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Background: “The highest prevalence of LBP at Awal Bros Hospital in Pekanbaru is estimated to be 0.70% or 3,238 people in 2022, 1.38% or 5,584 people in 2023, and 2,084 people or 1.11% in 2024. The impact of low back pain can make movement difficult, affect quality of life, and limit work activities and mental health. Method: The design of this research is quantitative research, with a cross sectional approach. The sampling technique used the consecutive formula and the sample size was 83 respondents. The data collection method uses a questionnaire. The data analysis used is univariate analysis and bivariate analysis using Somer's test. Results: Characteristics of the majority of respondents were women, 51 people (61.4%), 60 people aged > 35 years (72.3%), 54 people with a working period of > 5 years (65.1%), with BMI obesity amounted to 49 people (59.0%), amounted to 53 people (63.9%) who never did physical activity (exercise per week). The majority experienced moderate lower back pain, amounting to 34 respondents (41.0%), and had poor sleep quality, amounting to 51 respondents (61.4%). Based on the analysis test results, the d value was 0.482, meaning there was a moderate positive correlation with the p value (0.000 < 0.05), meaning there was a relationship between lower back pain and sleep quality in LBP patients at Awal Bros Hospital, Pekanbaru. Conclusion: There is a relationship between lower back pain and sleep quality. This shows that the higher the lower back pain, the worse the sleep quality.”    

Background: Vertigo is a group of symptoms caused by a disturbance in the balance of the vestibular or central nervous system. Complaints of vertigo can come in the form of nausea, dizziness, spinning, or a feeling of being pulled or drawn in an upright position. Dizziness can also be caused by disturbances in the body's balance organs, including receptors in the eye (retina), in the vestibular and semicircular canals, as well as in tendons, joints, and internal sense organs. Objective: Identifying the characteristics of respondents including age, gender, and measuring the scale of moderate, mild and severe symptoms after performing brandt daroff combination therapy accompanied by lemon aromatherapy. Methods: Pre-experiment research design with one group pretest and post test design with purposive sampling technique, a total of 14 respondents with observation sheet instruments. Results: Based on the analysis, the average number of vertigo complaints experienced by respondents was a score of 32.9. After the respondents were given Brandt Deroff therapy accompanied by lemon, the level of vertigo headache decreased to a score of 1.50. wilcoxon test showed a significance value.2 marked 0.001 <0.05, also Ho is rejected and Ha is accepted. Conclusion: So it can be concluded that there is an average difference between the results of therapy before (pre-test) and after (post-test) which means that there is an effect of Brandt Daroff treatment accompanied by lemon aromatherapy on reducing the pain scale of vertigo patients in cases at RSI Sultan Agung Semarang.

Rheumatoid Arthritis is an autoimmune disease.. This system attacks joints and other parts of the body such as tendons, ligaments, and bones. One implementation of reducing rheumatoid arthritis pain is to massage the feet of the painful joints. This study used a quasi-experimental design. The population in this study was 48 people and the research sample was 20 people with two groups, namely the experimental group and the control group. The results of the study were obtained after rheumatoid arthritis foot massage had a significant effect in reducing pain in the experimental group with a p-value of 0.007. Foot massage on painful joints has benefits in reducing the pain scale in the elderly.

High uric acid which causes joint pain is a disease where there is a buildup of purine which causes the joints to become inflamed to the point of swelling. Gout which occurs in people of course when they have a disease that causes gout they will undergo medical treatment to reduce uric acid levels and the pain that occurs in the elderly due to high levels. And most people assume that by taking medication they assume that the pain will disappear, according to Ilham (2019) that to reduce joint pain you can do ginger compress therapy on the joint pain, because the spicy effect of ginger can reduce pain in the joints. Objective: To determine the effect of ginger compress therapy on the level of joint pain in the elderly. Method: The design in this research uses a quasi-experiment using a one group pretest posttest design approach. Results: based on the results of statistical tests using the Paired Samples Test, the resulting P value is 0.000 < 0.05. Conclusion: it can be concluded that there is an influence of ginger compress therapy on the level of joint pain in the elderly in the working area of ??the Central Jampang Community Health Center. Suggestion: It is recommended for future researchers to measure the influence of respondent characteristics such as age, gender, education level, length of time suffering from joint pain, type of work and type of medication used.

