scholarly journals Pengaruh Senam Hamil Terhadap Kualitas Tidur Ibu Hamil Trimester III

2021 ◽  
Vol 1 ◽  
pp. 1531-1535
Author(s):  
Indah Nurfazriah ◽  
Ayu Fitriani

AbstractThe quality of sleep in pregnant women is very important for the health of both mother and fetus. The cause of sleep disturbances in pregnant women is due to the increased weight of the fetus, shortness of breath, fetal movement and back pain. To overcome this, it is necessary to do pregnancy exercises that increase the comfort of pregnant women. The purpose of this article is to determine the effect of pregnancy exercise on the quality of sleep of tird trimester pregnant women. The method used is a literature review which tries to dig up information about the effect of pregnancy exercise on the quality of sleep of pregnant women. Sources for conducting this literature review include systematic search studies of computerized databases (Scopus and Google Scholar) in the form of research journals totaling 3 journals. Writing scientific articles using the American Psychological Association bibliography (APA Format 6th Ed). The results showed that the mean value of sleep quality for pregnant women before doing pregnancy exercise was 12.43 and the mean value after pregnancy exercise was 6.43 (p = 0.000), thus there was an effect of pregnancy exercise on the sleep quality of pregnant women in the third trimester. The conclusion is based on the above review that pregnancy exercise can be an effort that can be done to improve the quality of sleep in pregnant womenKeywords: Pregnant Women, Sleep Quality, Pregnant Exercise AbstrakKualitas tidur pada ibu hamil sangat penting untuk kesehatan ibu dan janin. Penyebab gangguan tidur ibu hamil karena bertambahnya berat janin, sesak nafas, pergerakan janin dan nyeri punggung. Untuk mengatasi hal tersebut diperlukan senam hamil yang meningkatkan kenyamanan pada ibu hamil.Tujuan artikel ini untuk mengetahui pengaruh senam hamil terhadap kualitas tidur ibu hamil trimester III. Metode yang digunakan adalah studi tinjauan literatur (literature review) yang mencoba menggali informasi mengenai pengaruh senam hamil terhadap kualitas tidur ibu hamil. Hasil penelitian menunjukan bahwa nilai mean kualitas tidur ibu hamil sebelum melakukan senam hamil adalah 12.43 dan nilai mean setelah pemberian senam hamil 6.43(p= 0.000),dengan demikian ada pengaruh senam hamil terhadap kualitas tidur ibu hamil trimester III. Simpulan berdasarkan ulasan di atas bahwa aktivitas senam hamil dapat menjadi salah satu upaya yang dapat dilakukan untuk meningkatkan kualitas tidur pada ibu hamil.Kata kunci: Ibu hamil; Kualitas tidur; Senam hamil

2020 ◽  
Vol 38 (3) ◽  
pp. 188-193
Author(s):  
Keun Tae Kim ◽  
Hyoeun Bae ◽  
Jin Gon Bae ◽  
Yong Won Cho

Background: The prevalence of sleep disorders increases as pregnancy progresses, which affects the health of pregnant women, fetal health, and the outcomes of pregnancy. The aim of this study is to evaluate the quality of sleep and life in pregnant women in Korea.Methods: This study is a prospective cross-sectional, case-control study of pregnant women and age-matched controls. From July to September 2019, all participants completed Korean-language versions of the sleep questionnaires including Pittsburgh sleep quality index (K-PSQI), Insomnia severity index, Epworth sleepiness scale, Back’s depression inventory-2(K-BDI), STOP (Snoring, Tiredness, Observed apneas, and high blood Pressure), and short-form 36 (K-SF-36).Results: A total of 422 participants consisted of 385 pregnant women and 137 controls. Second and third trimester were 200 and 185, respectively. K-PSQI scores were higher in pregnant women compared with the controls (7.87±3.49 and 8.50±3.55 vs. 5.79±2.76, <i>p</i><0.001). Total score of K-SF-36 was lowest in third trimester (62.07±17.72) and highest in the control group(79.41±13.36). There was no statistical difference between groups in K-BDI.Conclusions: This study demonstrated worsening of sleep quality as well as life quality during pregnancy. More attention to sleep of pregnant women is needed.


