Alteration of Mother’s Sexual Activity during Pregnancy

Sexual activity during pregnancy is one of the significant issues for both pregnant mother and healthcare provider, though rarely disclosed. Studies on this topic have been done broadly, though still no conclusion. The aim of this study was to analyze the change of mother’s sexual activity before and during pregnancy and to describe resources used by mother to find sexual activity information. A descriptive cross sectional study was conducted on pregnant mothers who undergo antenatal care at Tegalrejo public health center, Yogyakarta. Sample was determined using quota sampling which total sample was 78 pregnant mothers (26 pregnant mothers per trimester) without significant health problem related to their pregnancy, such as high risk pregnancy condition and vaginal bleeding. Data were collected using Indonesian version of Pregnancy Sexuality and Response Inventory (PSRI) questionnaire which reliable to used (Cronbach’s alpha: 0.714). Data on sexual activity (biological, emotional, and physical aspects) in each trimester were analyzed by paired t test. Data on sexual activity among trimesters in several sub-aspects (frequency, desire, and pain during intercourse) were analyzed by Kruskal wallis and followed by post hoc analysis on significant result. Result showed the significant changes of biological aspect of mother’s sexual activity before and during pregnancy, especially in the second (p 0.002) and third trimester (p 0.000) and the changes tend to decline. Significant decline also found in emotional aspect of all trimesters (p<0.05). In line with biological aspects, physical aspect also showed significant decline in the second (p 0.000) and third trimester (p 0.000). Pregnant mother got numerous resources related to sexual activities during pregnancy, yet the most common was from healthcare provider (35.9%). Providing the right information related to this topic will help the mother to understand their sexual activity changes and to choose the right decision in performing sexual activity.

Differences Use of Yoga and Self-Tapping Towards Long Pain of Primary Dysmenorrhea on Adolescent

Background: Dysmenorrhea is a common complaint in young women, characterized by pain. Dysmenorrhea pain has a significant impact on women's lives, such as limitations in daily activities. Primary dysmenorrhea can be treated using yoga and self-tapping. Objective: understanding differences on use of Complementary and Alternative Medicine (CAM), such as yoga and self-tapping towards changing long pain of primary dysmenorrheal.  Method: Study was conducted by quasi experiment with nonequivalent pretest-posttest control group design. Study was conducted on November 2016 until February2017 in SMK “A” Pedan Klaten and SMK “B” Klaten. Sample of study amounted 88 respondent divided on 47 respondents on experimental group and 41 respondent as control group. The experimental group was given a yoga intervention; control group was given self-tapping. Measuring tool using Numerical Rating Scale (NRS). Data analysis using t-test for independent sample, Mann-Whitney test and Wilcoxon.Result: Statistically yoga and self-tapping were equally effective in reducing the long pain of primary dysmenorrheal with p values of 0.000 and 0.012 respectively. Clinically yoga is more effective in reducing the long pain of primary dysmenorrhea with mean 1,49 compared with self-tapping 0,46.Conclusion: Yoga become more effective intervention on reduction long pain of primary dysmenorrhea compared to self-tapping

Efektivitas Audiovisual dan Booklet sebagai Media Edukasi untuk Meningkatkan Perilaku Skrining IVA

Cervical cancer is the caused of high maternal mortality. Prevention of cervical cancer done by screeningVisual Inspection with Acetic Acid (IVA). The objective of this study to analyzed the effectiveness of health educationapplying health belief model using audiovisual and booklet on female behavior for IVA examination in thework area of Pacarkeling Public Health Center. The research method used Quasi Experimental with Design Non-Equivalent Control Group Design. Research subjects were women aged 30-50 years who have never done previousIVA examination. Sample selection using cluster sampling technique with sample of 79 respondents for each groupof intervention and control group. Health education using audiovisual and booklet. Data analyzed using wilcoxontest, chi-square, mann-whitney, and linear regression. Health education using audiovisual and booklet effectivein improving the behavior of respondents for IVA screening. Increased of knowledge, attitudes, health belief of theintervention group is greater than control group. The behavior of women in IVA screening for intervention groupwas greater than control group after intervention. External variables such as age, education, occupation, income,previous information have an effect on behavior improvement. Health education is effective in improving womenbehavior for IVA screenin

