Nurses JOURNAL OF NURSING

Volume 11, No. 1, March 2015: 41-51 ISSN 1907-686X

EFFECT OF REPRODUCTIVE HEALTH EDUCATION METHOD OF KNOWLEDGE OF YOUTH

MENTORING ON
REPRODUCTION HEALTH

Puspita Sari Yanti, Lora Desi Mulyanti, Tuti Oktriani

Lecturer in the Faculty of Nursing at the University of Andalas
Nursing Study Program Student STIKes Prima Nusantara Bukittinggi
Lecturer STIKes Prima Nusantara Bukittinggi Phone / fax (0751)
779233. Email: rianti200707@gmail.com

ABSTRACT: Based on theresults ofa conductedbythe Ministryof Health survey, published in 2012 showedthat theleveladolescent
understandingofreproductive healthis stillverylow. The consequencesof thelack of
knowledgeofadolescentsto healthisvulnerableadolescentsexperiencingproblemsrelated tosexual reproductive and reproductive health. This
studyaimstolook atthe ofreproductivehealtheducationusingmentoringmethodfor effect of adolescent knowledge about reproductive health.
ResearchconductedinSMPN4Palembayang. This quantitative research usingpreexperimentwithone group pretest-posttest design. The
populationin this studyall students of SMPN4Palembayanusingmultistage randomsampling technique. The numberof respondentswhouseda
of15people sample. This studyuses techniquesPaired t-test analysis of data. The result ofthoroughstatistical testp = 0.000 (P <0.05). Based on
theresultsobtained bythe value OFP, we conclude there is asignificant relationship
betweenreproductivehealtheducationusingmentoringtoadolescent
reproductive healthknowledge.
Necessary to developaprototypemodelstofindanadolescentreproductivehealtheducationwith abetterstructured Furtherresearchis.

Keywords: Reproductive Health, Adolescent, Mentoring Methods, Knowledge

ABSTRACT: Based on the results of a survey conducted by the Ministry of Health published in SKDI 2012 showed that the level of
understanding of adolescents on reproductive health is still very low. The consequences of lack of knowledge and understanding of adolescents
to reproductive health is simply adolescent experiencing problems related to sexual and reproductive health. This study aims to look at the
influence of reproductive health education with the methods of mentoring to adolescent reproductive health knowledge. Place of research
conducted in SMP N 4 Palembayang. Quantitative research with design pre-experiment with draft one-group pretest-posttest. The population in
this study all students / student class VII and VIII SMP N 4 Palembayan using sampling techniques multistage random sampling. The number of
respondents who used a sample of 15 people. This study uses data analysis techniques Paired T Test. The results of thorough statistical test
value of p = 0.000 (p <0.05). Based on the results of the value of p obtained then concluded a significant difference between reproductive health
education using mentoring to reproductive health knowledge in remaja.Selanjutnya need to develop a study to find a prototype model of
adolescent reproductive health education with a better structured.

Keywords: Reproductive Health, Youth, Mentoring Methods, Knowledge

Adolescence is preceded by a period purbertas, With the physical changes and function
namely the future occurrence physiological on teen,
changes physical (includes causing the appeal to the opposite sex that
physical appearance such as body shape and proportions resulted in the emergence of impulses
body) and physiological functions sexual. With
(maturation of sexual organs and production their sexual impulses and an interest in the
hormones sexual opposite sex, teen behavior began to be directed
increase). These changes are accompanied by the to attract the opposite sex (Kusmira. 2012: 31).
gradual development of sexual characteristics of primary
and secondary sexual characteristics (Kusmira. 2012:
30).

