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"ABSTRAKKejadian postpartum blues pada hari pertama atau ketiga persalinan masih kurangmendapat perhatian oleh perawat karena dianggap sebagai gangguan mentalringan dan hilang dalam beberapa hari postpartum, dampaknya adalah kurangoptimalnya hubungan dan kelekatan antara ibu dan bayinya. Tujuan penelitian iniuntuk mengidentifikasi faktor determinan terjadinya postpartum blues pada ibupostpartum primipara. Desain pada penelitian ini adalah cross sectional denganconsecutive sampling dengan jumlah sampel 100 orang. Hasil penelitiandiidentifikasi bahwa faktor yang mempengaruhi kejadian postpartum blues padaibu primipara adalah faktor komplikasi persalinan dan pendapatan. Komplikasipersalinan, merupakan faktor yang paling dominan mempengaruhi terjadinyapostpartum blues (p value = 0,000). Di rekomendasikan bahwa perawat haruslebih memberikan perhatian dengan intervensi pendekatan psikososial pada ibupostpartum primipara untuk mencegah terjadinya postpartum blues yang dapatmempengaruhi bonding attachment dengan bayi

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ABSTRACTThe incidence of postpartum blues in the first or third day of childbirth hasreceived less attention from nurses because is considered as a mild and thatdisappears within a few days of postpartum, the impact is the inadequate bondingand attachment between a mother and a baby. The purpose of this research is toidentify the determinant factors of the postpartum blues incident in primiparouspostpartum mothers. The research design is cross-sectional with consecutivesampling. The samples were 100 people. The results of this study is to identifythat the factors affecting the incidente of postpartum blues in the primiparousmothers are complications and financial. Factor of labor complications was themost dominant factor affecting the occurrence of postpartum blues incident (pvalue = 0.000). It is recommended that nurses provide more attention andpsychosocial approached interventions to primiparous postpartum mothers inorder to prevent postpartum blues that can affect bonding and attachment with thebaby."

"Kehamilan mengharuskan adaptasi yang berbeda yang dapat menyebabkan kecemasan. Kecemasan pada kehamilan dapat berakibat pada ibu serta kelahiran bayinya. Kecemasan selama kehamilan meningkatkan resiko terjadinya postpartum blues. Postpartum blues ialah periode gangguan emosional setelah melahirkan. Tujuan penelitian ini adalah mengidentifikasi hubungan antara cemas pada kehamilan dengan terjadinya postpartum blues. Penelitian ini menggunakan desain cross sectional dengan metode consecutive sampling. Jumlah sampel penelitian 107 responden ibu postpartum. Instrumen yang digunakan yaitu Blues Questionnaire versi Bahasa Indonesia dan Perinatal Anxiety Screening Scale versi Bahasa Indonesia. Ibu nifas memiliki tingkat kecemasan ringan-sedang 36,4 dan mengalami postpartum blues 48,6. Hasil penelitian dianalisis dengan Chi-square menunjukkan terdapat hubungan antara kecemasan ringan-sedang dengan postpartum blues p=0,000 Penelitian ini merekomendasikan pentingnya memperhatikan psikologis ibu hamil maupun ibu postpartum, mengoptimalkan promosi kesehatan untuk menurunkan kecemasan, mengidentifikasi faktor-faktor lain yang mempengaruhi adaptasi postpartum.

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Pregnancy requires different adaptation which may cause anxiety. Anxiety during pregnancy may affect mother and baby. Anxiety during pregnancy increases risk of postpartum blues. Postpartum blues is a period of emotional disorder after childbirth. The purpose of this study was identifying the relation between anxiety during pregnancy and postpartum blues.

This study used cross sectional design with consecutive sampling method. Total research sample was 107 postpartum women. The instruments were Bahasa Indonesia version of Blues Questionnaire and Bahasa Indonesia version of Perinatal Anxiety Screening Scale. Puerperal women had mild moderate level of anxiety 36,4 and had postpartum blues 48,6.

The research result was analyzed by Chi square, showing relation between mild moderate anxiety and postpartum blues p 0,000. This study recommended the importance of paying attention of the psychology of pregnant women and postpartum women, optimizing health promotion to reduce anxiety, identifying other factors influencing postpartum adaptation."

