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Background: Gout arthritis (gout) is a disease that arises due to excessive blood uric acid levels, which causes excessive blood uric acid levels, namely the production of uric acid in the body more than its disposal, besides that the cause of excessive uric acid production in the body can occur due to genetic factors (congenital), food factors. Complaints of gout arthritis pain vary from mild, moderate to severe. One of the non-pharmacological therapies that can be used to relieve gout arthritis pain is warm ginger compresses. This study aims to see the effect of warm ginger compresses on the gout arthritis pain scale. Methods: This research is a type of pre-experimental research, namely experimental research without a control group. The research was conducted with a one group pre-posttest design. Sampling using total sampling technique. Results: The results of the Friedman test showed a P value (0.000). The results of this study indicate that warm ginger compresses can reduce gout arthritis pain. Conclusion: There is a significant effect on the level of gout arthritis pain before and after the warm ginger compress intervention

Warm water compresses given to a woman's lower back in the area where the fetal head presses on the spine will reduce pain, heat will increase circulation to the area thereby correcting tissue anoxia caused by pressure. This study aims to determine the effect of warm compresses on reducing labor pain during the first active phase. This type of research is Quasi experiment, which is research that is used to determine whether or not there are consequences of "something" imposed on the subject being studied by looking for the effect of certain treatments on others under controlled conditions. A sample is a portion taken from all objects studied and is considered to represent the entire population. The sample in this study was 20 people in one intervention group. The sampling technique was Purposive Sampling, namely taking samples according to the criteria determined by the researcher. Data collection techniques use questionnaire sheets and respondent observation sheets. The data analysis technique uses the Independent T test. Statistical testing uses parametric analysis with the significance of the test results determined based on the p value <0.05. Based on the statistical test results, it is known that the p value is 0.001<0.05 which means that there is an influence on the intensity of pain before and after administration. Warm Compress. This research means that there is a significant relationship between the effect of warm compresses on reducing labor pain during the first active phase at PMB Pera Simalingkar B Medan Tuntungan in 2023

Dysmenorrhea is a pain in the lower abdomen can spread to the lower back and legs. The incidence of dysmenorrhea in the world on average is very high up to (90%) while the severe painful dysmenorrhea are around 10-15%. In Indonesia the case of dysmenorrhea is around of 64.25%. The aim of this research was to determine the effectiveness of giving red ginger decoction on dysmenorrhea in young women at Assalaam Vocational School, Manado. This research uses a pre-experimental quantitative method with one group pre and post test design. wWith non-probability sampling technique and purposive sampling method based on characteristics of the population by the criteria of the researcher's. The research instrument uses an observation sheet and a Standard Operating Procedure for measurement using the NRS (Numeric Rating Scale). The sample in this study takes 12 respondents. Using the Pairet T-Test with a significance level of α=0.05. The results of this study show there is an effect of giving red ginger decoction on dysmenorrhea in young women with a P-value = 0.000 < 0.05 The conclusion in this study is giving red ginger decoction on dysmenorrhea in young women at Assalaam Vocational School, Manado are affected. And advice to respondents to used red ginger as an additional reference for reducing pain during dysmenorrhea.

Background: Increased of uric acid levels can be caused other disorders in the human body such as a feeling of aches and pains in the joint area and is often along with extreme pain for the sufferer. This disease is better known as gout (Andry, 2021 ). Objective: This study aims to find out the effectiveness of consumption the pineapple fruit on reducing uric acid levels in the Batu Lubang Lembeh Selatan Village. This research uses a Pre-Experimental method with a One Group Pre-Post Test Design approach. The samples in this study were 12 early adult men who with having gout in Batu Lubang Lembeh Selatan Village, using an accidental sample. The data collected using observation sheets and analyzed using the non-parametric Wilcoxon test using SPSS. The results of the research showed the conditions of uric acid sufferers before and after consumption pineapple analysis the value of 0.003, there was a significant effect between giving pineapple fruit on reducing uric acid levels in the Batu Lubang Lembeh Selatan sub-district. The conclusion in this study there were an effect of giving pineapple on reducing uric acid levels in Batu Lubang Lembeh Selatan Village. Based on the research results, it is recommended the Respondents be expected to frequently consume pineapple so that uric acid levels can decrease till the normal limits.

