scholarly journals PENGARUH ENDORPHINE MASSAGE TERHADAP SKALA INTENSITAS NYERI PADA IBU BERSALIN NORMAL PRIMIPARA INPARTU KALA I DI PMB KOTA BENGKULU TAHUN 2020

2021 ◽  
Vol 16 (2) ◽  
pp. 421-429
Author(s):  
Wewet Savitri ◽  
Nispi Yulyana ◽  
Anisah Tifani Maulidyanti
Keyword(s):  
Pain Intensity ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Relaxation Techniques ◽  
Intensity Scale ◽  
Average Value ◽  
Uterine Contractions ◽  
First Time

Pain in labor is a manifestation of uterine contractions in the first stage of labor that can cause fatigue so that it causes a decrease in uterine contractions. Many methods are offered to reduce pain during labor, non pharmacologically including endorphine massage has been proven to increase the ability of mothers to tolerate pain during childbirth. The purpose of this study was to determine the effect of endorphine massage on pain intensity scale in first-time normal mothers in PMB Bengkulu City in 2020. This study used quasi-experimental designs with the pretest-posttest Non Equivalent Control Group. The intervention group the endorphine massage was given to first stage mothers, while the control group was given deep breath relaxation techniques. Total sample are 30 people, divided into 2 groups, each each of which amounted to 15 people. The statistical analysis used was the Wilcoxon test and the Mann-Whitney Test. The results of thetest Wilcoxon showed that the average value of pain intensity in the first stage before and after the intervention was 7.53 and it became 6.00 with a p-value = 0.000 (<0.05). whereas in the control group the average value was 7.20 and after being treated it became 6.00 with a p-value = 0.001 (<0.05) which means that there was an influence of endorphine massage on the intensity scale of pain in first-time normal primipara delivery mothers in PMB Bengkulu City. It is expected that midwives can pay more attention to maternal needs for comfort by applying endorphine massage in the control of labor pain. Keywords:Labor, Labor Pain, Endorphine Massage

scholarly journals The Effect of Effleurage Massage to Pain Intensity of First Stage Labor in Inpartu Mothers at Linez Clinic of Gunungsitoli in 2018

2019 ◽  
Vol 14 (2) ◽  
pp. 54-58
Author(s):  
Hanna Sriyanti Saragih
Keyword(s):  
Pain Intensity ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
World Health ◽  
Primary Data ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Uterine Muscle ◽  
Experimental Group

Pain in labor is a manifestation of the contraction (shortening) of the uterine muscle, and it was caused by stretching of the uterine and cervical segments as well as the presence of uterine muscle ischemia. According to WHO (World Health Organization) in 2015, it was estimated that every year 830 women died from complications of pregnancy and childbirth. One method that was very effective in dealing with pain is effleurage massage which was massage technique using the palms of the fingers with a circular motion pattern on the abdomen, waist or thighs. The purpose of this study was to determine the effect of effleurage massage on the intensity of first-stage labor pain in maternal mothers at Linez clinic of Gunungsitoli in 2018. This type of research was guasy Experiment research design with non equivalent control group design. In this design, the grouping of sample members in experimental group and the control group was not random, using wilcoxon test. The population in this study were mothers in first pregnancy as many as 52 people, with a total sample of 20 experimental groups and 20 control groups. The data used were primary data using observation sheets. From the research results, obtained p value 0.0001, it can be concluded that there was significant effect between experimental group and control group. It was hoped that midwives will update their midwifery service and practices such as participating in the latest midwifery training, so that they can increase their knowledge and apply it when conducting childbirth care as effort to reduce labor pain. Keywords: Effluerage Massage, Pain Intensity of First Stage Labor

scholarly journals Effects of Five-Finger Relaxation Technique on Depression in Type 2 Diabetes Mellitus Patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Rosliana Dewi ◽  
Fanny Dwi Agustina ◽  
Johan Budhiana ◽  
Syiva Dwi Fatmala
Keyword(s):  
Diabetes Mellitus ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Relaxation Technique ◽  
Control Group ◽  
P Value ◽  
Relaxation Techniques ◽  
Psychological Changes ◽  
Type 2 Dm

