HYPNOSIS FOR PAIN MANAGEMENT AT WOMEN IN POST PARTUM PERIODS
Desiyani Nani*1), Mega Rizky Wijayanti2), Lita Heni Kusumawardani1)

1)Nursing Program, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto, Central Java, Indonesia
2)Academic Hospital, Gadjah Mada University, Yogyakarta, Indonesia

Abstract

Background
Hypnosis is used increasingly for healthcare applications in hospitals, clinics, and psychotherapy practice. The subconscious mind which is extremely complex contains all of our emotions, creativity, intuition, and a whole host of resources that control our bodily functions such as breathing, heart rate and metabolism. Then our body learn to relax into a trance state. Relaxation and suggestion increase parasympathetic and decrease sympathetic functions because of a direct effect of the hypnosis state. So, hypnotic treatment possible to control pain intensity.

Purpose
To evaluate the effects of hypnotic treatment on pain after episiotomy in post partum periods.

Methods
A single blind randomized clinical trial was performed on six eligible women who were at the beginning of post partum periods. The participant were matched by 24 hours duration after birthing, nulliparas. There were no additional administration of analgesics during the study period. The women received hypnotic treatment for 15 minutes. The intensity of pain were measured by using the Visual Analogue Scale for Pain (VASP). VASP measured before and immediately after treatment. Then, were compared between the paired groups and statistical analyses were performed using SPSS 20.

Results
six patients ( 100) were nulliparas. The mean of ages was (28 5,94 years old). The mean of pain score before treatment was ( 84,29 15,65 mm) and mean of pain score after treatment was (64,57 15,80 mm) There were significant differences between two the groups in intensity of pain before and immediately after treatment. The pain intensity after the treatment was significantly decrease than before (p = 0.04).

Conclusion
Hypnotic treatment reduced the severity of pain at the beginning of post partum periods after episiotomy. These findings showed that hypnotic treatment was effective for reducing pain. Hypnotic treatment can be an effective pain management for Indonesia women in post partum periods.

Keywords: Mind, subconscious, mother, episiotomy, complementary

Topic: Maternity and Pediatric Nursing