PEMBERIAN TERAPI CERMIN DALAM PENURUNAN INTENSITAS NYERI PADA IBU INPARTU KALA II

In this era a lot about the world of medical research scientist with mirror therapy. This therapy can be used as a way to reduce the pain, as if the brain can predict patient back to health and recovery from illness. While in the case of childbirth mirror therapy was able to show the real state of the baby's position visually in women who are doing labor that affect the growth of maternal motivation in making an effort to push aside the pain. Measurements conducted on 20 mothers pain when the second stage, when the mother was taught to push 5 times the mother is not able to properly push past the pain scale assessment after mirror therapy treatment is done with mirrors placed with the length and width of 10 cm. After that led her to see the state of the baby until the mother found the concentration point and will reach very high concentrations and the mother's mind is influenced by the image of the mirror so she has a very strong suggestion. Results before the mirror therapy is given is 18 respondents (90%) with severe pain, whereas pain was only 2 respondents (10%). Having given moderate pain mirror therapy there were 16 respondents (20%), whereas severe pain a 4 respondents (20%). The data obtained were statistically analyzed by paired t test T-test using SPSS. Mirror therapy proven to be effective in reducing labor pain on stage II.

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The Effect Bonapace Method Reduces Labor Pain Of Active Phase I To Intranatal Care

STRADA JURNAL ILMIAH KESEHATAN ◽

10.30994/sjik.v9i1.281 ◽

2020 ◽

Vol 9 (1) ◽

pp. 248-257

Author(s):

Luluk Susiloningtyas ◽

Ratna Feti Wulandari

Keyword(s):

Phase I ◽

Severe Pain ◽

Rating Scale ◽

Sampling Technique ◽

Active Phase ◽

Pain Scale ◽

Labor Pain ◽

Wilcoxon Sign Rank ◽

Independent Variable ◽

Descriptive Scale

Sampling technique used is Accidental Sampling. The independent variable is Bonapace Method, the instrument used is a checklist. Dependent variable is the reduction of labor pain in the active phase I, an instrument used to measure the level of pre and post pain with an observation sheet with a pain scale between 0 to 10 and an interview using the Verbal Descriptive Scale (VDS), rating scale, value 0 = no pain , 1-3 = mild pain, 4-6 = moderate pain, 7-9 = severe pain, 10 = very severe pain. Analysis of data using the Wilcoxon Sign Rank. The results of the data analysis stated sig (p) = 0,000 where α = 0.05, p <α, it means that there is an effect of the Bonapace Method on the reduction of labor pain in the active phase of the First Maternity where the Correlation or effect using the Wilcoxon Correlation = -0,382

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Difference Effect of The Combination of Lavender Aromatherapy and Effluerage with Breathing Relaxation on Pain Intensity During Labor among Primiparas

Journal of Maternity Care and Reproductive Health ◽

10.36780/jmcrh.v1i1.2 ◽

2018 ◽

Vol 1 (1) ◽

Author(s):

Murtiningsih M ◽

Shintya Tri Andani

Keyword(s):

Pain Intensity ◽

Intervention Group ◽

Pain Scale ◽

T Test ◽

Labor Pain ◽

Control Group ◽

P Value ◽

Control Group Design ◽

Pharmacological Method ◽

Difference Effect

Although labor pain is a physiological process but it was feel severe and longer for primiparas. Because of a cervical effacement earlier than dilation, and no experience of labor can affect women feel anxiety and fear of labor process, it cause increasing of pain. The non-pharmacological method was cheaper, simple, effective, and no side effect can help women to control of labor pain by herself or another person. The combination of lavender aromatherapy and effleurage can increase of relaxation of uterus contraction and between of it, so labor pain decreasing. The aim of this study was to determine difference effect of the combination of lavender aromatherapy and effleurage with breathing relaxation on pain intensity during labor among primiparas. This study used pre-experiment design with Pretest – Post-test Control Group design. The consecutive sample of 32 laboring women divided to two groups of the intervention and control group. The pain scale measured by NRS questionnaire. The results showed that mean of pain scale before being given intervention is 7.25. It was the same of two groups. The average of pain scale decreasing to 5.25 in the intervention group and to 6.25 in the control group. The result of t-test dependent obtained p-value = 0.000, so meaning that two of interventions was able to decrease of the labor pain. The result of t-test independent obtained p-value 0.004, so meaning that there was significantly difference of pain scale during labor of the intervention group to compare with control group. Suggested to health care who provide services at labor room to give a combination of lavender aromatherapy and effleurage as a non-pharmacology therapy alternative besides breathing relaxation to decrease of pain labor in primiparas.Keywords: Aromatherapy, Labor, Massage, Pain, Relaxation

