Hubungan Tingkat Kecemasan Dengan Lama Persalinan Kala I
The Relationship Between Anxiety Levels and the Duration of the First Stage of Labor
Keywords:
Kecemasan, Ibu Bersalin, Persalinan Kala I, Lama Persalinan, KebidananAbstract
Latar Belakang: Persalinan merupakan proses fisiologis yang dapat menimbulkan respons emosional, termasuk kecemasan. Kecemasan selama persalinan dapat berkaitan dengan ketegangan otot, perubahan respons hormonal, dan persepsi nyeri. Kondisi tersebut diduga dapat memengaruhi proses kemajuan persalinan, meskipun hubungan antara kecemasan dan durasi persalinan masih menunjukkan hasil yang beragam. Tujuan: Mengetahui hubungan tingkat kecemasan dengan lama persalinan kala I pada ibu bersalin. Metode: Penelitian menggunakan desain kuantitatif analitik dengan pendekatan cross-sectional. Data kerja penelitian melibatkan 64 ibu bersalin yang memenuhi kriteria inklusi. Tingkat kecemasan diukur menggunakan instrumen kecemasan yang telah tervalidasi, sedangkan lama persalinan kala I diperoleh melalui observasi dan dokumentasi rekam medis atau partograf. Analisis dilakukan secara univariat dan bivariat menggunakan uji korelasi Spearman. Hasil: Dalam data kerja, sebanyak 18 responden (28,1%) mengalami kecemasan ringan, 29 responden (45,3%) mengalami kecemasan sedang, dan 17 responden (26,6%) mengalami kecemasan berat. Rata-rata lama persalinan kala I pada kelompok kecemasan ringan adalah 6,2 jam, kecemasan sedang 7,4 jam, dan kecemasan berat 8,1 jam. Hasil analisis ilustratif menunjukkan korelasi positif antara tingkat kecemasan dan lama persalinan kala I (r=0,31; p=0,013). Kesimpulan: Tingkat kecemasan memperlihatkan hubungan positif dengan lama persalinan kala I pada data kerja penelitian ini. Pengkajian psikologis, dukungan emosional, komunikasi terapeutik, dan pendampingan selama persalinan perlu menjadi bagian dari pelayanan kebidanan. Hasil penelitian tetap perlu dikonfirmasi menggunakan data lapangan dan mempertimbangkan faktor obstetri lainnya.
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