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Background: Non-communicable diseases (NCDs) are diseases caused by changes in human organs or degenerative diseases (age factor). Rheumatoid arthritis is a chronic autoimmune disease that occurs when the body's immune system mistakenly attacks joint tissues. According to WHO 2025, rheumatoid arthritis sufferers reach 355 million people worldwide. Method: This scientific paper uses a descriptive narrative method, namely by providing an overview of family nursing care to patients through a nursing process approach. The general objective of this paper is to understand and apply family nursing care to patients with Musculoskeletal System Disorders: Rheumatoid Arthritis. Results: Nursing diagnoses that appear in patients with Musculoskeletal System Disorders: Rheumatoid Arthritis include chronic pain and knowledge deficit. Conclusion: After nursing implementation for 2 days, the chronic pain diagnosis was partially resolved and the knowledge deficit was resolved, so the author performed routine discharge planning by doing warm compresses using ginger.

Primary dysmenorrhea frequently disrupts the academic and daily activities of adolescent girls. This study evaluated the effectiveness of a 5-minute warm compress application in reducing menstrual pain intensity. A quasi-experimental study with a one-group pretest-posttest design was conducted on 42 female students of SMAN 28 Batam selected through purposive sampling. Participants applied a warm compress (40–45 °C) to the lower abdomen for 5 minutes. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. Data were analyzed using the Wilcoxon Signed-Rank test. Before the intervention, 42.9% of participants reported severe pain (NRS 7–10). After the 5-minute application, the severe pain category disappeared entirely (0%), with 57.1% of subjects shifting to the mild pain category (NRS 1–3). Statistical analysis showed a significant reduction in dysmenorrhea intensity (p < 0.001). A 5-minute warm compress application is a rapid and effective non-pharmacological intervention for relieving primary dysmenorrhea in adolescents. Its practicality makes this method a feasible self-care strategy to implement in school settings.

Gastritis is an inflammation of the gastric mucosa that often causes pain in the epigastric area, which can reduce patient comfort and quality of life. This condition requires treatment that is not only pharmacological, but can also be supported by non-pharmacological interventions such as warm compresses that function to provide a relaxing effect and improve blood circulation. This study aims to determine the effect of warm compresses on reducing pain intensity in gastritis patients. The research method used was descriptive with a case study approach on one patient treated in the inpatient ward. Data collection was carried out through interviews, observation, and documentation using the PQRST method to assess pain. The intervention in the form of warm compresses was given for three days with a frequency of once a day for ± 15–20 minutes in the epigastric area. The results showed a gradual decrease in pain intensity from a scale of 6 to a scale of 2 after the intervention, as well as an increase in patient comfort. The implications of this study indicate that warm compresses can be used as an effective, safe, and easy-to-implement independent nursing intervention to help reduce pain in gastritis patients and improve the quality of nursing care.

Gout arthritis, or often called gout, is a type of arthritis caused by the accumulation of uric acid crystals in the joints and surrounding tissues. Arthritis itself is a term used to describe inflammation of the joints. The process of gout begins with an increase in uric acid levels in the blood, called hyperuricemia. Gout arthritis sufferers in the world affect approximately 10% to 25% of the world's population, the WHO prevalence of gout arthritis in the world is 34.2%. The type of research used in this study is quantitative research using a quasi-experimental research method, namely the pre-posttest control one group design method. This study is a study conducted on 1 group using an intervention without a comparison. This study has been conducted with a total of 20 elderly people who meet the inclusion and exclusion criteria. It is known that the Sig. (2-tailed) value of 0.00 is greater than 0.05. then there is a significant difference between the results before and after the warm cinnamon water compress. So it can be concluded that there is an effect of warm cinnamon compresses (Cinnamomun Burmannii) on gout arthritis in the elderly at the Sei Pancur Community Health Center.

Dysmenorrhea or menstrual pain, is a common health issue among adolescent girls, often disrupting daily activities and quality of life. Effective management of dysmenorrhea is strongly influenced by the level of knowledge and attitudes of adolescent girls toward this condition. This literature review aims to analyze the relationship between knowledge and attitudes regarding the management of menstrual pain among adolescent girls. Various studies indicate that while adequate knowledge about dysmenorrhea is important, the correlation between knowledge and attitude is not always significant. Some research finds that good knowledge does not necessarily translate into a positive attitude towards pain management, as other factors such as stress, anxiety, and reluctance to take action also play a role. However, there are studies that show a positive relationship between increased knowledge and better attitudes toward dysmenorrhea management,  although the strength of this association is very weak. Most adolescents tend to choose non-pharmacological management, such as rest and warm compresses, but many still ignore menstrual pain due to a lack of knowledge and information. Therefore, educational interventions and counseling in schools are essential to improve knowledge and foster positive attitudes in managing dysmenorrhea among adolescent girls. These efforts are expected to help adolescent girls manage menstrual pain more effectively and enhance their quality of life.

