Grido Handoko Sriyono, Nur Hamim, Umi Narsih|
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134
JoSS :
Journal of Social Science
THE ROLE OF WALKING ACTIVITIES ON THE LEVEL OF
DYSMENORRHEA IN YOUNG GIRLS AT SMP NEGERI 1
BONDOWOSO.
Grido Handoko Sriyono
1
, Nur Hamim
2
, Umi Narsih
3
University STIKes Hafshawty, Probolinggo, Indonesia
Email : grid[email protected]
123
KEYWORDS
Walking, dysmenorrhea,
adolescents
ARTICLE INFO
Accepted:
19 Novemeber 2022
Revised:
21 November 2022
Approved:
28 November 2022
ABSTRACT
Menstruation is one of the early characteristic changes in adolescents.
Dysmenorrhea has a considerable impact on adolescents. Lack of physical
activity will reduce the distribution of oxygen in the systemic circulation,
thereby increasing a person's perception of pain, including dysmenorrhea.
The purpose of this study was to analyze the effectiveness of walking with
the level of menstrual pain (dysmenorrhea) in adolescent girls at SMP
Negeri 1 Maesan Bondowoso. The design of this research is experimental
research with One-Group Pretest-Posttest Design. The population in this
study were students in grades 7 and 8 at SMP Negeri 1 Maesan
Bondowoso who had a history of menstrual pain of 30 people. The sample
size in this study was 30 people who were taken randomly. Collecting
data using a questionnaire then the data is processed using SPSS using the
Mann-Whitney U Test. The results of data analysis showed that before
physical activity, most of the pain was mild as many as 18 people (60%)
and after physical activity, most of the pain was mild as much as 19 people
(63.3%). Sig) of 0.000 <0.05, meaning that ho is rejected and ha is
accepted, so that walking is effective against the level of menstrual pain
(dysmenorrhea) in adolescent girls at SMP Negeri 1 Maesan Bondowoso.
The hypothesis in this study is accepted and statistically proven. It is
recommended that adolescents increase physical activity at home and at
school such as jogging, walking etc.
INTRODUCTION
Adolescence is a dynamic developmental phase in one's life. One of the signs of
youthfulness biologically is that teenagers start to experience menstruation (Mayangsari et al.,
2020). Menstruation is one of the early characteristic changes in adolescents. Menstrual
disorders that often occur in adolescents are dysmenorrhea (OKTORIKA, INDRAWATI, &
SUDIARTI, 2020). Dysmenorrhea or menstrual pain is a symptom that most often causes
young women to go to the doctor for consultation and treatment (Wiknjosastro, 2009).
Based on data from the World Health Organization (WHO) in 2017, there were 1,769,425
dysmenorrhea (90%) women who experienced dysmenorrhea, with 10-16% experiencing
severe dysmenorrhea. The incidence of dysmenorrhea in the world is very large, on average
almost more than 50% of women experience it. The prevalence of dysmenorrhea in Indonesia
is 107,673 people (64.25%), consisting of 59,671 people (54.89%) experiencing primary
dysmenorrhea and 9,496 people (9.36%) experiencing secondary dysmenorrhea (Herawati,
2017). The incidence of dysmenorrhea among women of reproductive age ranges from.
A. 45% -95% (Sadiman, 2017). Primary dysmenorrhea is experienced by 60% -75% of
adolescents. It was reported that 30% -60% of young women had dysmenorrhea, 7% -15% did
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Vol 1, No 3 November, 2022
The Role Of Walking Activities On The Level Of
Dysmenorrhea In Young Girls At Smp Negeri 1
Bondowoso.
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not go to school (Larasati & Alatas, 2016). In East Java, the incidence of dysmenorrhea was
64.25%, consisting of 54.89% primary dysmenorrhea and 9.36% secondary dysmenorrhea
(Syaiful & Naftalin, 2018).
Several risk factors associated with the severity of dysmenorrhea are younger age at
menarche, abnormal menstrual cycles, prolonged menstruation, obesity, malnutrition, lack of
physical activity, and family history of dysmenorrhea. Smoking and alcohol use are also
associated with the occurrence of primary dysmenorrhea (Mayangsari & Puri, 2020).
Dysmenorrhea can be treated with pharmacological and non-pharmacological therapy.
Pharmacological therapy includes administering analgesic drugs, hormonal therapy, non-
steroidal prostaglandin drugs and cervical dilatation (Wiknjosastro, 2009). While non-
pharmacologically it can be done with light exercise, warm compresses, relaxation,
aromatherapy and massage. The advantages of non-pharmacological therapy are that this action
is cheap, easy, and can be done at home as a treatment that allows clients and families to make
efforts on pain symptoms and their treatment, while pharmacological therapy has side effects
in its use such as nausea, vomiting, constipation, anxiety, and drowsiness. , and can too affects
the risk of kidney disease, liver and heart problems (Widyanthi & Resiyanthi, 2021).
