JKEP (Jurnal Keperawata.
Vol 9.
No 2.
November 2024 ISSN: 2354-6042 (Prin.
ISSN: 2354-6050 .
Reproductive Health Information Application Using E-Mobile in Readiness to Face Menarche in Teenage Girls in East Jakarta Syafdewiyani1*.
Rita Ismail2.
Tiara Primanda Putri1.
Deswani1 Poltekkes Kemenkes Jakarta i.
Indonesia Fakultas Ilmu Kesehatan.
Universitas Pembangunan Nasional Veteran Jakarta.
Indonesia email: syafdewiyani16@gmail.
Article history Posted.
Oct 14th , 2023 Reviewed.
Nov 11th , 2024 Received.
Nov 18th , 2024 Copyright A 2024 Authors This work is licensed under a Creative Commons Attribution-ShareAlike 4.
International License.
ABSTRACT
Preparedness for menarche can be achieved by providing information and attention to young women when facing menarche so that they will be calmer and ready to welcome the arrival of The initial survey, conducted by the researchers using an interview method involving four elementary school students who had experienced menarche, revealed that they experienced panic and embarrassment when facing menarche.
They did not obtain information on menarche from their parents .
Several findings have shown that their readiness to face menarche is still low.
Mothers' awkwardness in providing information directly to young women can be overcome by using media in the form of E-Mobiles or the internet.
A preexperiment using a single-group pretest-posttest methodology without a control group is the type of study design that will be used.
The study variable was teenage girls' knowledge of reproductive health in preparation for menarche.
A t-test was used for data analysis.
The study was conducted between March and December 2023.
SD Negeri 07 Pagi in the Ciracas District of East Jakarta served as the research site.
The study population consisted of female pupils in classes 3, 4, 5, and 6 who had not yet reached menarche.
Adolescent reproductive health, young women's preparation for menarche, and views on the usage of menarche information were the topics covered in the questionnaire.
The initial readiness variable .
re-tes.
of young women and the results of the readiness .
ost-tes.
of young women after obtaining reproductive health information using the women's menarche information application obtained a Sig.
-taile.
of 000 < .
, as did the paired T-test of the initial understanding variable .
re-tes.
of teenage girls with the variable of understanding results .
ost-tes.
of teenage girls.
Young women's pre- and post-test understandings and readiness differed significantly from one They also differed significantly from one another in terms of their initial readiness and subsequent readiness following the use of the menarche information application to obtain reproductive health information.
Keywords: Information.
Reproductive Health.
Menarche.
Teenage Girls.
JKEP (Jurnal Keperawata.
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ABSTRAK
Remaja putri dapat dipersiapkan untuk menghadapi menarche dengan memberikan mereka pengetahuan dan dukungan selama masa ini.
Hal ini akan membuat mereka lebih tenang dan siap menerima datangnya menarche.
Hasil studi pendahuluan pada siswa sekolah dasar yang telah mengalami menarche melaporkan merasa malu dan takut mengalami menarche dan tidak mendapatkan informasi tentang menarche dari ibu.
Alasan ibu tidak memberikan informasi menarche ke remaja putrinya karena merasa belum siap.
Adanua media daring atau E-Mobile, diharapkan ibu dapat mengatasi rasa malu mereka sambil mendidik remaja putri secara pribadi.
Tujuan penelitian ini adalah untuk uji coba efektivitas penggunaan E-Mobile dalam meningkatkan pemahaman kesehatan reproduksi dan mempersiapkan remaja putri menghadapi Penelitian ini menggunakan desain pre-eksperimen dengan pendekatan one group pretest-posttest tanpa kelompok kontrol.
Analisis data dilakukan menggunakan uji t-test.
Penelitian berlangsung dari Maret hingga Desember 2023, di salah satu di Jakarta Timur.
Responden penelitian terdiri dari siswi kelas 4 dan 5 yang belum mengalami menarche.
Kuesioner yang digunakan mencakup topik kesehatan reproduksi remaja, kesiapan menghadapi menarche, serta pendapat tentang aplikasi informasi menarche.
Uji t-test berpasangan menunjukkan bahwa ada perbedaan signifikan antara pemahaman remaja putri mengenai persiapan menarche dan kesehatan reproduksi di awal .
re tes.
dan hasil pemahaman .
ost tes.
dengan nilai Sig.
-taile.
sebesar 0,000, yang lebih kecil dari .
Perbandingan kesiapan awal .
re tes.
remaja putri dengan hasil kesiapan .
ost tes.
setelah mendapatkan informasi kesehatan reproduksi melalui aplikasi menarche juga menunjukkan nilai p value sebesar 0,000 ( <0,.