Labor pain is needed to detect uterine contractions during childbirth, but pain also increases the mother's anxiety and fear during the birth process. Management of labor pain that can be done is birth ball therapy and hypnobirthing. The aim is to determine the difference in the effect of Birth Ball therapy and Hypnobirthing on reducing labor pain in the I phase active for maternity women in the working area of Puskesmas Sei Langkai Batam City. The design of this research is Quasi experimental with a Two-group interrupted time series design. Respondents were divided into 16 experimental groups and 16 control groups. The sampling technique used was purposive sampling and data collection using observation sheet. The results of the study were (p = 0.305 > 0.05), meaning there was no significant difference between the birth ball and hypnobirthing groups in reducing pain, (p = 0.003 < 0.05) meaning there is a significant difference between the pre-test and post-test scores on pain reduction, (p = 0.718 > 0.05) meaning there is no interaction between group (birth ball and hypnobirthing) and score (pre-test and post-test) on reducing pain. Based on these results, it can be concluded that measurement time (pre-test and post-test) has a significant effect on pain scores, but there is no significant effect between different groups, and there is no significant interaction between group and time on reducing labor pain.

Low back pain (LBP) is a common health issue that affects both adolescents and the elderly, impacting their daily activities and overall quality of life. This study aims to identify the causes, risk factors, and preventive measures associated with LBP in these two age groups. Various factors, including posture, physical activity, body weight, and occupational or academic demands, contribute to the prevalence of LBP. In adolescents, prolonged sitting, improper posture, and excessive screen time are significant contributors, while in the elderly, age-related degenerative changes, decreased muscle strength, and chronic conditions such as osteoporosis play a major role. This study utilizes a literature review and observational analysis to explore the similarities and differences in LBP risk factors across different age groups. The findings suggest that early prevention through proper ergonomics, regular exercise, and healthy lifestyle choices can help reduce the incidence of LBP. Additionally, awareness and education about spinal health should be emphasized in both adolescents and the elderly to mitigate future complications. This research highlights the importance of a multidisciplinary approach, including physiotherapy, medical interventions, and lifestyle modifications, in managing and preventing LBP effectively.

Rheumatoid arthritis (RA), a chronic inflammatory autoimmune disorder, is characterized by persistent synovial inflammation, erosion of bone and cartilage, leading to joint destruction. It can attack the joints and other parts of the body such as tendons, ligaments, and bones.  In serious cases, it can affect other organs such as the lungs, heart, nervous system, and eyes. Foot massage is effective to reduce pain. Before implementation of foot massage, the average pain scale was 6 (moderate pain). After implementation of foot massage  the pain scale decreased to 2 (mild pain). Through empowering the elderly, the elderly are taught and assisted in performing safe and effective foot massage techniques to reduce pain, improve blood circulation, and reduce joint stiffness due to rheumatoid arthritis. The conclusion of this community service activity shows that the use of foot massage is effective for patients with rheumatoid arthritis who experience pain.

Low back pain (LBP) is a common health issue that affects both adolescents and the elderly, impacting their daily activities and overall quality of life. This study aims to identify the causes, risk factors, and preventive measures associated with LBP in these two age groups. Various factors, including posture, physical activity, body weight, and occupational or academic demands, contribute to the prevalence of LBP. In adolescents, prolonged sitting, improper posture, and excessive screen time are significant contributors, while in the elderly, age-related degenerative changes, decreased muscle strength, and chronic conditions such as osteoporosis play a major role. This study utilizes a literature review and observational analysis to explore the similarities and differences in LBP risk factors across different age groups. The findings suggest that early prevention through proper ergonomics, regular exercise, and healthy lifestyle choices can help reduce the incidence of LBP. Additionally, awareness and education about spinal health should be emphasized in both adolescents and the elderly to mitigate future complications. This research highlights the importance of a multidisciplinary approach, including physiotherapy, medical interventions, and lifestyle modifications, in managing and preventing LBP effectively.

Mothers who have difficulty adapting to labor pain can cause uterine contractions to become uncoordinated, which risks prolonging the first phase of labor and disrupting fetal well-being. This study aims to analyze the effect of breathing relaxation techniques on the intensity of labor pain in the first stage at the Pagar Merbau Health Center, Pagar Merbau District, Deli Serdang Regency in 2023. This study used a quantitative method with a One Group Pre-Test Post-Test design. The study population included all mothers giving birth in the period from April to June 2023, with a sample size of 15 respondents. The results showed that before the intervention, there were 2 respondents (13.3%) who experienced mild pain, 6 respondents (40.0%) with moderate pain, and 7 respondents (46.7%) experienced severe pain. After the intervention, the number of respondents with mild pain increased to 8 people (53.3%), moderate pain decreased to 4 people (26.7%), and severe pain decreased to 3 people (20.0%). The results of this study indicate a significant change in the level of pain in mothers giving birth before and after treatment. Therefore, it is expected that midwives at the Pagar Merbau Health Center can optimize the application of breathing relaxation techniques as a method to reduce labor pain, especially in the first phase of labor.

