THESIS

RELATIONSHIP RELATIONSHIP WITH PARENT ASSISTANCE WITH ANSWER

LEVELS AGAINST ADOLESCENT PRINCIPLES IN FACING MENARCHE AT
SMPN 40 SURABAYA

DIAJENG SETIYO PRATIWI

NIM. 1130017090

SUPERVISOR
ULIYATUL LAILI, S.ST., M.Keb

Nursing Study Program

FACULTY OF NURSING AND MIDWIFERY
NAHDLATUL ULAMA UNIVERSITY SURABAYA
2021
RELATIONSHIP RELATIONSHIP WITH PARENT ASSISTANCE WITH ANSWER
LEVELS AGAINST ADOLESCENT PRINCIPLES IN FACING MENARCHE AT
SMPN 40 SURABAYA
Diajeng Setiyo Pratiwi1, Uliyatul Laili2, Penguji 3, Penguji4
1
S1 Nursing Study Program, Faculty of Nursing and Midwifery
Universitas Nahdlatul Ulama Surabaya
2,3,4
Lecture Faculty of Nursing and Midwifery
Universitas Nahdlatul Ulama Surabaya

E-mail:Diajengsetiyo090.ns17@student.unusa.ac.id, uliyatul.laili@unusa.ac.id

ABSTRACT
Menarche is the first bleeding from the uterus that occurs in a woman. Lack of
knowledge about menarche will feel afraid, anxious, shocked, irritable, worried about
himself and think that something bad will happen during menarche. Efforts made to reduce
anxiety include assistance from parents. The purpose of this study was to determine the
relationship between parental assistance and the level of anxiety of female adolescents in
facing menarche in seventh grade students at SMPN 40 Surabaya.
The design in this study was cross sectional. The population in this study were 75
students of class VII SMPN 40 Surabaya. The sampling technique used was proportional
stratified random sampling. The independent variable in this study is the role of parental
assistance, while the dependent variable is the anxiety level of young women in facing
menarche. The data collection instrument used a questionnaire. The data were analyzed
using the Rank Spearmen statistical test with a significance level of a = 0.05.
The results showed that of the 63 respondents, there were 37 students who had a level
of anxiety in the category of no anxiety (58.7%), and (68.2%) students received good
parental assistance, namely as many as 30 students. The Spearman rank test obtained p
value = 0.002 with a significance level of a = 0.05, which means that there is a relationship
between parental assistance and the anxiety level of young women in facing menarche
The conclusion from this research is that there is a relationship between parental
assistance and anxiety levels towards young women in facing menarche at SMPN 40
Surabaya.

Keywords: Parental assistance, young women, Menarche

ABSTRACT
Menarche is the first bleeding from the uterus that occurs in a woman. Lack of
knowledge about menarche will feel afraid, anxious, shocked, irritable, worried about himself
and think that something bad will happen during menarche. Efforts made to reduce anxiety
include assistance from parents. The purpose of this study was to determine the relationship
between parental assistance and the level of anxiety of female adolescents in facing menarche
in seventh grade students at SMPN 40 Surabaya.
The design in this study was cross sectional. The population in this study were 75
students of class VII SMPN 40 Surabaya. The sampling technique used was proportional
stratified random sampling. The independent variable in this study is the role of parental
assistance, while the dependent variable is the anxiety level of young women in facing
menarche. The data collection instrument used a questionnaire. The data were analyzed using
the Rank Spearmen statistical test with a significance level of a = 0.05.
 The results showed that of the 63 respondents, there were 37 students who had a level
of anxiety in the category of no anxiety (58.7%), and (68.2%) students received good parental
assistance, as many as 30 students. The Spearman rank test obtained p value = 0.002 with a
significance level of a = 0.05, which means that there is a relationship between parental
assistance and the anxiety level of young women in facing menarche.
The conclusion from this research is that there is a relationship between parental
assistance and anxiety levels towards young women in facing menarche at SMPN 40
Surabaya.

