Perbedaan Kepuasan Perkawinan pada Pasangan ODHA Disertai dan Tanpa Disertai Gejala Depresi

Muhammad Ismail Salahudin, Alifiati Fitrikasari, Muchlis Achsan Udji Sofro, Hari Peni Julianti

Abstract

Pendahuluan. Penyakit HIV/AIDS telah menimbulkan masalah fisik, sosial, dan emosional terhadap individu yang terinfeksi dan pasangannya. Pasangan ODHA memiliki prevalensi mengalami gejala depresi dengan keluhan fisik, yaitu sebesar 12,7%. Terdapat hubungan antara cinta, komunikasi, dan keintiman fisik terhadap kepuasan dalam perkawinan. Depresi pada pasangan ODHA berhubungan dengan kepuasaan terhadap perkawinan.Penelitian ini dilakukan untuk menganalisis adanya perbedaan kepuasan perkawinan pasangan ODHA HIV negatif yang mengalami gejala depresi dengan pasangan ODHA yang tidak mengalami gejala depresi.

Metode. Desain penelitian adalah cross-sectional. Sampel adalah 52 orang pasangan sah ODHA usia 18-60 tahun yang menjalani rawat jalan di Poli Infeksi Tropis RSUP. DR. Kariadi Semarang dan memenuhi kriteria inklusi penelitian. Teknik pemilihan sampel menggunakan metode consecutive samplingStatus depresi diukur dengan instrumen beck depression inventory (BDI) dan kepuasan perkawinan diukur dengan ENRICH marital satisfaction scale (EMS). Pengolahan dan analisis data menggunakan program SPSS. Uji analisis hubungan menggunakan uji chi-square.                                                          

Hasil. Subjek penelitian yang tidak mengalami depresi 78,8% dan  yang mengalami depresi 21,2% terdiri dari ringan 9,6%, sedang 11,6%, dan berat 0%. Tidak didapatkan subjek penelitian yang tidak puas terhadap perkawinannya, 55,8% sangat puas dan 44,2% puas.  Tidak terdapat perbedaan bermakna antara kepuasan perkawinan pasangan ODHA HIV negatif  disertai gejala depresi dan tanpa disertai gejala depresi (p=0,595).  Terdapat perbedaan bermakna antara kepuasan perkawinan pasangan ODHA HIV negatif disertai gejala depresi dan tanpa disertai gejala depresi dalam komunikasi (p = 0,021), resolusi konflik (p = 0,025), penggunaan aktivitas santai/luang (p = 0,025), dan hubungan seks (p = 0,007).

Simpulan. Tidak terdapat perbedaan antara kepuasan perkawinan pasangan ODHA HIV negatif disertai gejala depresi dan tanpa disertai gejala depresi. Namun demikian, terdapat perbedaan bermakna antara kepuasan perkawinan pasangan ODHA HIV negatif disertai gejala depresi dan tanpa disertai gejala depresi dalam komunikasi, resolusi konflik, penggunaan aktivitas santai/luang, dan hubungan seks.

 

Kata Kunci: Depresi, Kepuasan perkawinan, Pasangan ODHA

 

The Differences of Marital Satisfaction of ODHA Couples with and without Depression Symptoms

Introduction. HIV/AIDS disease has caused physical, social, and emotional problems to infected individuals and their spouses. ODHA couples have a prevalence of depression symptoms with physical complaints, which amounted to 12.7%. There is a relationship between love, communication, and physical intimacy to satisfaction in marriage. Depression in ODHA couples is correlated with marital satisfaction. This study aimed to analyze the differences of marital satisfaction of ODHA HIV negative couples who experience depression symptoms with ODHA who do not experience depression symptoms

Methods. The research design was cross-sectional. The samples were 52 official couples of ODHA aged 18-60 years who had outpatient treatment in Poly of Infection Tropical RSUP. Dr. Kariadi Semarang and met the criteria of research inclusion. Sampling technique was conducted with consecutive sampling method. Depression status was measured by the beck depression inventory (BDI) instrument and marital satisfaction was measured by ENRICH marital satisfaction scale (EMS). Processing and data analysis using SPSS program. The relationship analysis test using chi-square test.

Results. Subjects who did not experience depression 78.8% and those with depression 21.2% consisted of mild 9.6%, moderate 11.6%, and severe 0%. No subjects were found to be unsatisfied with their marriage, 55.8% were very satisfied and 44.2% were satisfied. There was no significant difference between marital satisfaction of ODHA HIV negative couples with depression symptoms and without depression symptoms (p = 0,595). There was a significant difference between the marital satisfaction of ODHA HIV negative couples with depression symptoms and without depression symptoms in communication (p = 0.021), conflict resolution (p = 0.025), use of leisure activities (p = 0.025), and sexual activities (p = 0.007)

Conclusion. There was no difference between the marital satisfaction of ODHA HIV negative couples with depression symptoms and without depression symptoms. There was a significant difference between the marital satisfaction of ODHA HIV negative couples with depression symptoms and without depression symptoms in communication, conflict resolution, the use of leisure activities, and sex activities.

Keywords

Depression, Marital satisfaction, ODHA couples

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