Search Repository Universitas Baiturrahim

ABSTRAK
Sectio caesarea (SC) merupakan tindakan pembedahan yang sering dilakukan dan disertai nyeri sedang sampai berat pada 2472 jam pertama pascaoperasi. Nyeri yang tidak tertangani dapat mengganggu mobilisasi dini, proses menyusui, dan bonding ibubayi, serta meningkatkan risiko komplikasi. Foot massage sebagai terapi nonfarmakologis dipandang potensial untuk menurunkan nyeri post SC secara aman dan sederhana. Tujuan penelitian adalah diketahui efektivitas foot massage terhadap skala nyeri pada ibu post sectio caesarea berdasarkan studi literatur. Penelitian ini menggunakan desain studi literatur dengan pendekatan scoping review. Pencarian artikel dilakukan melalui Google Scholar menggunakan kata kunci foot massage AND nyeri post sectio caesarea. Kriteria inklusi meliputi artikel full text, desain eksperimental atau quasi-eksperimen, berbahasa Indonesia atau Inggris, dipublikasikan tahun 20212025, dan menilai skala nyeri post SC setelah intervensi foot massage. Lima artikel yang memenuhi kriteria dianalisis secara deskriptif naratif. Seluruh studi menunjukkan bahwa skala nyeri sebelum intervensi berada pada kategori nyeri sedang (NRS 57) dan menurun menjadi nyeri ringan (NRS 24) setelah foot massage. Penurunan rerata skala nyeri berkisar 24 poin. Uji statistik (paired sample t-test atau independent t-test) di semua artikel menunjukkan nilai p = 0,000, yang mengindikasikan bahwa foot massage efektif menurunkan nyeri post SC secara bermakna. Foot massage dapat direkomendasikan sebagai intervensi komplementer dalam manajemen nyeri post sectio caesarea di fasilitas pelayanan kesehatan. Perawat perlu dilatih teknik foot massage yang standar, dan penelitian lanjutan disarankan untuk mengeksplorasi durasi, frekuensi, dan kombinasi foot massage dengan intervensi nonfarmakologis lain.

ABSTRACT
Caesarean section (CS) is a frequently performed surgical procedure and is accompanied by moderate to severe pain during the first 2472 hours postoperatively. Unmanaged pain can interfere with early mobilization, breastfeeding, and motherinfant bonding, as well as increase the risk of complications. Foot massage, as a non-pharmacological therapy, is considered a potential intervention to reduce post-CS pain in a safe and simple manner. The aim of this study was to determine the effectiveness of foot massage on the pain scale in post-caesarean section mothers based on a literature review. This study used a literature review design with a scoping review approach. Articles were searched through Google Scholar using the keywords foot massage AND nyeri post sectio caesarea. The inclusion criteria were full-text articles, experimental or quasi-experimental designs, written in Indonesian or English, published between 2021 and 2025, and assessing pain scale in post-CS patients after foot massage intervention. Five articles that met the criteria were analyzed using descriptive narrative methods. All studies showed that pain scale before intervention was in the moderate category (NRS 57) and decreased to mild pain (NRS 24) after foot massage. The mean reduction in pain scale ranged from 2 to 4 points. Statistical tests (paired sample t-test or independent t-test) in all articles reported p = 0.000, indicating that foot massage is effective in significantly reducing post-CS pain. Foot massage can be recommended as a complementary intervention in pain management for post-caesarean section patients in healthcare facilities. Nurses need to be trained in standardized foot massage techniques, and further research is recommended to explore optimal duration, frequency, and combinations with other non-pharmacological interventions.