Keywords: Parental assistance, young women, Menarche

INTRODUCTION
According to the Global Report of the previously received health education
World Health Organization (WHO), regarding reproduction, especially
children are considered adolescents when regarding menarche. In fact, there are still
they reach the age of 10-19 years. many young women who lack knowledge
Adolescence is often called adolescence, of menarche, so they feel afraid and
derived from the Latin adolescere which anxious in dealing with menarche.
means "to grow to reach maturity". (Susanti,
Children are considered adults when they Demographic data shows that
are able to reproduce and one of them is adolescents are the largest population of
marked by the first menstruation the earth's population. Global Report
(menarche). (Ali & Asrori, 2012). World Health Organization (WHO) in one
Menarche is the first bleeding from fifth of the world's population are
the uterus that occurs in a woman. adolescents aged 10-19 years, about 900
Menarche consists of shedding of the walls million are in developing countries
of the endometrium as a result of hormonal (Puspita, 2015).
changes. The occurrence of menarche is a The results of the 2014 RISKESDAS
relatively complex process between (Basic Health Research) show that based
genetic factors and external factors. on reports of respondents who have
Menarche age varies for each individual experienced menstruation, the average age
and also the area of residence (Ratna, of menarche in Indonesia is 13 years
2016). Children who do not prepare for (20%) with an earlier incidence at the age
menarche respond to menarche with of less than 9 years. Nationally, the
shock, surprise, fear, and irritability. average age of menarche 13-14 years
Young women who face menarche should occurs in 37.5% of Indonesian children
not be anxious and afraid if they have and there are also those who are just 8
years old who have started their menstrual physically, mentally and psychosocial.
cycle but this number is very small. In East This situation can cause the child not ready
Java, there are 38.9% children who have to accept the arrival of the first
menarche, including 36.5% at the age of menstruation. The further impact of
13-14 years, 2.3% at the age of 9-10 years, unpreparedness to face menarche in young
0.1% at the age of 6-8 years. In Surabaya, women can cause anxiety, will result in
0.1% of young women experience pathological symptoms such as fear,
menarche earlier or menarche here at the anxiety, inner conflicts and other disorders
age of 6-8 years and around 26.3% in the form of dizziness, nausea,
experience menarche at the age of dimenorrhea and irregular menstruation.
approximately 14 years, the remaining Physical problems that may arise from the
73.6% experience menarche over 14 years lack of knowledge are lack of personal
(Puspita, 2015). hygiene so that it can be at risk of urinary
Based on a preliminary study tract infections (UTIs), cervical cancer and
conducted on November 10, 2020 at so on. This of course needs serious
SMPN 40 Surabaya towards 5 attention by providing accurate
respondents, 3 respondents experienced information (Sari, 2019)
anxiety, confusion, tension, fear of leaving Family assistance, especially parents,
the house and fear of other people given to adolescents will reduce this
knowing, shocked, nervous, and insecure anxiety. This is because parents are the
when experiencing Menarche. 2 closest people to adolescents so that
respondents said that beforehand they communication on sensitive matters will
knew what Menarche was from their be more open and adolescents will have a
parents that menstruation is the discharge picture of menarche. Parents play an active
of dirty blood from the vagina. role in knowing the condition of young
The lack of knowledge about women, both physically and
reproduction, especially menstruation in psychologically because of the
young women, is caused by several interdependence of one family member
factors, including the absence of with other family members (eternal Te la,
information. Therefore it needs 2015).
understanding, guidance, assistance from Countermeasures that can be given to
parents and support from the surrounding young women to minimize anxiety in
environment so that adolescents can grow dealing with menarche by providing health
and develop into healthy adults both education about menarche either in the
community or at school. The nurse is a
health worker who is obliged to provide
reproductive health information at a
growing age. In addition, parental
