scholarly journals Penerapan Self Instruction Training Kombinasi Deep Breathing pada Ibu Hamil untuk Meningkatkan Kualitas Tidur di Masa Pandemi Covid-19

2020 ◽  
Vol 7 (2) ◽  
pp. 63
Author(s):  
Ellatyas Rahmawati Tejo Putri ◽  
Sheylla Septina Margaretta

ABSTRAKPenurunan kualitas tidur ibu hamil disebabkan oleh faktor fisik, diantaranya penyakit penyerta pada ibu hamil, kondisi tubuh dan hormon. Faktor psikologis yang memengaruhi diantaranya kecemasan dalam persalinan, karena pandemi COVID-19 dan gangguan psikologis. Kualitas tidur ibu hamil akan berpengaruh pada peningkatan tekanan darah dan HbA1c sehingga dapat meningkatkan resiko preeklamsi.  Kunci peningkatan kualitas tidur adalah kondisi pikiran dan tubuh yang rileks pada ibu sehingga dapat membuat kenyamanan dan mengurangi beban pikiran. Penerapan SIT (Self Intruction Training) kombinasi deep breathing diterapkan untuk membuat ibu hamil  rileks sehingga meningkatkan kualitas tidur ibu hamil. Tujuan penelitian melihat pengaruh SIT kombinasi deep breathing dalam meningkatkan kualitas tidur. Metode penelitian menggunakan true eksperimental pre post test group design dengan kelompok kontrol. Jumlah sampel 30 ibu hamil dengan kualitas tidur buruk yang dibagi menjadi dua kelompok, yaitu 15 intervensi dan 15 kontrol. Kelompok intervensi diberi metode  SIT kombinasi deep breathing setiap 2 hari sekali menjelang tidur selama 2 minggu. Kelompok kontrol diberikan intervensi deep breathing selama 2 minggu menjelang tidur. Pengukuran kualitas tidur menggunakan PSQI (Pittsburg Sleep Quality Index). Hasil penelitian uji Maan Whitney didapatkaan nilai signifikan p value 0,022. Kesimpulan pada penelitian ini adalah pemberian SIT kombinasi deep breathing efektif untuk meningkatkan kualitas tidur. Kata Kunci: deep breathing; ibu hamil; kualitas tidur; self instruction training IMPLEMENTATION OF THE COMBINATION OF SELF INSTRUCTION TRAINING AND DEEP BREATHING IN PREGNANT WOMEN TO IMPROVE SLEEP QUALITY IN THE PANDEMIC COVID'19ABSTRACTThe decline in sleep quality in pregnant women is due to physical such as comorbidities, body conditions, and altered hormones. Meanwhile, psychological factors including anxiety during childbirth, anxiety due to the COVID-19 pandemic, poverty, and psychological disorders also play a role. The sleep quality of pregnant women might affect increasing blood pressure and increasing HbA1c that increasing the risk of preeclampsia and gestational diabetes in pregnant women. Thus, pregnant women should have a relaxed state of mind and body to creates comfort and reduce the burden on their minds while sleeping. This study was to see the application of Self-instruction training and deep breathing might help them to sleep. True experimental was used in the form of pre-test-post-test group design was employed in this study with 30 pregnant women with poor sleep quality included as the sample. They were divided into two groups, the intervention group (15) and the kontrol group (15). The intervention group was given the Self Instruction Training method with a combination of deep breathing every 2 days before bed for 2 weeks. The kontrol group was given deep breathing intervention for 2 weeks before bed. Sleep quality was measured using the PSQI (Pittsburg Sleep Quality Index) sleep quality questionnaire. The data analysis used the Mann Whitney test obtained a significant p-value of 0.022. In conclusion, the provision of SIT with a deep breathing combination is effective to improve the sleep quality of pregnant women. Keywords: self-instruction training, deep breathing, sleep quality, pregnant women

2020 ◽  
Vol 7 (2) ◽  
pp. 92
Author(s):  
Hermeksi Rahayu ◽  
Dwi Kustriyanti ◽  
Okta Indra

