Pengaruh Musik Suara Alam (Nature Sounds Music) Terhadap Intensitas Nyeri Persalinan Kala I di Polindes Pelepat
DOI:
https://doi.org/10.59395/altifani.v6i5.1470Keywords:
Musik Suara Alam, Nyeri Persalinan Kala I, Numeric Rating Scale, terapi komplementerAbstract
Nyeri persalinan kala I merupakan pengalaman fisiologis yang dapat meningkatkan ketegangan dan mengganggu kenyamanan ibu, sehingga intervensi nonfarmakologis yang sederhana dan mudah diterapkan diperlukan sebagai pendamping asuhan persalinan. Penelitian ini bertujuan menganalisis pengaruh musik suara alam (nature sounds music) terhadap intensitas nyeri persalinan kala I di Polindes Pelepat. Penelitian menggunakan desain pra-eksperimental one-group pretest-posttest pada 10 ibu bersalin kala I yang dipilih menggunakan purposive sampling sesuai kriteria inklusi dan eksklusi. Intensitas nyeri diukur dengan Numeric Rating Scale (NRS) 0–10 sebelum dan sesudah intervensi. Musik suara alam diperdengarkan menggunakan headset atau speaker dengan volume nyaman selama sekitar 20–30 menit. Analisis diawali dengan uji Shapiro-Wilk dan dilanjutkan dengan paired-samples t-test karena data pretest dan posttest berdistribusi normal. Rerata intensitas nyeri sebelum intervensi adalah 6,50±0,850 (rentang 5–8) dan menurun menjadi 3,20±0,919 (rentang 2–5) setelah intervensi. Uji Shapiro-Wilk menghasilkan p=0,258 untuk pretest dan p=0,149 untuk posttest. Paired-samples t-test menunjukkan selisih rerata 3,30 poin dengan t=21,604; df=9; p<0,001. Hasil ini menunjukkan adanya penurunan intensitas nyeri yang bermakna setelah pemberian musik suara alam. Meskipun demikian, desain tanpa kelompok kontrol dan jumlah sampel yang kecil membatasi atribusi kausal dan generalisasi temuan. Musik suara alam berpotensi digunakan sebagai intervensi komplementer untuk meningkatkan kenyamanan ibu bersalin, tetapi efektivitasnya perlu dikonfirmasi melalui penelitian terkontrol dengan sampel lebih besar.
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References
Akarsu, K., Koç, A., & Ertu?, N. (2019). The effect of nature sounds and earplugs on anxiety in patients following percutaneous coronary intervention: A randomized controlled trial. European Journal of Cardiovascular Nursing, 18(8), 651–657. https://doi.org/10.1177/1474515119858826
Bauer, B. A., Cutshall, S. A., Anderson, P. G., Prinsen, S. K., Wentworth, L. J., Olney, T. J., Messner, P. K., Brekke, K. M., Li, Z., Sundt, T. M., III, & Kelly, R. F. (2011). Effect of the combination of music and nature sounds on pain and anxiety in cardiac surgical patients: A randomized study. Alternative Therapies in Health and Medicine, 17(4), 16–23.
