PENERAPAN FINGERHOLD TERHADAP PENURUNAN INTENSITAS NYERI LUKA JAHITAN PADA IBU POST SC

Abstrak

Pendahuluan: Nyeri luka jahitan pasca sectio caesarea (SC) merupakan masalah utama yang sering mengganggu mobilisasi dini, memperlambat penyembuhan luka, dan meningkatkan kecemasan ibu. Salah satu teknik nonfarmakologis yang dapat digunakan untuk mengurangi nyeri adalah fingerhold. Penelitian ini bertujuan mengetahui pengaruh teknik fingerhold terhadap penurunan intensitas nyeri luka jahitan pada ibu post SC. Metode: Penelitian menggunakan desain pra-eksperimental dengan pendekatan one group pre–post test. Sampel berjumlah 30 ibu post SC yang dirawat di praktik mandiri bidan Desa Tamansari, Kecamatan Wuluhan, Kabupaten Jember. Teknik pengambilan sampel menggunakan purposive sampling, periode September-Oktober 2025. Instrumen penelitian menggunakan lembar observasi skala nyeri Numeric Rating Scale (NRS) dan SOP fingerhold. Analisis data dilakukan dengan uji Wilcoxon Signed Rank Test. Hasil: Hasil penelitian menunjukkan bahwa sebelum intervensi, sebagian besar responden mengalami nyeri sedang sebanyak 21 responden (70%), dan 9 responden (30%) mengalami nyeri ringan. Setelah intervensi fingerhold, seluruh responden (100%) mengalami penurunan nyeri menjadi kategori nyeri ringan. Analisis Wilcoxon menunjukkan nilai z = -5.260; p = 0.000 (p < 0.05), yang berarti terdapat perbedaan bermakna antara intensitas nyeri sebelum dan sesudah intervensi. Diskusi: Teknik fingerhold efektif menurunkan nyeri melalui mekanisme gate control theory, di mana stimulasi sensorik non-nociceptif pada jari dapat menghambat transmisi impuls nyeri di medula spinalis. Selain itu, fingerhold memberikan efek relaksasi yang menurunkan kecemasan dan meningkatkan kontrol diri pasien. Temuan ini konsisten dengan beberapa penelitian sebelumnya yang membuktikan efektivitas fingerhold dalam menurunkan nyeri dan kecemasan pada pasien pasca SC maupun kondisi bedah lainnya.

Introduction: Post–cesarean section (CS) incision pain is a major problem that often interferes with early mobilization, delays wound healing, and increases maternal anxiety. One non-pharmacological technique that can be used to reduce pain is the fingerhold technique. This study aimed to determine the effect of the fingerhold technique on reducing the intensity of incision pain in post-CS mothers. Methods: This study employed a pre-experimental design with a one-group pre–post test approach. The sample consisted of 30 post-CS mothers receiving care at an independent midwifery practice in Desa Tamansari, Kecamatan Wuluhan, Kabupaten Jember. The sampling technique used was purposive sampling, conducted from September to October 2025. Research instruments included the Numeric Rating Scale (NRS) pain assessment sheet and the fingerhold SOP. Data were analyzed using the Wilcoxon Signed Rank Test. Results: The findings showed that prior to the intervention, most respondents experienced moderate pain (22 respondents; 73.3%), while 8 respondents (26.7%) experienced mild pain. After the fingerhold intervention, all respondents (100%) reported reduced pain, falling into the mild pain category. The Wilcoxon analysis yielded z = –5.260; p = 0.000 (p < 0.05), indicating a significant difference in pain intensity before and after the intervention. Discussion: The fingerhold technique effectively reduces pain through the gate control theory mechanism, in which non-nociceptive sensory stimulation on the fingers inhibits the transmission of pain impulses in the spinal cord. Additionally, fingerhold provides a relaxation effect that decreases anxiety and enhances patient self-control. These findings align with previous studies demonstrating the effectiveness of fingerhold in reducing pain and anxiety among post-CS patients and other surgical populations.