No Education
Juml ah
Prosent ase
1. 2.
3. 4.
PrimarySchool Junior High School
High School College
4 4
17 5
13.3 13.3
56.7 16.7
Jumlah 30
100
No Age
Jumlah Responden
Prosentase 1.
2. 3.
20 thn 20
– 30 thn 30 thn
5 15
10 16.7
50 33.3
Total 30
100 infectious complications and bladder
infections in the birth canal. And the third is S. Mubin, Amd.
Sumberwudi 2014. Keb
Village the occurrence of postpartum maternal death,
treatment of complications that can lead to a slow death in women post partum physical
condition is still weak postpartum mothers Ambarwati, 2008.
To accelerate wound healing of the perineal there are many ways, such as through
improved nutrition by eating foods high in calories and high in protein. Common sources
of protein are meat, milk, bread, cereal, eggs, fish, nuts, and seeds Boyle, 2008. According
Kordi 2010, catfish Channastriata is one kind of fish that contain albumin and protein
are high enough. Protein and albumun very function as a builder substance cells that have
been damaged, so that wound healing will take place faster. With a high content of protein and
albumin, common snakehead could potentially be used by the public for the
wound healing process, especially postoperative wounds, burns and after
childbirth. For the role of nurses is expected to help provide counseling to new mothers on
how to optimize the perineal wound healing by encouraging the fish to consume common
snakehead.
Because many factors affect the perineal wound healing researchers interested
in conducting research on nutrition, which is intended to improve nutrition by researchers is
Giving Nutrition Improvement With Common Snakehead Channastriata.
Sources Primary Data: Study Pebruari-April 2014
Based on the above data shows that of the respondents who experienced a postpartum
mothers perineal wound most or 50 aged 20-30 years and a fraction or 16.7 were aged
20 years
2 Characteristics of respondents by level of education
Table 2.Distribution of Respondents by Education Mothers Experiencing
Postpartum The perineal wound in BPM Ny.Titin S. Mubin, Amd.
Keb Village Sumberwudi 2014.
Sources Primary Data: Study Pebruari-April
METHODS
2014
Based on the above data shows that of the respondents who experienced postpartum
This study uses Quasy-Exsperimental. In this study population was 300 respondents
and the sample in this study consisted of 30 respondents 15 respondents control group and
the treatment group of 15 respondents. The sampling method used in this study is
Consecutive sampling.
RESULTS 1. The General Data
1 Characteristics of respondents by age
Table 1. Distribution of Respondents by Age Mothers Experiencing Postpartum
The perineal wound in BPM Ny.Titin
478 maternal perineal wound over part or
education high school and 56.7 or 13.3 fraction education elementary and junior high
school
3 Characteristics of respondents by Jobs
No Jobs
Jumlah Persentase
1. 2.
3. 4.
Farmer Employee
Merchant Don‟t
work 3
9 8
10 10
30 26.7
33.3
Jumlah 30
100
No Parity
Jumlah Persentase
1. 2.
3. Primipara
Multipara Grandemultip
ara 14
11 5
46.7 36.7
16.7
Jumlah 30
100
F re
k u
en si
F re
k u
en si
14
Table 3. Distribution of Respondents by 1 The Perineal Wound
Healing
Mother Employment Ruling scarred perineal in BPM Ny.Titin S. Mubin,
Amd. Keb Village Sumberwudi 2014.
Process of Control Group
Diagram 1. The perineal wound Healing process of control group in BPM Ny.Titin S. Mubin, Amd. Keb
Desa Sumberwudi Tahun 2014 86.7
12 10
8 Cepat
6 4
2
13.3
Lambat
Sources Primary Data: Study Pebruari-April
perineum Wound Healing Process
2014
Based on the above data shows that of the respondents who experienced a postpartum
mothers perineal wound almost half or 33.3 do not work and a small portion or 10 are
farmers.
4 Characteristics of respondents based on parity
Table 4.Distribution of Respondents by Parity Mothers Experiencing Postpartum
The perineal wound in BPM Ny.Titin S. Mubin, Amd. Keb
Based on the above data shows that respondents that new mothers in the control
group was 86.7 or almost entirely wound healing process is slow and categories perineal
fraction or 13.3 wound healing process perineal fast category.