Pengunaan E-Mobile dapat meningkatkan pemahaman mengenai kesehatan reproduksi dan kesiapan remaja putri dalam menhghadapi menarche.
Kata Kunci: Informasi.
Kesehatan Reproduksi.
Menarche.
Remaja Putri
INTRODUCTION
According to the American Academy of Menarche is the first menstrual cycle that Pediatrics .
, menarche usually occurs marks the beginning of a girl's reproductive between the ages of 9 and 16 years, and is an This process involves not only important indicator of reproductive health.
This phase is often accompanied by various emotional and social changes that can affect Menarche is an important phase in a girl's development, when she begins to be adolescent girls.
Therefore, understanding biologically ready to carry out her feminine menarche is very important in the context of In addition, the experience of psychological impact, influencing how symptoms that appear during menarche can young girls view their lives and identities, vary between individuals.
Many young both in adolescence and adulthood.
women experience anxiety and fear related to the physical and emotional changes that JKEP (Jurnal Keperawata.
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Some may feel unprepared improve their understanding.
The results or confused, especially if they do not receive showed that out of 101 female adolescent adequate education regarding menstruation respondents, only 33.
6% had knowledge and body changes.
about menstruation and felt comfortable Studies show that lack of knowledge about facing menarche, while 61.
3% of the menarche can lead to negative feelings such respondents did not have such knowledge.
as uncertainty and discomfort.
In addition.
Negative emotions emerged in girls who adolescent girls may feel pressured by social 5% of respondents felt menstruation, which can increase their panicked and 50.
49% felt bad, limited, and feelings of anxiety or depression (Huang et (Yeung, 2.
, 2.
The initial survey conducted by the Responses to menarche varied among adolescent girls.
Some may see it as a sign of maturity and development, while others experienced menarche showed that they felt may feel pressure and anxiety related to the panic and shame when facing menarche.
changes occurring.
Therefore, it is important addition, unpleasant reactions from school to provide adequate support through proper friends added to the emotional burden.
They education and a supportive environment, so did not obtain information on menarche that adolescents can better understand and from their parents .
accept these changes.
Facing menarche can be improved through According to recent research, perceptions of the delivery of appropriate information and menstruation can be influenced by various adequate attention to young women during factors including education and culture.
this phase.
With good support, they feel Some adolescents may have a positive view calmer and ready to welcome menarche.
The of menstruation as a symbol of adulthood, main source of information should be the whereas others may be influenced by myths family, where parents, especially mothers, and stigmas that associate menstruation with play an important role in explaining limitations and discomfort (Sari et al.
, 2.
menarche to their daughters.
Therefore, comprehensive education about Clear and open explanations can help menstruation is essential to help adolescents children understand the changes that will overcome their negative feelings and JKEP (Jurnal Keperawata.
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to adolescent girls.
Recent studies have shown that good
METHOD
Facing menarche can be improved by children about menstruation can increase sufficient attention to young women going attitudes towards menarche.
When parents through this phase.
With good support, they feel calmer and ready to welcome menarche.
information, adolescent girls tend to feel The family should be the main source of more prepared and confident about facing these changes (Maharani et al.
, 2.
mothers, play a key role in explaining Therefore, it is important for parents to be menarche to their daughters.
Clear and open explanations can help children understand reproductive health education.
(Muriyana, the changes that will occur, reduce their The results of a study in five anxiety, and prepare them emotionally and provinces in Indonesia showed that mothers discussing reproductive health topics with Recent studies have shown that effective embarrassed and taboo (Nurachmah, 2.
children about menstruation can improve Information can be provided using various adolescents' understanding and positive media to overcome feelings of awkwardness attitudes towards menarche.
When parents and the lack of knowledge of mothers.
This indicates that the level of readiness of information, adolescent girls tend to feel adolescent girls facing menarche is still low.
more prepared and confident about facing Based on this, researchers are interested in these changes (Maharani et al.
, 2.
conducting a trial of the use of E-Mobiles or Therefore, it is important for parents to be webs to prepare adolescent girls facing It is hoped that the results of this reproductive health education.
study can later be used as an information reproductive health information in readiness for menarche and reduce the awkwardness This study was conducted from March to December 2023 in one of the public elementary schools in East Jakarta.
The study population was 4th and 5th grade JKEP (Jurnal Keperawata.
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2 November 2024 hlm 159-171 female students who had not experienced indicates low understanding, whereas a The samples were collected using score of 10Ae18 indicates high understanding.
The Data collection began with a meeting inclusion criteria were 4th and 5th grade between the researcher, school teacher, and female students who had not experienced menarche, while the exclusion criteria were researcher explained the purpose and female students with reproductive system procedures of the study.
