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Childbirth is often perceived as frightening and causing extreme pain. Some mothers also feel traumatized by their first childbirth process because of various difficulties and pain during childbirth so that they are reluctant to plan to have children again. Labor pain is caused by uterine contractions and dilation of the cervix and lower uterine segment. Survey data from PMB Restu Bunda in 2024 on 5 mothers who gave birth, it was found that overall respondents experienced pain, as many as 3 people with a pain scale of 7 (severe pain) and as many as 2 people with a pain scale of 6 (moderate pain). One non-pharmacological therapy that can reduce the intensity of pain is back massage using Virgin Coconut Oil (VCO). The research objective was to determine the effect of back massage with Virgin Coconut Oil (VCO) on the intensity of active labor pain in the first stage of labor at the IMP Restu Bunda Gunung Terang Sub-District of West Tulang Bawang Regency. The quantitative research type is a pre-experimental design, one group pre-test - post-test design. The population in this study were all mothers who were going to give birth, as many as 22 mothers, with a sample of 18 people taken by accidental sampling. The study was conducted at the IMP Restu Bunda of Gunung Terang Sub-District West Tulang Bawang Regency. Data collection used observation sheets. Data analysis was carried out using univariate and bivariate tests (Wilcoxon test). The study results showed that the average labor pain before being given a back massage with virgin coconut oil (VCO) was 7.0 and after being given a back massage with virgin coconut oil (VCO) was 5.2. There was an influence of back massage with virgin coconut oil (VCO) on the intensity of active labor pain in the first stage at the IMP Restu Bunda of Gunung Terang Sub-District of West Tulang Bawang Regency with a p-value = 0.001 (p-value <α = 0.05). Suggestions for health workers can recommend back massage with virgin coconut oil (VCO) can be used as complementary therapy for mothers in the first stage of labor.

Musculoskeletal disorders (MSDs) arise from prolonged minor and major repetitive impacts, causing pain in muscles, bones, and joints. Hatha yoga, as a complementary therapy, has the potential to alleviate joint pain. This study aimed to evaluate the effects of hatha yoga on musculoskeletal complaints among housewives in Sindon Village, Ngemplak, Boyolali. Using a pre-experimental design with a one-group pre-test and post-test method, the study involved 30 purposively selected participants. Data were collected using the Nordic Body Map (NBM) questionnaire. Participants underwent 12 hatha yoga sessions over four weeks. The findings indicated a significant reduction in musculoskeletal complaints after the intervention.

Vaginal discharge or flour albus is an excessive discharge from the vagina that is not menstrual blood. Pathological fluoride albus caused by vaginal infections (fungi, bacteria, parasites, viruses). The prevalence of causes is 25%-50 candidiasis, 20%-40% bacterial vaginosis and 5%-15% trichomoniasis. The characteristics of pathological vaginal discharge are smelly, itchy, yellowish or greenish, thick and cloudy and large in quantity. If this condition does not receive immediate treatment, it will have a negative impact on women's health. Infection will develop and affect the function of the reproductive organs. Medical treatment efforts include administering drugs in the form of capsules, tablets and ovules (vaginal tablets). Meanwhile, for non-medical or complementary therapy, betel leaf decoction can be used (Dame, 2023). The aim of this outreach is to provide education about the benefits of boiled betel leaves for vaginal discharge in women of childbearing age. The activity was carried out at the Nyalabu Daya Pamekasan village hall in July 2024, the subject was women of childbearing age in at the Nyalabu Daya Pamekasan village hall. Activity results: Counseling participants learned about the benefits of boiled betel leaf water for vaginal discharge. The results of the questionnaire measuring knowledge before and after counseling showed an increase in knowledge of women of childbearing age by an average of 94%. It is hoped that women of childbearing age can maintain personal hygiene to prevent vaginal discharge and can use boiled water from betel leaves to treat vaginal discharge that occurs.

