Electronic Theses and Dissertation

Persalinan adalah pengalaman yang menyakitkan dan paling berat dialami wanita sepanjang hidupnya. peristiwa ini dapat menimbulkan kecemasan dengan prevalensi 18,2% pada trimester 1, 19,1% pada trimester 2, dan meningkat menjadi 24,6% pada trimester 3. pada situasi stres, terjadi pelepasan epinefrin mengakibatkan terjadinya vasokonstriksi sistemik, kontraksi otot menjadi lemah, sehingga durasi persalinan menjadi lama. persalinan model syariah adalah pendekatan nonfarmalogik yang sesuai dengan kearifan local dan memerlukan penilaian kecemasan yang tepat. skala kecemasan wajah atau faces anxiety scale (fas) perlu diuji coba, karena lebih mudah dinilai dibandingkan kuesioner tertulis. tujuan utama dari penelitian ini mengetahui kecemasan dan kadar epinefrin wanita bersalin dan pengaruhnya terhadap durasi persalinan pada persalinan model syariah (pms) di rumah sakit umum daerah dr. zainoel abidin (rsudza) pemerintah aceh. penelitian kualitatif dan kuantitatif dengan 3 tahapan penelitian. penelitian pertama adalah penelitian kuantitatif, bersifat deskriptif analitik dengan desain cross sectional study. populasi penelitian ini adalah ibu hamil dengan usia kehamilan 36–40 minggu yang diambil secara purposive sampling sebanyak 31 orang, menggunakan kuesioner dan skala fas. hasil menunjukkan rata-rata responden mengalami cemas sedang (3,16 + 0,969). berdasarkan gravida, primigravida mengalami cemas sedang, multigravida cemas berat dan grandemultigravida cemas ringan. aspek yang dicemaskan hampir sama dengan studi sebelumnya tapi ada perbedaan karena factor budaya dan kebijakan peraturan rumah sakit. penelitian kedua adalah penelitian kualitatif dengan desain phenomenology dengan informan bidan ruang bersalin dan petugas instalasi pelayanan islami. informan dipilih secara purposive sampling dengan kriteria inklusi sebanyak 7 orang, menggunakan tehnik wawancara mendalam dan observasi. temuan menunjukkan bahwa pms sudah diterapkan, namun ditemukan hambatan dan kekurangan seperti belum adanya standar prosedur operasional (spo) alur penerimaan pasien baru, kesulitan dalam mewujudkan hak pasien memilih petugas medis perempuan, tidak semua pasien dipakaikan pakaian persalinan syariah, desain poster doa dan zikir belum baik, buku pedoman belum tersosialisasi dengan baik dan desain ruangan bersalin yang belum sepenuhnya menjaga privasi. penelitian ketiga adalah penelitian kuantitatif eksperimental, menggunakan desain quasi experimental pretest posttest nonequivalent control group design dengan sampel 31 orang ibu bersalin yang diambil secara purposive sampling dengan kriteria inklusi. responden dibagi 2 kelompok yaitu kelompok eksperimen (pms) dan kelompok kontrol (persalinan konvensional). proses pengumpulan data dengan kuesioner, pemeriksaan kadar epinefrin, penilaian kecemasan dengan skala fas dan penilaian durasi persalinan. hasil menunjukkan terdapat perbedaan kecemasan baik sebelum dan sesudah intervensi (p0.05) dan setelah intervensi (p>0.05). durasi persalinan pada pms lebih pendek daripada dan persalinan konvensional (pk) sehingga ada beda durasi persalinan kedua kelompok tersebut (p

Childbirth is a painful experience and the most severe experienced by women throughout their lives. This event can cause anxiety with a prevalence of 18.2% in the first trimester, 19.1% in the second trimester, and increased to 24.6% in the third trimester. In stressful situations, there is a release of epinephrine resulting in systemic vasoconstriction, muscle contractions become weak, so that the duration of labor becomes long. Sharia model childbirth is a non-pharmalogical approach that is in accordance with local wisdom and requires proper anxiety assessment. The Faces Anxiety Scale (FAS) needs to be tested, as it is easier to assess than a written questionnaire. The main objective of this study was to analyze anxiety and epinephrine levels of laboring women and their effect on labor duration in Sharia Model Delivery (PMS) at Dr. Zainoel Abidin Regional General Hospital (RSUDZA), Government of Aceh. Qualitative and quantitative research with 3 stages of research. The first study was quantitative research, descriptive analytic with cross sectional study design. The population of this study were pregnant women with 36-40 weeks of gestation who were taken by purposive sampling as many as 31 people, using questionnaires and the FAS scale. The results showed that the average respondent experienced moderate anxiety (3.16 + 0.969). Based on gravida, primigravida experienced moderate anxiety, multigravida severe anxiety and grandemultigravida mild anxiety. The aspects of anxiety were similar to the previous study but there were differences due to cultural factors and hospital regulatory policies. The second study was a qualitative study with a phenomenology design with informants of delivery room midwives and Islamic Service Installation officers. Informants were selected by purposive sampling with inclusion criteria as many as 7 people, using in-depth interview techniques and observation. The findings show that PMS has been implemented, but there are obstacles and shortcomings such as the absence of Standard Operating Procedures (SPO) for the flow of new patient admissions, difficulties in realizing the patient's right to choose female medical staff, not all patients are dressed in Sharia maternity clothes, the design of prayer and dhikr posters is not good, the guidebook has not been well socialized and the design of the delivery room has not fully maintained privacy. The third study was an experimental quantitative study, using a Quasi Experimental Pretest Posttest Nonequivalent control Group Design with a sample of 35 laboring mothers taken by purposive sampling with inclusion criteria. Respondents were divided into 2 groups, namely the experimental group (PMS) and the control group (conventional delivery). The process of collecting data with questionnaires, checking epinephrine levels, assessing anxiety with the FAS scale and assessing labor duration. The results showed that there were differences in anxiety before and after the intervention (P0.05) and after the intervention (P>0.05). The duration of labor in PMS is shorter than and conventional labor (PK) so there is a difference in labor duration between the two groups (P