Status Kesehatan Psikososial dengan Risiko Depresi pada Wanita Hamil pada Masa Pandemi Covid-19 di Kebumen

Wulan Rahmadhani(1*), Siti Mutoharoh(2), Kusumastuti Kusumastuti(3)
(1) Universitas Muhammadiyah Gombong
(2) Universitas Muhammdiyah Gombong
(3) Universitas Muhammadiyah Gombong
(*) Corresponding Author
DOI : 10.30604/jika.v7i1.774

Abstract

Pregnancy involved physiological and social changes, which mothers are expected to adapt to biopsychosocial changes. Failure to make such an adoption would be accompanied by an increased risk of prenatal depression in pregnant mothers. This research was to determine the relationship between psychosocial health and the risk of depression in pregnant mothers. This descriptive-analytic study was carried out on 540 pregnant (39 respondents in the first, 320 in the second, and 181 respondents third trimesters, respectively). The pregnant mother who attended the outpatient clinic and met the inclusion criteria were selected using haphazard sampling, as a non-probability sampling method. The data were collected through a researcher-made questionnaire, the Pregnancy Psychosocial Health Assessment Scale (PPHAS), and the Edinburgh Postnatal Depression Scale (EPDS). Data analysis was performed in SPSS using descriptive statistics, Mann-Whitney U test, and Kruskal Wallis test. The pregnant mother had a depression risk of 27.8% and a mean depression score of 9.99±2.81. The total mean score of PPHAS was obtained as 4.05±0.45. The risk of depression showed a statistically negative relationship with the total and sub-dimension mean scores of PPHAS, as well as the mean EPDS score (p less than 0.001). A pregnant mother with lower psychosocial health status was more likely to have a risk of depression. On another hand, the risk of depression in pregnant women was influenced by many factors that determine by their psychosocial health.



Abstrak: Kehamilan melibatkan perubahan fisiologis, psikologis, dan sosial dimana wanita hamil diharapkan untuk beradaptasi dengan perubahan biopsikososial. Kegagalan untuk beradaptasi dengan perubahan tersebut akan disertai dengan peningkatan risiko depresi prenatal pada wanita hamil. Penelitian ini bertujuan untuk mengetahui hubungan status kesehatan psikososial dengan risiko depresi pada wanita hamil. Penelitian deskriptif-analitik ini melibatkan 540 wanita hamil (masing-masing 39, 320, dan 181 kasus pada trimester pertama, kedua, dan ketiga) di Kebumen. Wanita hamil yang berobat jalan di poliklinik dan memenuhi kriteria inklusi dipilih dengan menggunakan metode non-probability random sampling. Pengumpulan data dilakukan dengan menggunakan kuesioner yang disusun berdasarkan Pregnancy Psychosocial Health Assessment Scale (PPHAS) dan Edinburgh Postnatal Depression Scale (EPDS). Kemudian, data dianalisis dengan software SPSS menggunakan statistik deskriptif yaitu uji Mann-Whitney U dan uji Kruskal Wallis. Wanita hamil memiliki risiko depresi mencapai 28,2% dan rerata skor depresi sebesar 9,41±4,8. Total skor rata-rata PPHAS mencapai 4,05 ± 0,45. Risiko depresi menunjukkan hubungan negatif secara statistik dengan skor rata-rata total dan subdimensi PPHAS, serta skor rata-rata EPDS (p kurang dari 0,001). Wanita hamil dengan status kesehatan psikososial rendah lebih berisiko mengalami depresi. Dengan kata lain, risiko depresi pada wanita hamil dipengaruhi oleh faktor-faktor yang menentukan kesehatan psikososial mereka.

Keywords


Pregnant Mothers; Depression Pregnancy; Psychosocial Health

References


Alqahtani, A. H. et al. (2018) ‘Anxiety and depression during pregnancy in women attending clinics in a University Hospital in Eastern province of Saudi Arabia: Prevalence and associated factors’, International Journal of Womens Health, 10, pp. 101–108. doi: 10.2147/IJWH.S153273.

Anderson, F. M. et al. (2017) ‘Prevalence and risk of mental disorders in the perinatal period among migrant women: a systematic review and meta-analysis’, Archives of Womens Mental Health, 20(3), pp. 449–462. doi: 10.1007/s00737-017-0723-z.

