Puspita, Merllin Faradilla (2026) PERBEDAAN TINGKAT KECEMASAN IBU HAMIL TRIMESTER III SEBELUM DAN SESUDAH DIBERIKAN LATIHAN PERNAPASAN ANULOMA VILOMA DI UPTD PUSKESMAS LAMEPAYUNG KABUPATEN KUNINGAN. Diploma thesis, POLITEKNIK KESEHATAN TASIKMALAYA.
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Abstract
INTISARI Latar Belakang: Kecemasan pada ibu hamil trimester III merupakan salah satu masalah psikologis yang sering terjadi selama kehamilan dan dapat berdampak terhadap kesehatan ibu maupun janin apabila tidak ditangani secara tepat. Salah satu intervensi nonfarmakologis yang dapat dilakukan untuk membantu menurunkan tingkat kecemasan adalah latihan pernapasan Anuloma Viloma, yang memberikan efek relaksasi melalui pengaturan pola napas sehingga membantu mengurangi respons stres dan meningkatkan kenyamanan selama kehamilan. Tujuan: Mengetahui perbedaan tingkat kecemasan ibu hamil trimester III sebelum dan sesudah diberikan latihan pernapasan Anuloma Viloma di UPTD Puskesmas Lamepayung Kabupaten Kuningan. Metode Penelitian: Penelitian ini merupakan penelitian kuantitatif dengan desain pra-eksperimental menggunakan pendekatan One Group Pretest Posttest Design. Populasi penelitian berjumlah 76 ibu hamil trimester III di wilayah kerja UPTD Puskesmas Lamepayung Kabupaten Kuningan. Sampel penelitian sebanyak 47 responden dipilih menggunakan teknik Purposive Sampling. Tingkat kecemasan diukur menggunakan kuesioner Edinburgh Postnatal Depression Scale (EPDS) sebagai instrumen skrining kesehatan mental ibu yang digunakan dalam pelayanan kesehatan ibu. Analisis data dilakukan menggunakan uji Paired Samples t-test setelah data memenuhi asumsi berdistribusi normal. Hasil: Rata-rata skor EPDS sebelum diberikan latihan pernapasan Anuloma Vilomaadalah 10,15 ± 3,362, sedangkan setelah intervensi menurun menjadi 7,74 ± 2,354, dengan rata-rata penurunan skor sebesar 2,404 poin. Hasil uji Paired Samples t-test menunjukkan terdapat perbedaan yang bermakna secara statistik antara skor sebelum dan sesudah intervensi (t = 10,067; p = 0,000). Kesimpulan: Terdapat perbedaan tingkat kecemasan ibu hamil trimester III sebelum dan sesudah diberikan latihan pernapasan Anuloma Viloma. Latihan pernapasan Anuloma Viloma efektif menurunkan skor EPDS sebagai indikator tingkat kecemasan pada ibu hamil trimester III sehingga dapat dijadikan sebagai salah satu intervensi nonfarmakologis dalam pelayanan kebidanan untuk mendukung kesehatan mental ibu selama kehamilan. Kata Kunci: Anuloma Viloma, EPDS, ibu hamil trimester III, kecemasan. ABSTRACT Background: Anxiety during the third trimester of pregnancy is one of the most common psychological problems experienced by pregnant women and may adversely affect both maternal and fetal health if left untreated. One of the nonpharmacological interventions that may help reduce anxiety is Anuloma Viloma breathing exercise, which promotes relaxation through controlled breathing patterns, thereby reducing stress responses and enhancing maternal comfort during pregnancy. Objective: To determine the differences in anxiety levels among third-trimester pregnant women before and after receiving Anuloma Viloma breathing exercises at the Lamepayung Community Health Center (UPTD Puskesmas Lamepayung), Kuningan Regency. Methods: This quantitative study employed a pre-experimental design using aOneGroup Pretest Posttest Design. The study population consisted of 76 thirdtrimester pregnant women, from whom 47 participants were selected using purposive sampling. Anxiety levels were assessed using the Edinburgh Postnatal Depression Scale (EPDS) as a maternal mental health screening instrument utilized in maternal healthcare services. Data were analyzed using the Paired Samples ttest after confirming the assumption of normal data distribution. Results: The mean EPDS score before the Anuloma Viloma breathing exercise was 10.15 ± 3.362, which decreased to 7.74 ± 2.354 after the intervention, indicating a mean reduction of 2.404 points. The Paired Samples t-test revealed a statistically significant difference between the pretest and posttest scores (t = 10.067; p = 0.000). Conclusion: There was a significant difference in anxiety levels among thirdtrimester pregnant women before and after receiving Anuloma Viloma breathing exercises. Anuloma Viloma breathing exercise was effective in reducing EPDS scores as an indicator of anxiety levels among third-trimester pregnant women and may be considered a non-pharmacological intervention in midwifery practice to support maternal mental health during pregnancy. Keywords: Anuloma Viloma, Anxiety, Edinburgh Postnatal Depression Scale
| Item Type: | Thesis (Diploma) | ||||||||||||
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| Uncontrolled Keywords: | Anuloma Viloma, Anxiety, Edinburgh Postnatal Depression Scale (EPDS), Third-Trimester Pregnant Women. SKRIPSICB42026, SKRIPSICB4CRB, SKRIPSICRB | ||||||||||||
| Subjects: | L Education > L Education (General) R Medicine > RG Gynecology and obstetrics R Medicine > RT Nursing |
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| Divisions: | Jurusan Kebidanan > D4 Kebidanan | ||||||||||||
| Depositing User: | CB4 Merllin Faradilla Puspita | ||||||||||||
| Date Deposited: | 16 Jul 2026 01:55 | ||||||||||||
| Last Modified: | 16 Jul 2026 01:55 | ||||||||||||
| URI: | http://repo.poltekkestasikmalaya.ac.id/id/eprint/9697 |
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