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Congenital abnormalities are abnormalities in the growth of fetal organ structures from birth that can be caused by genetic or non-genetic factors. This abnormality is often an indication for a cesarean section, which is an operation to deliver a baby. This Final Nursing Scientific Paper aims to analyze nursing care for post-cesarean section patients with indications of congenital abnormalities and the application of evidence-based practice of effleurage massage therapy to overcome acute post-operative pain. The method used is a descriptive method with the application of effleurage massage therapy to the nursing problem of acute pain in patient Mrs. I, a 37-year-old woman who experienced pain in the wound after a cesarean section. The results of the assessment showed that the patient was in a compos mentis state and complained of pain that felt like being cut in the lower abdominal area with a pain scale of 6 on a scale of 0-10. The pain was intermittent. The diagnosis that emerged was acute pain related to the cesarean section surgical procedure. To overcome this problem, nursing actions were carried out in the form of effleurage massage therapy for 3x24 hours. After the procedure, results showed a significant reduction in the patient's pain level. The patient reported reduced pain after the therapy. These results suggest that effleurage massage therapy can be effective in reducing acute pain in post-cesarean section patients with congenital abnormalities. This therapy offers benefits as a non-pharmacological approach to managing post-operative pain. Implementing this therapy can be an important part of nursing care, helping to improve patient comfort and accelerate post-operative recovery. Furthermore, effleurage massage therapy also has a positive impact on increasing relaxation and reducing patient anxiety.

Background: Pregnancy is a physiological process experienced by every woman, but it can be accompanied by various discomforts, both physical and psychological. In the third trimester, hormonal, physical, and emotional changes often trigger complaints such as anxiety, difficulty sleeping, and discomfort. These conditions, if not managed, can negatively impact the health of the mother and fetus, including increasing the risk of pregnancy complications. One non-pharmacological approach that is increasingly in demand to address these problems is aromatherapy, namely the use of essential oils from plants as a complementary therapy. Objective: This literature study aims to explore the effectiveness of aromatherapy in reducing anxiety levels and improving sleep quality in pregnant women, especially in the final trimester. Methods: A narrative literature review was conducted by analyzing ten national journal articles published between 2014–2024. Articles were selected through a purposive sampling method based on the suitability of the topics with aromatherapy, pregnancy, anxiety, and sleep quality. Results: Most studies show that aromatherapy, especially with lavender, orange, and chamomile essential oils, has a positive effect in reducing anxiety levels and improving sleep quality. The mechanism of action of aromatherapy is thought to involve stimulation of the limbic system in the brain via the olfactory pathway, which plays a role in regulating emotions, inducing relaxation, and reducing sympathetic nervous system activity. These effects help reduce tension and facilitate better sleep in pregnant women. Conclusion: Aromatherapy has been shown to be a safe, easy-to-implement, and effective complementary intervention for addressing anxiety and sleep disturbances in pregnancy. Healthcare providers, particularly midwives, are advised to integrate this therapy into holistic antenatal care to support the overall well-being of pregnant women.

Background: Urinary catheter insertion is an invasive medical procedure that often causes pain due to friction between the catheter and the urethra. This pain can lead to discomfort and stress for the patient. Based on initial observations in the Emergency Department (ED) over a period of three days, it was found that all patients undergoing urinary catheter insertion complained of pain. As an alternative pain management approach, one non-pharmacological method that can be used is a combination of Quranic murotal therapy and deep breathing relaxation techniques. This therapy is chosen because it is believed to have a calming effect and can reduce the perception of pain without the need for medication. Objective: This study aims to determine the difference in pain levels before and after the application of the combination of Quranic murotal therapy with deep breathing relaxation techniques during urinary catheter insertion in the ED. Method: This research uses a descriptive case study design involving two respondents. Both patients received an intervention consisting of Quranic murotal therapy played during the procedure, accompanied by instructions to practice deep breathing relaxation techniques. The therapy was applied during the urinary catheter insertion to assess changes in pain levels experienced by the patients. Results: The results showed that the pain level of the first respondent decreased from moderate pain to mild pain after the intervention. The second respondent experienced a reduction in pain from severe to moderate after the combined therapy was applied. Both respondents reported improved comfort after the therapy. Conclusion: The combination of Quranic murotal therapy with deep breathing relaxation techniques was proven effective in reducing pain levels in patients undergoing urinary catheter insertion in the ED. This therapy can serve as a beneficial non-pharmacological alternative for reducing pain during invasive medical procedures.

