LITERATURE REVIEW : ASUHAN KEPERAWATAN PADA PASIEN DENGAN DEPRESI POSTPARTUM

Authors

  • khani nurmalasari Program Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta
  • Faizah Betty Rahayuningsih Program Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta

DOI:

https://doi.org/10.31004/jkt.v6i1.43413

Keywords:

Depresi Postpartum, Asuhan Keperawatan, Intervensi Psikososial, Dukungan Sosial

Abstract

Depresi postpartum merupakan masalah kesehatan mental yang umum terjadi di seluruh dunia, termasuk di Indonesia. Depresi postpartum adalah gangguan mental yang umum terjadi pada ibu setelah melahirkan dan dapat berdampak negatif pada ibu, bayi, serta keluarga. Gejala yang muncul meliputi perasaan sedih berkepanjangan, kelelahan ekstrem, gangguan tidur, kehilangan minat terhadap aktivitas sehari-hari, perubahan nafsu makan, serta perasaan tidak mampu menjadi ibu yang baik. Dalam beberapa kasus, muncul pikiran untuk menyakiti diri sendiri atau bayinya. Depresi postpartum memiliki prevalensi yang cukup tinggi dengan faktor risiko biologis, psikologis, dan sosial. Asuhan keperawatan berperan penting dalam mendiagnosis dan memberikan intervensi yang tepat untuk mengatasi kondisi ini. Penelitian ini merupakan literature review yang menganalisis 10 jurnal internasional kualitatif terkait asuhan keperawatan pada pasien dengan depresi postpartum. Desain penelitian yang digunakan adalah deskriptif kualitatif dengan pendekatan studi literatur. Hasil analisis menunjukkan bahwa diagnosa keperawatan yang umum meliputi kecemasan, gangguan pola tidur, risiko mencederai diri sendiri atau bayi, serta kurangnya dukungan sosial. Intervensi efektif mencakup pendekatan psikososial, terapi suportif, edukasi keluarga, dan kolaborasi interdisipliner. Evaluasi intervensi menunjukkan peningkatan kesejahteraan emosional, perbaikan kualitas tidur, serta penguatan dukungan sosial. Temuan ini menegaskan pentingnya pendekatan holistik dalam asuhan keperawatan guna mengurangi dampak negatif jangka panjang dan meningkatkan kesejahteraan ibu serta keluarganya.

References

Aadillah, V. Y., & Nurbaeti, I. (2023). Postpartum depression and its contributing factors among mothers during the COVID-19 pandemic in North Jakarta, Indonesia. Nurse Media Journal of Nursing, Faculty of Health Sciences, Universitas Islam Negeri Syarif Hidayatullah, Indonesia.

Abhishek, B. J., et al. (2024). Insights on post-partum depression. JPTCP.

Al Nasr, R. S., Altharwi, K., Derbah, M. S., Gharibo, S. O., Fallatah, S. A., Alotaibi, S. G., ... Asdaq, S. (2020). Prevalence and predictors of postpartum depression in Riyadh, Saudi Arabia: A cross-sectional study. PloS One, 15(2), e0228666. https://doi.org/10.1371/journal.pone.0228666.

Arami, N. et al. (2021). Gejala Depresi Postpartum Mempengaruhi Keberhasilan Asi. Jurnal Kesehatan Kusuma Husada, 12(1), 27–34.

Ardan, M. et al. (2021). Efektivitas Intervensi Spiritual Management of Relaxation Therapy (Smarter) Dalam Upaya Mencegah Depresi Ibu Postpartum. Sebatik, 25(2), 405–410. https://doi.org/10.46984/sebatik.v25i2.1541.

Aynalem, Y., & Eneyew, M. (2018). Fear of childbirth and associated factors among pregnant mothers who attend antenatal care service at Jinka public health facilities. Open Access, CC-BY 4.0.

Baoyu, M., et al. (2024). Effects of perioperative application of esketamine on postpartum depression in cesarean section: A systematic review and meta-analysis. Medicine.

Baldy, C., Piffault, E., Chopin, M. C., & Wendland, J. (2023). Postpartum blues in fathers: Prevalence, associated factors, and impact on father-to-infant bond. Int J Environ Res Public Health, 20(10).

Cahyaningtyas, K. N., & Julian, V. (2023). Gambaran kesehatan mental pada ibu post natal. Jurnal Keperawatan Silampari, 6(2), 1274–1280.

Centers for Disease Control and Prevention. (2021). Depression among women. Retrieved from https://www.cdc.gov/reproductivehealth/depression/index.htm.

