Efektifitas Paket Bugar Mitra Lansia terhadap Tingkat Kenyamanan pada Perempuan Menopause dengan Pelvic Organ Prolapse
Abstract
Penelitian ini bertujuan untuk mengetahui efektifitas paket Bugar Mitra Lansia terhadap kenyamanan aktivitas seksual pada perempuan menopause dengan pelvic organ prolapse di wilayah Puskesmas Makrayu. Metode penelitian ini menggunakan design eksperimen semu (quasi experiment) dengan rancangan penelitian pretest-posttest Kontrol Group Design. Pengambilan data pada penelitian ini menggunakan teknik purpose sampling dengan responden sebanyak 84 perempuan menopause. penelitian menunjukkan terdapat perbedaan tingkat kenyamanan aktivitas seksual yang bermakna antara kelompok kontrol dan kelompok intervensi (p=0,003). Kelompok yang diberikan intervensi paket Bugar Mitra Lansia memiliki tingkat kenyamanan aktivitas seksual dengan kategori nyaman. Simpulan penelitian bahwa intervensi paket Bugar Mitra Lansia yang diberikan efektif dan menjadi rekomendasi untuk meningkatkan kenyamanan seksual perempuan menopause.
Kata Kunci: Menopause, Paket Bugar Mitra Lansia, Pelvic Organ Prolapse
References
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Adnan M. R, Lee, C. N & Mishra, B. (2022). Adverse Effects of Phytoestrogens on Mammalian Reproductive Health. Vet Med Anim Sci. 10:1.
http://dx.doi.org/10.7243/2054-3425-10-1
Afiyanti, Y., Azwar, A., Setyowati, S., & Andrijono, A. (2017). Women’s Experiences of Sexual Problems after Cervical Cancer Treatment: Lessons from Indonesian Women. Makara J Health Res, 18(2), 51–57. https://doi.org/10.7454/msk.v18i2.xxxx
Appold, K. (Juni 1, 2017). Experts Discuss the Place for Female Rejuvenation. Dermatology Times. https://www.dermatologytimes.com/view/experts-discuss-place-female-rejuvenation
Arini, A. A. (2020). Fungsi Seksual Wanita Menopouse yang Melakukan Orhiba Kombinasi Kegel Exercise: Studi Pengukuran FSFI. Jurnal Kebidanan dan Keperawatan 'Aisyiyah. 16(2). 240-252. https://doi.org/10.31101/jkk.1631
Bobak, L. J. (2012). Buku Ajar Keperawatan Maternitas. EGC. Jakarta
Cozzolino, M., Magro-malosso, E. R., Tofani, L., & Coccia, M. E. (2018). Sexual & Reproductive Healthcare Evaluation of Sexual Function in Women with Deep in Filtrating Endometriosis. Sexual & Reproductive Healthcare, 16(December 2017), 6–9. https://doi.org/10.1016/j.srhc.2017.12.005
Dharma, K. K. (2018). Metodologi Penelitian Keperawatan. CV. Trans Info Media. Jakarta
Dinkes Sumsel. (2017). Profil Kesehatan Provinsi Sumatera Selatan. Palembang. Retrieved from http://dinkes.sumselprov.go.id/unduh/
Erbil, N., Felek, N., & Karakaşlı, E. (2015). The Relationship Between Attitudes Towards Menarche and Current Attitudes Towards Menstruation of Women: A Comparative Study. International Journal of Human Sciences, 12(2), 1120. https://doi.org/10.14687/ijhs.v12i2.3239
Farage, M. A., Miller, K. W., & Ledger, W. (2018). Confronting the Challenges of Postmenopausal Urogenital Health. Aging Health, 6(5), 611–626. https://doi.org/http://dx.doi.org/10.2217/ahe.10.44
Farrell, A. M. E. (2017). Genitourinary Syndrome of Menopause. Australian Family Physician, 46(7), 481–484. https://doi.org/10.1097/GME.0000000000000329
Faubion, S. S., Sood, R., & Kapoor, E. (2017). Genitourinary Syndrome of Menopause: Management Strategies for the Clinician. Mayo Clinic Proceedings, 92(12), 1842–1849. https://doi.org/10.1016/j.mayocp.2017.08.019
Freedman, M. A. (2019). Perceptions of Dyspareunia in Postmenopausal Women with Vulvar and Vaginal Atrophy: Findings from the Revive Survey. Women’s Health, 10(4), 445–454. https://doi.org/10.2217/WHE.14.29
Gayatri, D. (2017). Hubungan Tingkat Pemahaman tentang Inkontinensia Urin terhadap Keinginan Mencari Pertolongan. Laporan Penelitian DIK_MAK 5250. FIK UI. Retrieved from http://lib.ui.ac.id/file?file=digital/files/disk1/125/jkptuipp-gdl-res-2000-dewigayatr-6245-lp2000-a.pdf
Nazarpour, S., Simbar, M., Ramezani Tehrani, F., & Alavi Majd, H. (2017). Effects of Sex Education and Kegel Exercises on the Sexual Function of Postmenopausal Women: A Randomized Clinical Trial. The Journal of Sexual Medicine, 14(7), 959–967. https://doi.org/10.1016/j.jsxm.2017.05.006
Obgyn & Reproduction Week. (2018). Menopause; Data from University of Groningen Advance Knowledge in Menopause (In-Utero Cigarette Smoke Exposure and the Risk of Earlier Menopause ), 3–5.
