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The average case of cesarean section in the world is around 5-15% per 1000 births in the world. In Indonesia, the incidence of cesarean section has increased, namely 80% of births are by cesarean section with an average of 17.6% of 78,736 births. In Lampung province in 2018, cesarean section cases were around 13.2%. At Handayani Kotabumi General Hospital in 2020 there were 518 cases of cesarean section out of a total of 712 deliveries or (72.7%). Pain in post cesarean section surgery is felt by patients because the effects of anesthesia have diminished and are starting to disappear. The effects of spinal anesthesia usually start to wear off after 6-8 hours depending on the dose and individual conditions.The purpose of this study was to determine the effect of guided imagery on changes in the pain scale of mothers after cesarean section. This study was conducted from June 6 to June 25 using a quasy experimental design with a one group pre test post test design. Pain assessment using a numerical rating scale. The statistical test used the Wilcoxon signed ranks test. Results of the study on 33 respondents with an age range not at risk of 20-35 years (90.9%) and no history of cesarean section (66.7%). The results of pain measurements before being given guided imagery were mostly severe pain scales of (87.9%) and (12.1%) mothers with moderate pain, while in the second outcome measurement there was a decrease again where mothers who experienced moderate pain were (75 .7%) and mild pain (24.3%). The results of the pain scale statistical test before and after being given guided imagery obtained a p-value of (0.001) α (

Komposisi penduduk Kota Metro menurut kelompok umur menunjukkan bahwa penduduk yang berusia muda (0-14 tahun) sebesar 25,54% dari total jumlah penduduk. (Profil Kesehatan Metro, 2019). Hasil laporan yang diperoleh dari Unit kesehatan sekolah (UKS) dari 40 siswa terdapat 20% siswi dengan status gizi gemuk dan obesitas, 50% siswi dengan anemia, dan terdapat 30% siswi mengalami siklus menstruasi yang tidak teratur. Kelompok peer group cisarere (cinta sehat reproduksi remaja) merupakan Salah satu cara remaja membentuk hubungan dengan orang-orang diluar keluarga yaitu dengan melakukan penyesuaian dengan kelompok teman sebaya (peer group). Tujuan pengabdian masyarakat ini adalah untuk melakukan pengabdian masyarakat melalui Peran kelompok peer group cisarere (cinta sehat reproduksi remaja) dalam upaya meningkatkan pengetahuan kesehatan reproduksi remaja Di SMAN 4 Metro. Metode dalam pengabdian masyarakat ini dilaksanakan secara input, proses, dan output, Pada tahapan input kegiatan ini mencakup beberapa Stackholder dan tim serta peserta yang terlibat, Pada tahap Proses melakukan sosialisasi program. Tahap output yaitu kegiatan monitoring dengan memantau setiap kegiatan sesuai rencana dan di laksanakan selama peroses pengabmas dengan memofikasi kegiatan sesuai tujuan, hasil kegiatan kelompok peer group cisarere diperolah hasil siswa saling bertukar informasi terkait kesehatan reproduksi dan cara mencegahnya, siswa dan kader remaja UKS/PMR terlihat antusias dan lebih kooperatif dalam kegiatan ini, Saran Diharapkan perlu dilakukan sosialisasi secara terus menerus mengenai kesehatan reproduksi pada remaja dengan membentuk kelompok peer group remaja untuk saling bertukar informasi, sehingga dengan harapan menurunkan angka pernikahan usia dini dan penyalahgunaan narkotika Kata Kunci: Cisarere, Remaja, Peer Group ABSTRACT The composition of the population of Metro City by age group shows that the young population (0-14 years) is 25.54% of the total population. (Metro Health Profile, 2019). Results The report obtained from the school health unit (UKS) of 40 students contained 20% of students with overweight and obese nutritional status, 50% of students with anemia, and 30% of students who experienced irregular menstrual cycles. The Cisarere peer group (Adolescent reproductive healthy love) is one way for teenagers to form relationships with people outside the family, namely by making adjustments to their peer group. The purpose of this community service is to carry out community service through the role of the Cisarere Peer Group (Adolescent Reproductive Health Love )to Increase Adolescent Reproductive Health Knowledge at SMAN 4 Metro. This method in community service is carried out by input, process, and output, at the input stage this activity includes several stakeholders and the teams and participants involved, and at the process stage socializing the program. and the Output Stage, namely Monitoring activities by monitoring each activity according to the plan and carried out during the community service process by modifying activities according to objectives, the results of the Cisarere Peer Group activities obtained are the results of students exchanging information related to reproductive health and how to prevent it, students and cadres of UKS/PMR youth looks enthusiastic and more cooperative in this activity, Suggestion It is hoped that there needs to be continuous socialization regarding reproductive health in adolescents by forming adolescent peer groups to exchange information, so that in the hope of reducing the rate of early marriage and drug abuse. Keywords: Cisarere, Teen, Peer Group

