Pengaruh Pemberian Teknik Relaksasi Benson Terhadap Intensitas Nyeri Pasien Post Sectio Caesarea di RS Nuraida Bogor

Peti Fatma Meilani, Amalia Indah Puspitasari

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ABSTRACT

 

The World Health Organization reported in 2021, that the ratio of deliveries performed through Sectio Caesarea globally was 21% with the highest ratio being in East Asia (63%), Latin America and the Caribbean (54%), West Asia (50%), North Africa (48%), Southern Europe (47%) and Australia (45%). In Indonesia, 17.6% of women undergoing section caesarean delivery are associated with moderate to severe postoperative pain, which delays recovery and return to activities of daily living, damages mother-child bonding, impacts maternal psychological wellbeing and can complicate breastfeeding.Research Objective: To determine the effect of giving Benson relaxation technique on the pain intensity of post sectio caesarea patients. This study is a quantitative study using a quasi-experimental design and a one group pre-post test design approach. The population is post section Caesarea patients who are still in treatment as many as 35 people. The sampling technique used total sampling. The results showed that the majority of laboring women before being given benson relaxation experienced moderate post sc pain as many as 32 respondents (91%). After benson relaxation 30 respondents (100%) experienced a decrease in pain intensity to mild. The Wilcoxone range list test obtained a p-value of 0.000 <0.005, which means that there is an effect of giving Benson Relaxation Techniques on the Pain Intensity of Post Sectio Caesarea Patients at Rs Nuraida Bogor. The results of the wilcoxone range list test obtained a p-value of 0.000 <0.005 which Conclusion: The results of the wilcoxone range list test results obtained a p-value of 0.000 <0.005, which means that there is an effect of giving Benson Relaxation Techniques on the Pain Intensity of Post Sectio Caesarea Patients at Rs Nuraida Bogor. It is hoped that this research can be read as a source of knowledge for the community and as a reference for the community in applying the Benson relaxation technique as an effort to relieve post sectio caesarea pain in oneself, family, and to the community.

 

Keywords: Caessarea, Post Sectio Caesarea Pain, Benson Relaxation

  ABSTRAK

 

World Health Organization melaporakan pada tahun 2021, bahwa rasio persalinan yang dilakukan melalui Sectio Caesarea secara global adalah sebesar 21% dengan rasio tertinggi berada di Asia Timur (63%), Latin Amerika dan Karibean (54%), Asia Barat (50%), Afrika Utara (48%), Eropa Selatan (47%) dan Australia (45%). Di Indonesia 17,6% rasio perempuan menjalani persalinan secara section caesarea dikaitkan dengan nyeri sedang hingga berat pasca operasi sehingga menunda pemulihan dan kembalinya ke aktivitas kehidupan sehari-hari,merusak ikatan ibu dan anak, berdampak kepada kesejahteraan psikologis ibu dan dapat mempersulit pemberian ASI. Untuk mengetahui Pengaruh pemberian teknik relaksasi Benson terhadap intensitas nyeri pasien post sectio caesarea. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain quasi eksperimen dan pendekatan one group pre-post test design. Populasi adalah pasien post section Caesarea yang masih dalam perawatan sebanyak 35 orang. Teknik pengambilan sampel menggunakan total sampling. Didapatkan hasil mayoritas ibu bersalin sebelum diberikan relaksasi benson mengalami nyeri post sc sedang sebanyak 32 responden (91%). Setelah dilakukan relaksasi benson 30 responden (100%) mengalami penurunan intensitas nyeri menjadi ringan. Uji wilcoxone range list didapatkan nilai p-value 0,000<0,005 yang artinya terdapat Pengaruh Pemberian Teknik Relaksasi Benson Terhadap Intensitas Nyeri Pasien Post Sectio Caesarea Di Rs Nuraida Bogor. Hasil uji wilcoxone range list didapatkan nilai p-value 0,000<0,005 yang artinya terdapat Pengaruh Pemberian Teknik Relaksasi Benson Terhadap Intensitas Nyeri Pasien Post Sectio Caesarea Di Rs Nuraida Bogor. Diharapkan penelitian ini dapat menjadi bahan bacaan sebagai sumber pengetahuan bagi masyarakat serta sebagai acuan masyarakat dalam menerapkan teknik relaksasi Benson sebagai upaya meredakan nyeri post sectio caesarea pada diri sendiri, keluarga, maupun kerabat.

