Non-pharmacological Therapies Research Articles

Edukasi Penanganan Nonfarmakologi Nyeri Otot Kronis

Chronic pain can result from various clinical conditions and may persist for more than three months. The symptoms can range from mild to severe. While chronic pain can be associated with various diseases, its exact cause sometimes remains unclear. In 2019, data from the National Health Interview Survey in the United States indicated that approximately 1 in 5 adults experienced chronic pain, with over 7% frequently limiting their activities due to this condition. However, there is no comparable data available for Indonesia. Chronic pain restricts activities and can decrease a person’s quality of life. Various options are available for pain management, one of which is non-pharmacological therapy, including hot-cold compresses, massage and stretching techniques, music therapy, and aromatherapy. These therapies aim to improve bodily function, regulate emotions, reduce weakness, stress, and anxiety, and decrease the need for pain medication. Gout is among the most common causes of chronic pain, with a prevalence of 3.9% in the US, 2.5% in Europe, and 7.3% in Indonesia, according to Riskesdas (2018). Based on this, local citizens were provided with education about pain management. This community service activity involved educating citizens on non-pharmacological treatments for chronic pain management and offering health services to residents of Angke. The purpose was to increase knowledge about non-pharmacological treatments for managing chronic pain. This activity was conducted on April 27th, 2024, from 07.00 to 12.00 at the Dhammasavana School in the Angke sub-district area, West Jakarta. The activities proceeded smoothly and in an orderly manner. A comparison of citizens’ knowledge before and after the education revealed a 58.18% increase in knowledge, contributing to improved welfare among the local residents.

Pengaruh Prenatal Yoga terhadap Penurunan Nyeri Punggung pada Ibu Hamil Trimester III di PMB Usmalanah Bandar Lampung Tahun 2024

Based on data in the United States, Europe and several regions of Africa, back pain affects 30% to 78% of pregnant women.Pre-survey results conducted at PMB UsmalanahdatIn the April 2024 period, the number of TM III pregnant women was 37 people. Of the 10 third trimester pregnant women through interviews, 7 (70%) had back pain and 3 (30%) had no back pain.This type of quantitative research with an experimental design.The population of third trimester pregnant women who complained of back pain at PMB Usmalanah was 34 respondents. The sample size in this study was the entire population. Independent variable: prenatal yoga and dependent variable: back pain. The sampling technique used ispurposive sampling technique.Data were collected using the NRS pain scale observation sheet. Data were analyzed univariately and bivariately, the test used was the dependent T-test.The results of the study showed: the average back pain score before prenatal yoga was 4.76 (in the moderate pain category), the average back pain score after prenatal yoga was 2.55 (in the mild pain category). Based on the results of the Wilcoxon Signed Test calculation, the z value obtained is – 5.143 with a p value of 0.000. The conclusion of this research is that there is an effect of Prenatal Yoga on reducing back pain in TM III pregnant women at PMB Usmalanah Bandar Lampung. Advice for pregnant womenIt is hoped that non-pharmacological therapy will be preferred to reduce back pain. Because not all medicines can be consumed by pregnant women.

Penerapan Kompres Hangat Terhadap Skala Nyeri Dismenore pada Remaja Putri di Desa Tanjung Sukoharjo

Dysmenorrhea is menstrual pain in the lower abdomen that radiates to the waist and is accompanied by a headache that lasts for seven days due to increased production of prostaglandins and their release from the endometrium during menstruation. The prevalence of adolescent girls in Indonesia who experience dysmenorrhea is 64.25% which consists of primary dysmenorrhea 54.89% and secondary dysmenorrhea 9.36%. Warm compress is one of the non-pharmacological therapies that can be used to reduce dysmenorrhea pain. Describe the results of the comparison of the dysmenorrhea pain scale before and after warm compresses. This application uses a descriptive case study method on 2 respondents with dysmenorrhea pain. Performed once a day for 2 days with a time of 30 minutes. The instruments used in this application are (Warm Water Zak) WWZ, thermometer, hot water and measurement using (Numeric Ratting Scale) NRS. There was a decrease in dysmenorrhea pain in both respondents after being given a warm compress on Ms. A from a scale of 6 to 2 and on a Numeric Ratting Scale. A from scale 6 to 2 and on Ms. I from scale 5 to 3. I from scale 5 to 3. Conclusion: The application of warm compress therapy can reduce the dysmenorrhea pain scale in both respondents.