Efektivitas Audiovisual dan Booklet sebagai Media Edukasi untuk Meningkatkan Perilaku Skrining IVA

Cervical cancer is the caused of high maternal mortality. Prevention of cervical cancer done by screeningVisual Inspection with Acetic Acid (IVA). The objective of this study to analyzed the effectiveness of health educationapplying health belief model using audiovisual and booklet on female behavior for IVA examination in thework area of Pacarkeling Public Health Center. The research method used Quasi Experimental with Design Non-Equivalent Control Group Design. Research subjects were women aged 30-50 years who have never done previousIVA examination. Sample selection using cluster sampling technique with sample of 79 respondents for each groupof intervention and control group. Health education using audiovisual and booklet. Data analyzed using wilcoxontest, chi-square, mann-whitney, and linear regression. Health education using audiovisual and booklet effectivein improving the behavior of respondents for IVA screening. Increased of knowledge, attitudes, health belief of theintervention group is greater than control group. The behavior of women in IVA screening for intervention groupwas greater than control group after intervention. External variables such as age, education, occupation, income,previous information have an effect on behavior improvement. Health education is effective in improving womenbehavior for IVA screenin

Upaya Penurunan Aktivitas Seksual Pranikah Melalui Pendidikan Kesehatan Reproduksi Berbasis Kesetaraan Gender

Perkembangan organ reproduksi dan ketidaksetaraan peran gender dalam masyarakat meningkatkan kerentanan remaja putri untuk mengalami pemaksaan seksual. Pendidikan kesehatan reproduksi yang membahas kesetaraan gender diketahui dapat membantu remaja dalam mengontrol dorongan seksual dan menurunkan kejadian pemaksaan seksual. Sasaran kegiatan pengabdian ini adalah 64 siswi di salah satu Sekolah Menengah Kejuruan di Kabupaten Kulon Progo. Pendidikan kesehatan reproduksi berbasis kesetaraan gender disampaikan melalui metode diskusi kelompok kecil (focus group discussion) dengan modul, konsultasi pribadi dengan media elektronik, dan ceramah yang dilaksanakan pada September 2017. Skor pengetahuan, sikap, dan efikasi diri remaja yang diperoleh melalui pre-test dan post-test diuji normalitasnya dengan One-Sample Kolmogorov-Smirnov Test dan dianalisis dengan uji Wilcoxon dengan taraf kepercayaan 95%. Hasilnya menunjukkan bahwa terdapat perbedaan yang signifikan dalam hal pengetahuan, sikap, dan efikasi diri tentang seksual kesehatan reproduksi antara sebelum dan sesudah pelaksanaan pendidikan kesehatan reproduksi berbasis kesetaraan gender dengan p-value (p) <0,05. Skor pengetahuan, sikap, dan efikasi diri seksual setelah pelaksanaan pendidikan kesehatan lebih besar daripada sebelum pendidikan kesehatan dilaksanakan. Dengan demikian, pelaksanaan pendidikan kesehatan reproduksi berbasis kesetaraan gender dapat meningkatkan pengetahuan, sikap, dan efikasi diri remaja putri

The Influence of Self-Tapping on Anxiety During Primary Menstrual Cramps among Nursing Students

