Pain problems that are often experienced by patients when visiting health facilities are gastroesophageal reflux disease (GERD). The impact of untreated GERD causes sleep quality, stress, anxiety, and the emergence of feelings of fear, and will have an impact on prolonged pain. Nonpharmacological management of GERD can be done with 5 finger hypnosis. The purpose of this study was to determine the effect of giving the fivefinger hypnosis technique on reducing pain intensity in gastroesophageal reflux disease (GERD) patients at health center Adi Luhur Mesuji year 2022. This type of research is quantitative using a pre-experimental research design with a one grup pretest and posttest design. This research was conducted at the Adiluhur Health Center on 8 December 2021 to 10 January 2022. The sample in this study was 30 GERD patients. The sampling technique used in this study was accidental sampling. Analysis of the data used using the mann whitney test. The results of the analysis showed that there was an effect of giving the five finger hypnosis technique on reducing pain intensity in gastroesophageal reflux disease (GERD) patients, with a pvalue of 0.042 (<0.05). It is hoped that the results of this study will increase knowledge about the effect of giving five-finger hypnosis techniques on reducing the intensity of GERD pain and then increasing nonpharmacological treatment while pain can be overcome.

ABSTRAK Resiko Perilaku Kekerasan adalah perilaku menyimpang yang membahayakan bagi diri sendiri, orang lain, maupun lingkungan ditandai dengan amuk, gaduh serta gelisah yang tidak terkontrol. Dampak pasien dengan resiko perilaku kekerasan apabila tidak ditangani dapat menyebabkan resiko tinggi mencederai diri sendiri, orang lain dan lingkungan. Salah satu penatalaksanaan masalah keperawatan resiko perilaku kekerasan dengan menggunakan terapi musik klasik. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian terapi musik klasik terhadap resiko perilaku kekerasan di Rumah Sakit Jiwa Daerah Provinsi Lampung. Desain penelitian yang digunakan adalah dengan pendekatan pra-eksperimental rancangan one grup pre test – post test. Populasi dalam penelitian ini adalah klien skizofrenia dengan masalah keperawatan resiko perilaku kekerasan yang kooperaatif atau stabil dan mendapatkan SP 2 yang dirawat di ruang Nuri Rumah Sakit Jiwa Daerah Provinsi Lampung. Subyek yang digunakan sebanyak 4 responden.  Intervensi tindakan yang diberikan adalah terapi musik klasik, teknik pengumpulan data yang digunakan yaitu wawancara, observasi dan dokumentasi dengan menggunakan instrument lembar penilaian tanda dan gejala resiko perilaku kekerasan, dan SOP terapi musik klasik. Sebelum dilakukan terapi musik klasik didapatkan rata-rata skor tanda dan gejala RPK (Resiko Perilaku Kekerasan) yaitu 75,9 % (kategori RPK berat), setelah dilakukan terapi musik klasik didapatkan rata-rata skor tanda dan gejala RPK yaitu 56 % (kategori RPK sedang). Berdasarkan hasil penelitian dapat disimpulkan bahwa hasil implementasi pemberian terapi musik klasik terhadap resiko perilaku kekerasan dapat membantu menurunkan tanda dan gejala RPK kepada subjek penelitian. Kata Kunci: Resiko Perilaku Kekerasan, Tanda Gejala, Terapi Musik  ABSTRACT Risk of Violent Behavior is deviant behavior that is harmful to oneself, others, and the environment, characterized by tantrums, noise and uncontrolled anxiety. The impact of patients with the risk of violent behavior if not treated can lead to a high risk of injuring themselves, others and the environment. One of the nursing problems in managing the risk of violent behavior is using classical music therapy. This study aims to determine the effect of classical music therapy on the risk of violent behavior in the Regional Mental Hospital of Lampung Province. The research design used was a pre-experimental approach, one group pre test – post test design. The population in this study were schizophrenic clients with nursing problems at risk of cooperative or stable violent behavior and received SP 2, who were treated in the Nuri room of the Regional Mental Hospital of Lampung Province. The subjects used were 4 respondents. The intervention action given is classical music therapy. Data collection techniques used are interviews, observation and documentation using an instrument for assessing signs and symptoms of risk of violent behavior, and classical music therapy SOPs. Before classical music therapy was performed, the average score of signs and symptoms of RPK (Risks of Violent Behavior) was 75.9% (severe RPK category). After classical music therapy, the average score of signs and symptoms of RPK was 56% ( medium RPK category). based on the results of the study, it can be concluded that the results of the implementation of classical music therapy on the risk of violent behavior can help reduce the signs and symptoms of RPK in research subjects. Keywords: Risk of Violent Behavior, Signs of Symptoms, Music Therapy

tentang prinsip dasar teknologi yang dikembangkan sudah ada, survey awal telah dimulai dan dinilai, dan potensi aplikasi ilmiah untuk pemecahan masalah telah digambarkan. This open access article is under the CC-BY-SA license.

Retention ponds function to fill time and can be combined with a pump or floodgates to cope with flooding. This study aims to determine the flood discharge that the Bruno River cannot accommodate. The method used is data from the research location and literature review of previous studies. Namely Hydrological Analysis of rainfall data for 10 years taken from the Kanyoran station. Until calculating the flood discharge plan with the Rational method. The Rational Method is one of the common methods used to estimate the peak flow rate. Results for a 50 year return period, get an excess of flood discharge of 64,363 m3 / s, duration of rain (t) 3.2 hours and a minimum storage volume of 378 580.32 m3 . Retention pond with dimensions plan K1 p = 300m, l = 130m, t = 2m, and K2 p = 300m, l = 125m, t = 2m. Kolam Retensi berfungsi untuk menampung air sementara waktu dan dapat dikombinasikan dengan  pompa atau pintu air untuk menanggulangi banjir. Penelitian ini bertujuan untuk mengetahui debit banjir yang tidak dapat ditampung oleh sungai Bruno. Penelitian ini menggunakan Analisis Hidrologi terhadap data curah hujan selama 10 tahun yang diambil dari stasiun Kanyoran. Hingga menghitung debit banjir rencana dengan metode Rasional. Metode Rasional adalah Salah satu metode umum yang di gunakan untuk memperkirakan laju aliran puncak Hasil untuk kala ulang 50 tahun, didapatkan kelebihan debit banjir sebesar 64,363 m3/dtk, lama hujan (t) 3,2 jam dan volume tampungan minimal sebesar 378 580,32 m3 . Kolam Retensi direncanakan dengan dimensi K1 p = 300m, l = 130m, t = 2m, dan K2 p = 300m, l = 125m, t = 2m.