Childbirth complications are still a big problem in developing countries, especially in Indonesia and are one of the causes of high maternal mortality. This study aims to identify the relationship between self-control and self-efficacy as an indirect cause of maternal death with the incidence of childbirth complications. An analytical descriptive design with a cross sectional method was used. 175 mothers in their maternity phase were selected using the consecutive sampling technique. Self-control was measured using the Labour Agentry Scale (LAS), while self-efficacy was measured using the Childbirth Self-Efficacy Inventory (CBSEI) which had been tested for validity and reliability, and data on the incidence of childbirth complications were obtained from hospital medical records. Univariate, bivariate, and multivariate analysis with the help of computer software. The results showed that the variables of self-control and self-efficacy had a very significant relationship with the incidence of childbirth complications (p value 0.000, ?: 0.05). Mothers with poor self-control are at risk of developing complications of childbirth by 9,014 (CI 95%: 0.929 – 87,487) times greater than those with good self-control. Poor self-efficacy is at risk of developing childbirth complications 3,815 (CI 95%: 1,851 – 7,862) times greater than those with good self-efficacy. This study proves that self-control and self-efficacy are variables that influence the existence of labor complications. Antenatal care staff need to prepare mothers from pregnancy and childbirth to have the ability to control themselves and have good self-efficacy in undergoing the delivery process.
Background: The Coronavirus outbreak (Covid-19) has taken the world by storm up to this day, and the effect is experienced around the world, including Indonesia. The current condition is especially risky for pregnant women due to various hormonal changes during pregnancy. Further, the pandemic situation creates anxiety that might result in negative effects on their pregnancies. This study aims to analyses the knowledge of Covid-19 and coping mechanisms for decrease the anxiety level of pregnant women during Covid-19. Method: This study utilizes an observational design with a cross-sectional approach. 324 women with normal pregnancies residing in Banjarbaru city and Banjar district are involved as a sample in this study. This sample is taken through consecutive sampling. Result: The study has found that 48,1% of pregnant women have moderate anxiety level. Among those numbers 85,2% exhibit adaptive coping mechanisms. Further, the data has shown that 44,4% of them exhibit sufficient knowledge of Covid-19. Therefore, it is indicated that a sufficient level of knowledge can help improve pregnant women’s actions in protecting themselves from the possibility of being infected by Covid-19. A good level of knowledge creates an adaptive coping mechanism, and the result is a decrease in anxiety for pregnant women during the Covid-19 pandemic. Conclusion: Sufficient knowledge of Covid-19 results in adaptive coping mechanism exhibition and brings about the decline of anxiety level of pregnant women during the Covid-19 pandemic. It is advisable for a medical practitioner in public health services to identify anxiety levels and provide appropriate information, so that pregnant women can have adaptive coping mechanisms during Covid-19.
People living with HIV / AIDS (PLWHA) have been facing several problems such as the physiological problems as well as the stigma and discrimination that can increase their psychological burden. This study aimed to analyze the combined supporting model on the quality of life of PLWHA in RSUD dr. H.Ansari Saleh Banjarmasin. This study was an observational study, by observing the quality of life of PLWHA who are assisted in the VCT Poly Hospital of dr. H. Ansari Saleh Banjarmasin. The sample of this study were PLWHA who were registered at dr. H. Ansari Saleh Banjarmasin. This study used purposive technique with inclusion criteria, PLWHA who was first diagnosed as HIV positive by a physician, adult, can read and write and willing to be a respondent. Exclusion criteria for PLWHA aged < 19 years. The results showed that peer and family supporting model by peer and family were significant that affected the quality of life of PLWHA so if the two models are combined, it can be used to assist PLWHA.
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