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Inguinal hernia is a common abdominal hernia occurring in the groin region and generally requires surgical management, with postoperative pain control being an important aspect of patient recovery. This case reports a 55-year-old male presenting with a left groin mass for 6 months, which was initially reducible but subsequently became difficult to reduce, accompanied by severe pain and activity limitation. Physical examination revealed a left inguinal mass measuring approximately 3.03 × 2.17 cm, with firm consistency, well-defined borders, immobility, and tenderness, while ultrasonography demonstrated dilation of the left inguinal canal after provocation; based on these findings, a diagnosis of left inguinal hernia with ASA physical status II was established. The patient was managed with herniorrhaphy under regional anesthesia using a subarachnoid block, followed by ultrasound-guided ilioinguinal and iliohypogastric nerve blocks with levobupivacaine and pehacain for postoperative analgesia. Intraoperatively, the patient remained hemodynamically stable, and postoperatively, pain intensity decreased gradually from a VAS score of 6 to 2 within 24 hours and reached 0 on the second postoperative day without significant complaints. This case demonstrates that regional anesthesia combined with ultrasound-guided peripheral nerve block may support postoperative pain control after herniorrhaphy, maintain clinical stability, and improve patient comfort during recovery.

Background: Dysmenorrhea is a problem that women often experience during menstruation, in the form of dull pain in the lower abdomen because the uterine muscles contract. This pain can appear before menstruation, during menstruation, or after menstruation is finished. Dysmenorrhea refers to pain or discomfort that occurs during menstruation and can interfere with daily work. Objective: The aim of this study was to determine the effect of abdominal stretching exercises and deep breathing relaxation techniques on the level of dysmenorrhea pain in adolescent girls. Methods: This type of research is quantitative research using a quasi-experimental design with a pre-test and post-test nonequivalent control group design with a purposive sampling technique, with a sample size of 80 female respondents from class X. The data collection tool used was an observation sheet with an NRS measuring instrument. Data were processed and analyzed using SPSS 23 with intergroup analysis using the Mann-Whitney test. Results: The results of the bivariate analysis of the Wilcoxon test in the experimental group showed a p value of 0.000 where (p<0.05), then the Mann-Whitney test showed a p value of 0.000 where (p<0.05) so that H0 was rejected and Ha was accepted, which means there is a significant influence and difference. Conclusion: This shows that there is an influence of Abdominal Stretching Exercise and Deep Breathing Relaxation Techniques on the Level of Dysmenorrhea Pain in Young Women (Research Study Conducted at SMK Negeri 1 Kubutambahan).

Sectio caesarea is a common surgical procedure to deliver a baby when normal delivery is not possible or risky. Postoperatively, patients often experience acute pain that can interfere with the recovery process. The benson relaxation technique is a nonpharmacological method that has been shown to be effective in reducing pain through a relaxation and patient confidence approach. This study uses a case study approach on Mrs. T, a post-sectio caesarea patient at Harapan Bunda Hospital, Batam City. Nursing care is carried out comprehensively for three days, including assessment, diagnosis, intervention, implementation, and evaluation. The main intervention was the administration of benzone relaxation techniques for 10–15 minutes every day. After three days of applying the Benson relaxation technique, Mrs. T's pain intensity decreased from a scale of 6 (moderate pain) to a scale of 2 (mild pain). Patients show increased comfort, ability to be active, and decreased expressions of pain such as grimacing. These results support previous findings that benzon relaxation is effective as a nonpharmacological therapy in reducing postoperative pain. This technique can be a safe and easy-to-apply alternative in nursing practice, especially for post-sectio caesarean patients.

Dispepsia merupakan gangguan pada sistem pencernaan yang ditandai dengan rasa nyeri atau ketidaknyamanan pada daerah epigastrium. Kondisi ini dapat memengaruhi aktivitas dan pola istirahat pasien apabila tidak ditangani dengan baik. Studi kasus ini adalah memberikan asuhan keperawatan pada pasien dispepsia dengan masalah keperawatan nyeri akut di RSUD Serui. etode: Penuis menggunakann metode studi kasus dengan pendekatan proses keperawatan yang meliputi pengkajian, diagnosis keperawatan, intervensi, implementasi, dan evaluasi. Pengkajian menunjukkan pasien mengeluh nyeri pada daerah epigastrium dengan skala nyeri 4, nyeri seperti ditusuk-tusuk, serta mengalami gangguan tidur akibat nyeri. Tindakan keperawatan yang diberikan meliputi identifikasi karakteristik nyeri, monitoring intensitas nyeri, pemberian teknik relaksasi napas dalam, edukasi manajemen nyeri, dan kolaborasi pemberian terapi sesuai program medis. Setelah dilakukan tindakan keperawatan selama 2×8 jam, diperoleh hasil bahwa nyeri pasien menurun dari skala 4 menjadi skala 0, pasien tampak lebih rileks, dan kualitas tidur membaik. Dari studi kasus ini menunjukkan bahwa pemberian asuhan keperawatan melalui manajemen nyeri dan teknik relaksasi napas dalam efektif membantu menurunkan intensitas nyeri pada pasien dispepsia.