Childbirth causes pain due to shortening of the uterine muscles. Normal childbirth occurs because of pain, which is an important part of labor. During labor, pain can influence uterine contractions through the secretion of catecholamines and cortisol. It improves the function of the sympathetic nervous system, changing blood pressure, heart rate, breathing, and length of labor. The aim of this research is to find out how warm compresses impact how severe the pain of labor during the first active phase is. This research design is pre-experimental with a one group pre test and post test design. The population in this study were all mothers giving birth at BPM Nursehan Dahliana Birayang (Hulu Sungai Tengah Regency, South Kalimantan Province), using an accidental sampling technique and a sample size of 30 respondents was obtained. A warm compress is placed on the lower abdomen using a hot bladder. Data analysis used the Paired T - test. Based on the research results obtained, the average pain score before treatment was 8.13 and the average pain score after treatment was 4.66. The results of statistical analysis of tests of differences in pain intensity before and after treatment showed significant differences (p=0.000; 95% CI -3.900-(-3.031). The conclusion of this study is: warm compresses can reduce the intensity of labor pain in the active phase of the first stage. Warm compresses can be used as a way to reduce the intensity of labor pain.

Early menarche in elementary school children means that children need to have knowledge about menstruation from an early age. Knowledge about menstruation affects children's responses during their first menstruation and personal hygiene during menstruation, so children need correct information about menstruation. This community service aims to provide information about menstruation and complementary therapies, especially relaxation therapy to reduce anxiety and pain. There are four stages in implementing this education, namely the planning stage, preparation stage, implementation stage and monitoring and evaluation stage. There was an increase in students' knowledge after providing education. The results of this community service can show that providing education can increase students' knowledge.

Dismenorea yaitu keadaan nyeri saat haid, dan biasanya ditandai dengan rasa kram  pada bagian perut bagian bawah, Keluhan nyeri saat haid amat bervariasi mulai dari ringan hingga berat, nyeri saat haid juga menjadi salah satu penyebab terganggunya kegiatan beraktivitas pada remaja putri. Setiap remaja yang mengalami menstruasi merupakan tahap penting dalam perkembangan pubertas mereka. Ketika menstruasi akan muncul beberapa gejala seperti kram perut atau dismenorea. Dismenorhea itu sendiri merupakan suatu ganguan fisik yang dialami oleh setiap wanita menstruasi berupa gangguan nyeri atau kram perut. Oleh karena itu remaja putri harus mempunyai kemampuan dan pengetahuan dalam mengatasi nyeri haid tersebut. Berdasarkan hal tersebut, maka perlu adanya suatu upaya untuk meningkatkan pengetahuan dan kemampuan remaja dalam mengatasi nyeri menstruasi. Selain itu juga diperlukan kegiatan senam yang dapat membantu remaja dalam mengurangi tingkat nyeri menstruasi yang dialami. Dengan melakukan kegiatan penyuliuhan, remaja dapat meningkatkan pengetahuan mereka dalam mengatasi nyeri menstruasi. Selain penyuluhan dibutuhkan juga pelatihan senam dismenorea.    

Colic abdomen is abdominal pain that comes and goes, originating from organs within the abdomen, and is usually caused by infections in those organs. The clinical symptoms of colic abdomen include abdominal cramps, distension, vomiting, and pain when the abdomen is pressed. The pain associated with colic abdomen reduces focus on the surrounding environment due to the attention being centered on the pain and decreases the quality of life due to the discomfort experienced. Therefore, proper management is crucial, particularly through pain management. To gather scientific evidence on the effectiveness of implementing dzikir therapy in reducing pain levels in patients with colic abdomen. A literature study was conducted using databases such as Google Scholar, Garuda, and PubMed with article publications from 2019 to 2025. The literature search strategy involved keywords relevant to the topic and research title, using standard Boolean operators "AND" and "OR." The keywords used included: "Non-Pharmacology Therapy" OR "Spiritually" AND "Acute Pain" OR "Colic Abdomen" AND "Emergency." The analysis resulted in 5 articles discussing the application of non-pharmacological therapy, specifically dzikir therapy, which can be performed on patients experiencing pain. These studies have demonstrated positive effects in reducing pain in patients suffering from abdominal pain.

