scholarly journals TERAPI ENDORPHIN MASSAGE UNTUK MENURUNKAN INTENSITAS NYERI KALA 1 FASE AKTIF PERSALINAN

2018 ◽  
Vol 4 (2) ◽  
pp. 1
Author(s):  
Rr. Catur Leny W ◽  
Machfudloh Machfudloh

ABSTRAK Nyeri persalinan dapat menimbulkan stres yang menyebabkan pelepasan hormon yang berlebihan seperti katekolamin dan steroid. Endorphin Massage merupakan sebuah terapi sentuhan/pijatan ringan yang cukup penting diberikan pada wanita hamil, di waktu menjelang hingga saatnya melahirkan. Tujuan penelitian adalah mengetahui pengaruh Endorphin Massage terhadap intensitas nyeri kala I fase aktif pada persalinan. Penelitian ini menggunakan jenis penelitian kuantitatif quasi eksperimental design, dengan rancangan yang digunakan adalah posttest only control group design dengan sampel 30 responden diambil dengan menggunakan teknik Acidental sampling di BPM Wilayah Puskesmas Demak. Data yang digunakan data primer dengan instrument berupa lembar checklist. Analisa data menggunakan uji Spearman Rank. Hasil Penelitian ada pengaruh pemberian Terapi Endorphin Massage terhadap intensitas nyeri kala I fase aktif persalinan yaitu didapatkan hasil p<0,05 yaitu p=0,004. Simpulan intesitas nyeri responden sebelum dilakukan Endorphin Massage sebagian besar responden mengalami nyeri berat dengan skala 8-9, Intesitas nyeri responden setelah dilakukan Endorphin Massage sebagian besar responden mengalami nyeri sedang dengan skala 6-7. Ada pengaruh Endorphin Massage terhadap intensitas nyeri kala I fase aktif pada persalinan. Kata kunci : Endorphin massage; Intensitas nyeri; Persalinan   ENDORPHIN MASSAGE THERAPY TO REDUCE THE INTENSITY OF PAIN DURING THE ACTIVE PHASE OF LABOR  ABSTRACT Birth pain may cause stress that lead tobring out excessive hormones such as catecholamines and steroids. Endorphin massage is a touch therapy orgentlemassage which is important enough for pregnant women before giving birth. The aim of this research is to know the effect of Endorphin Massageonpain intensity during active phase of first stage in labor. This research uses quantitative quasi experimental design, with the design used is posttest for control group design. Independent variable is endorphin massage.Variable dependent is pain intensity of acitivephase of first stage in labor, with 30 respondents of sample wich is taken by using technique of Acidental sampling. This research took a place in BPM area of public health center Demak. The data was gathered through observation using checklist form. The data was analyzed using Spearman Rank test. The result of the research is there is an effect of Endorphin Massage onpain intensity of acitivephase of first stage in labor withp <0,05, p = 0,004. The conclusion is most of respondents had severe pain with scale 8-9before Endorphin Massage, and most of the respondentshad moderate pain with scale 6-7after Endorphin Massage. There is an effect of Endorphin Massage on pain intensity of acitivephase of first stage in labor. Keywords: Endorphin massage; Labor; Pain Intensity 

2021 ◽  
Vol 6 (1) ◽  
pp. 23
Author(s):  
Ni Gusti Made Ayu Agung Budhi ◽  
Ni Nyoman Sasnitiari

The pain in labor due to contractions and the process of expelling the baby cannot be avoided by the mother. One way to reduce pain intensity non-pharmacologically is music therapy and the provision of spice drinks. music therapy can reduce stress and anxiety levels, especially during childbirth, while herbal drinks derived from ginger are analgesic, as well as cinnamon and cloves, can relieve pain. The research method is “Quasi experimental pre-post test with control group design. The intervention group was Sundanese instrumental music therapy with spice drinks and the control group was only given spice drinks, which was carried out on mothers giving birth during an active phase. The population is all mothers giving birth in BPM Bogor area. The sample size of the average difference test of two paired groups is 15 respondents in each group. The results showed a decrease in labor pain in the active phase of the first stage in the intervention group with p = 0.016. This shows that there is an effect of giving music therapy and spice drinks on the intensity of labor pain as assessed by the Visual Analog Scale (VAS), and there is no significant change in the decrease in labor pain during the active phase of labor, in the control group (p>0.05). There was no significant result on the length of labor with p = 0.439 (p > 0.05). This means that both the control and intervention groups did not show a difference in the time/length of labor


