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

2018 ◽  
Vol 2 (2) ◽  
pp. 100
Author(s):  
Nur Asni Arti

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

2020 ◽  
Vol 3 (1) ◽  
pp. 1-7
Author(s):  
Elia Ika Rahmawati ◽  
Dini Andriyani ◽  
Fathiyatur Rohmah

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.


2018 ◽  
Vol 10 (1) ◽  
pp. 20-25
Author(s):  
Ami Ami Oetamiati Wiharjo

Background :In Indonesia based on Globar Burden of Cancer database, breast cancer is the most cancer who suspecting women reached (26 per 100.000), followed by uterus cancer (16 per 100.000). Based on the Hospital Data Information System (SIRS) in 2007 showed that the incidence of breast cancer reaches 21,69% higher than the figure of cervical cancer 17%. Objective : Determined the relation of knowledge about women of childbearing aware with the early detection of breast cancer in Kelurahan Sindang Barang Bogor. Methods : This reaserch is a type of analytic descriptin with cross sectional design research. Methods of sampling in this research tecnique sample random sampling number of 97 people. The collection of data abtained through thr distribution of questionnaires in the form of the now closed. Result : Based on knowledge about BSE largely WUS 62 respondents (63.9%) and a fraction less knowledgeable 10 respondents (10.3%) good knowledge. Early detection of breast cancer in WUS majority of 55 respondents (56.7%) positive early detection and fraction 42 respondents (43.3%) negative early detection. Relations WUS knowledge about BSE with early detection of breast cancer is the most of 62 respondents (63.9%) less of knowledge among 35 respondents (36.1%) negative early detection and 27 respondents (27.8%) are positive early detection. The test results obtained statistical p value = 0.002 which means there is a significant relationship of two variables. Summary : There is a relatioship between knowledge among women of reproductive age about breast self-examination with early detection of breact cancer at keluarahan Sindang Barang Bogor2015. Suggestion : This research are usefull for healthcare to outreach on knowledge among women of reproductive age about breast self-examination with early detection of breact cancer, so that the women of reproductive age can be find out the information about breast cancer itself. 


2018 ◽  
Vol 1 (3) ◽  
pp. 18
Author(s):  
Martiningsih Martiningsih

This study aims to determine the ability of early detection, the factors that are most influential and related to the ability of early detection of hypoglycemia and hyperglycemia in diabetes mellitus patients in Bima Public Hospital in 2017. The method used in this research is an analytical descriptive method and uses a cross-sectional approach. The population of this study was all DM patients in Bima Public Hospital in 2017. The sample size was determined by purposive sampling technique, namely 30 people. The study was conducted in the internal medicine room of Bima Hospital. The data were retrieved by using questionnaire of Ability to Detect Hypoglycemia and Hyperglycemia which has been tested for the validity and reliability of the instrument with Cronbach's Alpha value of 0.734. The data analysis process was carried out by using Chi-Square test and logistic regression. Results: The ability of hypoglycemia and hyperglycemia to be detected in DM patients in Bima Public Hospital in 2017 was 47% who were able and 58% who were not able with the average of 42.70, with a minimum-maximum value of 34-52. The results of the multivariate test revealed that the duration of DM disease had the most significant effect on the ability of hypoglycemia and hyperglycemia detection (p-value = 0.001, OR 39.429). Discussion: Improving the quality of nursing care through self-care education in the right nursing perspective with regard to the characteristics of the respondents, one of them is a history of long-term DM disease, can prevent acute hypoglycemia and hyperglycemia.


