Safitri Kurnia Dewi
Stikes Rajekwesi Bojonegoro

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STUDI KASUS ASUHAN KEPERAWATAN PADA IBU POST SECTIO CAESAREA (SC) PRIMIGRAVIDA DENGAN MASALAH KEPERAWATAN ANSIETAS DI RUANG OBGYN RSUD DR. R SOSODORO DJATIKOESOEMO : CASE STUDY OF NURSING CARE IN POST SECTIO CAESAREA (SC) PRIMIGRAVIDA MOTHERS WITH ANXIETY NURSING PROBLEMS IN THE OBGYN ROOM OF RSUD Dr. R. SOSODORO DJATIKOESOEMO BOJONEGORO Safitri Kurnia Dewi; Siti Patonah; Wiwik Utami; Novia Dwi Astuti; Rining Sulistya Rahayu
Asuhan Kesehatan : Jurnal Ilmiah Ilmu Kebidanan dan Keperawatan Vol. 17 No. 2 (2026): Asuhan Kesehatan Jurnal Ilmiah Ilmu Kebidanan dan Keperawatan
Publisher : LPPM STIKES Rajekwesi Bojonegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56800/jpk.v17i2.103

Abstract

Ibu primigravida post sectio caesarea dapat mengalami kecemasan karena merupakan pengalaman pertama dalam persalinan, nyeri luka operasi, keterbatasan mobilisasi, serta kekhawatiran terhadap kondisi bayi. Pengalaman persalinan dan kondisi ibu serta anak yang berbeda dapat menimbulkan respons kecemasan yang berbeda. Penelitian ini bertujuan membandingkan tingkat kecemasan pada dua ibu primigravida post sectio caesarea dengan pengalaman berbeda. Metode penelitian menggunakan desain deskriptif dengan pendekatan studi kasus pada dua klien, yaitu Ny. K dan Ny. N di ruang Obgyn RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan pemeriksaan laboratorium. Tingkat kecemasan diperoleh menggunakan Hamilton Anxiety Rating Scale (HARS). Hasil penelitian menunjukkan Ny. K mengalami kecemasan sedang dengan skor HARS 25, disertai kekhawatiran terhadap kondisi bayi dan persepsi bahwa panggulnya sempit. Ny. N mengalami kecemasan berat dengan skor HARS 32 karena kondisi bayinya dengan letak sungsang dan lilitan tali pusat pada leher janin. Hasil tersebut menunjukkan adanya perbedaan tingkat kecemasan pada kedua klien berdasarkan pengalaman serta kondisi ibu dan anak. Dengan tingkat kecemasan yang berbeda, pemberian dukungan psikologis, edukasi kesehatan, relaksasi napas dalam, dan komunikasi terapeutik dapat membantu meredakan kecemasan pada Ny. K dan Ny. N sesuai kebutuhan masing-masing. Perawat diharapkan memberikan dukungan psikologis berdasarkan pengalaman serta kondisi ibu dan anak untuk membantu proses adaptasi pascapersalinan. Kata kunci : ansietas, asuhan keperawatan, primigravida, ibu post sectio caesarea. Primigravida mothers after cesarean section may experience anxiety because childbirth is a first-time experience, as well as due to surgical wound pain, limited mobility, and concerns about the baby’s condition. Different childbirth experiences and maternal and infant conditions may result in different anxiety responses. This study aimed to compare anxiety levels between two primigravida mothers after cesarean section with different experiences. This study used a descriptive design with a case study approach involving two clients, Mrs. K and Mrs. N, in the Obgyn Ward of Dr. R. Sosodoro Djatikoesoemo Hospital, Bojonegoro. Data were collected through interviews, observations, physical examinations, and laboratory examinations. Anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HARS). The results showed that Mrs. K experienced moderate anxiety with a HARS score of 25, accompanied by concerns about her baby’s condition and a perception that her pelvis was narrow. Mrs. N experienced severe anxiety with a HARS score of 32 due to her baby being in a breech presentation and having an umbilical cord wrapped around the fetal neck. These findings indicate differences in anxiety levels between the two clients based on their experiences and maternal and infant conditions. With different levels of anxiety, psychological support, health education, deep breathing relaxation, and therapeutic communication may help alleviate anxiety in Mrs. K and Mrs. N according to their individual needs. Nurses are expected to provide psychological support based on the experiences and maternal and infant conditions to help facilitate the postpartum adaptation process. Keywords: anxiety, nursing care, primigravida, post-cesarean section mother.