Dysmenorrhea is a gynecological complaint caused by an imbalance of the hormone progesterone in the blood, resulting in pain during menstruation which often occurs in women. One effort to treat menstrual pain is non-pharmacological therapy with endhorpine massage. The aim of the research was to analyze the effect of endorpine massage on dysmenorrhoea in young women at SMA Takwa Palembang. The research method uses quasi-experimental one group pretest and posttest. The population is all class X female students. The total sample was 28 people taken using purposive sampling technique. The research instrument used the Numeric Rating Scale (NRS) which was measured before after the endorphin massage. Results: The average pain scale before endorpine massage was 4.83 (moderate pain) with a maximum value of 6 and a minimum value of 4. In the second measurement, the average pain scale was 2.61 (mild pain) with a maximum value of 4 and a minimum of 2. Results paired t test obtained α 0.022 < 0.05. Conclusion: There is an effect of endorphin massage on dysmenorrhoea in young women at SMA Takwa Palembang. It is hoped that related parties will develop complementary therapies to treat menstrual pain in adolescents through education.

Postoperative nausea and vomiting is one of the side effects that often occurs in spinal anesthesia. Nausea and vomiting affect patient morbidity such as stress, discomfort, dehydration, prolonging treatment time and increasing treatment costs. This study aims to determine the effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia in the recovery room at the Imelda Workers Indonesia General Hospital, Medan. This type of research is quantitative research with quasi-experimental research methods. Data reports in the province of North Sumatra showed that there were 25,602 patients who underwent surgery. Meanwhile, at the Indonesian Umim Workers Hospital in Medan, data on surgical patients for January-March 2024 totaled 666 patients, and 250 patients had spinal anesthesia. This research was carried out in February - June 2024 at the Imelda Indonesian Workers General Hospital, Medan. The research sample was taken as many as 20 respondents. incidence of nausea and vomiting after spinal anesthesia at the Imelda Workers Indonesia General Hospital, Medan. Based on the characteristics of respondents based on age, they were in the age range of 36-40 years, namely 55%, based on gender, the majority of respondents were women, namely 60%, respondents based on smoking history were the majority 65%, the distribution of respondents with a history of nausea and vomiting was the majority 55% and the majority of respondents with nausea and vomiting were 60%. The recommendation for this research is that acupressure therapy can be applied in nursing practice so that patients are able to perform it independently. For the Imelda Workers Indonesia General Hospital, Medan, it is necessary to score the risk of nausea and vomiting in patients before surgery to minimize the incidence of post-operative nausea and vomiting.

Postoperative nausea and vomiting is one of the common side effects of spinal anesthesia. Nausea and vomiting affect patient morbidity such as stress, discomfort, dehydration, prolonging treatment time and increasing treatment costs. This study aims to determine the effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia in the recovery room of the Imelda Labor Indonesia General Hospital, Medan. This type of research is a quantitative study with a quasi-experimental research method. Data reports in the province of North Sumatra, there are 25,602 patients undergoing surgery. While at the Umim Labor Indonesia Hospital, Medan, the data on surgical patients as of January-March 2024 amounted to 666 patients, 250 patients were found to have spinal anesthesia. This study was conducted in February - June 2024 at the Imelda Labor Indonesia General Hospital, Medan. A sample of 20 respondents was taken.: The results of the statistical test obtained an α value of 0.000 (α <0.05), thus it was concluded that there was an effect of acupressure therapy on the incidence of nausea and vomiting after spinal anesthesia at the Imelda Labor Indonesia General Hospital, Medan. Based on the characteristics of respondents based on age, they were in the age range of 36-40 years, which was 55%, based on gender, the majority of respondents were women, which was 60%, respondents based on a history of smoking were 65%, the distribution of respondents with a history of nausea and vomiting was 55% and the majority of respondents with an incidence of nausea and vomiting was 60%. The recommendation for this study is that acupressure therapy can be applied in nursing practice so that patients are able to do it independently. For the Imelda Labor Indonesia General Hospital, Medan, it is necessary to carry out a risk scoring of nausea and vomiting in patients before surgery to minimize the incidence of nausea and vomiting after surgery.