Tujuan pengabdian kepada masyarakat ini adalah untuk meningkatkan derajat kesehatan anak dan warga panti beserta masyarakat sekitar dengan dilaksanakannya khitan massal dan pemeriksaan kesehatan. Metode yang dilakukan adalah intervensi khitan dengan elektrocauter untuk anak, pemeriksaan kesehatan, pemberian terapi, dan pendidikan kesehatan secara individual ke warga yang sakit dan keluarganya. Hasil yang diperoleh 44 anak usia 5-13 tahun, telah dilakukan khitan, dan sejumlah 56 warga dewasa dan lansia telah diperiksa kesehatannya dan telah diberikan terapi sesuai diagnosis penyakit yang ditemukan. Upaya yang telah dilakukan memerlukan keberlanjutan terutama kegiatan khitan untuk dilakukan pada anak lebih muda (usia di bawah 5 tahun) sehingga kebersihan genital dapat lebih mudah dilakukan, serta pemeriksaan kesehatan warga terutama lansia untuk terus dilakukan agar diperoleh “Anak Sehat dan Warga Kuat”.

Postoperative Sectio Caesarea showed the result of having sleep disturbances. The results of observations of post-operative Sectio Caesarea patients complained of difficulty sleeping due to pain from the surgery, waking up because they wanted to go to the bathroom, waking up to breastfeed, and hearing voices. Action is needed to overcome sleep disturbances after surgery, especially section Caesarea surgery. The purpose of this study was to see the effect of acupressure therapy on the sleep quality of post-section Caesarea patients. This research method uses a group pre-test and post-design. The population in this study was post-operative Sectio Caesarea patients. The sample of this study was 32 respondents who were taken with a non-random sampling technique. The instrument used in this study was a sleep quality questionnaire. The statistical test used in this study wastheWilcoxon signed-rank test. The results showed that the average sleep quality of post operative Sectio Caesarea patients before and after being given acupressure therapy intervention with a difference of -15.00 after statistical test paired sample t-test obtained a p-value (0.000). So there is a difference in sleep quality of postoperative Sectio Caesarea patients after being given acupressure therapy. It is recommended for hospitals to provide therapeutic facilities, especially for post operative sectio caesarian patients, especially those who experience quality sleep. For educational institutions, it is hoped that this research will become a reference and source of information. Further research, further research can examine the effect of acupressure therapy more broadly. Keywords: Acupressure Therapy, Sleep Quality, Post Operative Sectio Caecaera ABSTRAK Post operasi sectiocaesarea menunjukkan adanya hasil yang mengalami gangguan tidur. Hasil observasi pasien post operasi sectiocaesarea mengeluhkan sulit tidur dengan alasan nyeri dibekas operasi, terbangun karna ingin kekamar mandi, terbangun untuk menyusui, mendengar suara. Tindakan diperlukan untuk mengatasi gangguan tidur ssetelah operasi khususnya operasi sectiocaesarea. Tujuan penelitian ini untuk melihat pengaruh terapi akupresur untuk kualitas tidur pasien postsectiocaesarea. Metode penelitian ini menggunakan desain onegrouppretestandpost. Populasi dalam penelitian ini yaitu pasienpost operasi sectiocaesarea di RSIA Anugerah Medical Center Kota Metro. Sampel penelitian ini adalah 32 responden yang diambil dengan teknik sampling non random sampling. Instrumen yang digunakan pada peneleitian ini adalah lembar kuesioner kualitas tidur. Uji statistik yang digunakan dalam penelitian ini adalah uji wilcoxon signed rank. Hasil penelitian menunjukan bahwa rata-rata kualitas tidur pasien post operasi sectiocaesarea sebelum dan sesudah diberikan intervensi terapi akupresur dengan pembeda -15.00 setelah dilakukan uji statistik PairedSamle t-test didapatkan nilai p-value (0.000). Maka terdapat perbedaan kualiats tidur pasien post operasi sectio caesarea setelah diberikan terapi akupresur. Disarankan untuk RS memberikan fasilitas terapi khususnya untuk pasien post operasi sectio caesaria khususnya yang mengalami kualitas tidur, Bagi institusi pendidikan diharapkan penelitian ini menjadi referensi dan sumber informasi, Bagi penelitian selanjutnya dapat meneliti lebih luas lagi mengenai pengaruh terapi akupresur. Kata Kunci:Terapi Akupresure, Kualitas Tidur, Post Operasi Seksio Saesarea

