Perbandingan Pelaksanaan Pelayanan Kolaborasi Masa Nifas terhadap Kejadian Postpartum Blues di Puskesmas Sewon I & Banguntapan II Kabupaten Bantul Tahun 2020

The Comparison Between the Implementation of Collaborative Care in Postpartum Period and Postartum Blues Incidences in Sewon I & Banguntapan II Primary Health Centers of Bantul District in 2020

Keywords: Collaboration, postpartum, postpartum Blues

Abstract

Postpartum blues is a mild mood disorder syndrome often ignored by postpartum mothers, families, or health workers. Postpartum blues can develop into depression and even psychosis. The incidence varies significantly in Asia, between 26-85%, whereas the incidence is around 50-70% in Indonesia. Postpartum blues also affect the interaction between the baby and the mother, especially during the first year. In mental health, collaborative practice can increase patient and health team satisfaction, reduce the duration of treatment, reduce the cost of care, reduce the incidence of suicide, and reduce outpatient visits. The study aimed to analyze the differences between the implementation of postpartum collaboration services and postpartum blues at Sewon I & Banguntapan II Primary Health Center of Bantul Regency in 2019. This study applied a comparative study with a prospective cohort approach, and the sampling technique used consecutive sampling. Data analysis employed the Wilcoxon test, Mann-Whitney, and binary regression. Wilcoxon test p=0,000 means a difference in the initial and final EPDS score reduction between the two Primary Health Centers and the postpartum blues incidence. The number of postpartum blues in Sewon I Primary Health Center reached 52 (44.83%), while in Banguntapan II, there were 45 (42.45%). Fisher exact test results pregnancy relationship p = 0.642 and history of depression p = 0.078 meaning that there was no relationship. The binary regression test of the age obtained p = 0.000 and parity p = 0.007, meaning a relationship. It can be concluded that Inter-professional Collaboration has become an effective and efficient strategy to improve the quality of services and patient health outcomes due to the increasing diversity of professions in the health sector and the increasingly complex patient problems.

