Abstract
Introduction: Childbirth is an event that causes stress to the mother. Anxiety and pain during labor, if not handled properly will disrupt the process of birth. Interventions to do is dhikr to God. The purpose of this study was to determine the effectiveness of dhikr to reduce anxiety and pain during the active phase of labor. Method: The study used a quasiexperimental design involving control groups were measured pretest and posttest. The samples were 40 moeslem primigravida with 37–42 weeks gestation and cervical dilation > 3 cm were taken by purposive sampling. Data was collected using a questionnaire (Taylor Manifest Anxiety Scale) and observation of labor pain (Visual Analog Scale) per hour. Multivariate data analysis using ANOVA test at α = 0.05. Results: This study showed that dhikr was effective to reduce the level of anxiety during labor in primigravida (59.8%). The average score of maternal anxiety and pain felt by mothers during childbirth have decreased, with a value of p = 0.001. Analysis and discussion: Primigravida who did dhikr tend to experience mild anxiety during delivery process, while primigravida who did not perform dhikr is likely to experience more severe anxiety. Dhikr is also effective in reducing labor pain during the active phase of labor.Keywords: birth, nursing, dhikr, anxiety, pain
Highlights
Childbirth is an event that causes stress to the mother
The purpose of this study was to determine the effectiveness of dhikr to reduce anxiety and pain during the active phase of labor
The samples were 40 moeslem primigravida with 37–42 weeks gestation and cervical dilation > 3 cm were taken by purposive sampling
Summary
Jenis penelitian adalah kuasi eksperimen desain dua kelompok pre dan post test (two groups pre posttest design). Kelompok pertama adalah kelompok intervensi dilakukan bimbingan dzikir dan kelompok dua adalah kelompok kontrol dilakukan prosedur penurunan nyeri sesuai Standard Operasional Prosedur (SOP) rumah sakit yaitu tarik nafas dalam. Sampel penelitian terdiri dari dua kelompok yaitu kelompok kontrol 20 orang dan kelompok intervensi 20 orang. Sebelum pengumpulan data terlebih dahulu dilakukan pelatihan enumerator selama satu hari dengan tujuan memahami proses pengumpulan data dan mendapatkan kesamaan persepsi terhadap prosedur perlakuan pada kelompok intervensi dan kelompok kontrol serta metoda untuk monitoring. Prosedur pengumpulan data pertama dilakukan pada kelompok kontrol terlebih dahulu dengan tujuan tidak terjadinya kontaminasi atau bias pengumpulan data. Responden kelompok kontrol tidak termanipulasi oleh intervensi dzikir. Analisis data dilakukan secara univariate (distribusi frekuensi), bivariat (dependent sampel t-test/paired t test pada α (0,05) dan uji eta (η) dan uji multivariat dengan menggunakan General Linear Model Repeated Measure ANOVA pada α 0,05 (Tabachnick & Fidell, 2007).
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