Penerapan akupresur pada titik P6 terhadap emesis gravidarum  pada ibu hamil trimester 1

Effect of nei–guan point (P6) acupressure on nausea and vomiting in women with hyperemesis gravidarum Background: Prevalence of emesis gravidarum issued by the explains that more than 80% of pregnant women in Indonesia experience excessive nausea and vomiting. the incidence of gravidarum emesis cases is 0.8 to 32 cases per 1,000 pregnancies. Therefore, the treatment of labor pain is necessary mother of birth.. While in the year 2017 period January-December as many as 56 cases of hyperemesis gravidarum of 132 visits and 26 pregnant women (46.43%) received treatment and medical treatment.Purpose: Knowing the effect of giving acupressure point P6 to nausea and vomiting in pregnant women TM I in BPM Wirahayu Panjang Year 2018.Methods: Quantitative research type, experimental quasi research design with one group pretest - posttest design approach. The number of population and samples is 30 people, purposive sampling technique samples. Data Analysis using t-test.Results: Showed vomiting before being given intervention Mean 10.53 Min 9 Max 13 and Standard Deviation 1.408 and Standard Error 0.257, after being given acupressure Mean 7.30 Min 5 Max 10 and Standard Deviation 1,317 and Standard Error 0.240. Statistical test results obtained P-value = 0.000 means that there is an effect of p6 point acupressure on nausea and vomiting in pregnant women TM I at BPM Wirahayu Panjang in 2018.Conclusion: Acupressure stimulates the regulatory system and activates endocrine and neurological mechanisms, by stimulating the hypothalamus to removing endorphins which give a sense of relaxation.Suggestions: are used as input in providing information about nausea and vomiting, understanding, handling and impact if nausea vomiting is allowed, besides providing benefits and information resources for mothers about handling nausea and vomiting using acupressure massage in daily life Keywords: Nei–guan point (P6); Acupressure; Nausea; Vomiting; Women; Hyperemesis; Gravidarum Pendahuluan: Prevalensi emesis gravidarum lebih dari 80% wanita hamil di Indonesia mengalami mual dan muntah yang berlebihan. Insidensi terjadinya kasus emesis gravidarum sebesar 0,8 sampai 32 kasus per 1.000 kehamilan. Oleh sebab itu penanganan mual muntah pada kehamilan sangat perlu dilakukan terhadap ibu hamil TM 1. Sedangkan pada tahun 2017 periode Januari-Desember sebanyak 56 kasus hyperemesis gravidarum dari 132 kunjungan kehamilan dan 26 orang ibu (46.43%) mendapat perawatan dan tindakan medis.Tujuan: Diketahui pengaruh pemberian akupresure titik P6 terhadap mual dan muntah pada ibu hamil TM I di BPM Wirahayu Panjang Tahun 2018.Metode: Jenis penelitian kuantitatif, rancangan penelitian quasi eksperimental dengan pendekatan one group pretest – posttest design. Jumlah populasi 120 orang ibu hamil dan sampel sebanyak 30 orang, teknik sampel purposive sampling. Analisa Data menggunakan uji t-test.Hasil: Menunjukan muntah sebelum diberi intervensi Mean 10.53 Min 9 Max 13 danStandar Deviasi 1.408 dan Standar Eror 0.257, sesudah diberi akupresur Mean 7.30 Min 5 Max 10 dan Standar Deviasi 1.317 dan Standar Eror 0.240. Hasil uji statistik didapatkan nilai P-value = 0.000 artinya terdapat Pengaruh pemberian akupresure titik p6 terhadap mual dan muntah pada ibu hamil TM I di BPM Wirahayu Panjang Tahun 2018.Simpulan: Akupresur menstimulasi system regulasi serta mengaktifkan mekanisme endokrin dan neurologi, dengan cara merangsang kerja hipotalamus untuk mengeluarkan zat endorphin yang memberikan rasa rileks.Saran: Sebagai masukan dalam memberikan informasi tentang mual dan muntah, pengertian, penanganan dan dampak jika mual muntah dibiarkan, selain itu memberikan manfaat dan sumber informasi bagi ibu tentang penanganan mual muntah menggunakan pijat akupresur dalam kehidupan sehari-hari

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Efektivitas Aroma Terapi Lemon untuk Menangani Emesis Gravidarum

Jurnal Keperawatan ◽

10.32583/keperawatan.v11i4.598 ◽

2019 ◽

Vol 11 (4) ◽

pp. 277-284

Author(s):

Vitrianingsih Vitrianingsih ◽

Sitti Khadijah

Keyword(s):

