Pengaruh Pendidikan Kesehatan tentang Menopause terhadap Perubahan Kualitas Hidup Perempuan Klimakterik

Abstrak

Perubahan fisik dan psikologis yang terjadi pada masa klimakterium akan mempengaruhi kualitas hidup perempuan. Untuk itu diperlukan proses adaptasi terhadap berbagai masalah dan perubahan selama masa klimakterium sehingga akan meningkatkan kualitas hidup perempuan klimakterik. Kurangnya pengetahuan dan akses informasi merupakan tantangan besar yang dihadapi oleh wanita menopause. Salah satu upaya yang bisa dilakukan untuk meningkatkan pengetahuan adalah melalui pemberian pendidikan kesehatan. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan tentang menopause terhadap perubahan kualitas hidup perempuan klimakterik. Penelitian ini merupakan penelitian quasy experimentdengan rancangan pretest and posttest nonequivalent control group design. Penelitian dilakukan di Dusun Gamping Kidul Ambarketawang bulan Desember 2013-April 2014. Jumlah populasi sebanyak 271 orang. Sampel terdiri dari 44 orang kelompok intervensi dan 44 orang kelompok kontrol. Kelompok intervensi diberikan pendidikan kesehatan sebanyak 4 kali ceramah dan diskusi kelompok kecil, serta 1 kali praktik relaksasi dan senam yoga. Kelompok kontrol diberikan booklet tentang perubahan masa menopause, tanda dan gejala, nutrisi masa menopause, dan penatalaksanaan menopause. Instrumen yang digunakan adalah WHOQOL-BREF. Analisis yang digunakan adalah uji Paired t-test, Independent Samples t-Testdengan α 0.05.Nilai rata-rata kualitas hidup pretest pada kelompok intervensi sebesar 51,9 dan posttest sebesar 66,5. Hasil uji paired t-test menunjukkan ada perbedaan skor kualitas hidup sebelum dan sesudah diberikan pendidikan kesehatan pada kelompok intervensi (t =14,436, p=0,001). Namun tidak bermakna pada kelompok kontrol (t=1,059, p= 0,0295) dengan perubahan skor kualitas. Berdasarkan hasil penelitian dapat disimpulkan bahwa program pendidikan kesehatan tentang menopause dapat meningkatkan kualitas hidup perempuan selama periode klimakterium.Kata kunci: Klimakterium, kualitas hidup, menopause, pendidikan kesehatan.Influence of Health Education about Menopause towards the Quality of Life Changes in Climacteric Women AbstractPhysical and psychological changes that happen at the climacterium period would influence the quality of life in climacteric women. Therefore, the adaptation process is needed to overcome problems and changes during this period so that the quality of life of climacteric women could be increased. Lack of knowledge and access to information are major challenger that were faced by menopause women. One of efforts that can be done to improve their knowledge is through health education. This study aimed to identify the influence of health education about menopause towards the quality of live changes in climacteric women. The study used quasi experiment design with pretest and posttest nonequivalent control group. The location of this study was in Gamping Kidul Ambarketawang Village in December 2013 to April 2014. The total population is 271 people. Sample consisted of 44 people in the intervention group and 44 people in the control group. The intervention group received 4 times health education and small group discussion, as well as once relaxation and Yoga. Participants in control group received a booklet about menopause, signs and symptoms, nutrition during menopause period, and management of menopause. The quality of life was measured using WHOQOL-BREF. Analysis used paired t-test, independent samples t-test with α = 0.05. The mean scores of quality of life for intervention group were 51.0 (pretest) and 66.5 (posttest). The paired t-test showed that there was a significant difference of quality of life score before and after health education in the intervention group (t =14,436, p=0,001). However, there was no significant difference of quality of life in the control group (t=1,059, p= 0,0295). Based on this results, it can be concluded that health education program about menopause can increase quality of life of climacteric women. Keywords: Climacterium, health education, menopause quality of life.