<p>Women who suffer perineal trauma in spontaneous labor experience pain and edema as the most common problems on the first day after delivery. Impaired mobility and a limited ability to carry out daily activities will affect the mother-baby bond. The study of the cold sitz bath intervention and infrared treatment aims to find out how these interventions can overcome the pain of perineal wounds in postpartum mothers. A quasi-experimental design was used to assess both interventions for treating pain in perineal trauma at the Madina Clinic and Sundari Hospital. The sample consisted of 40 mothers, 20 in the cold sitz bath (intervention group) and 20 in the infrared therapy (control group). Pain was measured using a numerical scale from day one to day three of the postpartum period and then the data were analyzed using the paired t-test statistical test. The results of this study revealed that the cold sitz bath hydrotherapy had a significant effect in reducing pain (p = 0.004), as well as infrared therapy (0.008). Although on the third day of the postpartum period, infrared therapy did not significantly reduce the pain level; several other factors could contribute to the significant differences in pain intensity reduction such as comfort, convenience, and the economic value of the intervention.</p><p align="center"> </p>

Background:Objectives: This study aims to determine the effect of progressive muscle relaxation training on blood sugar, choleterol and uric acid levels in the elderly in Medan Sunggal sub-district.Methods: This study was an experimental study with one group by examining blood sugar, cholesterol and uric acid levels before and after progressive muscle relaxation training. The research respondents were 39 elderly people in environmental areas II and III of Medan Sunggal sub-district. Blood sugar, cholesterol and uric acid levels were measured before the first session and after the end of the progressive muscle relaxation training session three times a week for 4 weeks.Results: The results were analyzed by using the Wilcoxon test using spss 26. Blood sugar and cholesterol levels have the same measurement results, while the pre and post measurements of uric acid levels have an increase in value which means that there is an effect of progressive muscle relaxation training on uric acid levels with a p value <0.05. . which means that Ha is accepted means that there is a difference between pre and post progressive muscle relaxation training based on Arduino Uno.Conclusion:Progressive muscle relaxation training only affects uric acid levels and has no effect on cholesterol and blood sugar levels in the elderly.

Pregnancy is a critical psychological social transition period that requires family, social and health support. Pregnancy causes psychological changes that will have an impact on the baby. These changes will affects the quality of life of pregnant women. This study was to determine the effect of murothal Al-Qur’an therapy in reducing anxiety in improving the quality of life of pregnant women in Medan Sunggal District. The type of research is pre-experimental using one intervention group. This research was conducted in Medan Sunggal District with sample of 30 respondents with several research criteria. The measuring instrument used the Hamilton Rating Scale for Anxiety (HRS-A) and the WHOQOL-BREF Questionnaire for quality of life which was administered after the intervention. Wilcoxon test was carried out to determine the effect of Murothal Al-Qur’an (Surah Al-Fatihah) therapy in reducing anxiety and in improving the quality of life of pregnant women. The result showed that there was an effect of Murothal Al-Qur’an (Surah Al-Fatihah) therapy on reducing anxiety and quality of life of pregnant women. The significant value obtained was 0.000 (p 0.05), which means that there was a significant difference between after the intervention in reducing anxiety and the quality of life of pregnant women. Murothal Al-Qur’an (Surah Al-Fatihah) is very beneficial for pregnant women in reducing anxiety and improving the quality of life in dealing with pregnancy. Murothal al-qur'an is recommended for anyone, not only for pregnant women, especially those who are Muslim to cope with  anxiety.

Lansia akan mengalami masalah Kesehatan yang sangat mengganggu aktivitasnya. Di Era tehnologi canggih ini, ide mengembangkan bagaimana mengaplikasikan Latihan progressive muscle relaxation pada lansia dengan tujuan menurunkan kekakuan pada sendi dan mengurangi rasa nyeri didukung oleh tehnologi yang mampu melihat apakah otot mampu melakukan pergerakan dengan baik. Metode dalam kegiatan pengabdian ini melakukan edukasi secara terarah menggunakan buku panduan, lalu melakukan pemeriksaan mendetail seperti tanda-tanda vital, gula darah, kolesterol dan asam urat. Lalu melakukan Gerakan yang disertai pendeteksian otot pada lengan dan kaki lansia. Hasil dari kegiatan, masyarakat mampu melakukan di rumah dengan baik dan menerapkan aplikasi PMR tersebut setiap hari