Pregnant Women ◽

Sampling Technique ◽

T Test ◽

The Body ◽

Nausea And Vomiting ◽

P Value ◽

Purposive Sampling ◽

Body Tissues ◽

Quasi Experimental ◽

Paired T Test

Studi memperkirakan emesis gravidarum terjadi pada 50-90% kehamilan. Mual muntah pada kehamilan memberikan dampak yang signifikan bagi tubuh dimana ibu menjadi lemah, pucat dan cairan tubuh berkurang sehingga darah menjadi kental (hemokonsentrasi). Keadaan ini dapat memperlambat peredaran darah dan berakibat pada kurangnya suplay oksigen serta makanan ke jaringan sehingga dapat membahayakan kesehatan ibu dan janin. Salah satu terapi yang aman dan dapat dilakukan untuk mengurangi keluahan mual muntah pada ibu hamil adalah pemberian aromaterapi lemon. Penelitian bertujuan untuk mengetahui efektifitas aroma terapi lemon untuk menangani emesis gravidarum. Penelitian ini menggunakan rancangan Quasi experiment dengan one group pre-post test design. Populasi penelitian adalah ibu hamil yang mengalami emesis gravidarum di Kecamatan Berbah, Sleman. Jumlah sampel 20 ibu hamil trimester pertama yang diambil dengan teknik purposive sampling. Pengukuran mual muntah dilakukan debelum dan setelah pemberian aromaterapi lemon menggunakan Indeks Rhodes. Analisa data menggunakan uji Paired t-test. Hasil penelitian didapatkan rata-rata skor mual muntah sebelum pemberian aromaterapi lemon berdasarkan Indeks Rhodes pada Ibu Hamil dengan emesis gravidarum yaitu 22,1 dan terjadi penurunan skor setelah pemberian aromaterapi lemon menjadi 19,8. Ada pengaruh pemberian aromaterapi lemon dengan pengurangan mual muntah pada ibu hamil (p-value = 0.017). Berdasarkan hasil penelitian dapat disimpulkan pemberian aromaterapi lemon efektif untuk mengurangi emesis gravidarum pada ibu hamil trimester pertama. Kata kunci: aromaterapi lemon, emesis gravidarum THE EFFECTIVENESS OF LEMON AROMATHERAPY FOR HANDLING EMESIS GRAVIDARUM ABSTRACT Studies estimate that nausea and vomiting (emesis gravidarum) occur in 50 – 90% of pregnancies. Nausea and vomiting of pregnancy have a significant impact on the body in which it makes a mother becomes weak, pale, and decreasing body fluid so that the blood becomes thick (hemoconcentration). This situation can slow down blood circulation and inflict the lack of oxygen and food supplies to the body tissues so that it can endanger the health of the mother and fetus. One of the therapies that is safe and can be conducted to reduce nausea and vomiting of pregnancy is by giving the lemon aromatherapy treatment. The research aims to determine the effectiveness of the aroma of lemon therapy to deal with emesis gravidarum. This study applied quasi-experimental research with one group pretest-posttest design. The population of this study was pregnant women who experienced emesis gravidarum. Furthermore, samples were 20 mothers from Berbah, Sleman taken by using a purposive sampling technique. Nausea and vomiting were assessed between before and after giving lemon aromatherapy using the Rhodes Index. The data were analyzed using the paired t-test. The mean score of nausea and vomiting before giving lemon aromatherapy on mother with emesis gravidarum based on the Rhodes Index was 22.1. However, it decreased after given lemon aromatherapy treatment to 19.8. Therefore, there was an effect on giving lemon aromatherapy treatment toward the decrease of nausea and vomiting for pregnant women (p-value = 0.017). Lemon aromatherapy is effective to reduce emesis gravidarum. Keywords: lemon aromatherapy, emesis gravidarum

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EFEKTIFITAS PEMBERIAN PERMEN JAHE TERHADAP MUAL MUNTAH PADA IBU HAMIL DI KLINIK KHAIRUNIDA SUNGGAL TAHUN 2018

COLOSTRUM : Jurnal Kebidanan ◽

10.36911/colostrum.v1i1.605 ◽

2019 ◽

Vol 1 (1) ◽

pp. 36-44

Author(s):

Ani Nurdiana ◽

Betty Mangkuji ◽

Rismahara Lubis

Keyword(s):

Pregnant Women ◽

Hyperemesis Gravidarum ◽

Sampling Technique ◽

First Trimester ◽

Statistical Test ◽

Nausea And Vomiting ◽

P Value ◽

Nutritional Disorder ◽

Average Decrease ◽

Pharmacy Department

Pregnancy causes a lot of change in the mother’s body, so there are various kinds of physiological discomfort in the mother such as nause and vomiting, usually mild and controlable. This condition sometimes stops in the first trimester, but its effect may lead to nutritional disorder, dehydration, weakness, weight loss, and electrolyte imbalances. If not treated, it will worsen into Hyperemesis Gravidarum This study aimed to determine the effectiveness og ginger candy in reducing the frecuency of nause and vomiting in first trimester pregnant women in the Khairunida clinik with experimental Quasy design and tested by One Group Pretest Postest. About 15 samples were obtained through purposive sampling technique and the data were taken using the T-dependent test. Through the study, it was found that the frequency of nausea and vomiting before being given intervation was 10,93 and after being given intervation was 3,33 with an average decrease by 7,60. Through the statistical test, it was obtained the p value <(0.05) so that this study concluded that administration of ginger candy was effective in reduring nausea and vomiting in first trimester pregnant women. Further researchers are expected toreduce the use of non-pharmacological drugs to overcome nausea and vomiting in first trimester pregnant women and collaborate with the pharmacy department to facilitate the process of making good qualityy ginger candy.

