Peningkatan Pengetahuan dan Kesehatan Wanita Premenopause melalui Pendekatan Komunitas dan Mindfulness-Based Stress Reduction (MBSR) di Puskesmas Ngembal Kulon Kabupaten Kudus

Eny Pujiati(1*), Ambarwati Ambarwati(2), Vera Fitriana(3), Ayu Noor Fatikasari(4), Rayya Shofichul Najwa(5), Jamaludin Jamaludin(6), Alvi Ratna Yuliani(7)

(1) Institut Teknologi Kesehatan Cendekia Utama Kudus
(2) Institut Teknologi Kesehatan Cendekia Utama Kudus
(3) Institut Teknologi Kesehatan Cendekia Utama Kudus
(4) Institut Teknologi Kesehatan Cendekia Utama Kudus
(5) Institut Teknologi Kesehatan Cendekia Utama Kudus
(6) Institut Teknologi Kesehatan Cendekia Utama Kudus
(7) Institut Teknologi Kesehatan Cendekia Utama Kudus
(*) Corresponding Author

Abstract


Premenopause merupakan fase transisi dalam kehidupan wanita yang ditandai dengan penurunan hormon estrogen sehingga menimbulkan berbagai perubahan fisik dan psikologis yang dapat memengaruhi kualitas hidup. Permasalahan pada fase ini meliputi rendahnya pengetahuan serta ketidakmampuan dalam mengelola stres, sehingga diperlukan intervensi promotif dan preventif yang tepat. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesehatan wanita premenopause melalui pendekatan komunitas dan penerapan Mindfulness-Based Stress Reduction (MBSR) di wilayah kerja Puskesmas Ngembal Kulon Kabupaten Kudus. Metode yang digunakan meliputi edukasi kesehatan, pelatihan MBSR, pendampingan, serta evaluasi melalui pre-test dan post-test. Edukasi dilakukan secara interaktif dengan melibatkan kader kesehatan, sedangkan pelatihan MBSR mencakup teknik pernapasan sadar, body scan meditation, relaksasi dan kesadaran diri. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan kategori baik dari 20% menjadi 73,3% serta penurunan tingkat stres kategori berat dari 26,7% menjadi 6,6%. Intervensi efektif meningkatkan pemahaman dan kemampuan mengelola stres, didukung pendekatan komunitas yang berkontribusi pada peningkatan kualitas hidup wanita premenopause.

 

 

 


Keywords


Premenopause; Edukasi Kesehatan; MBSR; Stres; Pengabdian Masyarakat

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References


Santoro N, Roeca C, Neal-perry G, Peters BA. (2021). The menopause transition: signs, symptoms, and management options. J Clin Endocrinol Metab. 106(1):1–15.

Prasad JB, Tyagi NK, Verma P. (2021). Diabetes & metabolic syndrome: clinical research & reviews age at menopause in India: a systematic review. Diabetes Metab Syndr Clin Res Rev.15(1).

Nappi RE, Kroll R, Siddiqui E, Stoykova B, Rea C, Gemmen E, et al. (2021). Global cross-sectional survey of women with vasomotor symptoms associated with menopause: prevalence and quality of life burden. Menopause J North Am Menopause Soc. 28(8):875–882.

Freedman RR, Neurosciences B. (2022). Menopausal hot flashes: mechanisms, endocrinology, treatment. J Steroid Biochem Mol Biol. 142:115–120.

Mueller SC, Franceschi M De, Brzozowska J, Herman AM, Ninghetto M, Burnat K, et al. (2024). An influence of menopausal symptoms on mental health, emotion perception, and quality of life: a multi-facetedapproach. Qual Life Res. (2):1–11.

Mulhall S, Andel R, Anstey KJ. (2018). Maturitas variation in symptoms of depression and anxiety in midlife women by menopausal status. Maturitas. 108: 7–12.

Dotlic J, Radovanovic S, Rancic B, Milosevic B, Kurtagic I, Markovic N, et al. (2020). Mental health aspect of quality of life in the menopausal transition. J Psychosom Obstet Gynecol. 1–10. Available from: 9

Harmeet Kaur Kang, Arshdeep Kaur AD. (2021). Menopause-specific quality of life of rural women. Indian J Community Med. 46(2):1–4.

Hutchings HA, Taylor N, Remesh A, Rafferty J. (2023). A study evaluating quality of life and factors affecting it before, during and after menopause. Eur J Obstet Gynecol Reprod Biol. 289:100–107.

Notoatmodjo. (2018). Promosi kesehatan dan perilaku kesehatan edisi revisi 2018. Jakarta: PT Rineka Cipta.

Revised V, Santorelli SF, Kabat-zinn MPHJ. (2017). Mindfulness-based stress reduction (MBSR) authorized curriculum guide. Cent Mindfulness Med Heal Care, Soc Univ Massachusetts Med Sch.

Kementerian Kesehatan RI. (2022). Profil Kesehatan Indonesia 2022. Jakarta: Kemenkes RI.

Lawrence Green MK. (2005). Health program planning: an educational and ecological approach, volume 1-2. McGraw-Hill Education.

Masomzadeh K, Moradi A, Parhoon H, Parhoon K, Mirmotahari M. (2016). Effectiveness of mindfulness-based stress reduction (MBSR) on anxiety, depression and post-traumatic stress disorder symptoms in patients with HIV/ AIDS. Int J Behav Sci. 10(2):81–96.

Wong C, Yip BH, Gao T, Yu K, Lam Y, Mei D, et al. (2018). mindfulness-based stress reduction (MBSR) or psychoeducation for the reduction of menopausal symptoms : a randomized , controlled clinical trial. Sci Rep. 1–10.

Goldberg SB, Riordan KM, Davidson RJ. (2022). The empirical status of mindfulness-based interventions: A systematic review of 44 meta-analyses of randomized controlled trials. Vol. 17. Perspect Psychol Sci. 108–130 p.

Taren AA, Gianaros PJ, Greco CM, Lindsay EK, Fairgrieve A, Brown KW, et al. (2020). Mindfulness meditation training alters stress-related amygdala resting state functional connectivity: A randomized controlled trial. Soc Cogn Affect Neurosci. 10(12):1758–1768.

Black DS, Slavich GM. (2016). Mindfulness meditation and the immune system : a systematic review of randomized controlled trials. Ann NY Acad Sci. 13–24.

Gu J, Strauss C, Bond R, Cavanagh K. (2015). Clinical psychology review how do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? a systematic review and meta-analysis of mediation studies. Clin Psychol Rev. 37:1–12.

Patricia A. Potter, Anne G. Perry, Patricia A. Stockert AH. Fundamentals of nursing e-book. Amerika Serikat: Elsevier Health Sciences; 1440.




DOI: https://doi.org/10.31596/jpk.v9i2.619

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