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Dismenore (nyeri haid) merupakan keluhan yang paling sering dialami oleh remaja putri, yang dapat mengganggu aktivitas sehari-hari dan proses belajar. Pijat akupresur merupakan salah satu terapi non-farmakologis yang aman dan efektif dalam menurunkan intensitas nyeri dengan merangsang pengeluaran hormon endorfin. Tujuan: Untuk mengetahui efektivitas implementasi pijat akupresur dalam menurunkan skala nyeri haid pada remaja putri di Desa Bangun Rejo, Kecamatan Tanjung Morawa, Kabupaten Deli Serdang Tahun 2025. Metode: Penelitian ini menggunakan desain quasi-experiment (eksperimen semu) dengan pendekatan pre-test and post-test design. Populasi dalam penelitian ini adalah seluruh remaja putri yang mengalami dismenore di Desa Bangun Rejo. Sampel diambil menggunakan teknik purposive sampling. Intervensi dilakukan dengan pemijatan pada titik Sanyinjiao (SP6) dan Taichong (LR3) selama 15–20 menit saat hari pertama atau kedua menstruasi. Skala nyeri diukur sebelum dan sesudah intervensi menggunakan Numeric Rating Scale (NRS). Analisis data menggunakan uji Wilcoxon. Hasil: Hasil penelitian menunjukkan bahwa rata-rata skala nyeri haid sebelum dilakukan pijat akupresur dan sesudah dilakukan pijat akupresure. Uji statistik menunjukkan nilai p-value < 0,05. Kesimpulan: Implementasi pijat akupresur efektif dalam menurunkan intensitas nyeri haid pada remaja putri. Diharapkan remaja putri dapat menerapkan terapi mandiri ini sebagai solusi aman penanganan dismenore primer tanpa ketergantungan obat analgetik.

Nyeri persalinan merupakan keluhan utama yang sering dialami ibu bersalin dan dapat meningkatkan kecemasan, ketegangan, serta ketidaknyamanan apabila tidak ditangani secara tepat. Aromaterapi minyak atsiri menjadi salah satu metode nonfarmakologis yang aman, sederhana, murah, dan mudah diterapkan dalam pelayanan kebidanan. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan bidan mengenai pemanfaatan aromaterapi minyak atsiri sebagai terapi komplementer untuk membantu mengurangi nyeri persalinan. Kegiatan dilaksanakan di Klinik Zhafira Zharifa Karawang pada April 2025 dengan sasaran bidan yang bekerja di klinik tersebut. Metode kegiatan meliputi tahap persiapan, penyuluhan, diskusi interaktif, pemberian media edukasi, demonstrasi penggunaan aromaterapi, evaluasi, dan tindak lanjut. Materi edukasi mencakup konsep nyeri persalinan, dampak nyeri terhadap ibu dan janin, mekanisme kerja aromaterapi, jenis minyak atsiri yang aman, serta prosedur penggunaan yang tepat. Hasil kegiatan menunjukkan bahwa peserta aktif mengikuti kegiatan dan mengalami peningkatan pemahaman mengenai manfaat, keamanan, serta tata cara penggunaan aromaterapi dalam asuhan persalinan. Aromaterapi bekerja melalui stimulasi sistem penciuman dan, pada penggunaan tertentu, melalui penyerapan kulit yang dapat memberikan efek relaksasi serta membantu menurunkan persepsi nyeri. Kegiatan ini memberikan kontribusi dalam meningkatkan kapasitas bidan untuk mengembangkan pelayanan persalinan yang lebih holistik, humanis, dan berorientasi pada kenyamanan ibu bersalin.

Dismenore merupakan salah satu masalah kesehatan reproduksi yang paling sering dialami remaja putri dan dapat mengganggu aktivitas belajar, konsentrasi, serta kualitas hidup. Kurangnya pengetahuan mengenai penanganan nonfarmakologis menyebabkan banyak remaja memilih menggunakan obat pereda nyeri atau membiarkan keluhan berlangsung tanpa penanganan yang tepat. Edukasi kesehatan menjadi strategi penting untuk meningkatkan pemahaman remaja mengenai cara mengatasi nyeri menstruasi secara aman dan efektif. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan remaja putri mengenai manfaat kompres hangat sebagai terapi nonfarmakologis dismenore. Kegiatan dilaksanakan di SMA Sehati Karawang pada Juni 2025 dengan melibatkan 30 remaja putri. Metode yang digunakan meliputi penyuluhan kesehatan, diskusi interaktif, demonstrasi penggunaan kompres hangat, serta evaluasi melalui pretest dan posttest. Data dianalisis menggunakan statistik deskriptif dan uji Paired t-test. Hasil menunjukkan adanya peningkatan pengetahuan setelah edukasi. Sebelum intervensi, sebanyak 26,7% peserta memiliki pengetahuan kurang dan 73,3% memiliki pengetahuan cukup. Setelah edukasi, sebanyak 93,3% peserta memiliki pengetahuan baik. Hasil uji statistik menunjukkan perbedaan yang signifikan antara skor pretest dan posttest (p < 0,001). Temuan ini menunjukkan bahwa edukasi mengenai manfaat kompres hangat efektif meningkatkan pengetahuan remaja mengenai penanganan dismenore secara nonfarmakologis. Program ini berkontribusi dalam promosi kesehatan reproduksi dan mendorong penerapan perawatan mandiri yang aman selama menstruasi.

