Depression and Compliance of Fe Tablet Consumption are Combined Risk Factors for Pregnant Women Constipation at Public Health Center Pedurenan, Tangerang City

Putri Anjani, K. Palupi, Mertien Sapang, D. Angkasa, V. Melani
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Abstract

Constipation marked by feces hard one, dry, and difficult issued. About 73.9% pregnant women experience constipation. Increase in the hormone progesterone for pregnant women resulted in drop motility gastrointestinal tract. Constipation affects psychology and causes swelling of the rectum area.To determine the relationship between the level of fiber adequacy, to consumption of Fe tablets and depression and to see the combined risk factors for depression and adherence to consumption of Fe tablets with the incidence of constipation in pregnant women. Design this research is observational analytics with Cross Sectional design. The sample of pregnant women is 55 people with purposive sampling data collection technique. Taking data done with use questionnaire. Statistic test used the chi-square test. 58.2% of pregnant women experienced constipation; 92.7% insufficient fiber sufficiency level; 40.0% adhered to consuming Fe tablets; 55.4% experienced depression; 23.6% of depression was adherent. The results of the chi-square test showed that there was no significant relationship between the level of fiber adequacy and the incidence of constipation in pregnant women (p = 0.298) and a significant relationship with the incidence of constipation in pregnant women, namely consuming Fe tablets (p = 0.039; OR = 4.080), depression (p = 0.026; OR = 4.125), risk factors for the combination of depression and adherence to consumption of Fe tablets (p = 0.005).Compliance with Fe tablet consumption and depression can increase the risk of constipation in pregnant women by 4,080 times and 4,125 times.
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坦格朗市佩都仁南公共卫生中心孕妇抑郁和服用铁片依从性是便秘的综合危险因素
便秘的特点是大便坚硬、干燥、难以排出。大约73.9%的孕妇有便秘的经历。孕妇孕酮激素的增加导致胃肠道运动能力下降。便秘会影响心理,导致直肠区域肿胀。确定膳食纤维充足程度,与服用铁片和抑郁之间的关系以及孕妇抑郁的综合危险因素以及坚持服用铁片与便秘发生率之间的关系。本研究采用横断面设计的观察分析方法。采用有目的的抽样数据收集方法,对55名孕妇进行抽样调查。使用问卷调查完成数据采集。统计检验采用卡方检验。58.2%的孕妇出现便秘;92.7%的人纤维不足;40.0%坚持服用铁片;55.4%经历过抑郁症;23.6%的抑郁患者为依从性抑郁。卡方检验结果显示,纤维充足水平与孕妇便秘发生率无显著相关性(p = 0.298),与孕妇即食用铁片便秘发生率有显著相关性(p = 0.039;OR = 4.080),抑郁(p = 0.026;OR = 4.125),合并抑郁和坚持服用铁片的危险因素(p = 0.005)。服用铁片和抑郁可使孕妇便秘的风险分别增加4080倍和4125倍。
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