Diabetes mellitus (DM) can cause physical and psychological changes for sufferers. Psychological changes include changes in self-concept and depression. Psychological changes can be treated with nonpharmacological therapies, one of which is five-finger relaxation technique. The research aimed to reveal the effect of five-finger relaxation technique on depression experienced by type 2 DM patients. The five-finger relaxation technique is one of the generalist relaxation techniques by recalling pleasant experiences. This research is a quasi-experiment. Samples of this research were 34 respondents whom were selected using purposive sampling.  The intervention was carried out once a day for 3 consecutive days.  In order to measure depression, a valid and reliable questionnaire of Indonesian version of the Beck Depression Inventory (BDI) was employed.  Data were analyzed using the Wilcoxon Test and the Mann-Whitney Test. The results showed the was a decrease in depression in the control group (p-value of 0.008) and the intervention group (p-value of 0.000) and there were differences in depression in the control group and the intervention group (p-value of 0.000). It can be concluded that there is an effect of five-finger relaxation technique on depression in type 2 DM patients<em>.</em>

scholarly journals Senam Hamil untuk Meningkatkan Durasi Tidur pada Ibu Hamil Trimester III

2020 ◽  
Vol 7 (1) ◽  
pp. 24
Author(s):  
Hamdiah Hamdiah ◽  
Triyana Etty ◽  
Novi Indarwati
Keyword(s):  
Pregnant Women ◽  
Sleep Duration ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Important Indicator ◽  
Average Value ◽  
Equivalent Control ◽  
Health Organization

ABSTRAKWorld Health Organization (WHO) memperkirakan setiap harinya 800 perempuan meninggal akibat komplikasi kehamilan dan proses melahirkan. Kematian maternal indikator penting dalam keberhasilan program kesehatan ibu sekaligus salah satu indikator dalam menggambarkan derajat kesehatan masyarakat. Senam hamil merupakan alternatif terapi latihan berupa aktivitas atau gerak yang diberikan pada ibu hamil untuk mempersiapkan diri, baik persiapan fisik maupun psikologis dalam kehamilan dan proses kelahiran. Tujuan penelitian ini adalah mengetahui pengaruh senam hamil terhadap durasi Tidur ibu hamil trimester III di Klinik Etam Tahun 2019. Jenis penelitian yang digunakan adalah Quasi Eksperimen  desain penelitian  non equivalent control group dengan jumlah sampel 20 Responden dengan analisis data menggunakan uji Wilcoxon. Hasil penelitian didapatkan bahwa nilai rata-rata durasi tidur pada kelompok intervensi 9,6 jam/hari dan pada kelompok control memiliki nilai rata-rata 6,4 jam/hari. Kelompok intervensi didapatkan nilai p value 0,005 dan kelompok control 0,157. Ada perbedaan efektifitas senam hamil terhadap durasi tidur pada ibu hamil trimester III.                                                    Kata kunci : durasi tidur; ibu hamil; senam hamil  PREGNANCY EXERCISE TO IMPROVE SLEEP DURATION IN TRIMESTER III PREGNANT MOTHERABSTRACTWorld Health Organization (WHO) estimates that every day, 800 women die due to pregnancy complications and childbirth. Maternal mortality is an important indicator in the success of maternal health programs as well as one indicator in describing the degree of public health. Pregnancy exercise is an alternative exercise therapy in the form of activities or movements given to pregnant women to prepare themselves, both physical and psychological preparation in pregnancy and birth process. The aim of this research was to identify effectiveness pregnant exercises towards sleep duration in pregnant mother trimester III in Etam Clinic in 2019. Type of research was quasi-experimental design with a non equivalent control group with 20 respondents. Data analysis used Wilcoxon test. The results showed that the average value of sleep duration after pregnancy exercise in the intervention group 9.6 and in the control group had an average value of 6.4. The wilcoxon test in the intervention group obtained p value 0.005 and the control group 0.157. This means that Ho is rejected; there is a difference in the effectiveness of pregnancy exercises against sleep duration in third trimester pregnant women at the etam clinic in 2019. Keyword: pregnancy exercise; sleep duration; pregnancy

scholarly journals PENGARUH TERAPI BIRTH BALL TERHADAP INTENSITAS NYERI PADA PERSALINAN DI KLINIK PRATAMA HANNA KASIH MEDAN 2020