Pregnancy is a natural and normal process. In the period of gestation, expectant mothers often experience discomfort such as back pain. There are various treatments to treat back pain, namely pharmacological and non-pharmacological. Pharmacological therapy generally consists of the administration of drugs that can have negative effects on the mother, fetus and delivery process. Therefore, non-pharmacological therapies such as warm compresses are more advisable because they are cheaper, safer, effective, and without adverse effects. The purpose of this community service is to improve the knowledge of pregnant women in the third trimester in the management of back pain using warm compresses during pregnancy. This activity was carried out through lecture and question and answer methods, as well as providing leaflets to participants in the management of back pain using warm compresses during pregnancy. Before the extension activities started we did pre-test and post-test after the extension activities. Counseling activities were carried out at The Independent Practice of Midwives (PMB) Yuli Bahriah Palembang city which was attended by 16 Pregnant Women. As a result of the implementation of this activity, the participants were very enthusiastic about the material that had been delivered by the presenters during the activity. The evaluation results obtained from the post-test results showed that knowledge about the management of back pain using warm compresses during pregnancy increased by 56.25% of the number of participants who were able to answer questions on the counseling material presented. In conclusion, the provision of education on the management of back pain using warm compresses can have a positive impact on pregnant women so that they can understand and implement the provision of warm compresses when experiencing back pain during pregnancy.

Rubber Farmers are one type of work that can be at risk of experiencing occupational diseases. The habit of standing for a long time, looking up for a long time, lifting heavy loads, long working hours can certainly affect the possibility of musculoskeletal disorders. Neck pain is one of the disorders. A study shows the prevalence of musculoskeletal pain in the neck in the community for 1 year is 40% and this prevalence is higher in women. Then, the prevalence of musculoskeletal pain in the neck area in workers is between 6-76% and it turns out that women are also more dominant than men 10. Musculoskeletal complained of by rubber farmers and can have a negative impact on farmers on the quality of their work. The method used is providing counseling on neckpain with leaflets as a promotional media as well as pretests and post-tests to assess the level of knowledge and understanding of farmers on complaints of neck pain. The results of this study indicate an increase in farmers' understanding regarding the prevention and treatment of neck pain in the right way.

Prenatal gentle yoga (yoga during pregnancy) is a type of modification of hatha yoga which is adapted to the conditions of pregnant women. Some discomforts in the third trimester in pregnant women include frequent urination 50%, vaginal discharge 15%, constipation 40%, flatulence 30%, swelling in the legs 20%, cramps in the legs 10%, headaches 20%, striae gravidarum 50%, hemorrhoids 60%, shortness of breath 60% and back pain 70%. The aim of the research was to see whether there was an effect of Prenatal Gentle Yoga on reducing complaints of lower back pain in third trimester pregnant women. The conclusion of the Wilcoxon test results shows that 0.000 < 0.05, meaning that there is an acceptable effect of prenatal gentle yoga on lower back pain in third trimester pregnant women. It is hoped that pregnant women will take part in prenatal gentle yoga classes with prenatal gentle yoga facilitators who have undergone training and received certificates so that they can apply prenatal gentle yoga which is useful for reducing maternal complaints during pregnancy, including lower back pain.

Puskesmas Banyuanyar is a health facility located in Banjarsari District which has dua target areas, namely Banyuanyar Village and Sumber Village. With the boundaries of the Banyuanyar Puskesmas target area, in the north it is bordered by the working area of Boyolali Regency, in the south it is bordered by the working area of the Manahan Health Center, in the east it is bordered by the working area of the Gambirsari Health Center, and in the west it is bordered by the working area of Karanganyar Regency. Based on data from visits to the Banyuanyar Health Center physiotherapy poly, the incidence of Low Back Pain cases is found annually as many as 122 cases from 468 physiotherapy cases, this is caused by age, injury, and work factors. Pain is the main complaint that is often felt by patients in the condition of low back pain. The purpose of this program is to provide education and understanding on how to maintain low back health, prevention of low back pain and exercises that can be done at home. The method used is by providing counseling in the form of health promotion about low back pain and using leaflets as a medium of counseling, targeting the community who attend the Seruni RW 08 Sumber Elderly Posyandu. The author uses pre test and post test to determine the level of understanding of the people present. The results of the questionnaire showed an increase in participants' understanding as seen from the average pre-test score of 1.52, while the post test score obtained an average value of 8.43. This means that there is an increase in understanding of 6.91 from the average score of the questionnaire filled out by the community who attended the Seruni RW 08 Sumber Elderly Posyandu.

Pain and anxiety are common complaints experienced by patients after spinal anesthesia. One non-pharmacological method that can be used to reduce pain and anxiety is lavender aromatherapy. This study aimed to determine the effectiveness of lavender aromatherapy in reducing pain and anxiety levels in patients undergoing spinal anesthesia. This study used a quasi-experimental design with a pre-test and post-test approach in a single group without a control group. A total of 50 patients undergoing spinal anesthesia received lavender aromatherapy through a diffuser for 15-30 minutes before and after the anesthesia procedure. Pain levels were measured using the Visual Analog Scale (VAS), and anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HARS). The results showed a significant reduction in patients' pain and anxiety levels after the administration of lavender aromatherapy (p < 0.05). Therefore, lavender aromatherapy is proven to be effective as a non-pharmacological method to help reduce pain and anxiety in patients undergoing spinal anesthesia.