The Relationship between Anxiety, Depression, and Vital Signs among Postpartum Mothers in Yogyakarta

Abstract

After labor, mothers need good physiological and psychological adjustments. The inability to adapt to a new situation can result in mothers' psychological stress, eventually leading to postpartum crises and depression. If this incident is not handled, it can lead to serious mental health problems, especially postpartum psychosis to bipolar disorder. In depressed and anxious people, the body will secrete adrenal hormones, which cause vital signs such as blood pressure, body temperature, respiration, and pulse. This study aims to find the relationship between anxiety, depression, and vital signs of postpartum mothers. This study used qualitative with correlation cross-sectional design. The respondents were 60 postpartum mothers at 0-6 months postpartum in Yogyakarta recruited using purposive sampling techniques. The instrument used to measure postpartum maternal depression was The Back Depression Inventory version II and State Anxiety Inventory (STAI) to measure anxiety. Data analysis used Pearson to find the relationship between anxiety, depression, and vital signs. The t-test analysis shows there were relationship between state and trait anxiety with a pulse (p-value = 0.00), respiration (p-value = 0.00), depression with a pulse (the p-value = 0.00) and respiration (p-value 0.00). Anxiety and depression can be detected from the changes in the vital signs of postpartum mothers so that early detection by health workers can prevent anxiety and depression

Tingkat Kecemasan Pasca Gempa Bumi Warga Desa Cijendil Kecamatan Cugenang Kabupaten Cianjur Jawa Barat

“…Pernyataan ini sesuai dengan hasil penelitian Wicaksana & Dwianggimawati (2022) yang menyatakan kecemasan berpengaruh terhadap sistem hemodinamik individu, yaitu hasil uji Kendall's Tau terdapat korelasi antara tingkat kecemasan dengan mean arterial pressure (MAP) dengan nilai p = 0.013 < 0.05, terdapat korelasi antara tingkat kecemasan dengan nadi dengan nilai p = 0.009 < 0.05, dan juga terdapat korelasi antara tingkat kecemasan dengan respirasi dengan nilai p = 0.002 < 0.05. Kecemasan yang berlebihan menimbulkan respon fight or flight, yaitu dimana fight merupakan reaksi untuk menyerang yang menyebabkan peningkatan sekresi noradrenaline dan renin-angiotensin sehingga meningkatkan tekanan darah, sedangkan flight merupakan reaksi melarikan diri yang menimbulkan peningkatan sekresi adrenaline ke dalam sirkulasi darah dan meningkatkan tekanan darah dan denyut jantung (Puspitasari & Haryanti, 2021). Perubahan tekanan darah akibat ancietas yang terjadi berulang-ulang kali akan mempengaruhi sistem kerja kardiovaskuler sehingga menimbulkan gangguan fisiologis jantung, yaitu seperti hipertensi, gagal jantung, dan penyakit kardiovaskuler lainnya (Syafira et al, 2023).…”