ABSTRACTBackground: Menstruation is a sign of puberty for female adolescents. The common menstrual disorder experienced by adolescent is called painful menstruation (primary dysmenorrhea). Primary dysmenorrhea triggers both physical and psychological symptoms. One of the psychological impacts is anxiety. Self-tapping is a non-pharmacological therapy which can reduce anxiety.Aim: To figure out the effect of self tapping toward anxiety level among nursing students experiencing menstrual cramps.Methods: This study was a quasy-experimental research with non equivalent pretest-posttest with control group. The total 60 respondents were divided into intervention and control group with 30 respondents each. Self tapping was practiced in intervention group, meanwhile deep breath was performed in control group. The instruments to measure anxiety were anxiety screening questionare and Hamilton Anxiety Rating Scale (HARS). Wilcoxon statistical test was applied to compare the level of anxiety before and after the treatment in both groups. Besides, Mann Whitney satistical test was used to compare the effectiveness of both treatments in reducing the anxiety level in each group.Results: The anxiety mean score of the intervention group decreased from 24,63 to 16,03 after self tapping (?=8,6; p=0,000), while the anxiety mean score of the control group decreased from 23,5 to 17,73 after the implementation of deep breath technique (?=5,77; p=0,000). There was a significant difference between self tapping and deep breath technique in reducing anxiety level (p-value=0.006). Conclusion: Self tapping indeed has impact towards anxiety level among nursing students experiencing menstrual cramps.</p

Tradisi dan Lingkungan Sosial Memengaruhi Dukungan Menyusui pada Bayi Berat Badan Lahir Rendah di Kota Malang

Low birthweight (LBW) is one of main causes of infant mortality in the world. World Health Organization in 2003 had recommended breastfeeding for LBW handling. However, LBW mothers face many difficulties during early postpartum period. Moreover, breastfeeding in Indonesia is also influenced by social and cultural belief, so it may influence mothers' decision whether remain breastfeeding or not in early postpartum period. This study aimed to explore the meaning of the experience of mothers to remain breastfeeding their LBW infants. This qualitative study was conducted using phenomenological approach. Seven participants were mothers ever breastfeeding their LBW infants. Data were collected through semi-structured in-depth interview, observation and secondary data on May – June 2015. Data analysis used Colaizzi method (1978). There were four themes found namely introduction of breastfeeding since early for LBW infants, granting of early complementary feeding as an alternative to overcome breastfeeding problem, cultural belief and social environment influencing support for breastfeeding mothers as well as accepting breastfeeding as the very nature of woman. Breastfeeding LBW infants has higher difficulty le-vel, also any tradition family believe and social environment really affect support given to mothers in breastfeeding

Perbedaan Kemampuan Adaptasi pada ibu hamil risiko tinggi dan risiko rendah primigravida trimester pertama

Tujuan: Kehamilan diawali oleh peristiwa konsepsi hingga usia kehamilan mencapai 38-42 minggu. Selama proses tersebut, ibu hamil mengalami perubahan sehingga dibutuhkan kemampuan adaptasi untuk mampu beradaptasi dengan perubahan yang terjadi selama masa kehamilan yang akan terjadi baik pada ibu hamil yang berisiko tinggi maupun yang berisiko rendah terutama primigravida trimester pertama. Tujuan penelitian ini yaitu untuk melihat perbedaan kemampuan adaptasi pada ibu hamil risiko tinggi dan risiko rendah primigravida trimester pertama. Metode: Desain penelitian dengan pendekatan cross sectional. Sampel yaitu dalam penelitian ini adalah ibu hamil baik yang memiliki risiko tinggi maupun risiko rendah. Penentuan sampel menggunakan teknik non probability sampling dengan metode consequtive sampling. Sampel dalam penelitian ini berjumlah 84 responden, 42 responden risiko tinggi dan 42 responden risiko rendah. Penelitian ini menggunakan uji Mann Whitney untuk melihat perbedaan antara kelompok ibu risiko tinggi dan risiko rendah dengan derajat kepercayaan 95%, ? = 0,05 bermakna apabila p ? 0,05. Hasil: Hasil penelitian menunjukkan ada perbedaan kemampuan adaptasi pada ibu hamil risiko tinggi dan risiko rendah primigravida trimester pertama (p < 0,05). Simpulan: Ada perbedaan kemampuan adaptasi pada ibu hamil risiko tinggi dan risiko rendah primigravida trimester pertama. Kata Kunci: kehamilan, kemampuan adaptasi, risiko tinggi, risiko rendah  Abstract Aim: Pregnancy begins with conception until the gestational age reaches 38-42 weeks. During the process, pregnant women experience changes so that adaptation skills are needed to be able to adapt to changes that occur during pregnancy that will occur in both high-risk and low-risk pregnant women, especially first trimester primigravidas. The aim of this study was to see differences in adaptation ability in pregnant women at high risk and low risk of first trimester primigravida. Method: Research design with cross sectional approach. The sample in this study is pregnant women who have high risk and low risk. Determination of sample using non probability sampling technique with consequtive sampling method. The sample in this study amounted to 84 respondents, 42 high risk respondents and 42 low risk respondents. This study used the Mann Whitney test to see the difference between high risk and low risk with 95% confidence level.Result: The results of the study showed that there were differences in adaptation ability in high-risk pregnant women and low-risk first-trimester primigravida (p <0.05). Conclusion: There is a difference in adaptation ability in pregnant women at high risk and low risk of first trimester primigravida.patients. Keywords: pregnancy, adaptability, high risk, low risk

