Abstract
Menarche and menstruation is a physiological process that can cause physical discomfort, emotional and anxiety. SDN in Cluster 3 and 4 Districts Nanggulan there were 10 grade 5 and 6 are not yet menarche say not know about menarche and menstruation and not knowing what to do when menstruation occurs. This happens because there is no health education about menstruation health in the scope of elementary school. Objective: To determine the effectiveness of health education with group discussion and lecture method to the knowledge, attitudes pre teens to face of menarche. Methods: This study is quasy-experiment with approaches pre test-post test control group design. Subjects were 5th and 6th grade students of elementary school at Cluster 3 and 4 Districts Nanggulan Kulon Progo with as many as 111 (discussion method,n = 55 and lecture method,n = 56) who met the inclusion criteria. The instrument used questionnaire. The sampling technique purposive sampling. Statistical test using Friedman test, Wilcoxon test and Mann-Whitney Test. Results: Scores of knowledge and attitudes before and after treatment there were significant differences in group discussions and lectures with the p=0,00 (p <0.05). Increased knowledge and attitude scores in both groups were significantly different at p=0,00 dan p=0,02 (p <0.05). The increase in effective knowledge and attitude scores on the method of discussion on the first day, the third and fourteenth after health education. Conclusion: Health education with discussion method is more effective than lecture group in increasing knowledge and changing attitudes in the pra-puberty facing menarche.
 Keywords: health education, group discussion method, menarche
Highlights
Menarche and menstruation is a physiological process that can cause physical discomfort, emotional and anxiety
yet menarche say not know about menarche and menstruation
This happens because there is no health education about menstruation health
Summary
Pendidikan orang tua baik ayah maupun ibu sebagian besar berpendidikan rendah (Tabel 1). Hal ini berarti bahwa terdapat pengaruh pendidikan kesehatan dengan metode diskusi terhadap pengetahuan pra remaja dalam menghadapi menarche. Hal ini berarti bahwa terdapat pengaruh pendidikan kesehatan dengan metode ceramah terhadap pengetahuan pra remaja dalam menghadapi menarche. Pemberi pesan dalam pendidikan kesehatan ini adalah guru yang setiap hari bertemu dengan responden sehingga dapat mempengaruhi perubahan sikap pada post test 3 yaitu hari ke 14 setelah pendidikan kesehatan. Hal ini sesuai penelitian Chang (2008) bahwa guru merupakan salah satu sumber informasi yang memiliki peran yang baik dalam mempersiapkan remaja menghadapi menarche dan program pendidikan kesehatan tentang menstruasi di sekolah dapat efektif meningkatkan pengetahuan kesehatan menstruasi. KESIMPULAN Berdasarkan hasil penelitian dan pembahasan, maka penulis dapat menyimpulkan bahwa terdapat pengaruh pendidikan kesehatan dengan metode ceramah dan diskusi kelompok dalam meningkatkan pengetahuan dan sikap pra remaja dalam menghadapi menarche. Pendidikan kesehatan dengan metode diskusi kelompok lebih efektif dibandingkan metode ceramah dalam meningkatkan pengetahuan dan sikap mengahdapi menarche
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