Karies gigi merupakan salah satu masalah kesehatan gigi dan mulut yang paling sering terjadi pada anak, terutama pada gigi sulung yang memiliki struktur enamel lebih tipis dan rentan terhadap demineralisasi. Kondisi ini tidak hanya berdampak pada rasa nyeri atau ketidaknyamanan, tetapi juga dapat mengganggu fungsi pengunyahan, proses pencernaan, serta status gizi anak secara keseluruhan. Pada kasus yang berlangsung kronis, gangguan nutrisi akibat karies gigi dapat berkontribusi terhadap hambatan pertumbuhan yang pada akhirnya memunculkan kondisi anak berkebutuhan khusus. Situasi ini menjadi penting untuk diperhatikan mengingat kelompok anak berkebutuhan khusus memiliki risiko lebih tinggi terhadap masalah kesehatan gigi akibat keterbatasan motorik, kognitif, maupun perilaku dalam menjaga kebersihan rongga mulut. Penelitian ini bertujuan mengetahui karies gigi sulung pada anak berkebutuhan khusus sebagai bagian dari upaya pemetaan masalah kesehatan gigi pada kelompok rentan di wilayah perkotaan. Penelitian deskriptif ini dilaksanakan di Sekolah Luar Biasa (SLB) Kota Makassar pada April - Oktober 2025 dengan pemeriksaan klinis yang mencakup observasi visual, penilaian kondisi gigi sulung, dan identifikasi tanda-tanda demineralisasi sesuai standar diagnostik karies. Pengumpulan data juga mempertimbangkan faktor pendukung seperti parameter saliva dan kondisi kebersihan mulut untuk memberikan gambaran yang lebih komprehensif mengenai lingkungan intraoral anak. Hasil penelitian menunjukkan bahwa sebagian besar anak berkebutuhan khusus memiliki tingkat kerentanan karies yang masih cukup tinggi, ditandai dengan ditemukannya lesi aktif, permukaan gigi yang mengalami demineralisasi, serta kebersihan mulut yang kurang optimal. Variasi tingkat keparahan karies terlihat antarindividu, mencerminkan perbedaan pola makan, kebiasaan menyikat gigi, dan kemampuan perawatan diri. Temuan ini menegaskan pentingnya intervensi promotif dan preventif yang lebih terarah, termasuk edukasi kepada pengasuh dan pendamping. Penelitian ini diharapkan menjadi data awal untuk penelitian lanjutan terkait kondisi kesehatan gigi anak berkebutuhan khusus di wilayah perkotaan.

Dispepsia merupakan salah satu gangguan gastrointestinal bagian atas yang ditandai oleh keluhan nyeri atau rasa tidak nyaman pada area epigastrium. Kondisi ini dapat berdampak pada penurunan kenyamanan, keterbatasan aktivitas, serta terganggunya proses pemulihan pasien. Selain pengobatan farmakologis, penatalaksanaan nyeri dapat dilakukan melalui intervensi nonfarmakologis untuk meningkatkan efektivitas perawatan. Salah satu metode yang banyak digunakan adalah teknik relaksasi napas dalam, yang berperan dalam menciptakan keadaan relaksasi fisiologis dan menurunkan persepsi nyeri melalui stimulasi pelepasan endorfin. Penelitian ini bertujuan untuk mendeskripsikan penerapan teknik relaksasi napas dalam dalam mengatasi nyeri akut pada pasien dengan dispepsia di Ruang Interna RSUD Serui. Penelitian menggunakan desain studi kasus dengan pendekatan deskriptif pada seorang pasien yang didiagnosis dispepsia dan mengalami masalah keperawatan nyeri akut. Data dikumpulkan melalui observasi, wawancara, pemeriksaan fisik, serta telaah dokumentasi. Pelaksanaan asuhan keperawatan dilakukan berdasarkan tahapan proses keperawatan yang meliputi pengkajian, diagnosis, perencanaan, implementasi, dan evaluasi.Hasil pengkajian menunjukkan pasien mengalami nyeri epigastrium dengan intensitas sedang (skala 5), bersifat menusuk, berlangsung sekitar 15 detik, dan muncul secara intermiten. Setelah penerapan teknik relaksasi napas dalam, terjadi penurunan intensitas nyeri yang disertai peningkatan kenyamanan dan kemampuan pasien dalam melakukan teknik tersebut secara mandiri. Evaluasi setelah 8 jam menunjukkan adanya perbaikan pada masalah keperawatan nyeri akut. Temuan ini menunjukkan bahwa teknik relaksasi napas dalam merupakan intervensi keperawatan nonfarmakologis yang efektif, aman, dan mudah diaplikasikan untuk membantu mengurangi nyeri akut pada pasien dispepsia.