assistance is needed to provide correct
health education about reproductive health,
especially when children are about to
experience menarche. Bleeding
menstruation events without
information can cause various acidic
psychological changes. Therefore, the role
of parental assistance is needed
providing information about menarche. So
that the child will not experience
surprising events in connection with him.
Based on the phenomena described in
the background accompanied by related
data, the researchers are interested in
further researching the relationship
between the role of parental assistance
and the level of youthfulness in facing
menarche in seventh grade students of
SMPN 40 Surabaya.
METHODS
This type of research is analytic with a
cross sectional approach. This type of
research seeks to aim at analyzing the
relationship between parental assistance
and the level of anxiety in young women.
This type of research emphasizes the time
of measurement or observation only once,
in the same period (Nursalam, 2013). The
independent variable in this study is the
role of parental assistance. The dependent
variable in this study is the level of anxiety
of young women in facing menarche.
The population in this study was 75
female students who had menarche. The
sample size in this study was 63 female
students who had menarche.The sample
consists of an affordable part of the
or population that can be used as research
good subjects through sampling. In this study
the sampling technique used probability
sampling. The method of taking
in proportional stratified random sampling is
when a population consists of units that
have different or heterogeneous
characteristics and the population is
stratified (Notoatmodjo, 2012). After
determining the strata randomly or
randomly. Furthermore, the identity (name
of the student) is written on a piece of
paper, placed in a box, stirred and taken
randomly by 63 respondents after all of
them have been collected (Nursalam,
2013). Identities (names of students) that
have been selected are recorded again to
be used as samples in the study.
After the data was processed, the next
step was the data analyzed, the analysis
used was the Spearmen Rank statistical
test using the SPSS version 25.0 for
windows program with a significant level
of α = 0.05. If the statistical test results
show p <α 0.05, the hypothesis is
rejected, which means that there is a
relationship between the independent and Specific data explain the research
dependent variables. results of the independent variable, the
dependent variable, and the cross
tabulation between the dependent variable
and the dependent variable between
RESULT parental assistance and the level of anxiety
1. General data of young women in dealing with
This general data shows the results of menarche.
the frequency distribution of respondents a. Parental assistance
studied in grade VII students at SMPN 40 From the results of data collection, it
Surabaya based on age. is found that the frequency distribution of
a. Characteristics of respondents based respondents based on parental assistance at
on age. SMPN 40 Surabaya, February 2021 is as
The results of the research on grade follows.
VII students at SMPN 40 Surabaya based Table 5.2 Frequency distribution of
respondents based on parental
on age can be seen in table 5.1 below.
assistance at SMPN 40
Table 5.1 Frequency Distribution of Surabaya, February 2021.
Respondents by Age of Class No. Accompanimen Frequency Percentage
t (%)
VII Students of SMPN 40, 1. Less 19 30.2%
Surabaya, February 2021. 2. Good 44 69.8%
No. age Frequency Percentage amount 63 100.0
(%) Source: Primary data for February 2021
1. 12 19 30.2%
2. 13 39 61.9% Based on the description of table 5.3
3. 14 5 7.9%
amount 63 100.0 above, it shows that of the 63 respondents,
Source: Primary data for February 2021
most respondents (69.8%) received good
Based on the description of table 5.1
parental assistance, namely as many as 44
above, it shows that 63 respondents were
children. According to Boeree (2010)
found, most of the respondents (61.9%)
parental assistance is closely related to
had 13 years of age, namely 39 children.
adolescent perceptions of menarche, good
In accordance with the opinion that more
parental assistance in providing an
children aged 13 years have experienced
understanding of menstruation and its
menarche. Puspita (2015) states that the
problems tends to give young girls a good
average age of menarche is 13 years,
perception of menarche compared to poor
Menarche usually occurs at 12-13 years of
parental assistance.
age in the range of 11-16 years.