Author(s):  
Reffi Jordania Pebrina ◽  
Margaretha Kusmiyanti ◽  
Fulgensius Surianto

Abstrak Kanker serviks merupakan peringkat enam penyebab utama kematian wanita dan peringkat dua kematian pada wanita berusia 15-44 tahun. Di Asia deteksi dini penyakit kanker serviks dilakukan melalui pemeriksaan Inspeksi Visual Asam Asetat (IVA). Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan pemeriksaan inspeksi visual asam asetat (IVA) di Puskesmas Cibinong Tahun 2019. Rancangan penelitian menggunakan desain cross-sectional pada 44 responden pasien KIA di Puskesmas Cibinong. Pengumpulan data di lakukan pada bulan April 2019 dengan menggunakan kuesioner dengan variabel umur, pendidikan, pekerjaan, pengetahuan, dukungan keluarga dan dukungan petugas kesehatan yang telah di uji validitas dan reliabilitas. Analisis data menggunakan uji chi square dan kendall’s tau b. Hasil menunjukkan bahwa umur (p-value 0,008) dan dukungan petugas kesehatan (p-value 0,015) berhubungan bermakna dengan pemeriksaan IVA dan faktor yang tidak berhubungan dengan pemeriksaan IVA ialah pendidikan, pekerjaan, pengetahuan dan dukungan keluarga. Hal tersebut menunjukkan perlunya peningkatan program promosi kesehatan, sosialisasi dan konseling kepada para ibu yang berkunjung ke Puskesmas Cibinong. Kata kunci: wanita, kanker serviks, Inspeksi Visual Asam Asetat (IVA) Abstract Cases of cervical cancer, as ranked 6th leading cause of female death and rank 2nd death in women aged 15-44 years. In Asia cervical cancer early screening or detection programs is through Visual Inspection with Acetic Acid (VIA). The study aims to analyze factors related to the examination of Visual Inspection with Acetic Acid (VIA) in Cibinong Health Center’s in 2019. This is a cross-sectional study with a sample of 44 respondents patient KIA in Cibinong Health Center’s. Data collection was taken through filling a set of questionnaires in April 2019 which have been tested for validity and reliability. Analysis performed by chi-square and Kendall’s tau b. The analysis shows age (p-value 0,008) and health practitioner’s support (p-value 0,015) are significantly related to examination of VIA and factor is not related to examination of VIA is education, job, knowledge and family support. It evidence to improve health promotion programs socialization and counseling for mothers who visit the Cibinong Health Center. Keywords: women, cervical cancer, Visual Inspection Acetic Acid (VIA)


2020 ◽  
Vol 3 (2) ◽  
pp. 381-386
Author(s):  
Ryta Marbun ◽  
Yovieta Yovieta ◽  
Oktavia Oktavia ◽  
Nurul Aswar Fadilla Daulay ◽  
Tuti Handayani Lubis ◽  
...  

