Pengaruh pijat endorphin terhadap intensitas nyeri pada ibu inpartu kala I fase aktif di ruang bersalin RSUD dr. Doris Sylvanus Palangka Raya

Erlinawati, Dwi (2021) Pengaruh pijat endorphin terhadap intensitas nyeri pada ibu inpartu kala I fase aktif di ruang bersalin RSUD dr. Doris Sylvanus Palangka Raya. Skripsi, PROGRAM STUDI SARJANA TERAPAN, POLTEKKES KEMENKES PALANGKARAYA.

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Abstract

Latar Belakang: Proses persalinan selalu dibarengi dengan timbulnya rasa nyeri yang teramat sangat. Nyeri persalinan kala I merupakan hal yang fisiologis. Nyeri pada persalinan kala I merupakan hal fisiologis yang disebabkan oleh proses dilatasi serviks, hipoksia otot uterus saat kontraksi, iskemia korpus uteri dan peregangan segmen bawah rahim dan kompresi saraf di serviks. Salah satu cara penatalaksanaan non farmakologis untuk mengurangi nyeri persalinan dengan pijat endorphin. Pijat Endorphin merupakan sebuah terapi sentuhan atau pijatan ringan yang cukup penting diberikan pada wanita hamil, di waktu menjelang hingga saatnya melahirkan ada beberapa manfaat dari endorphin yaitu mengatur produksi hormon pertumbuhan dan seks, mengendalikan rasa nyeri serta sakit yang menetap, mengendalikan perasaan stress, serta meningkatkan sistem kekebalan tubuh. Tujuan: Mengetahui pengaruh pijat endorphin terhadap intensitas nyeri pada ibu inpartu kala I fase aktif di RSUD dr. Doris Sylvanus Palangka Raya. Metode: Penelitian ini merupakan penelitian Quasy Eksperiment Design dengan jenis penelitian pre test dan post test design.. Teknik pengambilan sampel yang digunakan adalah nonprobability sampling dengan jenis purposive sampling. Besar sampel yang digunakan sebanyak 31 responden. Instrumen yang digunakan dalam penelitian ini dengan menggunakan kuesioner, lembar persetujuan, alat tulis, lembar observasi dan lembar Pemantauan Skala VAS (Visual Analog Scales). Hasil: Hasil penelitian ini menujukan bahwa dari 31 responden yang diberikan pijat endorphin hasil analisis pretest memiliki nilai intensitas minimal 4 dan maksimal 7 dengan rata-rata 5,45 dan standar deviasi 1,121 dan pada post test intensitas nyeri minimal 3 dan maksimal 7, rata-rata 4,10, standar deviasi 0,944 dan berdasarkan uji statistik wilcoxon diperoleh nilai p-value 0,000 (<0,05). Pada kelompok kontrol dari 31 responden yang diberikan pijat biasa hasil analisis pretest memiliki intensitas nyeri minimal 4 dan maksimal 7, rata-rata 5,61, standar deviasi 0,989 dan pada post test intensitas nyeri minimal 3 dan maksimal 7, rata�rata 4,87, standar deviasi 0,885 dan berdasarkan uji statistik wilcoxon diperoleh nilai p-value 0,000 (<0,05). Kesimpulan: Ada pengaruh pijat endorphin pada ibu inpartu kala I fase aktif terhadap intensitas nyeri persalinan kala I fase aktif

Background: The process of childbirth was always accompanied by the onset of extreme pain. The first stage of labor pain was physiological. Pain in the first stage of labor is a physiological thing caused by the cervical dilatation process, uterine muscle hypoxia during contraction, uterine corpus ischemia and stretching of the lower uterine segment, and nerve compression in the cervix. One way of non-pharmacological management to reduce labor pain is endorphin massage. Endorphin massage is a touch therapy or light massage that was quite important to be given to pregnant women, in the time leading up to the time to give birth there are several benefits of endorphins, namely regulating the production of growth and sex hormones, controlling persistent pain and pain, controlling feelings of stress, and increasing stress. immune system. Objective: Knowing the effect of endorphin massage on the intensity of pain in pregnant women in the first stage of the active phase at RSUD dr. Doris Sylvanus Palangkaraya. Method: This research was a Quasy Experimental Design research with the type of pre-test and post-test design. The sampling technique used is non-probability sampling with purposive sampling. The sample size used was 31 respondents. The instruments used in this study were questionnaires, consent sheets, stationery, observation sheets, and VAS (Visual Analog Scales) Monitoring Sheets. Result: The results of this research indicated that of the 31 respondents who have given endorphin massage the results of the pretest analysis had a minimum intensity value of 4 and a maximum of 7 with an average of 5.45 and a standard deviation of 1.121 and in the post-test the pain intensity was at least 3 and a maximum of 7, an average of 4 .10, standard deviation 0.944 and based on the Wilcoxon statistical test, the p-value was 0.000 (<0.05). In the control group of 31 respondents who have given regular massage, the results of the pretest analysis had a minimum pain intensity of 4 and a maximum of 7, an average of 5.61, a standard deviation of 0.989, and in the post-test the pain intensity was at least 3 and a maximum of 7, an average of 4.87. , the standard deviation is 0.885, and based on the Wilcoxon statistical test, the p-value is 0.000 (<0.05). Conclusion: There is an effect of endorphin massage on the active phase I inpartum mother on the intensity of labor pain in the active phase I.

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