2021 ◽  
Vol 2 (1) ◽  
pp. 92-96
Author(s):  
Elsa Situmorang ◽  
Deswita E.K.C Gulo ◽  
Herfan Feronika Bago ◽  
Nelfian Laia ◽  
Nelfian Laia ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Labor Pain ◽  
Labor Process ◽  
Wilcoxon Test ◽  
Bivariate Analysis ◽  
P Value ◽  
Test Analysis ◽  
Process Stage ◽  
Post Test ◽  
Independent Variable

Pain in childbirth is a physiological process caused by myometrial contractions with different intensities for each mother and is a signal to inform the mother that she has entered the labor process stage. Pain in childbirth has the highest degree of pain among other pain, so that many women are not ready to have children because they imagine the pain that will be presented at the time of labor later. The general objective of this study was to determine whether there was an effect of birth ball therapy on pain intensity in labor at the Pratama Hanna Kasih clinic, Medan 2020. Univariate and bivariate analysis using Wilcoxon test analysis. Bivariate analysis is used to see the effect of the independent variable (independent) on the dependent variable using the Wilxocon test analysis. Of the 30 respondent mothers who carried out the variable therapy pre-test birth ball who were very painful and 19 respondents had pain (63%), and a minority of respondents had little pain, 11 people (37%). And on the post-test respondents the least pain was increased by 22 respondents (73%), while the minority of pain was quite severe as many as 8 respondents (27%). A significant effect on the effect of birth ball therapy on labor pain where the p value is 0.00 <0.05. The results are expected to have an effect on birth therapy on labor pain. The results of the Wilcoxon test analysis with a degree of significance (α) = 0.05 and a P value of 0.00 were obtained (α <0.05) which can be seen from the value which means that Ho is rejected and Ha is accepted. The conclusion is that there is an effect of birth ball therapy on labor pain

scholarly journals GAMBARAN TINGKAT KECEMASAN BERDASARKAN KARAKTERISTIK DAN FREKUENSI MENJALANI HEMODIALISA PADA PASIEN GAGAL GINJAL KRONIK DI RSUD CIBABAT CIMAHI

2018 ◽  
Vol 5 (1) ◽  
pp. 66-77
Author(s):  
Susy Puspasari ◽  
Ahmad Sholehudin
Keyword(s):  
Pain Intensity ◽  
Scientific Explanation ◽  
Relaxation Effect ◽  
Wilcoxon Test ◽  
Rank Test ◽  
P Value ◽  
Pharmacological Treatments ◽  
Diaphragmatic Breathing ◽  
Average Value ◽  
Care Givers

