Kejadian Postpartum Blues pada Ibu Postpartum di RS PKU Muhammadiyah Yogyakarta

2020 ◽  
Vol 7 (2) ◽  
pp. 203-212
Author(s):  
Dwi Ernawati ◽  
Wa Ode Merlin ◽  
Ismarwati Ismarwati

Postpartum blues dikategorikan sebagai sindroma gangguan mental ringan yang sering dialami oleh wanita pasca persalinan  sehingga sering tidak dipedulikan, tidak terdiagnosa dan tidak tertangani, apabila postpartum blues ini tidak sembuh selama 2 minggu maka akan berubah menjadi postpartum depression dan postpartum psycosis. Penelitian ini bertujuan untuk mengetahui gambaran kejadian postpartum blues pada ibu postpartum. Desain penelitian yang digunakan deskriptif kuantitatif dengan pendekatan waktu cross sectional. Tempat penelitian di RS PKU Muhammadiyah Yogyakarta. Jumlah sampel 30 responden dengan teknik pengambilan sampel quota sampling. Analisa data menggunakan analisis univariate. Hasil penelitian ini menunjukkan bahwa sebagian responden mengalami  postpartum blues (53,3%) dengan resiko sedang mengalami depresi postpartum (43,3%) dan resiko berat untuk mengalami depresi postpartum (10%). Pada penelitian ini didapatkan 53,3% dari seluruh ibu postpartum di RS PKU Muhammadiyah Yogyakarta mengalami postpartum blues. Rekomendasi dari penelitian ini adalah adanya skrining postpartum blues oleh tenaga kesehatan sebelum ibu nifas di perbolehkan pulang dan ada kunjungan nifas bagi ibu ibu yang terdeteksi postpartum blues saat di rumah sakit. Postpartum blues is categorized as a mild mental disorder syndrome that is often experienced by postpartum women so that it is often ignored, undiagnosed and untreated, if the postpartum blues is not healed for 2 weeks it will turn into postpartum depression and postpartum psycosis. This study aims to determine the description of the incidence of postpartum blues in postpartum mothers. The research design used is quantitative descriptive with cross sectional time approach. Research site at PKU Muhammadiyah Hospital Yogyakarta. The number of samples was 30 respondents with a quota sampling technique. Data analysis uses univariate analysis. The results of this study indicate that some respondents experienced postpartum blues (53.3%) with a moderate risk of experiencing postpartum depression (43.3%) and a severe risk for experiencing postpartum depression (10%). Conclusions and Recommendations from the results of the above study it can be concluded that 53.3% of all postpartum mothers in PKU Muhammadiyah Yogyakarta Hospital experienced postpartum blues. The recommendation of this study is that health workers related to postpartum mothers should pay more attention to psychological adaptation of postpartum mothers and to be able to overcome the problems of postpartum blues

2020 ◽  
Vol 1 (1) ◽  
pp. 61-70
Author(s):  
Agnes Mahayanti ◽  
Intansari Nurjannah ◽  
Widyawati

Background: The postpartum period was a physical and psychological adaptation process. Psychological disturbances could present in form of postpartum blues, postpartum depression, and postpartum psychosis. Objective: The objective of this research was to determine the incidence of postpartum depression, identify predictors of postpartum depression and identify the dominant predictors of postpartum depression. Methods: this research used a cross sectional design. Sample were pregnant women which were chosen by random sampling technique. Data was collected with questionnaire to measure the predictors of postpartum depression was carried out with the Revision Postpartum Depression Predictors Inventory (PDPI) questionnaire and to measure depression scores used with the Edinburgh Postnatal Depression Scale (EPDS). Data analysis was done by univariate and bivariate analysis with with chi-square statistical tests and multivariate with logistic regression tests. Results: The results showed that the significant predictors were economic status, self-esteem, marital satisfaction, postpartum blues, and prenatal depression. The dominant predictor factor is satisfaction in marriage with a t value of 2.778 times. Conclusion: The results of the study show that marital satisfaction is a dominant predictor of postpartum depression, indicating that marital satisfaction or relationship quality is one of the important support systems because of the need for partner involvement in care actions during the pregnancy period until with the puerperium as efforts to prevent postpartum depression.     Keywords: postpartum depression, postpartum period, postpartum bues


