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Jurnal Keperawatan Indonesia
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VIEWS: 1664
10.7454/jki.v14i2.315
Submitted: 2014-12-08
Published: 2011-07-24

Penerapan Edinburgh Post-Partum Depression Scale Sebagai Alat Deteksi Risiko Depresi Nifas pada Primipara dan Multipara

Jurusan Keperawatan Poltekes Kemenkes Medan, Sumatera Barat 20136, Indonesia
depresi nifas Edinburgh Post-partum Depression Scale (EPDS)

Abstract

Abstrak

Ibu menggambarkan depresi nifas sebagai mimpi buruk dengan kecemasan yang tidak terkontrol, rasa bersalah, dan pikiran
obsesif. Kontemplasi wanita tersebut bukan hanya membahayakan dirinya sendiri tapi juga bayi mereka. Ibu merasa kesepian
dan kualitas hidup menurun, yang berpengaruh terhadap kurangnya emosi positif. Hampir 50% kasus depresi nifas tidak
terdeteksi. Edinburgh Postnatal Depression Scale (EPDS) adalah alat yang dirancang khusus untuk menyaring penyimpangan
suasana hati. Tujuan dari penelitian ini adalah mengevaluasi risiko depresi nifas pada primipara dan multipara menggunakan
EPDS. Penelitian survei ini menggunakan pendekatan kuantitatif sebanyak 50 pasien terpilih dengan metode purposive sampling.
Hasil penelitian independent t-test menunjukkan perbedaan risiko yang signifikan depresi nifas pada wanita primipara dan
multipara (p= 0,000; α= 0,05). Disarankan untuk menerapkan skala Edinburgh sebagai alat deteksi depresi nifas pada ibu
primipara dan multipara mengingat bahwa depresi nifas kadang terjadi tanpa diketahui dulu sebelumnya.
Kata kunci: depresi nifas, Edinburgh Post-partum Depression Scale (EPDS)

Abstract

Mothers describe postpartum depression as a living nightmare filled with uncontrollable anxiety, consuming guilt, and
obsessive thinking. These conditions do not only harm themselves but also their infants. Mothers are enveloped in loneliness
and the quality of their lives is further compromised by a lack of all positive emotions. Up to 50% of all cases of postpartum
depression go undetected. The Edinburgh Postnatal Depression Scale (EPDS) has been the only instrument available that
was specifically designed to screen for this mood disorder. The aim of this study is to evaluate risk of postpartum depression
differences of primiparous and multiparous mother by using EPDS. This study utilized survey with quantitative approach.
Fourty patients were chosen with purposive sampling method. The result of the study especially the independent t-test shows
that there was significant differences of postpartum depression risk of primiparous and multiparous women (p= 0.000; α=
0.05). It is recommended to apply the scale of Edinburgh as tools detection of postpartum depression in mothers primiparous
and multiparous considering that postpartum depression often occurs without any known beforehand.
Keywords: post partum depression, Edinburgh Post-partum Depression Scale (EPDS)

References

  1. Afiyanti, Y. (2002). Deteksi dan pencegahan dini postpartum. Jurnal Keperawatan Indonesia, 6 (2), 70–76.
  2. Armstrong, K.L., Fraser, J.A., Dadds, M.R., & Morris, J. (2000). Promoting secure attachment, maternal mood and child health in a vulnerable population: A randomized controlled trial. J Paediatr Child Health, 36, 555–562.
  3. Beck, C.T., & Gable, R.K. (2001). Further validation of the postpartum depression screening scale. Nursing Research, 50 (3), 155–164.
  4. Beck, J.S., Vartuli, J.C., Roth, W.J., Leonowicz, M.E., Kresge, C.T., Schmitt, K.D., Chu, C.T.W., Olson, D.H., & Sheppard, E.W. (1992). A new family of mesoporous molecular sieves prepared with liquid crystal templates. J Am Chem Soc, 114 (27), 10834–10843. doi: 10.1021/ja00053a020.
  5. Bloch, M., Schmidt, P.J., Danaceau, M., Murphy, J., Nieman, L., & Rubinow, D.R. (2000). Effects of gonadal steroids in women with a history ofnifas depression. Am J Psychiatry, 157, 924–930.
  6. Campbell, S.B., & Cohn, J.F. (1991). Prevalence and correlates of postpartum depression in first-time mothers. Abnormal Psychology, 100, 594–599.
  7. Cooper, P.J., & Murray, L. (1998). Postnatal depression. BMJ, 316 (7148), 1884–1886.
  8. Djarwanto, P.S. (2001). Mengenal beberapa uji statistik dalam penelitian (Edisi kedua). Yogyakarta: Liberty.
  9. Heh, S., & Fu, Y. (2002). Effectiveness of informational support in reducing the security of postnatal depression in Taiwan. Journal of Advanced Nursing, 42 (3), 30–36.
  10. Kustjens, S., & Wolke, D. (2001). Effects of maternal depression on cognitive development of children over the first 7 years of life. Journal of Child Psychology and Psychiatry, 42, 623–636.
  11. O’Hara, M.W., & Swain, A.M. (1996). Rates and risk of postpartum depression: A meta-analysis. Int. Rev. Psychiatry, 8, 37–54.
  12. Sharp, D., Hay, D.F., Pawlby, S., Schmücker, G., Allen, H., Kumar, R. (1995). The impact of postnatal depression on boys’ intellectual development. J Child Psychol Psychiatry, 36 (8), 1315–1336.
  13. Tammentie, T., Tarkka, M.T., Astedt-Kurki, P., & Paavilainen, E. (2002). Sociodemographic factors of families related to postnatal depressive symptoms of mothers. International journal of nursing practice, 8 (5), 240–246.
  14. Wisner, K.L., Perel, J.M., Peindl, K.S., Hanusa, B.H., Findling, R.L., & Rapport, D. (2001). Prevention of recurrent nifas depression: a randomized clinical trial. Journal Clinical Psychiatry, 62, 82–86.

How to Cite

Soep, S. (2011). Penerapan Edinburgh Post-Partum Depression Scale Sebagai Alat Deteksi Risiko Depresi Nifas pada Primipara dan Multipara. Jurnal Keperawatan Indonesia, 14(2), 95–100. https://doi.org/10.7454/jki.v14i2.315