teenage girls using random sampling methods before it was analysed by Wilcoxon signed test. Result:  The average scale of pain before treatment by hot water compress was 5,67, while after the care, were decreasing to 4,03 scale. Conclusion: Hot water compress has a positive response in decreasing the dysmenorrhea pain for teenage girls at SMP Takhasus Al-Quran Wonosobo.

Sectio is a surgical operation to help pregnant women give birth by making an incision in the abdominal wall (laparotomy) and uterus (hysterectomy). Compared with regular births, which only cause about 9% more suffering, births by cesarean section cause about 27.3% more pain. Pharmacology and non-pharmacology can be used together to treat pain. Within 24 hours after a caesarean section, patients can experience a five times greater reduction in pain thanks to lavender aromatherapy. There are no risks associated with using the main active components of lavender oil, linalyl acetate, and linalool, which may provide a calming effect. When lavender aromatherapy is inhaled, the compounds it contains trigger the hypothalamus to produce endorphins which can calm and soothe. Lavender aromatherapy also has properties that make it antibacterial, analgesic, antidepressant and antispasmodic. By offering and using lavender aromatherapy, this research approach is descriptive and takes the form of a case report. The aim of this research is to determine whether the use of lavender aromatherapy can help patients after giving birth by caesarean section reduce their discomfort. After receiving lavender aromatherapy, the research findings changed from a scale of 7 to 3. Research findings show that the use of lavender aromatherapy can help postpartum patients undergoing cesarean section reduce their discomfort.

Hospitalization or inpatient care has an impact on anxiety in children. Anxiety or a condition of excessive fear caused by certain situations often occurs in almost every child who is hospitalized or hospitalized. Play activity therapy is a good activity to deal with anxiety in children who experience hospitalization, so that it can accelerate the healing process of pain in children. Determine changes in anxiety levels in preschool aged 3-5 years at RSUD Pandan Arang Boyolali hospital. This study used a descriptive design on two male respondents which was conducted from 4 to 6 July 2023 ar Pandan Arang Boyolali Hospital with each respondent being given intervention for 3 consecutive days. The instrument used was the Spence Children Anxiety Scale SCAS observation sheet to measure the level of anxiety before and after giving therapy. Before the two respondents were put into action, the level of anxiety was moderate (first respondent scored 18; second respondent scored 20), and after the two respondents were put into action, the level of anxiety was mild (first respondent scored 12; second respondent scored 13). The application of play therapy to coloring pictures with color sand is able to reduce anxiety levels in preschool aged 3-5 years at Pandan Arang Boyolali Hospital.

Background: Dysmenorrhea is pain experienced by adolescents during menstruation in the lower abdomen due to changes in the hormone prostaglandin. Based on the interviews conducted, 10 out of 67 young women experienced dysmenorrhea in Pilangrejo Village. Warm water compresses are a non-pharmacological treatment because they are effective in helping reduce dysmenorrhea pain. Objective: To find out the results of implementing warm water compress therapy for dysmenorrhea pain. Method: This application uses the case study method with 2 respondents in Cungkup, Pilangrejo, Juwangi, Boyolali who experienced primary dysmenorrhea with a moderate pain scale. Each respondent was given warm water compresses for 3 consecutive days with a duration of 20 minutes and a water temperature of 46°C. Result: The management of dysmenorrhea in adolescents with warm water compresses decreased in the first respondent from a pain scale of 6 to 2 with the moderate to mild pain category, and the second respondent experienced a decrease in the pain scale from 5 to 1 with the moderate to mild pain category. Conclusion: There is a difference in the pain scale of dysmenorrhea in the 2 respondents before and after being treated with warm water compresses with a moderate pain scale to mild pain.    

The purpose of this Partnership Program for People is to provide Appropriate Technology for Small Businesses engaged in flower plant nursery. The target of this partnership program for the community is business owners in the field of flower plant nursery. The problem faced by flower plant nursery SMEs is the absence of appropriate equipment or technology in supporting flower plant nursery activities, besides that business management practices have not been touched in doing business, for example simple financial painting and promotion through social media. The proposer of the partnership program in the community agreed with partners to procure appropriate technology in the form of water reservoirs in the implementation of flower plant nurseries, in addition to providing training and assistance in business management and promotion. The operation of the water reservoir will facilitate watering of flower plant seedlings, so that productivity increases. The provision of business management training and assistance has also increased its sales turnover, so that the welfare of flower plant nursery SMEs can be better.

