Smart Mother Classes Toward Coping Skill Ability, and Anxiety Level among Pregnant Women

2021 ◽  
Vol 15 (7) ◽  
pp. 2039-2043
Author(s):  
Runjati . ◽  
Sri Rahayu ◽  
Ida Ariyanti ◽  
Sri Wahyuni ◽  
Emy Suryani

Background: Antenatal education is considered standard care for pregnant women. Unfortunately, this class does not provide sufficient skills for women to cope with stress during pregnancy and delivery. In the other side, study literature claims that coping skill is truly essential for the mother to cope with and minimize the anxiety which leads to a serious risk for both mother and baby. Objective: This study aims to prove the impact of smart mother classes to improve coping skills ability and decrease anxiety levels among pregnant women. Methods: This study used a randomized pre-test post-test control group design in which the ages of pregnancies were 28-35 weeks in Semarang City Region. The mothers were randomly assigned to be members of an experiment group (n=50) and a control group (n=50). The experiment group was given smart mother classes that did perform antenatal classes and coping skills, while the control group was given standard classes, antenatal education only. The data analysis employed a dependent sample t-test and independent sample t-test. Results: There is a significant change over coping skill ability for the intervention group (p<.01), but not in the control group. Furthermore, there is also a significant change in the decrease in anxiety levels in the intervention group (p<.01). Conclusion: Smart mother classes are predominantly effective to reduce anxiety levels and enhance coping skill ability among pregnant women. Thus, pregnant women need to join smart mother classes during pregnancy. Keywords: smart mother classes; coping skill, anxiety level, antenatal classes

2016 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Wenny Savitri ◽  
Nani Fidayanti ◽  
Paulus Subiyanto

Background: Surgery is one of medical interventions which can cause fear, anxiety, and stressed because of its effects toward the integrity of body and soul. Nurses have significant roles in any preoperative care which is helping patients to decrease preoperative anxiety by using complementary therapy. The use of music therapy as one of the complementary therapies is not common in Indonesia. Therefore, scientific studies to prove the role of this therapy to decrease the level of anxiety of pre-operative patients is needed. Objective: To investigate the effects of music therapy in reducing anxiety levels of preoperative patients. Methods: A quasy experimental study with pre-test and post-test design with control group was applied to 50 respondents from medical ward in Panembahan Senopati Hospital of Yogyakarta who met the inclusion criteria.Dara were then analyzed by using t-test statistical analysis. Results: The control group showed the increased value of anxiety level of0.8 without music intervention (t= - 1503, df = 24, p<.05), whereas the intervention group showed the decreased value of anxiety level of -5.52 (t=5.081, df=24, p<.05). Meanwhile the independent t-test results for both groups showed a significant difference between group (t= 3,373, df=48, p<.05). Conclusion: Music therapy has significant effect in reducing preoperative anxiety levels of patients. Keywords: anxiety, preoperative, music therapy


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 5 (1) ◽  
pp. 1-6
Author(s):  
Wenny Savitri ◽  
Nani Fidayanti ◽  
Paulus Subiyanto

Background: Surgery is one of medical interventions which can cause fear, anxiety, and stressed because of its effects toward the integrity of body and soul. Nurses have significant roles in any preoperative care which is helping patients to decrease preoperative anxiety by using complementary therapy. The use of music therapy as one of the complementary therapies is not common in Indonesia. Therefore, scientific studies to prove the role of this therapy to decrease the level of anxiety of pre-operative patients is needed. Objective: To investigate the effects of music therapy in reducing anxiety levels of preoperative patients. Methods: A quasy experimental study with pre-test and post-test design with control group was applied to  50 respondents from medical ward in Panembahan Senopati Hospital of Yogyakarta who met the inclusion criteria.Dara were then analyzed by using t-test statistical analysis. Results: The control group showed the increased value of anxiety level of0.8 without music intervention (t= -1503, df = 24, p<.05), whereas the intervention group showed the decreased value of anxiety level of -5.52 (t=5.081, df=24, p<.05). Meanwhile the independent t-test results for both groups showed a significant difference between group (t= 3,373, df=48, p<.05). Conclusion: Music therapy has significant effect in reducing preoperative anxiety levels of patients. Keywords: Anxiety, preoperative, music therapy


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.