Labor pain occurs due to the contraction of uterine muscles, which can cause discomfort and pain for the mother, potentially affecting the labor process. Acupressure is a complementary therapy that involves applying pressure or massage and stimulation at specific points on the body. The purpose of this study is to determine the effectiveness of acupressure point pressure in reducing labor pain for Mrs. N at PMB Silvi Ayu, S.Keb in Pekanbaru. This research used a descriptive method with a case study design. The results of this study indicate that acupressure point pressure is proven to be effective in reducing pain during labor, especially in the active phase. This method is safe and can be used as an alternative or complementary approach to other pain management methods.

Background: The prevalence in the world according to WHO data (2020) is approximately 972 million people or 26.4% of the population with hypertension. The prevalence rate in Surakarta City, Jebres sub-district is 92,614 people, Mojosongo village is the first with a prevalence of hypertension incidence of 12,447 patients. The development of complementary medicine has a very rapid percentage increase. Globally, complementary therapy to reduce blood pressure has been widely practiced, for example, such as finger clasp therapy and deep breathing. Objective: Knowing the difference in blood pressure before and after the application of finger grip relaxation and deep breathing to lower blood pressure. Methods: Handling hypertension with finger grasping therapy is carried out on hypertensive patients with a research method carried out by means of before being given treatment / treatment, the variables are observed first (pretest) after which measurements are taken again after being given treatment (post test). Results: Handling hypertension with finger clasp therapy and deep breathing which is given once a day. This therapy is given for 1 day, the therapy is carried out for 30 minutes in one meeting. This therapy can reduce the patient's blood pressure. Conclusion: Finger grasping therapy and deep breathing can reduce high blood pressure in patients with hypertension.

Background: The prevalence of elderly hypertension in the world according to World Health Orgaization data there are approximately 972 million people or 26.4, which is likely to continue to increase in 2025 to as much as 29.2%.  The prevalence rate in Surakarta City, Jebres sub-district is 23,398 people, Mojosongo village is the first with a prevalence of hypertension incidence of 12,296 patients. The development of complementary medicine has a very rapid percentage increase. Globally, complementary therapy to reduce blood pressure has been widely practised, for example Swedish massage. Objective: Describe the results of the implementation of Swedish massage therapy in elderly patients with hypertension in the Mojosongo urban area of Surakarta City. Method: This study used a descriptive research design with a case study approach by observing blood pressure in 2 elderly respondents, carried out 1x a day for 3 meetings in 1 week with a time of 20-30 minutes in 1 session. The instruments used are observation sheets, Blood Pressure Monitors, and SOP sheets. Results: There is a decrease in blood pressure after giving swedish massage therapy to Mr T. T and Mr. S from grade 1 hypertension to prehypertension. Conclusion: The application of swedish massage therapy can reduce blood pressure in the elderly with hypertension in both respondents.  

Nausea and vomiting are common complaints experienced by pregnant women, especially in the first trimester of pregnancy. This condition not only causes discomfort, but can also affect the physical and emotional health of pregnant women. This study aims to provide education about the application of complementary acupressure therapy as a non-pharmacological alternative in reducing symptoms of nausea and vomiting in first trimester pregnant women. This counseling will be carried out at PMB Eka Sri Wahyuni ​​in 2024, involving a number of pregnant women who are in their first trimester. The method used is an educational approach through acupressure training which can be applied independently by pregnant women. It is hoped that the results of this activity will increase pregnant women's knowledge about complementary therapies and provide practical solutions that are effective in reducing nausea and vomiting, thereby improving the quality of life during pregnancy.

This study explores the impact of complementary herbal therapy education on improving the quality of life in the elderly. As aging populations face increasing health challenges, there is a growing interest in alternative approaches that can enhance well-being. Herbal therapy, a practice rooted in traditional medicine, offers potential benefits for managing chronic conditions and promoting overall health in older adults. The research involved educating elderly participants about the use of specific herbal remedies tailored to common geriatric issues, such as arthritis, digestive problems, and sleep disturbances. Pre- and post-intervention assessments were conducted to measure changes in physical health, emotional well-being, and daily functioning. The results revealed significant improvements in the participants' quality of life, with notable reductions in symptoms, enhanced vitality, and increased satisfaction with their health management. The study concludes that educating the elderly about safe and effective use of herbal therapy can serve as a valuable complement to conventional treatments, leading to better health outcomes and improved quality of life. Further research is recommended to refine educational strategies and explore the long-term benefits of herbal therapy in the elderly population.  

