Analisis Efektivitas Mindfulness Breathing dengan Guided Imagery Dalam Menurunkan Kecemasan Ibu Post Sectio Caesarea Di RSUD I.A Moies Samarinda

Windu Pahrian; Pipit Feriani; Tri Wahyuni; Joanggi Wiriatarina Harianto

doi:10.47134/phms.v3i2.591

Authors

Windu Pahrian Universitas Muhamddiyah Kalimantan Timur
Pipit Feriani Universitas Muhammadiyah Kalimantan Timur
Tri Wahyuni Universitas Muhammadiyah Kalimantan Timur
Joanggi Wiriatarina Harianto Universitas Muhammadiyah Kalimantan Timur

DOI:

https://doi.org/10.47134/phms.v3i2.591

Keywords:

Guided Imagery, Kecemasan, Mindfulness Breathing, Post Sectio Caesarea

Abstract

Post–Sectio Caesarea (SC) mothers are vulnerable to anxiety due to postoperative pain, limited mobility, and concerns regarding their maternal role and recovery process. If left unmanaged, anxiety can negatively affect maternal well-being, breastfeeding, and mother–infant bonding. Nonpharmacological interventions such as Mindfulness Breathing and Guided Imagery are considered safe and effective in reducing anxiety. This study aimed to analyze the effectiveness of a combination of Mindfulness Breathing and Guided Imagery in reducing anxiety levels among post–Sectio Caesarea mothers at RSUD I.A. Moeis Samarinda. The study employed a managed case study approach using the nursing care process, which included assessment, diagnosis, intervention, implementation, and evaluation. The subjects were post–Sectio Caesarea mothers experiencing anxiety. Anxiety levels were measured using the Hamilton Rating Scale for Anxiety (HRS-A) before and after the structured implementation of the combined Mindfulness Breathing and Guided Imagery intervention. The evaluation showed a decrease in anxiety scores following the intervention; prior to the intervention, patients experienced moderate anxiety, which decreased to mild anxiety afterward. Patients also demonstrated more adaptive physiological and psychological responses, such as feeling calmer, improved focus, and better coping abilities. The combination of Mindfulness Breathing and Guided Imagery was proven to be effective in reducing anxiety in post–Sectio Caesarea mothers and may be used as an alternative nonpharmacological therapy in maternity nursing care to enhance postpartum psychological well-being.

References

Abdullah, N. G., & Hanifarizani, R. D. (2024). Jurnal Kesehatan Republik Indonesia Pengaruh Mindfulness Breathing Exercise Terhadap. 1(7), 97–102.

Annisya, N. (2024). Efektivitas Kombinasi Terapi Relaksasi Benson Dan Guided Imagery Terhadap Penurunan Kecemasan Pada Ibu Hamil. 4.

Anwar, C., & Safitri, F. (2022). BANDA ACEH Postpartum Care at The Bhayangkara Hospital In Banda Aceh. 4(1).

Astuti, E., & Dinarsi, H. (2020). ANALISIS PROSES INVOLUSI UTERUS PADA IBU POST PARTUM HARI LYSTIANI GRESIK.

Candrawati, & Adrian, N. gusti. (n.d.). Dampak Meditasi Mindfulness Terhadap Kesehatan Mental Remaja. 1–9.

Febrina, Mekeama, L., & Yuliana. (n.d.). Hubungan anatara kecemasan dan efikasi diri pada pasien pasca operasi Caesar pasien di RS Bhayangkara Jambi.

Fita Krisdayanti, N. W. K. (2025). HUBUNGAN TINGKAT KECEMASAN IBU NIFAS DENGAN. 6, 16261–16274. DOI: https://doi.org/10.31004/jkt.v6i4.52975

Istiqomah, A. L., Viandika, N., & Nisa, S. M. K. (2021). GAMBARAN TINGKAT KECEMASAN IBU POST PARTUM. 5(4), 333–339. https://doi.org/10.20473/imhsj.v5i4.2021.333-339 DOI: https://doi.org/10.20473/imhsj.v5i4.2021.333-339

Komariah, M., Ibrahim, K., Pahria, T., Rahayuwati, L., & Somantri, I. (2023). Effect of Mindfulness Breathing Meditation on Depression , Anxiety , and Stress : A Randomized Controlled Trial among University Students. DOI: https://doi.org/10.3390/healthcare11010026

Pujianti, W., Sartika, L., Wati, Li., & Ramadinta, R. A. (2021). Teknik Marmet terhadap Kelancaran Asi pada Ibu Post Partum. 11(2), 78–85. DOI: https://doi.org/10.24929/fik.v11i2.1596

Purba, T. J., Ariani, P., Pasaribu, S., Sitorus, F. E., & Alprindo Sembiring. (2025). Pengaruh Kombinasi Mindfulnes Breathing And Guided Imagery Terhadap Penurunan Kecemasan Emosi Negatif Pada Ibu Post Sectio Caesarea Junita Purba T , Ariani P , Pasaribu S , Ernita Sitorus F , Sembiring A : Pengaruh Kombinasi Mindfulnes Breathing And Guide. 8(2), 870–876.

Schetter, D., Id, M. A., Hanlon, C., Daniel, B., Tesfaye, M., Workicho, A., Id, T. G., Wibaek, R., & Id, G. S. A. (2024). Effects of relaxation interventions during pregnancy on maternal mental health , and pregnancy and newborn outcomes : A systematic review and meta-analysis. 1–25. https://doi.org/10.1371/journal.pone.0278432 DOI: https://doi.org/10.1371/journal.pone.0278432

Vianta, C., Putri, A., Wardhani, R. K., Wulandari, R. F., & Caesarea, S. (2022). FAKTOR-FAKTOR MEMPENGARUHI TINDAKAN SECTIO CAESAREA LITERATURE REVIEW : THE FACTORS AFFECTING SECTION CAESAREA. 4(2), 48–54. DOI: https://doi.org/10.53599/jip.v4i2.105

Wibawa, D. A., Riduansyah, M., Rahman, S., Syahlani, A., Studi, P., Keperawatan, S., Kesehatan, F., & Mulia, U. S. (2024). HUBUNGAN TINGKAT KECEMASAN PASIEN PRE OPERASI TERHADAP RELATIONSHIP BETWEEN PREOPERATIVE PATIENT ANXIETY LEVEL AND EARLY MOBILISATION OF POSTOPERATIVE PATIENTS. 12(4), 901–908. DOI: https://doi.org/10.26714/jkj.12.4.2024.901-908

Winarti, G., Nasution, S. Z., Linda, F., Siregar, S., Keperawatan, M. I., Keperawatan, F. I., & Utara, U. S. (2023). EDUKASI FAMILY CENTERED MATERNITY CARE TERHADAP SELF EFFICACY DALAM PEMBERIAN ASI : LITERATUR REVIEW. 7, 16827–16837.

Zhang, Worku, B. T., Abdulahi, M., Amenu, D., & Bonnechère, B. (2025). Effect of technology-supported mindfulness- based interventions for maternal depression : a systematic review and meta-analysis with implementation perspectives for resource-limited settings. DOI: https://doi.org/10.1186/s12884-025-07286-9