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Background: Typically lasting six to eight weeks, the postpartum period is a time of recovery following childbirth. Afterpains are a type of discomfort that can be caused by uterine contractions during the involution process. Massage or other non-pharmacological treatment can be used to ease discomfort. Using specific techniques, massage can lessen or even eliminate pain. Methods: The cross-sectional design of the quantitative research design was used in this study. The objective was to compare how massage reduced postpartum pain in Cilacap City mothers before and after intervention. 30 postpartum mothers who were experiencing postpartum pain two hours later comprised the population. Saturation sampling was used for the sampling, and there were a total of 30 participants. The frequency distribution was used in univariate data analysis, while the paired-sample t-test was used in bivariate data analysis. For the pain scale, the paired-sample t-test analysis produced a t-value of 8.238. Results: As a result, the calculated t-value exceeded the critical t-value for a pain scale of 8.238 > 2.045, indicating acceptance of the alternative hypothesis (Ha) and rejection of the null hypothesis (Ho), indicating that massage is effective in reducing postpartum pain in women. Conclusion: massage has been shown to reduce postpartum pain in mothers.

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.

Background: Pelvic fractures are common injuries resulting from high-energy trauma, such as traffic accidents or falls from height. These injuries can cause decreased mobility function, pain, and risk serious complications. A common treatment that can be done is Open Reduction Internal Fixation (ORIF) to improve bone stability and patient mobility function. Objective: this study is to provide nursing care for patients with post-ORIF pelvic fractures to improve nursing outcomes, including pain management, physical mobility, and skin integrity. Methods: This study used a case report approach where the source of research data came from interviews, observations, physical examinations, and patient documentation. Nursing care was organized based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Intervention Standards (SIKI), and Indonesian Nursing Outcome Standards (SLKI). Results: After the intervention, the patient showed a decrease in pain from scale 6 to scale 3 with the use of PMR. Improved physical mobility was observed through regular ROM exercises, and skin integrity was maintained with position changes and routine wound care. No complications occurred post intervention. Conclusion: Comprehensive nursing care in patients with post-ORIF pelvic fractures can accelerate healing and reduce the risk of complications. Integrated interventions, including pain management, mobility, and skin care, play an important role in supporting patient recovery. The nurse's role in observation and collaboration with the medical team is essential to improve patient outcomes and quality of life.

Background : Nurses play an important role in providing nursing care to Space Occupying Lession (SOL) patients. Nurses directly assist patients and educate them about their disease and prevent rehospitalization. During hospitalization, patients require hemodynamic stabilization monitoring, use of various monitoring and life support devices, postoperative patient care, and crisis management in the event of loss of consciousness or sedation programs.  Purpose : This case study aims to perform 30ᵒ head elevation with SOL Intracranial o/t (L) Temporoparietal who has head pain. Methods : This research is a case report where the source of research data comes from the patient and the patient's family using interview techniques, observation, physical examination, and documentation study of nursing management prioritized according to the SDKI (Indonesian Nursing Diagnosis Standard), SLKI (Indonesian Nursing Outcomes Standard), and SIKI (Indonesian Nursing Intervention Standard): acute pain, decreased intracranial adaptive capacity and impaired physical mobility. Results : Decreased pain quality, increased intracranial adaptive capacity, and decreased physical mobility impairment indicate improvement in the patient's condition along with the nursing care provided. Conclusion : The results of routine nursing implementation coupled with the application of evidence-based nursing practice 30ᵒ head elevation intervention (30ᵒ head position intervention) to reduce pain along with the collaboration of pharmacological therapy administration of ketorolac injections were found to reduce the pain scale from a scale of 3 - 4 (mild - moderate) NRS to a pain scale of 2 (mild) NRS.