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References

1. Hutagol, E.T. 2010. Efektivitas Intervensi Edukasi Pada Depresi Postpartum. Jakarta: Fakultas Ilmu Keperawatan Universitas Indonesia
2. Perry, E.S., Hockenberry, M.J., Lowdermilk, D.L., & Wilson, D. 2010. Maternal and Child Nursing Care. Vol 14th ed. Missouri: Mosby Elsevier.
3. Anggraini Y, 2010. Asuhan Kebidanan Masa Nifas. Yogyakarta : Pustaka Rihama.
4. Salma. 2012. 5 Penyebab Utama Kematian Ibu di Indonesia. Majalah Kesehatan.
5. World Health Organization (WHO). 2010. Framework for Action on Interprofessional Education & Collaborative Practice. Switzerland: WHO Press.
6. Rahmi, Nuzulul. 2013. Faktor- Faktor yang Berhubungan dengan Kejadian Syndrom Baby Blues pada Ibu Post Partum di Puskesmas Suka Makmur Aceh Besar. STIKes U’budiyah Banda Aceh
7. Wardiah. 2013. Hubungan Usia Ibu Saat Persalinan dan Usia Ibu Saat Pernikahan dengan Kejadian Baby Blues Syndrom Pada Ibu Postpartum di Bidan Praktek Swasta (BPS) Hj. Suriani Desa Matang Kuli Kecamatan Kembang Tanjong Kabupaten Pidie. STIKES U”Budiyah.
8. Nisa, F. 2012. Postpartum Depression & the Baby Blues.
9. Fatmawati, Diah Ayu. 2014. Analisis Faktor Risiko Yang Berpengaruh Terhadap Kejadian Postpartum Blues di Puskesmas Wilayah Kerja Kota Yogyakarta. Tesis Fakultas Kedokteran Universitas Gadjah Mada. Yogyakarta.
10. World Health Organization (WHO). 2010. The World Health Report 2010.
11. Surjaningrum, E. R., Minas, H., Jorm, A. F., & Kakuma, R. (2018). The feasibility of a role for community health workers in integrated mental health care for perinatal depression: a qualitative study from Surabaya, Indonesia. International Journal of Mental Health Systems, 12(1).doi:10.1186/s13033-018-0208-0
12. Uswatun. (2015). Peran dan Fungsi Bidan Mandiri Rujukan dan Kolaborasi dalam “http://uswatun25.mahasiswa.unimus.ac.id/2015/12/16/peran-dan-fungsi-bidan-mandiri-rujukan-dan-kolaburasi/”
13. Crezena H.S,, (2009). Info Badan Pengawas Obat dan Makanan Republik Indonesia. Kerja sama Dokter dan Ahli Farmasi dalam peningkatan pelayanan Informasi Kesehatan. Vol 10. No5. Diakses dari http://perpustakaan.pom.go.id/.pdf pada tanggal 20 Februari 2019.
14. College of Nurses of Ontario. 2008. Interprofessional and Collaboration among Health Colleges and Professions. Submission to the Health Prefessions Regulatory Advisory Council. pp. 3-4.
15. Archer, J., Bower, P., Gilbody, S., Lovell, K., Richards, D., Gask, L., … Coventry, P. 2012. Collaborative Care For Depression And Anxiety Problems. Cochrane Database Of Systematic Reviews. doi:10.1002/14651858.cd006525.pub2.
16. World Health Organization (WHO). 2011. The World Medicine Situation 3ed. Rational Use of Medicine. Geneva.
17. Myros, K., CLeary, M., Johnson, M., & Schmied, V. (2015). A Mixed Methods Study Of Collaboration Between Perinatal And Infant Mental Health Clinicians And Other Service Providers: Do They Sit In Silos? BMC Health Service Research Vol 15 (316).
18. Selix, N., Henshaw, E., Barrera, A., Botcheva, L., Huie, E., & Kaufman, G. (2017). Interdisciplinary Collaboration in Maternal Mental Health. The American Journal of Maternal/Child Nursing Vol 42 (4).
19. Fredheim, T., Danbolt, L., Haavet, O., Kjonsberg, K., & Lien, L. (2011). Collaboration Between General Practitioners And Mental Health Care Professionals: A Qualitative Study. International Journal of Mental Health System Vol 5 (13).
20. Lapkin, S., Levett-Jones, T., & Gilligan, C. 2013. A Systematic Review Of The Effectiveness Of Interprofessional Education In Health Professional Programs. Nurse Education Today. 33(2), 90–102. doi:10.1016/j.nedt.2011.11.006.
21. D’Amour, D., Ferrada-Videla, M., San Martin Rodriguez, L., & Beaulieu, M.-D. 2005. The Conceptual Basis For Interprofessional Collaboration: Core Concepts And Theoretical Frameworks. Journal Of Interprofessional Care. 19(sup1), 116–131. doi:10.1080/13561820500082529.
22. World Health Organization (WHO). 2017. Recommendations on Maternal Health Guideline Appoved by The Guidelines Review Committee.
23. Bridges, D., Davidson, R. A., Soule Odegard, P., Maki, I. V., & Tomkowiak, J. 2011. Interprofessional Collaboration: Three Best Practice Models Of Interprofessional Education. Medical Education Online. 16(1), 6035. doi:10.3402/meo.v16i0.6035
24. Mochtar, Rustam, 2010. Sinopsis Obstetri Fisiologi Patologi, Jilid 1. EGC. Jakarta
25. Padila. 2014. Buku Ajar Keperawatan Maternitas. Yogyakarta: Nuha Medika.
26. Nirwana, A. B. (2011). Psikologi Kesehatan Wanita. Yogyakarta : Muha Medika.
27. Aasheim, V., Waldenström, U., Hjelmstedt, A., Rasmussen, S., Pettersson, H., & Schytt, E. (2012). Associations between advanced maternal age and psychological distress in primiparous women, from early pregnancy to 18 months postpartum. BJOG: An International Journal of Obstetrics & Gynaecology, 119(9), 1108–1116.doi:10.1111/j.1471-0528.2012.03411.x
28. Morse CA, Buist A, Durkin S. 2000. First-time parenthood: influences on pre- and postnatal adjustment in fathers and mothers. J Psychosom Obstet Gynecol 2000;21:109–20
29. Valdimarsdottir U, Hiltman CM, Harlow B, Cnattingius S, Spare`n P. 2009. Psychotic illness in first-time mothers with no previous psychiatric hospitalization. PLOS Med 2009; 6:e13, Feb 10. 2
30. Vigod S, Villegas L, Dennis C-L, Ross L. 2010. Prevalence and risk factors for postpartum depression among women with preterm and low-birthweight infants: a systematic review. BJOG 2010;117:540–50.
31. Mahmudah. 2010. Pengantar Psikologi. Jogyakarta: Graha Ilmu.
32. Firmansyah, Ikra. 2016. Hubungan Paritas dengan kejadian PostPartum Blues Di RSUD Panembahan Senopati Bantul. Skripsi
Published
2022-04-30
How to Cite
Hertati, D., Nurdiati, D. S., Sulistyaningsih, S., & Dasuki, D. (2022). Perbandingan Pelaksanaan Pelayanan Kolaborasi Masa Nifas terhadap Kejadian Postpartum Blues di Puskesmas Sewon I & Banguntapan II Kabupaten Bantul Tahun 2020. Jurnal Surya Medika (JSM), 8(1), 70-81. https://doi.org/10.33084/jsm.v8i1.3440

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