Publication Search

Dysmenorrhea is menstrual pain that occurs in the lower abdomen and spreads to the back, waist, pelvis, upper thighs, and calves. The cause of dysmenorrhea is an increase in prostaglandin levels so that the contractility of the uterine muscle is ischemic as a result of the vasoconstrictive effect produced by prostaglandins. According to data from the World Health Organization (WHO) the prevalence of dysmenorrhea in adolescents is 90% consisting of  75% -80% primary dysmenorrhea and 10% - 15% experiencing secondary dysmenorrhea, while data from the Association of Southeast Asian Nations (ASEAN) prevalence of primary dysmenorrhea in Malaysia (69.4%), Thailand (84.2%), and Indonesia (65%). The prevalence of dysmenorrhea in Indonesia in 2018 was 64.25% consisting of 54.89% primary dysmenorrhea and 9.36% secondary dysmenorrhea. This study aims to determine the effectiveness of administering avocado juice (Persea americana Mill) on reducing the rate of primary dysmenorrhea in first-level students of applied undergraduate study programs at the Indonesian Ministry of Health Polytechnic in Medan in 2023.The type of research used was Quasi Experiment with One Group Pretest and Posttest design. The sample in the study amounted to 30 people. The results of the research on the experimental group obtained a decrease in menstrual pain scale with an average of 2.66. The results of the analysis using the Wilcoxon test with a 95% level of confidence show a Sig (2-tailed) value of <0.05, which means that there is an effect of giving avocado juice on a decrease in primary dysmenorrhea in first level female students of the Bachelor of Applied Midwifery Study Program, Poltekkes Kemenkes Medan in 2023. It is expected that Poltekkes Kemenkes Medan to be able to utilize avocado fruit which is processed into juice in reducing menstrual pain in female students and for future researchers to be able to use my thesis as a reference.

Post SC patients will complain of pain in the incision area caused by tearing tissue in the abdominal wall and uterine wall. Back pain or pain in the nape is also a complaint commonly felt by post-SC mothers, it is due to the effects of using epidural anesthesia during surgery. But after the operation is complete and the patient begins to regain consciousness, he will feel pain in the part of the body that undergoes surgery. Sectio caesarea surgery has complications of infection, bleeding, injury to the bladder, The purpose of this study was to determine the Comparison of the Effectiveness of aroma therapy lemon and classical music therapy lullaby Against the Pain Scale in Post Partum Mothers after sectio caesarea surgery in the Babusalam Room of Tugu Ibu Hospital in 2023. Research Design Quasi-experimental method is a research method that in its implementation does not use random assignment (random assignment) but by using existing groups. The population in this study is all postoperative caesarean section patients totaling 150 people from caesarean section data from April to May 2023 at Tugu Ibu Hospital. The sample in this study was 30 people divided into 2 intervention groups, each group consisting of 15 people. This study obtained data that before being given therapy, a comparison of post-test pain in the lemon aromatherapy group and lullaby classical music after caesarean section surgery obtained a p value of 0.000, because p > 0.05 it was concluded that there was a significant difference in pain scale after being given lemon aromatherapy therapy and lullaby classical music, which was more effective lemon aroma therapy. Advice For health workers or nurses can apply the administration of Aroma Therapy and Classical Music Therapy to reduce the Pain Scale in Post Partum Mothers after sectio caesarea surgery

Prolonged sitting habits among university students increase the risk of postural abnormalities such as forward head posture and rounded shoulders, which may lead to low back pain and reduced quality of life. The lack of postural awareness and limited preventive interventions on campuses are pressing issues to address.This study aimed to analyze the effectiveness of an educational and corrective exercise program consisting of back strengthening and mobility exercises on improving student posture. This study applied a quasi-experimental design with a one-group pretest-posttest approach. A total of 30 students with ≥4 hours/day of sitting participated in a 4-week intervention program (3 sessions per week). Measured parameters included Forward Head Posture (FHP), Rounded Shoulder Posture (RSP), and the Postural Awareness Scale (PAS). Data were analyzed using paired t-tests. The results indicated significant reductions in FHP (mean decrease of 2.30 cm) and RSP (mean decrease of 7.2°), along with a significant increase in PAS scores (mean increase of 15.49 points) with p < 0.01. The program effectively improved both postural alignment and awareness. A combination of postural education and corrective exercises is effective in improving student posture. This intervention is recommended as a preventive and promotive approach to musculoskeletal health in university settings.

