DIFFERENCES KNOWLEDGE AND ATTITUDES ABOUT PERSONAL HYGIENE

YOUNG WOMEN BEFORE AND AFTER TOOL REPRODUCTIVE
HEALTHEDUCATION GIVEN SMK MUHAMMADIYAH 3
PALEMBANG 2014
1

Hardiyanti, 2Muzakir Zaini, 3Maya Fadlillah

1. Students STIKes Muhammadiyah Palembang. 2. Lecturer STIKes Muhammadiyah Palembang.
3. Chairman Prodi D III Nursing STIKes Muhammadiyah Palembang.

The Study Program Of Diploma Iii Of The Nursing Health Science College Of
Muhammadiyah Palembang
ABSTRACT

In the world, due to the incidence of reproductive infections is estimated at about 2.3 million
per year of which 1.2 million are found in developing countries, while the number of new
cases per year and about 5 million are in developing countries and 3 million are in developing
countries, including Indonesia. Reproductive health is the most important part of the health
program, considering the influence on any person and covers many aspects of life, from the
womb to old age. This study aimed to determine differences in student knowledge and
attitudes about personal hygiene before and after the reproductive health education given at
SMK Muhammadiyah 3 Palembang. This study uses the technique of pre-experiment with
one group pre test - post test and measuring instruments using a questionnaire. The study
sample as many as 64 respondents with a random sampling technique is simple (Simple
Random Sampling) and members of the population raffle (lottery technique). The analysis
was performed with univariate and bivariate using T test (Paired T Test) and the Wilcoxon
test with significance level of 0.05 and 95% confidence level. This study was conducted on
10 to 22 March 2014. Results of this research knowledge to get p value <α (0.000 <0.05), and
the results of research attitudes get p value <α (0.000 <0.05). There were significant
differences in knowledge and attitude about personal hygiene students before and after the
reproductive health education given at SMK Muhammadiyah 3 Palembang. It is expected that
the school can establish cross-sector cooperation with the health centers and other health
institutions in improving health information, especially about personal hygiene reproduction.
Keywords

: Young

women,

Personal

Hygiene

Equipment

Reproduction,

Knowledge, Attitude, Health education

Bibliography

: 20 (2001-2012)

PRELIMINARY
l Background
Adolescents is defined as a period of
transition from childhood - childhood to
adulthood. Teen age limit according to
WHO (UN agency for the health of the
world) is 12 to 24 years.
Approximately
60
million
inhabitants of Indonesia are teenagers.
Adolescent problems that exist today are
very complex and worrisome. Various data

indicate
that
the
application
of
reproductive fulfillment they get the
teenagers have not fully inter alia in terms
of providing information. It can be inferred
from the lack of knowledge about
adolescent reproductive health is about the
fertile period (BKKBN, 2008).
Young women are most vulnerable
to health problems reproductive system.
This is because anatomically, young
women are more susceptible to infection
than from the outside because of the shape

Based on the initial survey that was conducted by researchers at the date of January 7. 2007). From the social point of view. 2010). the results showed 52. Based on the above data. young women often get sexually abused (Soetjiningsih. while other problems that may occur is a pregnancy outside of marriage. abortion. based on the population census of 2011 the number of teenagers in the district of Cirebon reach 310 784 inhabitants or by 28 . especially in the reproductive organs of the introduction knowledge regarding the form and function as well as how to treat them (Bobak.67% of respondents have inadequate reproductive health knowledge. Based on the results of research conducted Wandha Paramitha Dhuangga in SMP 11 Pekanbaru Riau in 2012.92 after the health education given by difference to the value of 1. 53% of the total population (Andira. a group of school children are children who are in early stages of growth and development that is sensitive to the stimulus so easily guided. including Indonesia (Berman . Results showed that the average level of knowledge of young women has increased from before the health education given earlier to 4. Health education covers all teaching and business experience to influence the attitudes. According to Guilbert health education is a process that has inputs (input). 2009). 2005). 2005). and sex outside marriage are at risk for reproductive health. In the world. and health-related knowledge towards expected. 2004).and location of the reproductive organs close to the anus.60% of the total population in West Java is the age of 10-24 years old adolescents. as the source of their knowledge of a friend. especially teens and secondary school students involved 2. especially the development of healthy behaviors. because school-age children (618 years old) have the highest percentage compared to other age groups. One of them can be achieved through health hygiene (Wahidiyat et al. Based on research data IPPA 2010 against respondents.3 million per year of which 1.73 becomes 18. habits. 2006).704 inhabitants or by 26. due to the incidence of reproductive infections is estimated at about 2. which formed the subject's ability to learn (Notoatmodjo.12 while the average change in the attitude of young women also increased from pre-given health education ie 17. Knowledge and attitudes of adolescent reproductive health is still considered low.04 2.2 million are found in developing countries. Input is concerning learning goals while the process is the interaction mechanisms and changes in the subject's ability to learn that while the output is the result of learning itself.358. Lack of knowledge about the basic biology of the adolescent reflects a lack of knowledge about the risks associated with their bodies and how to avoid them (Sarwono. young women will menstruate. In terms of physiological. process and output (output).30 after the health education given by a margin of 0.57. This is due to lack of knowledge and attitudes about personal hygiene student. while the number of new cases per year and about 5 million are in developing countries and 3 million are in developing countries. In West Java reached 11. Some recent studies show that young people in Indonesia at risk for reproductive tract infection / STD / HIV / AIDS. directed and instilled good habits (Notoatmodjo. 2014 at SMK Muhammadiyah 3 Palembang directly by interviewing 10 students (100%) the results of class X with only 2 students (20%) who know about personal hygiene and reproductive schoolgirl 8 (80%) who do not know about personal hygiene reproduction. the researchers are interested in the issues raised in the study entitled "Differences .479 respondents aged 11-17 years. 2004). Health promotion through community schools were least effective among other public health efforts. In addition.