Exclusive breastfeeding coverage remains a challenge in several areas, including Bojongkerta Village, within the Cipaku Community Health Center (Puskesmas) jurisdiction, South Bogor District, Bogor City. Lack of knowledge, high levels of stress during breastfeeding, and minimal family support are often major obstacles to successful exclusive breastfeeding. One approach that can be applied to address these issues is hypnobreastfeeding, a relaxation technique combined with positive affirmations to support mothers' readiness to breastfeed. The objective of this activity is to increase the capacity of breastfeeding mothers in exclusive breastfeeding through community-based hypnobreastfeeding training, which also involves Posyandu RW 1 cadres as the main supporting partners of the activity. The method used in this activity involves three stages: first, education and training in hypnobreastfeeding techniques for breastfeeding mothers; second, practical mentoring by lecturers involving students from the Midwifery Diploma Three Program at Ummi University Bogor; and third, evaluation of results through knowledge measurement and observation of breastfeeding practices. A total of 10 breastfeeding mothers and 4 Posyandu cadres participated in this activity. The evaluation results showed an increase in understanding of the benefits of exclusive breastfeeding and a positive change in attitudes towards breastfeeding practices. Furthermore, the active involvement of Posyandu cadres is expected to strengthen ongoing support at the community level. In conclusion, the hypnobreastfeeding training had a positive impact on empowering breastfeeding mothers and strengthening the role of Posyandu cadres as supporters of the exclusive breastfeeding program at the community level. This program also has the potential to expand the reach of education about exclusive breastfeeding and increase the success of sustainable exclusive breastfeeding in the community.

Exclusive breastfeeding for the first six months of a baby's life is an important strategy to support optimal growth and development. Breast milk has many benefits for babies, such as strengthening the immune system and supporting brain development. However, various obstacles such as emotional stress, lack of self-confidence, and minimal support from family and the community remain significant barriers to successful breastfeeding. These issues often lead to failure to provide exclusive breastfeeding in accordance with health recommendations. This study aimed to evaluate the effectiveness of hypnobreastfeeding training in improving breastfeeding knowledge, attitudes, and practices among mothers with infants aged 0–6 months in the Bojongkerta area of Bogor City. Hypnobreastfeeding is a psychological approach that combines relaxation techniques, positive affirmations, and education about breastfeeding to help mothers feel more confident in the breastfeeding process. This study used a quasi-experimental approach with a pre- and post-test design without a control group. A total of 31 breastfeeding mothers participated in this training, which included education about breastfeeding, positive affirmation techniques, and relaxation exercises. Data analysis results showed a significant increase in mothers' knowledge and attitudes towards breastfeeding after the training intervention. Furthermore, the study also recorded an increase in the success of exclusive breastfeeding during the observation period. Based on these findings, it can be concluded that hypnobreastfeeding is an effective approach to supporting the empowerment of breastfeeding mothers at the community level. This method offers a psychologically based solution to overcome social barriers that affect the success of exclusive breastfeeding.

Hypertension, commonly known as high blood pressure, is a condition where blood pressure in the blood vessels consistently exceeds the normal range of 140/90 mmHg. Central Java Province has the highest prevalence of hypertension in Indonesia, at 13.4%. In 2020, Purbalingga Regency reported 268,936 cases of hypertension. According to data from the Bojongsari Health Center, there were 11,596 hypertension patients in 2023. Among the 13 villages in Bojongsari District, there are villages that have experienced an increase in hypertension cases of over 20% annually, one of which is Karangbanjar Village, with 542 cases of hypertension in 2022 and an increase to 858 cases (26%) in 2023. Hypertension treatment can be done through complementary therapy such as progressive muscle relaxation therapy and hydrotherapy. This Community Service Program (PkM) was attended by 20 participants. The results from the pre-test to the post-test showed an increase in the average score, from 59 to 81.5. The evaluation of participants' skills indicated an improvement, with 90% in the “good” category and 10% in the “adequate” category. In addition, there was a significant change in participants' blood pressure after receiving therapy. This activity was carried out using lectures and discussions, with PowerPoint presentations, leaflets, and videos demonstrating how to perform progressive muscle relaxation therapy and hydrotherapy. This educational activity showed an increase in knowledge among the elderly in performing progressive muscle relaxation therapy and hydrotherapy to reduce hypertension.

