PENGARUH DUKUNGAN SUAMI DAN BOUNDING ATTACHMENT DENGAN KONDISI PSIKOLOGI IBU POSTPARTUM

STUDI DI RSUD KABUPATEN TANGERANG TAHUN 2017

  • Lastri Mei Winarni Stikes Yatsi Tangerang
DOI: https://doi.org/10.61720/jib.v3i2.50
Keywords: Dukungan suami, Bounding Attachment, Psikologi Ibu Postpartum

Abstract

Masa nifas atau postpartum merupakan masa yang penuh stres kedua dibandingkan masa kehamilan bagi seorang ibu. Secara psikologi ibu nifas sering mengalami emosi yang labil, sedih dan mudah tersinggung, hal ini merupakan dasar terjadinya kelainan psikologik selanjutnya. Prevalensi depresi postpartum di Indonesia belum dikemukakan secara nasional, tetapi prevalensi depresi postpartum di Denpasar sekitar 20,5% dan di Kabupaten Jember sebesar 25%. Bounding attachment merupakan gambaran ikatan antara ibu dan bayi. Ikatan tersebut dibangun melalui interaksi antara ibu dan bayi. Ikatan antara ibu dan bayi ini membantu pengeluaran hormon oksitosin pada ibu yang dapat merangsang hormon anti stres. Tujuan penelitian ini adalah untuk mengetahui pengaruh dukungan suami dan bounding attachment dengan kondisi psikologi ibu postpartum di RSUD Kabupaten Tangerang Tahun 2017. Metode penelitian ini adalah deskriptif analitis. Populasi dalam penelitian ini adalah seluruh ibu yang melahirkan pada bulan Mei 2017 di RSUD Kabupaten Tangerang sejumlah 163 orang. Sampel yang diambil adalah sejumlah 116 ibu postpartum. Teknik pengambilan sampel menggunakan insidental sampling. Instrumen penelitian menggunakan kuesioner dukungan suami dan bounding attachment, serta Edinburgh Postpartum Depression Scale (EPDS). Analisis bivariat penelitian ini menggunakan  uji Chi Square dan analisis multivariat menggunakan Regresi Logistik. Analisis menggunakan Chi Square dengan software SPSS diketahui bahwa terdapat hubungan antara dukungan suami dengan kondisi psikologi ibu postpartum karena nilai p hasil uji < nilai p tabel (0,021<0,05) dan tidak terdapat hubungan antara perilaku bounding attachment dengan kondisi psikologi ibu postpartum karena nilai p hasil uji > nilai p tabel (0,372>0,05). Kekuatan hubungan berdasarkan analisis Regresi Logistik pada variabel dukungan suami adalah sebesar 0,305 (OR) dan bounding attachment 0,586 (OR). Berdasarkan hasil penelitian maka tenaga kesehatan dapat memberdayakan suami untuk memberikan dukungan kepada ibu postpartum untuk membantu mekanisme koping dalam mengatasi tingkat depresinya.