2 The Perineal Wound Healing Process of Intervention Group
Diagram 2. the perineum wound healing process of intervention group n BPM Ny.Titin S. Mubin, Amd. Keb
Desa Sumberwudi Tahun 2014
Village Sumberwudi 2014.
14 12
10 8
6 4
2
80
20 Cepat
Lambat
Sources Primary Data: Study Pebruari-April 2014
Based on the above data shows that of the respondents who experienced a postpartum
mothers perineal wound partially or almost 46.7 had 1 child primiparous and a small
portion or 16.7 had 2 children grandemultipara.
2. Data Special
479
Properineum Woun Healing Process
Based on the above data indicate that respondents puerperal women in the treatment
group or 80 almost entirely wound healing process faster and categories perineal fraction
or 20 of the wound healing process is slow perineal category.
3 Effect of Commond snake head Channa striata The Perineal
p ro
se s
P e
n y
e m
b u
h a
n L
u ka
25 20
Wound Healing In BPM Ny.Titin S. Mubin, Amd. Keb 2014.
Diagram 3 Effect of Common Snakehead
Channa Striata
the
Perineum
wound healing in BPM Ny.Titin S. Mubin, Amd. Keb Tahun
2014
turnover Boyle, 2008. 2 Personal hygiene or vulva hygiene affect wound healing of the
perineal, if personal hygiene maintained in less postpartum mothers will lead to an infection
Moya, 2003. 3 The condition of the mother. Maternal health condition both physically and
mentally, can lead to long recovery. If the condition of a healthy mother, then the mother
can take care of themselves well. 4 Age: Age is closely related to wound healing, because
15 10
5 Perlakuan
Kontrol
the older person will decrease the speed of wound healing. Faster wound healing occurs at
a younger age than in older people. People who are already advanced in years can not
tolerate stress such as tissue trauma or infection Smeltzer, 2002.
The result showed that the cause of the
20
jumlah responden Z = -3.598 dan
= 0.000
40
slowdown in the perineal wound healing than the control group because it was not given fish
cork, they also undertake to abstain from foods that lack nutritional needs are met, lack of
attention to personal hygine so easy to breed bacteria and cause infection, and lack of
Based on the above data shows that in the control group perineal wound healing process
is slow category, where the wound healed after day 7. Whereas in the treatment group
respondents puerperal women perineal wound healing process including fast category, where
the wound is healed before day 7.
Based on the results of statistical tests using the Mann Whitney in SPSS version 16
with the results obtained Z = -3598 and where Ho is rejected, which means there is the effect
of common snakehead Channa striata on wound healing of the perineal in BPM
Ny.Titin S. Mubin, Amd. Keb 2014. Granting common snakehead Channa striata can
accelerate wound healing of the perineal in postpartum mothers.
DISCUSSION
In the control group was given fish without cork 13 respondents indicated category
perineal slow wound healing wound healing perineal 7 days, the average wound healed at
day 14-21.
There are several factors that can affect the perineal wound healing include: 1
Nutrition. Nutritional factors and nutrients, especially protein will greatly affect the
wound healing process in the perineal because the network is in desperate need of protein
480 activity. These factors led to the possibility
that the perineal wound healing process in the control group lasted longer.
In the treatment group were given fish cork 12 respondents showed rapid wound
healing perineal categories namely wound healing perineal7 days, the average wound
healed on days 5-7. Nutrition is one of the key wound healing. Puerperal women are
encouraged to eat with a balanced diet, enough carbohydrates, proteins, fats, vitamins and
minerals Suherni, 2009.
One source of protein that can be obtained from fish cork that can aid in wound
healing, it is because the catfish can increase endurance. Common snakehead meat contains
high protein and albumin. In addition, common snakehead meat also contains a
complete amino acid, as well as micronutrients zinc, selenium, and iron. Other content in fish
flesh is alisin cork, allyl sulfide, and furostanol glycosides that can help repair damaged tissue
in the wound, so that wound healing can take place more quickly Suprayitno. E, 2003.