Carpal Tunnel Syndrome (CTS) merupakan gangguan muskuloskeletal pada ekstremitas atas akibat penekanan nervus medianus di terowongan karpal yang dapat menimbulkan nyeri, parestesia, penurunan kekuatan otot, serta keterbatasan fungsi aktivitas. Kondisi ini sering dijumpai pada individu dengan aktivitas tangan berulang dan berpotensi menurunkan kualitas hidup apabila tidak ditangani secara adekuat. Penelitian ini bertujuan untuk menggambarkan asuhan fisioterapi berbasis International Classification of Functioning, Disability and Health (ICF) pada pasien dengan Carpal Tunnel Syndrome unilateral. Penelitian menggunakan desain studi kasus pada seorang pasien perempuan berusia 55 tahun dengan keluhan nyeri dan kesemutan pada pergelangan tangan kiri selama ±2,5 bulan. Pemeriksaan meliputi asesmen nyeri menggunakan Numeric Rating Scale (NRS), lingkup gerak sendi (ROM), kekuatan otot menggunakan Manual Muscle Testing (MMT), serta fungsi aktivitas menggunakan Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ). Intervensi fisioterapi diberikan selama tiga minggu dengan frekuensi dua kali per minggu, meliputi ultrasound terapeutik, terapi manual, latihan ROM aktif, latihan penguatan genggaman, stretching, nerve gliding, tendon gliding exercise, serta edukasi ergonomi dan home exercise program. Hasil evaluasi menunjukkan penurunan nyeri, peningkatan ROM palmar dan dorsal fleksi, peningkatan kekuatan otot fleksor dan ekstensor wrist, serta perbaikan fungsi aktivitas berdasarkan BCTSQ. Studi kasus ini menunjukkan bahwa asuhan fisioterapi berbasis ICF memberikan dampak positif terhadap perbaikan gejala dan fungsi pada pasien dengan Carpal Tunnel Syndrome unilateral.

Fraktur femur merupakan salah satu cedera muskuloskeletal yang sering menyebabkan gangguan fungsi ekstremitas bawah, terutama setelah tindakan operasi fiksasi internal seperti pemasangan plate and screw. Kondisi ini dapat menimbulkan nyeri, keterbatasan luas gerak sendi, penurunan kekuatan otot, serta gangguan kemampuan berjalan dan aktivitas fungsional sehari-hari. Studi kasus ini bertujuan untuk mengevaluasi efektivitas program fisioterapi berbasis prinsip FITT (Frequency, Intensity, Time, Type) pada pasien pascaoperasi fraktur shaft femur kiri. Penelitian dilakukan di RSUD Salatiga pada bulan September 2025 terhadap satu pasien laki-laki berusia 20 tahun yang berada pada fase dua bulan pascaoperasi. Program fisioterapi diberikan sebanyak lima kali dalam satu minggu dengan durasi 60 menit setiap sesi. Intervensi yang diberikan meliputi latihan range of motion (ROM) aktif dan pasif, latihan penguatan otot isometrik pada quadriceps dan hamstring, gait training menggunakan alat bantu kruk, latihan fungsional seperti transfer dan latihan berdiri, serta edukasi home exercise untuk mendukung keberlanjutan terapi di rumah. Evaluasi dilakukan menggunakan Numeric Rating Scale (NRS) untuk mengukur tingkat nyeri, goniometer untuk mengukur luas gerak sendi, Manual Muscle Testing (MMT) untuk menilai kekuatan otot, serta Lower Extremity Functional Scale (LEFS) untuk menilai kemampuan fungsional pasien. Hasil menunjukkan adanya penurunan nyeri, peningkatan ROM fleksi panggul dari 90° menjadi 100° dan ekstensi dari 10° menjadi 15°, peningkatan kekuatan otot dari 3/5 menjadi 4/5, serta peningkatan skor LEFS dari 41 menjadi 47. Disimpulkan bahwa fisioterapi berbasis FITT efektif dalam mempercepat pemulihan fungsional pasien pascaoperasi fraktur femur tanpa menimbulkan komplikasi tambahan.

