The Effect of Health Education with Flashcard Media on Improvement of Knowledge and Reduction of Anxiety Degree in Adolescents Primigravida

Dwie Yunita Baska, Tita Husnitawati Madjid, Ponpon S. Idjradinata

Abstract


The education about the reproductive health of pregnancy is needed to increase knowledge and reduce anxiety in adolescent primigravida, one of them is by conducting flashcard media. Flashcards are pictorial media in the form of cards that have words; it’s proven to be able to create fun learning, attracts attention, and stimulates critical thinking. The purpose of the study was to analyze the effect of education with flashcard media on knowledge and anxiety degree in adolescent primigravidas. The research method used in this study was a one-group pretest-posttest quasi-experimental design. The number of samples as many as 30 people (<20 years old) at Sawah Lebar Public Health Center and Padang Serai Public Health Center in Bengkulu city from May to July 2018, by using consecutive sampling. The data of this study obtained from pretest and posttest questionnaires of knowledge, and Zung Self-rating Anxiety Scale (ZSAS), Shapiro-Wilk, Wilcoxon, and chi-square test statistics. The results showed a significant increase in knowledge before and after the intervention of p value=0.001 (p<0.05), an increase in the average score of knowledge of series one card amounts to 35.0% and knowledge of series 2–3 card amounted to 30%. A significant decrease in anxiety degree of 9.2% after the treatment (p<0.05). In conclusion, flashcards can increase knowledge and reduce the anxiety of adolescents primigravida mothers so that health workers use this educational approach appropriately.

 

PENGARUH EDUKASI KESEHATAN DENGAN MEDIA FLASHCARD TERHADAP PENINGKATAN PENGETAHUAN DAN PENURUNAN DERAJAT KECEMASAN PADA PRIMIGRAVIDA REMAJA

The education about the reproductive health of pregnancy is needed to increase knowledge and reduce anxiety in adolescent primigravida, one of them is by conducting flashcard media. Flashcards are pictorial media in the form of cards that have words; it’s proven to be able to create fun learning, attracts attention, and stimulates critical thinking. The purpose of the study was to analyze the effect of education with flashcard media on knowledge and anxiety degree in adolescent primigravidas. The research method used in this study was a one-group pretest-posttest quasi-experimental design. The number of samples as many as 30 people (<20 years old) at Sawah Lebar Public Health Center and Padang Serai Public Health Center in Bengkulu city from May to July 2018, by using consecutive sampling. The data of this study obtained from pretest and posttest questionnaires of knowledge, and Zung Self-rating Anxiety Scale (ZSAS), Shapiro-Wilk, Wilcoxon, and chi-square test statistics. The results showed a significant increase in knowledge before and after the intervention of p value=0.001 (p<0.05), an increase in the average score of knowledge of series one card amounts to 35.0% and knowledge of series 2–3 card amounted to 30%. A significant decrease in anxiety degree of 9,2% after the treatment (p<0.05). In conclusion, flashcards can increase knowledge and reduce the anxiety of adolescents primigravida mothers so that health workers use this educational approach appropriately.


Keywords


Adolescent primigravida; anxiety; education; edukasi; flashcard; kecemasan; knowledge; pengetahuan; primigravida remaja

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References


United Nations International Children's Emergency Fund (UNICEF) Indonesia. Child marriage in Indonesia: progress on pause [Internet]. 2016 November [cited 2019 January 20]. Available from: https://www.girlsnotbrides.org/wp-content/uploads/2016/11/UNICEF-Indonesia-Child-Marriage-Research-Brief-1.pdf.

Statistics Indonesia (BPS), National Population and Family Planning Board (BKKBN), Ministry of Health (Kemenkes), ICF. Indonesia demographic and health survey 2012. Jakarta: BPS, BKKBN, Kemenkes, ICF; 2013.

Gipson JD, Koenig MA, Hindin MJ. The effects of unintended pregnancy on infant, child, and parental health: a review of the literature. Stud Fam Plann. 2008;39(1):18–38.

Hanum Y, Tukiman. Dampak pernikahan dini terhadap kesehatan alat reproduksi wanita. JKSS. 2015;13(2):36–43.

Lee-Rife S, Malhotra A, Warner A, Glinski AM. What works to prevent child marriage: a review of the evidence. Stud Fam Plann. 2012;43(4):287–303.

Omidvar S, Faramarzi M, Hajian-Tilak K, Nasiri Amiri F. Associations of psychosocial factors with pregnancy healthy life styles. PLoS One. 2018;13(1):e0191723.

Bustos M, Venkataramanan R, Caritis S. Nausea and vomiting of pregnancy - what's new? Auton Neurosci. 2017;202:62–72.

World Health Organization (WHO). Mental health aspects of women’s reproductive health: a global review of the literature. Geneva: WHO Press; 2009.

Susanti NN. Psikologi kehamilan. Jakarta: EGC; 2008.