Penerapan Abdominal Stretching Exercise Untuk Mengurangi Dismenore Pada Mahasiswi DIII Keperawatan Universitas ‘Aisyiyah Surakarta

Background: Dysmenorrhea is still experienced by many women, menstrual pain appears for several days during menstruation. Dysmenorrhea or menstrual pain can have an impact on teenagers' daily activities. The prevalence of dysmenorrhea in Surakarta is 89.8%. Efforts to reduce dysmenorrhea can be done in two ways, namely pharmacological and non-pharmacological. One non-pharmacological therapy that can be done is abdominal stretching exercise. Objective: To describe the results of applying the Abdominal Stretching Exercise to reduce dysmenorrhea pain in DIII Nursing students at 'Aisyiyah University, Surakarta. Method: This application uses the case study method. This method focuses more on the actions or behavior produced, in this method the variable measured is the level of pain in adolescents with dysmenorrhea who have been given intervention for 3 days. Results: After carrying out the Abdominal Stretching Exercise on two respondents who experienced dysmenorrhea for three consecutive days, it showed a change in pain level, Ms. K's pain scale decreased by 2 and Ms. N's pain scale decreased by 3. Conclusion: The application of Abdominal Stretching Exercise can reduce the level of dysmenorrhea pain in DIII Nursing students at 'Aisyiyah University, Surakarta.

Healthy Lifestyle and Cardiac Rehabilitation for Weight Loss.

Considerable current interest is directed at pharmacological agents for producing significant weight loss. However, healthy lifestyle choices can also lead to clinically meaningful weight loss and improvements in cardiovascular disease (CVD) risk factors. In this review, we summarize the recent research from our PROmoting Successful Weight Loss in Primary CarE in Louisiana (PROPEL) randomized controlled trial and review previous data on the potential benefits of cardiac rehabilitation and exercise training (CRET) programs to produce weight loss and improvements in CVD risk factors. Although obesity medications are becoming extremely attractive for secondary and even primary CVD prevention, high-intensity non-pharmacological therapies with healthy lifestyle choices reviewed herein can also lead to substantial health improvements in patients with obesity, including improvements in body weight and other body composition parameters as well as overall CVD risk.

Penerapan Hidroterapi Dalam Upaya Menurunkan Tekanan Darah Penderita Hipertensi di Desa Mipitan Kelurahan Mojosongo

Background: A person who is said to be hypertensive is a condition of someone who experiences an increase in high blood pressure that reaches a systolic number of more than 140 mmHg and a diastolic number of more than 90 mmHg. The prevalence of hypertension cases in the Surakarta City Health Office found an increase in the incidence of hypertension in 2023 reaching 67,355 cases. One of the Non-Pharmacological therapies that can be used is hydrotherapy. Purpose: This application describes a comparison of blood pressure developments before and after the application of hydrotherapy. Method: This application uses a case study of 2 respondents carried out for 6 consecutive days within a week with a therapy duration of 30 minutes at a temperature of 40 ° C. Results: The application of hydrotherapy to both respondents obtained the results of a comparison of developments before and after therapy in Mrs. S systolic blood pressure 20 MmHg diastolic 10 MmHg and in Mrs. M systolic blood pressure 22 MmHg diastolic 10 MmHg. Conclusion: The results of the study can be concluded that there is an effect of hydrotherapy on systolic and diastolic blood pressure in both respondents.

The Effect of Emotional Freedom Technique on Academic Anxiety and Stress in Nursing Students

Due to their numerous academic responsibilities, students may experience elevated levels of stress and anxiety. EFT is a safe, non-pharmacological therapy that is simple to learn and use to reduce anxiety and stress. This study used a one group pre-post test design technique to examine the impact of the Emotional Freedom Technique on academic stress and anxiety in nursing students enrolled in pre-experimental research. This study's participants were nursing students. Using the Simple Random Sampling method, 57 responses made up the sample size. The study's variables included academic stress and anxiety, as well as EFT therapy. Students who exercise 1-2 times a week with meetings four times a month receive EFT therapy; sessions last an additional 15 minutes. The Wilcoxon Signed Rank Test with α = 0.05 was utilized for data analysis. According to the findings, the majority of respondents (56.1%), or 32 people, had moderate anxiety levels before to receiving EFT therapy, and nearly all respondents (93%), or 53 people, had moderate stress. Following EFT therapy, the majority of respondents (56.1%), or 32 people, reported having moderate anxiety, and nearly all (84.2%), or 48 people, reported having moderate stress. It may be inferred from the pre- and post-test results, which showed a significant difference at the 0.05 level of significance and p = 0.000 (0.000 <0.05), that EFT therapy had an impact on nursing students' anxiety and academic stress. Students who have academic anxiety and stress can benefit from EFT therapy.

