Electronic Theses and Dissertation

Infeksi saluran kemih (ISK) merupakan salah satu infeksi bakteri paling umum pada
wanita, dengan kejadian 50-60% di antaranya pernah mengalami ISK. ISK terjadi
akibat ketidakseimbangan antara epitel saluran kemih dengan uropatogen yang
dipicu perilaku genital hygiene yang kurang baik sehingga meningkatkan kolonisasi
bakteri. Pengetahuan merupakan salah satu faktor yang memengaruhi perilaku
genital hygiene dan dapat mendukung praktik yang tepat. Penelitian ini
menganalisis hubungan pengetahuan genital hygiene dengan gejala ISK pada
mahasiswi FK USK. Desain penelitian analitik observasional dengan pendekatan
cross-sectional pada Januari-Oktober 2025. Sampel penelitian mahasiswi
Pendidikan Dokter USK diperoleh secara probability sampling melalui
proportionate stratified random sampling dengan 235 responden. Instrumen
penelitian terdiri atas kuesioner pengetahuan genital hygiene dan Urinary Tract
Infection Score Assessment (UTISA). 142 (60,4%) responden dengan tingkat
pengetahuan baik, 151 (64,3%) responden dengan gejala ISK 3 bulan terakhir.
Gejala ISK terbanyak yaitu frekuensi, urgensi serta inkontinensia urine, nyeri perut
bawah, dan nyeri punggung bawah. Hasil uji Chi-square menunjukkan p-
value=0,946 (p>0,05) yaitu tidak terdapat hubungan signifikan antara pengetahuan
genital hygiene dengan gejala ISK pada mahasiswi FK USK. Meskipun tingkat
pengetahuan genital hygiene pada mahasiswi tergolong baik, edukasi tetap
diperlukan untuk meningkatkan pemahaman dan kesadaran terkait praktik genital
hygiene serta gejala, dampak, dan pencegahan ISK.
Kata Kunci: Pengetahuan Genital Hygiene, Infeksi Saluran Kemih, mahasiswi,
Urinary Tract Infection Score Assessment (UTISA)

Urinary tract infections (UTIs) are one of the most common bacterial infections in women, with 50-60% of them having experienced a UTI. UTIs occur due to an imbalance between the urinary tract epithelium and uropathogens triggered by poor genital hygiene, which increases bacterial colonization. Knowledge is one of the factors that influence genital hygiene behavior and can support proper practices. This study analyzed the relationship between genital hygiene knowledge and UTI symptoms among female medical students at USK. The study design was an analytical observational study with a cross-sectional approach conducted from January to October 2025. The research sample of USK medical students was obtained through probability sampling using proportionate stratified random sampling with 235 respondents. The research instruments consisted of a genital hygiene knowledge questionnaire and the Urinary Tract Infection Score Assessment (UTISA). 142 (60.4%) respondents had a good level of knowledge, while 151 (64.3%) respondents had UTI symptoms in the last 3 months. The most common UTI symptoms were frequency, urgency, urinary incontinence, lower abdominal pain, and lower back pain. The Chi-square test results showed a p-value of 0.946 (p>0.05), indicating no significant relationship between genital hygiene knowledge and UTI symptoms among female students at FK USK. Although the level of knowledge about genital hygiene among female students is relatively good, education is still needed to improve understanding and awareness regarding genital hygiene practices as well as the symptoms, effects, and prevention of UTIs. Keywords: Genital Hygiene Knowledge, Urinary Tract Infection, female students, Urinary Tract Infection Score Assessment (UTISA)