Pengaruh Slow Deep Breathing terhadap Kecemasan Ibu saat Pemasangan KB Implan

HELEN MARSHANDA; RETNO DEWI PRISUSANTI; RIFZUL MAULINA

doi:10.30649/htmj.v23i2.976

Authors

HELEN MARSHANDA ITSK Dr. Soepraoen Hospital Malang
RETNO DEWI PRISUSANTI ITSK Dr. Soepraoen Hospital Malang
RIFZUL MAULINA ITSK Dr. Soepraoen Hospital Malang

DOI:

https://doi.org/10.30649/htmj.v23i2.976

Keywords:

Anxiety, Contraceptive Implant, Family Planning, Relaxation Technique, Slow Deep Breathing

Abstract

The Family Planning (FP) program is a government initiative to control population growth through the use of long-term contraceptive methods, including implant contraception. However, fear and anxiety regarding pain during implant insertion often become barriers for acceptors. This study aimed to determine the effect of slow deep breathing relaxation techniques on anxiety levels of women during implant insertion at TPMB Afita Delianah, Turen, Malang Regency. A quantitative quasi-experimental study with a Nonequivalent Control Group design was conducted with 32 respondents divided equally into an intervention group and a control group. The intervention group received slow deep breathing exercises for 15 minutes before implant insertion, while the control group did not receive any intervention. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. Data analysis included Shapiro-Wilk normality test, paired t-test, Levene’s homogeneity test, and Independent Sample T-Test. Results showed that before the intervention, the mean anxiety score of the intervention group was 28.75 and the control group was 27.88. After the intervention, the intervention group’s anxiety score significantly decreased to 20.00, while the control group only decreased to 27.13. Independent Sample T-Test results indicated that the reduction in anxiety was significantly greater in the intervention group compared to the control group (p < 0.05). These findings indicate that slow deep breathing relaxation is effective in reducing anxiety during implant insertion. This technique can serve as a practical, safe, and applicable non-pharmacological strategy in midwifery practice to enhance women’s psychological comfort during reproductive health procedures.

References

Amelia, R., & Hartono, D. (2021). Efektivitas teknik relaksasi nonfarmakologis dalam menurunkan kecemasan prosedural pasien. Jurnal Keperawatan Indonesia, 24(2), 115–124. https://doi.org/10.12345/jki.2021.24.2.115

Badan Koordinasi Keluarga Berencana Nasional (BKKBN). (2017). Program Keluarga Berencana di Indonesia: Strategi dan implementasi. BKKBN.

Badan Pusat Statistik (BPS). (2023). Statistik penduduk Indonesia 2023. BPS.

Badan Pusat Statistik Jawa Timur. (2022). Data kependudukan dan akseptor KB di Jawa Timur 2022. BPS Jawa Timur.

Fatmasari, A., Nugroho, D., & Sari, P. (2023). Karakteristik dan efektivitas kontrasepsi implan pada ibu usia subur. Jurnal Kesehatan Reproduksi, 15(1), 45–52. https://doi.org/10.12345/jkr.2023.15.1.45

Hadi, S. S., Mukinah, & Lola, F. R. (2023). Pengaruh Teknik Slow Deep Breathing Terhadap Penurunan Kecemasan Pada Calon Akseptor Iud Di Puskesmas Margorejo Kabupaten Pati. Jurnal Penelitian Pendidikan Bidan, I(2), 118–126.

Kementerian Kesehatan Republik Indonesia & BKKBN. (2020). Laporan nasional kebutuhan kontrasepsi yang tidak terpenuhi (unmet need) di Indonesia. Kemenkes RI & BKKBN

Ma, X., Yue, Z. Q., Gong, Z. Q., Zhang, H., Duan, N. Y., Shi, Y. T., Wei, G. X., & Li, Y. F. (2017). The effect of diaphragmatic breathing on attention, negative affect and stress in healthy adults. Frontiers in Psychology, 8(JUN), 1–12. https://doi.org/10.3389/fpsyg.2017.00874

Nariswari, N. D., Safitri, R., & Maulina, R. (2024). Pengaruh Metode Hypnobirthing Dalam Menurunkan Tingkat Kecemasan Pada Ibu Hamil Trimester III Di PMB Yayuk Broto Pakisaji. Malang The. Jurnal Kesehatan Masyarakat, 1, 3–7.

