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RELATIONSHIP OF SELF-ESTEEM TO POSTPARTUM DEPRESSION IN POSTPARTUM MOTHERS Vina Ayu Wardani; Kustati Budi Lestari; Irma Nurbaeti
Journal of Maternity Care and Reproductive Health Vol 4, No 1 (2021): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v4i1.164

Abstract

Self-esteem influences women's transition to a new identity and adjustment of motherhood. Mothers with low self-esteem have poor coping, so it is easy to experience depression. In the postpartum period, physiological changes and psychological changes can trigger anxiety and depression that affect the bonding of the baby and mother.  The purpose of this study was to find out if there was a link between self-esteem and postpartum depression. Method Quantitative research with cross-sectional design against 287 postpartum mothers 1-12 months meets inclusion criteria. Collection of research data in March – June 2016 in the working area of Puskesmas Ciputat Timur and Ciputat Tangerang Selatan; and Kebayoran Lama and Cilandak Jakarta Selatan. The research instrument uses the Indonesian version of the Edinburgh postpartum depression scale to measure postpartum depression and Rosenberg Self-Esteem Scale in Bahasa Indonesia to measure postpartum maternal self-esteem. Data collection with home visits. Test the statistic using Chi-square with α=0.05.  The results showed that of the 38% of mothers with low self-esteem, 11.5% had postpartum depression. The chi-square test analysis results have a relationship between self-esteem and postpartum depression (p=0.002 value). Conclusion mothers with low self-esteem are at higher risk of causing postpartum depression, so it is necessary to increase postpartum mothers' self-esteem to undergo a transition period happily.  
Efektivitas Comprehensive Breastfeeding Education terhadap Keberhasilan Pemberian Air Susu Ibu Postpartum Irma Nurbaeti; Kustati Budi Lestari
Jurnal Keperawatan Padjadjaran Vol. 1 No. 2 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (682.639 KB) | DOI: 10.24198/jkp.v1i2.56

Abstract

Pemberian Air Susu Ibu (ASI) masih merupakan masalah bagi pemenuhan kebutuhan nutrisi bayi baru lahir. Dukungan agar ibu menyusui bayi merupakan hal penting dalam menginisiasi dan mempertahankan pemberian ASI. Strategi dibutuhkan untuk mendukung keberhasilan menyusui. Tujuan penelitian adalah menganalisis efektivitas comprehensive breastfeeding education terhadap keberhasilan pemberian (ASI) pada periode postpartum. Jenis penelitian ini menggunakan kuasi eksperimen one group pre post test repeated measured design. Jumlah sampel sebanyak 22 ibu dengan menggunakan teknik accidental sampling. Pengumpulan data dilaksanakan pada bulan September–Oktober 2013 di Puskesmas wilayah Kota Tangerang Selatan. Intervensi dilakukan selama 30 menit. Pengumpulan data dilakukan sebelum intervensi, 3 hari setelah intervensi (post1), dan 10 hari setelah intervensi (post 2). Pengumpulan data menggunakan kuesioner dan observasi. Keberhasilan pemberian ASI berdasar pada parameter pengetahuan, langkah menyusui, perlekatan bayi, dan kecukupan ASI. Analisis data menggunakan general linear model repeated measureANOVA. Hasil penelitian menunjukkan adanya signifikansi comprehensive breastfeeding education (p=0.001). Rata-rata keberhasilan pemberian ASI sebelum dan setelah intervensi meningkat. Sebesar 93,9% intervensi memengaruhi tingkat keberhasilan. Rata-rata sebelum intervensi 56,74 (SD 5,92), post 1 sebesar 60,83 (SD 6,38) dan post2 sebesar 74,55 (SD 5,32). Subvariabel yang memiliki efek secara signifikan setelah intervensi adalah pengetahuan (p=0.001) dan langkah menyusui (p=0.001), sedangkan subvariabel perlekatan bayi (p=0.061) dan kecukupan ASI (p=0.162) tidak secara signifikan berbeda antara sebelum dan setelah intervensi. Pelaksanaanbreastfeeding education disarankan pada ibu agar dapat melakukan posisi perlekatan bayi yang benar sehingga dapat mengurangi masalah-masalah berkaitan dengan perlekatan yang tidak sesuai seperti puting perih, lecet atau berdarah, dan bayi kurang puas dalam menyusu yang bisa mengakibatkan gagalnya program ASI ekslusif.Kata kunci:Menyusui, pendidikan, perlekatan, postpartum AbstractBreastfeeding have still been problem for adequate newborn nutrition. Adequate breastfeeding support is essential for mothers to initiate and maintain optimal breastfeeding practices. A strategic needed to support successful breastfeeding. The purpose of research is to analyze the effectiveness comprehensive breastfeeding education on successful breastfeeding at postpartum periods. A quasi-experimental one group pretest, post test, repeated mesaured was used. This study was conducted at public health in Tangerang Selatan municipality in September–October 2013 among 22 postpartum mothers, convenience sampling methods. Intervention was done 30 minute. Data were collected before intervention (pretest), third day after intervention (post 1) and tenth day after intervention (repeated/post 2) using four parameter, that are knowledge, breastfeeding steps, proper lacth-on and adequate breastmilk. Using repeated measures analysis of variance there was a significant increase (p=0.001) in the overall Successful breastfeeding mean. Around 93,9% the effectiveness of intervention influence on successful. The mean before intervention is 56,74 (SD 5,92), increased at post 1:60,83 (SD 6,38) and post 2:74,55 (SD 5,32). Subvariable which has effect significantly after intervention is knowledge (p=0.001) and breastfeeding steps (p=0.001), in contrary, proper latch-on (p=0,061) and adequate breastmilk (p=0.162) have no significant effect after intervention. Suggestion to support breastfeeding education and counselling proper latch-on adequately that can decrease the problem such as painful, creaks or bloody putting.Key words: Breastfeeding, education, latch-on, postpartum
Developing an android-based application for early detection of postpartum depression symptoms in Indonesia Irma Nurbaeti; Moch Syafii; Kustati Budi Lestari
Belitung Nursing Journal Vol. 7 No. 2 (2021): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1308

