Nursing case report: acute pain in a P1A1 patient post-ERACS cesarean section at PKU Muhammadiyah Gamping Hospital
Keywords:
cesarean sectio, foot massage, painAbstract
Cesarean section surgery (C-section) is a major surgical procedure and one of the delivery methods used to deliver
a baby through an incision made in the abdomen (laparotomy) and the uterine wall (hysterotomy). This procedure
is typically performed when vaginal (normal) delivery is no longer possible due to certain medical indications.
Post-cesarean section patients often experience various discomforts, with one of the most common being pain
caused by the abdominal incision. Therefore, effective management strategies are needed to reduce this
discomfort. One such strategy is non-pharmacological pain management through foot massage therapy using olive
oil. The aim of this case study is to examine the effect of foot massage using olive oil in reducing pain levels in a
post-ERACS cesarean section patient. This study employed nursing care case study method involving a single
patient, Mrs. C, a 29-year-old female who experienced premature rupture of membranes and a transverse fetal
position (oblique lie), for which an ERACS cesarean section was performed. Data collection methods included
interviews, observation, pre-test, intervention, and post-test. This study was conducted from January 2 to 3, 2025,
in the Firdaus VK Ward of PKU Muhammadiyah Gamping Hospital. The results of the case study showed that
the patient's pain scale decreased on average after receiving foot massage therapy with olive oil. Based on these
findings, it can be concluded that foot massage using olive oil has a significant effect in reducing pain levels in
post-ERACS cesarean section patients.
References
Amalia, P., Hermayanti, Y., & Sukmawati. (2024). Foot Massage Therapy Menggunakan Minyak
Zaitun Untuk Mengurangi Nyeri Post Sectio Caesarea: Case Report. Sentri: Jurnal Riset
Ilmiah, 3(9), 4359--4369. ejournal.nusantaraglobal.or.id/index.php/sentri
Baishya, P., & Ridhwaanah, S. (2022). A Comparative Study to Assess the Effectiveness of Hand
Massage and Foot Massage on Pain Reduction among Post Cesarean Mothers at Gauhati
Medical College & Hospital Guwahati Assam. International Journal of Science and Research,
(3), 714–721. https://doi.org/10.21275/SR22311100545
Ekaputri, M., Susanto, G., Paryono., Kusumaningtyas, D. P. H., Aisyah., Farisi, M. F. A., Naryati., Nur,
S., & Kosim, M. Y. (2024). Proses Keperawatan: Konsep, Implementasi, dan Evaluasi. In
Tahta Media (Ed.), Tahta Media Group (1st ed.). Tahta Media.
https://tahtamedia.co.id/index.php/issj/article/download/989/1002/3701
Gianina Sindi M, & Syahruramdhani Syahruramdhani. (2023). Penerapan Teknik Relaksasi Foot
Massage Untuk Mengurangi Nyeri Pada Pasien Post Sectio Caesarea Di Bangsal Firdaus PKU
Gamping. Jurnal Sains Dan Kesehatan, 7(1), 93–102.
https://doi.org/10.57214/jusika.v7i1.283
Henniwati, H., Dewita, D., & Idawati, I. (2022). Pengaruh Foot Hand Massage Terhadap Nyeri Post
Sectio Caesarea Di Blud Rsud Kota Langsa. Femina: Jurnal Ilmiah Kebidanan, 1(2), 30.
https://doi.org/10.30867/fjk.v1i2.781
Ismiati, I., & Rejeki, S. (2023). Terapi foot massage menurunkan intensitas nyeri pasien post sectio
caesarea. Ners Muda, 4(3), 330. https://doi.org/10.26714/nm.v4i3.13658
Lestari, M. D. P. (2023). Penerapan Foot Massage Dalam Menurunkan Nyeri Setelah Operasi Sectio
Caesarea Pada Ibu Nifas Di Rsud Dr. Moewardi Surakarta. Jurnal Kesehatan Kartika, 18(2),
–62. https://doi.org/10.26874/jkkes.v18i2.276
Masadah, et al. (2020). Pengaruh Foot Massage Therapy terhadap Skala Nyeri Ibu Post Op Sectio
Cesaria di Ruang Nifas RSUD Kota Mataram. Jurnal Keperawatan Terpadu, 2(1), 64–70.
