METODE MASSAGE EFFLEURAGE TERHADAP INTENSITAS NYERI PADA PERSALINAN KALA I

ABSTRACT Background: Pain during childbirth is a physiological condition that is generally experienced by almost all women who give birth. This pain is a subjective experience caused by ischemia of the uterine muscle, traction of the uterine ligament, traction of the ovaries, fallopian tubes, distension of the lower part of the uterus, pelvic floor muscles and perineum. One of the non- pharmacological methods in the form of skin stimulation that can reduce labor pain and cause a relaxing effect is massage effleurage.Objective: To determine the effect of massage effleurage treatment on the intensity of pain during first stage labor in the Rantau Community Health Center, Aceh Tamiang Regency.Method: This research is a quasi experiment with a post test to control group design approach only. The sample were mothers who gave birth to the first stage of 4-8 cm opening. The number of samples was 16 respondents (8 for the treatment and 8 for the control group). The sampling technique was done by means of purposive sampling. While the data analysis used was univariate (frequency distribution) and bivariate (Independent T-Test).Results: Independent sample T-test results, in the treatment group effleurage massage treatment obtained an average value of 4.00 and control group 6.25 obtained p value of 0.031 (p≤0.05). There is a significant difference in the average intensity of stage I labor pain between the treatment group and the control group.Conclusion: There is an effect of the effleurage massage method on the intensity of the first stage labor pain. Suggestions are expected for further research to compare the two non- pharmacological methods to the intensity of scildbirth pain during the 1st stage. Keywords: Massage Flexure, Pain Intensity, and Labor Period. ABSTRAK Latar Belakang: Nyeri saat  persalinan merupakan kondisi  fisiologis yang secara umum dialami oleh hampir semua ibu bersalin. Nyeri persalinan merupakan sebuah pengalaman subjektif disebabkan oleh iskemik otot uteri, penarikan  traksi ligament uteri, traksi ovarium, tuba fallopi, distensi bagian bawah uteri, otot dasar panggul dan perineum. Salah satu metode non farmakologi dalam bentuk stimulasi kulit yang dapat menurunkan nyeri persalinan, menimbulkan efek relaksasi adalah Massage effleurage.Tujuan : Untuk mengetahui  pengaruh metode massage effleurage terhadap intensitas nyeri persalinan kala I di wilayah kerja Puskesmas Rantau Kabupaten Aceh Tamiang.Metode: Jenis penelitian quasi experiment, dengan pendekatan post test only control group design. Sampel dalam penelitian ini adalah ibu bersalin kala I pembukaan 4-8 cm. Jumlah sampel sebanyak 16 responden  (masing-masing 8 responden untuk kelompok perlakuan dan kontrol). Teknik pengambilan sampel dilakukan dengan cara purposive sampling.  Analisa data yang digunakan adalah univariat  (distribusi frekuensi) dan bivariat (Uji Independet T-Test).Hasil: Hasil uji Independen Sampel T-test, pada kelompok perlakuan metode massage effleurage didapatkan nilai rata-rata 4,00 dan kelompok kontrol 6,25 diperoleh nilai p sebesar 0,031 (p≤0.05). Hal tersebut terdapat perbedaan signifikan rata-rata intensitas nyeri persalinan kala I  antara kelompok perlakuan dan kontrol.Kesimpulan: Terdapat pengaruh metode massage effleurage terhadap intensitas nyeri persalinan kala I . Saran diharapkan penelitian lanjutan membandingkan dua metode non farmakologi terhadap intensitas nyeri persalinan kala I.Saran diharapkan untuk penelitian lebih lanjut untuk membandingkan dua metode non-farmakologis dengan intensitas nyeri scildbirth selama tahap pertama. Kata Kunci: Massage effleurage, Intensitas Nyeri, Persalinan