PREMENOPAUSAL COUNSELING FLIPCHARTS AND ANXIETY LEVELS: A STUDY AT POSBINDU KARTINI, TIGARAKSA DISTRICT, AUGUST 2025
DOI:
https://doi.org/10.30994/jqwh.v9i1.327Keywords:
Anxiety, Counseling, Flipchart, Knowledge, PremenopauseAbstract
The research method employed a quasi-experimental design with a one-group pretest-posttest approach. The research population consisted of 70 premenopausal women aged 40-49 years, with samples collected using accidental sampling based on inclusion criteria. Data were gathered through demographic questionnaires, premenopausal knowledge assessments, and anxiety level measurements using the Hamilton Anxiety Rating Scale (HARS) before and after the counseling intervention. Data analysis was conducted using univariate and bivariate analysis with the Chi-Square test.
Results from 34 respondents showed that most respondents had insufficient knowledge (67.6%) and nearly half experienced severe anxiety (47.1%). Bivariate analysis showed a significant correlation between knowledge levels and anxiety (p=0.011). Counseling using flipchart media was effective in increasing knowledge (p=0.013). In conclusion, there is a significant correlation between knowledge and anxiety levels among premenopausal women, and premenopausal reproductive health counseling flipcharts are effective in increasing knowledge and reducing the levels of anxiety experienced during this transition period.
References
Miharti SI, Ayu MP. Faktor-Faktor yang Berhubungan dengan Kecemasan Perubahan Fisik pada Ibu Premenopause. Maternal Child Health Care [Internet]. 2022 Aug 15;4(2):667.
Muchsin EN, Heni S. Tingkat Kecemasan pada Ibu Menjelang Menopause. Vol. 01. 2022.
Devi TER, Ernawati N, Sulastriningsih K, Nurlelawati E, Rodiah D. Buku Ajar Komunikasi Konseling Dalam Pelayanan Kebidanan. In: Raidant D, Wahidin, editors. 1st ed. Malang: PT. Literasi Nusantara Abadi Grup; 2023. p. 64–93.
Mulawarman. Buku Ajar Keterampilan Dasar Konseling. Semarang; 2017 May. Available from:https://www.researchgate.net/publica tion/318743506
Sutrisno, Ariyanto Sinanto R. Efektivitas Penggunaan Lembar Balik sebagai Media Promosi Kesehatan : Tinjauan Sistematis The Effectiveness of Using Flipcharts as Health Promotion Media : Systematic Review. Jurnal Kesehatan Terpadu (Integrated Health Journal. 2022 May;13(1):1–11.
Ayu SM. Buku Ajar Dasar Kesehatan Reproduksi dan KIA. 1st ed. Yogyakarta: CV Mine; 2019.
Seriana I dkk. Asuhan Kebidanan Kesehatan Reproduksi dan Keluarga Berencana (KB). Maharani, editor. Media Sains Indonesia; 2023
Anwar R, Judistiani RTD, Majid TH, Abdurahman M, Istighosah N, Prima DR, et al. Modul Konseling Asuhan Kebidanan pada Ibu Menopause. 1st ed. Jakarta: CV. Sagung Seto; 2017. 16 p
Hilda, Hidayani, Putri SR. Dukungan Keluarga, Konsep Diri dan Gaya Hidup berhubungan dengan Tingkat Kecemasan Ibu Perimenopause. Open Access Jakarta Journal of Health Sciences. 2022 Dec 8;1(12):457–63.
Nuriman A, Utami T, Tarwati K. Hubungan Tingkat Pengetahuan Tentang Menopause dengan Tingkat Kecemasan pada Wanita Pre- Menopause. Jurnal Keperawatan ‘Aisyiyah. 2023 Dec;10(2):97–106.