2018 ◽  
Vol 6 (2) ◽  
pp. 16
Author(s):  
Mezzi Wulandari Arenza ◽  
Ni Wayan Tianing ◽  
I Putu Adiartha Griadhi

ABSTRACTSleep disturbance in the third trimester pregnant women is caused by discomfort, an increasingly largeabdominal condition, back pain, frequent urination, fetal movement, heartburn, cramps in the legs, tiredness, difficultygetting started, and physiological changes. Sleep disorders result in decreased quality of sleep. Pregnant women whohave poor sleep quality are at risk of longer labor, cesarean delivery, premature birth, and even infant mortality. The aimof this research is to know the difference of pregnant exercise combination and back massage in improving the sleepquality of third trimester pregnant women. This research use experiment method with quasi experiment approach andresearch design is pre and post test with control design. Sample are 18 people, divided into 2 groups, 9 people intreatment groups given pregnancy exercise and back massage and 9 people in control group is given only pregnantexercise. Intervention is given 8 times. Pittsburgh Sleep Quality Index (PSQI) questionnaire used for measured of sleepquality. The result of different test of unpaired group, in the treatment group got difference of average 4,556 and controlgroup got difference mean 2,333 with p=0,004 (p<0,05). These results showed that there was a significant differencebetween the treatment group and the control group in improving the sleep quality of the third trimester pregnant women.In conclusion, there are differences in the addition of back massage combination in pregnancy exercise intervention inimproving sleep quality of third trimester pregnant women.Keyword : Pregnancy Exercise, Back Massage, Sleep Quality, Third Trimester.


2021 ◽  
Vol 5 (1) ◽  
pp. 42
Author(s):  
Shinta Wurdiana Rhomadona ◽  
Dianita Primihastuti

As gestational age increases, the quality of sleep can decrease. It was reported that about 60% of late trimester pregnant women experience fatigue and> 75% experience sleep disturbances. However, these complaints are often ignored, even though it can lead to an increased risk of gestational hypertension, diabetes, prematurity, and postpartum depression. Sleep disturbances can also cause depression and stress that affects the fetus. Mild stress causes an increase in fetal heart rate which, if left untreated, will make the baby hyperactive. Meanwhile, the consequences are depression and babies who are born have less time to sleep deeply. Efforts to overcome this sleep disorder are yoga and lavender aromatherapy inhalation. Purpose: Therefore, the researchers estimated that the application of a combination of prenatal gentle yoga and lavender aromatherapy would be more effective in affecting the quality of sleep in pregnant women, so it is hoped that it can reduce sleep disturbances in third trimester pregnant women. Results: There is a significant effect of the combination of prenatal gentle yoga and inhalation of lavender aromatherapy in improving sleep quality in the treatment group with a value of α = 0.011 or α <0.05. There was a significant difference in the quality of sleep in the group compared to the control group with a value of α = 0.004 or α <0.05. Conclusion: By practicing prenatal gentle yoga and regular inhalation of lavender aromatherapy, it will be able to improve sleep patterns without using sleeping pills which wil


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Dahmane Rihem ◽  
Chaker Hanen ◽  
Toumi Salma ◽  
Zini Olfa ◽  
Mseddi Fatma ◽  
...  

Abstract Background and Aims Sleep disturbances are more common in patients with chronic renal failure and on dialysis than in the general population. They affect their mental health and quality of life. The objective of this study was to evaluate the sleep disorders of patients on peritoneal dialysis (PD). Method We report the results of a descriptive cross-sectional study in 27 patients on PD in order to assess the quality of sleep in these patients and its relation with mental health and quality of life. Sleep quality was performed using the Pittsburgh Sleep Quality Index (PSQI) to assess origin and extent of sleep disorders. Anxiety-depressive disorders were assessed using the HAD (Hospital anxiety and depression) scale. The quality of life (QOL) measurement was performed by the SF36 and KDQoL. Results We included 15 men and 12 women with an average age of 45.74 years (21–77). Eleven patients were on automated peritoneal dialysis (APD) and 16 patients on continuous ambulatory peritoneal dialysis (CAPD). The mean duration of dialysis was 45.77 ± 25 months. Poor quality of sleep was reported in 14 patients. The mean PSQI was 7.22 ± 4.87. The most affected components were sleep duration and usual sleep efficiency. Depression was objectified in 22.22% of patients and 26% of patients had anxiety. Impaired quality of sleep was associated with decreased quality of life. The components of the physical dimension of quality of life: limitation due to physical condition, physical pain were significantly lower in dialysis patients with good quality of sleep (p=0.014, p= 0.033 respectively) The mental dimension component of QOL of SF36: relationship to others, limitation due to mental condition was also lower in patients with sleep disturbances (p=0.039, p= 0.036 respectively). Symptoms and problems, as well as the effects and the burden of kidney disease were not associated with poor quality of sleep. Impaired sleep quality was also not significantly associated with depression or anxiety in our series. Conclusion Sleep disturbances are common in PD patients and are associated with decreased quality of life. Therefore, they must be taken into account in the therapeutic measures recommended in order to improve the quality of life of these patients and reduce morbidity and mortality.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 767.2-768
Author(s):  
S. Lahrichi ◽  
K. Nassar ◽  
S. Janani

