Kombinasi Teknik Relaksasi Benson dan Aromaterapi Lavender dalam Menurunkan Nyeri dan Ansietas pada Pasien Lansia dengan Closed Fracture of Neck Femur Dextra: Sebuah Studi Kasus The Combination of Benson Relaxation Technique and Lavender Aromatherapy in Reducing Pain and Anxiety in Elderly Patients with Closed Fracture of the Right Femoral Neck: A Case Study

Main Article Content

Wulan Agusni
Gian M. Kurnia
Susilawati Susilawati
Alexander Mela Geniko Suku

Abstract

Background and Objectives: Elderly patients with hip fractures often experience severe pain and anxiety, which can impede recovery. Non-pharmacological interventions such as Benson's relaxation and lavender aromatherapy have shown potential in managing these symptoms, but evidence of their effectiveness in geriatric orthopedic settings remains limited. This case study aimed to evaluate the effects of a combination of both therapies on pain, anxiety, mobility, and vital signs in a geriatric patient following hip fracture surgery.


Methods: This study used a single-subject case study design. The sample was a 72-year-old female diagnosed with a closed fracture of the right femoral neck post-hip replacement surgery. The combined intervention of Benson's relaxation (twice daily, 15 minutes) and lavender aromatherapy inhalation (twice daily, 30 minutes) was administered for four days alongside standard care. Measured variables included pain intensity (numerical rating scale 0-10), anxiety level (Hamilton Anxiety Rating Scale / HARS), lower extremity joint range of motion (ROM scale 0-5), and vital signs (blood pressure, pulse, respiration). Data collection instruments comprised observation sheets, the HARS questionnaire, and a numerical pain scale.


Main Results: After four days of intervention, significant reductions were observed in pain intensity (from 5/10 to 2/10) and HARS anxiety scores (from 30 [severe] to 9 [mild]). Patient mobility improved, as indicated by an increase in lower extremity ROM from 3/5 to 4/5. Vital signs (blood pressure, pulse, respiration) showed a stabilizing trend within the normal range. No adverse effects or undesirable events were reported during the intervention period.


Conclusion: Based on the findings, the combination of Benson's relaxation and lavender aromatherapy was effective in reducing pain and anxiety, improving mobility, and stabilizing vital signs in a geriatric patient post-hip fracture surgery. This combined therapy is safe and has the potential to be integrated as a complementary, evidence-based perioperative management strategy for the geriatric population in orthopedics. Further studies with more robust designs and larger samples are needed to generalize these findings.

Article Details

How to Cite
Agusni, W., Kurnia, G. M., Susilawati, S., & Suku, A. M. G. (2026). Kombinasi Teknik Relaksasi Benson dan Aromaterapi Lavender dalam Menurunkan Nyeri dan Ansietas pada Pasien Lansia dengan Closed Fracture of Neck Femur Dextra: Sebuah Studi Kasus: The Combination of Benson Relaxation Technique and Lavender Aromatherapy in Reducing Pain and Anxiety in Elderly Patients with Closed Fracture of the Right Femoral Neck: A Case Study. Jurnal Abdi Kesehatan Dan Kedokteran, 5(1), 502–512. https://doi.org/10.55018/jakk.v5i1.169
Section
Articles

References

Angriani, I., Hartati, D., Risnawati, R., & Sulistyorini, C. (2024). The effect of the combination of Benson relaxation and lavender aromatherapy on pain in post sectio caesarea patients. Journal of Midwifery and Nursing, 6(2).

Aromatherapy using lavender oil effectiveness on pain and anxiety after C-section: A randomized controlled trial. (2024). Journal of Epidemiology and Global Health. https://link.springer.com/article/10.1007/s44197-024-00305-6

Bahrudin, M. (2018). Patofisiologi nyeri (pain). Saintika Medika, 13(1), 7. https://jurnal.umm.ac.id/index.php/sainmed/article/view/8087

Bangun, A. V., & Nur’aeni, S. (2019). Pengaruh aromaterapi lavender terhadap intensitas nyeri pada pasien pasca operasi. Jurnal Keperawatan Soedirman. https://jks.fikes.unsoed.ac.id/index.php/jks/article/view/478

Benson, H., & Proctor, W. (2000). Keimanan yang menyembuhkan: Dasar-dasar respon relaksasi. EGC.

Devi, S., et al. (n.d.). Aromaterapi lavender dalam menurunkan tingkat kecemasan pasien pre operasi sectio caesarea. Window of Nursing Journal. https://jurnal.fkm.umi.ac.id/index.php/won/article/view/521

Diningrat, I. P., Purnama, A., & Koto, Y. (2024). Pengaruh penerapan relaksasi Benson dan aromaterapi terhadap tingkat nyeri pada pasien dengan post operasi appendisitis di RSAU Dr. M. Hassan Toto Tahun 2024. Journal of Nursing Education & Practice, 4(2), 76–92.

