PENGARUH INTERVENSI MINDFULNESS TERHADAP KESEHATAN PSIKOLOGIS IBU POST PARTUM SECTIO CAESARIA DI RUANGAN NIFAS SANTOSA HOSPITAL BANDUNG KOPO

Abstrak

Masa postpartum merupakan periode enam minggu setelah persalinan yang ditandai dengan pemulihan fisik dan adaptasi psikologis. Ibu pasca persalinan sectio caesarea berisiko mengalami gangguan psikologis akibat nyeri pasca operasi, keterbatasan aktivitas, pemulihan lebih lama, serta adaptasi peran baru. Salah satu intervensi nonfarmakologis untuk meningkatkan kesehatan psikologis ibu adalah mindfulness. Penelitian ini bertujuan menganalisis pengaruh intervensi mindfulness terhadap kesehatan psikologis ibu postpartum sectio caesarea di Ruang Nifas Santosa Hospital Bandung Kopo. Metode penelitian menggunakan kuantitatif pra-eksperimental (one group pre-test–post-test design). Pengambilan sampel dilakukan secara total sampling sebanyak 60 ibu postpartum sectio caesarea. Kesehatan psikologis diukur dengan instrumen Edinburgh Postnatal Depression Scale (EPDS) sebelum dan sesudah intervensi. Data dianalisis menggunakan uji Shapiro–Wilk dan uji Wilcoxon Signed Rank Test. Hasil menunjukkan sebelum intervensi, 54 responden (90,0%) berada pada kategori baik, sedangkan sesudah intervensi seluruh responden (100,0%) berada pada kategori baik. Uji Wilcoxon menunjukkan seluruh responden mengalami penurunan skor EPDS (peringkat negatif = 60; peringkat positif = 0; nilai sama = 0) dengan Z = -6,782 dan p = 0,000 (p < 0,05). Hal ini membuktikan bahwa intervensi mindfulness berpengaruh signifikan terhadap kesehatan psikologis ibu postpartum sectio caesarea. Mindfulness dapat diterapkan sebagai intervensi nonfarmakologis dalam pelayanan kebidanan untuk mendukung pemulihan dan kesejahteraan psikologis ibu.

The postpartum period is a six-week duration following childbirth, characterized by physical recovery and psychological adaptation. Mothers undergoing caesarean section face higher risks of psychological distress due to postoperative pain, restricted activity, prolonged recovery, and new maternal role adjustments. Mindfulness serves as a non-pharmacological intervention to support maternal mental health. This study aims to analyze the effect of mindfulness intervention on the psychological health of postpartum caesarean section mothers in the Postpartum Ward at Santosa Hospital Bandung Kopo. A quantitative approach with a pre-experimental design (one-group pre-test–post-test) was applied. Using total sampling, 60 postpartum caesarean section mothers were selected. Psychological health was measured using the Edinburgh Postnatal Depression Scale (EPDS) before and after the intervention. Data were analyzed using the Shapiro–Wilk and Wilcoxon Signed-Rank tests. Results showed that before the intervention, 54 respondents (90.0%) were in the good psychological health category, which increased to all 60 respondents (100.0%) post-intervention. The Wilcoxon test revealed a reduction in EPDS scores across all respondents (negative ranks = 60; positive ranks = 0; ties = 0) with Z = -6.782 and p = 0.000 (p < 0.05). This confirms that mindfulness significantly improves the psychological health of postpartum caesarean section mothers. Consequently, mindfulness can be integrated as a non-pharmacological midwifery intervention to enhance maternal well-being during the postpartum period.