Late adulthood is an advance stage of the life process characterised by a decline in the body’s ability to adapt to environmental stress. A person who has entered late adulthood will experience many declines including a decrese in physical and biological conditions. Hypertension is a disorder of the circulatory system that causes an increase in blood pressure above normal values. One of the non-pharmacological treatments for hypertension is complementary therapy by consuming red watermelon juice, which contains potassium and magnesium that has an effect in helping to lower blood pressure. The purpose of this research was to find out whether there is an effect of giving red watermelon juice on blood pressure in late adults in Mahawu Village, Neighborhood VII. This research is an experimental research design with One Group pretest-posttest design. The sample amounted to 15 people who had previously measured their blood pressure using a sphygmomanometer. Furthermore, the data that has been collected is tested for data normality. The hypothesis was tested with the Wilcoxon test to determine the decrease in blood pressure of respondents with significance level (α) of 0,05. The Wilcoxon statistical test results showed the ρ value of pre-post = 0,001. This ρ value is < α = 0,05. The conclusion of this research is that there is an effect of giving red watermelon juice on blood pressure in late adults in Mahawu Village, Neighborhood VII. It is expected that this research can increase knowledge that is useful for respondents to maintain blood pressure within normal limits..

Background: Present day clinical remedies are only symptomatic, requiring complementary therapies to cure the patient. Purpose: The reason of this have a look at is to find out how analyzing and being attentive to the Qur'an is used as remedy or Qur'anic remarkable recovery. Methods: This studies makes use of a qualitative technique with a form of library studies (look at Library). Results: The first studies degree explains the meaning of reading and listening in addition to the manners in studying and taking note of Qur'an. The second one degree is set the idea of Qur'anic wonderful restoration, 0.33 level is explaining the shortcomings and blessings of Qur'anic first-rate recovery to complement clinical therapy. The remaining stage closes with conclusions and hints. Conclusion: Taking note of the Qur'an as a therapy by analyzing the verses of the Qur'an with fami bi shaqin or Qur'anic tremendous recuperation technique, the verse signals that we see will input the mind then the meaning of the verse occurs. The interpretation of the verse that is seen contains the content of spiritual values in the Al-Qur'an surah which teaches a positive attitude that recognizes Allah, gratitude, compassion, optimism, humility, and mental toughness in facing trials from Allah SWT will be processed in the brain in such a way as to produce positive reactions that make a person steadfast and optimistic so that health conditions improve.

Background: LBW babies face difficulties adapting to life outside the womb because their organs, such as the lungs, heart, kidneys, liver and digestive system, are not fully mature. The neonatal period is the most vulnerable period for a baby's survival, and one of the causes of newborn deaths is asphyxia. One of the complementary therapy techniques that can be used to increase saturation and hemodynamics in LBW babies is music therapy and murrotal therapy. Research method: The research method used in the intervention is a case report using the intervention method. The research was carried out in the NICU room at Tjitrowardojo Regional Hospital, Purworejo, when the research was carried out on 01-05 May 2024. The research participants were one neonate patient with a diagnosis of LBW accompanied by asphyxia. Oxygen saturation measurements were carried out before and after Murottal Surat Ar-Rahman Therapy was given. Results: After being given the Murotal Al-Qur'an Surah Ar-rahman therapy intervention within 30 minutes for five days, there was an increase in oxygen saturation in LBW babies with asphyxia on the first day from 88% to 93%, and on the fifth day there was an increase in oxygen saturation from 99 % becomes 100%.Conclusion: Murottal Al-Qur'an Surah Ar-Rahman therapy has a positive effect on oxygen saturation in patients with LBW accompanied by asphyxia

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.

