Relaksasi Autogenik Terhadap Penurunan Skala Nyeri Pada Ibu Post Operasi Sectio Saecarea

Abstract

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

Relaxation Therapy on The Level of Anxiety of Post Sectio Caesarea: A Literature Review

“…10 Autogenic relaxation is a hypnosis-based autosuggestive healing technique based on hypnosis consisting of 6 mental exercises (feeling weight, warmth, regular heart rhythm, regular breathing, and cool forehead). 11 Autogenic relaxation has a medium-high effect size on overcoming anxiety compared to other relaxation techniques. The results of this study provide evidence that relaxation therapy is effective for people with anxiety disorders.…”

“…The impact of pain will make mothers feel anxious in mobilizing, disturbed Activity of Daily Living (ADL), and unfulfilled Early Initiation of Breastfeeding. 11 Based on the research of Riris Andriati (2019), which uses autogenic relaxation as a relaxation technique that can be done independently in dealing with post sectio caesarean pain, it is evident that this relaxation therapy can have a significant effect (p = 0.024) in reducing the pain of cesarean section. 19 This research is also in line with the research of Jufri (2019) which suggests that autogenic relaxation is proven to reduce post-cesarean pain, where the pain can cause anxiety in the post-partum mother.…”

Imajinasi Terbimbing Menurunkan Nyeri Akut Pada Pasien Post Sectio Caesarea

“…Salah satu kondisi yang menyebabkan ketidaknyamanan pasien adalah nyeri. Rasa ketidaknyamanan (nyeri) dapat disebabkan oleh terjadinya kerusakan saraf sensorik atau juga diawali rangsangan aktivitas sel T ke korteks serebri dan menimbulkan persepsi nyeri (Nurhayati et al, 2015).…”

Pengaruh Lantunan Ayat Al-Quran terhadap Kebutuhan Opioid Tambahan Pascaseksio Sesarea

“…Nyeri akut pascaoperasi yang tidak dikelola dengan baik dapat berkembang menjadi nyeri kronik. [1][2][3] Upaya mengurangi maupun penanganan nyeri pascaoperasi dapat dilakukan dengan beberapa strategi baik itu dengan terapi farmakologi atau nonfarmakologi (perilaku kognitif, aromaterapi, akupunktur, akupresur, terapi relaksasi, terapi hipnotik, dan terapi musik). Opioid itu merupakan lini pertama terapi nyeri pascaoperasi, namun opioid memiliki efek samping seperti mual, muntah, sakit kepala, dan lain sebagainya sehingga dibutuhkan terapi adjuvan untuk mengurangi efek samping dan dosis penggunaan opioid.…”