Çankaya, S. (2020) ‘The effect of psychosocial risk factors on postpartum depression in antenatal period: A prospective study’, Archives of Psychiatric Nursing, 34(3), pp. 176–183. doi: 10.1016/j.apnu.2020.04.007.

Castro, P. et al. (2020) ‘Covid-19 and Pregnancy: An Overview’, Revista Brasileira de Ginecologia e Obstetricia, pp. 420–426. doi: 10.1055/s-0040-1713408.

Chairunnisa, A. and Fourianalistyawati, E. (2020) ‘Peran self-compassion dan spiritualitas terhadap depresi pada ibu hamil’, Jurnal Psikologi Ulayat, 6(1), pp. 14–36. doi: 10.24854/jpu83.

Choi, K. W. et al. (2019) ‘Mapping a Syndemic of Psychosocial Risks During Pregnancy Using Network Analysis’, International Journal of Behavioral Medicine, 26(2), pp. 207–216. doi: 10.1007/s12529-019-09774-7.

Cox, J., Holden, J. and Henshaw, C. (2021) ‘The Origins and Development of the Edinburgh Postnatal: Depression Scale’, in Perinatal Mental Health, pp. 17–26. doi: 10.1017/9781108617574.005.

Eddy Roflin, Iche Andriyani Liberty, P. (2021) ‘Populasi, Sampel, Variabel dalam PenelitianKedokteran’, https://www.google.com/search?q=populasi+adalah&safe=strict&rlz=1C1AVNG_enID660ID860&sxsrf=ALeKk02bV81CZsSyHi8Nv3yc11zrbj-VMA:1624272353536&source=lnms&tbm=bks&sa=X&ved=2ahUKEwjr-5mFxqjxAhVs8XMBHRqIBtoQ_AUoAnoECAEQBA, pp. 4–12.

Goyal, M. et al. (2021) ‘The effect of the COVID-19 pandemic on maternal health due to delay in seeking health care: Experience from a tertiary center’, International Journal of Gynecology and Obstetrics, 152(2), pp. 231–235. doi: 10.1002/ijgo.13457.

Kemenkes RI (2021) ‘Situasi Terkini Perkembangan (COVID-19)’, Kemenkes, (September), pp. 17–19. Available at: https://covid19.kemkes.go.id/download/Situasi_Terkini_050520.pdf.

Kemenkes RI, D. P. (2020) ‘Kementerian Kesehatan Republik Indonesia’, Kementerian Kesehatan RI, 5(1), pp. 1–114. Available at: https://www.kemkes.go.id/article/view/19093000001/penyakit-jantung-penyebab-kematian-terbanyak-ke-2-di-indonesia.html.

Khanghah, A. G., Khalesi, Z. B. and Rad, A. H. (2020) ‘The importance of depression during pregnancy’, Jornal Brasileiro de Reproducao Assistida, 24(4), pp. 405–410. doi: 10.5935/1518-0557.20200010.

Kusuma, R. (2019) ‘KARAKTERISTIK IBU YANG MENGALAMI DEPRESI DALAM KEHAMILAN’, Jurnal Akademika Baiturrahim Jambi, 8(1), p. 99. doi: 10.36565/jab.v8i1.107.

Lee, H. et al. (2021) ‘Trajectories of depressive symptoms and anxiety during pregnancy and associations with pregnancy stress’, International Journal of Environmental Research and Public Health, 18(5), pp. 1–12. doi: 10.3390/ijerph18052733.

Liu, Y. et al. (2017) ‘Association between depression during pregnancy and low birth weight in neonates: A meta analysis’, Chinese Journal of Contemporary Pediatrics, 19(9), pp. 994–998. doi: 10.7499/j.issn.1008-8830.2017.09.012.

Martínez-Paredes, J. F. and Jácome-Pérez, N. (2019a) ‘Depression in pregnancy’, Revista Colombiana de Psiquiatría (English ed.), 48(1), pp. 58–65. doi: 10.1016/j.rcpeng.2017.07.002.

Martínez-Paredes, J. F. and Jácome-Pérez, N. (2019b) ‘Depression in Pregnancy’, Revista Colombiana de Psiquiatria, pp. 58–65. doi: 10.1016/j.rcp.2017.07.003.

Ng, Q. X. et al. (2019) ‘A meta-analysis of the effectiveness of yoga-based interventions for maternal depression during pregnancy’, Complementary Therapies in Clinical Practice, 34, pp. 8–12. doi: 10.1016/j.ctcp.2018.10.016.

