• Document: PERBEDAAN EFEKTIVITAS TEKNIK PIJAT ( MASSAGE EFFLEURAGE
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PERBEDAAN EFEKTIVITAS TEKNIK PIJAT (MASSAGE EFFLEURAGE) DAN KOMPRES HANGAT TERHADAP NYERI PERSALINAN KALA I FASE AKTIF DI WILAYAH KERJA PUSKESMAS BERGAS KABUPATEN SEMARANG Nida’an Khofia*), Zumrotul Choiriyyah**), Indri Mulyasari***) *) Alumnus Program Studi D-IV Kebidanan STIKES Ngudi Waluyo Ungaran **) Staf Pengajar Program Studi D-IV Kebidanan STIKES Ngudi Waluyo Ungaran ***) Staf Pengajar Program Studi Gizi STIKES Ngudi Waluyo Ungaran ABSTRAK Latar Belakang:. Nyeri persalinan yang tidak ditangani secara adekuat menyebabkan ketidaknyamanan ibu dan akan mempengaruhi proses persalinan. Ada beberapa cara menanggulangi nyeri persalinan yaitu dengan teknik pijat (massage) dan kompres hangat. Tujuan: Tujuan penelitian ini untuk mengetahui perbedaan teknik pijat (massage) dan kompres hangat terhadap nyeri persalinan kala I fase aktif di Wilayah Kerja Puskesmas Bergas Kabupaten Semarang. Metode: Metode penelitian adalah quasy eksperimental dengan rancangan two group pretest- posttest design. Populasi dalam penelitian ini yaitu seluruh ibu bersalin kala I fase aktif di Wilayah Kerja Puskesmas Bergas Kabupaten Semarang. Sampel dalam penelitian ini adalah 28 responden yang dipilih secara accidental sampling. Analisis data menggunakan dependent t-test dan independent t-test serta menggunakan alat ukur berupa lembar observasi skala nyeri menurut bourbanis (α=0,05). Hasil: Sebelum diberikan teknik pijat (massage) sebagian besar responden mengalami nyeri sedang yaitu 11 orang (78,6%),Sesudah diberikan teknik pijat (massage) sebagian besar responden mengalami nyeri sedang sejumlah 10 orang (71,4%). Sebelum diberikan kompres hangat sebagian besar responden mengalami nyeri sedang yaitu 11 orang (78,6%), sesudah diberikan kompres hangat sebagian besar mengalami nyeri sedang sejumlah 12 orang (85,7%). Ada perbedaan nyeri persalinan kala I fase aktif sebelum dan sesudah diberikan teknik pijat (massage) (p-value 0,0001), Ada perbedaan sebelum dan sesudah diberikan kompres hangat pada ibu bersalin kala I fase aktif yaitu (p-value 0,0001). Tidak ada perbedaan yang bermakna antara teknik pijat (massage) dan kompres hangat terhadap nyeri persalinan kala I fase aktif di Wilayah Kerja Puskesmas Bergas Kabupaten Semarang dengan nilai (p-value 0,259). Simpulan: Tidak ada perbedaan yang bermakna antara teknik pijat (massage) dan kompres hangat terhadap nyeri persalinan kala I fase aktif di Wilayah Kerja Puskesmas Bergas Kabupaten Semarang. Diharapkan dapat memberikan rekomendasi kepada bidan/perawat agar dapat membantu memenuhi kebutuhan ibu akan rasa nyaman dalam pengontrolan nyeri saat memberikan pertolongan persalinan. ABSTRACT Background: The labor pain which is not treated adequately leads the mothers to feel discomfort and it will affect the labor process. There are several ways to cope with labor pain including massage technique and warm compress. Purpose: The purpose of this study is to find the differences in massage technique and warm compress toward the first stage-active phase of labor pain at the working area of Bergas Health Center Semarang Regency. Method: This study used quasi-experimental method with two group pretest-posttest design. The population in this study was all puerperal women in the first stage-active phase at Bergas Health Center Semarang Regency. The samples in this study were 28 respondents sampled by using accidental sampling technique. The data analysis used the dependent and independent t-tests and the instrument used observation sheets of Bourbanis pain scale (α = 0.05). Result: Before the massage technique was administered there were 11 respondents (78.6%) having pain in medium scale, after that, there awere 10 respondents (71.4%) having pain in the medium scale. Before the warm compress was administered, there were 11 respondents (78.6%) having pain in medium scale, and after that, there were 12 respondents (85.7%) having pain in medium scale. There was a difference in the first stage-active phase of labor pain before and after massage technique was administered (p-value of 0.0001). There was a difference in the first stage-active phase of labor pain before and after warm compresses administered with p-value of 0.0001). There was no significant difference between the massage technique and warm compress to the first stage-active phase of labor pain at the working area of Bergas Health Center Semarang Regency with the p-value of 0.259. Conclusion: There was no significant difference between the massage technique and warm compress toward the first stage-active phase of labor pain at the working area of Bergas Health Center Semarang Regency. It is expected that this study can provide recommendations to the midwife/nurse in order to assist in fulfilling the mother’s needs of comfort in controlling pain during delivery process. Keywords: Massage technique, Warm compress, First stage-active phase of labor pain PENDAHULUAN

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