Childbirth through cesarean section can cause discomfort for the mother, one of which is pain arising from the abdominal incision wound. Footbath therapy is one of the methods that can be used to alleviate this pain. The purpose of this study is to evaluate the effectiveness of footbath therapy in reducing pain intensity in patients who have just undergone a cesarean section. This research uses a descriptive method with a case study design in the context of nursing care. The subjects of this study are two patients who have just undergone a cesarean section and are experiencing mild to moderate pain. The instruments used in this study are an observation sheet in the form of a PQRST pain assessment questionnaire, NRS (Numerical Rating Scale) pain scale measurement, and standard footbath therapy procedures. The research was carried out from 14 May 2024 to 15 May 2024 for the first respondent and for the second respondent it was carried out from 17 May to 18 May 2024 with implementation for 2 days and in 1 day it was carried out for 20 minutes. The results of this study showed that both respondents experienced a decrease in pain after giving footbath therapy. So this therapy has proven to be effective for post-cesarean section patients who experience pain.

Fracture is one of the causes of disability caused by trauma due to an accident. Fractures can be caused by direct trauma, for example a collision or blow that results in a broken bone. Splinting is an action carried out as first aid for musculoskeletal injuries so that the injured body part can rest, avoid shifting of the injured bone and reduce the level of pain. By using a splint, the skeletal muscles that are experiencing spasm will slowly relax, thereby reducing the level of pain and holding parts of the body from shifting and reducing pain. To determine the application of splint therapy to reduce the pain level of femur fracture patients in IGD at RSUD Tidar Magelang. The research method used a case report with the nursing intervention of providing splints on the pain level of fracture patients. Conducted 3 observations every 30 minutes on the patient Mr. M, 27 years old, who was involved in a traffic accident. From the results of the research, a nursing intervention was carried out, namely by providing a splint dressing for 3 observations every 30 minutes. The result was that there was a decrease in the level of pain before and after the splint dressing. Based on research conducted with Mr. Therefore, the reduction in pain levels in femur fracture patients with splint dressing in the emergency room at Tidar Hospital Magelang can be concluded that splint therapy has an effect on the pain level of fracture patients by reducing the level of the pain scale.

Gouty arthritis or often known as gout is a disease that attacks the joints, this is caused by high uric acid levels caused by genetic or hereditary factors and a lifestyle that often consumes foods that contain lots of purines. Purine substances are the core part of protein, and protein is widely obtained in offal foods, meat and beans (Uric Acid, 2023). Complementary therapy is a natural therapy including herbal therapy. Herbal therapy can utilize surrounding fruits / plants such as pineapple fruit, soursop fruit, bay leaves, and soursop leaves. This research uses a case study method with a family nursing care approach with gout. data collection instruments use family nursing care assessment formats through the nursing process of assessment, diagnosis, intervention, implementation, evaluation. Based on the results of the study after implementation in the patient, the results showed a decrease in the pain scale and an increase in the patient's sense of comfort. Non-pharmacological pain management carried out is by drinking pineapple juice and honey regularly. Evaluation results found after treatment for 3 days with reduced pain data, pain scale 1-2. The evaluation found after treatment for 3 days of ineffective family health management problems related to the family's inability to care for sick family members with family data can understand about gout and its actions.