Background: Data obtained from the Palembang city health office that the incidence of head injuries in 2018 there were (16.15) patients. Head injury (trauma capitis) is a mechanical injury that directly or indirectly affects the head that results in head wounds, fractures of the bones of the skull, tearing of brain membranes, and damage to brain tissue, as well as resulting in neurological disorders. One of the nonpharmacological therapies that can be given to patients who experience pain in minor head injuries is music therapy. Objectives: to gain real experience and knowledge and to document the application of music therapy to pain scales in nursing care for minor head injuries. Methods: this type of scientific paper uses a descriptive method with a case study approach to explore the problem of nursing care in two patients with minor head injuries. Nursing care was carried out on two patients, which was carried out on June 15 to 17, 2022. Results: from music therapy actions to Mr. A and Mr. D with the first diagnosis of acute pain related to physical injury agents. The results of the evaluation of the first patient, Mr. A, found that the patient experienced a decrease in the pain scale to 3 (mild), before music therapy the pain scale was 5 (moderate), the pain problem was resolved, and the intervention was stopped. For the evaluation, the second patient, Mr. D, obtained a pain scale of 2 (mild), before music therapy the pain scale was 4 (moderate), the pain problem was resolved, and the intervention was stopped. Conclusion: the results of the nursing evaluation on Mr. A and Mr. D problems resolved the intervention was stopped. It can be concluded that music therapy can reduce pain in patients with mild head injuries.

PGRI Kanjuruhan University Malang's ethnically diverse student body often has challenges or barriers while attempting to communicate with individuals from other cultural backgrounds, according to the researcher's observations. Finding out what intercultural communication is, painting a picture of it, and making an attempt to foster more intercultural communication among PGRI Kanjuruhan University students in Malang are the objectives of this study. A qualitative descriptive type and technique are used in this study. information gathered via documentation, observation, and interviews. Intercultural communication is defined as a communication activity that takes place between communication participants that have distinct cultural origins, based on the study findings from the initial issue formulation. However, it is possible to infer from the second phrasing of the issue that the students at PGRI Kanjuruhan University, Malang, exhibit a picture of intercultural communication. Thus far, intercultural communication has gone well since everyone on our multicultural campus can interact and talk with people from various cultural backgrounds. from Papua, Maluku, NTT, Sumatra, Java, and Kalimantan. To improve intercultural communication among students at PGRI Kanjuruhan University Malang, specifically through cultural parade activities in addition to cultural seminar activities, sports activities, and student activity units, can be concluded based on the research results from the third problem formulation. Students and aspiring researchers may submit suggestions to PGRI Kanjuruhan University Malang.

Low back pain is discomfort felt in the lower back area, starting from the sacrum to the corner of the lowest ribs. Based on the results of an initial survey taken by interviewing 10 fishermen in Laha Country, 7 out of 10 fishermen felt or experienced pain in their lower back. The job of fishermen in Laha Country is to look for fish in the sea in a bent position and with minimal equipment, namely fishing nets. The type of research is analytical observational research with a cross sectional study approach. Population of fishing communities in Laha Country. The sampling technique used a probability sampling technique with simple random sampling of 91 respondents. The instrument uses a questionnaire. Data analysis used the chi square test with a significance level of p < 0.05. The research results showed that there was a relationship between age and NPB (P-value = 0.000), there was no relationship between body mass index and NPB (P-value = 0.379), there was no relationship between length of service and NPB (P-value = 0.134), There is a relationship between length of work and NPB (P-value = 0.001), and there is a relationship between work position and NPB (P-value = 0.003).

Low Back Pain (LBP) has long been recognized as the only musculoskeletal condition that adversely affects more than three adults in daily life, known as the second skeletal ganglion. Hot Stone Massage uses bones that have been trained to be used as a means of relaxing muscles, ligaments and tendons. Objective: to determine the effectiveness of Hot Stone Massage in reducing pain in LBP sufferers. The research method used is a literature review approach, by searching for references using the PICO method on the Google Scholar database over a period of 10 years. Results: From the 3 journals studied, Hot Stone Massage had an effect on reducing pain in patients suffering from LBP, with temperature intensity >38°C and p-value p<0.05 showing a significant effect. Conclusion: The use of hot stone therapy also reduces the amount of pain that interferes with daily activities, such as the ability to manage loads, work performance, and sleep quality, in addition to providing long-lasting pain protection for most users during use and for two weeks after use.

