The Relationship Of Therapeutic Communication With The Level Of Anxiety Of Primigravida Mothers In Facing Labor
DOI : 10.33024/jkm.v10i1.13691
Pendahuluan: Di Indonesia 107.000 ibu hamil mengalami kecemasan dalam menghadapi persalinan. Kecemasan lebih banyak dialami pada ibu hamil Primigravida(Kehamilan pertama) dibandingkan ibu hamil MultigravidaFaktor yang mempengaruhi proses lama persalinan antara lain, faktor power (kekuatan mengedan ibu), passage (jalan lahir), passanger (bayi), psyche (kejiwaan ibu) dan provider (penolong). Salah satu faktor yang berpengaruh terhadaap keselamatan persalinan adalah faktor kecemasan pada saat proses persalinan. Kecemasan dan ketakutan dapat mengakibatkan rasa nyeri yang hebat dan juga dapat mengakibatkan menurunnya kontraksi uterus, sehingga persalinan akan bertambah lama.
Tujuan: Tujuan dalam penelitian untuk mengetahui hubungan komunikasi terapeutik dengan tingkat kecemasan ibu primigravida dalam menghadapi persalinan.
Metode: Penelitian ini merupakan jenis penelitian analitik dengan desain penelitian cross sectional. populasi adalah seluruh ibu bersalin primigravida di RS TK IV Cijantung Kesdam Jaya Tahun 2023 sebanyak 30 orang. Sampel penelitian ini adalah seluruh ibu hamil primigravida menjelang persalinan di RS TK IV Cijantung Kesdam Jaya pada Bulan Januari dan Februari 2023 sebanyak 30 responden. Teknik pengambilan sampel dalam penelitian ini adalah purposive sampling. Analisis data dengan Chi Square..
Hasil Penelitian: tingkat kecemasan ibu primigravida dalam menghadapi persalinan mayoritas tingkat kecemasan responden 43,3%. Dari hasil uji statistik didapatkan nilai P value = 0,000.
Kesimpulan: Penelitian ini menunjukan bahwa terdapat hubungan komunikasi terapeutik dengan tingkat kecemasan ibu primigravida dalam menghadapi persalinan.
Saran : dari hasil penelitian ini diharapkan pihak rumah sakit dapat meningkatkan pelayanan kesehatan pada ibu bersalin dengan mengelola pelaksanaan komunikasi terapeutik oleh bidan dalam memberikan asuhan pada ibu pada masa persalinan
Kata Kunci: Komunikasi, Terapeutik, Kecemasan, Primigravida, Persalinan
ABSTRACT
Introduction: In Indonesia, 107,000 pregnant women experience anxiety when facing childbirth. Anxiety is experienced more often in Primigravida pregnant women (first pregnancy) than in Multigravida pregnant women Factors that influence the length of the labor process include power factors (mother's pushing strength), passage (birth canal), passanger (baby), psyche (mother's psychology) and provider (helper). One of the factors that influences the safety of childbirth is anxiety during the birth process. Anxiety and fear can cause severe pain and can also result in decreased uterine contractions, so that labor will take longer.
Objective: The aim of the research is to determine the relationship between therapeutic communication and the level of anxiety of primigravida mothers in facing childbirth.
Method: This research is an analytical type of research with a cross sectional research design. The population is all 30 primigravida mothers giving birth at TK IV Cijantung Kesdam Jaya Hospital in 2023. The sample for this research was all primigravida pregnant women approaching delivery at TK IV Cijantung Kesdam Jaya Hospital in January and February 2023, totaling 30 respondents. The sampling technique in this research is purposive sampling. Data analysis with Chi Square.
Results: The anxiety level of primigravida mothers in facing childbirth, the majority of respondents' anxiety level was moderate 43.3%, result tatistical test was found that P value = 0.000.
Conclusion: This research shows that there is a relationship between therapeutic communication and the level of anxiety of primigravida mothers in facing childbirth.
Suggestion: Further to the results of this research, it is hoped that the hospital will improve health services for birthing mothers by managing the implementation of therapeutic communication by midwives in providing care to mothers during labor.
Keywords: Communication, Therapeutic, Anxiety, Primigravida, Childbirth
- Ambar Dwi Erawati. Buku Ajar Asuhan Kebidanan Persalinan Normal. EGC; 2011.
- Astria Y, Nurbaeti I, Rosidati C. (2009). ‘Hubungan Karakteristik Ibu Hamil Trimester III Dengan Kecemasan Dalam Menghadapi persalinan di Poliklinik Kebidanan dan Kandungan Rumah Sakit X Jakarta’. Hubungan Karakteristik Ibu Hamil Dengan Kecemasan Dalam Menghadapi Persalinan
- Austin MP. Antenatal screening and early intervention for ‘perinatal’ distress, depression and anxiety: where to from here? Arch Womens Ment Health 2004; 7: 1–6. https://pubmed.ncbi.nlm.nih.gov/14963727/
- Gourounti K, Lykeridou K, Taskou C, Kafetsios K, Sandall J. A survey of worries of pregnant women: reliability and validity of the Greek version of the Cambridge Worry Scale. Midwifery 2012; 28: 746–53. https://pubmed.ncbi.nlm.nih.gov/22015218/
- Hasim, R. P. (2018). Gambaran Kecemasan Ibu Hamil [Universitas Muhammadiyah Surakarta]. http://eprints.ums.ac.id/63124/1/Naskah Publikasi Ilmiah.pdf
- Huizink AC, Mulder EJ, Robles De Medina PG, Visser GH, Buitelaar JK. Is pregnancy anxiety a distinctive syndrome? Early Hum Dev 2004; 79: 81–91. https://pubmed.ncbi.nlm.nih.gov/15324989/
- Hodnett E.D. Patient control during labour. Effects of two types of foetal monitors. Journal of Obstetric, Gynaecological and Neonatal Nursing. 1982;11:94–99. https://pubmed.ncbi.nlm.nih.gov/6918605/
- Maryunani, A. (2015). Nyeri dalam Persalinan : Teknik dan Cara Penanganannya (1st ed.). Jakarta: Trans Infomedia.
