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Sri Chalada; Pembimbing: Indang Trihandini; Penguji: Ratna Djuwita Hatma, Yati Afiyanti, Nurlaelasari
Abstrak:
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Latar belakang: Fakta global bahwa gangguan kecemasan dan depresi semakin meningkat dari tahun ketahun. Ibu hamil termasuk kelompok rentan dengan gangguan kecemasan dan depresi karena mengalami perubahan fisik dan psikologis, serta perubahan peran dari masa kehamilan, persalinan, nifas dan kekhawatiran akan mengurus bayi, selain itu wanita 3,01 kali berisiko mengalami cemas dibandingkan pria. Studi baru-baru ini bahwa ibu hamil mengalami kecemasan 37%. Tujuan: Mengetahui efektivitas intervensi CBT untuk menurunkan tingkat kecemasan pada ibu hamil Sumber Data: Penelusuran studi hingga oktober 2022 pada database online: Proquest, Scince Direct dan PubMed, selanjutnya melakukan penelusuran melalui sumber yang tidak di publikasikan seperti tesis dan disertasi dari Universitas Indonesia (UI) Repository. Seleksi Studi: Kiteria inklusi dalam penelitian ini adalah ibu hamil sebagai subyek, desain studi randomized controll trial (RCT). Originalresearch, periode studi tahun 2012 sampai dengan 2022 dan berbahasa inggris. kriteria ekslusi: ibu hamil pengguna obat psikiatri. Ekstraksi Data: Peninjau ektraksi data dan penilai risiko bias dilakukan oleh dua orang secara independent, bila menemukan ketidkasesuaian dilakukan diskusi sampai hasil yang di sepakati dan pengecekan ulang oleh pembimbing penelitian. Hasil: Tiga studi masuk kedalam meta-analisis dengan sampel CBT (117) dan control (118). terdapat perbedaan rerata efektivitas intervensi kelompok CBT dan Kontrol pada masing-masing studi, penelitian menunjukan perbedaan yang signifikan secara statistic dan klinis dengan nilai Tau2=36.85, efek gabungan yang diperoleh (perbedaan rata-rata = -20.84; IK 95% dari -30.06 sampai -11.62), sesuai dengan ukuran efek yang besar (4.43), setelah mengecualikan satu studi karena hasil post intervensi yang tidak signifikan (g(95%CI) = 0.40 (−0.13, 0.93) dimana kondisi kontrol treat as usual (TAU) yang tidak memungkinkan untuk mengontrol layanan kesehatan (bidan, dokter, perawat maternitas) yang diakses selama masa percobaan. Pada karakteristik usia ibu dan usia kehamilan tidak signifikan setelah dilakukan analisis Kesimpulan: Studi saat ini menunjukan bahwa kecemasan ibu hamil dapat diatasi atau di turunkan melalui terapi prilaku kognitive, dibuktikan dengan hasil temuan tinjauan sistematis dan meta-analisis terdapat efektifitas intervensi CBT dari masing-masing studi penelitian, dan memiliki keefaktifan yang berbeda setelah dibandingkan dengan kelompok control. Keseluruhan ada dua temuan utama: Durasi intervensi CBT (durasi jangka pendek dan jangka Panjang) efektif untuk menurunkan tingkat kecemasan ibu hamil. Kedua populasi, CBT efektif untuk ibu hamil dengan hasil skrining positif kelainan kromosom dan riwayat infertilitas primer.
