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All Journal Jurnal Keperawatan Tropis Papua
Fitri Dia Muspitha
Jurusan Keperawatan, Poltekkes Kemenkes Jayapura, Kota Jayapura, Indonesia

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COGNITIVE BEHAVIOR THERAPY MENURUNKAN GEJALA DEPRESI PADA IBU POSTPARTUM: COGNITIVE BEHAVIOR THERAPY REDUCES DEPRESSION SYMPTOMS IN POSTPARTUM MOTHERS Fitri Dia Muspitha; Kristiyani Herda Rophi
JURNAL KEPERAWATAN TROPIS PAPUA Vol. 7 No. 1 (2024): JUNI 2024
Publisher : Poltekkes Kemenkes Jayapura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/jktp.v7i1.379

Abstract

Depresi postpartum merupakan sebuah gangguan mood yang dapat terjadi antara 2-6 minggu setelah melahirkan dan dapat berlangsung hingga satu tahun.  Gangguan ini dapat mempengaruhi kesehatan fisik dan psikologis pada ibu dan bayi. Salah satu intervensi yang efektif dalam mengurangi gejala depresi postpartum adalah Cognitive Behavior Therapy (CBT). CBT dapat mengatasi pola pikir dan perilaku yang tidak sehat, dengan penekanan pada keyakinan budaya tentang peran ibu. Penelitian ini bertujuan untuk menguji pengaruh CBT terhadap gejala depresi postpartun. Metode penelitian ini menggunakan desain quasi experiment dengan pre and post test one group without control group di Puskesmas Arso III, Kabupaten Keerom, Papua. Sampel penelitian berjumlah 20 responden yang dipilih dengan teknik purposive sampling. Pengukuran depresi postpartum menggunakan Edinburg postpartum depression scale (EPDS). Hasil penelitian menunjukan rata-rata skor depresi postpartum sebelum diberikan intervensi CBT adalah 11,4±0,5. Setelah diberikan intervensi CBT terjadi penurunan rata-rata skor depresi postpartum menjadi 7,0±0,79 (penurunan 4,4 poin). Hasil uji wilcoxon menunjukkan nilai p= 0,000, yang berarti penurunan skor depresi postpartum signifikan secara statistik. Terapi CBT dapat dilakukan untuk meningkatkan kesehatan fisik dan psikologis pada ibu dan bayi.   Postpartum depression is a mood disorder that can occur between 2 to 6 weeks after childbirth and may last up to 1 year. This disorder can affect the physical and psychological health of both the mother and the baby. One effective intervention for reducing postpartum depression symptoms is Cognitive Behavior Therapy (CBT). CBT can address unhealthy thought patterns and behaviors, with an emphasis on cultural beliefs about the role of the mother. This study aims to examine the effect of CBT on postpartum depression symptoms. This study uses a quasi-experimental design with pre-test and post-test in one group without a control group at Puskesmas Arso III, Keerom Regency, Papua. The sample consisted of 20 respondents selected using purposive sampling. Postpartum depression was measured using the Edinburgh Postpartum Depression Scale (EPDS). The results showed that the average postpartum depression score before the CBT intervention was 11.4±0.5. After the CBT intervention, the average postpartum depression score decreased to 7.0±0.79 (a reduction of 4.4 points). The Wilcoxon test results showed a p-value of 0.000, indicating that the decrease in postpartum depression scores was statistically significant. CBT can be implemented to improve both mother and baby's physical and psychological health.  
PENERAPAN THE RECOGNITION OF STROKE IN THE EMERGENCY ROOM MENINGKATKAN KEMAMPUAN PERAWAT DALAM DETEKSI DINI STROKE: IMPLEMENTATION OF THE RECOGNITION OF STROKE IN THE EMERGENCY ROOM IMPROVES THE CAPABILITY OF NURSES IN EARLY DETECTION OF STROKE Kristiyani Herda Rophi; Fitri Dia Muspitha
JURNAL KEPERAWATAN TROPIS PAPUA Vol. 7 No. 1 (2024): JUNI 2024
Publisher : Poltekkes Kemenkes Jayapura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/jktp.v7i1.381

Abstract

Keselamatan pasien stroke sangat ditentukan dari cepat dan tepatnya penanganan awal. Tidak semua fasilitas kesehatan memiliki computed tomography scan (CT Scan) untuk penegakan diagnosis stroke. Tenaga kesehatan di puskesmas dapat menggunakan alternatif instrumen untuk screening stroke berupa sistem skoring, sehingga dapat memberikan tindakan segera untuk menurunkan kecacatan dan kematian akibat stroke. Penelitian ini bertujuan untuk mengevaluasi pengaruh penerapan the Recognition of Stroke in the Emergency Room (ROSIER) scale terhadap peningkatan kemampuan perawat dalam mendeteksi dini stroke. Penelitian ini merupakan quasi eksperiment dengan one group pre-post-test design yang dilakukan pada perawat dengan jadwal kerja di Unit Gawat Darurat (UGD) Puskesmas. Sampel penelitian berjumlah 34 perawat. Analisis data menggunakan uji Wilcoxon signed rank. Hasil penelitian menunjukkan adanya peningkatan rata-rata kemampuan deteksi dini stroke responden sebelum dan setelah penerapan ROSIER scale, dengan peningkatan sebesar 20,26 poin (8,09±5,02 dan 28,35±2,62). Pada pre-test sebanyak 34 responden (100%) berada pada kategori tingkat tidak mampu. Hasil post-test menunjukkan 32 responden (94%) pada tingkat mampu dan 2 responden (6%) pada tingkat cukup mampu. Ada pengaruh yang signifikan penerapan ROSIER scale terhadap peningkatan kemampuan perawat dalam deteksi dini stroke (p=0,000). ROSIER scale dapat dipertimbangkan penggunaannya sebagai instrumen deteksi dini stroke oleh tenaga kesehatan di setting pra-rumah sakit.   The speed and accuracy of initial treatment highly determine the safety of stroke patients. Not all healthcare facilities have computed tomography scans (CT scans) to diagnose strokes. Healthcare workers at community health centers (puskesmas) can use alternative instruments for stroke screening in the form of scoring systems, allowing for immediate action to reduce disability and death due to stroke. This study aims to evaluate the impact of implementing the Recognition of Stroke in the Emergency Room (ROSIER) scale on improving nurses' ability to detect strokes early. This research is a quasi-experimental study with a one-group pre-post-test design conducted on nurses working in the Emergency Unit of a community health center (Puskesmas). The study sample consisted of 34 nurses. Data analysis was performed using the Wilcoxon signed-rank test. The results showed an increase in respondents' average early stroke detection ability before and after the implementation of the ROSIER scale, with an increase of 20.26 points (8.09±5.02 and 28.35±2.62). In the pre-test, all 34 respondents (100%) were incapable. The post-test results showed 32 respondents (94%) in the capable category and two respondents (6%) in the fairly capable category. The ROSIER scale implementation has a significant impact on improving nurses' ability to early detect strokes (p=0.000). The ROSIER scale can be considered for use as an early stroke detection instrument by healthcare workers in pre-hospital settings.
Co-Authors Kristiyani Herda Rophi