Relationship of the Role of Counselor, Knowledge, Trust, Values, and Social Relationship in Contraception Acceptors’ Decision of Using Intrauterine Device (IUD)

Abstract

Relationship of the Role of Counselor, Knowledge, Trust, Values, and Social Relationship in Contraception Acceptors’ Decision of Using Intrauterine Device (IUD) Hubungan Faktor Peran Konselor, Pengetahuan, Kepercayaan, Nilai, dan Kekerabatan terhadap Keputusan Akseptor KB untuk Menggunakan Kontrasepsi Intrauterine Device (IUD) Robby P Sulbahri 1 , Azhari 2 , Firmansyah Basir 3 , Theodorus 4 1,2,3 Department Obstetric dan Gynecology 4 Research Unit of Health and Medicine Faculty of Medicine Universitas Sriwijaya Dr. Mohammad Hoesin Hospital Palembang Abstract Abstrak Objective: to assess the relationship of the role of counsellor, knowledge, trust, values, and social relationship regarding acceptors' decision in using intrauterine device at Dr. Mohammad Hoesin Hospital Palembang. Tujuan : untuk mengetahui hubungan faktor peran konselor, pengetahuan, kepercayaan, nilai, dan kekerabatan terhadap keputusan akseptor KB untuk menggunakan alat kontrasepsi IUD di Rumah Sakit Mohammad Hoesin Palembang. Metode : Penelitian analitik observasional rancangan potong lintang ini dilakukan di Departemen Obstetri dan Ginekologi Rumah Sakit Dr. Mohammad Hoesin/Fakultas Kedokteran Universitas Sriwijaya Palembang sejak bulan Juni sampai September 2017. Didapatkan sampel sebanyak 40 perempuan melahirkan memenuhi kriteria inklusi. Frekuensi dan distribusi data dijelaskan dalam bentuk tabel, analisa bivariat untuk mengetahui ada tidaknya hubungan secara statistik antara variabel bebas dan dengan variabel terikat menggunakan uji Chi Square/Fisher Exact dan analisis multivariat untuk mengetahui variabel independen mana Methods : A cross-sectional study carried out on June 2017 until September 2017 in the Department of Obstetrics and Gynecology Dr. Mohammad Hoesin General Hospital. Forty subjects were included. The frequency and distribution data were described in table form, bivariate analysis was performed to assess the relationship between independent and dependent variables statistically using Chi-square/Fisher Exact test. Multivariate analysis using logistic regression test was performed to assess which independent variable affects acceptors’ decision the most. Data analysis was performed using SPSS 18.0 version. yang paling besar pengaruhnya terhadap keputusan akseptor KB untuk menggunakan alat kontrasepsi IUD menggunakan uji Regresi Logistik. Analisa data menggunakan SPSS versi 18.0. Results : There were no statistical differences in age, duration of marriage, parity, number of children born alive, abortion, education, and jobs between the two groups (p<0.05). There was a statistically signifi cant relationship between knowledge, social relationship, and the role of counsellor with contraception acceptors' decision (p<0.005), but there was no signifi cant relationship between trust and values with contraception acceptors' decision (p>0.05). Meanwhile, the logistic regression analysis showed that the role of Hasil : Tidak terdapat perbedaan karakteristik pasien baik usia, lama pernikahan, paritas, jumlah anak hidup, abortus, pendidikan dan pekerjaan antara kedua kelompok (p<0,05). Terdapat hubungan yang signifi kan antara pengetahuan, kekerabatan, dan peran konselor dengan keputusan akspetor KB IUD (p<0,05), namun tidak terdapat hubungan yang signifi kan antara kepercayaan dan nilai dengan keputusan akspetor KB IUD (p > 0,05). Pada analisis regresi logistik didapatkan hasil peran konselor berpengaruh secara signifi kan terhadap keputusan akseptor KB IUD (PR = 108,989, p value = 0,002). counsellor signifi cantly affects contraception acceptors' decision (PR=108.989, p value=0.002). Kesimpulan : Peran konselor merupakan faktor yang mempengaruhi keputusan akseptor KB untuk menggunakan alat kontrasepsi IUD. Conclusions : The role of the counsellor is a factor that affects contraception acceptors' decision in using IUD. Keywords : IUD, knowledge, role of counsellor, social relationship, trust, values Kata kunci: IUD, kekerabatan, kepercayaan nilai, pengetahuan, peran konselor