Peran Intervensi Grup Psikoterapi Suportif Kelompok untuk Memperbaiki Keadaan Depresi pada Wanita Infertil di Klinik Permata Hati RSUP Dr. Sardjito Yogyakarta

MEGA DHESTIANA, DR.dr.Carla Remondalexas Marchira,SpKJ(K); dr. Rukmono Siswishanto, SpOG.,MKes.(K); dr. Shofwal Widad,SpOG(K)

2014 | Tesis | S2 KEDOKTERAN KLINIK/MS-PPDS

Latar Belakang:: Infertilitas merupakan krisis kehidupan yang kompleks. Keinginan pribadi dan tuntutan budaya membuat pasangan yang mengalami masalah infertilitas tertekan. Hidayah (2007) melaporkan bahwa infertilitas yang dialami salah satu atau kedua pihak dari pasangan suami istri akan memberikan beberapa konsekuensi psikologis, di antaranya stres. Jika infertilitas tersebut menjadi pemicu utama stres, keadaaan itu disebut stres infertilitas. Sesuai dengan misi Klinik Permata Hati RSU Dr Sardjito untuk meningkatkan mutu pelayanan kasus-kasus infertilitas melalui pelayanan yang terarah, lengkap, dan terpadu, penelitian tentang tingkat depresi pada pasangan yang mengalami infertilitas ini diharapkan dapat memberikan kontribusi positif dalam memperbaiki pelayanan kepada pasien serta pada akhirnya meningkatkan kualitas kehidupan mereka. Tujuan: mengukur keberhasilan psikoterapi suportif dalam mengurangi depresi pada wanita infertil. Metode: Desain penelitian adalah quasi experiment studi analitis numeric berpasangan. Subyek penelitian adalah wanita inferti yang berobat di Klinik Permata Hati RSUP Dr. SardjitoYogyakarta. Sampel penelitian diambil sebanyak 50 subyek. Sampel diambil selama bulan Februari - Maret 2014. Instrumen Penelitian yang digunakan adalah data pribadi, Beck Depression Inventory dan Hamilton Depression Rating Scale. Data Penelitian dianalisis dengan uji Chi-square dan T-tes. Hasil: penelitian sedang berlangsung. Kesimpulan: Skor depresi wanita infertil yang mendapatkan psikoterapi suportif lebih rendah dibandingkan dengan sebelum mendapatkan psikoterapi suportif. Keyword: Psikoterapi suportif-depresi - wanita infertil

Background: Infertility is a worldwide problem. It is a devastating condition that can destroy couples striving to have children. It can affect both men and women, and cause psychological related distress, depression, and low self-esteem. Most interventions using directional, complete, and integrated approach have been focused on improving the quality of life of infertile men or women. Supportive psychotherapy is an example of such interventions. Objective: The study aimed to measure the effectiveness of supportive psychotherapy intervention in treating depression among infertile women. Methods: A quasi experiment design using a pre and post-test with a control group was employed in this study. Subjects were women (n=80) with infertility cases who sought for treatment at Permata Hati Clinic RSUP Dr. Sardjito during the period from April to September 2014. A modified short supportive psychotherapy was compiled and given to groups of patients over the course of four sessions at the Installation of Reproduction Health RSUP Dr. Sardjito. The sessions were managed by trained facilitators comprised psychiatrist and psychologist. Personal data and Beck Depression Inventory (BDI) were then used to assess the patients. Results: Findings indicated that 59.37% of the study subjects were found to have mild depression, whereas the other 40.63% had moderate depression. A significant change in BDI scores within the treatment group was found after intervention. Conclusion: Modified short supportive psychotherapy intervention can reduce depression on infertile women. Key words: modified short supportive psychotherapy -depression -infertile women

Kata Kunci : Psikoterapi suportif-depresi - wanita infertil