Efektivitas Rebus Daun Sirih Merah dan Konsumsi Telur Ayam Rebus terhadap Luka Perineum pada Ibu Postpartum di PMB S Kabupaten Pandeglang Tahun 2024

Poor care of perineal wounds can cause infection which will slow down the healing process of perineal wounds. Efforts to prevent perineal wound infections can be provided with pharmacological therapy and non-pharmacological therapy. To provide midwifery care and determine the effectiveness of boiling red betel leaves and consuming boiled chicken eggs on perineal wounds in postpartum mothers. The research used is descriptive qualitative research. The target of the activity was 2 postpartum mothers who had perineal wounds who were given intervention 1 by giving boiled red betel leaves, and intervention 2 by giving boiled chicken eggs for 5 days. From the research results, it was found that postpartum mothers who experienced perineal wounds before and after being given intervention experienced accelerated healing of perineal wounds on the 4th day. There is an effect of boiled red betel leaves and boiled chicken eggs on accelerating the healing of perineal wounds in postpartum mothers. For postpartum mothers, consume boiled chicken eggs and red betel leaves to speed up the healing of perineal wounds.

Penerapan Senam Ergonomis Terhadap Penurunan Kadar Asam Urat pada Lansia di Desa Pondok Sukoharjo

Background: Gout is a disease associated with high levels of uric acid in the blood. Apart from the aging process, gout can also occur due to the inhibition of the secretion process and a decrease in the enzyme uricase. The aging process in the elderly causes various health problems, as a result of which they are susceptible to diseases, one of which is an increase in uric acid. Uric acid numbers can be said to be abnormal if >6 mg/dl for women and >7.2 mg/dl for men. Non-pharmacological therapy that can be done is ergonomic exercise. The purpose of this study is to compare measurements of uric acid levels before and after ergonomic exercise. Methods: A case study of 2 respondents was conducted three times a week, with a duration of 19 minutes for each exercise. Results: The application of the two respondents resulted in a significant decrease in uric acid levels; namely, Mrs. S obtained a result of 4.8 mg/dl, while Mrs. T obtained a result of 5 mg/dl. Conclusion: The results of this study concluded that there was a decrease in uric acid levels in both respondents after ergonomic gymnastics.

Progressive Muscle Relaxation on Family Anxiety with Hypertension

Since hypertension is a chronic condition, long-term care is required. Anxiety within the family is one of the ways that long-term care and the possibility of complications impact the loving family. Extended family stress may lead to subpar treatment for hypertensive individuals, which will impact their pulse. The purpose of this study was to examine what increasing muscle relaxation meant for the anxiety levels of hypertensive families. Analytical methods are utilized in this kind of quasi-experimental study. All households with family members who experience the ill effects of hypertension are the target population. samples from 35 participants in the control group and another 35 participants in the experimental group. The HARS questionnaire was the tool used to gauge the level of anxiety. Using the SPSS software, data management employed the Wilcoxon Signed Ranks Test at a significance threshold of <α (0.05). The outcomes demonstrated that gradual muscle relaxation had an impact on the anxiety levels of the experimental group's families with hypertension. ρ = 0.000 (0.000 <0.05) was the result of the Wilcoxon sign rank test at a significance level of 0.05. The control group's Wilcoxon sign rank test result, at a significance level of 0.05, was ρ = 1.000 (1.000 > 0.05), indicating no effect of progressive muscle relaxation on anxiety. According to the study's findings, gradual muscular relaxation can diminish anxiety. To bring down anxiety levels, this technique can be utilized as a non-pharmacological therapy.

