Gambaran Symptoms pada Perempuan dengan Kanker Ginekologi

ABSTRAKLatar belakang: Kanker ginekologi merupakan salah satu masalah kesehatan reproduksi jenis kanker yang sering terjadi. Faktor yang menyebabkan tingginya angka kejadian kanker ginekologi, yaitu banyaknya gejala-gejala yang diabaikan sehingga gejala yang sebenarnya dapat ditangani lebih awal menjadi penyakit yang sangat serius. Perempuan dengan kanker ginekologi memiliki beban gejala dari waktu ke waktu yang dapat menghasilkan respon negatif pada fisik, psikologis dan emosional pasien. Penelitian ini akan melihat beban gejala pada kanker ginekologi baik yang sudah melakukan proses kemoterapi maupun yang belum melakukan proses kemoterapi.Tujuan: Mendeskripsikan symptom pada perempuan dengan kanker ginekologi. Metode: Penelitian ini menggunakan desian penelitian kuantitatif bersifat deskriptif dengan pendekatan cross-sectional study dengan jumlah sampel 95. Instrument MSAS digunakan untuk pengukuran gejala. Data dianalisis dengan menggunakan deksriptif analisis. Hasil: Sepuluh gejala yang umum dialami responden dengan kanker ginekologi adalah merasa khawatir 96,8% (92), merasa sedih 95,8% (91), susah tidur 93,7% (89), masalah dalam aktivitas atau gairah seksual 89,5% (85), merasa lelah 86,3% (82), kurang nafsu makan 81,1% (77), pusing 80% (76), mudah marah 80% (76), nyeri 78,9% (75), kurang energi 78,9 (75), dengan rata-rata gejala sebesar 1,08 (± 0,386). Kesimpulan: Tiga gejala yang umum dialami responden dengan kanker ginekologi adalah merasa khawatir, merasa sedih, susah tidur. Hasil penelitian ini dapat menjadi masukan bagi tenaga kesehatan untuk membuat suatu intervensi priotitas untuk meminimilkan gelaja yang dirasakan oleh pasien dengan kanker ginekologi.Kata Kunci: Kanker Ginekologi, Gejala, PerempuanSymptom in Women with Gynecological CancerABSTRACTBackground: Gynecological cancer is one of the most common types of reproductive health problems in cancer. Factors that cause high rates of gynecological cancer, namely the number of symptoms that are ignored so that the actual symptoms can be treated early into a very serious disease. Women with gynecological cancer have a burden of symptoms over time which can produce negative responses to the physical, psychological and emotional patient. This study will look at the symptoms in gynecological cancers both those who have undergone chemotherapy and those who have not yet taken chemotherapy. Objectives: Describe the symptom burden in women with gynecological cancer. Methods: This study used a descriptive quantitative research design with a cross-sectional study approach with a sample size of 95. The MSAS instrument was used to measure symptoms. A descriptive statistics were used to analyse the data. Results: Ten common symptoms experienced by respondents with gynecological cancer were feeling worried 96.8% (92), feeling sad 95.8% (91), insomnia 93.7% (89), problems in activity or sexual arousal 89, 5% (85), feeling tired 86.3% (82), lack of appetite 81.1% (77), dizziness 80% (76), irritability 80% (76), pain 78.9% (75), less energy is 78.9 (75), with an average symptom of 1.08 (± 0.386). Conclusion: Three common symptoms experienced by respondents with gynecological cancer are feeling worried, feeling sad, insomnia. The results of this study can be input for health workers to make a priority intervention to minimize the symptoms felt by patients with gynecological cancer.Keywords: Gynecological Cancer, Symptoms Burden, Women

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PENDIDIKAN DAN PENGETAHUAN DALAM PEMANFAATAN PELAYANAN KONTRASEPSI PADA PASANGAN USIA SUBUR DI PUSKESMAS KARANG INTAN 2 KABUPATEN BANJAR

Jurnal Midwifery Update (MU) ◽

10.32807/jmu.v2i1.70 ◽

2020 ◽

Vol 2 (1) ◽

pp. 6

Author(s):

Rita Kirana ◽

Wardah Tilah Yuliani

Keyword(s):

