xii

DAFTAR ISI

HALAMAN JUDUL........................................................................................ i

SURAT PERYATAAN BEBAS PLAGIARISME.......................................... ii

HALAMAN PERSETUJUAN......................................................................... iii

HALAMAN PENGESAHAN.......................................................................... iv

ABSTRAK ....................................................................................................... v

ABSTRACT..................................................................................................... vi

HALAMAN MOTTO DAN PERSEMBAHAN.............................................. vii

KATA PENGANTAR ..................................................................................... ix

DAFTAR ISI.................................................................................................... xii

DAFTAR TABEL............................................................................................ xvi

DAFTAR GAMBAR ....................................................................................... xvii

DAFTAR LAMPIRAN.................................................................................... xviii

BAB I PENDAHULUAN........................................................................... 1

A. Latar Belakang.......................................................................... 1

B. Perumusan Masalah.................................................................. 5

C. Tujuan Penelitian...................................................................... 5

1. Tujuan Umum.................................................................... 5

2. Tujuan Khusus................................................................... 5

D. Manfaat Penelitian.................................................................... 6

BAB II TINJAUAN PUSTAKA.................................................................. 8

A. Tinjauan Teori .......................................................................... 8

xiii

1. Post Sectio Caesarea.......................................................... 8

a. Definisi Sectio Ceasarea ............................................ 8

b. Indikasi Sectio Ceasarea ............................................ 9

c. Komplikasi Sectio Caesarea ...................................... 14

d. Pemulihan Post Sectio Caesarea................................ 15

2. Nyeri .................................................................................. 16

a. Pengertian Nyeri......................................................... 16

b. Faktor yang Mempengaruhi Nyeri ............................. 17

c. Klasifikasi Nyeri ........................................................ 19

d. Penatalaksanaan Nyeri ............................................... 20

e. Alat Ukur Nyeri.......................................................... 25

3. Relaksasi Pernapasan ........................................................ 28

a. Definisi Relaksasi Pernapasan ................................... 28

b. Manfaat Relaksasi Pernapasan ................................... 28

c. Pengaruh Relaksasi Pernapasan terhadap Tingkat

Nyeri........................................................................... 29

d. Komponen Relaksasi Pernapasan............................... 32

e. Prosedur Relaksasi Pernapasan .................................. 32

4. Aromaterapi Lavender....................................................... 33

a. Definisi ....................................................................... 33

b. Manfaat Aromaterapi Lavender ................................. 34

c. Penggunaan Aromaterapi Lavender ........................... 37

xiv

d. Pengaruh Aromaterapi Lavender Terhadap Intensitas

Nyeri........................................................................... 38

5. Relaksasi Pernapasan dan Aromaterapi Lavender ............ 39

B. Kerangka Teori ......................................................................... 41

C. Hipotesis ................................................................................... 42

BAB III METODE PENELITIAN................................................................... 43

A. Kerangka Konsep ..................................................................... 43

B. Variabel Penelitian ................................................................... 43

C. Desain Penelitian ...................................................................... 43

D. Populasi dan Sampel................................................................. 44

E. Tempat dan Waktu Penelitian .................................................. 45

F. Definisi Operasional ................................................................. 46

G. Instrumen dan Alat Pengumpulan Data.................................... 47

H. Metode Pengumpulan Data ...................................................... 48

I. Analisa Data ............................................................................. 50

J. Etika Penelitian......................................................................... 53

BAB IV HASIL PENELITIAN ....................................................................... 55

A. Pengantar Bab........................................................................... 55

B. Karakteristik Responden .......................................................... 55

C. Analisa Univariat...................................................................... 56

D. Analisa Bivariat ........................................................................ 57

BAB V PEMBAHASAN ................................................................................. 59

A. Interprestasi dan diskusi hasil penelitian.................................. 59

xv

1. Karakteristis responden ..................................................... 59

2. Hasil Univariat .................................................................. 60

B. Hasil Bivariat............................................................................ 68

C. Keterbatasan Penelitian ............................................................ 71

D. Implikasi Penelitian .................................................................. 71

BAB VI SIMPULAN DAN SARAN............................................................... 73

A. Kesimpulan............................................................................... 73

B. Saran ......................................................................................... 74

DAFTAR PUSTAKA ...................................................................................... 76

xvi

DAFTAR TABEL

Tabel 3. 1. Definisi Operasional...................................................................... 46

Tabel 4. 1. Distribusi frekuensi responden berdasarkan usia di Sunan

Kalijaga Demak pada bulan Januari-Februari 2016 (n = 40) ........ 55

Tabel 4. 2. Distribusi frekuensi tingkat nyeri sebelum dilakukan relaksasi

pernapasan dan aromaterapi levender (n =40) .............................. 56

Tabel 4. 3. Distribusi frekuensi tingkat nyeri sesudah dilakukan relaksasi

pernapasan dan aromaterapi lavender (n = 40) ............................. 56

Tabel 4. 4. Uji normalitas Shapiro-Wilk ......................................................... 57

Tabel 4. 5. Hasil tingkat nyeri pada pasien post sectio caesarea sebelum

dan sesudah dilakukan relaksasi pernapasan dan aromaterpi

lavender dengan uji T-Test ............................................................ 57

Tabel 4. 6. Hasil tingkat nyeri pada pasien post sectio caesarea sebelum dan

sesudah dilakukan relaksasi pernapasan dan aromaterpi lavender

dengan uji Wilcoxon ...................................................................... 58

xvii

DAFTAR GAMBAR

Gambar 2. 1. Visual Analogue Scale................................................................ 26

Gambar 2. 2. Numerical Rating Scale.............................................................. 26

Gambar 2. 3. Wong-Baker ............................................................................... 27

Gambar 2. 4. Kerangka Teori........................................................................... 41

Gambar 3. 1. Kerangka Konsep ....................................................................... 43

xviii

DAFTAR LAMPIRAN

Lampiran 1. Daftar Riwayat Hidup

Lampiran 2. Surat Permohonan Ijin Survey Pendahuluan

Lampiran 3. Surat Permohonan Ijin Penelitian

Lampiran 4. Surat Keterangan Lolos Uji Etik

Lampiran 5. Surat Permohonan Menjadi Responden

Lampiran 6. Lembar Persetujuan Menjadi Responden

Lampiran 7. Kuesioner Penelitian

Lampiran 8. Hasil Penelitian

Lampiran 9. Lembar Bimbingan Konsultasi

Lampiran 10. Jadwal Penelitian