EFFLURAGE MASSAGE DAN TERAPI MUSIK PADA IBU POSTPARTUM PERVAGINAM DENGAN AFTERPAIN: EVIDENCE-BASED NURSING PRACTICE
Abstract
Afterpain can cause significant discomfort in postpartum mothers, manifested as pain, cramps, and abdominal colic. Pain resulting from uterine contractions may interfere with infant care and self-care activities in daily life. Moreover, severe postpartum uterine contraction pain can disrupt rest and contribute to anxiety or depression. Therefore, appropriate nursing management is required to prevent the escalation of pain and maternal discomfort. One evidence-based nursing practice that can be applied by nurses to reduce afterpain is the use of effleurage massage relaxation therapy and music therapy. This study employed an experimental trial design involving five postpartum mothers who underwent vaginal delivery, selected using consecutive sampling. The exclusion criteria included mothers who had cesarean section delivery, those with obstetric emergencies, mothers who were under anesthesia or experiencing disorientation or confusion, those with hearing impairment, and those with mental health disorders. The implementation of evidence-based nursing (EBN) was conducted by providing education through video media regarding afterpain and its management, as well as simulations of effleurage massage and music therapy involving the respondents’ husbands or family members. The results demonstrated that this intervention was effective in reducing afterpain among postpartum mothers.
References
Center, S. H., Tualang, K. P., & Leaving In 2022 Zuidah, K. (2022). Science Midwifery The Effect of Effleurage Massage Techniques on Afterpains Pain in Multigravida Postpartum Mothers at the Tanjung. Science Midwifery, 10(5), 2721–9453. www.midwifery.iocspublisher.orgjournalhomepage:www.midwifery.iocspublisher.org
Danur Jayanti, N., & Indah Mayasari, S. (2022). Asuhan Komplementer Tatalaksana Afterpain pada Ibu Postpartum : Literature Review. Jurnal MID-Z, 5(1), 22–28. https://doi.org/10.56013/jurnalmidz.v5i1.1369
Fang, X., Huan, Y., Tao, Y., Song, Y., Du, W., Liu, Z., & Xu, Z. (2021). Incidence, severity, and determinants of uterine contraction pain after vaginal delivery: a prospective observational study. International Journal of Obstetric Anesthesia, 46(December 2020). https://doi.org/10.1016/j.ijoa.2021.102961
Harnany, A. ., Hartati, Inayah, M., & Devi Rahmawati Handayani, T. A. (2021). Pengelolaan Keperawatan Nyeri Ibu Nifas Dengan Afterpains Kesimpulan : Dalam akhir penyusunan laporan kasus ini , penulis membuat kesimpulan bahwa tujuan asuhan keperawatan pada kedua klien yaitu Ny . Rs dan Ny . Rn tercapai , skala nyeri turun , dar. Jurnal Lintas Keperawatan, 1(6), 3–9. https://ejournal.poltekkes-smg.ac.id/ojs/index.php/LIK
Hussein, R. S., Rabei, S. H. A., Gebrel, A. F., & Yousef, S. S. (2024). Effect of a targeted health education program on nurses’ awareness about postpartum depression. Middle East Current Psychiatry, 31(1). https://doi.org/10.1186/s43045-024-00464-z
Latha, K., Ganjekar, S., Meena, K. S., Virupaksha, H. S., Philip, M., Suman, G., Rajaram, D., Acharya, S., Vaiphei, K., & Somshekhar, A. R. (2024). Study on awareness and management based health action using video intervention (SAMBHAV) for postpartum depression among mothers attending immunisation clinic in a tertiary medical college hospital: Study protocol. PLoS ONE, 19(4 April), 1–12. https://doi.org/10.1371/journal.pone.0301357
Leni Herlina, & Handayani, T. Y. (2023). The Effect of Effleurage Massage Technique on Reducing the Scale of Uterine Involution Pain in First Day of Postpartum Mothers in the Working Area of Cikadu Health Center, Cianjur Regency, Indonesia. Arkus, 9(2), 369–372. https://doi.org/10.37275/arkus.v9i2.388
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
Mayang, L., Widdyati, M. L. I., & Harista, D. (2021). Penerapan Prosedur Terapi Effleurage Massage Pada Ibu Dengan Ketidaknyamanan Pasca Partum: Literature Review. Indonesian Health Science Journal, 1(2), 60–64. https://doi.org/10.52298/ihsj.v1i2.20
Meinawati, L., & Supriyanto, S. (2020). Differences in pain intensity changes in postpartum nursing care 2 hours post-partum between mother nifas using effleurage massage and relaxation technique study in independent midwife practice work area in East Java. Pakistan Journal of Medical and Health Sciences, 14(1), 513–518.
Simavli, S., Kaygusuz, I., Gumus, I., Usluogullari, B., Yildirim, M., & Kafali, H. (2014). Effect of music therapy during vaginal delivery on postpartum pain relief and mental health. Journal of Affective Disorders, 156, 194–199. https://doi.org/10.1016/j.jad.2013.12.027
Squires, N. A., Soyemi, E., Yee, L. M., Birch, E. M., & Badreldin, N. (2023). Content Quality of YouTube Videos About Pain Management After Cesarean Birth: Content Analysis. JMIR Infodemiology, 3, 1–12. https://doi.org/10.2196/40802
Widiawati, I., & Mulyati, S. (2021). Effleurage Massage Menggunakan Esensial Oil Serai (Cymbopogon Sp) Dan Teh Sereh Efektif Untuk Menurunkan Nyeri Pada Ibu Post Partum. Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 13(1), 230–238. https://doi.org/10.34011/juriskesbdg.v13i1.1915