Hipertensi kehamilan dialamai 8% pada ibu hamil yang merupakan penyebab kematian ibu dan neonatus serta beresiko mengalami eclampsia dan pre eklampsia. Tekanan darah yang tinggi selama kehamilan dapat mempengaruhi kualitas tidur. Insomnia dialami 12% ibu hamil trimester pertama dan sebanyak 75% pada akhir kehamilan. Penelitian ini bertujuan mengetahui hubungan kualitas tidur terhadap perubahan tekanan darah ibu hamil di Rumah Bersalin Bidan Nuril. Desain penelitian  ini menggunakan pendekatan cross sectional pada 42 ibu hamil trimester III yang diukur tekanan darah dan kualitas tidur menggunakan instrument Pittsburg Sleep Quality Index (PSQI). Hasil penelitian ini didapatkan ratarata kualitas tidur 5,78 dan p value systole sebesar 0,002 dan diastole 0,024 menggunakan uji Rank Speramen test. Ada hubungan antara kualitas tidur pada ibu hamil terhadap perubahan tekanan darah baik systole maupun diastole di Rumah Bersalin Bidan Nuril. Kata kunci: kehamilan; kualitas tidur; tekanan darahRELATIONSHIP OF QUALITY OF SLEEP AND CHANGES OF BLOOD PRESSURE OF PREGNANT WOMEN IN NURIL MATERNAL CLINIC  ABSTRACT Pregnancy hypertension is experienced by 8% of pregnant women which is the cause of mortality maternal and neonatal that can at risk of experiencing eclampsia and pre-eclampsia. High blood pressure during pregnancy can affect sleep quality. Sleep disturbance is experiencing 12% of pregnant women in the first trimester and as much as 75% at the end of pregnancy. This study aims was to see the relationship between sleep quality and changes in blood pressure of pregnant women at Nuril Maternal Clinic. This study was a cross-sectional study design with 42 third trimester pregnant women who measured blood pressure and sleep quality using the Pittsburg Sleep Quality Index (PSQI). The results showed that the average sleep quality was 5.78 and the Pvalue systole was 0.002 and diastole was 0.024 using the Speramen Rank test. There was a relationship between the quality of sleep in pregnant women to changes in blood pressure, both systole and diastole at the Nuril Maternal Clinic.. Key words: pregnancy; sleep quality; blood pressure


Author(s):  
Lenny Lusia Simatupang ◽  
Regina Marintan Sinaga

Kondisi kelelahan dan gangguan tidur pada pasien hemodialisa dapat menyebabkan konsentrasi menurun, malaise, gangguan tidur, gangguan emosional dan penurunan kemampuan pasien dalam melakukan aktifitas sehari – harinya, sehingga pada akhirnya dapat menurunkan kualitas hidup pasien hemodialysis. Akupresur dan latihan napas dalam adalah tehnik untuk mengurangi fatigue dan meningkatkan kualitas tidur pasien hemodialisa. Penelitian ini adalah quasi eksperimen dengan pendekatan pre-post test design dilaksanakan di Murni Teguh Memorial Hospital Medan. Hasil uji Wilcoxon dengan p sebesar 0,000, dimana p value lebih kecil dari nilai batas kritis 0,05 (p < α) sehingga dapat disimpulkan bahwa terdapat perbedaan yang signifikan antara nilai fetigue dan kualitas tidur sebelum dilakukan akupresur dan latihan napas dalam.


2020 ◽  
Vol 8 (1) ◽  
pp. 8-20
Author(s):  
Andra Destyan Gunawan ◽  
Novia Fransiska Ngo ◽  
Nur Khoma Fatmawati

Quite a few women experienced anxiety and fear during pregnancy and nearing the labor process, while one of the effects of this situation can reduce sleep quality. One of the efforts that can be done to overcome these inconveniences is prenatal yoga. Based on preliminary studies, it was found that pregnant women who have been doing yoga experience a reduction of the complaints that they feel. This study aims to determine the relationship between prenatal yoga with anxiety level and sleep quality in third-trimester pregnant women. This research is observational research using pretest-posttest with control group design. The sampling method used was purposive sampling in accordance with the specified inclusion and exclusion criteria. This research samples were 32 respondents who were divided into 2 groups, which are the intervention group and control group. Data collection was carried out using a questionnaire to determine the level of anxiety and sleep quality of the respondents. Based on the bivariate results, there were differences of anxiety levels before and after prenatal yoga (p-value = 0.001), there were differences in sleep quality before and after prenatal yoga (p-value = 0,000), there was a relationship between prenatal yoga and anxiety levels (p-value = 0,001), and there was a relationship between prenatal yoga and sleep quality (p-value = 0,000). There were differences of anxiety level and quality of sleep before and after prenatal yoga. There was a relationship between prenatal yoga with anxiety levels and sleep quality.