Labor pain begins in the first stage, which includes the latent phase (cervical dilation up to 3 cm) and the active phase (cervical dilation from 4 cm to 10 cm). The active phase sees an increase in the intensity and frequency of contractions, leading to peak pain. Research on 2,700 delivering mothers found that 15% experienced mild pain, 35% moderate pain, 30% severe pain, and 20% very severe pain. To reduce maternal mortality (AKI), minimizing labor pain is crucial. Labor pain can be controlled through pharmacological and non-pharmacological methods. Non-pharmacological methods include counter pressure, hypnobirthing, endorphin massage, effleurage massage, relaxation techniques, warm compresses, Mozart music, murottal therapy, acupressure, and aromatherapy. Distraction and pain management techniques are vital for healthcare providers to help reduce pain, especially during the first stage of labor. One effective method is deep breathing relaxation, where regulating the breathing pattern can reduce pain caused by cervical dilation. Slow deep breathing, a conscious relaxation technique, has several benefits, such as reducing stress and anxiety, improving focus, lowering blood pressure, enhancing sleep quality, and improving digestion. Objective: To determine the effect of slow deep breathing on labor pain reduction. Results: Wilcoxon statistical test showed a significance value of ρ = 0.023 (ρ<0.05), indicating a significant difference in labor pain levels before and after applying slow deep breathing. Conclusion: Slow deep breathing reduces labor pain levels.

Dysmenorrhea, which is common in adolescent girls, is a painful menstrual cycle that frequently interferes with daily activities, both in the classroom and in social situations. Dysmenorrhea is a common condition that needs particular care as a reproductive health concern, notably among young people. Both pharmacological and non-pharmacological approaches can be used to treat dysmenorrhea. The use of warm water compresses is a simple, inexpensive, and effective non-pharmacological approach. By increasing blood vessel dilatation, enhancing blood circulation, lowering muscular tension, and lowering pain perceptions, warm water compresses aid in alleviating dysmenorrhea symptoms. The objective of this study is to assess the impact of warm compresses on the severity of dysmenorrhea pain scales in teenage girls at the Buntalo Community Health Center. The design of this trial was pre-experimental, using a one-group pretest-posttest technique. Using a purposive sampling method, a sample of 20 respondents was chosen. The Wilcoxon test was used to conduct the data analysis. According to the data, there was a statistically significant reduction in pain intensity, with a Z value of -4.065 and a p-value of 0.000 (p < 0.05). The average pain scale decreased from 2.95 to 1.80. Based on these findings, it is reasonable to conclude that warm water compresses are helpful in alleviating dysmenorrhea pain in young women. One of the suggestions for non-pharmacological treatments to help alleviate dysmenorrhea symptoms in adolescents is anticipated to be the outcome of this research.

Obstructive ileus is a digestive system disorder characterized by a blockage caused by abnormalities in the intestinal lumen, intestinal wall, or foreign objects outside the intestine. Blockages in this intestinal area can cause accumulation or buildup at the site of the blockage. Patients with obstructive ileus generally experience complaints such as nausea, vomiting, abdominal distension, bowel disorders, flatus (gas) disorders, and the most common symptom is abdominal pain. The goal of this community service is to enable families to understand the definition, causes, and management of obstructive ileus and to practice applying warm compresses to minimize pain in the affected area. The methods used in this activity were counseling, interactive discussions, and practice of applying warm compresses. The media used were leaflets and flipcharts. The results obtained from this health education activity can improve patient (family) knowledge and practice in applying warm compresses to relieve pain. It is hoped that after this activity, patients (families) can apply knowledge of how to manage pain independently as an initial preventative measure to reduce pain

This study examines postpartum nursing care for mothers undergoing Sectio Caesarea (SC) with the primary nursing diagnosis of ineffective breastfeeding. The purpose is to evaluate the effectiveness of oxytocin massage intervention in improving breastfeeding outcomes in post-SC mothers. The study was conducted in Mawar Ward, RSUD dr. H. Soewondo Kendal, involving four patients experiencing delayed lactation, difficulty in baby latching, and psychological challenges such as anxiety and lack of confidence. The intervention was based on the Indonesian Nursing Intervention Standards (SIKI), focusing on observation, therapeutic actions, education, and collaboration with healthcare teams and family members. Oxytocin massage was performed 2–3 times daily, complemented by warm compresses, breastfeeding position training, and emotional support. The results indicated significant improvements: increased breast milk production, better baby latching, reduced maternal anxiety, and higher self-confidence in breastfeeding. This evidence-based approach highlights that comprehensive postpartum nursing care—integrating physical, psychological, and family support—plays a crucial role in ensuring breastfeeding success and overall maternal recovery after SC.