The elderly is prone to suffer from physical illness and experience hospitalization due to physiological decline.  Researches showed that the majority of the family caregivers are females, who are responsible for the caregiving delivery.This study aims to explore the female caregiver stress caring for hospitalized elderly with chronic illness at USU Hospital, Medan. This research is a qualitative study with a phenomenological approach. The sampling technique was the purposive sampling method with several criteria; female with mild to high stress level, the prominent caregivers in the family, and had been caring the elderly for more than 1 year.  The female caregivers would be assessed for stress levels with the Zarit Burden Inventory instrument, which is commonly used to assess the stress burden of caregivers caring for the elderly.  The data collection is conducted through in-depth interview.  The data are transcribed and analysis for sub-theme and theme.  The research result found nine participants with an age range of 32-67 years. All participants are the elderly daughter’s and spouses.  The stress score is 15-25 which means that the participants are experiencing mild-moderate to severe stress ranges.  The thematic analysis revealed four main themes namely; (1) Financing elderly, (2) Caregiver fatigue, (3) Experiencing negative relationship, and (4) Indonesian culture associated with female gender. According to the research result, it should be a basis data for further research related to the elderly caregivers.  Therefore, the need for the specific interventions is provided for the elderly and the caregivers who are vulnerable to stressful conditions.

BACKGROUND: Perineal injury is an injury to the urogenital diaphragm and levator ani muscle, which occurs during normal delivery, or vaginal delivery, can occur without injury to the perineal or vaginal skin. Perineal wounds become one of the breeding media for germs so that it becomes the cause of puerperal infection. Perineal infection can occur because the location of the perineum is moist so that it becomes a breeding ground for bacteria. Incidence of infection that occurs in the perineal wound can spread to the birth canal or urinary tract. Infectious conditions in the perineal wound will slow down the wound healing process, because it can increase the damage to the supporting tissues of the skin. AIM: This systematic review aims to see how postnatal perineal wound care: Epidemiology, impact, and future interventions. METHODS: Researchers searched for quantitative studies published between 2017 and 2021, using PubMed, Elsevier, and Google Scholar. Thirty studies in systematics review. RESULTS: The studies that have been collected that there are nine studies discussing the effect of therapies given to the treatment of perineal wounds in studies that discuss therapy two studies including discussing infrared lamp therapy, one study discussing the effects of mastic oleoresin, one study discussing betel leaf decoction, one study discussing the effectiveness of Aloe vera, one study discussing the effects of cinnamon, one study discussed the application of negative pressure sores, one study discussed the effect of pineapple fruit juice, and one other study discussed the effects of carvacrol, tymol, and olive oil. Then, two studies discussed the prevalence of perineal wound events and three studies discussed the characteristics of perineum wounds. CONCLUSION: This systematic review evaluates and synthesizes the effectiveness of intervention methods of perineal wound pain reduction and perineal wound healing (episiotomy) and improves comfort in consideration of the methodological evidence level of stud patients’ comfort.

Keadaan topografi Desa Dokan secara umum adalah merupakan daerah perbukitan atau dataran tinggi. Yang memiliki iklim kemarau dan penghujan, dimana hal tersebut mempunyai pengaruh langsung terhadap pola tanam yang ada di desa Dokan Kecamatan Merek. Iklim yang menentukan pola tanam masyarakat sangatlah penting dikarenakan mayoritas mata pencahariaan masyarakat Desa Dokan adalah sebagai petani. Penduduk desa Dokan dengan proporsi 47,1% berjenis kelamin perempuan merupakan potensi yang seharusnya diberdayakan dan berkontribusi dalam ketahanan pangan keluarga. pada tahun 2030 variabilitas iklim akan mengancam ketahanan pangan, sehingga diperkirakan jumlah masyarakat yang kekurangan gizi akan meningkat. Metode pelaksanaan kegiatan pengabdian kepada masyarakat dilakukan dengan pemberdayaan sumberdaya perempuan dan pendampingan melalui pengolahan  daun kelor. Kelompok perempuan berpartisipasi aktif dalam kegiatan dan berkomitmen bersama untuk berdaya dalam ketahanan pangan keluarga dengan menyediakan bahan makanan yang bernutrisi salah satunya bahan makanan yang berbahan dasar olahan daun kelor.

<em>Postpartum mothers with an indication of episiotomy will experience a higher level of pain. This birth canal trauma is acute and is expected to recover in a short period of time, can be measured, and without serious complications. The aim of this study was to identify the healing process of postpartum maternal perineal wounds. The intervention was carried out on 31 postpartum mothers with the selection using purposive sampling technique. Maternity cool gel pad (MCGP) which was applied to the perineal wound care intervention on the 2nd and 3rd day after delivery showed the wound healing process was observed using the REEDA measuring instrument and analyzed using the T one sample test. The repair of the wound repair scale from the mean REEDA score (10.81 ± 2.98) occurred in all wounds of the study respondents at post intervention (5.32 ± 1.73). Maternity cool gel pad intervention assisted the wound healing process in post intervention data (P &lt;0.005). The results of this study can be indicative of an inflammatory response locally in perineal wounds, but further research is needed to observe the impact of perineal wound healing with a combination of methods that can help evaluate the perineal wound repair process that can be done by mothers independently at home.</em>