"Tidur merupakan kebutuhan dasar yang berfungsi memulihkan kondisi ibu pasca melahirkan. Penelitian ini bertujuan mengidentifikasi tidur ibu selama masa postpartum dengan menggunakan desain deskriptif. Pengumpulan data dilaksanakan dengan responden sebanyak 101 ibu postpartum primipara. Teknik pemilihan sampel yaitu consecutive sampling. Instrumen penelitian menggunakan Pittsburgh Sleep Quality Index (PSQI). Analisis yang digunakan yaitu univariat. Hasil penelitian yaitu mayoritas responden memiliki kualitas tidur buruk. Tidur yang buruk pada periode postpartum disebabkan oleh hal-hal yang mempengaruhi tidur ibu postpartum secara internal atau eksternal. Penelitian ini diharapkan dapat menjadi acuan dalam memberikan promosi kesehatan bagi ibu terkait kebutuhan tidur masa postpartum.

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Sleep is a basic need had a function to recover body system after childbirth. This study is to identify sleep maternal postpartum primiparous with a descriptive study as a design research. Data collection was conducted with 101 postpartum primiparous mother. The sample selection techniques is a consecutive sampling. The instrument using Pittsburgh Sleep Quality Index (PSQI). The analysis used univariate analysis.

The results are the majority of respondents had poor sleep quality. Poor sleep during the postpartum period caused by matters of internal and external influences sleep postpartum mothers. This study is expected can be a reference to provide health promotion for mothers that related postpartum sleep."

"Rehabilitative the mother and baby health becomes priority to health development at Indonesia. The rehabilitative implementation was concern to physical health and psychological. The psychological problem of mothers postpartum primipara there are the postpartum blues evidence very high almost 75-80%. This research purposed to know music therapy effectiveness in prevents postpartum blues on postpartum prim Para's mother. This research utilize quasi experiment's design, pretest-posttest with control group and intervention group. Intervention group listened ti instrumental music which is Mozart classical musiv type: Eine Kleine Nachtmusik with frequency 20-40 cps hertz's in 15-20 minutes duration, sounding off in 2 times a day, on 8.00WIB a.m an on 14.00 WIB along 3 days. The sample in this observational is postpartum primipara's mother which was nursed at midwifery room RSCM Jakarta Pusat, with total each controls group and intervention group are 18 person. The tests result of logistics regression and double linear regression prove there are available influence music therapy to postpartum blues' prevention. On motherwhich sounding off musical therapy decreased postpartum blues evidence score as 1.80. meanwhile mother that doesn't listened to musical therapies. The research conclusion is the implementasion of listened in musical therapy so effective in postpartum blues' prevention. This result study recommendate it is needs to sound off musical therapy to all post partum's mother as intervention relaxation therapy at health service center such as hospital, puskesmas and also the maternity clinic"

"Stres postpartum sering terjadi pada ibu primipara, dimana ibu mulai berusaha untuk memenuhi kebutuhan anaknya sendiri tanpa bantuan orang lain. Penelitian ini merupakan penelitian deskriptif yang bertujuan untuk mengetahui respon stres ibu primipara postpartum. Sampel penelitian ini menggunakan teknik total sampling yang memenuhi kriteria inklusi sebanyak 64 responden dalam satu bulan. Hasil penelitian dianalisis menggunakan analisis univariat. Hasil penelitian didapatkan bahwa ibu primipara postpartum mengalami stres positif. Peran serta perawat untuk membantu ibu primipara dalam beradaptasi terhadap peran baru menjadi ibu perlu dilakukan untuk mengurangi stres ibu primipara postpartum.

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Postpartum stress happens largely among primiparous mothers. Mothers begin to provide their own children needs without help from others. The aim of this study is to determine the stress response of postpartum primiparous mothers. This study design is descriptive. Total sampling that met the inclusion criteria is used to collect data. There are 64 respondents of study sample in a month. The results were analyzed by using univariate analysis. The results showed that postpartum primiparous mothers were having positive stress. The role of the nurse is to assist primiparous mothers in adapting to the new role of being a mother. It needs to be done for decreasing the stress of postpartum primiparous mothers."

"Ibu mengalami perubahan suasana hati selama periode postpartum. Perubahan suasana hati seperti sering menangis, sedih, marah, lelah dan sulit tidur disebut postpartum blues. Postpartum blues dapat terjadi pada ibu persalinan pervaginam dan sectio caecaria (SC). Penelitian ini menggunakan desain penelitian deskriptif yang bertujuan untuk mengidentifikasi karakteristik dan kejadian postpartum blues pada ibu persalinan pervaginam dan SC. Sampel pada penelitian ini berjumlah 91 orang. Teknik sampel yang digunakan yaitu consecutive sampling. Hasil menunjukkan kejadian postpartum blues pada persalinan SC sebesar 88,1% dan pervaginam sebesar 71,9%. Oleh karena itu, petugas kesehatan sebaiknya lebih memperhatikan kondisi ibu postpartum khususnya pada ibu persalinan SC.