Buglione, A., Saccone, G., Mas, M., Raffone, A., Di Meglio, L., di Meglio, L., Toscano, P., Travaglino, A., Zapparella, R., Duval, M., Zullo, F., & Locci, M. (2020). Effect of music on labor and delivery in nulliparous singleton pregnancies: A randomized clinical trial. Archives of Gynecology and Obstetrics, 301(3), 693–698. https://doi.org/10.1007/s00404-020-05475-9
Chuang, C.-H., Chen, P.-C., Lee, C. S., Chen, C.-H., Tu, Y.-K., & Wu, S.-C. (2019). Music intervention for pain and anxiety management of the primiparous women during labour: A systematic review and meta-analysis. Journal of Advanced Nursing, 75(4), 723–733. https://doi.org/10.1111/jan.13871
Dehcheshmeh, F. S., & Rafiei, H. (2015). Complementary and alternative therapies to relieve labor pain: A comparative study between music therapy and Hoku point ice massage. Complementary Therapies in Clinical Practice, 21(4), 229–232. https://doi.org/10.1016/j.ctcp.2015.09.002
Hepp, P., Hagenbeck, C., Gilles, J., Wolf, O. T., Goertz, W., Janni, W., Balan, P., Fleisch, M., Fehm, T., & Schaal, N. K. (2018). Effects of music intervention during caesarean delivery on anxiety and stress of the mother: A controlled, randomised study. BMC Pregnancy and Childbirth, 18, 435. https://doi.org/10.1186/s12884-018-2069-6
Hjermstad, M. J., Fayers, P. M., Haugen, D. F., Caraceni, A., Hanks, G. W., Loge, J. H., Fainsinger, R., Aass, N., & Kaasa, S. (2011). Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: A systematic literature review. Journal of Pain and Symptom Management, 41(6), 1073–1093. https://doi.org/10.1016/j.jpainsymman.2010.08.016
Hosseini, S. E., Bagheri, M., & Honarparvaran, N. (2013). Investigating the effect of music on labor pain and progress in the active stage of first labor. European Review for Medical and Pharmacological Sciences, 17(11), 1479–1487.
Hunter, A. R., Heiderscheit, A., Galbally, M., Gravina, D., Mutwalli, H., & Himmerich, H. (2023). The effects of music-based interventions for pain and anxiety management during vaginal labour and caesarean delivery: A systematic review and narrative synthesis of randomised controlled trials. International Journal of Environmental Research and Public Health, 20(23), 7120. https://doi.org/10.3390/ijerph20237120
Kutenai, H. J., Jafari, H., Shafipour, V., Zarghami, M., & Moosazadeh, M. (2023). Comparison of the effects of Benson relaxation technique and nature sounds on pain, anxiety, and body image in burn-injured patients admitted to the burn ICU: A single-blind randomized clinical trial. Burns, 49(6), 1439–1447. https://doi.org/10.1016/j.burns.2022.12.013
Maleki, A., & Youseflu, S. (2023). The effect of music-based interventions on short-term postpartum episiotomy pain: A systematic review and meta-analysis. Heliyon, 9(4), e14785. https://doi.org/10.1016/j.heliyon.2023.e14785
Melillo, A., Maiorano, P., Rachedi, S., Caggianese, G., Gragnano, E., Gallo, L., De Pietro, G., Guida, M., Giordano, A., & Chirico, A. (2022). Labor analgesia: A systematic review and meta-analysis of non-pharmacological complementary and alternative approaches to pain during first stage of labor. Critical Reviews in Eukaryotic Gene Expression, 32(2), 61–89. https://doi.org/10.1615/CritRevEukaryotGeneExpr.2021039986
Santiváñez-Acosta, R., Tapia-López, E. de las N., & Santero, M. (2020). Music therapy in pain and anxiety management during labor: A systematic review and meta-analysis. Medicina, 56(10), 526. https://doi.org/10.3390/medicina56100526
Simavli, S., Gumus, I., Kaygusuz, I., Yildirim, M., Usluogullari, B., & Kafali, H. (2014). Effect of music on labor pain relief, anxiety level and postpartum analgesic requirement: A randomized controlled clinical trial. Gynecologic and Obstetric Investigation, 78(4), 244–250. https://doi.org/10.1159/000365085
?olt K?rca, A., & Kanza Gül, D. (2022). The effect of music and skin contact with the newborn on pain and anxiety during episiotomy repair in primiparous women: A double-blind randomized controlled study. Explore, 18(2), 210–216. https://doi.org/10.1016/j.explore.2020.11.007
Vaid, R., Fareed, A., Farhat, S., Hammoud, Z., Asif, M. I., Ochani, S., & Jaber, M. H. (2025). Sounds of comfort: The impact of music therapy on labor pain and anxiety in primigravida women during vaginal delivery: A systematic review and meta-analysis. Reproductive Health, 22(1), 67. https://doi.org/10.1186/s12978-025-02023-z
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