Osteoporosis is a metabolic bone disorder characterized by decreased bone density, resulting in brittle, porous, and easily broken bones. This condition is more common in the elderly, especially women over 60 years of age, due to hormonal changes, the aging process, and lifestyle factors. Common clinical manifestations experienced by sufferers include back pain that can interfere with daily activities and reduce quality of life. Osteoporosis treatment does not only rely on pharmacological therapy, but can also be done through non-pharmacological therapies such as progressive muscle relaxation techniques that aim to reduce muscle tension and pain perception. This study aims to determine the effect of progressive muscle relaxation techniques on pain reduction in elderly osteoporosis sufferers in Bangun Rejo Village, Tanjung Morawa District, North Sumatra Province. The research method used a quasi-experimental design with a pre-test post-test control group design. The study involved 28 elderly respondents who met the inclusion criteria, divided into two groups: an experimental group that received progressive muscle relaxation intervention and a control group that did not receive intervention. The intervention was carried out in a structured manner according to standard procedures throughout the study period. Pain levels were measured using a numeric pain scale before and after treatment. Data analysis showed a significant reduction in pain levels in the experimental group compared to the control group, with a p-value of 0.040. These results indicate that progressive muscle relaxation techniques are effective as a non-pharmacological method for reducing pain in elderly people with osteoporosis. The findings of this study are expected to provide input for healthcare professionals, particularly nurses, in developing simple, safe, and affordable interventions to improve the quality of life of elderly people with osteoporosis, as well as encourage the routine implementation of this therapy in primary and community healthcare settings.

Osteoporosis is a metabolic bone disorder characterized by a decrease in bone density and strength, making bones more fragile and susceptible to fractures. People with osteoporosis often complain of pain. One of the pain management methods for osteoporosis patients is progressive muscle relaxation. This community service activity empowers the public to practice progressive muscle relaxation techniques. The pre-test results showed that the majority of the community’s knowledge about osteoporosis and pain management was in the poor category, at 79.5%. After education and simulation of the progressive muscle relaxation technique were conducted, there was an increase in the community’s knowledge about osteoporosis and pain management, with 61.4% in the good category. The conclusion of this community service activity is that empowering the community to independently perform progressive muscle relaxation techniques is very beneficial in reducing pain in people with osteoporosis.

Infant growth and development are crucial issues that require serious attention, particularly during the early childhood phase, which is crucial for a child's future development. The golden age of infants is the most sensitive period to various forms of stimulation that influence their motor, sensory, cognitive, and emotional development. However, not all parents, especially mothers, fully understand the importance of appropriate and safe stimulation in supporting infant growth and development. One form of stimulation that is relatively easy to perform, has no side effects, and can be applied independently at home is gentle touch therapy. Gentle Touch Therapy is a complementary therapy method that involves gentle, affectionate touch on the baby's body, aimed at stimulating the nervous system, strengthening the emotional bond between mother and child, and increasing comfort and relaxation in the baby. Several studies have shown that this gentle touch can improve sleep quality, accelerate weight gain, relieve stress, and encourage infant neuromotor and socio-emotional development. This community service activity was carried out as an effort to increase mothers' awareness and skills in providing stimulation through gentle touch. The activity was carried out at the Andina Independent Midwife Practice (PMB), Palembang City, in June 2025. The main target of this activity was mothers with babies aged 0–12 months. The implementation method included providing education through interactive lectures, demonstrations of touch therapy techniques by health professionals, and direct practice by mothers accompanied by facilitators. The results of the activity showed a significant increase in mothers' understanding of the importance of growth and development stimulation, especially through gentle touch therapy. The participants showed high enthusiasm in participating in the activity and were able to practice gentle touch techniques correctly and confidently.