Ghadirian, F., Karami, K., Shirzadegan, R., Raiesifar, Z., Tahery, N., & Almasian, M. (2020). Effects of French lavender aromatherapy on the level of pain and the amount of medications prescribed to reduce post-appendectomy pain: A single-blind randomized clinical trial. Journal of Archives in Military Medicine, 8(3), e109092. https://doi.org/10.5812/jamm.109092

Hasiolan, M. I. S., Wada, F. H., Andas, A. M., Puspitasari, I., & Prima, A. (2024). The effect of lavender aromatherapy, Benson relaxation therapy, and a combination of both on anxiety levels, sleep quality, and blood pressure in the elderly. Indonesian Journal of Health Sciences Research and Development, 6(2), 97–105. https://doi.org/10.36566/ijhsrd/Vol6.Iss2/279

Hendayani, N., & Amalia, R. (2023). Fraktur: Penyebab, dampak, dan penanganannya. Nursing Science Journal, 4(2), 98–105. https://jurnal.spp.ac.id/index.php/nsj/article/download/222/98/

Hidayat, A., & Siswadi, Y. (2024). Efektivitas aromaterapi lavender dalam menurunkan tingkat ansietas pasien pre operasi: Literature review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(4), 841–851. https://doi.org/10.56338/mppki.v7i4.5105

Husna, C. H. A., Ningsih, D. A., Wahyuningsih, I., & Rahayu, H. T. (2025). The effect of Benson relaxation combination therapy and lavender aromatherapy on anxiety in patients undergoing hemodialysis. Jurnal Keperawatan, 16(1), 18–24. https://doi.org/10.22219/jk.v16i1.40154

Indiawati, O. C. (2022). Asuhan keperawatan pada pasien dengan close fraktur intertrochanter femur dextra di Ruang Pav IV RS Darmo Surabaya [Karya Ilmiah Akhir]. STIKES Hang Tuah Surabaya.

Indarti, E. T. (2023). The effect of lavender aromatherapy on anxiety levels in preoperative ORIF antebrachii fracture patients. International Journal of Nursing and Midwifery Science. https://ijnms.net/index.php/ijnms/article/view/471

Jamaludin, M., et al. (2024). Fraktur femur: Epidemiologi dan penanganan. Jurnal Fisioterapi Muhammadiyah, 3(2), 45–52. https://journal.umsurabaya.ac.id/Jar/article/download/22870/8096/60201

Nurdin, R. O., & Pardosi, S. (2018). Pengaruh teknik relaksasi nafas dalam dan aromaterapi lavender terhadap penurunan tingkat kecemasan pasien pre operasi apendiksitis. Jurnal Media Kesehatan, 11(1). https://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/360

Nursalam. (2016). Manajemen keperawatan: Aplikasi praktik keperawatan profesional (Edisi ke-5). Salemba Medika.

Potter, P. A., & Perry, A. G. (2008). Buku ajar fundamental keperawatan: Konsep, proses, dan praktik. EGC.

Putri Lenggo Geni, et al. (2023). Pengaruh teknik relaksasi nafas dalam dan aromaterapi lavender terhadap nyeri pasien post operasi phacoemulsifikasi. An-Najat Journal.

Putri, N. S., Pinata, A., & Dwi Prasetyawan, R. (2025). Penerapan pemberian aromaterapi lavender pada asuhan keperawatan klien post operasi apendiktomi. Jurnal Ilmiah Keperawatan. https://journal.stikespemkabjombang.ac.id/index.php/jikep/article/view/1535

Rachman, A. (2023). Analisis kasus fraktur dalam perspektif medis dan bioetik. PREPOTIF: Jurnal Kesehatan Masyarakat, 7(2), 3934–3940. https://journal.universitaspahlawan.ac.id/index.php/prepotif/article/view/26918

Rahman, R. A., et al. (2024). Lavender aromatherapy: Its effect on preoperative anxiety and propofol requirement for anesthesia. Anaesthesia, Pain & Intensive Care, 28(1). https://apicareonline.com/index.php/APIC/article/view/2376

Riska, D. (2023). Pengaruh pemasangan bidai dan relaksasi nafas dalam terhadap perubahan skala nyeri pada pasien fraktur. Jurnal Penelitian Perawat Profesional, 5(1), 30–36. https://jurnal.globalhealthsciencegroup.com/index.php/JPPP/article/download/3430/2437/

Sahrayi Zarghi, S., Najafi Ghezeljeh, T., & Rasouli, M. (2020). The effect of aromatherapy and the Benson relaxation technique on the anxiety of patients with acute coronary syndrome: Randomized controlled trial. Journal of Client-Centered Nursing Care, 6(2), 109–116. https://doi.org/10.32598/JCCNC.6.2.34.2

Sari, D. P. (2022). Asuhan keperawatan pada pasien dengan fraktur femur di RSUD Dr. M. Djamil Padang [Karya Tulis Ilmiah]. Poltekkes Kemenkes Padang.

Sembiring, T. E., & Rahmadhan, A. H. (2023). Karakteristik penderita fraktur akibat kecelakaan lalu lintas di RS Setia Budi Medan Tahun 2021–2023. Jurnal Darma Agung Husada, 5(1), 64–70. https://jurnal.darmaagung.ac.id/index.php/darmaagunghusada/article/download/4831/4131/

Tim Pokja SDKI DPP PPNI. (2017). Standar diagnosa keperawatan Indonesia (Edisi 1, Cetakan 3). DPP PPNI.

Tim Pokja SIKI DPP PPNI. (2018). Standar intervensi keperawatan Indonesia (Edisi 1, Cetakan 2). DPP PPNI.

Tim Pokja SLKI DPP PPNI. (2019). Standar luaran keperawatan Indonesia (Edisi 1, Cetakan 2). DPP PPNI.

Woods, S. L., Froelicher, E. S. S., Motzer, S. U., & Bridges, E. (2010). Cardiac nursing. Lippincott Williams & Wilkins.

Yana, O. E., Sjattar, E. L., & Erfina. (2024). Efektivitas aromaterapi inhalasi lavender dalam upaya meredakan ansietas pra-operasi: Tinjauan literatur. Jurnal Keperawatan Profesional, 5(2), 325–339. https://doi.org/10.36590/kepo.v5i2.1298

Yoo, O., & Park, S.-A. (2023). Anxiety-reducing effects of lavender essential oil inhalation: A systematic review. Healthcare, 11(22), 2978. https://doi.org/10.3390/healthcare11222978