Pengaruh Kombinasi Senam Hamil dan Afirmasi Positif Terhadap Skor Kecemasan Ibu Hamil Trimester III Dalam Menghadapi Persalinan di Wilayah Kerja UPTD Puskesmas Darma Kabupaten Kuningan Tahun 2026

The Effect of a Combination of Pregnancy Exercise and Positive Affirmations on Anxiety Scores Among Third-Trimester Pregnant Women in Preparation for Childbirth in the Working Area of Darma Community Health Center Kuningan Regency 2026

Abstract

Kecemasan pada ibu hamil trimester III dapat meningkat menjelang persalinan dan berpotensi memengaruhi kesiapan fisik maupun psikologis. Penelitian ini bertujuan menganalisis pengaruh kombinasi senam hamil dan afirmasi positif terhadap skor kecemasan ibu hamil trimester III dalam menghadapi persalinan di wilayah kerja UPTD Puskesmas Darma Kabupaten Kuningan. Penelitian menggunakan pendekatan kuantitatif dengan desain quasi-experimental pre-test post-test with control group. Sebanyak 50 ibu hamil trimester III dipilih melalui stratified random sampling, terdiri atas 25 responden kelompok intervensi dan 25 kelompok kontrol. Kelompok intervensi mengikuti kombinasi senam hamil dan afirmasi positif selama empat minggu, satu kali setiap minggu, sedangkan kelompok kontrol mengikuti senam hamil. Kecemasan diukur menggunakan Hamilton Anxiety Rating Scale (HARS). Rerata skor kecemasan kelompok intervensi turun dari 39,00 (SD 7,360) menjadi 9,72 (SD 4,138), sedangkan kelompok kontrol berubah dari 38,00 (SD 7,360) menjadi 33,12 (SD 7,748). Uji paired sample t-test menunjukkan pengaruh pada kelompok intervensi (p=0,000) dan kelompok kontrol (p=0,028). Perbandingan antarkelompok menunjukkan perbedaan bermakna (p=0,000). Kombinasi senam hamil dan afirmasi positif lebih efektif menurunkan kecemasan dibandingkan senam hamil saja.

Abstract

Anxiety among third-trimester pregnant women may increase as childbirth approaches and can affect physical and psychological readiness. This study aimed to analyze the effect of combining pregnancy exercise and positive affirmations on anxiety scores among third-trimester pregnant women preparing for childbirth in the working area of Darma Public Health Center, Kuningan Regency. A quantitative quasi-experimental study with a pre-test post-test control group design was conducted. Fifty third-trimester pregnant women were selected using stratified random sampling, with 25 participants assigned to the intervention group and 25 to the control group. The intervention group received pregnancy exercise combined with positive affirmations for four weeks, once weekly, while the control group received pregnancy exercise. Anxiety was assessed using the Hamilton Anxiety Rating Scale (HARS). The intervention group mean score decreased from 39.00 (SD 7.360) to 9.72 (SD 4.138), whereas the control group decreased from 38.00 (SD 7.360) to 33.12 (SD 7.748). Paired sample t-tests showed significant changes in both the intervention (p=0.000) and control groups (p=0.028). The between-group comparison was also significant (p=0.000). The combination of pregnancy exercise and positive affirmations was more effective in reducing anxiety than pregnancy exercise alone.