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Maulina, Rifzul
Institut Teknologi Sains Dan Kesehatan RS Dr. Soepraoen Kesdam V/ Brawijaya
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Journal : Nutrix Journal

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Pengaruh Stimulasi Titik Akupresur LI4 (Hegu) terhadap Durasi Persalinan Kala I Fase Aktif pada Ibu Primigravida Rosidah, Yessa; Raden Maria Veronika Widiatrilupi; Rifzul Maulina
NUTRIX Vol 10 No 1 (2026): Volume 10, Issue 1, 2026
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v10i1.1511

Abstract

Labor is the process of uterine contractions and cervical dilation until the baby is born. Prolongation of the active phase of the first stage increases the risk of complications, necessitating non-pharmacological interventions such as acupressure at the LI4 (Hegu) point. This study aimed to determine the effect of LI4 acupressure point stimulation on the duration of the first stage of labor in the active phase among primigravida mothers at TPMB Masturoh, Tajinan District, Malang Regency. This research used a quantitative method with a quasi-experimental design employing a posttest-only control group design. The sample consisted of 20 respondents divided into two groups: an intervention group of 10 respondents who received LI4 acupressure stimulation and a control group of 10 respondents who received standard midwifery care. The instrument used was an observation sheet to record the duration of the first stage of labor in the active phase from cervical dilation of 4 cm to 10 cm. Data analysis was conducted using the Mann-Whitney U test. The results showed that the median duration of the active phase of the first stage of labor in the intervention group was 54.0 minutes, while in the control group it was 61.5 minutes. The Mann-Whitney U test showed a p-value of 0.034 (p < 0.05), indicating a significant effect of LI4 acupressure stimulation on shortening the duration of the active phase of the first stage of labor. LI4 acupressure stimulation can be used as a complementary non-pharmacological therapy to help accelerate the labor process and improve maternal comfort during childbirth. Persalinan adalah proses kontraksi uterus dan pembukaan serviks hingga bayi lahir. Perpanjangan kala I fase aktif meningkatkan risiko komplikasi, sehingga diperlukan intervensi nonfarmakologis seperti akupresur pada titik LI4 (Hegu). Penelitian ini bertujuan untuk mengetahui pengaruh stimulasi titik akupresur LI4 terhadap lama persalinan kala I fase aktif pada ibu primigravida di TPMB Masturoh Kecamatan Tajinan Kabupaten Malang. Desain penelitian ini menggunakan metode kuantitatif dengan rancangan quasi eksperimen menggunakan posttest only with control group design. Sampel penelitian terdiri dari 20 responden yang dibagi menjadi dua kelompok, yaitu kelompok intervensi sebanyak 10 responden yang diberikan stimulasi akupresur LI4 dan kelompok kontrol sebanyak 10 responden yang hanya mendapatkan asuhan kebidanan standar. Instrumen yang digunakan berupa lembar observasi untuk mencatat lama persalinan kala I fase aktif sejak pembukaan serviks 4 cm hingga 10 cm. Analisis data dilakukan secara bivariat menggunakan uji Mann-Whitney U. Hasil penelitian menunjukkan median lama persalinan kala I fase aktif pada kelompok intervensi adalah 54,0 menit, sedangkan pada kelompok kontrol 61,5 menit. Hasil uji Mann-Whitney U menunjukkan nilai p = 0,034 (p < 0,05) yang berarti terdapat pengaruh signifikan stimulasi akupresur LI4 terhadap percepatan lama persalinan kala I fase aktif. Stimulasi akupresur LI4 dapat digunakan sebagai salah satu terapi komplementer nonfarmakologis untuk membantu mempercepat proses persalinan dan meningkatkan kenyamanan ibu selama persalinan.
Teknik Relaksasi Musik Instrumental dengan Afirmasi Positif Menurunkan Tingkat Kecemasan Ibu Hamil Primigravida Trimester III Ainiyah, Anisatul; Sulistiyah; Maulina, Rifzul
NUTRIX Vol 10 No 1 (2026): Volume 10, Issue 1, 2026
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v10i1.1521