258 personal hygiene before given reproductive health education Sources: Data though the results of the study (Hardiyanti. B. because the class XII will face the National Final Examination (UAN).Knowledge and Attitudes About Personal Hygiene Young Women Before And After Tool Reproductive Health Education Given In SMK Muhammadiyah 3 Palembang 2014" RESEARCH METHODOLOGY This research is a quantitative study.14 (95% CI 6. in particular by members of the population raffle (lottery technique) (Notoatmodjo.1 the results of the analysis of the frequency distribution data obtained an average score of knowledge before being given health education was Min. To determine the sample size in this study using the formula Notoatmodjo (2005). Primary Data Primary data were obtained directly from respondents through questionnaire method using a questionnaire that has been prepared or personal data from a sample of the answers to the questionnaire revelation. The essence of simple random sampling is that any member or unit of the population has an equal chance to be selected as a sample. Secondary Data The collection of secondary data obtained from the Department of Education and the Principal of SMK Muhammadiyah 3 Palembang. Data Collection Techniques A. so it looks in the following table: 1. 2005). the pre-experiment design.83-7. Sample Research The sample was part of the studied population or as a number of characteristics of the population.258. Knowledge score the lowest and highest 5 9 with a standard deviation of 1.Max 5-9 95%CI 6. Scores of knowledge about 7.14 7.45 7. 2010). Sciences Students About Personal Hygiene Tool Before given Reproductive Health Education (Pre Test) at SMK Muhammadiyah 3 Palembang 2014 Table 5. The number of samples in this study is 64 respondents.1 Score Frequency Distribution of Knowledge About Personal Hygiene Tool Before given Reproductive Health Education in SMK Muhammadiyah 3 Palembang in 2014 (n = 64) No Variable Mean Median SD 1. The technique used in this research is the technique of one group pre test .00 1. can be used simple random sampling techniques (simple random sampling). RESEARCH RESULTS Univariate Analysis This analysis is used to obtain a frequency distribution of the average or mean value of each variable. . Population Research The population in this study was the total number of students in class X and XI SMK Muhammadiyah 3 Palembang the number of 181 students.45).post test design is a study conducted to assess one group as a whole (Notoatmodjo. 2014) From table 5. Sampling Techniques To determine which students will be sampled each class of the large number of pre-defined.83 to 7. The study population was only class X and XI.

