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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. Jurnal Kesehatan Hesti Wira Sakti Jurnal Kesehatan Vokasional Journal of Islamic Medicine Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan Jurnal Keperawatan Muhammadiyah Amerta Nutrition Manuju : Malahayati Nursing Journal INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Care : Jurnal Ilmiah Ilmu Kesehatan Journal of Health Sciences 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Health Information : Jurnal Penelitian JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Jurnal MID-Z (Midwivery Zigot) Jurnal Ilmiah Kebidanan Nutrix Journal Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal Journal of Midwifery Care Journal of Public Health Innovation (JPHI) Journal of Nursing Practice and Education Indonesian Journal of Health Community Nursing and Health Sciences Journal (NHSJ) Jurnal Ilmiah Kesehatan (JIKA) Hospital Majapahit : Jurnal Ilmiah Kesehatan Politeknik Kesehatan Mojokerto Jurnal Ilmu Kebidanan dan Kesehatan Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) Jurnal Locus Penelitian dan Pengabdian Kolaborasi Jurnal Pengabdian Masyarakat Hang Tuah Medical Journal Maternity and Neonatal : Jurnal Kebidanan Jurnal Sehat Indonesia (JUSINDO) SENTRI: Jurnal Riset Ilmiah Jurnal Pengabdian Masyarakat Medika Jurnal Indonesia Sosial Sains Journal of Artificial Intelligence and Digital Business Jurnal Asuhan Ibu dan Anak Jurnal Multidisiplin West Science Health and Technology Journal (HTECHJ) Jurnal Ilmu Kesehatan dan Gizi Vitamedica: Jurnal Rumpun Kesehatan Umum Journal of Innovative and Creativity Journal Research Midwifery Politeknik Tegal Health Dynamics EDUCATIONE: Journal of Education Research and Review Horizon: Indonesian Journal of Multidisciplinary Seroja Husada: Jurnal Kesehatan Masyarakat International Journal Of Public Health Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Jurnal Siti Rufaidah Jurnal Bioteknologi & Biosains Indonesia (JBBI) Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Jurnal Bioteknologi & Biosains Indonesia Borneo Nursing Journal Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan
Maulina, Rifzul
Institut Teknologi Sains Dan Kesehatan RS Dr. Soepraoen Kesdam V/ Brawijaya
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Hubungan Pemberian Asi Eksklusif Dengan Status Gizi Bayi Usia 6 Bulan Di Wilayah Kerja Puskesmas Sabrang Wenny Diah Kurniasari; Rifzul Maulina
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.1784

Abstract

Introduction: Lack of nutrition at an early age can lead to impaired child growth and development. Efforts have been made to overcome nutritional problems, one of which is through exclusive breastfeeding. The study aims to determine the relationship between breastfeeding and the nutritional status of infants aged 6 months in the Sabrang Health Center Working Area. Research Methods: This study used a cross sectional research design, with a sample of 30 babies. Sample. Data research was test used was the chi-square test aimed at finding the correlation of two variables. Research Results: After conducting research conducted on 30 infants, statistical tests using the Chi Square test showed a p value of 0.031 <0.05. Conclusion: So that there is a significant relationship with exclusive breastfeeding with the nutritional status of infants aged 6 months in the Sabrang Health Center Working Area.
PENGARUH SENAM HAMIL TERHADAP NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III DI RS PERKEBUNAN JEMBER KLINIK WINDI SAFITRI; Rifzul Maulina
Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health) Vol. 17 No. 01 (2026): Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health)
Publisher : Sekolah Tinggi Ilmu Kesehatan Bakti Utama Pati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52299/jks.v17i01.539