Background: Osteoarthritis (OA) is a degenerative disease that often causes pain, disability and limited mobility, especially in the elderly. Total Knee Replacement (TKR) is one of the preferred surgical interventions in severe OA to reduce pain and improve joint function. Objective: This case report aims to evaluate nursing care in a 76-year-old female patient with OA genu grade III postoperative TKR sinistra accompanied by acute pain, impaired physical mobility, and risk of infection. Methods: This study is a case report using interview techniques, observation, physical examination, and documentation study. Nursing management was carried out based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Outcome Standards (SLKI), and Indonesian Nursing Intervention Standards (SIKI). Prioritized nursing diagnoses include acute pain, impaired physical mobility, and risk of infection. Results: After 3x24 hours of intervention, there was a decrease in the patient's pain scale from 5 to 3 (0-10 scale). Left lower limb muscle strength increased, with active range of motion. The surgical wound remained dry with no sign of infection, and the patient was able to sit on the edge of the bed with minimal assistance. Conclusion: The application of nursing care based on SDKI, SLKI, and SIKI showed significant results in improving the patient's condition. The Evidence-Based Nursing (EBN) approach contributed greatly to the recovery of patients after TKR surgery. This intervention can be a reference for nurses in designing nursing care in similar cases.

During pregnancy, a woman must be able to adapt to various physical changes that often occur and can cause uncomfortable conditions, such as back pain which begins to be felt in the second and third trimesters. If this condition is not treated immediately, it can cause anxiety and disruption to the pregnant woman's activities. As a way to reduce complaints of back pain, pregnant women can do prenatal gentle yoga exercises. This study aimed to assess the effectiveness of prenatal yoga in reducing pain in the lower back of pregnant women at the Ngletih Community Health Center, Kediri City. This study aims to assess the effectiveness of prenatal yoga in reducing pain in the lower back of pregnant women at the Ngletih Community Health Center, Kediri City. Research method: This research adopted a quantitative design with a Pre-Experimental design, using the One Group Pretest-Posttest method. The sample of pregnant women in the second and third trimesters was 31 respondents. The sampling method involved Total Sampling and the use of a pain level measuring tool with the Numeric Rating Scale (NRS), while data analysis used the Wilcoxon Test. Research Results: Before carrying out prenatal yoga exercises, the majority of pregnant women felt lower back pain on a mild scale, the number of respondents was 17 (54.8%). After doing prenatal yoga exercises twice in 2 weeks, the majority of pregnant women no longer felt back pain, the number of respondents was 18 pregnant women (58%). The p-value of the analysis using the Wilcoxon test is 0.000.

Childbirth is a natural way that every mother must go through where the results of conception in the form of a baby and placenta are released from the uterus. Normal labor is characterized by uterine contractions that cause thinning, dilation of the cervix and push the fetus out through the birth canal, causing a sensation of pain felt by the mother. The purpose of this study was to determine whether there is an Effect of Murrotal Al-Qur'an Therapy on Reducing the Intensity of Labor Pain in the First Active Phase at the Juliana Dalimunthe Clinic. The research method used was Pre-Experiment One Group Pre and Posttest Design. Samples were taken by Accidental Sampling from mothers in the first active phase of labor who met the inclusion criteria totaling 30 people. Data collection was carried out using a face pain rating scale questionnaire. Data analysis with the Shapiro Wilk test and tested with the Wilcoxon Signed Ranks test statistical test. The results of the study conducted from May to July, found the average pain scale before therapy was 6.83 and the average after therapy was 6.17, the decrease in pain scale from before to after Murottal therapy was 0.66. From the statistical test, the P value = 0.001 was obtained, indicating that there was an effect of Murottal Al-Qur'an therapy on reducing the intensity of labor pain. The conclusion of this study is that the provision of Murottal Al-Qur'an therapy has been proven to be able to reduce labor pain in the first active phase. It is hoped that the provision of Murottal Al-Qur'an therapy will be an alternative intervention in reducing labor pain in the first active phase.

Osteoarthritis is a degenerative disease and a significant contributor to life years with an imbalance between multifactorial musculoskeletal conditions that is often found in the elderly population, especially those aged over 65 years.  The purpose of this writing is to be able to carry out nursing care for osteoarthritis patients with chronic pain nursing problems to reduce pain.  The method used is to carry out Rheumatic Gymnastics for 10 days in 5 visits, namely on April 22-30 2024. The place where this activity is carried out is in the Mabar Hilir Environment. Based on the evaluation results, it was found that there is an effect of rheumatic gymnastics to help reduce chronic pain  In osteoarthritis patients, the pain scale goes from 7 to 3. The conclusion of this paper shows that the patient is able to do rheumatic exercises and can reduce pain in the knee and waist joints.  It is hoped that the results of this research can be used as a medical intervention to reduce chronic pain in osteoarthritis patients in the community.