Respondents were The proportion estimation formula given the freedom to withdraw at any time was used to determine the sample size.
during the study period.
The pre-test therefore, the minimum sample size in this questionnaire was filled out with guidance study was 77.
To anticipate the possibility of from the researcher and was accompanied by respondents who did not continue their a schoolteacher.
Subsequently, the menarche participation or could not be contacted, the information application was displayed, sample size was increased by 10% to 85 followed by a post-test questionnaire that reproductive health .
ncluding puberty and The knowledge about adolescent reproductive health and adolescent girls' readiness to face menarch.
, readiness to face menarche, and their opinions regarding the menarche information application used.
menarche consisted of 18 statements with the following answer options: strongly RESULTS AND DISCUSSION agree, agree, undecided, disagree, and There were 81 respondents involved in this strongly disagree.
A total score of 0Ae9 Table1.
Respondent Characteristics Frequency Respondent Characteristics Frequency .
Age 9 years 10 years 11 years old 12 years old Class Resources Never Television Percentage (%) JKEP (Jurnal Keperawata.
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Percentage (%) Based on the data presented in Table 1 Regarding sources of information about .
respondents, it can be seen that the ages of reported that they had never received any the respondents vary.
Most, namely 39 prior information.
Only 27 respondents respondents .
15%) were 10 years old, .
3%) obtained information from their followed by 24 respondents .
6%) who mothers or older siblings, while other were 9 years old.
Only a few respondents sources of information, such as friends, were 11 years old .
05%) or 12 years old television, and the internet, were very .
2%).
limited, accounting for only 2.
5%, 1.
7%, respectively.
In terms of class, the majority of respondents were in Class 4, with a total of In terms of understanding before the 40 people .
4%), while 21 respondents intervention .
re-tes.
, 54 respondents .
9%) were in Class 3.
Respondents from .
7%) showed good understanding, while Classes 5 and 6 numbered 15 .
5%) and 27 .
3%) had poor understanding.
2%), respectively.
Readiness to face menarche also showed positive results, where 43 respondents JKEP (Jurnal Keperawata.
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1%) felt ready and 38 respondents health education.
Their research shows that .
9%) felt less ready.
educational interventions can improve the mental readiness of adolescent girls to face After the intervention, the post-test results showed an increase in the respondents' A total of 51 respondents Yunus and Supraba .
found that .
96%) now had a good understanding, although there were still 30 respondents adolescent girls is very important in .
04%) who showed poor understanding.
reducing anxiety and increasing readiness.
In addition, the level of readiness also They increased, where 55 respondents .
comprehensive educational program to felt ready to face menarche, while 26 prepare adolescents for menarche.
Juwita respondents .
1%) still felt less ready.
and Yulita .
also emphasized that a Finally, the assessment of the information good understanding of menstruation can .
contribute to the readiness of adolescent Their research showed that effective application was not good, whereas 55.
reproductive health education can increase considered the application good.
adolescents' positive attitudes towards These data show an increase in the understanding and readiness of adolescent Aswitami .
examined the effects of girls in facing menarche after being given health education on the psychological an intervention, although there are still readiness of prepubertal adolescent girls.
challenges related to information sources The results and assessment of the applications used.
interventions could improve adolescents' The results of this study are in line with mental readiness to face menarche.
previous findings, which state that effective Although many respondents felt more reproductive health education can increase prepared after the intervention, attention adolescent knowledge and readiness to face needs to be paid to strengthening broader changes in their bodies.
The results of a and more accurate sources of information study that supports this are those of as well as in-depth evaluation of the Setiawan et al.
, who stated that applications used, so that adolescent girls menarche can be influenced by appropriate that educational JKEP (Jurnal Keperawata.
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Table 2.
T-test Pre-Test Post Test Understanding of Reproductive Health Paired Samples Test Sig.
-taile.
Pre Test Comprehension - Post Test Comprehension Based on the results of the t-test presented .
-taile.
000 was obtained.
This in Table 2, there was a significant difference shows that there is a significant difference between the understanding of reproductive between the initial understanding .
re-tes.
health before and after the intervention.
The of adolescent girls and the results of their significance values (Sig.
2-taile.
was understanding .
ost-tes.
after receiving reproductive health information through the menarche application with a p-value <0.
This value shows that there is a significant difference between the pre-test and posttest scores of the respondents' reproductive health understanding.
In other words, the intervention succeeded in increasing the respondents' understanding of reproductive These results indicate that the effective in increasing adolescent girls' knowledge of reproductive health issues.
In this era, developments encourage people to use internet technology to obtain information through various applications, platforms so that they can better understand Advances technology and information now also allow all levels of society, including students or (Rofi'ah et al.
