Knowledge and peer support for increase Menstrual Hygiene Management (MHM) in adolescents

Introduction: During the transitional period of reproductive function development, adolescents require special attention, one of which is menstrual hygiene management (MHM). Teenagers dealing with menstruation have little information and understanding due to the taboo assumption of being more comfortable communicating with peers. Therefore, this study aims to explain the relationship between knowledge and peer support with MHM in adolescent girls. Design and Methods: This study adopted a correlational descriptive design with a cross-sectional approach and 122 students in apublic Junior High School in East Java were selected using proportional simple random sampling. Furthermore, the questionnaire was adopted as the study instrument to measure the variables of knowledge level, peer support, and MHM. Data were then analyzed using Spearman Rho Test with a significance level of p<0.005. Results: The results showed that there is a significant relationship between the level of knowledge (p = 0.000 r = 0.619 and peer support (p = 0.000 r = 0.534) with MHM in adolescent girls. Conclusions: Adolescent girls with adequate knowledge and peer support have better MHM. Therefore, information and education about MHM are recommended for adolescents.  

The intention to use long-acting reversible contraception during the COVID-19 pandemic

Objectives

To assess the factors contributing to the intention to use long-acting reversible contraception among women of reproductive age during the coronavirus disease-2019 pandemic.

Method

The cross-sectional study was conducted in Mlajah village, Bangkalan Madura, Indonesia, from May 25 to June 30, 2021, and comprised married women of reproductive age. Attitude, subjective norm, perceived behavioural control and intention to use long-acting reversible contraception were the elements explored using a questionnaire based on the Theory of Planned Behaviour. Data was analysed using Spearman's Rho.

RESULTS

Of the 102 subjects, 46(45.1%) were aged 30-39 years, 51(50%) had college or university education, 43(42.2%) had 2 children and 59(57.8%) were using family planning methods. There was a significant relationship of intention to use long-acting reversible contraception with attitude (p=0.000; r=0.566), subjective norm (p=0.000; r=0.475), and perceived behavioural control (p=0.000; r= 0.691).

CONCLUSIONS

The intention to use long-acting reversible contraception among married women of reproductive age was significantly associated with attitude, subjective norm and perceived behavioural control.

Educational intervention to improve menstrual hygiene management in adolescent girls in Kalimantan, Indonesia

Objectives

To determine the effect of health education on menstrual hygiene management in adolescents.

METHODS

The quasi-experimental study was conducted from April to July 2021 in Sampit, Kalimantan, Indonesia, after approval from ethics review committee of the Nursing University of Airlangga, Surabaya, East Java, Indonesia. The sample comprised grade VII female students at a public junior high school in Sampit. The sample was divided into intervention group A and control group B. Group A was given a health education intervention through video conferences in two meetings and was given a leaflet after each meeting which lasted 90 minutes. The control group was only given a leaflet. Baseline and post-intervention data was compared. Data was analysed using SPSS 16.

RESULTS

There were 70 subjects; 35(50%) in each of the two groups. The age range was 12-14 years, with 25(71.4%) subjects in group A and 28(80%) in group B being aged 13 years. The age of menarche was 12 years for 17(48.6%) subjects in each of the two groups. Knowledge level of group A increased significantly post-intervention (p<0.05), but group B showed no significant difference (p=0.144).

CONCLUSIONS

Health education on menstrual hygiene management was found to have a beneficial influence on knowledge and attitudes among adolescents.

Choosing intrauterine device of mothers in rural area, Indonesia: Based on Health Belief Model Theory

This study aimed to identify the correlation between perceived susceptibility, perceived seriousness, perceived benefit, self-efficacy, perceived barrier, cues to action, and the choice of using the intrauterine device. A cross-sectional study was carried out to 109 mothers in Ngudikan Village. Data were collected using questionnaires. The data was analyzed using the Spearman Rank correlation with a level of significance α=0.05. The result show that there is a correlation between perceived susceptibility (p=0.000; r=0.436), perceived seriousness (p=0.000; r=0.402), perceived benefits (p=0.033; r=0.204), perceived barriers (p=0.00, r=-0.614), perceived self-efficacy (p=0.008; r=0.253) and cues to action (p=0.006; r=0.261) had a correlation with the choice of intrauterine device in Nganjuk, Indonesia. Perceived susceptibility, perceived seriousness, perceived benefits, self -efficacy, and cues to action will affect the decision of mothers in choosing an intrauterine device. This study recommended further research on a transcultural nursing approach to follow up on the result of this study.