Family Planning ◽

Quantitative Research ◽

Health Workers ◽

Cross Sectional Study ◽

Married Women ◽

Sectional Study ◽

Cross Sectional ◽

Quantitative Research Methods ◽

Study Approach ◽

Contraceptive Services

AbstrakPemberian pelayanan alat kontrasepsi adalah upaya yang dilakukan untuk meningkatkan kualitas keluarga. Selama kurun waktu dua dasawarsa, pelayanan kontrasepsi dalam pembangunan KB di Indonesia telah memperoleh hasil yang cukup menggembirakan. Pada SDKI tahun 2003 ada sebesar 57,4% wanita menikah yang memakai alat kontrasepsi. SDKI 2007 didapatkan data sebesar 61,4% wanita menikah yang memakai alat kontrasepsi SDKI 2008. Tujuan penelitian ini adalah untuk mengetahui pendidikan dan pengetahuan dengan pemanfaatan pelayanan kontrasepsi pada pasangan usia subur di Puskesmas Karang Intan 2 Kabupaten Banjar. Metode penelitian kuantitatif dengan pendekatan cross sectional study yang dimaksudkan untuk mengetahui dinamika hubungan antara variabel independen dengan variabel dependen. Hasil yang diperoleh pada penelitian ini tidak ada hubungan antara pendidikan dengan pemanfaatan pelayanan alat kontrasepsi KB (p= 0,209) dan terdapat hubungan antara pengetahuan dengan pemanfaatan pelayanan alat kontrasepsi KB pada PUS (p= 0,016). Disarankan bagi petugas kesehatan memberikan informasi tentang pemanfaatan pelayanan alat kontrasepsi KB pada pasangan usia subur untuk meningkatkan pengetahuan tentang penggunaan alat kontrasepsi. AbstractThe provision of contraceptive services is an effort made to improve the quality of the family. Over the past two decades, contraceptive services in the development of family planning in Indonesia have received quite encouraging results. In the 2003 IDHS, 57.4% of married women were using contraception. The 2007 IDHS data showed 61.4% of married women who used the 2008 IDHS contraception The purpose of this study was to determine the factors associated with the use of contraceptive services in infertile couples in Karang Intan 2 Health Center, Banjar District. Quantitative research methods with a cross sectional study approach that is intended to education and knowledge the dynamics of the relationship between independent variables with the dependent variable. There was no relationship between education and the use of family planning contraception services at PUS 2019 (p = 0.209) and there is a relationship between knowledge and the use of family planning contraception services at PUS (p = 0.016). It is recommended for health workers to provide information about the use of contraceptive services in fertile age couples to increase knowledge about the use of contraceptives.

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The Influence of Service Quality on Patient Satisfaction and Trust in Puskesmas Paccerakang of Makassar City

Window of Health Jurnal Kesehatan ◽

10.33368/woh.v1i3.45 ◽

2018 ◽

pp. 186-196

Author(s):

Rafiqah Mudjid ◽

Arman Arman ◽

Fatmah Afrianty Gobel ◽

Nurfardiansyah Burhanuddin

Keyword(s):

Patient Satisfaction ◽

Service Quality ◽

Police Officers ◽

Quantitative Research ◽

Cross Sectional Study ◽

Sectional Study ◽

Patient Trust ◽

Cross Sectional ◽

Study Approach ◽

Physical Evidence

Based on data from the medical record of Puskesmas Paccerakang, the number of patient visits in the last three months decreased. In August 2016, the number of patient visits as many as 2389 patients, then in September 2016, the number of patient visits as many as 2134 patients and in October 2016, the number of patient visits decreased to 2021 patients. The purpose to analyze the influence of service quality on patient satisfaction and trust in Puskesmas Paccerakang Kota Makassar. The type of this research is quantitative research with cross sectional study approach. Results from 334 patients were 295 patients (94.6%) and physical evidence was poor and patients were less satisfied 16 patients (72.7%). 293 patients (94.2%) said that Puskesmas Paccerakang staff was reliable and the patients were satisfied. Less reliable and less satisfied patients as many as 15 patients (65.2%). 298 patients (94.0%) said the respondent and the patient were satisfied. Officers are less responsive and patients are less satisfied as many as 14 patients (82.4%). 297 patients (96.1%) said that patients were convinced of the services provided by Puskesmas Police officers and patients were satisfied. Less confident about the services provided and less satisfied patients as many as 21 patients (84.0%). 297 patients (95.8%) were sufficiently empathetic for patients and patients were satisfied. Officers are less empathetic and patients are less satisfied as many as 20 patients (83.3%). The conclusion is that there are influence of service quality which include: tangible, reliability, responsiveness, assurance and empathy through satisfaction of patient trust at Puskesmas Paccerakang Kota Makassar.

