Implementation of Foot Reflexology Impacts Pain Intensity, Sleep Quality and Breast Milk Production in Post-Caesarean Section Patients
DOI:
https://doi.org/10.58774/jourkep.v4i1.115Keywords:
Foot Reflexology, Pain Intensity, Sleep Quality, Post Surgery, Breast Milk ProductionAbstract
Background: Sectio caesarea is a major surgical procedure that generally causes postoperative pain, so it can interfere with the physical and psychological recovery process of the mother, including in terms of initiation and smooth production of breast milk (ASI). In addition, the effects of the pain caused can cause sleep disorders in patients. Non-pharmacological therapy is needed to overcome these problems.
Purpose: To determine the impact of applying foot reflexology on pain intensity, sleep quality and breast milk production in post-cesarean section patients.
Methods: This type of research is descriptive through a case study approach involving 3 respondents who are post-cesarean section patients. The research instrument uses the PSQI (Pitsburgh Sleep Quality Index) questionnaire to assess sleep quality and VRS (Verbal Rating Scale) to assess pain levels. The intervention of foot reflexology application was carried out for 3 days.
Results: After being applied to respondents, the results showed that there was a decrease in the pain scale from an average scale of 2.66 to 1.33, there was an increase in sleep quality as indicated by a score of 12 (bad) to a score of 9 (good), and there was an increase in breast milk production from patients who were unable to produce breast milk to those who were able to produce breast milk with an average production of 47 ml.
Conclusion: The application of foot reflexology can reduce pain intensity, improve sleep quality and breast milk production in post-caesarean section patients.
Downloads
References
Abbaspoor, Z., Mohaghegh, Z., Siahkal, S.F., Yousefi, F. & Zahedian, M. (2025) “The Effect of Foot Reflexology on Lactation and Breast Milk Volume in Postpartum Women: A Systematic Review and Meta-analysis,” Journal of Midwifery and Reproductive Health, 13(1), pp. 4510–4522. doi: 10.22038/jmrh.2024.73794.2154.
Anuhgera, D. E., Nikmah, J.R. & Damayanti (2024) “The Effect of Foot Massage on Comfort and Pain Intensity After Vaginal Delivery,” Jurnal Keperawatan dan Fisioterapi (JKF), 6(2), pp. 305–313. doi: 10.35451/jkf.v6i2.2079.
Azmazatin, R. (2024) “Pengaruh Foot Massage Therapy Terhadap Tingkat Nyeri Pasien Post Sectio Caesarea Di RSUD Kabupaten Bintan,” Jurnal Kesehatan Masyarakat, 1(2), pp. 168–178.
Basyouni, N. R., Gohar, I. E. & Zaied, N. F. (2020) “Effect of Foot Reflexology on Lactation,” Indian Journal of Public Health Research & Development, 7(4), pp. 1–19. doi: 10.37506/ijphrd.v11i4.4565.
Burns, N. & Grove, S. K. (2005) “the Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence.,” Elsevier, 8, pp. 1–1192.
Dorosti, A., Mallah, F. & Ghavami, Z. (2019) “Effects of Foot Reflexology on Post-Cesarean Pain: A Randomized Clinical Trial,” J Biochem Tech, (2), pp. 170–174.
Deepshikha & Vibha (2016) “Effect of Foot Reflexology on Post Operative Pain and Sleep among Post Caesarean Mothers,” International Journal of Nursing Education and Research, 4(4), p. 441. doi: 10.5958/2454-2660.2016.00081.8.
El-Ansary, E.-S. & Gamel, W.M.A. (2023) “Effect of Reflexology on Postpartum Comfort and Lactation after Cesarean Delivery among Primiparous Mothers,” Egyptian Journal of Health Care, 14(2), pp. 557–570. doi: 10.21608/ejhc.2023.300281.
Febiantri, N. & Machmudah, M. (2021) “Penurunan Nyeri Pasien Post Sectio Caesarea Menggunakan Terapi Teknik Relaksasi Benson,” Ners Muda, 2(2), pp. 31-37. doi: 10.26714/nm.v2i2.6239.