Latar belakang: Pasien gagal ginjal kronik yang menjalani hemodialisa tidak hanya mengalami aspek medis saja, tetapi juga menyangkut aspek psikologis, sosial, spiritual, biologi. Lamanya pasien yang menjalani hemodialisa kemungkinan dapat beradaptasi dengan keadaan kecemasannya. Namun demikian faktor karakteristik dan frekuensi menjalani terapi hemodialisa bisa membuat pasien menerima kenyataan atau sebaliknya terjadi kecemasan yang berkepanjangan. Tujuan: untuk mengidentifikasi gambaran tingkat kecemasan berdasarkan frekuensi dan karakteristik menjalani hemodialisa pada pasien gagal ginjal kronik di RSUD Cibabat Cimahi. . Metode: Penelitian deskriptif dengan sampel  sebanyak 37 responden yang diambil dengan cara consecutive sampling sesuai kriteria inklusi. Analisis data menggunakan distribusi frekuensi. Hasil: tingkat kecemasan berdasarkan usia 56-70 tahun hampir setengah responden (32,4 %) tidak mengalami kecemasan atau normal, namun pada rentan usia 36-55 tahun sebagian kecil mengalami kecemasan ringan-sedang (8,1 %) dan pada rentan usia 56-77 tahun sebagian kecil responden (10,8 %)  mengalami kecemasan ringan – sedang. Berdasarkan jenis kelamin sebagian kecil responden mengalami kecemasan ringan-sedang (13,5  %) berjenis kelamin perempuan. Kecemasan ringan-sedang lebih banyak dialami responden berjenis kelamin perempuan dibandingkan berjenis kelamin laki-laki yang sebagian kecil mengalami kecemasan ringan-sedang (8,1 %) . Berdasarkan tingkat pendidikan sebagian kecil responden (16,2 %) mengalami kecemasan ringan-sedang dengan pendidikan terakhir sekolah. Simpulan: Pada frekuensi responden yang menjalani hemodialisa 1-12  sebagian kecil (10,8 %) mengalami kecemasan ringan-sedang, dan pada frekuensi responden menjalani hemodialisa >38 kali sebagian kecil (8,1 %) mengalami kecemasan ringan-sedang. Saran: Bagi perawat di ruang hemodialisa RSUD Cibabat Cimahi dalam memberikan asuhan keperawatan agar memperhatikan segi psikologis pasien dengan memberi dukungan secara moril melalui komunikasi terapeutik seperti tehknik mendengarkan, sikap tubuh saat berbicara, sentuhan dan teknik lainnya. Kata kunci: Kecemasan, Hemodialisa   ABSTRACT Background: In most cases, post operative patients experiencing in various pain. One of the optional non pharmacological treatments is diaphragmatic breathing which are aimed at  relaxation effect resulting in the reduction of pain impulse. The prevalence regarding the occurrence of postoperative patients with extremity fractures in Halmahera Siaga Surgical Hospital has been estimated as equally as 282 patients in the last 3 months of 2014 and 75% of the nurses only initiate collaboration treatments with analgesic medicine. Purpose: this study was conducted to provide scientific explanation on how diaphragmatic breathing affects pain intensity of post operative patients with extremity fractures in Halmahera Siaga Surgical Hospital. Method: this research is quasy experiment with one group pretest and posttest design, and it involved 24 respondents that were included in accordance to established criteria (purposive sampling design). The respondents who participated in this study were given diaphragmatic breathing twice within 5 minutes in a period of 2 days. Obtained data was analyzed by non-parametric Wilcoxon test. Result: this study shows distinctive difference in pain intensity, with an average value of 5.71 (moderate pain) before diaphragmatic breathing and pain intensity after the treatment was initiated which was presented by an average value of 3. 29 (mild pain). This significant changes were emphasized by Wilcoxon Signed Rank Test with p value of 0,000 (p<α 0,05). Conclusion: The giving of diaphragmatic breathing is capable of decreasing pain intensity of post operative patients with extremity fractures in ward of Halmahera Siaga Surgical Hospital. Suggestion: diaphragmatic breathing is applicable for nurses and health care givers to reduce post operative pain in term of non-pharmacological pain management. Keyword : extremity fracture post operation, pain intensity, non pharmacological treatments, diaphragmatic breathing.

scholarly journals Pengaruh Terapi Relaksasi Nafas Dalam Terhadap Tingkat Kecemasan Dan Lama Persalinan Kala I Dan II Di BPM Wilayah Klaten

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Henik Istikhomah ◽  
Murwati Murwati
Keyword(s):  
Intervention Group ◽  
Emotional Reaction ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Relaxation Techniques ◽  
Deep Breathing ◽  
Relaxation Therapy ◽  
Post Test ◽  
The Mean