2018 ◽  
Vol 4 (2) ◽  
pp. 91-101
Author(s):  
Tonasih Tonasih ◽  
Vianty Mutya Sari

The process of psychological adaptation has occurred during pregnancy, before the birth process and after childbirth. In that period, the anxiety of a woman can increase. Unique experience experienced by the mother after delivery as many as 85% of women experience mood disorders or mood after childbirth that can affect many things, especially responses or acceptance of newborns. (Saleha, 2013). This study aims to determine the relationship between postpartum maternal characteristics with postpartum blues events in Harjamukti District Work Area Cirebon City Year 2018. The type of this research is analytical with cross sectional approach. The population in this study is postpartum mothers 1-40 days found in Work Area Kecamatan Harjamukti City Cirebon period 1-20 January 2018 as many as 41 postpartum mothers. The result of the research is based on chi square statistic test obtained by the age of ρ value of 0,345, education with value ρ 0,499, job with value ρ equal to 0,448, parity with value ρ equal to 0,543 and family support with value ρ equal to 0,148 meaning that age, work, parity and family support have no significant relationship with postpartum blues events. Conclusion There was no significant relationship between maternal age, education, occupation, parity and family support with postpartum blues events. It is therefore necessary to monitor the health of the postpartum either through home visits by health workers or visits to health facilities by postpartum mothers to recognize early blues and anticipate and handle postpartum blues so as not to continue into depression.


2019 ◽  
Vol 1 (2) ◽  
pp. 35-40
Author(s):  
Evalina Manurung

ABSTRACT In Indonesia it was originally estimated that the incidence rate was lower or lower than other countries or communities in other countries. The purpose of this study was to analyze the relationship of self-concept to postpartum depression in RSU Sembiring Deli Tua in 2018.The type of research used was analytical with cross-sectional approach. The nonprobability sampling technique with consecutive sampling with a population of mothers giving birth in 2017 was 759 people. The statistical test results that using the Chi-Square test obtained a Probability value (P) = 0.001 <0.05 there was a significant effect between Self-image / body image and postpartum depression, there was a significant effect between Ideal Self and the incidence of postpartum depression (P) = 0.006 <0.05, there is a significant effect between Self-Esteem and postpartum depression (P) = 0.002 <0.05, there is a significant effect between Self Identity and postpartum depression Probability (P) = 0.010 <0.05.It is necessary to improve the application of health counseling by asking the mother what is the hope of a pregnant woman with her pregnancy. So that some precipitating factors can be prevented that can lead to depression in the mother after giving birth at RSU Sembiring Deli Tua. It is expected that health workers to inform closestpeople to postpartum mothers, and also it is expected to provide support to mothers that make mothers feel acceptance of themselves, and postpartum mothers feel the guarantee of safety and protection and confidence.  


2020 ◽  
Vol 9 (2) ◽  
pp. 1329-1337
Author(s):  
Nina Zuhana ◽  
Lia Dwi Prafitri ◽  
Wahyu Ersila

This research aims to find out the picture of maternal anxiety before sectio caesarean at Muhammadiyah Pekajangan Islamic Hospital Pekalongan. This research is a quantitative descriptive study using a cross sectional approach. The population in this study was mothers who gave birth in pre-caesarean sections at The Islamic Hospital Muhammadiyah Pekajangan Pekalongan. Sampling technique using quota sampling type, which is 30 respondents who meet inclusion criteria and do not drop out. Data collection using the T-MAS questionnaire (Taylor Anxiety Scale) method of data collection with interviews. The results found that 100% of respondents experienced anxiety and Most (70%) have severe anxiety before SC surgery. It is hoped that health workers especially midwives can provide information and provide positive support that can reduce the anxiety of clients before surgery sectio caesaria


