Effect of Health Education with Flip Chart and Video on Knowledge about Early Detection of Cervical Cancer in Women of Reproductive Age in Nganjuk District, East Java

2020 ◽  
Author(s):  
Ike Nurrochmawati ◽  
◽  
Ambar Dwi Retnoningrum ◽  
Remita Yuli Kusumaningrum ◽  
◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Health Education ◽  
Early Detection ◽  
Pap Smear ◽  
Reproductive Age ◽  
Screening Tests ◽  
Control Group ◽  
Women Of Reproductive Age ◽  
Flip Chart ◽  
Independent Variable

Background: Cervical cancer is the fourth most prevalent cancer in women. Pap smear and visual inspection acetic acid (VIA) are essential screening tests to early detect cervical cancer. However, the use of screening tests remained low among women of reproductive age in Nganjuk district, East Java. This study aimed to determine the effectiveness of health education using flip chart and video on knowledge about early detection of cervical cancer among women of reproductive age in Nganjuk district, East Java. Subjects and Method: A randomized control trial conducted in Rejoso, Nganjuk, East Java, from October to November 2019. A sample of 120 women of reproductive age was randomized into two groups: (1) Experiment group that received health education using a flip chart and video, and (2) Control group that received no intervention. The dependent variable was knowledge of early detection of cervical cancer. The independent variable was health education using a flip chart and video. The data were collected using questionnaire. The data were analyzed by independent t-test. Results: After the intervention, knowledge about early detection of cervical cancer in the experimental group (Mean= 80.40; SD= 10.54) was higher than the control group (Mean= 70.53; SD= 9.68), and it was statistically significant (p <0.001). Conclusion: Health education using a flip chart and video is effective in improving knowledge about early detection of cervical cancer among women of reproductive age. Keywords: early detection, cervical cancer, health education, women of reproductive age Correspondence: Ike Nurrochmawati. School of Health Sciences Satria Bhakti, Nganjuk. Jl. Panglima Sudirman VI, Nganjuk, East Java. Email: [email protected]. Mobile: +6282141578108. DOI: https://doi.org/10.26911/the7thicph.02.36

scholarly journals Effect of Health Education on Women’s Knowledge Level about Pap Smear’s Early Detection of Cervical Cancer Prevention

2020 ◽  
Vol 6 (02) ◽  
pp. 65-71
Author(s):  
Rostime Hermayerni Simanullang ◽  
Selli Dosrina Sitopu
Keyword(s):  
Cervical Cancer ◽  
Health Education ◽  
Early Detection ◽  
Pap Smear ◽  
Cervical Cancer Prevention ◽  
Rank Test ◽  
Control Group ◽  
Women's Knowledge ◽  
Women’S Knowledge ◽  
Early Detection And Prevention

AbstractCervical cancer is a scary disease for women all over the world. This disease can actually be prevented and identified early. Pap smear is one of the tools of early detection to determine the presence of symptoms of cervical cancer. If women’s knowledge is good about pap smear’s early detection of cervical cancer, it can prevent the disease. The objective of this study was to know the effect of health education in women about pap smear which aids in early detection and prevention of cervical cancer. This was a quasi-experimental one group pretest, conducted without a control group at Murni Teguh Memorial Hospital (MTMH), Medan, North Sumatra from June to July 2018. There were 36 samples selected using purposive sampling. Wilcoxon signed-rank test was used for data analysis. The results of this study showed that there was a difference in the mean value of women's knowledge levels (p = 0. 000) before and after the intervention. The conclusion of this study was that there was a significant effect of health education in terms of an increase in the level of women's knowledge about pap smear’s early detection and prevention of cervical cancer. It is expected that health education about pap smear’s early detection and prevention of cervical cancer will prove to be very important in the future.

scholarly journals Features of Pap smears in women of reproductive life with papillomavirus 16, 18