Puskesmas yang cakupan K4 masih rendah yaitu Puskesmas Hajimena yaitu 89,1%. Hasil wawancara pengabdi dengan kader Kesehatan di desa Hajimena dari 45 kader Kesehatan tugas mereka adalah membantu penimbangan bayi dan balita diposyandu, belum terpapar peran yang lain yaitu membantu ibu hamil dengan mendeteksi kehamilan normal, berisiko dan persiapan pendampingan ibu saat akan bersalin. Kegiatan ini dilaksanakan di Masjid Ulul Albab Desa Hajimena. Tujuan Kegiatan ini untuk memberikan Pengetahuan ibu kader Kesehatan dalam pemahaman kehamilan normal dan risiko, persalinan normal dan risiko serta pendampingan kader pada ibu hamil mempersiapkan persalinannya, sangat membantu ibu ibu hamil yang berada dilingkungan sekitarnya. Kegiatan pengabmas ini dilaksanakan oleh 3 Tim yang merupakan dosen kelompok keilmuan keperawatan maternitas dan anak dan kelompok Kesehatan masyarakat, dan tim juga telah berpengalaman menjadi ketua atau anggota tim dalam penelitian-penelitian sebelumnya dijurusan keperawatan poltekkes tanjungkarang. pada Jurusan Keperawatan Poltekkes Tanjungkarang dengan melibatkan 4 orang mahasiswa, Setekah dilakukan penyampaian materi dan implementasi peran kader,menunjukkan peningkatan dari sebelum diberikan materi oleh tim pengabmas dan sesudah diberikan materi oleh tim, dan hal ini menunjukkan peran kader dalam persiapan persalinan sangat mendukung tercapainya perawatan antenatal terhadap ibu hamil dalam mempersiapkan persalinannya untuk mencegah terjadinya resiko pada ibu hamil sebelum dan sesudah persalinan.Kata kunci : pengetahuan kader, ibu hamil, Persalinan ABSTRACTPuskesmas with low K4 coverage is Hajimena Health Center, which is 89.1%. The results of interviews with health cadres in Hajimena village from 45 health cadres, their job is to help weigh babies and toddlers at the posyandu, not yet exposed to other roles, namely helping pregnant women by detecting normal, risky pregnancies and preparing for maternal assistance when giving birth. This activity was carried out at the Ulul Albab Mosque, Hajimena Village. This community service activity was carried out by 3 teams who were lecturers of the maternity and child nursing scientific group and the public health group, and the team also had experience as chairpersons or team members in previous studies in the nursing department of the Tanjungkarang Health Polytechnic. at the Department of Nursing at the Tanjungkarang Health Polytechnic involving 4 students. After the delivery of material and implementation of the role of cadres, it showed an increase from before being given material by the community service team and after being given material by the team, and this shows the role of cadres in preparation for childbirth is very supportive of achieving antenatal care to pregnant women in preparing for childbirth to prevent risks to pregnant women before and after delivery.Keywords: Public health assistant, Role, Preparation, Childbirth

