Kontakt 2024, 26(1):52-59 | DOI: 10.32725/kont.2024.017

Relaxation response, brainwaves, and quality of life in women with nausea and vomiting during pregnancyNursing - Original article

Santi Wahyuni *, Badriah, Komarudin, Yanti Cahyati, Tifanny Gita Sesaria
Poltekkes Kemenkes Tasikmalaya, Department of Nursing, Tasikmalaya, West Java, Indonesia

Aim: This study aims to assess the effectiveness of ATHP-HC on the severity of nausea and vomiting, relaxation state, brainwaves, and quality of life in women with Nausea and Vomiting in Pregnancy (NVP).

Methods: A quasi-experimental study was conducted on 62 pregnant women randomly allocated into intervention and control groups using a pre-post-test. Researchers provided ATHP-HC to the intervention group and Cirebon Gamelan audio therapy to the control group. The research instruments included PUQE-24-hour scoring, measurement of vital signs, brainwaves using NeuroSky MindWave Mobile II, and WHOQOL-BREF. The data collected were processed with SPSS version 24.0 and analyzed using the statistical formula paired t-test.

Results: The results of the study showed that there were significant differences between nausea and vomiting scores (p = 0.000), relaxation levels (p = 0.003 in the intervention group and p = 0.000 in the control group), and quality of life (p = 0.000), before and after the treatment in the intervention group and the control group. There was a significant difference in the state of relaxation after the intervention in the two groups of respondents (p = 0.001). There was no significant difference in the proportion of increased meditation in the two groups of respondents (p = 0.707).

Conclusion: As relaxation and meditation music, ATHP-HC can be a complementary therapy for pregnant women to overcome NVP.

Keywords: Audio Therapy for Healthy Pregnancy-Harmoni Cinta (ATHP-HC); Brainwaves; Nausea and Vomiting in Pregnancy (NVP); Quality of life; Relaxation
Conflicts of interest:

This research was approved by The Ethics Commission Board, Mahardika Institute of Technology and Health number 091/KEPK.ITEKESMA/VI/2023. The authors have no conflicts of interest to declare.

Received: September 14, 2023; Revised: January 26, 2024; Accepted: March 8, 2024; Prepublished online: March 8, 2024; Published: March 15, 2024  Show citation

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Wahyuni S, Badriah, Komarudin, Cahyati Y, Sesaria TG. Relaxation response, brainwaves, and quality of life in women with nausea and vomiting during pregnancy. Kontakt. 2024;26(1):52-59. doi: 10.32725/kont.2024.017.
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    References

