Koping istri dalam merespon kegagalan terapi infertilitas di RSUP Dr. Sardjito Y ogyakarta Sigar, Aisyah Pembimbing: dr. Siswanto A.

Wilopo , SU.,MSc.,Sc.D. ABSTRACT: Background: Prevalence of infertility both in global and in Indonesia in the past decades is increasing, reaching 15% and 10-12% respectively. The fac tors regarding fertility depend on a couple so that the treatment requires consi derable patience especially when the cause comes from the wife factor. As a matt er of fact, the success of infertility therapy has not reached.100 percent yet, thus, this can lead a woman to have an increased stress when failure occurs. Obj ective: To investigate and identify the forms of wifeâ s coping in responding the inf ertility therapy failure as well as identify the problems related to psychosocia l, culture, and economy. Method: This was a qualitative study with a case study design. The population was all wives undergoing infertility therapy in the perio d of 2002-2006 and the subject was 16 wives experiencing infertility therapy fai lure as the case. Data collection was obtained through observations, focused gro up discussion (FGD) followed by 4 persons, and an in-dept interview to 12 inform ants. Meanwhile, the analysis used analytic-descriptive. Result: The initial cop ings were likely to be negative such as anger, crying, sadness, disappointment, and withdrawal from surrounding. But, copings could turn down to be positive; so me out of which were doing activities, having refreshing, and surrendering all m atters to God. Meanwhile, copings to save marriage were openness and valuing mor e to the spouseâ s strengths than weaknesses, taking care of relativeâ s child, adoption, and praying. However, solutions on responding the impacts of psychosocial, cultu ral, and economic problems were avoiding talks, doing social based activities, s eeking for therapy alternatives, and letting go of all expenses spent. Conclusio n: Wifeâ s coping in responding infertility therapy failure was initially likely to b e negative. It could then turn down to be positive by doing such positive activi ties as refreshing in order to avoid thinking of the problems. Aside of this, me ntal support given by the closest family or persons could reduce the stressful f eeling. Copings to save the marriage were openness and willingness to accept the spouseâ s weaknesses, raising relativeâ s child or adoption while copings of impacts of p sychosocial, cultural, and economic problems were avoiding talks, doing social b ased activities, seeking for therapy alternatives, and letting go of all expense s spent Finally, the last copings that could be done were praying together, keep ing the efforts and surrendering all matters to God. Keywords: wifeâ s coping, therap y failure, infertility INTISARI: Latar Belakang: Prevalensi kejadian infertilitas baik di dunia maupun Indonesia dalam beberapa dekade terakhir mengalami peningkatan. Pada tingkat glo bal berkisar (15%) dan Indonesia (10-12%). Faktor penyebab infetilitas tergantun g pada kedua pasangan. Penanganan dan pemeriksaan membutuhkan kesabaran terutama bila infertilitas yang disebabkan oleh faktor istri. Terapi infertilitas sampai dengan saat ini belum bisa berhasil (100%), sehingga hal ini akan membuat stres yang berkepanjangan bila terjadi kegagalan terapi. Tujuan: Untuk mengetahui dan mengidentifikasi bentuk koping istri dalam merespon kegagalan terapi infertilit as, serta mengidentifikasi masalah psiko sosial, budaya dan ekonomi. Metode: Jen is penelitian kualitatif dengan rancangan studi kasus. Populasi adalah semua ist ri yang menjalani terapi infertilitas pada periode 2002-2006. Subyek penelitian istri yang mengalami kegagalan terapi infertilitas sebanyak 16 kasus. Pengumpula n data melalui observasi, diskusi kelompok terfokus yang diikuti oleh 4 orang pe serta dan wawancara mendalam terhadap12 informan. Analisis menggunakan deskripti f analitik. Hasil : Koping awal cenderung negatif seperti : marah, menangis, sed ih, kecewa dan menarik diri. Setelah itu koping menjadi positif seperti melakuka n aktifitas, refresing, pasrah dan tawakal. Sementara koping untuk mempertahanka n kelangsungan perkawianan saling terbuka dan lebih melihat kelebihan dari pada kekurangan pasangan, memelihara anak, adopsi dan melakukan doa bersama. Solusi d alam merespon dampak terhadap problem psikososial, budaya serta ekonomi adalah m enghindari pembicaraan,kegiatan sosial, mencari alternatif terapi, dan mengikhla

pasrah. k egagalan terapi.skan semua biaya yang telah dikeluarkan. KESIMPULAN : Koping istri dalam merespo n kegagalan terapi awalnya cenderung negatif. Bentuk koping untuk mempertahankan kehidupan perkawianan saling terbuka dan mau menerima kekurangan pasangan.id/index.ugm.ac. Dampak p sikososial. 29 cm Bahasa Indonesia Jenis Thesis Penerbit [Yogyakarta] : Universitas Gadjah Mada.php?mod=penelitian_detail&sub=PenelitianDetail&act=vi ew&typ=html&buku_id=37172&obyek_id=4 . ills. mencari alternatif terapi dan ikhlas pada biaya yang dikeluarkan. infertilitas Kata kunci Infertilitas.2008 Lokasi Perpustakaan Pusat UGM File Tidak tersedia http://etd.Koping Istri Deskripsi xi. Kata Kunci: koping istri..Kegagalan Terapi. Melakukan aktifitas dan refresing cara positif agar tida banyak waktu memikirkan masalah. budaya. Sementara itu dukungan m ental yang diberikan oleh orang terdekat dapat mengurangi ketidak berdayaan mere ka. memelihara anak keluarga atau adopsi.. 72 p. ekonomi terhadap koping istri menghindari pembicaraan. B entuk koping paling akhir selalu melakukan doa bersama. bibl. aktif itas sosial. tawakal serta me ngikhlaskan semua biaya yang dikeluarkan pada Tuhan..

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