EFEK RELAKSASI AUTOGENIC TRAINING TERHADAP KEBERHASILAN MASA AWAL LAKTASI PADA IBU POSTPARTUM

Irna Nursanti, Iis Sri Hardiati, Dewi Anggraini, Giri Widakdo

Abstract


Salah satu penyebab kegagalan menyusui pada ibu antara lain kurangnya kepercayaan diri pada ibu. Relaksasi autogenic training (RAT) merupakan metode untuk meningkatkan rasa percaya diri dan membangun pikiran positif ibu.  Hal ini sesuai dengan teori keperawatan self-care dari Orem yang bertujuan membantu ibu mencapai kemandirian untuk mempertahankan hidup, kesehatan, perkembangan, dan kesejahteraan. Tujuan penelitian: Penelitian ini bertujuan untuk mengetahui efek RAT terhadap keberhasilan menyusui pada ibu postpartum.  Metode: Desain penelitian ini menggunakan quasi experiment dengan rancangan nonequivalent control group design.  Sampel terdiri dari masing-masing 15 responden untuk kelompok intervensi dan kelompok kontrol.  RAT diberikan melalui media audio voice selama 10-15 menit sebanyak 2-3 kali sehari selama 7 hari.  Posttest dilakukan dengan cara observasi melalui kunjungan pada hari ketujuh. Instrumen Via Christi Breastfeeding Assessment Tool yang telah valid dan reliabel digunakan untuk menilai keberhasilan menyusui. Analisis data menggunakan t-testHasil: ibu yang melakukan RAT bisa menyusui lebih efektif dibanding kelompok kontrol (p=0,000). Diskusi: RAT memberikan ketenangan dan kemudahan kepada responden dalam membantu meningkatkan keberhasilan menyusui karena memiliki efek relaksasi. Kesimpulan: RAT efektif terhadap keberhasilan menyusui. Oleh karena itu RAT dapat digunakan oleh perawat sebagai sebuah asuhan keperawatan dalam program dukungan ibu menyusui di rumah sakit atau fasilitas kesehatan.

Kata Kunciautogenic training, menyusui, relaksasi

Relaxation Effects of Autogenic Training on Lactation Success in Post Partum Mothers

ABSTRACT

One of the causes of failure to breastfeed, among others, is a lack of confidence in mothers. Autogenic relaxation training (RAT) is a method to increase self-confidence and build positive thoughts for mothers. This is in accordance with Orem's self-care nursing theory, which aims to help mothers achieve independence to maintain life, health, development, and well-being. Objective: This research aims to reveal the effect of RAT on breastfeeding success in postpartum mothers. Methods: This research employed a quasi-experimental design with a nonequivalent control group design. The samples consisted of an intervention group and a control group, with 15 respondents for each. RAT was given through audio voice media for 10-15 minutes 2-3 times a day for 7 days. The posttest was conducted using observation through visits on the seventh day. A valid and reliable instrument of the Via Christi Breastfeeding Assessment Tool was used to assess breastfeeding success. Data were analyzed using a t-test. Results: Mothers who did RAT could breastfeed more effectively than the control group (p=0.000). Discussion: RAT provides comfort and convenience to respondents in helping to increase breastfeeding success because it has a relaxing effect. Conclusion: RAT is effective for breastfeeding success. Therefore, nurses can use RAT as nursing care in breastfeeding mother support programs in hospitals or health facilities.

Keywords: autogenic training, breastfeeding, relaxation


References


Alligood, M. R. (2017). Nursing theorists and their work. (Alih bahasa: Achir Yani dan Kusman Ibrahim). Singapura: Elsevier.

Altuntaş, N. (2020). Is There Any Effect of Hyperbilirubinemia on Breastfeeding? If Any, at Which Level?. Breastfeeding Medicine, 15(1), 29-34.

Al Qur’anulkarim Special for Woman. (2009). PT Sygma Examedia Arkanleema.

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. (2013). Riset Kesehatan Dasar (Riskesdas). Jakarta: Kementerian Kesehatan Republik Indonesia.

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. (2019). Laporan Nasional Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.

Badan Pusat Statistik. (2018). Angka kematian bayi (AKB/IMR). Retrieved from https://sirusa.bps.go.id/sirusa/index.php/indikator/1160.

Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine, 25(24), 3186–3191.

Dinas Kesehatan Provinsi DKI Jakarta. (2017). Profil kesehatan Provinsi DKI Jakarta Tahun 2017. Jakarta: Dinas Provinsi DKI Jakarta.

