PENGARUH OLAH NAFAS BELLY BREATHING UNTUK MENGURANGI NYERI PERSALINAN KALA 1 FASE AKTIF DI KLINIK DHIAULHAQ MAGELANG

2021 ◽  
Vol 13 (02) ◽  
pp. 151
Author(s):  
Eniyati . ◽  
Ika Fitria Ayuningtyas Fitria Ayuningtyas ◽  
Lily Yulaikah
Keyword(s):  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
Breathing Exercise ◽  
Central Java ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Breathing Therapy

ABSTRAKLatar Belakang: Banyak ibu sangat takut mengalami rasa sakit saat persalinan melalui vagina sehingga lebih memilih persalinan Caesar. Rasa takut akan semakin mencekam ketika tanggal persalinan semakin dekat. Penelitian menunjukkan, faktor mengurangi rasa takut adalah mendapat dukungan positif dari keluarga dan memilih beberapa metode penghilang rasa sakit (Danuatmadja, 2008). Untuk mengurangi efek stres fisiologis maupun psikologis akibat nyeri persalinan dapat dilakukan melalui penanganan non farmakologi.Salah satu terapi tersebut adalah olah nafas. Tujuan: Penelitian ini bertujuan untuk mengetahui Pengaruh Olah Nafas Belly Breathing Terhadap Nyeri Persalinan Kala 1 Fase Aktif Di Klinik Dhiaulhaq Magelang Jawa Tengah. Metode: Desain penelitian ini adalah Quasy Eksperimental dengan pendekatan one group Pre-Post test Design. Populasi penelitian adalah ibu bersalin di klinik Dhiaulhaq Magelang Jawa Tengah dengan jumlah sampel 38 dan menggunakan teknik accidental sampling. Analisis menggunakan uji Wilcoxon. Hasil: Terdapat perbedaan antara nyeri sebelum diberikan terapi olah nafas dengan nyeri pasca pemberian olah nafas pada kala 1 fase aktif dengan nilai P= 0,000 < 0,05. Terdapat perbedaan rasa nyeri yang bermakan antara sebelum diterapkan dan sesudah diterapkan. Kesimpulan: Terdapat 29 responden (76,32%)  setelah diterapkan olah nafas belly breathing, nyeri berkurang, 1 responden (2,63%) nyeri bertambah, dan terdapat 8 responden (21,1 %) dengan nyeri tetap.Kata Kunci : Belly Breating, Nyeri PersalinanTHE EFFECT OF BELLY BREATHING TO REDUCE LABOR PAIN DURING 1 ACTIVE PHASE AT DHIAULHAQ MAGELANG CLINICABSTRACTBackground: Many women are frightened of the pain during vaginal delivery so they prefer a caesarian delivery. The fear will be more gripping as the due date draws near. Research shows the factors that reduce fear are getting positive support from family and choosing several methods of pain relief (Danuatmadja, 2008). To reduce the effects of physiological and psychological stress due to labor pain can be done through non-pharmacological treatmen. One the therapies is breathing exercise. Objective: This study is aimed to determine the Influence of Belly Breathing to Pain of Labor Kala 1 Phase Active In Dhiaulhaq Clinic Magelang, Central Java. Methods: The design of this research is Quasy Experimental with a one group Pre- Posttest Design approach. The population of the study was maternal birth in Dhiaulhaq Clinic Magelang, Central Java with 38 samples and using accidental sampling technique. The analysis was using Wilcoxon test. Results: There is a difference between pain before brathing therapy and after having breathing therapy in kala I active phase p=0.000<0.05. There is significant difference of pain level between before and after the tharapy was applied. Conclusion: After applying the Belly Breathing exercise there were 29 respondents (76.32 %) experienced reducing pain, one respondent (2.63 %) experienced increasing pain, and 8 respondents (21.1%) increasing pain constantly.Keyword: Belly Breathing, Labor Pain

scholarly journals PENGARUH PEMBERIAN ROSE EFFLEURAGE TERHADAP INTENSITAS NYERI PERSALINAN KALA I FASE AKTIF PADA PERSALINAN NORMAL PRIMIGRAVIDA DI BIDAN PRAKTIK MANDIRI ERNITA KOTA PEKANBARU

