scholarly journals Efektifitas Teknik Relaksasi Nafas Dalam dan Pijatan Effleurage terhadap penurunan skala nyeri pada post sectio caesarea

Author(s):  
Siti Rochimatul Lailiyah

 Deep breathing relaxation techniques and massagetechniques is an act that can reduce the pain inpostpartum mother sectio caesarea. The purpose ofthis study was to determine the difference in theintensity of post operative pain sectio caesarea withthe technique of deep breathing relaxation andmassage at irna C RSUD Syarifah Ambami RatoEbu Bangkalan. This study uses an experimental quasiapproach. The population is patients who havesevere pain, moderate pain, and mild pain aftersurgery sectio caesarea in irna C RSUD SyarifahAmbami Rato Ebu Bangkalan as many as 57patients. 10-19 year old girls. the sample of 9respondents who taught the technique of deepbreathing relaxation and 9 respondents in givingmassage techniques. sampling technique that isused is probability sampling. Data collection usingSOP and pain scale sheets. Data analysis usingpaired t-test. The results showed that of the 9 respondentsmost respondents after the technique of breathrelaxation in light weight scale as much as 7 (77.8%)postpartum. And from 9 respondents most ofrespondent after done massage technique of lightweight scale as much as 8 (89.9) postpartum.Wilcoxon test results show probability value greaterthan expected significant value (0.317 <0.05). Thismeans there is no difference in the intensity ofpostoperative postoperative pain of caesarea withthe application of deep breathing relaxation andmassage Effleurage. Deep breathing relaxation techniquesand massage techniques are important factors inpreventing the occurrence of severe pain.postpartum is expected to post sectio caesarea tofamiliarize with the technique of deep breathingrelaxation and massage techniques to reduce pain..  

2017 ◽  
Vol 3 (2) ◽  
pp. 57
Author(s):  
Jenita D.T Donsu ◽  
Rida Amini

Absract: The Difference Between Relaxation Techniques And Music Therapy To The Anxiety Of Patiens Of Sectio Caesarean Surgery. Surgery provides a stressor for the patient because it can bring potential and actual threats to body, integrity and soul of a person. The cause of anxiety in patients with sectio caesarean pre surgery is more specific that concerns on themselver and babiesto be born. One of the actions to overcome anxiety problems in patients can be self-directed actions by nurses such as relaxation techniques and distractions. This study was aimed to determine the difference between the provision of relaxation techniques and music therapy to anxiety of patients of sectio caesarean surgery at RSU PKU Yogyakarta. It used quasi experimental method with pre test and post test design, in 74 population of pre surgery section cesarean, with purposive sampling technique. Obtained results, effective relaxation decreases anxiety of patients with cesarean section surgery with significance (p=0.000). Similarly, effective music therapy decreased anxiety with significance (p=0.000), so there was no difference in decreased anxiety after giving deep breathing relaxation technique and music therapy with significance (p=0.317). Concluded that deep breathing relaxation and music therapy alike can decreaseanxiety of patients undergoing cesarean section surgery but there was no difference in decreased anxiety after giving deep breathing relaxation techniques and music therapy.Abstrak: Perbedaan Teknik Relaksasi Dan Terapi Musik Terhadap Kecemasan Pasien Operasi Sectio Caesarea. Tindakan pembedahan memberikan stressor tersendiri bagi pasien karena dapat mendatangkan ancaman potensial dan aktual terhadap tubuh, integritas dan jiwa seseorang. Penyebab kecemasan pada pasien pre-operasi sectio caesarea lebih spesifik yakni kekhawatiran akan diri dan bayi yang akan dilahirkan. Salah satu tindakan keperawatan untuk mengatasi masalah kecemasan pada pasien dapat berupa tindakan mandiri oleh perawat seperti teknik relaksasi dan distraksi. Penelitian ini bertujuan untuk mengetahui perbedaan antara pemberian teknik relaksasi dan terapi musik terhadap kecemasan pasien operasi sectio caesarea di RSU PKU Muhammadiyah Yogyakarta. Digunakan metode kuasi eksperimen dengan pre-test and post-test design, pada 74 populasi pre-operasi sectio caesarea, dengan teknik pengambilan purposive sampling. Diperoleh hasil penelitian, relaksasi efektif menurunkan kecemasan pasien operasi sectio caesarea dengan signifikansi (p=0,000). Demikian juga terapi music efektif menurunkan kecemasan dengan signifikansi (p=0,000), sehingga tidak ada perbedaan penurunan kecemasan sesudah pemberian teknik relaksasi nafas dalam dan terapi musik dengan signifikansi (p=0,317). Dapat disimpulkan relaksasi nafas dalam dan terapi musik sama-sama dapat menurunkan kecemasan pasien yang menjalani operasi sectio caesarea namun tidak terdapat perbedaan penurunan kecemasan sesudah pemberian teknik relaksasi nafas dalam dan terapi musik. 