Penerapan Senam Anti Stroke Terhadap Tekanan Darah pada Penderita Hipertensi di Kampungsewu Surakarta

Background: Hypertension or what can be called high blood pressure that occurs when blood vessel pressure is too high, said to be high if the blood pressure is 140/90 mmHg or more. According to the World Health Organization (WHO), the prevalence year is 1.28 billion people who experience hypertension aged 30-79 years. The prevalence of hypertension in Pucangsawit Health Center in 2022 was 4.492 hypertensive patients in Surakarta City, One of the non-pharmacological therapies that can be given to hypertensive patients is anti-stroke gymnastics. Objective: Describe the results of blood pressure comparison and after the application of Anti- Stroke Gymnastics in patients with hypertension. Method: This study uses a descriptive research design with a case study approach by observing blood pressure in 2 respondents with hypertension, conducted 2 weeks for 6x within 30 minutes. The instruments used are observation sheets, Blood Pressure Monitors, and anti-stroke gymnastics SOP videos. Results: There is a decrease in blood pressure after giving Anti-Stroke Gymnastics to Mrs. E from 148/81 mmHg to 130/78 mmHg and to Mrs. S from 157/111 mmHg to 143/101 mmHg. Conclusion: The application of anti-stroke gymnastics can potentially reduce blood pressure in hypertensive patients in both respondents.

Penerapan Pijat Bayi Terhadap Kualitas Tidur pada Bayi Usia 0-6 Bulan di Wilayah Kerja Puskesmas Pucangsawit Kota Surakarta

Background: The prevalence of sleep problems in infants in Indonesia reaches 44.2%, often waking up at night. In Central Java in 2018, 44% of infants experienced similar sleep disorders. Fulfilling sleep needs is important for their development. Infant massage is an effective non-pharmacological therapy to improve sleep quality. Objective: Knowing the changes in sleep quality in two respondents before and after the application of baby massage. Objective: Knowing the changes in sleep quality in two respondents before and after the application of baby massage. Methods: This research used descriptive method with case study approach. Measurements were made on 2 respondents to determine the quality of sleep using BISQ and the application was carried out with baby massage 3 times a week for 2 weeks. Results: There was an improvement in sleep quality in By. S from BISQ score 7 to score 15 and By. A also experienced an increase in sleep quality from BISQ score 6 to 14. Conclusion: Infant massage can be applied to improve the sleep quality of infants aged 0-6 months.

Penerapan Teknik Relaksasi Nafas dalam Upaya Menurunkan Tekanan Darah pada Lansia Penderita Hipertensi di Desa Mipitan Kelurahan Mojosongo

Background : In old age, there is a decline in the body's immune function, including a decline in heart function, one of the diseases of which is hypertension. Hypertension is high blood pressure with systolic blood pressure results >140 mmHg or diastolic blood pressure ≥ 90 mmHg.. The prevalence of hypertension cases according to the Surakarta City Health Service showed an increase in the incidence of hypertension in 2023 reaching 67,355 cases. One of the non-pharmacological therapies that can be used is deep breathing relaxation techniques. Objective: This study describes a comparison of blood pressure development before and after the application of deep breathing relaxation techniques. Method: This study used a case study of 2 respondents conducted on May 11-13, 2024 for 2 times in a row with a therapy duration of 10 minutes. Results: The application of Deep Breathing Relaxation Therapy to both respondents obtained comparative results of development before and after therapy in Mrs. S systolic 24 MmHg and diastolic 17 MmHg while Mrs. T showed a decrease with systolic 25 MmHg and diastolic 13 MmHg. Conclusion: The results of the study can be concluded that there is an effect of deep breathing relaxation techniques on reducing systolic and diastolic blood pressure in both respondents.

Penerapan Isometric Handgrip Exercise untuk Menurunkan Tekanan Darah pada Penderita Hipertensi di Wilayah Puskesmas Pucangsawit

Background: Hypertension that occurs in the world of the entire world population is 22% (WHO, 2021). Based on data obtained from the Pucangsawit Community Health Center, in 2023 there were 1,623 cases of Primary Hypertension. Isometric handgrip exercise therapy is a non-pharmacological therapy to help lower blood pressure. Objective: determine changes in blood pressure values in two respondents with hypertension before and after being given isometric handgrip therapy. Method: This research is a case study research using descriptive methods, namely by observing and interviewing two respondents with hypertension who are at risk of developing kidney disease and other diseases with a decrease in blood pressure results that become normal. Results: There was a decrease in blood pressure values in Mrs. S from 143/90 mmHg to 135/85 mmHg, while in Mr. N decreased from 160/98 to 150/90 mmHg. Conclusion: after applying isometric handgrip therapy to Mrs. S and Mr. N there is a decrease in blood pressure values ​​in hypertensive sufferers. This shows that the isometric handgrip can reduce blood pressure to normal.