2020 ◽  
Vol 4 (1) ◽  
pp. 9-14
Author(s):  
Jasmi Jasmi ◽  
Elly Susilawati ◽  
Ana Andriana
Keyword(s):  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
P Value ◽  
Average Intensity ◽  
Test Study ◽  
Before And After ◽  
Post Test ◽  
Confidence Degree

Birth pain can cause maternal discomfort such as fatigue, frustration, despair, and stress. The preliminary survey at PMB Ernita of Pekanbaru showed that there were 60% of the mothers that suffered moderate pain and 40% of them experienced severe pain. The intensity of labor pain can be reduced by giving a rose effleurage that can produce endorphin so that it stimulates a sense of relaxation. This pre-experimental research used a one group pre-test study post-test design carried out in March to June 2018. The population was primigravidae  mothers in the first stage of labor taken using purposive sampling technique. The results showed that the average intensity of pain in parturient women before and after administration of rose effleurage was 6.00 and 4.60, respectively. The result of statistic test with Wilcoxon test on 95% confidence degree showed that there was the effect of rose effleurage stage on pain intensity in the active stage of labor (p value = 0.000). It is then suggested that rose effleurage can be applied as an alternative method which aims to reduce the intensity of labor pain at the time of active phase.

scholarly journals EFFECT OF EFFLEURAGE TECHNIQUES TO INTENSITY PAIN ON DELIVERING BABY AT 1st PERIOD ACTIVE PHASE Of MOTHERS DELIVERING BABY IN BPM Hj.NINIK ARTINGSIH.,SST.M.Kes BLOOTO DISTRICT MOJOKERTO

2017 ◽  
Vol 1 (2) ◽  
pp. 104-110
Author(s):  
Ariu Dewi Yanti ◽  
Rina Mardiyana Mardiyana
Keyword(s):  
Pain Intensity ◽  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
P Value ◽  
Test Design ◽  
Post Test ◽  
Experimental Type ◽  
First Stage Of Labor

The pain on delivering baby was experienced by most women, this pain is unique and different for every individual. Non-pharmacological pain control becomes cheaper, simple, and effective and without adverse effects, one of which is the technique effleurage. Effleurage of the abdomen is one of the non-pharmacological methods which are usually used in the Lamaze method to reduce pain in normal labor. This research aimed to determine the effect of effleurage technique on active phase of the first stage of labor pain intensity on maternal in private midwife Hj.Ninik Artiningsih.,SST.M.Kes Blooto District Mojokerto Regency. Research design was pre experimental type one group pre-test post test design. Its population were all women giving birth in BPM Hj.Ninik Artiningsih.,SST.M.Kes, SST Blooto distric Mojokerto Regency amount 17 people. The sampling technique used consecutive sampling to obtain 15 samples. Data analysis used was Wilcoxon test with P value <0.05. It means that there was effect of effleurage technique on active phase of the first stage of labor pain intensity on maternal in private midwife Hj.Ninik Artiningsih.,SST.M.Kes Blooto District Mojokerto Regency. Gently cares the abdomen effected in pain that transmitted will be inhibited, it effected in the cerebral cortex does not receive the response message so that the pain decreased pain

scholarly journals EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF

2019 ◽  
Vol 7 (3) ◽  
pp. 185-190
Author(s):  
Retty Nirmala Santiasari ◽  
Detty Siti Nurdiati ◽  
Wiwin Lismidiati
Keyword(s):  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Cervical Dilatation ◽  
Control Group ◽  
Research Subjects ◽  
Uterine Contractions ◽  
Average Improvement ◽  
Before And After ◽  
Post Test

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation.   Keywords: Cervical dilatation, counterpressure, effleurage

scholarly journals EFFECT OF EFFLEURAGE TECHNIQUES TO INTENSITY PAIN ON DELIVERING BABY AT 1st PERIOD ACTIVE PHASE Of MOTHERS DELIVERING BABY IN BPM Hj.NINIK ARTINGSIH.,SST.M.Kes BLOOTO DISTRICT MOJOKERTO

2017 ◽  
Vol 1 (2) ◽  
pp. 104-110
Author(s):  
Ariu Dewi Yanti ◽  
Rina Mardiyana Mardiyana
Keyword(s):  
Pain Intensity ◽  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
P Value ◽  
Test Design ◽  
Post Test ◽  
Experimental Type ◽  
First Stage Of Labor