Above theory in accordance with the results of research in Ny BPM. Titin S. Mubin
Amd. Keb sumberwudi Karanggeneng Lamongan village where the results of
statistical tests indicate that there is the effect of common snakehead Channa striata on
wound healing of the perineal. Providing methods to improve nutrition in the form of a
fish cork in hopes of repairing damaged tissue in the wound, so that wound healing can take
place more quickly.
DayaIkanGabus
.Edisi 1. Yogyakarta: ANDI
Moya J, Morison. 2003.
Manajemen Luka
. Jakarta: EGC
CONCLUSIONS RECOMMENDATIONS
AND
Prawirohardjo, Sarwono. 2002.
PelayananKesehatan Maternal dan Neonatal
.
CetakanKelima. EdisiKetiga. Jakarta: BinaPustaka
1. Conclusions There is the effect of common snakehead
Channa striata on wound healing of the perineal in BPM Ny.Titin S. Mubin, Amd.
Keb 2014. 2. Recommendation
Giving common snakehead can be used as an alternative to accelerate wound healing of
the perineal in postpartum mothers.
REFERENCES
Pusdiknakes. 2003.
Asuhan Kebidanan Post Partum
. Jakarta: Pusdiknakes Saifuddin, Abdul Bari. 2008.
Buku Acuan Nasional Pelayanan Kesehatan
Maternal Dan Neonatal .
Jakarta: YBPSP
Smeltzer, Suzanne C, dkk. 2002.
Keperawatan Medikal Bedah
, Edisi 8 Vol 1, Jakarta: EGC
Suherni. 2009.
Perawatan Masa Nifas
. Yogyakarta: Fitramaya
Varney, Helen. 2007.
Buku Ajar Asuhan Kebidanan Edisi 4
.
Jakarta: EGC Wiknjosastro,
Hanifa. 2005.
Ilmu
Ambarwati. 2008.
Asuhan Kebidanan Nifas .
Yogyakarta: Mitra Cendekia. Boyle, Mauren. 2008.
Pemulihan Luka: Kandungan
. Jakarta: YBPSP
Seri Praktik Kebidanan .
Jakarta: EGC.
Kordi, M. Ghufran H. 2010.
PanduanLengkapBisnisdan Budi
481
THE INFLUENCE OF PROGRESSIVE RELAXATION TO DECREASE PAIN FOR PATIENTS OF SECTIO CAESAREA SURGERY
IN THE FIRST AND SECOND DAY Aris Dwi Cahyono, Wida Wicaksana
Akademi Keperawatan Pamenang
Abstract
After the effect of Sectio Caesarea anesthesia has finished, they will feel pain on body organ where surgery is done. There are two methods to decrease pain of Sectio Caesarean
surgery by using medicines and using progressive relaxation technique. The purpose of this research is to identify the influence of progressive relaxation to decrease pain for
patients of Sectio Caesarea surgery in Maternal Room General Hospital of Kediri Regency in 2014.
Research design was Pre-Post Test Experiment. The populations 38 patients of post section caesarean surgery in the first and second day. Sample used purposive sampling
and consisted of 9 respondents. Data analysis was implemented by comparing pain scale pre and post intervention and being analyzed as descriptive. Research result showed that
pre-intervention, value of mean was 5,66 with standard deviation 1, and post-intervention, value of mean was 4,66 with standard deviation 1,5. Analysis result showed a decrease of
mean value 1 and standard deviation 0,54. There was influence of progressive relaxation to decrease pain for patients of Sectio Caesarea surgery. It is hoped for medical staffs to
use progressive relaxation technique as one of chosen therapies to decrease pain scale beside of medicines.
Key words : Progressive Relaxation, Pain, Post Sectio Caesarean Surgery.
Background
Sectio Caesarea is an act of delivery of a fetus that has been able to
live together with the placenta and membranes are transabdominal through
the uterine incision. In the operation process used anesthetic so that the
patient does not feel pain during surgery. But after the operation is completed and
the patient began to realize and react to the anesthesia wears off, the patient will
feel pain in the body that had surgery. Many women complain of pain in
stitches, this complaint is actually technique is to focus on a muscle
activity in a sustainable manner by identifying the tense muscles then
lowers the tension by doing relaxation techniques to get a feeling of relaxation
Murphy, 1996.
