Publikasi
Karya Ilmiah MahasiswaPencarian Spesifik
Kunjungan
Nyeri luka perineum merupakan keluhan pada ibu postpartum akibat trauma jaringan setelah persalinan pervaginam yang dapat menghambat mobilisasi dan aktivitas sehari-hari. Penatalaksanaan nonfarmakologis diperlukan sebagai pendekatan komplementer yang mudah diterapkan. Penelitian ini bertujuan mengetahui pengaruh kombinasi teknik relaksasi napas dalam dan kompres hangat terhadap skala nyeri luka perineum pada ibu postpartum di Kabupaten Pekalongan. Penelitian menggunakan desain quasi experimental dengan pendekatan pretest–posttest with control group. Sampel berjumlah 60 ibu postpartum 6 jam dengan luka perineum derajat II yang dipilih menggunakan purposive sampling, terdiri atas empat kelompok masing-masing 15 responden, yaitu kelompok relaksasi napas dalam, kelompok kompres hangat, kelompok kombinasi relaksasi napas dalam dan kompres hangat, serta kelompok kontrol. Nyeri diukur menggunakan Visual Analog Scale (VAS). Relaksasi napas dalam dilakukan selama 10 menit dengan pola inspirasi 4 detik, tahan 2 detik, dan ekspirasi 6 detik, sedangkan kompres hangat menggunakan suhu 38–40°C selama 15–20 menit. Seluruh responden memperoleh terapi standar asam mefenamat yang dikonfirmasi melalui rekam medis dan lembar SOAP. Analisis menggunakan Wilcoxon Signed Rank Test dan Kruskal-Wallis dilanjutkan pairwise comparisons dengan koreksi Bonferroni. Seluruh kelompok mengalami penurunan skala nyeri signifikan, yaitu relaksasi napas dalam (p=0,000), kompres hangat (p=0,000), kombinasi (p=0,000), dan kontrol (p=0,014). Mean rank penurunan nyeri tertinggi terdapat pada kelompok kombinasi (43,60), diikuti kompres hangat (37,67), relaksasi napas dalam (29,33), dan kontrol (11,40). Uji Kruskal-Wallis menunjukkan perbedaan penurunan nyeri antar kelompok signifikan (H=34,111; p=0,000). Kombinasi teknik relaksasi napas dalam dan kompres hangat efektif menurunkan nyeri luka perineum dan dapat dipertimbangkan sebagai intervensi nonfarmakologis dalam asuhan postpartum.
Åhlund, S., Rådestad, I., Zwedberg, S., & Lindgren, H. (2019). Perineal pain the first year after childbirth and uptake of post-partum check-up: A Swedish cohort study. Midwifery, 78, 85–90. https://doi.org/10.1016/j.midw.2019.08.004
A’izah, D. L., & Dewi, H. L. (2024). Efektivitas project based learning dalam kurikulum merdeka terhadap kemampuan berpikir kritis matematis siswa SMP Negeri 1 Karangdadap. Circle: Jurnal Pendidikan Matematika, 4(2), 175–185. https://doi.org/10.28918/circle.v4i2.8714
Amarina, A. R., Irmayani, I., & Sudarmi. (2021). Pengaruh kombinasi senam Kegel dan relaksasi napas dalam terhadap nyeri luka perineum pada ibu nifas. Jurnal Midwifery Update (MU), 3(2), 84–89. https://doi.org/10.32807/jmu.v3i2.113
Aragaw, F. M., Wondale, Y. A., Teshale, A. B., & Kassie, A. M. (2023). Level of episiotomy practice and its disparity among women who delivered vaginally: A meta-analysis. Frontiers in Global Women's Health, 4, Article 1153640. https://doi.org/10.3389/fgwh.2023.1153640
Boudet-Berquier, J., et al. (2024). A women-centred exploration of postpartum perineal pain when the perineum is diagnosed as intact. Midwifery, 129, 103909. https://doi.org/10.1016/j.midw.2023.103909
Bqlein, A. S., & Badr, H. (2024). Effects of warm compresses on the perineal area during the active phase of labor: A quasi-experimental study. Cureus, 16(8), e67825. https://doi.org/10.7759/cureus.67825
Cunningham, F. G., Leveno, K. J., Dashe, J. S., Hoffman, B. L., Casey, B. M., & Spong, C. Y. (2022). Williams obstetrics (26th ed.). McGraw Hill.
