Caesaria Rahayu Sulistyaningrum , 6450404092 (2009) HUBUNGAN PEMAKAIAN KONTRASEPSI HORMONAL DENGAN KELUHAN PERIMENOPAUSE DI KELURAHAN SALATIGA KECAMATAN SIDOREJO SALATIGA. Under Graduates thesis, Universitas Negeri Semarang.

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Abstract

Perimenopause merupakan masa peralihan antara pramenopause dan pascamenopause. Masa peralihan ini terjadi pada wanita usia 45-55 tahun akibat penurunan hormon reproduksi yaitu hormon estrogen dan progesteron. Akibat defisiensi hormon tersebut muncul berbagai keluhan yang disebut keluhan perimenopause yang meliputi keluhan vasomotor, traktus urogenital dan psikis. Keluhan-keluhan subyektif pada masa perimenopause dipengaruhi oleh tingkat pendidikan, sosial ekonomi, budaya, gaya hidup dan pemakaian kontrasepsi hormonal. Pemakaian kontrasepsi khususnya jenis hormonal pada wanita perimenopause selain untuk mencegah terjadinya kehamilan juga dapat mempengaruhi lebih lama dalam memasuki usia menopause yang tentunya juga berpengaruh pada munculnya keluhan perimenopause. Permasalahan yang dikaji dalam penelitian ini adalah adakah hubungan pemakaian kontrasepsi hormonal dengan keluhan perimenopause di Kelurahan Salatiga Kecamatan Sidorejo Salatiga. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pemakaian kontrasepsi hormonal dengan keluhan perimenopause di Kelurahan Salatiga Kecamatan Sidorejo Salatiga. Jenis penelitian ini adalah explanatory research dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah wanita dengan rentang usia 45-49 tahun yang memakai kontrasepsi. Tehnik pengambilan sampel dengan menggunakan simple random sampling. Instrument dalam penelitian ini adalah kuesioner. Data penelitian diperoleh melalui metode dokumentasi dan wawancara. Analisis data dilakukan secara univariat dan bivariat (menggunakan uji chi-square dengan α = 5%). Dari hasil penelitian didapatkan bahwa 53,2 % responden memakai kontrasepsi hormonal dan 46,8 % responden yang memakai kontrasepsi non hormonal. Persentase responden yang tidak mengalami keluhan perimenopause sebanyak 60,8 % dan yang mengalami keluhan perimenopause sebanyak 39,2 %. Kesimpulan penelitian ini adalah ada hubungan antara pemakaian kontrasepsi hormonal dengan keluhan perimenopause di Kelurahan Salatiga Kecamatan Sidorejo Salatiga (p = 0,006). Saran yang dianjurkan bagi Dinas Kesehatan Kota diharapkan mengadakan suatu program atau kegiatan sebagai upaya untuk memberikan informasi guna meningkatkan kualitas hidup wanita yang akan memasuki usia menopause, yang dapat dilakukan melalui penyuluhan atau melalui media informasi yang praktis dan mudah dijangkau oleh masyarakat. Bagi pasangan hidup yang akan memasuki masa menopause perlu ada keterbukaan untuk membicarakan masalah menopause terutama dalam keluarga. Hal ini karena menopause sangat memengaruhi kondisi psikis dan fisik seorang wanita. Jangan sampai perubahan yang dialami ibu atau istri dianggap sebagai sesuatu yang aneh sehingga mereka tidak mendapatkan dukungan dan bantuan moral yang diperlukan. Sehingga usia menopause dapat dijalani dengan harmonis bersama keluarga. iii ABSTRACT Caesaria Rahayu Sulistyaningrum. 2008. The Relationship between Hormonal Contraception Use and Perimenopause Complaints in the Village of Salatiga, Sidorejo Sub-District, Salatiga. Final Project. Public Health Department. Sporting Science Faculty, State University of Semarang. Keywords: Perimenopause is a transitional period between pre-menopause and postmenopause. This very transitional period occurs in women of 45-55 years old due to the deficiency in reproduction hormones namely estrogen and progesterone. Due to the hormonal deficiency there are several complaints arisen referred as perimenopause complaints including vasomotor, tractus, urogenital, and psychological complaints. The subjective complaints in perimenopause period are influenced by the levels of education, socio-economics, culture, lifestyle and hormonal contraception use. The use of contraception, particularly the hormonal one, in perimenopause women in addition to prevent them from being pregnant is to make it longer for them to enter the menopause period that, therefore, influences the presence of menopause complaints. The problem reviewed in this research was whether or not there was a relationship between the use of hormonal contraception and perimenopause complaints in the village of Salatiga, Sidorejo Sub-district, Salatiga. The objective of the research was to find out the relationship between the use of hormonal contraception and perimenopause complaints in the village of Salatiga, Sidorejo Subdistrict, Salatiga. This research was of explanatory research using a cross sectional approach. The population in this research was those women of 45-49 years old using contraception. The technique used to take the sample was simple random sampling. The instrument in the research was questionnaire. The research data was collected through the methods of documentation and interview. The data was analyzed univariately and bivariately (using chi-square with α = 5%). From the result of the research the researcher found that 53,2% of respondents used hormonal contraception and 46,8% used non-hormonal contraception. The percentage of those reporting no complaints of perimenopause was as much as 60,8% and those reporting were as much as 39,2%. The conclusion of the research was that there was a relationship between the use of hormonal contraception and perimenopause complaints in the village of Salatiga, Sidorejo Sub-District, Salatiga (p = 0,006). The suggestion the researcher can offer was that for the Municipality Health Department to be expected to conduct a program or activity as an effort to provide information to improve the life quality of women who were coming into menopause period. This, however, could be done through counseling or practical information media accessible for the people. Additionally, for the spouses who were about to come into menopause period there were a need for openness to discuss menopause issue particularly in family. It was due to the significant influence the menopause might exert on the psychological and physical condition of a woman. It was not expected that the changes in mother or wife was regarded as something weird that they failed to obtain any moral support and help needed. It was expected that the women undergoing menopause period, then, could live in harmony with their family.

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