2018 ◽  
Vol 11 (2) ◽  
pp. 93
Author(s):  
Ni Putu Karunia Ekayani

a labor pain can affect maternal conditions for instance fatigue, fear, anxiety or worry and cause stress that may cause the interference on uterus contractions and influence the length of labor. One of nonpharmacologic methods that can be used to relievea labor pain is a breathing relaxation and massage techniques. The research aimed to analyze the influence of combination between breathing relaxations and massage techniques for mothers against pain intensity, duration of labor and APGAR scores for newborn at the Public Health Center of Masbagik East Lombok. This research used Quasi-Experimental with pretest-posttest control group design. The sample applied 30 mothers who were in the first stage of labor that meet the inclusion criteria. The data were analyzed by Wilcoxon Sign-Rank Test, Mann-Whitney test and t two independent samples. The result indicated the comparison of pain intensity in the the pretest and posttest of control group was p = 0.051>0.05 which means there is no difference on pain intensity before and after treatment in the control group. Although the comparison of pain intensity on the group that received the combination techniques is obtained either pretest or posttest was p=0.001<0.05 which means there is a difference which signed by the reduction of pain intensity before and after the treatment by 2.93. Besides, there was a correlation between the implementation of the technique against duration of labor by cervical opening as indicator (p = 0.000). APGAR scores on newborn on the group that received the technique of relaxation and massage was 7-10 (normal). In short, the implementation of the technique can be used as an integral part of providing basic help for mothers to relieve labor pain and to accelerate delivery process.


2019 ◽  
Vol 1 (1) ◽  
pp. 71-80
Author(s):  
Ivan Khidlir ◽  
Husnul Khotimah ◽  
Bagus Supriyadi

Orang dengan hipertensi wajib patuh dalam pengobatan hipertensi agar terhindar dari komplikasi yaitu kerusakan pada ginjal, jantung, dan otak. Tujuan penelitian ini melalui konseling berbasis humanistik adalah untuk mengetahui peningkatkan kepatuhan pengobatan hipertensi melalui konseling berbasis humanistik. Metode penelitian ini jenis kuantitatif yaitu Quasi Experimental Design bentuk Nonequivalent Control Group Design dengan 50 sample responden, 25 kelompok kontrol dan 25 kelompok perlakuan. Waktu penelitian ini dilakukan pada bulan April sampai dengan Mei tahun 2019 di posyandu lansia nuri I Desa Sumber Kemuning Kecamatan Tamanan Kabupaten Bondowoso. Penelitian eksperimen dengan uji wilcoxon signed rank testpre-test. Didapatkan pada kelompok kontrol p-value = 0,257 > 0,05 dan pada kelompok perlakuan p-value = 0,001 < 0,05.  Uji mann-whitney nilai p-value = 0,018. Kesimpulan: pemberian konseling menggunakan metode berbasis humanistik yang dapat meningkatkan kepatuhan pengobatan hipertensi sehingga tidak terjadi komplikasi akibat hipertensi.   Kata kunci : hipertensi, humanistik, kepatuhan, konseling   EFFECTIVENESS OF GIVING COUNSELING BASED ON HUMANISTIC AND COUNSELING WITHOUT APPROACH TOWARD OBEDIENCE OF MEDICAL HYPERTENSION   ABSTRACT People with hypertension are required to comply with they hypertension treatment, in order to be saved from complication. There are kidney, hearth disease, and brain. The purpose of this study is effort to know effectiveness of giving counseling based on humanistic and counseling without approach toward obedience of medical hypertension. This research method is quantities type, namely quasi experimental design. There is non equivalent control group design with 50 sample respondence, 25 of group control and 25 of group treatment. This research do in april till may 2019 in elderly posyandu nuri I Sumber Kemuning village Tamanan sub district in Bondowoso regency. Research experimental with test of Wilcoxon signed rank test pre-test, available in group control p-value = 0.257 > 0.05 and in group experiment p-value = 0.001 < 0.05 test of mann-whitney nilai p-value = 0.018. The result is there is a differences of effectiveness that significant toward giving counseling based on humanistic with giving counseling without approach. Hopefully to the medical officially to use counseling method based on humanistic. So that can increase the obedience of medical hypertension. So the obedience of medical hypertension can increase and nothing complication caused by hypertension. Keywords: counceling, humanistic, hypertension, obedience