Background: It is a global fact that anxiety disorders and depression are increasing from year to year. Pregnant women are a vulnerable group with anxiety disorders and depression due to physical and psychological changes, as well as changing roles during pregnancy, childbirth, postpartum and worrying about taking care of the baby, besides women are 3.01 times more likely to experience anxiety than men. Recent studies that pregnant women experience anxiety 37%. Objective: to determine the effectiveness of CBT interventions to reduce anxiety levels in pregnant women Data Source: Search studies until October 2022 on online databases: Proquest, Science Direct and PubMed, then carry out searches through unpublished sources such as theses and dissertations from the University of Indonesia (UI) Repository. Study Selection: Inclusion criteria in this study were pregnant women as subjects, randomized control trial (RCT) study design. Original research, study period from 2012 to 2022 and speak English. Exclusion criteria: Pregnant women who use psychiatric drugs. Data Extraction: Reviewers of data extraction and risk assessments can be carried out by two people independently, if discrepancies are found, discussions are carried out, until the results are agreed upon and re-checked by the research supervisor. Result: Three studies entered into the meta-analysis with CBT (117) and control (118) samples. there were differences in the average effectiveness of the CBT and control group interventions in each study, the study showed statistically and clinically significant differences with a Tau2 value = 36.85, the combined effect was obtained (mean difference = -20.84; 95% CI from -30.06 to -11.62), corresponding to a large effect size (4.43), after excluding one study because the postintervention outcome was not significant (g(95%CI) = 0.40 (−0.13, 0.93) whereas the treat as usual (TAU) control condition was it is not possible to control the health services (midwives, doctors, maternity nurses) accessed during the trial period The characteristics of maternal age and gestational age are not significant after analysis. Conslusion: The current study shows that the anxiety of pregnant women can be overcome or reduced through cognitive behavioral therapy, as evidenced by the findings of a systematic review and meta-analysis showing the effectiveness of CBT interventions from each research study, and having different effectiveness when compared to the control group. Overall there were two main findings: The duration of the CBT intervention (short term and long term duration) was effective in reducing pregnant women's anxiety levels. In both populations, CBT is effective for pregnant women with positive screening results for chromosomal abnormalities and a history of primary infertility. Key words: effective intervention, cognitive behavioral therapy, anxiety disorders, pregnant women.
T-6508
Depok : FKM UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Mega Sophiana Rahma Hanida; Pembimbing: Milla Herdayati; Penguji: Besral, Teti Tejayanti
Abstrak:
COVID-19 dapat menyebabkan kasus kematian secara cepat dan luas, hal ini dapat menimbulkan dampak psikologis, yaitu ketakutan dan kecemasan.Metode penelitian ini adalah kuantitatif dengan pengumpulan data primer secara crossectional. Penelitian dilakukan di RS Graha Juanda Bekasi Tahun 2021. Instrument menggunakan PASS (Perinatal Anciety Screening Scale). Jumlah responden sebanyak 60 orang.
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S-10858
Depok : FKM UI, 2021
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Fitri Pebrianti; Pembimbing: Evi Martha; Penguji: Dadan Erwandi, Hadi Pratomo, Hervita Diatri, Indra Supradewi
Abstrak:
Tesis ini membahas kecemasan ibu hamil dengan riwayat keguguran di Puskesmas
Kecamatan Kebon Jeruk. Ibu hamil dengan riwayat keguguran sebelumnya memiliki
tingkat kecemasan dalam kehamilan lebih tinggi daripada ibu hamil tanpa riwayat
keguguran. Tujuan penelitian yaitu mengetahui faktor-faktor yang berhubungan dengan