Deyaso, Z. F., Yigezu, E., Ayalew, M., & Tesfa, T. (2022). Prevalence of episiotomy practice and factors associated with it: A systematic review and meta-analysis. International Journal of Women's Health, 14, 315–329. https://doi.org/10.2147/IJWH.S350955
Djusad, S., Permatasari, I. I., Futihandayani, A., Shahnaz, P., Hadiwinata, D., & Herianti, H. F. (2024). Analysis of episiotomy incidence and risk factors in vaginal deliveries: A single-center study. AJOG Global Reports. Advance online publication. https://doi.org/10.1016/j.xagr.2024.100371
Dinas Kesehatan Provinsi Jawa Tengah. (2023). Profil kesehatan Provinsi Jawa Tengah tahun 2022. Dinas Kesehatan Provinsi Jawa Tengah.
Edqvist, M., Ajne, G., Teleman, P., Tegerstedt, G., & Rubertsson, C. (2024). Postpartum perineal pain and its association with sub-classified second-degree tears and perineal trauma: A follow-up of a randomized controlled trial. Acta Obstetricia et Gynecologica Scandinavica, 103(11), 2314–2323. https://doi.org/10.1111/aogs.14938
Edqvist, M., Wijma, J., & Lindgren, H. (2024). Postpartum perineal pain and associated factors: A prospective cohort study. Acta Obstetricia et Gynecologica Scandinavica, 103(2), 178–187. https://doi.org/10.1111/aogs.14734
Faisol. (2022). Teknik relaksasi napas dalam. Direktorat Jenderal Pelayanan Kesehatan Lanjutan, Kementerian Kesehatan Republik Indonesia. https://keslan.kemkes.go.id/view_artikel/1054/teknik-relaksasi-nafas-dalam
Fitri, F. E., Yunitasari, E., & Wulan, S. S. (2024). Edukasi kesehatan tentang perawatan luka episiotomi pada ibu postpartum di BPS Bd. Yuliati Gisting Tanggamus. Journal of Qualitative Health Research & Case Studies Reports, 4(1), 68–78. https://doi.org/10.56922/quilt.v4i1.466
Fitriani, R. N., & Ningrum, E. W. (2024). Effectiveness of deep breath relaxation technique to reduce acute pain in spontaneous post partum patients. Viva Medika: Jurnal Kesehatan, Kebidanan, dan Keperawatan, 17(2), 334–338. https://doi.org/10.35960/vm.v17i2.1454
Gholamrezaei, A., Van Diest, I., Aziz, Q., Pauwels, A., Tack, J., Vlaeyen, J. W. S., & Van Oudenhove, L. (2022). Effect of slow, deep breathing on visceral pain perception and its underlying psychophysiological mechanisms. Neurogastroenterology & Motility, 34(4), e14242. https://doi.org/10.1111/nmo.14242
Hall, J. E. (2021). Guyton and Hall textbook of medical physiology (14th ed.). Elsevier: https://www.elsevier.com/books/guyton-and-hall-textbook-of-medical-physiology/hall/978-0-323-59712-8
Handayani, D. R., Humaira, F. A., & Reviana, R. (2024). Hubungan mobilisasi dini dengan penyembuhan luka perineum pada ibu postpartum. Jurnal Rumpun Ilmu Kesehatan, 4(2), 103–110. https://doi.org/10.55606/jrik.v4i2.4952
Handiana, C. M., Zulisa, E., & Husna, N. (2024). Efektivitas warm compress terhadap nyeri punggung pada ibu hamil di wilayah kerja Puskesmas Darul Imarah Kabupaten Aceh Besar. Journal of Health Care (JOHC), 5(2). https://www.jurnal.umla.ac.id/index.php/JOHC/article/view/1009
