Hubungan Pelaksanaan Discharge Planning dengan Tingkat Kecemasan dan Kesiapan Pulang pada Pasien Post Sectio Caesarea

https://doi.org/10.22146/jkkk.44271

Arif Annurrahman(1*), Retno Koeswandari(2), Wiwin Lismidiati(3)

(1) Program Studi Ilmu Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(2) Rumah Sakit Umum Pusat Dr. Sarjito Yogyakarta
(3) Departemen Keperawatan Anak dan Maternitas, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Fear of of post caesarean section (CS) pain and complication can be the sources of fear and anxiety for the mother during the puerperium period. Moreover, the relatively short length of stay for post-CS mothers cannot cover the entire length of care until the mother is cured. Discharge planning can improve patients and their families confidence in performing proper treatment independently after home arrival.
Objective: To identify the correlation between discharge planning, anxiety level, and readiness for discharge among post-CS patients in Yogyakarta hospital.
Methods: This quantitative research was a descriptive correlational study with cross sectional design. Respondents of this research were both, post elective and emergency CS patients who were hospitalized in a postpartum ward in a hospital in Yogyakarta. Thirty patients participated in this study. Readiness for Hospital Discharge Scale (RHDS), Hamilton Anxiety Rating Scale (HARS), and discharge planning overview questionnaire were used as research instruments in this research. Data were analyzed by Spearman Rank non-parametric correlation test.
Results: More than half (70%) of total respondents had low discharge planning quality. Furthermore, most of the respondents (90%) had normal anxiety, and half of total respondents (53,3%) had moderate readiness for discharge. The correlation test showed there was no correlation between discharge planning and anxiety level (r=-0,008; p value = 0,967). However, there was a statistically significant correlation between discharge planning and readiness for discharge (r=0,434; p value = 0,017).
Conclusion: There was a statistically significant correlation between discharge planning and readiness for discharge. In contrast, there was not any correlation between discharge planning and anxiety level of post CS patients.

 

ABSTRAK

Latar Belakang: Selama periode nifas, rasa takut akan nyeri dan komplikasi post-SC dapat menjadi sumber ketakutan dan kecemasan bagi ibu. Lama rawat inap ibu post SC yang relatif singkat tidak mampu mencakup keseluruhan perawatan sampai ibu sembuh. Pemberian discharge planning dapat meningkatkan kepercayaan diri pasien dan keluarga dalam perawatan mandiri setelah pulang ke rumah.
Tujuan penelitian: Mengetahui hubungan gambaran discharge planning pada pasien post SC dengan tingkat kecemasan dan kesiapan pulang pasien di salah satu rumah sakit di Yogyakarta.
Metode: Jenis penelitian ini adalah deskriptif korelasional dengan rancangan cross sectional. Sampel penelitian adalah semua pasien post SC baik elektif maupun emergensi yang dirawat inap di ruang post partum di salah satu rumah sakit di Yogyakarta. Jumlah responden penelitian adalah 30 orang dengan teknik purposive sampling. Instrumen yang digunakan antara lain Readiness for Hospital Discharge Scale (RHDS), Hamilton Anxiety Rating Scale (HARS), dan kuesioner gambaran discharge planning. Data dianalisis menggunakan uji korelasi non-parametrik Spearman Rank. 
Hasil: Lebih dari setengah responden (70%) memiliki kualitas discharge planning kurang, mayoritas responden (90%) memiliki kecemasan normal, dan mayoritas responden (53,3%) memiliki kesiapan pulang sedang. Uji korelasi menunjukkan tidak ada hubungan antara discharge planning dengan tingkat kecemasan (r=-0,008; p=0,967), namun ada hubungan discharge planning dengan tingkat kesiapan pulang (r=0,434; p=0,017).
Kesimpulan: Terdapat hubungan antara discharge planning dengan tingkat kesiapan pulang namun tidak terdapat hubungan antara discharge planning dengan tingkat kecemasan pasien post SC.


