Efektivitas teknik relaksasi progresif terhadap nyeri luka episiotomi pada ibu post partum
DOI: https://doi.org/10.56922/mchc.v4i1.456
Episiotomy Pain Post Partum Progressive Relaxation
Abstract
Background: Every woman experiences different levels of postpartum pain, with different pain thresholds. The results of an episiotomy, which is performed to prevent spontaneous perineal tears and accelerate labor, can cause postpartum pain.
Purpose: To determine how progressive relaxation techniques affect maternal pain after an episiotomy at the Barokah Medika Clinic.
Method: This study was conducted experimentally using a pre-experimental research method. The Barokah Medika Clinic received 56 respondents with episiotomy wounds. Total sampling was used, so the sample consisted of 56 people who answered. In this study, the instrument used was the MC Gill observation sheet used to transmit the pain response shown by mothers who experienced episiotomy wounds.
Results: Data processing of the analysis test using the Wilcoxone Test, which produced a p value of 0.000 indicating that there was a difference in the pain scale between the pre-test and post-test.
Conclusion: The progressive relaxation method successfully reduced pain levels and had a positive impact on multidimensional quality of life, including increased sleep quantity and quality, reduced physical restlessness, the mother's ability to be more independent in activities, social relationships, and sexual life in accordance with the postpartum phase.
Keywords: Episiotomy Pain; Post Partum; Progressive Relaxation.
Pendahuluan: Setiap wanita mengalami nyeri pasca persalinan yang berbeda tingkatnya, dengan rentang ambang nyeri yang berbeda. Hasil dari episiotomi, yang dilakukan untuk mencegah robekan spontan perineum dan mempercepat kelahiran, dapat menyebabkan nyeri postpartum.
Tujuan: Untuk mengetahui bagaimana teknik relaksasi progresif berdampak pada nyeri ibu pasca episiotomi di Klinik Barokah Medika.
Metode: Penelitian ini dilakukan secara eksperimental menggunakan metode penelitian pre-eksperimenal. Klinik Barokah Medika menerima 56 responden dengan luka episiotomi. Sampling total digunakan, jadi sampelnya terdiri dari 56 orang yang menjawab. Dalam penelitian ini, instrumen yang digunakan menggunakan lembar observasi MC Gill digunakan untuk mengevaluasi respons nyeri yang ditunjukkan oleh ibu yang mengalami luka episiotomi.
Hasil: Pengolahan data uji analisis menggunakan Uji Wilcoxone, yang menghasilkan nilai p 0.000 menunjukkan bahwa ada perbedaan dalam skala nyeri antara tes sebelum dan setelah tes.
Simpulan: Metode relakasi progresif berhasil mengurangi tingkat nyeri dan berdampak positif pada kualitas hidup muldimensi, yang mencakup peningkatan kuantitas dan kualitas tidur, pengurangan pembatasan fisik, kemampuan ibu untuk lebih mandiri dalam aktivitas, hubungan sosial, dan kehidupan seksual yang sesuai dengan fase masa nifas.
Kata Kunci: Episiotomy Pain; Post Partum; Progressive Relaxation.
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References
Andarmoyo, S. (2013). Konsep & proses keperawatan nyeri.
Bahrami, N., Karimian, Z., Bahrami, S., & Bolbolhaghighi, N. (2014). Comparing the postpartum quality of life between six to eight weeks and twelve to fourteen weeks after delivery in Iran. Iranian Red Crescent Medical Journal, 16(7).
Ernawati, W., Ambarwati, W. N., Ns, E. T. N., Kep, M., Kartinah, A. K., & Kep, S. (2011). Efektivitas Teknik Relaksasi Progresif Terhadap Nyeri Luka Episiotomi Pada Ibu Post Partum Di RSUD Dr. Moewardi Surakarta (Doctoral dissertation, Universitas Muhammadiyah Surakarta).
Girsang, B. M., & Elfira, E. (2021). How A cold sitz bath versus infrared therapy can remove the pain of postpartum perineal wounds. Jurnal Keperawatan Soedirman, 16(1).
Gökşin, İ., & Ayaz-Alkaya, S. (2018). The effectiveness of progressive muscle relaxation on the postpartum quality of life: a randomized controlled trial. Asian nursing research, 12(2), 86-90.
