Health Notions, Volume 2 Nomor 6 (June 2018) ISSN 2580-4936 704 | Publisher : Humanistic Networ k for Science and Technology DOI: http://dx.doi.org/10.33846/hn20618 http://heanoti.com/index.php/hn RESEARCH ARTICLE URL of this article: http://heanoti.com/index.php/hn/article/view/hn20618 Application of Back Massage to Decrease Pain Lavel in Elderly in Social House of Tresna Werdha Bondowoso Mahmud Ady Yuwanto 1(CA) , Yugi Chandra Hari Purnama 2 , Rizki Eko Prasetyo 3 1(CA) Department of Nursing, STIKes dr. Soebandi Jember, Indonesia; may@stikesdrsoebandi.ac.id (Corresponding Author) 2 Department of Nursing, STIKes dr. Soebandi Jember, Indonesia; yuggie90@gmail.com 3 Department of Nursing, STIKes dr. Soebandi Jember, Indonesia; rizkieko.prasetyo@gmail.com ABSTRACT Back massage is a smooth movement and pressure on the surface of the skin done on the back. Back massage therapy has a variety of benefits for the body and body system where the body will experience improvement and positive effects after back massage. As for some body systems that receive positive effects of back masssage therapy are the nervous system, muscular system, skeletal system, circulatory system, respiratory system, digestive system, reproduction system, lymph nodes, and skin. With a back massage the body will feel the relaxation so that the felt nyari reduced. The purpose of this study was to determine the effect of back massage on the decrease of pain in elderly in Social House Tresna Werdha Bondowoso. The design of this study used the control group pretest-postets design. The sample size was 40 elderly. In this study back massage technique was given 3 times with a duration of 45 minutes. Statistical test using T-test with p-value of 0.00. Back masage therapy provides positive energy for the elderly where this therapy provides a sense of relaxation and comfort for the elderly so that the pain felt by the elderly decreased as a result of the technique that gives a comfortable sensation. Keywords: pain level; back massage; elderly INTRODUCTION Biologically, the elderly experience a decrease in physical endurance continuously and susceptible to disease that can cause death. According to Bustan (1) , the physical condition of the elderly has decreased appearance such as on the face, hand, and skin, decreased function in the body such as nervous system, stomach, spleen, and liver, decreased ability of senses like sight, hearing, smell, and taste as well as motor degradation such as strength and speed. These changes lead to a decline in physical and psychological health that will affect the activities of daily life of the soul. (2) Along with the increasing age also the percentage of elderly who suffer health complaints, except for complaints of toothache and colds. The most common type of health complaints experienced by the elderly are other complaints, namely the type of health complaints that are specifically suffered by the elderly such as uric acid, high blood pressure, low blood pressure, rheumatism, diabetes, and various other chronic diseases. Other types of complaints suffered by 20.03 percent of the pre-elderly population, 30.83 percent of young elderly, 39.79 percent of middle-aged, and 46.76 percent old elderly. Of the various complaints felt by the elderly pain response is the most dominant complaint felt by the elderly. The presence of pain to make the patient is often afraid to move so that interfere with daily activities and can reduce productivity. In addition, with experiencing pain, is enough to make the patient frustrated in life everyday so that it can offend patient fit feeling. Therefore, the main therapy that is directed is to deal with this pain. (3) Back Massage is one of the techniques of giving massage action on the back with a slow stroke (4) . Stroke with lotion/balm provides a warm sensation by causing dilatation of local blood vessels. Vasodilation of blood vessels will increase blood circulation in the area so that cell activity is increased and will reduce pain and support the healing process. (5)