2017 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Ade Kurniawati ◽  
Djaswadi Dasuki ◽  
Farida Kartini

<em><span>Some problems may appear due to childbirth, such as discomfort, fear and pain. Particularly for pain in the first stage of labor, it can be severe and takes place a longer time</span><span lang="IN">, </span><span>thus, pain management is necessary. Birth ball exercise is one of nonpharmacological methods to reduce labor pain.</span><span>This was a quasi-experimental study </span><span lang="IN">t</span><span>o determine the effectiveness of birth ball exercise </span><span>is</span></em><em><span>one of nonpharmacological methods</span></em><em><span>towards the reduction of labor pain in the active phase of the first stage of labor in primigravida. Thirty eight women were recruited with consecutive sampling technique, divided into 2 groups, the treatment group given ball birth exercise in active phase of the first stage for 30 minutes for two times and the control group not given the exercise. The bivariable analysis was conducted with correlation and t-test, while the multivariable analysis used linear regression.</span><span lang="IN"> The results showed that t</span><span>he mean labor pain in the group given birth ball exercise was lower 4.5 than that in the control group at 5.4 with a p-value of </span><span lang="IN">0.01</span><span>. The extraneous variables that influenced labor pain were anxiety, husband and family support with a p-value of &lt;0.05. The multivariate analysis using Model 4 obtained an R² value of 0.49, which means that the birth ball exercise and husband and family support contributed to labor pain equal to 49%.</span><span>There were significant differences in pain intensity in active phase of the first stage of labor between primigravida who practiced birth ball exercise and those who did not. The pain intensity was lower in women practicing birth ball exercise than that in those who did not.</span></em>


2017 ◽  
Vol 6 (1) ◽  
pp. 72
Author(s):  
Happy Karlina Marjo ◽  
Michiko Mamesah ◽  
Siti Nurjanah

Penelitian Quasi eksperimen ini bertujuan untuk mengetahui pengaruh layanan bimbingan kelompok terhadap body image siswa kelas XI di MAN 3 Jakarta. Sampel dalam penelitian ini adalah siswa kelas XI MAN 3 Jakarta sebanyak 9 siswa pada kelompok treatment dan 9 siswa pada kelompok kontrol. Pengambilan sampel menggunakan teknik Sampling Purposive. Metode yang digunakan adalah metode eksperimen, dengan desain Quasi experimental Design dan bentuk desain nonequivalent Control Group Design. Pengumpulan data dilakukan dengan menggunakan kuesioner MBSRQ dan dianalisis menggunakan Wilcoxon Sign Rank Test. Hasil analisis menunjukkan nilai sig.= 0.018 pada kelompok treatment yang berarti nilai probabilitas lebih kecil dari nilai signifikansi α = 0.05, dengan demikian dapat disimpulkan bahwa H0 ditolak dan H1 diterima. Hasil analisis dapat diartikan bahwa layanan bimbingan kelompok berpengaruh terhadap peningkatan body image siswa kelas XI di MAN 3 Jakarta.


MEDISAINS ◽  
2021 ◽  
Vol 19 (3) ◽  
pp. 62
Author(s):  
Cylia Dzikra Ayu Berlita ◽  
Krisdiana Wijayanti ◽  
Sudirman Sudirman

Background: Labor pain will get more substantial along with the increase in cervical dilatation and can affect the mother's psychological condition and the welfare of the fetus. Pelvic rocking exercises help reduce pain during labor, but the combined pelvic rocking exercises with belly dance for birth have not been studied. In this study, combining pelvic rocking exercises with belly dance for birth as physical preparation and exercise, especially in the pelvic area, can reduce pain effectively and efficiently so that mothers can give birth vaginally.Purpose: Analyze the effect of intervention combination of pelvic rocking exercises with belly dance for birth to pain intensity of first stage the active phase in mother birth.Methods: This is Quasy experimental research with pretest and posttest with control group design. Respondents were primigravida mothers during the first stage of the active phase. Determination of respondents by accidental sampling obtained the treatment group (n=17) and control group (n=17). The intervention was given for 20 minutes every 1 hour during the first stage of the active phase.Result: The combined intervention of pelvic rocking exercises with belly dance for birth was effective in reducing pain intensity as seen from the average decrease in pain intensity every hour, at the 1st hour of 4.0, the 2nd hour of 3.0, the 3rd hour of 2.7, and the 4th hour of 2.6 (p<0.001)Conclusion: The combination of pelvic rocking exercises with belly dance for birth is effective to pain intensity of the first stage, the active phase in women giving birth.