Cho, H., Lee, K., Choi, E., et al. (2022). Association between social support and postpartum depression. Scientific Reports, 12, 3128. https://doi.org/10.1038/s41598-022-07248-7.

Chow, R., et al. (2021). Appraisal of systematic reviews on interventions for postpartum depression: Systematic review. BMC Pregnancy and Childbirth.

Deligiannidis, K. M., Meltzer-Brody, S., Maximos, B., Peeper, E. Q., Freeman, M., Lasser, R., ... Doherty, J. (2023). Zuranolone for the treatment of postpartum depression. American Journal of Psychiatry, 180(9), 668–675.

Dewi, E., Kartinah, A. M., Rahayuningsih, F. B., Zahra, R. C., Suswardany, D. L., & Hassan, H. (2024, December 1). Assessing Indonesian health professions students on collaborative and readiness aspects of interprofessional online learning. Education in Medicine Journal, 16(4).

Elmuttalut, M., & Alfahal, M. S. (2024). Key risk factors contributing to postpartum depression: Literature review. IJIRMS.

Gaden, T.S. et al. (2022). The LongSTEP approach: Theoretical framework and intervention protocol for using parent-driven infant-directed singing as resource-oriented music therapy. Nordic Journal of Music Therapy, 31(2), 107–132. https://doi.org/10.1080/08098131.2021.1921014.

Gila-Díaz, A. et al. (2020). Association between maternal postpartum depression, stress, optimism, and breastfeeding pattern in the first six months. International Journal of Environmental Research and Public Health, 17(19), 1–13. https://doi.org/10.3390/ijerph17197153.

Islamiyah, I. & Wasil Sardjan, U.R. (2021). Depresi Postpartum Berhubungan dengan Motivasi Pemberian Asi Ekslusif Satu Bulan Pertama pada Bayi. Jurnal Keperawatan Silampari, 4(2), 663–670. https://doi.org/10.31539/jks.v4i2.1934.

Istiqomah, N., Enikmawati, A., Sulastri, S., & Aprilia, S. (2021, December 8). Adolescent mental health support during the Covid-19 pandemic at the foster children's social. Prosiding University Research Colloquium, 9–15.

Kawashima, A., Detsuka, N., & Yano, R. (2022). Sleep deprivation and fatigue in early postpartum and their association with postpartum depression in primiparas intending to establish breastfeeding. Journal of Rural Medicine, 17(1), 40–49. https://doi.org/10.2185/jrm.2021-027.

Kurniati, N., Rejeki, S., Nizar, M., Purwanti, O. S., & Fitria, C. N. (2023, December). Pengaruh pola asuh orang tua “toxic parents” bagi kesehatan mental anak Sanggar Bimbingan Kepong Kuala Lumpur Malaysia. Buletin KKN Pendidikan, 5(2), 157–166.

Laili, U. & Amalia, R. (2020). The Relationship Between Postpartum Depression and Breastfeeding. Jurnal Midpro, 12(2), 275–279.

Liu, H., & Yang, Y. (2021). Effects of a psychological nursing intervention on prevention of anxiety and depression in the postpartum period: A randomized controlled trial. Annals of General Psychiatry.

Liu, H., & Yang, Y. (2021). Effects of a psychological nursing intervention on prevention of anxiety and depression in the postpartum period: A randomized controlled trial. Annals of General Psychiatry.

Ma, B., et al. (2024). Effects of perioperative application of esketamine on postpartum depression in cesarean section: A systematic review and meta-analysis. Medicine.

Mehta, D., Grewen, K., Pearson, B., et al. (2021). Genome-wide gene expression changes in postpartum depression point towards an altered immune landscape. Translational Psychiatry, 11, 155. https://doi.org/10.1038/s41398-021-01270-5.

Moafi, F. et al. (2021). Spiritual Intelligence and Post-abortion Depression: A Coping Strategy. Journal of Religion and Health, 60(1), 326–334. https://doi.org/10.1007/s10943-018-0705-0.

Muller, I. et al. (2023). Parental perceptions and experiences of infant crying: A systematic review and synthesis of qualitative research. Journal of Advanced Nursing, 79(2), 403–417. https://doi.org/10.1111/jan.15492.

Oktaviana, W., Rahayuningsih, F. B., Rahayu, S., Hanifah, A. D., Zamroji, M., Agustin, F. R., & Aprilliana, A. (2024). Pengaplikasian manajemen stres dan kecemasan sebagai upaya pencegahan masalah psikososial pada ibu hamil. Jurnal Peduli Masyarakat, 6(1), 127–132.