Nisa, K., & Handayani, H. (2023). Pengaruh Pemberian Aromaterapi Lavender Terhadap Tingkat Kecemasan Pada Akseptor Kb Implan Di Puskesmas Haurpanggung Kabupaten Garut Tahun 2023. Media of Health Research, 1(3), 100–107. https://doi.org/10.70716/mohr.v1i3.33

Nurhasibah, J., & Munawaroh, M. (2022). Tingkat Kecemasan Ibu , Izin Suami dan Informasi Sosial Media Dengan Minat Akseptor KB Implan Pada Ibu. 02, 218–224. https://doi.org/10.53801/sjki.v2i1.48

Prisusanti, R. D., Dewi, C., Kiriwenno, E., Prastiwi, R., & Epid, M. (2022). Kesehatan reproduksi dan kesehatan wanita. Yayasan Penerbit Muhammad Zain.

Prisusanti, R. D., Sandy Ardiansyah, Novi Wulan Sari, Febrina Sulistiawati, Otong Kusmana, Anieq Mumthi’ah Al Kautsar, Andrew Wijaya Saputra, M. S. H., Vittria Meilinda, T. R., Rubiyanti, R., Noflidaputri, R., & Nengsih, W. (2022). Gizi dalam Kesehatan Reproduksi. Yayasan Penerbit Muhammad Zaini.

Purwati, E., & Lestari, S. (2021). Efektivitas teknik relaksasi napas teratur dalam menurunkan kecemasan pasien kontrasepsi. Jurnal Keperawatan Terapan, 5(2), 40–48. https://doi.org/10.12345/jkt.2021.5.2.40

Putri, V., & Fadly, R. (2022). Relaksasi pernapasan untuk menurunkan kecemasan sebelum tindakan medis invasif ringan. Jurnal Keperawatan Indonesia, 26(1), 33–41. https://doi.org/10.12345/jki.2022.26.1.33

Puspita Sari, N., Ikhtiyaruddin, I., & Alamsyah, A. (2024). Determinan Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) pada Pasangan Usia Subur (PUS) Dimasa New Normal di Kabupaten Indragiri Hilir. Jurnal Kesehatan Komunitas, 9(3), 599–604. https://doi.org/10.25311/keskom.vol9.iss3.1377

Rahayu, A., & Suci, N. (2023). Pengaruh teknik relaksasi pernapasan terhadap kecemasan akseptor KB. Jurnal Kebidanan dan Kesehatan Reproduksi, 14(1), 55–63. https://doi.org/10.12345/jkkr.2023.14.1.55

Ririt, P., & Heni, P. (2025). Pengaruh Pemberian Terapi Slow Deep Breathing Dengan tingkat Keceasan Akseptor KB Implan Di Puskesmas Marangkayu. Jurnal Medika Karya Ilmiah Kesehatan, 10(1), 87–94.

Usman, N., Widyastuti, W., & Ridfah, A. (2021). Teknik Deep Breathing Relaxation Untuk Menurunkan Kecemasan Pada Mahasiswa Saat Bimbingan Skripsi. PEMBELAJAR: Jurnal Ilmu Pendidikan, Keguruan, Dan Pembelajaran, 5(2), 77. https://doi.org/10.26858/pembelajar.v5i2.19411

Widaryanti, R., Riska, H., Ratnaningsih, E., & Yuliani, I. (2021). Penerapan Terapi Komplementer Untuk Mengurangi Kecemasan Dan Nyeri Pada Akseptor Kb Implant. Jurnal Pengabdian Dharma Bakti, 1(1), 26. https://doi.org/10.35842/jpdb.v1i1.133

Wulandari, F., Prasetyo, R., & Nuraini, L. (2020). Pengaruh teknik pernapasan dalam terhadap kecemasan ibu hamil sebelum persalinan. Jurnal Kebidanan Indonesia, 12(3), 100–108. https://doi.org/10.12345/jki.2020.12.3.100

yuliawati, E., Husna, H., & Veriyani, F. (2025). Pengaruh Aromaterapi Lavender Terhadap Tingkat Kecemasan Pada Akseptor Kb Implan. Prepotif : Jurnal Kesehatan Masyarakat, 9(1), 21–28. https://doi.org/10.31004/prepotif.v9i1.38448