PENGARUH HAND MASSAGE TERHADAP NYERI PERSALINAN PADA IBU BERSALIN KALA I FASE AKTIF DI RSUD SUNAN KALIJAGA DEMAK

Yulita Ariania; Fania Nurul Khoirunnisaa; Nor Asiyahb

doi:10.59003/nhj.v5i10.1941

Authors

Yulita Ariania Universitas Muhammadiyah Kudus
Fania Nurul Khoirunnisaa Universitas Muhammadiyah Kudus
Nor Asiyahb Universitas Muhammadiyah Kudus

DOI:

https://doi.org/10.59003/nhj.v5i10.1941

Keywords:

Hand massage, active phase of the first stage of labor, non-pharmacological, labor pain

Abstract

Labor pain is a significant physiological and psychological experience for women in labor, particularly during the active phase of the first stage of labor. Non-pharmacological pain management methods, such as hand massage, can serve as an alternative approach to reduce pain intensity without causing side effects for both the mother and the fetus. This study aimed to determine the effect of hand massage on labor pain among women in the active phase of the first stage of labor at Sunan Kalijaga Regional Hospital, Demak. This research employed a quantitative experimental design using a pretest–posttest approach with a sample of 40 laboring mothers who met the inclusion and exclusion criteria. Pain intensity data were collected using the Numeric Rating Scale (NRS) before and after the hand massage intervention, which was administered for 10–15 minutes. Data analysis was conducted using univariate and bivariate analysis with the Wilcoxon Signed Rank Test.The results showed that 24 respondents experienced a decrease in pain intensity, 8 respondents experienced no change, and 8 respondents experienced an increase in pain intensity, with a p-value of 0.009 (<0.05). These findings indicate that hand massage has a significant effect on reducing labor pain intensity among women in the active phase of the first stage of labor. This study recommends hand massage as an effective non-pharmacological method for labor pain management and supports evidence-based midwifery practice.

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References

Amelia, W., & Dita, M. A. S. (2020). Efektifitas Hand Massage Terhadap Skala Nyeri pada Pasien Post Operasi Laparatomi di RS. DR. Reksodiwiryo Padang. Jurnal Kesehatan Midwinerslion, 5(1), 96–105.

Amaniyah, I., Ida, S., Agan, S., Hermalia, A. R., Kiki, W., Cici, P., & Mega, N. (2022). Pengaruh Teknik Counterpressure Massage terhadap Intensitas Nyeri Ibu Bersalin Kala I Fase Aktif. Prosiding Seminar Nasional dan Call for Paper Kebidanan, 1(2), 768–777.

American College of Obstetricians and Gynecologists. (2019). Hypertension in pregnancy. Washington, DC: ACOG.

Bahl, R., Strachan, B., & Murphy, D. J. (2020). Progress of labour and cervical dilatation in the active phase. BMC Pregnancy and Childbirth, 20, 123–130.

Carey, R. M., Muntner, P., Bosworth, H. B., & Whelton, P. K. (2019). Prevention and control of hypertension: JACC health promotion series. Journal of the American College of Cardiology, 74(25), 2996–3015.

Chunningham et al. (2020). Obstetri Williams. Jakarta: Penerbit ECG.

Gallo, R. B. S., Santana, L. S., Jorge, F. E., & Silva, J. L. (2021). Massage for pain relief during labor: A systematic review. Journal of Maternal-Fetal & Neonatal Medicine, 34(12), 2015–2022.

Indrayani. (2020). The Effect of Hand Massage on Labor Pain During the Active Phase of The First Stage. Journal of Midwifery and Nursing, 2(3), 115–120.

Karuniawati, B. (2020). Efektivitas Massage Endorphin dan Counter Massage Terhadap Intensitas. Jurnal Ilmu Kesehatan, 4(1), 27–33.

Khoirunnisa, F. N. (2020). Hubungan paritas dengan kejadian hipertensi pada ibu. Jurnal Kebidanan Indonesia, 11(2), 85–92.

Khoirunnisa, F. N. (2021). Efektivitas teknik massage terhadap penurunan intensitas nyeri persalinan kala I. Jurnal Kebidanan Indonesia, 12(2), 85–92.

Khoirunnisa, F. N., Irawati, I., & Ika, T. (2018). Efektifitas Circular Hip Massage sebagai Metode Non Farmakologi dalam Meredakan Nyeri Persalinan. Prosiding Seminar and Workshop Public Health Action Fakultas Kesehatan UDINUS, 1(1), 81–86.

Kurniawati, D., Sari, R., & Lestari, A. (2020). Hubungan status pekerjaan dengan kejadian hipertensi pada perempuan usia produktif. Jurnal Kesehatan Masyarakat, 8(1), 45–52.