2018 ◽  
Vol 7 (1) ◽  
pp. 33-39
Author(s):  
Rida Amini ◽  
Jenita Doli Tine Donsu ◽  
Agus Sarwo Prayogi

Surgery or surgery is a stressor for patients because it can bring potential and actual threats to the body, integrity, and soul of a person, causing emotional reactions such as fear, anger, anxiety, and anxiety with symptoms such as frequent asking questions, anxiety, rapid pulse, increased tension 20 % to 30%. The cause of anxiety in patients with preoperative section Caesarea is more specific, namely the concern for self and the baby to be born. Preoperative patient anxiety is very important, one of the nursing actions to overcome anxiety problems in patients can be independent actions by nurses such as relaxation and distraction techniques. This study aims to determine the difference between giving deep breathing relaxation techniques and music therapy to the anxiety of patients with cesarean section surgery with spinal anesthesia. This research method is quasi-experimental with pre-test and post-test design. Sampling by purposive sampling with the treatment of deep breathing relaxation techniques as many as 37 respondents and 37 respondents with music therapy controls, according to the inclusion and exclusion criteria. Breath relaxation in effectively reducing the anxiety of patients with section cesarean surgery with significance (p = 0,000). Music therapy is also effective in reducing the anxiety of patients with section cesarean surgery with significance (p = 0,000). But there was no difference in the decrease in anxiety after administration of deep breathing relaxation techniques and music therapy with significance (p) 0.317. Conclusion Deep breathing and music therapy together can reduce the anxiety of patients undergoing section cesarean surgery. Both actions can be used to complement nursing interventions that are already in the hospital.


2015 ◽  
Vol 1 (2) ◽  
pp. 52-61
Author(s):  
Nung Ati Nurhayati ◽  
Septian Andriyani ◽  
Novi Malisa