Cancer is the second leading cause of death globally and 70% of cancers occur in low- and middle-income countries. incidence rate of 17 per 100,000 women, new cases found 13.0% with a death rate of 10.3% per year of all cancer cases in women in the world. Cervical cancer is caused by Human Papillomavirus (HPV) infection. HPV is a viral infection that attacks the reproductive tract. It takes 15 to 20 years for cervical cancer to develop in women with normal immune systems. IVA is an alternative screening examination to the pap smear because it is cheap, practical, very easy to do and simple equipment and can be done by health workers other than gynecologists. The IVA test was carried out by preparing 5% acetic acid and made on a cotton swap then a cotton swap was applied to the cervix and interpreted after 1 minute under bright light. The test is said to be positive if a white area is visible on the cervix. confusion about the importance of examinations, fear of the reality of the results faced, fear of feeling sick at the examination that will be faced, feeling reluctant to be examined by a male doctor or midwife and lack of family support, especially husbands. This research was conducted with a descriptive analytic research type with a cross sectional approach. The sample in this study were women of childbearing age aged 20-65 years. = 0.032 where p value> 0.05. with good knowledge of WUS, the desire to do early detection is also there as well as the attitude, if the attitude of WUS is positive, then do an IVA test. Therefore, knowledge and positive attitudes are very important for women women so that it will increase awareness and interest in women in early detection of cervical cancer. Women of reproductive age should get a lot of information about early detection and the role of health workers and their families is very important to be able to provide information and support for women of childbearing age to carry out early detection of cervical cancer.   Abstrak Kanker merupakan penyebab kematian tertinggi kedua secara global dan 70% kanker terjadi di negara-negara yang memiliki penghasilan rendah dan menegah. incidence rate 17 per 100.000 perempuan, kasus baru yang ditemukan 13,0% dengan jumlah kematian 10,3% per tahun dari seluruh kasus kanker pada perempuan di dunia. kanker serviks disebabkan oleh infeksi Human Papilomavirus (HPV). HPV merupakan infeksi virus yang menyerang saluran reproduksi. Dibutuhkan 15 hingga 20 tahun untuk kanker serviks untuk berkembang pada wanita dengan sistem kekebalan normal.  IVA merupakan pemeriksaan skrining alternatif dari pap smear karena murah, praktis, sangat mudah untuk dilakukan dan peralatan sederhana serta dapat dilakukan oleh tenaga kesehatan selain dokter ginekologi. Pemeriksaan IVA tes dilakukan dengan menyiapkan Asam asetat 5% dan dibuat pada cotton swap kemudian cotton swap dioleskan pada serviks dan diinterpretasikan setelah 1 menit di bawah cahaya terang. Tes dikatakan positif jika area putih terlihat pada serviks. keraguang akan pentingnya pemeriksaan, takut terhadap kenyataan akan hasil yang dihadapi, ketakukatan merasa sakit pada pemeriksaan yang akan dihadapi, rasa segan diperiksa dokter pria atau pun bidan dan kurangnya dukungan keluarga terutama suami. Penelitian ini dilakukan dengan Jenis penelitian deskriptif analitik dengan pendekatan cross sectional. Sampel dalam penelitian adalah wanita usia subur yang berusia 20-65 tahun Pengetahuan wanita usia subur ada hubungan dalam melakukan deteksi dini kanker serviks dengan IVA Tes dengan nilai p = 0.000 dimana nilai p > 0.05 dan adanya hubungan Sikap dengan deteksi dini kanker serviks dengan nilai p=0.032 dimana nilai p>0.05. dengan baikya pengetahuan  WUS maka keinginan untuk melakukan deteksi dini juga ada begitu juga dengan sikap, jika sikap WUS positif maka melakukan pemeriksaan IVA tes.  Oleh sebab itu pengetahuan dan sikap positif sangat penting dimiliki oleh WUS sehingga akan meningkatkan kesadaran dan  minat wus dalam  melakukan deteksi dini kanker serviks. Wanita Usia Subur harus mendapatkan banyak informasi tentang dekteksi dini dan peran petugas kesehatan dan juga keluarga sangat penting untuk dapat memberikan informasi dan dukungan bagi wanita usia subur untuk melakukan pemeriksaan deteksi dini kanker servik.


2021 ◽  
Vol 20 (2) ◽  
pp. 136-141
Author(s):  
Ankisha Shrestha ◽  
Ram Chandra Sinha ◽  
Aalia Ahmad

Introduction: The termination of pregnancy by the removal of a foetus or an embryo before surviving outside the uterus or before attaining its viability is called abortion. This study was conducted to study the knowledge, acceptability, perception and stigma of safe abortion among women of reproductive age group.  Methods: A cross-sectional analytical study was carried out in Bhaktapur District, Nepal from July 2019 to December 2019. Women of reproductive age group were included in the study. The semi-structured questionnaires were used as a data collection tool and Likert scales were used for perception and stigma which were self-designed. For Likert scale on perception and stigma, Cronbach’s α was calculated from the pre-tested samples which was found to be acceptable i.e., 0.649 and 0.856. Interview was taken as data collection technique. Data-entry was done in Epi-Data and analysed through SPSS 16.0. Chi square test was used to measure the association between dependent and independent variables. Result: The association between “Knowledge and Perception” was found to be significant with p-value of 0.04, the association between “Knowledge and Stigma” was also noted to be significant with p-value of 0.00 and “Knowledge and Acceptability” was also found to be significant with p-value of 0.00 through the assessment of knowledge, acceptability, perception and stigma. Conclusions: The study emphasises on educating and making aware every woman on safe abortion, its legalisation and its amended law to avoid the stigma and unsafe abortion practices.


