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Joint pain is a disease that is familiar in everyday life. and mostly in elderly people who are close to joint pain disorders which is a degenerative disease. Apart from the age factor, there are many things that influence the rate at which joint pain occurs due to the fact that many elderly people do not control their lifestyle such as regular exercise, diet and so on. Pain often occurs in the hands or fingers, knees, hips and spine. This disease generally develops gradually and gets worse over time, disrupting the sufferer's ability to do physical activity. Methods of exercise therapy for osteoarthritis are therapy in the form of active movement exercises and in the form of exercises using resistance/weights which aim to train the muscles so that the muscles become relaxed, preventing limitations. movement, maintain muscle elasticity and increase muscle strength. Exercise therapy will minimize injury by strengthening the muscles supporting the joints, restoring strength and range of motion so that activities can be carried out as before. Activities that are beneficial for health should meet the FITT criteria (frequency, intensity, time, type). Frequency is how often the activity is done, intensity is how hard the activity is done, usually divided into low, medium and high intensity. Time refers to the duration of the activity and the type of physical activity carried out. Community service activities are aimed at all elderly people in order to increase knowledge and alternatives about non-pharmacological therapies that are relatively safe from side effects.  

Hypertension or high blood pressure is an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg in two measurements with an interval of five minutes in a state of sufficient rest/calm. One of the non-pharmacological therapies to reduce pain is a deep breathing relaxation technique consisting of slow, rhythmic chest and abdominal breathing which has the benefit of relieving acute and chronic pain by doing it constantly.

Osteoarthritis is the most common type of arthritis that affects the knee. Osteoarthritis is a degenerative process in which joint cartilage is gradually eroded. This disease often attacks middle-aged and elderly people. Osteoarthritis can be caused by excessive stress on the joints such as repeated injuries or being overweight. The aim of this activity is to provide acupressure therapy to reduce the level of pain experienced by elderly people with knee osteoarthritis. The target of this activity is elderly people who experience knee osteoarthritis in Bangun Rejo Village, Tanjung Morawa District with a total of 16 people. This activity is carried out by providing acupressure therapy. The results of the activity showed a decrease in pain levels in elderly people with knee osteoarthritis in Bangu Rejo village, Tanjung Morawa district. It is hoped that the elderly can manage pain with knee osteoarthritis by providing acupressure therapy

Warm water compresses given to a woman's lower back in the area where the fetal head presses on the spine will reduce pain, heat will increase circulation to the area thereby correcting tissue anoxia caused by pressure. This study aims to determine the effect of warm compresses on reducing labor pain during the first active phase. This type of research is Quasi experiment, which is research that is used to determine whether or not there are consequences of "something" imposed on the subject being studied by looking for the effect of certain treatments on others under controlled conditions. A sample is a portion taken from all objects studied and is considered to represent the entire population. The sample in this study was 20 people in one intervention group. The sampling technique was Purposive Sampling, namely taking samples according to the criteria determined by the researcher. Data collection techniques use questionnaire sheets and respondent observation sheets. The data analysis technique uses the Independent T test. Statistical testing uses parametric analysis with the significance of the test results determined based on the p value <0.05. Based on the statistical test results, it is known that the p value is 0.001<0.05 which means that there is an influence on the intensity of pain before and after administration. Warm Compress. This research means that there is a significant relationship between the effect of warm compresses on reducing labor pain during the first active phase at PMB Pera Simalingkar B Medan Tuntungan in 2023

