nature sound therapy
cortisol levels

How to Cite

Laska, Y., Suryono, S., Widyawati, M. N., Suwondo, A., & Kusworowulan, S. (2018). EFFECT OF NATURE SOUND THERAPY ON THE LEVEL OF CORTISOL IN POSTPARTUM PRIMIPARA. Belitung Nursing Journal, 4(1), 26-30. https://doi.org/10.33546/bnj.339


Background: Majority of primiparous mothers experience a wide range of postpartum blues, which leads to stress and an increase in cortisol. Therefore, efforts to reduce cortisol level is needed. Nature sound music therapy is believed to make the mothers feel relaxed and comfortable.

Objective: To examine the effect of the nature music therapy on cortisol levels in postpartum primipara.

Methods: This was a true experimental study with pretest-posttest control group design. The study was conducted in the postpartum ward in the General Hospital of Semarang Indonesia from November 2016 to January 2017. There were 39 postpartum primipara selected in this study using simple random sampling divided into three groups: 1) the experiment group who received the nature music therapy for 15 minutes, 2) the experiment group who received the nature music therapy for 30 minutes, and 3) the control group. One-way ANOVA test was performed for data analysis.

Results: There was a statistically significant effect of the nature sound therapy on the cortisol level in the postpartum primipara, with p-value = 0.010 (<0.05).

Conclusion: There was a significant effect of the nature music therapy on the cortisol levels in postpartum primipara. Thus, the application of nature music therapy can be an alternative therapy especially for postpartum primipara who experience emotional stress, physical, anxiety, and fatigue.



Bobak, I. M., Lowdermilk, D. L., & Jensen, M. D. (2005). Buku ajar keperawatan maternitas [Teaching book of maternity nursing]. Jakarta: EGC.

Campbell, D. G. (2001). Efek mozart. Jakarta: Gramedia Pustaka Utama.

Grajeda, R., & PĂ©rez-Escamilla, R. (2002). Stress during labor and delivery is associated with delayed onset of lactation among urban Guatemalan women. Journal of Nutrition, 132(10), 3055-3060.

Greenstein, B., & Wood, D. F. (2010). Endocryne system at a glance (2nd ed.). Jakarta: Erlangga.

Gunawan, B. (2007). Stres dan sistem imun tubuh: Suatu pendekatan psikoneuroimunologi [Stress and the body's immune system: A psychoneuroimmunology approach]. Cermin Dunia Kedokteran, 154, 13-15.

Halim, S. (2002). Music as a complementary therapy in medical treatment. Medical Journal of Indonesia, 11(4), 250.

Jayasima, A. M., Deliana, S. M., & Mabruri, M. I. (2014). Postpartum blues syndrome pada kelahiran anak pertama [Postpartum blues syndrome in the first born]. Developmental and Clinical Psychology, 3(1).

Khalfa, S., Bella, S. D., Roy, M., Peretz, I., & Lupien, S. J. (2003). Effects of relaxing music on salivary cortisol level after psychological stress. Annals of the New York Academy of Sciences, 999(1), 374-376.

Linnemann, A., Ditzen, B., Strahler, J., Doerr, J. M., & Nater, U. M. (2015). Music listening as a means of stress reduction in daily life. Psychoneuroendocrinology, 60, 82-90.

Marshall, F. (2004). Mengatasi depresi pasca melahirkan [Overcoming postpartum depression]. Jakarta: Arcan.

Miyansaski, A. U. (2014). Perbandingan kejadian post partum blues pada ibu post partum dengan persalinan normal dan sectio caesarea [Comparison of post partum blues events in postpartum mother with normal delivery and cesarean section]. Jurnal Online Mahasiswa (JOM) Bidang Ilmu Keperawatan, 1(2), 1-10.

Potter, P. A., & Perry, A. G. (2005). Buku ajar fundamental keperawatan: Konsep, proses, dan praktik [Teaching book of fundamental of nursing: Concept, process, and practice]. Jakarta: EGC.

Stiller, C. (2007). Complementary/alternative therapies in nursing. Nursing Education Perspectives, 28(2), 99.

Copyright (c) 2018 Yulinda Laska, Suryono, Melyana Nurul Widyawati, Ari Suwondo, Suryati Kusworowulan
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Article Metrics

Abstract views: 905 | PDF views: 474


Download data is not yet available.