Keywords


discharge planning; kecemasan; kesiapan pulang

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References

  1. Palasama, N. Cesarean Section - Short Term Maternal Complications Related to The Mode of Delivery. Finland: University of Turku; 2014.
  2. Sarkar, D., Chakrabarty, K., Ghosh, D., Bhadra, B., Singh, R., Mandal, U. Effects of Music on Patients Undergoing Caesarean Section under Spinal Anaesthesia. International Journal of Recent Trends in Science and Technology. 2015;13(3):633-7.
  3. Perry, S.E., Hockenberry, M.J., Lowdermilk, D.L., Wilson, D. Maternal Child Nursing Care, Fourth Edition. ‎St. Louis, MO: Mosby Elsevier; 2010.
  4. Hager, J. Effects of a Discharge Planning Intervention on Perceived Readiness for Discharge. St. Paul, MO: Catherine University; 2010.
  5. Hariyati, T., Afifah, E., Handiyani, H. Evaluasi Model Perencanaan Pulang yang Berbasis Teknologi Informasi. Makara Kesehatan. 2008;12(2):53-8.
  6. Kasjono, H.S., Yasril. Teknik Sampling untuk Penelitian Kesehatan. Yogyakarta: Graha Ilmu; 2009.
  7. Nursalam. Konsep dan Penerapan Metodologi Penelitian Ilmu Keperawatan Pedoman Skripsi, Tesis dan Instrumen Penelitian Keperawatan. Jakarta: Salemba Medika; 2003.
  8. Priskaputri, P. Pengaruh Program Pengembangan Discharge Planning terhadap Pengetahuan dan Kesiapan Pemulangan Klien Periode Post-Partum di RSUP Dr. Soeradji Tirtonegoro Klaten. Yogyakarta: Universitas Gadjah Mada; 2013.
  9. Weiss, M., Ryan, P., Lokken, L. Validity and Reliability of the Perceived Readiness for Discharge after Birth Scale. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2006;35(1):34-45.
  10. Perry, A. G., Potter, P. A., & Ostendorf, W. Clinical Nursing Skills and Techniques. St. Louis, Missouri: Elsevier Health Sciences; 2013.
  11. Laur, C., Curtis, L., Dubin, J., McNicholl, T., Valaitis, R., Douglas, P., et al. Nutrition Care after Discharge from Hospital: An Exploratory Analysis from the More-2-Eat Study. Healthcare. 2018;6(9).
  12. Christina, S., Kristanti, E.E. Mobilisasi Dini Berhubungan dengan Peningkatan Kesembuhan Luka pada Pasien Post Operasi Sectio Caesaria. Kediri: STIKES RS Baptis Kediri; 2012.
  13. Waring, J., Marshall, F., Bishop, S., Sahota, O., Walker, M., Currie, G., et al. An Ethnographic Study of Knowledge Sharing across the Boundaries between Care Processes, Services and Organisations: the Contributions to ‘Safe’ Hospital Discharge. Health Services and Delivery Research. 2014;2(29).
  14. World Health Organization (WHO). WHO Technical Consultation on Postpartum and Postnatal Care. Geneva: WHO Document Production Services; 2010.
  15. Setyaningsih, T.R.B. Perbedaan Tingkat Kecemasan Pre dan Post Operasi di Bangsal Bedah Kenanga RSUD Prof. Dr. Margono Soekarjo Periode 1-5 Oktober 2012. Mandala of Health. 2013;6(1).
  16. Stuart, G.W., Laraia, M.T. Principles and Practice of Psychiatric Nursing, Eighth Edition. St. Louis, Missouri: Mosby, Inc; 2005.
  17. Mathisen, S.E., Glavin, K., Lien, L., Lagerløv, P. Prevalence and Risk Factors for Postpartum Depressive Symptoms in Argentina: a Cross-Sectional Study. International Journal of Women’s Health. 2013;5:787-93.
  18. McCarter-Spaulding, D., Shea, S. Effectiveness of Discharge Education on Postpartum Depression. MCN Am J Matern Child Nurs. 2016;41(3):168–72.
  19. Tandiseru, S.R. Meminimalisasi Kecemasan (Anxiety) dengan Menumbuhkan Self Awareness Siswa dalam Pembelajaran Matematika. Jurnal Keguruan dan Ilmu Pendidikan Universitas Kristen Indonesia Toraja. 2012;2(1):17-23.
  20. Weiss, M., Piacentine, L.B., Lokken, L., Ancona, J., Archer, J., Gresser, S., et al. Perceived Readiness for Hospital Discharge in Adult Medical-Surgical Patients. Clinical Nurse Specialist. 2007;21(1):31-42.
  21. Azimatunnisa. Hubungan Discharge Planning dengan Tingkat Kesiapan Klien dalam Menghadapi Pemulangan di RS PKU Muhammadiyah Yogyakarta. Yogyakarta: STIK 'Aisyiyah Yogyakarta; 2011.



DOI: https://doi.org/10.22146/jkkk.44271

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