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Volume 11, No. 1, March 2015: 41-51
In order to seek knowledge
sex, there is juvenile that
do it openly even begin to try to experiment in life
sexual. For example in
dating, they express
feelings in forms of behavior that demands physical
intimacy with her partner, like kissing, petting, and
others (Kusmira. 2012: 31).
Unhealthy behaviors such as reproductive
health problems, unwanted pregnancy (KTD),
abortion, and sexually transmitted infections. This is
evidenced by the results of research conducted by the
Central Statistics Agency (BPS), Bappenas and
UNFPA in 2010, most of the 63 million people in
Indonesia are vulnerable teenager unhealthy
behavior. The high unintended pregnancy (KTD) is
closely related to abortion. Of the estimated number
of abortions per year in Indonesia could reach 2.4
million, around
800,000 of them occurred among teenagers. Based
on data from the IPPA (2006), earned 2.5 million
women had an abortion per year, 27% committed by
juveniles,
mostly done
by way unsafe, abortion is 30-35%
contributor Dead every
year (Nugrahaeni, 2010).
To overcome the problem of adolescent
reproductive health, hence the government did
something effort
improvement of adolescent reproductive health by
forming a container which is called
PIK-KRR (Center Information
Counseling-Adolescent Reproductive Health).
PIK-KRR This is where counseling and resources for
youth that principle by and for teenagers. KRR
counseling purpose is to provide information and
facts to adolescents so that they have enough
knowledge to take
a decision on
actions to be taken. But this time PIK-KRR not
optimally performed by schools,
even some
schools that do not do the program PIK-
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ISSN 1907-686X
KRR, so knowledge of adolescent reproductive health
remains low and the number of free sex, HIV / AIDS / STDs,
unwanted pregnancy and abortion
increasing among
teens (Nugrahaeni.2010: 34).
The government's efforts to overcome these
problems is to make efforts
preventive by means of health education and health
education involving all health workers, especially
nurses. The nurse is one kesehatanyang personnel
on duty to provide education to the public, especially
teenagers.
role this performed with
assists clients in raising the level of knowledge of
health, disease symptoms even action is given, so
that changes in behavior
after
given health education (Aulia,
2014).
Nurses as an integral part of health services
to the public including adolescents, need to do need
to be actively involved in efforts to reduce the
number of sex behavior or adolescent risk behaviors
that adolescent reproductive health problems can
continue to be suppressed. One method that can be
used is the method of mentoring. By using this
method, teen grouped by gender were guided by a
mentor. This is done so that communication about
reproductive health discussed during health
education more open and focused on easing shame
if heard by the opposite sex. Given that what is
covered and discussed in adolescent reproductive
health is still very sensitive.
Research earlier about
differences lecture with discussion method to
adolescents about reproductive health knowledge in
class VIII SMP Negeri 3 Pekalongan Lampung
Timur, conducted by Bambang (2012). available
result research average
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Volume 11, No. 1, March 2015: 41-51
after counseling with the students' knowledge lecture
was 7.4 (7.152 to 7.777), the student's knowledge
after counseling with discussion is 8.64 (8.433 to
8.853). From these results that although the lecture
and discussion method is effective for improving
knowledge of juvenile
about health
reproduction (Prianto, 2014).
In addition to using the method of lecture
and discussion in conducting health education, also
can use other methods such as mentoring, role play,
and case studies. All of these methods can be used
bersaman, but these methods have their advantages
and disadvantages. These methods, when used in
health education can increase knowledge of the
group members, particularly methods
mentoring.
Method mentoring is a process of interaction SUBJECTS AND METHODS
between an older man who serves as a mentor to a
younger person who acts as a mentee who are not
blood relations whereby mepunyai
inside it there process
coaching and guidance that is based on trust, mutual with draft one-group pretest-posttest whereas in this
respect, and love and mentor to provide support,
encouragement, guidance and
spirit aiming to shape the growth,
development, competence and
character mentee toward that
positive (Sulistiyowati, 2009).
Research conducted by Eko Endah
Sulistiyowati (2009) on the analysis of the
implementation mentoring in the formation of
self-concept of high school students at the institute ILNA health
youth center of Bogor. Didapakan research mentoring
implementation can improve knowledge, spiritual, and
social and psychological support students in the
development of
concept self. With
conclusion of the implementation of mentoring is very
effective as a method of guidance for young people in the
development of self-concept
in improving knowledge, spiritual, and social
and psychological. \
ISSN 1907-686X
Meanwhile, the results of survey An initial in SMP N 4
Palembayan April 29, 2014, the data obtained
student / student of class VII and VIII as many as 65
people, consisting of 26 men and 39 women, it is
known that there is still a lack of information obtained
by students
about
adolescent reproductive health. And interviews with
8 Junior High School students got result, six people
do not know what reproductive health, and
reproductive health problems that occur in
adolescents and 2 understand
about
reproductive health and reproductive health
problems in adolescents, it indicates that their
knowledge of reproductive health is less or lower,
even 5 of 8 people have unusual courtship behavior
again (handrails, hugging).
Subjects in this study were all students /
SMP N 4 Palembayan class VII and VIII are 65
people consisting of students and 26 39orang
siswa.Jenis research is quantitative. This study uses pre-experime
study the samples are given a pretest (preliminary
observations) before given intervention, after it was
given the intervention, then do posttest
(Concluding observations)
(Hidayat, 2009). In this case I see the influence of
adolescent reproductive health education with the
methods of mentoring as
intervention and knowledge
reproduction sebagaivariabel
dependent. Penelitianini done in SMP N 4
Palembayan and the time the study began from
March to September 2014.
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RESULTS AND DISCUSSION