, 2.
including menarche, and the changes that This The results of this study are in line with important to ensure that adolescent girls research on adolescent girls and PKK feel more prepared and confident when cadres in Kemuning Lor Village.
After facing their developmental phases.
menarche education was conducted through the Simen application, adolescent girls and Based on the results of the paired t-test for understanding menarche after receiving reproductive health information using the menarche information application, a Sig.
PKK cadres increasingly understood topics The application used was very helpful for JKEP (Jurnal Keperawata.
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2 November 2024 hlm 159-171 participants in understanding the material proven to be more effective than power (Eko et al.
, 2.
This learning point in increasing the knowledge of media has several advantages that make it a adolescent girls related to preparation for research material, such as making learning facing menarche.
(Hanifah et al.
, 2.
The more interesting and allowing the learning use of application media that suits the process to take place anywhere and character of teenagers makes it more fun, (Rofi'ah et al.
, 2.
easy to understand and remember, and increases the enthusiasm of female students Research using animated video media and PowerPoints for health education showed a in learning reproductive health.
(Rofi'ah et , 2.
significant difference in the knowledge of adolescent girls before and after receiving health education.
Animated video media is Table 3.
Pre-Test and Post-Test t-test of Readiness to Face Menarche Paired Samples Test Sig.
-taile.
Readiness Pre-Test - Readiness Post-Test Based on the results of the paired t-test on physiological changes that they experience.
understanding menarche after receiving Advances in information technology also reproductive health information, a Sig.
provide easy access to relevant information taile.
value of 0.
000 was obtained.
This for all groups, including students and indicates a significant difference between adolescents (Rofi'ah et al.
, 2.
the initial understanding .
re-tes.
of female adolescents and their understanding after receiving information .
ost-tes.
, with A similar study by Sari et al.
showed that the use of reproductive health a p-value <0.
adolescents' understanding of menarche.
The results of the study noted a significant developments have encouraged people to increase in understanding scores after the use the internet as a source of information intervention using the application, which through various applications, social media, supports the finding that technology can play an important role in adolescent health This JKEP (Jurnal Keperawata.
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2 November 2024 hlm 159- 171 Another study showed that students who Thus, the use of appropriate technology and received health education on preparing for media in reproductive health education can menarche through video media experienced positive changes in their attitudes towards understanding and readiness of adolescent menarche at SMP Negeri 2 Pabelan.
Health education on reproductive health has been menstruation can affect their readiness to shown to be effective in increasing face menarche and how they care for knowledge and forming positive attitudes knowledge can be increased through Adolescents' This education using various supporting media strengthen their readiness to face this phase Videos (Qoni Fitria and Mawardika, 2.
combination of sound and images that contain concepts, principles, procedures.
In addition, research conducted by Taslim et al.
on the "Si Merah" application in preparing adolescents for menarche showed that content containing information about menstruation and menstrual preparation and theories of knowledge application so that they can improve the understanding of the material.
As an educational medium, videos can strengthen the learning process (Purbowati et al.
managed to increase the average value by 8 or 90% in the category of very suitable Similar research results show that the use of for use as a learning medium.
This shows interactive media, such as applications and that the application was effective in understanding of reproductive health.
For Learning using audio-visual example.
Sari et al.
found that media has also been shown to improve adolescents who were exposed to health students' learning abilities compared with education materials through videos had a learning methods without media (Aini better understanding of menarche than Musydah Taslim et al.
, 2.
those who did not use such media.
Halimah et al.
reported that The use of video media in learning makes students more interested in learning, which ultimately has a positive impact on their attitudes toward preparing for menarche (Umrah et al.
, 2.
reproductive health education can improve attitudes towards menstruation, which JKEP (Jurnal Keperawata.
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2 November 2024 hlm 159-171 contributes to their readiness to face Training for Educators: Educators and parents need to be trained in effective ways to convey reproductive health information.
Thus, the integration of technology in reproductive health education not only including the use of technology and educational media.
increases knowledge, but also forms positive attitudes that are important for Improving Accessibility: It important to adolescent girls in dealing with the ensure that all adolescents, especially those physiological changes they experience.
in remote areas, have adequate access to CONCLUSION Based on the results of the studies discussed above, it can be concluded that the use of Further Research: Further research is appropriate technology and media, such as needed to explore the effectiveness of educational applications and videos, has a various educational media and learning significant impact on the understanding and readiness of adolescent girls to face understanding of reproductive health in greater depth.
Increasing effective education.
Research shows that materials through interactive media show readiness to face these physiological Suggestion Family Involvement: Parents, especially mothers, are expected to be actively involved in this educational process so that they can provide emotional support and appropriate information to their daughters REFERENCES