Background: Data obtained from the Palembang city health office that the incidence of head injuries in 2018 there were (16.15) patients. Head injury (trauma capitis) is a mechanical injury that directly or indirectly affects the head that results in head wounds, fractures of the bones of the skull, tearing of brain membranes, and damage to brain tissue, as well as resulting in neurological disorders. One of the nonpharmacological therapies that can be given to patients who experience pain in minor head injuries is music therapy. Objectives: to gain real experience and knowledge and to document the application of music therapy to pain scales in nursing care for minor head injuries. Methods: this type of scientific paper uses a descriptive method with a case study approach to explore the problem of nursing care in two patients with minor head injuries. Nursing care was carried out on two patients, which was carried out on June 15 to 17, 2022. Results: from music therapy actions to Mr. A and Mr. D with the first diagnosis of acute pain related to physical injury agents. The results of the evaluation of the first patient, Mr. A, found that the patient experienced a decrease in the pain scale to 3 (mild), before music therapy the pain scale was 5 (moderate), the pain problem was resolved, and the intervention was stopped. For the evaluation, the second patient, Mr. D, obtained a pain scale of 2 (mild), before music therapy the pain scale was 4 (moderate), the pain problem was resolved, and the intervention was stopped. Conclusion: the results of the nursing evaluation on Mr. A and Mr. D problems resolved the intervention was stopped. It can be concluded that music therapy can reduce pain in patients with mild head injuries.

According to the World Health Organization (WHO), the incidence of dysmenorrhea reaches 90%. The prevalence is generally higher in young women in the 17 to 24 year age group, which is estimated at 60-90%. More than 50% of menstruating women in the world report suffering from primary dysmenorrhea. This research was conducted to analyze factors that influence menstrual pain (dysmenorrhea) in students at the Prima Husada Bogor Midwifery Academy. This study used a cross sectional design on 62 samples with a simple random sampling technique. The analysis used is univariate and bivariate with chi square. The research results showed that the age of menarche factor had no influence on menstrual pain in students at the Prima Husada Midwifery Academy with a p value of 0.426 and an Odds Ratio (OR) of 0.659. From the results of the research conducted, it is clear that health education related to dysmenorrhea is very necessary for young women in general and students at the Prima Husada Midwifery Academy in particular by providing counseling related to reproductive health. Teenagers should expand their knowledge about dysmenorrhea so that they know what to do to reduce pain. during menstruation.

Low back pain is discomfort felt in the lower back area, starting from the sacrum to the corner of the lowest ribs. Based on the results of an initial survey taken by interviewing 10 fishermen in Laha Country, 7 out of 10 fishermen felt or experienced pain in their lower back. The job of fishermen in Laha Country is to look for fish in the sea in a bent position and with minimal equipment, namely fishing nets. The type of research is analytical observational research with a cross sectional study approach. Population of fishing communities in Laha Country. The sampling technique used a probability sampling technique with simple random sampling of 91 respondents. The instrument uses a questionnaire. Data analysis used the chi square test with a significance level of p < 0.05. The research results showed that there was a relationship between age and NPB (P-value = 0.000), there was no relationship between body mass index and NPB (P-value = 0.379), there was no relationship between length of service and NPB (P-value = 0.134), There is a relationship between length of work and NPB (P-value = 0.001), and there is a relationship between work position and NPB (P-value = 0.003).

Menstrual pain (dysmenorrhea) is a pain that is felt during menstruation and is felt in the lower abdomen. The incidence of dysmenorrhea is still common in young women, including in SMK Nurul Islami Semarang. One way to reduce dysmenorrhea pain is with warm electric compresses and deep breathing relaxation. This study aimed to analyse the effectiveness of giving electric warm compresses and deep breathing relaxation on the level of dysmenorrhea pain in adolescents at SMK Nurul Islami Semarang. The research plan is a quasi-experimental design with a two-group pre-test-post-test design approach. The population in this study was composed of female students in grades 10 and 11. The sampling technique was purposive, and a total sample of 64 respondents was obtained. The statistical test used is the normality test using Kolmogorov-Sminonov, followed by the Wilcoxon test. This study found that giving electric warm compresses and deep breathing relaxation was more effective in reducing dysmenorrhea pain than giving electric warm compresses. This finding is based on the intervention group's score of 16.50, while the control group's value is 14.50. The results of this study recommend that it can be used as material for carrying out interventions for young women who experience menstrual pain (dysmenorrhea).    

