The Need For Help Model Can Reduce Anxiety Levels of Losing a Baby in Severe Pre-Eclampsia Pregnant Women

Hasna Ayu Mufida(1*), Sulastri Sulastri(2),

(1) Universitas Muhammadiyah Surakarta
(2) Universitas Muhammadiyah Surakarta
(*) Corresponding Author


The need for help model is expected to be able to handle patient complaints in an emergency situation appropriately and quickly through 4 stages such as identification, assistance, validation, and coordination by applying knowledge, assessment, skills, spiritual and material resources. This model is appropriate to be applied to pregnant women with severe pre-eclampsia in an emergency situation who experience psychological disorders in the form of anxiety about infant mortality by utilizing spiritual sources which is dhikr therapy in order to form adaptive coping mechanisms. General description of the problem in this study regarding the effect of dhikr therapy on the level of anxiety about losing a baby in severe pre-eclampsia pregnant women in the need for help model.. The purpose of this study was to identify the level of anxiety of severe pre-eclampsia pregnant women about losing their babies given the need for help model. This research method uses a pre-experimental design in the form of one group pretest-posttest. The sampling technique applied was accidental sampling as many as 35 severe pre-eclampsia pregnant women at the Comprehensive Emergency Neonatal Obstetric Service (PONEK) RSUD Dr. Moewardi Surakarta. Research result obtained before being given the need for help model through dhikr therapy, all respondents experienced anxiety, while after being given the intervention there were 12 respondents who did not experience anxiety and others still experienced anxiety


the need for help model; anxiety; severe pre-eclampsia; model need for help; kecemasan; pre eklampsia berat

Full Text:



Azmarina, R. (2015). Systematic Desensitization With Dhikr Tasbih To Reduce Anxiety Symptoms In Specific Phobic Disorders (Desensitisasi Sistematik Dengan Dzikir Tasbih Untuk Menurunkan Simtom Kecemasan Pada Gangguan Fobia Spesifik). Humanitas 12(2):90–104. doi: 10.26555/humanitas.v12i2.3836.

Bardja, S. (2020). Risk Factors for Severe Preeclampsia/Eclampsia in Pregnant Women (Faktor Risiko Kejadian Preeklampsia Berat/Eklampsia Pada Ibu Hamil). EMBRIO: Jurnal Kebidanan 12(1):18–30. doi: 10.36456/embrio.v12i1.2351.

Fitriani, A., Supradewi, R. (2019). Systematic Desensitization With Relaxation Remembrance To Reduce Anxiety Symptoms In Cases Of Phobia Disorders (Desensitisasi Sistematis Dengan Relaksasi Zikir Untuk Mengurangi Gejala Kecemasan Pada Kasus Gangguan Fobia). Philanthrophy: Journal of Psychology 3(2):75–88. doi: 10.26623/philanthropy.v3i2.1689.

Huda, L.A., Kurniawati, D., Juliningrum, P.P. (2020). The Relationship Family Emotional Support with Anxiety of Preeclampsia Pregnant Mother. Jurnal Ilmu Keperawatan : Journal of Nursing Science 8(2):94–101. doi: 10.21776/ub.jik.2020.008.02.5.

Karlina, N.K.D., Budiana, N.G., Surya, G.N.H.W., Manuaba, I.B.G.F. (2020). Knowledge Level Of Pregnant Women About Preeclampsia At Puskesmas II, South Denpasar (Tingkat Pengetahuan Ibu Hamil Tentang Preeklampsia Di Puskesmas II Denpasar Selatan). Jurnal Medika Udayana 9(8):59–64. doi:10.24843.MU.2020.V9.i8.P11

Kordi, M., Vahed, A., Talab, F.R., Mazloum, S.R., Lotfalizadeh, M. (2017). Anxiety during Pregnancy and Preeclampsia: A Case - Control Study. Journal of Midwifery and Reproductive Health 5(1):814–20. doi: 10.22038/jmrh.2016.7881.