Ozcana, S., Eryilmazb, G. (2017). Reproductive Problems in the Climacteric Period and Current Approaches in the Management of This Problems. Turkiye Klinikleri J ObstetWomens Health Dis Nurs-Special Topics, 3(3):213-8. Retrieved from http://www.turkiyeklinikleri.com/article/en-klimakterik-donemde-gorulen-sorunlar-ve-guncel-yaklasimlar-80213.html
Polit, D. F., & Beck, C. . (2012). Nursing research: Generating and assesing for nursing practice (9 th). Wolter Kluwe Health: Lippincott Williams & Willkins. Philadelphia
Prather, S. L. (2016). The Relationships Among Menopausal Knowledge, Stress, And Symptom Management In Southern Rural African American Women : A Developmental Perspective. Published by ProQuest LLC. Published by ProQuest LLC. http://hdl.handle.net/10755/22793
Rosen, R. C., Maserejian, N. N., Connor, M. K., Krychman, M. L., Brown, C. S., & Goldstein, I. (2018). Characteristics of Premenopausal and Postmenopausal Women With Acquired, Generalized Hypoactive Sexual Desire Disorder: The Hypoactive Sexual Desire Disorder Registry for women. Menopause, 19(4), 396–405. https://doi.org/10.1097/gme.0b013e318230e286
Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., Ferguson, D., & D'Agostino, R., Jr (2000). The Female Sexual Function Index (FSFI): A Multidimensional Self-Report Instrument for the Assessment of Female Sexual Function. Journal of Sex & Marital Therapy, 26(2), 191–208. https://doi.org/10.1080/009262300278597
Sabri, L., & Hastono, S. P. (2014). Statistik Kesehatan (1st ed.). Rajawali Pers. Jakarta
Sarsawita, S. (2017). Hubungan Pengetahuan, Sikap tentang Menopause dengan Kesiapan Menghadapi Menopause di Puskesmas Pekanbaru. Journal Endurance, 2(June), 117–123. Retrieved from http://ejournal.kopertis10.or.id/index.php/endurance/article/download/1853/681
Schipper, C. & O, O. (2020). Quality of Life Studies: Definitions and Conceptual Issues. In : Spilker, B., Quality of Life in Pharmacoeconomics in Clinical Trials. Lipincott – Raven Publishers. Philadelphia
Setyowati, S. (2017). The Needs and Services of Elderly Women Based on Kinship in Indonesia: A Qualitative Study. American Journal of Nursing Science, 6(3), 141. https://doi.org/10.11648/j.ajns.20170603.11
Sprague, B. L., Trentham-Dietz, A., & Cronin, K. A. (2019). A Sustained Decline in Postmenopausal Hormone Use: Results from the National Health and Nutrition Examination Survey, 1999-2010. Obstetrics and Gynecology, 120(3), 595–603. https://doi.org/10.1097/AOG.0b013e318265df42
Taylor, D., & Gilliss, C. (2018). NIH Public Access. Journal Midwifery Womens Health, 55(4), 415–422. https://doi.org/10.1016/j.jmwh.2009.09.005.The