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Efektivitas Pemberian Seduhan Jahe terhadap Frekuensi Emesis Gravidarum Trimester I

Jurnal SMART Kebidanan ◽

10.34310/sjkb.v7i1.320 ◽

2020 ◽

Vol 7 (1) ◽

pp. 1

Author(s):

Dewi Aprilia Ningsih ◽

Metha Fahriani ◽

Melly Azhari ◽

Mika Oktarina

Keyword(s):

Pregnant Women ◽

Hyperemesis Gravidarum ◽

First Trimester ◽

Average Frequency ◽

Nausea And Vomiting ◽

Rank Test ◽

P Value ◽

Purposive Sampling ◽

Post Test ◽

Wilcoxon Sign Rank

ABSTRAKEmesis atau mual dan muntah pada kehamilan merupakan hal yang fisiologis, namun apabila terjadi berkelanjutan menjadi hiperemesis gravidarum dapat meningkatkan resiko terjadinya gangguan pada kehamilan. Mual dan muntah selama masa kehamilan dapat diatasi dengan terapi non farmakologi salah satunya menggunakan seduhan jahe. Penelitian ini bertujuan untuk mengetahui efektivitas pemberian seduhan jahe terhadap frekuensi mual dan muntah pada ibu hamil timester I. Penelitian ini menggunakan desain quasi eksperimen dengan rancangan one group pretest-post test. Populasi dalam penelitian ini adalah ibu hamil trimester I yang mengalami mual dan muntah. Sampel diambil dengan teknik purposive sampling sebanyak 22 responden. Analisis data menggunakan uji wilcoxon sign rank. Hasil penelitian didapatkan rata-rata frekuensi mual dan muntah sebelum dilakukan pemberian seduhan jahe sebesar 9,36 kali/hari, sedangkan rata-rata setelah dilakukan pemberian seduhan jahe sebesar 4,86 kali/hari. Terdapat perbedaan rata-rata frekuensi mual muntah sebelum dan sesudah intervensi seduhan jahe dengan nilai Z=-4,123 dan p value = 0,000 . Pemberian seduhan jahe efektif dalam mengurangi frekuensi mual dan muntah pada ibu hamil trimester I. Kata kunci : emesis gravidarum; ibu hamil; seduhan jahe; mual dan muntah THE EFFECTIVENESS OF STEEPING GINGER DRINK TO THE FREQUENCY OF GRAVIDARUM EMESISTS IN THE FIRST TRIMESTER PREGNANT WOMEN ABSTRACTNausea and vomiting in pregnancy is physiological symptom, but if it continues to be hyperemesis gravidarum it can increase the risk of pregnancy disorders. Nausea and vomiting during pregnancy can be overcome with non-pharmacological therapy, one of which uses ginger steeping. This study was aimed to determine the effectiveness of ginger steeping to the frequency of nausea and vomiting in the first trimester pregnant women. This study used a Quasi experimental design with a One Group Pretest-Post test design. Samples were taken by purposive sampling technique amounted to 22 respondents. Data analysis used the Wilcoxon Sign Rank test. The results showed an average frequency of nausea and vomiting before giving ginger was 9.36, while the average after giving ginger was 4.86. There is a difference in the average frequency of nausea and vomiting before and after the intervention of ginger steeping with Z value = -4,123 and p value = 0,000, which means that ginger steeping is effective in reducing the frequency of nausea and vomiting in first trimester pregnant women. . Keywords: emesis gravidarum; pregnant women; steeping ginger; nausea and vomiting

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PEMBERIAN VITAMIN C DAPAT MENINGKATKAN KADAR HEMOGLOBIN PADA IBU HAMIL ANEMIA

Jurnal Kebidanan Malahayati ◽

10.33024/jkm.v6i3.1731 ◽

2020 ◽

Vol 6 (3) ◽

pp. 342-348

Author(s):

Risma Agusmayanti ◽

Achmad Farich ◽

Anggraini Anggraini

Keyword(s):