- Maryunani, Anik. (2016). Kehamilan dan Persalinan Patologis (Risiko Tinggi dan Komplikasi) Dalam Kebidanan.Jakarta: CV Trans Info Media.
- Maimunah S. Kecemasan ibu hamil menjelang persalinan pertama. Jurnal Humanity. 20090;5(1):61–7.
- Mochtar R. Sinopsis Obstetri: Obstetri Fisiologi.; 2013.
- National Institute for Health and Care Excellence. Antenatal and Postnatal Mental Health: Clinical Management and Service Guidance (CG192). NICE, 2014
- National Institute for Health and Care Excellence. Common Mental Health Disorders: Identification and Pathways to Care (CG123). NICE, 2011.
- Norlina S. Hubungan Komunikasi Terapeutik Bidan Dengan Kecemasan Ibu Bersalin Di Puskesmas Berangas Kabupaten Barito Kuala Tahun 2021. J Keperawatan Suaka Insa. Published online 2022. doi:10.51143/jksi.v6i2.294
- Permatasari A. Penerapan Komunikasi Terapeutik Perawat Dalam Meningkatkan Kepuasan Pasien Di Ruang Rawat Inap RSU Kerdinah Kota Tegal. Pros Interdiscip Postgrad Student Conf 3rd Progr Pascasarj Univ Muhammadiyah Yogyakarta (PPs UMY). Published online 2016.
- Potter, Patricia A.; Perry, A. G. (2019). Buku Ajar Fundamental Keperawatan (9th ed.). Jakarta: EGC.
- Petersen JJ, Paulitsch MA, Guethlin C, Gensichen J, Jahn A. A survey on worries of pregnant women--testing the German version of the Cambridge worry scale. BMC Public Health 2009; 9: 490–98. https://pubmed.ncbi.nlm.nih.gov/20038294/
- Phillips J, Sharpe L, Matthey S, Charles M. Maternally focussed worry. Arch Womens Ment Health 2009; 12: 409–18. https://pubmed.ncbi.nlm.nih.gov/19626414/
- Ramos, Isabel F.; Ross, Kharah M.; Rinne, Gabrielle R.; Sommers, Jennifer A.; Mancuso, Roberta A.; Hobel, Calvin J.; Coussons-Read, Mary.; Shetter, C. D. (2022). Pregnancy anxiety, placental corticotropin-releasing hormone and length of gestation. Biological Psychology, 172(1), 1–10. https://doi.org/https://doi.org/10.1016/j.biopsycho.2022.108376
- Rusnawati, et all. 2020. The Role of Midwife Therapeutic Communication With Anxiety Levels in Maternity at The Limboro Health Center in 2020. https://e-journal.fkmumj.ac.id/index.php/miphmp/issue/view/1
- Sariati, Y., Windari, E. N., & Hastuti, N. A. R. (2016). Pengaruh Hypnobirthing Terhadap Tingkat Kecemasan Ibu Bersalin Dan Lama Persalinan Di Bidan Praktek Mandiri Wilayah Kabupaten Malang. Jurnal Ilmiah Bidan, 1(3), 35–44. https://ejournal.ibi.or.id/index.php/jib/article/view/16
- Scottish Intercollegiate Guidelines Network (SIGN). Management of Perinatal Mood Disorders (127). SIGN, 2012.
- Silva, M. M. de J., Nogueira, D. A., Clapis, M. J., & Leite, E. P. R. C. (2017). Anxiety in pregnancy: Prevalence and associated factors. Revista Da Escola de Enfermagem, 51, 1–8. https://doi.org/10.1590/S1980-220X2016048003253
- Smorti, M., Ponti, L., & Tani, F. (2019). The effect of maternal depression and anxiety on http://jurnalbidankestrad.com/index.php/jkk | 94 labour and the well-being of the newborn. Journal of Obstetrics and Gynaecology, 0(0), 1–6. https://doi.org/10.1080/01443615.2018.1536697
- Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006; 166: 1092–7. https://pubmed.ncbi.nlm.nih.gov/16717171/
- Shodiqoh E R, Fahriani S. 2014. ‘Perbedaan Tingkat Kecemasan dalam Menghadapi Persalinan Antara Primigravida dan Multigravida’. Jurnal Berkala Epidemiologi. Surabaya. Universitas Airlangga, Jawa Timur
- Trisiani D, Hikmawati R, Bhakti S, Bandung K. Hubungan Kecemasan Ibu Hamil Terhadap Kejadian Preeklampsia. J Ilm Bidan. Published online 2016.
- Usman FR, Kundre RM, Onibala F. Perbedaan Tingkat Kecemasan Ibu Hamil Menghadapi Persalinan Dengankepatuhan Antenatal Care (Anc) Di Puskesmas Bahukota Manado. Jurnal Keperawatan. 2016 Feb 1;4(1).
- Whing Cheung, et all.2020. Maternal anxiety and feelings of control during labour: A study of Chinese first-time pregnant women. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7130936/
- WHO. (2023, February 22). Kematian ibu. Https://Www.Who.Int/News-Room/Fact-Sheets/Detail/Maternal-Mortality.
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