References

1. Hadijono SR. Ilmu Kebidanan. Jakarta: PT. Bina Pustaka Prawirohardjo; 2012.
2. Jordan S. Farmakologi Kebidanan. Jakarta: EGC; 2004.
3. Cunningham, Leveno, Bloom, Hauth, Rouse, Spong. Obstetri Williams. Jakarta: EGC; 2012.
4. O'HARA MW, REHM LP, CAMPBELL SB. Postpartum Depression: A Role for Social Network and Life Stress Variables. The Journal of Nervous and Mental Disease.
1983;171(6):336-41.
5. Hadijanto B. Ilmu Kebidanan Jakarta: PT. Yayasan Bina Pustaka Prawirohardjo; 2012.
6. Annur Hikmah Basri, Andi Zulkifli, Abdullah MT. Efektifitas Psikoedukasi Terhadap Depresi Postpartum Di RSIA Sitti Fatimah dan RSIA Pertiwi Makassar Tahun 2014.
Universitas Hasanudin. 2014.
7. I Komang Prayoga Ariguna Dira, Wahyuni AAS. Prevalensi dan Faktor Resiko Depresi Postprtum di Kota Denpasar Menggunakan Edinburgh Postnatal Depression Scale. E-Jurnal Medika.5:1-5.
8. Evawati A, Indriyani D, Yulis ZE. Hubungan Dukungan Suami Dengan Kejadian Postpartum Blues pad Ibu Primipara Usia Muda di Desa Ajung Kabupaten Jember.
Jember: Fakultas Kesehatan Universitas Muhammadiyah Jember.
9. Gondo HK. Skrinning Edinburgh Postnatal Depression Scale (EPDS) Pada Postpartum Blues Surabaya: Bagian Obstetri & Ginekologi Fakultas Kedokteran Universitas Wijaya Kusuma Surabaya 2016.
10. Lucky Windaningtyas, Ariana AD. Persepsi Terhadap Dukungan Suami Pada Primipara Yang Mengalami Depresi Pasca Melahirkan. Jurnal Psikologi Klinis dan Kesehatan Mental. 2016;5(1):1-10.
11. Xie R-H, He G, Koszycki D, Walker M, Wen SW. Prenatal Social Support, Postnatal Social Support, and Postpartum Depression. Annals of Epidemiology. 2009
2009/09/01/;19(9):637-43.
12. Waters E, Corcoran D, Anafarta M. Human Development : Attachment, Other Relationship, and The Theory that All Good Things Go Together. 2005.
13. Bicking Kinsey C, Hupcey JE. STATE OF THE SCIENCE OF MATERNAL-INFANT BONDING: A PRINCIPLE-BASED CONCEPT ANALYSIS. Midwifery. 2013;29(12):10.1016/j.midw.2012.12.019.
14. Lothian JA. Maternal-Infant Attachment, Naturally. The Journal of Perinatal Education. 1999 Fall;8(4):viii-xi.
15. Kerstin UM, Prime DK. Oxytocin effects in mothers and infants during breastfeeding. Infant. 2013;9(6):201-6.
16. Markus Heinrichs, Domes G. Neuropeptides and social behaviour: effects of oxytocin and vasopressin in humans. Progress in Brain Research. 2008;170.
17. Kusumastuti, Dyah Puji Astuti, Susi Hendriyati. Hubungan antara Karakteristik Individu dengan Depresi Postpartum di Rumah Sakit Umum Daerah Kebumen. Jurnal
Involusi Kebidanan. 2015;5(9):1-17.
18. Giulia M. Muraca, Joseph KS. The Association Between Maternal Age and Depression. J Obstet Gynaecol Can. 2014;36(9):803-10.
19. Susanti DL. Dukungan Suami dengan Kejadian Postpartum Blues pada Ibu Primipara di RSUD Bangil Pasuruan. Pasuruan; 2014.
20. Neha Gurudatt. Postpartum Depression in Working and Non-Working Women. International Proceedings of Economics Development and Research. 2014;78(14):69-
73.
21. Paulson JF, Dauber S, Leiferman JA. Individual and Combined Effects of Postpartum Depression in Mothers and Fathers on Parenting Behavior. Pediatrics. 2006;118(2):659-68.
22. Health NIOM. Postpartum Depression Facts. 2017 [cited; Available from: https://www.nimh.nih.gov/health/publications/postpartum-depression-facts/index.shtml
23. Ephraim H. The Impact of Postpartum Depression on the Mother-Child Relationship. 2017 [cited; Available from: https://wp.nyu.edu/steinhardt-appsych_opus/the-impact-of-postpartum-depression-on-the-mother-child-relationship/
24. O'Higgins M, Roberts IS, Glover V, Taylor A. Mother-child bonding at 1 year; associations with symptoms of postnatal depression and bonding in the first few weeks.
Arch Womens Ment Health. 2013 Oct;16(5):381-9.
25. Gürol A, Polat S. The Effects of Baby Massage on Attachment between Mother and their Infants. Asian Nursing Research. 2012 2012/03/01/;6(1):35-41.
Published
2018-08-30
How to Cite
1.
Winarni L. PENGARUH DUKUNGAN SUAMI DAN BOUNDING ATTACHMENT DENGAN KONDISI PSIKOLOGI IBU POSTPARTUM. Jurnal Ilmiah Bidan [Internet]. 30Aug.2018 [cited 20Apr.2024];3(2):1-1. Available from: https://e-journal.ibi.or.id/index.php/jib/article/view/50
Issue
Vol 3 No 2 (2018)
Section
Articles
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