Attitudes About Personal Hygiene Tool Schoolgirl Having given Reproductive Health Education (Post Test) at SMK Muhammadiyah 3 Palembang 2014 Table 5. the results of the analysis of the frequency distribution data obtained an average score of attitude before given health education was 31.50 1. Attitudes About Personal Hygiene Students Before given Reproduction Equipment Health Education (Pre Test) at SMK Muhammadiyah 3 Palembang 2014 Table 5.065.70). Score Attitudes about personal hygiene before a given 9 reproductive health education Sources: Data though the results of the study (Hardiyanti.05 31.04- .00 2. Attitude scores lowest and highest 24 36 with a standard deviation of 2.97 to 9.609. Lowest knowledge score 7 and 10 with the highest standard deviation of 1. The data indicate that an increase in student knowledge about personal hygiene reproduction.4031.23 (95% CI 8. Score Attitudes about personal Mea Media SD Min.23 10.2 Score Frequency Distribution of Knowledge About Personal Hygiene Tool Reproductive Health Education Having given in SMK Muhammadiyah 3 Palembang in 2014 (n = 64) No Variable Mea Media SD Min.4 Score Frequency Distribution of Attitudes About Personal Hygiene Tool Reproductive Health Education Having given in SMK Muhammadiyah 3 Palembang in 2014 (n = 64) No Variable 1.3 Score Frequency Distribution of Attitudes About Personal Hygiene Tool Before Reproductive Health Education given at SMK Muhammadiyah 3 Palembang in 2014 (n = 64) No Variable Mea Media SD n n 31.Max 95%CI n n 9.60 1. Sciences Students About Personal Hygiene Tool Having given Reproduction Health Education (Post Test) at SMK Muhammadiyah 3 Palembang 2014 Table 5.97-9.70 (95% CI 30.00 1.50).Max n n 35.2.60 30-40 95%CI 35. 2014) From Table 5.40 to 31. 2014) From table 5. 3.3. 4.2 the results of the analysis of data obtained frequency distribution of the average knowledge score after being given health education was 9.065 7-10 8.00 2.69 36.05 MinMax 24-36 95%CI 30. Scores of knowledge about personal hygiene after a given reproductive health education Sources: Data though the results of the study (Hardiyanti.

2014) From Table 5. Attitude scores was given.05) so that the test T can not be used.00 27. differences in student knowledge and Relationships were considered statistically attitudes about personal hygiene before significant if the P value ≤ α (0. Differences Knowledge Students About Personal Hygiene Before and After Tool Reproductive Health Education given at SMK Muhammadiyah 3 Palembang 2014 Table 5. 2014) From table 5. Attitude Pre Test 0.34). if the test T can not be done. Attitude Post Test 0. So that said data distribution is not normal.5 One Sample Kolmogorov – Smirnov Test No One Sample Kolmogorov–Smirnov Test Asymp. Knowledge Post Test 0.50 0.000 2.04 to 36.000 at pre-test and post test.000 .4 the results of the lowest and highest 30 40 with a standard analysis of the frequency distribution data deviation of 2. (95% CI 35.34 reproductive health education Sources: Data though the results of the study (Hardiyanti. because the P value ≥ α (0.69 personal hygiene reproduction. Statistical analysis in this study Bivariate Analysis using T test (paired T test) and the Wilcoxon test as an alternative statistical Bivariate analysis aims to determine test. 2001).05) and after the reproductive health education (Hastono.000 4.000 0. While the p value on attitudinal variables ie ≥ 0.000 0. then an alternative statistical test.000 0.5 it can be seen the results of tests of normality (KolmogorovSmirnov test) that the p value on knowledge variables ie ≥ 0. namely the Wilcoxon statistical test. Knowledge Pre Test 0. Test For Normality Table 5. 1. Knowledge of Personal Hygiene Equipment Reproduction Knowledge after <knowledge before Knowledge after > knowledge before Knowledge after = knowledge before Number Numb er 0 54 10 64 Mean P value 0. 2.hygiene after a given 6 36.606.Sig (2-Tailed) 1.013 at pre- test and post test. The data indicate that obtained an average score of attitude after an increase in student attitudes about being given health education was 35.6 Distribution of Respondents by Awareness of Personal Hygiene Before and After Tool Reproductive Health Education given at SMK Muhammadiyah 3 Palembang in 2014 (n = 64) N o 1. 3.005 0.013 Sources: Data though the results of the study (Hardiyanti.005 0.000 3.

