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"ABSTRAKIbu postpartum dengan bayi prematur beresiko mengalami postpartum blues dan ansietas, hal inidisebabkan karena banyaknya permasalahan yang dihadapi oleh ibu postpartum dengan bayiprematur. Tujuan penelitian ini mengidentifikasi pengaruh terapi thought stopping dan terapisuportif terhadap postpartum blues dan ansietas ibu postpartum dengan bayi prematur. Metodepenelitian yang digunakan quasi-experiment with control group pretest-post test design denganmetode consecutive sampling. Sampel dalam penelitian ini adalah ibu postpartum dengan bayiprematur yang dirawat diruang Perina ? Nicu sebanyak 62 responden. Hasil penelitianmenunjukkan ada penurunan postpartum blues dan ansietas secara bermakna (p-value= 0,000)pada kelompok yang mendapat tindakan keperawatan Ners, terapi thought stopping dan terapisuportif, dan lebih besar penurunan secara bermakna dibandingkan dengan kelompok yang hanyamendapat tindakan keperawatan Ners.. Terapi thought stopping dan terapi suportif mampumenurunkan postpartum blues dan ansietas ibu postpartum dengan bayi prematur

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ABSTRACTPostpartum mothers with premature infants at risk for postpartum blues and anxiety, it is due to themany problems faced by postpartum mothers with premature infants. The purpose of this studyidentified the influence of thought stopping therapy and supportive therapy against postpartumblues and anxiety postpartum mothers with premature infants. The method used a quasiexperimentalcontrol group pretest-posttest design with consecutive sampling method. The samplein this study is postpartum mothers with premature infants who were treated in the Perinatology -Nicu were 62 respondents. The results showed differences in postpartum blues and anxiety levelspostpartum mothers with premature infants significant (p-value = 0.000) between the groupsthought stopping therapy and supportive therapy with groups that receive Ners nursing actions.Thought stopping therapy and supportive therapy can lower postpartum blues and anxiety levelsfor postpartum mothers with premature infants"

"Kehamilan mengharuskan adaptasi yang berbeda yang dapat menyebabkan kecemasan. Kecemasan pada kehamilan dapat berakibat pada ibu serta kelahiran bayinya. Kecemasan selama kehamilan meningkatkan resiko terjadinya postpartum blues. Postpartum blues ialah periode gangguan emosional setelah melahirkan. Tujuan penelitian ini adalah mengidentifikasi hubungan antara cemas pada kehamilan dengan terjadinya postpartum blues. Penelitian ini menggunakan desain cross sectional dengan metode consecutive sampling. Jumlah sampel penelitian 107 responden ibu postpartum. Instrumen yang digunakan yaitu Blues Questionnaire versi Bahasa Indonesia dan Perinatal Anxiety Screening Scale versi Bahasa Indonesia. Ibu nifas memiliki tingkat kecemasan ringan-sedang 36,4 dan mengalami postpartum blues 48,6. Hasil penelitian dianalisis dengan Chi-square menunjukkan terdapat hubungan antara kecemasan ringan-sedang dengan postpartum blues p=0,000 Penelitian ini merekomendasikan pentingnya memperhatikan psikologis ibu hamil maupun ibu postpartum, mengoptimalkan promosi kesehatan untuk menurunkan kecemasan, mengidentifikasi faktor-faktor lain yang mempengaruhi adaptasi postpartum.

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Pregnancy requires different adaptation which may cause anxiety. Anxiety during pregnancy may affect mother and baby. Anxiety during pregnancy increases risk of postpartum blues. Postpartum blues is a period of emotional disorder after childbirth. The purpose of this study was identifying the relation between anxiety during pregnancy and postpartum blues.

This study used cross sectional design with consecutive sampling method. Total research sample was 107 postpartum women. The instruments were Bahasa Indonesia version of Blues Questionnaire and Bahasa Indonesia version of Perinatal Anxiety Screening Scale. Puerperal women had mild moderate level of anxiety 36,4 and had postpartum blues 48,6.