Pengalaman hidup ibu dengan riwayat kehamilan preeklamsia di Yogyakarta

Life experience of mother with preeclampsy pregnancy history in YogyakartaPurposeThe purpose of this paper was to determine the life experience of women with pre-eclampsia pregnancy history.MethodsThis research was a phenomenology study involving 7 postpartum mothers with history of pregnancy and delivery of preeclampsia in Dr. Sardjito Hospital conducted from June to September 2015.ResultsBased on this research, there were 4 themes which were found: 1) the symptoms that are felt to affect the psychological, spiritual, physical and behavior of the mother; 2) Awareness raising; 3) Source of power from family and community; and 4) Anxiety and fear have an impact on the mother's perception during the process of referral and childbirth.ConclusionThis study contributes to the knowledge that maternal conditions with preeclampsia pregnancy and childbirth in Yogyakarta still require the attention of health workers, especially from the aspects of alertness to perceived symptoms and the importance of information about pregnancy preeclampsia.Preeklamsia merupakan penyebab terbesar penyebab Angka Kematian Ibu (AKI) yang berakhir dengan perdarahan pada saat persalinan. Pada tahun 2013, AKI mencapai 359/100.000 kelahiran hidup. Stressor pasti terjadi pada ibu hamil baik secara fisik, psikologis, internal maupun eksternal. Stressor akan lebih besar pada ibu dengan kehamilan preeklamsia-eklamsia, dengan gejala yang dirasakan, dan ancaman terhadap kondisi kehamilan. Literatur tentang pengalaman preeklamsia yang dapat dijadikan sumber rujukan dasar tentang kebutuhan ibu dengan riwayat kehamilan dan persalinan preeklamsia masih sangat terbatas, sehingga peneliti tertarik untuk melihat pengalaman dari sisi ibu tentang riwayat kehamilan pre eclampsia.metode penelitian kualitatif desain dengan pendekatan fenomenologi. Penelitian ini mendapatkan 4 tema yaitu: tema 1. gejala yang dirasakan memengaruhi psikologis, spiritual, fisik dan perilaku ibu; tema 2. Peningkatan kewaspadaan; tema 3. Sumber kekuatan dari keluarga dan masyarakat; tema 4. Cemas dan takut berdampak pada persepsi ibu selama proses rujukan dan persalina

