ZELLA CAHYANDARU
R1115094
Latar Belakang: Kecemasan yang terjadi pada ibu hamil trimester III apabila tidak
ditangani dengan baik dapat memberikan dampak buruk baik bagi ibu maupun
janin. Hypnobirthing merupakan salah satu teknik yang dapat menurunkan tingkat
kecemasan ibu hamil trimester III dalam menghadapi persalinan. Penelitian ini
bertujuan untuk mengetahui pengaruh hypnobirthing terhadap tingkat kecemasan
ibu hamil trimester III dalam menghadapi persalinan di Klinik Bidan Kita Klaten.
Metode: Jenis penelitian ini adalah quasy experimental dengan pendekatan pretest
and posttest with control group design. Penelitian ini dilakukan di Klinik Bidan
Kita Klaten. Sampel sebanyak 50 ibu hamil trimester III yang memenuhi kriteria
inklusi, dengan metode quota sampling. Variabel independen penelitian ini adalah
latihan hypnobirthing dan variabel dependennya adalah tingkat kecemasan ibu
hamil trimester III yang dikur dengan kuesioner HRS-A yang telah dimodifikasi dan
disesuaikan untuk penelitian ini. Teknik analisis data menggunakan uji Wilcoxon
dan Mann Whitney dengan program SPSS 16.0.
Hasil Penelitian: Dari hasil uji Wilcoxon tingkat kecemasan kelompok kontrol
pada saat pretest maupun posttest diperoleh nilai signifikansi 0,083, sedangkan
pada tingkat kecemasan kelompok eksperimen nilai signifikansi sebelum dan
sesudah melakukan latihan hypnobirthing secara teratur adalah 0,000. Berdasarkan
uji Mann Whitney, nilai signifikansi kelompok kontrol dan eksperimen sesudah
intervensi adalah 0,000.
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ABSTRACT
Background: The anxiety that occurs in third trimester pregnant women, if not
handled properly could adversely affect both the mother and fetus. Hypnobirthing
is one technique that can reduce the level of anxiety third trimester pregnant women
in the face of labor. This study aims to determine the effect on the level of anxiety
hypnobirthing third trimester pregnant women towards of labor in Klinik Bidan
Kita Klaten.
Methods: This type of research is experimental approach quasy pretest and posttest
with control group design. This research was conducted at the Klinik Bidan Kita
Klaten. A sample of 50 third trimester pregnant women who meet the inclusion
criteria, with quota sampling method. The independent variable of this research is
the practice hypnobirthing and the dependent variable is the level of anxiety third
trimester pregnant women which was measured by a questionnaire HRS-A that has
been modified and adapted for this study. Data were analyzed using the Wilcoxon
and Mann Whitney test with SPSS 16.0.
Results: The results of the Wilcoxon test anxiety level in the control group pretest
and posttest significance value 0,083, while the experimental group the anxiety
level significant value before and after regularly hypnobirthing’s exercise is 0,000.
Based on the Mann Whitney test, the significant value control and experimental
groups after the intervention was 0,000.
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vi
PRAKATA
Penulis
vii
DAFTAR ISI
HALAMAN JUDUL........................................................................................... i
HALAMAN PERSETUJUAN ............................................................................
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HALAMAN PENGESAHAN .............................................................................
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ABSTRAK .......................................................................................................... iv
ABSTRACT ........................................................................................................ v
SURAT PERNYATAAN KEASLIAN PENELITIAN ......................................
