EDUKASI PADA IBU USIA REPRODUKSI DENGAN DEFISIT PENGETAHUAN TENTANG KANKER OVARIUM DI WILAYAH KERJA UPTD PUSKESMAS TANJUNG BARU

ABSTRAK
Latar Belakang: Kanker ovarium merupakan penyebab utama kematian akibat
keganasan ginekologi global yang dijuluki sebagai the silent killer karena gejalanya yang
samar pada stadium awal. Di Indonesia, angka kejadiannya menempati urutan tertinggi di
Asia Tenggara. Masalah mendasar di pelayanan kesehatan adalah tingginya angka defisit
pengetahuan pada wanita usia reproduksi akibat kurangnya paparan informasi yang
spesifik. Tujuan: Mendeskripsikan asuhan keperawatan melalui pemberian edukasi
kesehatan berbasis media audiovisual dan booklet dalam meningkatkan pengetahuan,
sikap, dan keterampilan pencegahan kanker ovarium pada ibu usia reproduksi. Metode:
Penelitian ini menggunakan rancangan studi kasus deskriptif pada dua subjek wanita usia
reproduksi (Ny. E, 33 tahun dan Ny. A, 38 tahun) yang mengalami defisit pengetahuan di
wilayah kerja UPTD Puskesmas Tanjung Baru, Baturaja Timur. Intervensi keperawatan
berupa edukasi kesehatan terstruktur dilakukan selama 6 kali kunjungan rumah dengan
mengintegrasikan media audiovisual (video), booklet, serta demonstrasi strategi "Gerakan
10 Jari". Instrumen pengumpulan data menggunakan format asuhan keperawatan
maternitas, kuesioner kognitif, lembar penilaian sikap, dan ceklis observasi psikomotorik.
Hasil: Pengkajian awal (pre-test) menunjukkan tingkat pengetahuan kedua responden
berada dalam kategori kurang (Ny. E: 35% dan Ny. A: 40%). Selama proses intervensi,
kedua subjek menunjukkan perubahan sikap yang positif, mawas diri, dan proaktif.
Setelah diberikan edukasi selama 6 hari, hasil evaluasi akhir (post-test) menunjukkan
lonjakan pemahaman kognitif yang signifikan ke Kategori Baik (Ny. E: 90% dan Ny. A:
95%). Selain itu, aspek keterampilan psikomotorik kedua subjek dinilai "Mampu" dalam
mendemonstrasikan proteksi mandiri seperti teknik meraba perut, memantau lingkar
perut, eliminasi BAK, dan kebersihan perineal yang benar. Kesimpulan: Penerapan
edukasi kesehatan dengan media audiovisual dan booklet terbukti efektif mengatasi
masalah defisit pengetahuan serta melatih kemandirian perilaku pencegahan kanker
ovarium pada ibu usia reproduksi. Puskesmas diharapkan dapat mengoptimalkan program
promosi kesehatan reproduksi menggunakan media visual inovatif secara berkelanjutan di
tingkat komunitas.
Kata Kunci: Kanker Ovarium, Edukasi Kesehatan, Defisit Pengetahuan, Audiovisual,
Usia Reproduksi.

ABSTRACT
Background: Ovarian cancer is the leading cause of death from gynaecological
malignancies globally, often dubbed "the silent killer" due to its vague early-stage
symptoms. In Southeast Asia, Indonesia ranks highest in incidence rates. The
fundamental issue in primary healthcare is the high rate of knowledge deficit among
reproductive-age women resulting from a lack of exposure to specific information.
Objective: To describe nursing care through the provision of health education based on
audiovisual media and booklets in improving the knowledge, attitudes, and preventive
skills of ovarian cancer among reproductive-age mothers. Methods: This study employed
a descriptive case study design focusing on two reproductive-age female subjects (Mrs. E,
33 years old and Mrs. A, 38 years old) experiencing knowledge deficits within the
working area of the UPTD Tanjung Baru Community Health Center, East Baturaja. The
structured nursing intervention was conducted over 6 home visits by integrating
audiovisual media (videos), booklets, and the demonstration of the "Gerakan 10 Jari" (10-
Finger Movement) strategy. Data collection instruments included maternity nursing care
formats, cognitive questionnaires, attitude scales, and psychomotor observation
checklists. Results: The initial assessment (pre-test) indicated that both respondents'
knowledge levels fell into the poor category (Mrs. E: 35% and Mrs. A: 40%). Throughout
the intervention, both subjects demonstrated positive, vigilant, and proactive changes in
attitude. Following the 6-day educational sessions, the final evaluation (post-test)
revealed a significant surge in cognitive understanding, reaching the Good Category
(Mrs. E: 90% and Mrs. A: 95%). Furthermore, the psychomotor skills of both subjects
were rated as "Competent" in demonstrating self-monitoring practices, such as abdominal
palpation techniques, waistline tracking, urinary elimination monitoring, and proper
perineal hygiene. Conclusion: The implementation of health education utilizing
audiovisual media and booklets is proven effective in resolving knowledge deficits and
fostering behavioral independence for ovarian cancer prevention among reproductive-age
mothers. Community health centers are expected to optimize reproductive health
promotion programs by utilizing innovative visual media sustainably at the community
level.
Keywords: Ovarian Cancer, Health Education, Knowledge Deficit, Audiovisual,
Reproductive Age.