ABSTRAK Pendahuluan: Sectio saecarea merupakan metode melahirkan janin melalui insisi pada dinding abdomen (laparotomi) dan dinding uterus (histeretomi). Salah satu komplikasi sectio caesaria adalah nyeri pada daerah insisi. Strategi penatalaksanaan nyeri metode untuk mengatasi nyeri secara non-farmakologis adalah terapi relaksasi autogenik. Tujuan: Tujuan dari penelitian adalah mengidentifikasi pengaruh relaksasi autogenik terhadap penurunan skala nyeri pada Ibu post operasi Sectio Caesarea di Ruang Perawatan V/VI RS. TK.II Dustira Cimahi. Metode: Desain penelitian yang digunakan adalah penelitian eksperimen dengan One Group Pretest Posttest Design dengan jumlah sampel yang digunakan sebanyak 75 ibu post sectio caesarea dalam waktu 1 bulan dengan tehnik pengambilan sampel menggunakan Non Probability Sampling berupa tehnik Purposive Sampling. Hasil: Skala nyeri post operasi SC sebelum dilakukan intervensi 64% responden mengalami nyeri luka post operasi dengan rentang skala 4-6 (nyeri sedang). Sedangkan skala nyeri post operasi SC setelah dilakukan intervensi 73,3% responden mengalami nyeri  dengan rentang skala 4-6 (nyeri sedang).Terdapat pengaruh yang signifikan antara relaksasi autogenik dengan  penurunan skala nyeri. Hasil uji t menunjukkan 0,0001 artinya ada perbedaan skala nyeri antara sebelum dan sesudah dilakukan relaksasi autogenik dengan nilai mean = 1,080 yaitu terjadi kecenderungan penurunan skala nyeri sesudah perlakuan dengan rata-rata penurunan skala nyerinya 1,080. Kata Kunci: Sectio caesarea,Relaksasi Autogenik, Nyeri   ABSTRACT Introduction: Sectio Caesarea is defined as the delivery method of a fetus through surgical incisions which made in the abdominal wall (laparotomy) and the uterine wall (hysterotomy). One of the complications of sectio caesarea is pain in the incision area. A non-pharmacological pain management strategies to overcome pain is autogenic relaxation therapy. Objective: The aim of the research was to evaluate the effect of autogenic relaxation to decrease pain scale on postoperative mother undergoing Sectio Caesarea (SC) in the V/VI ward Tk.II Dustira Cimahi Hospital. Method: Research design used was experimental research with One Group Pretest Posttest Design involving 75 post sectio caesarea mother within 1 month. Sampling technique used was Non Probability Sampling namely Purposive Sampling techniques. Result: Postoperative pain scale before the intervention 64% of respondents experienced a post-operative incision pain with range scale of 4-6 (moderate pain), while post-operative pain scale after the intervention 73.3% of respondents experienced pain with range scale of 4-6 (moderate pain). There is a significant effect of autogenic relaxation with decreased pain scale. T-test results showed 0.0001 means that there are differences between the pain scale before and after autogenic relaxation with a mean = 1,080 ie the pain scale tendentiously decreased after treatment with an average reduction in pain scale is 1,080. Keywords: Sectio caesarea, Autogenic Relaxation, Pain Full printable version: PDF


2020 ◽  
Vol 1 (1) ◽  
pp. 25-28
Author(s):  
Wahyu Widodo, Neli Qoniah

Appendicitis is a condition in which an infection occur in the appendix. In mild cases it can be cured without treatment, but many cases require a laparotomy by removing the tufts of infected worms (Kowalak, 2011). Objective : to determine the effect of deep breathing relaxation with acute pain nursing problems in appendicitis clients. Method : The design of this research is descriptive, in the form of case studies.The subjects in this study were two clients who had appendicitis. The study was conducted in February - March 2019. Results : before taking breath relaxation measures on the scale of pain 6 and 5, after the pain scale measures were carried out to 3 and 2. The results showed a decrease in the scale of moderate pain to a mild pain scale. Conclusion : Breath relaxation techniques can reduce pain intensity in appendicitis patients, So this nonpharmacological technique is highly recommended.


2019 ◽  
Vol 7 (2) ◽  
pp. 114-123
Author(s):  
Haifa Wahyu ◽  
Henni Febriawati ◽  
Martika Yosi ◽  
Liza Fitri Lina

Placenta previa is one of the risks in pregnancy. The purpose of this study was to determine the factors associated with the incidence of placenta previa in Dr. M. Yunus Bengkulu. The research design used was an observational analytic study with a case control approach (case and control). The population in this study were all patients of placenta previa during 2018 in Dr. M. Yunus Bengkulu, as many as 135 people and as many as 74 people were divided into 37 case groups and 37 control groups by purposive sampling technique. Chi Square statistical test results showed the value of ρ for age (p 0,000), parity (p 0,000), history of Caesarean Sectio (p 0.016), history of curettage (p 0.033), and pregnancy distance (p 0.005). In conclusion, based on statistical tests, there is a significant relationship between the factors of maternal age, parity, history of Caesarean Sectio, history of curettage, distance of pregnancy to the incidence of placenta previa. It is recommended to nurses RSUD Dr. M. Yunus Bengkulu to be able to provide education in preventing the occurrence of placenta previa by conducting interviews and discussions with risk patients at RSUD Dr. M. Yunus Bengkulu.Keywords       : Pregnancy distance, Curettage, Parity, Placenta previa, Sectio Caesarea, Age


