Hubungan Shared Decision Making Dalam Pemilihan Kontrasepsi Jangka Panjang Dengan Kepuasan Pasien Di Wilayah Kecamatan Laweyan Kota Surakarta

Syah Rini Wisdayanti, Dr. dr. Shinta Prawitasari, M.Kes, Sp.OG, Subsp.Obginsos; dr. Diannisa Ikarumi E. Sangun, Sp.OG, Subsp.Obginsos

2026 | Tesis-Subspesialis | SUBSPESIALIS OBSTETRI DAN GINEKOLOGI

Latar Belakang: Penggunaan metode kontrasepsi jangka panjang (MKJP) masih lebih rendah dibandingkan metode jangka pendek, meskipun memiliki tingkat efektivitas yang tinggi. Salah satu faktor yang memengaruhi kondisi tersebut adalah kurang optimalnya keterlibatan pasien dalam proses pengambilan keputusan, yang dapat berdampak pada kepuasan serta keberlanjutan penggunaan kontrasepsi. Pendekatan Shared Decision Making (SDM) menjadi strategi penting dalam meningkatkan kualitas pelayanan berbasis pasien.

Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan Shared Decision Making dengan kepuasan pasien dalam memilih kontrasepsi jangka panjang.

Metode: Penelitian ini menggunakan metode campuran (mixed methods) dengan pendekatan explanatory sequential, mencakup studi kuantitatif cross-sectional pada 117 responden menggunakan kuesioner SDM-Q-9 (9-item Shared Decision-Making Questionnaire) dan PCCC (Person-Centered Contraceptive Counseling), dilanjutkan uji korelasi Pearson. Metode kualitatif dilakukan melalui wawancara mendalam terhadap 24 informan yang terdiri atas 8 pasien dan 16 tenaga kesehatan. Penelitian dilaksanakan Juni sampai Oktober 2025 di fasilitas kesehatan Kecamatan Laweyan, Kota Surakarta.

Hasil: Terdapat hubungan positif yang signifikan antara Shared Decision Making (SDM) dan kepuasan pasien (r = 0,343; p < 0>

Temuan kualitatif memperkuat hasil tersebut, di mana kompetensi tenaga kesehatan, efektivitas komunikasi, dukungan suami, serta faktor sosial budaya turut memengaruhi kualitas penerapan Shared Decision Making (SDM).

Kesimpulan: Terdapat hubungan antara Shared Decision Making (SDM) dan kepuasan pasien dalam memilih metode kontrasepsi jangka panjang. Oleh karena itu, diperlukan optimalisasi komunikasi serta pendekatan berbasis pasien untuk meningkatkan kualitas layanan dan keberlanjutan penggunaan MKJP.

Background: The use of long-acting contraceptive methods (LACMs) remains lower than that of short-acting methods, despite their high effectiveness rates. One factor contributing to this situation is suboptimal patient involvement in the decision-making process, which can affect satisfaction and the continuity of contraceptive use. The Shared Decision Making (SDM) approach is a key strategy for improving the quality of patient-centered care.

Objective: This study aims to analyze the relationship between shared decision-making and patient satisfaction in choosing long-acting contraception.

Methods: This study employed a mixed methods approach using an explanatory sequential design, including a cross-sectional quantitative study of 117 participants using the SDM-Q-9 (9-item Shared Decision-Making Questionnaire) and the PCCC (Person-Centered Contraceptive Counseling) scales, followed by Pearsons correlation analysis. The qualitative method was conducted through in-depth interviews with 24 informants consisting of 8 patients and 16 health workers. The study was conducted from June to October 2025 at health facilities in Laweyan District, Surakarta City.

Results: There was a significant positive correlation between Shared Decision Making (SDM) and patient satisfaction (r = 0.343; p < 0>

Qualitative findings reinforce these results, indicating that healthcare providers competence, communication effectiveness, spousal support, and sociocultural factors also influence the quality of Shared Decision Making (SDM) implementation.

Conclusion: There is a relationship between Shared Decision Making (SDM) and patient satisfaction in choosing a long-acting contraceptive method. Therefore, optimizing communication and adopting a patient-centered approach are necessary to improve the quality of care and ensure the continued use of long-acting contraceptives.

Kata Kunci : Shared Decision Making, Kepuasan Pasien, Kontrasepsi Jangka Panjang, Kesehatan Reproduksi.