Peningkatan Pengetahuan dan Sikap Ibu Hamil dalam Mencegah Depresi Postpartum melalui Intervensi Self-Help Psychological

https://doi.org/10.22146/jkesvo.75933

Syarifah Rauzatul Jannah(1*), Rini Asnuriyanti(2), Fithria Fithria(3)

(1) Fakultas Keperawatan, Universitas Syiah Kuala, Banda Aceh
(2) Nurse, RSUD Kabupaten Aceh Besar Indonesia
(3) Lecture, Fakultas Keperawatan, Universitas Syiah Kuala, Banda Aceh,
(*) Corresponding Author

Abstract


Latar Belakang: Depresi postpartum merupakan depresi yang berisiko dan jika tidak ditangani dengan benar dapat berakibat buruk pada ibu dan anak. Hal tersebut memberikan pandangan tentang perlunya upaya untuk mencegah terjadinya depresi postpartum kepada ibu hamil. 

Tujuan: Mengetahui dan mendeskripsikan pengaruh intervensi self-help psychological terhadap pengetahuan dan sikap ibu hamil dalam mencegah depresi postpartum.

Metode: Penelitian kuantitatif ini menggunakan model kuasi eksperimental. Jumlah populasi penelitian adalah 155 ibu hamil pada wilayah kerja Puskesmas Darussalam di Kecamatan Aceh Besar pada tahun 2021. Jumlah sampel terpilih adalah 74 orang ibu hamil dengan 37 responden pada kelompok intervensi dan 37 responden pada kelompok kontrol. Pengumpulan data dilakukan dengan menggunakan kuesioner The Knowledge about Postpartum Depression Questionnaire (KPPD-Q) dan kuesioner Attitudes Toward Postpartum.

Hasil: Intervensi self-help psychological berpengaruh secara signifikan terhadap pengetahuan dan sikap ibu hamil dalam mencegah depresi postpartum (p=0,000). Terdapat perbedaan yang signifikan dari sisi pengetahuan dan sikap antara kelompok intervensi dan kelompok kontrol setelah intervensi Self-help psychological (p=0,000).

Kesimpulan: Intervensi self-help psychological dapat meningkatkan pengetahuan dan sikap ibu hamil dalam mencegah depresi postpartum. Karakteristik responden berupa usia, tingkat pendidikan, dan usia kehamilan menjadi faktor pendorong peningkatan pengetahuan dan sikap tersebut


Keywords


Pengetahuan; Sikap; Ibu Hamil; Depresi; Postpartum

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References

Barnes, D. L. (2014) Women’s reproductive mental health across the lifespan, Women’s Reproductive Mental Health Across the Lifespan. doi: 10.1007/978-3-319-05116-1.

Barrera, A. Z., Wickham, R. E. and Muñoz, R. F. (2015) ‘Online prevention of postpartum depression for Spanish- and English-speaking pregnant women: A pilot randomized controlled trial’, Internet Interventions. Elsevier B.V., 2(3), pp. 257–265. doi: 10.1016/j.invent.2015.06.002.

Biaggi, A. et al. (2016) ‘Identifying the women at risk of antenatal anxiety and depression: A systematic review’, Journal of Affective Disorders. Elsevier, pp. 62–77. doi: 10.1016/j.jad.2015.11.014.

Branquinho, M., Canavarro, M. C. and Fonseca, A. (2019) ‘Knowledge and attitudes about postpartum depression in the Portuguese general population’, Midwifery. Elsevier Ltd, 77, pp. 86–94. doi: 10.1016/j.maidw.2019.06.016.

Brummelte, S. and Galea, L. A. M. (2016) ‘Postpartum depression: Etiology, treatment and consequences for maternal care’, Hormones and Behavior. Elsevier Inc., 77, pp. 153–166. doi: 10.1016/j.yhbeh.2015.08.008.

Daley, A. J. et al. (2015) ‘The effectiveness of exercise for the prevention and treatment of antenatal depression: Systematic review with meta-analysis’, BJOG: An International Journal of Obstetrics and Gynaecology, pp. 57–62. doi: 10.1111/1471-0528.12909.

Edwards, G. D. et al. (2014) ‘Postnatal Depression in Surabaya, Indonesia’, http://dx.doi.org/10.2753/IMH0020-7411350105. Routledge , 35(1), pp. 62–74. doi: 10.2753/IMH0020-7411350105.