This study examines postpartum nursing care for mothers undergoing Sectio Caesarea (SC) with the primary nursing diagnosis of ineffective breastfeeding. The purpose is to evaluate the effectiveness of oxytocin massage intervention in improving breastfeeding outcomes in post-SC mothers. The study was conducted in Mawar Ward, RSUD dr. H. Soewondo Kendal, involving four patients experiencing delayed lactation, difficulty in baby latching, and psychological challenges such as anxiety and lack of confidence. The intervention was based on the Indonesian Nursing Intervention Standards (SIKI), focusing on observation, therapeutic actions, education, and collaboration with healthcare teams and family members. Oxytocin massage was performed 2–3 times daily, complemented by warm compresses, breastfeeding position training, and emotional support. The results indicated significant improvements: increased breast milk production, better baby latching, reduced maternal anxiety, and higher self-confidence in breastfeeding. This evidence-based approach highlights that comprehensive postpartum nursing care—integrating physical, psychological, and family support—plays a crucial role in ensuring breastfeeding success and overall maternal recovery after SC.

Back discomfort is a common musculoskeletal complaint among pregnant women, particularly in the third trimester, caused by biomechanical and physiological changes during pregnancy. This condition can interfere with daily activities, reduce sleep quality, and decrease overall comfort. Pharmacological treatments during pregnancy are limited due to safety concerns, making non-pharmacological therapies essential in primary healthcare. One alternative is the use of warm ginger compresses, which combine the benefits of heat therapy with the anti-inflammatory properties of ginger. This study aimed to examine the effect of warm ginger compresses on reducing back pain intensity in third-trimester pregnant women at the Jailolo Community Health Centre. The research used a pre-experimental one-group pretest–posttest design. The sample consisted of 16 pregnant women selected through purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. The treatment involved applying warm ginger compresses to the lower back following a standardized procedure. Data analysis was conducted using univariate and bivariate methods with the Wilcoxon signed-rank test. The results showed a significant reduction in back pain intensity after the intervention (p < 0.05). These findings indicate that warm ginger compresses are an effective, safe, and simple non-pharmacological method for reducing back pain in third-trimester pregnant women.

Abdominal pain is one of the main complaints frequently encountered in patients in emergency departments and inpatient wards. This condition may be caused by various factors, ranging from gastrointestinal disorders and inflammation to reproductive system problems. Poorly managed pain can affect the patient’s quality of life, reduce daily activities, and increase anxiety. This case study aims to describe nursing care for Mrs. U, who presented with abdominal pain at dr. Soeselo Hospital, Tegal Regency. The research method applied was a case study with a nursing process approach, including assessment, diagnosis, intervention, implementation, and evaluation. The assessment revealed that the patient complained of lower abdominal pain with a pain scale of 5 (moderate), accompanied by nausea, weakness, and intermittent fever. The primary nursing diagnosis established was acute pain related to physiological injury agents. Interventions included pain management education, relaxation techniques, application of warm compresses, and collaboration in administering analgesics. The evaluation showed a decrease in pain intensity from a scale of 5 to 3, with the patient appearing calmer and showing improved sleep quality. This study emphasizes the crucial role of nurses in providing comprehensive care to reduce abdominal pain through both independent and the collaborative interventions with the medical team.

Non-Communicable Diseases (NCDs) remain the leading cause of global morbidity and mortality, and one of the chronic conditions included in this group is rheumatoid arthritis (RA). RA is an autoimmune disease that affects the synovial joints, resulting in persistent inflammation, chronic pain, stiffness, and eventual deformities if left untreated. In Indonesia, the burden of RA continues to grow; the prevalence reaches 11.9% based on clinical diagnosis and rises to 24.7% when measured using symptom-based diagnosis. This case study aimed to describe family nursing care for a client with RA through a structured nursing process approach to improve quality of life and family involvement. The study took place in Purwodadi Village, Tonjong Subdistrict, Brebes Regency, focusing on the family of Mr. AS with Mrs. W as the client diagnosed with RA. Data collection involved comprehensive interviews, direct observation, physical examination, and documentation review. Assessment findings included chronic pain with an intensity score of 4, limited mobility, and inadequate family knowledge regarding RA management. Nursing interventions implemented were family education on RA, simple rheumatic exercises tailored to the client’s ability, and the application of warm ginger compresses as a non-pharmacological pain relief method. Post-intervention evaluation showed pain reduction to a score of 2, improved independence in performing light daily activities, and enhanced family understanding and support. In conclusion, family-centered nursing care combined with non-pharmacological interventions can effectively reduce pain, improve mobility, and strengthen the family’s role in supporting RA management.

