Hubungan tingkat kecemasan dengan kualitas tidur pada ibu hamil trimester III di wilayah kerja puskesmas Kereng Bangkirai

Putri, Andinna Sari Pratama (2025) Hubungan tingkat kecemasan dengan kualitas tidur pada ibu hamil trimester III di wilayah kerja puskesmas Kereng Bangkirai. Skripsi, Jurusan Kebidanan, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Kehamilan trimester III sering disertai kecemasan yang dapat memengaruhi kualitas tidur ibu hamil. Data menunjukkan bahwa sekitar 97% ibu hamil trimester III di Indonesia mengalami gangguan tidur dan 28,7% ibu hamil menjelang persalinan mengalami kecemasan tinggi. Gangguan tidur selama kehamilan berdampak pada kesehatan ibu dan janin, termasuk peningkatan risiko persalinan prematur, preeklampsia, tekanan darah tinggi, serta depresi pascapersalinan. Kecemasan yang tidak tertangani akan memperburuk kualitas tidur, menciptakan siklus negatif yang berbahaya bagi ibu dan janin.

Metode: Penelitian ini menggunakan desain deskriptif korelasional dengan pendekatan cross-sectional. Populasi adalah seluruh ibu hamil trimester III di wilayah kerja Puskesmas Kereng Bangkirai sebanyak 50 orang. Teknik pengambilan sampel menggunakan total sampling. Kriteria inklusi mencakup ibu hamil tanpa gangguan medis serius dan bersedia mengikuti penelitian. Instrumen penelitian menggunakan kuesioner HARS untuk mengukur kecemasan dan PSQI untuk kualitas tidur. Analisis data menggunakan uji korelasi Spearman Rank. Hasil: Mayoritas responden memiliki tingkat kecemasan sedang (46%) dan kualitas tidur buruk (68%). Hasil uji statistik menunjukkan adanya hubungan signifikan antara tingkat kecemasan dengan kualitas tidur (p-value = 0,000, r = 0,631), yang berarti semakin tinggi kecemasan, semakin buruk kualitas tidur. Pembahasan: Temuan ini memperkuat teori bahwa kecemasan secara fisiologis dan psikologis memengaruhi siklus tidur ibu hamil. Dukungan sosial dan manajemen stres sangat dibutuhkan dalam upaya meningkatkan kualitas tidur ibu hamil.

Background: The third trimester of pregnancy is often accompanied by anxiety, which can significantly affect sleep quality in pregnant women. Data show that approximately 97% of third-trimester pregnant women in Indonesia experience sleep disturbances, and 28.7% face high levels of anxiety approaching labor. These sleep problems can negatively impact maternal and fetal health, including an increased risk of preterm labor, preeclampsia, hypertension, and postpartum depression. Unmanaged anxiety tends to worsen sleep quality, creating a negative cycle that can jeopardize both mother and baby. Methods: This study used a descriptive correlational design with a cross- sectional approach. The population consisted of all third-trimester pregnant women in the working area of Kereng Bangkirai Public Health Center, totaling 50 participants. The sampling technique used was total sampling. Inclusion criteria included healthy third-trimester pregnant women willing to participate. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS), and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data analysis was conducted using Spearman rank correlation. Results: Most respondents had moderate anxiety levels (46%) and poor sleep quality (68%). Statistical analysis showed a significant relationship between anxiety level and sleep quality (p-value = 0.000, r = 0.631), indicating that higher anxiety levels are associated with poorer sleep quality. Discussion: These findings support the theory that anxiety affects both the physiological and psychological aspects of sleep in pregnant women. Social support and effective stress management are essential for improving maternal sleep quality.

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