Abstract

Nyeri punggung pada ibu hamil dapat berdampak pada kualitas hidup, aktivitas sehari-hari, hingga kondisi psikologis. Oleh karena itu, diperlukan upaya penanganan non-farmakologis yang aman dan efektif untuk mengurangi keluhan tersebut. Salah satu intervensi yang terbukti bermanfaat adalah senam hamil. Salah satu intervensi yang terbukti bermanfaat meringankan nyeri punggung bawah yaitu senam hamil, karena dalam gerakan senam hamil terdapat gerakan yang memperkuat otot abdomen, sehingga mencegah tegangan yang berlebihan pada ligamen pelvis, yang dapat mengurangi intensitas nyeri pungung bawah. Penelitian ini menggunakan desain pre-eksperimental dengan tipe one group pretest-posttest design. Populasi dalam penelitian ini terdiri dari 35 responden ibu hamil di RS Perkebunan Jember Klinik. Alat ukur yang digunakan penelitian ini adalah Faces Pain Scale. Analisis data yang digunakan adalah Uji Spearman Rank. Berdasarkan hasil penelitian, dapat disimpulkan bahwa adanya pengaruh senam hamil pada nyeri punggung pada ibu hamil trimester III.
Symptoms of Shortness Breath With Cough and The Incidence of Tuberculosis in Indonesia: Analysis of The 2023 Indonesian Health Survey Priasmoro, Dian Pitaloka; Asri, Yuni; Jamil, Mokhtar; Maulina, Rifzul
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.28392

Abstract

Background: Tuberculosis (TB) remains a major public health problem, particularly in high-burden countries, where delayed diagnosis contributes to continued transmission. Cough and respiratory symptoms are often the earliest clinical indicators, making them essential for screening and case detection. Objective: This study aimed to analyze the association between cough with shortness of breath and TB diagnosis in Indonesia. Methods: A cross-sectional analysis was conducted using data from 2,435 male and female respondents in the 2023 Indonesia Health Survey. The dependent variable was self-reported TB diagnosis within the past year. Independent variables included age, sex, and occupation. Linear regression was applied with 95% confidence intervals (CI). Results: Of respondents, 41.15% reported TB diagnosis within six months, while 58.85% were diagnosed earlier. Males (60.04%) were more affected. Regression analysis showed a significant association between cough with shortness of breath and TB (Coef. = 0.16; p < 0.001; 95% CI: 0.111–0.208). Conclusion: Cough and respiratory symptoms remain strong predictors of TB, highlighting their importance in early screening and treatment monitoring.
Pengaruh Teknik Abdominal Lifting Terhadap Lama Kala I Fase Aktif Inpartu Primigravida di PMB Yulia Tri Jayanti Turen Malang Hanifatul Hidayah; Raden Maria Veronika Widiatrilupi; Rifzul Maulina
Malahayati Nursing Journal Vol 7, No 7 (2025): Volume 7 Nomor 7 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i7.20725