Nyeri perut adalah rasa tidak nyaman pada area perut yang dirasakan secara tiba-tiba dikarenakan faktor pertahanan organ dalam tubuh untuk sebisa mungkin mencegah kerusakan pada organ-organ tertentu khususnya didalam perut. Salah satu manajemen nyeri non-farmakologis yang bisa digunakan untuk mengatasi masalah nyeri perut ini adalah dengan menggunakan terapi kompres hangat menggunakan buli-buli panas. Tujuan dari case report ini adalah untuk mengetahui pengaruh pemberian terapi kompres hangat terhadap penurunan skala nyeri pada pasien dengan abdominal pain. Metode yang digunakan dalam penelitian ini adalah studi kasus (case report). Sampel dalam case report ini adalah seorang pasien dengan keluhan utama nyeri perut yang sudah berlangsung berhari-hari, instrument dalam penelitian ini adalah Numeric Rating Scale, alat dan bahan yang digunakan adalah buli-buli dan air panas dengan suhu 40-45◦C. Hasil intervensi yang sudah dilakukan menunjukkan pada evaluasi 10 menit pertama terjadi penurunan skala nyeri menjadi 5, 10 menit kedua evaluasi didapatkan penurunan skala nyeri menjadi 4, dan evaluasi 10 menit ketiga skala nyeri tetap 4 dan dilakukan evaluasi 20 menit berikutnya terhitung 30 menit setelah pemberian analgesik didapatkan skala nyeri menjadi 3. Kesimpulan dari case report ini terdapat pengaruh pemberian terapi kompres hangat menggunakan buli-buli untuk menurunkan tingkat nyeri perut pasien.

Background: Head injury is a pathophysiological event that occurs after trauma to the head which can cover every part of the head consisting of the scalp, bones and brain tissue or all the organs in the head. Objective: To determine the effect of providing Head Up 30⁰ position on the comfort level of head injury patients. Method: The method in this research is to use a case report with the nursing intervention of providing a Head Up 30⁰ position to the comfort level of head injured patients, carried out for 4 observations every 15 minutes. Results: From the results of the research, nursing intervention was carried out, namely by providing Head Up 30⁰ position for 4 observations every 15 minutes. The results showed that there was a change in comfort level before and after Head Up 30⁰ position was carried out. Conclusion: Based on the results of research conducted by researchers regarding the effect of providing Head Up 30⁰ position on the comfort level of head injury patients in instalation emergency RSUD Tidar, Magelang City obtained from the results of case study research through intervention, it can be concluded that  Head Up 30⁰ therapy has an effect on changes. comfort level of mild to moderate head injury patients with changes in oxygen saturation values increasing, intracranial pressure decreasing, and pain scale decreasing.    

Based on adolescent report from Pandeglang Regency Health Office, there are 1178 cases of menstrual disorders in adolescents. Based on adolescent program report at UPTD Puskesmas Cikeusik until November 2022, 43.5% of adolescents experience dysmenorrhea or menstrual disorders. The impact of dysmenorrhea causes discomfort, difficulty concentrating in learning and decreased motivation to learn because of the pain felt, can limit women to carry out daily activities so that the need for handling dysmenorrhea in adolescents. The aim is to determine the effectiveness of green coconut water on reducing primary dysmenorrhea pain in adolescent girls in 2023. The sample population in this study were 2 respondents, namely adolescents who experienced primary dysmenorrhea by comparing directly to the response of green coconut water and warm water compresses. The research time was carried out on February 6, 2024 to February 10, 2024 and February 9 to February 11, 2024. Methods Data collection methods by means of assessment, namely interviews to explore the data needed related to the research to be carried out on adolescent girls with primary dysmenorrhea. The results showed a reduction in the pain scale after being given green coconut water. Conclusion In the results of the study, significant results were obtained in reducing primary dysmenorrhea, namely drinking green coconut water 1-3 days of menstruation, because the results obtained reduced pain from scale 4 to scale 2. Suggestions It is expected to apply the green coconut water method and warm water compresses on reducing dysmenorrhea pain.

