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Abstrak :
Kehamilan berisiko tinggi mempengaruhi kondisi psikososial dan emosional ibu. Paket "Harmoni" merupakan paket intervensi psikososial untuk kecemasan ibu hamil risiko tinggi menghadapi persalinan. Tujuan penelitian untuk mengetahui pengaruh pemberian paket "Harmoni" pada ibu hamil risiko tinggi terhadap kecemasan ibu menghadapi persalinan. Penelitian quasi-eksperimen ini menggunakan sampel masing-masing sejumlah 20 orang pada kelompok kontrol dan intervensi yang diambil secara purposive sampling. Instrumen penelitian adalah alat ukur kecemasan (HARS) yang dimodifikasi. Hasil penelitian adalah ada pengaruh yang signifikan pemberian paket "Harmoni" pada ibu hamil risiko tinggi terhadap kecemasan ibu menghadapi persalinan (p= 0,03; α = 0,05). Paket "Harmoni" dapat digunakan sebagai media dalam pendidikan kesehatan psikososial bagi ibu hamil risiko tinggi. ......The High-risk pregnancies affect the psychosocial and emotional condition. "Harmony" package is a psychosocial intervention to reduce the anxiety of high risk pregnant before the labor. The objective of this research is to determine the effect of "Harmony" package on anxiety of high-risk pregnant before the labor. This quasi-experimental study use samples of two groups consisting a control group and an observed group, in each of which 20 people were selected by purposive sampling. Modified HARS measure of anxiety was used as the research instrument. Research finding indicates that there is a significant effect of "Harmony" package on high-risk pregnant women towards their anxiety before the labor (p=0, 03; α = 0, 05). "Harmony" package can be used as a recommended medium in psychosocial health education for high-risk.

Abstrak :
Ibu hamil resiko tinggi dengan riwayat infertilitas berisiko tinggi mengalami kecemasan antenatal. Kecemasan antenatal dapat menyebabkan persalinan preterm, gangguan kelekatan prenatal, dan gangguan pola seksual. Perawat sebagai pemberi asuhan keperawatan berperan penting dalam meningkatkan kesejahteraan ibu dan bayi serta memfasilitasi pencapaian peran sebagai ibu. Metode yang digunakan adalah studi kasus dengan fokus penerapan teori Goal Attainment King dan Becoming A Mother Mercer pada asuhan ibu hamil resiko tinggi dengan riwayat infertilitas. Evidence Based Nursing Practice berupa attachment behavior’s counselling diterapkan dengan pilot study menggunakan pendekatan Joanna Briggs Institute (JBI) Evidence-Based Audit And Feedback dan Getting Research into Practice (GRiP). Penerapan teori Goal Attainment dan Becoming A Mother serta attachment behavior’s counselling tepat digunakan dan efektif dalam melibatkan ibu hamil secara aktif untuk mencapai peran pada tahap antisipatori, yaitu pembentukan komitmen, kelekatan, dan persiapan melakukan perawatan kehamilan, melahirkan dan menjadi orang tua. ......High-risk pregnant women with a history of infertility are at high risk of antenatal anxiety. Antenatal anxiety can cause preterm delivery, disturbed prenatal attachment, and impaired sexual patterns. A Nurses as nursing care providers plays a principal role in improving maternal and fetal wellbeing and facilitating the achievement of maternal role identity. The study method was a case study that focused on applying the theory of Goal Attainment King and Becoming A Mother Mercer on high-risk pregnant women with a history of infertility Evidence-Based Nursing Practice in the form of attachment behavior’s counseling was applied with a pilot study using the Joanna Briggs Institute (JBI) Evidence-Based Audit And Feedback and Getting Research into Practice (GRiP) approach. The application of Goal Attainment and Becoming A Mother theory as well as attachment behavior’s counseling is appropriate and effective in actively involving pregnant women to achieve roles at the anticipatory stage, namely the formation of commitment, attachment, and preparation for prenatal care, childbirth and parenthood.