2021 ◽  
pp. 96-97
Author(s):  
Shafag Eldar Aliyeva ◽  
Keyword(s):  
Cervical Cancer ◽  
Epithelial Cells ◽  
Pap Smear ◽  
Reproductive Age ◽  
Pap Smears ◽  
Pathological Changes ◽  
Women Of Reproductive Age ◽  
Hpv 16 ◽  
Sexually Transmitted ◽  
Cervical Disease

Introduction. According to modern data, cervical diseases do not occur by chance. Precancerous lesions vary from person to person and become invasive over time. The need for specific diagnostic methods for early detection of cervical cancer in women of reproductive age always remains relevant. Over the years, numerous diagnostic, cytological and histological studies have been carried out to identify malignant lesions of the cervix. Human papillomavirus (HPV) is a widespread sexually transmitted infection that affects both women and men around the world and plays an important role in the development of cervical disease. It is the most common sexually transmitted virus in the United States of America. For the first time in 1942, Papanicolaou emphasized the possibility of using smears (PAP smears) from the cervix and from the vagina to diagnose cervical disease. PAP preparations of smears are mainly multilayered flat epithelial cells of the ectocervix and vagina, endocervical cylindrical cells, including mononuclear and polynuclear inflammatory cells that enter the vagina through diapedesis from the surface of the epithelial layer, mixing with the mucoid fluid produced by the endocervical epithelial fluid. Purpose — using objective criteria for cytological examination to identify neoplastic changes in the cervix. Materials and methods. The study included 100 women of reproductive age (18–45 years old) during 2015–2020. Of these, 20 were in the control group (group I — control) and 80 — in the high-risk group for cervical cancer (group II — the main group). Group II women were also divided into 2 subgroups: II A — with pathology of the cervix (n=41), II B — without pathology of the cervix (n=39). The study included patients with a positive result on HPV 16/18 including patients whose PAP smears revealed intracellular damage. Pap smears were included in the study according to the following criteria. The smears contained a sufficient number of squamous epithelial cells and their integrity was preserved. Endocervical cells were monitored in all PAP smears. The examination was carried out with at least 5 cells in each, not completely, and with 2 clusters of endocervical glandular or squamous metaplastic cells. Squamous epithelial cells covered at least 10% of the preparation. Bloody, technically artifactic preparations without clinical data have not been studied. The deficit rate did not exceed 3%, and high interest rates on artifacts were not included in the study. Despite the small number of cells in the presence of abnormal cells, this was unequivocally considered sufficient. Results. Interpretation of PAP smear results identified n=35 ASCUS patients, n=24 LSIL, n=21 HSIL patients in the PAP smear positive reproductive age group. HPV serotypes 16.18 were found in 24 of these patients. In women of the II B subgroup, no pathological changes in the cervix were observed. Conclusions. In women of reproductive age with positive HPV 16, 18, for the diagnosis of precancerous diseases of the cervix, taking pap smears is an integral part of the study. As a result of the study, it was revealed that, despite the absence of a clinical picture, pathological changes at the cell level are detected. Key words: HPV16, 18, ASCUS, LSIL, HSIL, PAP.

scholarly journals Women’s knowledge and participation in early detection of cervical cancer: a cross-sectional study

2020 ◽  
Vol 3 (1) ◽  
pp. 1-7
Author(s):  
Elia Ika Rahmawati ◽  
Dini Andriyani ◽  
Fathiyatur Rohmah
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
P Value ◽  
Women Of Reproductive Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Incidence And Mortality