Abstract

ABSTRACT Discomfort due to pain makes mothers feel anxious, which can affect the duration of labor. Many mothers experience significant pain when uterine contractions begin to increase when entering active phase I. One non-pharmacological approach used to overcome this is the abdominal lifting technique. This technique is a method that provides opposing touch to the upper abdomen without applying pressure to the lower back, aims to reduce pressure on the lower back of the mother in labor, and is applied from the beginning of labor to the next phase by utilizing gravity. This study aims to evaluate the impact of the abdominal lifting technique on the duration of active phase I in primigravida inpartu mothers at PMB Yulia Tri Jayanti Turen Malang. The method used in this study was pre-experimental with a static group comparison design. The population in this study was 50 respondents, and the samples that were successfully taken were 44 respondents, who were divided into a treatment group with 22 respondents and a control group also consisting of 22 respondents. The implementation of the abdominal lifting technique was carried out every time contractions occurred for 15 minutes, with the patient lying on their back and their head slightly raised. This study was conducted at PMB Yulia Tri Jayanti - Turen between January and March 2025. The instrument used was a partograph, which was measured starting from opening 4. For data analysis in evaluating differences between groups, the P-value obtained from the Mann-Whitney test showed the results of the study after the application of the abdominal lift technique was 0.001 (p 0.05). The conclusion of this study is that the abdominal lift technique can accelerate labor in active phase I. Keywords: Abdominal Lifting, Labor Pain, Pain  ABSTRAK Ketidaknyamanan akibat rasa sakit membuat ibu merasa cemas, yang dapat memengaruhi durasi persalinan. Banyak ibu mengalami rasa sakit yang signifikan ketika kontraksi rahim mulai meningkat saat memasuki fase I aktif. Salah satu pendekatan non-farmakologis yang digunakan untuk mengatasi hal ini adalah teknik abdominal lifting. Teknik ini merupakan metode yang memberikan sentuhan berlawanan ke arah bagian atas perut tanpa memberikan tekanan ke arah bawah punggung, bertujuan untuk mengurangi tekanan pada punggung bawah ibu yang sedang bersalin, dan diterapkan sejak awal persalinan hingga fase selanjutnya dengan memanfaatkan gaya gravitasi. Penelitian ini bertujuan untuk mengevaluasi dampak teknik abdominal lifting terhadap durasi fase I aktif pada ibu inpartu primigravida di PMB Yulia Tri Jayanti Turen Malang. Metode yang digunakan dalam studi ini adalah pra-eksperimental dengan desain perbandingan kelompok statis. Jumlah populasi dalam studi ini adalah 50 responden, dan sampel yang berhasil diambil sebanyak 44 responden, yang dibagi menjadi kelompok perlakuan dengan 22 responden dan kelompok kontrol juga terdiri dari 22 responden. Pelaksanaan teknik pengangkatan perut dilakukan setiap kali kontraksi terjadi selama 15 menit, dengan pasien berbaring telentang dan kepala sedikit terangkat. Penelitian ini dilakukan di PMB Yulia Tri Jayanti - Turen antara bulan Januari hingga Maret 2025. Instrumen yang digunakan adalah partograf, yang diukur mulai dari pembukaan 4. Untuk analisis data dalam mengevaluasi perbedaan antara kelompok, nilai-P yang diperoleh dari uji Mann-Whitney menunjukkan hasil penelitian setelah penerapan teknik pengangkatan perut adalah 0,001 (p0,05). Kesimpulan dari penelitian ini adalah bahwa teknik pengangkatan perut dapat mempercepat persalinan pada fase I aktif. Kata Kunci: Abdominal Lifting, Persalinan, Kala I Lama
The Effect of Information, Education, and Communication on Compliance with Multiple Micronutrient Supplements Consumption in Pregnant Women Nurul Wahidatil Yusro Islami; Rifzul Maulina
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.590

Abstract

Multiple micronutrient supplements (MMS) are widely recommended during pregnancy to prevent anemia and improve maternal nutritional status. Despite their proven benefits, adherence to MMS intake among pregnant women remains suboptimal, contributing to the persistently high prevalence of maternal anemia in many low- and middle-income countries. Effective Information, Education, and Communication (IEC) delivered by health workers may play a crucial role in improving maternal knowledge and adherence to supplementation. This study aimed to examine the association between the quality of IEC provided by health workers and compliance with MMS consumption among pregnant women. A cross-sectional study was conducted involving 30 pregnant women selected through a total sampling method. Data were collected using validated and reliable questionnaires measuring the quality of IEC and adherence to MMS intake. Descriptive statistics were used to summarize participant characteristics, and the association between IEC quality and MMS compliance was analyzed using the Chi-square test. Odds ratios (OR) were calculated to estimate the strength of the relationship. The majority of respondents received high-quality IEC (63.3%), and 66.7% of pregnant women reported compliance with MMS consumption. Statistical analysis revealed a significant association between IEC quality and MMS compliance (p = 0.012). Pregnant women who received high-quality IEC were 10.5 times more likely to adhere to MMS intake compared with those who received poor-quality IEC (OR = 10.5). The quality of Information, Education, and Communication (IEC) significantly influences pregnant women’s compliance with MMS consumption. Strengthening structured, interactive, and continuous IEC during antenatal care is recommended to improve adherence to supplementation and ultimately enhance maternal nutritional outcomes.
The Effect of Lactation Massage on Breast Milk Production in Postpartum Mothers Viky Aulia Restyo; Rifzul Maulina
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.591