Univariate analysis
Table 4.1 The average distribution of Reproductive Health Knowledge Before ( pretest) Reproductive
Health Education Intervention given by Method mentoring

variables mean SD Min-Mak 95% CI

Prior knowledge ( pretest) 61 020 9.8402 46.2 - 76.9 55571-66469
given intervention

Table 4.1 Based on average knowledge of reproduction method mentoring The SMP N 4
reproductive health before ( pretest) Palembayan is 61 020
be given intervention health education (Sufficient knowledge).

table 4.2 The average distribution ReproduksiSesudah Health Sciences ( posttest)

be given Intervention Reproduction PendidikanKesehatan
WITH mentoring

variables mean SD Min-Mak 95% CI

Knowledge after ( posttest) 77 427 7.8245 65.4-92.3 73094-81760

given intervention

4.2rata table-based reproductive health reproduction method mentoring The SMP N 4

ratapengetahuan after ( posttest) Palembayan is 77 427
given health education intervention (Good knowledge).

Bivariate analysis

Bivariate analysis conducted untukmengetahui SMP N 4 Palembayan teenagers. The test used is Paired
influence reproductive health education with the sample t-test computerized. The test results
methods of mentoring to statistically significant if the p value ≤ 0.05 and a
reproductive health knowledge statistical test was not significant if the p value
> 0.05
(Notoadmodjo, 2010).

table 4.3 Normality Test Results With Menggunakanuji Shapiro-Wilk

Knowledge Shapiro-Wilk Information

Knowledge pretest 0434 Normal
Knowledge posttest 0722 Normal
According to the table 4.3dapat known that has after intervention posttest namely 0722.
obtained the test results Shapiro-Wilk Thus it can be concluded that the distribution of the
for knowledge before intervention data group is normal.
pretest namely 0434, while knowledge

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table 4.4 The average difference RH Prior Knowledge ( pretest) and After ( posttest) DiberiIntervensi
Reproduksidengan Health Education Methods mentoring in Adolescents

variables mean SD SE t t table P value N

Knowledge
Pretest-posttest 16.4067 7.7562 2.0027 8192 2145 0000 15

Based on table 4.4 can be viewed on average
(Mean) increased knowledge 16.4067. Statistical test
results using paired t-test
obtainable p value = 0.000 (α = 0.05), which means p
value smaller than α. As for the calculation of the t
test, there is a result that t is 8.192. The results of
the t compared with t table, where the table t in
degrees
freedom (df = db = df) = n - 1 = 15-1 =
14. T table obtained was 2,145, while t acquired is
8192. From this comparison that
means statistically is rejected or Ha Ho accepted
dimanaada influence health education
reproduction with methods
mentoring on adolescent reproductive health
knowledge SMP N 4 Palembayan.

Influence education health

reproduction by the method of mentoring to
knowledge health
reproduction in adolescence.

Research in SMP N 4 Palembayan result that

reproductive health education with mentoring mentoring. Pain scale before ( pretest)
methods given in the student / student influence on administration of reproductive health education
reproductive health knowledge. It can be seen from the method of mentoring
the results of the bivariate analysis, finds that there have an average of 61.02 (sufficient
are significant differences between knowledge), while knowledge of reproductive health
after ( posttest) do
average knowledge the provision of reproductive health education with
reproductive health before and after the intervention. mentoring method has an average
77.43 (good knowledge).

case This can be seen in Table 4.4 shows Statistical tests performed using
paired t-test obtained P = 0.000, α =
the mean
average ( mean) peningkatanpengetahuankesehata n 0:05, which mean in significant
reproduction at 16:41 and concluded there were shows H a accepted and there are significant changes
differences in average ( mean) given the knowledge to the improvement of reproductive health
before and after the reproductive health education knowledge among respondents who have given
methods reproductive health education interventions with
mentoring methods.