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PRAKATA .......................................................................................................... vii
DAFTAR ISI ....................................................................................................... viii
DAFTAR TABEL ............................................................................................... x
DAFTAR GAMBAR .......................................................................................... xi
DAFTAR LAMPIRAN ....................................................................................... xii
BAB I PENDAHULUAN ................................................................................... 1
A. Latar Belakang ................................................................................... 1
B. Perumusan Masalah ........................................................................... 4
C. Tujuan Penelitian ............................................................................... 4
1. Tujuan Umum ................................................................................ 4
2. Tujuan Khusus ............................................................................... 4
D. Manfaat Penelitian ............................................................................. 5
1. Bagi Peneliti ................................................................................... 5
2. Bagi Tenaga Medis dan Masyarakat .............................................. 5
3. Bagi Peneliti Selanjutnya ............................................................... 5
BAB II LANDASAN TEORI ............................................................................. 6
A. Tinjauan Pustaka ................................................................................ 6
1. Perubahan Fisik dan Psikologis selama Kehamilan Trimester III . 6
2. Kecemasan ..................................................................................... 7
3. Kecemasan Ibu Hamil Trimester III Menghadapi Persalinan ........ 12
4. Hypnobirthing ................................................................................ 13
5. Pengaruh Hypnobirthing terhadap Tingkat Kecemasan Ibu Hamil
Trimester III ................................................................................... 20
B. Kerangka Konsep ............................................................................... 23
C. Hipotesis ............................................................................................. 23
BAB III. METODE PENELITIAN..................................................................... 24
A. Desain Penelitian ............................................................................... 24
B. Tempat dan Waktu Penelitian ............................................................ 25
C. Populasi Penelitian ............................................................................. 25
D. Sampel................................................................................................ 25
E. Teknik Sampling................................................................................. 25
F. Kriteria Restriksi................................................................................. 26
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1. Kriteria Inklusi ............................................................................... 26
2. Kriteria Eksklusi............................................................................. 26
G. Variabel Penelitian ............................................................................. 27
1. Variabel Independen ...................................................................... 27
2. Variabel Dependen ......................................................................... 27
H. Definisi Operasional Variabel............................................................ 27
I. Teknik Pengumpulan Data .................................................................. 28
J. Alat dan Bahan Instrumen ................................................................... 30
1. Alat penelitian ................................................................................ 30
2. Kisi-kisi Kuesioner ........................................................................ 31
K. Teknik Analisis Data.......................................................................... 31
1. Pengolahan Data............................................................................. 31
2. Analisis Data .................................................................................. 33
3. Penyajian Data ............................................................................... 34
L. Etika Penelitian................................................................................... 34
BAB IV HASIL PENELITIAN .......................................................................... 36
A. Analisis Univariat .............................................................................. 37
1. Distribusi Frekuensi Karakteristik Responden............................... 37
2. Distribusi Frekuensi Tingkat Kecemasan pada Kelompok
Kontrol Tanpa Melakukan Latihan Hypnobirthing ....................... 38
3. Distribusi Frekuensi Tingkat Kecemasan pada Kelompok
Eksperimen dengan Melakukan Latihan Hypnobirthing ............... 39
B. Analisis Bivariat ................................................................................. 40
1. Tingkat Kecemasan pada Kelompok Kontrol Saat Pretest dan
Posttest Tanpa Melakukan Latihan Hypnobirthing ....................... 40
2. Tingkat Kecemasan pada Kelompok Eksperimen Sebelum dan
Sesudah Melakukan Latihan Hypnobirthing ................................. 40
3. Tingkat Kecemasan Antara Kelompok Eksperimen dan
Kelompok Kontrol Sebelum Intervensi ......................................... 41
4. Tingkat Kecemasan Antara Kelompok Eksperimen dan
Kelompok Kontrol Sesudah Intervensi .......................................... 41
BAB V PEMBAHASAN .................................................................................... 43
A. Tingkat Kecemasan Ibu Hamil Trimester III pada Kelompok
Kontrol ................................................................................................ 43
B. Tingkat Kecemasan Ibu Hamil Trimester III pada Kelompok
Eksperimen ......................................................................................... 45
C. Pengaruh Hypnobirthing terhadap Tingkat Kecemasan Ibu Hamil
Trimester III dalam Menghadapi Persalinan ...................................... 45
BAB VI SIMPULAN DAN SARAN.................................................................. 51
A. Simpulan ............................................................................................ 51
B. Saran ................................................................................................... 51
1. Bagi Tenaga Kesehatan .................................................................. 51
2. Bagi Ibu Hamil ............................................................................... 52
3. Bagi Penelitian Selanjutnya ........................................................... 52
DAFTAR PUSTAKA
LAMPIRAN
ix
x
DAFTAR TABEL
xi
DAFTAR GAMBAR
xii
DAFTAR LAMPIRAN
xiii