2021 ◽  
Vol 3 (2) ◽  
pp. 109-121
Author(s):  
Andi Fawiloy ◽  
Vistra Veftisia

Jumlah  AKI  (Angka  Kematian   Ibu)  di  Indonesia   masih  tergolong tinggi jika dibandingkan  dengan Negara  Asia Tenggara  lainnya. Salah Satu Program pemerintah  dalam  menurunkan  AKI  yaitu pemberian  Buku  KIA  pada  Setiap  ibu hamil. Hasil  dari  studi  pendahuluan   yang  dilakukan  di Klinik  Ramlah  Parjib  Kota  Samarinda pada   10  ibu  hamil  didapatkan   bahwa  4  responden   mengetahui   tentang  tanda   bahaya kehamilan. 4 orang responden   lainnya tidak mengetahui tentang  pemeriksaan  kehamilan secara teratur,  dan perawatan  kehamilan  sehari-hari serta makanan  pada ibu hamil, dan 2 responden sama sekali tidak dapat menyebutkan tanda bahaya kehamilan, pemeriksaan kehamilan  secara teratur   dan perawatan   kehamilan  sehari-hari serta makanan  ibu hamil. Tujuan  dari  penelitian  ini  yaitu  untuk  mengetahui   Gambaran   Pengetahuan  Ibu  Hamil tentang  isi Buku KIA di Klinik Ramlah  Parjib Kota Samarinda  Tahun 2020. Jenis  penelitian   Deskriptif    kuantitatif dengan   rancangan   penelitian   Cross Sectional. Jumlah  Populasi  118  dan jumlah  sampel  43 responden,  menggunakan teknik accidental sampling. Instrumen  penelitian menggunakan   kuesioner, dan analisis  data menggunakan  Analisis Univariat  frekuensi  dan persen. Hasil Penelitian didapatkan pengetahuan Ibu Hamil tentang pemeriksaan kehamilan secara teratur sebagian besar dalam kategori cukup yaitu sebanyak 33 responden (76,7%), Tanda Bahaya Pada Kehamilan sebagian besar dalam kategori baik sebanyak 33 responden (76,7%), Perawatan Sehari-hari Ibu Hamil dan Porsi Makanan Ibu Hamil sebagian besar dalam kategori baik sebanyak 38 responden (88,4%). Simpulan Gambaran Pengetahuan Ibu Hamil tentang Isi Buku KIA di Klinik Ramlah Paijib Kota Samarinda sebagian besar dalam kategori baik yaitu sebanyak 30 responden (69,8), Diharapkan tenaga kesehatan perlu memberikan informasi tentang Pemeriksaan kehamilan secara teratur pada ibu hamil dan membaca isi buku KIA. ABSTRAK The number of MMR (Thu Mortality Rate) in Indonesia is still relatively high when compared to other Southeast Asian countries. One of the government's programs in reducing MMR is the provision of MCH Handbooks to every pregnant woman. The results of a preliminary study conducted at the Ramlah Parjib Clinic, Samarinda City on 10 pregnant women, it was found that 4 respondents knew about the danger signs of pregnancy. The other 4 respondents did not know about regular pregnancy checkups, and daily prenatal care and food for pregnant women, and 2 respondents could not at all mention the danger signs of pregnancy, regular pregnancy check-ups and daily prenatal care and food for pregnant women. The purpose of this study was to find out the Description of Pregnant Women's Knowledge about the contents of the MCH Handbook at the Ramlah Parjib Clinic, Samarinda City in 2020. The type of research is quantitative descriptive with a cross sectional research design. The total population is 118 and the sample size is 43 respondents, using accidental sampling technique. The research instrument used a questionnaire, and data analysis used Univariate analysis of frequency and percent. The results showed that the knowledge of pregnant women about regular pregnancy check-ups was mostly in the sufficient category, namely 33 respondents (76.7%), the danger signs in pregnancy were mostly in the good category, as many as 33 respondents (76.7%), daily care Pregnant women and the portion of food for pregnant women are mostly in the good category as many as 38 respondents (88.4%). Conclusion Description of Pregnant Women's Knowledge of the Contents of the MCH Handbook at the Ramlah Paijib Clinic, Samarinda City, mostly in the good category, as many as 30 respondents (69.8). It is expected that health workers need to provide information about regular pregnancy check-ups for pregnant women and read the contents of the book KIA