Background : Sleep disturbances in children are often complained of by parents, where sleep disturbances in children under five are 44.2%. A toddler's sleep quantity will greatly affect his growth, if a child has poor sleep quantity (<11 hours/day) then this will also have a negative impact on the child's growth. Interventions that can be done to meet toddlers' sleep needs are by means of acupressure therapy. Acupressure is stimulation of acupuncture points with pressure that stimulates sensory nerve cells in the acupuncture point area thereby increasing local endorphins production and relieving pain in certain areas. Purpose: To analyze the effect of acupressure on the quantity of sleep for toddlers in the RW 12 Rejosari Karanggeneng Boyolali area. Method : This type of research is pre-experimental with one grub design (before and after) treatment. The sample obtained is from the calculation of the freeder formula plus 30% of the total sample calculation results, namely as many as 21 toddlers. Results: The results of the study with the Wilcoxon Signed Rank test obtained a P value = 0.000 where the P value is smaller ? (0.005) meaning that there is an effect of giving acupressure on the quantity of sleep for toddlers. Conclusion: There is an effect of acupressure on the quantity of sleep for toddlers in the RW 12 Rejosari Karanggeneng Boyolali area.

Magnetic resonance imaging (MRI) is a diagnostic examination modality in medicine using a magnetic field without using X-rays, MRI has the advantage of being able to create images and can show clearer and more sensitive anatomical differences in soft tissues in the body such as the brain,Bone marrow and musculoskeletal. An MRI machine can produce diagnostic images of the inside of the human body, both in sagittal, coronal and transverse sections, without using ionizing radiation (X-rays) and also without using radioactive substances, but based on the principle of magnetic resonance of the hydrogen atom to reveal anatomy and pathology. clinical diagnosis, one of which is Hernia Nucleus Pulposus in the Cervical vertebrae. Hernia  Nuecleus pulposus is a condition of biochemical ad physical changes in the spinal disc tissue caused by degeneration in old age,or acute external pressure that causes a bulge into the spinal canal,putting pressure on the durameter or nerve roots, thereby triggering symptoms of neurological pain. The use of the Dixon sequence was proposed for the assessment of metaphyseal bone marrow water water content,with a short scan time. Dixon sequence imaging can be used for fat suppression in the extremities and spine, but also quantification of fat in the bones.. The research method used is descriptive research with an observation approach. Data collection was carried out from 01 January 2022 to 28 February 2023 using a Mr. Philips aircraft with a power of 3 Tesla. The sample of patients used in this study were 5 patients with vertebral complaints. Data collection was carried  out  through observation,interviews and documentation. Cervical MRI examination with clinical Hernia Nucleus Pulposus using a Philips 3 Tesla MRI machine has an examination procedure with a Survey sequence design, Myelo, Sagittal TSE T2 dixon, Sagittal TSE T1, Coronal TSE STIR, Axial TSE TA, and axial mFFE

Afterpains are a common physiological complaint experienced by mothers during the postpartum period due to uterine contractions that occur after childbirth. This pain can disrupt comfort, inhibit the involution process, and affect the mother's physical and psychological well-being. Non-pharmacological treatment efforts such as the Effleurage Massage technique are an effective alternative because they can increase relaxation and stimulate the release of endorphins that play a role in reducing pain perception. This study aims to determine the effect of the Effleurage Massage technique on the level of afterpains in postpartum mothers at Midwife Sulastri, Percut Sei Tuan District, Deli Serdang Regency in 2022. The research design used was a quasi-experimental design with a one-group pretest-posttest without a control group. The study sample consisted of 45 postpartum mothers selected using the total sampling technique. Data were collected through observations with a numeric pain scale and analyzed using the Wilcoxon Signed Rank Test. The results showed that there was a significant decrease in pain levels after Effleurage Massage with a p value = 0.000 (<0.05). These findings demonstrate that the Effleurage Massage technique is effective in reducing the intensity of postpartum afterpains. Consequently, this massage can be used as a complementary therapy in postpartum midwifery care to increase comfort and accelerate the mother's recovery process.