kecemasan ibu hamil dengan riwayat keguguran. Desain penelitian menggunakan
pendekatan kuantitatif dengan metode cross-sectional. Pengumpulan data dilakukan pada
bulan Juni-Agustus 2020. Tempat penelitian di wilayah kerja Puskesmas Kecamatan
Kebon Jeruk Kota Jakarta Barat. Analisis bivariat menggunakan uji Kai Kuadrat
sedangkan analisis multivariat menggunakan regresi logistik. Hasil penelitian didapatkan
ibu hamil dengan riwayat keguguran yang mengalami kecemasan sebesar 65,4%. Analisis
multivariat menunjukkan variabel yang berhubungan bermakna terhadap kecemasan ibu
hamil dengan riwayat keguguran adalah variabel interval kehamilan, dukungan sosial,
dan usia kehamilan (p-value <0,05). Hasil analisis didapatkan OR tertinggi pada variabel
interval kehamilan yaitu 5,9 (95% CI 2,119-16,447), artinya ibu yang memiliki interval
kehamilan pendek (<6 bulan) berisiko mengalami kecemasan hampir 6 kali lebih tinggi
dibandingkan ibu yang memiliki interval kehamilan panjang (≥6 bulan). Variabel paling
dominan yang berhubungan pada kecemasan ibu hamil dengan riwayat keguguran adalah
interval kehamilan
This thesis discusses the anxiety of pregnant women with a history of miscarriage at the Puskesmas Kebon Jeruk District. Pregnant women with a history of previous miscarriage have higher levels of anxiety during pregnancy than women without a history of miscarriage. The research objective was to determine the factors associated with anxiety of pregnant women with a history of miscarriage. The research design used a quantitative approach with a cross-sectional method. Data collection was carried out in June-August 2020. The research site was in the work area of Puskesmas Kecamatan Kebon Jeruk, West Jakarta City. The bivariate analysis used a Chi-Squared test while multivariate analysis used logistic regression.The results showed that 65.4% of pregnant women with a history of miscarriage experienced anxiety. Multivariate analysis showed that the variables significantly related to the anxiety of pregnant women with a history of miscarriage were pregnancy interval, social support, and gestational age (p-value <0.05). The results of the analysis obtained the highest OR on the pregnancy interval variable, namely 5.9 (95% CI 2.119-16.447), meaning that mothers who have a short pregnancy interval (<6 months) were at risk of experiencing anxiety almost 6 times higher than mothers who have long pregnancy intervals ( ≥6 months). The most dominant variable related to the anxiety of pregnant women with a history of miscarriage was the pregnancy interval
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This thesis discusses the anxiety of pregnant women with a history of miscarriage at the Puskesmas Kebon Jeruk District. Pregnant women with a history of previous miscarriage have higher levels of anxiety during pregnancy than women without a history of miscarriage. The research objective was to determine the factors associated with anxiety of pregnant women with a history of miscarriage. The research design used a quantitative approach with a cross-sectional method. Data collection was carried out in June-August 2020. The research site was in the work area of Puskesmas Kecamatan Kebon Jeruk, West Jakarta City. The bivariate analysis used a Chi-Squared test while multivariate analysis used logistic regression.The results showed that 65.4% of pregnant women with a history of miscarriage experienced anxiety. Multivariate analysis showed that the variables significantly related to the anxiety of pregnant women with a history of miscarriage were pregnancy interval, social support, and gestational age (p-value <0.05). The results of the analysis obtained the highest OR on the pregnancy interval variable, namely 5.9 (95% CI 2.119-16.447), meaning that mothers who have a short pregnancy interval (<6 months) were at risk of experiencing anxiety almost 6 times higher than mothers who have long pregnancy intervals ( ≥6 months). The most dominant variable related to the anxiety of pregnant women with a history of miscarriage was the pregnancy interval
