The Effect of Therapeutic Communication on the Intensity of Labor Pain in Active Phase I at Cengkareng Hospital

Authors

  • Lia Idealistiana
  • Trias Ayu Nugraheny

DOI:

https://doi.org/10.33755/jkk.v9iSpecial%20Edition.593

Keywords:

First Stage of Labor, Pain Intensity, Therapeutic Communication

Abstract

Aims: A study of birth mothers in England showed that 93.5% of women described severe or unbearable pain. Pain that cannot be handled alone will result in anxiety and stress. Anxiety can cause labor to go slow. Stress increases catecholamine and interferes with the release of oxytocin resulting in decreased blood flow to the uterus resulting in acidosis and hypoxia in the fetus. For mothers giving birth, it can reduce uterine contractions, so that labor will take longer. The gate control theory states that many factors influence an individual's perception of pain intensity, and some of these factors are psychological, not physiological. One of the factors that can be done is that midwives can provide mental support by providing good communication to mothers during labor, which is known as Therapeutic Communication.

Methods: This research employs a Quasy Experimental research design with a Pretest-Posttest Control Group Design. The sampling technique used is purposive sampling, with a total sample size of 44 respondents. The T-Test is used to process data.

Results: The results showed that there was an effect of providing therapeutic communication in reducing the intensity of labor pain in mothers in the first active phase of labor at Cengkareng Hospital with a p value <0.005, namely a p value obtained 0.000.

Conclusions : There is an effect of the application of therapeutic communication on reducing labor pain in mothers in the active phase of the first stage of labour. Suggestion: It is expected to be able to apply therapeutic communication to mothers in labor.

References

Vogel JP, Souza JP, Mori R, Morisaki N, Lumbiganon P, Laopaiboon M, et al. Maternal complications and perinatal mortality: findings of the World Health Organization Multicountry Survey on Maternal and Newborn Health. BJOG. 2014;121:76–88.

Fitriawati L, Kurniawati D, Juliningrum PP. Perbedaan Tingkat Nyeri Persalinan Sebelum Dan Sesudah Terapi Acupressure Point for Locatation Pada Ibu Bersalin Kala 1 DI Rumah Sakit Jember Klinik Kabupaten Jember. Jurnal Keperawatan Sriwijaya. 2020;7(2):34–42.

Buckley JP, Quirós-Alcalá L, Teitelbaum SL, Calafat AM, Wolff MS, Engel SM. Associations of prenatal environmental phenol and phthalate biomarkers with respiratory and allergic diseases among children aged 6 and 7 years. Environ Int. 2018;115:79–88.

Diaty R, Fathiyati F. Characteristics of Knowledge of Pregnant Women About Pregnancy Exercises in the Working Area of Sungai Bilu Health Center Banjarmasin. JIKO (Jurnal Ilmiah Keperawatan Orthopedi). 2022;6(2):44–9.

Sugiyono PD. Quantitative, qualitative, and R&D research methods. Bandung:(ALFABETA, Ed). 2018;

Solehati T. Terapi nonfarmakologi nyeri padapersalinan: Systematic review. Jurnal Keperawatan Muhammadiyah. 2018;3(1).

Sumarno D, Yulindrasari H, Ginintasasi R. Preliminary Study of Hope in Adolescents Who Experience Unwanted Pregnancies. In: International Conference on Educational Psychology and Pedagogy-" Diversity in Education"(ICEPP 2019). Atlantis Press; 2020. p. 43–6.

Bonica JJ, Mcdonald JS. The pain of childbirth. The management of pain. 1990;2:1313–43.

Mander R. Pain in childbearing and its control: key issues for midwives and women. John Wiley & Sons; 2010.

Hakala M, Rantala A, Pölkki T. Women’s perceptions of counselling on pain assessment and management during labour in Finland: A cross-sectional survey. Midwifery. 2022;114:103471.

Hitipeuw AJ, Achmad I, Regel L. Efektivitas Komunikasi Terapeutik Terhadap Penurunan Intensitas Nyeri Persalinan Kala I Fase Aktif. Jurnal Kebidanan. 2022;2(1):25–35.

Setyananda TR, Indraswari R, Prabamurti PN. Tingkat kecemasan (state-trait anxiety) masyarakat dalam menghadapi pandemi Covid-19 di Kota Semarang. Media Kesehatan Masyarakat Indonesia. 2021;20(4):251–63.

Mander R. Pain in childbearing and its control: key issues for midwives and women. John Wiley & Sons; 2010.

Jones LE, Whitburn LY, Davey MA, Small R. Assessment of pain associated with childbirth: Women׳ s perspectives, preferences and solutions. Midwifery. 2015;31(7):708–12.

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Published

2023-06-30

How to Cite

Idealistiana, L. ., & Nugraheny, T. A. . (2023). The Effect of Therapeutic Communication on the Intensity of Labor Pain in Active Phase I at Cengkareng Hospital . Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 9(SpecialEdition). https://doi.org/10.33755/jkk.v9iSpecial Edition.593