Kusumawati, F., Hartono, Y.. (2012). Psychiatric Nursing Textbook (Buku Ajar Keperawatan Jiwa). Jakarta: Jakarta: Salemba Medika.

Legawati, Utama, N.R. (2017). Analysis of Risk Factors for the Incidence of Severe Preeclampsia in Referral Hospitals in Districts and Provinces of Central Kalimantan (Analisis Faktor Risiko Kejadian Preeklampsia Berat Di RSUD Rujukan Kabupaten Dan Provinsi Kalimantan Tengah). Jurnal Surya Medika 3(1). doi: 10.33084/jsm.v3i1.210.

Luthfiyani, S.A., Reksoprodjo, M., Anisah. (2017). Relationship of Maternal Age, Gravidity, History of Severe Pre-Eclampsia in Bekasi District Hospital for the Period June 2015-June 2016 (Hubungan Usia Ibu, Graviditas, Riwayat Pre-Eklampsia Berat Di RSUD Kabupaten Bekasi Periode Juni 2015-Juni 2016). Jurnal Profesi Medika : Jurnal Kedokteran Dan Kesehatan 11(1):48–55. doi: 10.33533/jpm.v11i1.212.

Machmudah. (2015). Application of the Need for Help and Self Care Concept Model in Nursing Care for Severe Pre-Eclampsia Mothers with Termination of Pregnancy (Penerapan Model Konsep Need for Help Dan Self Care Pada Asuhan Keperawatan Ibu Pre Eklampsia Berat Dengan Terminasi Kehamilan). Jurnal Keperawatan Maternitas 3(1):16–26.

Mulhaeriah, Y.A., Rachmawati, I.R. (2017). Application of Nursing Theory of ‘ Need for Help ’ and ‘ Unpleasant Symptoms ’ on Terminated-Postterm Pregnancy : A Case Study. Indonesian Contemporary Nursing Journal 1(2):62–67.

Muzalfah, R., Santik, Y.D.P., Wahyuningsih, A.S. (2018). Incidence of Preeclampsia in Maternity (Kejadian Preeklampsia Pada Ibu Bersalin). Higeia Journal Of Public Health Research Development 2(3):417–28. doi: 10.15294/higeia.v2i3.21390.

Niko, P.F. (2018). The Effect of Dhikr Therapy to Reduce Anxiety in Pregnant Women (Pengaruh Terapi Dzikir Untuk Menurunkan Kecemasan Pada Ibu Hamil). Jurnal ISLAMIKA 01(01):24–33.

Perwitaningrum, C.Y., Prabandari, Y.S., Sulistyarini, I. (2016). The Effect of Remembrance Relaxation Therapy on Reducing Anxiety Levels in Dyspepsia Patients (Pengaruh Terapi Relaksasi Zikir Terhadap Penurunan Tingkat Kecemasan Pada Penderita Dispepsia). Jurnal Intervensi Psikologi 8(2):147–64. doi: 10.20885/intervensipsikologi.vol8.iss2.art1.

Pramitaresthi, I., Ayu, G. (2017). Ernestine Wiedenbach's Conceptual Model: The Need For Help (Model Konseptual Ernestine Wiedenbach: The Need For Help). Bali.

Purwati, Noviyana, A. (2020). Qualitative Study: Anxiety in Patients with Preeclampsia (Studi Kualitatif: Kecemasan Pada Penderita Preeklampsia). Infokes: Jurnal Ilmiah Rekam Medis Dan Informatika Kesehatan 10(1):23–27. doi: 10.47701/infokes.v10i1.844.

Rahman, A. (2020). Dhikr Therapy in Islam Against Anxiety Levels in Pregnant Women (Terapi Dzikir Dalam Islam Terhadap Tingkat Kecemasan Pada Ibu Hamil). Jurnal Tarbawi 5(1):76–91. doi: 10.26618/jtw.v5i01.3346.