Senam hamil merupakan aktivitas fisik yang memberikan manfaat signifikan bagi kesehatan ibu dan janin, seperti meningkatkan kebugaran, mengurangi nyeri punggung, serta membantu persiapan persalinan. Namun, partisipasi ibu hamil dalam senam hamil masih rendah, yang salah satunya disebabkan oleh keterbatasan pengetahuan tentang manfaat dan pelaksanaannya. Pendidikan kesehatan berbasis media digital, seperti e-book, menjadi alternatif edukasi yang efektif, mudah diakses, dan fleksibel untuk meningkatkan pengetahuan ibu hamil. Penelitian ini bertujuan menganalisis pengaruh health education menggunakan media digital e-book terhadap pengetahuan ibu hamil mengenai senam hamil. Penelitian ini menggunakan desain pre-eksperimental one-group pretest–posttest dengan sampel 40 ibu hamil trimester II dan III yang mengikuti Program Manajemen Bersalin (PMB) Ferawati Palembang. Data dikumpulkan melalui kuesioner pengetahuan sebelum dan setelah intervensi edukasi, kemudian dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan adanya peningkatan pengetahuan yang signifikan setelah pemberian edukasi dengan e-book, ditunjukkan oleh nilai p = 0,000 (p < 0,05). Temuan ini mengindikasikan bahwa pendidikan kesehatan berbasis e-book berpengaruh signifikan dalam meningkatkan pengetahuan ibu hamil tentang senam hamil. Oleh karena itu, penggunaan media digital dapat menjadi strategi efektif dalam upaya peningkatan kesehatan ibu hamil melalui edukasi yang mudah diakses dan berkelanjutan.

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.

The IV infusion process will cause pain that can be disturbing for children. Pain is a form of uncomfortable sensation that is felt personally by each individual. In addition, there will be changes in vital signs such as increased pulse, blood pressure, and respiration so that it will be an unpleasant experience for children. Non-pharmacological therapy as an intervention to reduce pain perception in children and increase comfort during medical procedures. One form of non-pharmacological technique is audio visual distraction using a smart book. Smart books are fun and interactive play therapy that can support cognitive, fine motor, and sensory aspects in children and to divert children's attention from pain by displaying more pleasant and interesting images and musical sounds so that it can reduce the pain scale after IV installation. The design used in the preparation of this Final Scientific Paper for Nurses is a case study with an intervention in the form of audio visual distraction using a smart book for ± 10 minutes. The number of respondents was 3 people, the intervention was carried out on September 14, October 7, and November 24, 2025, located in the Theresia Charitas Hospital Palembang room. After the smart book audio visual distraction therapy, there was a decrease in the pain scale for 3 respondents, namely in An. A from a pain scale of 7 to a pain scale of 4, An. G from a pain scale of 10 to a pain scale of 4, and An. R from a pain scale of 7 to a pain scale of 4. The application of EBP smart book audio visual distraction therapy can be used to reduce the pain scale in preschoolers after IV installation.

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.

