PENERAPAN KONSELING REBT DALAM ANTENATAL CARE (ANC): PANDUAN PELATIHAN BIDAN UNTUK IBU HAMIL RISIKO TINGGI
Keywords:
Rational Emotive Behavior Therapy (REBT), Antenatal Care (ANC), Hipertensi dalam Kehamilan, Kesehatan Psikologis, Kebidanan Holistik, Distres Emosional, Konseling Kebidanan, Resiliensi PsikologisSynopsis
Buku ajar ini hadir sebagai respons terhadap kesenjangan yang selama ini kurang disadari dalam praktik kebidanan di Indonesia: fokus pelayanan antenatal yang terlalu dominan pada aspek fisik, sementara kesehatan psikologis ibu hamil khususnya mereka yang menghadapi kehamilan risiko tinggi seperti hipertensi kerap terabaikan. Padahal, kondisi mental ibu memiliki dampak langsung terhadap kesehatan maternal dan janin. Buku ini memperkenalkan dan menguraikan secara komprehensif penerapan Rational Emotive Behavior Therapy (REBT), sebuah pendekatan konseling yang dikembangkan oleh Albert Ellis dalam konteks Antenatal Care (ANC). REBT bekerja dengan cara mengidentifikasi dan mengubah keyakinan irasional yang memicu distres emosional, seperti kecemasan berlebihan, ketakutan menjelang persalinan, dan perasaan tidak mampu sebagai calon ibu, menjadi pola pikir yang lebih rasional dan adaptif.
Dengan sepuluh bab yang terstruktur, buku ini membimbing pembaca mulai dari landasan teori REBT dan patofisiologi hipertensi dalam kehamilan, hingga ke keterampilan praktis yang langsung dapat diterapkan bidan, antara lain:
- Penggunaan Model ABCDE untuk menganalisis dan mengubah keyakinan irasional ibu hamil.
- Teknik komunikasi terapeutik termasuk mendengar aktif, pertanyaan terbuka, dan manajemen resistensi klien.
- Asesmen psikologis menggunakan instrumen baku seperti EPDS dan Skala Hamilton.
- Strategi REBT per trimester dari adaptasi awal di trimester pertama hingga manajemen tokofobia menjelang persalinan.
- Teknik relaksasi, biblioterapi, thought stopping, dan imajinasi emotif rasional.
- Standar Operasional Prosedur (SOP) konseling REBT yang siap diimplementasikan, termasuk protokol rujukan medis-psikologis.
Buku ini juga dilengkapi dengan metode evaluasi berbasis kompetensi (kognitif, psikomotor, dan afektif), latihan mahasiswa, glosarium, serta daftar pustaka mutakhir yang kuat secara akademis.
Ditujukan bagi mahasiswa kebidanan, bidan praktisi, dan tenaga kesehatan, buku ini menjadi panduan yang tidak sekadar mentransfer teori, tetapi melatih bidan menjadi agen perubahan yang mampu memberdayakan ibu hamil dalam mengelola distres emosional dan membangun resiliensi psikologis menuju pelayanan antenatal yang lebih holistik, humanis, dan berbasis bukti.
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