Latar Belakang,Tingginya kejadian depresi yang dialami ibu dilaporkan oleh WHO (2018) 15,6% pada masa hamil, 19,8% pada
postpartum. Hal ini akan mempengaruhi emosional dan
mood ibu dalam berinteraksi dengan bayi dan resiko mencederai dirinya.
Tujuan penelitian, mengembangkan dan mengevaluasi skala
maternal blues model Suryani (MBS) periode
antepartum,
postpartum melalui
bonding attachment dalam memprediksi
postpartum blues.
Metode penelitian, desain penelitian adalah
research and development dengan proses tiga tahap. Tahap pertama mengidentifikasi item pernyataan dengan studi kualitatif terhadap 18 partisipan ibu
antepartum dan
postpartum. Tahap dua validasi skala MBS terhadap ibu
antepartum sebanyak 450 responden,
postpartum 501 responden. Tahap tiga penerapan skala MBS pada 60 ibu
antepartum dan
postpartum.
Draft skala MBS diuji validasinya terhadap skala
maternity blues Kennerley. Pengumpulan data menggunakan Puskesmas Jakarta Selatan. Analisis data kualitatif dengan konten analisis, analisis faktor, uji korelasi, uji diagnostik dan uji
general linear model (GLM).
Hasil penelitian, skala MBS
antepartum dihasilkan 24 item pernyataan terdiri dari delapan faktor internal (menggambarkan resiko
postpartum blues), 16 faktor eksternal (menggambarkan sumber pendukung). Skala MBS periode
postpartum ada 32 item yang terdiri dari 24 faktor internal dan delapan faktor eksternal. Tahap uji coba terhadap ibu
antepartum sejak 35 minggu sampai
postpartum diperoleh bahwa skala MBS dapat memprediksi resiko
postpartum blues (RR faktor internal .85, RR faktor eksternal .25).
Kesimpulan, skala MBS periode
antepartum dan
postpartum dapat memprediksi kejadian
postpartum blues. Skala direkomendasikan untuk digunakan oleh perawat/bidan dalam pengkajian
antepartum dan
postpartum sehingga resiko
postpartum blues dapat dicegah sejak dini.
Background, Increasing the evident of mentally deprivation among women were reported by WHO (2018) that 15.6% happened since pregnancy and 19.8% happened after delivered their baby. This will in turn affect the emotional and mood of women wheninteracting with baby and danger the life of the baby and theirselves.
The purpose of research, development and evaluation of maternal blues scale model of the Suryani (MBS) in the period antepartum, postpartum through bonding attachment in predicting postpartum blues
.Methods, The research design is research and development with a three-stage process. The first stage identified statement items with qualitative studies of 18 antepartum and postpartum maternal participants. The second stage is MBS scale validation that participant by 450 pregnant women and 501 postpartum women. The draft of MBS scale has been tested of its validation toward the excity scale by Kennerley's. Phase three applies the MBS scale for 60 antepartum and postpartum mothers that observed pregnant women from 35 weeks until they delivered their babies. This study conducted at in the South Jakarta community Health Center in 2017Year. Data analysis used thematic content analysis, factor analysis, correlation tests, diagnostic tests and GLMResults of the study, antepartum MBS scale, produced 24 items statement consists of eight internal factors (describing the risk of postpartum blues) and 16 external factors (describing sources of support). Postpartum MBS scale, produced 32 items statement consists of 24 internal factors and eight external factors.. Both scales produced NFI > .80 and goodness of fit > .5. That showed good validity and reliability. The third phase showed that the scale of MBS can predict the risk of postpartum blues.Conclusions, MBS antepartum and postpartum scale period can predict the incidence of postpartum blues. Scale is recommended to be use by nurses / midwives in antepartum and postpartum assessment.