A fracture occurs when bone continuity is disrupted due to external pressure or force that exceeds the bone's capacity. Fractures constitute a medical emergency requiring immediate treatment. A primary surgical intervention for this condition is the Open Reduction and Internal Fixation (ORIF) procedure, which aims to reposition broken bone fragments to their normal anatomy. This procedure is considered crucial for achieving proper bone union and minimizing the potential for postoperative complications. As a consequence of the surgical incision and tissue trauma, patients commonly experience postoperative pain. The management of this pain can broadly be categorized into two approaches: pharmacological and non-pharmacological. Among non-pharmacological methods, cold compress therapy has proven effective in alleviating pain in patients following ORIF surgery. The sensation of pain can be alleviated through the application of a cold pack by inhibiting sensory nerve conduction and suppressing local inflammation. Simultaneously, cryotherapy also reduces blood flow to the injury site, which in turn limits blood extravasation and the accumulation of edema fluid. A descriptive case study analysis of four patients with acute pain after lower extremity ORIF surgery. The effectiveness of the intervention was measured using the Numeric Rating Scale (NRS).: The application of cold compresses using cold packs for 3 days to 4 respondents before the cold compress was applied was on a pain scale of 6–7 (moderate to severe category), after the intervention the pain scale became 2–3 (mild category). The results indicate that cold compress therapy in patients with lower extremity post-ORIF fractures is effective in reducing pain levels. Therefore, cold compress therapy is recommended as a non-pharmacological therapy to reduce pain in patients with fractures after ORIF.

Knee osteoarthritis (OA) is a degenerative joint disorder frequently affecting older adults, characterized by symptoms such as pain, stiffness, and reduced physical capability. These symptoms can lead to decreased independence and a lower quality of life among the elderly. Tai Chi exercise is recognized as one of the recommended non-pharmacological approaches for managing osteoarthritis. This paper aims to explore the effects of Tai Chi exercise on alleviating knee pain in older adults with osteoarthritis. The methods applied include a literature review, a Pre-test Post-test design, and theoretical nursing care analysis using a community nursing framework. Pain intensity was measured using the Numeric Rating Scale (NRS). The Tai Chi program was conducted three times per week, with each session lasting 20–30 minutes. Findings show that Tai Chi exercise helps reduce knee pain intensity, enhances joint range of motion, strengthens muscles, and improves balance and physical mobility in the elderly. Furthermore, Tai Chi promotes relaxation, which aids in pain management by decreasing stress responses and increasing endorphin release. Overall, the study concludes that Tai Chi exercise is an effective non-pharmacological nursing intervention for managing knee pain in older adults with osteoarthritis and holds potential for incorporation into elderly healthcare programs.

Anxiety and pain are common problems experienced by postoperative patients and may negatively affect physiological and psyhological conditions as well as the recovery process. Management of anxiety and pain can be carried out throught pharmacological and non-pharmacological approaches, one of which is the autogenic relaxation technique. This technique is safe, simple easy to learn and does not cause side effects so it can be applied by healthcare professionals and performed independently by patients. This study aimed to determine the effect of autogenic relaxation on anxiety levels and pain intensity in postoperative patients in the general ward. This study employed a pre-experimental design with a pretest-posttest without control approach. The sample consisted of 31 respondents selected using a purposive sampling technique. Data were collected using the Hamilton Rating Scale for Anxiety (HRS-A) to measure anxiety levels and the Numeric Rating Scale (NRS) to assess pain intensity. The result of the Paired Sample T-test showed a p-value of 0,0001 (< 0,05), indicating a significant decrease in the mean anxiety level from moderate to mild after the intevention. The wilcoxon test also showed a p-value of 0,0001 (< 0,05), demonstrating a significant difference in pain intensity before and after the intervention, from moderate pain to mild pain. It can be cocluded that the autogenic relaxation technique has a significant effect on reducing anxiety levels and pain intensity in postoperative patients. This technique is recommended as a non-pharmacological intervention that can be applied by healthcare professionals to enhance patient comfort and support the postoperative recovery process.

RFA treatments, pain is a frequent issue that might interfere with comfort and postpone recovery. Pharmacological treatment continues to be the mainstay of pain management after RFA, whereas non-pharmacological nursing treatments like cold compress therapy are not regularly used. The purpose of this research was to investigate how cold compress therapy affects pain severity in individuals following radiofrequency ablation. At the central general hospital in central Java, a quantitative quasi-experimental design was used, employing a one-group pre-test and post-test methodology. Twenty-eight participants were chosen using purposive sampling. The NRS was used to assess the intensity of pain both before and after applying a cold compress for 15–20 minutes. The Wilcoxon Signed Rank Test was used to examine the data. Following the intervention, the median pain scores fell from 5 (moderate pain) to 2 (mild pain), which was a statistically significant change (p = 0.001). These results suggest that cold compress therapy can be advised as a non-pharmacological nursing intervention in post-procedural treatment since it helps lessen post-RFA pain