Firdausi, R. & Sudarmiati, S. (2020) “Hand or Foot Reflexology To Relieve Pain Postpartum,” Jurnal Keperawatan, 7(1), pp. 42–47.
Hakim, R. I., Karimah, N., Saptyani, P.M & Wahyuni, S. (2019) “Foot Reflexology for Women and Fetal Wellbeing in Labor: A Review,” Proceedings of International Conference on Applied Science and Health, 4(4), pp. 141–147.
Halimatussakdiah, H. (2017) “Back-Effluerage Massage (BEM) terhadap Nyeri dan Tekanan Darah Ibu Bersalin Kala I,” Jurnal Kesehatan, 8(1), pp. 78-85. doi: 10.26630/jk.v8i1.397.
Halimatussakdiah, H. (2017) “Lamanya Persalinan Kala I dan II pada Ibu Multipara dengan Apgar Score Bayi Baru Lahir,” AcTion: Aceh Nutrition Journal, 2(1), pp. 6-12. doi: 10.30867/action.v2i1.30.
Mortazavi, S.H., Khaki, S., Moradi, R., Heidari, K. & Rahimparvar, S.F.V. (2012) “Effects of massage therapy and presence of attendant on pain, anxiety and satisfaction during labor,” Archives of Gynecology and Obstetrics, 286(1), pp. 19–23. doi: 10.1007/s00404-012-2227-4.
Gamel, W.M.A & Tosson, M.M. (2022) “Effect of Foot Reflexology on Relieving Labor Pain and Enhancing Satisfaction among Parturient Women,” Egyptian Journal of Health Care, 13(1), pp. 940–957. doi: 10.21608/ejhc.2022.222517.
Muliani, R., Rumhaeni, A. & Nurlaelasari, D. (2020) “Pengaruh Foot Massage terhadap Tingkat Nyeri Klien Post Operasi Sectio Caesarea,” Journal of Nursing Care, 3(2), pp. 73–80. doi: 10.24198/jnc.v3i2.24122.
Hidayah, N.S. & Widayani, W. (2023) “Evidance Based Cased Report (Ebcr) Terapi Foot Massage Dapat Menurunkan Intensitas Nyeri Post Operasi Seksio Sesarea,” Jurnal Kesehatan Siliwangi, 3(3), pp. 382–391. doi: 10.34011/jks.v3i3.1222.
Sari, D.P., Elsera, C. & Sulistyowati, A.D. (2022) “Hubungan Tingkat Nyeri Post Sectio Caesarea dengan Kualitas Tidur Pasien Postpartum”, TRIAGE: Jurnal Ilmu Keperawatan, 9(2), pp 6-13.
Varghese, J., George, J. & Gowda, Y.S. (2014) “A Randomized Control Trial to Determine the Effect of Foot Reflexology on Intensity of Pain and Quality of Sleep in Post Caesarean Mothers,” IOSR Journal of Nursing and Health Science, 3(1), pp. 39–43. doi: 10.9790/1959-03143943.
Yang, J., Li, Z., Ye, H., Wu, Y., Long, Y., Zhong, Y., Luo, Y. & Wang, M. (2024) “Effects of foot reflexology massage on pregnant women: a systematic review and meta-analysis of randomized controlled studies,” Scientific Reports, 14(1), pp. 1–12. doi: 10.1038/s41598-023-51107-y.
Yunitasari, E., Nursanti, I. & Widakdo, G. (2018) “The Effectiveness Of Hand Massage, Foot Massage and Combination On Pain Intensity Of Post Sectio Caesarea Received: 09 Sep 2018 ABSTRACT Accepted: 18 Sep 2018,” Impact, 6(9), pp. 39–50.
Riset Kesehatan Dasar (Riskesdas) (2018) “Laporan Riskesdas 2018 Nasional.pdf,” Lembaga Penerbit Balitbangkes, p. hal 156. Available at: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan Riskesdas 2018 Nasional.pdf.
World Health Organization. (2021). Caesarean Section Rates Continue To Rise, Amid Growing Inequalities In Access. World Health Organization.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Halimatussakdiah M.Basyah, Wagiyo Wagiyo, Erlangga Galih Zulva Nugroho, Suwardi Suwardi, Della Putri Azhari
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