Abstract

Inadequate breast milk production remains a common challenge among postpartum mothers, often associated with hormonal imbalance, maternal fatigue, and insufficient breast stimulation, which can hinder the achievement of exclusive breastfeeding targets. Despite global recommendations, exclusive breastfeeding rates remain suboptimal, highlighting the need for effective, non-pharmacological interventions. Lactation massage has been proposed as a technique to stimulate oxytocin release and improve the milk ejection reflex. This study aimed to evaluate the effect of lactation massage on breast milk production among postpartum mothers. A quasi-experimental study with a pretest–posttest control group design was conducted involving 20 postpartum mothers selected through purposive sampling. Participants were equally assigned to intervention and control groups. The intervention group received lactation massage for three consecutive days, while the control group received standard postpartum care. Breast milk production was measured by expressed milk volume using a breast pump for 10–15 minutes at 08:00 a.m. daily. Data were analyzed using appropriate statistical tests with a significance level set at p < 0.05. The intervention group demonstrated a significant increase in mean breast milk production, from 45.2 mL at baseline to 77.6 mL post-intervention, with a mean difference of 32.4 mL (p < 0.001). In contrast, the control group showed no statistically significant change (p = 0.214). Between-group analysis revealed a significant difference in posttest milk production (p < 0.001). Lactation massage significantly enhances breast milk production in postpartum mothers. This simple, non-invasive intervention may be integrated into routine postpartum care to support optimal breastfeeding outcomes.
The Effectiveness of Health Education Using Powerpoint and Audio Visual Media on Increasing the Knowledge of Women of Reproductive Age About Cervical Cancer in the Working Area of Gandasuli Public Health Center, South Bacan District in 2023 Marwah Marwah; Rifzul Maulina
Jurnal Siti Rufaidah Vol. 3 No. 2 (2025): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i2.336

Abstract

The incidence of hypertension at the Tadoy Community Health Center was 29.4%. Based on the Tadoy Community Health Center Report in 2023, there were 78 cases of hypertension in pregnant women, dominated by pregnant women with HDK (50%). The short-term impact of hypertension during pregnancy can affect both the mother and the fetus. In addition to medication, therapy for pregnant women with hypertension can be given by soaking the feet in warm water and regularly consuming Ambon bananas. The purpose of this study was to determine the effect of warm water therapy and Ambon banana consumption on reducing blood pressure in pregnant women with hypertension. This type of research used a qualitative research method with a case study approach. This activity was carried out on two pregnant women with hypertension at the Tadoy Community Health Center. Providing warm water therapy was effective in reducing blood pressure in pregnant women from 150/90 mmHg at the first visit to 130/85 mmHg at the second visit and to 120/75 mmHg. Consuming bananas was also effective in reducing blood pressure from 150/90 mmHg at the first visit to 140/90 mmHg at the second visit and to 120/80 mmHg. There was a difference in effectiveness between warm water therapy and consuming Ambon bananas in reducing blood pressure in hypertensive pregnant women, where warm water therapy was more effective than Ambon bananas in lowering blood pressure. It is hoped that the results of this study can help lower blood pressure by soaking feet in warm water, so that pregnant women can do it independently and can reduce risks in pregnancy.
Pengaruh Pendidikan Kesehatan terhadap Pengetahun Ibu Hamil Tentang Skrining Hipotiroid Kongenital (SHK) di Puskesmas Pulisan Sulawesi Utara Meilanny G.H Warouw; Rifzul Maulina
Jurnal Siti Rufaidah Vol. 3 No. 1 (2025): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i1.337