Globally, Rural areas have more stunted children (40%) than urban areas (33%). In contrast, in Indonesia, In 2010-2013, the prevalence of stunting in rural areas was higher than in urban areas at 40 0% and urban areas by 31.5%. This type of quantitative research uses Cross Sectional approach with the aim of study to compare risk factors for stunting in rural areas and Lampung City in 2022. The research subjects are mothers and toddlers 30 are rural, and 30 are in town. The analysis in this study used the independent t-test, Mann-Whitney, chi-square, and Fisher tests; the results showed a comparison of birth length, exclusive breastfeeding, birth spacing, economic status, and environmental factors to the incidence of stunting in cities and villages in 2022. There was no comparison of birth weight, breastfeeding for up to 2 years, depression status, number of children, parenting, dietary, and Nutrition Patterns During Pregnancy on Stunting Incidents in Cities and Villages. The dominant factors influencing stunting in cities and villages based on the results of multivariate analysis of Birth spacing. There is a comparative risk factor for stunting in both rural and urban areas in Lampung province. Stunting prevention efforts by preventing early marriage, increasing the ease of access to health services in peripheral/remote sites to reduce the distance to reach health facilities, and preventing the occurrence of Low Birth Weight Babies through various promotional efforts in preventive.

Detection and identification of yellow mosaic stunt disease on Petunia sp. using nested PCR method. Yellow mosaic stuntdisease was found at some nurseries of Petunia in Sleman, Yogyakarta, also in Muntilan and Magelang Central Java. Thedisease was very important due to its ability reducing the quality and quantity of Petunia seedlings. The causal agent of thedisease may be carried over to imported seeds and necessary to identify as a basic information for developing controlstrategies. This research was done by mechanical transmission on indicator plants. The observation of the causal agents wasconducted using electron microscope with quick dipping method and the molecular detection was done using nested PCRwith TobRT up1-TobRT do2 as the external primers and TobN up3-TobN do4 as the internal primers. Mechanical inoculationshowed chlorosis symptoms that developed into local spot on Chenopodium amaranticolor as well as mosaic and veinbanding on Nicotiana benthamiana. The observation using electron microscope showed rod-shaped virus particles sizedapproximately 300 nm and by PCR method produced around 568 bp and 400 bp DNA band. Based on the sequence analysis,the disease was caused by Rehmania mosaic virus. This type of Tobamovirus has 96% similarity with ReMV-Japan. ReMV, aplant pathogen which was a member of Tobamovirus that has never been reported in Indonesia. This research was the firstreport of ReMV in Indonesia infecting Petunia as ornamental plant.

Background: Republic of Indonesia's Health Survey in 2009, finding that the therapy through surgery was the 11th, because of surgery conduct in Indonesia in 2012 reached 1.2 million. The problem that often arises after surgery is a sleep disorder, pain and uncomfortable. Purpose: To identify effectiveness of foot massage on sleep quality among post-surgical patients in Dr. H Abdul Moeloek Hospital, Lampung-Indonesia Methods: The design of this research is quasy experiment with pretest design with posttest with control group design. This type of quantitative research using consecutive sampling techniques. The population in the study were 64 participants. The analysis used is the dependent and independent t test. Results: Indicating the average score of sleep quality in the control group post intervention 9.12. Whereas sleep quality in the intervention group was obtained at 4.78 post intervention. A p-valeu 0.000 was obtained which showed differences in sleep quality scores both groups and interventions. Conclusion: There is effectiveness of foot massage on sleep quality among post-surgical patients in Dr. H Abdul Moeloek Hospital, Lampung-Indonesia. It is recommended that hospitals can include foot massage therapy as an alternative therapy in overcoming sleep disorders in postoperative clients.