Abstract

Anxiety in primigravida pregnant women in the third trimester often occurs due to unpreparedness for childbirth and concerns about the condition of the fetus. Significant physical and psychological changes during pregnancy can trigger feelings of fear and excessive anxiety that affect the health of both the mother and the fetus. Non-pharmacological interventions such as instrumental music relaxation and positive affirmations are known to be effective in reducing anxiety, but the combination of the two has rarely been studied. This study aims to analyze the effect of instrumental music relaxation techniques with positive affirmations on the anxiety levels of primigravida pregnant women in their third trimester. This study used a pre-experimental design with a one-group pretest-posttest approach. The study was conducted in Malang Regency with a sample size of 20 respondents selected using purposive sampling. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) and analyzed using the Paired t-test. The results showed a decrease in the average anxiety score from 21.55 ± 3.47 (pretest) to 16.45 ± 2.65 (posttest) with a p-value < 0.001. It was concluded that instrumental music relaxation techniques with positive affirmations had a significant effect on reducing anxiety levels in primigravida pregnant women in their third trimester. Kecemasan pada ibu hamil primigravida trimester III sering terjadi akibat ketidaksiapan menghadapi persalinan serta kekhawatiran terhadap kondisi janin. Perubahan fisik dan psikologis yang signifikan selama kehamilan dapat memicu perasaan takut dan cemas berlebihan yang berdampak pada kesehatan ibu maupun janin. Intervensi nonfarmakologis seperti relaksasi musik instrumental dan afirmasi positif diketahui efektif menurunkan kecemasan, namun kombinasi keduanya masih jarang diteliti. Penelitian ini bertujuan untuk menganalisis pengaruh teknik relaksasi musik instrumental dengan afirmasi positif terhadap tingkat kecemasan ibu hamil primigravida trimester III. Penelitian ini menggunakan desain pra-eksperimental dengan pendekatan one group pretest-posttest. Penelitian dilaksanakan di wilayah Kabupaten Malang dengan jumlah sampel 20 responden yang dipilih menggunakan teknik purposive sampling. Tingkat kecemasan diukur menggunakan instrumen Hamilton Anxiety Rating Scale (HARS) dan dianalisis menggunakan uji Paired t-test. Hasil penelitian menunjukkan adanya penurunan rata-rata skor kecemasan dari 21,55 ± 3,47 (pretest)  menjadi 16,45 ± 2,65 (posttest) dengan nilai p < 0,001. Disimpulkan bahwa teknik relaksasi musik instrumental dengan afirmasi positif berpengaruh signifikan terhadap penurunan tingkat kecemasan ibu hamil primigravida trimester III.
Co-Authors Ainiyah, Anisatul Amalia, Waifti Ambar Wati, Sri Mahmut Anggelina Fernandes Anik Purwati Anik Sri Purwanti Anik Sri Purwanti Anitawati, Yuyun Asriani M. Djauhar Aura, Annastasya Ayunda Aprilia Cece Indrawati Chrisye Rani Kuheba Citra Dondo Clairine Limpad Rosa Siwi Damaiyanti, Putri Dewinta Ristawati Dian Pitaloka Priasmoro, Dian Pitaloka Diana Puji Lestari, Diana Puji Eka Putri, Lita Immanda Etni Yeyem Sumaila Evi Nurhidayah Fadya, Bianca Adinda Mustika FAHMI ALFIANI Firda Ponelo Fitrianti Mohune Halwani, Horidatul Hasanah, Siti Imatul Hasriah Hasriah Hatim, Nelma Bin Hetty Johana Sulung Husain, Wulan Rindiani Ika Sari Widayanti Imatul Hasanah, Siti Indriati, Ina Intan Ramadani D.P Jeinni G Rotikan Karlina Miringit, Alfiani Kartika, Mahastra Aulya Kartikasari, Tititan Nur Ari Dwi Kaumpungan, Kristesa Lista Keswara, Nila Keswara, Nila Widya Kurnia, Erisa Vatiatul Kurniawan, Ardhiles Wahyu Lailatul Badriyah Lilik Handayani Listiawati, Anni Maharani, Sisca Indah Marwah Marwah Mega Sanjaya Meilanny G.H Warouw Mira Diadhita Prameswari Mochammad Bagus Qomaruddin Mokhtar Jamil Nabilla, Anggita Cantika Nariswari, Nuzul Dian Na’ifah, Sinta Lailatul Nila Widya Keswara Ofa, Susanti F. Pinatis, Mersi Anneke Pingkan JB Walean Pondaag, Olfi Puji Lestari, Diana Purwanti , Anik Sri Putri Amarela Wardana Qatrunada, Quds Alifah Qomariah Khusnul Khotimah Raden Maria Veronika Widiatrilupi Rani Safitri Rayani, Tut Reny Retnaningsih Rianti Rianti Riski Candra Karisma Rosidah, Yessa Saffrilia, Rieza Junava Safitri, Rani Safitri, Windi Sakti, Pika Oktavinny Aulia Samitrawati, Kurnia Sanjang, Meilany Leidy Setiya, Rani Sholihah, Nurul Annisa'un Sinta Lailatul Na’ifah Siwi, Clairine Limpad Rosa Sofyani, Ajeng Ani Soleha, Lailatul Badriatus Solly Aryza Sri Yolanda Daud Sulistiyah sulistiyah Sulistiyah Sulistiyah Susanti Bioto Susilowati Susilowati Sutrini Rone Syafiatul Maghfiroh tompoliu, Destie N Tut Rayani Aksohini Wijayanti Tut Rayani Aksohini Wijayanti Ursalina, Ajeng Via Veronika, Raden Maria Wenny Diah Kurniasari Widia Shofa Ilmiah Wulandari, Eka Yusnia Yena Novia Puspita Herawati Yuni Asri Zaenal Alim Zangga, Mardiana Ina