BACK MASSAGE MENGGUNAKAN CLARY SAGE (SALVIA SCLAREA) ESENSIAL OIL DAN SENAM NIFAS TERHADAP PERCEPATAN INVOLUSI UTERI POST PARTUM

Nurul Azizah* -  Universitas Muhammadiyah Sidoarjo, Indonesia
DOI : 10.33024/jkm.v6i4.3329
ABSTRACT Background Failed process involution uterus puerperal can cause bleeding. Back Massage and postpartum gymnastics can stimulate hormone oxytocin causes uterine contractions.Purpose identify Comparison of Back Massage and Postpartum Gymnastics on Involuntary Uterine in Post Partum. Method research design used quasi experimental with post test only non equivalent control group design. Samplings using quota sampling 90 respondents divided into 3 groups. Bivariable analysis using repeated measurement with clinical significance used mean 95% interval with P<0.05, multivariable analysis using linear regression. Result shows a significant difference of uterine involution in each group, overall mean -1.700 (95% CI:-2,26 - (-1,37) with P<0.05, back massage group using Clary-sage essential oil compared to gymnastics postpartum group. Back massage group using Clary-sage essential oil (salvia sclarea) showed faster processes of uterine involution than post-partum gymnastics group. Multivariable analysis showed value of P<0.05 with regression coefficient of back massage 0.835 (CI-0.799-1.091), suggesting significantly greater association of uterine involution in back massage intervention group after controlled by parity variables and maternal age, with adjusted values R2 0.621, it means reduction in fundal uteri level 62,1% in a day.Conclusion is mothers who received back massage using Clary-sage essential oil experienced faster uterine involutions compared with other groups of postpartum Suggestion Further research is needed in order to identify the effect of back using Clary sage essential oil on uterine involution of oxytocin hormone levels through venous blood tests before and after intervention, so as to identify with certainty the effect of back massage using Clary sage essential oil accurately in increasing hormone concentrations. oxytocin in the blood. 

Keywords : Back Massage, Postpartum  Gymnastics, Involution uterus

 

ABSTRAK

 

Latar Belakang Involusi uteri masa nifas gagal mengakibatkan perdarahan. Back Massage dan senam nifas merangsang hormon oksitosin memicu kontraksi uterus. Tujuan mengidentifikasi Perbandingan Back Massage dan Senam Nifas terhadap Involusi Uteri.

Metode penelitian menggunakan quasi eksperimental with post test only non equivalent control group design, pengambilan sampel dengan quota sampling sampel sebanyak 90 responden dibagi 3 kelompok. Analisis bivariabel menggunakan repeated measurement dengan kemaknaan klinis mean dan cofidence interval 95% dengan nilai P<0,05, analisis multivariabel menggunakan regresi linier. Analisis bivariabel menunjukkan terdapat perbedaaan involusi uteri pada masing-masing kelompok, Δoverall mean -1.700(95% CI:-2,26-(-1,37) dengan nilai p<0.05 yakni kelompok back massage menggunakan minyak esensial Clary sage menunjukkan involusi uteri lebih cepat dibandingkan dengan kelompok senam nifas secara signifikan.

Hasil analisis multivariabel menunjukkan nilai p<0,05 dengan koefisien regresi  pijat punggung sebesar 0,835 (CI-0,799-1,091). Adanya hubungan yang bermakna bahwa involusi uteri lebih cepat pada kelompok intervensi pijat punggung setelah dikontrol dengan variabel paritas dan umur ibu, dengan nilai adjusted R2  sebesar 0,621, yakni penurunan tinggi fundus uteri mencapai 62,1% perhari.

Kesimpulan dari penelitian ini Ibu yang mendapatkan intervensi pijat punggung menggunakan minyak esensial Clary sage mengalami involusi uteri lebih cepat dibandingkan dengan kelompok lain.