The pain on delivering baby was experienced by most women, this pain is unique and different for every individual. Non-pharmacological pain control becomes cheaper, simple, and effective and without adverse effects, one of which is the technique effleurage. Effleurage of the abdomen is one of the non-pharmacological methods which are usually used in the Lamaze method to reduce pain in normal labor. This research aimed to determine the effect of effleurage technique on active phase of the first stage of labor pain intensity on maternal in private midwife Hj.Ninik Artiningsih.,SST.M.Kes Blooto District Mojokerto Regency. Research design was pre experimental type one group pre-test post test design. Its population were all women giving birth in BPM Hj.Ninik Artiningsih.,SST.M.Kes, SST Blooto distric Mojokerto Regency amount 17 people. The sampling technique used consecutive sampling to obtain 15 samples. Data analysis used was Wilcoxon test with P value <0.05. It means that there was effect of effleurage technique on active phase of the first stage of labor pain intensity on maternal in private midwife Hj.Ninik Artiningsih.,SST.M.Kes Blooto District Mojokerto Regency. Gently cares the abdomen effected in pain that transmitted will be inhibited, it effected in the cerebral cortex does not receive the response message so that the pain decreased pain

scholarly journals Pengaruh kompres hangat terhadap intensitas nyeri persalinan kala I fase aktif

2020 ◽  
Vol 9 (1) ◽  
pp. 39
Author(s):  
Suyani Suyani
Keyword(s):  
Pain Score ◽  
Active Phase ◽  
Labor Pain ◽  
Uterine Contractions ◽  
Labor Duration ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
The Mean

Pain is an integral part of labor and childbirth which is normal due to physiological and psychological factors. Labor pain can affect uterine contractions through secretion of catecholamine and cortisol levels which increase sympathetic nervous system activity, changes in blood pressure, heart rate, breathing, and consequently affect labor duration. This study aims to determine the effect of warm compresses on the intensity of labor in the first phase of active labor. The design of this study was quasi-experimental with one group pre-test and post-test design. The population in this study were all labor women at BPM Tri Rahayu Setyaningsih Sleman, with incidental sampling techniques and 18 samples were obtained. A compress was carried out in the lower abdomen using hot bladders. Data analysis using Paired T test. Based on the research results obtained, the mean pain score before treatment was 8.66 and the mean pain score after treatment was 5.83. The results of statistical analysis of different pain intensity tests before and after treatment showed a significant difference (p = 0,000; 95% CI -3,352 - (- 2,314). This shows that warm compresses can reduce the intensity of pain in labor during the active phase. warmth can be used as one way to reduce the intensity of labor pain

scholarly journals EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF

2019 ◽  
Vol 7 (3) ◽  
pp. 185-197
Author(s):  
Retty Nirmala Santiasari ◽  
Detty Siti Nurdiati ◽  
Wiwin Lismidiati
Keyword(s):  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Cervical Dilatation ◽  
Control Group ◽  
Research Subjects ◽  
Uterine Contractions ◽  
Average Improvement ◽  
Before And After ◽  
Post Test

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation. Keywords: Cervical dilatation, counterpressure, effleurage

scholarly journals the effectiveness of giving pursed lips breathing therapy towards kids' oxygenation status with pneumonia

2019 ◽  
Vol 1 (2) ◽  
pp. 110-119
Author(s):  
Yunita Muliasari ◽  
Iin Indrawati
Keyword(s):  
Test Group ◽  
Sampling Technique ◽  
P Value ◽  
Common Disease ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Breathing Therapy ◽  
Quasi Experimental ◽  
Oxygenation Status

Background Pneumonia is the second most common disease that brings about death in children under five years of age in the world. It seems, Symptoms that appear in the case of Pneumonia are acute respiratory problems that need to be overcome appropriately. Objectives the aim of this research is to identify the effect of pursed lips breathing therapy through tongue blowing activity on the oxygenation status of preschoolers with Pneumonia. Method this research used quasi experimental with pre-post test group design. The sampling technique is purposive random sampling with 36 people consisting of 18 intervention groups and 18 control groups. Data were analyzed using univariate and bivariate tests (t-test) Result The results showed a significant difference between oxygenation status before and after intervention with tongue blowing therapy (PLB), namely p value= 0.045 on respiratory frequency (RR), p value = 0.037 to saturation oxygen (Sa02) and p value=0.036 on heart rate (HR). Recommendation The results of this study can add alternatives to independent nurse interventions in dealing with pediatric patients who have pneumonia or with oxygenation disorders.