Fathi, F., Mohammad-Alizadeh-Charandabi, S. and Mirghafourvand, M. (2018) ‘Maternal self-efficacy, postpartum depression, and their relationship with functional status in Iranian mothers’, Women and Health, 58(2), pp. 188–203. doi: 10.1080/03630242.2017.1292340.

Fisher, J. et al. (2012) ‘Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review’, Bulletin of the World Health Organization. World Health Organization, 90, pp. 139–149. doi: 10.1590/S0042-96862012000200014.

Gillespie, S. L. et al. (2018) ‘Maternal parity and perinatal cortisol adaptation: The role of pregnancy-specific distress and implications for postpartum mood’, Psychoneuroendocrinology. Elsevier Ltd, 97, pp. 86–93. doi: 10.1016/j.psyneuen.2018.07.008.

Idaiani, S. and Basuki, B. (2012) ‘Postpartum depression in Indonesia women: a national study’, Health Science Journal of Indonesia, 3(1), pp. 3–8. doi: 10.22435/hsji.v3i1Jun.396.3-8.

Kusuma, R. et al. (2019) ‘The Ratu’s Model: A prevention model of postpartum depression’, Enfermeria Clinica. Elsevier España, S.L., 29, pp. 70–73. doi: 10.1016/j.enfcli.2018.11.023.

Lin, P. Z. et al. (2018) ‘Effectiveness of self-help psychological interventions for treating and preventing postpartum depression: a meta-analysis’, Archives of Women’s Mental Health. Archives of Women’s Mental Health, pp. 491–503. doi: 10.1007/s00737-018-0835-0.

Lucero, N. B. et al. (2012) ‘Prevalence of postpartum depression among Hispanic immigrant women’, Journal of the American Academy of Nurse Practitioners, 24(12), pp. 726–734. doi: 10.1111/j.1745-7599.2012.00744.x.

Machmudah (2015) ‘Gangguan Psikologis Pada Ibu Postpartum ; Postpartum Blues’, Jurnal Keperawatan Maternitas, 3(2), pp. 118–125.

Maliszewska, K. et al. (2016) ‘Relationship, social support, and personality as psychosocial determinants of the risk for postpartum blues’, Ginekologia Polska, 87(6), pp. 442–447. doi: 10.5603/GP.2016.0023.

Matsumura, K. et al. (2020) ‘Factor structure of the Edinburgh Postnatal Depression Scale in the Japan Environment and Children’s Study’, Scientific Reports, 10(1), pp. 1–10. doi: 10.1038/s41598-020-67321-x.

Masturoh, I. and Anggita T, N. (2018) Metodologi Penelitian Kesehatan. Jakarta: Kementerian Kesehatan Republik Indonesia

Mills, H. et al. (2020) ‘Self-help interventions to reduce self-stigma in people with mental health problems: A systematic literature review’, Psychiatry Research. Elsevier Ireland Ltd, 284(November 2019), p. 112702. doi: 10.1016/j.psychres.2019.112702.

Nurbaeti, I., Deoisres, W. and Hengudomsub, P. (2019) ‘Association between psychosocial factors and postpartum depression in South Jakarta, Indonesia’, Sexual and Reproductive Healthcare. Elsevier, 20(February), pp. 72–76. doi: 10.1016/j.srhc.2019.02.004.

O’Brien, A. J., Chesla, C. A. and Humphreys, J. C. (2019) ‘Couples’ Experiences of Maternal Postpartum Depression’, JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing. Elsevier Inc, 48(3), pp. 341–350. doi: 10.1016/j.jogn.2019.04.284.

O’hara, M. W. and Swain, A. M. (2009) ‘Rates and risk of postpartum depression—a meta-analysis’, International Review of Psychiatry, 8(1), pp. 37–54. doi: 10.3109/09540269609037816.

O’Hara, M. W. and Wisner, K. L. (2014) ‘Perinatal mental illness: Definition, description and aetiology’, Best Practice and Research: Clinical Obstetrics and Gynaecology. Elsevier Ltd, 28(1), pp. 3–12. doi: 10.1016/j.bpobgyn.2013.09.002.

O’Mahen, H. A. et al. (2013) ‘Internet-based behavioral activation-Treatment for postnatal depression (Netmums): A randomized controlled trial’, Journal of Affective Disorders. Elsevier, 150(3), pp. 814–822. doi: 10.1016/j.jad.2013.03.005.

