Latihan Kegeldan Nyeri Saat Berhubungan Seksual pada Perempuan Pasca Terapi Kanker

Abstract

Efek samping radioterapi adalah pemendekan dan pengeringan vagina yang menyebabkan nyeri saat melakukan
hubungan seksual (dispareunia). Hal ini mengakibatkan gangguan fungsi seksual yaitu keinginan, gairah, orgasme,
dan kepuasan. Penelitian ini bertujuan untuk melihat efektivitas latihan kegeldalam mengatasi keluhan nyeri saat
berhubungan seksual pada perempuan pasca terapi kanker serviks. Penelitian ini menggunakan desain penelitian
kuasi eksperimen dengan jumlah responsden 26 orang kelompok intervensi dan 26 orang kelompok kontrol
pada perempuan setelah radioterapi. Tingkat nyeri dalam penelitian ini diukur dengan Female Sexual Function
Index (FSFI). Pengaruh latihankegelterhadap nyeri diuji dengan t-tes. Hasil penelitian menunjukkan adanya
perbedaan yang bermakna pada kedua kelompok dengan nilai p=0.002. Latihan kegel terbukti menurunkan nyeri
saat berhubungan seksual (dispareunia) sebanyak 3,897 kali (OR=3,897). Berdasarkan hasil penelitian ini, perawat
diharapkan dapat memberikan intervensi latihan kegeluntuk menurunkan nyeri pasca terapi kanker serviks.

Kata kunci:Dispareunia, latihan kegel, pasca terapi kanker serviks

 

Abstract
Radiotherapy for cervical cancer has side effects which cause the vagina become smaller and drier so that it
could reduce the flexibility and lubrication of the vagina. These side effects could change the sexual functions,
which is pain during sexual intercourse. This study proves the effectiveness of Kegel exercises to overcome
pain during sexual intercourse (dyspareunia) for the women after a cervical cancer therapy. Method The
Quasi-experimental was conducted to 26 intervention group and 26 control group. The sampling technique
used consecutive sampling method. FSFI (Female Sexual Function Index) were obtained in order to measure
dyspareunia. A t-test was used to examine differences between two groups. Result findings The Kegel exercises
gave a significant changing of dyspareunia level with p value=0,002. There was significance difference of
dyspareunia level between intervention and control groups. Kegel exercises provided opportunies to decrease
dyspareunia as much as 3,897 times (OR=3,897). Conclusion The Kegel exercises are proved to reduce
effectively to solve dyspareunia for women after a cervical cancer therapy. Nursing role are to promote,
prevent and rehabilitate (health education, Kegel exercises sosialization, and health care training) the complaint
of women after cervical cancer therapy as an effort to improve health status of women with cervical cancer.

Key words:After cervical cancer therapy, dyspareunia, kegel exercises