    1. ACOG Practice Bulletin No. 189 (2018). Obstet Gynecol 131(1): e15-e30. DOI: 10.1097/aog.0000000000002456. Go to original source... Go to PubMed...
    2. AMTA - American Music Therapy Association (2020). Definition and quotes about music therapy. American Music Therapy Association. [online] [cit. 2023-01-22]. Available from: https://www.musictherapy.org/about/quotes
    3. Azizah FN, Sumarni S, Sukowati F, Kumorowulan S (2021). The Effectiveness of Progressive Muscle Relaxation and MozartMusic Therapy on Premenstrual Syndrome Stress Scores. J Kebidanan 11(1): 10-14. DOI: 10.31983/jkb.v11i1.6278. Go to original source...
    4. Bustos M, Venkataramanan R, Caritis S (2017). Nausea and Vomiting of Pregnancy - What's New? Auton Neurosci 202: 62-72. DOI: 10.1016/j.autneu.2016.05.002. Go to original source... Go to PubMed...
    5. Cao S, Sun J, Wang Y, Zhao Y, Sheng Y, Xu A (2016). Music therapy improves pregnancy-induced hypertension treatment efficacy. Int J Clin Exp Med 9(5): 8833-8838.
    6. Çatalgöl Ş, Ceber Turfan E (2022). The effects of music therapy applied to pregnant women on maternal, fetal, and neonatal results: A randomized controlled study. Health Care Women Int 43(5): 448-464. DOI: 10.1080/07399332.2021.1944150. Go to original source... Go to PubMed...
    7. Çetinkaya F (2019). The effects of listening to music on the postoperative nausea and vomiting. Complement Ther Clin Pract 35: 278-283. DOI: 10.1016/j.ctcp.2019.03.003. Go to original source... Go to PubMed...
    8. Chang HC, Yu CH, Chen SY, Chen CH (2015). The effects of music listening on psychosocial stress and maternal-fetal attachment during pregnancy. Complement Ther Med 23(4): 509-515. DOI: 10.1016/j.ctim.2015.05.002. Go to original source... Go to PubMed...
    9. Chang MY, Chen CH, Huang KF (2008). Effects of music therapy on psychological health of women during pregnancy. J Clin Nurs 17(19): 2580-2587. DOI: 10.1111/j.1365-2702.2007.02064.x. Go to original source... Go to PubMed...
    10. Fancourt D, Perkins R (2018). Could listening to music during pregnancy be protective against postnatal depression and poor wellbeing post birth? Longitudinal associations from a preliminary prospective cohort study. BMJ Open 8(7): e021251. DOI: 10.1136/bmjopen-2017-021251. Go to original source... Go to PubMed...
    11. Fejzo MS, Trovik J, Grooten IJ, Sridharan K, Roseboom TJ, Vikanes Å, et al. (2019). Nausea and vomiting of pregnancy and hyperemesis gravidarum. Nat Rev Dis Primers 5(1): 62. DOI: 10.1038/s41572-019-0110-3. Go to original source... Go to PubMed...
    12. Fiaschi L, Nelson-Piercy C, Deb S, King R, Tata LJ (2019). Clinical management of nausea and vomiting in pregnancy and hyperemesis gravidarum across primary and secondary care: a population-based study. BJOG 126(10): 1201-1211. DOI: 10.1111/1471-0528.15662. Go to original source... Go to PubMed...
    13. Gandhawangi S (2021). UNESCO Tetapkan Gamelan sebagai Warisan Budaya Tak Benda. Kompas. [online] [cit. 2023-01-22]. Available from: https://www.kompas.id/baca/dikbud/2021/12/16/unesco-tetapkan-gamelan-sebagai-warisan-budaya-tak-benda/
    14. Hinkle SN, Mumford SL, Grantz KL, Silver RM, Mitchell EM, Sjaarda LA, et al. (2016). Association of nausea and vomiting during pregnancy with pregnancy loss: A secondary analysis of a randomized clinical trial. JAMA Int Med 176(11): 1621-1627. DOI: 10.1001/jamainternmed.2016.5641. Go to original source... Go to PubMed...
    15. Holzman JB, Bridgett DJ (2017). Heart rate variability indices as bio-markers of top-down self-regulatory mechanisms: A meta-analytic review. Neurosci Biobehav Rev 74(Pt A): 233-255. DOI: 10.1016/j.neubiorev.2016.12.032. Go to original source... Go to PubMed...
    16. Iliadis SI, Axfors C, Johansson S, Skalkidou A, Mulic-Lutvica A (2018). Women with prolonged nausea in pregnancy have increased risk for depressive symptoms postpartum. Sci Rep 8(1): 15796. DOI: 10.1038/s41598-018-33197-1. Go to original source... Go to PubMed...
    17. Irianti B, Halida EM, Duhita F, Prabandari F, Yulita N, Yulianti N, et al. (2015). Asuhan kehamilan berbasis bukti: Paradigma baru dalam asuhan kebidanan (Husin F, ed.). Sagung Seto.
    18. Iskandar I (2017). Efektifitas daun mint terhadap hiperemesis gravidarum di Rumah Sakit Daerah Haji Makkasar. Jurnal Mitra Sehat 7(2): 1-7.