Edwards, R. (2018). An exploration of maternal satisfaction with

breastfeeding as a clinically relevant measure of breastfeeding success. Journal of Human Lactation, 34(1), 93-96.

Emmerson, C. V. (2018). Does frenotomy improve breastfeeding problems in neonates with ankyloglossia?. British journal of Midwifery, 26(3), 171-179.

Fotiou, C., Siahanidou, T., Vlastarakos, P. V., Tavoulari, E. F., & Chrousos, G. (2018). The effect of body and mind stress-releasing techniques on the breastfeeding of full-term babies; a critical analysis of published interventional studies. The Journal of Maternal-Fetal & Neonatal Medicine, 31(1), 98-105.

Haerani, B., Sofiani, Y., & Wardi, A. (2019). Perbandingan Efektifitas Relaksasi Autogenic dan Music Therapy terhadap Tingkat Nyeri setelah Insersi Vaskuler Pasien yang Menjalani Hemodialisa. Journal of Telenursing (JOTING), 1(1), 178-190.

Jensen D., Wallace S., Kelsay P. (1994). LATCH: a breastfeeding charting system and documentation tool. J. Obstet. Gynecol. Neonatal Nurs, 23: 27–32.

Juanita, F. (2013). Relaksasi autogenic training untuk membantu keberhasilan masa awal laktasi pada ibu postpartum. Jurnal Ners, 8(2), 283-294.

Juanita, F. & Suratmi, S. (2016). Peningkatan Durasi Pemberian ASI pada Ibu Post Partum Melalui Relaksasi Autogenic Training. Jurnal Keperawatan Indonesia, 19(1), 24-32.

Lemeshow, S., Hosmer Jr, D. W., Klar, J., Lwanga, S. K. (1997). Besar sampel dalam penelitian kesehatan. Yogyakarta: Gadjah Mada University Press.

Lowdermilk, D. L., Perry, S. E., & Cashion, M. C. (2013). Maternity Nursing-Revised Reprint. Canada: Elsevier Health Sciences.

Matthews, M. K. (1988). Developing an instrument to assess infant breastfeeding behavior in the early neonatal period. Midwifery, 4(4), 154-165.

Morns, M. & Steel, A. (2018). Naturopathic support for nursing aversion associated with tandem breastfeeding. Australian Journal of Herbal and Naturopathic Medicine, 30(2), 74-78.

Nakao, M. (2019). Heart Rate Variability and Perceived Stress as Measurements of Relaxation Response. Journal of Clinical Medicine, 8(10), 1704.

Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia. (2014). Situasi dan analisis ASI eksklusif. Jakarta: Pusdatin Kemenkes RI.

Rahayu, D., & Yunarsih, Y. (2018). Improving Breastfeeding Self Efficacy with Autogenic Training Relaxation. Proceeding of The 2nd Joint International Conferences Health Opportunities and Challenges in Improving Competence of Global Competencies. Retrieved from https://drive.google.com/file/d/1OwXhZuk1duyqKMeWXIgMjwmJHPkhgVWe/view

Riordan, J. & Wambach, K. (2010). Breastfeeding and human lactation (4th ed.). Sudbury, MA: Jones & Bartlett.

Roesli, U. (2008). Inisiasi menyusu dini plus ASI eksklusif. Jakarta: Pustaka Bunda.

Safitri, A. & Puspitasari, A. (2018). Upaya peningkatan pemberian ASI eksklusif dan kebijakannya di Indonesia. Penelitian Gizi dan Makanan, 41(1): 13-20.

Shariat, M. & Abedinia, N. (2017). The effect of psychological intervention on mother-infant bonding and breastfeeding. Iranian Journal of Neonatology IJN, 8(1), 7-15.

Vidas, M., Smalc, V. F., Catipovic, M., & Kisik, M. (2011). The Application of Autogenic Training in Counseling Center for Mother and Child in Order to Promote Breastfeeding. Collegium Antropologicum, 723–731.

World Health Organization. (2017). Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. Geneva: World Health Organization.




DOI: http://dx.doi.org/10.32419/jppni.v5i2.228

Article Metrics

Abstract view : 768 times
PDF (Bahasa Indonesia) - 265 times

Refbacks

  • There are currently no refbacks.


 

Creative Commons License
Jurnal PPNI (P-ISSN: 2503-1376 ; E-ISSN: 2549-8576)