Kehamilan resiko tinggi berdampak pada fisik berupa pendarahan pada ibu dan gangguan pertumbuhan janin. Dampak psikologisnya dapat terjadi gangguan mood atau depresi saat kehamilan. Tujuan penelitian ini adalah untuk mengetahui hubungan antara tingkat pengetahuan tentang kehamilan resiko tinggi dengan tingkat depresi pada ibu hamil. Penelitian analitik observasional ini menggunakan desain cross sectional. Pemilihan sampel menggunakan teknik quota sampling, berjumlah 35 orang ibu hamil di wilayah RT.05 Kelurahan Karang Ambun, Kecamatan Tanjung Redeb, Kabupaten Berau dengan rentang usia 17-40 tahun, dalam periode kehamilan trimester 1 dan trimester 2. Analisa data dilakukan dengan menggunakan Uji Korelasi Spearman. Hasil penelitian ini adalah mayoritas ibu hamil berusia 35 tahun (51,4%), dengan tingkat pendidikan SMA (60,0%), yang bekerja sebagai IRT (57,1%). Mayoritas ibu hamil memiliki jumlah anak hidup sebelum kehamilan sebanyak 2 orang sekitar (28,6%). Mayoritas merupakan kehamilan ke 3 sebanyak (28,6%), dan memiliki usia kandungan rata rata trimester II (74,2%). Hasil uji Korelasi Spearman didapatkan p value sebesar 0,003 (0,05) dengan koefisien korelasi sebesar -0,488 menunjukan ada korelasi negatif antara pengetahuan tentang kehamilan resiko tinggi dan tingkat depresi pada ibu hamil. Peningkatan pengetahuan ibu akan mempengaruhi sikap dan perilaku ibu selama masa kehamilan yang akan membuat ibu memiliki risiko depresi yang rendah.
Background: Post caesarean section mothers commonly feel pain in the post-operative area during the wound healing process. Most post-operative mothers feel the pain sensation as a disturbance and lowering their quality of sleep.Purpose: To determine pain level and identify the relationship of pain level and sleep quality among mothers who delivered by caesarean section under spinal anaesthesia.Method: The descriptive non-experimental correlative study design identified 50 mothers from Inpatient Ward Wava Husada Hospital of Kepanjen, Malang, East Java, Indonesia at April 2020. The Post-caesarean section pain level identified by using the Numeric Rating Scale (NRS) and the sleep quality is measured using Pittsburgh Sleep Quality Index (PSQI) questionnaire.Results: 38 mothers (76%) had severe pain level and most of them (43 mothers) had poor sleep quality. The Spearman correlation test showed that there was a relationship between the Post-caesarean section pain level and sleep quality, p value = 0.000 (p <0.05) and r = 0.314.Conclusion: The post-caesarean section pain levels among mothers who delivered by caesarean section under spinal anaesthesia should be identified earlier as we would like to encourage the nursing staff to give further intervention to maintain their sleep quality.
Problems that often occur in adolescents include sexual problems, unwanted pregnancies, abortions, sexually transmitted diseases, and drug abuse. One of the causes of this problem is the lack of adolescent knowledge about reproductive health. Therefore, it is necessary to provide adequate reproductive health education for adolescents. But during this pandemic, education through telemedicine is considered safer as an effort to control the COVID-19 pandemic. This review aims to summarize and determine the effect of education through telemedicine on changes in the level of adolescent knowledge about reproductive health based on literature studies. A systematic review was conducted to examine the effectiveness of health education through telemedicine on adolescent knowledge levels about reproductive health. The study examined 7 articles obtained from Science Direct, PubMed, and Google Scholar with a Randomized Controlled Trial or quasi-experimental research design. The articles were published between 2016 and 2022 and were evaluated by Joanna Brings Institute ( JBI) to examine their quality. Furthermore, research was explored and analyzed by Thematic Analysis. It was found that 20 journals showed a significant increase in the level of knowledge among adolescents about reproductive health, measured by before and after questionnaires. Based on the literature, health education through telemedicine has proven to be effective in increasing the level of adolescent knowledge about reproductive health.
Keywords: telemedicine, reproductive health, adolescent, free sex
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.