    19. Jabbari B, Mirghafourvand M, Sehhatie F, Mohammad-Alizadeh-Charandabi S (2020). The Effect of Holly Quran Voice With and Without Translation on Stress, Anxiety and Depression During Pregnancy: A Randomized Controlled Trial. J Relig Health 59(1): 544-554. DOI: 10.1007/s10943-017-0417-x. Go to original source... Go to PubMed...
    20. Jacobsen SL, Pedersen IN, Bonde LO, Odell-Miller H (2019). A Comprehensive Guide to Music Therapy, 2nd ed: Theory, Clinical Practice, Research and Training. Jessica Kingsley Publishers, 560 p. [online] [cit. 2023-01-22]. Available from: https://books.google.co.id/books?id=Rkt9DwAAQBAJ
    21. Jarmani, Rusijiono, Bahri BS, Suryarini DY (2022). The effect of learning Gamelan art on emotional intelligence. Int J Soc Sci Econ Art 12(1): 39-45. DOI: 10.35335/ijosea.v12i1.65. Go to original source...
    22. Koren G, Boskovic R, Hard M, Maltepe C, Navioz Y, Einarson A (2002). Motherisk-PUQE (pregnancy-unique quantification of emesis and nausea) scoring system for nausea and vomiting of pregnancy. Am J Obstet Gynecol 186(5 Suppl. Understanding): S228-231. DOI: 10.1067/mob.2002.123054. Go to original source... Go to PubMed...
    23. Koren G, Piwko C, Ahn E, Boskovic R, Maltepe C, Einarson A, et al. (2005). Validation studies of the Pregnancy Unique-Quantification of Emesis (PUQE) scores. J Obstet Gynaecol 25(3): 241-244. DOI: 10.1080/01443610500060651. Go to original source... Go to PubMed...
    24. Kučikienė D, Praninskienė R (2018). The impact of music on the bioelectrical oscillations of the brain. Acta Med Litu 25(2): 101-106. DOI: 10.6001/actamedica.v25i2.3763. Go to original source... Go to PubMed...
    25. Lee NM, Saha S (2011). Nausea and vomiting of pregnancy. Gastroenterol Clin North Am 40(2): 309-334. DOI: 10.1016/j.gtc.2011.03.009. Go to original source... Go to PubMed...
    26. Li P, Wang H, Chen G, Feng J, Fan D, Lin D, et al. (2021). Association between nausea and vomiting during pregnancy and sleep quality: Mediating effect of depressive symptoms. Int J Gen Med 14: 41-49. DOI: 10.2147/IJGM.S290216. Go to original source... Go to PubMed...
    27. Liu C, Zhao G, Qiao D, Wang L, He Y, Zhao M, et al. (2022). Emerging Progress in Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum: Challenges and Opportunities. Front Med 8: 809270. DOI: 10.3389/fmed.2021.809270. Go to original source... Go to PubMed...
    28. Lorek M, B±k D, Kwiecień-Jagu¶ K, Mędrzycka-D±browska W (2023). The effect of music as a non-pharmacological intervention on the physiological, psychological, and social response of patients in an Intensive Care Unit. Healthcare 11(12): 1687. DOI: 10.3390/healthcare11121687. Go to original source... Go to PubMed...
    29. Mardiati R, Joewana S, Kurniadi H, Isfandari Sarasvita R (2016). The World Health Organization Quality of Life (WHOQOL)-BREF (Indonesian version, Purba FD, ed.; Revisi).
    30. Matthews A, Haas DM, O'Mathúna DP, Dowswell T (2015). Interventions for nausea and vomiting in early pregnancy. Cochrane Database Syst Rev 2015(9): CD007575. DOI: 10.1002/14651858.CD007575.pub4. Go to original source... Go to PubMed...
    31. Mayo Clinic Staff (2023). Biofeedback. Mayo Foundation for Medical Education and Research (MFMER). [online] [cit. 2023-01-22]. Available from: https://www.mayoclinic.org/tests-procedures/biofeedback/about/pac-20384664
    32. Mazzotta P, Maltepe C, Navioz Y, Magee LA, Koren G (2000). Attitudes, management and consequences of nausea and vomiting of pregnancy in the United States and Canada. Int J Gynaecol Obstet 70(3): 359-365. DOI: 10.1016/S0020-7292(00)00255-1. Go to original source... Go to PubMed...
    33. McParlin C, O'Donnell A, Robson SC, Beyer F, Moloney E, Bryant A, et al. (2016). Treatments for hyperemesis gravidarum and nausea and vomiting in pregnancy: A systematic review. JAMA 316(13): 1392-1401. DOI: 10.1001/jama.2016.14337. Go to original source... Go to PubMed...
    34. Meliyana A, Kurniawan WE, Yanti L (2023). Pengaruh terapi musik Gamelan Langgam Jawa terhadap tingkat stress pada lansia di Panti Pelayanan Sosial Lanjut Usia Sudagaran Kabupaten Banyumas. Jurnal Keperawatan Suaka Insan (JKSI) 8(2): 138-142. DOI: 10.51143/jksi.v8i2.376. Go to original source...
