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Pengaruh Pemberian Latihan Otot Panggul untuk Mengurangi Frekuensi Inkontinensia Urine pada Wanita Lansia Pradita Setianingrum; Nella Vallen; Kristina Maharani
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 3 No. 4 (2025): Desember : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebida
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v3i4.1814

Abstract

Urinary incontinence is a common medical condition among older women, characterized by the involuntary leakage of urine due to impaired bladder control. This condition not only affects physical health but also has significant psychosocial impacts, including reduced self-confidence and quality of life. Non-pharmacological interventions, particularly pelvic floor muscle exercises, have been recognized as effective strategies to strengthen the bladder sphincter and pelvic floor muscles, thereby enhancing urinary retention. The present study aimed to evaluate the effectiveness of pelvic floor muscle exercises in reducing the frequency of urinary incontinence among elderly women. An experimental design with a one-group pretest–posttest approach was employed. The study population consisted of 64 elderly women receiving care at the Gunung Pati Public Health Center in Semarang, from which 45 participants were selected through purposive sampling based on inclusion criteria. Data were collected using structured questionnaires and clinical observation to assess the frequency of urinary incontinence episodes before and after the intervention. Statistical analysis was performed using the Wilcoxon signed-rank test, and the results indicated a significant reduction in urinary incontinence episodes following the exercise program, with a p-value of <0.001. These findings suggest that pelvic floor muscle exercises are a simple, cost-effective, and non-invasive intervention to manage urinary incontinence in elderly women. Implementing such exercises in community health programs can play a vital role in promoting the well-being and independence of older women. The study recommends incorporating pelvic floor muscle training into routine elderly care services and encourages further research with larger samples and longer follow-up periods to confirm the long-term benefits.
Correlation Between Knowledge Level and Decision to Become A Post-Cesarean IUD Acceptor at Roemani Muhammadiyah Hospital Semarang Arvy Cahyaningtyas; Qomariyah Qomariyah; Nella Vallen
Green Health International Journal of Health Sciences Nursing and Nutrition Vol. 2 No. 4 (2025): October : Green Health: International Journal of Health Sciences, Nursing and N
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/greenhealth.v2i4.235

Abstract

Family planning represents a community-based effort to promote awareness and participation through delaying the age of marriage, regulating births, strengthening family resilience, and improving family welfare to achieve small, joyful, and prosperous families (Suriana et al., 2021). The government targets Couples of Reproductive Age (CRA) to reduce population growth in Indonesia, as CRA consists of legally married couples who actively engage in sexual relations that may result in pregnancy. In addition to CRA, postpartum mothers also serve as a key target group in family planning programs. The “Four Too” components contribute to high-risk pregnancies that may lead to complications during pregnancy, childbirth, and the postpartum period, and maternal and infant mortality. These include being too young (under 20 years), too old (over 35 years), too many children (more than four), and too close birth spacing (less than two years) (Oktarina, 2022). This study employed a quantitative research design, specifically an analytical quantitative approach with a correlational design using the cross-sectional method. The sample consisted of 40 participants. The results show that 45% of respondents had a satisfactory level of knowledge about IUD contraception, 32.5% had a moderate level, and 22.5% had a low level of knowledge. In nursing practice, increasing knowledge about contraception—particularly IUD family planning—can enhance interest in its use. Moreover, the study recommends that husbands provide support for mothers in using IUD contraception.