Hypertension is a condition where blood pressure increases beyond normal limits, with various variations according to age. Various trigger factors cause hypertension, although most (90%) of the causes of hypertension are unknown. The aim of this writing is to be able to understand the concept of hypertension and study nursing care for hypertensive patients as well as to provide the author with an understanding so that he can think logically and scientifically in accordance with the existing reality. The method used was to carry out progressive muscle relaxation therapy for 10 days in 5 visits, namely on 29-07 January 2024. The place for this activity was carried out at the Amplas Community Health Center. Based on the evaluation results, it was found that there was an influence of Progressive Muscle Relaxation therapy to help lowers blood pressure in hypertension patients whose pain scale goes from 6 down to pain scale 3. The conclusion of this paper shows that patients are able to carry out progressive muscle relaxation therapy and can reduce pain in the head and nape of the neck. It is hoped that the results of this research can be used as a medical intervention to reduce acute pain in hypertensive patients in the community.

Primary dysmenorrhoea is a reproductive health problem that is often experienced by adolescent girls. Primary dysmenorrhoea causes discomfort (pain) and other problems. If not treated immediately, it will interfere with learning, daily activities, and school performance. Efforts to treat primary dysmenorrhoea that can be done nonpharmacologically using SEFT therapy. This therapy combines spiritual, physical, and psychological. The purpose of this study was to determine the effect of SEFT therapy on primary dysmenorrhoea pain in adolescent girls. The method used was quasi experiment with non-equivalent control group design approach. Samples were selected using purposive sampling as many as 32 adolescents who were divided into intervention groups and control groups. The instruments used were pictorial SEFT therapy procedure, observation sheet, and Numeric Rating Scale (NRS). Data analysis used paired t-test and independent t-test. The results of the analysis showed a decrease in the pain scale in the intervention group with an average of 5.87 to 2.37 and bivariate analysis with a p-value of 0.000 (<0.05). So it can be concluded that there is an effect of SEFT therapy on primary dysmenorrhoea pain in adolescent girls.

The application of ergonomics in the work environment is one of the efforts to ensure the health and safety of an individual or group in carrying out work in a work area that may be at risk of work accidents. Based on data from the Environmental Health and Occupational Safety Installation, musculoskeletal disorders experienced by employees of the "X" Hospital in Palembang in 2022, which stated that 318 employees of the "X" Hospital aged 31-40 years (38.1%), gender (69.2%), length of service <10 years (52.2%), length of service <8 hours (886.2%) with complaints of musculoskeletal disorders in the neck (64.5%), knees/ankles (58.7%), complaints of musculoskeletal disorders (81.4%), mild pain (scale 1-4) 59.0%, mild complaints 49.0%, This study aims to determine the factors related to the incidence of musculoskeletal disorders in Laundry Officers at the "X" Hospital in Palembang in 2024. The subjects of this study were all Laundry Officers at the "X" Hospital in Palembang on July 15-27, 2024. The population and sample in this study were 37 laundry officers. This study uses a quantitative method with analytical observation research and a cross-sectional approach. Furthermore, the collected data was analyzed using the Chi Square Test with a significance level (p value) <0.005. The results of the study were that there were factors related to the incidence of Musculoskeletal Disorders in Laundry Officers with Age (p value 0.005), Gender (p value 0.001), Length of Service (p value 0.001), Work Posture (p value 0.002), and Length of Service (p value 0.000). The conclusion of this study is that there is a relationship between age, gender, length of service, work posture, and length of service with the incidence of Musculoskeletal Disorders in Laundry Officers at RS "X" Palembang in 2024. It is recommended that the Laundry Installation section of RS "X" Palembang conduct a safety briefing to reduce the risk of accidents and provide information on the importance of individual health.

