Pengaruh Dzikir terhadap Penurunan Intensitas Nyeri Persalinan Kala I Fase Aktif di Klinik Alfa Medika Surabaya

Pendahuluan: Persalinan kala I fase aktif merupakan fase kritis yang memicu ketegangan dan nyeri berat. Nyeri yang tidak dikelola secara adekuat dapat memicu stres, hiperventilasi, serta vasokonstriksi yang berisiko memperlama proses persalinan. Dzikir “Laa ilaha il lallah” sebagai terapi nonfarmakologis berbasis spiritual dapat mengendalikan respons psikologis, memicu pelepasan endorfin, dan menurunkan nyeri melalui efek relaksasi. Penelitian ini bertujuan menganalisis pengaruh terapi dzikir “Laa ilaha il lallah” terhadap penurunan intensitas nyeri persalinan kala I fase aktif di Klinik Alfa Medika Surabaya. Metode: Penelitian pre-experimental (one-group pretest-posttest design) ini melibatkan 30 ibu bersalin yang dipilih menggunakan teknik consecutive sampling pada Juli 2026. Intensitas nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan sesudah intervensi dzikir dibimbing selama ±30 menit. Data dianalisis menggunakan uji statistik Wilcoxon Signed Rank Test. Hasil: Sebelum intervensi (pretest), mayoritas responden mengalami nyeri berat (73,3%) dan nyeri sedang (26,7%). Setelah intervensi (posttest), intensitas nyeri menurun menjadi nyeri sedang (76,7%) dan nyeri ringan (23,3%), serta tidak ada lagi nyeri berat. Uji statistik menunjukkan nilai � = 0,001 (� < 0,05). Pembahasan: Penurunan intensitas nyeri ini sebagai akibat dari dzikir memberikan efek relaksasi dan ketenangan psikologis yang membantu ibu bersalin mengendalikan persepsi nyeri selama kontraksi. Kesimpulan: Terapi dzikir berpengaruh secara signifikan terhadap penurunan intensitas nyeri persalinan kala I fase aktif dan dapat dipertimbangkan sebagai terapi nonfarmakologis pendamping dalam asuhan persalinan.

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Introduction: The active phase of the first stage of labor is a critical period that triggers tension and severe pain. Pain that is not adequately managed can lead to stress, hyperventilation, and vasoconstriction, potentially prolonging the labor process. Reciting the Dzikir “Laa ilaha il lallah” a spiritually-based non-pharmacological therapy can help manage psychological responses, trigger endorphin release, and reduce pain through relaxation effects. This study aimed to analyze the effect of “Laa ilaha il lallah” dzikir therapy on reducing labor pain intensity during the active phase of the first stage of labor at Alfa Medika Clinic Surabaya. Methods: This pre-experimental study (using a one-group pretest-posttest design) involved 30 women in labor selected via consecutive sampling in July 2026. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after a guided dzikir intervention lasting approximately 30 minutes. Data were analyzed using the Wilcoxon Signed Rank Test. Results: Before the intervention (pretest), the majority of respondents experienced severe pain (73.3%) and moderate pain (26.7%). After the intervention (posttest), pain intensity decreased to moderate pain (76.7%) and mild pain (23.3%), with no cases of severe pain remaining. Statistical analysis showed a value of p = 0.001 (p < 0.05). Discussion: The reduction in pain intensity resulted from the dzikir providing relaxation and psychological calmness, helping the women in labor manage their perception of pain during contractions. Conclusion: Dzikir therapy has a significant effect on reducing labor pain intensity during the active phase of the first stage of labor and can be considered an adjunctive non-pharmacological therapy in labor care.