2021 ◽  
Vol 11 (1) ◽  
pp. 36-40
Author(s):  
Arisda Candra Satriyawati ◽  
Syaifurrahman Hidayat ◽  
Yulia Wardita ◽  
Nor Arifah

Dhikr Jahar Therapy Reduces Anxiety in Pre-Operative Sectio Caesarea Mothers. Mothers often experience anxiety before cesarean section surgery. Non-pharmacological therapy with dhikr Jahar can be a complementary therapy option to reduce anxiety. This study aimed to explain the effect of dhikr therapy on reducing maternal anxiety levels before SC surgery. The research method uses Quasy Experiment with Pre-Post Test With Control Group Design. The respondents' determination was carried out by total sampling, namely pre-cesarean section surgery pregnant women in March-June 2019 at Garam Islamic Hospital, Kalianget (n=24). Statistical test using Paired T-Test, Wilcoxon Test, and Independent T-Test. The results of the Paired T-Test showed that there were differences in the level of anxiety of patients before SC before and before being given dhikr therapy in the intervention group (p = 0.000); there was an average decrease of 9.917. The Wilcoxon test results showed no difference (change) in the level of anxiety of patients before and before being given therapeutic communication in the control group the value (p = 0.636); the decrease that occurred was 0.83. In the Independent T-Test results, there was no difference in the level of anxiety before SC before and before being given treatment in the intervention group and the control group (p = 0.211). There is an effect of providing dhikr Jahar therapy to reduce maternal anxiety levels before SC surgery.


2021 ◽  
Vol 5 (1) ◽  
pp. 312-314
Author(s):  
Erna Purnamasari ◽  
Arvina Andhiyani

Degenerative diseases are chronic non-communicable diseases such as heart disease, hypertension, diabetes, obesity and others. One of the degenerative diseases is hypertension. Hypertension is referred to as the "Silent Killer" because it is a deadly disease, without any symptoms as a warning to sufferers. Concerns about the emergence of new problems in hypertension will cause emotional mental disorders which are often shown by anxiety disorders. One of the lifestyle modifications that can cope with hypertension is to recommend being more relaxed. One alternative for relaxation in patients with hypertension is laughter therapy. This study aims to determine the effect of laughter therapy on reducing anxiety levels in hypertension sufferers in the Work Area. Method research using Literature review related to the effect of laughter therapy on reducing anxiety level in Hypertension patient. The results of the normality of the data showed that the data were normally distributed in the intervention group and the data were not normally distributed in the control group. From the results of this study, it is hoped that laughter therapy can be given contribution to reduce anxiety levelsin hypertensive patients, so that blood pressure in hypertensive patients can be controlled.


2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Astuti Astuti ◽  
Kartika Asli ◽  
Asrida Asrida ◽  
Nunung Erviany ◽  
Ummul Khair

Honey contains complex nutrients including vitamins A, C, E, B and flavonoids which play a role in suppressing oxidative stress. This study aimed to determine the effect of honey and Fe on body weight and malondialdehyde (MDA) levels of anemia pregnant women. The type of this study was quasi-experimental with the pretest-posttest design. Data analysis using paired t-test and independent samples test. After implementation the average value of the intervention group was 2.30 ± 0.50 while the average value of the control group was 2.00 ± 0.20 which showed that there was an effect of giving honey + Fe and Fe to the weight of anemic pregnant women. Whereas the statistical test results of the independent samples test showed p> 0.05 (p = 0.307) which means that there was no significant difference between the administration of honey + Fe (intervention) and Fe (control). In the melondialdehyde (MDA) variable there was a decrease in the intervention group by 8.86 ± 2.78 with the paired t-test obtained p value 0.002, this indicates there is an effect of giving honey + Fe to malondialdehyde (MDA) levels. The average value in the control group was 0.92 ± 0.07 with the paired t-test p value of 0.653 indicating no effect of Fe on Melondialdehyde (MDA) levels. Based on the test of the independent samples test obtained p value 0.004 (α <0.05). Conclusion: administration of honey + Fe effectively reduces malondialdehyde (MDA) levels and increases the weight of anemic pregnant women.