2018 ◽  
Vol 3 (1) ◽  
pp. 7
Author(s):  
Indri Ramadini

<p><em>Cervical cancer is the number one killer in Indonesia, according to the Department of health RI 2010 cervical cancer to reach 100/100,000 per year. This figure will continue to rise 25% over the next 10 years if preventative measures are not undertaken.This type of analytical observational studies, cross sectional research study design, the number of samples 45 respondents. Sampling techniques is the Accidental sampling. Data obtained from the results of the univariate analysis and questionnaires with the frequency distribution and bivariat use chi-square statistic test, the value of p value &lt; 0.05. The results showed the incedence cervical cancer (68,9 %) and respondents who never do early detection (pap smear) (88,9%).</em><em> The statistical test showed that there was a significant correlation between early detection (pap smear) and the incidence of cervical cancer</em><em>.</em></p><p><em><br /></em></p><p>Kanker serviks merupakan pembunuh nomor satu di Indonesia, menurut Depkes RI tahun 2010 kanker serviks mencapai angka 100/100.000 per tahun. Angka ini akan terus meningkat 25% dalam kurun waktu 10 tahun mendatang jika tindakan pencegahan tidak dilakukan. Jenis penelitian analitik observasional, desain penelitian cross sectional study, jumlah sampel  45 responden. Teknik pengambilan sampel accidental sampling. Data diperoleh dari hasil kuesioner dan analisa secara univariat dengan distribusi frekuensi dan bivariat dengan menggunakan uji statistik chi-square, nilai p value &lt; 0,05.Hasil penelitian menunjukkan kejadian kanker serviks (68,9 %) dan responden yang tidak pernah melakukan deteksi dini (pap smear) (88,9 %). Uji statistik menunjukan bahwa ada hubungan yang bermakna antara deteksi dini (pap smear) dengan kejadian kanker serviks. </p><p><em><br /></em></p>


2021 ◽  
Vol 15 (10) ◽  
pp. 2641-2642
Author(s):  
Mahwish Shah ◽  
Aruna Kumari Hira ◽  
Urooj Naz ◽  
Sheena . ◽  
Sana Shahmir ◽  
...  

Aim: Frequency of cervical cancer in women of reproductive age presenting with abnormal vaginal bleeding. Methodology: Descriptive cross sectional study, done at Department of Obs &Gynae, JPMC, Karachi Duration of study: Six months from 01-11-2014 to 30-04-2015 Total 73 patients of age 18-45 years, having history of abnormal vaginal bleeding > 3 menstrual cycles were selected. Pregnant woman, abortion within last 6 months, age >45 years, fibroid/ tumors/ polyps, PID, gonorrhea, or Chlamydia patients were excluded. Chi-square was used as test of significance with a P value <0.05 taken as significant. Results: Mean ± SD age was 38.12 ± 4.33 years. Mean ± SD parity was 2.21 ± 1.67 children (Range: 0-5). Mean ± SD duration of presenting symptoms was 7.45 ± 2.81 months (Range 3-11). About one fifth of patients (i.e. 19.2%) were of age between 18-25 years. a vast majority (i-e; 43.8%) were in 26-35 years age category while remaining (36.99%) patients were of age between 36-45 years. 12.3% women had no children, 35.6% had 1-2 children, 28.8% had 3-4 children while remaining 23.3% women had 5 children. 12 out of 73 (16.4%) women had cervical cancer confirmed through biopsy and histopathology of cervical tissue. Age was significant (P value = 0.003) while parity & duration of presenting symptoms were non-significant (P values = 0.110 & 0.405 respectively). Conclusion: The study found that almost every 6th women with abnormal vaginal bleeding is suffering from cervical cancer. Younger age women and those having lesser parity are less prone to this condition. Keywords: Abnormal vaginal bleeding, Cervical cancer, Postcoital bleeding