Acute Coronary Syndrome (ACS) is a major cardiovascular problem because it causes high rates of hospitalization and mortality. The clinical manifestations of ACS are that the patient feels pain and discomfort that is not specific in the chest and legs radiating to the neck, left shoulder and arms and back then accompanied by cold sweat, nausea, vomiting, weakness and dizziness and can faint which occurs suddenly with high intensity.  Objective: To find out the results of applying Thermotherapy therapy to relieve chest pain in patients with Acute Coronary Syndrome. Moewardi Surakarta. Method: This type of research is a descriptive case study. The application was carried out on 2 patients selected by purposive sampling method with inclusion and exclusion criteria. Thermotherapy is carried out for 10-20 minutes 1x/day for 3 days. The research instrument used SOP foot massage, hemodynamic status observation sheets, and informed consent. Results: After being given the application to both respondents for 1 time a day for 3 consecutive days, a decrease in the level of the chest pain scale was found in the patient Mr. S with a pain scale level before being carried out by Thermotherapy therapy, severe pain and after being carried out by Thermotherapy therapy for 1 time in 3 consecutive days to mild pain. Meanwhile, in the patient Mr. A with the level of pain scale before the Thermotherapy therapy is severe pain and after the Thermotherapy therapy is done for 1 time in 3 consecutive days it becomes mild pain. Conclusion: there is a reduction in the chest pain scale in patients with Acute Coronary Syndrome at RSUD Dr. Moewardi Surakarta after being given thermotherapy.

Low back pain (LBP) in Indonesia is a musculoskeletal complaint in the lumbar segment of the spine. One of the factors that influence complaints of low back pain (LBP) is work factors such as work position, work period, workplace design and body posture as well as body movement factors. Repetitive work, inefficient use of energy, long hours of work, unergonomic work positions and heavy workloads cause the incidence of LBP to increase. Therefore, it is necessary to increase insight into LBP as a promotive and preventive effort in reducing LBP symptoms. The methods used are counseling and leaflets as output results. There is a difference in understanding from the community and fishermen that after participating in this outreach activity, those who previously did not understand LBP disorders now understand more about what it is, the signs and symptoms, causes, intervention and prevention of LBP.

One of the problems among silk sarong weavers is complaints of Musculoskeletal Disorders (MSDs), namely the emergence of muscle complaints due to unergonomic work attitudes. Complaints that are felt include the muscles of the neck, shoulders, arms, hands, fingers, back, waist and lower muscles. The aim of this research is to determine the factors associated with MSDs complaints among silk sarong weavers in Pakanna Village, Tanasitolo District, Wajo Regency. This research is a quantitative study, using a cross sectional study approach, with a population of 124 people and a sample of 42 people selected using purposive sampling. Work posture risk assessment uses the REBA method and measurement of the level of MSDs complaints using the Nordic Body Map questionnaire. The research results showed that of the 42 respondents there were 37 (88.1%) with medium work posture risk, and 5 (11.9%) with high work posture risk. Meanwhile, for MSDs complaints, there were 21 (50.0%) who suffered from moderate MSDs complaints, 11 (26.2%) who suffered from mild MSDs complaints, and 10 (23.8%) who suffered from severe MSDs complaints. Based on the results of the chi-square test, it shows that there is a relationship between MSDs complaints and work posture (p value = 0.005), age (p value = 0.013), work period (p value = 0.002), length of work (p value = 0.000), history of illness. (p value = 0.000). Therefore, workers are advised to rest when they start to feel pain or soreness in any part of their body, and diligently stretch their muscles while working. Relevant agencies should provide education regarding work risks and work procedures in accordance with ergonomic principles.

Low back pain (LBP) is a non-specific condition of acute or chronic pain in or near the lumbosacral spines that can be caused by inflammatory, neoplastic, traumatic, or other disorders. Long standing can be caused discomfort for the worker’s body. A survey conducted by the Center for Disease Control and Prevention (CDC) in 2011, low back pain is found in the top 10 diseases in Indonesia. As for jobs that required on standing for long duration and correlation by increased risk for low back pain, one of which is in a cake company called Rotte Bakery in Pekanbaru. The production process at Rotte Bakery required a lot of human roles, especially in terms of physical aspects, allowing staffs to long standing while working which can cause ergonomic problems such as low back pain. The research conducted by observational analytic method, with a cross sectional study design. The sampling technique used accidental sampling which was statistically tested using the chi-square test. The research purposes to determine the correlation of the long standing with low back pain event on Rotte Bakery Pekanbaru city staffs 2020. The result showed that there was a relationship (p-value = 0,000) and a significant correlation (p-value < 0.05) long standing with lower back pain event on Rotte Bakery Pekanbaru city staffs. Rotte Bakery staffs advised to pay attention to standing time while working, adhere to the rules for using a complete PPE, and the company can provide education at the beginning before starting work.