Standard Deviation ◽

Vitamin C ◽

Pregnant Women ◽

Iron Catalyst ◽

Sampling Technique ◽

Alkaline Solutions ◽

P Value ◽

Purposive Sampling ◽

Average Value ◽

Vit C

Background: anemia in pregnancy is anemia due to iron deficiency, and is a type of anemia which is relatively easy treatment, even cheap. Efforts to overcome iron nutritional anemia in pregnant women are done through increasing the coverage of iron tablet supplementation, Vitamin C has unstable properties in alkaline solutions, stable in dry conditions and in acidic solutions, and as an iron catalyst so that helps absorption. Preliminary survey conducted by researchers in January 2019 from observations from 3 posyandu in the ANC book found that 65 pregnant women consisted of Posyandu Strawbery 1, namely TM 2 (4 people), TM III (8 people), in Posyandu Strawbery II TM 2 ( 8 people), TM III (23 people). And in the Strawbery III posyandu namely TM 2 (7 people), TM III (15 people). Purpose: of this study is to know the effect of Vit C on hemoglobin levels in pregnant women with anemia in the village of Ringin Sari Banjar Margo, Tuba Tulang Bawang Regency in 2019. Methods: quantitative with pre-experimental action, One group pretest - posttest design. The population in this study were all pregnant women with anemia as many as 65 respondents. A sample of 30 people, the sampling technique used was purposive sampling. Data collection using observation sheets, how to administer Vit C was given 1 day 50 mg to be consumed for 14 days 1x50 mg / day taken after lunch together with FE tablets and the data analysis used was the T-dependent test. Results: of the study are known to be the average value of hemoglobin levels before administration of Vit C 8,980 and standard deviation. The average value of hemoglobin levels after administration of Vit C was 12,190 and a standard deviation of .8397. Conclution: There Is An Effect Of Giving Vit C On Increasing Hb Levels In Pregnant Women (p value 0,0003 <0.05). Suggestions For pregnant women can consume Fe + vit C tablets regularly in order to prevent anemia and to consume foods that contain vitamin C. Suggestion Pregnant women are expected to routinely take Vit C together with FE tablets at 13 weeks to 40 weeks' gestation, as recommended, so that at the time of delivery the mother does not experience anemia. Keywords: Anemia, vit C, Hemoglobin ABSTRAK Latar belakang : anemia pada kehamilan adalah anemia karena kekurangan zat besi, dan merupakan jenis anemia yang pengobatannya relatif mudah, bahkan murah. Upaya penanggulangan anemia gizi besi pada ibu hamil dilakukan melalui peningkatan cakupan suplementasi tablet besi, Vitamin C memiliki sifat yang labil dalam larutan alkali, stabil dalam kondisi kering dan dalam larutan asam, dan sebagai katalisator besi sehingga membantu penyerapan. Survey pendahuluan yang peneliti lakukan pada januari Tahun 2019 dari hasil observasi dari 3 posyandu pada buku ANC diketahui 65 ibu hamil yang terdiri dari posyandu Strawbery 1 yaitu TM 2 (4 orang), TM III (8 orang), di posyandu Strawbery II TM 2 (8 orang), TM III (23 orang). Dan di posyandu Strawbery III yaitu TM 2 (7 orang), TM III (15 orang). Tujuan penelitian :diketahui Pengaruh Vit C terhadap Kadar Hemoglobin Pada Ibu Hamil Anemia didesa Ringin Sari Banjar Margo Kabupaten Tuba Tulang Bawang Tahun 2019. Metode: kuantitatif dengan tindakan pra eksperimen, rancangan One group pretest – posttest design. Populasi dalam penelitian ini adalah seluruh ibu hamil yang mengalami anemia sebanyak 65 responden. Sampel 30 orang, Teknik sampling yang digunakan purposive sampling. Pengumpulan data dengan menggunakan lembar observasi, cara pemberian Vit C diberikan 1 hari 50 mg untuk dikosumsi selama 14 hari 1x50 mg/hari Pemberian Vitamin C Dapat Meningkatkan Kadar Hemoglobin Pada Ibu Hamil Anemiadiminum setelah makan siang bersamaan dengan tablet FE dan analisa data yang digunakan adalah uji Tdependent. Hasil: diketahui Nilai rata-rata kadar hemoglobin sebelum pemberian Vit C 8.980 dan standar deviasi .8277. Nilai rata-rata kadar hemoglobin sesudah pemberian Vit C 12.190 dan standar deviasi .8397. Kesimpulan: Ada Pengaruh Pemberian Vit C Terhadap Peningkatan Kadar Hb Pada Ibu Hamil (p value 0,0003 < 0,05). Saran bagi ibu hamil dapat mengkonsumsi tablet Fe + vit C secara rutin guna pencegahan terjadinya anemia serta mengkonsumsi makanan yang mengandung vitamin C. Saran Bagi Ibu Hamil diharapkan untuk rutin mengkonsumsi Vit C bersamaan tablet FE pada usia kehamilan 13 minggu hingga 40 minggu, sesuai dengan anjuran, agar pada waktu persalinan ibu tidak mengalami anemia Kata Kunci : Anemia, vit C, kadar

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PENGARUH AKUPRESUR PADA TITIK NEI GUAN, ZU SANLI DAN GONGSUN TERHADAP PENGURANGAN MUAL MUNTAH PADA IBU HAMIL TRIMESTER I DI PMB AFAH FAHMI A.Md. Keb SURABAYA

Medika Respati : Jurnal Ilmiah Kesehatan ◽

10.35842/mr.v13i3.175 ◽

2018 ◽

Vol 13 (3) ◽

Author(s):

Eka Meiri K, Noviana Kibas

Keyword(s):