In Indonesia, the percentage of Caesarea Sectio big enough. In
government hospitals in the year 2008 the average labor with Sectio Caesarea
by 11, while at the Private Hospital could be more than 30. And recorded
from 17 665 birth rate there is 35.7 - 55.3 of mothers giving birth to the
reasonable because the body is
process of sectio caesarea. In East Java, experiencing injuries and healing can
not be perfect, especially if the wound is relatively long and deep. However, there
are two methods to reduce pain in a natural scale postoperative Sectio
Caesarea mother is in Pharmacological and non-pharmacological drug use one
of them with progressive relaxation techniques. Progressive relaxation
511 Regional General Hospital Dr. Soetomo
as the largest referral hospital in East Java was found that the incidence of
labor with Sectio Caesarea in 2008 was 1478 cases 23.3 of the total 6335
deliveries Yudhoyono, 2008. Meanwhile, according to a preliminary
study conducted at the maternity ward Kediri District Hospital on 19 November
2013 was recorded incidence Sectio Caesarea deliveries on average each
month in 38 patients. This increase is allegedly due to
improved techniques and facilities, the operation lasted more aseptic, anesthetic
techniques improved, comfort pasectio caesarea higher operating, and the length
of the short growing and can choose the date of birth as you wish Roeshadi,
2006. Nevertheless Caesarea operation pharmacological nursing activities that
can assist in the relief of pain. One of them is progressive relaxation, non-
pharmacological methods of pain relief that has a very low risk. Although such
action is not a substitute for drugs, such action is necessary to shorten episodes
of pain that lasts only a few seconds or minutes.
Based on the above description researchers interested in conducting
does not mean free of risks or problems. research on
“The Influence Of Research by Hillan about pain post
Sectio known that on days 1-2 clients still experiencing pain in the wound, and
even almost half of women lasts until they return home, and even about 32
of patients who performed the cesarean is still experiencing pain in injuries, and
often pain in the wound after returning gain weight thus requiring analgesics.
Steer, 2004 stated that relaxation is a method of transfer of non-
pharmacological pain that is often used in the UK. Steer in the study reported
that as many as 34 women using relaxation, by induction of relaxation for
15 minutes can significantly reduce the sensory component of pain. Pillips
added that the emotional component of pain is also reduced so that the effect of
exacerbating anxiety was also reduced due to the impact of the relaxation
Mander, 2004. Relaxation can be used in episodes of acute and chronic pain to
reduce pain. Usually it takes 5-10 training sessions before a client can
effectively minimize pain. Patients who already know about the relaxation
techniques may just need to be reminded to use such techniques to reduce or
prevent the pain. The basic aim of relaxation is to help people to relax, and
thus improve the various aspects of physical health. Besides, there are also
some other benefits, which lead to inner peace, reduced anxiety, lower heart rate,
reduce blood pressure, a greater resistance to disease, mental health
getting better and better memory.
Many patients and health teams tend to view drugs as the only method to
relieve pain, but many non-
512 Progressive Relaxation To Decrease
Pain For Patients Of Sectio Caesarea Surgery In The First And Second Day”
in the Maternity Room of the District General Hospital Kediri.
Formulation of the Problem
Based on the description of the background of the problem, it can be
formulated research problem, namely “Is there a The Influence Of Progressive
Relaxation To Decrease Pain For Patients Of Sectio Caesarea Surgery In
The First And Second Day in the Maternity Room of the District General
Hospital Kediri?”
Purpose 1. General Purpose
To determine differences in the level of pain in patients with postoperative
Sectio Caesarea before and after being given the progressive
relaxation technique in Maternity Room General Hospital of Kediri.
2. Special Purpose a. Identify the level of pain before
the progressive relaxation in patients with postoperative sectio
caesarea in the first and second day.
b. Identify the level of pain after doing the progressive relaxation
in patients with postoperative sectio caesarea in the first and
second day.
c. Analyzing the influence of progressive relaxation to decrease
postoperative pain in patients
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