PENGARUH HIPNOTERAPI TERHADAP TINGKAT NYERI PERSALINAN PADA IBU BERSALIN DI ZAAL KEBIDANAN RSUD MARTAPURA KABUPATEN OKU TIMUR TAHUN 2026

ABSTRAK

Nyeri persalinan dialami oleh hampir 85–90% ibu bersalin dan dapat menimbulkan komplikasi seperti kecemasan, kelelahan, serta perpanjangan durasi persalinan yang membahayakan ibu dan janin. Hipnoterapi merupakan metode non- farmakologis yang merangsang pelepasan endorfin dan enkefalin melalui sistem limbik otak sebagai pereda nyeri alami. Penelitian ini bertujuan untuk mengetahui Pengaruh Hipnoterapi terhadap Tingkat Nyeri Persalinan pada Ibu Bersalin di Zaal Kebidanan RSUD Martapura Kabupaten OKU Timur Tahun 2026.
Desain penelitian adalah quasi eksperimen dengan pendekatan one group pre test-post test. Sampel berjumlah 35 responden dipilih menggunakan accidental sampling, yaitu ibu bersalin aterm (37–42 minggu) pada kala I fase aktif periode Maret–April 2026. Tingkat nyeri diukur dengan skala numerik (0–10) sebelum dan sesudah intervensi. Analisis menggunakan uji Wilcoxon Signed-Rank Test karena data tidak berdistribusi normal (uji Shapiro-Wilk).
Sebelum intervensi, mayoritas responden mengalami nyeri sedang (skala 4–6) sebanyak 26 orang (74,3%), nyeri berat (skala 7–9) sebanyak 6 orang (17,1%), dan nyeri ringan (skala 1–3) sebanyak 3 orang (8,6%). Setelah hipnoterapi, terjadi pergeseran bermakna: nyeri ringan 74,3%, nyeri sedang 17,1%, dan tidak nyeri 8,6%, serta tidak ada responden yang mengalami nyeri berat. Uji Wilcoxon menghasilkan nilai Z = -5,315 dengan p-value = 0,000 (p < 0,05).
Hipnoterapi terbukti secara signifikan menurunkan tingkat nyeri persalinan pada ibu bersalin kala I fase aktif. Hipnoterapi direkomendasikan untuk diintegrasikan ke dalam standar pelayanan kebidanan intrapartum sebagai metode manajemen nyeri non-farmakologis yang aman, efektif, dan ekonomis.

Kata Kunci : Hipnoterapi, Nyeri Persalinan, Kala I Fase Aktif

ABSTRACT

Labor pain is a complex experience affecting approximately 85–90% of laboring women worldwide, including in Indonesia. When left unmanaged, labor pain can lead to complications such as anxiety, fatigue, stress, and prolonged labor, ultimately endangering both mother and fetus. Hypnotherapy is a non- pharmacological method that acts on the limbic system of the brain to stimulate the release of endorphins and enkephalins as natural analgesics. This study aimed to determine the effect of hypnotherapy on labor pain levels in laboring mothers at the Maternity Ward of RSUD Martapura, OKU Timur Regency, in 2026.
This study employed a quasi-experimental design with a one group pre-test post-test approach. A total of 35 respondents were selected using accidental sampling, consisting of mothers in active phase of the first stage of labor with a term gestational age (37–42 weeks) at RSUD Martapura OKU Timur from March to April 2026. Pain levels were measured using a numerical rating scale (0–10) before and after the hypnotherapy intervention. Data were analyzed using the Wilcoxon Signed- Rank Test, as the data distribution was non-normal based on the Shapiro-Wilk test.
The results showed that prior to the intervention, the majority of respondents experienced moderate pain (scale 4–6) at 26 participants (74.3%), severe pain (scale 7–9) at 6 participants (17.1%), and mild pain (scale 1–3) at 3 participants (8.6%). Following the hypnotherapy intervention, a significant shift in pain distribution was observed: most respondents reported mild pain (74.3%), moderate pain (17.1%), and no pain (8.6%), with none reporting severe pain. The Wilcoxon Signed-Rank Test yielded a Z-value of -5.315 with a p-value of 0.000 (p < 0.05), indicating a statistically significant effect of hypnotherapy on reducing labor pain levels.
It is concluded that hypnotherapy is effective in reducing labor pain in mothers during the active phase of the first stage of labor. Hypnotherapy is recommended to be integrated into intrapartum midwifery care standards as a safe, effective, and cost-efficient non-pharmacological pain management method.

Keywords : Hypnotherapy, Labor Pain, Active Phase of the First Stage of Labor