Abstract

Congenital hypothyroidism is a condition of decreased or non-functioning thyroid gland that is present since newborns. This occurs due to anatomical abnormalities or metabolic disorders of thyroid hormone formation or iodine deficiency. Congenital Hypothyroidism Screening (CHS) is an important health program that aims to detect thyroid disorders early in newborns. Congenital Hypothyroidism Screening is a screening/screening test to sort out babies suffering from Congenital Hypothyroidism from babies who do not suffer. This study aims to determine the effect of health education on pregnant women's knowledge about congenital hypothyroidism screening (CHS). This study used a Pre-Experimental Design with a One Group Pre-test and Post-test Design. The sample consisted of 56 pregnant women with sampling using a purposive sampling technique. Data collection was carried out by questionnaire and analyzed using the Wilcoxon Test. The results of the study obtained that most of the respondents' knowledge before being given the intervention was in the sufficient category (42.9%). While most of the knowledge after being given the intervention was in the good category (78.6%). The Wilcoxon test yielded a p-value of 0.00 < 0.05, indicating an effect of health education on knowledge about congenital hypothyroidism (CHS) screening among pregnant women at the Pulisan Community Health Center. This study is expected to provide input to pregnant women, who should be more critical, especially regarding indicators of understanding, examination timing, and the impact of not undergoing CHS. They can frequently read the KIA book and leaflets provided during counseling sessions to gain better and more quality knowledge.
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 ., Sulistiyah Ainiyah, Anisatul Amalia, Waifti Anggelina Fernandes Anggie Nur'aini Ramadhani Anik Purwati Anik Purwati Anik Sri Purwanti Anik Sri Purwanti Anik Sri Purwanti Anitawati, Yuyun Asnawati Asriani M. Djauhar Aura, Annastasya Ayunda Aprilia Cece Indrawati Chrisye Rani Kuheba Citra Dondo Clairine Limpad Rosa Siwi Damaiyanti, Putri Darwati Darwati Dewinta Ristawati Dewiyanti Kiyuk Dian Pitaloka Priasmoro Dian Pitaloka Priasmoro, Dian Pitaloka Dian Setyorini Diana Puji Lestari, Diana Puji Didin Prasetya Cahyaningsih Eka Diah Kartiningrum Eka Putri, Lita Immanda Etni Yeyem Sumaila Evi Nurhidayah Fadya, Bianca Adinda Mustika FAHMI ALFIANI Firda Ponelo Fitrianti Mohune Halwani, Horidatul Hanifatul Hidayah Hasanah, Siti Imatul Hasriah Hasriah Hatim, Nelma Bin HELEN MARSHANDA HELEN MARSHANDA Hetty Johana Sulung Ika Sari Widayanti Ima Rusmawati Imatul Hasanah, Siti Indriati, Ina Intan Ramadani D.P Jeinni G Rotikan Karisma, Riski Candra Karlina Miringit, Alfiani 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 Mahastra Aulya Kartika 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 Nila Widya Keswara Nila Widya Keswara Nurul Annisa&#039;un Sholihah Nurul Wahidatil Yusro Islami Ofa, Susanti F. Pinatis, Mersi Anneke Pingkan JB Walean Pondaag, Olfi Puji Lestari, Diana Putri Amarela Wardana Putri Aprillia Brilliant Pratama Qomariah Khusnul Khotimah Quds Alifah Qatrunada Raden Maria Veronika Raden Maria Veronika Widiatrilupi Raden Maria Veronika Widiatrilupi Rani Safitri Reny Retnaningsih Retno Dewi Prisusanti Rianti Rianti Rieza Junava Saffrilia Rosidah, Yessa Safira Adelia Tohari Sakti, Pika Oktavinny Aulia Samitrawati, Kurnia Sandrina Dewi Marshanda Sanjang, Meilany Leidy Setiya, Rani Sinta Lailatul Na’ifah Sisca Indah Maharani Siwi, Clairine Limpad Rosa Sofyani, Ajeng Ani Soleha, Lailatul Badriatus Solly Aryza Sri Mahmut Ambar Wati Sri Yolanda Daud Sulistiyah Sulistiyah Sulistiyah Sulistiyah Sulistiyah Susanti Bioto Susilowati Susilowati Sutrini Rone Syafiatul Maghfiroh Syamsidar Syamsidar tompoliu, Destie N Tut Rayani Tut Rayani Aksohini Wijayanti Ursalina, Ajeng Via Viky Aulia Restyo Wenny Diah Kurniasari Widia Shofa Ilmiah Widia Shofa Ilmiah Widia Shofa Ilmiah WINDI SAFITRI Wulan Rindiani Husain Wulandari, Eka Yusnia Yena Novia Puspita Herawati Yeyen Fujilestari Yuni Asri Yuni Asri Yunni Kartika Kapuangan Zaenal Alim Zangga, Mardiana Ina