 

Kata Kunci: Caessarea, Nyeri Post Sectio Caesarea, Relaksasi Benson


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Referensi


ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery.(2019).ObstetGynecol,133(2),110127.Https://Doi.Org/Https://Doi.Org/10.1097/Aog.0000000000003078

Barber, E. L., Lundsberg, L. S., Belanger, K., Pettker, C. M., Funai, E. F., & Illuzzi, J.L. (2011). Indications Contributing To The Increasing Cesarean Delivery Rate. Obstetrics And Gynecology, 118(1), 29– 38. Https://Doi.Org/10.1097/AOG.0b013e3 1821e5f65

Benson, H. (N.D.). The Relaxation Response. Berghella, V., Baxter, J. K., & Chauhan, S. P.(2005). Evidence-Based Surgery For Cesarean Delivery. In American Journal Of Obstetrics And Gynecology (Vol. 193, Issue 5, Pp. 1607–1617).

Https://Doi.Org/10.1016/J.Ajog.2005.03.063

Betrán, A. P., Ye, J., Moller, A. B., Zhang, J., Gülmezoglu, A. M., & Torloni, M. R. (2016). The Increasing Trend In Caesarean Section Rates: Global, Regional And National Estimates: 1990- 2014. Plos ONE, 11(2).Https://Doi.Org/10.1371/Journal.Pone.0 148343

Boyle, A., Reddy, U. M., Landy, H. J., Huang C. C., Driggers, R. W., & Laughon, S. K. (2013). Primary Cesarean Delivery In TheUnitedStates.ObstetricsAnd Gynecology, 122(1), 33–40. Https://Doi.Org/10.1097/AOG.0b013e3 182952242

Cançado, T. O. De B., Omais, M., Ashmawi,H. A., & Torres, M. L. A. (2012). Chronic Pain After Cesarean Section. Influence Of Nesthetic/Surgical Technique And Postoperative Analgesia. Revista Brasileira De Anestesiologia, 62(6),762–774.Https://Doi.Org/10.1016/S0034- 7094(12)70177-0

Clapp, M. A., & Barth, W. H. (2017). The Future Of Cesarean DeliveryRatesInTheUnitedStates. Www.Clinicalobgyn.Com

Clark, S. L., Belfort, M. A., Dildy, G. A., Herbst, M. A., Meyers, J. A., & Hankins,

Edraki, M., Rambod, M., & Molazem, Z. (2018). The Effect Of Coping Skills Training On Depression, Anxiety, Stress, And Self-Efficacy In Adolescents With Diabetes: A Randomized Controlled Trial. International Journal Of Community Based Nursing And Midwifery, 6(4).

Gamez, B. H., & Habib, A. S. (2018). Predicting Severity Of Acute Pain After Cesarean Delivery: A Narrative Review. In Anesthesia And Analgesia (Vol. 126, Issue 5, Pp. 1606–1614). LippincottWilliamsAndWilkins. Https://Doi.Org/10.1213/ANE.00000000 00002658

G. D. (2008). Maternal Death In The 21st Century: Causes, Prevention, And Relationship ToCesareanDelivery. American Journal Of Obstetrics And Gynecology, 199(1), 36.E1-36.E5.Https://Doi.Org/10.1016/J.Ajog.2008.03.007

Haefeli, M., & Elfering, A. (2006). Pain Assessment. European Spine Journal, 15(1). Https://Doi.Org/10.1007/S00586-005-1044-X

Johansen, A., Schirmer, H., Nielsen, C. S., & Stubhaug, A. (2016). Persistent Post- Surgical Pain And Signs Of Nerve Injury: The Tromsø Study. Acta Anaesthesiologica Scandinavica, 60(3),380–392. Https://Doi.Org/10.1111/Aas.12653 Kemenkes RI. (2019). Laporan Nasional

Lavand’homme, P. (2018). PostpartumChronicPain.Https://Doi.Org/10.23736/S0375

Maggioni, C., Margola, D., & Filippi,F.(2006).PTSDRiskFactorsAndExpectations Among Women Having A Baby: A Two-Wave Longitudinal Study. Journal Of Psychosomatic ObstetricsAnGynecology,27(2),8190.Https://Doi.Org/10.1080/016748206007 12875

Mashamba, T. J. (2021). Caesarean Section. In Current Topics In CaesareanSection.Intechopen. Https://Doi.Org/Http://Dx.Doi.Org/10.5772/Intechopen.97290

Mcgrady, A., & Moss, D. (2018). Integrative Pathways: Navigating Chronic Illness With A Mind-Body-Spirit Approach. Springer.

Micozzi, M. (2018). Fundamentals Of Complementary, Alternative, And Integrative Medicine (6th Ed.). Elseiver.

Molazem, Z., Alizadeh, M., & Rambod, M. (2021). The Effect Of Benson’s Relaxation Technique On Pain Intensity, Belief, Perception, And Acceptance In Adult Hemophilia Patients: A Randomized Controlled Trial. International Journal Of Community Based Nursing And Midwifery, 9(3), 187–198.

