ABSTRAK Pendahuluan: Nyeri merupakan keluhan tertinggi yang dirasakan pasien dengan luka episiotomi menyebabkan penurunan kemampuan ibu untuk melakukan bounding attachment kepada bayinya. Intervensi keperawatan yang dapat menurunkan keluhan nyeri luka episiotomy secara aman dan tanpa efeksamping menjadi penting. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh cryptherapy terhadap nyeri luka episiotomi pada pasien post partum hari pertama di Ruang V/VI RS. Dustira Cimahi. Metode: Penelitian ini menggunakan metode penelitian quasi eksperimental dengan pendekatan two groups pretest and posttest design. Sebanyak 88 pasien dipilih sebagai responden yang terbagi dalam dua kelompok menggunakan accidental sampling. Data dianalisis menggunakan uji statistik analisis univariat (berupa distribusi frekuensi, persentase dan mean dari setiap variabel), analisis bivariat (paired t test, independent t test), dan analisis multivariat (uji ancova). Hasil: Penelitian menunjukkan bahwa terdapat perbedaan rerata skor nyeri antara skor sebelum dan sesudah dilakukan intervensi cryotherapy pada kelompok intervensi (pretest 4,86±0,930 dan posttest 3,59±0,844). Pada kelompok kontrol juga terjadi penurunan skor nyeri setelah dilakukan relaksasi autogenik (pretest 4,86±0,930 dan posttest 4,82±1,040) namun peningkatan ini tidak signifikan. Terdapat perbedaan bermakna selisih skor nyeri kelompok intervensi dengan kelompok kontrol (p = 0,000). Tidak adanya pengaruh dominan yang signifikan (p > 0,005) dari masing-masing karakteristik responden (usia, skor cemas dan riwayat episiotomi sebelumnya) terhadap skala nyeri posttest kelompok intervensi. Secara umum hasil penelitian ini menemukan ada pengaruh cryotherapy terhadap tingkat nyeri luka episiotomy dibandingkan dengan relaksasi autogenik. Diskusi: Disarankan kepada pasien post partum yang mengalami luka nyeri episiotomy agar menggunakan tehni cryotherapy mulai hari pertama post partum, rutin dilakukan dua hari sekali (pagi dan sore) untuk mempercepat penurunan skala nyeri.  Kata Kunci: cryotherapy, nyeri luka episiotomi, post partum  ABSTRACT Introduction: Pain is the highest complaint felt by a patient with episiotomy injury causing a decrease in the mother's ability to perform bounding attachment to her baby. Safe and less side effect interventions that aimed to reduce pain of episiotomy wound become necessary. Objective: This study aims to determine the effect of cryptherapy on the pain of episiotomy wound in first day postpartum patient in Room V / VI RS. Dustira Cimahi. Method: This research uses quasi experimental research method with approach of two groups pretest and posttest design. A total of 88 patients were selected as respondents who were divided into two groups using accidental sampling. Data were analyzed using univariate statistic test (frequency distribution, percentage and mean of each variable), bivariate analysis (paired t test, independent t test), and multivariate analysis (ancova test). Results: This study indicates that there is a difference in the mean score of pain between before and after cryotherapy intervention in the intervention group (pretest 4.86 ± 0.930 and posttest 3.59 ± 0.844). There is different in pain score after the autogenic relaxation in control group (pretest 4.86 ± 0.930 and posttest 4.82 ± 1.040) yet the increament is not statistically significant. There was a significant difference in intervention group pain score with control group (p = 0,000). There is no significant influence (p> 0.005) of each respondent characteristic (age, anxiety score and previous episiotomy history) on the posttest pain scale of the intervention group. In general, the results of this study found no effect of cryotherapy on the level of episiotomy wound pain compared with autogenic relaxation. Discussion: It is advisable for postpartum patients with episiotomy pain to use cryotherapy from the first day of post partum, routinely done every other day (morning and afternoon) to accelerate the decrease of pain scale. Keywords: cryotherapy, episiotomy wound pain, post partum
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