Depresi Ibu Hamil setelah Intervensi Guided Imagery

https://doi.org/10.22146/jkr.70136

Soetrisno Soetrisno(1*), Sinta Dyah Amrih Lestari(2), M Fanani M Fanani(3), Hafi Nurinasari(4)

(1) Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Sebelas Maret/ RSUD Dr. Moewardi Surakarta
(2) Bagian Psikiatri Fakultas Kedokteran Universitas Sebelas Maret/ RSUD Dr. Moewardi Surakarta
(3) Bagian Psikiatri Fakultas Kedokteran Universitas Sebelas Maret/ RSUD Dr. Moewardi Surakarta
(4) Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Sebelas Maret/ RSUD Dr. Moewardi Surakarta
(*) Corresponding Author

Abstract


Latar Belakang : Sebuah penelitian menunjukan prevalensi depresi antepartum, sebesar 26,6 %. Depresi selama kehamilan terbukti menghasilkan perinatal yang tidak diingikan misalnya persalinan premature, berat badan bayi lahir rendah, preeklamsia, bayi lahir dengan Apgar, Apgar skor pada 1 dan 5 menit rendah. Korteks adrenal mengeluarkan kortisol sebagai respons terhadap ACTH, ritme diurnal, dan stres. Guided imagery teknik relaksasi dengan menggunakan kata-kata dan suara menenangkan; mengarahkan pengguna membayangkan keadaan psikologis atau fisiologis dengan santai.

Tujuan Penelitian : Menganalisis pengaruh guided imagery terhadap depresi dan kadar kortisol ibu hamil di poli rawat jalan Obstetri Rumah Sakit dr. Moewardi (RSDM/ FK UNS) Surakarta.

Metode : Penelitian eksperimental, dengan pretest – posttest control group design. Subjek penelitian ibu hamil, memenuhi kriteria inklusi dan eksklusi. Pengambilan subyek dengan purposive sampling, didapatkan 34 subyek, 17 sebagai kelompok perlakuan, diberikan guide imagery dan terapi standar sedang 17 kontrol, hanya diberikan terapi standar. Dilakukan pemeriksaan skor depresi dengan Hamilton Rating Scale For Depression (HRSD) dan kadar kortisol darah, sebelum dan sesudah perlakuan. Data dianalisis dengan uji t memakai spss 16,0

Hasil: Selisih perubahan skor HDRS posttest-pretest kelompok perlakuan 4,88±1,90 dan kontrol 1,18±1,47, dengan nilai p = 0,000 (p < 0,05) berarti terdapat perbedaan signifikan rerata skor depresi antara kelompok perlakuan dan kontrol. Selisih perubahan skor kadar kotisol posttest-pretest kelompok perlakuan 3,28±1,34 dan kontrol 0,70±1,22, dengan nilai p = 0,000 (p < 0,05) berarti terdapat perbedaan signifikan rerata skor kadar kortisol antara kelompok perlakuan dan kontrol.

 

Simpulan : Penelitian menunjukan bahwa guided imagery berpengaruh baik terhadap depresi dan kadar kortisol pada ibu hamil.

 

Kata kunci : Guided imagery, ibu hamil, depresi, kortisol

 


Keywords


Guided imagery; ibu hamil; depresi; kortisol

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References

  1. Gadanya, M. A., Abulfathi, A. A., & Ahmad, F. A. (2018). Anxiety and depression in pregnancy: prevalence and associated risk factors among pregnant women attending antenatal clinic in Aminu Kano Teaching Hospital Kano, Nigeria. Annals of African Medical Research, 1(1)
  2. De Jesus Silva, M. M., Peres Rocha Carvalho Leite, E., Alves Nogueira, D., & Clapis, M. J. (2016). Depression in pregnancy. Prevalence and associated factors. Investigación y educación en enfermería, 34(2), 342-350.
  3. Sharma, R., Thapa, P., Chakrabortty, P. K., Khattri, J. B., & Ramesh, K. (2019). Depression In Pregnancy: Prevalence And Clinical Correlates. Journal of Psychiatrists' Association of Nepal, 8(2), 30-35.
  4. Grigoriadis, S., VonderPorten, E. H., Mamisashvili, L., Tomlinson, G., Dennis, C. L., Koren, G., ... & Martinovic, J. (2013). The impact of maternal depression during pregnancy on perinatal outcomes: a systematic review and meta-analysis. The Journal of clinical psychiatry.
  5. Szegda K, Markenson G, Bertone-Johnson ER, Chasan-Taber L. Depression during pregnancy: a risk factor for adverse neonatal outcomes? A critical review of the literature. J Matern Neonatal Med. 2014;27(9):960-967. doi:10.3109/14767058.2013.845157
  6. Jallo, N., Ruiz, R. J., Elswick, R. K., & French, E. (2014). Guided imagery for stress and symptom management in pregnant African American women. Evidence-based complementary and alternative medicine, 2014.
  7. DiPietro, J. A. (2012). Maternal stress in pregnancy: considerations for fetal development. Journal of adolescent health, 51(2), S3-S8.
  8. Kordi, M., Fasanghari, M., Asgharipour, N., & Esmaily, H. (2016). Effect of guided imagery on maternal fetal attachment in nulliparous women with unplanned pregnancy. Journal of Midwifery and Reproductive Health, 4(4), 723-731.
  9. Onieva-Zafra MD, García LH, del Valle MG. Effectiveness of Guided Imagery Relaxation on Levels of Pain and Depression in Patients Diagnosed With Fibromyalgia. Holist Nurs Pract. 2015;29(1):13-21. doi:10.1097/HNP.0000000000000062
  10. Payne. R. A., Donagty. M. (2010). Payne’s Handbook of Ralaxation techniques Fourth Edition. London: British Library
  11. Veen, C., Myint, A. M., Burgerhout, K. M., Schwarz, M. J., Schütze, G., Kushner, S. A., ... & Bergink, V. (2016). Tryptophan pathway alterations in the postpartum period and in acute postpartum psychosis and depression. Journal of affective disorders, 189, 298-305.
  12. Kaplan & Sadock. 2017. Kaplan & sadock’s comprehensive textbook of psychiatry 10th ed. Wolters Kluwer.
  13. Weigensberg MJ, Lane CJ, Winners O, et al. Acute effects of stress-reduction Interactive Guided Imagery(SM) on salivary cortisol in overweight Latino adolescents. J Altern Complement Med. 2009;15(3):297-303. doi:10.1089/acm.2008.0156
  14. Charalambous, A., Giannakopoulou, M., Bozas, E., & Paikousis, L. (2015). A randomized controlled trial for the effectiveness of progressive muscle relaxation and guided imagery as anxiety reducing interventions in breast and prostate cancer patients undergoing chemotherapy. Evidence-Based Complementary and Alternative Medicine, 2015.
  15. Urech, C., Fink, N. S., Hoesli, I., Wilhelm, F. H., Bitzer, J., & Alder, J. (2010). Effects of relaxation on psychobiological wellbeing during pregnancy: a randomized controlled trial. Psychoneuroendocrinology, 35(9), 1348-1355.
  16. Field, T., Diego, M. A., Hernandez-Reif, M., Schanberg, S., & Kuhn, C. (2004). Massage therapy effects on depressed pregnant women. Journal of Psychosomatic Obstetrics & Gynecology, 25(2), 115-122.



DOI: https://doi.org/10.22146/jkr.70136

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