Saran Perlu dilakukan penelitian lanjutan agar dapat mengidentifikasi pengaruh back menggunakan minyak esensial Clary sage terhadap involusi uteri terhadap kadar hormon oksitosin melalui pemeriksaan darah vena sebelum dan sesudah dilakukan intervensi, sehingga dapat mengidentifikasi secara pasti pengaruh pijat punggung menggunakan minyak esensial Clary sage secara akurat dalam meningkatkan kosentrasi hormon oksitosin dalam darah.

 

Kata kunci : Back Massage, Senam Nifas, Involusi uterus

 

  1. Azizah. Involution post partum mothers with a history of spontaneus labor complication when i-ii extend maternity room RSD Kalisat (thesis). Jember: Fakultas Ilmu Kesehatan. Universitas Muhammadiyah; 2013
  2. Bastard J., Tiran D., (2009). Aromateraphy And Massage For Antenatal Anxiety : Its Effect On Fetus. Complementary ther in clin prac vol 15:230-233.
  3. Beth B., R.M.T, B.A, et al., (2013). Massage Benefits Immune and Neuroendocrine Function. diakses melalui www.massagetoday.com. 02 September, 2014Bintariadi, Bibin. 2007. Nifas Tinjauan Medis. www.nakita.com
  4. Biancuzzo M., (2003) Breasfeeding The Newborn : Clinical Strategies For Nurses. St Louis: Mosby
  5. Breton J.D., Veinante P., Bronner S.U., et al., (2008). Research Oxytocin Induced Antinocepcition In The Spnal Cord Is Mediated By A Subpopulation Of Glutamatergic Neurons In Lamina I-II Which Amplifi GABAergic Inhibition. BioMed Access. 1-12.
  6. Cuningham FG, Leveno K, Bloom SL, Hauth C, Rause D, Spong CY. Obstetri Williams (terjemahan). Jakarta: EGC; 2012.
  7. Dewi I.G.A.P., (2011). Aromateraphi Lavender Sebagai Media Relaksasi. Bali : Bagian Farmasi Fakultas Kedokteran Universitas Udayana. Diakses pada tanggal 25 September 2014 pada http://ojs.unud.ac.id/index.php/eum/article/viewFile/4871/3657
  8. Emily N, Margaret S, Richard H, Mary P. An exercise and education improves well-being of new mothers: a randomized controlled trial. American Physical Therapy Association. 2010; 90
  9. Guyton A, Hall J. Buku ajar fisiologi kedokteran. Jakarta: EGC; 2007.
  10. Hamranani S., (2010) Pengaruh Pijat Oksitosin Terhadap Involusi Uterus Pada Ibu Post Partum Dengan Persalinan Lama Di Rumah Sakit Wilayah Kabupaten Klaten.Tesis.Depok : Jakarta.
  11. Laura W., (2012). Protocol For The Use Of Aromatherapy In Labour Care. Royal Berkshire NHS.
  12. Mark H., Rappaport M.D., Schettler P., PhD1., Bresee C, M.S2., (2012). A Pleminari Study Of The Effects Of Repeated Massage On Hipothalamic-Pituitari-Adrenal And Immune Funtion In Healthy Individuals: A Study Of Mechanisms Of Action And Dosage, The journal of alternative and complementary medicine. 789-797.Murray R, Granner DK, Roodwell V. Biokimia Harper. Jakarta: EGC; 2009. hlm. 582-604.
  13. Patel U., Gedam D.S., (2013). Effect Of Back Massage On Lactation Among Postnatal Mother. International Journal Of Medical And Research Jan-Mar 2013/Vol 1/issue 1 diakses pada tanggal 16 november 2014 pada: www.academia.edu/3486501/effect_of_back_massage_on_location_among_posnata l_mothers.
  14. Snyder M., Lindquist R., (2002).Complementary Alternative Therapies In Nursing. 4th Ed.New York: Springer Publising Company, Inc.
  15. Suhermi., (2008). Perawatan Masa Nifas. Yogyakarta: Fitramaya.
  16. Vidayanti V., (2014). Pengaruh Back massage Menggunkan Minyak Esensial Lavender Terhadap Produksi ASI Pasca Bedah Sesar.Bantul; Yogyakarta

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