2019 ◽  
Vol 8 (1) ◽  
pp. 9
Author(s):  
Dismalyansa Dismalyansa ◽  
Kusnanto Kusnanto ◽  
Retnayu Pradanie ◽  
Hidayat Arifin

Pendahuluan: Diabetes Mellitus (DM) dengan Ulkus Kaki Diabetes (UKD) dapat berakibat pada gangguan psikologis. Terapi Hiperbarik Oksigen (HBO) dapat mempercepat penyembuhan luka sehingga psikologis pasien dapat membaik. Penelitian ini bertujuan menjelaskan pengaruh hiperbarik oksigen terhadap psikologis penderita UKD. Metode: Penelitian ini menggunakan desain quasi experimental dengan pendekatan non-equivalent control group design. Sampel sebanyak 70 pasien pasien DM dengan UKD. Variabel indepeden adalah terapi HBO dan dependen adalah psikologis penderita UKD. Data dikumpulkan melalui kuesioner WHOQOL-BREF. Data dianalisis dengan Wilcoxon signed rank test dan Mann Whitney U test. Hasil: Intervensi HBO meningkatkan psikologis pasien UKD (p=0,012) dan terdapat perbedaan yang signifikan antara kelompok kontrol dan perlakuan yang signifikan (0,040). Diskusi: Pasien DM dengan UKD yang diberi HBO menunjukkan perbaikkan psikologis yang terlihat dari pasien lebih sehat, semangat, dan terdapat perbaikan UKD. HBO dapat dijadikan sebagai pilihan pengobatan dalam meningkatkan respon psikologis penderita UKD.


2020 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
Luh Putu Widiastini ◽  
I Gusti Agung Manik Karuniadi

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


2021 ◽  
Vol 3 (1) ◽  
pp. 11-19
Author(s):  
Sudarto ◽  
Halina Rahayu

Parturition pain is a problem that is felt by a mother during labor that causes excessive fear and anxiety to the mother and her family so that intervention is needed in dealing with pain. The purpose of this study to analyze the effectiveness of combination of aromatherapy and back-massage on parturition pain during the first stage of active phase of normal labor. This study used a quasi-experimental design with two groups with a sample of 60 mothers. This research was conducted at a community health center that provides maternity services in Pontianak City. Pre-test and post-test nonequivalent control group design was conducted where the researcher did not do randomization. Data were analyzed using the Wilcoxon test. The test results showed that the intervention group had a value of ρ 0,0001 <0.05 and the control group produced a value of ρ 0.001 <0.05. This means there are differences in the level of pain before and after treatment. Likewise, the Mann-Whitney U-Test statistical test results showed a value of ρ 0.001 <0.05, which means that there are differences in pain intensity between the group of mothers who were given a combination of aromatherapy and back massage and the other group of mothers who got deep breathing relaxation during the process of labor. The combination of aromatherapy and back massage is effective in reducing pain in normal labor in the first phase of the active phase. This therapy is expected to be used as an alternative intervention for a mother in active phase of labor, especially to reduce the intensity of pain in the first phase of the active phase of normal labor.


2018 ◽  
Vol 12 (1) ◽  
pp. 46-53
Author(s):  
Siti Cholifah ◽  
Abkar Raden ◽  
Ismarwati Ismarwati

This research to describe the effects of lemon aromatherapy inhalation on the reduction of first stage  labor pain in the active phase. The study was a quasi-experimental with pre-test-post-test non equivalent control group design. Mann-Whitney bivariable analysis and linear regression for multivariable analysis. The result of this study was average of labor pain in aromatherapy group was  4.74 + 1.327 wich is lower  than  control group 5.79 + 1.316. Result of Mann-Whitney test is  P 0.001 < 0.05. External variables which influence the labor pain was anxiety  with  the value of P < 0.05. There is inhaled lemon aromatherapy effect on reducing first stage labor pain  in active phase. 


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