Phoosuwan, N., Eriksson, L. and Lundberg, P. C. (2018) ‘Antenatal depressive symptoms during late pregnancy among women in a north-eastern province of Thailand: Prevalence and associated factors’, Asian Journal of Psychiatry. Elsevier B.V., 36, pp. 102–107. doi: 10.1016/j.ajp.2018.06.012.

Poreddi, V. et al. (2020) ‘Knowledge and attitudes of family members towards postpartum depression’, Archives of Psychiatric Nursing. Elsevier, 34(6), pp. 492–496. doi: 10.1016/j.apnu.2020.09.003.

Pratiwi, C. S. (2019) Seperempat ibu depresi setelah melahirkan, tapi penanganannya belum optimal. Mengapa? Available at: https://theconversation.com/seperempat-ibu-depresi-setelah-melahirkan-tapi-penanganannya-belum-optimal-mengapa-117205 (Accessed: 29 March 2022).

Pugh, N. E., Hadjistavropoulos, H. D. and Dirkse, D. (2016) ‘A randomised controlled trial of Therapist-Assisted, Internet-delivered Cognitive Behavior Therapy for women with maternal depression’, PLoS ONE, 11(3), pp. 1–13. doi: 10.1371/journal.pone.0149186.

Sanchiz, M. et al. (2017) ‘Searching for information on the web: Impact of cognitive aging, prior domain knowledge and complexity of the search problems’, Information Processing and Management, 53(1), pp. 281–294. doi: 10.1016/j.ipm.2016.09.003.

Scott, A. J., Webb, T. L. and Rowse, G. (2015) ‘Self-help interventions for psychosis: A meta-analysis’, Clinical Psychology Review. Elsevier B.V., pp. 96–112. doi: 10.1016/j.cpr.2015.05.002.

Shorey, S. et al. (2019) ‘Evaluation of a technology-based peer-support intervention program for preventing postnatal depression (Part 1): Randomized controlled trial’, Journal of Medical Internet Research, 21(8). doi: 10.2196/12410.

Sriatmi, A. et al. (2020) ‘Dapatkah Kelas Ibu Hamil Model Virtual Meningkatkan Praktik Pencegahan Risiko Tinggi Kehamilan ?’, Media Penelitian dan Pengembangan Kesehatan, 30(1), pp. 1–14. doi: 10.22435/mpk.v30i1.2985.

Tabb, K. M. et al. (2020) ‘Racial differences in immediate postpartum depression and suicidal ideation among women in a Midwestern delivery hospital’, Journal of Affective Disorders Reports. Elsevier B.V., 1(September), p. 100008. doi: 10.1016/j.jadr.2020.100008.

Trivedi, D. (2014) ‘Cochrane Review Summary: psychosocial and psychological interventions for preventing postpartum depression’, Primary health care research & development, pp. 231–233. doi: 10.1017/S1463423614000206.

Tulak, L. A., Yusriani, Y. and Idris, F. P. (2019) ‘The Coping Mechanism (Source) in Mothers Who Have Baby Blues Syndrome In The Hospital. Elim Rantepao’, Window of Health : Jurnal Kesehatan, 2(2), pp. 106–115. doi: 10.33368/woh.v0i0.132.

WHO (2021) Depression. Available at: https://www.who.int/news-room/fact-sheets/detail/depression (Accessed: 29 March 2022).

Williams, J. (2014) Best Practice Guidelines for Mental Health Disorders in the Perinatal Period.

Zamani, P. et al. (2019) ‘The correlation between perceived social support and childbirth experience in pregnant women’, Midwifery. Elsevier Ltd, 75(2019), pp. 146–151. doi: 10.1016/j.midw.2019.05.002.

Zhang, Y. et al. (2021) ‘Development and validation of a machine learning algorithm for predicting the risk of postpartum depression among pregnant women’, Journal of Affective Disorders. Elsevier B.V., 279(June 2020), pp. 1–8. doi: 10.1016/j.jad.2020.09.113.

Zheng, X., Morrell, J. and Watts, K. (2018) ‘Changes in maternal self-efficacy, postnatal depression symptoms and social support among Chinese primiparous women during the initial postpartum period: A longitudinal study’, Midwifery. Elsevier Ltd, 62(April), pp. 151–160. doi: 10.1016/j.midw.2018.04.005.

van Zoonen, K. et al. (2014) ‘Preventing the onset of major depressive disorder: A meta-analytic review of psychological interventions’, International Journal of Epidemiology, 43(2), pp. 318–329. doi: 10.1093/ije/dyt175.




DOI: https://doi.org/10.22146/jkesvo.75933

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