2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Amalia Nabillah Hasna ◽  
Murwati Murwati ◽  
Dewi Susilowati

Abstract Background : Postpartum mothers who fail to adjust to their new role can experience postpartum blues. Physical fatigue due to the activity of babysitting, breastfeeding, bathing the baby, cradling the baby at any time can cause maternal rest so that the mother's sleep/ rest can be disrupted. Rest/ sleep that is sufficient can reduce the occurrence of postpartum blues in postpartum mothers. Method: This study is an analytical study with a cross sectional approach. The population in this study were all postpartum mothers in the working area of Karangmalang Sragen health center. The sampling technique was purposive sampling and a sample of 31 postpartum mothers from day 3 to day 10 was obtained which had a history of spontaneous normal labor. Univariate analysis with frequency distribution and bivariate analysis with Rankspearman statistical test. The results of this study were the age of respondents at most,namely age 20-35 years 90.3%, multipara mothers 54.8%, respondents with secondary education 61.3%, mothers working at home 77.4%, severe sleep disorders 25.8%, experienced postpartum blues 32.3%. Result: The results of Rank-spearman statistical test can be concluded p value = 0,000 and r value of 0.812. onclusion: The conclusion is that there is a relationship between postpartum blues sleep disturbance in the working area of Karangmalang Sragen Health Center.


2021 ◽  
Vol 1 (2) ◽  
pp. 170-181
Author(s):  
Nurhafiza Fiza(Fiza) ◽  
Aldiga Rienarti Abidin ◽  
Arief Wahyudi

ABSTRAK Keberhasilan suatu rumah sakit dipengaruhi oleh tenaga kesehatan atau sumber daya manusia yang disiplin, yang mencerminkan kesadaran dan kesediaan mentaati semua peraturan perusahaan dan norma-norma sosial yang berlaku. Faktor-faktor yang mempengaruhi disiplin  kerja diantaranya ketepatan waktu, pemanfaatan sarana, balas jasa, tanggung jawab dan ketaatan terhadap aturan. Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan disiplin kerja karyawan non medis di Rumah Sakit Pekanbaru Medical Center. Jenis penelitian kuantitatif dengan desain analitik Cross Sectional study.Populasi dalam penelitian ini adalah seluruh tenaga non medis di Rumah Sakit Pekanbaru Medical Center (PMC) yang berjumlah 70 orang . Teknik sampling yang digunakan adalah teknik total sampling. Analisis Univariat dilakukan untuk mendeskripsikan karakter masing-masing variabel yang diteliti, sedangkan analisis Bivariat dilakukan untuk mengetahui hubungan kedua variabel independen dan dependen. teladan pemipin P value 0.016, balas jasa P value 0.000, keadilan P value 0.000, pengawasan melekat P value 0.011, sanksi hukuman P value 0.008 dengan disiplin kerja. Ada hubungan antara teladan pemipin, balas jasa, keadilan, sanksi hukuman. Di sarankan agar Rumah Sakit Pekanbaru Medical Center (PMC) dapat meningkatkan penerapan prinsip keadilan dalam lingkungan kerjanya untuk dapat meningkatkan disiplin kerja karyawan ABSTRACT The success of a hospital is influenced by health workers or human resources who are disciplined, which reflects the awareness and willingness to obey all company regulations and applicable social norms. Factors affecting work discipline include timeliness, utilization of facilities, remuneration, responsibility and adherence to rules. The purpose of this study was to determine the factors related to the work discipline of non-medical employees at Pekanbaru Medical Center Hospital. This type of quantitative research is analytic cross sectional study design. The population in this study is all non-medical staff at Pekanbaru Medical Center Hospital, amounting to 70 people. The sampling technique used was total sampling technique. Univariate analysis was carried out to describe the character of each variable under study, while Bivariate analysis was carried out to see the relationship between the two independent and dependent variables. leadership models P value 0.016, reward P value 0.000, fairness P value 0.000, supervision attached P value 0,11, sanctions P value 0.008. There is a relationship between leadership models, reward, fairness, supervision attached, sanctions. it is recommended that Pekanbaru Medical Center Hospital to increase the implementation of fairness principle in the work environment in order to improve employee’s discipline Pekanbaru Medical Center Hospital  