Ozkan, S. A., Kucukkelepce, D. S., Korkmaz, et al. (2020). The effectiveness of an exercise intervention in reducing the severity of postpartum depression: A randomized controlled trial. Perspectives in Psychiatric Care, 56(4), 844–850. https://doi.org/10.1111/ppc.12500.

Powell, J. G., Garland, S., Preston, K., & Piszczatoski, C. (2020). Brexanolone (Zulresso): Finally, an FDA-approved treatment for postpartum depression. Annals of Pharmacotherapy, 54(2), 157–163.

Pratiwi, A., Muhlisin, A., Dewi, E., Hudiyawati, D., Yuniartika, W., & Fitriani, N. (2022, October 7). Health education of stress management to prevent adolescent maladaptive behavior during growth and development. Prosiding Webinar Abdimas #1, 442.

Pusparatri, E., Sudarmiati, S., & Rejeki, S. (2022). Nursing intervention for mother with postpartum fatigue: A literature review. Nursing Department, Diponegoro University, Indonesia.

Rahman, A., Fisher, J., Bower, P., Luchters, S., Tran, T., Yasamy, M., et al. (2020). Interventions for common perinatal mental disorders in women in low- and middle-income countries: A systematic review and meta-analysis. Bulletin of the World Health Organization, 91(8), 593–601.

Richards, J. P. (1990). Postnatal depression: A review of recent literature. British Journal of General Practice.

Rodriguez, N. et al. (2021). Prenatal Depression, Breastfeeding, and Infant Gut Microbiota. Frontiers in Microbiology, 12, 1–8. https://doi.org/10.3389/fmicb.2021.664257.

Rahayuningsih, F. B. (2023). Postpartum Mom Mood Disorders. Jurnal EduHealth, 14(04), 26-39.

Sari, R.A. (2020). Literature Review: Postpartum Depression. Jurnal Kesehatan, 11(1), 167. https://doi.org/10.26630/jk.v11i1.1586.

Scope, A., Booth, A., & Sutcliffe, P. (2020). Women's perceptions and experiences of group cognitive behaviour therapy and other group interventions for postnatal depression: A qualitative synthesis. Journal of Advanced Nursing, 68(9), 1909–1919.

Sumaningsih, R. et al. (2022). Combination Effectiveness of Listening to Music and Listening Murottal to Reduce Postpartum Depression. International Journal of Advanced Health Science and Technology, 2(2), 86–90. https://doi.org/10.35882/ijahst.v2i2.6.

Suryawanshi, O., & Pajai, S. (2022). A comprehensive review on postpartum depression. Cureus, 14(12), e32745. https://doi.org/10.7759/cureus.32745.

Thomas, N., & Wiltse, P. (2023). Postpartum depression: Nurses need to be trained in administering the EPDS to all mothers of infants. International Journal of Caring Sciences.

Utami, A. P., & Hudiyawati, D. (2020, December 15). Gambaran dukungan keluarga terhadap self-management penderita hipertensi. Prosiding University Research Colloquium, 9–15.

Wahdakirana, I. I., & Rahayuningsih, F. B. (2021, May 27). Faktor-faktor yang mempengaruhi kualitas hidup postpartum: Studi literature review. Prosiding University Research Colloquium, 556–564.

White, L. K., Kornfield, S. L., Himes, et al. (2023). The impact of postpartum social support on postpartum mental health outcomes during the COVID-19 pandemic. Archives of Women's Mental Health, 26(4), 531–541. https://doi.org/10.1007/s00737-023-01330-3.

Ying Hu, Sasa Huang, Meili Xiao, et al. (2023). Barriers and facilitators of psychological help-seeking behaviors for perinatal women with depressive symptoms: A qualitative systematic review based on the Consolidated Framework for Implementation Research. Midwifery, 122, 103686. https://doi.org/10.1016/j.midw.2023.103686.

Yetwale, A., & Melkamu, E. (2018). Fear of childbirth and associated factors among pregnant mothers who attend antenatal care service at Jinka Public Health Facilities. Open Access, CC-BY 4.0.

Yuniartika, W., Sudaryanto, A., Muhlisin, A., Hudiyawati, D., & Pribadi, D. R. A. (2021, September 25). Effects of yoga therapy and walking therapy in reducing blood sugar levels on diabetes mellitus patients in the community. Open Access Macedonian Journal of Medical Sciences, 9(E), 906–912.

Zyrek, J., Klimek, M., & Apanasewicz, A. (2024). Social support during pregnancy and the risk of postpartum depression in Polish women: A prospective study. Scientific Reports, 14, 6906. https://doi.org/10.1038/s41598-024-57477-1.

Downloads

Published

2025-03-26

Issue

Section

Articles