Back pain is a disorder that is often encountered in pregnant women, this is caused by the shift of gravity towards the body's core towards the front. The aim of the research was to determine the relationship between pregnancy exercise and complaints of low back pain in pregnant women III at the Birem Bayuen Community Health Center. This research uses an experimental research design. The sample for this study was all pregnant women in the third trimester at the Birem Bayuem Community Health Center who were included. The results of this study were lower back discomfort in pregnant women before pregnancy activities, more than half of respondents reported low back pain on a scale of 3 (very painful). Most respondents reported reduced back pain, as many as 7 respondents reported no pain. This is lower back pain in pregnant women III after pregnancy exercise. Through this research, pregnant women understand the benefits of pregnancy exercise during pregnancy, especially during the third trimester of pregnancy, which has a very good impact so that mothers feel comfort and reduce complaints during pregnancy, such as lower back pain in particular

Maternal Mortality Rate (MMR) is a component of the development index and quality of life index which is calculated by taking into account and considering women's health status (MMR). The aim of this research is to determine the factors associated with hyperemesis gravidarum at the Birem Bayuem Community Health Center in 2024. The design of this research is an analytical survey using a cross-sectional approach. The sample in this study was all 1st trimester pregnant women who visited ANC at the Birem Bayuem Community Health Center in 2024, namely 26 pregnant women. The results of the analysis using the Telst Chi-sqularel test showed a value of p=0.008 (95% CI 1.522-26.081). Mothers who are working have a rate of 6,300 times more likely to experience hyperreleasing disease compared to mothers who are not working. It is hoped that by increasing the number of antenatal care, follow-up or maternal visits in research will reduce the number of cases of hyperelelmosis. Apart from that, it is highly recommended that you learn about health regularly by actively asking health professionals every time you visit a health care facility.

As the elderly age, there are changes in physical changes that affect all systems, including the musculoskletal system. One of the daily health problems that often interfere with Activity of Daily Living in the elderly is low back pain (LBP)./1. This study aims to determine the relationship between LBP pain levels and ADL in elderly women in the Padang Kandis Health Center working area, Lima Puluh Kota Regency. This study is an observational analytic study with a cross sectional approach. The sampling technique used consecutive sampling technique with a total sample of 45 samples. Data collection using the Visual Analogue Scale (VAS) questionnaire, LBP, Katz Basic Activities Of Daily Living Scale (Index Katz). Data analysis using the Pearson Chi-Square test. The results of the Chi-Square test obtained a significant value (p-value) of 0.000 (p < 0.05). The p-value is smaller than 0.05 (0.000 <0.05), so the test decision is Ha accepted, which means “there is a relationship between the level of LBP pain and ADL in the elderly in the Padang Kandis Health Center working area, Guguak District, Lima Puluh Kota Regency, West Sumatra Province”. This study shows that there is a relationship between the level of LBP pain and ADL.

Breast pain is one of the common problems often experienced by breastfeeding mothers, especially in the early stages of lactation. If not treated properly, breast pain can cause discomfort, disruption in breastfeeding, and a decrease in the mother's quality of life. This community service activity aims to provide education about the causes and impacts of breast pain in breastfeeding mothers, train breastfeeding mothers in the effective use of warm compresses to reduce breast pain, improve the quality of life of breastfeeding mothers through proper pain management. The stages of the activity consist of preparation, education, training and evaluation. The results of the activity obtained an increase in the average knowledge score from 60% (pre-test) to 84% (post-test), participants successfully practiced the technique of using warm compresses correctly and several participants reported a decrease in pain after trying the warm compress technique at home for a week. This program has the potential to be further developed by involving a wider community.

Hypertension in the elderly is characterized by an increase in systolic and diastolic blood pressure, namely ≥ 140/90 mmHg consistently and often occurs in the elderly aged ≥ 55 years. Progressive Muscle Relaxation is a technique that can relax tense muscles and create a relaxed feeling so that it can lower blood pressure. This study aims to determine the effect of progressive muscle relaxation on reducing the pain scale in middle-aged elderly with hypertension in the Siulak Gedang Health Center work area in 2024. The research design used was one group pretest and post-test design with a purposive sampling method, namely 16 middle-aged elderly respondents in the Siulak Gedang Health Center work area. The instruments used in data collection were SOP, observation sheets, stethoscopes, sphygmomanometers. The results of the study showed that there was an effect of progressive muscle relaxation therapy on reducing the pain scale in hypertensive patients with the results of the paired sample t-test obtained a p-value = 0.000, because the p-value <0.05.

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.

One of the plants that can be used as a pain reliever is Nutmeg Leaves. One of the compounds contained in nutmeg leaves is phenolic compounds. These phenolic compounds play a role in the treatment and prevention of diseases including as antioxidants and are able to overcome health problems such as lower back pain. Purposes : to provide information about the benefits of boiled water from nutmeg leaves to overcome Low Back Pain (LBP) or lower back pain in the community in Boiyauw Village, Banda, Maluku. Method: by providing information through health education. The media used are leaflets, power point presentations, samples of boiled water from nutmeg leaves. Results: It is expected that there will be changes in participant behavior when positioning themselves at work and that they can utilize nutmeg leaves as a family medicinal plant to reduce or relieve lower back pain.