T-6041
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Nur`Arifah Hakim; Pembimbing: Rita Damayanti; Penguji: Iwan Ariawan, Syafiq, Donatus Klaudius Marut, Nida Rohmawati
Abstrak:
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Angka kejadian anemia pada ibu hamil di puskesmas kecamatan Kemayoran masih tinggi walaupun cakupan ibu hamil yang mendapatkan tablet tambah darah minimal 90 butir selama hamil sudah mencapai 100%. Besarnya suplementasi zat besi juga harus disesuaikan dengan kebutuhan dan kondisi masing-masing ibu. Tidak efektifnya program pemberian TTD untuk menurunkan kejadian anemia kehamilan karena belum adanya media yang efektif untuk memberikan informasi dan edukasi tentang anemia dan TTD. Penelitian ini bertujuan mengetahui efektifitas intervensi pendidikan kesehatan melalui diagram bantu konseling anemia dan pemberian dosis terapi TTD terhadap peningkatan kadar hemoglobin ibu hamil di wilayah puskesmas kecamatan Kemayoran tahun 2019. Penelitian ini merupakan jenis penelitian quasi eksperiment dengan menggunakan desain nonequivalent control group design. Penelitian dilakukan di wilayah puskesmas kecamatan Kemayoran dari rentang waktu Maret - November 2019. Populasi dalam penelitian ini adalah semua ibu hamil di wilayah puskesmas kecamatan kemayoran dan teknik pemilihan sampel dengan cara purposive sampling. Hasil penelitian pengaruh intervensi pendidikan kesehatan melalui diagram bantu konseling anemia dan pemberian dosis terapi TTD terhadap peningkatan kadar hemoglobin ibu hamil di wilayah puskesmas kecamatan Kemayoran tahun 2019 pada analisis bivariat menggunakan uji Anova didapatkan nilai p = 0.0005, hubungan pengetahuan dan kepatuhan mengkosumsi TTD dengan Kadar Hemoglobin didapatkan r=0.288, p value=0.035; r=0.422, p value=0.001. Kesimpulan ada pengaruh intervensi pendidikan kesehatan melalui diagram bantu konseling anemia dan pemberian dosis terapi TTD terhadap peningkatan kadar hemoglobin ibu hamil di wilayah puskesmas kecamatan Kemayoran tahun 2019 (nilai p < 0.05). Semakin tinggi pengetahuan dan kepatuhan mengkonsumsi TTD maka semakin besar kadar hemoglobin.
he incidence of anemia in pregnant women in the Kemayoran Health Centre is still high considering that pregnant women who get iron tablets of at least 90 during pregnant are reaching 100%. The amount of iron supplementation must also be adjusted to the needs and conditions of each mother. Ineffective iron supplementation delivery program for pregnant women to reduce the incidence of anaemia because there is no effective media to provide information and education about anaemia and iron supplementation. This study aims to know the effectivity of health educational intervention through anaemia counseling helping diagram and giving iron suplement therapeutic doses to increasing haemoglobin levels for pregnant women at Kemayoran public health center area in 2019. This study uses a quasi experimental research type using the nonequivalent control group design. The study was conducted in the area of Kemayoran health center from the period March-November 2019. The population in this study were all pregnant women in the area of Kemayoran health center and sample selection techniques by purposive sampling. The results of research on health educational intervention through anaemia counseling helping diagram and giving iron suplement therapeutic doses to increasing haemoglobin levels for pregnant women at Kemayoran public health center in 2019 on bivariate analysis using Anova test obtained p value = 0.0005, the relationship of knowledge and compliance consuming iron suplement with haemoglobin levels obtained r = 0.288, p value = 0.035; r = 0.422, p value = 0.001. Conclusion: there is influence of health educational through anaemia counseling helping diagram and giving iron suplement therapeutic doses to increasing haemoglobin levels for pregnant women at Kemayoran public health center in 2019 (p value <0.05). The higher of knowledge and compliance of consuming iron suplement, the greater the hemoglobin level.