Wound care has also developed rapidly after the dissemination of the concept of TIME (Tissue, Infection, Moisture, and Wound Edge) in modern dressing (MD). The aim of this study was to compare modern dressings (MDs) and classic dressings (CDs) in terms of patient comfort, cost effectiveness and wound healing.  A prospective study design with total of 25 participants. The sampling technique used was consecutive sampling. Patient comfort was assessed through the frequency of wound care and pain scale using the Visual Analogue Scale (VAS). Cost-effectiveness was assessed using direct and indirect costs. Wound healing was assessed using the Bates-Jensen Wound Assessment Tool (BWAT) score. The data was analyzed using the independent t and Mann-Whitney tests.  The application of MD has the same cost-effectiveness as CD with a more satisfactory outcome for the wounds in terms of comfort and healing.

Background: Combustio or burns are damage to the skin or tissue that can occur due to contact of body parts with objects such as fire, hot liquids, electricity, chemicals and radiation. Combustio is still a serious case in Indonesia causing millions of people to die, namely more than 265,000 people every year. A non-pharmacological treatment that can be done to reduce pain in post-debridement burn wounds is giving lavender aromatherapy. Lavender aromatherapy is an aromatherapy in which the content of linalyl acetate and linalool can stimulate the release of endorphin hormones so that it can have a relaxing effect and is thought to help overcome discomfort disorders such as anxiety, can lower blood pressure and also pain. Method: The method used in this research is a descriptive method with a case study approach. Results: After the intervention of giving lavender aromatherapy using a diffuser for 3 days, the result was a decrease in pain in combustio post debridement surgery patients which was carried out every Monday and Thursday in the operating room with complaints of decreased pain, pain scale: 1, the patient looked relaxed and in the Paired Sample t-Test with a significance level α: 0.05, the results of data processing obtained a sig. (2-tailed) of 0.02. Conclusion: Lavender aromatherapy can reduce the level of pain during post-operative debridement combustio.

With a scar from a caesarean section operation sectio caesarea cause pain to the patient so the patient tends to just lie down, therefore postpartum mothers with a history sectio caesarea early mobilization care is needed. On mother sectio caesarea allowed to get out of bed no later than 24-48 hours after giving birth. one way to reduce pain in mothers after surgery sectio caesarea is by doing reflexology massage therapy. The purpose of this case study is to find out adaptation of pain levels in post-mothers sectio caesarea after reflexology massage therapy. The method used in this case study case study design with a nursing care process approach. The subjects in this case study were 2 patients, obtained from inclusion and exclusion criteria, data collection using Numerik rating scale (NRS). The case study results show that on average pain level of the two patients after being given therapeutic intervention reflexology massage for 2x8 hours, namely experiencing changes from severe pain to moderate pain and the patient looks more comfortable and relaxed. The conclusion of this case study shows that there are changes that occur after it is given reflexology therapy intervention for the two patients and experienced a decrease in the pain scale so that both patients are able to adapt to the pain what they feel.

Low back pain (LBP) is pain in the lower back, it is not a disease or diagnosis for a disease but is pain that is felt in the area under pressure, varying in the length of time the pain lasts. Management of lower back pain can be done using non-pharmacological methods, namely by applying warm ginger compresses (Zingiber Offcinale). To determine the relationship between the effect of warm ginger compress (Zingiber Officinale) on reducing the pain scale in low back pain patients at Bakti Timah Karimun Hospital. This research uses a quasi-experimental design using a pre and post test approach without control. The sampling technique was a total sampling of 16 respondents. The analysis used is univariate and bivariate analysis using the ANOVA test. It is known that from the first to the sixth day the P value is obtained (first day: 0.007, second day: 0.000, third day: 0.001, fourth day: 0.000, fifth day: 0.001, sixth day: 0.020) < 0.05. There is an effect of warm ginger compress (Zingiber Officinale) on reducing the pain scale in low back pain patients at Bakti Timah Karimun Hospital. Nurses can consider pain management therapy, one of which is by providing warm ginger water compress therapy and for Low Back Pain sufferers, they can apply warm ginger water compresses to reduce the discomfort of back pain.    

