Penerapan Counter Pressure Untuk Mengurangi Nyeri Persalinan Kala I Di Klinik Rahayu Ungaran

Application of Counter Pressure to Reduce First Stage Labor Pain at Rahayu Clinic Ungaran

Abstract

Pain during labor increases maternal anxiety which can increase the risk of prolonged labor and high rates of secsio caesaria because this is the determining point of whether a mother can undergo a vaginal delivery or end with an action due to complications caused by severe pain.It is very important for the delivery helpers to meet the mother's need for their security and comfort.This study was conducted to find out the effectiveness of Counter Pressure Massage Against Decreased Labor Pain During I Active Phase at Rahayu Ungaran Clinic. This research uses preecperiment research method with the design of one group pretest posttest research. Samples were taken using accidental sampling techniques, namely as many as 20 maternity mothers. The instruments used in this study are SOP sheets (Standard Operating Procedures). The results of this study using Marginal Homogenity Test showed the value of Asymp value. Sig. (2-tailed) acquired 0.000. Based on statistical test criteria: If a Significant value > 0.05 then there is a difference or H0 is accepted. So 0.000 > 0.05 means in this case there is a difference before and when counter pressure technique or H0 is accepted. There is an effect of Counter Pressure Massage on the reduction of labor pain during the I active phase at Rahayu Ungaran Clinic. It is expected that future researchers will carry out a Counter Pressure Massage for mothers so that they can be used as a method of effective pain reduction.

ABSTRAK

Nyeri persalinan dapat menimbulkan stres yang dapat menyebabkan pelepasan hormon yang berlebihan seperti ketokolamin dan steroid. Nyeri dapat dikurangi dengan teknik farmakologi dan teknik nonfarmakologi. Teknik farmakologi dengan menggunakan obat analgesik, sedangkan teknik nonfarmakologik adalah pengendalian nyeri dengan menggunakan teknik counterpressure yang mengurangi sensasi nyeri dengan menghambat rasa sakit dari sumbernya. Penelitian ini dilakukan untuk mengetahui efektivitas Counter Pressure Massage Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif di Klinik Rahayu Ungaran. Penelitian ini menggunakan metode penelitian preeksperimen dengan rancangan penelitian one group pretest posttest. Sampel diambil menggunakan teknik accidental sampling, yaitu sebanyak 20 ibu bersalin. Instrumen yang digunakan dalam penelitian ini adalah lembar SOP (Standar Operasional Prosedur). Hasil penelitian ini menggunakan uji Marginal Homogenity Test menunjukkan nilai nilai Asymp. Sig. (2-tailed) diperoleh 0.000. Berdasarkan kriteria pengujian statistik: Jika nilai Signifikan > 0.05 maka terdapat perbedaan atau H0 diterima. Jadi 0.000 > 0.05 berarti dalam hal ini  terdapat perbedaan sebelum dan saat dilakukan teknik counter pressure atau H0 diterima. Ada pengaruh Counter Pressure Massage terhadap penurunan nyeri persalinan kala I fase aktif di Klinik Rahayu Ungaran. Diharapkan ibu bersalin peneliti yang akan datang untuk melakukan Counter Pressure Massage sehingga dapat dijadikan metode pengurangan rasa nyeri yang efektif.