2020 ◽  
Vol 9 (2) ◽  
pp. 21
Author(s):  
Sitti Mukarramah ◽  
Subriah Subriah ◽  
Wirawati Amin ◽  
Humrah Humrah

Cervical cancer is the number one killer of women in the world caused by the Human Papilomma Virus. One of the early detection of cervical cancer by checking Visual Inspection with Acetic Acid (VIA) is a simple way to detect cervical abnormalities. Knowledge of cervical cancer is one of the factors influencing WCBA behavior in conducting VIA examinations. This study aims to determine the relationship between WUS knowledge on cervical cancer with early detection examination behavior using VIA in Maradekaya Village. The research sample was 59 respondents with random sampling technique and a cross-sectional research design. The results showed that the respondents' knowledge about cervical cancer was included in the "tofu" category as many as 55 respondents (93.2%) and "do not know" category were 4 respondents (6.8%), respondents who did VIA examination were 22 respondents (37.3%) and those who did not perform VIA examination were 37 respondents (62.7%). Chi-square test with 95% CI showed a p-value of 0.521 (P> 0.05). These results indicate that there is no relationship between WCBA knowledge about cervical cancer with early detection using VIA in Maradekaya Village. Additional conclusions that can influence behavior it is culture.Kanker serviks adalah pembunuh wanita nomor satu di dunia yang disebabkan oleh Human Papilomma Virus. Salah satu deteksi dini kanker serviks dengan pemeriksaan Visual Inspection with Acetic Acid (VIA) merupakan cara sederhana untuk mendeteksi kelainan serviks. Pengetahuan tentang kanker serviks merupakan salah satu faktor yang mempengaruhi perilaku WCBA dalam melakukan pemeriksaan VIA. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan WUS tentang kanker serviks dengan perilaku pemeriksaan deteksi dini menggunakan VIA di Desa Maradekaya. Sampel penelitian sebanyak 59 responden dengan teknik random sampling dan desain penelitian cross-sectional. Hasil penelitian menunjukkan bahwa pengetahuan responden tentang kanker serviks termasuk dalam kategori “tahu” sebanyak 55 responden (93,2%) dan kategori “tidak tahu” sebanyak 4 responden (6,8%), responden yang melakukan pemeriksaan VIA sebanyak 22 responden. responden (37,3%) dan yang tidak melakukan pemeriksaan VIA sebanyak 37 responden (62,7%). Uji Chi-square dengan 95% CI menunjukkan nilai p 0,521 (P> 0,05). Hasil ini menunjukkan bahwa tidak ada hubungan antara pengetahuan WCBA tentang kanker serviks dengan deteksi dini menggunakan VIA di Desa Maradekaya. Kesimpulan tambahan yang dapat mempengaruhi perilaku itu adalah budaya.


Author(s):  
Muhammad Sufriannor ◽  
Hardiono Hardiono ◽  
Juanda A. Zuraini

Abstract: Knowledge, Attitude with Merchants Participation In The Management of Market Waste. In Banjarbaru city waste volume transported by TPS officers per day about 90 tons / day to TPA. One of the source of waste is the market which is a big problem because most of the market waste is wet garbage. So these waste piles become flies nest, rats, insects.Waste management is also influenced by the participation of merchants that were still lacking awareness to play an active role in the implementation. The purpose of this study is to determine the relations of knowledge, attitude with the participation of merchants in waste management in the Bauntung market Banjarbaru. The type of this research is analytical survey research with Cross Sectional approach. The population in this study is all merchants in the Bauntung market Banjarbaru. The sample is 85 respondents, obtained by proportional sampling method. The research variables consist of independent variables, namely knowledge and attitude while the dependent variable is the participation of merchants in waste management. Data analysis used is univariat and bivariate (using Chi Square with α = 0,05). The result of the research stated that there is no correlation between knowledge level and participation (p-value 0,747> 0,05). There is a correlation between attitudes with participation (p-value 0.001


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