Anxiety experienced by pregnant women is a common psychological problem and can have a significant negative impact on maternal health and fetal development. This anxiety can be caused by various factors, including physical changes, concerns about the delivery process, and new responsibilities as parents. Therefore, it is important to find effective ways to address this anxiety. One non-pharmacological approach that can be implemented is the use of lemon aromatherapy, which is known to have calming and relaxing properties. This activity aims to increase the knowledge and skills of pregnant women in utilizing lemon aromatherapy as a method to reduce their anxiety. This activity was held in June 2025 at PMB Lismarini, involving 20 pregnant women who actively participated in this program. The method used in this activity included several stages: education on the benefits of aromatherapy, demonstrations on how to use it, hands-on practice using lemon aromatherapy, and evaluation conducted through pre- and post-tests to measure changes in participants' anxiety levels. The results of this activity showed a significant decrease in participants' anxiety levels. Previously, many pregnant women were in the severe and moderate anxiety categories, but after participating in the activity, they shifted to mild anxiety and even no anxiety. Lemon aromatherapy has been proven effective in providing relaxation and reducing emotional tension experienced by pregnant women. Therefore, this activity is expected to become a promotional educational model in maternal health services. Through this approach, it is hoped that pregnant women will better understand and utilize aromatherapy as a way to maintain their mental health during pregnancy. Furthermore, this activity can also provide health workers with insight into the importance of non-pharmacological approaches in supporting the mental health of pregnant women.

Background: Anxiety before childbirth is a psychological disorder often experienced by pregnant women, especially in the third trimester of pregnancy. Fear of pain, worry about the condition of the fetus, and uncertainty about the delivery process are the main triggering factors. If not handled properly, this anxiety can have serious consequences, such as increased stress hormones (cortisol), sleep disorders, high blood pressure, and even labor complications. Therefore, interventions are needed that not only focus on physical aspects, but also support mental and emotional balance. Objective: The purpose of this activity is to provide education and practical training to pregnant women on anxiety management before childbirth through the application of complementary therapies, and to evaluate the effectiveness of this approach in increasing the readiness and calmness of participants. Method: The activity was carried out at PMB Lismarini, Tulungagung, involving 20 pregnant women in their third trimester. Education was carried out interactively using visual media and group discussions. Next, participants participated in the practice of three types of complementary therapies: (1) deep breathing relaxation with diaphragmatic breathing techniques, (2) aromatherapy using lavender as a relaxation agent, and (3) classical music with a slow rhythm played during the session. Results: This activity showed positive results. Eighty-five percent of participants experienced an increase in knowledge scores after the educational session, and 60% showed a significant decrease in anxiety levels based on questionnaire results. Most participants also reported feeling calmer, more prepared, and more confident in facing childbirth. The satisfaction rate with the activity reached 90%, indicating that the methods implemented were well-received by participants. Conclusion: Complementary therapy combined with education is effective in helping pregnant women manage anxiety before childbirth. This activity emphasizes the importance of a holistic approach to antenatal care.

Background: Anxiety before childbirth is a psychological disorder often experienced by pregnant women, especially in the third trimester of pregnancy. Fear of pain, worry about the condition of the fetus, and uncertainty about the delivery process are the main triggering factors. If not handled properly, this anxiety can have serious consequences, such as increased stress hormones (cortisol), sleep disorders, high blood pressure, and even labor complications. Therefore, interventions are needed that not only focus on physical aspects, but also support mental and emotional balance. Objective: The purpose of this activity is to provide education and practical training to pregnant women on anxiety management before childbirth through the application of complementary therapies, and to evaluate the effectiveness of this approach in increasing the readiness and calmness of participants. Method: The activity was carried out at PMB Lismarini, Tulungagung, involving 20 pregnant women in their third trimester. Education was carried out interactively using visual media and group discussions. Next, participants participated in the practice of three types of complementary therapies: (1) deep breathing relaxation with diaphragmatic breathing techniques, (2) aromatherapy using lavender as a relaxation agent, and (3) classical music with a slow rhythm played during the session. Results: This activity showed positive results. Eighty-five percent of participants experienced an increase in knowledge scores after the educational session, and 60% showed a significant decrease in anxiety levels based on questionnaire results. Most participants also reported feeling calmer, more prepared, and more confident in facing childbirth. The satisfaction rate with the activity reached 90%, indicating that the methods implemented were well-received by participants. Conclusion: Complementary therapy combined with education is effective in helping pregnant women manage anxiety before childbirth. This activity emphasizes the importance of a holistic approach to antenatal care.