Idhayanti, R. I., Warastuti, A., & Yuniyanti, B. (2020). Mobilisasi dini menurunkan nyeri akibat jahitan perineum tingkat II pada ibu post partum. Jurnal Jendela Inovasi Daerah, 3(2), 29–43. https://doi.org/10.56354/jendelainovasi.v3i2.85
International Association for the Study of Pain. (2020, July 16). IASP announces revised definition of pain. https://www.iasp-pain.org/publications/iasp-news/iasp-announces-revised-definition-of-pain/
Kasiati. (2025). Pengaruh kompres air hangat terhadap penurunan nyeri luka episiotomi pada ibu postpartum. Jurnal Media Ilmu Kesehatan, 3(1), 93–105. https://jurnal.kusumalintasmedia.com/index.php/jurmedikes/article/view/51
Kementerian Kesehatan Republik Indonesia. (2020). Pedoman pelayanan antenatal, persalinan, nifas, dan bayi baru lahir di era adaptasi kebiasaan baru. Direktorat Jenderal Kesehatan Masyarakat, Direktorat Kesehatan Keluarga, Kementerian Kesehatan Republik Indonesia. Repository Kementerian Kesehatan RI
Kementerian Kesehatan Republik Indonesia. (2023). Webinar Save Mother Save the Nation. https://lms.kemkes.go.id/courses/f5ce874c-e40f-43e2-96f4-eb396276787c
Khalil, N. A., Ahmed, M. E., Tharwat, T., & Mahmoud, Z. (2024). NSAIDs between past and present; a long journey towards an ideal COX-2 inhibitor lead. RSC Advances, 14, 30647–30661. https://doi.org/10.1039/D4RA04686B
Lowdermilk, D. L., Perry, S. E., Cashion, K., Alden, K. R., & Olshansky, E. (2020). Maternity & women's health care (12th ed.). Elsevier. https://shop.elsevier.com/books/maternity-and-womens-health-care/lowdermilk/978-0-323-55629-3
Lukman, 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. https://doi.org/10.32539/JKS.v7i2.15238
Maghalian, M., Alikamali, M., Nabighadim, M., & Mirghafourvand, M. (2024). The effects of warm perineal compress on perineal trauma and postpartum pain: A systematic review with meta-analysis and trial sequential analysis. Archives of Gynecology and Obstetrics, 309(3), 843–869. https://doi.org/10.1007/s00404-023-07195-2
Manresa, M., Pereda, A., Bataller, E., Terre-Rull, C., Ismail, K. M., & Webb, S. S. (2019). Incidence of perineal pain and dyspareunia following spontaneous vaginal birth: A systematic review and meta-analysis. International Urogynecology Journal, 30(6), 853–868. https://doi.org/10.1007/s00192-019-03894-0
Masadah, Mahfuzoh, & Rusmini. (2022). Relaksasi nafas dalam dan rendam duduk menurunkan nyeri luka perineum ibu post-partum. Journal of Excellent Nursing Students (JENIUS), 1(1), 20–26. https://doi.org/10.32807/jenius.v1i1.7
Modoor, S., Fouly, H., & Rawas, H. (2021). The effect of warm compresses on perineal tear and pain intensity during the second stage of labor: A randomized controlled trial. Belitung Nursing Journal, 7(3), 210–218. https://doi.org/10.33546/bnj.1452
Mulati, T. S., & Susilowati, D. (2018). Pengaruh derajat robekan perineum terhadap skala nyeri perineum pada ibu nifas. Jurnal Kebidanan dan Kesehatan Tradisional, 3(1), 51–56. https://doi.org/10.37341/jkkt.v3i1.77
National Institute for Health and Care Excellence. (2021). Postnatal care (NICE Guideline No. NG194). https://www.nice.org.uk/guidance/ng194
Notoatmodjo, S. (2018). Metodologi penelitian kesehatan. Rineka Cipta.