Mentoring implementation using several methods

including Accelerated learning which is an
accelerated learning system, Quantum learning which
is the tips, hints, strategies, and

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Volume 11, No. 1, March 2015: 41-51
the whole process learn which can
pemahanan and sharpen memory, and create
process learn that
pleasant and helpful, Quantum teachini an
orchestration bermacammcm interactions that exist
within and disekita learning situation, and Counseling
a process of assistance committed mentor to
menteenya, so that the mentee can solve the
problem. The method
delivery of material in
mentoring is a lecture in which mentors provide
material to the mentor, mentee discussion in which
an active role in mengembukakan their opinions or
ideas, and case studies where the given case and
mentee mentee asked to mengenalisis the problem.
The use of lecture and discussion in the delivery of
materials mentoring are two methods of learning
capable
increase knowledge
someone because both methods have a significant
relationship and effectively to increase one's
knowledge (Prihatno, 2012).
Research conducted by Prihatno (2012) about the
differences lecture with discussion method to reduction
adolescents about reproductive health knowledge in safety of patients by 2.5 times greater than the group
class VIII SMP Negeri 3 Pekalongan Lampung Timur receiving mentoring nursing program.
mentions that the use of lecture and discussion is
more effective
when compared with
respondents just get
information with a lecture or discussion only.
Many methods can be used to increase knowledge
such as counseling, case studies and games. In
Nugrahaeni study, Dyan Kunthi & Fajari, Triane
Beautiful in 2010 on the effect of health counseling
reproduction juvenile
terhadappengetahuan and adolescent sexual
attitudes in SMAN 1 Margahayu Bandung.
Counseling is a process of assistance committed
against menteenya mentor, mentee can thus bears a
lesaikan
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ISSN 1907-686X
problem. From research mentioned
result that konselingKRR
effect on knowledge with a score of 7 points higher,
while the attitude of 5 points higher than in the
experimental group tinggipada pembanding.Hal
this
prove that counseling influential in the increase of
knowledge.
According to research Sulistoyowati, EE (2009) on the
analysis of the implementation of mentoring in the
formation of self-concept of high school students at the
institute ILNA youth Center Bogor, the results of this study
showed that the implementation of mentoring touching
psychology, spiritual, educational and social. This matter
could line drawn straight that
implementation of highly effective mentoring as guidance
for adolescents in carrying satumetode adolescent
self-concept development.
Another study similar to the study carried out by
Nurmalia, D, Handiyani, H & Pujasar, H (2012) on
the effect of mentoring programs on the
implementation of patient safety culture. Research
showed that the group that did not receive mentoring
program
will at risk of
in the application culture
Assumptions researchers based on the research results,
the average knowledge before being given intervention is
61.02 (sufficient knowledge), while
average after given
intervention was 77.43 (good knowledge). that is to say
there difference average
knowledge on before and after the intervention that
is equal to 16:41. An increase in respondents who
were given knowledge of reproductive health
education methods metoring because in doing mentoring
use the lecture method, when given a lecture them
listened to all of the information or materials provided
and store them in its memory and will be issued
when
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asked back. Discussion method in this method the to knowledge health

respondent can dig deep on materials provided adolescent reproductive SMP N 4 Palembayan.
through discussions on things that are not
understood by the respondents, discussion method
serves to stimulate the respondent to think or issue SUGGESTION
its own opinion on the question-persolan which
sometimes can not be solved by an answer or a For Students / Students Examined

single procedure, but requires insight / knowledge It is expected that the student / student after
yangmampu seek this study that more to read books on reproductive
health and add insight about

the best way. And mentoring.

when counseling respondents can
reveal problem health For School
reproduction they experience. Therefore, the method Expected to the school in order to use the method mentoring
is very effective mentoring or have a significant this as a learning method / guidance to the student /
effect on the increase in knowledge as in the student and create a special schedule to undertake
implementation of coaching or mentoring.
mentoring use
a combination of methods-horse defenders as
lectures, discussions, counseling and other methods For further Researcher
in accordance with the material to be delivered by It is expected that researchers will come if it will
the mentor, a smaller group with the same sex. continue this research would be better off using a
design by using a control group so that an increase
in knowledge can be more visible.

CONCLUSIONS AND RECOMMENDATIONS

For Scientific and Nursing Profession
CONCLUSION Expected to science and profession
Based on the results of research and discussion can keperawatanagarhasil research could
be concluded as follows: serve as guidelines for nursing education.
1. Average knowledge health
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