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Pemberian Akupresur Kombinasi Titik BL32 dan LI4, Titik BL32 dan Sp6 Untuk Menurunkan Intensitas Nyeri Persalinan

Journal of Holistic Nursing Science ◽

10.31603/nursing.v7i2.3118 ◽

2020 ◽

Vol 7 (2) ◽

pp. 133-141

Author(s):

Mukhoirotin Mukhoirotin ◽

Hidayatul Mustafida

Keyword(s):

Rating Scale ◽

Sampling Technique ◽

Active Phase ◽

Numeric Rating Scale ◽

Pain Scale ◽

T Test ◽

Labor Pain ◽

Pharmacological Intervention ◽

Control Group ◽

Control Group Design

Labor pain is a physiological condition that most experienced by all women giving birth. Labor pain of the active phase is caused by cervical dilatation and distention of the uterine corpus. The purpose of this study was to determine the differences of acupressure effect on the combination of BL32 (Ciliao) and LI4 (Hegu) points with BL32 (Ciliao) and SP6 points (Sanyinjiao) toward the intensity of labor pain. The research design used Quasy Experiment with the approach of Pretest-Posttest Control Group Design with the Purposive Sampling technique. The population of this study was all maternity women at PMB Siti Zulaikah Jogoroto Jombang. The sample in this study was 22 respondents who include to the inclusion and exclusion criteria. The pain scale instrument used was the Numeric Rating Scale (NRS). The data were analyzed by using Paired T-Test and Independent T-Test with α ≤ 0.05. The results have shown that there was an effect of acupressure in both intervention groups on the intensity of labor pain with a value of p = 0.000 (p <0.05). There were no differences in the influence between the two intervention groups (4.09 ± 1.044 vs 4.82 ± 0.982; p = 0.108 (p>0.05). Acupressure on BL32 (Ciliao) and LI4 (Hegu) point combinations with BL32 points (Ciliao) and SP6 point (Sanyinjiao) effectively reduce the intensity of labor pain so it can be used as an alternative non-pharmacological intervention in reducing labor pain intensity.

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REDUCING LABOR PAIN WITH WARM COMPRESS ON THE 1ST STAGE LABOR OF ACTIVE LABOR PHASE

Indonesian Midwifery and Health Sciences Journal ◽

10.20473/imhsj.v4i4.2020.295-305 ◽

2021 ◽

Vol 4 (4) ◽

pp. 295

Author(s):

Talitha Aslamiyah ◽

Gatut Hardiato ◽

Kating Kasiati

Keyword(s):

Sampling Technique ◽

Active Phase ◽

Pain Scale ◽

T Test ◽

Labor Pain ◽

Physical Contact ◽

P Value ◽

Test Results ◽

Active Labor ◽

Pharmacological Method

AbstractBackground: Labor pain is a visceral nociceptive pain caused by contraction and dilatation of the cervix. This condition affects the mother physically and psychologically. Pain that cannot be handled alone will cause anxiety and stress. Various techniques have been used to reduce pain during labor, which reduce emotional stress, increase calm, and physical contact while reducing pain. Warm compresses are a non-pharmacological method that can reduce labor pain. In addition, warm compresses are also a method that is cheap, simple, safe, and effective, without adverse side effects, and in accordance with the competence of midwives. This study aims to determine the effect of warm compresses in the first stage of the active phase on reducing labor pain. Methods: This research method is pre experimental designs with one group pretest-posttest research design. The number of samples as many as 10 maternity with purposive sampling sampling technique. This research was conducted in September-October 2019. Data analysis used the dependent T test. Results: The results showed that based on the results of the dependent t-Test test, the p value / Sig. (2-tailed) of 0.005, <0.05, thus there is a significant (significant) decrease between the average labor pain before which is 8.12 and after warm compresses is 6.86. Thus, there is an effect of warm compresses during the first stage of the active phase on reducing labor pain. Conclusion: There is an effect of warm compresses on decreasing labor pain scale.