Background: Dysmenorrhea is pain that occurs in the lower abdomen experienced by women approaching menstruation and during menstruation. As a result of dysmenorrhea can cause discomfort that can interfere with adolescent activities.Overcoming dysmenorrheal pain, namely with acupressure. The acupressure points used are LI4 and SP6 points. Emphasis on the hegu point (LI4) has a strong function on the mind so that it can be used in calming the mind and reducing anxiety, because dysmenorrhea can be caused by stress and psychological disorders while the SP6 point has a function to strengthen the spleen, restore Yin balance in the liver and kidneys so that it can improve blood circulation thus the SP6 point can reduce dysmenorrheal pain. Objective : To determine the effect of LI4 and SP6 point acupressure on reducing dysmenorrheal in adolescent. Method : This type of research uses a pre-experimental method with a one group pre-test post-test design. The sample obtained is from the calculation of the slovin formula, namely as many as 30 people. Results : The results of the study with the Wilcoxon Signed Rank test obtained a p value of 0,000 where the value is smaller a (0,005) meaning that there is an effect of acupressure.

This study aims to provide education on reducing lower back pain in pregnant women in the third trimester in Labuhan Deli District, Deli Serdang Regency. Community service methods were conducted through counseling and training for pregnant women in the third trimester at several predetermined locations. Education focused on understanding the causes of lower back pain during pregnancy, daily prevention techniques, and safe and effective physical exercises to reduce pain. After the training, an evaluation was conducted to measure the increase in knowledge and skills of pregnant women in managing lower back pain. The results showed an increase in knowledge and skills of pregnant women in managing lower back pain after receiving education. Through this approach, it is expected to improve the well-being of pregnant women and reduce complaints of lower back pain during the third trimester of pregnancy in Labuhan Deli District, Deli Serdang Regency.

Dengue hemorrhagic fever is an infection caused by the Dengue virus which is transmitted by the aedes aegypti mosquito which has most frekuently occurred in humans in recent years, so it is still a world health problem. The aim of this research is to gain knowledge about what Dengue fever is and its cause, gained truly real experience in implementing nursing care for the clien Mrs “S” with Dengue hemorrhagic fever in the baji life room at Labuang Baji Hospital, Makassar for 3 days starting from 18-20 April 2023. Collected techniquest  Data was collected using interview techniquest, Observation and physical examination. The result of this examination were an assessment of heartburn, the patien stated that the paint felt like a stabbing sensation,the pain was felt  when the patient moved, and the pain was reduced when the patient changed a half-sitting position or performed deep breathing relaxation techniques and grimaced facial expression. The patient said the pain he felt usually lasted 1-3 minutes, the patient said the pain scale was 3. In nursing diagnoses there are 3 diagnoses found in real cases, namely acute pain related to biological agents,nutritional imbalance less than the body’s needs related to lack of appetite,self-care devicits are related to weakness and fatigue. In implementing the action plan for Mrs “S” patients with cases of Dengue fever refers to nursing problems in patients by paying attention to the patient’s condition. Nursing implementation for Mrs”S” is adjusted to am action plan that has been determined so that the nursing problems faced by the patient are quickly resolved or prevented.After carrying out nursing care for the three diagnoses, all diagnoses are resolved.