Tiznobek, A., Mirmolaei, S. T., Momenimovahed, Z., & Kazemnejad, A. (2017). Effect of Counseling on Sexual Function and Behavior in Postmenopausal Women and Their Spouses : A Randomized, Kontrolled Trial (RCT) Study. Menopause Review/Przegląd Menopauzalny, 16(3), 99–103. https://doi.org/10.5114/pm.2017.70587
Tom, S., Cooper, R., Patel, K., & Guralnik, J. (2019). Menopausal Characteristics and Physical Functioning in Older Adulthood in the NHANES III. Menopause, 19(3), 283–289. https://doi.org/10.1097/gme.0b013e3182292b06.Menopausal
Trisetiyaningsih, Y. (2016). Hubungan Antara Gejala Menopause dengan Kualitas Hidup Perempuan Klimakterik. Jurnal kesehatan samodra ilmu, 7(1), 3-9. Retrieved from https://stikes-yogyakarta.e-journal.id/JKSI/article/view/4
Vora, R., & Dangi, A. (2014). Effect of Yoga on Menopausal Symptoms in the Early Menopausal Period: A Randomized Kontrolled Trial. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 8(3), 49. https://doi.org/10.5958/0973-5674.2014.00355.4
Weber, M. T., Maki, P. M., & McDermott, M. P. (2014). Cognition and Mood in Perimenopause: A Systematic Review and Meta-Analysis. Journal of Steroid Biochemistry and Molecular Biology, 142, 90–98. https://doi.org/10.1016/j.jsbmb.2013.06.001
WHO. (2014). Kesehatan Reproduksi Wanita. Retrieved from www.who.int/features/factfiles/%0Aphysical_activity/facts/en/index%0A2.html
Wibawa, C. (2012). Perbedaan Efektifitas Metode Demonstrasi dengan Pemutaran Video tentang Pemberantasan DBD terhadap Peningkatan Pengetahuan dan Sikap Anak SD di Kecamatan Wedarijaksa Kabupaten Pati. Jurnal Promosi Kesehatan Indonesia, 2(2), 115-129. https://doi.org/10.14710/gt.v%vi%i.2553
Wilmoth, M. C., & Spinelli, A. (2000). Sexual Implications of Gynecologic Cancer Treatments. Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN, 29(4), 413–421. https://doi.org/10.1111/j.1552-6909.2000.tb02064.x
Wright, J. J., & O’Connor, K. M. (2015). Female Sexual Dysfunction. Medical Clinics of North America, 99(3), 607–628. https://doi.org/10.1016/j.mcna.2015.01.011
Zhou, Y., Yang, R., Li, C., & Tao, M. (2017). Sleep Disorder, an Independent Risk Associated with Arterial Stiffness in Menopause. Scientific Reports, 7(1), 1–9. https://doi.org/10.1038/s41598-017-01489-7
Zsakai, A., Mascie-taylor, N., & Bodzsar, E. B. (2019). Relationship Between Some Indicators of Reproductive History, Body Fatness and The Menopausal Transition in Hungarian Women. Journal of Physiological Anthropology, 1–13. https://doi.org/10.1186/s40101-015-0076-0
ACOG. (2017). Fact Sheet. Glenview, IL: Pearson Education, 4(April), 43–45. https://doi.org/10.1002/jcph.570.4
ACOG. (2015). The Menopause Years. FAQ Women’s Health, 3–5. Retrieved from https://www.acog.org/-/media/For-Patients/faq047.pdf?dmc=1&ts=20180114T0821432303
Adnan M. R, Lee, C. N & Mishra, B. (2022). Adverse Effects of Phytoestrogens on Mammalian Reproductive Health. Vet Med Anim Sci. 10:1.
