Keywords
Family support
Mobile health application
Pregnancy-induced hypertension
Prenatal yoga
How to Cite
Abstract
Latar Belakang: Hipertensi dalam kehamilan merupakan salah satu penyebab utama morbiditas dan mortalitas ibu secara global dan masih menjadi masalah kesehatan masyarakat yang serius di Indonesia. Kadar albumin yang rendah selama kehamilan berkaitan erat dengan peningkatan risiko preeklampsia, edema, kelahiran prematur, dan komplikasi maternal lainnya. Upaya pencegahan melalui intervensi nonfarmakologis sangat dibutuhkan untuk menurunkan angka kematian ibu. Intervensi berbasis teknologi smartphone yang terintegrasi dengan pendampingan keluarga berpotensi menjadi strategi inovatif yang praktis dan mudah diakses dalam meningkatkan kesehatan ibu hamil, khususnya di daerah dengan keterbatasan fasilitas kesehatan.
Tujuan: Mengetahui pengaruh aplikasi Go-Yoga dengan pendampingan keluarga terhadap tekanan darah dan kadar albumin pada ibu hamil trimester III.
Metode: Penelitian quasi-experimental dengan pendekatan pre-test dan post-test pada tiga kelompok intervensi yang melibatkan 60 ibu hamil trimester III. Kelompok I menggunakan buku yoga cetak; Kelompok II menggunakan aplikasi Go-Yoga tanpa pendampingan keluarga; dan Kelompok III menggunakan aplikasi Go-Yoga dengan pendampingan keluarga. Tekanan darah diukur menggunakan sphygmomanometer dan kadar albumin diukur dengan metode bromocresol green. Data dianalisis menggunakan uji One Way ANOVA yang dilanjutkan dengan uji post-hoc Tukey HSD.
Hasil: Terdapat perbedaan signifikan pada tekanan darah (F=203,616; p=0,0001) dan kadar albumin (F=1212,444; p=0,0001) antarkelompok. Kelompok III memiliki rerata tekanan darah post-test terendah (115,60±2,87 mmHg) dan rerata albumin tertinggi (4,27±0,20 g/dL). Uji Tukey HSD mengkonfirmasi perbedaan bermakna pada seluruh pasangan kelompok (p<0,05).
Simpulan: Aplikasi Go-Yoga dengan pendampingan keluarga secara signifikan lebih efektif menurunkan tekanan darah dan meningkatkan kadar albumin pada ibu hamil trimester III dibandingkan intervensi konvensional. Integrasi teknologi digital dan dukungan keluarga dapat menjadi strategi pendukung dalam layanan antenatal.
References
Anttonen, R., Kiili, K., Räikkönen, E., & Kiili, C. (2024). Storifying instructional videos on online credibility evaluation: Examining engagement and learning. Computers in Human Behavior, 161(July). https://doi.org/10.1016/j.chb.2024.108385
Babys, D., Idris, I., & Prihantono. (2021). Differences in serum magnesium levels, folic acid, and infant outcomes in severe preeclampsia: A literature review. Medicina Clinica Practica, 4, 100221. https://doi.org/10.1016/j.mcpsp.2021.100221
Bakouei, F., Delavar, M. A., Mashayekh-Amiri, S., Esmailzadeh, S., & Taheri, Z. (2020). Efficacy of n-3 fatty acids supplementation on the prevention of pregnancy induced-hypertension or preeclampsia: A systematic review and meta-analysis. Taiwanese Journal of Obstetrics and Gynecology, 59(1), 8–15. https://doi.org/10.1016/j.tjog.2019.11.002
Bijl, R. C., Cornette, J. M. J., Brewer, A. N., Zwart, I. F., Franx, A., Tsigas, E. Z., & Koster, M. P. H. (2022). Patient-reported preconceptional characteristics in the prediction of recurrent preeclampsia. Pregnancy Hypertension, 28(January), 44–50. https://doi.org/10.1016/j.preghy.2022.02.003
Cameron, N. A., Molsberry, R., Pierce, J. B., Perak, A. M., Grobman, W. A., Allen, N. B., Greenland, P., Lloyd-Jones, D. M., & Khan, S. S. (2020). Pre-Pregnancy Hypertension Among Women in Rural and Urban Areas of the United States. Journal of the American College of Cardiology, 76(22), 2611–2619. https://doi.org/10.1016/j.jacc.2020.09.601
Chaemsaithong, P., Sahota, D. S., & Poon, L. C. (2022). First trimester preeclampsia screening and prediction. American Journal of Obstetrics and Gynecology, 226(2), S1071-S1097.e2. https://doi.org/10.1016/j.ajog.2020.07.020
Chen, Y., Ou, Q. X., Chen, Y., Zhu, Q. L., Tan, M. H., Zhang, M. M., Wu, S. Z., & Xu, H. Y. (2022). Association between trace elements and preeclampsia: A retrospective cohort study. Journal of Trace Elements in Medicine and Biology, 72, 126971. https://doi.org/10.1016/j.jtemb.2022.126971
de Haas, S., Mulder, E., Schartmann, N., Mohseni, Z., Abo Hasson, F., Alsadah, F., van Kuijk, S., van Drongelen, J., Ghossein-Doha, C., & Spaanderman, M. (2022). Blood pressure adjustments throughout healthy and hypertensive pregnancy: A systematic review and meta-analysis. Pregnancy Hypertension, 27(April 2021), 51–58. https://doi.org/10.1016/j.preghy.2021.12.004