2019 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Kasron Kasron

Patients with hypertension patients can have sleep disorders such as dizziness or headache,. This study aimed to evaluate the effect of spiritual emotional freedom tehnique (SEFT) and progressive muscle relaxation (PMR) on sleep quality in patients with hypertension in South Cilacap City. The research used quasi-experiment with two group pre-post test group. Respondents were patients with hypertension, with the criteria forthose who were active in health care programme, able to perform independent activities, consume of anti-hypertensive drugs, have done SEFT and PMR regularly for 7 days. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality twice, before and 7 days after interventions SEFT. Statistic analysis used Mann-Whitney test. 32 respondents included in the criteria. The quality of sleep before treatment SEFT was 43.8% poor, 56.3% very bad. After treatment SEFT was 25% rather good, 75% less good. The quality of sleep before treatment PMR was 43.8% poor, 56.3% very bad. After treatment PMR was 18.8% rather good, 81.3% less good. The analysis shown the sleep quality was difference between SEFT and PMR after intervention with p-value 0.002. The study shows there is difference between SEFT and PMR after intervention in hypertensive patients in South Cilacap


2019 ◽  
Vol 11 (1) ◽  
pp. 9-18
Author(s):  
Abdul Wakhid ◽  
Ana Puji Astuti ◽  
Maya Kurnia Dewi

Logoterapi merupakan terapi untuk menemukan makna positif dibalik sebuah kejadian yang tidak diharapkan. Logoterapi dilaksanakan secara individu maupun berkelompok dalam bentuk konseling dan berorientasi pada pencarian makna hidup individu. Tujuan logoterapi meningkatkan makna pengalaman hidup individu yang diarahkan kepada pengambilan keputusan yang bertanggung jawab. Penelitian ini dilakukan dengan menggunakan rancangan pre-experiment dengan metode pre and post test group, artinya pengumpulan data dilakukan terhadap responden untuk membandingkan kualitas hidup sebelum dan sesudah dilakukan intervensi. Teknik pengambilan sampel dilakukan dengan metode total sampling yaitu pengambilan seluruh sampel dengan tetap memperhatikan kriteria yang telah ditetapkan. Jumlah pasien yang menjalani hemodialisis di RSUD Ungaran sebanyak 21 orang dan di RSUD Ambarawa sebanyak 25 pasien. Analisis data dilakukan dengan menggunakan uji t test dependent. Hasil penelitian didapatkan bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 60.22 dengan skor terrendah 55 dan skor tertinggi 69. Bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 88.72 dengan skor terrendah 79 dan skor tertinggi 103. Hasil uji statistik dengan uji t test dependent diketahui ada pengaruh logoterapi terhadap kemampuan memaknai hidup pada klien yang menjalani hemodialisis di RSUD Kabupaten Semarang (p value: 0,0001). Saran perlunya peningkatan kemampuan perawat dalam memberikan layanan kesehatan termasuk pemberian atau pemanduan penemuan makna hidup bagi pasien hemodialysis, agar selain dengan hemodialysis, ada faktor internal dari pasien yang dapat dijadikan sebagai motivasi untuk sembuh dari penyakit.   Kata Kunci: Logoterapi, kualitas hidup   IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Logotherapy is a therapy to discover the positive meaning behind an unexpected event. Logotherapy is carried out individually or in groups in the form of counseling and oriented to the search for the meaning of individual life. This study aims to improve the quality of life of patients with renal failure who underwent hemodialysis. This research was conducted by using pre-experiment with pre-post test study. The sampling technique was done by the convenience sampling. The number of patients undergoing hemodialysis as many as 46 respondents. Data analysis was done by using test t test dependent. The result showed that from 46 respondents got the mean of quality of life of patients who had hemodialysis 60.22 with lowest score 55 and highest score 69. Whereas from 46 respondents got the mean score of life quality of patients who had hemodialysis 88.72 with score the lowest score 79 and the highest score 103. The result of statistical test with t test dependent is known there is influence of logoterapi to the ability of meaningful life on client who undergo hemodialysis at Semarang Regency hospitals (p value: 0.0001). Advice on the need to improve the nurse's ability to provide health services, including the provision or guidance of the discovery of the meaning of life for hemodialysis patients, in addition to hemodialysis, there are internal factors of the patient that can be used as a motivation to recover from illness.   Keywords: Logotherapy, quality of life, kidney failure.  