Background:Spondyloarthropathies (SpA) are a group of chronic and progressive diseases, characterized in particular by a progressive stiffening of the spine, spreading to neighboring joints or to certain tissues, which could lead in the long term to progressive stiffening and functional impairment. This conditioncancauseinsomnia problems and impaired sleep quality.Objectives:To assess the impact of SpA on the quality of sleep.Methods:This is a retrospective study over a period of 4 years from January 2015 to December 2019, including all the medical records of patients with SpA followed in the Department of Rheumatology of the University Hospital of Ibn Rochd, Casablanca. We evaluated for each patient two validated scores: the Epworth somnolence scale rated from 0 to 24, and the Pittsburgh sleep score rated from 0 to 21 with 7 components. Patients with a psychiatric history or who were followed up for neurological pathologies were excluded.Results:178 patients were included. 60.67% were men with an average age of 36.32 years (14-68 years). 45.01% had axial SpA, 29.77% had psoriatic arthritis, and 25.22% were followed for SpA associated with inflammatory bowel disease. 45% had associated comorbidities: there were 18 diabetics and 34 hypertensive, 16.58% were smokers. Clinically, 85.42% presented a back pain initially on examination, 55% presented a polyarthralgia, and 39.88% an oligoarthritis. 63% had radiological sacroiliitis, and 35.14% had bilateral coxitis. 13.48% had a positive HLA B27 and 58.89% had a positive inflammatory assessment with very high activity indices,with a mean of 4.6. 64.66% of the patients received NSAIDs,of which 11% responded well. 57% were treated with csDMARDs, and 17.86% were treated with biologics. At the time of our study, the mean visual analog scale was 5.84 ± 1.7 out of 10 (2-9). The mean Epworth score was 8.38 ± 5.2 (0-21). 56.1% of patients had no sleep debt, 33.3% had a sleep deficit, and only 10.6% had signs of drowsiness. For the overall Pittsburgh score, the mean was 7.02 ± 3.6 (1-18). The mean of “subjective quality of sleep” was 1.12, “sleep latency” was 1.22, “duration of sleep” was 1.06, “usual sleep efficiency” was 0.74, “Sleep disturbance” of 1.28, “use of a sleep medication” of 0.54, and the average of the component concerning “poor shape during the day” was 1.03 out of 3. The LEQUESNE index went from an average of 6 to 8, which corresponds to an average handicap (P = 0.2) over a period of 3 years. 68% of the patients had an alteration in the quality of sleep, starting on average three years after the onset of symptoms. 11% reported having experiencedanxiety and depressive symptoms, and reported having used antidepressants or anxiolytics in the past 5 years.Conclusion:Our study showed the negative impact of SpA on the duration and overall quality of sleep. The degree of pain as well as functional impairment can cause and worsen sleep disturbances in SpA. We have shown that the Pittsburg score increases significantly with the increase of pain.The Lequesne score and that the Epworth score increase with disease activity[1].References:[1]StolwijkC,vanTubergenA,Castillo-OrtizJD,BoonenA.Prevalenceofextra-articularmanifestationsinpatientswithankylosingspondylitis:asystematicreviewandmeta-analysis.AnnRheumDis2015;74:65—73.Disclosure of Interests:None declared.