Trends in Utilization and Cost of Nonpharmacological Pain Therapies in the United States Under Medicare Part B, 2000-2022.

Background: Many clinical practice guidelines for management of pain disorders now favor first-line use of nonpharmacological therapies (NPT). However, Medicare coverage of NPT is limited. Methods: Using a serial cross-sectional design, we examined temporal trends in the utilization and cost of NPT procedures commonly used to treat pain under Medicare. Results: Utilization and costs for physical therapy increased while those for spinal and osteopathic manipulation declined. Discussion: Future research on NPT under Medicare should focus on equity of patient access and comparative outcomes.

Analysis of clinical study registration characteristics of traditional medicine for the treatment of type 2 diabetes mellitus based on the International Clinical Trials Registry Platform

Objective: To analyze clinical trials of traditional medicine (including Chinese herbal medicine and nonpharmacological therapies) for the treatment of type 2 diabetes mellitus (T2DM) registered in the International Clinical Trials Registry Platform (ICTRP), and accordingly to explore their clinical trial registration characteristics, development trend and intervention status, in an attempt to provide references for future research design, diagnosis and management of traditional Chinese medicine therapy for T2DM. Methods: The clinical trials related to Chinese herbal medicine and nonpharmacological therapies for treating T2DM were retrieved on the ICTRP online from the time of database construction to August 13, 2023, to analyze the time of registration, country and institution of the study, source of funding, type and design of the study, randomization and blinding methods, clinical staging, therapeutic measures, and main therapeutic effect indexes. Descriptive statistical analysis was performed using R4.3.0 and Excel software. Results: A total of 774 clinical trials for T2DM treatment were included, of which 127 were traditional herbal therapies and 647 were nonpharmacological therapies. The T2DM clinical trial registration institutions were distributed in 50 countries worldwide involving 15 clinical registration platforms, with the most registrations in Iran, China, and Australia, and the top 3 registration platforms were the Iranian Clinical Trial Registry, the Australian New Zealand Clinical Trials Registry, and the ICTRP. Universities (551, 71.19%) were the main funding sources. Intervention studies (750, 96.90%) were the primary study type, including randomized controlled trials (432, 56. 4%), and 225 studies mentioned the blinding method. A total of 530 (68.48%) with a sample size ≤100 were included. Study phases were predominantly phase 2 and phase 3 (108, 51.43%). The interventions of traditional medicine for T2DM were composed of Chinese herbal medicines (mainly ginseng and astragalus compound), nonpharmacological therapies (mainly exercise and diet therapies), and 2 or more comprehensive treatment regimes. According to the type of study design, the first 3 main therapeutic indexes were fasting blood glucose (286 times), glycated hemoglobin (282 times), and insulin resistance (120 times), and the top 3 secondary therapeutic indexes were body mass index (179 times), fasting blood glucose (175 times), and glycated hemoglobin (134 times). Conclusion: The study dissects the current status and trend of registration of clinical trials on traditional medicine for T2DM treatment. The number of trial registrations is on the rise year by year, and there are obvious geographical differences in the countries and platforms of registration. The trial design is mainly randomized controlled blind trials with a sample size of <100, and the main interventions are nonpharmacological therapies. Correct and standardized registration of clinical trials and timely reporting of study results are greatly important to facilitate the implementation of clinical trials, reduce publication bias, provide high-level diagnostic and therapeutic bases for clinical practice guidelines, and develop effective treatment strategies. This study is expected to help other scholars, health care professionals, patients, and the public to understand the latest research trends and hotspots in this field and provide certain references and inspirations for the future research design and clinical practice of traditional Chinese medicine in the treatment of T2DM.

Transcriptome analysis of rats with chronic unpredictable mild stress treated with electroacupuncture.

