Teknik Relaksasi Napas Dalam Kombinasi Guided Imagery Berbasis Teori Comfort terhadap Intensitas Nyeri Pasca Bedah Sectio Caesarea
Abstract
This study aims to analyze the effect of combining deep breathing relaxation techniques with guided imagery on the pain intensity of postoperative Sectio Caesarea (SC) patients. The method used was a quasi-experiment on women who underwent SC surgery. The results showed a significant effect after the intervention on pain intensity (p=0.000; d=2.876), accompanied by a significant change in pain intensity (p=0.000). In conclusion, breathing relaxation techniques in combination with guided imagery based on the comfort theory can reduce the pain intensity of post-SC surgery patients.
Keywords: Comfort Theory, Guided Imagery, Deep Breathing, Pain
References
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Alvarez-Garcia, C., & Yaban, Z. Åž. (2020). The Effects of Preoperative Guided Imagery Interventions on Preoperative Anxiety and Postoperative Pain: A Meta-Analysis. Complementary Therapies in Clinical Practice, 38. https://doi.org/10.1016/j.ctcp.2019.101077
Andriati, R., Pratiwi, R. D., & Indah, F. P. S. (2019). The Differences in the Autogenic Relaxation Therapy’S Influences on Reducing Pain Levels in Postoperative Sectio Caesaria Patients. Malaysian Journal of Medical Research (MJMR), 3(4), 33–37. https://doi.org/10.31674/mjmr.2019.v03i04.005
Beizaee, Y., Rejeh, N., Heravi-Karimooi, M., Tadrisi, S. D., Griffiths, P., & Vaismoradi, M. (2018). The Effect of Guided Imagery on Anxiety, Depression and Vital Signs in Patients on Hemodialysis. Complementary Therapies in Clinical Practice, 33, 184–190. https://doi.org/10.1016/j.ctcp.2018.10.008
Brase, A., Brauchle, D., Kermad, A., Volk, T., Morinello, E., Gottschling, S., & Schneider, S. O. (2022). Postoperative Pain Therapy with Laser Acupuncture After Cesarean Section Under Spinal Anesthesia: A Double-Blinded, Randomized, Placebo-Controlled Trial. Complementary Medicine Research, 235-241. https://doi.org/10.1159/000522470
Cole, L. (2021). The Impact of Guided Imagery on Pain and Anxiety in Hospitalized Adults. Pain Management Nursing, 22(4), 465–469. https://doi.org/10.1016/j.pmn.2021.02.007
De Paolis, G., Naccarato, A., Cibelli, F., D’Alete, A., Mastroianni, C., Surdo, L., Casale, G., & Magnani, C. (2019). The Effectiveness of Progressive Muscle Relaxation and Interactive Guided Imagery as a Pain-Reducing Intervention in Advanced Cancer Patients: A Multicentre Randomised Controlled Non-Pharmacological Trial. Complementary Therapies in Clinical Practice, 34, 280–287. https://doi.org/10.1016/j.ctcp.2018.12.014
Felix, M. M. D, S., Ferreira, M. B. G., da Cruz, L. F., & Barbosa, M. H. (2019). Relaxation therapy with guided imagery for postoperative pain management: an integrative review. Pain Management Nursing, 20(1), 3–9. https://doi.org/10.1016/j.pmn.2017.10.014
Felix, M. M. D. S., Ferreira, M. B. G., Oliveira, L. F. de, Barichello, E., Pires, P. da S., & Barbosa, M. H. (2018). Guided Imagery Relaxation Therapy on Preoperative Anxiety: a Randomized Clinical Trial. Revista Latino-Americana de Enfermagem, 26. https://doi.org/10.1590/1518-8345.2850.3101
Ginting, B. O. E., Nasution, A. H., & Harto, S. (2020). The Relationship between Degrees of Pre-Operative Anxiety with Pain and Post Operative Answer in Patients Who Undergo C-Section with Spinal Anesthesia. International Journal of Innovative Science and Research Technology, 5(9), 389–392. https://doi.org/10.38124/ijisrt20sep479
Hongjun, M., Florenly, F., Liena, L., & Fioni, F. (2021). Influence Before and After Early Mobilization of Changes in Pain Levels in Sectio Cesarea Postoperative Clients at Royal Prima Hospital in 2020. BirEx Journal: Budapest International Research in Exact Sciences, 3(4), 406–414. https://doi.org/10.33258/birex.v3i4.3052
Kiley, K. A., Sehgal, A. R., Neth, S., Dolata, J., Pike, E., Spilsbury, J. C., & Albert, J. M. (2018). The Effectiveness of Guided Imagery in Treating Compassion Fatigue and Anxiety of Mental Health Workers. Social Work Research, 42(1), 33–43. https://doi.org/10.1093/swr/svx026
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Nasiri, S., Akbari, H., Tagharrobi, L., & Tabatabaee, A. S. (2018). The Effect of Progressive Muscle Relaxation and Guided Imagery on Stress, Anxiety, and Depression of Pregnant Women Referred to Health Centers. Journal of Education and Health Promotion, 7(41). https://doi.org/10.4103/jehp.jehp_158_16
Pragholapati, A. (2020). Effect of Progressive Muscle Relaxation Technique on Pain in Post Sectio Caesarea. Jurnal Kesehatan dr. Soebandi, 8(2), 112–122. https://doi.org/10.36858/jkds.v8i2.216
Suherni, S., (2019). Effect of Family Assistance During Operation on the Level of Anxiety of Sectio Caesarea Patients in RSIA Stella Maris Medan. Caring:Indonesian Journal of Nursing Science, 1(1), 56–63. https://doi.org/10.32734/ijns.v1i1.1173