2017 ◽  
Vol 3 (6) ◽  
pp. 677-685
Author(s):  
Rati Purnama Sari ◽  
Noor Pramono ◽  
Sri Wahyuni ◽  
Muchlis Achsan Udji Sofro ◽  
Melyana Nurul Widyawati

Background: The coverage of 90 Fe tablets in Semarang in 2015 was 26.619 of 29.490 pregnant women (97%) but the incidence of anemia in pregnant women was still quite high. One important factor which influences the levels of hemoglobin is multi micronutrient.Objective: This study aims to analyze the changes in hemoglobin levels with multi micronutrient supplementation in pregnant women with anemia.Methods: A Quasy experimental study with randomized control group pre-post test design. The study samples were 40 pregnant women with gestational age of 20 ± 1 weeks divided into two groups, the intervention group (multi micronutrient supplementation) and the control group (Fe supplementation) for 6 weeks. The study was conducted from November 2016 to January 2017. The levels of hemoglobin were measured using cyanmethohemoglobin. Paired t test and independent t test were used for data analyses.Results: The mean increase in hemoglobin levels after multi micronutrient supplementation was 1.545 (1.292) g/dl, whereas the mean increase in hemoglobin levels after Fe supplementation was 0.757 (0.742) g/dl. The difference in hemoglobin levels before and after multi micronutrient supplementation was significantly different (p=0.049). Cohen’s d effect size test showed value of 0.748.Conclusion: Multi micronutrient supplementation could improve hemoglobin levels. Increase in the levels of hemoglobin with multi micronutrient supplementation was higher than Fe supplementation. 


2019 ◽  
Vol 41 (3) ◽  
pp. 276-282 ◽  
Author(s):  
Tayebe Abazarnejad ◽  
Atefeh Ahmadi ◽  
Esmat Nouhi ◽  
Moghaddameh Mirzaee ◽  
Monavare Atghai

Abstract Introduction Preeclampsia is a serious complication during pregnancy that not only influences maternal and fetal physical health, but also has maternal mental health outcomes such as anxiety. Prenatal anxiety has negative short- and long-term effects on pre- and postpartum maternal mental health, delivery, and mental health in subsequent pregnancies. Objective To investigate the effectiveness of individual psycho-educational counseling on anxiety in pregnant women with preeclampsia. Methods This was a randomized, intervention-controlled study involving two governmental hospitals in the municipality of Sirjan, Kerman, from January 30 2017 to March 31 2017. A total of 44 pregnant women with preeclampsia were assessed. The women were randomized into two groups: control (n=22) and intervention (n=22). The intervention consisted of two sessions of individual psycho-educational counseling. The level of anxiety was measured using the Spielberger State-Trait Anxiety Inventory (STAI) as pretest before the first session and as posttest after the second session during the hospitalization period. Results There was a significant reduction in the anxiety level after the counselling sessions in the intervention group (p<0.005). In addition, there was a slight increase in the anxiety level in the control group after the study. Conclusion According to the results, psycho-educational counseling can significantly reduce the anxiety level in pregnant women with preeclampsia. Therefore, it is recommended that healthcare providers provide this type of therapeutic intervention for pregnant women after hospitalization, in order to reduce their anxiety level and its subsequent negative outcomes. Clinical trial registration: IRCT2017082029817N3.


2018 ◽  
Vol 6 (6) ◽  
pp. 1145-1152 ◽  
Author(s):  
Safieh Kananikandeh

BACKGROUND: Pictorial education could provide an innovative approach for health educators which help to increase health-related information, the attention of individuals, comprehension, and recall.AIM: The purpose of this study was to determine the effect of pictorial perception of labour process by persuading Iranian women toward normal vaginal delivery.MATERIALS AND METHODS: The pre and post non-randomized trial with control group carried out on non-probability sample consisted of 76 pregnant women during the third trimester of pregnancy in the four urban health care centres in Pars-Abad city, Iran, during 2014. Demographic, knowledge, attitude, subjective norms, outcome expectations, self-efficacy, and intention to do normal vaginal delivery variables were measured by using self-administered questionnaire and via the self-report method. Data analysis was performed using SPSS-21 software by Independent t-test, repeated measure, paired T-test, ANOVA, chi-square, Cochran’s Q, and McNemar test. Manipulation included a pictorial education program to persuade pregnant women toward selecting normal vaginal delivery.RESULTS: The results showed significant improvement in mean scores of knowledge, attitudes, self-efficacy and behavioural intention of labour after manipulation in the intervention group (P < 0.001). It was found about 60% changes for intending to choose normal vaginal delivery, and 27/06% of women in the intervention group reported normal vaginal delivery versus the control group. And 10/81% of women did a cesarean section because of medical reasons during of delivery. Reduction of cesarean section was evident. Additionally, the annual rate of cesarean section decreased about 7% in comparison to the previous year.CONCLUSION: Pictorial education could be effective on the intention of women to choose natural vaginal delivery among pregnant women, and it can be used as an effective training technique for developing health literacy, enhancing self-efficacy and decision-making power of women in the delivery.


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