Cervical cancer is a malignant disease that remains a major cause of morbidity and mortality among women in the world. In Indonesia, only 5% of women of reproductive age screen for cervical cancer. 76.6% of cervical cancer patients are detected with the disease when they entered the advanced stage. Early detection of cervical cancer is the key intervention in the reduction of incidence and mortality of cervical cancer. Other studies reported that the awareness of women of reproductive age to do cervical cancer screening is still very low due to a lack of knowledge about cervical cancer. This study aimed to determine the correlation of knowledge and participation in early detection of cervical cancer in women in reproductive age. This study used an analytical survey with a cross-sectional approach. The sampling technique used incidental sampling with a total of 36 women in reproductive age. Data analysis used Chi-Square test. Statistical results showed that there was a significant correlation between knowledge of women in reproductive age about cervical cancer and participation in early detection of cervical cancer, which is p value = 0.020 ( 0.05) and coefficient of contingency (r) = 0.423. The level of closeness of the correlation is medium. Therefore, there is a need for tailored services that could improve knowledge of women in reproductive age about cervical cancer to improve participation with a view to preventing cervical cancer by early detection.

scholarly journals Onkogenesis, Morfologi, dan Modalitas Deteksi Dini Karsinoma Serviks

2021 ◽  
Vol 3 (1) ◽  
pp. 47
Author(s):  
Elsani P. L. Rapar ◽  
Maria K. Sambuaga ◽  
Meilany F. Durry
Keyword(s):  
Cervical Cancer ◽  
High Risk ◽  
Early Detection ◽  
Cervical Carcinoma ◽  
Pap Smear ◽  
Morphological Changes ◽  
Screening Tests ◽  
Pap Smears ◽  
Hpv Dna ◽  
E6 And E7

Abstract: The incidence and mortality rates of cervical cancer in developing countries are relatively high compared to developed countries. The main risk factor for cervical cancer is high risk human papilloma virus (HPV) infection, such as types 16 and 18. Types of high-risk HPV expresses oncoproteins E6 and E7 which play an essential role in the pathogenesis of cervical carcinoma through inhibition of the activity of gene group expression products that play a role in suppressing tumor growth, such as p53 and pRB. This process will cause morphological changes in the squamous epithelium from precancerous lesions to cancer. The development of squamous epithelial cell cancer can be prevented through screening tests in order to detect cervical cancer early. This study was aimed to obtain the oncogenesis, morphology, and early detection modality of cervical carcinoma. This was a literature review study using three databases, as follows: ClinicalKey, PubMed, and Google Scholar. The results explained that p53 and pRB suppression by high-risk HPV oncoproteins E6 and E7 played an important role in the pathogenesis of cervical carcinoma. The most common histological type is squamous cell carcinoma. Screening tests such as visual inspection with acetic acid (VIA), Pap smears and HPV DNA have an important role as modalities for early detection of malignancy. More specifically VIA and Pap smears are suitable for Indonesia which is a developing country, especially when implemented in peripheral areas.Keywords: oncogenesis; morphological changes; early detection; cervical carcinoma  Abstrak: Insidens dan mortalitas kanker serviks di negara berkembang relatif tinggi dibandingkan negara maju. Faktor risiko utama dari kanker serviks adalah infeksi human papilloma virus (HPV) risiko tinggi yaitu tipe 16 dan 18. HPV tipe risiko tinggi mengekspresikan onkoprotein E6 dan E7, yang berperan penting dalam patogenesis karsinoma serviks melalui inhibisi terhadap aktivitas produk-produk ekspresi kelompok gen yang berperan dalam menekan pertumbuhan tumor, seperti p53 dan pRB. Proses ini akan menyebabkan perubahan morfologik pada epitel skuamosa mulai dari lesi prakanker sampai kanker. Perkembangan kanker sel epitel skuamosa dapat dicegah melalui pemeriksaan skrining guna mendeteksi dini kanker serviks. Penelitian ini bertujuan untuk mengetahui onkogenesis, morfologi, dan modalitas deteksi dini karsinoma serviks. Jenis penelitian ialah literature review menggunakan tiga basis data yaitu ClinicalKey, PubMed, dan Google Scholar. Hasil penelitian mendapatkan bahwa penekanan p53 dan pRB oleh onkoprotein HPV risiko tinggi E6 dan E7 sangat berperan penting dalam patogenesis karsinoma serviks. Tipe histologik tersering ialah tipe karsinoma sel skuamosa. Pemeriksaan skrining seperti pemeriksaan inspeksi visual dengan asam asetat (IVA), Pap smear dan HPV DNA memiliki peran penting sebagai modalitas deteksi dini keganasan. Lebih khusus IVA dan Pap smear cocok untuk negara Indonesia yang merupakan negara berkembang, terutama bila diimplementasikan di daerah perifer.Kata kunci: onkogenesis; perubahan morfologik; deteksi dini; karsinoma serviks