Due to the fetus's expansion in the uterus, the mother's pelvic joints are slightly more mobile, resulting in back pain. Additionally, the shoulders are pulled back and the lumbar spine is more curved, both of which increase spinal joint flexibility. To overcome back pain, one effort that can be done is pregnancy exercise. The goal of this volunteer project is to develop a unified strategy for preventing and treating pregnancy-related back pain by educating the public about the issue. Implementation in community service activities on October 3, 2023 at 09:00 - 12:00 WIB has been followed by pregnant women totaling 10 pregnant women, with the average results of knowledge before counseling amounting to 52.5 and after counseling amounting to 89.0 it is concluded that overall counseling participants with good knowledge. It is hoped that by raising awareness of pregnancy exercises, particularly among pregnant women, this event will help to reduce the number of back pain complaints in the community. Health Education is a topic that is explored in both theory and practice during these events. With this program, it is hoped that pregnant women can do pregnancy exercises so that complaints of back pain and other complaints can be reduced. These are some of the desired results from this endeavor; (1). Scientific publications in journals with ISSN / Proceedings; (2). Publication in PT repocitory; (3). Leaflet; (4). Activity Video; (5). Increased knowledge    

Puskesmas Banyuanyar is a health facility located in Banjarsari District which has dua target areas, namely Banyuanyar Village and Sumber Village. With the boundaries of the Banyuanyar Puskesmas target area, in the north it is bordered by the working area of Boyolali Regency, in the south it is bordered by the working area of the Manahan Health Center, in the east it is bordered by the working area of the Gambirsari Health Center, and in the west it is bordered by the working area of Karanganyar Regency. Based on data from visits to the Banyuanyar Health Center physiotherapy poly, the incidence of Low Back Pain cases is found annually as many as 122 cases from 468 physiotherapy cases, this is caused by age, injury, and work factors. Pain is the main complaint that is often felt by patients in the condition of low back pain. The purpose of this program is to provide education and understanding on how to maintain low back health, prevention of low back pain and exercises that can be done at home. The method used is by providing counseling in the form of health promotion about low back pain and using leaflets as a medium of counseling, targeting the community who attend the Seruni RW 08 Sumber Elderly Posyandu. The author uses pre test and post test to determine the level of understanding of the people present. The results of the questionnaire showed an increase in participants' understanding as seen from the average pre-test score of 1.52, while the post test score obtained an average value of 8.43. This means that there is an increase in understanding of 6.91 from the average score of the questionnaire filled out by the community who attended the Seruni RW 08 Sumber Elderly Posyandu.

Fishermen are a term for those whose daily work is to catch fish or other biota that live on the seabed or surface waters. The problem that often occurs in musculoskeletal complaints that are often experienced by fishermen is low back pain, this happens because the conditions that fishermen have are not always specific, resulting in pain and soreness in the lower back. Aiming to determine the relationship of Length of Working Time and Working Period with Musculoskeletal Complaints in Fishermen in Rahai Hamlet, Waesala District, West Seram Regency. This study uses quantitative research using a cross sectional design. The sample in the study was 90 people. Data analysis using the Chi-Squere test. The results showed that the p value (0.500) and p value (0.643). This shows that Ha is rejected. It can be concluded that there is no significant relationship between Length of Working Time and Working Period with Musculoskeletal Complaints in Fishermen in Rahai Hamlet, Wesala District, West Seram Regency.

Dyspepsia is a medical condition characterized by pain or discomfort in the upper abdomen or solar plexus. Heartburn in dyspepsia sufferers occurs because the sphincter muscles in the esophagus and stomach do not close completely, resulting in a back-flow of stomach acid into the esophagus. A behavior to reduce pain in dyspepsia patients is a warm compress. The aim of this study was to determine the effectiveness of warm compresses on pain intensity of dyspepsia pain patients on Emergency Room of at Robert Wolter Mongisidi Hospital Manado. The method in this research is a quasi experiment with one group pre-post test. With 10 peoples of samples taken by using accidental sampling. Data collection uses SOPs and observation sheets. Next, the collected was processed using the Mc-Nemar test.The results of this study showed the majority of subjekts experienced changes after applying a warm compress (90%). The results of data analysis tested using Mc-Nemar obtained a value of p=0.031 (a<0.05), meaning there was an effect of warm compresses on pain intensity in dyspepsia patients in emergency room at Robert Wolter Mongisidi Hospital Manado.The conclusion, the compresses on the intensity of pain in dyspepsia patients in the Emergency Room at Robert Wolter Mongisidi Hospital Manado. It is recommended for the hospitals staff and dyspepsia sufferers to apply warm compresses to help reduce pain.

