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Sriwenda, Djudju
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Efektivitas latihan otot dasar panggul terhadap kepuasan seksual pada pasangan usia subur Sriwenda, Djudju; Sudiapermana, Elih; Pramudia, Joni Rahmat; Yanti, Yulidar; Purnamasari, Ira
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.638

Abstract

Background: Obesity is associated with decreased sexual satisfaction, loss of sexual desire, impaired sexual performance, and reluctance to engage in sexual contact. These things will affect household harmony if not addressed. Overcoming sexual dissatisfaction can be done with pharmacological and non-pharmacological techniques. Performing pelvic floor muscle exercises is one non-pharmacological method that can be done as an alternative to improve sexual dissatisfaction. Purpose: To determine the effect of the effectiveness of pelvic floor muscle exercises on sexual satisfaction in fertile couples. Method: Quasi-experimental design with a pre-test and post-test approach using a control group. Sampling was carried out by purposive sampling and obtained 54 respondents with inclusion criteria aged 35-45 years, married > 10 years, and number of children ≥ 2. The sexual satisfaction instrument used was the Sexual Satisfaction Index Form (SSIF) and data analysis used the Wilcoxon and Mann-Whitney tests. Results: Based on the Mann-Whitney Test, it shows that the median rating of sexual satisfaction in normal BMI obtained a score of 29.63 and in excessive BMI obtained a score of 25.80 with a p-score of 0.378. Meanwhile, the median rating of increased sexual satisfaction in normal BMI obtained a score of 29.10 and in excessive BMI obtained a score of 26.22 with a p-score of 0.502. Based on the Wilcoxon Test, the comparison of pre-post test between normal and excessive BMI obtained a p-score <0.001. Conclusion: Fertile couples with normal and excessive BMI had increased levels of sexual satisfaction before and after doing pelvic floor muscle exercises for 20 minutes every day for 4 weeks (p<0.001). In addition, between normal BMI and excessive BMI there was no significant effect on increasing sexual satisfaction (p>0.005). Suggestion: Pelvic floor muscle exercises are recommended to be done routinely as a non-pharmacological therapy to increase sexual satisfaction.   Keywords: Obesity; Pelvic Floor Muscle Exercises; Sexual Satisfaction.   Pendahuluan: Obesitas dikaitkan dengan penurunan kepuasan seksual, hilangnya hasrat seksual, gangguan kinerja seksual, dan keengganan untuk melakukan kontak seksual. Hal-hal tersebut akan berdampak pada keharmonisan rumah tangga jika tidak diatasi. Mengatasi ketidakpuasan seksual dapat dilakukan dengan teknik farmakologi dan non farmakologi. Melakukan latihan otot dasar panggul merupakan salah satu cara non farmakologi yang dapat dilakukan sebagai alternatif dalam memperbaiki  ketidakpuasan seksual. Tujuan: Untuk mengetahui pengaruh efektivitas latihan otot dasar panggul terhadap kepuasan seksual pada pasangan usia subur. Metode: Desain quasi eksperimen dengan pendekatan pre-test dan post-test menggunakan kelompok kontrol. Pengambilan sampel dilakukan secara purposive sampling dan didapatkan sebanyak 54 responden dengan riteria inklusi adalah usia 35-45 tahun, lama menikah > 10 tahun, dan jumlah anak ≥ 2. Instrumen kepuasan seksual yang digunakan adalah Sexual Satisfaction Index Form (SSIF) dan analisis data menggunakan uji Wilcoxon dan Mann-Whitney. Hasil: Berdasarkan Mann-Whitney Test menunjukkan bahwa median rank kepuasan seksual pada IMT normal mendapatkan skor 29.63 dan pada IMT berlebih mendapatkan skor 25.80 dengan p-skor 0.378. Sementara itu, median rank peningkatan kepuasan seksual pada IMT normal mendapatkan skor 29.10 dan pada IMT berlebih mendapatkan skor 26.22 dengan p-skor 0.502. Berdasarkan Wilcoxon Test perbandingan pre-post-test antara IMT normal dan berlebih mendapatkan p-skor <0.001. Simpulan: Pasangan usia subur dengan IMT normal dan berlebih memiliki tingkat kepuasan seksual yang meningkat sebelum dan setelah melakukan latihan otot dasar panggul durasi 20 menit setiap hari selama 4 minggu (p<0.001). Selain itu, antara IMT normal dan berlebih tidak memiliki pengaruh yang signifikan terhadap peningkatan kepuasan seksual (p>0.005). Saran: Latihan otot dasar panggul direkomendasikan dilakukan secara rutin sebagai terapi non farmakologis untuk meningkatkan kepuasan seksual.   Kata Kunci: Kepuasan Seksual; Latihan Otot Dasar Panggul; Obesitas.
Understanding Adolescents’ Perception of Parenting: A Case Study in Bandung, Indonesia Sriwenda, Djudju; Sudiapermana, Elih; Pramudia, Joni Rahmat; Bariboon, Gumpanat
Journal of Nonformal Education Vol. 11 No. 2 (2025): Adult education & Community empowerment
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jone.v11i2.17036