Low back pain (LBP) is a non-specific condition of acute or chronic pain in or near the lumbosacral spines that can be caused by inflammatory, neoplastic, traumatic, or other disorders. Long standing can be caused discomfort for the worker’s body. A survey conducted by the Center for Disease Control and Prevention (CDC) in 2011, low back pain is found in the top 10 diseases in Indonesia. As for jobs that required on standing for long duration and correlation by increased risk for low back pain, one of which is in a cake company called Rotte Bakery in Pekanbaru. The production process at Rotte Bakery required a lot of human roles, especially in terms of physical aspects, allowing staffs to long standing while working which can cause ergonomic problems such as low back pain. The research conducted by observational analytic method, with a cross sectional study design. The sampling technique used accidental sampling which was statistically tested using the chi-square test. The research purposes to determine the correlation of the long standing with low back pain event on Rotte Bakery Pekanbaru city staffs 2020. The result showed that there was a relationship (p-value = 0,000) and a significant correlation (p-value < 0.05) long standing with lower back pain event on Rotte Bakery Pekanbaru city staffs. Rotte Bakery staffs advised to pay attention to standing time while working, adhere to the rules for using a complete PPE, and the company can provide education at the beginning before starting work.

Low back pain (LBP) in Indonesia is a musculoskeletal complaint in the lumbar segment of the spine. One of the factors that influence complaints of low back pain (LBP) is work factors such as work position, work period, workplace design and body posture as well as body movement factors. Repetitive work, inefficient use of energy, long hours of work, unergonomic work positions and heavy workloads cause the incidence of LBP to increase. Therefore, it is necessary to increase insight into LBP as a promotive and preventive effort in reducing LBP symptoms. The methods used are counseling and leaflets as output results. There is a difference in understanding from the community and fishermen that after participating in this outreach activity, those who previously did not understand LBP disorders now understand more about what it is, the signs and symptoms, causes, intervention and prevention of LBP.

Health is a state of health, both physically, mentally, spiritually and socially, which enables everyone to live a productive life socially and economically. Public health is a condition that describes the level of health that occurs in society. Society is a group of individuals who live together, work together to obtain common interests and have an order of life, norms and customs that are adhered to in their environment. Public Health is a part of science that discusses and studies the prevention and treatment of disease in each individual. Physiotherapy as a health worker plays a very important role and must have the ability to maximize the potential for movement and function within the promotive, preventive, curative and rehabilitative scope. Therefore, it is proof that physiotherapy not only plays a curative and rehabilitative role but also plays a big preventive role. Nape pain or neck pain is generally not a serious condition that needs to be watched out for. This condition can heal in a few days or weeks without special treatment. However, neck pain can also occur due to certain diseases. Bending over, looking down for too long, often gritting your teeth, or reading in bed, using a cell phone for a long time can cause the neck muscles to become tense. Over time, this condition will cause Kornik's neck pain, which is a myofascial condition. Smartphones are a real manifestation of technological progress and are devices that work very complexly with access to the internet, social media and games. Excessive smartphone use can cause musculoskeletal disorders. Musculoskeletal disorders associated with smartphone use cause neck muscle fatigue caused by poor posture. Using smartphones for a long time can cause muscle tension. Apart from using smartphones, household activities can also cause neck pain such as ironing and washing. Providing exercise therapy in the form of Free Active Movement can reduce complaints of neck pain.

Due to the fetus's expansion in the uterus, the mother's pelvic joints are slightly more mobile, resulting in back pain. Additionally, the shoulders are pulled back and the lumbar spine is more curved, both of which increase spinal joint flexibility. To overcome back pain, one effort that can be done is pregnancy exercise. The goal of this volunteer project is to develop a unified strategy for preventing and treating pregnancy-related back pain by educating the public about the issue. Implementation in community service activities on October 3, 2023 at 09:00 - 12:00 WIB has been followed by pregnant women totaling 10 pregnant women, with the average results of knowledge before counseling amounting to 52.5 and after counseling amounting to 89.0 it is concluded that overall counseling participants with good knowledge. It is hoped that by raising awareness of pregnancy exercises, particularly among pregnant women, this event will help to reduce the number of back pain complaints in the community. Health Education is a topic that is explored in both theory and practice during these events. With this program, it is hoped that pregnant women can do pregnancy exercises so that complaints of back pain and other complaints can be reduced. These are some of the desired results from this endeavor; (1). Scientific publications in journals with ISSN / Proceedings; (2). Publication in PT repocitory; (3). Leaflet; (4). Activity Video; (5). Increased knowledge    