Pregnant Women ◽

Hyperemesis Gravidarum ◽

First Trimester ◽

Nausea And Vomiting ◽

Wilcoxon Test ◽

P Value ◽

Test Results ◽

Severe Nausea ◽

Purposive Sampling ◽

Independent Variables

Keluhan yang dirasakan ibu hamil trimester I adalah mual muntah (emesis gravidarum). Mual dan muntah pada ibu hamil merupakan hal yang sering terjadi, terutama pada trimester I. Pada beberapa ibu hamil, mual dan muntah yang terjadi pada trimester I dapat berlanjut sampai masa kelahiran. Mual dan muntah yang berlangsung hebat, disebut dengan hiperemesis gravidarum, yang dapat membahayakan ibu dan fetus, karena sulitnya nutrisi untuk masuk. Tujuan penelitian ini adalah untuk mengetahui adakah pengaruh pemberian akupresur terhadap pengurangan mual muntah pada ibu hamil trimester I di BPM Afah Fahmi, Amd. Keb Surabaya.Teknik sampling dalam penelitian ini adalah Purposive sampling. Dengan menggunakan Rancangan penelitian One group pretest – Postest design. Populasi dalam penelitian ini adalah semua ibu hamil trimester I yang mengalami mual muntah sedangkan sampel penelitian sebanyak 15 responden. Instrumen yang digunakan adalah lembar observasi. Teknik yang digunakan untuk mengetahui pengaruh dari variabel dependen dan independen adalah uji Statistik Wilcoxon test.Hasil penelitian yang dilakukan di BPM Afah Fahmi, Amd.Keb Surabaya adalah ibu hamil trimester I yang mengalami mual muntah setelah diberikan akupresur terjadi penurunan mual muntah. Dari hasil uji statistik Wilcoxon test di peroleh p-value 0,000 < α (0,05).Kesimpulan dalam penelitian ini adalah ada pengaruh pemberian akupresur terhadap pengurangan mual muntah pada ibu hamil trimester I di BPM Afah Fahmi, Amd Keb Surabaya. Oleh karena itu sebaiknya ibu hamil yang mengalami mual muntah dianjurkan untuk melakukan akupresur pada tenaga kesehatan yang profesional karena lebih mudah dan efektif. Kata kunci : akupresur, mual, muntah, ibu hamil ABSTRACTThe complaints felt by the first trimester pregnant women are nausea vomiting (emesis gravidarum). Nausea and vomiting in pregnant women is a common occurrence, especially in the trimester I. In some pregnant women, nausea and vomiting that occur in the trimester I may continue until delivery. Severe nausea and vomiting, called hyperemesis gravidarum, can be harmful to the mother and fetus, because of the difficult nutrients to enter. The purpose of this study was to determine whether there is an effect of acupressure on reducing nausea of vomiting in trimester pregnant women at BPM Afah Fahmi, Amd. Keb Surabaya.Sampling technique in this research is Purposive sampling. Using One group pretest - Postest design. The population in this study were all the trimester I pregnant women who experienced nausea vomiting while the study sample of 15 respondents. The instrument used is an observation sheet. The technique used to determine the effect of dependent and independent variables is the Wilcoxon Statistics test.The results of research conducted in BPM Afah Fahmi, Amd.Keb Surabaya is the trimester I pregnant women who experienced nausea vomiting after given acupressure decreased nausea vomiting. From Wilcoxon test results obtained p-value 0.000 <α (0.05).The conclusion in this research is there is effect of giving acupressure to the reduction of nausea vomiting in pregnant woman of trimester I at BPM Afah Fahmi, Amd Keb Surabaya. Therefore, pregnant women who experience nausea, vomiting is recommended to perform acupressure on health professionals because it is easier and more effective. Keywords: acupressure, nausea, vomiting, pregnant women

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Pengaruh Terapi Back Massage Terhadap Intensitas Nyeri Persalinan Kala I di Rumah Sakit DKT Bandar Lampung

Malahayati Nursing Journal ◽

10.33024/manuju.v2i4.1653 ◽

2020 ◽

Vol 2 (4) ◽

pp. 726-735

Author(s):

Rilyani Rilyani ◽

Dewi Kusumaningsih ◽

Siti Rohmah

Keyword(s):

Standard Deviation ◽

Quantitative Research ◽

Massage Therapy ◽

Sampling Technique ◽

T Test ◽

Labor Pain ◽

P Value ◽

Birth Process ◽

Purposive Sampling ◽

Back Massage

ABSTRACT: EFFECT OF BACK MASSAGE THERAPY TO THE INTENSITY LABOR PAIN KALA I IN DKT HOSPITAL BANDAR LAMPUNG CITY Introduction: Pain in labor that can affect the birth process. Psychologically can suffer from fear and anxiety, can also be an increase in blood pressure, and can also occur in the fetus that is due to acidosis due to hypoxia. One technique of back massage as an effort to reduce labor pain is a back massage technique. With the provision of back massage therapy can provide comfort, reduce pain and accelerate labor.Objective: Purpose to know he effect of back massage therapy on the intensity of labor pain at DKT Hospital Bandar Lampung Year 2019.Method: Quantitative research with analytical design approach Quasi Experiment, the entire population as many as 56 people, a sample of 30 people sampling with Purposive sampling technique. Retrieving data using observation sheets, data were analyzed using independent t test statistical test.Result: The results of the study showed that the average of labor pain before giving back massage technique is 6,80 with standard deviation 2.07 and after given back massage technique is 4,73 with standard deviation 1,104. There is influence of back massage technique to the intensity of labor pain (t-test> t count, 8,266> 1.725, p-value 0,00 <0,05). It is recommended that the hospital improve the skill to the nurse to be able to provide non-pharmacology pain reduction therapy, such as back massage properly so that patient feel comfortable. Keywords: Back Massage,1st stage labor pain. INTISARI: PENGARUH TERAPI BACK MASSAGE TERHADAP INTENSITAS NYERI PERSALINAN KALA I DI RUMAH SAKIT DKT BANDAR LAMPUNG Pendahuluan: Nyeri pada persalinan yang dapat mempengaruhi proses kelahiran. Secara psikologis ibu dapat menderita ketakutan dan kecemasan, juga bisa terjadinya peningkatan tekanan darah, juga bisa terjadi pada janinnya yaitu terjadi asidosis akibat hipoksia. Salah satu teknik massage sebagi upaya penurunan nyeri persalinan adalah teknik Back Massage. Dengan adanya pemberian terapi Back Massage dapat memberi rasa nyaman, menurunkan nyeri serta mempercepat persalinan.Tujuan: Diketahui Pengaruh terapi back massage terhadap intensitas nyeri persalinan di Rumah Sakit DKT Bandar Lampung Tahun 2019.Metode: Jenis penelitian kuantitatifdengan pendekatan quasi eksperimen dengan one group pretest-postest.. Populasi dalam penelitian ini sebanyak 56, dengan sampel sebanyak 30. Teknik sampling dalam penelitian ini adalah Purposive sampling. Data diambil dengan lembar observasi. Analisa data dilakukan dengan univariat dan bivariat(t-test).Hasil: Hasil Penelitian didapati Rata-rata nyeri persalinan sebelum diberikan teknik back massage adalah 6,80 dengan standar deviasi 2,07 dan setelah diberikan teknik back massage adalah 4,73 dengan standar deviasi 1,104. Ada pengaruh tekhnik back massage terhadap intensitas nyeri persalinan (t-test> t hitung, 8,266 > 1.725, p–value 0,00 < 0,05). Disarankan pihak rumah sakit meningkatkan ketrampilan kepada perawat untuk dapat memberikan terapi pengurangan rasa nyeri non farmakologi, seperti backmassage dengan benar sehingga pasien merasa nyaman. Kata kunci : Back Massage, Nyeri Persalinan Kala I