scholarly journals Tingkat Pengetahuan dan Pelaksanaan Pap Smear Pada Ibu Pasangan Usia Subur di Dusun Kemasan Desa Karang Tengah Imogiri Bantul Tahun 2015

2017 ◽  
Vol 11 (2) ◽  
pp. 49-54
Author(s):  
Chusnul Khotimah ◽  
Dyah Noviawati Setya Arum ◽  
Munica Rita Hernayanti
Keyword(s):  
Cervical Cancer ◽  
Pap Smear ◽  
Basic Education ◽  
Reproductive Age ◽  
Pap Smears ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Common Cancer ◽  
Level Of Knowledge ◽  
Cost Factors

Cervical cancer is the second most common cancer in the world. In developing countries still ranks first as a cause of cancer deathsin women of reproductive age. Pap smear has proved very useful for early detection of cervical cancer since pre-cancerous stage,but many women are reluctant to undergo a pap smear because of ignorance, shame, fear, and cost factors. While the Pap smearcoverage lowest in Imogiri health center II is 0%. The type of research is a descriptive study with cross-sectional approach. Todescribe the level of knowledge and overview of the implementation of Pap smears in women in fertile age couple in the KemasanHamlet Karang Tengah Village Imogiri Bantul. The entire population of mothers in fertile age couple who attended of the PKK andwilling to become respondents in the Kemasan Hamlet Karang Tengah Village Imogiri Bantul. The results of research that themajority of respondents aged> 35 years (51.1%), basic education (50%), does not work (53.44%), obtain resources through onesource (63.3%). The level of knowledge about Pap smears in women PUS (Pasangan Usia Subur) in the Kemasan Hamlet KarangTengah Village Imogiri Bantul 2015 is in the category enough that 72.7% and most did not carry out pap smear that is, 86.4%. Theconclusion that the level of knowledge about the EFA mother pap smear EFA in the Kemasan Hamlet Karang Tengah Village ImogiriBantul 2015 enough and did not carry out pap smear.

scholarly journals Motivation on Early Detection of Cervical Cancer in Women of Reproductive Age: A Scoping Review

2020 ◽  
Author(s):  
Siti Nurul Khotimah ◽  
◽  
Dwi Ernawati ◽  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Early Detection ◽  
Cervical Cancer Screening ◽  
Scoping Review ◽  
Sexual And Reproductive Health ◽  
Critical Appraisal ◽  
Reproductive Age ◽  
Inclusion Criteria ◽  
Women Of Reproductive Age

ABSTRACT Background: Cervical cancer ranked the fourth most cancer incidence in women. WHO announced that 311,000 women died from the disease in 2018. Cervical cancer screening uptake remains low, especially in low- and middle-income countries. This scoping review aimed to investigate the motivation for early detection of cervical cancer in women of reproductive age. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The research question was identified using population, exposure, and outcome(s) (PEOS) framework. The search included PubMed, ResearchGate, and grey literature through the Google Scholar search engine databases. The inclusion criteria were English-language and full-text articles published between 2010 and 2020. A total of 275 articles were obtained by the searched database. After the review process, twelve articles were eligible for this review. The quality of searched articles was appraised by Joanna Briggs Institute Critical Appraisal tools. The data were reported by the PRISMA flow chart. Results: Seven articles from developing countries (Jamaica, Nepal, Africa, Nigeria, Libya, and Uganda) and five articles from developed countries (England, Canada, Sweden, and Japan) met the inclusion criteria with cross-sectional studies. The selected existing studies discussed 3 main themes related to motivation to early detection of cervical cancer, namely sexual and reproductive health problems, diseases, and influence factors. Conclusion: Motivation for cervical cancer screening uptake is strongly related to the early detection of cervical cancer among reproductive-aged women. Client-centered counseling and comprehensive sexual and reproductive health education play an important role in delivering information about the importance of cervical cancer screening. Keywords: motivation, cervical cancer, screening, early detection, reproductive-aged Correspondence: Siti Nurul Khotimah. Health Sciences Department of Master Program, Universitas Aisyiyah Yogyakarta. Jl. Siliwangi (Ringroad Barat) No. 63, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: [email protected]. Mobile: +6281227888442. DOI: https://doi.org/10.26911/the7thicph.03.65

