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All Journal Journal of Literature Review Coping : Community of Publishing in Nursing
Yuliani Yuliani
Institut Citra Internasional
Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Library & Information Science Nursing Public Health Social Sciences Other

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Hambatan dan Kesenjangan Pelayanan dalam Perawatan Ibu Postpartum: Systematic Literature Review Yuliani Yuliani
Journal of Literature Review Vol. 2 No. 1 (2026): JANUARI-JUNI
Publisher : Indo Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63822/m102y488

Abstract

The postpartum period is a critical phase in women's reproductive health because it involves complex physiological, psychological, and social changes and a significant risk of maternal complications. Although postnatal care (PNC) is necessary to ensure maternal recovery and early detection of complications, various studies have shown that barriers and gaps in services persist across various country contexts. These gaps include aspects of access, quality of care, continuity of care, and social and structural factors. This study aims to synthesize empirical evidence regarding the forms of barriers, key determinants, and strategies for reducing discrepancies in postpartum maternal care. This study used a Systematic Literature Review (SLR) approach following the PRISMA 2020 guidelines. The literature search was conducted through the Scopus database using a combination of keywords related to barriers and gaps in postpartum care with Boolean operators. Articles were limited to publications published between 2017 and 2025, in English, and available in full text. Of the 381 identified articles, 20 met the inclusion criteria and were analyzed through narrative synthesis and thematic analysis. Bibliometric analysis using VOSviewer was conducted to map the interrelationships and developments of the research themes. The results indicate that barriers to postpartum care are multilevel, encompassing individual factors (education, health literacy, postpartum depression), socioeconomic and geographic factors, variations in the quality and capacity of service systems, and policy and financing barriers. The most consistent determinants are education level, exposure to antenatal care, socioeconomic status, geographic access, and service quality. Bibliometric analysis indicates a predominance of mental health and clinical management themes, while issues of service equity are relatively underexplored. Postpartum care disparities relate not only to service protection but also to health system quality and continuity. An integrated, multilevel approach is needed to improve the equity and quality of maternal care.
PENGARUH KOMUNIKASI TERAUPETIK TERHADAP TINGKAT KECEMASAN PADA LANSIA SINGLE PARENT DI WILAYAH KERJA PUSKESMAS GERUNGGANG KOTA PANGKALPINANG TAHUN 2025 Aulia Safitri; Ardiansyah Ardiansyah; Yuliani Yuliani
Community of Publishing in Nursing Vol. 14 No. 4 (2026): Agustus 2026
Publisher : Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/coping.2026.v14.i04.p01

Abstract

Kecemasan merupakan salah satu masalah psikologis yang sering dialami oleh lansia dan dapat berdampak pada kesehatan fisik maupun psikososial. Salah satu intervensi yang dapat dilakukan untuk menurunkan tingkat kecemasan adalah melalui komunikasi terapeutik. Komunikasi terapeutik merupakan proses komunikasi yang terencana, bertujuan, dan berfokus pada kesembuahan pasien. Tujuan penelitian ini adalah untuk mengetahui pengaruh komunikasi terapeutik terhadap tingkat kecemasan pada lansia single parent. Penelitian ini menggunakan desain penelitian pra-eksperimen dengan pendekatan one group pre-test dan post-test, peneliti terlebih dahulu mengukur tingkat kecemasan pada lansia (pretest), kemudian memberikan intervensi berupa komunikasi terapeutik, dan selanjutnya dilakukan pengukuran kembali tingkat kecemasan (posttest) dengan menggunakan alat ukur Hamilton Anxiety Rating Scale (HARS). Penelitian ini menggunakan 30 sampel yaitu lansia single parents. Uji normalitas menggunakan Shapiro-Wilk menunjukkan data pre-test (p=0,013) dan post-test (p=0,023) tidak berdistribusi normal. Analisis selanjutnya menggunakan One Way ANOVA dan Post Hoc Bonferroni. Hasil analisis data menggunakan Anova menunjukkan bahwa komunikasi terapeutik berpengaruh secara signifikan (p < 0,05). Uji lanjut Post Hoc Bonferroni menunjukkan terdapat perbedaan yang bermakna pada skor kecemasan antara pengukuran sebelum dan sesudah intervensi komunikasi terapeutik dengan durasi 15 menit, 30 menit, dan 45 menit, di mana durasi intervensi yang lebih lama memberikan penurunan tingkat kecemasan yang lebih besar dilakukan 3 kali setiap 5 hari sekali. Oleh karena itu, disarankan agar komunikasi teraupetik dapat diterapkan dalam praktik keperawatan sebagai intervensi nonfarmakologis untuk membantu menurunkan tingkat kecemasan pada lansia.
Co-Authors Ardiansyah Ardiansyah Aulia Safitri