Abstract

Background: Postpartum depression has become a mental health problem in Indonesia. Screening symptoms of postpartum depression as early as one month during the postpartum period is needed. A smartphone application is considered one of the fastest ways for screening. Objective: To develop an android-based application to early detect the symptoms of postpartum depression and evaluate its effectiveness. Methods: The smartphone application was developed using Analysis, Design, Development, Implementation, and Evaluation (ADDIE) instruction model. The survey design was carried out to evaluate the effectiveness of the application among 109 postpartum mothers selected using convenience sampling. Data were collected from August to October 2019 in South Tangerang, Indonesia. Results: The evaluation showed that the application is mostly positive. The appearance of the application is adequate (92.67%), easy to download (89.90%), understandable (96.33%), easy to fill-in (94.50%), beneficial (96.33%), new (90.83%), and reflecting psychological conditions (90.83%). Conclusion: The symptoms of postpartum depression can be measured by the android-based application. It is therefore recommended to Indonesian mothers use this app to detect postpartum depression symptoms early. This app also helps nurses and midwives to prevent depression among postpartum mothers. Also, the app can be imitated by other developers for non-Indonesian mothers.
Association between Islamic religiosity, social support, marriage satisfaction, and postpartum depression in teenage mothers in West Java, Indonesia: A cross-sectional study Irma Nurbaeti; Kustati Budi Lestari; Moch Syafii
Belitung Nursing Journal Vol. 9 No. 4 (2023): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2661

Abstract

Background: Postpartum depression is a prevalent mental health issue among mothers after giving birth. Adolescent mothers are believed to have a higher rate of postpartum depression than adult mothers. However, research on postpartum depression among teenage mothers in Indonesia remains limited. This research gap emphasizes the need for more comprehensive studies to address the mental health and well-being of postpartum mothers in Indonesia, especially among adolescents. Objective: This study aimed to investigate the correlations between Islamic religiosity, social support, marital satisfaction, and postpartum depression in teenage mothers in Indonesia. Methods: A cross-sectional study was conducted involving 203 adolescent postpartum mothers selected through cluster sampling. Data were collected using validated questionnaires from July to August 2020 in Cianjur and Sukabumi districts, West Java Province, Indonesia. Descriptive statistics, chi-square, and multiple logistic regression were employed for data analysis. Results: The study revealed that 35.96% of teenage mothers experienced symptoms of postpartum depression. Among the variables studied, marriage satisfaction (p = 0.002), education level (p = 0.012), family income (p = 0.003), number of children (p = 0.044), and baby weight at birth (p= 0.0001) were significantly associated with postpartum depression. However, social support (p = 0.688) and religiosity (p = 0.788) showed no significant association with postpartum depression. Multiple logistic regression analysis further confirmed that marriage satisfaction (p = 0.001; OR = 0.365; 95% CI 0.197 - 0.676), family income (p = 0.001; OR = 0.326; 95% CI = 0.165 - 0.644), and the number of children (p = 0.026; OR = 3.68; 95% CI = 1.173 – 11.547) were the most significant factors associated with postpartum depression. Conclusion: The study highlighted a high prevalence of postpartum depression among adolescent mothers. Marital satisfaction, family income, and the number of children were identified as key factors associated with postpartum depression in this population. These findings emphasize the importance of considering these factors in nursing and midwifery practice to provide targeted support and interventions, ultimately improving the mental health outcomes for teenage mothers during the postpartum period.
Pengaruh Edukasi Upaya Pencegahan Demam Berdarah melalui Flashcard terhadap Tingkat Pengetahuan Siswa Sekolah Dasar Kustati Budi Lestari; Noni Tasya; Dwi Setyowati; ratna Pelawati
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 1 (2025): Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i1.6876

Abstract

Dengue fever continues to pose a serious threat to global public health, particularly among children aged 5 to 14 years. Schools are potential hotspots for the transmission of dengue hemorrhagic fever due to students' limited knowledge regarding its transmission and prevention. Educational interventions using engaging media, such as flashcards, are considered effective in enhancing awareness and preventive behaviors. Objective: This study aimed to examine the effect of flashcard-based education on elementary school students' knowledge of dengue fever prevention. Methods: A quasi-experimental design with a nonequivalent control group was employed. The study involved 30 students from grades 5 and 6 at SDN 1 Sajira, who were divided equally into intervention and control groups. The intervention group received health education using flashcards. Data were analyzed using paired t-tests and independent t-tests to evaluate the effectiveness of the intervention. Results: The bivariate analysis showed a statistically significant increase in the knowledge scores of students in the intervention group (p-value = 0.000; p < 0.05). This indicates that the flashcard-based education had a significant positive effect on students' knowledge regarding dengue prevention. Conclusion: Flashcard-based health education is effective in increasing knowledge about dengue prevention among elementary school students. Schools are encouraged to implement similar educational strategies and collaborate with local health centers to support dengue eradication efforts.