scholarly journals MASASE PUNGGUNG TERHADAP PENURUNAN NYERI PERSALINAN FISIOLOGIS KALA I FASE AKTIF

2021 ◽  
Vol 7 (3) ◽  
pp. 441-452
Author(s):  
Deby Utami Siska Ariani ◽  
Dewi Suryanti
Keyword(s):  
International Association ◽  
Emotional Experience ◽  
Active Phase ◽  
Pain Scale ◽  
Labor Pain ◽  
Independent Practice ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Back Massage

Background: Pain in the process of persuasion begins since the occurrence of uterine contractions and complete cervical opening which is devided into two phases, namely the latent phase and the active phase. The International Association for Study of Pain, defines pain as a subjective sensory and unpleasant emotional experience associated with actual or potential tissue damage or perceived in events where damage occurs. Purpose: to determine the effect of back massage on the decrease in pain physiological labor pain during the active phase at the Husniyati Palembang Midwife Practice. Methods: The research design was pre-experimental design with one group pre test - post test design. The population in this study were all mothers who would give birth during the first stage of the active phase at the Husniyati Independent Practice Midwives. The research sample is the total population, namely 35 people. The research variables included independent variables, namely back massage and the dependent variable, namely labor pain. Results: 20 respondents (57.1%) who experienced moderate pain experienced pain scale description before giving back massage. After being given back massage, the pain scale decreased from 35 respondents who experienced mild pain totaling 23 respondents (65.7%). The results of the Wilcoxon statistical test showed that the value of p = 0.000, it can be concluded that there is a significant difference in the pain scale of mothers who are about to give birth during the 1st stage of the active phase before and after being given back massage. Conclusion: There is a significant difference in the pain scale of mothers who are about to give birth during the first stage of the active phase before and after being given back massage at the Husniyati Palembang Midwife Practice.Suggestion The results of this study can be used as information for further research using more varied variables and different designs. And can also be done on a larger number of samples. Keywords: labor pain, first stage active phase and back massage ABSTRAK Latar belakang: Nyeri pada proses persalinan dimulai sejak terjadinya kontraksi uterus dan pembukaan servik lengkap yang dibagi dua fase, yaitu fase laten dan fase aktif. International  Association  for  Study  of  Pain,  mendefinisikan nyeri  sebagai  suatu sensori subjektif dan pengalaman emosional yang tidak menyenangkan berkaitan dengan kerusakan jaringan yang bersifat aktual atau potensial atau yang dirasakan dalam kejadian-kejadian dimana terjadi kerusakan.Tujuan: untuk mengetahui pengaruh  masase punggung terhadap penurunan nyeri persalinan fisiologis kala 1 fase aktif di Bidan Praktek Mandiri Husniyati Palembang.Metode: Rancangan penelitian dengan desain  Pra Eksperimental dengan rancangan one group pre test - post test. Pengumpulan data  didapat melalui wawancara langsung dan observasi pada responden dibantu dengan menggunakan angket. Populasi dalam penelitian ini seluruh ibu yang akan melahirkan pada kala I fase aktif di Bidan Praktek Mandiri Husniyati. Sampel penelitian merupakan total populasi yaitu berjum,ah 35 orang. Variabel penelitian, variabel independen yaitu masase punggung  serta variabel dependen yaitu nyeri persalinan. Analisis yang digunakan adalah univariat dan bivariate. Uji Statistik yang digunakan yaitu non parametric Wilcoxon.Hasil: gambaran skala nyeri sebelum diberikan masase punggung dari 35 responden yang mengalami nyeri sedang berjumlah 20 responden (57,1%). setelah diberikan masase punggung skala nyeri menjadi menurun dari 35 responden yang mengalami nyeri ringan berjumlah 23 responden (65,7 %). Hasil uji statistik wilcoxon didapatkan nilai p = 0,000, maka dapat disimpulkan ada perbedaan yang signifikan skala nyeri pada ibu  yang akan melahirkan pada kala 1  fase aktif  sebelum dan sesudah diberikan masase punggung.Kesimpulan: ada perbedaan yang signifikan skala nyeri pada ibu yang akan melahirkan pada kala 1 fase aktif sebelum dan sesudah diberikan masase punggung di Bidan Praktek Mandiri Husniyati.Saran Hasil penelitian ini dapat dijadikan informasi untuk penelitian lebih lanjut dengan menggunakan variable yang lebih bervariasi dan desain yang berbeda. Dan juga dapat dilakukan pada jumlah sampel yang lebih banyak. Kata Kunci : Nyeri persalinan, kala I Fase aktif dan masase punggung 