Ogbo, F. A. et al. (2018) ‘Determinants of antenatal depression and postnatal depression in Australia’, BMC Psychiatry, 18(1). doi: 10.1186/s12888-018-1598-x.

Rahmadhani, W. (2020) ‘KNOWLEDGE OF POSTPARTUM MOTHERS ON POSTPARTUM CARE IN HEALTHCARE CENTERS IN KEBUMEN’, Jurnal Ilmiah Kesehatan Keperawatan, 16(1), p. 28. doi: 10.26753/jikk.v16i1.379.

Rahmadhani, W. and Laohasiriwong, W. (2020) ‘Gender of baby and postpartum depression among adolescent mothers in central Java, Indonesia’, International Journal of Child & Adolescent Health, 13(1 PG-43-49), pp. 43–49. Available at: https://ezproxy.deakin.edu.au/login?url=http://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,sso&db=ccm&AN=145919839&site=ehost-live&scope=site NS -.

Ramadhani, H. S. et al. (2020) ‘COVID-19 pada Kehamilan : Apakah berbahaya ? COVID-19 in Pregnancy : Is it dangerous ?’, Medula, 10(2), pp. 318–323.

Ransing, R. et al. (2020) ‘Perinatal depression–knowledge gap among service providers and service utilizers in India’, Asian Journal of Psychiatry, 47. doi: 10.1016/j.ajp.2019.10.002.

RI, K. (2018) ‘profil Kemenkes RI’, Kementerian Kesehatan RI, p. 1. Available at: https://www.depkes.go.id/article/view/18030500005/waspadai-peningkatan-penyakit-menular.html%0Ahttp://www.depkes.go.id/article/view/17070700004/program-indonesia-sehat-dengan-pendekatan-keluarga.html.

Rini, M. A. W. (2014) ‘Pengaruh Faktor-Faktor Sosial Demografis dan Psikososial Pada Praktik Kesehatan Ibu Pramigravida Selama Kehamilan’, Jurnal Keperawatan Indonesia, 1(1), pp. 24–30. doi: 10.7454/jki.v1i1.72.

Russiska, R., Heriana, C. and Maryana, M. (2020) ‘HUBUNGAN TINGKAT KESIAPAN DAN DUKUNGAN SUAMI DENGAN DEPRESI SELAMA KEHAMILAN PADA IBU HAMIL DI PUSKESMAS CIWARU KABUPATEN KUNINGAN TAHUN 2018’, National Nursing Conference, 1(1), p. 23. doi: 10.34305/nnc.v1i1.129.

Setyaningsih, M. M., Setyowati, S. and Kuntarti, K. (2013) ‘Penurunan Kecemasan Ibu Hamil Risiko Tinggi Dalam Menghadapi Persalinan Melalui Paket “Harmoni”’, Jurnal Keperawatan Indonesia, 16(3), pp. 176–182. doi: 10.7454/jki.v16i3.328.

Shakeel, N. et al. (2015) ‘A prospective cohort study of depression in pregnancy, prevalence and risk factors in a multi-ethnic population’, BMC Pregnancy and Childbirth, 15(1). doi: 10.1186/s12884-014-0420-0.

Sunaryanti, S. S. H. and Iswahyuni, S. (2018) ‘PERBEDAAN TINGKAT RISIKO DEPRESI IBU HAMIL PRIMIGRAVIDA DAN MULTIGRAVIDA PADA TRIMESTER III USIA KEHAMILAN DI PUSKESMAS SIBELA SURAKARTA’, Avicenna : Journal of Health Research, 1(2). doi: 10.36419/avicenna.v1i2.235.

Wahyuni, S. et al. (2018) ‘Perceived stress dan sindrom depresi pada ibu primigravida’, Jurnal Ilmiah Bidan, III(2), pp. 21–28.

Wei, S. Q. et al. (2021) ‘The impact of COVID-19 on pregnancy outcomes: A systematic review and meta-analysis’, CMAJ, pp. E540–E548. doi: 10.1503/cmaj.202604.

WHO, D. of R. H. and R. (2016) ‘WHO recommendations on antenatal care for a positive pregnancy experience WHO Library Cataloguing-in-Publication Data WHO recommendations on antenatal care for a positive pregnancy experience’, I.World Health Organization. from World Health Organization, p. 152. Available at: http://apps.who.int/iris/bitstream/10665/250796/1/9789241549912-eng.pdf%0Ahttp://www.who.int.


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