b. Anxiety Level
2. Special Data
From the results of data collection, it is Worry Less Good amount
found that the frequency distribution of
N % N % N %
respondents based on the level of anxiety
of young women at SMPN 40 Surabaya, No 7 36.8% 3 68.2% 37 58.7
February 2021 is as follows. 1. Anxiety %
Table 5.3: Frequency distribution of
2 Mild 2 10.5% 8 18.2% 10 15.9
respondents based on the level anxiety %
of anxiety of young girls at
SMPN 40 Surabaya, February 3 Moderate 2 10.5% 3 6.8% 5 7.9%
2021. Anxiety
No. Anxiety Level Frequency Percentage
(%) 4 Severe 7 36.8% 3 6.8% 10 15.9
1. No worries 37 58.7% Anxiety %
2. Mild anxiety 10 15.9%
3. Moderate 5 7.9% Very 1 53.3% 0 0.0% 1 1.6%
anxiety Severe
4. Severe anxiety 10 15.9% 5 Anxiety
5. Great anxiety 1 1.6%
amount 63 100.0
Source: Primary data for February 2021 amount 1 100% 4 100% 63 100%
Based on the description of table 5.3
above, it shows that of the 63 Source: Primary data for February 2021
respondents, it was found that half of the Based on the description of table
respondents (58.7) stated that they had no 5.5 above, it shows that of the 63
anxiety, namely as many as 37 children. respondents there were 37 students who
According to (Irianto, 2014), adolescents had an anxiety level in the category of no
who get correct information about anxiety (58.7%), and (68.2%) students
menstruation will be able to accept received good parental assistance, namely
menarche and be able to accept any 30 students.
changes experienced with a positive DISCUSSION
attitude. On the other hand, adolescents 1. Identification of Parental Assistance
who are not equipped with knowledge The results of the research on parental
about menstruation will feel anxious assistance to SMPN 40 Surabaya students
about the changes experienced and tend to in table 5.3 show that of the 63
be negative. respondents, it was found that most of the
c. Parent Assistance Relationship with respondents had good mentoring, this is
Anxiety Levels indicated by a percentage of (69.8%),
Table 5.4 Cross tabulation between namely 44 children, respondents with
Anxiety Levels and Parental
Assistance in seventh grade assistance less parents, namely as many as
girls at SMPN 40 Surabaya, 19 children (30.2%).
February 2021.
Level Parental Assistance
 In accordance with the opinion according to respondents, their parents
(eternal Te la, 2015) parents are the closest said that it is important to maintain genital
people to adolescents so that hygiene when menstruating. Based on the
communication on sensitive matters will results of interviews with seventh grade
be more open and adolescents will have a female respondents at SMPN 40 Surabaya,
picture of menarche. Parents play an active the responses of respondents about
role in knowing the condition of young parental assistance in early menstruation,
women, both physically and namely parents, especially mothers
psychologically because they are accompanying early menstruation,
interdependent from one family member to providing an explanation of early
another. Parental assistance is important in menstruation, explaining how to use
the process of child growth and sanitary napkins, and directing which ones
development, especially during early can be done and what not to do when
adolescence. Through their parents, having menstruation.
adolescents get to know various sexual 2. Identify the level of anxiety
processes that occur in their bodies The results of the study regarding
(Dariyo, 2010). the level of anxiety in young women at
From the results of a research study SMPN 40 Surabaya which are shown in
from Abadi (2015) on 875 female students table 5.4 show that of the 63
subject to parental assistance in grades IV respondents, it was found that half of
and V SD. The results of the n Chi Square the respondents (58.7%) stated that
test on parental assistance show that ρ- there was no anxiety, namely as many
value = 0.007 <(α = 0.05), which means as 37 children, (15.9%) stated mild
that there is a significant relationship anxiety. namely 10 children, (7.9%)
between parental assistance and the expressed moderate anxiety, namely 5
anxiety level of young women in dealing children, (15.9%) expressed severe
with menarche. anxiety as many as 10 children, and
From the results of the questionnaire (1.6%) expressed severe anxiety,
most of the respondents answered that the namely as many as 1 child.
most received parental assistance was The results of general data in the
assistance when parents explained that questionnaire contained in table 5.1
when we were menstruating, our above show that of the 63 respondents,