T-5803
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Hidayani; Pembimbing: Ella Nurlaela Hadi; Penguji: Sandra Fikawati, Zarfiel Tafal, Rinni Yudhi Pratiwi, Devi Maryori
Abstrak:
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Tesis ini dilakukan dengan menggunakan disain Crossectional untuk mengetahui penggunaan buku KIA pada ibu hamil dan faktor-faktor yang berhubungan dengannya di UPT Puskesmas Cimanggis – Depok. Hasil penelitian menunjukkan bahwa temu wicara berhubungan dengan penggunaan buku KIA, dimana ibu hamil yang pernah melakukan temu wicara berpeluang 4 kali untuk menggunakan Buku KIA dibandingkan dengan yang tidak pernah setelah dikontrol oleh dorongan petugas kesehatan. Agar penggunaan Buku KIA dapat ditingkatkan, diharapkan kepada pihak terkait (Dinas Kesehatan dan petugas kesehatan) dapat mensosialisasikan Jampersal berkaitan dengan manfaat penggunaan buku KIA dan penggiatan kelas ibu terkait dilakukannya kegiatan temu wicara. Daftar Bacaan : 33 (1995 – 2012) Kata kunci : buku KIA, temu wicara
This thesis was done by using Crossectional design to find out the use of MCH handbook to pregnant mother at UPT Cimanggis Health Center and the factors related with it. The results showed that the interview retrieval associated with the use of MCH handbook, where pregnant mother who have gone through interview retrieval have 4 times possibility to use it compare to others who haven’t. This interview retrieval has been controlled by medical staff’s support. In order to improving the use of MCH handbook, it’s expected to the related parties (Department of Health and health workers) can socialize “Jampersal” to relating the benefits of using MCH handbook and activation of the mother class related to maternal interview retrieval. References : 33 (1995 - 2012) Key word : MCH Handbook, interview retrieval
T-3513
Depok : FKM-UI, 2012
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Mauliddya Rahmadina; Pembimbing: Sandra Fikawati; Penguji: Ahmad Syafiq, Krisnawati Bantas, Ulul Albab, Siti Kulsum
Abstrak:
Tesis ini membahas faktor risiko kejadian preeklamsia pada ibu hamil di RSUD Pasar Rebo. Preeklamsia merupakan penyebab utama urutan kedua kematian ibu setelah perdarahan di Kota Jakarta Timur, yang proporsinya terus mengalami peningkatan. Penyebab preeklamsia belum diketahui secara pasti. Faktor risiko preeklamsia sebagian besar dapat dicegah jika diketahui lebih awal dan diberikan pencegahan tepat waktu untuk mengurangi angka kejadiannya. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan kasus kontrol dengan jumlah sampel kasus 353 sampel dan kontrol 709 sampel. Populasi sampel yang diambil adalah semua ibu hamil yang mengunjungi Poli Kebidanan RSUD Pasar Rebo. Sumber data pada penelitian ini adalah data primer rekam medis pasien di RSUD Pasar Rebo. Faktor yang diteliti adalah usia, obesitas, primigravida, riwayat hipertensi, riwayat preeklamsia, dan kunjungan ANC. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara preeklamsia dengan usia (OR=1,42), obesitas (OR=2,55), primigravida (OR=1,95), riwayat hipertensi (OR=7,59), kunjungan ANC (OR=0,53). Sedangkan faktor riwayat preeklamsia tidak ada hubungan bermakna dengan kejadian preeklamsia. Faktor risiko yang paling dominan pada penelitian ini adalah ibu hamil primigravida dan memiliki riwayat hipertensi (OR =4,2)
This thesis discusses the risk factors for the incidence of preeclampsia in pregnant women at Pasar Rebo District Hospital. Preeclampsia is the second leading cause of maternal death after bleeding in East Jakarta City, the proportion of which continues to increase. The cause of preeclampsia is not known with certainty. The risk factors for preeclampsia can largely be prevented if known early and provided timely prevention to reduce the incidence. This research is a quantitative study with a case control approach with 353 sample cases and 709 sample control. The sample population was all pregnant women visiting the Pasar Rebo Midwifery Polyclinic. The source of data in this study is primary data of medical records of patients at Pasar Rebo District Hospital. Factors studied were age, obesity, primigravida, history of hypertension, history of preeclampsia, and ANC visit. The results showed a significant relationship between preeclampsia and age (OR = 1.42), obesity (OR = 2.55), primigravida (OR = 1.95), history of hypertension (OR = 7.59), ANC visit (OR = 0.53). While the history of preeclampsia has no significant relationship with the incidence of preeclampsia. The most dominant risk factor in this study was primigravida pregnant women and had a history of hypertension (OR = 4,2)
