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Level of menarche anxiety before and after adolescent reproductive health education in SDN 19 Lahat Students Rosa Gunadi, Helmi; Soenggono, Arifin; Mutmaini, Silsa
ACTA Medical Health Sciences Vol. 2 No. 3 (2024): ACTA Medical Health Sciences
Publisher : ACTA Medical Health Sciences

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Abstract

Women menstruate at varying ages, making it difficult for adolescent girls to describe what is going on with their bodies. They are unprepared and unable to manage their menstruation appropriately due to the limited source of information they receive. As a result, teenage girls experience anxiety symptoms such as fear, anxiety, and discomfort. Anxiety can be decreased by giving the female students sufficient education associated with reproductive health prior to menarche via video media, presentations, discussions, and questions and answers. In this study, an experimental strategy was being used, with a pre-experimental design and a pretest and posttest one-group design. Because the study was conducted on variables for which no data was available, the process had to be modified by providing particular treatments to the research subjects, which were then observed and measured. Before the intervention, it was known that 22 respondents (58%) were not anxious, 4 respondents (11%) had mild anxiety, 7 respondents (18%) had moderate anxiety, 5 respondents (13%) had severe anxiety, and there were no respondents with very severe anxiety. Following the health education intervention, it was observed that 25 respondents (66%) had no anxiety, 6 respondents (16%) had mild anxiety, 4 respondents (11%) had moderate anxiety, and 3 respondents (8%) had severe anxiety but did not report it. There were some people who were experiencing significant anxiety. The students of SD Negeri 19 Lahat experienced a significantly reduced anxi ety concerning menarche both before and after receiving reproductive health education. DOI : 10.35990/amhs.v2n3.p116-121 REFERENCES Martinez, G. M. (2020). National Health Statistics Reports, Number 146, September 10, 2020. (Original work published 1995). Retrieved from https://www.cdc.gov/nchs/products/index.htm Sinaga, E. S., & Lubis, A. (2021). Factors relating to siswi behavior class VII in facing menarche. Gentle Birth, 4(1). Sudikno, & Sandjaja. (2019). Usia menarche perempuan Indonesia semakin muda: Hasil analisis Riskesdas 2010. Jurnal Kesehatan Reproduksi, 10(2), 163–171. https://doi.org/10.22435/kespro.v10i2.2568.163-171 Sommer, M., Sutherland, C., & Chandra-Mouli, V. (2015). Putting menarche and girls into the global population health agenda. Reproductive Health, 12(1). https://doi.org/10.1186/s12978-015-0009-8 Tanton, C., Nakuya, K., Kansiime, C., et al. (2021). Menstrual characteristics, menstrual anxiety and school attendance among adolescents in Uganda: A longitudinal study. BMC Women's Health, 21(1). https://doi.org/10.1186/s12905-021-01544-6 Starrs, A. M., Ezeh, A. C., Barker, G., et al. (2018). Accelerate progress—Sexual and reproductive health and rights for all: Report of the Guttmacher–Lancet Commission. The Lancet, 391(10140), 2642–2692. https://doi.org/10.1016/S0140-6736(18)30293-9 Prijatni, I. (2013). Kesehatan reproduksi dan keluarga berencana. Badan Pengembangan dan Pemberdayaan Sumber Daya Manusia Kesehatan. Tortora, G. J., & Derrickson, B. (2018). Principles of anatomy and physiology (12th ed.). John Wiley & Sons, Inc. Sherwood, L. (2016). Human physiology: From cells to systems (9th ed.). Cengage Learning. Vismara, M., Girone, N., Cirnigliaro, G., et al. (2020). Peripheral biomarkers in DSM-5 anxiety disorders: An updated overview. Brain Sciences, 10(8), 1–37. https://doi.org/10.3390/brainsci10080564 Hermawatu, Muchtar, M., Wiwi, S., & Syarwini. (2016). Pendidikan kesehatan dalam kesiapan menghadapi menarche di sekolah dasar. Jurnal Penelitian dan Kajian Ilmiah, 10, UMSB. Herwati, Muchtar, M. (2017). Model pendidikan kesehatan terhadap pengetahuan dan sikap dalam kesiapan menghadapi menarche di sekolah dasar. Jurnal Penelitian dan Kajian Ilmiah, 11(75), UMSB. https://doi.org/10.33559/mi.v11i75.453 Mendle, J., Ryan, R. M., & McKone, K. M. (2018). Age at menarche, depression, and antisocial behavior in adulthood. Retrieved from http://www.publications.aap.org/pediatrics/articlepdf/141/1/e20171703/1066419/peds_20171703.pdf Kautsar, F., Gustopo, D., & Achmadi, F. (2017). Uji validitas dan reliabilitas Hamilton Anxiety Rating Scale terhadap kecemasan dan produktivitas pekerja visual inspection PT. Widatra Bhakti. Prosiding SENATEK, 1(A), 588–592. Kementerian Kesehatan Republik Indonesia. (2017). Pedoman dan standar etik penelitian dan pengembangan kesehatan nasional. Ningrum, M. W. P., & Purnomo, W. (2020). Relationship between readiness and anxiety level in elementary school students facing menarche in Pademawu Sub-District, Pamekasan. Jurnal Biometrika dan Kependudukan, 9(2), 95–103. https://doi.org/10.20473/jbk.v9i2.2020.95-103 Burnet Institute, Water Aid Australia, & Aliansi Remaja Independen. (2015). Menstrual hygiene management in Indonesia: Understanding practices, determinants and impacts among adolescent school girls. Retrieved from www.aliansiremajaindependen.org Lutfi, I. (2017). Analisis kesiapan siswi sekolah dasar dalam menghadapi menarche. Jurnal Bioetika dan Kependudukan, 5(2), 135–145. https://doi.org/10.20473/jbk.v5i2.2016.135-145 Emdadul Haque, S., Rahman, M., Itsuko, K., Mutahara, M., & Sakisaka, K. (2014). The effect of a school-based educational intervention on menstrual health: An intervention study among adolescent girls in Bangladesh. BMJ Open, 4, e004607. https://doi.org/10.1136/bmjopen-2013-004607 Intan, O., Hudaya, N., Gantini, D., & Patimah, S. (2019). Pengaruh pendidikan kesehatan reproduksi (Underwear Rules) terhadap pengetahuan anak prasekolah. Edutech: Jurnal Teknologi Pendidikan, 18(3). https://doi.org/10.17509/e.v18i3.18071
HUBUNGAN PANJANG SARAF ULNARIS DI KOMPARTEMEN POSTERIOR DENGAN PANJANG LENGAN ATAS SEBAGAI ACUAN TERAPI Hutasoit, Regina Marvina; Lubis, Vita Murniati Tarawan; Soenggono, Arifin
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 35 No 2 (2018)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v35i2.18