Background: Dysmenorrhea is commonly experienced by female adolescents and may interfere with daily activities and academic concentration. Non-pharmacological interventions such as listening to the murottal of Surah Ar-Rahman and the use of lemon aromatherapy have been reported to provide relaxation and analgesic effects. However, evidence regarding the effectiveness of their combined use remains limited. Therefore, this study aimed to evaluate the effect of combined therapy using Murottal Surah Ar-Rahman and lemon aromatherapy on dysmenorrhea pain levels among female adolescents at SMA Negeri 10 Semarang. Method: This study was conducted at SMA Negeri 10 Semarang using a Quasi-Experimental design with a Pretest–Posttest Group approach. The population consisted of 188 students who met the inclusion criteria. The sample size was determined using the Slovin formula, resulting in 40 respondents selected through purposive sampling. A normality test was performed prior to analysis, and the bivariate analysis utilized the Wilcoxon Signed Rank Test. Result: The Wilcoxon Signed Rank Test showed a p-value of 0.000 (p < 0.05), indicating a significant difference between pain levels before and after the intervention. These findings demonstrate that the combination of Murottal Surah Ar-Rahman and lemon aromatherapy is effective in reducing dysmenorrhea pain among female adolescents at SMA Negeri 10 Semarang. Conclusion: The combined therapy of Murottal Surah Ar-Rahman and lemon aromatherapy is effective in reducing dysmenorrhea pain levels among female adolescents.  

The postpartum period following Sectio Caesarea is often accompanied by acute pain due to surgical incisions, which may interfere with mobilization, breastfeeding, and maternal recovery. Effective pain management is essential to prevent further complications and enhance maternal comfort. In addition to pharmacological therapy, non-pharmacological interventions such as Benson relaxation therapy can be implemented. This study aimed to evaluate the application of Benson relaxation therapy in reducing acute pain among postpartum Sectio Caesarea mothers.This study employed a case study design involving four postpartum Sectio Caesarea patients (Ny. R, Ny. A, Ny. Y, and Ny. S) treated in the Ayyub Ward of RS Roemani Muhammadiyah Semarang in 2026. Data were collected through comprehensive nursing assessments, pain intensity measurement using a numeric rating scale, observation of mobilization ability, and evaluation before and after intervention.The results showed that after regular implementation of Benson relaxation therapy, all patients experienced a gradual decrease in pain intensity (from scale 4–7 to ≤3), improved comfort, better breathing control, and increased ability to perform early mobilization. Consistent nursing education, therapeutic guidance, and family involvement supported the effectiveness of the intervention. It can be concluded that Benson relaxation therapy is an effective, safe, and easily applicable nursing intervention for reducing acute pain in postpartum Sectio Caesarea patients.

Dismenore merupakan nyeri saat menstruasi yang dapat mengganggu aktivitas sehari-hari, menurunkan konsentrasi belajar, serta menimbulkan gejala seperti mual, muntah, pusing, mudah lelah, diare, hingga pingsan. Salah satu penatalaksanaan nonfarmakologis yang dapat dilakukan untuk mengurangi nyeri dismenore adalah pijat effleurage. Penelitian ini bertujuan untuk mengetahui pengaruh pijat effleurage terhadap tingkat nyeri dismenore pada remaja putri di Padukuhan Sambeng III, Poncosari, Srandakan, Bantul. Penelitian ini menggunakan desain quasi experimental dengan pendekatan one group pretest-posttest. Sampel penelitian berjumlah 36 remaja putri yang dipilih sebagai responden. Pengukuran tingkat nyeri menggunakan instrumen Numeric Rating Scale (NRS), dan analisis data dilakukan dengan uji Wilcoxon. Hasil penelitian menunjukkan bahwa sebelum dilakukan pijat effleurage, sebagian besar responden mengalami nyeri sedang (skala 4–6) sebanyak 23 orang (63,9%). Setelah dilakukan intervensi, sebagian besar responden mengalami nyeri ringan (skala 1–3) sebanyak 20 orang (55,6%). Hasil uji Wilcoxon diperoleh nilai ρ = 0,000 (ρ < 0,05), yang menunjukkan adanya pengaruh signifikan pijat effleurage terhadap penurunan tingkat nyeri dismenore. Simpulan penelitian ini adalah pijat effleurage berpengaruh dalam menurunkan tingkat nyeri dismenore pada remaja putri. Pijat effleurage dapat dijadikan sebagai alternatif terapi nonfarmakologis untuk mengatasi nyeri dismenore. Kata Kunci: Dismenore, Nyeri Menstruasi, Pijat Efffleurage