scholarly journals The Influence of Testimony Video in Early Detection of Cervical Cancer

2020 ◽  
Vol 8 (1) ◽  
pp. 90-101
Author(s):  
Siti Masitoh ◽  
Mardeyanti Mardeyanti
Keyword(s):  
Cervical Cancer ◽  
Health Education ◽  
Early Detection ◽  
Community Health Centers ◽  
Pap Smear ◽  
Health Centers ◽  
P Value ◽  
High Incidence ◽  
Before And After ◽  
And Behavior

The high incidence of cervical cancer in Indonesia is up to almost 80%. The cause of action is needed early detection through examination visual inspection with acetic acid/pap smear as a precaution to handling this disease. Women have avoided early detection through pap smear due to a lack of knowledge.  The study's purpose was to determine the effect of health education with the module and video testimonials on increasing knowledge, attitude, and behavior in the early detection of cervical cancer by pap smear in Community Health Centers District Cipayung.  This study uses a Quasi Experiment with pretest-posttest design in two groups, consisting of groups with a module method and groups by watching testimonial videos. Data obtained from questionnaires for knowledge, attitude, and behavior. The total samples are 70. Each group is 35 respondents.  The results showed in the module group, and there were differences in knowledge before and after health education (p-value 0,000) and behavior (0.029). There are differences in knowledge (p-value 0.046) and behavior (0,000). This study also shows differences in behavior after getting health education between modules and video testimonials (p-value 0.003). Education of respondents influences knowledge (p-value 0,000).  Health education using video testimonials increases attitudes and behaviors towards the early detection of cervical cancer.

scholarly journals Faktor Deteksi Dini Kanker Serviks Metode IVA pada Wanita Usia Subur

2018 ◽  
Vol 2 (2) ◽  
pp. 100
Author(s):  
Nur Asni Arti
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Active Role ◽  
Reproductive Age ◽  
P Value ◽  
Validity And Reliability ◽  
Women Of Reproductive Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Probability Sampling