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Women experience mood swings during the postpartum period. Mood swings such as frequent crying, sadness, anger, fatigue and difficulty sleeping are called postpartum blues. Postpartum blues can occur in vaginal delivery and caecarean section (SC). This research used descriptive design to identify characteristics and the incidence of postpartum blues at vaginal delivery and caecarean section. The participants of this research were 91 postpartum. Sampling technique used in this research was consecutive sampling. The result of this research showed the percentage postpartum blues at caesarean section 88,1% and vaginal delivery 71,9%. Therefore, medical team needs to observe the condition of postpartum, in particular postpartum at caesarean section."

"ABSTRAKPerawatan diri pada masa postpartum penting dilakukan untuk mencegah terjadinya komplikasi nifas yang menyebabkan kematian ibu di Indonesia. Penelitian ini bertujuan untuk menggambarkan perawatan diri yang dilakukan ibu postpartum primipara normal di rumah dengan desain deskriptif sederhana. Hasil riset menunjukkan perawatan diri yang banyak dilakukan antara lain; personal hygiene, perawatan perineum, perawatan payudara, mobilisasi dini, BAK teratur, dan cukup cairan setiap hari. Perawatan diri yang sedikit dilakukan adalah senam nifas, istirahat dan tidur, asupan energi dan protein, dan memiliki pantangan makan. Dukungan sosial pada ibu postpartum terbanyak diperoleh dari ibu kandung. Pelayanan keperawatan hendaknya meningkatkan edukasi tentang perawatan diri selama nifas di rumah.

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ABSTRACT

Postpartum self-care is necessarily performed to prevent complications during postpartum that causes maternal mortality in Indonesia. This study aims to describe self-care performance of normal primiparous postpartum mothers at home with simple descriptive design. The result indicated that the mostly done self-care were personal hygiene, perineal care, breast care, early mobilization, regular urination, and plenty of fluids intake every day. Meanwhile, the less performed self care were puerperal gymnastic, rest and sleep, adequate intake of energy and protein, and having abstinence. Most social support obtained from mother. Nursing care providers should increase education about self-care during childbirth."

"Perbaikan kesehatan ibu dan bayi menjadi prioritas pembangunan kesehatan di Indonesia. Perbaikan tersebut diarahkan kepada kesehatan fisik dan psikologis. Masalah psikologis ibu postpartum primipara diantaranya kejadian postpartum blues yang merupakan salah satu faktor yang berkontribusi terhadap kesehatan ibu secara tidak langsung. Dari hasil penelitian sebelumnya kejadian postpartum blues sangat tinggi sekitar 75% - 80%.Penelitian ini bertujuan untuk mengetahui efektifitas terapi musik dalam mencegah postpartum blues pada ibu postpartum primipara. Penelitian ini menggunakan desain Quasi experiment, pretest-postest dengan kelompok kontrol dan kelompok intervensi. Kelompok intervensi diberi terapi musik instrumental yakni musik klasik tipe Mozart: Eine Kleine Nachtmusik dengan frekuensi 20-40 cps hertz lamanya 15-20 menit, dilakukan 2 kali sehari yakni pukul 8.00 dan pukul 14.00 selama 3 hari. Sampel dalam penelitian ini adalah ibu postpartum primipara yang dirawat di ruang kebidanan RSCM Jakarta Pusat, dengan jumlah masing-masing kelompok kontrol dan kelompok intervensi 18 orang.Hasil uji regresi logistik dan regresi linear ganda membuktikan ada pengaruh terapi musik terhadap pencegahan postpartum blues. Pada ibu yang diberi terapi musik terjadi penurunan skor kejadian postpartum blues sebesar 1,80. Ibu yang tidak diberi terapi musik memiliki peluang untuk mengalami postpartum blues sebesar 5,60 kali dibanding dengan ibu yang diberi terapi musik.Kesimpulan dari penelitian ini bahwa pemberian terapi musik sangat efektif dalam pencegahan postpartum blues. Sebagai rekomendasi hasil studi ini perlu diberikan terapi musik bagi semua ibu postpartum sebagai salah satu intervensi terapi relaksasi di pelayanan kesehatan yakni rumah sakit, puskesmas maupun klinik betsalin

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Rehabilitative the mother and baby health becomes priority to health development at Indonesian. The rehabilitative implementation was concern to physical health and psychological. The psychological problem of mothers postpartum primipara there are the postpartum blues evidence which becomes a factor indirectly contribute to mother health. The research result before the postpartum blues evidence very high almost 75%-80%.

