Efektivitas PeanutBall dan Teknik Relaksasi Nafas dalam Terhadap Nyeri Persalinan Kala I Fase Aktif
Effectiveness of Peanut Ball and Deep Breathing Techniques on Labor Pain in the Active Phase of Stage I
DOI:
https://doi.org/10.35473/ijm.v8i2.4342Keywords:
Peanutball, Relaksasi Napas Dalam, Nyeri PersalinanAbstract
Labor pain is a physiological process due to uterine contractions which is often considered the most uncomfortable and frightening experience for mothers in labor. Suboptimal pain management can increase the risk of complications during labor. Non-pharmacological approaches, such as deep breathing relaxation techniques and the use of peanut balls, can be an alternative to reduce pain. This study aims to determine the effectiveness of peanut balls and deep breathing relaxation techniques on reducing labor pain in the active phase of the first stage. This study used a quasi-experimental design with a two-group pretest-posttest design, and was conducted at the Ki Ageng Getas PendowoGubug Hospital in May–June 2025. A total of 50 respondents were divided into two groups purposively: the peanut ball intervention group (n=25) and the deep breathing relaxation technique group (n=25). The level of pain was measured using the Numeric Rating Scale (NRS) before and after the intervention. The Shapiro-Wilk normality test showed that the data were not normally distributed (pretest p=0.000; posttest p=0.000), so the analysis between groups was carried out using the Mann-Whitney Test. The results showed a significant difference between the two groups (p=0.006), with the peanut ball group showing a higher average ranking. These results indicate that the peanut ball intervention is more effective in reducing labor pain than deep breathing relaxation techniques.
Abstrak
Nyeri persalinan merupakan proses fisiologis akibat kontraksi uterus yang kerap dianggap sebagai pengalaman paling tidak nyaman dan menakutkan bagi ibu bersalin. Pengelolaan nyeri yang tidak optimal dapat meningkatkan risiko komplikasi selama proses persalinan. Pendekatan nonfarmakologis, seperti teknik relaksasi napas dalam dan penggunaan peanut ball, dapat menjadi alternatif untuk mengurangi nyeri. Penelitian ini bertujuan untuk mengetahui efektivitas peanut ball dan teknik relaksasi napas dalam terhadap penurunan nyeri persalinan kala I fase aktif. Penelitian ini menggunakan desain quasi experiment dengan rancangan two group pretest-posttest design, dan dilaksanakan di RSUD Ki Ageng Getas Pendowo Gubug pada Mei–Juni 2025. Sebanyak 50 responden dibagi menjadi dua kelompok secara purposive: kelompok intervensi peanut ball (n=25) dan kelompok teknik relaksasi napas dalam (n=25). Tingkat nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan sesudah intervensi. Uji normalitas Shapiro-Wilk menunjukkan data tidak berdistribusi normal (pretest p=0,000; posttest p=0,000), sehingga analisis antar kelompok dilakukan dengan Uji Mann-Whitney. Hasil menunjukkan terdapat perbedaan signifikan antara kedua kelompok (p=0,006), dengan kelompok peanut ball menunjukkan rata-rata ranking lebih tinggi. Hasil ini mengindikasikan bahwa intervensi peanut ball lebih efektif dalam menurunkan nyeri persalinan dibandingkan teknik relaksasi napas dalam. Berdasarkan hasil penelitian ini, disarankan agar tenaga kesehatan, khususnya bidan, dapat mengimplementasikan penggunaan peanut ball sebagai salah satu metode nonfarmakologis dalam manajemen nyeri persalinan.
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