Author(s):  
Rahayu Savitri ◽  
Ovi Hardyanti

Dysmenorrhoea is pain during menstruation accompanied by cramps in the lower abdomen that spreads to the back and thighs, the pain usually occurs on the first or second day of menstruation and reaches its peak in the first 24 hours. Lavender Aromatherapy is one of the nonpharmacological therapies to decrease the intensity of dysmenorrhea. The purpose of this research was to determine the effectiveness of lavender aromatherapy in reducing dysmenorrhea in adolescent girls. This research is a quantitative study using a pre-experimental method with One Group Pretest Posttest approach. The purposive sampling technique used in this study, the sample was 34 respondents. Data collection tools used a pain measurement scale and the observation sheet. The data were analyzed using the dependent T-Test with α = 0.05. The results of this research obtained the dysmenorrhea scale before aromatherapy was moderate pain (76.5%) after aroma-therapy reduced become mild pain (55.9%). The T-test found p-value 0.000 < α (0.05). There is an influence of aromatherapy in reducing in the teenagers (girls) Conclusion: There is the influence of aromatherapy in reducing pain scale in the teenagers (girls). Young women can lavender aromatherapy as alternative non-pharmacological therapies to solve dysmenorrhea and advice have active roles in managing their dysmenorrhea.Keywords: Effectiveness, dysmenorrhea, lavender aromatherapy, teenage girls.


2019 ◽  
Vol 7 (1) ◽  
pp. 52
Author(s):  
Natya Ayu Paluwih ◽  
Riama Marlyn Sihombing ◽  
Kinanthi Lebdawicaksaputri

Post-operative pain is acute and subjective therefore the perceived pain intensity will be different. In one of the western Indonesia Hospitals in measuring the pain threshold using 2 tools namely Numeric Rating Scale and Wong Baker Face. Measurement of the pain intensity can be done with NRS and VAS scale. The objective of this research was to identify the difference of pain scale using the NRS and VAS scale in post-operative patients. The research method was descriptive quantitative using comparative approach. The study was conducted on 1 November 2017 – 12 December 2017.The population of the study are the post-operative patients at the In-Patient wards in a private hospital in Western Part of Indonesia. The samples were obtained using purposive sampling with n = 41. Research instrument consists of observation sheet using NRS and VAS scale. The results showed most respondents during the first eight hours using NRS scale had mild pain (80.5%); first 16 hours had light pain (63.4%); and had mild pain in the first 24 hours (85.4%). Using VAS scale, most of the respondents on the first eight hours has mild pain (87.8%); first 16 hours has mild pain (68.3%); and has mild pain in the first 24 hours (87.8%). The conclusion of this study is there is no difference in pain scale of post-operative patients using VAS scale and NRS scale. So, hospitals can also use the VAS scale to assess pain scale in post-operative patients.


