PENGARUH BREASTFEEDING SELF EFFICACY TREATMENT (BEST) TERHADAP SELF EFFICACY MENYUSUI IBU DI PUSKESMAS NGAMPILAN DAN WIROBRAJAN YOGYAKARTA

NUR `AINI FEBRIANA, Dr. Budi Wahyuni, MM., MA.; Dr. Wenny Artanty N., S.Kep., Ns., M.Kes.

2018 | Tesis | MAGISTER KEPERAWATAN

Latar belakang: World Health Organization (WHO) dan United Nation Childerns Fund (UNICEF), merekomendasikan menyusui setidaknya sampai 2 tahun. Self efficacy menyusui merupakan faktor prediktor kuat pada durasi menyusui sehingga tenaga kesehatan perlu memberikan tindakan untuk meningkatkan self efficacy menyusui. Tujuan penelitian ini untuk mengetahui efektivitas Breastfeeding Self efficacy Treatment (BEST) terhadap self efficacy menyusui. Metode: Penelitian ini menggunakan desain quasi experimental yang dilakukan pada 22 ibu hamil di Puskesmas Ngampilan dan Wirobrajan sebagai kelompok intervensi serta 23 ibu hamil di Puskesmas Umbulharjo 1 dan Gedongtengen sebagi kelompok kontrol. Kelompok intervensi mengikuti BEST selama 120 menit pada usia kehamilan 34-36 minggu. Sedangkan kelompok kontrol hanya mendapat booklet pada usia kehamilan yang sama. Repeated ANOVA digunakan untuk mengetahui peningkatan self efficacy menyusui pada saat posttest 1, posttest 2, posttest 3 dan independent t test digunakan untuk mengetahui keefektifan BEST dibandingkan dengan booklet saja. Analisis regresi linear digunakan untuk mengetahui faktor paling dominan mempengaruhi self efficacy menyusui. Hasil: BEST memberikan efek sedang terhadap self efficacy menyusui sesaat setelah pemberian intervensi (d=0.48), 6 jam-3 hari postpartum (d=0.68) dan memberikan efek besar terhadap self efficacy menyusui pada 7-28 hari postpartum (d=0,89). Faktor yang paling dominan mempengaruhi self efficacy menyusui adalah BEST dengan p value= 0.004 dan R square= 0.297 Kesimpulan: BEST efektif meningkatkan self efficacy menyusui. Tenaga kesehatan dapat mempertimbangkan BEST dalm upaya peningkatan self efficacy menyusui.

Background: World Health Organization (WHO) and United Nation Childerns Fund (UNICEF) recommend to continue the breastfeeding up to two years old of the baby. Breastfeeding Self-Efficacy (BSE) is a strong predictor of the duration of breastfeeding, so that the health-care provider need to provide intervention to improve the BSE. The aim of this study was to test the effectivity of the Breastfeeding Self Efficacy Treatment (BEST) to the BSE of the mother. Method: A quasi experiment was done in the intervention group of 22 pregnant women at Ngampilan and Wirobrajan public health center, and the control group of 23 pregnant women at Umbulharjo 1 and Gedongtengen public health center. The intervention given to the intervention group was BEST for about 120 minutes in their 34-36 weeks of pregnancy. While the control group was given the booklet in the similar pregnancy weeks. Repeated ANOVA was performed to test the BSE improvement on the first post test, second post test, third post test, while independent t-test was used to test the effectivity of BEST compared to the booklet only intervention to the BSE. A linear regression was used to identify the dominant factors affecting the BSE. Result: BEST showed a medium effect on BSE after the intervention (d=0.48), 6 hours to 3 days postpartum (d=0.68) and showed a large effect at 7 to 28 days postpartum (d=0,89). Statistically BEST is also the most dominant factor to affect the BSE by p = 0.004 and R square= 0.297. Conclusion:BEST is effective to improve the BSE. The health-care provider may consider BEST in improving the BSE of the mother.

Kata Kunci : brestfeeding self efficacy, breastfeeding self efficacy intervention