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Flute instrumental music relaxation effectively reduces anxiety in premenopausal women Nuraeni, Witri; Mulyani, Nunung; Suptiani, Laila Putri
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i2.2879

Abstract

Premenopausal women often experience heightened anxiety due to hormonal fluctuations and psychosocial stressors related to the menopausal transition. Non-pharmacological interventions, particularly music therapy, have been recognized as an effective complementary approach to promote emotional well-being. However, limited empirical evidence exists on the specific effect of flute instrumental music relaxation among premenopausal women in community health settings. This study aimed to determine the effectiveness of flute instrumental music relaxation therapy in reducing anxiety levels among premenopausal women. A quasi-experimental pretest–posttest design was applied involving 51 premenopausal participants selected through purposive sampling in the Mangkubumi Public Health Center service area, Tasikmalaya City, Indonesia in 2025. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after seven consecutive days of flute instrumental music relaxation therapy. Data were analyzed using the Wilcoxon signed-rank test after confirming non-normal distribution via the Kolmogorov–Smirnov test. Respondents were predominantly aged 40–45 years (54.9%). The mean anxiety score before the intervention was 16.25 (SD = 2.30), categorized as mild anxiety, and decreased to 12.43 (SD = 1.62) post-intervention, indicating no anxiety. The Wilcoxon test revealed a statistically significant reduction in anxiety levels (Z = –3.82, p < 0.001). The mean reduction of 3.82 points demonstrates a meaningful therapeutic effect of the flute music intervention. These findings align with prior studies reporting music’s role in regulating stress responses, modulating neuroendocrine pathways, and improving emotional stability among menopausal and perimenopausal women. The result emphasizes the cultural appropriateness and accessibility of flute music as a relaxation medium within Indonesia’s maternal and reproductive health services. Flute instrumental music relaxation effectively reduces anxiety among premenopausal women and represents a feasible, low-cost intervention for community-based midwifery and women’s health programs. Future research should utilize randomized controlled designs, explore long-term outcomes, and compare different musical modalities to enhance evidence-based integration into reproductive health care.
Influence of android-based “Healthy Menstruation” application on menstrual knowledge in adolescent girls Suptiani, Laila Putri; Kurnia, Herni
Jurnal Kesehatan Ibu dan Anak Vol. 17 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v17i2.2029

Abstract

Many women have menstrual problems, among them menstrual pain known as dysmenorrhea. Education and knowledge of using learning media are important to improve the management of dysmenorrhea. The used of smartphone applications for menstrual tracking was popular among adolescents for their convenience and privacy. However, these studies often focus on broader reproductive health topics rather than specific menstrual knowledge. The aim of this research was to determine the influence of implementing “Healthy Menstruation” application on the knowledge of adolescent girls about menstruation.The research method used in this study was a quasi-experimental design with a one-group pretest-posttest design. Independent variable in this research was android based “Healthy Menstruation” Application, while dependent variable in this research was knowledge. The results of the study using the Wilcoxon test showed that there was an influence of the application on the knowledge of adolescents with a p=0.000. here was an influence of the “Menstrual Health” application on the knowledge of adolescents may change as to improve the literacy of female adolescent.
The Effect of Peer Educator on Adolescent Girl’s Perception About Early Marriage In 21 Tasikmalaya Junior High School Rahmawati, Jein; Mulyani, Nunung; Suptiani, Laila Putri
JURNAL KEBIDANAN Vol. 15 No. 2 (2025): October 2025
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v15i2.11702

Abstract

Early marriage negatively impacts the physical and psychological well-being of children worldwide. Adolescents marry for various reasons influenced by peers, perceptions (cognitive, affective, conative), education, and reproductive health information. Teenagers often depend on peers to understand and foster important relationships. Therefore, peer educator initiatives are carried out to tackle early marriage. This investigation aimed to assess the impact of peer educators on the perceptions of female adolescents regarding early marriage at SMP Negeri 21 Tasikmalaya. This research employed a quantitative methodology, specifically the pre-experimental design characterized by a one-group pre-test post-test framework. The population encompassed all female students enrolled at SMP Negeri 21 Tasikmalaya, amounting to a total of 181 individuals. The purposive sampling technique was employed, yielding a sample size of 40 female students alongside 4 peer educators who had undergone training. The research instrument utilized was a questionnaire addressing adolescent perceptions of early marriage, evaluated through cognitive, affective, and conative aspects. The data collected for the research were analyzed using the Wilcoxon Test. The findings of this study reveal that following educational interventions by peer educators, all female adolescents demonstrate understanding, do not support, and possess positive conative aspects towards early marriage. The results of the statistical analysis indicated a p-value of 0.000. The conclusions drawn from this study indicate that peer educators significantly influence the perceptions of adolescent women regarding early marriage at SMP Negeri 21 Tasikmalaya.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI TINGGINYA ANGKA KEJADIAN PERNIKAHAN DINI PADA REMAJA DI WILAYAH KECAMATAN WANAREJAKABUPATEN CILACAP Suryati, Lilis; Mulyani, Nunung; Suptiani, Laila Putri
Midwifery Journal: Jurnal Kebidanan UM. Mataram Vol 11, No 1 (2026): Januari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/mj.v11i1.36986