underwear had to be washed and clean of it was found that most of the
blood, with a percentage (63.0%). because respondents (61.9%) were 13 years old,
namely 39 children. According to Vino,
(2016) the age of menarche that is too
fast in some young women can cause
mental anxiety or can cause excessive
anxiety.
According to Hawari, (2013) the
main factors that influence anxiety are
family support factors: parental
assistance, namely informative,
emotional, assessment and instrumental
support.
From the results of a research study
by Ulfah and Suryani (2011) at SMP
Muhammadiyah 5 Yogyakarta with the
results of ρ-value 0.011 <(α = 0.05), it
means that there is a relationship
between family support and the anxiety
level of young girls in dealing with
menarche.
From the results of the
questionnaire most of the respondents
answered that the level of anxiety that
most often occurred when facing
menarche was that young women felt
afraid if the initial menstruation caused
pain and pain in the back and abdomen,
with a percentage (86.0%). Because
according to respondents, pain and
aches in the back and abdomen are at
risk of disease. Based on the results of
interviews with seventh grade female
respondents at SMPN 40 Surabaya, the
responses of respondents about the
level of anxiety when facing menarche
were that young women felt a little
shocked because it was their first time
experiencing menstruation, felt
uncomfortable doing activities, felt
anxious when the arrival of early
menstruation, felt afraid if the initial
menstruation causes pain and pain in
the back and stomach.
3. Analysis of the relationship between
parental assistance and anxiety levels of
young women in dealing with menarche
Based on the cross distribution table
in the description of table 5.5 above, it
shows that of the 63 respondents there
were 37 students who had a level of
anxiety in the category of no anxiety
(58.7%), and (68.2%) students received
good parental assistance, namely as many
as 30 students. The result of the Spearman
rank test shows the value of p = 0.002,
then p <0.05 means that there is a
relationship between parental assistance
and the anxiety level of young women in
facing menarche.
The test results obtained the value of r
(correlation coefficient) obtained value -
0.376. This shows that the strength of the
relationship between the two variables is
37.6% (moderate correlation) while the
negative value (-) indicates the direction of
the inverse relationship (the better parental
assistance, the less anxiety is present, on
the contrary if the less parental assistance,
the heavier the level of anxiety. ). It can be
concluded that there is a moderate
negative relationship between parental
assistance and anxiety levels.
Based on the results of research by
Abadi (2015) with the title of the
relationship between parental assistance
and anxiety levels of young women in
facing menarche in grades IV and V SD.
The results of ρ-value = 0.007 <(α = 0.05),
which means that there is a significant
relationship between parental assistance
and the level of anxiety of female
adolescents in facing menarche in grades
IV and V SD.
The results of this study are supported
by research by Dharampal (2012), where
parents play an active role in providing
guidance about menstruation
advice and communication within the
family, so that there
misunderstanding in providing information
about adolescent reproductive
which can affect the anxiety of a child
during menstruation. . In this case, it is
hoped that the role of parents is more
intensive in providing education
information about reproductive health
during menstruation.
Based on the results of research, theory
and supported by previous research, it can
be concluded that there is a significant
relationship between parental assistance
and anxiety levels towards young women
in facing menarche at SMPN 40 Surabaya.
REFERENCE(Mendeley)
Andayani, Reni. (2015) The Effect of
Health Education on the
Knowledge Level of Young
Women About Menarche at
Binamu State Junior High School
1, Jeneponto Regency. Thesis
Makasar: Faculty of Medicine.
Hassanuddin University
Ali, M & Asrori, M. (2012). Psychology
of adolescent student development.
Jakarta: PT Bumi Aksara.
Ananda Y. (2019). The relationship
between the level of knowledge
and the level of adolescent anxiety
in dealing with menarche in fifth
and sixth grade students at SD
Negeri 1 Ceper Klaten. Thesis
thesis. Yogyakarta: Ministry of
Health Poltekkes Publisher Center
Abadi, Desti Rahmatika, Te al. (2015).
The relationship between family
support and the level of anxiety