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Pengaruh terapi komplementer akupresur terhadap emesis gravidarum pada ibu hamil trimester I

HOLISTIK JURNAL KESEHATAN ◽

10.33024/hjk.v15i1.4268 ◽

2021 ◽

Vol 15 (1) ◽

pp. 89-94

Author(s):

Ratna Dewi ◽

Noviyanti Noviyanti

Keyword(s):

Hyperemesis Gravidarum ◽

Health Centre ◽

Sampling Technique ◽

Complementary Therapy ◽

First Trimester ◽

Nausea And Vomiting ◽

P Value ◽

Electrolyte Balance ◽

Public Health Centre ◽

Purposive Sampling

Acupressure as a complementary therapy to the treatment of emesis gravidarumBackground: Nausea, vomiting results in decreased appetite, so that there is a change in electrolyte balance (potassium, calcium and sodium) which changes the body's metabolism. Nausea and vomiting (emesis gravidarum) when become severe conditions called hyperemesis gravidarum which causes pregnant women to vomit continuously every time they drink or eat, as a result the condition of the mother's body is getting worse, weaker, pale, and the frequency of urination decreases drastically so that little body fluids and blood becomes thick (hemoconcentration) and slows blood circulation, conjunction it can endanger the health condition of the mother and the development of the fetus.Purpose: To determine the effect of acupressure therapy in reducing the intensity of nausea and vomiting in the first trimester.Method: A quasi Experiment using a pretest-posttest design. The population were pregnancy who experiencing of nausea and vomiting. The sampling technique used a purposive sampling technique. Data analysis used dependent T-test and the Independent T-test.Results: There was an effect of acupressure therapy in reducing the intensity of nausea and vomiting in first Trimester with p-value 0.008. (<0.05).Conclusion: There was the effect of acupressure therapy in reducing the intensity of nausea and vomiting in the first trimester. Suggestion: To management of public health centre to promotion increase the provision of information on types of complementary non-pharmacological therapies, such as acupressure therapy emesis gravidarum.Keywords : Acupressure; Complementary therapy; Treatment; Emesis gravidarumPendahuluan: Mual muntah mengakibatkan menurunnya selera makan sehingga terjadi perubahan keseimbangan elektrolit (kalium, kalsium dan natrium) membuat metabolisme tubuh berubah. Mual muntah (emesis gravidarum) yang parah atau sering ini disebut hiperemesis gravidarum yang menyebabkan ibu hamil muntah terus menerus setiap kali minum atau makan, akibatnya kondisi tubuh ibu semakin turun, lemah, pucat, dan frekuensi pada buang air kecil (BAK) menurun drastis sehingga cairan tubuh sedikit dan darah menjadi kental (hemokonsentrasi) serta melambatkan peredaran darah, akibatnya dapat membahayakan kondisi kesehatan ibu dan perkembangan janin/bayi dalam kandungan ibu.Tujuan: Untuk mengetahui pengaruh pemberian terapi akupressur dalam menurunkan intensitas mual muntah Pada Ibu Hamil Trimester I di Wilayah Kerja Puskesmas Ingin Jaya.Metode : Jenis penelitian ini adalah Quasi Eksperimen dengan menggunakan rancangan Pretest-Posttest design. Populasi dalam penelitian ini adalah ibu hamil yang mengalami mual muntah. Teknik pengambilan sampel yaitu menggunakan teknik Purposive Sampling. Analisa data dilakukan dengan menggunakan uji T Dependent test dan uji T Independent test. Hasil : Hasil penelitian terdapat pengaruh pemberian terapi akupressur dalam menurunkan intensitas mual muntah pada Ibu Hamil Trimester I di Wilayah Kerja Puskesmas Ingin Jaya dengan nilai p < 0.005 yaitu nilai p didapat 0.008.Simpulan: Ada pengaruh terapi akupresur dalam menurunkan intensitas mual dan muntah pada trimester pertama. Saran: Kepada manajemen Puskesmas agar meningkatkan promosi kesehatan dengan penyediaan informasi jenis terapi non farmakologis komplementer, seperti terapi akupresur emesis gravidarum

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Inhalasi Aromaterapi Lemon Menurunkan Frekuensi Mual Muntah pada Ibu Hamil

Jurnal Kesehatan Metro Sai Wawai ◽

10.26630/jkm.v12i1.1741 ◽

2019 ◽

Vol 12 (1) ◽

pp. 30

Author(s):

Siti Maesaroh ◽

Mera Putri

Keyword(s):