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This thesis discusses the risk factors for the incidence of preeclampsia in pregnant women at Pasar Rebo District Hospital. Preeclampsia is the second leading cause of maternal death after bleeding in East Jakarta City, the proportion of which continues to increase. The cause of preeclampsia is not known with certainty. The risk factors for preeclampsia can largely be prevented if known early and provided timely prevention to reduce the incidence. This research is a quantitative study with a case control approach with 353 sample cases and 709 sample control. The sample population was all pregnant women visiting the Pasar Rebo Midwifery Polyclinic. The source of data in this study is primary data of medical records of patients at Pasar Rebo District Hospital. Factors studied were age, obesity, primigravida, history of hypertension, history of preeclampsia, and ANC visit. The results showed a significant relationship between preeclampsia and age (OR = 1.42), obesity (OR = 2.55), primigravida (OR = 1.95), history of hypertension (OR = 7.59), ANC visit (OR = 0.53). While the history of preeclampsia has no significant relationship with the incidence of preeclampsia. The most dominant risk factor in this study was primigravida pregnant women and had a history of hypertension (OR = 4,2)
T-6061
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Etna Saraswati; Pembimbing: Yovsyah, Agustin Kusumayati; Penguji: Sandra Fikawati, Bayky Priyono, Iskari Ngadiarti
T-2350
Depok : FKM-UI, 2006
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Fakhrur Raziy; Pembimbing: Helda; Penguji: Ella Nurlaela Hadi, Eti Rohati
Abstrak:
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Berat Badan Lahir Rendah (BBLR) merupakan indikator penting kesehatan ibu dan bayi yang berkontribusi terhadap peningkatan risiko kematian neonatal dan stunting. Kejadian BBLR dipengaruhi oleh berbagai faktor lingkungan, sosial-ekonomi, dan kondisi maternal selama kehamilan. Penelitian ini bertujuan menganalisis hubungan konsentrasi PM2.5, akses sanitasi layak, akses air minum bersih, tingkat kemiskinan, serta faktor maternal dengan kejadian BBLR di Indonesia tahun 2024. Penelitian menggunakan desain studi ekologi dengan pendekatan kuantitatif agregat pada 35 provinsi di Indonesia. Data diperoleh dari Profil Kesehatan Indonesia 2024, Survei Kesehatan Indonesia (SKI) 2023, Badan Pusat Statistik (BPS), dan Kementerian Lingkungan Hidup dan Kehutanan (KLHK). Analisis dilakukan secara deskriptif dan bivariat menggunakan uji korelasi Pearson atau Spearman sesuai distribusi data. Hasil penelitian menunjukkan rata-rata kejadian BBLR di Indonesia sebesar 4,43%. Analisis bivariat menemukan hubungan signifikan antara konsentrasi PM2.5 (r=-0,369; p=0,029), persentase ibu hamil dengan Kurang Energi Kronis (KEK) (r=0,546; p=0,001), dan persentase ibu hamil usia35 tahun, usia kehamilan
Low Birth Weight (LBW) is an important indicator of maternal and infant health that contributes to an increased risk of neonatal mortality and stunting. The incidence of LBW is influenced by various environmental, socioeconomic, and maternal factors during pregnancy. This study aims to analyze the relationship between PM2.5 concentration, access to proper sanitation, access to clean drinking water, poverty levels, and maternal factors with the incidence of LBW in Indonesia in 2024. The study used an ecological study design with an aggregate quantitative approach in 35 provinces in Indonesia. Data were obtained from the 2024 Indonesian Health Profile, the 2023 Indonesian Health Survey (SKI), the Central Statistics Agency (BPS), and the Ministry of Environment and Forestry (KLHK). The analysis was conducted descriptively and bivariately using Pearson or Spearman correlation tests according to data distribution. The results showed an average incidence of LBW in Indonesia of 4.43%. Bivariate analysis found a significant association between PM2.5 concentration (r=-0.369; p=0.029), the percentage of pregnant women with Chronic Energy Deficiency (CED) (r=0.546; p=0.001), and the percentage of pregnant women aged 35 years, gestational age
S-12306
Depok : FKM-UI, 2026
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Petrus Yapen; Pembimbing: Lukman Hakim Tarigan
S-3045
Depok : FKM-UI, 2003
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Fitrianingsih; Pembimbing: Sabarinah Prasetyo; Penguji: Diah M. Utari, Rahajoe, Sarining
S-6392
Depok : FKM UI, 2011
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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