EFFECTIVENESS OF AROMATHERAPY MASSAGE AND PELVIC ROCKING EXERCISE ON ANXIETY, LOWER BACK PAIN, AND SLEEP QUALITY
Abstract
Keluhan yang paling sering muncul pada trimester akhir kehamilan adalah rasa cemas, nyeri pinggang bawah, dan sulit tidur sehingga mengganggu rutinitas sehari-hari. Metode nonfarmakologi berupa pijat aromaterapi dan latihan goyang panggul merupakan metode yang membantu mengurangi rasa cemas, nyeri pinggang bawah dan mengatasi sulit tidur pada ibu hamil trimester ketiga. Penelitian ini merupakan penelitian quasi eksperimen dengan rancangan pretest and posttest controlled group design. Teknik pengambilan sampel adalah purposive sampling, sebanyak 32 ibu hamil pada kelompok pijat aromaterapi dan 32 ibu hamil pada kelompok latihan goyang panggul, sehingga total sampel sebanyak 64 ibu hamil. Uji analisis menggunakan uji Mc Nemar dan uji Wilcoxon. Kriteria inklusi meliputi ibu hamil trimester ketiga dengan usia kehamilan ≥ 35 minggu, berusia antara 20-35 tahun. Sedangkan kriteria eksklusi adalah ibu hamil trimester III yang memiliki penyakit penyerta seperti radang sistemik, skiatika, kelainan ginekologi, kardiovaskular, tumor, osteoporosis, atau pernah mengalami patah tulang belakang. Terdapat pengaruh pijat aromaterapi dan latihan goyang panggul terhadap kecemasan, nyeri pinggang bawah dan kualitas tidur pada ibu hamil trimester III. Pijat aromaterapi lebih efektif dibandingkan latihan goyang panggul dalam menurunkan kecemasan dan meningkatkan kualitas tidur, dengan nilai p masing-masing sebesar 0,042 dan 0,013. Keduanya sama-sama efektif dalam menurunkan nyeri pinggang bawah (nilai p= 0,479), dan terbukti berpengaruh terhadap keluhan trimester III pada ibu hamil.
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References
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2. Barus, E., & Yunida turisna oktavia. (2023). PENGARUH AROMATERAPI LAVENDER TERHADAP KECEMASAN IBU HAMIL DI PMB ERNI DAN LISMAWATI LANGKAT. Jurnal Keperawatan Widya Gantari Indonesia, 7(2). https://doi.org/10.52020/jkwgi.v7i2.5451
3. Dereje, A., Dheresa, M., Desalew, A., & Tura, A. K. (2023). Fear of childbirth among pregnant women in Eastern Ethiopia: A community-based study. Midwifery, 116, 103515. https://doi.org/10.1016/j.midw.2022.103515
4. Domínguez-Solís, E., Lima-Serrano, M., & Lima-Rodríguez, J. S. (2021). Non-pharmacological interventions to reduce anxiety in pregnancy, labour and postpartum: A systematic review. Midwifery, 102, 103126. https://doi.org/10.1016/j.midw.2021.103126
5. Ella Khairunnisa, Eka Riana, Dwi Khalisa Putri, & Sella Ridha Agfiani. (2022). GAMBARAN DERAJAT NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III. WOMB Midwifery Journal, 1(2), 13–17. https://doi.org/10.54832/wombmidj.v1i2.69
6. Fatmawati, R., Hidayah, N., Iii, D., & Surakarta, M. (2019). GAMBARAN POLA TIDUR IBU NIFAS. In INFOKES (Vol. 9, Issue 2).
7. Fitri Mellyna Cantika, & Sani Ega Priani, S. E. P. (2023). Uji Aktivitas Antioksidan Dan Inhibitor Tirosinase Ekstrak Etanol Daun Teh Hijau. Jurnal Riset Farmasi, 113–120. https://doi.org/10.29313/jrf.v3i2.3262
8. Hawker, G. A., Mian, S., Kendzerska, T., & French, M. (2011). Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short‐Form McGill Pain Questionnaire (SF‐MPQ), Chronic Pain Grade Scale (CPGS), Short Form‐36 Bodily Pain Scale (SF‐36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care & Research, 63(S11). https://doi.org/10.1002/acr.20543
9. Huda Rohmawati, Weni Tri Purnani, Dessy Lutfiasari, & Agung Nugroho Widhi. (2023). The Effect of Pelvic Rocking on Back Pain Intensity in Third Trimester Pregnant Women. Journal of Global Research in Public Health, 8(1), 85–88. https://doi.org/10.30994/jgrph.v8i1.430
10. Isnaeni, R. N., & Sari, A. E. (2021). PEMBUATAN MINUMAN TEH HITAM (Camellia sinensis) DAN DAUN SALAM (Syzygium polyanthum) SEBAGAI MINUMAN FUNGSIONAL SUMBER ANTIOKSIDAN PADA MASA PANDEMI COVID-19. Jurnal Mitra Kesehatan, 3(2), 105–112. https://doi.org/10.47522/jmk.v3i2.85
11. Jones, T., Purdy, M., Stewart, E. A., Cutshall, S. M., Hathcock, M. A., Mahapatra, S., Bauer, B. A., & Ainsworth, A. J. (2021). Lavender Aromatherapy to Reduce Anxiety During Intrauterine Insemination: A Randomized Controlled Trial. Global Advances in Health and Medicine, 10. https://doi.org/10.1177/21649561211059074