2021 ◽  
Vol 1 ◽  
pp. 897-904
Author(s):  
I Indriyati ◽  
Vitri Dyah Herawati

AbstractThe increasing number of deliveries during the COVID-19 pandemic has made mothers think hard about cesarean section surgery, thus requiring adaptive coping strategies. Coping strategy is a method or method used by each individual to overcome and control situations or problems experienced such as caesarean section surgery during the COVID 19 pandemic. The purpose of this study was to determine the effectiveness of coping strategies on pain levels in postoperative Sectio Caesarea patients during the COVID pandemic. 19. This type of research is a quasi-experimental research design with One Group Pretest-Postest test Design. The population and sample in this study were postoperative Sectio Caesarea patients who were treated at Slamet Riyadi Hospital Surakarta as many as 35 patients with incidental sampling technique. The data analysis technique used is the Paired t-test. The results of this study are (1) coping strategies that are classified as poor 28 respondents (80.0%) and good 7 respondents (20.0%); (2) The level of pain in patients with postoperative Sectio Caesarea before the procedure which was classified as moderate pain was 19 people (54.3%) and severe pain was 16 people (45.7%); (3) The level of pain in postoperative Sectio Caesarea patients after the procedure was classified as no pain as many as 2 people (5.7%), mild pain 27 people (77.1%) and moderate pain as many as 6 people (17.1% ); (4) Coping strategies are able to reduce the degree of pain in postoperative patients with Sectio Caesarea (thit = 28.945; p = 0.000). The conclusion is that there is an effectiveness of coping strategies to reduce the level of pain in postoperative patients with Sectio Caesarea.Keywords: Coping strategy; painful; sectio caesarea AbstrakMeningkatnya angka persalinan pada masa pandemi COVID-19membuat ibu menjadi berfikir keras menghadapi operasi section caesarea sehingga membutuhkan strategi koping yang adaptif. Strategi koping merupakan cara atau metode yang dilakukan tiap individu untuk mengatasi dan mengendalikan situasi atau masalah yang dialami seperti operasi section caesarea pada masa pandemic COVID 19.Tujuan penelitian ini adalah Mengetahui efektifitas strategi koping terhadap tingkat nyeri pada pasien post operasi Sectio Caesareapada masa pandemic COVID 19. Jenis penelitian ini quasi eksperimental dengan rancangan penelitian One Group Pretest-Postest test Design. Populasi dan sampel dalam penelitian ini adalah pasien post operasi Sectio Caesarea yang di rawat di Rumah Sakit Slamet Riyadi Surakarta sebanyak 35 pasien dengan teknik insidental sampling. Teknik analisis data yang digunakan dengan uji Paired t-test. Hasil penelitian ini adalah (1) Strategi koping yang tergolong kurang baik 28 responden (80,0%) dan baik 7 responden (20,0%); (2) Tingkat nyeri pada pasien post operasi Sectio Caesareasebelum tindakan yang tergolong nyeri sedang ada 19 orang (54,3%) dan nyeri berat sebanyak 16 orang (45,7%); (3) Tingkat nyeri pada pasien post operasi Sectio Caesareasesudah dilakukan tindakan yang tergolong tidak ada nyeri sebanyak 2 orang (5,7%), nyeri ringan 27 orang (77,1%) dan nyeri sedang sebanyak 6 orang (17,1%); (4) Strategi koping mampu penurunan derajat tingkat nyeri pada pasien post operasi Sectio Caesarea (thit = 28,945; p = 0,000). Kesimpulannya adalah Terdapat efektifitas strategi koping terhadap penurunan derajat tingkat nyeri pada pasien post operasi Sectio Caesarea.Kata Kunci: Strategi koping; Nyeri;Sectio caesarea


2018 ◽  
Vol 2 (2) ◽  
pp. 26-32
Author(s):  
Syeda Hina Zahra ◽  
Qudrat Ullah ◽  
Usman Ali Rehman ◽  
Asif Hanif ◽  
Sami Ullah Bhatti

Abstract:Background: To compare between opioids and wound infiltration to reduce post-operative painin abdominal surgery in first 6 hours, in appropriate treatment, contraindications of treatment and increase mortality of patients. This article presents novel approach to surgical site infiltration techniques and intravenous opioids for abdominal surgery to reduce pain. The main aim of this study is optimal patient comfort rather than reduce pain intensity, reduction offside effects is also an important goal in pain management.Methodology: Data was collected from surgical department of Gulab Devi Chest Hospital. Duringabdominal surgery bupivacaine was given to some patients while other were managed by postoperative opioids and by using designed performa it is concluded that which one of them is better method for post-operative pain management.Results: This is the descriptive study conducted in Gulab Devi Hospital Lahore.in this study, inthis study minimum age of the patients was 14 and maximum age of the patients was 80. The mean age was 32.16+12.32 years. In this study out of total 100 patients, 18(18.00%) were male patients and 82(82.00%) were females. Female gender predominated in this study. in this study, p-value is 0.00 (<0.05%) so pain relieving chances of bupivacaine infiltration as moderate pain scale were 84% and in distracting pain scale chances in bupivacaine infiltration were 16%.But pain relieving chances of opioids as moderate pain scale were 12.24 % and in distracting pain scale chances in opioids were 87.75%.so peri-operative pain management by bupivacaine infiltration is better than post –operative opioids management in patients undergoing abdominal surgery.Conclusion: According to my research bupivacaine wound infiltration is better method for postoperative pain management in abdominal surgeries. Our study was conducted at Gulab DeviHospital and Services Hospital in an area of pain management by opioids and infiltration, whichmay limit the applications of our findings in area of pain management by opioids and infiltrationprevalence.