. Introduction Malaria is an infectious disease caused by Plasmodium through the bite of a female Anopheles mosquito. In 2022, WHO recorded 249 million cases of malaria globally. In Indonesia, cases reached 418,546 in 2023, with Papua contributing 92% of the total cases. Yapen Islands Regency recorded 21,238 cases in the first semester of 2023. One of the main symptoms of malaria is hyperthermia, which if not treated immediately, can cause serious complications such as febrile seizures, impaired consciousness, and organ damage. This therapy stimulates peripheral vasodilation, which helps reduce body temperature naturally. The purpose of this study was to describe the implementation and effectiveness of warm compress therapy in malaria patients with hyperthermia. The method used is a descriptive case study. This study uses a descriptive case study approach with the aim of describing the implementation of warm compress therapy as a nursing intervention in malaria patients with hyperthermia problems. The results showed a significant decrease in body temperature and increased patient comfort. The suggestion from this study is the need for education to families and health cadres about this therapy procedure. In conclusion, warm compress therapy is a simple, safe, effective nursing solution that is suitable for use in areas with limited resources. Hyperthermia treatment must be carried out quickly and precisely. An effective and practical solution is the application of warm compress therapy to certain areas of the body (forehead, armpits, groin) using water at a temperature of 37–40°C.

Malaria is an infectious disease transmitted by infected female Anopheles mosquitoes. This disease is caused by the parasitic Plasmodium protozoa that enter the human bloodstream through mosquito bites. Among the various types of Plasmodium that can infect humans, Plasmodium knowlesi, Plasmodium vivax, Plasmodium ovale, Plasmodium malariae, and Plasmodium falciparum are the most dangerous because they can cause death or serious complications. This case study aims to evaluate the effect of warm compresses on hyperthermia in tropical malaria patients in class I & II rooms of Serui Regional Hospital, Papua on February 18, 2025. The author uses a descriptive research method by conducting observations and observations using a nursing process approach. The results of the study showed that the application of warm compress therapy to hyperthermia combined with pharmacological therapy was effective in overcoming hyperthermia in tropical malaria patients. There was a decrease in body temperature from 39.8 ? to 36.7 ? after implementation for 1 day. Monitoring vital signs and evaluating body temperature regularly is very important to assess the effective ness of the intervention. Conclusion: This study emphasizes the effect of warm compress as a non-pharmacological approach in the management of hyperthermia in tropical malaria patients to reduce body temperature and prevent further complications.  

Rheumatoid arthritis (RA) is a chronic autoimmune disease that primarily affects the musculoskeletal system and often causes severe pain and functional limitations, especially among the elderly. This study aimed to provide a comprehensive overview of nursing care for a patient diagnosed with RA through a family-based approach. The research employed a descriptive qualitative method with a case study design conducted in a rural village in Brebes, Central Java. Data were collected through in-depth interviews, observation, and documentation. The results showed that the integration of non-pharmacological interventions, including warm compresses using ginger and lemongrass, and deep breathing techniques, significantly reduced pain intensity. Additionally, increased family involvement in caregiving, facilitated by structured health education, enhanced the patient's quality of life. This study confirms the importance of applying Dorothea Orem’s Self-Care Deficit Theory to support the independence and well-being of RA patients within their home environments. The findings suggest that community nurses should prioritize family empowerment in chronic disease management, particularly in areas with limited health access.

Background: According to the 2020 Ministry of Health Profile, fever accounts for 7.3% of infant deaths in Indonesia. Fever is a common complaint in children, with 20–40% of parents reporting their child's illness each year. Approximately 19–30% of patients visiting doctors are children, and fever is one of the primary complaints. If not treated promptly, fever can lead to complications such as seizures and decreased consciousness. Fever management can be done through pharmacological (antipyretic, NSAID, diazepam) or non-pharmacological measures, one of which is by applying compresses. Objective: To determine the effectiveness of dry warm compresses and water tepid sponge compresses on reducing body temperature in pediatric patients at Pati Islamic Hospital. Method: Quantitative research with a quasi-experimental two-group pre–post test design using a purposive sampling technique. Results: The application of water tepid sponge compresses showed a significant decrease in temperature with an average difference of 1.2°C, while dry warm compresses only reduced the temperature by a difference of 0.2°C. Conclusion: Water tepid sponge compresses are more effective than dry warm compresses in reducing body temperature in children with fever at Pati Islamic Hospital.