2020 ◽  
Vol 7 (3) ◽  
pp. 404-409
Author(s):  
Inna Sholicha Fitriani ◽  
Nurhidayati Nurhidayati

Pregnancy and abortion can be a stressor that can increase anxiety. The Qur'an is just as a doubt antidote and diseases that are in the chest and it is commonly known as the heart. The Lavender one of essential oil which popular and it is widely used in the field of clinical health which especially addressing psychosomatic in gynecology. The purpose of this research was to determine the potential decrease of anxiety on pregnant women in post-abortion by reading verses syifa and lavender aromatherapy. The research used experimental design of Pre and Post Test-Group with a sample of all pregnant women who had abortion. The total sample was 24 people. The research was conducted in Aisyiyah Hospital and Muhammadiyah Hospital of Ponorogo in Juny - August 2018. The data analysis used T and Wilcoxon test. The result of data analysis were 0,003 <0,05 and there was comparison between potential decrease of anxiety in pregnant women post abortion by reading verses syifa and giving aromatherapy  of lavender.  The comparison showed that the potency of decreasing of anxiety in pregnant woman post abortion by reading ayatus syifa and giving aromatherapy of lavender, 38% decreased anxiety level in pregnant woman post abortion because of lavender therapy and 62% was due to other factor. Then 89%decreased in anxiety level in pregnant woman post abortion because of reading ayatus syifa and 11% due to other factor. Research products can be used as media in the treatment of non pharmacological psikomatic in order to support quality of public health.


2021 ◽  
Vol 13 (02) ◽  
pp. 172
Author(s):  
Dyah Ayu Wulandari ◽  
Meika Jaya Rockhmana ◽  
Adelina Cahyaningrum

ABSTRAKAdaptasi fisik dan psikis kehamilan trimester III secara fisiologis dapat menimbulkan kecemasan ibu hamil. Adanya kecemasan pada ibu hamil trimester III dapat menyebabkan komplikasi ibu dan janin saat kehamilan, persalinan bahkan nifas. Terapi acupressure merupakan natural terapi dengan cara menekan acupoint  untuk merelaksasi tubuh, melancarkan sirkulasi darah serta memberikan rasa tenang dan nyaman. Acupoint KID 27 dan CV 17 adalah titik yang berhubungan dengan kecemasan, agitasi, penyimpangan kelenjar tiroid, keseimbangan tubuh dan pusat jantung. Penekanan pada titik ini menyeimbangkan kadar hormon tiroid dan mengatasi gangguan kecemasan. Tujuan penelitian mengetahui pengaruh acupressure depression points terhadap kecemasan ibu hamil trimester III. Metode: Jenis penelitian kuantitatif dengan metode penelitian pre-experimental One Group Pretest-Posttest Design. Penelitian dilakukan Bulan Februari-Agustus 2021. Populasi penelitian ibu hamil trimester III yang melakukan ANC bulan Juni 2021 dengan keluhan kecemasan. Sampel penelitian 22 ibu hamil trimester III dengan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner PRAQ-R2. Analisa data univariat dan bivariat (Uji Wilcoxon) Hasil: Hasil analisa statistik dengan uji Wilcoxon diperoleh nilai P-value 0,000 pada tingkat kecemasan. Kesimpulan: Acupressure depression points berpengaruh terhadap tingkat kecemasan ibu hamil trimester III di Semarang.Kata kunci: kecemasan, ibu hamil trimester IIIREDUCE ANXIETY IN PREGNANT MOTHER TRIMESTER III WITH ACCUPRESSURE DEPRESSION POINTS METHODABSTRACTPhysical and psychological adaptation of the third trimester of pregnancy can physiologically cause anxiety for pregnant women. The existence of anxiety in third trimester pregnant women can affect the quality of sleep which causes maternal and fetal complications during pregnancy, delivery and even postpartum. Acupressure therapy is a natural therapy by pressing the acupoints to relax the body, improve blood circulation and provide a sense of calm and comfort. Acupoints KID 27 and CV 17 are points associated with anxiety, agitation, thyroid disorders, body balance and heart centers. Emphasis on this point balances thyroid hormone levels and treats anxiety disorders thereby improving sleep quality. Objective: to determine the effect of acupressure depression points on the level of anxiety and sleep quality of pregnant women in the third trimester. Methods: This type of research is quantitative with pre-experimental research method One Group Pretest-Posttest Design. The study was conducted in February-August 2021. The study population was pregnant women in the third trimester who performed ANC in June 2021 with complaints of anxiety. The study sample was 22 pregnant women in the third trimester with purposive sampling technique. The research instrument used the PRAQ-R2. Analysis of univariate and bivariate data (Wilcoxon test) Results: The results of statistical analysis using the Wilcoxon test obtained a P-value of 0.000 on anxiety levels. Conclusion: Acupressure depression points have an effect on the level of anxiety of pregnant women in the third trimester at Semarang.Keyword: Anxiety, Pregnant Women In The Third Trimester