The research result was analyzed by Chi square, showing relation between mild moderate anxiety and postpartum blues p 0,000. This study recommended the importance of paying attention of the psychology of pregnant women and postpartum women, optimizing health promotion to reduce anxiety, identifying other factors influencing postpartum adaptation."

"Kecemasan dewasa muda dalam menghadapi Quarter-life crisis berdampak pada terganggunya proses pertumbuhan dan perkembangan masa dewasa muda. Intervensi yang digunakan adalah Terapi Kelompok Terapeutik dewasa muda dan Thought Stoppung. Kerangka yang digunakan adalah Model Stres Adaptasi Stuart dan Model Adaptasi Roy. Aplikasi TKT dan Thought Stopping dapat membantu pemenuhan tugas perkembangan dan manajemen kecemasan dewasa muda. Analisa dilakukan pada 36 klien. Hasil Analisa menunjukkan bahwa terdapat peningkatan tugas dan aspek perkembangan serta penurunan angka Quarter-life crisis dan tanda dan gejala kecemasan. Saran dari Karya Ilmiah Akhir ini adalah untuk meningkatkan kemampuan klien dewasa muda menstimulasi aspek perkembangan dan manajemen kecemasan untuk mendukung tugas perkembangan dewasa muda “intimacy” baik dari teman, keluarga maupun perawat CMHN.

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The anxiety experienced by young adults in facing a Quarter-life crisis affects their growth and development processes. The interventions used were Therapeutic Group Therapy for young adults and Thought Stopping. The frameworks used were Stuart's Stress Adaptation Model and Roy's Adaptation Model. The application of Therapeutic Group Therapy and Thought Stopping can assist in fulfilling developmental tasks and managing anxiety in young adults. The analysis was conducted on 36 clients. The results showed an improvement in developmental tasks and aspects, as well as a decrease in the incidence of Quarter-life crisis and anxiety symptoms. The recommendation from this final scientific work is to enhance young adults' ability to stimulate developmental aspects and manage anxiety to support the developmental task of "intimacy" from friends, family, and CMHN nurses."

"Pasien Diabetes Mellitus, akan menimbulkan masalah gangguan  fisik yaitu nyeri akut/kronis, dan gangguan psikologis (kecemasan,) bila tidak ditanganii dengan baik.Tujuan dari penelitian ini menerapkan terapi penghentian pikiran, relaksasi otot progresif, dan psikoedukasi keluarga pada kelompok kontrol dan intervensi. Penelitian ini mengunakan desain penelitian operasional research dengan jumlah sampel 38 individu dibagi menjadi 18 induvidu kelompok kontrol dan 22 kelompok intervensi. Hasil analisis Mann-whitney menunjukkan bahwa terdapat perbedaan antara kelompok kontrol yang diberikan TKN, edukasi keluarga, pendampingan, dan latihan mandiri dengan kelompok intervensi yang diberikan TKN, edukasi keluarga, pendampingan, dan latihan mandiri, terapi penghentian pikiran, terapi otot progresif dan psikoedukasi keluarga  secara bermakna (p value < 0,05). Penerapan TKN, edukasi keluarga, pendampingan, dan latihan mandiri, terapi penghentian pikiran, terapi otot progresif dan psikoedukasi keluarga direkomendasikan karena dapat menurunkan nyeri dan ansietas pada klien diabetes melitus, meningkatkan kemampuan pasien dan kemampuan keluarga dalam merawat nyeri dan ansietas dengan diabetes melitus.