Lack of physical activity will reduce the distribution of oxygen in the systemic
circulation, thereby increasing a person's perception of pain, including dysmenorrhea. Women
who are physically active report less dysmenorrhea and exercise at least once a week, can
reduce lower abdominal pain (Nursalam, 2016). Walking is a form of physical activity.
Syarifah, (2017) recommends that women diligently walk for at least 30 minutes during
menstruation. This is because anerobic physical activity is useful in reducing menstrual pain.
Based on the background above, the researcher is interested in conducting research on
"Effectiveness of walking with levels of menstrual pain (Dysmenorrhea) in young women at
SMP Negeri 1 Maesan Bondowoso".
METHOD RESEARCH
The research design used in this study is a quasi-experimental (Quasi-Experimental).
This quasi-experimental research design (Quasi-Experimental) seeks to reveal a causal
relationship by involving the intervention group and the control group (Nursalam, 2017). The
population is the entire research object or object to be studied (Hidayat, 2011). In this study,
the population was grade 7 and 8 students at SMP Negeri 1 Maesan Bondowoso who had a
history of menstrual pain of 30
person. The sample is a portion taken from the entire object under study and is considered
to represent the entire population (Hidayat, 2011). The sample size in this study was 30 people.
The sampling technique used in this research is random sampling. Random sampling is a type
of probability sampling in which everyone in the entire target population has an equal chance
of being selected (Kojo, Kaunang, & Rattu, 2021). The variables in the study are physical
activity variables and dysmenorrhea variables. This research was conducted at SMP Negeri 1
Maesan, Bondowoso Regency. Data collection using a questionnaire. Data analysis consisted
of univariate analysis and bivariate analysis which were processed computationally with the
SPSS program (Larasati & Alatas, 2016).
RESULT AND DISCUSSION
A. Frequency Distribution of Respondents based on Walking at SMP Negeri 1 Maesan
Bondowoso
The Role Of Walking Activities On The Level Of
Dysmenorrhea In Young Girls At Smp Negeri 1
Bondowoso.
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Table 1
Frequency Distribution of Respondents based on Walking at SMP Negeri 1 Maesan
Bondowoso
No
Pain Level
Frekuensi
Persentase
(%)
1
Mild pain
18
60.0
2
Moderate
pain
12
40.0
Amout
30
100
Based on table 1, it was found that most of the respondents before getting walking therapy was
mild pain as many as 18 people (60%) (Kural, Noor, Pandit, Joshi, & Patil, 2015).
B. Frequency Distribution of Respondents based on Levels of Menstrual Pain
(Dysmenorrhea) in young women at SMP Negeri 1 Maesan Bondowoso
Table 2
Frequency Distribution of Respondents based on Levels of Menstrual Pain (Dysmenorrhea)
in young women at SMP Negeri 1 Maesan Bondowoso
No
Pain
Level
Frekuensi
Persentase
(%)
1
No
pain
11
36.7
2
Mild
pain
19
63.3
Amout
30
100
Based on table 2 it was found that most of the respondents after receiving walking
therapy had mild pain as many as 19 people (63.3%).
C. Differences in levels of menstrual pain (dysmenorrhea) in young women before and
after receiving walking therapy at SMP Negeri 1 Maesan Bondowoso
Table 3
Differences in levels of menstrual pain (dysmenorrhea) in young women before and after
receiving walking therapy at SMP Negeri 1 Maesan Bondowoso
No
Pain
Level
Befo
re
After
Chang
e
1
No pain
0
11
11
2
Mild pain
18
19
1
3
Moderate
pain
12
0
12
Based on table 3, it is known that there is a change in pain experienced by young women
before and after receiving walking therapy at SMP Negeri 1 Maesan Bondowoso, before
therapy the level of adolescent pain is in the mild and moderate category, after therapy the
adolescent does not experience moderate pain, but not experiencing mild aches and pains
(Hidayat, 2011).
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The Role Of Walking Activities On The Level Of
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CONCLUSION
The level of menstrual pain (Dysmenorrhea) in young women before walking at SMP Negeri 1
Maesan Bondowoso is mostly mild pain as many as 18 people (60%).The level of menstrual pain
(Dysmenorrhea) in young women after walking at SMP Negeri 1 Maesan Bondowoso mostly had mild
pain as many as 19 people (63.3%).Walking is an effective level of menstrual pain (Dysmenorrhea) in
young women at SMP Negeri 1 Maesan Bondowoso.
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Copyright holders:
Grido Handoko Sriyono, Nur Hamim Umi Narsih (2022)
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