2019 ◽  
Vol 9 (3) ◽  
pp. 219-224
Author(s):  
Nieniek Ritianingsih

Penyakit gagal ginjal kronis atau disingkat GGK, saat ini diakui sebagai prioritas kesehatan masyarakat di seluruh dunia. Pasien GGK akan mengalami  gangguan fisik dan psikologis sehingga mempengaruhi kualitas hidupnya. Teknik konservasi energi dengan pemberdayaan diri dapat diberikan pada pasien GGK dengan tujuan dapat meningkatkan energi, mengurangi fatigue dan kualitas hidup dapat meningkat. Penelitian ini bertujuan untuk mengetahui pengaruh penerapan teknik konservasi energi dengan pemberdayaan diri terhadap kualitas hidup pasien gagal ginjal kronik.Hipotesis penelitian ini adalah teknik konservasi energydengan pemberdayaan diridapat meningkatkan kualitas hidup pasien GGK.   Responden penelitian ini berjumlah 47 orang untuk kelompok intervensi dan untuk kelompok kontrol 47 orang responden. Penelitian ini merupakan penelitian kuantitatif menggunakan metoda kuasi eksperimental dengan pendekatan pre test – post test control group design. Hasil uji statistik didapatkan nilai p value 0,000 maka dapat disimpulkan ada perbedaan yang signifikan antara  kualitas hidup  kelompok kontrol dengankualitas hidup kelompok intervensi setelah dilakukan penerapan teknik konservasi energy. Perawat agar menerapkan tehnik konservasi energy sebagai suatu program terstruktur dari intervensi keperawatan bagi pasien GGK   Kata kunci : teknik konservasi energi, kualitas hidup, GGK   THE EFFECT OF THE APPLICATION OF ENERGY CONSERVATION TECHNIQUES WITH SELF-EMPOWERMENT TO THE QUALITY OF LIFE OF PATIENTS WITH CHRONIC RENAL FAILURE   ABSTRACT Chronic kidney failure or abbreviated CRF, is currently recognized as a public health priority throughout the world. GGK patients will experience physical and psychological disorders that affect their quality of life. Energy conservation techniques with self-empowerment can be given to CRF patients with the aim of increasing energy, reducing fatigue and quality of life can be increased. This study aims to determine the effect of the application of energy conservation techniques with self-empowerment to the quality of life of patients with chronic renal failure. The hypothesis of this study is conservation techniques of energy with empowerment can improve the quality of life of patients with CRF. The respondents of this study were 47 people for the intervention group and for the control group 47 respondents. This research is a quantitative research using a quasi-experimental method with a pre test - post test control group design approach. The statistical test results obtained p value 0,000, it can be concluded that there is a significant difference between the quality of life of the control group and the quality of life of the intervention group after the application of energy conservation techniques. The nurse is to apply energy conservation techniques as a structured program of nursing interventions for CRF patients   Keywords: energy conservation techniques, quality of life, CRF


2019 ◽  
Vol 2 (2) ◽  
pp. 134-145
Author(s):  
Cahyaning Puji Astuti ◽  
Melyana Nurul Widyawati

This study aims to improve the physical health condition of third trimester primigravida pregnant women. The method in this study uses a randomized controlled trial design. This type of research uses pre-test & post-test group design. The results of this study indicate that the results of organ energy as an indicator of physical body health have increased the frequency of pre and post test. The repeated ANOVA test showed a decrease in both groups. While the Wilcoxon test results showed that there were differences in the post test 2 energy organs p = 0.013 (<0.05), post test 3 p value 0.001 (<0.05). Conclusion, pranic healing therapy can increase the physical energy of pregnant women.   Keywords: Organ Energy, Trimester III Pregnancy, Pranic Healing, Primigravida


Author(s):  
Nurlaela Kurnia Rahayu ◽  
Pepi Hapitria ◽  
Rani Widiyanti

As the pregnancy gets older, the attention and thoughts of pregnant women begin to focus on something that is considered as a climax, so that the anxiety experienced will intensify just before the childbirth. Excessive anxiety and sleep disorders during pregnancy can cause mental disorders in pregnant women and inhibit fetal growth. To determine the effect of prenatal gentle yoga and hypnotherapy on anxiety level and sleep quality in the third trimester pregnant women. This is a quasi-experimental study with a pre-post test with a control group. The sample was 32 respondents consisting of 16 respondents as an intervention group and 16 respondents as a control group taken by purposive sampling. The analysis used was the Paired T-test. There is a difference in the average of anxiety level in the third trimester pregnant women in the intervention and control groups with a p value 0,000; there is a difference in the average of sleep quality in the third trimester pregnant women in the intervention and control groups with a p value 0,000; and there is no difference in the average of anxiety level and sleep quality in the third trimester pregnant women in the intervention and control groups with a p value 0,64. Prenatal Gentle Yoga and Hypnotherapy have an effect in reducing the anxiety level and improving the sleep quality in the third trimester pregnant women.


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