Gangguan kandung empedu, hati, dan pankreas eksokrin dapat terjadi sebagai gangguan primer. Fungsi satu organ sering mempengaruhi organ lainnya. Inflamasi atau obstruksi duktus dan perubahan menyebabkan dampak. Mendeskripsikan Penatalaksanaan Nyeri dengan Teknik Mobilisasi Dini ROM ( Range Of Motion ) di RSUD Kardinah Kota Tegal. Jenis rancangan penulisan dalam karya tulis ilmiah ini adalah deskriptif dalam bentuk studi kasus dengan pendekatan asuhan keperawatan yang meliputi pengkajian, diagnosa keperawatan, perencanaan, implementasi, evaluasi. Hasil penelitian dapat disimpulkan penerapan terapi ROM ( Range Of Motion ) terbukti dapat mengatasi masalah diagnosa nyeri akut berhubungan dengan agen pencedera fisiologis, pelaksanaan asuhan keperawatan sendiri dilaksanakan selama 3 hari, dengan kriteria hasil nyeri berkurang.

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.

Gout Arthritis is an inflammatory joint disease caused by the accumulation of monosodium urate crystals in the body. Onion compress is a current form the treatment of gout arthritis with no side effects. The aim of this research is a to determine the effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. The research conducted by using a pre-experimental (pre and post test design). The samples were 13 subjekts which taken using total sampling technique. Research instruments used observation sheet and SOP for measurement with the NRS (Numeric Rating Scale). Analyzed data by using a Wilcoxon test with the significance level α = 0,01. The results of this research obtained a value p=0.002 (α≤0.05), which means that Ha is accepted and Ho is rejected, so that can be concluded there were an effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. The conclusion of this research is that there is an effectivennes of shallot (Allium Cepa Var Aggregatum) compress on joint pain Gout Arhtritis patients at the Working Area, Public Health Center Tuminting Manado. Advice to subjekts who often experience gout arthritis pain is to treat it themselves by using shallot compresses.

Maternal who is difficult to adapt to the pain of labor can cause uncoordinated uterine contractions which can lead to prolongation of the first stage of labor and impaired fetal well-being. The purpose of this study was to see whether there was an effect of respiratory relaxation on the intensity of the first stage labor pain in the maternal love clinic Erlina Herawati, sub-district in 2023. This type of quantitative research used the One Group Pre Test- Post Test Design method with a population of all inpartum mothers in April 2023- June 2023 and a sample of 15 respondents. The results that have been obtained during the study including before the treatment showed mild pain by 2 respondents (13.3%), moderate pain by 6 respondents (40.0%), severe pain by 7 respondents (46.7%). Meanwhile, after treatment of mild pain 8 respondents (53.3%), moderate pain 4 respondents (26.7%), severe pain 3 respondents (20.0%). From the results of the study, it was found that the effect of before being treated and after being treated had a significant change in pain in the mother in labor. Therefore, it is hoped that in the future midwives in clinics will be able to facilitate mothers in giving birth by relaxing breathing it can reduce pain during labor, especially during the first stage of labor.