2021 ◽  
Author(s):  
Mohammadreza Boostaneh ◽  
Mohammad Zirak ◽  
Ramezan Fallah

Abstract Purpose: This study aimed to assess the burden of care and its relationship with sleep quality of cancer patients’ caregivers.Methods: This descriptive-correlational study was conducted in a referral center of cancer in Zanjan, northwest of Iran. 135 caregivers of cancer patients were recruited through convenience sampling method. The data were collected using a demographic characteristics questionnaire, Novak and Guest’s caregiver burden inventory and Pittsburgh sleep quality index (PSQI). The collected data was analyzed using descriptive and inferential statistics.Results: The mean (± SD) age of the participants was 39.71 (± 10.74) years. The mean (± SD) burden of care and sleep quality of the participants was 45.22 (± 17.75) and 8.88 (± 4.21), respectively. It was found that there is a significant positive relationship between burden of care and quality of sleep scores (r = 0.65, P < 0.001).Conclusion: cancer patients’ caregivers endure a remarkable burden of care and their sleep quality is undesirable. Results indicated that an increase in the burden of care reduces the caregiver’s quality of sleep. High burden of care and poor sleep quality may reduce the quality of the provided care that increase the costs and weakens the disease prognosis. According to the study results, reducing burden of care is an effective strategy regarding improving the caregivers’ quality of sleep that can improve the quality of provided cares by caregivers.


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


1981 ◽  
Author(s):  
I Rákóczi ◽  
Gy Geró ◽  
J Demeter ◽  
I Gáti

It is known that platelet hyperaggregation observed in diabetic patients is, at least in part, due to an increased activity of the endoperoxide-thromboxane forming metabolic pathway. It was interesting to determine the platelet malondialdehyde /MDA/ production in normal and diabetic pregnancies. Following individuals have been studied: /I/ twenty-five healthy non-pregnant volunteers; /II/ thirty women in third trimester of non-complicated pregnancies; /III/ twenty two diabetic pregnant women without retinopathy; /IV/ fifteen diabetic pregnant women with retinopathy. Platelet MDA production following N-ethyl-maleimide induced aggregation was measured according to Stuart et al. The mean value of MDA production was similar in volunteers and normal pregnant women /SDM, 7.07±0.73 nmoles MDA per 109 platelets; 7.22±0.81/. The mean MDA production in diabetic women without retinopathy was slightly but nonsignificantly higher than that in normal pregnant women /7.57±1.02; p>0.05/. The corresponding value in diabetic women with retinopathy was significantly higher than the values in the other three groups /8.47±0.82; p<0.01/. These data suggest that the activation of prostaglandin synthetic pathway /measured by MDA/ is significantly increased in diabetic pregnancy complicated by retinopathy. The increase of platelet prostaglandin synthesis in diabetic pregnancy might play an important role in initiating and/or promoting the small-vessel complications of placenta.


2020 ◽  
Vol 2 (2) ◽  
pp. 15-20
Author(s):  
Siti Maryani ◽  
Riza Amalia ◽  
Marlynda Happy Nurmalita Sari