This research purposed to know music therapy effectiveness in prevents postpartum blues on postpartum prim Para?s mother. This research utilize quasi experiment's design, pretest - posttest with control group and intervention group. Intervention group listened to instrumental music which is Mozart classical music type: Eine Kleine Nachtmusik with frequency 20-40 cps hertz?s in 15-20 minutes duration, sounding off in 2 times a day, on 8.00 WIB a.m and on 14.00 WIB p.m along 3 days. The sample in this observational is postpartum primipara's mother which was nursed at midwifery room RSCM Jakarta Pusat, with total each controls group and intervention group are 18 person.

The tests result of logistics regression and double linear regression prove there are available influence music therapy to postpartum blues? prevention. On mother which sounding off musical therapy decreased postpartum blues evidence score as 1, 80. Meanwhile mother that doesn't listened to musical therapy have opportunity to get postpartum blues evidence as 5, 60 times against mother was sounding off by music therapies.

The research conclusion is the implementation of listened in musical therapy so effective in postpartum blues? prevention. This result study recommendate it is needs to sound off musical therapy to all post partum?s mother as intervention relaxation therapy at health service center such as hospital, puskesmas and also the maternity clinic."

"Ibu postpartum primipara merupakan klien pasca melahirkan anak pertama dengan masa pemulihan hingga waktu 6 minggu berikutnya. Pada masa tersebut ibu memerlukan dukungan untuk beradaptasi secara fisik dan psikologis. Perubahan peran menuntut ibu postpartum bertanggungjawab terhadap kebutuhan diri dan bayinya. Karya ilmiah ini bertujuan menganalisis penerapan intervensi manajemen laktasi dan pengelolaan fertilitas pada klien ibu postpartum primipara. Metode yang digunakan berupa laporan kasus yang dikelola selama kurang lebih 3 minggu dengan memberikan konseling laktasi, promosi perlekatan, dan edukasi keluarga berencana. Hasil menunjukkan bahwa klien mampu memahami edukasi yang diberikan serta menerapkan masukan perawat dengan baik, sehingga didapatkan proses menyusui efektif, nutrisi bayi tercukupi, dan klien mampu merencanakan penggunaan kontrasepsi.

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Primiparous postpartum mothers are clients after giving birth to their first child with a recovery period of up to the next 6 weeks. At this time, mothers need support to adapt physically and psychologically. Changes in roles require postpartum mothers to be responsible for the needs of themselves and their babies. This scientific work aims to analyzed the application of lactation management interventions and fertility management in primiparous postpartum mothers. The method used is a case report which is managed for approximately 3 weeks by provided lactation counseling, attachment promotion, and family planning education. The results showed that the client is able to understand the education and apply the nurse's input well, so that the breastfeeding process can be effective, the baby's nutrition is adequate, and the client is able to plan the use of contraception."

"ABSTRAKIbu postpartum dengan bayi prematur beresiko mengalami postpartum blues dan ansietas, hal inidisebabkan karena banyaknya permasalahan yang dihadapi oleh ibu postpartum dengan bayiprematur. Tujuan penelitian ini mengidentifikasi pengaruh terapi thought stopping dan terapisuportif terhadap postpartum blues dan ansietas ibu postpartum dengan bayi prematur. Metodepenelitian yang digunakan quasi-experiment with control group pretest-post test design denganmetode consecutive sampling. Sampel dalam penelitian ini adalah ibu postpartum dengan bayiprematur yang dirawat diruang Perina ? Nicu sebanyak 62 responden. Hasil penelitianmenunjukkan ada penurunan postpartum blues dan ansietas secara bermakna (p-value= 0,000)pada kelompok yang mendapat tindakan keperawatan Ners, terapi thought stopping dan terapisuportif, dan lebih besar penurunan secara bermakna dibandingkan dengan kelompok yang hanyamendapat tindakan keperawatan Ners.. Terapi thought stopping dan terapi suportif mampumenurunkan postpartum blues dan ansietas ibu postpartum dengan bayi prematur

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ABSTRACTPostpartum mothers with premature infants at risk for postpartum blues and anxiety, it is due to themany problems faced by postpartum mothers with premature infants. The purpose of this studyidentified the influence of thought stopping therapy and supportive therapy against postpartumblues and anxiety postpartum mothers with premature infants. The method used a quasiexperimentalcontrol group pretest-posttest design with consecutive sampling method. The samplein this study is postpartum mothers with premature infants who were treated in the Perinatology -Nicu were 62 respondents. The results showed differences in postpartum blues and anxiety levelspostpartum mothers with premature infants significant (p-value = 0.000) between the groupsthought stopping therapy and supportive therapy with groups that receive Ners nursing actions.Thought stopping therapy and supportive therapy can lower postpartum blues and anxiety levelsfor postpartum mothers with premature infants"