Abstract
World Health Organization (WHO) for almost 30 years the rate of births with caesarea section became 10% to 15% of the delivery process exist in developing countries. In Indonesia, the results of basic health research in 2013 showed births with a caesarean section of 15.3% of the sample of 20,591 surveyed from 33 provinces. Based on statistical data that researchers obtained from the Medical Record Room of the Sembiring General Hospital, the number of patients with sectio caesarea from January to September in 2019 totaled 1,600 patients. Nursing problems that often arise in post sectio caesarea cases are painful sensory and emotional experiences that arise due to actual tissue damage. The nurse's independent action to control the pain felt by the patient is to do pain management with non-pharmacological techniques, namely progressive relaxation. The purpose of this study was to determine the effectiveness of progressive relaxation on decreasing pain intensity in post sectio caesarea patients. This study used a quasi-experimental design method with a non equivalent control group design. The sampling technique was 32 respondents, 16 intervention groups and 16 control groups. This study used a T-Test. The results of this study indicate the P-value (0.839) > α (0.05). The conclusion of this study is that there is no effectiveness of progressive relaxation on the decrease in pain intensity in post sectio caesarea patients in the hybrid room of Sembiring General Hospital. For further researchers to be able to have the same research the same but with different variables in order to get more varied and better results.
Highlights
Sectio caesarea merupakan lahirnya janin melalui insisi di dinding abdomen dan dinding uterus
The results of this study indicate the P-value (0.839) > α (0.05)
A., K. et al (2019) ‘Postoperative pain after cesarean section: assessment and management in a tertiary hospital in a low-income country’, BMC health services research
Summary
Sectio caesarea merupakan lahirnya janin melalui insisi di dinding abdomen (laparatomi) dan dinding uterus (histerektomi). Tindakan sectio casearea merupakan salah satu alternatif bagi sesorang wanita dalam memilih proses persalinan di samping itu adanya indkasi medis dan non medis, tindakan sectio caesarea akan memutuskan kontinuitas atau persambungan jaringan karena insisi yang akan mengeluarkan reseptor nyeri sehingga pasien akan merasakan nyeri terutama setelah efek anastesi habis Adapun tujuan dari relaksasi progresif adalah membantu pasien menurunkan nyeri tanpa farmakologi, memberikan dan meningkatkan pengalaman subjektif bahwa ketegangan fisiologis bisa direlaksasikan sehingga relaksasi akan menjadi kebiasaan berespon pada keadan-keadaan tertentu ketika otot ketegangan, menurunkan stress pada individu, relaksasi dalam dapat mencegah manifestasi psikologis maupun fisiologis yang diakibatkan stress (Rahmawati, Widjajanto and Astari, 2017). Dari hasil penelitian tersebut merekomendasikan bahwa tehnik relaksasi otot progresif dapat dijadikan tindakan mandiri keperawatan non-farmakologi yang dilakukan perawat untuk menurunkan nyeri post operasi sectio caesarea. Dengan adanya relaksasi progresif terjadi penurunan skala nyeri rata-rata sebesar 2 skala nyeri
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