among young women in dealing
with menarche. JOM Journal Vol:
through on 02. October. Accessed 2013.
Management of stress and
depression. Jakarta: FKUI
is no Publisher Center.
Boeree, D, C. (2010). Social Psychology,
Yogyakarta: Prismasophie
health Dariyo, A (2010). Adolescent
Developmental Psychology, Bogor:
Ghalia Indonesia.
Friedman, Marilyn. M. (2010). Textbook
of Family Nursing: Research,
Theory and Practice 5th Edition.
or Jakarta: EGC.
Goldman, MB; Troisi, R .; Rexrode, KM
(2012). Women and Health.
American Press, New York.
Hawari, Dadang (2013). Management of
stress and depression. Jakarta:
FKUI Publisher Center
Haryani, RDWI (2018). The effect of Notoatmodjo, Soekidjo. (2014).
parental support on the ability to Behavioral Health Sciences.
cope with anxiety about physical Jakarta: Rineka Cipta Nursalam.
(2013).Concept and
changes during puberty in young
ReceiverOh dear
girls. Methodology Research
ScienceNursing. Jakarta: Salemba
Irianto, Koes. (2014). Health Sexology.
Medika.
Bandung: Alfabeta.
Paradise, Verona Violeta. (2014). The
Lestari, S. (2012). Family Psychology:
Role of Mother Against Young
Value Cultivation and Conflict
Girls Aged 10-12 Years in Facing
Management in the Family.
Menarche at Mi Ma'arif Gandu.
Jakarta: Kencana Prenada Media
Ponorogo Thesis: Faculty of Health
Group
Sciences. Muhammad Ponorogo
Lestari, N. (2011). Practical Tips to Know
University
Your Fertile Period. Yogyakarta.
Prasetyo, Fajar Ahmad Dwi. (2018).
Say Mardilah. (2014). Factors
Parents' Assistance in the Learning
Influencing Knowledge of Young
Process of Children. Thesis of
Women in Facing Menarche at
Sanata Dharma University
Smp Negeri 5 Darul Makmur Darul
Yogyakarta
Makmur District, Nagan Raya
Puspita, I. F et al. (2015). Factors
Regency. Thesis. Banda Aceh:
Affecting the Readiness of Young
U'budiyah College of Health
Women to Face Menarche at SDN
Sciences.
02 Sukorejo, Semarang. Journal of
Marmi, (2013). Nutrition in Reproductive
Nursing: 2.
Health. Yogyakarta: Pustaka
Rochman, Kholil Lur (2010). Mental
Bejalar.
health. Purwokerto: Fajar Media
Mubarak, Wahit Iqbal, little brother.
Press Saputri, Apriliana Ega.
(2015). Basic Nursing Textbook.
(2017). Assistance for Children in
Jakarta: Salemba Medika.
Families at Kindergarten Pertiwi:
Muryadi, AD (2017). The Relationship
Kebasen, Banyumas Regency.
between the Role of Mother and
UNY Thesis.
the Attitude of Young Women in
Sari, R., Udiyono, A., Saraswati, L., &
Facing Menarche at SDN 01
Ginandjar, P. (2016). Description
Taman Kota Madiun. (1), 1–14.
of Early Menarche Age in
Nihayati, dik (2015). Basic Nursing
Elementary School Children in
Textbook. Jakarta: Salemba
Urban Areas. Journal of Public
Medika
Health (e-Journal), 4 (4), 443–447.
N I'M AH (2016). The role of parents in
Sarwono SW (2011). Adolescent
guiding children to pray five times
Psychology Revised Edition.
a day in the kahayan market,
Jakarta: Pt Raja Grafindo Persada
Palangka Raya (Study of Five
Shochib, Moh. (2010). Parenting Patterns
Family Heads Who Work as
(In Helping Children to Develop
Traders). 1–80.
Self-Discipline as a Person with
Notoatmodjo, Soekidjo. (2010). Health
Character). Jakarta: Rineka Cipta.
Promotion and Behavioral
Susanti AV (2012). Risk Factors for Early
Sciences. Jakarta: Rineka Cipta
Menarche in Adolescents at SMPN
Notoatmodjo, Soekidjo. (2012). Health
30 Semarang. Journal of nutrition
Research Methodology. Jakarta:
college. 1 (1): 386-407.
Rineka Cipta
 Diponegoro University. Eprints.
UNDIP.
Suyanto, Bagong. (2010). Child Social
Problems. Jakarta: Prenada Media
Group.
Timor, AA (2011). Religion, reproductive
health and sexual behavior of
students: rural to urban
comparisons on the island of
Lombok. Retrieved on July 11,
2014 from
lib.geo.ugm.ac.id/ojs/index.php/jbi/
articl e / viewFile / 63/61.
Ulfah, M., Suryani. (2011). Relationship
between family support and anxiety
of teenage girls aged overubertia in
facing menarche at SMP
Muhammadiyah 5 Yogyakarta.
Retrieved on June 19, from
http://sim.stikesaisyiyah.ac.id
Utami, YAP (2019). The Relationship
between the Level of Knowledge
and the Anxiety Level of
Adolescents in Facing Menarche in
Class V and Vi Students at SD
Negeri 1 Ceper Klaten. Journal of
Nursing, 4 (1), 1–12. Retrieved
fromhttp://digilib.unmuhjember.ac.
id/download.php?id=3456
Wahyu, Ekowati (2015). Basic Concepts
of Mental Health Nursing.
Retrieved from
http://perawatku.blog.unsoed.ac.id/
files/2012/05/Konsep-Dasar-
Nursing-Kesehatan-Jiwa.pdf.
Retrieved 20 October 2015
Winkjosastro. (2011). Gynecology.
Jakarta: Bina Pustaka Sarwono
Prawiharjo Foundation. Pp. 73-89