Public Health ◽

Data Analysis ◽

Pregnant Women ◽

Quantitative Research ◽

Hyperemesis Gravidarum ◽

Sampling Technique ◽

Complementary Therapy ◽

Average Frequency ◽

Nausea And Vomiting ◽

P Value

<table width="605" border="1" cellspacing="0" cellpadding="0"><tbody><tr><td valign="top" width="454">Background: The incidence of nausea, vomiting or emesis gravidarum in pregnant women reaches 50-90%, while hyperemesis gravidarum reaches 10-15% in Lampung Province. Purpose: prove the effect of lemon aromatherapy inhalation on nausea and vomiting in pregnant women in the first four months. Methods: This type of quantitative research with pre-experimental design was carried out in February - April 2018. The population in this study was the number of pregnant women in the first four months of pregnancy who experienced nausea and vomiting at UPT Karya Penggawa Public Health Center, Pesisir Barat District with a sample of 30 people. Accidental sampling sampling technique. The variables analyzed were the results of interventions in the administration of lemon aroma therapy inhalation. Data analysis using T test. Results: The study obtained the average frequency of nausea and vomiting before the intervention 17.37 times, whereas after the intervention dropped to 12.43 times. There is an inhalation effect of the aroma of lemon therapy on nausea and vomiting in pregnant women in the first four months of pregnancy (p value 0,000). Conclusion: Inhalation of lemon aroma therapy is effective in reducing the frequency of nausea and vomiting in pregnant women with a decrease of 4.86 times the frequency of nausea and vomiting. Inhalation of the aroma of lemon therapy becomes a part that can be applied as a complementary therapy to reduce the frequency of nausea, vomiting in care for pregnant women. Latar belakang: Angka kejadian mual muntah atau emesis gravidarum pada wanita hamil mencapai 50-90%, sedangkan hiperemesis gravidarum mencapai 10-15% di Provinsi Lampung. Tujuan: membuktikan pengaruh inhalasi aromaterapi lemon terhadap mual muntah pada ibu hamil trimester I. Metode: Jenis penelitian kuantitatif dengan rancangan pra experimental yang dilaksanakan pada pada bulan februari – april 2018. Populasi dalam penelitian ini adalah jumlah ibu hamil trimester I yang mengalami mual muntah di UPT Puskesmas Karya Penggawa Kabupaten Pesisir Barat dengan jumlah sampel 30 orang. Tehnik pengambilan sampel accidental sampling. Variabel yang dianalisis adalah adalah hasil intervensi pemberian inhalasi aroma terapi lemon. Analisis data menggunakan T test. Hasil: Penelitian memperoleh hasil rerata frekuensi mual muntah sebelum intervensi 17.37 kali, sedangkan setelah intervensi turun menjadi 12.43 kali. Ada pengaruh inhalasi aroma terapi lemon terhadap mual muntah pada ibu hamil trimester I (p value 0,000). Simpulan: pemberian inhalasi aroma terapi lemon efektif menurunkan frekuensi mual muntah pada ibu hamil dengan penurunan 4,86 kali frekuensi mual muntah. Inhalasi aroma terapi lemon menjadi bagian yang dapat diterapkan sebagai terapi komplementer untuk mengurangi frekeunsi mual muntah dalam asuhan pada ibu hamil. </td></tr></tbody></table>

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TERAPI SEFT (SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE) UNTUK MENGHADAPI KECEMASAN DALAM PERSALINAN

Jurnal Kebidanan Malahayati ◽

10.33024/jkm.v7i1.3146 ◽

2021 ◽

Vol 7 (1) ◽

pp. 139-144

Author(s):

Widiyanti Sarimunadi ◽

Bunga Tiara Carolin ◽

Rosmawaty Lubis

Keyword(s):

Pregnant Women ◽

Sampling Technique ◽

Average Score ◽

Control Group ◽

P Value ◽

Control Group Design ◽

Purposive Sampling ◽

Group Design ◽

Post Test ◽

Quasi Experimental

ABSTRACT: SEFT THERAPY (SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE) FOR ANXIETY IN DEALING WITH LABORBackground: If the concern and anxiety of pregnant women is not handled seriously, it will have an impact and influence on physical and psychological aspects, both on the mother and the fetus. Pregnant women who experience anxiety in the face of labor are afraid of being operated on, afraid of spending a lot of money, fear of not being able to care for their babies properly, fear of their baby dying, fear of pain during delivery. One of the techniques for dealing with anxiety is SEFT therapy.Objective: to determine the effect of Spiritual Emotional Freedom Technique (SEFT) on anxiety in dealing with labor process.Methodology: this research is a quasi-experimental design with pre and post-test with control group design. The sample in this study was 25 trimester III pregnant women. The sampling technique was using purposive sampling technique. The research instrument used the DASS 42 questionnaire. The results of the data normality test were normally distributed so that the data were analyzed using the paired t-test.Results: The results showed that the average score of maternal anxiety before therapy was 13.48 (moderate) while after therapy was 7.88 (normal). The bivariate test results obtained p value 0,000.Conclusions: Spiritual Emotional Freedom Technique (SEFT) can overcome the anxiety of pregnant women in facing labor.Suggestions: It is hoped that this therapy can be applied in the practice of midwifery to care for pregnant women, especially pregnant women who experience trauma or have anxiety in their pregnancy. Keywords: anxiety, pregnant women, spiritual emotional freedom technique. ABSTRAK Latar Belakang: Kekhawatiran dan kecemasan pada ibu hamil apabila tidak ditangani dengan serius akan membawa dampak dan pengaruh terhadap fisik dan psikis, baik pada ibu maupun janin. Ibu hamil yang mengalami kecemasan dalam menghadapi persalinan disebabkan karena ibu takut dioperasi, takut akan mengeluarkan biaya yang banyak, takut tidak bisa merawat bayinya dengan baik, takut bayinya meninggal, takut kesakitan saat persalinan. Salah satu teknik untuk menghadapi kecemasan adalah denga terapi SEFT.Tujuan: Mengetahui pengaruh Terapi Spiritual Emotional Freedom Technique (SEFT) terhadap kecemasan dalam menghadapi persalinan.Metodologi penelitian: Penelitian ini merupakan quasi-experimental dengan rancangan pre and post test with control group design. Sampel dalam penelitian ini berjumlah 25 ibu hamil trimester III. Teknik pengambilan sampel menggunakan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner DASS 42. Hasil uji normalitas data berdistribusi normal sehingga dianalisis data menggunakan uji paired t-test.Hasil Penelitian: Hasil penelitian menunjukan bahwa skor rata-rata kecemasan ibu sebelum terapi 13,48 (Sedang) sedangkan sesudah terapi menjadi 7,88 (normal). Hasil uji bivariate didapatkan p value 0,000.Kesimpulan: Terapi Spiritual Emotional Freedom Technique (SEFT) mampu mengatasi kecemasan ibu hamil dalam menghadapi persalinan.Saran: Diharapkan terapi ini dapat diaplikasikan dalam praktik kebidanan perawatan ibu hamil khususnya ibu hamil yang mengalami trauma atau mempunyai kecemasan dalam kehamilannya. Kata kunci: Kecemasan, ibu hamil, Terapi Spiritual Emotional Freedom Technique