Anxiety often arises during pregnancy due to both physical and psychological changes that can negatively impact the health of both the mother and the fetus. These changes may include hormonal fluctuations, fear of labor, and concerns about the baby’s wellbeing. In Indonesia, approximately 28.7% of 373,000 pregnant women in their third trimester experience anxiety as they approach labor. If left untreated, anxiety during pregnancy can lead to complications such as prolonged labor, low birth weight, and postpartum depression. Therefore, early and appropriate intervention is crucial. This study aims to describe the application of Islamic mindfulness meditation therapy as a non-pharmacological intervention to reduce anxiety in pregnant women at Puskesmas Purbaratu, Tasikmalaya. Anxiety is a condition in which an individual feels uneasy, worried, or uncomfortable. Islamic mindfulness meditation therapy is a relaxation technique that integrates spiritual practices with mental focus through meditation, allowing the soul and mind to be calm, centered, and connected with God. It includes dhikr (remembrance of Allah), controlled breathing, and contemplation of positive thoughts. The method used in this study is a case study involving two primigravida pregnant clients experiencing moderate anxiety. Data were collected through interviews, observations, and measurements using the Hamilton Anxiety Rating Scale (HARS). The results indicate that Islamic mindfulness meditation therapy significantly reduced anxiety levels from moderate to mild after five consecutive days of implementation. This was achieved through a combination of breathing exercises, spiritual reflection, and relaxation. This study concludes that Islamic mindfulness meditation can be an effective, affordable, and spiritually enriching alternative therapy to reduce anxiety in pregnant women, especially during the vulnerable third trimester. It is recommended that health workers consider incorporating this method into antenatal care programs.

Pregnancy is one of the most important stages in a woman's life, accompanied by various physiological, psychological, and social changes. This period not only affects the mother's health but also plays a crucial role in the growth and development of the fetus. To adapt to these changes, a holistic approach is needed to support the physical and mental health of pregnant women. One form of non-pharmacological intervention that is increasingly gaining popularity is prenatal yoga. Prenatal yoga is an adaptation of classical yoga tailored to the physical condition of pregnant women, with movements performed in a gentler and slower manner. The core principle of prenatal yoga is the application of breathing techniques performed with full awareness. Prenatal yoga exercises are known to improve the health of pregnant women. This study aims to examine the effects of prenatal yoga on reducing stress levels in pregnant women through an analysis of relevant literature. The results indicate that prenatal yoga is effective in reducing stress levels, improving posture, and providing relaxation benefits for the mental health of pregnant womenPrenatal Yoga

Background: Postoperative pain is a common physiological response that can negatively affect the patient’s healing process. Deep breathing relaxation is a non-pharmacological method proven effective in reducing pain. Objective: To determine the effect of deep breathing relaxation technique on postoperative pain intensity in the Surgical Room of RSUD Hamba Muara Bulian. Methods: This study used a quasi-experimental design with a one-group pretest-posttest design involving 28 respondents. Data were analyzed using paired t-test to assess pain intensity differences before and after the intervention. Results: The mean pain intensity before the intervention was 5.36 (moderate category), which decreased to 2.89 (mild category) after the intervention. Statistical analysis showed a significant result with a p-value of 0.000. Conclusion: Deep breathing relaxation is effective in reducing postoperative pain intensity. It is recommended for implementation as a non-pharmacological intervention in surgical care settings.

The community service program titled Great Youth, Strong Mentality at Untung Suropati Catholic High School aimed to enhance students understanding and skills in managing stress and anxiety, which are increasingly prevalent among adolescents due to academic pressures, social dynamics, environmental changes, and excessive exposure to social media. These issues are exacerbated by a lack of knowledge about effective stress management strategies, such as relaxation techniques and emotional communication, as well as the stigma surrounding mental health that discourages adolescents from seeking help. The counseling was conducted using an interactive approach, comprising a 30-minute informative lecture to explain the concepts of stress and anxiety, small group discussions (5–7 students) to encourage reflection and sharing of experiences, and practical exercises on relaxation techniques, such as diaphragmatic breathing and mindfulness, to provide hands-on experience. Supporting materials, including visual presentations and interactive quizzes, were utilized to enhance student engagement. Post-event evaluation revealed significant improvements in the understanding of stress and anxiety among students in grades X, XI, and XII. Students demonstrated enthusiasm through active participation in discussions and practical sessions, as well as positive feedback on the supportive and stigma-free environment. The program successfully equipped students with practical skills for stress management and fostered a healthier learning environment. For sustainability, it is recommended to conduct similar programs regularly, integrate mental health education into the school curriculum or extracurricular activities, provide concise modules for students’ independent use, and collaborate with school counselors to monitor technique implementation and offer ongoing support to ensure long-term impact on students mental well-being.

