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All Journal Jurnal Ilmiah Bidan Jurnal Epidemiologi Kesehatan Indonesia
Gunadi, Agus
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Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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KOMBINASI COUNTER PRESSURE MASSAGE DAN KOMPRES HANGAT SEBAGAI TERAPI NON FARMAKOLOGI KECEMASAN PADA PERSALINAN KALA 1 FASE AKTIF Cahyawati, Fitnaningsih Endang; Listyaningrum, Tri Hapsari; Gunadi, Agus
Jurnal Ilmiah Bidan (JIB) Vol 5 No 3 (2021): Desember 2021
Publisher : Ikatan Bidan Indonesia (IBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61720/jib.v5i3.268

Abstract

Nyeri persalinan terbukti menyebabkan kecemasan dan berdampak pada lamanya proses melahirkan. Terapi kompres hangat dan Counter Pressure Massage yang telah terbukti manfaatnya dalam mengurangi kecemasan merupakan salah satu jenis terapi Non Farmakologi. Kombinasi tersebut penting untuk dikaji dan dinilai agar dapat memberikan manfaat maksimal untuk nyeri persalinan kala 1 fase aktif. Penelitian ini bertujuan untuk mengetahui efektifitas terapi kombinasi kompres hangat dan counter pressure massage untuk penanganan kecemasan persalinan kala 1 fase aktif. Penelitian ini merupakan penelitian Prospektif, Eksperimen Semu (Quasy Eksperiment), Randomization, and comparative study untuk mengetahui perbandingan terapi kombinasi dengan terapi tunggal dalam penanganan kecemasan menghadapi persalinan kala 1 fase aktif, Responden penelitian berjumlah total 90 responden yang terbagi menjadi 3 kohort. Tingkat kecemasan diukur dengan Hamilton Rating Scale for Anxiety (HARS). Penelitian di lakukan di RS PKU Muhammadiyah Gamping dari Mei 2020-September 2020. Analisis hipotesis komparatif dilakukan dengan Uji Wilcoxon, Kruskal-Wallis dan Post Hoc Mann-Whitney dengan signifikansi p<0.05. Pasien yang menerima intervensi kombinasi Kompres Hangat dengan CPM menunjukkan p<0.001 yang berarti terdapat perbedaan signifikan antara Tingkat Kecemasan saat pretest dibandingkan posttest diikuti tingkat kecemasan berada pada kategori sedang (16;53.3%) dan ringan (14;46.7%) setelah intervensi. Terapi kombinasi kompres hangat dan CPM terbukti mampu menurunkan tingkat kecemasan. Kata kunci: persalinan, Kala 1 fase aktif, kecemasan, Counter Pressure Massage, Kompres Hangat
Trend of Non-Pharmacological Therapy for First Phase of Active Labor Pain: A Pilot Study Gunadi, Agus; Prihartono, Nurhayati Adnan
Jurnal Epidemiologi Kesehatan Indonesia Vol. 6, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

There are several of non-pharmacological therapies to be used as caring practice to mother with labor pain. This study aimed to observe the effectiveness of both single and combination therapy of warm compresses and counter pressure massage (CPM) for the management of labor pain during the first active phase through medical records. This is a pilot study that used a cohort prospective design. The total number of respondents was 90 respondents, divided into 3 groups based on the non-pharmacological therapy that was given by the midwives or nurses. Pain level was measured with NRS 11. The study was conducted at PKU Muhammadiyah Gamping Hospital from May 2020 to September 2020. A comparative hypothesis analysis was done to compare the Pretest-Posttest of pain level between groups using the Wilcoxon, Kruskal-Wallis, and Post hoc Mann-Whitney tests with a significance of p <0.05. There was a reduction of 1.53 pain level of subject who received CPM, 1.16 by received warm compress and 1.67 for those who received combination therapy. It was found there was a significant difference between three groups with p=0.020. It was found that CPM was compared to Warm compress obtained p=0.017, CPM compared to Combination therapy obtained p=0.019, warm compress compared to combination therapy obtained p = 0.396.Combination therapy showed the highest reduction effect toward pain level of First Phase of Active Labor Pain. However, the CPM therapy showed to achieve effectiveness compared to warm compress and combination therapy.
Co-Authors Cahyawati, Fitnaningsih Endang Prihartono, Nurhayati Adnan Retno Mawarti, Retno Tri Hapsari Listyaningrum Utari, Dyah Ayu