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Diabetes Mellitus patients will cause physical problems, namely acute/chronic pain, and psychological disorders (anxiety) if not treated properly. The aim of this research is to apply thought stopping therapy, progressive muscle relaxation, and family psychoeducation in the control and intervention groups. This research used an operational research design with a sample size of 38 individuals divided into 18 control groups and 22 intervention groups. The results of the Mann-Whitney analysis showed that there were differences between the control group which was given TKN, family education, assistance and independent training and the intervention group which was given TKN, family education, assistance and independent training, thought stopping therapy, progressive muscle therapy and family psychoeducation significantly (p value < 0.05). The application of TKN, family education, mentoring and independent training, thought stopping therapy, progressive muscle therapy and family psychoeducation are recommended because they can reduce pain and anxiety in clients with diabetes mellitus, increase the patient's ability and the family's ability to treat pain and anxiety with diabetes mellitus."

"Air susu ibu (ASI) adalah makanan alami dengan nutrisi tinggi yang sesuai perkembangan bayi yang disekresikan kelenjar payudara dan diproduksi sejak kehamilan. Pada ibu yang memiliki bayi yang prematur memiliki masalah dalam menyusui dan kecemasan terkait kondisi bayinya. Penulisan karya ilmiah ini bertujuan untuk melaporkan asuhan keperawatan pada ibu dengan bayi prematur yang mengalami masalah menyusui tidak efektif dan kecemasan beserta dengan pengaruh penerapan pijat oksitosin dan terapi musik untuk meningkatkan produksi asi dan menurunkan ansietas. Metode studi kasus dengan melakukan intervensi pijat oksitosin dan terapi musik selama tiga hari. Hasil analisis setelah dilakukan intervensi pijat oksitosin dan terapi musik yaitu terjadi peningkatan produksi ASI yang dilihat dari jumlah pengeluaran ASI dan menurunnya tingkat ansietas dinilai menggunakan kuesioner STAI (State Trait Anxiety Inventory).

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Mother's milk (ASI) is a natural food with high nutrition that is suitable for the baby's development, which is secreted by the breast glands and produced since pregnancy. Mothers who have premature babies have problems breastfeeding and worry about their baby's condition. The aim of writing this scientific work is to report nursing care for mothers with premature babies who experience problems with ineffective breastfeeding and anxiety along with the effect of applying oxytocin massage and music therapy to increase breast milk production and reduce anxiety. The case study method involved intervention with oxytocin massage and music therapy for three days. The results of the analysis after the oxytocin massage and music therapy intervention were an increase in breast milk production as seen from the amount of breast milk excreted and a decrease in anxiety levels assessed using the STAI (State Trait Anxiety Inventory) questionnaire."

"Ibu mengalami perubahan suasana hati selama periode postpartum. Perubahan suasana hati seperti sering menangis, sedih, marah, lelah dan sulit tidur disebut postpartum blues. Postpartum blues dapat terjadi pada ibu persalinan pervaginam dan sectio caecaria (SC). Penelitian ini menggunakan desain penelitian deskriptif yang bertujuan untuk mengidentifikasi karakteristik dan kejadian postpartum blues pada ibu persalinan pervaginam dan SC. Sampel pada penelitian ini berjumlah 91 orang. Teknik sampel yang digunakan yaitu consecutive sampling. Hasil menunjukkan kejadian postpartum blues pada persalinan SC sebesar 88,1% dan pervaginam sebesar 71,9%. Oleh karena itu, petugas kesehatan sebaiknya lebih memperhatikan kondisi ibu postpartum khususnya pada ibu persalinan SC.

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Women experience mood swings during the postpartum period. Mood swings such as frequent crying, sadness, anger, fatigue and difficulty sleeping are called postpartum blues. Postpartum blues can occur in vaginal delivery and caecarean section (SC). This research used descriptive design to identify characteristics and the incidence of postpartum blues at vaginal delivery and caecarean section. The participants of this research were 91 postpartum. Sampling technique used in this research was consecutive sampling. The result of this research showed the percentage postpartum blues at caesarean section 88,1% and vaginal delivery 71,9%. Therefore, medical team needs to observe the condition of postpartum, in particular postpartum at caesarean section."

"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.

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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 GLM

Results 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."