The Effect Of Counter Pressure On The Scale Of Labor Pain In Active Phase I In
DOI : 10.33024/jkm.v9i1.8927
Latar Belakang: Nyeri persalinan merupakan suatu kondisi yang fisiologis. Nyeri yang terjadi dapat mempengaruhi kondisi ibu berupa kelelahan, rasa takut, khawatir dan menimbulkan stres. Massage counter pressure adalah pijatan yang dilakukan dengan memberikan tekanan yang terus-menerus selama kontraksi pada tulang sakrum pasien dengan pangkal atau kepalan salah satu telapak tangan.
Tujuan penelitian diketahui pengaruh counter pressure terhadap skala nyeri persalinan kala I fase Aktif di wilayah kerja Puskesmas Tanjungsari Natar Kabupaten Lampung Selatan tahun 2022..
Metode penelitian: Jenis penelitian kuantitatif dengan pendekatan quasi esksperiment. Populasi penelitian ini adalah seluruh ibu dalam proses persalinan kala I pembukaan 4-10 cm di wilayah kerja Puskesmas Tanjung Sari Natar Kabupaten Lampung Selatan sebanyak 52 ibu dengan sampel sampel sebanyak 30 orang menggunakan teknik Acidental Sampling. Penelitian telah dilaksanakan di wilayah kerja Puskesmas Tanjung Sari Natar Kabupaten Lampung Selatan pada bulan April - Juni tahun 2022. Pengumpulan data menggunakan lembar observasi. Analisi data secara univariat dan bivariat uji t (uji wilcoxon).
Hasil penelitian: rata-rata nyeri persalinan terapi counter pressure adalah 7,0 dan sesudah diberikan counter pressure adalah 5,7. Ada pengaruh counter pressure terhadap skala nyeri persalinan kala I fase Aktif di wilayah kerja Puskesmas Tanjungsari Natar Kabupaten Lampung Selatan tahun 2022 dengan nilai p-value = 0,000. Saran : diharapkan bagi tenaga kesehatan untuk dapat mempertimbangkan metode counter pressure hangat sebagai salah satu cara untuk mengurangi nyeri persalinan pada ibu bersalin normal.
Kata Kunci : Nyeri, Persalinan, Counter Pressure
ABSTRACT
Background:Labor pain is a physiological condition. Pain that occurs can affect the mother's condition in the form of fatigue, fear, worry and cause stress. Counter pressure massage is a massage performed by applying continuous pressure during contraction of the patient's sacrum with the base or fist of one hand.
Purpose Knowing the effect of counter pressure on the labor pain scale of the active phase I in the working area of Tanjungsari Natar Health Center, South Lampung Regency in 2022.
Methods: This type of research is quantitative with a quasi-experimental approach. The population of this study were all mothers in the first stage of labor, opening 4-10 cm in the working area of the Tanjung Sari Natar Health Center, South Lampung Regency as many as 52 mothers with a sample of 30 people using the Acidental Sampling technique. The research has been carried out in the working area of Tanjung Sari Natar Health Center, South Lampung Regency in April - June 2022. Data collection uses observation sheets. Data analysis was univariate and bivariate t test (Wilcoxon test).
Results: of the study average labor pain counter pressure therapy was 7.0 and after being given counter pressure was 5.7. There is an effect of counter pressure on the labor pain scale of the Active Phase I in the working area of Tanjungsari Natar Health Center, South Lampung Regency in 2022 with a p-value = 0.000. Suggestion: it is expected for health workers to be able to consider the warm counter pressure method as a way to reduce labor pain in normal delivery mothers.
Keywords: Counter Pressure, Labor, Pain
- Aminah, S. (2018). Differences in the Effectiveness of Firm Counter Pressure Technique with Deep Back Massage Technique against the Intensity of Labor Pain in Maternity Mothers During 1 Active Phase at Aura Syifa Hospital, Kediri City in 2017. JKM (Malahayati Journal of Midwifery), 3(3).
- Arikunto. (2013). Research Procedures A Practical Approach. Jakarta : Rineka Cipta.
- Aryanti, A., & Ningsih, S. A. (2019). The Relationship Of Counterpressure Givers To The Intensity Of Labor Pain In Time I Active Phase In Bpm Lismarini Palm. Abdurrahman Journal of Health, 8(2), 33-40.
- Asrinah, et al. (2010). Maternity Care. Jakarta: Salemba Medika.
