Depresi selama kehamilan dapat terjadi pada sekitar 10-15% ibu. Risiko depresi pascamelahirkan lebih tinggi pada ibu yang mengalami depresi selama kehamilan. Tujuan penelitian ini adalah mendapatkan strategi edukasi pencegahan depresi pascamelahirkan pada kelas ibu hamil dengan pendekatan Impelementation Science (IS).Penelitian ini adalah operational research yang menggunakan mixed methods exploratory sequential design dengan 4 tahapan yaitu eksplorasi, instalasi, implementasi dan keberlanjutan. Penelitian dilakukan di Kota Tangerang Selatan dengan kelompok intervensi (kecamatan Pamulang, Pondok Aren, dan Ciputat Timur); dan kontrol (kecamatan Ciputat, Seru, Serpong dan Serpong Utara). Waktu penelitian November 2022 hingga April 2024. Sampel penelitian adalah ibu hamil dengan kehamilan trimester akhir sebanyak 280 orang (intervensi=137 dan kontrol=143). Pada kelompok intervensi dilakukan pelatihan edukasi depresi pascamelahirkan terhadap fasilitator kemudian mereka melakukannya di kelas ibu hamil. Kelompok kontrol tidak dilakukan intervensi. Skrining dilakukan pada kedua kelompok sebanyak empat kali. Analisis data menggunakan univariat, bivariat, dan multivariat Generalized Estimating Equations (GEE). Hasil tahap eksplorasi didapatkan dukungan dari Dinas Kesehatan dan tim pelaksana untuk strategi edukasi. Tahap instalasi terlaksananya pelatihan dan tersusun pedoman, modul, booklet dan lembar balik pencegahan depresi pascamelahirkan. Strategi edukasi secara signifikan efektif menurunkan skor SRQ 56,14%, skor EPDS 16,88% dan meningkatkan skor pengetahuan 11,27% dan sikap 5,51% dari pengukuran awal hingga akhir. Variabel karakteristik respoden, suami/keluarga, dan fasilitator terbukti sebagai variabel perancu. Riwayat depresi merupakan variabel perancu yang memiliki efek paling besar dalam meningkatkan skor SRQ dan EPDS.
Depression during pregnancy can occur in approximately 10-15% of mothers. The risk of postpartum depression is higher in mothers who experience depression during pregnancy. This study aims to develop a strategy for postpartum depression prevention education in antenatal classes using the Implementation Science (IS) approach. This operational research employs a mixed methods exploratory sequential design through four stages: exploration, installation, implementation, and sustainability. The study was conducted in South Tangerang City with control groups (Pamulang, Pondok Aren, and East Ciputat sub-districts) and intervention groups (Ciputat, Serpong, Serpong, and North Serpong sub-districts). The research period was from November 2022 to April 2024. The sample consisted of 280 pregnant women in their late trimester (intervention = 137 and control = 143). In the intervention group, postpartum depression education training was conducted for facilitators and then they did it in the pregnant women's class. The control group did not receive any intervention. Screening was conducted in both groups four times. Data analysis was performed using univariate, bivariate, and multivariate GeneralizeEstimating Equations (GEE). The results from the exploration stage indicated support from the Health Office and the implementation team for the education strategy. The installation stage included the execution of training and the development of guidelines, modules, booklets, and flipcharts for postpartum depression prevention. The education strategy was significantly effective in reducing SRQ scores by 56.14%, EPDS scores by 16.88%, and increasing knowledge scores by 11.27% and attitudes by 5.51% from the initial to the final measurement. Variables related to respondent characteristics, spouse/family and facilitators were identified as confounding variables. A history of depression was the most significant confounding variable in increasing SRQ and EPDS scores.
Rr. Arum Ariasih - Disertasi -FKM-Full Text-2024.pdf ::