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The Application of Yoga Pranayama and Gym Ball Exercise on Labor Pain During Active Phase at Pmb Desa Blahkiuh, Abiansemal, Badung

Journal of A Sustainable Global South ◽

10.24843/jsgs.2020.v04.i01.p07 ◽

2020 ◽

Vol 4 (1) ◽

pp. 27

Author(s):

Luh Putu Widiastini ◽

I Gusti Agung Manik Karuniadi

Keyword(s):

Statistical Tests ◽

Intervention Group ◽

Active Phase ◽

Pain Scale ◽

T Test ◽

Labor Pain ◽

Control Group ◽

Control Group Design ◽

Significant Difference ◽

Quasi Experimental

Pain Labor is a physiological and individual experience. The cause of pain in labor is a combination of ischemia (hypoxia) the muscles of the uterus and stretching that occurs in the lower segment of the uterus (then the cervix). Non-pharmacological efforts that can be done in reducing pain in the mother in the face of labor are through the Application of Yoga Pranayama and Gym Ball Exercise. The purpose of this study was to determine the effect of the application of Yoga Pranayama and Ball Exercise Gym on Labor Pain Active Phase in PMB Blahkiuh Village, Abiansemal, Badung. This research method used the Quasi Experimental Design study with Nonequivalent Control Group Design. The approach used is a prospective approach. Sample consisted 40 respondents. Respondent selected by purposive sampling and divide into control group and intervention group. Respondents in intervention group were given Yoga Pranayama and Gym Ball Exercise, while in the control group respondents were given conventional therapy. The data were analyzed using the Paired T-test to compare the results of the pre-test and post-test, and to compare intervention and control groups use Independent T-Test. Based on statistical tests obtained all p values <0.05 means that there is a significant difference between pain labor in the control and intervention group, so it can be interpreted that pain scale in intervention group is lower than control group. The conclusion of this study was there’s influence on the application of Yoga Pranayama and the Ball Exercise Gym on Labor Pain in the Active Phase in PMB Blahkiuh Village, Abiansemal, Badung. Index Terms— labor pain, active phase, yoga pranayama, gym ball exercise

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EFEKTIFITAS TEKNIK EFFLEURAGE DAN COUNTER PRESSURE VERTEBRA SACRALIS TERHADAP PENURUNAN NYERI PERSALINAN KALA I

Jurnal Kebidanan ◽

10.35872/jurkeb.v12i01.364 ◽

2020 ◽

Vol 12 (01) ◽

pp. 46

Author(s):

Lina Puspitasari

Keyword(s):