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that has certain characteristics. One of them is the diagnosis of autistic comorbidity, namely Attention Deficit Hyperactivity Disorder (ADHD), nonpharmacological treatments are considered quite effective including dietary interventions. Hyperactive behavior in autistic children that has an impact in the form of difficulty in poor attention span to impulsiveness. Gluten free diet, casein free diet is recommended in the application of therapy in autistic people, this diet is one type of complementary therapy, which is carried out by regulating consumption patterns in autistic children. Objective: to determine the difference in the level of hyperactivity of autistic children between groups who apply gluten free, casein free diet with not applying gluten free, casein free diet. Method: comparative study by looking at the comparison between two groups with a total sampling technique of 20 people. Results: The level of hyperactivity in children on a gluten free diet, casein free as many as 9 (45%) respondents and 11 (55%) respondents did not do a gluten free diet, casein free obtained Mann Whitney U test results with a p-value of 0.027 where the p-value <0.05 or (0.027<0.05). Conclusion: Autistic children who apply a gluten free, casein free diet seem to have quite good attention than autistic children who do not apply a gluten free casein free diet. Suggestion: It is hoped that parents who have autistic children can adopt a gluten free diet, casein free as an alternative therapy.

Complementary therapy is known as traditional therapy combined in modern medicine. Complementary is the use of traditional therapy into modern medicine. When pregnancy occurs, the entire genetic system will experience fundamental changes so that it can support the development and growth of the fetus in the womb. Based on the analysis carried out by the service team, the community in Sigam Village knows that there is traditional medicine to deal with complaints during pregnancy, but not all mothers know the truth of this information in terms of medical science. This causes people to hesitate to choose complementary therapies. The information media created is a poster containing information about complaints during pregnancy and complementary solutions. This is very well received by the public because the media is interesting and easy to understand.

The mother's condition during pregnancy, childbirth, the postpartum period, and the baby being born are greatly influenced by the mother's health. The consequences of anemia in pregnant women include the risk of abortion, premature birth, fetal growth restrictions, increased risk of infection, low birth weight babies, as well as other complications such as difficulties during delivery, congenital abnormalities, and the risk of shock during the birth process. Complementary therapies refer to various systems of medicine and health care that are not included in conventional medicine. This therapy aims to complement conventional medical treatment and must be in accordance with applicable health values and laws. The aim of the activity is to create complementary educational media to overcome anemia in pregnant women at the Kotabaru Community Health Center. Activities will be carried out in January 2024 involving pregnant women and the community in the Kotabaru Community Health Center working area. The result is that activities have been carried out by providing education using poster media. Complementary implementation can be continued to inform the public so that pregnant women can be independent in maintaining their pregnancy and also have support from health workers and the community.

The puerperium is an important period, as the risk of maternal and infant morbidity and mortality increases during this period. Hemorrhage is the leading cause of maternal death worldwide and most occur before 24 hours postpartum. Therefore, the birth attendant must ensure that the uterus contracts properly so that bleeding does not occur. The postpartum period is influenced by many factors, one of which is socio-cultural. Indonesia is a country consisting of various tribes and cultures that have their health traditions. Not all existing traditions have a bad effect on health but some have a positive impact on health. Efforts to assist and therapy to shape the coping skills of postpartum women are complementary therapy. Complementary therapy is a therapy that is used as a companion in conventional therapeutic efforts that a person has done. This type of research is descriptive by applying a case study approach. The implementation of this research was carried out at the Pratama Medical Center Clinic on Mrs. F by providing complementary health education education for mothers in the postpartum period.

Exclusive breastfeeding coverage at Bintang Ara Health Center in 2019 reached 69%, while in 2020 exclusive breastfeeding coverage was 61% and in 2021 exclusive breastfeeding coverage was 57.83%. This is still far from the target of 80%. This problem can be overcome by giving a complementary therapy, namely through oxytocin massage. The purpose of the study was to determine the effect of oxytocin massage using lavender oil on the adequacy of breast milk in breastfeeding mothers in the Bintang Ara Health Center Work Area. The research method uses a type of research that is Quasy Experimental Pre test- Posttest Control Group Design. With a case sample of 8 people and a control sample of 8 people. Statistical tests using the Wilcoxon test. The results of the study that before the intervention of oxytocin massage using lavender oil, the adequacy of breast milk was less and increased after the intervention. Wilcoxon test results obtained p-value less than α which is 0.008<0.005.