Primary healing occurs when both edges of the adjacent incision wound meet. To achieve primary healing, bringing the wound edges closer is generally done by suturing. At present comes one of the methods of skin incision closure without involving sutures called zip surgical skin closure. As an indicator of commonly used wound healing, tensile strength is produced by collagen that involves TGF-β in its production. This study was aimed to observe the expression of TGF-β and tensile strength of the skin incision-post wound using simple interrupted suturing or zip surgical skin closure. An experimental laboratory, this study used Sprague Dawley rats with the predetermined inclusion criteria. Thirty-six rats were applied with 3 cm-dorsal skin incisions after which they were divided into 2 groups, group 1 received simple interrupted suturing and group 2 received zip surgical skin closure. TGF-β examination was performed with BS-0086R polyclonal antibodies and wound tensile strength was observed on day 3, 7 and 14. The independent t-test showed that the tensile strength of the zip surgical skin closure group was higher and was significant as observed on day 7 (p = 0.000) than that of the simple interrupted suturing group. TGF-β expression in the zip surgical skin closure group was found more numerous and significant on day 7 and 14 than that of in the simple interrupted group, (p = 0.025) and (p = 0.032) respectively. Conclusion. Skin incision-post wound healing with zip surgical skin closure is better and shows higher tensile strength and more numerous TGF-β expressions than simple interrupted suturing., Highlights • Primary healing, especially healing that occurs immediately after closing edge wound. • Tensile strength is as an indicator of commonly used wound healing produced by collagen that involves TGF-β in its production. • The tensile strength of wound healing increases along with to the number of collagen produced and the bond between collagen matrices. ∙ TGF-β is a multifunctional growth factor, known as fibrogenic cytokines which are the key factor in stimulating the synthesis of ECM and inhibiting the process of matrix degradation

Background Odontectomy is one of the most common surgical procedures in oral and maxillofacial surgery. Flap design influences the post operative complications. Triangular flap is the most widely used flap design but it has many shortages such as dehiscence, alveolar osteitis, reactionary bleeding, and periodontal disruption distal of second molar. The aim of this study is to introduce an alternative flap design in the surgical removal of impacted mandibular third molars – reversed triangular flap – and to compare this flap design with the triangular flap in case of dehiscence, reactionary bleeding, and clinical attachment loss. Material and Methods This prospective, split-mouth study involved 15 patients with bilateral partially impacted mandibular third molars with similar impaction classification. One impacted tooth was removed using a triangular flap and the other using a reversed triangular flap. Post operative complications such as dehiscence, reactionary bleeding, and clinical attachment loss were recorded 1, 3, 7, 14, and 30 days post odontectomy. Results Chi square test result shows that there were fewer incidences of dehiscence seven days post surgery using the reversed triangular flap (p=0.032). Mann Whitney-U test result shows that the reversed triangular flap exhibited less bleeding score on day 1 (p=0.002) and day 2 (p=0.035) post surgery. There were no statistically significant differences according to Mann Whitney-U test between the flap designs for the clinical attachment loss on distal of second molar on day 14 (p=0.512) and day 30 (p=0.902) post surgery. Conclusions The reversed triangular flap design is preferable to triangular flap for impacted third molar surgery, escpecially in terms of wound dehisence and reactionary bleeding. Key words:Flap design, third molar impaction, odontectomy, post odontectomy complications.

Background: Glaucoma is characterized by optic neuropathy with increased intraocular pressure. The high prevalence of impaction causes some glaucoma patients to require odontectomy. There are no contraindications to odontectomy in glaucoma patients, but special preparation is needed to prevent recurrence during the procedure. Glaucoma recurrence is precipitated by increased intraocular pressure which correlates with elevated systemic blood pressure with increased intraocular pressure and corticosteroid use. Therefore, dentists must be vigilant in choosing an atraumatic odontectomy procedure, anesthetic dose and techniques, as well as administering the type and dose of analgesics. Objective: This paper reports a case of mandibular third molar odontectomy with local anesthesia in a patient with open-angle glaucoma, which is a rare case and in this case there is a high risk of complications. Case: A 26-year-old male patient complained of pain in the left back gum when chewing. Orthopantomographic radiographic examination showed impacted 38. The patient has been diagnosed with open-angle glaucoma for 5 years. An odontectomy was performed under local anesthesia. Durante surgery , bleeding is minimal and does not cause recurrence of glaucoma. Postoperative evaluation gave good results, minimal complications, and no recurrence of glaucoma. Conclusion: Odontontectomy with local anesthesia in glaucoma patients requires special preparation in the form of atraumatic surgical procedures and perioperative pharmacotherapy management in the form of pre-emptive analgesia, selection of a maximum of two ampoules of lidocaine and epinephrine 1:80,000 with the mandibular block anesthetic technique, and using multimodal analgesia in combination with NSAIDs without c orticosteroids. Keywords : Complications, Glaucoma, Odontectomy