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Dukungan Suami Meningkatkan Kunjungan Pemeriksaan K4 Ibu Hamil

Jurnal Kebidanan dan Kesehatan Tradisional ◽

10.37341/jkkt.v5i2.156 ◽

2020 ◽

Vol 5 (2) ◽

pp. 104-116

Author(s):

Eva Nurhidayati ◽

Emdat Suprayitno

Keyword(s):

Pregnant Women ◽

Health Workers ◽

Cross Sectional Study ◽

Sectional Study ◽

Third Trimester ◽

Chi Square ◽

Cross Sectional ◽

Study Approach ◽

Chi Square Test ◽

The Relationship

Background: K4 is the fourth prenatal check-up visit for health workers to obtain antenatal care according to standards and to detect complications as early as possible during pregnancy. The K4 coverage in Batang-Batang Daya village, the working area of the Batang-Batang Puskesmas is still below the target in 2018. The purpose of this study was to determine the relationship between husband's support and the decision of pregnant women in carrying out K4 examinations. Methods: The design of this study is analytic correlational with a cross-sectional study approach, the population of pregnant women in the third trimester of pregnancy in Batang-Batang Daya Village in 2019 was 27 respondents, using total sampling techniques, husband's support data was collected using a valid and reliable questionnaire. K4 examination data used a checklist in the KIA book, and the statistical test used was Chi-Square with an expected value of less than 5. Result: The results showed that most of the pregnant women received support from their husbands as many as 20 people (74.1). Most of the pregnant women underwent a K4 examination (4th pregnancy visit), as many as 20 people (74.1%). The analysis result from the Chi-Square test shows the value (ρ) = 0.000. Conclusion: It can be concluded that the husband's support is related to the decision by pregnant women to carry out K4 examinations. Husbands should always provide support to their wives to carry out routine checks so that pregnant women are motivated to carry out K4 examinations, and are more confident about carrying out their pregnancy.

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Faktor-Faktor yang Berhubungan dengan Peran Bidan dalam Pemantauan dan Deteksi Dini Resiko Tinggi Kehamilan di Wilayah Kerja Puskesmas Basuki Rahmat Kota Bengkulu

Jurnal Keperawatan Silampari ◽

10.31539/jks.v2i1.307 ◽

2018 ◽

Vol 2 (1) ◽

pp. 184-202

Author(s):

Danur Azissah ◽

Dwi Wulandari

Keyword(s):

Research Method ◽

Quantitative Research ◽

Sampling Technique ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Study Approach ◽

Risk Pregnancy ◽

Low Education ◽

High Motivation

The purpose of this research is to find out the relation between factors related to the role and early monitoring in Basuki Rahmat Health Center.The research method was quantitative research with cross sectional study approach. The population in this study was all active midwives in Puskesmas Basuki Rahmat Bengkulu City that teaches 25 people with total sampling technique. The results of the study, more than half of respondents (60%) have poor midwives, 52% adults, 16% have low education, 48% have enough knowledge, 55% have favorabel, 60% have high motivation, 44% have no experience in treatment, 60% never received a reward, 40% never received supervision. There is no significant relationship between education with the role and early monitoring of high risk pregnancy (P: 0.759). It is expected that the Health Office/Puskesmas can improve human resources by contributing to the study, providing training, awards and supervision continuously and simultaneously to the midwives at Puskesmas Basuki Rahmat, Bengkulu City. Keywords: Monitoring, Early Detection, Midwife Role.

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Hubungan Pengetahuan dan Sikap Ibu Tentang ISPA dengan Upaya Pencegahan ISPA pada Balita di Wilayah Kerja Puskesmas Semerap

Malahayati Nursing Journal ◽

10.33024/mnj.v1i1.5726 ◽

2022 ◽

Vol 1 (1) ◽

pp. 173-179

Author(s):

Sarniyati Sarniyati

Keyword(s):