2019 ◽  
Vol 3 (1) ◽  
pp. 114-122
Author(s):  
Siti Patonah ◽  
Dwi Agung Susanti ◽  
Dara Dwifa Anggraita

Background: Many mothers do not know about the benefits of Breast Crawl. Often mothers have an improper understanding, such as not having to breastfeed the baby because the breast milk has not come out or because the milk that comes out first and yellow is the dirt and stale.Purpose: The purpose of this research is to know the relationship of postpartum knowledge about Breast Crawl in newborn with the smoothness of milk production.Method: This research use analytical method with cross sectional approach. The study was conducted on May 29 to June 23, 2018. The population in this study were all post partum mothers in Sri Widayati Wiwik BPS, SST Tanggungan Ngraho Sub-district Bojonegoro Regency in 2018 as many as 22 people, the sample size of 22 postpartum women was taken by purposive sampling technique. The instrument used is a questionnaire, then performed data processing through editing, coding, scoring and tabulating and analysis of data with Cross tables.Results: The results showed that 22 postpartum mothers in BPS Wiwik Sri Widayati, SST Tanggungan Ngraho Sub-district Bojonegoro Regency is knowledgeable good of 11 people, more than half the smoothness of breast milk production smoothly for 14 people (63,64%).Conclusion: There is relation of maternal knowledge about Breast Crawl on newborn with smoothness of breast milk production at BPS Wiwik Sri Widayati, SST Tanggungan Ngraho Sub-district Bojonegoro Regency. From the results of this study should postpartum mother can improve knowledge especially about Breast Crawl in newborn by coming to counseling conducted by health workers at Maternal & Child Health Centre every month


2018 ◽  
Vol 1 (1) ◽  
pp. 78
Author(s):  
Maya Atikasuri ◽  
Henny Suzana Mediani ◽  
Nita Fitria