Abstract

Background: Adolescents, defined by the United Nations as individuals aged 10 to 19 years, are a significant population group, numbering 1.3 billion worldwide. Adolescence is a complex period of transition, characterized by rapid physical, cognitive, and psychosocial growth. These developments affect the way adolescents feel, think, make decisions, and interact with many things. This transition is often described as a period of “storm and stress,” which emphasizes the important role of parents in supporting adolescent’s development. Objective: Exploring adolescents' perception of the parental treatment that adolescents receive. Methods: This study used a survey, involving 120 adolescent respondents in Bandung City, consisting of 40 males and 76 females. Data were collected through questionnaires and analyzed descriptively. Result: The study showed that most of the respondents were 14 years old and lived with their families. Although most adolescents feel closer to their mothers, adolescent girls tend to confide in friends more often than their mothers when facing problems.  The findings also show that parents still tend to compare their children with other children, even with neighboring children. Adolescents expect parents not to compare them with siblings and always support their activities. Conclusion: Adolescents as individuals who grow and develop have needs that must be met by parents. They, by following their developmental patterns, want to be treated as people who have authority, want to be heard, want to be cared for, and want to make parents a place to share Research Contribution: This study provides insight into adolescents' perceptions of parental treatment, which can be the basis for the development of more effective programs and interventions in supporting adolescents’s development
Pengaruh E-Flashcard pada Pengetahuan dan Sikap Remaja terkait Perilaku Seksual Berisiko Maharani, Tiari Dhiya; Sriwenda, Djudju; Mulyati, Sri Wisnu; Fajrin, Anita Megawati
Griya Widya: Journal of Sexual and Reproductive Health Vol. 5 No. 1 (2025): Griya Widya: Journal of Sexual and Reproductive Health
Publisher : Nur Science Institute and Perkumpulan Keluarga Berencana Indonesia (PKBI) Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53088/griyawidya.v5i1.2014

Abstract

Background: Adolescence is a period marked by emotional instability, especially regarding sexual behavior. Curiosity about adult activities, such as sexual intercourse, often arises, and a lack of sexual education is a major factor contributing to risky sexual behavior. Educational tools such as e-flashcards, which provide materials and questions about sexual health, can be used to improve adolescent knowledge and attitudes. Method: This study applied a quantitative approach with a quasi-experimental design using a non-equivalent control group. The experimental group was students from SMA Negeri Jatinangor, while the control group was from SMA Negeri 1 Majalaya. A total of 112 participants were selected using cluster random sampling. The instrument was a questionnaire adapted from Nadya (2022). Data were analyzed using the Mann-Whitney U Test. Findings: Findings revealed that e-flashcards significantly improved knowledge. The Mann-Whitney test showed a mean rank difference of 17.42 with p = 0.003 (p < 0.05). For attitudes, the mean rank difference was 16.66 with p = 0.006 (p < 0.05). Although both groups improved, e-flashcards were more effective than PowerPoint. Implication: E-flashcards effectively enhance adolescents’ knowledge and attitudes on risky sexual behaviors. Schools are encouraged to integrate this medium into health education programs
Efektivitas terapi musik dan posisi sujud terhadap pengurangan serangan nyeri kepala pada wanita menopause hipertensi Yanti, Yulidar; Sriwenda, Djudju
Holistik Jurnal Kesehatan Vol. 19 No. 10 (2025): Volume 19 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i10.2072

