PENGARUH TERAPI MUSIK KLASIK TERHADAP PENURUNAN TINGKAT NYERI PERSALINAN KALA I FASE AKTIF DI RSU KARTINI JAKARTA SELATAN TAHUN 2026

Authors

  • Rita Satria Universitas ‘Aisyiyah Surakarta

DOI:

https://doi.org/10.70248/jophs.v3i3.4609

Abstract

Penelitian ini bertujuan untuk menganalisis pengaruh terapi musik klasik terhadap penurunan tingkat nyeri persalinan kala I fase aktif di RSU Kartini Jakarta Selatan Tahun 2026. Metode penelitian yang digunakan adalah kuantitatif dengan desain quasi-experimental dan pendekatan pretest-posttest with control group design. Sampel penelitian berjumlah 30 ibu bersalin kala I fase aktif yang dibagi menjadi kelompok intervensi sebanyak 15 responden dan kelompok kontrol sebanyak 15 responden. Tingkat nyeri diukur menggunakan Numerical Rating Scale (NRS) sebelum dan sesudah intervensi. Analisis data dilakukan menggunakan uji Wilcoxon Signed Rank Test dan Mann-Whitney U Test. Hasil penelitian menunjukkan bahwa seluruh 15 responden pada kelompok intervensi mengalami penurunan skor nyeri, sedangkan pada kelompok kontrol terdapat 6 responden yang mengalami penurunan, 8 responden mengalami peningkatan, dan 1 responden tidak mengalami perubahan. Median perubahan skor NRS pada kelompok intervensi sebesar -5,00, sedangkan kelompok kontrol sebesar 1,00. Hasil uji Mann-Whitney U menunjukkan nilai U = 0,000, Z = -4,719, dan p < 0,001 (p < 0,05). Simpulan penelitian menunjukkan bahwa terdapat pengaruh yang signifikan pemberian terapi musik klasik terhadap penurunan tingkat nyeri persalinan kala I fase aktif, sehingga terapi musik klasik dapat digunakan sebagai salah satu metode nonfarmakologis dalam membantu mengurangi nyeri persalinan.

References

American College of Obstetricians and Gynecologists. (2019). Approaches to limit intervention during labor and birth. ACOG Committee Opinion, 766. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/02/approaches-to-limit-intervention-during-labor-and-birth

Astuti, T., & Bangsawan, M. (2019). Aplikasi relaksasi nafas dalam terhadap nyeri dan lamanya persalinan kala I ibu bersalin di rumah bersalin kota Bandar Lampung. Jurnal Kesehatan, 10(1), 59–65. https://doi.org/10.26630/jkep.v15i1.1359

Buglione, A., Saccone, G., Mas, M., Raffone, A., Di Meglio, L., Toscano, P., Travaglino, A., Zapparella, R., Duval, M., Zullo, F., & Locci, M. (2020). Effect of music on labor and delivery in nulliparous singleton pregnancies: A randomized clinical trial. Archives of Gynecology and Obstetrics, 301(3), 693–698. https://doi.org/10.1007/s00404-020-05475-9

Chang, S. C., Chen, C. H., & Huang, K. F. (2010). Effects of music therapy on labour pain and anxiety in Taiwanese first-time mothers. Journal of Clinical Nursing, 19(7–8), 1065–1072. https://doi.org/10.1111/j.1365-2702.2009.02825.x

Chuang, C. H., Chen, P. C., Lee, C. S., Chen, C. H., Tu, Y. K., & Wu, S. C. (2019). Music intervention for pain and anxiety management of the primiparous women during labour: A systematic review and meta-analysis. Journal of Advanced Nursing, 75(4), 723–733. https://doi.org/10.1111/jan.13871

Hu, Y., Lu, H., Huang, J., & Zang, Y. (2021). Efficacy and safety of non-pharmacological interventions for labour pain management: A systematic review and Bayesian network meta-analysis. Journal of Clinical Nursing, 30(23–24), 3398–3414. https://doi.org/10.1111/jocn.15865

Hunter, A. R., Heiderscheit, A., Galbally, M., Gravina, D., Mutwalli, H., & Himmerich, H. (2023). The effects of music-based interventions for pain and anxiety management during vaginal labour and caesarean delivery: A systematic review and narrative synthesis of randomised controlled trials. International Journal of Environmental Research and Public Health, 20(23), 7120. https://doi.org/10.3390/ijerph20237120

Khumairoh, & H. (2025). Pengaruh terapi musik klasik terhadap penurunan skala nyeri persalinan kala I. Jurnal Ilmiah Keperawatan Maternitas, 12(1), 45–53.

Kim, S. J., et al. (2023). The effects of music therapy on labor pain, childbirth experience, and self-esteem during epidural labor analgesia in primiparas: A non-randomized experimental study. Journal of Korean Academy of Nursing.

Nilsson, U. (2008). The anxiety- and pain-reducing effects of music interventions: A systematic review. AORN Journal, 87(4), 780–807. https://doi.org/10.1016/j.aorn.2007.09.013

Phumdoung, S., & Good, M. (2003). Music reduces sensation and distress of labor pain. Pain Management Nursing, 4(2), 54–61. https://doi.org/10.1016/S1524-9042(02)54202-8

Prawirohardjo, S. (2020). Ilmu kebidanan. PT Bina Pustaka Sarwono Prawirohardjo.

Santiváñez-Acosta, R., Tapia-López, E. D. L. N., & Santero, M. (2020). Music therapy in pain and anxiety management during labor: A systematic review and meta-analysis. Medicina, 56(10), 526. https://doi.org/10.3390/medicina56100526

Siregar, Y. D. (2023). Pengaruh terapi musik klasik terhadap nyeri persalinan kala I. Jurnal Kesehatan Ilmiah Indonesia, 8(2), 195–199. https://jurnal.unar.ac.id/index.php/health/article/view/1247

Somoyani, N. K., et al. (2026). Efektivitas distraksi auditori musik klasik Mozart terhadap intensitas nyeri persalinan kala I fase aktif dengan pendekatan pre-post test control group design. Jurnal Kebidanan dan Kesehatan Reproduksi, 15(2), 112–121.

Thomson, G., Feeley, C., Moran, V. H., Downe, S., & Oladapo, O. T. (2019). Women's experiences of pharmacological and non-pharmacological pain relief methods for labour and childbirth: A qualitative systematic review. Reproductive Health, 16, 71. https://doi.org/10.1186/s12978-019-0735-4

Vaid, R., Fareed, A., Farhat, S., Hammoud, Z., Asif, M. I., Ochani, S., & Jaber, M. H. (2025). Sounds of comfort: The impact of music therapy on labor pain and anxiety in primigravida women during vaginal delivery: A systematic review and meta-analysis. Reproductive Health, 22, 67. https://doi.org/10.1186/s12978-025-02023-z

World Health Organization. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience. World Health Organization.

Downloads

Published

2026-09-05

Issue

Section

Articles