Abstract: Deep Relaxation Therapy, Level Anxiety And Prolong Duration Labor Stage. Patients who will give birth had experienced psychological problems that cause form the emotional reaction as the manifestation of psychological symptoms, the actions to be carried out either surgery or childbirth aid measures constitute a potential or actual threat to the integrity of someone who can evoke physiological and psychological stress. This emotional reaction usually is generally a negative reaction, such as refuse, fear, anger, sadness, and anxiety. Giving deep breathing relaxation techniques in patients will be a decrease in tension, feeling amazingly beautiful in controlling body functions so that labor becomes smooth. Purpose of this study was to determine the effect of therapy on the breath in anxiety level and duration of labor. The design of this study using the pre and post-test only one group. analysis techniques with Wilcoxon test. using purposive sampling technique with 25 respondents. Univariate analysis results mean pre-test anxiety at 43.16 and the average post-test by 31. The mean duration of the first labor stage of the intervention group is 504 minutes and 564 minutes at control group. The Mean duration of second labor stage of the intervention group is 140 minutes and the control group was 57 minutes. Bivariate test results there is the influence between deep breathing relaxation therapy interventions with anxiety with a p value= 0.001, there is the influence of deep breathing relaxation techniques with the duration of first labor stage with p-value = 0.001, no effect of deep breathing relaxation with the duration of second labor stage with p = 0:59. In conclusion, there is the influence of deep breathing relaxation therapy to anxiety and the duration of the first stage of labor time, there is no influence therapy relaxation with the duration of the second labor stage.

scholarly journals TERAPI BIRTH BALL UNTUK MENURUNKAN INTENSITAS NYERI PERSALINAN

2021 ◽  
Vol 6 (1) ◽  
pp. 94-98
Author(s):  
Debora Paninsari
Keyword(s):  
Pain Intensity ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
Bivariate Analysis ◽  
P Value ◽  
Test Analysis ◽  
Post Test ◽  
Independent Variable

Pain in childbirth has the highest degree of pain among other pain, so that many women are not ready to have children because they imagine the pain that will be presented at the time of labor later. The general objective of this study was to determine whether there was an effect of birth ball therapy on pain intensity in labor. Univariate and bivariate analysis using Wilcoxon test analysis. Bivariate analysis is used to see the effect of the independent variable (independent) on the dependent variable using the Wilxocon test analysis. Of the 50 respondent mothers who carried out the variable therapy pre-test birth ball who were very painful and 29 respondents had pain (58%), and a minority of respondents had little pain, 21 people (42%). And on the post-test respondents the least pain was increased by 32 respondents (64%), while the minority of pain was quite severe as many as 18 respondents (36%). A significant effect on the effect of birth ball therapy on labor pain where the p value is 0.00 <0.05. The results are expected to have an effect on birth therapy on labor pain. The results of the Wilcoxon test analysis with a degree of significance (α) = 0.05 and a P value of 0.00 were obtained (α<0.05) which can be seen from the value which means that Ho is rejected and Ha is accepted. The conclusion is that there is an effect of birth ball therapy on labor pain.

scholarly journals EFFECT OF EFFLEURAGE TECHNIQUES TO INTENSITY PAIN ON DELIVERING BABY AT 1st PERIOD ACTIVE PHASE Of MOTHERS DELIVERING BABY IN BPM Hj.NINIK ARTINGSIH.,SST.M.Kes BLOOTO DISTRICT MOJOKERTO

2017 ◽  
Vol 1 (2) ◽  
pp. 104-110
Author(s):  
Ariu Dewi Yanti ◽  
Rina Mardiyana Mardiyana
Keyword(s):  
Pain Intensity ◽  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
P Value ◽  
Test Design ◽  
Post Test ◽  
Experimental Type ◽  
First Stage Of Labor