Adolescent characteristics and parenting style as the determinant factors of bullying in Indonesia: a cross-sectional study

BACKGROUND

The incidence of adolescents bullying in Indonesia has increased. The purpose of this study was to analyze the correlation of demographic characteristics, parental interactions and parenting style as the potential determinants of bullying behavior in adolescents.

METHOD

The research design used was cross-sectional. The study population consisted of adolescents in Indonesia who accessed the Google form, and adolescents who study at a junior high school and a vocational high school in Surabaya. The study sample totaled 705 adolescents based on consecutive sampling with a study period of 3 months. The independent variables were demographic characteristics, parental interactions and parenting style, while the dependent variable was bullying behavior. The data collection method used was a questionnaire filled in by the adolescents through a Google form and a questionnaire sheet. The statistical analysis used the chi-square test for the adolescent's characteristics and Spearman's rank correlation with α = 0.05.

RESULTS

The results showed that the characteristics of the adolescents, namely age and place of residence, were related to bullying behavior. A permissive and authoritarian parenting style had a positive correlation with being a bullying perpetrator, while only permissive parenting style had a positive correlation with being a bullying victim.

CONCLUSION

Adolescents experience bullying behavior as both the perpetrators and victims. Adolescents living in rural areas are more likely to commit bullying as the perpetrators. A parenting style that is either too rigid or too free has a high risk of being a bullying behavior factor as the perpetrator. Parents are expected to apply an authoritative parenting style in order to prevent the risk of bullying in adolescents.

Adherence to iron supplementation amongst pregnant mothers in Surabaya, Indonesia: Perceived benefits, barriers and family support

Background

Anaemia during pregnancy is a major nutritional problem that can cause preterm delivery and low birth weight. Adherence to iron supplementation can prevent anaemia during pregnancy. However, adherence to iron supplementation remains a problem in many countries.

Objective

This study aimed to identify the correlations of the perceived benefits and perceived barriers of and family support for iron supplementation with adherence to this practice amongst pregnant woman in Surabaya, Indonesia.

Methods

A cross-sectional study was carried out on 102 pregnant women who attended check-ups at the Puskesmas and received iron supplementation. Data were collected using questionnaires.

Results

Perceived benefits (r = 0.334, P = 0.001), perceived barriers (r = −0.294, P = 0.003) and family support (r = 0.263, P = 0.008) were noted to be correlated with adherence to iron supplementation amongst pregnant woman in Surabaya, Indonesia.

Conclusion

Perceived benefits, perceived barriers and family support are related to adherence to iron supplementation; thus, developing good perceptions and family support should be properly promoted.

EFFECT OF EDUCATIONAL INTERVENTION ON FAMILY SUPPORT FOR PREGNANT WOMEN IN PREVENTING ANEMIA

Background: Anemia during pregnancy is a major nutritional problem that can cause health problems for mothers and their fetus. Prevention of anemia has been done but many obstacles are perceived by pregnant women. Families need to provide support to improve the prevention behavior of anemia.Objective: This research aims to explore the effect of educational intervention on family support for pregnant women  in preventing anemia.Methods: A quasi-experimental design was carried out on 60 pregnant women who had done pregnancy check ups at Community Health Centre and had received iron supplement, in which 30 women were in the experimental group and the rests were in the control group. This study was conducted from December 2016 to January 2017. Family support was measured using questionnaires before and after educational intervention.Results: After educational intervention, there was a significant change from the pretest score to the posttest score in the experimental group (p<0.05). There was an increase in the average score in the experimental group, 14.47 ± 2.89 becomes 16.83 ± 2.32.Conclusion: Educational interventions can increase family support for maternal behavior in preventing pregnancy anemia such as improving adherence to taking iron supplements and high intake of food containing iron.