http://dx.doi.org/10.7243/2054-3425-10-1
Afiyanti, Y., Azwar, A., Setyowati, S., & Andrijono, A. (2017). Women’s Experiences of Sexual Problems after Cervical Cancer Treatment: Lessons from Indonesian Women. Makara J Health Res, 18(2), 51–57. https://doi.org/10.7454/msk.v18i2.xxxx
Appold, K. (Juni 1, 2017). Experts Discuss the Place for Female Rejuvenation. Dermatology Times. https://www.dermatologytimes.com/view/experts-discuss-place-female-rejuvenation
Arini, A. A. (2020). Fungsi Seksual Wanita Menopouse yang Melakukan Orhiba Kombinasi Kegel Exercise: Studi Pengukuran FSFI. Jurnal Kebidanan dan Keperawatan 'Aisyiyah. 16(2). 240-252. https://doi.org/10.31101/jkk.1631
Bobak, L. J. (2012). Buku Ajar Keperawatan Maternitas. EGC. Jakarta
Cozzolino, M., Magro-malosso, E. R., Tofani, L., & Coccia, M. E. (2018). Sexual & Reproductive Healthcare Evaluation of Sexual Function in Women with Deep in Filtrating Endometriosis. Sexual & Reproductive Healthcare, 16(December 2017), 6–9. https://doi.org/10.1016/j.srhc.2017.12.005
Dharma, K. K. (2018). Metodologi Penelitian Keperawatan. CV. Trans Info Media. Jakarta
Dinkes Sumsel. (2017). Profil Kesehatan Provinsi Sumatera Selatan. Palembang. Retrieved from http://dinkes.sumselprov.go.id/unduh/
Erbil, N., Felek, N., & Karakaşlı, E. (2015). The Relationship Between Attitudes Towards Menarche and Current Attitudes Towards Menstruation of Women: A Comparative Study. International Journal of Human Sciences, 12(2), 1120. https://doi.org/10.14687/ijhs.v12i2.3239
Farage, M. A., Miller, K. W., & Ledger, W. (2018). Confronting the Challenges of Postmenopausal Urogenital Health. Aging Health, 6(5), 611–626. https://doi.org/http://dx.doi.org/10.2217/ahe.10.44
Farrell, A. M. E. (2017). Genitourinary Syndrome of Menopause. Australian Family Physician, 46(7), 481–484. https://doi.org/10.1097/GME.0000000000000329
Faubion, S. S., Sood, R., & Kapoor, E. (2017). Genitourinary Syndrome of Menopause: Management Strategies for the Clinician. Mayo Clinic Proceedings, 92(12), 1842–1849. https://doi.org/10.1016/j.mayocp.2017.08.019
Freedman, M. A. (2019). Perceptions of Dyspareunia in Postmenopausal Women with Vulvar and Vaginal Atrophy: Findings from the Revive Survey. Women’s Health, 10(4), 445–454. https://doi.org/10.2217/WHE.14.29
Gayatri, D. (2017). Hubungan Tingkat Pemahaman tentang Inkontinensia Urin terhadap Keinginan Mencari Pertolongan. Laporan Penelitian DIK_MAK 5250. FIK UI. Retrieved from http://lib.ui.ac.id/file?file=digital/files/disk1/125/jkptuipp-gdl-res-2000-dewigayatr-6245-lp2000-a.pdf
Nazarpour, S., Simbar, M., Ramezani Tehrani, F., & Alavi Majd, H. (2017). Effects of Sex Education and Kegel Exercises on the Sexual Function of Postmenopausal Women: A Randomized Clinical Trial. The Journal of Sexual Medicine, 14(7), 959–967. https://doi.org/10.1016/j.jsxm.2017.05.006
Obgyn & Reproduction Week. (2018). Menopause; Data from University of Groningen Advance Knowledge in Menopause (In-Utero Cigarette Smoke Exposure and the Risk of Earlier Menopause ), 3–5.
Ozcana, S., Eryilmazb, G. (2017). Reproductive Problems in the Climacteric Period and Current Approaches in the Management of This Problems. Turkiye Klinikleri J ObstetWomens Health Dis Nurs-Special Topics, 3(3):213-8. Retrieved from http://www.turkiyeklinikleri.com/article/en-klimakterik-donemde-gorulen-sorunlar-ve-guncel-yaklasimlar-80213.html
Polit, D. F., & Beck, C. . (2012). Nursing research: Generating and assesing for nursing practice (9 th). Wolter Kluwe Health: Lippincott Williams & Willkins. Philadelphia
Prather, S. L. (2016). The Relationships Among Menopausal Knowledge, Stress, And Symptom Management In Southern Rural African American Women : A Developmental Perspective. Published by ProQuest LLC. Published by ProQuest LLC. http://hdl.handle.net/10755/22793
Rosen, R. C., Maserejian, N. N., Connor, M. K., Krychman, M. L., Brown, C. S., & Goldstein, I. (2018). Characteristics of Premenopausal and Postmenopausal Women With Acquired, Generalized Hypoactive Sexual Desire Disorder: The Hypoactive Sexual Desire Disorder Registry for women. Menopause, 19(4), 396–405. https://doi.org/10.1097/gme.0b013e318230e286
Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., Ferguson, D., & D'Agostino, R., Jr (2000). The Female Sexual Function Index (FSFI): A Multidimensional Self-Report Instrument for the Assessment of Female Sexual Function. Journal of Sex & Marital Therapy, 26(2), 191–208. https://doi.org/10.1080/009262300278597
Sabri, L., & Hastono, S. P. (2014). Statistik Kesehatan (1st ed.). Rajawali Pers. Jakarta
Sarsawita, S. (2017). Hubungan Pengetahuan, Sikap tentang Menopause dengan Kesiapan Menghadapi Menopause di Puskesmas Pekanbaru. Journal Endurance, 2(June), 117–123. Retrieved from http://ejournal.kopertis10.or.id/index.php/endurance/article/download/1853/681
Schipper, C. & O, O. (2020). Quality of Life Studies: Definitions and Conceptual Issues. In : Spilker, B., Quality of Life in Pharmacoeconomics in Clinical Trials. Lipincott – Raven Publishers. Philadelphia
Setyowati, S. (2017). The Needs and Services of Elderly Women Based on Kinship in Indonesia: A Qualitative Study. American Journal of Nursing Science, 6(3), 141. https://doi.org/10.11648/j.ajns.20170603.11
Sprague, B. L., Trentham-Dietz, A., & Cronin, K. A. (2019). A Sustained Decline in Postmenopausal Hormone Use: Results from the National Health and Nutrition Examination Survey, 1999-2010. Obstetrics and Gynecology, 120(3), 595–603. https://doi.org/10.1097/AOG.0b013e318265df42
Taylor, D., & Gilliss, C. (2018). NIH Public Access. Journal Midwifery Womens Health, 55(4), 415–422. https://doi.org/10.1016/j.jmwh.2009.09.005.The
Tiznobek, A., Mirmolaei, S. T., Momenimovahed, Z., & Kazemnejad, A. (2017). Effect of Counseling on Sexual Function and Behavior in Postmenopausal Women and Their Spouses : A Randomized, Kontrolled Trial (RCT) Study. Menopause Review/Przegląd Menopauzalny, 16(3), 99–103. https://doi.org/10.5114/pm.2017.70587
Tom, S., Cooper, R., Patel, K., & Guralnik, J. (2019). Menopausal Characteristics and Physical Functioning in Older Adulthood in the NHANES III. Menopause, 19(3), 283–289. https://doi.org/10.1097/gme.0b013e3182292b06.Menopausal
Trisetiyaningsih, Y. (2016). Hubungan Antara Gejala Menopause dengan Kualitas Hidup Perempuan Klimakterik. Jurnal kesehatan samodra ilmu, 7(1), 3-9. Retrieved from https://stikes-yogyakarta.e-journal.id/JKSI/article/view/4
Vora, R., & Dangi, A. (2014). Effect of Yoga on Menopausal Symptoms in the Early Menopausal Period: A Randomized Kontrolled Trial. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 8(3), 49. https://doi.org/10.5958/0973-5674.2014.00355.4
Weber, M. T., Maki, P. M., & McDermott, M. P. (2014). Cognition and Mood in Perimenopause: A Systematic Review and Meta-Analysis. Journal of Steroid Biochemistry and Molecular Biology, 142, 90–98. https://doi.org/10.1016/j.jsbmb.2013.06.001
WHO. (2014). Kesehatan Reproduksi Wanita. Retrieved from www.who.int/features/factfiles/%0Aphysical_activity/facts/en/index%0A2.html
Wibawa, C. (2012). Perbedaan Efektifitas Metode Demonstrasi dengan Pemutaran Video tentang Pemberantasan DBD terhadap Peningkatan Pengetahuan dan Sikap Anak SD di Kecamatan Wedarijaksa Kabupaten Pati. Jurnal Promosi Kesehatan Indonesia, 2(2), 115-129. https://doi.org/10.14710/gt.v%vi%i.2553
Wilmoth, M. C., & Spinelli, A. (2000). Sexual Implications of Gynecologic Cancer Treatments. Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN, 29(4), 413–421. https://doi.org/10.1111/j.1552-6909.2000.tb02064.x
Wright, J. J., & O’Connor, K. M. (2015). Female Sexual Dysfunction. Medical Clinics of North America, 99(3), 607–628. https://doi.org/10.1016/j.mcna.2015.01.011
Zhou, Y., Yang, R., Li, C., & Tao, M. (2017). Sleep Disorder, an Independent Risk Associated with Arterial Stiffness in Menopause. Scientific Reports, 7(1), 1–9. https://doi.org/10.1038/s41598-017-01489-7
Zsakai, A., Mascie-taylor, N., & Bodzsar, E. B. (2019). Relationship Between Some Indicators of Reproductive History, Body Fatness and The Menopausal Transition in Hungarian Women. Journal of Physiological Anthropology, 1–13. https://doi.org/10.1186/s40101-015-0076-0