The pain on delivering baby was experienced by most women, this pain is unique and different for every individual. Non-pharmacological pain control becomes cheaper, simple, and effective and without adverse effects, one of which is the technique effleurage. Effleurage of the abdomen is one of the non-pharmacological methods which are usually used in the Lamaze method to reduce pain in normal labor. This research aimed to determine the effect of effleurage technique on active phase of the first stage of labor pain intensity on maternal in private midwife Hj.Ninik Artiningsih.,SST.M.Kes Blooto District Mojokerto Regency. Research design was pre experimental type one group pre-test post test design. Its population were all women giving birth in BPM Hj.Ninik Artiningsih.,SST.M.Kes, SST Blooto distric Mojokerto Regency amount 17 people. The sampling technique used consecutive sampling to obtain 15 samples. Data analysis used was Wilcoxon test with P value <0.05. It means that there was effect of effleurage technique on active phase of the first stage of labor pain intensity on maternal in private midwife Hj.Ninik Artiningsih.,SST.M.Kes Blooto District Mojokerto Regency. Gently cares the abdomen effected in pain that transmitted will be inhibited, it effected in the cerebral cortex does not receive the response message so that the pain decreased pain

scholarly journals Guided Imagery and Music on Anxiety of Mayor Operating Inpatients of Tangerang General Hospital

2019 ◽  
Author(s):  
Ela Susilawati ◽  
Mawardi . ◽  
Mike Heri Hendrawati ◽  
Riksa Wibawa Resna
Keyword(s):  
Guided Imagery ◽  
Maximum Level ◽  
Anxiety Level ◽  
Major Surgery ◽  
Control Group ◽  
P Value ◽  
Relaxation Techniques ◽  
Control Group Design ◽  
Guided Imagery And Music ◽  
Average Value

Background: The anxiety level of clients who will undergo major surgery is very influential on the smooth operation of the operation to be carried out. Actions of a nurse to overcome the anxiety that occurs on the client pre-operation are needed to be able to resolve the issue. Objective: This study aimed to look at changes in the patient’s anxiety level after guided imagery and music performed by nurses before the surgery performed. Methods: The research was used quasi-experimental with pretest-posttest control group design, sample collected used Quota Sampling method with total 38 sample divided into two group, the instrument of measuring the anxiety levelused(HARS-A)scale,whichthestatistictestusedWilcoxonSignedRankTestand Mann-Withney. Result: There was a decrease in the value of anxiety in the group given guided imagery and music with an average value of 7.50 (p-value:0.000), whereas there was a tendency to increase the value of anxiety in the control group with an average value of 6.00 (p-value:0.083). There were significant differences in the mean value between the intervention groups (14.03) and the control group (24.97) with p-value 0.001. Conclusion: Giving stimuli in the form of guided relaxation techniques can help reduce the level of anxiety in clients who will undergo surgery because it can help clients to distract their anxiety towards the operation process to other things of beautiful nature. The addition of music as one of the image transformation media can strengthen relaxation guidance to be able to reach the maximum level of relaxation that will have an impact on the ability to reduce their anxiety level

scholarly journals Mengurangi Nyeri Persalinan dengan Teknik Birthing Ball

2020 ◽  
Vol 2 (1) ◽  
pp. 15-22
Author(s):  
Ayu Irawati ◽  
Susianti Susianti ◽  
Iranita Haryono
Keyword(s):  
Rating Scale ◽  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
Bivariate Analysis ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
First Stage Of Labor

Pain during labor is caused by the first stage of labor in which contractions cause dilation and thinning of the cervix and uterine ischemia due to contraction of the myometrial arteries. These contractions cause the opening of the cervix to begin labor. Various attempts are made to reduce labor pain, both pharmacologically and non-pharmacological. The non-pharmacological method applied is a distraction with birth balls. The research aims to prove the effectiveness of the use of birthing ball on the reduction of labor pain in the first stage of labor in the active phase. This study used an experimental research design with a pretest-posttest control group design. The research sample was 20 maternity mothers at the Lompoe Health Center, who received treatment and 20 people as control samples. It applied the purposive sampling technique. The instrument of observation was the pain scale using the Faces Pain Rating Scale. Data processing using the Wilcoxon-test to determine the effect of the treatment given. Based on the results of the bivariate analysis showed that the p-value is <0,001. In conclusion, there is an influence of using the birthing ball to reduce the level of pain in the first stage of labor in the active mother.

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