Abstract

Abstract: Early marriage is still a health and social problem in Indonesia because it has an impact on education, the economy, and family welfare. In Wanareja District, Cilacap Regency, the rate of early marriage is still quite high , namely for women at 89.7% and men at 10.3%. Factors of knowledge, economy, and association of adolescents are suspected to play an important role in influencing the occurrence of early marriage. The purpose of this study aims to determine the influence of knowledge, economic factors, and promiscuity on the incidence of early marriage in adolescents in Wanareja District, Cilacap Regency. Methods: The study used an analytical design with a cross sectional approach. The research sample was adolescents in Wanareja District who were selected using the total sampling technique. Data was collected through a structured questionnaire. Data analysis used the Chi-Square test with a significance level of 0.05. The results of the study showed that adolescents' knowledge of early marriage was in the good category by 54.3%. Socioeconomic factors are in the low category at 94.3%, while promiscuity in the low category is 94.3%. The results of the statistical test showed that there was a significant influence of the knowledge factor on the incidence of early marriage (p = 0.020), there was a significant influence of economic factors on the incidence of early marriage (p = 0.000), and there was no significant influence of the promiscuity factor on the incidence of early marriage (p = 0.174). Conclusion: Knowledge and economic conditions have a significant influence on the incidence of early marriage, while promiscuity has no significant effect. Efforts to prevent early marriage need to be focused on increasing adolescent knowledge and improving family economic conditions through education and community empowerment.Abstrak: Pernikahan dini masih menjadi masalah kesehatan dan sosial di Indonesia karena berdampak pada pendidikan, ekonomi, dan kesejahteraan keluarga. Di Kecamatan Wanareja Kabupaten Cilacap, angka pernikahan dini masih cukup tinggi yaitu pada perempuan sebesar 89.7% dan laki-laki sebesar 10.3%. Faktor pengetahuan, ekonomi, dan pergaulan remaja diduga berperan penting dalam memengaruhi terjadinya pernikahan dini. Tujuan penelitian ini bertujuan untuk mengetahui pengaruh pengetahuan, faktor ekonomi, dan pergaulan bebas terhadap kejadian pernikahan dini pada remaja di Kecamatan Wanareja Kabupaten Cilacap. Metode: Penelitian menggunakan desain analitik dengan pendekatan cross sectional. Sampel penelitian adalah remaja di Kecamatan Wanareja yang dipilih dengan teknik total sampling. Data dikumpulkan melalui kuesioner terstruktur. Analisis data menggunakan uji Chi-Square dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan bahwa pengetahuan remaja tentang pernikahan dini dalam kategori baik sebesar 54,3%. Faktor sosial ekonomi dalam kategori rendah sebesar 94,3%, sedangkan pergaulan bebas dalam kategori rendah sebesar 94,3%. Hasil uji statistik menunjukkan terdapat pengaruh signifikan faktor pengetahuan terhadap kejadian pernikahan dini (p = 0,020), terdapat pengaruh signifikan faktor ekonomi terhadap kejadian pernikahan dini (p = 0,000), dan tidak terdapat pengaruh signifikan faktor pergaulan bebas terhadap kejadian pernikahan dini (p = 0,174). Kesimpulan: Pengetahuan dan kondisi ekonomi memiliki pengaruh signifikan terhadap kejadian pernikahan dini, sedangkan pergaulan bebas tidak berpengaruh signifikan. Upaya pencegahan pernikahan dini perlu difokuskan pada peningkatan pengetahuan remaja dan perbaikan kondisi ekonomi keluarga melalui pendidikan dan pemberdayaan masyarakat.
The Influence of Education Through Media GEMILANG (Menstrual Hygiene Education Movement with Adventure) on The Knowledge of Female Adolescents Tarissa Anandaputri; Nunung Mulyani; Laila Putri Suptiani
Jurnal Kebidanan Vol 14, No 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jk.14.2.2025.90-95

Abstract

Lack of understanding about hygiene during menstruation is still experienced by many adolescent girls, especially those who are about to or are experiencing menarche. The results of a preliminary study showed that 65% of female students do not know about menstrual hygiene. Innovation in learning methods is urgently needed, one of which is through the educational game media GEMILANG which was developed with an edutainment approach so that learning becomes more enjoyable and easier to accept. This study aims to determine the effect of education through GEMILANG media on increasing the knowledge of adolescent girls about menstrual hygiene. The study used a pre-experimental design with a one group pretest-posttest approach. The sampling technique used was a total sampling of 36 female students in grades 4–6 of SDN 2 Sukamanah who had not yet experienced menstruation. Data were analyzed using a Paired Sample T-Test. The results of this study showed an average pretest score of 38.47 which is included in the poor category then increased to 62.28 which is included in the sufficient category in the posttest, with an average difference of 23.81 and a significance value of p = 0.000 (p < 0.05), indicating a significant effect. Education through GEMILANG media is effective in increasing adolescent girls' knowledge about menstrual hygiene and can be an innovative learning medium in elementary school environments.