Dewi, S. R., Ningsih, R., Rifah, M., Alfioni, D. R., Al Hajj, R. M., & Dahlia, F. A. (2022). Determinan Insiden Preeklamsia pada Ibu Primigravida. JKP (Jurnal Kesehatan Primer), 7(2), 124–138. https://doi.org/10.31965/jkp.v7i2.811
Fletcher, B., Chappell, L. C., Lavallee, L., Wilson, H. M., Stevens, R., Mackillop, L., McManus, R. J., & Tucker, K. L. (2021). Changes to management of hypertension in pregnancy, and attitudes to self-management: An online survey of obstetricians, before and following the first wave of the COVID-19 pandemic. Pregnancy Hypertension, 26(July), 54–61. https://doi.org/10.1016/j.preghy.2021.08.117
García-Romero, C. S., Guzman, C., Cervantes, A., & Cerbón, M. (2019). Liver disease in pregnancy: Medical aspects and their implications for mother and child. Annals of Hepatology, 18(4), 553–562. https://doi.org/10.1016/j.aohep.2019.04.009
Guimarães, T., Magalhães, A., Veiga, A., Fiuza, M., Ávila, W., & Pinto, F. J. (2019). Heart disease and pregnancy: State of the art. Revista Portuguesa de Cardiologia (English Edition), 38(5), 373–383. https://doi.org/10.1016/j.repce.2019.06.002
Magee, L. A., Khalil, A., Kametas, N., & von Dadelszen, P. (2022). Toward personalized management of chronic hypertension in pregnancy. American Journal of Obstetrics and Gynecology, 226(2), S1196–S1210. https://doi.org/10.1016/j.ajog.2020.07.026
Marasing, I. N., Idris, I., Sunarno, I., Arifuddin, S., Sinrang, A. W., & Bahar, B. (2021). Comparison of nitric oxide levels, roll over test value, and body mass index in preeclampsia and normotension. Gaceta Sanitaria, 35, S306–S309. https://doi.org/10.1016/j.gaceta.2021.10.041
McNeil, A., Chen, J., & Meng, M. L. (2021). Pulmonary hypertension in pregnancy-the Anesthesiologist’s perspective. International Journal of Cardiology Congenital Heart Disease, 5(June), 100234. https://doi.org/10.1016/j.ijcchd.2021.100234
Miller, E. C., Wilczek, A., Bello, N. A., Tom, S., Wapner, R., & Suh, Y. (2022). Pregnancy, preeclampsia and maternal aging: From epidemiology to functional genomics. Ageing Research Reviews, 73(January), 20–22. https://doi.org/10.1016/j.arr.2021.101535
Partash, N., Naghipour, B., Rahmani, S. H., Pashaei Asl, Y., Arjmand, A., Ashegvatan, A., & Faridaalaee, G. (2022). The impact of flood on pregnancy outcomes: A review article. Taiwanese Journal of Obstetrics and Gynecology, 61(1), 10–14. https://doi.org/10.1016/j.tjog.2021.11.005
Prendes, C. F., Christersson, C., & Mani, K. (2020). Pregnancy and Aortic Dissection. European Journal of Vascular and Endovascular Surgery, 60(2), 309–311. https://doi.org/10.1016/j.ejvs.2020.03.052
Sasmaya, P. H., Khalid, A. F., Anggraeni, D., Irianti, S., & Akbar, M. R. (2022). Differences in maternal soluble ST2 levels in the third trimester of normal pregnancy versus preeclampsia. European Journal of Obstetrics and Gynecology and Reproductive Biology: X, 13, 1–5. https://doi.org/10.1016/j.eurox.2021.100140
Smith, E. R., Oakley, E., Grandner, G. W., Rukundo, G., Ferguson, K., Baumann, S., Waldorf, K. A., Afshar, Y., Ahlberg, M., Ahmadzia, H., Akelo, V., Aldrovandi, G., Bevilacqua, E., Bracero, N., Brandt, J. S., Broutet, N., Carrillo, J., Conry, J., Crispi, F., … Poon, L. C. (2022). Clinical risk factors of adverse outcomes among women with COVID-19 in the pregnancy and postpartum period: A sequential, prospective meta-analysis. American Journal of Obstetrics and Gynecology, June. https://doi.org/10.1016/j.ajog.2022.08.038
Society for Maternal-Fetal Medicine, & Publications Committee. (2022). Society for Maternal-Fetal Medicine Statement: Antihypertensive therapy for mild chronic hypertension in pregnancy–The Chronic Hypertension and Pregnancy trial. American Journal of Obstetrics and Gynecology, 227(2), B24–B27. https://doi.org/10.1016/j.ajog.2022.04.011
Sukesi, N. (2020). The Influence of Endorphine Massage on Anxiety in Mothers During Their 3rd Trimester Pregnancy. Health Notions, 4(5), 148–152. https://doi.org/10.33846/hn40503
Vanky, E., & Løvvik, T. S. (2020). Polycystic ovary syndrome and pregnancy – From a clinical perspective. Current Opinion in Endocrine and Metabolic Research, 12, 8–13. https://doi.org/10.1016/j.coemr.2020.01.005
Wu, S. Z., Xu, H. Y., Chen, Y., Chen, Y., Zhu, Q. L., Tan, M. H., & Zhang, M. M. (2021). Association of blood lead levels with preeclampsia: A cohort study in China. Environmental Research, 195, 110822. https://doi.org/10.1016/j.envres.2021.110822
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