Lee, E. J., Kim, S. J., & Park, H. J. (2019). The effects of therapeutic touch on labor pain and anxiety. Complementary Therapies in Clinical Practice, 35, 79–84.

Levett, K. M., Smith, C. A., Bensoussan, A., & Dahlen, H. G. (2019). The effect of maternal anxiety on labour pain perception. BMC Pregnancy and Childbirth, 19, 123.

Lilis, D. N., Lia, A., & Yayang, S. (2021). Pengaruh Hydrotherapy terhadap Nyeri Persalinan Kala I Fase Aktif. Jambura Journal, 3(1), 94–102.

Lingling et al. (2017). Effectiveness of Accupunture Versus Spinal-Epidural Anasthesia on Labor Pain: A Randomized Controlled Trial. Journal of Traditional Chinese Medicine, 37(5), 629–635.

Maryani et al. (2022). Efektivitas Hand Massage terhadap Penurunan Intensitas Nyeri Persalinan Kala I Fase Aktif. Jurnal Kebidanan Indonesia, 13(1), 45–52.

Merryl, Y. A., Bebasari, M., & Ridanta, O. R. (2018). Pengaruh Massage Counter Pressure Terhadap Lama Kala 1 Fase Aktif Persalinan Normal. Jurnal Ilmiah Kebidanan, 9(1), 38–45.

Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Circulation, 141(9), 699–709.

Notoatmodjo. (2021a). Metodologi Penelitian Kesehatan. Rineka Cipta.

Notoatmodjo. (2021b). Rancangan Penelitian dalam Metode Penelitian Menggunakan Kuantitatif. Penerbit ECG.

Nursalam. (2020). Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis Edisi 4. Jakarta: Salemba Medika.

Potter, P. A., & Perry, A. G. (2021). Fundamentals of Nursing: Concepts, Process and Practice. Elsevier Health Sciences.

Ratnawati. (2017). Asuhan Keperawatan Maternitas. Yogyakarta: PT Pustaka Baru.

Saifuddin et al. (2017). Buku Panduan Praktis Pelayanan Kesehatan Maternal dan Neonatal. PT Bina Pustaka Sarwono Prawirohardjo.

Sari, D. P., & Puspita, R. (2023). Manajemen Nyeri Non Farmakologi pada Persalinan. Jakarta: Penerbit ECG.

Sari, D. P., Zulfa, R., & Sri, W. P. L. (2018). Nyeri Persalinan. Mojokerto: STIKes Majapahit Mojokerto.

Sari, N., & Andriani, R. (2021). Hubungan pekerjaan dengan kepatuhan pengobatan pada pasien hipertensi. Jurnal Ilmu Kesehatan, 9(2), 120–128.

Sevtiani, K. D., Sri, R., & Ni, W. S. (2025). Pengaruh Pijat Endorphin terhadap Intensitas Nyeri Ibu Bersalin Kala I Fase Aktif. Jurnal Ilmu Kebidanan, 14(1), 29–37.

Smith, C. A., Levett, K. M., Collins, C. T., Armour, M., Dahlen, H. G., & Suganuma, M. (2020). Massage, reflexology and other manual methods for pain management in labour. BMC Pregnancy and Childbirth, 20, 204.

Sudiamin, F. H., & Fadliyah, F. (2024). Hubungan Partus Lama dan Berat Badan Lahir Bayi dengan Robekan Perineum pada Ibu Bersalin di Puskesmas Wara Kota Palopo. Jurnal Ventilator, 1(2), 317–347.

Sukarni, & Wahyu. (2020). Buku Ajar Keperawatan Maternitas. Yogyakarta: Penerbit Nuha Medika.

Winancy, Yuliana, R., & Hetty, A. (2023). Penerapan Endorphin Massage untuk Mengurangi Tingkat Nyeri Persalinan Bagi Ibu Bersalin. Jurnal Salingka Abdimas, 3(2), 312–317.

World Health Organization. (2019). WHO recommendations: Intrapartum care for a positive childbirth experience. Geneva: WHO.

World Health Organization. (2021). Hypertension. Geneva: WHO.

World Health Organization. (2022). Health literacy development for the prevention and control of noncommunicable diseases. Geneva: WHO.

Zhang, J., Troendle, J., Grantz, K. L., & Reddy, U. M. (2019). Contemporary patterns of spontaneous labor progression. American Journal of Obstetrics and Gynecology, 220(6), 585.e1–585.e8.

Zhou, B., Perel, P., Mensah, G. A., & Ezzati, M. (2019). Worldwide trends in blood pressure from 1975 to 2015. The Lancet, 394(10199), 957–980.