Pregnancy is a continuous chain and starts from ovulation, release of ovum, migration of spermatozoa and ovum, conception process, nidation (implantation) of the endometrium, formation of the placenta and growth and development of the products of conception for approximately 280 days (40 weeks) and no more of 300 days (43 weeks). The length of pregnancy from ovulation to parturition is approximately 280 days (40 weeks). Lower back pain during pregnancy reaches its peak at week 24 until the time of delivery. Back pain is often made worse by backache or what is often called long-standing back pain. This backache was 45% of women when their pregnancy was recorded, they increased 69% at week 28 and almost remained at that level.Type of research conducted This research uses an experimental research plan. Experimental research is a research design used to look for causal relationships with the involvement of research in manipulating independent variables. This research uses a pre-experimental type of pre-post test design in one group (one group pre-post test design).The results of the tabulation research showed that the majority of respondents experienced lower back pain with a scale of 4 very painful, amounting to 17 respondents (53.1%). Lower back pain in pregnant women in the second and third trimesters before carrying out pregnancy exercise where 17 respondents experienced lower back pain on a scale of 4 (very painful) (53.1%), respondents with a scale of 3 (more painful) were 11 people (34 .4%) and respondents with a scale of 2 (slightly more painful) were 4 people (12.5%). Conclusion: Lower back pain in pregnant women in the second and third trimesters before carrying out pregnancy exercise, where respondents experienced lower back pain on a scale of 4 (very painful). There was an effect of reducing back pain before carrying out pregnancy exercise and after carrying out pregnancy exercise on reducing lower back pain in pregnant women. II and III trimesters.      

Dysminorrhea is pain caused by spasm of the uterine muscles and increased levels of prostaglandins. Pain before or during menstruation is characterized by one of the symptoms that women often experience during menstruation, namely pain in the lower abdomen. Lavender aromatherapy is an alternative treatment method using lavender fragrance containing linalyl acetate which has a relaxing effect on the nervous and muscle systems, while linalool has a relaxing and sedative effect so it is used to relieve menstrual cramps. This study aims to determine the effect of lavender aromatherapy on reducing the level of dysmenorrhea pain in class The data collection method uses the Numeric Rating Scale (NRS) menstrual pain measurement questionnaire. The population in this study was 89 respondents and the sample was 20 respondents. The results showed that the average level of pain in female students before being given lavender aromatherapy was moderate pain, after being given lavender aromatherapy showed a mild level of pain, and the pain level before and after being given lavender aromatherapy had a p-value of 0.000 (<0.05) using the Wilcoxon Signed Rank T-test which states that Ha is accepted and Ho is rejected, it can be concluded that there is an effect of lavender aromatherapy on reducing the level of dysmenorrhea pain in class XII female students at Mulya Husada Jagakarsa Health Vocational School in 2023.

Menstrual pain, also known as dysmenorrhea, is one of the menstrual disorders most often experienced by women. Dysmenorrhea is caused by pain during menstruation which is felt in the lower abdomen or Michael's square area. This pain can be felt before, during and the end of the menstrual cycle and can be colicky or continuous. The finger hold relaxation technique is a very simple and easy method for anyone to do in contact with the fingers and the flow of energy in our body so that it can provide a feeling of relaxation, comfort and reduce pain. The aim of this research is to determine the effect of finger-hold relaxation techniques on the scale of menstrual pain in young women at SMK Tunas Bangsa (DECES) majoring in nursing in 2023. The method used is quantitative research with a pre-experimental research design in the form of One Group Pretest Posttest Design. The sampling technique used in the research was the Stratified Random Sampling method with a total research sample of 36 female students. Data analysis using the Wilcoxon Sign Rank test obtained results with a significant p-value of 0.000 (<0.05). The conclusion of the research is that the finger-hold relaxation technique has an effect on the scale of menstrual pain in young women at Tunas Bangsa Vocational School (DECES) majoring in nursing.  

