PENGARUH PAKET CinDi TERHADAP MOTIVASI PEREMPUAN USIA SUBUR DALAM MELAKUKAN DETEKSI DINI DENGAN PAP SMEAR DI DESA PURI SUKOLILO PATI

Abstrak

Latar Belakang: Kanker serviks merupakan penyebab kematian kedua terbanyak pada perempuan Indonesia dengan angka kejadian 604.127 kasus global per tahun. Meskipun dapat dicegah melalui deteksi dini menggunakan Pap smear, motivasi perempuan usia subur (PUS) untuk melakukan pemeriksaan masih rendah, dengan cakupan nasional hanya mencapai 5,89% dari target 70%.Tujuan: Menganalisis pengaruh Paket CinDi (edukasi menggunakan PowerPoint, video edukasi, dan kisah nyata/true story) terhadap motivasi PUS dalam melakukan pemeriksaan Pap smear di Desa Puri, Sukolilo, Pati.Metode: Penelitian quasi-experimental dengan desain one group pre-test post-test melibatkan 35 responden PUS yang dipilih menggunakan purposive sampling. Instrumen penelitian menggunakan kuesioner motivasi tervalidasi (Cronbach's Alpha = 0,847) dengan 12 pernyataan skala Likert. Intervensi Paket CinDi diberikan selama 4 minggu dengan total durasi edukasi 57 menit. Analisis data menggunakan uji Shapiro-Wilk untuk normalitas dan uji Paired T-Test dengan tingkat signifikansi α = 0,05. Hasil: Karakteristik responden didominasi usia 40-59 tahun (62,9%), berpendidikan SMA (77,1%), bekerja (74,3%), dan grande multipara (51,5%). Rata-rata skor motivasi meningkat signifikan dari 20,63±4,37 (pre-test) menjadi 25,51±3,43 (post-test) dengan mean difference 4,88 poin. Uji Paired T- Test menunjukkan nilai t = -10,935 dengan p-value = 0,000 (p<0,05), mengindikasikan perbedaan signifikan motivasi sebelum dan sesudah intervensi.Kesimpulan: Paket CinDi yang mengintegrasikan media PowerPoint, video edukasi, dan kisah nyata terbukti efektif meningkatkan motivasi PUS untuk melakukan pemeriksaan Pap smear sebagai upaya deteksi dini kanker serviks. Peningkatan motivasi sebesar 23,6% menunjukkan kombinasi media audiovisual dan pendekatan emosional melalui true story mampu mengoptimalkan aspek kognitif dan afektif responden.

Background: Cervical cancer is the second leading cause of death among Indonesian women, with 604,127 global cases annually. Despite being preventable through early detection using Pap smears, the motivation of women of reproductive age (WRA) to undergo screening remains low, with national coverage reaching only 5.89% of the 70% target.Objective: To analyze the effect of the CinDi Package (education using PowerPoint, educational videos, and true stories) on WRA motivation to undergo Pap smear examinations in Puri Village, Sukolilo, Pati.Methods: A quasi-experimental study with one-group pre-test post-test design involving 35 WRA respondents selected through purposive sampling. The research instrument used a validated motivation questionnaire (Cronbach's Alpha = 0.847) with 12 Likert-scale statements. The CinDi Package intervention was administered over 4 weeks with a total education duration of 57 minutes. Data analysis utilized the Shapiro-Wilk test for normality and Paired T-Test with a significance level of α = 0.05.Results: Respondent characteristics were dominated by age 40-59 years (62.9%), high school education (77.1%), employed (74.3%), and grande multipara (51.5%). Mean motivation scores increased significantly from 20.63±4.37 (pre-test) to 25.51±3.43 (post-test) with a mean difference of 4.88 points. The Paired T-Test showed t-value = -10.935 with p-value = 0.000 (p<0.05), indicating a significant difference in motivation before and after intervention.Conclusion: The CinDi Package integrating PowerPoint media, educational videos, and true stories proved effective in increasing WRA motivation to undergo Pap smear examinations for early cervical cancer detection. The 23.6% increase in motivation demonstrates that the combination of audiovisual media and emotional approach through true stories can optimize respondents' cognitive and affective aspects.