ABSTRAKKehamilan dapat mengalami gangguan atau ancaman kelahiran sebelum waktunya yang
dapat menurunkan kualitas hidup bayi dan ibunya. Kondisi ini diperlukan intervensi
keperawatan untuk pencegahannya. Penelitian ini bertujuan untuk menilai efektifitas
paket “Aman” terhadap pengetahuan dan pelaksanaan perawatan kehamilan serta
dampaknya terhadap maturitas kehamilan pada ibu dengan resiko persalinan prematur.
Desain penelitian ini adalah kuasi eksperimental dengan pre dan post test without
control group dilanjutkan post test only design with control group. Penelitian
dilaksanakan di RS. Cipto Mangunkusumo, RS. Fatmawati dan Puskesmas Cempaka
Putih Jakarta. Sampel adalah ibu dengan kehamilan risiko tinggi sebanyak 36 orang.
Pemilihan sampel dengan metode purposif sampling. Analisa data kuantitatif dilakukan
dengan uji proporsi, uji chi square dan uji t test. Hasil analisis terdapat perbedaan
bermakna rata-rata pengetahuan pre dan post intervensi pada kelompok intervensi (p=
0,000 < alpha 5%), adanya perbedaan yang signifikan pelaksanaan perawatan kehamilan
setelah diberi paket “Aman” (p= 0,000 < alpha 5%). Kejadian maturitas kelompok
intervensi signifikan (p = 0,006), responden mendapat intervensi “Paket Aman”
berpeluang mengalami kehamilan matur sebesar 12,571 kali dibandingkan dengan
responden yang tidak mendapat intervensi paket aman. Intervensi paket aman perlu
diimplementasikan disemua tatanan pelayanan keperawatan maternitas khususnya
antenatal care dengan memberikan booklet sebagai media dan komunikasi yang efektif.
Diperlukan penelitian lebih lanjut tentang status sosial ekonomi dengan kejadian
maturitas.
ABSTRACTAbstract
Pregnancy disorder and premature labor can occur in a pregnancy. It can decrease
quality of live of the infant and mother. Nursing intervention is needed to prevent it. The
research was aimed to examine the effectiveness of “Paket Aman” on mother with
premature labor risk’s knowledge and pregnancy care and it’s effect on pregnancy
maturity.
The design of research was quasi experimental using pre and post test without control
and post test only design with control group to measure effectiveness of “Paket Aman”.
Samples were 36 mothers with high risk pregnancy selected by purposive sampling
method. Instrument used to collect data were questionnaire and observation.
Intervention was a health education by using booklet media of “Paket Aman”. Data was
analized by using proportion test, chi square test and t- test. The result revealed that
there was a significant difference in knowledge between pre and post intervention in
intervention group (p=0,000; < α =5%), there was a very significant difference in
pregnancy care after given “Paket Aman” (p=0,000; < α =5%). There is a significant
different in maturity of pregnancy betwen intervention group after intervention and
control group (p=0,006). “Paket Aman” intervention have probability to have matur
pregnancy at 12,571 times compared to participants who is not given “Paket Aman”
intervention. It is recommended that “Paket Aman” intervention is needed to be
implemented at all maternity nursing care service level, especially in antenatal care
using booklet as media and effective communication. Future research is needed
concerning the relationship between economy and social status and maturity incident.