Eni Kisnawati’s scientific contributions

Sectio caesarea menyebabkan stres, cemas, tertekan, dan nyerin yang berdampak pada peningkatan hormon kortisol dalam darah. Hormon kortisol yang tinggi menyebabkan produksi hormon oksitosin terhambat sehingga produksi dan pengeluran ASI berkurang. Salah satu intervensi keperawatan non farmakologi untuk mengatasi masalah tersebut adalah dengan memberikan stimulasi pijat endorfin, oksitosin, dan sugestif (SPEOS). SPEOS dilakukan dengan mengkombinasikan antara pijat endorfin, pijat oksitosin, dan sugestif atau afirmasi positif yang bertujuan untuk membantu ibu post partum dalam memperlancar pengeluaran ASI. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh SPEOS terhadap kelancaran ASI pada ibu post sectio caesarea di Ruang Rengganis RSD dr. Abdoer Rahem Situbondo. Subjek penelitian ini adalah Ny. A yang mengalami masalah kelancaran ASI. Intervensi SPEOS diberikan selama 3 hari dalam waktu 10-15 menit. Hasil penelitian menunjukkan bahwa terdapat pengaruh SPEOS terhadap kelancaran ASI pada Ny. A. Intervensi SPEOS terbukti dapat meningkatkan jumlah produksi ASI dari 0 ml pada hari pertama menjadi 25 ml pada hari ketiga. Penelitian ini diharapkan dapat menjadi referensi bagi penelitian selanjutnya mengenai pemberian SPEOS pada ibu post partum yang mengalami masalah pengeluaran ASI.

Myoma uteri are benign tumors that grow both inside and outside the uterus that are not malignant but can cause pain to those who have them. Management of uterine myoma is by surgery. Surgery is closely related to an incision in the skin, which can cause a feeling of pain in the patient. One of the non-pharmacology techniques that can be used to reduce the pain scale is guided imagery. Guided imagery is useful for increasing the relaxing effect, increasing comfort, and relieving the pain that is felt. This work aims to determine the analysis of guided imagery therapy to reduce postoperative pain of SVH (Supravaginal Hysterectomy) laparotomy. Implementation is carried out on patients. The method used in this study was a case study on a client with postoperative SVH laparotomy for indications of myoma uteri. Guided imagery therapy is carried out for 15-20 minutes, with pain assessment carried out before and after guided imagery is carried out. Pain scale measurement using a numeric rating scale (NRS). After being given guided imagery therapy the patient's pain scale which was initially 8 was reduced to 3. Image memory resulting from guided imagery can lead to the perception that the image is happening, which then affects pain receptors and can reduce the intensity of pain felt. Guided imagery relaxation therapy can reduce pain and anxiety and divert attention so that patients feel relaxed and happy.

Handling of chocolate cysts can be done by laparotomy surgery. The surgical procedure has an effect or problem that often arises, namely acute pain in the area of the former operation. One of the therapies that can be given to patient with post-laparotomy surgery is finger grip relaxation techniques. This technique is considered capable of reducing the intensity of pain in postoperative patient, in addition to that finger-held relaxation therapy is an effective, comfortable, easy to use, and inexpensive therapy so that all patient can obtain and perform this therapy.This work aims to determine the effectiveness of applying finger-hold relaxation techniques to patient with post-laparotomy surgery for indications of chocolate cysts.The method used in this research is a case study on patient in the Dahlia room, dr. Soebandi General Hospital with a diagnosis of acute pain.The results after being given the intervention of finger-held relaxation techniques for 3 consecutive days with 2 sessions per day for 15 minutes with 3-minute intervals changing the fingers held were a decrease in pain intensity from sharp pain that was felt continuously with a scale of 6 NRS to a recurring, intermittent pain with a pain scale of 3 NRS.