Vagnoli, L., Bettini, A., Amore, E., De Masi, S., & Messeri, A. (2019). Relaxation-Guided Imagery Reduces Perioperative Anxiety and Pain in Children: A Randomized Study. European Journal of Pediatrics, 178, 913–921. https://doi.org/10.1007/s00431-019-03376-x
Alvarez-Garcia, C., & Yaban, Z. Åž. (2020). The Effects of Preoperative Guided Imagery Interventions on Preoperative Anxiety and Postoperative Pain: A Meta-Analysis. Complementary Therapies in Clinical Practice, 38. https://doi.org/10.1016/j.ctcp.2019.101077
Andriati, R., Pratiwi, R. D., & Indah, F. P. S. (2019). The Differences in the Autogenic Relaxation Therapy’S Influences on Reducing Pain Levels in Postoperative Sectio Caesaria Patients. Malaysian Journal of Medical Research (MJMR), 3(4), 33–37. https://doi.org/10.31674/mjmr.2019.v03i04.005
Beizaee, Y., Rejeh, N., Heravi-Karimooi, M., Tadrisi, S. D., Griffiths, P., & Vaismoradi, M. (2018). The Effect of Guided Imagery on Anxiety, Depression and Vital Signs in Patients on Hemodialysis. Complementary Therapies in Clinical Practice, 33, 184–190. https://doi.org/10.1016/j.ctcp.2018.10.008
Brase, A., Brauchle, D., Kermad, A., Volk, T., Morinello, E., Gottschling, S., & Schneider, S. O. (2022). Postoperative Pain Therapy with Laser Acupuncture After Cesarean Section Under Spinal Anesthesia: A Double-Blinded, Randomized, Placebo-Controlled Trial. Complementary Medicine Research, 235-241. https://doi.org/10.1159/000522470
Cole, L. (2021). The Impact of Guided Imagery on Pain and Anxiety in Hospitalized Adults. Pain Management Nursing, 22(4), 465–469. https://doi.org/10.1016/j.pmn.2021.02.007
De Paolis, G., Naccarato, A., Cibelli, F., D’Alete, A., Mastroianni, C., Surdo, L., Casale, G., & Magnani, C. (2019). The Effectiveness of Progressive Muscle Relaxation and Interactive Guided Imagery as a Pain-Reducing Intervention in Advanced Cancer Patients: A Multicentre Randomised Controlled Non-Pharmacological Trial. Complementary Therapies in Clinical Practice, 34, 280–287. https://doi.org/10.1016/j.ctcp.2018.12.014
Felix, M. M. D, S., Ferreira, M. B. G., da Cruz, L. F., & Barbosa, M. H. (2019). Relaxation therapy with guided imagery for postoperative pain management: an integrative review. Pain Management Nursing, 20(1), 3–9. https://doi.org/10.1016/j.pmn.2017.10.014
Felix, M. M. D. S., Ferreira, M. B. G., Oliveira, L. F. de, Barichello, E., Pires, P. da S., & Barbosa, M. H. (2018). Guided Imagery Relaxation Therapy on Preoperative Anxiety: a Randomized Clinical Trial. Revista Latino-Americana de Enfermagem, 26. https://doi.org/10.1590/1518-8345.2850.3101
Ginting, B. O. E., Nasution, A. H., & Harto, S. (2020). The Relationship between Degrees of Pre-Operative Anxiety with Pain and Post Operative Answer in Patients Who Undergo C-Section with Spinal Anesthesia. International Journal of Innovative Science and Research Technology, 5(9), 389–392. https://doi.org/10.38124/ijisrt20sep479
Hongjun, M., Florenly, F., Liena, L., & Fioni, F. (2021). Influence Before and After Early Mobilization of Changes in Pain Levels in Sectio Cesarea Postoperative Clients at Royal Prima Hospital in 2020. BirEx Journal: Budapest International Research in Exact Sciences, 3(4), 406–414. https://doi.org/10.33258/birex.v3i4.3052
Kiley, K. A., Sehgal, A. R., Neth, S., Dolata, J., Pike, E., Spilsbury, J. C., & Albert, J. M. (2018). The Effectiveness of Guided Imagery in Treating Compassion Fatigue and Anxiety of Mental Health Workers. Social Work Research, 42(1), 33–43. https://doi.org/10.1093/swr/svx026
Marfuah, D., Nurhayati, N., Mutiar, A., Sumiati, M., & Mardiani, R. (2019). Pain Intensity among Women with Post-Caesarean Section: A Descriptive Study. KnE Life Sciences. https://doi.org/10.18502/kls.v4i13.5322
Nasiri, S., Akbari, H., Tagharrobi, L., & Tabatabaee, A. S. (2018). The Effect of Progressive Muscle Relaxation and Guided Imagery on Stress, Anxiety, and Depression of Pregnant Women Referred to Health Centers. Journal of Education and Health Promotion, 7(41). https://doi.org/10.4103/jehp.jehp_158_16
Pragholapati, A. (2020). Effect of Progressive Muscle Relaxation Technique on Pain in Post Sectio Caesarea. Jurnal Kesehatan dr. Soebandi, 8(2), 112–122. https://doi.org/10.36858/jkds.v8i2.216
Suherni, S., (2019). Effect of Family Assistance During Operation on the Level of Anxiety of Sectio Caesarea Patients in RSIA Stella Maris Medan. Caring:Indonesian Journal of Nursing Science, 1(1), 56–63. https://doi.org/10.32734/ijns.v1i1.1173
Vagnoli, L., Bettini, A., Amore, E., De Masi, S., & Messeri, A. (2019). Relaxation-Guided Imagery Reduces Perioperative Anxiety and Pain in Children: A Randomized Study. European Journal of Pediatrics, 178, 913–921. https://doi.org/10.1007/s00431-019-03376-x