ABSTRAKMeningkatnya kejadian kanker serviks terutama disebabkan masih rendahnya perilaku wanita usia subur (WUS) untuk deteksi dini kanker serviks. Salah satu upaya pemerintah untuk mendeteksi kanker serviks secara dini adalah melalui metode inspeksi visual asam asetat (IVA). Cakupan IVA di Desa Payageli sangat rendah sebesar 2,8%, masih di bawah target nasional (80%). Tujuan penelitian: Menganalisis hubungan pendidikan dan pengetahuan dengan deteksi dini kanker serviks metode IVA pada WUS di Desa Payageli, Kecamatan Sunggal, Kabupaten Deli Serdang. Metode: Penelitian ini merupakan studi analitik dengan metode potong lintang yang dilaksanakan dari bulan Februari sampai Juni 2016. Cara pemilihan sampel ialah probability sampling dengan jumlah sampel sebanyak 65 orang wanita usia 20-45 tahun. Pengumpulan data menggunakan kuesioner yang disusun oleh peneliti dan telah diuji validitas dan reliabilitasnya. Data dianalisis dengan uji chi square. Hasil: Penelitian menunjukkan bahwa secara statistik faktor pendidikan dan pengetahuan berhubungan dengan deteksi dini kanker serviks metode IVA dengan nilai p0,05. Variabel pendidikan merupakan variabel yang paling dominan berhubungan dengan deteksi dini kanker serviks metode IVA. Diskusi: Rendahnya pengetahuan dapat memengaruhi WUS untuk melakukan deteksi dini kanker serviks. Kesimpulan: Peran petugas kesehatan untuk lebih aktif melakukan penyuluhan atau memberikan KIE (komunikasi, informasi, edukasi) kepada WUS tentang deteksi dini kanker serviks dengan metode IVA.Kata Kunci: IVA, kanker serviks, deteksi diniFACTORS RELATED TO EARLY DETECTION OF CERVICAL CANCER USING IVA METHOD AY PAYAGELI VILLAGE, SUNGGAL , DELI SERDANGABSTRACTThe increasing incidence of cervical cancer is primarily caused by low behavior of women of reproductive age towards early detection of cervical cancer One of the government’s efforts to detect cervical cancer early is through a visual inspection with acetic acid (VIA) method. The coverage of VIA at Payageli Village is very low by 2.8%, which is below the national target of 80%. Objective: To analyze the correlation of education and knowledge with early detection of cervical cancer using VIA method in women of reproductive age in Payageli Village, Sunggal Subdistrict, Deli Serdang Regency. Methods: This research is an analytic study using a cross sectional method which was conductedfrom February to June 2016. Samples were taken using probability sampling with a sample size of 65 women aged 20-45 years. Data were collected through in-depth interviews using questionnaires that was made by the researcher and its validity and reliability had been tested. Data was analyzed using chi square test. Results: The research indicated that statistically the factors of education and knowledge correlated with early detection of cervical cancer using VIA method with p value of <0.05. the education variable was the most dominant variables correlated with early detection of cervical cancer using VIA method. Discussion: Poor knowledge may affect women of reproductive age to perform early detection of cervical cancer. Conclusion: Healthcare workers should play more active role in giving counseling or providing communication, information and education to women of reproductive age about early detection of cervical cancer by using VIA method.Keywords: VIA, cervical cancer, early detection

scholarly journals Effect of Perceived Benefit on Pap Smear Examination Uptake in Women of Reproductive Age: A Meta-Analysis

2020 ◽  
Author(s):  
◽  
Eti Poncorini Pamungkasari ◽  
Rita Benya Adriani ◽  
◽  
Keyword(s):  
Cervical Cancer ◽  
Health Belief Model ◽  
Pap Smear ◽  
Meta Analysis ◽  
Health Belief ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Smear Examination ◽  
Perceived Benefit ◽  
Belief Model

ABSTRACT Background: Cervical cancer is the second most common type of cancer in women. Pap smear examination can detect early and prevent late diagnosis of cervical cancer. Perception of benefits is one of the constructs of the Health Belief Model that can predict women’s intention in having a Pap smear. This study aimed to examine the effect of perceived benefit on Pap smear uptake using a meta-analysis. Subjects and Method: A meta analysis was conducted by searching articles from PubMed, Springer Link, Google Scholar databases. Keywords used “Health Belief Model” OR “HBM” OR “Perceived Benefit” AND “Pap smear” OR “Pap Test”. The inclusion criteria were full text, articles published from 2014 to 2019, and using cross sectional study design. The articles were selected by PRISMA flow chart. The quantitative data were analyzed by RevMan 5.3. Results: There were 6 articles that met the criteria. This study reported that strong perceived benefit increased Pap smear uptake in women of reproductive age (aOR= 1.15; 95% CI= 1.06 to 1.24; p<0.001) with I2 = 88%. Conclusion: Strong perceived benefit increases Pap smear uptake in women of reproductive age. Keywords: perceived benefit, pap smear, cervical cancer, health belief model Correspondence: Maranata. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 085867548771. DOI: https://doi.org/10.26911/the7thicph.03.133

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