Chronic Kidney Failure (CKD) is a condition of permanent and progressive decline in kidney function. CKD patients undergoing hemodialysis often experience sleep disturbances, which impact their physical and psychological condition. Non-pharmacological interventions such as deep breathing relaxation and lavender aromatherapy can be alternative therapies to address these disorders. This study analyzes nursing care for sleep disturbances in CKD patients undergoing hemodialysis and evaluates the effectiveness of deep breathing relaxation therapy combined with lavender aromatherapy inhalation. This study used a case study approach with three CKD patients undergoing hemodialysis and experiencing sleep disturbances. The intervention was carried out for three days with a combination of deep breathing relaxation therapy and lavender aromatherapy inhalation. After three days of intervention, complaints of insomnia decreased in all three patients. The sleep pattern score increased to 5, indicating undisturbed sleep patterns. Deep breathing relaxation therapy combined with lavender aromatherapy inhalation is effective in addressing sleep disturbances in CKD patients undergoing hemodialysis. This therapy is recommended as an additional intervention in the hospital and should be carried out with family support to increase patient comfort.

The Pulsed Nuclear Magnetic Resonance (PNMR) technique is a widely used spectroscopic approach for observing the relaxation phenomena of atomic nuclei in a magnetic field. In this technique, the spin-lattice (T1) and spin–spin (T2) relaxation times are key parameters, as they reflect the microscopic dynamics and structure of a material system. This article presents the results of a systematic literature review of fourteen primary references that discuss the fundamental concepts of NMR, PNMR techniques, the measurement of T1 and T2, and PNMR applications. Although NMR research has seen extensive development internationally, scientific literature in the Indonesian language that specifically addresses this topic remains scarce. Therefore, this paper is intended to serve as an initial systematic resource to introduce the basic principles and potential applications of PNMR in physics and materials science.

Background: Stress faced by students is caused by academic stress, namely stress caused by the learning process on campus and the impact of lectures. Stress with an optimal level can improve learning ability, and excessive stress can cause health problems. One relaxation technique that can be used to reduce stress is PMR (Progressive Muscle Relaxation) therapy. This study aims to determine the Effect of Progressive Muscle Relaxation (PMR) Therapy to Reduce Stress in Nursing Students of STIKes Buleleng in Facing the SKS Load. Method: This study employed a pre-experimental one-group pre-test and post-test design with a total sample of 76 students. Data were collected using the DASS-21 questionnaire. The statistical test used was the Wilcoxon test. Results: The results of this study indicate that the sig. (2-tailed) or p-value = 0.000. Since the p-value is less than 0.05, the null hypothesis (H0) is rejected, and the alternative hypothesis (Ha) is accepted. Conclusion: There is an Effect of Progressive Muscle Relaxation (PMR) Therapy to Reduce Stress in Nursing Students of STIKes Buleleng in Facing the SKS Load.

Background: Premenstrual Syndrome (PMS) is a combination of physical, emotional, and behavioral symptoms that occur cyclically before menstruation and are commonly experienced by adolescent girls. Common symptoms include fatigue, abdominal pain, headaches, anxiety, and mood disturbances, which can affect sleep quality, concentration, and academic productivity. This article provides an in-depth examination of the definition, types, prevalence, causes, impacts, and management of PMS in adolescent girls. Based on epidemiological data, the prevalence of PMS is quite high, both globally and nationally, with incidence rates in Indonesia reaching 70–90% among women of reproductive age, and most cases beginning during adolescence. There are four main types of PMS: Type A (anxiety), Type H (hyperhidrosis), Type C (food cravings), and Type D (depression), each with specific characteristics and etiologies. Causes of PMS include hormonal imbalances of estrogen and progesterone, reduced serotonin levels, poor sleep quality, psychological stress, genetic factors, and unhealthy lifestyles. The impact of PMS on adolescents is complex, including decreased academic performance, social relationship disturbances, and reduced psychological well-being. Therefore, PMS management should be approached holistically through pharmacological (such as NSAIDs, antidepressants, and diuretics) and non-pharmacological (physical exercise, relaxation, lifestyle changes, and nutritional education) interventions. Environmental support and reproductive health education are crucial to help adolescents effectively manage PMS symptoms and improve their quality of life. This study is expected to serve as a foundation for promotive and preventive interventions in adolescent health care.