Pendidikan infeksi menular seksual untuk remaja laki-laki Yogyakarta

Adolescent boys' knowledge and health education needs about sexually transmitted infections (STIs) Purpose: To determine the knowledge of adolescent boys and the need for health education about STIs in Yogyakarta Special Region.Methods: This research is a descriptive study with cross sectional design, with a total sample of 418 male students of class XII high school. This research was conducted in the Yogyakarta Special Region High School in September-November 2017. This study used univariate, bivariate and multivariate analysis. Results: The results showed that the average age of respondents 17 years as much as 61.5%, the most sources of information were lessons at school by 67.2%, 90.7% of students living with parents and the results of knowledge of adolescent boys in DIY bad by 52.4% and good by 47.6%. External variables related to knowledge are sources of information with p = 0.001 (p <0.05), the material that young boys want to know about health education about STIs is prevention done by 81.8% and 54.8% choosing media video as the desired method.Conclusions: The role of the world of education has a very big influence in providing information about STI to boys, the collaboration between the government and related parties will increase the knowledge of boys. One effort that can be done is by educating schools, especially on preventing STIs and using audiovisual media, besides that the role of the community and family, especially parents, will greatly influence the knowledge of adolescent boys.ABSTRAKLatar Belakang: Infeksi Menular Seksual (IMS) yang terjadi pada remaja terutama remaja laki-laki memiliki kecenderungan meningkat setiap tahunnya. Indonesia merupakan salah satu Negara di Asia yang memiliki tingkat kejadian IMS cukup tinggi yakni sebesar 7,4%-50% pada tahun 2007. Salah satu penyebab tingginya angka kejadian IMS pada remaja laki-laki di Indonesia adalah karena kurangnya pengetahuan remaja tentang IMS, yang nantinya akan berpengaruh terhadap kebutuhan pendidikan kesehatan dari remaja terutama remaja laki-laki. Tujuan: Mengetahui pengetahuan remaja laki-laki dan kebutuhan pendidikan kesehatan tentang IMS di Daerah Istimewa Yogyakarta. Metode: Penelitian ini merupakan penelitian deskriptif dengan desain cross sectional, dengan total sampel sebanyak 418 siswa laki-laki kelas XII SMA. Penelitian ini dilakukan di SMA wilayah Daerah Istimewa Yogyakarta pada bulan September-November 2017. Instrumen yang digunakan adalah kuesioner yang disusun oleh peneliti untuk mengukur pengetahuan remaja laki-laki dan kebutuhan pendidikan kesehatan tentang IMS yang telah diuji validitas dan reliabilitasnya. Penelitian ini menggunakan analisis univariat, bivariat dan multivariat. Hasil: Hasil penelitian menunjukkan bahwa rata-rata usia responden 17 tahun sebanyak 61,5%, sumber informasi terbanyak adalah pelajaran di sekolah sebesar 67,2%, 90,7% siswa tinggal bersama orang tua dan hasil pengetahuan remaja laki-laki di DIY buruk sebesar 52,4% dan baik sebesar 47,6%. Variabel luar yang berhubungan dengan pengetahuan adalah sumber informasi dengan p=0,001 (p<0,05), materi yang ingin diketahui remaja laki-laki dalam pendidikan kesehatan tentang IMS adalah pencegahan yang dilakukan sebesar 81,8% dan 54,8% memilih media video sebagai metode yang diinginkan. Kesimpulan: Peran dari dunia pendidikan memiliki pengaruh sangat besar dalam memberikan informasi tentang IMS kepada remaja laki-laki, adanya kerjasama antara pemerintah dengan pihak-pihak terkait akan meningkatkan pengetahuan remaja laki-laki. Salah satu upaya yang dapat dilakukan adalah dengan penyuluhan kesekolah-sekolah terutama tentang pencegahan IMS dan menggunakan media audiovisual, selain itu peran dari masyarakat dan keluarga terutama orang tua akan sangat berpengaruh terhadap pengetahuan remaja laki-laki.Kata Kunci: Pengetahuan, Remaja laki-laki, Kebutuhan Pendidikan Kesehatan, Infeksi Menular Seksual