Sampling Technique ◽

Obstetric Care ◽

Analysis Data ◽

Pain Scale ◽

T Test ◽

Labor Pain ◽

Purposive Sampling ◽

Counter Pressure ◽

Post Test ◽

Paired T Test

ABSTRAKNyeri persalinan merupakan suatu yang tidak bisa dipisahkan dari proses persalinan. Hal ini terjadi akibat peningkatan kontraksi uterus yang membuat janin turun memasuki ruang pelvis dan terus meningkat sampai dengan pembukaan serviks lengkap. Nyeri yang tidak ditangani segera dalam waktu lama dapat mengakibatkan kelelahan pada ibu dan stres yang meningkat dapat mengakibatkan rasa sakit yang semakin kuat dan berdampak pada persalinan lama Tujuan penelitian ini adalah untuk mengetahui efektifitas teknik effleurage dan counter pressure vertebra sacralis terhadap penurunan nyeri persalinan Kala I. Metode penelitian ini adalah eksperimen semu jenis one group without control design. Populasi penelitian sebanyak 142 ibu bersalin selama 3 bulan. Teknik pengambilan sampel dengan cara purposive sampling sebanyak 30 responden. Teknik Effleurage dan Counter Pressure Vertebra Sacralis diberikan kepada pasien oleh peneliti bersama dengan satu bidan sebagai enumerator secara bergantian dengan lama masing-masing 30 menit. Nyeri diukur dengan menggunakan lembar skala nyeri sebelum (pre test) dan sesudah tindakan (post test) oleh peneliti. Efek dari perlakukan terhadap nyeri persalinan dianalisis menggunakan Paired T-test dengan SPSS analisis pre post test. Hasil analisis data diperoleh nilai mean intesitas nyeri sebelum dan sesudah perlakuan, responden mengalami penurunan menjadi (1.45). Hasil uji one sample T-test menunjukkan bahwa keknik Effleurage dan Counter Pressure Vertebra Sacralis efektif menurunkan nyeri pada kala I persalinan dengan nilai sig 0.001 (t-hitung 11.22). Simpulan teknik effleurage dan counter pressure vertebra sacralis terbukti berdampak terhadap pengurangan nyeri persalinan Kala I. Diharapkan ada penelitian lebih lanjut terkait faktor-faktor yang mempengaruhi nyeri persalinan kala I sehingga dapat meningkatkan kualitas asuhan kebidanan. Kata kunci : Effleurage, Pressure, Sacralis, Nyeri, Persalinan EFFECTIVENESS OF TECHNIQUE OF EFFLEURAGE AND COUNTER PRESSURE VERTEBRA SACRALIS TO DECREASED LABOR PAINSABSTRACTLabor pain is an inseparable process of childbirth. This occurs due to an increase in uterine contractions that make the fetus fall into the pelvic chamber and continue to increase up to complete cervical opening. Pain that is not treated immediately for a long time can lead to fatigue in the mother and increased stress can lead to stronger pain and impact on old Labor The purpose of this research is to find out the effectiveness of the technique of effleurage and counter pressure vertebrae sacralis to decreased labor pain The study population of 142 maternity mothers for 3 months. The sampling technique by purposive sampling as many as 30 respondents. The Effleurage and Counter Pressure vertebrae Sacralis techniques are administered to patients by researchers along with one midwives as an enumerator alternately with a length of 30 minutes each. Pain is measured using the pain scale before (pre test) and after the action (post test) by the researcher. The effects of the treat against labor pains were analyzed using the Paired T-test with SPSS pre post test analysis. Data analysis results obtained the value of pain varying before and after treatment, the respondent decreased into (1.45). The T-Test one sample test results showed that the Effleurage and Counter Pressure Vertebra Sacralis were effective in reducing the pain at the time I was delivery with a value of sig 0.001 (T-count 11.22). The technique of effleurage and counter pressure vertebrae sacralis proved to affect the reduction of childbirth pain Kala I. It is hoped that more research is related to the factors that affect labor pain so that it can improve the quality of obstetric care. Keywords: Effleurage, Pressure, Sacralis, pain, childbirth

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Native Ubiquitin Structural Changes Resulting from Complexation with β-methylamino-L-alanine (BMAA)

10.26434/chemrxiv.12996335.v1 ◽

2020 ◽

Author(s):

Katie Mae Wilson ◽

Aurora Burkus-Matesevac ◽

Samuel Maddox ◽

Christopher Chouinard

Keyword(s):

Structural Changes ◽

Noncovalent Complex ◽

Unfolded Protein ◽

Protein Size ◽

High Concentrations ◽

The Unfolded Protein Response ◽

Critical Binding ◽

Protein Response ◽

The Brain ◽

Lateral Sclerosis

β-methylamino-L-alanine (BMAA) has been linked to the development of neurodegenerative (ND) symptoms following chronic environmental exposure through water and dietary sources. The brains of those affected by this condition, often referred to as amyotrophic lateral sclerosis-parkinsonism-dementia complex (ALS-PDC), have exhibited the presence of plaques and neurofibrillary tangles (NFTs) from protein aggregation. Although numerous studies have sought to better understand the correlation between BMAA exposure and onset of ND symptoms, no definitive link has been identified. One prevailing hypothesis is that BMAA acts a small molecule ligand, complexing with critical proteins in the brain and reducing their function. The objective of this research was to investigate the effects of BMAA exposure on the native structure of ubiquitin. We hypothesized that formation of a Ubiquitin+BMAA noncovalent complex would alter the protein’s structure and folding and ultimately affect the ubiquitinproteasome system (UPS) and the unfolded protein response (UPR). Ion mobility-mass spectrometry revealed that at sufficiently high concentrations BMAA did in fact form a noncovalent complex with ubiquitin, however similar complexes were identified for a range of additional amino acids. Collision induced unfolding (CIU) was used to interrogate the unfolding dynamics of native ubiquitin and these Ubq-amino acid complexes and it was determined that complexation with BMAA led to a significant alteration in native protein size and conformation, and this complex required considerably more energy to unfold. This indicates that the complex remains more stable under native conditions and this may indicate that BMAA has attached to a critical binding location.