Https://Doi.Org/10.30476/Ijcbnm.2021.8 7937.1471

Muliantino, M. R., Herawati, T., & Masfuri. (2020). Benson’s Relaxation For Fatigue Patient With Coronary Artery Disease. CARING: Indonesian Journal Of Nursing Science (IJNS, 2(1), 63-69.

Mylonas, I., & Friese, K. (2015). The Indications For And Risks Of Elective Cesarean Section. In Deutsches Arzteblatt International (Vol. 112, Issues 29–30, Pp. 489–495). Deutscher Arzte-VerlagGmbh.

N. B., Flor, H., Gibson, S., Keefe, F. J., Mogil, J. S., Ringkamp, M., Sluka, K. A., Song, X. J., Stevens, B., Sullivan, M. D., Tutelman, P. R., Ushida, T., & Vader, K. (2020). The Revised International Association For The Study Of PainDefinition Of Pain: Concepts, Challenges, And Compromises. In Pain (Vol. 161, Issue 9, Pp. 1976–1982). NLM(Medline).Https://Doi.Org/10.1097/J.Pain.0000000 000001939Https://Doi.Org/10.1016/J.Jpain.2015.0.001

Onieva-Zafra, M. D., García, L. H., & Del Valle, M. G. (2015). Effectiveness Of Guided Imagery Relaxation On Levels Of Pain And Depression In Patients Diagnosed With Fibromyalgia. Holistic Nursing Practice, 29(1), 13–21. Https://Doi.Org/10.1097/HNP.00000000 00000062

P. (2016). Incidence And Severity Of Chronic Pain After Caesarean Section: A Systematic Review With Meta-Analysis. European Journal Of Anaesthesiology, 33(11),853865.Https://Doi.Org/10.1097/EJA.0000000000000535

Poorolajal, J., Ashtarani, F., & Alimohammadi, N. (2017). Effect Of Benson Relaxation Technique On The Preoperative Anxiety And Hemodynamic Status: A Single Blind Randomized Clinical Trial. Artery Research, 17, 33-38.

Riskesdas (2018). Jakarta: Badan Penelitian Dan Pengembangan Kesehatan.

Raja, S. N., Carr, D. B., Cohen, M., Finnerup,

Roofthooft, E., Joshi, G. P., Rawal, N., Van De Velde, M., Joshi, G. P., Pogatzki-Zahn, E., Van De Velde, M., Schug, S., Kehlet, H., Bonnet, F., Rawal, N., Delbos, A., Lavand’homme, P., Beloeil, H., Raeder, J., Sauter, A., Albrecht, E., Lirk, P.,Lobo, D., & Freys, S. (2021). PROSPECT Guideline For Elective Caesarean Section: Updated Systematic Review And Procedure-Specific PostoperativePainManagement Recommendations.Anaesthesia,76(5),665680.Https://Doi.Org/10.1111/Anae.15339

Samsugito, I., Dzulhijjania, N. A., & Nopriyanto, D. (2022). Description Of Benson Relaxation Tehnique On Anxiety Among Student Of Diploma Nursing Mulawarman University. Jurnal Kesehatan Pasak Bumi Kalimantan, 5(2).

Venturella, R., Quaresima, P., Micieli, M., Rania, E., Palumbo, A., Visconti, F., Zullo, F., & Di Carlo, C. (2018). Non- Obstetrical Indications For Cesarean Section: A State-Of-The-Art Review. In Archives Of Gynecology And Obstetrics (Vol. 298, Issue 1, Pp. 9–16). SpringerVerlag.Https://Doi.Org/10.1007/S00404-018- 4742-4

Walfisch, A., Beloosesky, R., Shrim, A., & Hallak, M. (2014). Adhesion Prevention After Cesarean Delivery: Evidence, And Lack Of It. In American Journal Of Obstetrics And Gynecology (Vol. 211, Issue 5, Pp. 446–452). Mosby Inc. Https://Doi.Org/10.1016/J.Ajog.2014.05.027

Warsono, Fahmi, F. Y., & Irianto, G. (2019). Pengaruh Pemberian Teknik Relaksasi Benson Terhadap Intensitas Nyeri Pasien Post Sectio Caesarea Di RS PKU Muhammadiyah Cepu. Jurnal Ilmu Keperawatan Medial Bedah, 2(1).

Weibel, S., Neubert, K., Jelting, Y., Meissner, W., Wöckel, A., Roewer, N., & Kranke,

WHO. (2021, June 16). World Health Organization. Retrieved April 24, 2023, From Caesarean Section Rates Continue To Rise, Amid Growing Inequalities In Access:Https://Www.Who.Int/News/Item/16- 06-2021-Caesarean-Section-Rates- Continue-ToRiseAmidGrowing- Inequalities-In-Access




DOI: https://doi.org/10.33024/mnj.v6i5.11265

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