Masalah kenakalan remaja telah menjadi salah satu masalah pokok yang dihadapi oleh Indonesia. Kejadian dan kualitas kenakalannya terus meningkat hingga menjurus pada tindak kriminalitas yang menyebabkan remaja terjerat di ranah hukum. Stigma negatif di masyarakat yang diberikan kepada mantan tahanan membuat Andikpas enggan keluar dari LPKA dan cenderung merasakan kecemasan menjelang masa kebebasannya, terlebih lagi usia remaja merupakan usia dimana keadaan emosional dan psikologis yang belum stabil membuat remaja mudah mengalami kecemasan dan berdampak tidak baik jika terus dibiarkan. Tujuan dari penelitian ini adalah untuk mengetahui gambaran tingkat kecemasan pada Andikpas menjelang bebas di LPKA Kelas II Bandung.Metode penelitian yang digunakan adalah deskriptif-kuantitatif dan teknik consecutive sampling dengan populasi Andikpas menjelang bebas sebanyak 56 orang. Instrumen yang digunakan adalah Zung’s Self-Rating Anxiety Scale (ZSAS) dengan skala likert.Hasil penelitian menunjukkan bahwa dari 56 Andikpas yang diteliti hampir setengahnya yaitu 25 Andikpas (44,64%) tidak mengalami kecemasan, sementara sebagian besar Andikpas yang mengalami kecemasan yaitu 19 Andikpas (33,93%) mengalami kecemasan ringan-sedang, dan sebagian kecil yaitu sebanyak 9 Andikpas (16,07%) mengalami kecemasan berat, serta yang paling sedikit yaitu sebanyak 3 Andikpas (5,35%) mengalami panik.Simpulan dari penelitian ini adalah bahwa hampir setengahnya dari Andikpas yang diteliti tidak mengalami kecemasan, namun lebih dari setengahnya juga Andikpas pada penelitian ini mengalami kecemasan baik dari tingkatan ringan sampai dengan panik. Peningkatan program pembinaan dan konseling serta pemberdayaan tenaga kesehatan di LPKA sangat dibutuhkan agar dapat menurunkan tingkat kecemasan pada Andikpas.Kata kunci : Andikpas, kenakalan remaja, menjelang bebas, tahanan. Description of Anxiety Disorder among Inmate 14–18 Years Old Pre Release at Lembaga Pembinaan Khusus Anak Class IIAbstractJuvenile delinquency has become one of the main problems in Indonesia. The incidence and mischievousness quality increase which is lead to crime action. This situation may cause adolescent entangled in the realm of law. The negative stigma in society given to inmates former make inmate reluctant to get out of LPKA and tends to feel anxiety ahead of their pre-release. Adolescent is a phase of a transitional period from children into adulthood where emotional and psychological states are not stable, and anxiety is need to be noticed. Moreover, psychological burden that experienced by adolescent was harder when they lived in LPKA. This study aims to identify anxiety scale of pre-release juvenile inmates at LPKA Class II Bandung.This study use quantitative descriptive research with cross-sectional approach and consecutive sampling technique with 56 pre-release juvenile inmates as population and used Zung’s Self-Rating Anxiety Scale (ZSAS) with Likert Scale as data analyze. The result showed that 25 Andikpas (44.64%) did not experience anxiety, then most of them experienced anxiety with the explenation: 19 Andikpas (33,93%) experience mild-moderate anxiety, 9 Andikpas (16.07%) experiencing severe anxiety, and 3 Andikpas (5.35%) experiencing panic.The conclusion of this study is the level of anxiety experienced by Andikpas is nearly half of Andikpas did not experience anxiety, but more than half of Andikpas in this study experienced anxiety either from mild to panic levels. Improvement of coaching and counseling programs and the empowerment of health workers in LPKA is needed to reduce the level of anxiety in Andikpas.Keyword: Andikpas, inmates, juvenile delinquency, pre-release.


2017 ◽  
Vol 4 (3) ◽  
pp. 192-195
Author(s):  
Romaji Romaji

The public who need the health service also expect a good, quick, friendly and polite service. It is the manifestation of the health officers’ performance which would be judged by the public. A good performance will satisfy the public. The objective of this research was to know the relation between the health officers’ performance and the public satisfaction of Puskesmas Adan-Adan’s health service in Kediri Regency 2017.The design of this research was correlational analytics with cross sectional approach. The population was all Puskesmas Adan-Adan’s service users and 100 respondents were taken as samples by quota sampling technique. The independent variable was the health officers’ performance and the dependent variable was the public’s satisfaction of the health service, and all data was analyzed with Spearman Correlation Test. The research showed that 76 respondents (76%) had a good perception of the health officers’ performance, 55 respondents (55.6%) of totally 100 respondents felt very satisfied of the health service, and there was a relation between the health officers’ performance and the public’s satisfaction of the health service (p value = 0.000 < 0.05 H0 was rejected). The relation level was strong and positive (Correlation coefficient = 0.717), it means the better the health officers’ performance is, the more satisfied of the health service the public will be and vice versa. Because with good health officers’ performance the expectation of good service will have been fulfilled.The conclusion was the health officers’ performance would become the most dominant factor to manifest the public’s satisfaction of the health service. The health officers were recommended to maintain their performances of health service in order to achieve the public’s satisfaction.


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