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Native Ubiquitin Structural Changes Resulting from Complexation with β-methylamino-L-alanine (BMAA)

10.26434/chemrxiv.12996335 ◽

2020 ◽

Author(s):

Katie Mae Wilson ◽

Aurora Burkus-Matesevac ◽

Samuel Maddox ◽

Christopher Chouinard

Keyword(s):

Structural Changes ◽

Noncovalent Complex ◽

Unfolded Protein ◽

Protein Size ◽

High Concentrations ◽

The Unfolded Protein Response ◽

Critical Binding ◽

Protein Response ◽

The Brain ◽

Lateral Sclerosis

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PENGARUH PEMBERIAN TEKNIK COUNTERPRESSURE TERHADAP PENURUNAN INTENSITAS NYERI PADA KALA I PERSALINAN DI RSUD SAWERIGADING PALOPO

Voice of Midwifery ◽

10.35906/vom.v7i09.33 ◽

2018 ◽

Vol 7 (09) ◽

pp. 91-96

Author(s):

Irmayanti. A.Oka

Keyword(s):

Treatment Group ◽

Standard Treatment ◽

T Test ◽

Labor Pain ◽

Delivery Room ◽

Control Group ◽

Group Comparison ◽

Treatment Data ◽

Static Group ◽

First Stage Of Labor

The research aimed at investigating the effect of giving counterpressure technique to decrease the intensity of pain in the first stage of labor in the delivery room of RSUD Sawerigading Palopo. This study was conducted in a preexperimental manner with static group comparison design, in subject static group comparison design divided into two groups, where the treatment group was followed by observation and observation result compared with the observation result in the control group which only received standard treatment. Data were analyzed using T test. Where t value hit 6.971> t table 2.05, so it can be concluded that the results obtained mean that there is influence of counterpressure technique is big enough to decrease the intensity of labor pain. Keyword: Counterpressure, Labor Pain, Kala I

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Cross-Modal Effect of Presenting Visual and Force Feedback That Create the Illusion of Stair-Climbing

Applied Sciences ◽

10.3390/app11072987 ◽

2021 ◽

Vol 11 (7) ◽

pp. 2987

Author(s):

Takumi Okumura ◽

Yuichi Kurita

Keyword(s):

Visual Information ◽

Force Feedback ◽

Activity Level ◽

Experimental Results ◽

Stair Climbing ◽

Mirror Therapy ◽

Visual Condition ◽

Stroke Patients ◽

Head Mount Display ◽

The Brain

Image therapy, which creates illusions with a mirror and a head mount display, assists movement relearning in stroke patients. Mirror therapy presents the movement of the unaffected limb in a mirror, creating the illusion of movement of the affected limb. As the visual information of images cannot create a fully immersive experience, we propose a cross-modal strategy that supplements the image with sensual information. By interacting with the stimuli received from multiple sensory organs, the brain complements missing senses, and the patient experiences a different sense of motion. Our system generates the sense of stair-climbing in a subject walking on a level floor. The force sensation is presented by a pneumatic gel muscle (PGM). Based on motion analysis in a human lower-limb model and the characteristics of the force exerted by the PGM, we set the appropriate air pressure of the PGM. The effectiveness of the proposed system was evaluated by surface electromyography and a questionnaire. The experimental results showed that by synchronizing the force sensation with visual information, we could match the motor and perceived sensations at the muscle-activity level, enhancing the sense of stair-climbing. The experimental results showed that the visual condition significantly improved the illusion intensity during stair-climbing.

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