The impact of early marriage, among others, is related to reproductive health. Lampung Province is 10.70% and is the 12th of 22 provinces where the prevalence of child marriage is still above the national average. The purpose of this study is to determine the risk behavior of giving birth to teenagers in Tanggamus Regency in 2020. This type of research is quantitative, analytical research design with a cross-sectional approach. Data analysis was univariate, bivariate, and multivariate. The results of the study were 132 (53,7%) respondents with good knowledge, 143 (58,1%) respondents with a positive attitude, 149 (60,6%) respondents with higher education, 164 (66,7%) %) respondents with sufficient economic status, as many as 168 (68.3%) respondents with premarital sex, as many as 78 (31,7%) respondents with a positive physical environment, as many as 133 (54,1%) respondents with positive beliefs, as many 140 (56,9%) respondents with a positive role as an officer, as many as 137 (55,7%) respondents with a negative parent role, as many as 176 (71,5%) respondents with a positive socio-cultural role, as many as 164 (66,7%) respondents who did not give birth to the age of the child. There is a relationship between knowledge, attitudes, economic status, premarital sex, physical environment, beliefs, and customs on the behavior of giving birth to teenagers. There is no relationship between the role of health workers, the role of parents on the behavior of giving birth to adolescents, the dominant factor in giving birth to children in Tanggamus Regency in 2020 is premarital sex.

Cerebral abscess is a localized suppurated infection in between of a brain tissue caused by a wide variety of bacteria, fungi, and protozoa. The etiology of cerebral abscess includes chronic suppurated disease, congenital cardiomyopathy, or a trauma from a neurosurgical procedure. Sinusitis, otitis, and untreated odontogenic infections promote the formation of a brain abscess. The purpose of this case report was to present the management of an odontogenic focal infection in a case of cerebral abscess. Thirty six years old male referred to the Policlinic of Oral Surgery of Dr. Sarjito Central General Hospital, Yogyakarta by the Neurology Department to investigate the focal infection in the oral cavity of the patient with a cerebral abscess. The patient was treated on the Neurology Department for six month with initial complaint of headache, seizures, nausea, vomiting, and unable to move his right extremity. After a drug therapy, complaints were gradually receded. Based on the anamneses and clinical examination, an abnormality on the other organ was not suspected, but two impacted teeth and several radices were found in the oral cavity. Focal infection elimination was performed twice under a local anesthesia. Four weeks after the treatment, the neurological complaint of patient was decreased. The management of odontogenic cerebral abscess required a collaboration of the neurologist, radiologist, neurosurgeon, and oral surgeon. The treatment was aimed to eliminate the focal infection and reduce the effects caused by the mass of necrotic tissue, suppurated inflammatory response and edema on the surrounding cerebral tissue

Ibu yang menghadapi proses persalinan akan merasakan nyeri sehubungan dengan kontraksi uterusnya, berbagai cara dilakukan untuk mengurangi rasa nyeri, yaitu dengan teknik non farmakologi antara lain relaksasi nafas dalam, massage , perubahan posisi ibu agar persalinan bisa berjalan dengan aman dan nyaman. Penelitian ini bertujuan untuk mengetahui pengaruh teknik relaksasi terhadap rasa nyeri dan lamanya persalinan kala I pada ibu bersalin.Jenis penelitiannya kuantitatif dengan desain Quasi Experimen dengan menggunakan kelompok kontrol.Sampel dalam penelitian berjumlah 64 responden, terdiri dari 32 responden kelompok intervensi dan 32 responden kelompok kontrol.Instrumen yang digunakan mengukur skala nyeri menggunakan VAS, lembar observasi untuk lamanya kala I dan kuesioner karakteristik responden.Analisis data menggunakan Uji t-independent. Hasil penelitian menunjukkan bahwa ada pengaruh teknik relaksasi dengan rasa nyeri persalinan kala I dengan p value 0,000 ( p value < 0,05). Ada pengaruh teknik relaksasi terhadap lamanya persalinan kala I dengan p value 0,000 ( p value < 0,05). Peneliti menyarankan agar perawat dan bidan dapat memberikan penyuluhan kesahatan tetang teknik relaksasi dan teknik lainnya seperti massage, perubahan posisi ibu dll untuk membantu ibu mengurangi rasa nyeri persalinan menjadi aman, nyaman, dan ibu, bayi sehat dan sejahtera.

