Counter Pressure Massage And Warm Compress Combination As Non-Pharmacological Therapy Of Anxiety In Labor Inactive Phase 1
Abstract
Nyeri persalinan terbukti menyebabkan kecemasan dan berdampak pada lamanya proses melahirkan. Terapi kompres hangat dan Counter Pressure Massage yang telah terbukti manfaatnya dalam mengurangi kecemasan merupakan salah satu jenis terapi Non Farmakologi. Kombinasi tersebut penting untuk dikaji dan dinilai agar dapat memberikan manfaat maksimal untuk nyeri persalinan kala 1 fase aktif. Penelitian ini bertujuan untuk mengetahui efektifitas terapi kombinasi kompres hangat dan counter pressure massage untuk penanganan kecemasan persalinan kala 1 fase aktif. Penelitian ini merupakan penelitian Prospektif, Eksperimen Semu (Quasy Eksperiment), Randomization, and comparative study untuk mengetahui perbandingan terapi kombinasi dengan terapi tunggal dalam penanganan kecemasan menghadapi persalinan kala 1 fase aktif, Responden penelitian berjumlah total 90 responden yang terbagi menjadi 3 kohort. Tingkat kecemasan diukur dengan Hamilton Rating Scale for Anxiety (HARS). Penelitian di lakukan di RS PKU Muhammadiyah Gamping dari Mei 2020-September 2020. Analisis hipotesis komparatif dilakukan dengan Uji Wilcoxon, Kruskal-Wallis dan Post Hoc Mann-Whitney dengan signifikansi p<0.05. Pasien yang menerima intervensi kombinasi Kompres Hangat dengan CPM menunjukkan p<0.001 yang berarti terdapat perbedaan signifikan antara Tingkat Kecemasan saat pretest dibandingkan posttest diikuti tingkat kecemasan berada pada kategori sedang (16;53.3%) dan ringan (14;46.7%) setelah intervensi. Terapi kombinasi kompres hangat dan CPM terbukti mampu menurunkan tingkat kecemasan.
Kata kunci: persalinan, Kala 1 fase aktif, kecemasan, Counter Pressure Massage, Kompres Hangat
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Please find the rights and licenses in Jurnal Ilmiah Bidan (JIB). By submitting the article/manuscript of the article, the author(s) agree with this policy. No specific document sign-off is required.
1. License
The non-commercial use of the article will be governed by the Creative Commons Attribution license as currently displayed on Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
2. Author(s)' Warranties
The author warrants that the article is original, written by stated author(s), has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author(s).
3. User/Public Rights
JIB's spirit is to disseminate articles published are as free as possible. Under the Creative Commons license, JIB permits users to copy, distribute, display, and perform the work for non-commercial purposes only. Users will also need to attribute authors and JIB on distributing works in the journal and other media of publications. Unless otherwise stated, the authors are public entities as soon as their articles got published.
4. Rights of Authors
Authors retain all their rights to the published works, such as (but not limited to) the following rights;
- Copyright and other proprietary rights relating to the article, such as patent rights,
- The right to use the substance of the article in own future works, including lectures and books,
- The right to reproduce the article for own purposes,
- The right to self-archive the article (please read out deposit policy),
- The right to enter into separate, additional contractual arrangements for the non-exclusive distribution of the article's published version (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal (Jurnal Ilmiah Bidan).
5. Co-Authorship
If the article was jointly prepared by more than one author, any authors submitting the manuscript warrants that he/she has been authorized by all co-authors to be agreed on this copyright and license notice (agreement) on their behalf, and agrees to inform his/her co-authors of the terms of this policy. JIB will not be held liable for anything that may arise due to the author(s) internal dispute. JIB will only communicate with the corresponding author.
6. Royalties
Being an open accessed journal and disseminating articles for free under the Creative Commons license term mentioned, author(s) aware that JIB entitles the author(s) to no royalties or other fees.
7. Miscellaneous
JIB will publish the article (or have it published) in the journal if the article’s editorial process is successfully completed. JIB's editors may modify the article to a style of punctuation, spelling, capitalization, referencing and usage that deems appropriate. The author acknowledges that the article may be published so that it will be publicly accessible and such access will be free of charge for the readers as mentioned in point 3.