- Rilyani. (2017). The effect of counter pressure massage on the level of pain of maternity mothers during the active phase I in BPM Ellok Ekaria Safitri Gedongkiwo Yogyakarta. ejournal.htp.ac.id/stikes/pdf.php?id=JRL0000092. Thesis retrieved January 5, 2022 : At 19:30. STIKes Aisyah-Yogyakarta.
- Diana, S., & Mail, E. (2019). Textbooks of obstetric care, childbirth, and newborns CV Oase Group (Indonesian Book Writing Movement).
- Lampung Provincial Health Office. (2020). Lampung Health Profile 2020. Buoys
- Farida, S., & Sulistiyanti, A. (2019). Counterpressure Methods As An Effort To Reduce Labor Pain Kala I. SMIKNAS, 217-222.
- Fitriati, E., Yunita, P., Susanti, S., & Fahnawal, T. M. (2022). The Effect of Warm Compresses on the Intensity of Labor Pain During 1 Active Phase in Maternity Mothers in the Obstetrics Room of The Raja Ahmad Tabib Tanjungpinang Hospital. Midwifery Zone: Midwifery Study Program, University of Batam, 12(1), 123-136.
- Hastono, S. P. (2016). Data Analysis in the Field of health (Print 1). Jakarta: Rajawali Press.
- Juniartati, E., & Widyawati, M. N. (2018). Literature Review: Application of Counter Pressure to Reduce Labor Pain Kala I. Journal of Obstetrics, 8(2), 112-119.
- Ministry of Health of the Republic of Indonesia. (2018). Riskesdas Indonesia 2018. Jakarta
- Mander. (2013). Labor Pain. Jakarta: EGC.
- Manuaba. (2013). Obstetrics and gynecology. Jakarta: EGC.
- Maryunani, Anik. (2010). Labor Pain. Salemba Medika: Jakarta
- Mochtar Roestam. (2012) . Obstetric Synopsis. Jakarta: EGC.
- Nasution, A., & Coal, N. S. (2021). The effect of counter pressure massage on the reduction of maternity pain during the I active phase. Journal of education and development, 9(4), 638-641.
- Natasa, S., Marlina, L., & Winarsih, W. (2021). Effectiveness of Reducing Labor Pain Kala 1 With Massage Counterpressure. JoMI (Journal of Midwifery Information), 2(1), 173-177.
- Oktafiani, F., Suciawati, A., & Rukmaini, R. (2021). The Effect of the Birthing Ball on Duration of the First Stage of Labour in Primigravida at Utama Barokah Clinic, Bandung City in 2021. Muhammadiyah Medical Journal, 2(2), 55-61.
- Pasongli, S., Rantung, M., & Pesak, E. (2014). the effectiveness of counterpressure against a decrease in the intensity of pain during the I active phase of normal delivery at manado Adventist hospital. JIDAN (Scientific Journal of Midwives), 2(2), 12-16.
- Potter and Perry. (2013) Textbook of Fundamentals of Midwifery : Concepts, Processes &. Practice. 4th Edition. Vol 1. Jakarta: EGC
- Prawirohardjo, H. (2016). Obstetrics. Jakarta: PT Bina Pustaka Sarwono Prawirohardjo
- Fortune, S., Nurullita, U., & Krestanti, R. (2013). Low Back Pain Levels During Childbirth through Back-Effluerage and Counter-Pressure Techniques. Journal of Maternity Nursing, 1(2).
- Fortune, S. (2020). Labor Pain Textbook. Semarang : Umimus Press.
- Sustenance. (2014). Childbirth pain during I through counter-pressure practice by husband at Soewondo Kendal Regional Hospital. ppnijateng.org/.../ NYERI-CHILDBIRTH-KALA-I-THROUGH-PRAKTI. Thesis retrieved January 5, 2022 : At 19:30. Journal of Obstetrics Maternity . Volume 2, No. 2, November 2014; 127-135. Central Java
- Riyanto, A. (2017). Application of health research methodologies. Yogyakarta: Nuha Medika.
- Saifuddin, Bahri. (2014). Neonatal Maternal health reference book. Jakarta: Prawirohardjo Foundation.
- Satria, M. (2018). Effect Before And After Back Massage Counterpressure Technique On Reducing Pain Of Maternity Mothers Kala I Active Phase At Elviana Midwife Clinic In 2017. Tower of Science, 12(5).
- Sulystiawati, Ari. (2012). Maternity care. Jakarta: Salemba Medika.
- Supardi, R. (2013). Nursing Research Methodology. Jakarta: Trans Info Media.
- Widyastuti. (2012). Pregnancy, childbirth. Jakarta: TIM
- Zakiah. (2015). The Basic Concept of Nyer . Jakarta : Salemba Medika
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