Abstract

CORRELATION BETWEEN ULNARIS NERVE LENGTH IN POSTERIOR COMPARTMENT AND UPPER LIMB LENGTH AS:A REFERENCE FOR THERAPYABSTRACT Introduction: Ulnar nerve is the second most common affected nerve by compression in upper extremity. Medial intermuscular septum separating upper arm into anterior and posterior compartments is suspect to be the sites of ulnar nerve compression. Various examinations attempt to locate accurate nerve compression sites to minimize surgery side effects.Aim: This study analyze ratio of ulnar nerve length in posterior compartment using anatomical dissection method with upper arm  length using anthropometry method and  to analyze correlation of ulnar nerve length in posterior compartment with upper arm  length.Methods: This is a descriptive analytical study with a cross sectional design on cadaver between May to June2017 at Anatomy Laboratorium Medical Faculty University of Padjajaran, Bandung. The length of cadaver upper arm was measured with antropometry method and ulnar nerve length in posterior compartment by anatomical dissection. The measurements were statistically analyzed with Pearson correlation.Result: The average length of 9 cadaver or 18 right upper arm (right and left) was 38.3cm for right and 38.0cm for left. While the average length of right and left ulnar nerve in posterior compartment were 11.7cm and 11.4cm respectively, thus the average ratio length of upper arm with ulnar nerve length was 1:3. Analysis using Pearson correlation show a positive correlation on left and right arm, although not significant. Contrast to existing theory, the ulnar nerve crossed in one-third of the posterior upper arm compartment. In minimal invasive decompression this finding could be reference to extend the incission to become 11.7cm for right and 11.4cm for left arm to avoid re-decompression.Discussion: The average ratio length of upper arm with ulnar nerve length was 1:3. There is a positive between thelength of ulnar nerve on the posterior compartment and the length of upper arm, although not significant.Keyword: Posterior compartment, ulnar nerve length, upper arm length ratioABSTRAKPendahuluan: Saraf ulnaris menempati urutan kedua saraf yang sering terkena sindrom kompresi pada ekstremitas atas. Septum intermuskularis medial yang memisahkan lengan atas menjadi bagian kompartemen anterior dan posterior dicurigai menjadi salah satu tempat terjadinya kompresi saraf ulnaris. Berbagai pemeriksaan berupaya menemukan lokasi kompresi saraf yang akurat untuk meminimalisir efek samping dari terapi khususnya operasi.Tujuan: Menilai hubungan perbandingan panjang saraf ulnaris di kompartemen posterior berdasarkan diseksi anatomis dengan panjang lengan atas secara antropometri.Metode: Penelitian deskriptif analitik secara potong lintang pada kadaver pada bulan Mei hingga Juni 2017 di Laboratorium Anatomi Fakultas Kedokteran Universitas Padjajaran, Jatinangor. Panjang lengan atas kadaver diukur secara antropometri, sedangkan panjang saraf ulnaris pada kompartemen posterior berdasarkan diseksi anatomi. Hasil pengukuran dinilai secara statistik menggunakan uji korelasi Pearson.Hasil: Pengukuran terhadap 9 kadaver atau 18 lengan atas (kanan dan kiri) mendapatkan rerata panjang lengan atas kanan 38,3cm dan kiri 38cm. Adapun rerata panjang saraf ulnaris kanan dan kiri di kompartemen posterior masing- masing 11,7cm dan 11,4cm, sehingga didapatkan perbandingan rerata panjang jarak lengan atas dengan panjang saraf ulnaris adalah 1:3. Analisis uji korelasi Pearson menunjukkan hubungan positif pada lengan kiri dan kanan walaupun tidak signifikan. Saraf ulnaris didapatkan menyilang di sepertiga kompartemen posterior lengan atas, berbeda dengan teori yang ada. Pada operasi yang memakai metode minimal invasive decompression, temuan ini dapat menjadi pertimbangan untuk memperluas garis insisi 11,7cm pada lengan kanan dan 11,4cm kiri untuk menghindari dekompresi ulang.Diskusi: Didapatkan perbandingan rerata panjang saraf ulnaris di kompartemen posterior dengan panjang lengan atas 1:3. Terdapat hubungan positif antara panjang saraf ulnaris di kompartemen posterior dengan panjang lengan atas walaupun tidak bermakna.Kata kunci: Kompartemen posterior, panjang saraf ulnaris, perbandingan panjang lengan atas