Respiratory Tract ◽

Health Workers ◽

Sampling Technique ◽

Cross Sectional Study ◽

Upper Respiratory Tract ◽

Sectional Study ◽

Cross Sectional ◽

Study Approach ◽

Knowledge And Attitudes ◽

The Relationship

ABSTRACT: THE RELATIONSHIP OF MOM'S KNOWLEDGE AND ATTITUDE ABOUT ARI WITH URTI PREVENTION EFFORTS IN MANY CHILDREN IN THE WORK AREA OF SEMERAP PUSKESMAS Introduction: ISPA is an upper respiratory tract disease with special attention to pneumonia (pneumonia), and not ear and throat disease. ARI is an acute respiratory infection that attacks one part and or more of the respiratory tract from the nose (upper tract) to the alveolus (lower tract) including adnexal tissue such as sinuses, middle ear cavity, and pleura.Objective: To find out the relationship between knowledge and attitudes of mothers about ISPA with efforts to prevent ARI in toddlers.Methods: This research was conducted in the working area of the Semerap Health Center in 2020. The design of this study was a correlational study with a cross-sectional study approach, the population in this study was 2354 people, and the sampling technique used was Accidental Sampling. Statistical analysis of data using Pearson Product Moment.Result: There is a significant relationship between knowledge and attitudes of mothers about ISPA with efforts to prevent ISPA in children under five (p<0.05) with r values = 0.688 and 0.681Conclusion: It is hoped that the puskesmas or health workers can provide health education to the community, especially mothers who have toddlers. Keywords: Knowledge, Attitude, ISPA INTISARI: HUBUNGAN PENGETAHUAN DAN SIKAP IBU TENTANG ISPA DENGAN UPAYA PENCEGAHAN ISPA PADA BALITA DI WILAYAH KERJA PUSKESMAS SEMERAP Pendahuluan: ISPA adalah penyakit saluran pernafasan atas dengan perhatian khusus pada radang paru (Pneumonia), dan bukan penyakit telinga dan tenggorokan. Ispa adalah infeksi saluran pernafasan akut yang menyerang salah satu bagian dan atau lebih dari saluran nafas mulai dari hidung (Saluran Atas) hingga alveoli (Saluran bawah) termasuk jaringan adneksanya seperti sinus, rongga telinga tengah dan pleura.Tujuan: Diketahui hubungan pengetahuan dan sikap ibu tentang ispa dengan upaya pencegahan ISPA pada balita.Metode:Penelitian ini dilakukan di Wilayah Kerja Puskesmas semerap tahun 2020. Desain penelitian ini adalah Studi Korelasi dengan pendekatan Cross Sectional Study, populasi dalam penelitian ini adalah sebanyak 2354 orang, yang mana teknik pengambilan sampelnya menggunakan Accidental Sampling. Data analisis statistik dengan menggunakan Pearson Product Moment.Hasil: Didapatkan hubungan yang bermakna antara pengetahuan dan sikap ibu tentang ISPA dengan upaya pencegahan ISPA pada balita (p < 0,05) dengan nilai r = 0.688 dan 0.681Kesimpulan: Diharapkan kepada pihak puskesmas atau tenaga kesehatan untuk dapat memberikan penyuluhan kesehatan kepada masyarakat khususnya ibu yang mempunyai anak balita. Kata kunci: Pengetahuan, Sikap, ISPA

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Tired, Worried and Burned Out, but Still Resilient: A Cross-Sectional Study of Mental Health Workers in the UK during the COVID-19 Pandemic

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094457 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4457

Author(s):

Sofia Pappa ◽

Joshua Barnett ◽

Ines Berges ◽

Nikolaos Sakkas

Keyword(s):

Mental Health ◽

Emotional Exhaustion ◽

Organizational Support ◽

Sleep Problems ◽

Health Workers ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Mental Health Workers ◽

Sectional Study ◽

Cross Sectional

The burden of the COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of COVID-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively; sleep problems with the Athens Insomnia Scale (AIS); burnout with the Maslach Burnout Inventory (MBI); and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation, and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and overeating was also observed. However, high Resilience was reported by 70% of the samples and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia, and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.

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Illness severity and risk of mental morbidities among patients recovering from COVID-19: a cross-sectional study in the Icelandic population

BMJ Open ◽

10.1136/bmjopen-2021-049967 ◽

2021 ◽

Vol 11 (7) ◽

pp. e049967

Author(s):

Karen Sól Saevarsdóttir ◽

Hildur Ýr Hilmarsdóttir ◽

Ingibjörg Magnúsdóttir ◽

Arna Hauksdóttir ◽

Edda Bjork Thordardottir ◽

...

