EFEKTIVITAS TERAPI MINDFULNESS DALAM MENGATASI KECEMASAN PADA IBU POST SECTIO CAESAREA DENGAN DEHISCENCE LUKA: Case Report

Veny Oktaviany, - and Emi Lindayani, - and Ida Nurhidayah, - (2025) EFEKTIVITAS TERAPI MINDFULNESS DALAM MENGATASI KECEMASAN PADA IBU POST SECTIO CAESAREA DENGAN DEHISCENCE LUKA: Case Report. S1 thesis, Universitas Pendidikan Indonesia.

Abstract

Prevalensi dehisensi luka post sectio caesarea (SC) dilaporkan berkisar 1,9% hingga 7,6% di berbagai negara. Dehisensi luka pada ibu post sectio caesarea merupakan salah satu komplikasi serius yang tidak hanya memperlambat pemulihan fisik, tetapi juga berdampak signifikan pada kondisi psikologis, khususnya kecemasan. Salah satu intervensi non-farmakologis yang terbukti efektif untuk menurunkan kecemasan adalah terapi mindfulness. Penelitian ini bertujuan untuk menggambarkan efektivitas terapi mindfulness dalam menurunkan kecemasan pada ibu post SC dengan dehisensi luka. Desain penelitian berupa laporan kasus (case report) dengan pendekatan asuhan keperawatan yang meliputi pengkajian, diagnosa, intervensi, implementasi, dan evaluasi. Pengambilan sampel dilakukan secara purposive pada seorang ibu berusia 29 tahun yang mengalami dehisensi luka setelah operasi SC ketiga dan dirawat di RSUD Umar Wirahadikusumah Sumedang. Pengumpulan data dilakukan melalui wawancara mendalam, observasi, pemeriksaan fisik, dan pengisian instrumen GAD-7 sebelum dan sesudah intervensi. Intervensi meliputi terapi mindfulness (teknik breathing, body scan, awareness of feelings), edukasi perawatan luka, manajemen nyeri, dan dukungan psikososial, yang diimplementasikan selama empat hari berturut-turut. Analisis data dilakukan secara deskriptif kualitatif dengan membandingkan skor GAD-7 pre dan post intervensi serta mengkaji perubahan perilaku dan kondisi psikologis pasien. Hasil menunjukkan adanya penurunan skor kecemasan berdasarkan skala GAD-7 dari 13 menjadi 7 setelah intervensi terapi mindfulness. Kesimpulan: terapi mindfulness efektif menurunkan kecemasan pada ibu post sectio caesarea dengan dehisensi luka. Diharapkan terapi mindfulness dapat diintegrasikan dalam asuhan keperawatan rutin sebagai upaya menurunkan kecemasan dan mempercepat pemulihan pasien secara optimal. The prevalence of post-cesarean section (CS) wound dehiscence is reported to range from 1.9% to 7.6% in various countries. Wound dehiscence in post-cesarean section mothers is a serious complication that not only slows physical recovery but also significantly impacts psychological well-being, particularly anxiety. One non-pharmacological intervention proven effective in reducing anxiety is mindfulness therapy. This study aims to describe the effectiveness of mindfulness therapy in reducing anxiety in post-cesarean section mothers with wound dehiscence. The study design is a case report using a nursing care approach that includes assessment, diagnosis, intervention, implementation, and evaluation. Sampling was conducted purposively on a 29-year-old mother who experienced wound dehiscence after her third CS and was treated at Umar Wirahadikusumah General Hospital, Sumedang. Data collection was conducted through in-depth interviews, observations, physical examinations, and completion of the GAD-7 instrument before and after the intervention. The intervention included mindfulness therapy (breathing techniques, body scans, awareness of feelings), wound care education, pain management, and psychosocial support, implemented over four consecutive days. Data analysis was conducted using descriptive qualitative methods by comparing pre- and post-intervention GAD-7 scores and assessing changes in patient behavior and psychological conditions. Results showed a decrease in anxiety scores based on the GAD-7 scale from 13 to 7 after the mindfulness therapy intervention. Conclusion: Mindfulness therapy effectively reduces anxiety in post-cesarean section mothers with wound dehiscence. It is hoped that mindfulness therapy can be integrated into routine nursing care to reduce anxiety and accelerate optimal patient recovery.

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Item Type:	Thesis (S1)
Additional Information:	https://scholar.google.com/citations?user=e-0uOJgAAAAJ&hl=id&oi=ao ID SINTA Dosen Pembimbing Emi Lindayani: 6658130
Uncontrolled Keywords:	dehiscence luka, kecemasan, mindfulness, sectio caesarea anxiety, mindfulness, sectio caesarea, wound dehiscence.
Subjects:	L Education > L Education (General)
Divisions:	UPI Kampus Sumedang > Profesi Ners
Depositing User:	Veny Oktaviany
Date Deposited:	05 Nov 2025 07:30
Last Modified:	05 Nov 2025 07:30
URI:	http://repository.upi.edu/id/eprint/135733

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