Faktor-Faktor yang Berhubungan dengan Depresi pada Ibu Postpartum di Kota Yogyakarta

Abstract

Background: Postpartum mothers would experience uterine involution and the function return to normal after six weeks. Mood disorders was difficult to detect, the psychological change in postpartum mother untreated could be postpartum depression (PPD). Methods: This research used correlation with cross-sectional design. The population of post-partum mothers in Yogyakarta Primary Health Care, with average was 60 labor/month. Sampling technic used non probability sampling with a quota of 90 postpartum mothers. The instruments were respondent characteristic: age, family income, parity, other instruments: method of delivery, status of residence, multidimensional scale of perceived social support (MSPSS), Roosenberg Self Esteem Scale (RSES), and Endiburg Postpartum Depression (EPDS). Descriptive analysis was frequency distribution, bivariate Chi-square and multivariate logistic regression. Results: There was the relationship between family support and self-esteem with postpartum depression with p-value <0,05, Exp (B) family support of 0.228 and self-esteem of 0.415. Both had negative exponent. Conclusion: There was a relationship between family support and self-esteem and depression in post-partum mothers in Yogyakarta.
Keywords: depression; post-partum

ABSTRAK

Latar belakang: Ibu postpartum akan mengalami invulosio uterus dan fungsi reproduksi akan kembali normal setelah 6 minggu. Gangguan suasana hati sulit didetensi. Perubahan psikologis pada ibu postpartum jika tidak ditangani menyebabkan adalah postpartum depresi (PPD). Metode: Jenis penelitian korelasi dengan desain cross-sectional. Populasi ibu postpartum di Wilayah kerja Puskesmas Kota Yogyakarta rata-rata persalinan 60/bulan. Pengambilan sampel dengan teknik non probability sampling dengan kuota sebanyak 90 ibu postpartum. Instrumen untuk karakteristik responden yang terdiri dari: usia, dan pendapatan keluarga, paritas, instrumen lain adalah metode persalinan, status tempat tinggal, dukungan menggunakan Multidimensional Scale of Perceived Social Support (MSPSS), Rosenberg Self Esteem Scale (RSES), dan Endinburgh Postpartum Depression (EPDS). Analisis deskriptif adalah distrribusi frekuensi, bivariat yaitu Chi Square dan multivariat regresi logistik. Hasil: Hubungan dukungan keluarga dan self esteem dengan depresi postpartum p value <0,05. Exp (B) dukungan keluarga adalah 0,228 dan self esteem adalah 0,415. Keduanya memiliki Exp (B) negatif. Kesimpulan: Ada hubungan antara dukungan keluarga dan self esteem dengan depresi pada ibu postpartum di kota Yogyakarta.
Kata kunci: depresi; postpartum