Depression remains one of the most prevalent psychiatric disorders, with many patients not responding adequately to available treatments. Electroacupuncture (EA), a nonpharmacologic therapy, holds great promise for alleviating depressive symptoms. In this study, RNA sequencing (RNA-Seq) was used to identify genome-wide alterations in the hippocampus of rats after chronic unpredictable mild stress (CUMS) and EA treatments to further elucidate the mechanism by which EA ameliorates depression to provide a basis for the clinical application of EA in stress-related diseases. The sucrose preference test (SPT), open field test (OFT), and forced swimming test (FST) were used to investigate the ability of EA at Baihui (GV20) and Taichong acupoints (LR3) to improve depression-like behavior in rats subjected to CUMS. Subsequently, RNA-Seq analysis revealed transcriptomic profiles of the hippocampus of rats subjected to CUMS in which EA ameliorated depressive behavior. Finally, the expression profiles of major differentially expressed genes were tested by real-time quantitative polymerase chain reaction (qRT-PCR) to determine the accuracy of the RNA-Seq results. Rats subjected to CUMS exhibited depressive-like behaviors, such as decreased sucrose consumption in the SPT (p<.001), decreased time in the central area of the OFT (p<.001), and increased immobility in the FST (p<.01). Importantly, rats subjected to CUMS and treated with EA showed increased sucrose consumption (p<.001), increased time spent in the central area of the OFT (p<.001) and decreased immobility in the FST (p<.01). Sixty-three genes that were differentially expressed following CUMS were altered by EA; most of these were associated with immune pathways. Compared with those in the control group, the expression levels of Colla2 (p<.001), Col3a1 (p<.001), Psmb9 (p<.01), and Tap1 (p<.01) in the hippocampus of rats subjected to CUMS were lower. The changes in the expression of these genes were reversed by EA treatment. EA at GV20 and LR3 attenuated CUMS-induced depression-like behaviors by regulating the expression of specific genes such as Colla2, Col3a1, Psmb9, and Tap1.

Treating Lows: Management of Orthostatic Hypotension.

Orthostatic hypotension is a prevalent clinical condition, caused by heterogenous etiologies and associated with significant morbidity and mortality. Management is particularly challenging in patients with uncontrolled hypertension. A thorough assessment is needed to draw an appropriate management plan. The treatment aims to improve postural symptoms while minimizing side effects and reducing iatrogenic exacerbation of supine hypertension. A personalized management plan including rationalizing medications, patient education, identification, and avoidance of triggers, as well as nonpharmacological therapies such as compression devices, dietary modifications, and postural aids, make the first steps. Among pharmacological therapies, midodrine and fludrocortisone are the most prescribed and best studied; pyridostigmine, atomoxetine, and droxidopa are considered next. Yohimbine remains an investigational agent. A multidisciplinary team may be required in some patients with multiple comorbidities and polypharmacy. However, there is a lack of robust efficacy and safety evidence for all therapies. Building robust real-world and stratified clinical trials based on underlying pathophysiology may pave the way for further drug development and better clinical strategies and in this challenging unmet medical need.

Depression Part 2: Treatment.

Depression treatment strategies are within the scope of pediatric practice and among the competencies recommended by the Academy of Pediatrics and The American Board of Pediatrics. Treatments that may be provided through collaborative care include nonpharmacologic therapies such as psychosocial treatments and evidence-based psychotherapies, and pharmacotherapy and monitoring processes for depression. Abundant support and guidance are available to pediatricians in depression care, including mental health consultation and online materials.

Health Education for Adolescent Girls in Overcoming Dismenorhea without Medication

Dysmenorrhea is pain in the lower abdomen during menstruation which is generally caused by contractions of the myometrium due to prostaglandin production. In Indonesia, 43-93% girls experiencing dysmenorrhea. When experiencing unbearable menstrual pain, many women need medication to relieve it. However, the use of drugs often has side effects on the body. One of the non-pharmacological management methods that can be used is relaxation techniques that inhibit the brain from producing pain sensations and do not cause side effects for the body. The purpose of the community service activities carried out at Senior High School 1 Kandat, Kediri Regency is to provide education about non-pharmacological therapy methods in reducing the intensity of dysmenorrhea pain that are easy to apply, especially to adolescent girls when experiencing menstrual pain. The population of this community service is female students. The implementation of this community service activity is by providing health education on how to overcome menstrual pain without medication. The result of this activity was an increase in the level of knowledge of 85% of female students on how to overcome menstrual pain without medication. This activity concludes that it was implemented and resulted in changes by the target output, namely knowledge on overcoming menstrual pain without medication. It is hoped that the counseling provided can be implemented routinely and applied.