Pengaruh Relaksasi Napas Dalam Terhadap Kecemasan Ibu Preoperatif Sectio Caesarea Di Rumah Sakit

rina utami; Nonok Karlina; Pipit Indra Lestari; Rosiyana Amila

doi:10.54867/jkm.v13i1.303

Authors

rina utami
rinautami46@gmail.com
Institut Teknologi dan Kesehatan Mahardika
Nonok Karlina Institut Teknologi dan Kesehatan Mahardika
Pipit Indra Lestari Institut Teknologi dan Kesehatan Mahardika
Rosiyana Amila Institut Teknologi dan Kesehatan Mahardika

Keywords:

Anxiety, Deep breathing relaxation, Cesarean section, Midwifery care

Abstract

Introduction: Preoperative anxiety in mothers undergoing sectio caesarea is a common psychological condition that may negatively affect maternal readiness and surgical outcomes. Midwifery care requires effective non-pharmacological interventions to manage this condition. This study aimed to determine the effect of deep breathing relaxation on anxiety levels among preoperative sectio caesarea mothers. Method: A pre-experimental design with a one group pretest-posttest approach was applied. A total of 40 respondents were selected using total sampling. Anxiety levels were measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data were analyzed using the Wilcoxon test. Result: The results showed that prior to the intervention, most respondents experienced panic-level anxiety (45%), while after the intervention, the majority reported mild anxiety (82.5%). Statistical analysis indicated a significant effect (p-value = 0.000; p<0.05). Conclusion: Deep breathing relaxation effectively reduces anxiety and can be integrated into holistic midwifery care to improve maternal psychological readiness before surgery.

References

Betrán, A. P., Ye, J., Moller, A. B., Souza, J. P., & Zhang, J. (2021). Trends and projections of caesarean section rates: Global and regional estimates. BMJ Global Health, 6(6), e005671.

Chen, Y., Yang, X., Wang, L., & Zhang, X. (2021). Effects of deep breathing relaxation on anxiety in surgical patients. Journal of Clinical Nursing, 30(5–6), 745–752.

Downe, S., Finlayson, K., & Oladapo, O. T. (2020). What matters to women during childbirth: A systematic qualitative review. The Lancet Global Health, 8(4), e457–e458.

Gholizadeh, L., Davidson, P. M., & Salamonson, Y. (2020). Anxiety, depression, and outcomes before surgery. Journal of Advanced Nursing, 76(2), 540–550.

Jerath, R., Edry, J. W., Barnes, V. A., & Jerath, V. (2020). Physiology of long pranayamic breathing: Neural respiratory elements. Medical Hypotheses, 85(3), 486–496.

Kementerian Kesehatan Republik Indonesia. (2022). Profil kesehatan Indonesia 2021. Kemenkes RI.

Leap, N. (2021). Woman‐centred care in midwifery: Principles and practice. Midwifery, 97, 102949.

Ma, X., Yue, Z. Q., Gong, Z. Q., Zhang, H., Duan, N. Y., Shi, Y. T., Wei, G. X., & Li, Y. F. (2017). The effect of diaphragmatic breathing on attention and stress. Psychoneuroendocrinology, 77, 12–19.

Mutmainnah, S., Rahmawati, D., & Sari, N. (2022). Non-pharmacological interventions to reduce maternal anxiety. Jurnal Kebidanan Indonesia, 13(2), 120–128.

Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.

Spielberger, C. D. (2019). State-Trait Anxiety Inventory: A comprehensive bibliography. Consulting Psychologists Press.

Stuart, G. W. (2020). Principles and practice of psychiatric nursing (11th ed.). Elsevier.

Varvogli, L., & Darviri, C. (2011). Stress management techniques: Evidence-based procedures. Health Science Journal, 5(2), 74–89.

World Health Organization. (2021). WHO recommendations on non-clinical interventions to reduce unnecessary caesarean sections. WHO.

World Health Organization. (2022). Maternal mental health and psychosocial support. WHO.

Yanti, N. P. E. D., & Susilawati, N. L. P. A. (2021). The effect of relaxation techniques on anxiety levels in preoperative patients. Jurnal Ners, 16(1), 45–52.