Low back pain (NPB) Ischialgia is the pinching of the ischiadic nerve in the lower back region which causes the buttocks, thighs, lower legs and even feet to tingle, pain, sometimes causing weakness. Nerve mobilization is a manipulation technique by moving and stretching the nerve tissue to improve axonal transport so as to improve nerve conduction. Nerve mobilization can reduce the pressure in the nerve so that there is an increase in blood flow to the nerve, which can have a regenerating and healing effect on the injured nerve (Butler, 1991). Nerve mobilization is often used as a form of diagnosis and treatment in musculoskeletal conditions with nerve involvement (Butler, 1991). Nerve mobilization in the Lower Limb Tension Test (LLTT) is performed on the branching of the lumbosacral plexus such as the ishiadicus nerve, peroneal nerve, and tibial nerve. But here the author only discusses LLTT on the ishiadicus nerve, namely LLTT 1 which is associated with low back pain. The purpose of knowing the effect of manual nerve mobilization on pain reduction in Ischialgia patients after IR and TENS therapy at RSD KRMT Wongsonegoro Semarang. Method two group pre test and post test. The place of this research is in the physiotherapy clinic of KRMT Wongsonegoro Hospital. Using Visual Analouge Scale (VAS) measuring instrument. The results were treated using the mann-Whtney test. With confidence interval (CI) (95%) The results revealed that there was a significant difference in pain between group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups on pain improvement (p = 0.152), so there was no better treatment between the two groups. It is concluded that ULTT is useful in the treatment of LBP patients to reduce pain in two groups. The targeted output is publication in Sinta indexed national journals and IPR. The TKT target of the implementation of gamelan accompaniment gymnastics is at level 2.

Background: Sectio Caesarea is a method of giving birth to a fetus by making an incision in the uterine wall through the front wall of the abdomen (Amru Sofian, 2013). Giving birth by cesarean can drain more energy on the body and the recovery process takes longer. To speed up the recovery process, early mobilization exercises are needed. However, there are several factors that prevent mothers from doing early mobilization For this reason, it is important that efforts to increase early mobilization are carried out in order to speed up the healing process. Objective: To describe the description of nursing care in post sectio caesarea patients in practicing early mobilization. Research Methods: This study uses a literature review method in a journal that discusses early mobilization in post sectio caesarea mothers. Research Results: The results of the research from the literature review that the authors obtained through 10 journals, namely the mobilization efforts of post-SC postpartum mothers in carrying out early mobilization are influenced by pain in the surgical wound, knowledge/experience, motivation and beliefs. These results are relevant to the case managed by the author, namely Mrs. K was reluctant to do early mobilization because of pain and fear. Conclusion: From the results of the literature study above, it can be concluded that early mobilization of post sectio caesarea mothers can be improved by implementing pain management nursing, motivation, education and support from families and health workers

Background : Hemorrhoids is one of the most common anorectal diseases, this disease can cause physical and psychological discomfort due to its disturbing symptoms such as rectal bleeding, pain, and itching sensation and will significantly affect the quality of life of the person with hemorrhoids. According to Slavin (2008), the prevalence of hemorrhoids in the world reaches 5%. There are various risk factors for hemorrhoids, one of which is the length of sitting without changing the position and age. According to Ali and Shoeb (2017) in their research, there were 50 patients out of 60 drivers experiencing hemorrhoids. A driver job that requires a long time to sit because of the long duration of driving can cause hemorrhoids. Kumala, et al (2016) said in their research on intercity and interprovincial (AKAP) bus drivers who have a driving duration of ≥ 6 hours have a risk of hemorrhoids and those aged ≥ 45 years have a risk of developing hemorrhoids.Objective : Knowing the relationship between driving duration and age with hemorrhoids in bus drivers at the AKAP Payung Sekaki terminal Pekanbaru in 2020.Methode : The design used in this study was an observational analytic type with a cross-sectional method. The sampling technique was accidental sampling, with a sample of 60 respondents who had the inclusion criteria. Statistical test data using the Chi-Square test.The results : There was an insignificant relationship between the duration of driving and complaints of hemorrhoids in the driver (p-value = 0.057) and the relationship between age and complaints of hemorrhoids in the driver (p-value = 0.073).Conclusion : There is an insignificant relationship between driving duration and age with complaints of hemorrhoids in bus drivers at AKAP Payung Sekaki Terminal

Lower back or waist pain is a disorder in musculoskeletal position due to incorrect ergonomics, characterized by pain in the muscle area between the costal border and the inferior gluteal fold. Risk factors that can influence the incidence of lower back pain are age, gender, body mass index, smoking habits, lack of exercise, years of work, work position, and heavy workload. This community service is a forum to improve and provide education to the elderly about prevention and how to deal with lower back pain using a home program. This service activity was carried out using the counseling method with approximately 20 respondents participating. After being given a presentation of material regarding low back pain and a demonstration regarding recommended home exercises/home programs, most respondents understood and were able to explain the definition, risk factors, symptoms and prevention of low back pain.