Keyword(s):

Severe Disease ◽

Symptom Burden ◽

Cross Sectional Study ◽

Illness Severity ◽

University Education ◽

Adjusted Relative Risk ◽

Sectional Study ◽

Cross Sectional ◽

Symptoms Of Depression ◽

Increased Risk

ObjectiveTo test if patients recovering from COVID-19 are at increased risk of mental morbidities and to what extent such risk is exacerbated by illness severity.DesignPopulation-based cross-sectional study.SettingIceland.ParticipantsA total of 22 861 individuals were recruited through invitations to existing nationwide cohorts and a social media campaign from 24 April to 22 July 2020, of which 373 were patients recovering from COVID-19.Main outcome measuresSymptoms of depression (Patient Health Questionnaire), anxiety (General Anxiety Disorder Scale) and posttraumatic stress disorder (PTSD; modified Primary Care PTSD Screen for DSM-5) above screening thresholds. Adjusting for multiple covariates and comorbidities, multivariable Poisson regression was used to assess the association between COVID-19 severity and mental morbidities.ResultsCompared with individuals without a diagnosis of COVID-19, patients recovering from COVID-19 had increased risk of depression (22.1% vs 16.2%; adjusted relative risk (aRR) 1.48, 95% CI 1.20 to 1.82) and PTSD (19.5% vs 15.6%; aRR 1.38, 95% CI 1.09 to 1.75) but not anxiety (13.1% vs 11.3%; aRR 1.24, 95% CI 0.93 to 1.64). Elevated relative risks were limited to patients recovering from COVID-19 that were 40 years or older and were particularly high among individuals with university education. Among patients recovering from COVID-19, symptoms of depression were particularly common among those in the highest, compared with the lowest tertile of influenza-like symptom burden (47.1% vs 5.8%; aRR 6.42, 95% CI 2.77 to 14.87), among patients confined to bed for 7 days or longer compared with those never confined to bed (33.3% vs 10.9%; aRR 3.67, 95% CI 1.97 to 6.86) and among patients hospitalised for COVID-19 compared with those never admitted to hospital (48.1% vs 19.9%; aRR 2.72, 95% CI 1.67 to 4.44).ConclusionsSevere disease course is associated with increased risk of depression and PTSD among patients recovering from COVID-19.

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Competency of health workers in detecting and managing gestational hypertension, pre-eclampsia, severe pre-eclampsia and eclampsia during antenatal check-ups in primary care health facilities in Bangladesh: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-046638 ◽

2021 ◽

Vol 11 (7) ◽

pp. e046638

Author(s):

Sk Masum Billah ◽

Abdullah Nurus Salam Khan ◽

S M Rokonuzzaman ◽

Nafisa Lira Huq ◽

Marufa Aziz Khan ◽

...

Keyword(s):

Primary Care ◽

Health Workers ◽

Gestational Hypertension ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Hypertensive Disorders Of Pregnancy ◽

Cross Sectional ◽

Hypertensive Disorders ◽

Care Facilities

Study objectiveTo evaluate the competency of trained health workers in detecting and managing hypertensive disorders of pregnancy during routine antenatal check-ups (ANCs) at primary care facilities in Bangladesh.Study design and settingsCross-sectional study; conducted in 26 primary care facilities.Outcome measuresAccurate diagnosis of the hypertensive disorders of pregnancy.MethodIn total 1560 ANC consultations provided by primary health workers, known as Family Welfare Visitors (FWVs), were observed using a structured checklist between October 2017 and February 2018. All consultations were reassessed by study physicians for validation.ResultOf the ‘true’ cases of gestational hypertension (n=32), pre-eclampsia (n=29) and severe pre-eclampsia (n=16), only 3%, 7% and 25%, respectively, were correctly diagnosed by FWVs. Per cent agreement for the diagnosed cases of any hypertensive disorders of pregnancy was 9% and kappa statistics was 0.50 (p value 0.0125). For identification of any hypertensive disorders by FWVs, sensitivity and positive predictive values were 14% and 50%, respectively. There was a moderate positive correlation between the blood pressure measurements taken by FWVs and study physicians. Only 27% of those who had ‘some protein’ in urine were correctly identified by FWVs. Women diagnosed with any of the hypertensive disorders of pregnancy by FWVs were more likely to be counselled on at least one danger sign of pre-eclampsia (severe headache, blurring of vision and upper abdominal pain) than those without any such diagnosis (41% vs 19%, p value 0.008). All four cases of severe pre-eclampsia diagnosed by FWVs were given a loading dose of intramuscular magnesium sulphate and three among them were referred to a higher facility.ConclusionThe FWVs should be appropriately trained on risk assessment of pregnant women with particular emphasis on accurately assessing the diagnostic criteria of hypertensive disorders of pregnancy and its management.

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