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Pengaruh Seduhan Zingiber Offcinale (Jahe) Terhadap Penurunan Emesis Gravidarum

Jurnal Endurance ◽

10.22216/jen.v4i1.3505 ◽

2019 ◽

Vol 4 (1) ◽

pp. 204

Author(s):

Anne Rufaridah ◽

Yelly Herien ◽

Englia Mofa

Keyword(s):

Pregnant Woman ◽

Health Workers ◽

Sampling Technique ◽

First Trimester ◽

T Test ◽

Nausea And Vomiting ◽

P Value ◽

Paired Sample ◽

Purposive Sampling ◽

Pharmacology Therapy

Emesis Gravidarum is a many that occur to pregnant woman in Indonesian. Emesis graviadarum can cause disturbed the daily activities of pregnant woman, also can decrease appetite and dehydration. When don’t overcome than the hiperemesis gravidarum, can be resolve with non pharmacology therapy, which one non pharmacology therapy is ginger. Ginger consist gingerol Shogaol, and zingeberen that can be decrease nausea and vomiting to pregnant woman. This research aims to know the effective of steep ginger towards decrease emesis gravidarum on trimester 1 at working area of Lubuk Buaya Padang in years 2017.This research was pre-experiment with one group pretest-posttest design, used purposive sampling technique with number of sample are 12 woman. Tools and methods used to collect data with the observation sheet and interview, this research was done on August 2017. The result of this research shows that means emesis gravidarum before given steep ginger is 3,38with deviation standard is 0,549, while emesis gravidarum means after was given steep ginger is 2,19 with deviation standard 0,401. Based on the result of data analysis with using paired sample t-test get p value 0,000 ( p<0,05 ), so it can be conclude that there is effective of steep ginger to decrease emesis gravidarum on first trimester. So, it is expected to health workers to giving the information towards pregnant woman that was experiencing nausea and vomiting that consuming ginger with appropriate dose and the correct way to decrease nausea and vomiting that was suffered by pregnant woman Emesis gravidarum merupakan kasus yang banyak terjadi pada ibu hamil di Indonesia. Emesis gravidarum menyebabkan terganggunya aktivitas, menurunkan nafsu makan dan terjadinya dehidrasi, apabila tidak diatasi maka akan berdampak menjadi hiperemesis gravidarum. Emesis gravidarum bisa diatasi dengan terapi non farmakologi, salah satunya yaitu jahe. Jahe mengandung gingerol, shogaol dan zingeberen yang bisa menurunkan mual dan muntah pada ibu hamil. Penelitian ini bertujuan untuk mengetahui efektivitas seduhan jahe terhadap penurunan emesis gravidarum pada trimester pertama diwilayah kerja puskesmas Lubuk Buaya Padang Tahun 2017. Jenis penelitian ini adalah pra eksperimen dengan desain penelitian one group pretest-posttest ,menggunakan teknik purposive sampling dengan jumlah sampel 12 orang. Alat dan cara yang digunakan untuk mengumpulkan data yaitu dengan lembar observasi dan wawancara, dengan waktu penelitian dilakukan pada bulan Agustus 2017. Hasil penelitian menunjukan bahwa rata-rata emesis gravidarum sebelum diberikan seduhan jahe adalah 3,38 dengan standar deviasi 0,549, sedangkan rata-rata emesis gravidarum setelah diberikan seduhan jahe adalah 2,19 dengan standar deviasi 0,401. Dari hasil analisa data dengan menggunakan paired sample t-test didapat pvalue 0,000 (p < 0,05), dapat disimpulkan bahwa ada efektivitas seduhan jahe terhadap penurunan emesis gravidarum pada trimester pertama. Diharapkan pada tenaga kesehatan untuk bisa memberi informasi kepada ibu hamil yang mengalami mual muntah bahwa bisa mengkonsumsi jahe dengan dosis yang tepat dan cara yang benar untuk menurunkan mual muntah yang diderita ibu hamil.

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