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ID Ni Putu Diah Ayu Rusmeni ID I Dewa Gede Agus Ardana Putra ID Nurul Imam https://orcid.org/0000-0002-7851-3709

Abstract

Background: Preoperative anxiety is commonly experienced by women undergoing caesarean section and may negatively affect physiological stability during surgery. Non-pharmacological interventions such as deep breathing, relaxation, and aromatherapy are considered effective strategies to reduce anxiety.


Objective: This study aimed to examine the effect of a combination of deep breathing relaxation and aromatherapy on anxiety levels in patients undergoing preoperative caesarean section.


Methods: This pre-experimental study employed a one-group pretest–posttest design and was conducted at Kertha Usada General Hospital, Buleleng, Indonesia, from April to May 2025. A total of 67 patients scheduled for caesarean section were recruited using consecutive sampling. Anxiety levels were assessed before and after the intervention using a standardized anxiety questionnaire. The intervention consisted of deep breathing relaxation combined with aromatherapy. Data were analyzed using the Wilcoxon signed-rank test.


Result: The results showed a statistically significant reduction in anxiety levels after the intervention (p = 0.001; p < 0.05).


Conclusion: The combination of deep breathing relaxation and aromatherapy effectively reduced preoperative anxiety in patients undergoing caesarean section and may serve as a complementary nursing intervention to enhance preoperative care.

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How to Cite
Rusmeni, N. P. D. A., Putra, I. D. G. A. A., & Imam, N. (2026). THE IMPACT OF DEEP BREATHING COMBINED WITH AROMATHERAPY ON ANXIETY LEVELS IN PRE-CAESAREAN SECTION PATIENTS AT KERTHA USADA HOSPITAL. Nurse and Holistic Care, 5(3), 315–323. https://doi.org/10.33086/nhc.v5i3.7764
Section
Articles
Deep Breathing, Aromatherapy, Section Caesarea (SC), Pre-Operation

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Ni Putu Diah Ayu Rusmeni, Sekolah Tinggi Ilmu Kesehatan Buleleng

I Dewa Gede Agus Ardana Putra , Rumah Sakit Umum Kertha Usada

Nurul Imam, Sekolah Tinggi Ilmu Kesehatan William Booth