Opondo, C., Harrison, S., Sanders, J., Quigley, M. A., & Alderdice, F. (2023). The relationship between perineal trauma and postpartum psychological outcomes: A secondary analysis of a population-based survey. BMC Pregnancy and Childbirth, 23, 639. https://doi.org/10.1186/s12884-023-05950-6
Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2021). Fundamentals of nursing (10th ed.). Elsevier. https://shop.elsevier.com/books/fundamentals-of-nursing/potter/9780323677721
Purnami, L. A., Hadijono, R. S., & Herawati, L. (2019). Effect of guided deep breath relaxation and Kegel gym on perineal pain reduction in postpartum women at Buleleng Hospital, Bali. The International Conference on Public Health Proceeding, 4(1), 254–260. https://doi.org/10.26911/theicph.2019.03.06
Sun, R., Huang, J., Zhu, X., Hou, R., Zang, Y., Li, Y., Pan, J., & Lu, H. (2024). Effects of perineal warm compresses during the second stage of labor on reducing perineal trauma and relieving postpartum perineal pain in primiparous women: A systematic review and meta-analysis. Healthcare, 12(7), 702. https://doi.org/10.3390/healthcare12070702
Tamar, M. (2024). Pengaruh kompres air hangat terhadap kegawatdaruratan nyeri luka perineum pada ibu postpartum normal. Masker Medika, 12(1), 71–77. https://doi.org/10.52523/maskermedika.v12i1.603
Tebai, F., & Sitiyaroh, N. (2023). Effectiveness of warm compress with lemon therapy on pain intensity in post partum mothers. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 9(Special Edition), 84–91. https://doi.org/10.33755/jkk.v9iSpecial%20Edition.530
Türkmen, H., Çetinkaya, S., Apay, E., Karamüftüo?lu, D., & K?l?ç, H. (2021). The effect of perineal warm application on perineal pain, perineal integrity, and postpartum comfort in the second stage of labor: Randomized clinical trial. Complementary Medicine Research, 28(1), 23–30. https://doi.org/10.1159/000507605
U.S. Food and Drug Administration. (2021). Mefenamic acid capsules, USP 250 mg: Prescribing information. U.S. Department of Health and Human Services. https://www.accessdata.fda.gov/drugsatfda_docs/label/2021/015034s045lbl.pdf
World Health Organization. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience. World Health Organization. https://www.who.int/publications/i/item/9789241550215
World Health Organization. (2025). Maternal mortality. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
Wuytack, F., Smith, V., & Cleary, B. (2021). Oral non-steroidal anti-inflammatory drugs (single dose) for perineal pain in the early postpartum period. Cochrane Database of Systematic Reviews, 2021(7), CD011352. https://doi.org/10.1002/14651858.CD011352.pub3
Yamada, A., Takahashi, Y., Hirose, M., Usami, Y., Maruya, S., & Tamakoshi, K. (2024). Factors associated with perineal pain on the first postnatal day after vaginal delivery: A cross-sectional study of primiparous women. Nagoya Journal of Medical Science, 86(1), 52–63. https://doi.org/10.18999/nagjms.86.1.52
Zaccaro, A., Piarulli, A., Laurino, M., Garbella, E., Menicucci, D., Neri, B., & Gemignani, A. (2018). How breath-control can change your life: A systematic review on psycho-physiological correlates of slow breathing. Frontiers in Human Neuroscience, 12, 353. https://doi.org/10.3389/fnhum.2018.00353
| Properti | Nilai Properti |
|---|---|
| Organisasi | Universitas Muhammadiyah Pekajangan Pekalongan |
| umpp.pekalongan@yahoo.com | |
| Alamat | Jl. Raya Pekajangan No. 1A Kedungwuni Pekalongan |
| Telepon | (0285) 7832294 |
| Tahun | 2026 |
| Kota | Pekalongan |
| Provinsi | Jawa Tengah |
| Negara | Indonesia |