    35. Nelson-Piercy C, Dean C, Shehmar M, Gadsby R, O'Hara M, Hodson K, Nana M (2024). The management of nausea and vomiting of pregnancy and hyperemesis gravidarum: Green-top guideline no. 69. BJOG 1-30. DOI: 10.1111/1471-0528.17739. Go to original source... Go to PubMed...
    36. Prasmadika W (2015). Perancangan directx sound untuk menciptakan terapi gelombang otak menggunakan java untuk terapi stress untuk usia 18+. In Fakultas Teknologi Informatika Universitas Dian Nuswantoro. [online] [cit. 2023-01-22]. Available from: http://eprints.dinus.ac.id/13440/1/jurnal_14087.pdf
    37. Prawirohardjo S (2014). Buku Acuan Nasional Pelayanan Kesehatan Maternal dan Neonatal (6th ed.). Bina Pustaka.
    38. Primawati AS, Widyawati MN, Admini A (2018). Penurunan tingkat stres ibu hamil dengan terapi musik dan aromatherapy pada kelas ibu hamil. J Kebidanan 8(1): 37. DOI: 10.31983/jkb.v8i1.3733. Go to original source...
    39. Putra EEF (2022). Terapi gelombang otak: Mengubah hidup anda dengan terapi gelombang otak. Neurotherapy Asia.
    40. Ropyanto CB, Sumarshih, Kusumaningrum NSD, Hidayati W (2019). Effects of Benson's relaxation technique on nausea in patients with chronic kidney disease undergoing hemodialysis. KnE Life Sciences, pp. 510-519. DOI: 10.18502/kls.v4i13.5283. Go to original source...
    41. Shalehuddin M (2010). Pengaruh terapi musik Gamelan Jawa terhadap depresi pada lansia di UPT Pelayanan Sosial Lansia Pasuruan [Universitas Airlangga]. [online] [cit. 2023-01-22]. Available from: http://repository.unair.ac.id/id/eprint/38281
    42. Shimada BMO, Santos DSOMD, Cabral MA, Silva VO, Vagetti GC (2021). Interventions among pregnant women in the field of music therapy: A systematic review. Rev Bras Ginecol Obstet 43(5): 403-413. DOI: 10.1055/s-0041-1731924. Go to original source... Go to PubMed...
    43. Sidik R, Kamaruzaman F, Abdullah MJ (2021). Music Therapy in Medicine of Islamic Civilisation. Music in Health and Diseases 1-13. DOI: 10.5772/intechopen.98707. Go to original source...
    44. Siregar B, Hesananta MB, Seniman Fahmi (2021). Development of Gamelan music instruments using HC-SR04 sensor on arduino and operated using android-based applications. J Phys Conf Ser 1882(1): 1-7. DOI: 10.1088/1742-6596/1882/1/012140. Go to original source...
    45. Somoyani NK (2020). Literature review: Terapi komplementer untuk mengurangi mual muntah pada ibu hamil. Jurnal Ilmiah Kebidanan: J Midw 8(1): 10-17. DOI: 10.33992/jik.v8i1.1193. Go to original source...
    46. Sudana O, I Putu KCP, Wirdiani A (2020). Model forest tree dalam sistem informasi gamelan terintegrasi. Techno.COM 19(3): 274-285. DOI: 10.33633/tc.v19i3.3701. Go to original source...
    47. Suryani E, Sari LP, Ardhila INS (2021). Randomized Control Trial : Musik Instrumental Langgam Jawa Dan Dampaknya.
    48. J Public Health Res Dev 5(1): 97-108. DOI: 10.15294/higeia.v5i1.38394. Go to original source...
    49. Wahyuni S, Badriah, Komarudin (2022). Rancangan Pengembangan Model Audio Therapy Healthy Pregnancy "HARMONI CINTA" (ATHP-HC) untuk Mengatasi Gejala Morning Sickness. [online] [cit. 2023-01-22]. Available from: https://www.poltekkestasikmalaya.ac.id/laporan-realisasi-keuangan-penelitian-2023/
    50. Warth M, Kessler J, Koenig J, Wormit AF, Hillecke TK, Bardenheuer HJ (2014). Music therapy to promote psychological and physiological relaxation in palliative care patients: Protocol of a randomized controlled trial. BMC Palliat Care 13(1): 60. DOI: 10.1186/1472-684X-13-60. Go to original source... Go to PubMed...
    51. Wong ZY, Ou KQ, Prasad A, Say WX, Nalliah S (2022). Clinical practice guidelines for the management of hyperemesis gravidarum A systematic review and quality appraisal with AGREE II. Aust J Gen Pract 51(10): 758-765. DOI: 10.31128/AJGP-01-22-6288. Go to original source... Go to PubMed...
    52. Wulff V, Hepp P, Fehm T, Schaal NK (2017). Music in Obstetrics: An Intervention Option to Reduce Tension, Pain and Stress. Geburtshilfe Frauenheilkd 77(9): 967-976. DOI: 10.1055/s-0043-118414. Go to original source... Go to PubMed...
    53. Yusli UD, Rachma N (2019). Pengaruh pemberian terapi musik Gamelan Jawa terhadap tingkat kecemasan lansia. Jurnal Perawat Indonesia 3(1): 72-78. DOI: 10.32584/jpi.v3i1.290. Go to original source...

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