This research is a comprehensive midwifery care case study on Mrs. K from pregnancy to postpartum family planning conducted at the PMB Okta Saprina, S.Tr.Keb and Mrs. K's home from October-December 2023. The assessment during pregnancy found complaints of frequent urination which were addressed by counseling on reducing drinking at night. During labor, Mrs. K experienced severe pain on a scale of 8, which was reduced to moderate pain on a scale of 5 after being given lavender aromatherapy. Labor care stages I-IV were normal according to theory and without complications. The baby was born spontaneously, full-term, without complications. During the postpartum period, Mrs. K experienced breast engorgement which was treated with aloe vera compresses for 7 days until the complaint was resolved. Care for the newborn and postpartum period was according to standards. At 42 days postpartum, Mrs. K chose to use 3-month injectable contraception after being screened with the KLOP wheel. The management provided to Mrs. K was in accordance with evidence-based practice in providing comprehensive midwifery care, namely counseling for frequent urination, lavender aromatherapy for labor pain, and aloe vera compresses for breast engorgement with satisfactory results.

The prevalence of rheumatoid arthritis in the world has doubled. The aim of the research was to determine the effect of giving lemongrass compresses on rheumatoid arthritis pain in the elderly in the Kuta Baro Health Center Working Area, Aceh Besar Regency. This research method uses a quasi-experimental design with a one group pretest-posttest approach with a population of 317 people and a sample size of 15 people, the sampling technique is purposive sampling. This research was conducted from 30 May to 6 June 2024 using univariate and bivariate analysis using the Paired T test. The results of the study showed that before being given the lemongrass warm compress the average pain level of the respondents was 4.60, whereas after being given the lemongrass warm compress the average pain level was 2.53 with a decrease of 2.067 with a ρ value of 0.000, meaning there was a relationship with the lemongrass warm compress with rheumatoid arthritis pain in the elderly. The conclusion is that there is an effect of warm lemongrass compresses on rheumatoid arthritis pain in the elderly because warm lemongrass compresses have a positive impact on reducing rheumatoid arthritis pain in the elderly. It is hoped that rheumatoid arthritis sufferers will carry out non-pharmacological therapy using lemongrass if their pain scale is still in the mild and moderate category.

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.

Background: Surgical procedures can be a potential or actual threat to a person's integrity that can evoke physiological and psychological reactions. Based on WHO 2022, patients with surgery are recorded at 234 million people. The problem caused by surgery or surgery is pain. Pain management can be done by pharmacological or non-pharmacological methods. The application of dhikr therapy can be used as a non-pharmacological therapy to be combined with pharmacological therapy so that person's pain scale can be further reduced. Objective: Describe results the implementation of dhikr therapy on post-operative patients at RSUD Bagas Waras Klaten. Method: Application of Dhikr Therapy to the Pain Scale in Post-operative Patients with descriptive method was carried out for 3 days in 1 day there were 2 sessions with each session 10 minutes and interval between each session was given 2 hours. Results: There was decrease in the pain scale in 2 post-operative patients, after applying dhikr therapy for 3 days from a controlled severe pain scale to mild pain scale. Conclusion: The results the application of Dhikr Therapy for 3 consecutive days can reduce the pain scale in post-operative patients at RSUD Bagas Waras Klaten.

Primary dysmenorrhea is menstrual pain that is generally experienced by young women which is not accompanied by physical disorders or pathology in the reproductive organs. This condition often interferes with daily activities, including academic performance and psychological well-being. Many non-pharmacological approaches are used to reduce the intensity of dysmenorrhea pain, such as massage and physical exercise. This study aims to compare the effectiveness of the Cat Stretch Exercise and lumbar massage in reducing the pain intensity of primary dysmenorrhea at SMA Negeri 3 Tuban. The research design uses True Experimental with the Pretest-Posttest Control Group Design method. A total of 32 female students who experienced primary dysmenorrhea were selected as samples using a purposive sampling technique, divided into two groups: one group was given Cat Stretch Exercise therapy and the other group was given lumbar massage. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after treatment. The results showed that there was a significant reduction in pain in both groups, but the Cat Stretch Exercise was more effective in reducing pain intensity compared to lumbar massage. The p-value obtained was 0.005, which shows a significant difference between the two groups.