Abstract

Background: Menopause is characterized by a decrease in estrogen, which can lead to impaired vascular function. This decrease in estrogen inhibits vasodilation, narrowing blood vessels, which results in increased blood pressure. Hypertension can trigger a series of symptoms, including headaches caused by increased intracranial pressure, dizziness due to reduced tissue blood flow/perfusion, and ischemia caused by vasoconstriction. As a non-pharmacological solution, listening to music has been shown to help achieve a relaxed state. Furthermore, the prostration position has been proposed as an intervention because it utilizes the force of gravity; the lower the body position, the greater the potential for relaxation and blood pressure reduction. Purpose: To determine the effectiveness of music therapy and prostration positions in reducing the frequency of headache attacks in menopausal women with hypertension. Method: This study used a quasi-experimental design using a pre- and post-test approach with a control group design. Conducted in the Garuda Community Health Center work area in September-October 2023. Sampling used purposive sampling technique and required a sample size of 60 participants, with 30 participants for each group. Data analysis used the Wilcoxon test because the data distribution was not normal. Results: The mean reduction in pain frequency in the intervention group was 0.3 higher than the control group, the mean reduction in pain intensity in the intervention group was 0.8 higher than the control group, and the mean reduction in diastolic blood pressure in the intervention group was 3.6 higher than the control group. There was a significant difference in pain frequency scores before and after in the intervention group with a p-value <0.001 and in the control group with a p-value = 0.010. There was a significant difference in pain intensity scores before and after in both the intervention and control groups with a p-value <0.001. There was a significant difference in diastolic blood pressure scores before and after in the intervention group with a p-value = 0.001 and in the control group with a p-value = 0.010. There was a significant difference in pain frequency reduction scores between the two groups (p=0.011). There was a significant difference in pain intensity reduction scores between the two groups (p=0.004). There was no significant difference in diastolic pressure scores between the two groups (p=0.222). Conclusion: Music therapy and the prostration position were effective in reducing pain frequency, pain intensity, and diastolic pressure.   Keywords: Headache Reduction; Hypertension; Menopausal Women; Music Therapy; Prostration Position.   Pendahuluan: Menopause ditandai dengan berkurangnya hormon estrogen yang dapat menyebabkan gangguan fungsi vaskular. Penurunan hormon estrogen ini menghambat vasodilatasi, sehingga pembuluh darah menyempit, yang berakibat pada meningkatnya tekanan darah. Hipertensi dapat memicu serangkaian gejala, diantaranya sakit kepala yang disebabkan oleh meningkatnya tekanan intracranial, pusing yang diakibat kurangnya aliran darah ke jaringan/perfusi, dan iskemia yang disebabkan karena vasokonstriksi. Sebagai solusi non-farmakologis, mendengarkan musik terbukti membantu mencapai kondisi rileks. Selain itu, posisi sujud juga diusulkan sebagai intervensi karena memanfaatkan gaya gravitasi, semakin rendah posisi tubuh, semakin besar potensi relaksasi dan penurunan tekanan darah. Tujuan: Untuk mengetahui efektivitas terapi musik dan posisi sujud terhadap pengurangan frekuensi serangan nyeri kepala pada wanita menopause hipertensi. Metode: Penelitian dengan design quasy experiment menggunakan pendekatan pre and post-test with control group design. Dilakukan di wilayah kerja Puskesmas Garuda pada bulan September-Oktober 2023. Pengambilan sampel menggunakan teknik purposive sampling dan besar sampel yang diperlukan adalah 60 partisipan, dengan pembagian 30 partisipan untuk masing-masing kelompok, Analisis data yang digunakan adalah uji Wilcoxon karena distribusi data tidak normal. Hasil: Rerata penurunan frekuensi nyeri pada kelompok intervensi lebih tinggi 0.3 dibandingkan kelompok kontrol, rerata penurunan intensitas nyeri pada kelompok intervensi lebih tinggi 0.8 dibandingkan kelompok kontrol, dan rerata penurunan diastole pada kelompok intervensi lebih tinggi 3.6 dibandingkan kelompok kontrol. Terdapat perbedaan yang signifikan skor frekuensi nyeri sebelum dan sesudah pada kelompok intervensi dengan nilai p< 0.001 dan pada kelompok kontrol dengan nilai p=0.010. Terdapat perbedaan yang signifikan skor intensitas nyeri sebelum dan sesudah baik pada kelompok intervensi maupun kelompok kontrol dengan dengan nilai p< 0.001.  Terdapat perbedaan yang signifikan skor diastole sebelum dan sesudah pada kelompok intervensi dengan nilai p=0.001 dan pada kelompok kontrol dengan nilai p=0.010. Terdapat perbedaan yang signifikan skor penurunan frekuensi nyeri pada kedua kelompok dengan nilai p=0.011. Terdapat perbedaan yang signifikan skor penurunan intensitas nyeri pada kedua kelompok dengan nilai p=0.004, Tidak terdapat perbedaan yang sifnifikan skor diastole pada kedua kelompok dengan nilai p=0.222. Simpulan: Terapi musik dan posisi sujud efektif terhadap pengurangan frekuensi nyeri, intensitas nyeri dan tekanan diastole.   Kata Kunci: Hipertensi; Pengurangan Serangan Nyeri Kepala; Posisi Sujud; Terapi Musik; Wanita Menopause.
Co-Authors Agustiyowati, Tri Hapsari Retno Alfiya Fauzani, Marsya Amalia Dwi Nastiti, Risna Az-zahrah, Mulia Bariboon, Gumpanat Elih Sudiapermana, Elih Fajrin, Anita Megawati Fatimah, Yulia Ulfah Ferina, Ferina Fitria Handayani Ida Widiawati, Ida Ira Purnamasari Khayuni, Tri Riski Nur Khodijah Hendriana Mutawaqil, Haura Kusyanti, Tatik Maharani, Tiari Dhiya Mulyati, Sri Wisnu Pramudia, Joni Rahmat Sofiyanti, Santi Wardani, Sri Wisnu Warrdani, Sri Wisnu Widaningsih Neneng Yulidar Yanti Yulinda, Yulinda