EFEKTIVITAS SELF-HYPNOSIS TERHADAP INTENSITAS NYERI PERSALINAN KALA I FASE AKTIF DI RSUD SITI FATIMAH TAHUN 2026

Latar Belakang : Persalinan merupakan proses fisiologis yang hampir selalu disertai rasa nyeri. Nyeri persalinan kala I fase aktif menjadi salah satu sumber ketidaknyamanan
terbesar bagi ibu bersalin, yang dapat menimbulkan kecemasan, ketakutan, bahkan komplikasi obstetri. Data WHO (2023) menunjukkan bahwa 85–90% persalinan berlangsung dengan nyeri, dan penelitian ASEAN melaporkan 93,5% ibu mengalami nyeri sedang hingga berat. Penatalaksanaan nyeri dapat dilakukan secara farmakologis maupun nonfarmakologis. Salah satu metode nonfarmakologis yang mulai banyak diperhatikan adalah self hypnosis, yaitu teknik relaksasi mendalam melalui sugesti verbal dan visualisasi untuk mengurangi persepsi nyeri. Tujuan Penelitian : Penelitian ini bertujuan untuk mengetahui efektivitas self hypnosis terhadap intensitas nyeri persalinan kala I fase aktif pada ibu bersalin di RSUD Siti Fatimah tahun 2026. Metode Penelitian : Jenis penelitian menggunakan desain quasi experiment dengan rancangan one group pretest-posttest. Populasi penelitian adalah ibu bersalin kala I fase aktif di RSUD Siti Fatimah. Sampel diambil dengan teknik Accidental Sampling. sesuai kriteria inklusi. Instrumen pengukuran intensitas nyeri menggunakan Numeric Rating Scale (NRS). Analisis data dilakukan dengan uji statistik non parametik dengan uji Wilcoxon signed rank test untuk melihat perbedaan intensitas nyeri sebelum dan sesudah intervensi self hypnosis. Hasil Penelitian : Pengaruh efektivitas self-hypnosis pada ibu bersalin kala I fase aktif di RSUD Siti Fatimah sebelum diberikan intervensi self hypnosis terdapat 36 responden Responden yang mengalami intensitas nyeri paling tinggi yaitu 9 berjumlah 8 orang (22.2%) dan responden yang mengalami intensitas nyeri paling rendah yaitu 6 yang berjumlah 5 orang (13.9%). Sedangkan setelah diberikan intervensi self hypnosis, intensitas nyeri tertinggi menurun menjadi 7 dengan jumlah responden 4 orang (11.1%), dan responden yang mengalami intensitas nyeri terendah turun menjadi 3 yaitu paling sedikit berjumlah 2 orang (5.6%). Pada hasil uji statistik non-parametik menggunakan uji Wilcoxon terhadaap intensitas nyeri persalinan kala I fase Aktif di RSUD Siti Fatimah tahun 2026 didapatkan p-value sebesar 0.001 (p-value ≤ 0,05), sehingga dapat disimpulkan bahwa p-value = 0,0001 ≤ 0,05 menunjukkan Ha diterima dan Ho ditolak Kesimpulan : ada pengaruh self-hypnosis terhadap perubahan intensitas nyeri persalinan kala I fase aktif
Kata kunci : intensitas nyeri, ibu bersalin, self-hypnosis

Background: Labor is a physiological process that is almost always accompanied by pain. WHO data (2023) shows that 85–90% of labors are painful, and an ASEAN study reported that 93.5% of mothers experience moderate to severe pain. Pain management can be done pharmacologically or non-pharmacologically. One of the non-pharmacological methods that is starting to get a lot of attention is self-hypnosis, which is a deep relaxation technique through verbal suggestion and visualization to reduce pain perception. Research Objective: This study aims to determine the effectiveness of self-hypnosis on the intensity of labor pain in the active phase of the first stage of labor in mothers giving birth at Siti Fatimah Regional Hospital in 2026. Research Method: This type of research uses a quasi-experimental design with a one-group pretest-posttest design. The study population is mothers giving birth in the active phase of the first stage at Siti Fatimah Regional Hospital. Samples were taken using the Accidental Sampling technique according to the inclusion criteria. The pain intensity measurement instrument uses the Numeric Rating Scale (NRS). Data analysis was carried out using a non-parametric statistical test with the Wilcoxon Signed Rank Test to see the difference in pain intensity before and after self-hypnosis intervention. Research Results: The effect of self-hypnosis effectiveness on mothers giving birth in the active phase of the first stage at Siti Fatimah Regional General Hospital before being given self-hypnosis intervention there were 36 respondents. Respondents who experienced the highest pain intensity were 9, amounting to 8 people (22.2%) and respondents who experienced the lowest pain intensity were 6, amounting to 5 people (13.9%). Meanwhile, after being given self-hypnosis intervention, the highest pain intensity decreased to 7 with the number of respondents being 4 people (11.1%), and respondents who experienced the lowest pain intensity decreased to 3, amounting to at least 2 people (5.6%). The results of a non-parametric statistical test using the Wilcoxon test on the intensity of labor pain during the active phase of the first stage of labor at Siti Fatimah Regional Hospital in 2026 obtained a p-value of 0.001 (p-value ≤ 0.05). Therefore, it can be concluded that p-value = 0.0001 ≤ 0.05 indicates that Ha is accepted and Ho is rejected. Conclusion: There is an effect of self-hypnosis on changes in the sensitivity of delivery during the active phase of the first stage of labor.
Keywords: laboring mother, pain intensity, self-hypnosis