Background: Postpartum blues in Indonesia has a high prevalence at 37% to 67%. Postpartum blues syndrome has been described as varying changes in the affective domain, such as feelings, behavior, or thoughts, that can be influenced by the roles and tasks of women, along with their social, cultural, and economic support. Instruments that measure maternal blues through bonding attachment behavior have never before been developed in Indonesia. Objective: This study aimed to develop a maternal blues scale through bonding attachments to predict postpartum blues. Method: The research design consisted of three stages: 1) phenomenology design and focus group discussion; 2) development and construction of the maternal blues scale, and 3) a cross-sectional study to measure validation of the scales. Respondents were postpartum mothers in the first week after birth. The sample comprised 501 participants. Sampling was done by consecutive sampling at the Public Health Center (PUSKESMAS) in the South Jakarta area. Data analysis used exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), correlation, and a diagnostic testing . Results: Item analysis produced 32 items consisting of 24 items regarding the mother’s role and duties as internal factors and eight factors involving social, cultural, and economic support as external factors. Both factors were valid and reliable in predicting postpartum blues with indicators (t loading factors ≥ 1.96, standardized loading factor (SLF) ≥.50, internal factors: construct reliability (CR) ≥ .70 and extraction variants (VE) ≥ .50 and external factors: CR ≥ .74 to .83 VE ≥ .50 to .63). The relationship with Kennerley’s maternity blues as a gold standard was significant. Internal factors had a score of 53, with a sensitivity of 60.2%. The external factors score was 19, with a sensitivity of 77.3%. Conclusion: The new scale for postpartum blues prediction developed displayed internal consistency and validity of each indicator (internal and external factors) that was good (CR ≥ .70; VE ≥ .50). This scale provides a feasible tool to predict postpartum blues.
AbstrakPada periode 2002 _ 2012, tren angka fertilitas total mengalami stagnasi sekitar 2,6. Milenium Development Goals (MDGs) menunjukkan kemajuan yang baik, tetapi masih memerlukan kerja keras untuk mencapai target tahun 2015. Khususnya upaya untuk mencapai target 102 per 100.000 kelahiran hidup. Metode keluarga berencana (KB) yang banyak digunakan pasien pascapersalinan saat ini adalah metode kontrasepsi jangka pendek seperti pil dan suntik. Sedang metode kontrasepsi jangka panjang seperti intra uterine device dan implant cenderung turun satu poin dari tahun 2002 hingga 2007. Upaya mengatasi masalah yang sedang dialami masyarakat Indonesia saat ini meningkatkan akseptor KB metode kontrasepsi jangka panjang (MKJP). Model pengambilan keputusan adalah alat yang dikembangkan untuk meningkatkan kualitas pelayanan KB di tingkat pelayanan kesehatan primer dan sekunder. Alat tersebut dapat membantu meningkatkan kepuasan pasien, penggunaan jasa konseling, dan pemilihan penggunaan KB MKJP yang aman dan efektif. Model shared decision making adalah model pengambilan keputusan yang banyak digunakan, bermanfaat dalam memotivasi pasien memilih perawatan yang tepat dan mempertahankan hubungan terapeutik. Diharapkan jumlah akseptor KB MKJP dapat memenuhi target MDGs 2015.Kata kunci: Akseptor keluarga berencana, metode kontrasepsi jangka panjang, millenium development goals, tingkat kesuburan Abstract Trends in total fertility rate from the year 2002-2012, amounting to 2.6 stagnated. Targets of the Millennium Development Goals (MDGs) have shown good progress but still needs to work hard to achieve in 2015. MDGs particular purpose, efforts are needed to achieve the 2015 target of 102 per 100,000 live births. Family planning method that is widely used today are short-term contraceptive methods such as pills or injections. the problems being experienced by the people of Indonesia is currently improving family planning acceptors LTM. Decision making model is a tool developed to improve the quality of family planning services at the level of primary and secondary health care. This tool can help increase the patient satisfaction, using counseling services, and the selection use is safe and effective of contraceptive LTM. Model of shared decision making is a decision making model that is widely used, useful in motivating patients choose the proper care and maintain a therapeutic relationship. Expected number of family planning acceptors LTM can meet MDGs targets by 2015.
AbstrakMasa remaja merupakan masa transisi dari masa kanak-kanak menuju masa dewasa yang ditandai oleh perubahan fisik, intelektual, seksual, dan emosional. Menarche pada remaja putri menjadi pertanda memasuki tahapan sistem reproduksi dewasa. Sesuai dengan nilai dan budaya masyarakat, peristiwa menstruasi pertama yang fisiologis itu mendapat respons yang berbeda. Tujuan penelitian ini adalah mengembangkan kerangka teoritis tentang pola perilaku remaja putri dalam menghadapi menarche sesuai dengan nilai dan budaya keluarga Batak di Jakarta. Penelitian kualitatif ini dilakukan dengan pendekatan grounded theory dengan metode pengumpulan data melalui wawancara mendalam, observasi, dan studi literatur. Enam orang informan direkrut dengan cara purposive sampling di wilayah Jakarta Timur. Data yang dikumpulkan dianalisis dengan menggunakan constant comparative analysis sampai tercapai saturasi data. Hasil penelitian ini menunjukkan bahwa perilaku remaja putri menghadapi menarche sesuai dengan nilai dan budaya Batak di Jakarta dipengaruhi oleh informasi yang diterima, pola asuh dalam keluarga, dan pandangan orangtua terhadap menarche. Oleh sebab itu, perawat diharapkan dapat memberikan informasi yang komprehensif kepada remaja tentang proses perkembangan reproduksi dan perawatan saat menarche dengan mengikutsertakan orang tua dalam pemberian pendidikan kesehatan pada anak. Kata kunci: Budaya Batak, menarche, perilaku, remaja putri Abstract Adolescence is a phase that lies between childhood and adulthood. There are some changes occur due to this transitional phase including physical, intellectual, sexual and emotional changes. Menarche phase in woman shows that a more developed reproductive system has started. There are different responses according to culture and community value in encountering the menarche phase. The purpose of this study was to develop a theory about adolescent girl behavioral pattern encountering menarche phase Perilaku Remaja Putri Menghadapi Menarche Berdasarkan Nilai Budaya Batak Adolescent Girls Behaviour Encountering Menarche Phase According to Batak CultureMerida Simanjuntak* Suryani Manurung** Tri Riana Lestari** Payung Hasibuan** *Akademi Keperawatan Pasar Rebo, **Direktorat Politeknik Kesehatan Jakarta I according to Batak's culture and traditional value in Jakarta. This qualitative study was conducted using grounded theory approach, by collecting data from interviews, observation and literature study. Six respondents were recruited using purposive sampling in East Jakarta. The collected data was analyzed using constant comparative analysis until data saturation was achieved. Result of this study showed that adolescent girl behavior encountering menarche phase according to Batak's culture and traditional value was influenced by information adopted, mothering pattern in the family and parent's angle of view about menarche phase. Regarding this, a nurse is expected to be able to give comprehensive information to adolescent girl about its reproductive system development and nursing in menarche...
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