Perpustakaan Terpadu

Ibu primipara dengan post sectio caesarea seringkali mangalami produksi ASI yang rendah, hal itu diduga karena intensitas nyeri luka operasi dan kecemasan. Tujuan penelitian ini untuk mengetahui hubungan intensitas nyeri luka operasi dan kecemasan dengan produksi ASI pada ibu primipara post sectio caesarea. Rancangan penelitian menggunakan cross sectional dengan jumlah sampel 40 responden. Teknik sampling menggunakan jenis purposive sampling. Variabel independen yaitu intensitas nyeri luka operasi dan kecemasan, sedangkan variabel dependen yaitu produksi ASI. Instrument penelitian menggunakan skala NRS, lembar kuesioner HARS, dan lembar kuesioner menggunakan indikator ibu dan bayi untuk penilaian produksi ASI. Waktu penelitian pada bulan Februari-April 2024. Data dianalisis menggunakan uji korelasi rank spearman. Hasil penelitian menunjukkan bahwa sebagian besar memiliki intensitas nyeri luka operasi yang berat, tingkat kecemasan yang berat, dan produksi ASI yang kurang. Nilai p-value=0,000 dan r=-0,822 berarti ada hubungan antara intensitas nyeri luka operasi dengan produksi ASI. Nilai p-value=0,000 dan r=-0,705 berarti ada hubungan antara kecemasan dengan produksi ASI. Intensitas nyeri luka operasi memiliki hubungan sangat kuat terhadap produksi ASI dibandingkan kecemasan dengan nilai koefisien korelasi sebesar -0,822. Dari hasil penelitian didapatkan bahwa terdapat hubungan intensitas nyeri luka operasi dengan produksi ASI pada ibu primipara post sectio caesarea dan terdapat hubungan kecemasan dengan produksi ASI pada ibu primipara post sectio caesarea. Hasil penelitian ini diharapkan dapat meningkatkan mutu pelayanan kesehatan dengan membuat suatu program yang efektif dalam manajemen nyeri, penurunan kecemasan, dan mempelancar produksi ASI untuk ibu primipara post sectio caesarea sehingga dapat memproduksi ASI lebih baik.

Primiparous mothers with post sectio caesarea often experience low breast milk production, it is thought to be due to the intensity of surgical wound pain and anxiety. The purpose of this study was to determine the relationship between operative wound pain intensity and anxiety with breast milk production in primiparous mothers post sectio caesarea. The research design used cross sectional with a total sample of 40 respondents. The sampling technique used purposive sampling. The independent variables were operative wound pain intensity and anxiety, while the dependent variable was breast milk production. The research instrument used NRS scale, HARS questionnaire sheet, and questionnaire sheet using mother and baby indicators for breast milk production assessment. The research time was in February-April 2024. Data were analysed using Spearman rank correlation test. The results showed that most had severe surgical wound pain intensity, severe anxiety level, and poor breast milk production. The p-value=0.000 and r=-0.822 means there is a relationship between the intensity of surgical wound pain and breast milk production. The p-value=0.000 and r=-0.705 means there is a relationship between anxiety and breast milk production. The intensity of surgical wound pain has a very strong relationship with breast milk production compared to anxiety with a correlation coefficient of -0.822. From the results of the study it was found that there was a relationship between the intensity of surgical wound pain and breast milk production in primiparous mothers post sectio caesarea and there was a relationship between anxiety and breast milk production in primiparous mothers post sectio caesarea. The results of this study are expected to improve the quality of health services by creating an effective programme in pain management, reducing anxiety, and facilitating breast milk production for primiparous mothers post sectio caesarea so that they can produce better breast milk.