Background: Sectio caesarea surgery often causes psychological problems in patients, namely fear which impacts on anxiety which can cause a decrease in conditions such as disorders of the reproductive organs, namely conditions in the uterus, disturbances in blood flow and the need for oxygenation and even discomfort or pain. Efforts to reduce the level of anxiety in patients who are about to undergo surgery must be handled by the anesthetist during the preoperative phase. The way to overcome this can use non-pharmacological techniques given anesthesia education using flipchart media. Research Objectives: To find out the effect of flipchart media anesthesia education on anxiety in pre-sectio caesarean section in patients with sectio caesarea at Ibnu Sina Hospital, Kab. Gresik. Research Methods: This type of research uses a quasi-experimental method with a pre-post test research design with a control group design. Respondents were given pretest and posttest treatment using the APAIS scale measurement. The sample in this study was 24 respondents in the intervention group and 24 respondents in the control group. The sampling technique used consecutive sampling technique. Data collection was carried out in November - June 2023. Research Results: The results of data collection were processed using the Mann Whitney test. Results The Mann Whitney test yielded p=0.000 (p<0.05), so Ha was accepted. Conclusion: There is a significant effect between preoperative anesthesia education using flipchart media on the anxiety level of patients with pre-sectio caesarea

As age changes, without realizing it, elderly people will also experience physical, psychosocial and spiritual changes. One of these changes is cardiovascular and musculoskeletal disorders. Musculoskeletal system disorders are a factor in chronic diseases and motor system disorders in the elderly such as rheumatoid arthritis. Rheumatoid Arthritis is at risk of causing complications in the form of carpal tunnel syndrome, a condition that causes numbness, tingling, pain or weakness. on the hands and wrists. This research uses a quantitative research design using a one group pre-post test (pre-experimental) method. A quantitative design is used because the data will be used to determine the influence between variables which are expressed using numbers or a numerical scale. The sampling technique used purposive sampling with a sample size of 20 respondents. Data analysis used paired t test t test. shows that from the results of the dependent t test or paired sample T-test, it can be seen that the average level of pain before and after doing ergonomic exercises is 1,650 and obtained P value = 0.000 < 0.05, so H0 is rejected, meaning that there is an influence of ergonomic exercises on pain levels in elderly people suffering from rheumatoid arthritis at PSSW Budi Mulia 1 Cipayung in 2023

Abdominal pain is the main symptom of acute abdomen which occurs suddenly and is non-specific. Pain management includes providing analgesic therapy and non-pharmacological therapy in the form of cognitive behavioral interventions such as relaxation techniques, slow deep breathing, music therapy and aroma therapy, imagery and biofeedback. The aim of the research was to determine the effect of the slow deep breathing technique with lemon aroma therapy on reducing pain intensity in abdominal pain patients. This type of quasi-experimental quantitative research uses a one-group pretest-posttest design. The population in this study were 42 patients with complaints of abdominal pain who were treated. Sampling used a total sampling technique so that a sample of 42 respondents was obtained. The data collection instrument uses the Numeric Ratting Scale. The data analysis technique used in this research is Paired t-Test. The results of the study showed that there was an effect of the slow deep breathing technique with lemon aroma therapy on reducing pain intensity in abdominal pain patients with a p value of 0.001 (<0.005). The average value of the pain scale before the intervention was on a scale of 6-8 with a standard deviation of 0.650, while the average value of the pain scale after the intervention was on a scale of 2-6 with a standard deviation of 0.504. The conclusion of the research is that there is an effect of the slow deep breathing technique with lemon aroma therapy on reducing pain intensity in abdominal pain.

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