Solso RL, Maclin OH, Maclin MK. Psikologi kognitif. 8th Edition. Jakarta: Penerbit Erlangga; 2008.

Agarwal PK, D’Antonio L, Roediger HL III, McDermott KB, McDaniel MA. Classroom-based programs of retrieval practice reduce middle school and high school students’ test anxiety. J Appl Res Mem Cogn. 2014;3(3):131–9.

Larasati IP, Wibowo A. Pengaruh keikutsertaan senam hamil terhadap kecemasan primigravida trimester ketiga dalam menghadapi persalinan. JBK. 2012;1(1):26–32.

Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012;25(2):141–8.

Daryanti, Firman, Neviyarni. Peran media pembelajaran dalam meningkatkan kemampuan siswa menulis. J Basicedu. 2019;3(4):2089–94.

Permatasari I. Pengaruh media pembelajaran audio-visual dan media cetak terhadap minat belajar siswa kelas VIII pada mata pelajaran fiqih di MTS Ma'arif Udanawu Blitar [undergraduate thesis]. Tulungagung: Institut Agama Islam Negeri Tulungagung; 2017 [cited 2019 February 28]. Available from: http://repo.iain-tulungagung.ac.id/6891/.

Hayati N. Menstimulus otak kiri dan otak kanan anak dengan flash card [Internet]. Yogyakarta: Universitas Negeri Yogyakarta; 2007 [cited 2019 March 8]. Available from: http://staff.uny.ac.id/sites/default/files/Artikel%20Flash%20Card.pdf.

Pipitcahyani TI, Safitri CA. The effectiveness of “flash card" in improving mothers’ knowledge on pregnancy. Proc Int Conf Appl Sci Health. 2017;2:151–7.

Lutfitasari H, Meikawati W, Salawati T. Efektivitas penyuluhan gizi dengan media flash card dan poster dalam peningkatan pengetahuan siswa tentang keamanan makanan jajanan sekolah (studi pada siswa SDN Pandean Lamper 03 Semarang) [undergraduate thesis]. Semarang: Universitas Muhammadiyah Semarang; 2017 [cited 2019 April 10]. Available from: http://repository.unimus.ac.id/1041.

Mahnun N. Media pembelajaran (kajian terhadap langkah-langkah pemilihan media dan implementasinya dalam pembelajaran). An-Nida'. 2012;37(1):27–34.

Swarjana IK. Statistik kesehatan. Yogyakarta: Penerbit ANDI; 2016.

Dahlan MS. Statistik untuk kedokteran dan kesehatan: deskriptif, bivariat, dan multivariat. 6th Edition. 3rd Printing. Jakarta: Epidemiologi Indonesia; 2015.

Kuswana WS. Taksonomi berpikir. Bandung: Rosda; 2011.

Masters K. Edgar Dale's Pyramid of Learning in medical education: a literature review. Med Teach. 2013;35(11):e1584–93.

Muhson A. Pengembangan media pembelajaran berbasis teknologi informasi. JPAI. 2010;8(2):1–10.

Badrya L. Perbedaan tingkat kecemasan antara mahasiswa kedokteran laki-laki dan perempuan angkatan 2011 FKIK UIN Syarif Hidayatullah Jakarta dalam menghadapi ujian OSCE [undergraduate thesis]. Jakarta: Universitas Islam Negeri Syarif Hidayatullah; 2014 [cited 2019 May 3]. Available from: http://repository.uinjkt.ac.id/dspace/handle/123456789/25818.

Leigh B, Milgrom J. Risk factors for antenatal depression, postnatal depression and parenting stress. BMC Psychiatry. 2008;8:24.

Glover V. Stress in pregnancy can change fetal and child development. In: Leach P, editor. Transforming infant wellbeing: research, policy and practice for the first 1001 critical days. Abingdon: Routledge; 2017. p. 98–106.

Zhao Y, Munro-Kramer ML, Shi S, Wang J, Zhao Q. Effects of antenatal depression screening and intervention among Chinese high-risk pregnant women with medically defined complications: a randomized controlled trial. Early Interv Psychiatry. 2019;13(5):1090–8.

Bascandziev I, Tardiff N, Zaitchik D, Carey S. The role of domain-general cognitive resources in children’s construction of a vitalist theory of biology. Cogn Psychol. 2018;104:1–28.

Sadock BJ, Sadock VA, Ruiz P. Kaplan and Sadock’s synopsis of psychiatry: behavioral sciences/clinical psychiatry. 11th Edition. Philadelphia: Wolters Kluwer; 2015.

Bąk B, Mastalerz M. Effectiveness of childbirth classes in reducing anxiety before birth depending on age and education. Med Stud. 2016;32(1):10–7.

Ossai OV. Influence of study skills on test anxiety and levels and achievement of senior secondary school students in english language [thesis]. Nsukka, Nigeria: University of Nigeria Nsukka; 2012.




DOI: https://doi.org/10.29313/gmhc.v8i1.5192

pISSN 2301-9123 | eISSN 2460-5441


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