Hypertension is one of the major health problems often experienced by the elderly, with complaints of headaches predominantly in the nape and forehead area. This complaint, if not optimally managed, can reduce the quality of life of the elderly and risk worsening overall health conditions. Non-pharmacological interventions such as warm compresses are one of the nursing interventions that are safe, effective, easy to implement, have minimal side effects and can be done independently at home. Objective: This study aims to determine the effectiveness of providing warm compresses in reducing the intensity of headaches in elderly with hypertension. Method: The method used is a descriptive case study with a nursing process approach that includes assessment, diagnosis, intervention, implementation, and comprehensive evaluation. Subjects: The subjects in this study were two elderly people aged 60–75 years with hypertension and a pain scale between 3–7 who were given warm compresses for six consecutive days at the same time each day. Results: The results of the study showed that after the intervention, there was a significant decrease in the pain scale. In the first subject, the pain scale decreased from 7 to 3, while in the second subject, it decreased from 6 to 3. Both subjects also reported a sense of comfort, body relaxation, and improved sleep quality after warm compress therapy. Recommendation: Based on these findings, warm compress is recommended as a non-pharmacological nursing action that can be used independently or in primary health care to help reduce headaches in elderly people with hypertension effectively and sustainably.

Hypertension is a global health problem whose prevalence continues to increase every year. This condition is not only a major cause of cardiovascular disease but also contributes to high morbidity and mortality rates in various countries, including Indonesia. One risk factor mitigating this problem is low public awareness of the importance of routine blood pressure monitoring. Therefore, promotive and preventive efforts are needed through health education that is easy to understand and can be applied in everyday life. This community service activity aims to increase public knowledge, especially among the elderly, about hypertension and the application of simple non-pharmacological therapies. One method introduced is soaking feet in warm water with added salt. This method is considered safe, practical, and cost-effective, making it suitable for elderly people in rural communities. The activity was carried out in Mauleng Hamlet, Paccing Village, Awangpone District, Bone Regency, with 15 elderly participants. The activity method included a pre-test to determine the participants' initial level of knowledge, counseling on hypertension, direct compression using warm water and salt foot soaks, and a post-test to measure knowledge improvement. The results showed a significant increase in participants' level of knowledge. Prior to the outreach program, only 7% of respondents had sufficient knowledge about hypertension and non-pharmacological therapy. After the outreach and reinforcement program, this figure increased to 87%. These results indicate that health education combined with practical demonstrations is highly effective in increasing public knowledge. Therefore, it can be concluded that educational activities and warm salt foot soak therapy have proven effective in increasing public understanding of non-pharmacological hypertension management and have the potential for widespread implementation as a health promotion measure.

Background: Fever is a common side effect after infants receive DPT (Diphtheria, Pertussis, and Tetanus) immunization. This condition often causes concern for parents, so appropriate treatment is needed. Generally, fever can be treated with pharmacological and non-pharmacological methods. One of the most widely used non-pharmacological treatments is warm compresses. However, innovations in the use of natural ingredients are starting to be noticed, one of which is dadap serep leaves which are thought to be more effective in helping to lower body temperature. The active compounds in dadap serep leaves are believed to provide a calming effect while helping vasodilation, so that body heat can be reduced more quickly. Methodology: This study used a quantitative method with a quasi-experimental design of the non-equivalent pretest posttest control group design. The research subjects were divided into two groups, namely the intervention group who received dadap serep leaf compresses and the control group who received warm compresses. Body temperature measurements were taken before and after the intervention. The data obtained were analyzed using statistical tests to see the difference in temperature reduction in each group. Results: The intervention group showed a significant reduction in body temperature, namely 73.3%. In contrast, the control group using warm compresses only experienced a 20% reduction, which was not statistically significant. The results of the intergroup comparison test also showed a significant difference, supporting the research hypothesis. Conclusion: Dadap serep leaf compresses were proven to be more effective than warm compresses in reducing fever in infants following DPT immunization. These findings suggest that the use of dadap serep leaves can be recommended as a safe, effective, and easy-to-implement non-pharmacological intervention alternative in daily practice.