Dysmenorrhea is pain during menstruation, caused by an imbalance of the hormones progesterone, prostaglandins, and stress or psychological factors. Although generally harmless, it can cause discomfort for women. Dysmenorrhea can be treated in various ways, one of which is with cinnamon aromatherapy which is one of the therapies of choice to treat dysmenorrhea in adolescent girls. Objective to determine the effect of cinnamon aromatherapy with inhalation method on dysmenorrhea pain intensity in female students at SMAN 1 Jogorogo Ngawi. This study used a pre-experimental design with a one group pretest-posttest design method with a total of 34 adolescent girls who experienced dysmenorrhea. The measuring instrument used NRS (Numeric Rating Scale) and data analysis using Wilcoxon Sign Rank test. The results of the study is the intensity of dysmenorrhea pain before being given cinnamon aromatherapy was dominated by moderate pain (85.3%) and the intensity of dysmenorrhea pain after being given cinnamon aromatherapy was dominated by mild pain (88,2%). The results of the Wilcoxon test showed a p value of 0.000 <0.05, meaning that Ho was rejected and Ha was accepted. There is an effect of cinnamon aromatherapy with inhalation method on dysmenorrhea pain intensity in female students at SMAN 1 Jogorogo.

Hypertension is a condition where blood pressure is higher than the normal limit, namely for systolic ≥140 mmHg and for diastolic ≥90 mmHg. The purpose of this writing is to find out and provide nursing care for Mr. B’s family with cardiovascular system disorders: hypertension in Mr. J in Kalibuntu Village Rt 05 Rw 02 Losari District Brebes Regency according to nursing standards. The method used s the data collection method in the form of interviews, observations, documentation studies and physical examinations. From the case rewiew, it was found that the client’s main complaint was pain in the back of the head and pain in the neck, P: pain increases during activity, Q: pain like being cut, R: pain in the back of the head, S: pain scale 4 (moderate), T: pain comes and goes. The nursing problems found were acute pain and knowledge deficit. Interventions are arranged based on the theory in SDKI, SLKI and SIKI as well as on the client’s condition and can be implemented.

Gout arthritis is a disease in which there is excessive accumulation of uric acid in the body. Based on WHO, the prevalence of gouty arthritis in the world is 34.2%. The impact of gouty arthritis pain can be caused in the form of decreased quality of life of sufferers due to pain that greatly interferes with daily activities: Research objectives the description of the pain level of gouty arthritis in UPTD Puskesmas 1 Baturetno Wonogiri. Methods: Descriptive with a quantitative approach. The research subjects were 196 patients with purposive sampling technique totaling 66 patients. Research instrument (NRS) nurmetic rating scale. Results: Characteristics The majority of gouty arthritis pain levels were elderly at 35 respondents (53%), female gender at 37 (56.1%), the majority of the length of suffering ≥ 5 years at 44 (67.7%), the majority of moderate pain levels with a scale of 4-6 at 31 (47%). Conclusion: the description of the pain level of gouty arthritis at UPTD Puskesmas 1 Baturetno is mostly elderly, female gender, long suffering ≥ 5 years, moderate pain level.

Abdominal pain is a general term for any symptom of a disease that affects the area between the chest and pelvis (abdominal wall) depending on the severity, duration and location of the pain. The purpose of this paper is to find out and provide nursing care for Ms. S with digestive system disorders: abdominal pain in the dahlia ward of dr. Soeselo hospital, Tegal Regency according to nursing standards. The data collection techniques in this scientific paper are in the form of interviews, observations, documentation studies and literature studies. From the case review, it was found that the client’s main complaint was abdominal pain in the upper left side, P: pasin when eating spicy food (pain decreases when lying down), Q: like being pressed, R: upper left abdomen quadrant 2, S: pain scale 5, T: continuous. The nursing problems found were acute pain, nausea and knowledge deficit. Interventions were arranged based on the theory in SDKI, SLKI and SIKI as well as on the client’s condition and can be implemented.