International Agency for Research on Cancer (IARC) in 2012, The incidence of cancer in women in Indonesia 134 per 100,000 population with the highest incidence in women is breast cancer of 40 per 100,000. The problem that often arises before surgery is anxiety. The client's anxiety generates a psychosocial response. There is psychological therapy for preoperative patient anxiety treatment with psychoeducation. This study aims to determine the effect of psychoeducation on anxiety levels of patients preoperative breast cancer in RSUD DR. H. Abdul Moeloek Year 2018. Type of quantitative research method using quasi-experiment design with one group pretest design approach posttests design Sampling technique using purposive sampling technique as much as 30 respondents. The time of the study date of May 18, 2018, to June 30, 2018, in the Room of Roses RSUD DR. H. Abdul Moeloek Lampung Province. The data were collected using a self-Rating Anxiety Scale (SAS/ZSRAS) Zung questionnaire. Statistical test using t dependent Wilcoxon.

Prevalensi persalinan sectio caesarea di Indonesia menurut WHO pada tahun 2015 adalah 15,3%. Pada pasien post operasi sectio caesareasetelah anestesi menghilang pasien akan merasakan nyeri, sehingga diperlukan terapi yang efektif dan aman dari efek samping. Terapi Al-Qur’an salah satu bentuk teknik distraksi (pengalihan) secara non farmakologi untuk menurunkan intensitas nyeri yang dirasakan.Keberhasilan menggunakan murrotal 70 % dari penelitian terkait.Penelitian ini menggunakan desainquasi exsperiment dengan pendekatan nonrandomized control grup pretest postests design.Teknik pengambilan sampel dengan menggunakan teknik accidental sampling sebanyak 22 responden (11 responden kelompok perlakuan dan 11 responden kelompok kontrol).Pengumpulan data nyeri menggunakan instrumen Numeric Rating Scale (NRS).Uji statistik menggunakan Wilcoxon dan Mann-Withney. Hasil penelitian terdapat perbedaan pengaruh terapi murottal Al-Qur’an terhadap penurunan intensitas nyeri pada pasien post operasi SC pada kelompok perlakuan dan kelompok kontrol p-value 0.001. Peneliti menyarankan agar pihak RS mempertimbangkan menggunakan terapi komplementer murottal Al-Qur’an untuk mempersiapkan ibu menghadapi operasi SC menggunakan SOP yang ada.

Persalinan sectio caesarea memiliki nyeri lebih tinggi sekitar 27,3% dibandingkan dengan persalinan normal yang hanya sekitar 9% (Pratiwi dkk, 2012). Terdapat alternatif dalam penanganan nyeri dengan nonfarmakologi berupa teknik relaksasi pernapasan menggunakan aromaterapi lavender. Tujuan penelitian ini untuk mengetahui pengaruh teknik relaksasi aromatherapi lavender terhadap penurunan intensitas nyeri pada post operasi sectio caesarea.Metode penelitian Quasi Experiment dengan rancangan non-equivalent control group. Teknik pengambilan sampel accidental sampling, diperoleh sampel 24 responden yang terbagi dalam kelompok intervensi dan kontrol. Pengumpulan data menggunakan instrument Numerical Rating Scale (NRS). Uji statistik menggunakan Uji Wilcoxon.Hasil penelitian menunjukkan bahwa ada penurunan rasa nyeri pada kelompok intervensi dari 6.92 menjadi 3.83 (skala nyeri ringan) dan didapatkan rata-rata skala nyeri ibu post operasi sectio caesareasebelum dan sesudah pada kelompok kontrol yaitu 6.92 dan5.25. Setelah dilakukan Uji Wilcoxon menunjukkan bahwa ada perbedaan yang bermakna antara kelompok kontrol dan kelompok intervensi sebelum dan sesudah dilakukan teknik relaksasi aromatherapi lavender terhadap penurunan intensitas nyeri pada post operasi sectio caesarea dengan p value 0.000 (p value < 0.05). Peneliti menyarankan agar pihak rumah sakit perlu mempertimbangkan agar perawat maupun bidan dapat mengaplikasikan pemberian aromatherapi sebagai terapi komplementer untuk menurunkan nyeri post sectio caesarea sesuai keadaan pasien dan SOP yang ada.