Rudiyanti, N., Raidartiwi, E. (2017). Anxiety Levels in Pregnant Women with Pre-Eclampsia Incidence in a Lampung Provincial Hospital (Tingkat Kecemasan Pada Ibu Hamil Dengan Kejadian Pre Eklampsia Di Sebuah RS Provinsi Lampung). Jurnal Keperawatan 13(2):173–79. doi: 10.26630/jkep.v13i2.926.

Serudji, J., Machmud, R. (2018). Differences in Taylor Minnesota Anxiety Scale (TMAS) Maternal Anxiety Scores in Pregnancy with Preeclampsia and Normal Pregnancy (Perbedaan Skor Kecemasan Taylor Minnesota Anxiety Scale (TMAS) Maternal Pada Kehamilan Dengan Preeklampsia Dan Hamil Normal). Andalas Obstetrics and Gynecology Journal 2(2):66–72. doi: 10.25077/aogj.2.2.66-72.2018.

Simanullang, E. (2019). Relationship between knowledge and attitudes of pregnant women about hypertension in pregnancy to the risk of severe preeclampsia (Hubungan Pengetahuan Dan Sikap Ibu Hamil Tentang Hipertensi Dalam Kehamilan Terhadap Resiko Preeklampsia Berat). Excellent Midwifery Journal 2(1):64–70.

Situmorang, T., Damantalm, Y., Januarista, A., Sukri. (2016). Factors Associated with the Incidence of Preeclampsia in Pregnant Women at the KIA Polyclinic, Anutapura Hospital Palu (Faktor-Faktor Yang Berhubungan Dengan Kejadian Preeklampsia Pada Ibu Hamil Di Poli KIA RSU Anutapura Palu). Jurnal Kesehatan Tadulako 2(1):1–75.

Srimulyawati, T., Rohim, A. Kartikasari, A., Ekayani. (2021). The Relationship Between Age of Pregnant Women and the Incidence of Preeclampsia at Regional General Hospital 45 Kuningan (Hubungan Antara Usia Ibu Hamil Dengan Kejadian Preeklampsia Di Rumah Sakit Umum Daerah 45 Kuningan). Journal of Public Health Innovation 1(2):105–12. doi: 10.34305/jphi.v1i2.280.

Sulastri, O.D.N., Mufidah, N. (2021). Religiosity of Women with Cervical Cancer in RSUD Dr. Moewardi Surakarta. 10(1):259–68. doi: 10.30994/sjik.v10i1.614.

Trisiani, D., Hikmawati, R. (2016). The Relationship of Anxiety in Pregnant Women to the Incidence of Preeclampsia in Majalaya Hospital, Bandung Regency (Hubungan Kecemasan Ibu Hamil Terhadap Kejadian Preeklamsia Di RSUD Majalaya Kabupaten Bandung). Jurnal Ilmiah Bidan 1(3):14–18.

Widiastuti, A., Rusmini, S.M., Haryati, W. (2018). Dhikr and Murottal Therapy To Reduce Anxiety In Mild Pre-Eclampsia (Terapi Dzikir Dan Murottal Untuk Mengurangi Kecemasan Pada Pre Eklampsia Ringan). Link 14(2):98–105. doi: 10.31983/link.v14i2.3706.

Wijayanti, I. T., Marfuah, S. (2019). The Relationship between Knowledge and ANC Compliance with the Incidence of Preeclampsia in Third Trimester Pregnant Women at UPT Puskesmas Toroh I, Grobogan Regency (Hubungan Pengetahuan Dan Kepatuhan ANC Terhadap Kejadian Preeklampsia Pada Ibu Hamil Trimester III Di UPT Puskesmas Toroh I Kabupaten Grobogan). Proceeding of The URECOL 238–46.

Article Metrics

Abstract view(s): 146 time(s)
PDF: 82 time(s)


  • There are currently no refbacks.