ABSTRACTPhysiological changes during pregnancy occur due to the development of the fetus and preparation for labor. Third trimester requires attention because of the many discomforts felt by the mother due to the rapid growth and development of the fetus. Massage therapy is a non-pharmacological technique that can help reduce discomfort during pregnancy. The aim of the study was to analyze the benefits of massage therapy to reduce discomfort during the third trimester in the form of sleep disturbances, back pain and anxiety. The method used is literature review. The articles used are articles published in 5 years starting from 2015-2020. The keywords used are pregnancy massage and third trimester pregnancy discomfort. Five research articles used in the literature review showed that the results of massage therapy carried out on TM III pregnant women can reduce the intensity of back pain, improve sleep quality and reduce anxiety / stress and can make mothers feel happy. The conclusion obtained by pregnancy massage is a massage technique with gentle and smooth methods in certain parts to make the mother feel fresher and more comfortable. The main goal of massage therapy for pregnant women is to improve the welfare of the mother and the fetus. It is hoped that massage techniques can be taught by the patient's family health personnel so that pregnant women and their families can do it independently and provide a stronger psychological effect because it is given by the closest person to the pregnant mother.Key words: pregnancy massage, third trimester of pregnancy, complementary therapy during pregnancy ABSTRACTPerubahan fisiologi selama kehamilan terjadi akibat adanya tumbuh kembang janin dan persiapan persalinan. Trimester III memerlukan perhatian karena banyaknya ketidaknyamanan yang dirasakan oleh ibu akibat tumbuh kembang janin yang cepat. Terapi pijat merupakan salah satu teknik non farmakologi yang dapat membantu mengurangi ketidaknyamanan selama kehamilan. Tujuan penelitian adalah menganalisis manfaat terapi pijat untuk mengurangi ketidaknyamanan selama trimester III berupa gangguan tidur, nyeri punggung dan kecemasan. Metode yang digunakan adalah kajian literatur. Artikel yang digunakan adalah artikel terbitan 5 tahun dimulai dari 2015-2020. Keyword yang digunakan adalah pijat hamil/ pregnancy massage dan ketidaknyamanan kehamilan TM III. Lima artikel penelitian yang digunakan dalam kajian literatur didapatkan hasil terapi pijat yang dilakukan pada ibu hamil TM III dapat menurunkan menurunkan intensitas nyeri punggung, meningkatkan kualitas tidur dan mengurangi kecemasan/ stres serta dapat membuat ibu merasa bahagia. Kesimpulan yang diperoleh pijat hamil merupakan teknik pemijatan dengan cara lembut dan halus pada bagian tertentu untuk membuat ibu merasa lebih segar dan nyaman. Tujuan utama terapi pemijatan ibu hamil adalah untuk meningkatkan kesejahteraan ibu dan janin. Diharapkan teknik pemijatan bisa diajarkan oleh tenaga kesehatan kekeluarga pasien sehingga ibu hamil dan keluarga dapat melakukan secara mandiri dan memberikan efek psikologi yang lebih kuat karena diberikan oleh orang terdekat dengan ibu hamil.Kata kunci: pijat kehamilan, kehamilan trimester III, terapi komplementer selama kehamilan


2020 ◽  
Vol 8 (2) ◽  
pp. 286
Author(s):  
Nina Setiawati ◽  
Lutfatul Latifah ◽  
Aprilia Kartikasari

Lebih dari separuh wanita hamil yang merasa tidak nyaman karena mual dan muntah dilaporkan telah mengalami gangguan tidur selama kehamilan. Durasi tidur yang tidak memadai dan kualitas tidur yang buruk selama kehamilan dapat meningkatkan kehamilan dengan risiko, termasuk gangguan pertumbuhan janin, dan depresi pascapersalinan. Yoga umumnya digunakan untuk relaksasi dan terbukti efektif untuk mengurangi stres dan kecemasan pada wanita hamil sehingga dimungkinkan untuk meningkatkan kualitas tidur bagi wanita hamil. Salah satu bentuk latihan yoga pada ibu hamil adalah pranayama dan postur yoga restoratif. Tujuan dari penelitian ini adalah untuk mengetahui apakah pranayama dan postur yoga restoratif efektif untuk meningkatkan kualitas tidur pada wanita hamil. Studi quasy eksperimental dengan kelompok kontrol ini dilakukan pada 58 wanita hamil dengan mual muntah yang didapatkan dengan metode purposive sampling. Responden dibagi menjadi dua kelompok, 29 responden di setiap kelompok. Pranayama dan postur yoga restoratif diberikan pada kelompok intervensi dalam 30 menit selama 7 hari terus menerus. Kualitas tidur diukur oleh Pittsburgh Sleep Quality Index (PSQI). Hasil analisis data menggunakan uji Chi-Square menunjukkan bahwa tidak ada perbedaan dalam skor kualitas tidur ibu hamil sebelum dan sesudah diberi pranayama dan postur yoga restoratif (p>0.05). Wanita hamil trimester kedua dan ketiga yang mengalami mual dan muntah dalam penelitian ini tampaknya tidak mengalami peningkatan kualitas tidur setelah melakukan pranayama dan postur yoga restoratif. Frekuensi dan keteraturan dalam melakukan yoga menjadi poin penting yang perlu diperhatikan untuk hasil yang lebih ba


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