2021 ◽  
Vol 5 (1) ◽  
pp. 20
Author(s):  
Lia Woro Andini

Wanita menjelang menopause akan mengalami penurunan berbagai fungsi tubuh, sehingga akan berdampak pada ketidaknyamanan dalam menjalani kehidupannya. Untuk itu diperlukan sikap positif dengan diimbangi oleh informasi atau pengetahuan yang cukup, sehingga wanita lebih siap dalam menghadapi menopause baik siap secara fisik, mental, dan spiritual. Kesiapan sangat penting dimiliki wanita menjelang menopause baik pada wanita yang bekerja maupun yang tidak bekerja namun sejauh ini masih sedikit laporan terkait perbedaan tingkat kesiapan menghadapi menopause antara wanita yang bekerja dengan yang tidak bekerja. Tujuan Penelitian: mengetahui perbedaan tingkat kesiapan menghadapi menopause antara wanita yang bekerja dengan yang tidak bekerja. Metode: Penelitian ini menggunakan desain komparatif dengan pendekatan cross-sectional. Teknik pengambilan sampel menggunakan teknik purposive sampling dengan jumlah sampel 57 responden. Instrumen penelitian ini adalah kuesioner kesiapan menghadapi menopause yang diadopsi dari penelitian Hidayatiningtyas yang valid dan reliabel. Hasil penelitian dianalisis dengan menggunakan uji Mann Whitney. Hasil: 58,6% wanita tidak bekerja memiliki kesiapan cukup dan 27,6% memiliki kesiapan kurang. Sedangkan pada wanita yang bekerja, 60% memiliki kesiapan cukup dan 32,1% memiliki kesiapan baik. Ada perbedaan bermakna pada kesiapan menghadapi menopause antara wanita yang bekerja dengan yang tidak bekerja (p=0,022). Diskusi: Pada wanita yang bekerja memiliki kesiapan yang lebih baik dibandingkan dengan wanita yang tidak bekerja.  Hal ini karena wanita yang bekerja cenderung memiliki pandangan dan cara berpikir yang lebih luas sehingga akan memiliki pengetahuan yang cukup, salah satunya dalam hal kesiapan menghadapi menopause.  Kesimpulan: Petugas kesehatan disarankan dapat memberikan pendidikan kesehatan dalam rangka menyiapkan wanita pra menopause menghadapi masa menopause.  Bagi wanita, khususnya yang tidak bekerja, diharapkan mempersiapkan diri menghadapi menopause dengan aktif mencari informasi.Kata Kunci: Menopause, wanita bekerja Differences in Menopause Readiness Levels Between Working and Non-Working WomenABSTRACTMenopause-approaching women will experience a decrease in various body functions, which will cause discomfort in living their lives. Therefore, it requires a balance between a positive attitude and sufficient information or knowledge so that women are better prepared to face menopause physically, mentally, and spiritually. Readiness is crucial for women before menopause, both for working and non-working women. However, to date, there are few reports related to differences in the levels of readiness to face menopause between working and non-working women. Objective: to reveal the difference in readiness levels to face menopause between working and non-working women. Methods: This research employed a comparative design with a cross-sectional approach. Samples were taken using the purposive sampling technique with a sample size of 57 respondents. The instrument used in this research was a valid and reliable questionnaire of readiness to face menopause adopted from Hidayatiningtyas. The results of the research were analyzed using the Mann-Whitney test. Results: 58.6% of non-working women had sufficient readiness and 27.6% had insufficient readiness. Meanwhile, 60% of working women had sufficient readiness and 32.1% had good readiness. There was a significant difference in readiness to face menopause between working and non-working women (p = 0.022). Discussion: Working women are more prepared to face menopause than non-working women. This is because working women tend to have broader views and ways of thinking so that they will have sufficient knowledge, one of which is in terms of readiness to face menopause.  Conclusion: It is advised that health workers provide health education to prepare pre-menopausal women to face menopause. Moreover, it is expected that women, particularly those who do not work, prepare for menopause by actively seeking information.Keywords: Menopause, working women


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