05). it can be concluded that there are significant differences in student knowledge and attitudes about personal hygiene before .50 and 1 respondent who did not experience a change in attitude.000 <0. Based on the statistical result obtained by using the Wilcoxon test p value <α (0. 54 respondents experienced changes towards a better knowledge about reproductive pesonal hygiene with an average value of 27.000 0. it can be concluded that there is a significant difference in attitudes of young women about personal hygiene before and after the reproductive health education given at SMK Muhammadiyah 3 Palembang 2014. Differences Students Attitudes About Personal Hygiene Before and After Tool Reproductive Health Education given at SMK Muhammadiyah 3 Palembang 2014 Table 5. 54 respondents experienced changes towards a better knowledge about reproductive pesonal hygiene with an average value of 27.50 and 10 respondents who did not experience a change in knowledge. 00 and 1 respondent who did not experience a change in attitude.6 it can be seen that of the 64 respondents.05). Based on the statistical result obtained by using the Wilcoxon test p value <α (0.50 and 10 respondents who did not experience a change in knowledge. Discussion Differences Knowledge and Attitudes About Personal Hygiene Students Before and After Tool Reproductive Health Education Given From the results of bivariate analysis of the knowledge that of 64 respondents. Knowledge of Personal Hygiene Equipment Reproduction Attitude after <attitude before Attitude after > attitude before Attitude after = attitude before Number Numb er 2 61 1 64 Mean P value 4.90 and 2 respondents who experienced a change in attitude towards the negative with an average value of 4.50 32.05). While the results of bivariate analysis showed that the attitude of the 64 respondents.7 it can be seen that of the 64 respondents.000 <0. 61 respondents had a positive change in attitude toward the pesonal hygiene reproduction with an average value of 32.000 <0.90 0.Sources: Data though the results of the study (Hardiyanti. Based on the statistical result obtained by using the Wilcoxon test p value <α (0. 2014) From Table 5. it can be concluded that there were significant differences on the personal knowledge of the young women of reproductive hygiene before and after a given health education in SMK Muhammadiyah 3 Palembang 2014. 2014) From Table 5.000 Sources: Data though the results of the study (Hardiyanti. 61 respondents had a positive change in attitude toward the pesonal hygiene reproduction with an average value of 32.89 and 2 respondents who experienced a change in attitude towards the negative with an average value of 5.7 Distribution of Respondents According to Attitudes About Personal Hygiene Before and After Tool Reproductive Health Education given at SMK Muhammadiyah 3 Palembang 2014 (n = 64) N o 1. 2. 2. 3.

CONCLUSIONS AND SUGGESTIONS Conclusion Based on the purpose. This is evidenced by the Wilcoxon test obtained p value ≤ α (0. Based on the results of existing research and theory. as well as adding health education subjects as one additional lesson to be extracurricular. The results of this study are supported by research conducted by Dhuangga (2012). attitude and way of maintaining a healthy lifestyle and attitude against environmental health. It can be concluded that there were significant differences in knowledge and attitude about personal hygiene students before and after the reproductive health education given at SMK Muhammadiyah 3 Palembang in 2014. There were significant differences student attitudes about personal hygiene before and after the reproductive health education was given. In non-formal own knowledge and attitudes about personal hygiene reproductive health education was obtained from. This research was supported by Notoatmodjo theory (2007). 2.73 becomes 18. Suggestion 1. 3. In conducting this study researchers used a questionnaire research instruments so that the quality of the data depends on the motivation of the respondent to answer dishonestly as influenced fear or shy when expressing their opinions and experiences.05 ≤ 0. hypothesis. about the effectiveness of health education on hygiene feminine hygiene knowledge and attitudes towards young women in dealing with whitish SMP Negeri 11 Pekanbaru in Riau. This is evidenced by the Wilcoxon test obtained p value ≤ α (0. The results showed that the value of the average change in the attitude of young women has increased from pre-given health education ie 17. 2.000).57. posters and so forth.000). This means that health education conducted by researchers succeeded because of an increase in student knowledge and attitudes about personal hygiene reproduction in SMK Muhammadiyah 3 Palembang. especially information about personal hygiene reproduction. researchers argue that the knowledge and attitude of students in particular knowledge and attitudes about personal hygiene reproduction can be obtained from the formal and non-formal education.05 ≤ 0. and the results of research that has been conducted on 64 students in SMK Muhammadiyah Palembang 2014 3 it can be concluded that: 1. There were significant differences student knowledge about personal hygiene before and after the reproductive health education was given. stated that the attitude indicator for health is also in line with the health knowledge: attitudes towards illness and disease.and after the reproductive health education given at SMK Muhammadiyah Palembang 2014. Those SMK Muhammadiyah 3 Palembang It is expected that the school can establish cross-sector cooperation with the health centers and other health institutions in improving health information. This means that the delivery of health education is beneficial to increase student knowledge and positive attitudes about personal hygiene reproduction. Stikes For Educational Institutions Muhammadiyah Palembang Cooperating with the school to provide health education and information to increase student knowledge about personal hygiene reproductive media melalai leaflets.30 after the health education given by a margin of 0. For Further Research Limitations Of Research .

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