http://jkt.poltekkes-mataram.ac.id/index.php/home/index%0Ap-ISSN:
Muliani, R., Rumhaeni, A., & Nurlaelasari, D. (2020). Pengaruh Foot Massage terhadap Tingkat Nyeri
Klien Post Operasi Sectio Caesarea. Journal of Nursing Care, 3(2), 73–80.
https://doi.org/10.24198/jnc.v3i2.24122
Nasrullah, D., Rahayu, E., Hadi, S., Ari, N., & Sukadiono, S. (2021). Pengaruh Terapi Olesan Krim
Minyak Zaitun dan Perasan Jahe terhadap Penurunan Intensitas Nyeri pada Lansia
Rheumathoid Arthritis. JHeS (Journal of Health Studies), 5(1), 34–42.
https://doi.org/10.31101/jhes.1483
Nisak, A. Z., Kusumastuti, D. A., & Munawati, M. (2023). Perbedaan Metode Konvensional Dan Eracs
Dengan Tingkat Nyeri Pada Pasien Post Sectio Cesarea. Jurnal Ilmu Keperawatan Dan
Kebidanan, 14(1), 261–268. https://doi.org/10.26751/jikk.v14i1.1689
PPNI (2016). Standar Diagnosis Keperawatan Indonesia: Definisi dan Indikator Diagnostik, Edisi 1,
Jakarta: DPP PPNI.
PPNI (2016). Standar Intervensi Keperawatan Indonesia: Definisi dan Tindakan Keperawatan, Edisi 1,
Jakarta: DPP PPNI.
PPNI (2016). Standar Luaran Keperawatan Indonesia: Definisi dan Kriteria Hasil Keperawatan, Edisi
, Jakarta: DPP PPNI.
Proceedings International Conference on Nursing Relateded to Palliative Care
Vol. 1 (2025): 21 November 2025
(Fahrunisa Ayu Amalia et al. – Nursing case report: acute pain in a P1A1 patient post-ERACS ….) 341
Prayanangga, K., & Nilasari, D. (2022). Enhanced Recovery After Cesarean Surgery (ERACS):
Analisis Berbasis Bukti. JAI (Jurnal Anestesiologi Indonesia), 14(3), 274–287.
https://doi.org/10.14710/jai.v0i0.50022
Raharja & Sulastri. (2025). Terapi Foot Massage Untuk Mengurangi Skala Nyeri Pada Pasien Post
Sectio Caesarea : Studi Kasus. Jurnal Ners Universitas Pahlawan, 9(2), 1403–1409.
http://journal.universitaspahlawan.ac.id/index.php/ners
Rumandani, N. B., & Haniyah, S. (2023). Terapi Foot Message untuk Mengurangi Nyeri Post Partum
Sectio Caesaria di Ruang Flamboyan RSUD Prof. Dr. Margono Soekarjo. Menara Journal of
Health Science, 2(2), 276–283. https://jurnal.iakmikudus.org/index.php/mjhs
Salamah, U., & Astuti, Y. (2022). Effect of Hand and Foot Massage Toward Pain Level in Postpartum
Mother with Sectio Caesarea. Sehat Rakyat: Jurnal Kesehatan Masyarakat, 2(2), 206–210.
https://myklass-fkik.umy.ac.id/pluginfile.php/171307/mod_resource/content/1/Effect of
Hand and Foot Massage Toward Pain Level in Postpartum Mother with Sectio Caesarea Case
Report.pdf
Sari, V. F., Listyorini, D., Pendidikan, S., Ners, P., Kesehatan, F. I., Studi, P., Keperawatan, S., &
Kesehatan, F. I. (2024). Penerapan Foot Massage terhadap Tingkat Nyeri Klien Post Operasi
Sectio Caesarea di RSUD Kartini Karanganyar. 3.
Savitri, N. A., Khasanah, S., Putri, A. D., Prof, R., Margono, S., Purwokerto, J., & Tengah, I. (2023).
Penerapan Foot Massage Pada Asuhan Keperawatan Nyeri Akut Pada Pasien Post Sectio
Caesarea (Sc). Journal of Nursing and Health (JNH), 8 Nomor 3, 240–246.
Tika, T. T., Sidharti, L., Himayani, R., & Rahmayani, F. (2022). Metode ERACS Sebagai Program
Perioperatif Pasien Operasi Caesaragus. Jurnal Medika Hutama, 03(02), 2386–2391.
Zuleikha, A. T., Sidharti, L., & Kurniawaty, E. (2022). Efek Samping Sectio Caesarea Metode ERACS
(Literature Review). Medula, 11(1), 34.
