ASUHAN KEPERAWATAN GANGGUAN RASA NYAMAN DENGAN KOMBINASI TERAPI PIJAT KAKI DAN RENDAM AIR HANGAT JAHE PADA IBU HAMIL TRIMESTER III DI PRAKTIK MANDIRI BIDAN

Febiana, Ni Kadek Rani (2026) ASUHAN KEPERAWATAN GANGGUAN RASA NYAMAN DENGAN KOMBINASI TERAPI PIJAT KAKI DAN RENDAM AIR HANGAT JAHE PADA IBU HAMIL TRIMESTER III DI PRAKTIK MANDIRI BIDAN. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2026.

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Abstract

NURSING CARE FOR COMFORT DISORDERS WITH A COMBINATION OF FOOT MASSAGE THERAPY AND WARM GINGER WATER SOAKS FOR THIRD TRIMESTER PREGNANT WOMEN IN INDEPENDENT MIDWIFE PRACTICE ABSTRACT Pregnancy is a physiological process that causes physical and hormonal changes in the mother, especially in the third trimester. Changes such as increased blood vessel pressure, fluid retention, and postural changes can cause discomfort, one of which is edema. The purpose of this paper is to determine nursing care for comfort disorders with a combination of foot massage therapy and warm ginger water soaks in third trimester pregnant women in an independent midwife practice. This paper uses a descriptive method with two main cases managed by third trimester pregnant women. Data collection techniques include interviews and physical examinations. The assessment results showed that the mother complained of discomfort due to swelling in the feet, was unable to relax, complained of difficulty sleeping, urinated frequently, and appeared slightly restless. The established nursing diagnosis was comfort disorders related to pregnancy adaptation disorders. The formulated nursing plan included relaxation therapy and third trimester pregnancy care coupled with an innovative combination of foot massage therapy and warm ginger water soaks. Implementation in both patients was carried out for 3x45 minutes according to the SDKI, SLKI, and SIKI guidelines. The evaluation showed that comfort status improved and the problem of discomfort disorders was resolved. In conclusion, the combination of foot massage therapy and warm ginger water soaks can be a safe and effective non-pharmacological intervention to improve the comfort of pregnant women in the third trimester. Keywords: comfort disorders; third trimester pregnant women; foot massage and ginger water soak ASUHAN KEPERAWATAN GANGGUAN RASA NYAMAN DENGAN KOMBINASI TERAPI PIJAT KAKI DAN RENDAM AIR HANGAT JAHE PADA IBU HAMIL TRIMESTER III DI PRAKTIK MANDIRI BIDAN ABSTRAK Kehamilan merupakan proses fisiologis yang menimbulkan perubahan fisik dan hormonal pada ibu, terutama pada trimester ketiga. Perubahan seperti peningkatan tekanan pembuluh darah, retensi cairan dan perubahan postur dapat menyebabkan ketidaknyamanan, salah satunya edema. Tujuan penulisan ini untuk mengetahui asuhan keperawatan gangguan rasa nyaman dengan kombinasi terapi pijat kaki dan rendam air hangat jahe pada ibu hamil trimester III di praktik mandiri bidan. Penulisan ini menggunakan metode deskriptif dengan dua kasus kelolaan utama ibu hamil trimester III. Teknik pengumpulan data dengan wawancara dan pemeriksaan fisik. Hasil pengkajian didapatkan ibu mengeluh tidak nyaman akibat bengkak pada kaki, tidak mampu rileks, mengeluh sulit tidur, sering kencing dan tampak sedikit gelisah. Diagnosis keperawatan yang ditegakkan adalah gangguan rasa nyaman berhubungan dengan gangguan adaptasi kehamilan. Rencana keperawatan yang dirumuskan yaitu terapi relaksasi dan perawatan kehamilan trimester ketiga ditambah dengan inovasi kombinasi terapi pijat kaki dan rendam air hangat jahe. Implementasi pada kedua pasien dilakukan selama 3x45 menit sesuai pedoman SDKI, SLKI, dan SIKI. Evaluasi menunjukkan status kenyamanan meningkat dan masalah gangguan rasa nyaman teratasi. Kesimpulan penulisan ini, kombinasi terapi pijat kaki dan rendam air hangat jahe dapat menjadi intervensi nonfarmakologis yang aman dan efektif untuk meningkatkan kenyamanan ibu hamil trimester III. Kata Kunci : gangguan rasa nyaman; ibu hamil trimester III; pijat kaki dan rendam air jahe

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