FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KESEHATAN MENTAL IBU HAMIL

Rahyani, Ni Komang Yuni and Purnamayanti, Ni Made Dwi and Maharani, Luh Putu Prita (2026) FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KESEHATAN MENTAL IBU HAMIL. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Kebidanan 2026.

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Abstract

Kesehatan mental ibu hamil masih menjadi masalah global dalam pelayanan maternal, dengan sekitar 10% ibu hamil mengalami gangguan mental terutama depresi. Penelitian ini bertujuan mengetahui faktor yang memengaruhi kesehatan mental ibu hamil di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Barat. Penelitian kuantitatif dengan desain cross sectional ini dilaksanakan di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Barat pada Maret–April 2026 dengan sampel 41 ibu hamil menggunakan teknik accidental sampling. Data dikumpulkan menggunakan kuesioner SRQ-20, Pittsburgh Sleep Quality Index (PSQI), dan PRE-MAMA. Analisis data dilakukan secara univariat, bivariat menggunakan uji Chi Square dan Fisher’s Exact, serta multivariat dengan regresi logistik. Hasil univariat menunjukkan mayoritas responden berada pada usia tidak berisiko (75,6%), multipara (51,2%), trimester III (51,2%), memiliki kualitas tidur buruk (80,5%), sikap positif (53,7%), dan terindikasi mengalami gangguan mental (85,4%). Analisis bivariat menunjukkan kualitas tidur (p=0,009) dan sikap terhadap kehamilan (p=0,023) berhubungan signifikan dengan kesehatan mental ibu hamil. Analisis regresi logistik menunjukkan kualitas tidur merupakan faktor yang paling berhubungan dengan kesehatan mental ibu hamil (p=0,022; AOR=14,000; 95%CI=1,471–133,233). Disimpulkan bahwa kualitas tidur berperan penting terhadap kesehatan mental ibu hamil sehingga diperlukan peningkatan skrining, edukasi, dan dukungan psikososial. Maternal mental health remains a global issue in maternal healthcare, with approximately 10% of pregnant women experiencing mental disorders, particularly depression. This study aimed to determine the factors associated with maternal mental health among pregnant women at UPTD Puskesmas I, West Denpasar District Health Office. This quantitative study employed a cross-sectional design and was conducted from March to April 2026 with 41 pregnant women selected using accidental sampling. Data were collected using the Self Reporting Questionnaire-20 (SRQ-20), Pittsburgh Sleep Quality Index (PSQI), and PRE-MAMA questionnaires. Data were analyzed using univariate, bivariate with Chi-Square and Fisher’s Exact tests, and multivariate logistic regression analyses. The univariate analysis showed that most respondents were in the non-risk age group (75.6%), multiparous (51.2%), in the third trimester (51.2%), had poor sleep quality (80.5%), had a positive attitude toward pregnancy (53.7%), and were indicated to experience mental health problems (85.4%). Bivariate analysis showed that sleep quality (p=0.009) and attitude toward pregnancy (p=0.023) were significantly associated with maternal mental health. Logistic regression analysis showed that sleep quality was the factor most strongly associated with maternal mental health (p=0.022; AOR=14.000; 95%CI=1.471–133.233). In conclusion, sleep quality plays an important role in maternal mental health; therefore, improving mental health screening, education, and psychosocial support for pregnant women is necessary.

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