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Piga D. Rihi
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Humanities Economics, Econometrics & Finance Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Public Health Social Sciences Other

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PENERAPAN KOMBINASI BIRTH BALL DAN COUNTER PRESSURE DALAM MENURUNKAN INTENSITAS NYERI PERSALINAN KALA I FASE AKTIF DI RUANG VK/PONEK RSUD PROF DR. W.Z. JOHANNES KUPANG Mariana Oni Bethan; Kobun, Vinsensia Albinia P.; Piga D. Rihi; Nur Afni G; Maryam E. Lusi; Maria M. P. Tokan; Atamimi Loyme; Maria L. D.C. Pereira; Anselindra P. L. Hau; Trilin D. A. Putri; Ningsih Akailupa; Maria P. Fahik; Sefrikma Hesri Boys; Samantha G. R. N. Panja; Narty Diana Ihul; Maria Elvira Sea; Jeralda Adel Lulan; Yohana Bangngu; Farida Selan; Rani Franminjun Nggoek; Matthew Tode Solo; Maria Angelin Wattileo; Nada B.J. Lubalu; Fransiska Romana Marawali; Osias Henuk; Johan R. Maubana; Sri E. Darkay; Sri Dewi Sepeh
Jurnal Cakrawala Ilmiah Vol. 5 No. 4 (2025): Desember 2025
Publisher : Bajang Institute

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Latar belakang: Nyeri persalinan merupakan fenomena fisiologis yang dapat berdampak pada kondisi psikis dan hemodinamik ibu serta kesejahteraan janin jika tidak dikelola dengan adekuat. Tujuan: Penelitian ini bertujuan untuk mengevaluasi efektivitas inovasi kombinasi penggunaan birth ball dan teknik counter pressure terhadap tingkat nyeri pada ibu inpartu kala I fase aktif di RSUD Prof. Dr. W. Z. Johannes Kupang. Metode penelitian: Metode yang digunakan adalah studi inovasi klinis dengan pendekatan Plan-Do-Study-Action (PDSA). Sampel terdiri dari ibu bersalin kala I fase aktif dengan kriteria inklusi primigravida/multigravida tanpa komplikasi obstetri. Intensitas nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan 30 menit sesudah intervensi. Hasil:  penelusuran literatur dan implementasi menunjukkan bahwa pergerakan ritmis pada birth ball yang dikombinasikan dengan penekanan stabil pada area sakrum secara signifikan mampu memblokir transmisi sinyal nyeri melalui mekanisme gate control theory. Kesimpulan: dari proyek ini adalah aplikasi kombinasi birth ball dan counter pressure efektif dalam menurunkan skala nyeri dan meningkatkan kenyamanan ibu, sehingga layak diintegrasikan ke dalam Standar Prosedur Operasional (SPO) asuhan persalinan normal.
EFEKTIVITAS TERAPI MUSIK KLASIK LULLABY TERHADAP PENURUNAN KECEMASAN IBU BERSALIN KALA I DI RUANGAN VK RSUD PROF. W. Z. JOHANNES KUPANG Maria O. Betan; Yuliana Dafroyati; Piga D. Rihi; Yosephalina Rindya Nahak Bria
Jurnal Cakrawala Ilmiah Vol. 5 No. 5 (2026): Januari 2026
Publisher : Bajang Institute

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Anxiety during the first stage of labor is a common psychological condition that can negatively affect the progress of labor, maternal well-being, and fetal condition. Unmanaged anxiety may increase stress responses, delay cervical dilatation, and reduce maternal comfort during childbirth. One non-pharmacological intervention that can be applied is classical lullaby music therapy, which has relaxing and calming effects. This study aimed to determine the effectiveness of classical lullaby music therapy in reducing anxiety levels among first-stage laboring mothers in the delivery room of Prof. W. Z. Johannes Regional General Hospital, Kupang. This study employed a nursing innovation project using a pre–post intervention approach. Anxiety levels were measured before and after the intervention using the Hamilton Anxiety Rating Scale (HARS). The intervention consisted of administering classical lullaby music therapy during the first stage of labor in a supportive environment. The results showed a reduction in anxiety levels among laboring mothers after the administration of classical lullaby music therapy, as indicated by decreased anxiety scores and reduced anxiety symptoms. In conclusion, classical lullaby music therapy is effective as a non-pharmacological intervention in reducing anxiety among first-stage laboring mothers and can be recommended as part of maternity nursing care.
Co-Authors Anselindra P. L. Hau Atamimi Loyme Farida Selan Fransiska Romana Marawali Jeralda Adel Lulan Johan R. Maubana Kobun, Vinsensia Albinia P. Maria Angelin Wattileo Maria Elvira Sea Maria L. D.C. Pereira Maria M. P. Tokan Maria O. Betan Maria P. Fahik Mariana Oni Bethan Maryam E. Lusi Matthew Tode Solo Nada B.J. Lubalu Narty Diana Ihul Ningsih Akailupa Nur Afni G Osias Henuk Rani Franminjun Nggoek Samantha G. R. N. Panja Sefrikma Hesri Boys Sri Dewi Sepeh Sri E. Darkay Trilin D. A. Putri Yohana Bangngu Yosephalina Rindya Nahak Bria Yuliana Dafroyati