The Effect of Breastfeeding Calendar Training on Knowledge and Attitudes of Mothers in Exclusive Breastfeeding

2021 ◽  
Vol 10 (1) ◽  
pp. 80-87
Author(s):  
Ari Indra Susanti ◽  
Aminarista Aminarista ◽  
Neneng Martini ◽  
Nur Rahmah ◽  
Sri Astuti
Keyword(s):  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Test Design ◽  
Knowledge And Attitudes ◽  
Lactating Mothers ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental

Background: Lactating mothers were successful in giving exclusive breastfeeding as much as 42% based on SDKI (Survei Demografi Kesehatan Indonesia) in 2012. This is depend on the support of husbands and families as well as health workers. Thus, the husband or family should remind and motivate mothers as well as monitor the breastfeeding activity every day for 6 months using breastfeeding calendar.Objectives: This study aimed to determine the increase in knowledge and attitudes of mothers in providing exclusive breastfeeding after the exclusive breastfeeding calendar training.Materials and Methods: The research design used a quasi-experimental one group pre-test post-test design. This research was conducted on mothers who had babies (age 0-12 months) in Pasawahan Village and Pasawahan Kidul Village, Pasawahan District, Purwakarta Regency in April to November 2018, with 96 respondents. The sampling technique was conducted by purposive sampling. Data were collected by giving questionnaires to respondents, before and after the breastfeeding calendar training were given. The Wilcoxon test was used for the analysis of the data in this study.Results: The results showed that there were differences in the knowledge of mothers before and after training on breastfeeding calendar (p <0,000) and there were differences in the attitudes of mothers before and after the training on breastfeeding calendar (p <0,000).Conclusions: There was an increase in knowledge and changes in the attitude of mothers towards exclusive breastfeeding after being given the breastfeeding Calendar training. Therefore, suggestions for health workers, especially midwives and nutrition workers, can use the breastfeeding calendar as an educational medium to increase husband and family support in exclusive breastfeeding.

scholarly journals THE EFFECT OF VIRTUAL EDUCATION TO IMPROVE COMPLIANCE OF HEMODIALISYS PATIENTS WITH HEALTH PROTOCOLS DURING PANDEMIC

2021 ◽  
Vol 10 (2) ◽  
pp. 175-183
Author(s):  
Nur Hidayati ◽  
Abdul Rokhman ◽  
Suratmi Suratmi ◽  
M. Syukri Ghozali ◽  
Muhtadi Muhtadi
Keyword(s):  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Hemodialysis Patients ◽  
Virtual Education ◽  
Wilcoxon Test ◽  
Before And After ◽  
Post Test ◽  
Improve Compliance ◽  
Educational Videos ◽  
Larger Sample

Background: The spread of COVID-19 has continued to increase since March 2020. Patients with chronic kidney failure who undergo Hemodialysis are one of the groups vulnerable to COVID-19 because they routinely undergo Hemodialysis. One of the ways to prevent transmission of COVID-19 to hemodialysis patients is by providing education to comply with the COVID-19 prevention Health protocol. Objective: The purpose of this study was to determine the effect of virtual education on Hemodialysis patient compliance in preventing covid-19 transmission at the Muhammadiyah Hospital in Lamongan. Methods: This study used the Pre-Experiment approach one group pre-test post-test design on all CKD patients who were routine Hemodialysis at Muhammadiyah Lamongan Hospital from October - December 2020 who were taken using the purposive sampling technique. The intervention given was playing educational videos for 2 months. Data were collected using a questionnaire before and after the intervention, which was tested by the Wilcoxon test with α <0.05. Results: There were 69 patients who took part in the entire processes until it was completed. The results revealed that there were differences in the level of compliance of hemodialysis patients before and after treatment (p = 0.000). Further research with larger sample and RCT design is needed for stronger generalization in population. Conclusion: Providing educational videos can increase the level of compliance of hemodialysis patients in implementing Health protocols to prevent transmission of COVID-19.

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