Background : Adolescence is a period of transition from children to adults which is accompanied by growth and physical changes, including the growth of the reproductive organs. The maturity of the female reproductive organs is marked by the arrival of menstruation, one of the problems during menstruation experienced by young women is dysmenorrhea. Dysmenorrhea is usually concentrated in the lower abdomen that occurs before and during menstruation caused by uterine contractions. The management of dysmenorrhea can use non-pharmacological therapy, one of which is by giving tamarind turmeric drink. Tamarind contains curcumin and anthocyanins which inhibit cyclooxygenase, thereby reducing inflammation and inhibiting uterine contractions. The content of curcumenol in turmeric acts as an analgesic agent that can reduce the production of prostaglandins. Research Methods: This study used quantitative research with the pre-experimental one group pretest posttest method. The population in this study were 35 teenagers. The sampling technique used was simple random sampling, with a sample of 21 adolescents who experienced dysmenorrhea in May-July in Pelem Hamlet. Data collection used a pain scale observation sheet, namely the NRS (Numeric Rating Scale) before and after administration of tamarind turmeric. Data were analyzed using the Wilcoxon Signed Rank Test. Results: Based on the analysis test using the Wilcoxon Signed Rank Test, a significance value of 0.00 (p <0.05) was obtained, which means that Ha was accepted. Conclusion: There are differences in the degree of pain in dysmenorrhea before and after administration of tamarind turmeric, so it can be concluded that there is an effect of tamarind administration on dysmenorrhea in young women.   Keywords: Dysmenorrhea, Tamarind Turmeric, Adolescents Background : Adolescence is a period of transition from children to adults which is accompanied by growth and physical changes, including the growth of the reproductive organs. The maturity of the female reproductive organs is marked by the arrival of menstruation, one of the problems during menstruation experienced by young women is dysmenorrhea. Dysmenorrhea is usually concentrated in the lower abdomen that occurs before and during menstruation caused by uterine contractions. The management of dysmenorrhea can use non-pharmacological therapy, one of which is by giving tamarind turmeric drink. Tamarind contains curcumin and anthocyanins which inhibit cyclooxygenase, thereby reducing inflammation and inhibiting uterine contractions. The content of curcumenol in turmeric acts as an analgesic agent that can reduce the production of prostaglandins. Research Methods: This study used quantitative research with the pre-experimental one group pretest posttest method. The population in this study were 35 teenagers. The sampling technique used was simple random sampling, with a sample of 21 adolescents who experienced dysmenorrhea in May-July in Pelem Hamlet. Data collection used a pain scale observation sheet, namely the NRS (Numeric Rating Scale) before and after administration of tamarind turmeric. Data were analyzed using the Wilcoxon Signed Rank Test. Results: Based on the analysis test using the Wilcoxon Signed Rank Test, a significance value of 0.00 (p <0.05) was obtained, which means that Ha was accepted. Conclusion: There are differences in the degree of pain in dysmenorrhea before and after administration of tamarind turmeric, so it can be concluded that there is an effect of tamarind administration on dysmenorrhea in young women. Keywords: Dysmenorrhea, Tamarind Turmeric, Adolescents  

Hypertension is a condition where the systolic pressure is above 140 mmHg, while the diastolic pressure is above 90 mmHg. Some hypertension patients often complain of headache, weakness, fatigue, shortness of breath, restlessness, nausea and vomiting, epistaxis and decreased consciousness. This can cause sleep problems in hypertensive patients. Sleep disorders are a collection of conditions characterized by disturbances in the amount, quality or timing of sleep in an individual. One technique to improve sleep quality is progressive muscle relaxation therapy and murotal Al-Quran.This research method uses Pre-Experimental with one group pre-post test approach. The population is 40 respondents and uses a total sampling (technique).The instrument used was a sleep quality questionnaire, measured by the Indonesian version of the Pittsburgh Sleep Quality Index (PSQI), then data were collected through Editing, Coding, Scoring, and Tabulating processes. The data obtained were analyzed using the Wilcoxon test.The results showed that the average value of sleep quality before progressive muscle relaxation and murotal Al-Quran therapy was performed was 8.30, while after progressive muscle relaxation and murotal Al-Quran the average value of sleep quality was 6.08. The results of the analysis test showed that there was an effect of progressive muscle relaxation therapy and murotal Al-Quran on improving sleep quality of hypertensive patients with -value = 0.000 <α = 0.05. This therapy performs 15 relaxation movements accompanied by the sound of murotal Al-Quran which makes a person relax and calm so that this calmness acts as a pain reliever that makes the patient happy and gives positive energy in a person. this makes the mood to be happy so as to create a good quality sleep.   Keywords: Hypertension, sleep quality, progressive muscle relaxation therapy and murotal Al-Quran.