12. Karningsih, K., Purwanti, D., Yulfitria, F., Sari, G. N., & Nuraenah, E. (2022). The Effect of Pelvic Rocking Exercise with a Birth Ball and SP6 Acupressure on Duration of the First and Second Stage of Labor. Nurse Media Journal of Nursing, 12(3), 380–389. https://doi.org/10.14710/nmjn.v12i3.45589
13. Mechael, P., Kaonga, N. N., Chandrasekharan, S., Prakash, M. P., Peter, J., Ganju, A., & Murthy, N. (2019). The Elusive Path Toward Measuring Health Outcomes: Lessons Learned From a Pseudo-Randomized Controlled Trial of a Large-Scale Mobile Health Initiative. JMIR MHealth and UHealth, 7(8), e14668. https://doi.org/10.2196/14668
14. Noviyanti, Azwar, Y., & Santi, E. (2021). Faktor- Faktor yang Berhubungan dengan Keluhan Nyeri Punggung Bawah pada Pekerja Welding. HEALTH CARE : JURNAL KESEHATAN, 10(1), 168–180. https://doi.org/10.36763/healthcare.v10i1.121
15. Nygaard, C. C., Tsiapakidou, S., Pape, J., Falconi, G., Betschart, C., Pergialiotis, V., & Doumouchtsis, S. K. (2020). Appraisal of clinical practice guidelines on the management of obstetric perineal lacerations and care using the AGREE II instrument. European Journal of Obstetrics & Gynecology and Reproductive Biology, 247, 66–72. https://doi.org/10.1016/j.ejogrb.2020.01.049
16. Osinuga, A., Hicks, C., Ibitoye, S. E., Schweizer, M., Fethke, N. B., & Baker, K. K. (2021). A meta-analysis of the association between physical demands of domestic labor and back pain among women. BMC Women’s Health, 21(1), 150. https://doi.org/10.1186/s12905-021-01294-5
17. Rinata, E., & Andayani, G. A. (2018). Karakteristik ibu (usia, paritas, pendidikan) dan dukungan keluarga dengan kecemasan ibu hamil trimester III. MEDISAINS, 16(1), 14. https://doi.org/10.30595/medisains.v16i1.2063
18. Rosinger, A. Y., Bethancourt, H. J., Pauley, A. M., Latona, C., John, J., Kelyman, A., Leonard, K. S., Hohman, E. E., McNitt, K., Gernand, A. D., Downs, D. S., & Savage, J. S. (2022). Variation in urine osmolality throughout pregnancy: a longitudinal, randomized-control trial among women with overweight and obesity. European Journal of Nutrition, 61(1), 127–140. https://doi.org/10.1007/s00394-021-02616-x
19. Salmon, S., Garcés Dávila, I., Taillieu, T. L., Stewart-Tufescu, A., Duncan, L., Fortier, J., Struck, S., Georgiades, K., MacMillan, H. L., Kimber, M., Gonzalez, A., & Afifi, T. O. (2022). Adolescent health outcomes: associations with child maltreatment and peer victimization. BMC Public Health, 22(1), 905. https://doi.org/10.1186/s12889-022-13310-w
20. Santi, M., Dewi, C. N. T., & Purnamaningrum, Y. E. (2023). Dukungan Sosial dan Tingkat Kecemasan Ibu Hamil pada Masa Pandemi COVID-19. Window of Health : Jurnal Kesehatan, 365–377. https://doi.org/10.33096/woh.vi.228
21. Song, J.-A., & Yang, H. (2022). Fatigue relief by aromatherapy use in prenatal and postnatal women: a systematic review and meta-analysis. Korean Journal of Women Health Nursing, 28(2), 87–99. https://doi.org/10.4069/kjwhn.2022.05.15
22. Umairo, G., Nurjanah, L., Suntara, I., Prasetianingsih, J., & Puspasari, L. (2024). Effects of Pelvic Rocking and Deep Breathing Relaxation Exercises on the Progression of the Active Phase of the First Stage of Labor. Jurnal Penelitian Pendidikan IPA, 10(9), 6869–6874. https://doi.org/10.29303/jppipa.v10i9.8879
23. Zhang, Y., Wang, L., Yang, W., Niu, D., Li, C., Wang, L., Gu, P., Xia, Y., Shen, Y., Yan, J., Zhao, Q., Mu, K., & Yan, W. (2019). Effectiveness of Low Glycemic Index Diet Consultations Through a Diet Glycemic Assessment App Tool on Maternal and Neonatal Insulin Resistance: A Randomized Controlled Trial. JMIR MHealth and UHealth, 7(4), e12081. https://doi.org/10.2196/12081
Authors
Marzalena, R., Nurul, M., & Yosephin, B. (2025). EFFECTIVENESS OF AROMATHERAPY MASSAGE AND PELVIC ROCKING EXERCISE ON ANXIETY, LOWER BACK PAIN, AND SLEEP QUALITY. JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, 17(2), 823–834. https://doi.org/10.34011/juriskesbdg.v17i2.2855
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