Haryanti, M., Elliya, R., & Setiawati, S. (2023). Program Teknik Relaksasi untuk Nyeri Akut dengan Masalah Post Apendiktomi di Desa Talang Jawa Lampung Selatan. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 6(2), 742-756.
Istiana, S., Rahmawati, A., & Kusumawati, E. (2023). Pengaruh derajat laserasi perineum terhadap skala nyeri perineum pada ibu post partum.
Jamini, T. (2022). Pengaruh Terapi Relaksasi Otot Progresif Terhadap Penurunan Skala Nyeri Pasien Post Herniotomi.
Karaçam, Z., Ekmen, H., Çalişır, H., & Şeker, S. (2013). Prevalence of episiotomy in primiparas, related conditions, and effects of episiotomy on suture materials used, perineal pain, wound healing 3 weeks postpartum, in Turkey: A prospective follow-up study. Iranian Journal of Nursing and Midwifery Research, 18(3), 237-245.
Kuncahyana, D., Faizah Betty, R., Ambarwati, W. N., Ns, E. T. N., & Kep, M. (2013). Pengaruh Nyeri Episiotomi Ibu Nifas Terhadap Status Psikologis Ibu Nifas di Wilayah Kecamatan Sukodono Sragen (Doctoral dissertation, Universitas Muhammadiyah Surakarta).
Lailiyah, S. R. (2019). Efektifitas Teknik Relaksasi Nafas Dalam dan Pijatan Effleurage terhadap penurunan skala nyeri pada post sectio caesarea. Nursing Update: Jurnal Ilmiah Ilmu Keperawatan P-ISSN, 2085-5931.
Lim, G., LaSorda, K. R., Farrell, L. M., McCarthy, A. M., Facco, F., & Wasan, A. D. (2020). Obstetric pain correlates with postpartum depression symptoms: a pilot prospective observational study. BMC pregnancy and childbirth, 20, 1-14.
Lukman, L., Rahma, S., & Putri, P. (2020). Pengaruh Teknik Relaksasi Napas Dalam Terhadap Nyeri Luka Episiotomi Di Rs Muhammadiyah Palembang. Jurnal Keperawatan Sriwijaya, 7(2), 1-5.
Munro, A., George, R. B., Chorney, J., Snelgrove-Clarke, E., & Rosen, N. O. (2017). Prevalence and predictors of chronic pain in pregnancy and postpartum. Journal of obstetrics and gynaecology Canada, 39(9), 734-741.
Pebolo, P. F., Ajeani, J., & Kaye Kabonge, D. (2019). Prevalence and factors associated with episiotomy practice among primiparous women in mulago national referral hospital Uganda.
Petersen, M. R. (2011). Review of interventions to relieve postpartum pain from perineal trauma. MCN: The American Journal of Maternal/Child Nursing, 36(4), 241-245.
Pragholapati, A. (2020). Effect Of Progressive Muscle Relaxation Technique on Pain in Post Sectio caesarea. Jurnal Kesehatan Dr. Soebandi, 8(2), 112-122.
Ridho, M., Mariana, E. R., & Mahdalena, M. (2022). Perbedaan Teknik Relaksasi Otot Progresif dan Teknik Relaksasi Nafas Dalam Terhadap Penurunan Kecemasan Pada Pasien Hemodialisa: Literature Review. JKM: Jurnal Keperawatan Merdeka, 2(2), 182-190.
Utami, S., & Nurhidayati, E. (2015). Perbedaan Tingkat Nyeri pada Ibu Post Partum yang Mengalami Episitomi dengan Ruptur Spontan di RSUD Panembahan Senopati Bantul (Doctoral dissertation, STIKES Aisyiyah Yogyakarta).
Yunitasari, E., Nursanti, I., & Widagdo, G. (2018). The Effectiveness of Hand Massage, Foot Massage and Combination on Pain Intensity Of Post Sectio Caesarea. Impact journal.
Zaleha, N. L. (2021). Pengaruh Teknik Relaksasi Progresif Terhadap Penurunan Nyeri Luka Post Op (Sectio Caesarea). Jurnal Bidan Pintar, 2(2), 257-269.
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