Dyspepsia is a medical condition characterized by pain or discomfort in the upper abdomen or solar plexus. Heartburn in dyspepsia sufferers occurs because the sphincter muscles in the esophagus and stomach do not close completely, resulting in a back-flow of stomach acid into the esophagus. A behavior to reduce pain in dyspepsia patients is a warm compress. The aim of this study was to determine the effectiveness of warm compresses on pain intensity of dyspepsia pain patients on Emergency Room of at Robert Wolter Mongisidi Hospital Manado. The method in this research is a quasi experiment with one group pre-post test. With 10 peoples of samples taken by using accidental sampling. Data collection uses SOPs and observation sheets. Next, the collected was processed using the Mc-Nemar test.The results of this study showed the majority of subjekts experienced changes after applying a warm compress (90%). The results of data analysis tested using Mc-Nemar obtained a value of p=0.031 (a<0.05), meaning there was an effect of warm compresses on pain intensity in dyspepsia patients in emergency room at Robert Wolter Mongisidi Hospital Manado.The conclusion, the compresses on the intensity of pain in dyspepsia patients in the Emergency Room at Robert Wolter Mongisidi Hospital Manado. It is recommended for the hospitals staff and dyspepsia sufferers to apply warm compresses to help reduce pain.

Low back pain (NPB) Ischialgia is the pinching of the ischiadic nerve in the lower back region which causes the buttocks, thighs, lower legs and even feet to tingle, pain, sometimes causing weakness. Nerve mobilization is a manipulation technique by moving and stretching the nerve tissue to improve axonal transport so as to improve nerve conduction. Nerve mobilization can reduce the pressure in the nerve so that there is an increase in blood flow to the nerve, which can have a regenerating and healing effect on the injured nerve (Butler, 1991). Nerve mobilization is often used as a form of diagnosis and treatment in musculoskeletal conditions with nerve involvement (Butler, 1991). Nerve mobilization in the Lower Limb Tension Test (LLTT) is performed on the branching of the lumbosacral plexus such as the ishiadicus nerve, peroneal nerve, and tibial nerve. But here the author only discusses LLTT on the ishiadicus nerve, namely LLTT 1 which is associated with low back pain. The purpose of knowing the effect of manual nerve mobilization on pain reduction in Ischialgia patients after IR and TENS therapy at RSD KRMT Wongsonegoro Semarang. Method two group pre test and post test. The place of this research is in the physiotherapy clinic of KRMT Wongsonegoro Hospital. Using Visual Analouge Scale (VAS) measuring instrument. The results were treated using the mann-Whtney test. With confidence interval (CI) (95%) The results revealed that there was a significant difference in pain between group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups on pain improvement (p = 0.152), so there was no better treatment between the two groups. It is concluded that ULTT is useful in the treatment of LBP patients to reduce pain in two groups. The targeted output is publication in Sinta indexed national journals and IPR. The TKT target of the implementation of gamelan accompaniment gymnastics is at level 2.

Labor is the process by which the fetus and amniotic fluid are pushed out through the birth canal. During the birth process the mother will experience pain. Pain that is uncontrolled or excerssive and does not get proper treatment can cause problems with difficulty in childbirth. A non-pharmocological method that is quite safe was to determine the effect of giving warm compresses to labor pain in the active phase of the first stage of labor at Fatimah Banyuwangi Hospital in 2022. The research method used a pre-exsperimental one group pretest posttest on 30 respondents who met the inclusion criteria, namely pregnant women in the first active phase, singleton pregnancies, head presentations, term pregnancies, normal delivery plants, fetal interpretation between 2500-4000 grams, accompanied by their husbands or family. Data collection was carried out using the VAS observation sheet and warm compress SOP. Then the data is processed through the process of editing, coding,scring, tabulating and statistical analysis of the Wilcoxon test. The result showed that the level of labor pain before the intervention was mostly in the severe pain category by 53% and after the warm compress intervention there was a decrease in the pain level, namely in the moderate pain category by 70%. Wilcoxon test reslts Asymp. Sig. (2-tailed) 0,00 < 0,05 means that there is a significant effect of giving warm compresses to labor pain in the active phase I parturition at RSI Fatimah Banyuwangi in 2022. Proper application of warm compresses according to the procedure gives a feeling of warmth and causes vasoconstriction so that labor pain in the first stage can be reduced. This method is safe and can be an alternative choice for midwives in the management of pain care during labor.