EFFECT OF PERSUASIVE COMMUNICATION TO DECISION MAKING OF MOTHER THAT HAVING HIGH RISK PREGNENCY

  • Ai Nur Zannah STIKES dr. Soebandi Jember
Keywords: Persuasive communication, decision making, high risk pregnency

Abstract

The coverage of management pregnancy complications in Indonesia tends to increase every year, but not yet comparable to a decrease in maternal morbidity and mortality. This was allegedly due to the increase in the number of high-risk pregnant women each year and because of the delay in referral due to delays in the mother and family in seeking care or deciding on approval of actions when there was a risk of even complications / emergencies. Delayed decision making is assumed due to lack of awareness of the mother and family due to lack of convincing and ineffective health communication carried out by health workers, especially midwives in delivering information about the risks and complications of pregnancy. Effective communication in changing behavior is persuasive communication that can be learned by midwives in order to help convince mothers, families and the community to be aware of the risks so that they can quickly and accurately make decisions for handling / action. This study aims to analyze the effectiveness of midwives' persuasive communication on the decision making of mothers and families experiencing high risk pregnancies. The design of this study uses a quasi-experimental pre-posttest with control groups. Subjects were selected based on inclusion criteria by simple random sampling for the treatment and control group, with a total of 30 midwives in the Jember Regency. Communication is measured by a checklist and decision making of pregnant women viewed from filling out the questionnaire. Data analysis with simple linear regression test to assess the effectiveness of midwife persuasive communication on decision making for pregnant women. The results showed a significant effect of persuasive communication on maternal decision making by 49% (P <0.001). Persuasive communication into an intervention increases the competence of midwives' promotives so that they can help convince mothers, families and the community to be aware of the risks, there is no delay in referrals that cause pain or even maternal death.

References

(1) WHO. Trends in maternal mortality: 1990-2015: estimates from WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. 2015.
(2) Kementerian Kesehatan RI. Sekretariat jenderal profil kesehatan Indonesia tahun 2013. Jakarta: Kementerian kesehatan RI. 2014.
(3) Kementerian Kesehatan RI. Sekretariat jenderal profil kesehatan Indonesia tahun 2014. Jakarta: Kementerian kesehatan RI. 2015
(4) Kementerian Kesehatan RI. Sekretariat jenderal profil kesehatan Indonesia tahun 2015. Jakarta: Kementerian kesehatan RI. 2016.
(5) Yuningsih A, Maman S, Yenni Y, Yuktiana K. Pemberdayaan tenaga penyuluh kesehatan melalui pelatihan keterampilan komunikasi. Prosiding SNaPP2015 Sosial, Ekonomi, dan Humaniora. ISSN 2089-3590 EISSN 2303-2472. Vol.5 No.1. 2015.
(6) Michie Susan, Maartje M van S, Robert W. The behaviour change wheel: A new method for characterissting and designing behaviour change interventions. Implementation Science. 2011. 6:42.
(7) Dubov A. Ethical persuasion: the rhetoric of communication in critical care. Journal of evaluation in clinical practice. 2015;21(3):496-502.
(8) Brent DR, Lea PS. Communication and human behaviour (Fifth edition). ISBN 978-979-769-559-0. 2013. 1295 RAJ.
(9) AHRQ. Communication and Dissemination Strategies To Facilitate the Use of Health-Related Evidence. Content last reviewed November 2013. Agency for Healthcare Research and Quality, Rockville, MD.
(10) Velada R, Caetano A, Michel JW, Lyons BD, Kavanagh MJ. The effects of training design, individual characteristics and work environment on transfer of training. International Journal of Training and Development. 2009. 11(4).
(11) Légaré F, Stacey D, Graham ID, Elwyn G, Pluye P, Gagnon MP. Open success study protocol advancing theories, models and measurement for an interprofessional approach to shared decision making in primary care: a study protocol. Journal BMC Health Services Research. 2009; 8(2): 1472
(12) Epstein RM, Brian AS, Quill TE. Communicating evidence for participatory decision making. Journal American Medical Association. 2010;291(19): 2359-66.
(13) Manurung, Suryani. Model pengambilan keputusan meningkatkan akseptor keluarga berencana metode kontrasepsi jangka panjang. Kesmas: National Public Health Journal, 2013, 7.11: 483-488.
(14) Rochjati P. Skrining antenatal pada ibu hamil. Surabaya: Airlangga Universiry Press. 2011.
(15) Saeedi ZA, Tabatabaie MG, Moudi Z, Vedadhir AA, Navidian A. Childbirth at home: a qualitative study exploring perceptions of risk and risk management among Baloch women in Iran. Midwifery. 2013 Jan 1;29(1):44-52.
(16) Syam AZ. Perilaku pengambilan keputusan oleh ibu hamil dalam pencarian pelayanan kesehatan di daerah pesisir Kota Palu. Program Pascasarjana Universitas Hasanudin Makassar. 2018.
(17) Banu M, Akter M, Begum K, Choudhury RH, Nasreen HE. ‘The clock keeps ticking’–the role of a community-based intervention in reducing delays in seeking emergency obstetric care in rural Bangladesh: a quasi-experimental study. Public health. 2014 Apr 1;128(4):332-40.
Published
2020-05-31
Section
Articles