scholarly journals Faktor-Faktor yang Berhubungan dengan Perilaku Pencegahan Stunting pada Saat Ibu Hamil di Wilayah Kerja Puskesmas Kabupaten Bondowoso

Author(s):  
Niswa Salamung ◽  
Joni Haryanto ◽  
Florentina Sustini

Stunting is the height according to age below -2 the median standard of the child's growth curve due to chronic malnutrition problems since the first 1,000 days of a child's life. One of the risks of stunting in children is the lack of nutritional intake during pregnancy. This study aims to identify factors related to the preventive behavior of stunting children during pregnancy. This study used a cross-sectional design. Samples in the study were 74 first-trimester pregnant women in the work area of Grujugan, Tenggarang, and Maesan health centers in Bondowoso Regency obtained using simple random sampling. The results of the analysis had a family support relationship (p-value 0.057), environmental support (p-value 0.010) but there is no relationship between stunting prevention behavior with age (p-value 0.361), education (p-value 0.230) and income (p-value 0.240). Recommendations from this study for health workers provide health education to pregnant women and families to provide an understanding of the prevention of stunting from early pregnancy. Keywords: Behavior; Prevention; stunting; pregnant women ABSTRAK Stunting merupakan tinggi badan menurut usia di bawah -2 standar median kurva pertumbuhan anak disebabkan masalah kurang gizi kronis sejak 1.000 Hari Pertama Kehidupan anak. Salah satu resiko terjadinya stunting pada anak adalah kurang asupan gizi pada masa ibu hamil. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan perilaku pencegahan anak stunting pada saat ibu hamil. Penelitian ini menggunakan rancangan cross sectional. Sampel pada penelitian sebanyak 74 ibu hamil trimester 1 diwilayah kerja puskesmas Grujugan, Tenggarang, dan Maesan Kabupaten Bondowoso yang diperoleh menggunakan simple random sampling. Hasil analisis ada hubungan dukungan keluarga (p-value 0,057), dukungan lingkungan (p-value 0,010) namun tidak ada hubungan antara perilaku pencegahan stunting dengan usia (p-value 0,361), pendidikan (p-value 0,230) dan pendapatan (p-value 0,240). Rekomendasi dari penelitian ini bagi tenaga kesehatan memberikan pendidikan kesehatan pada ibu hamil dan keluarga untuk memberikan pemahaman tentang pencegahan stunting sejak usia kehamilan dini Kata kunci: Perilaku, Pencegahan, stunting, ibu hamil

2021 ◽  
Vol 4 (2) ◽  
pp. 71-74
Author(s):  
Ratih Mega Septiasari ◽  
Nurya Viandika

AbstrakWanita hamil adalah salah satu kelompok khusus yang berisiko tinggi tertular virus Covid-19.Faktor risiko terbesar untuk mengalami berbagai tekanan psikologis adalah perempuan dan tenaga kesehatan serta populasi rentan seperti ibu hamil. Ketakutan dan kekhawatiran muncul dari bahaya yang memang ada, tetapi banyak juga yang muncul dari kurangnya pengetahuan dan informasi yang salah. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan Covid-19 dengan kecemasan ibu hamil pada saat pandemi Covid-19 di Malang Jawa Timur Indonesia. Penelitian dilakukan pada bulan November hingga Desember 2020 dan merupakan penelitian desain cross-sectional dengan menggunakan kuesioner  yang diberikan kepada 52 ibu hamil. Berdasarkan tabel 4 didapatkan p-value 0,029 (sig<0,05) yang menunjukkan bahwa ada hubungan yang signifikan antara pengetahuan dengan kecemasan ibu hamil selama pandemi Covid-19. Sehingga dapat disimpulkan bahwa pengetahuan merupakan factor penting bagi ibu hamil karena dapat mempengaruhi perilaku ibu selama hamil. Sehingga diharapkan edukasi yang optimal dari petugas kesehatan bagi para ibu agar dapat menjalani kehamilan sejahtera serta ibu dan janin tetap sehat selama pandemi Covid-19. Kata kunci: pengetahuan, kecemasan, kehamilan, pandemi covid-19  AbstractPregnant women are one of the special groups that are at high risk for the Covid-19 virus. The biggest risk factors for experiencing various psychological distresses are women and health workers as well as vulnerable populations such as pregnant women. Fear and worry arise from dangers that do exist, but many also arise from lack of knowledge and misinformation. The purpose of this study was to determine the correlation between Covid-19 knowledge and anxiety of pregnant women during the Covid-19 pandemic at Malang, East Java Indonesia. The study was conducted from November to December 2020 and is a cross-sectional design study using a questionnaire given to 52 of pregnant women. Based on the table 4, the p-value is 0.029 (sig <0.05), which indicates that there is a significant correlation between the knowledge and the anxiety of pregnant women during the Covid-19 pandemic. So it can be concluded that knowledge is an important factor for pregnant women because it can affect the behavior of the mother during pregnancy. So it is hoped that optimal education from health workers for mothers to be able to undergo a prosperous pregnancy so that mothers and fetuses remain healthy during the Covid-19 pandemic. Keywords: knowledge, anxiety, pregnancy, covid-19 pandemic


Author(s):  
Hanna Sriyanti Saragih ◽  
Julietta Hutabarat

One of the cervical cancer screening can be done with visual inspection of acetic acid (IVA Test). InIndonesia, almost 70% of cervical cancers were found in advanced stages (> stage II B). This is due to thelow level of screening, which was <5% where ideally was 80%. This research is to find out the correlationbetween husband's knowledge and support to IVA test behavior in women of fertiled age couples. This typeof research was analytic descriptive with cross sectional design carried out in Namorambe Village,Namorambe sub district. The population used in the study were all women of fertiled age who live inNamorambe village. Samples were taken by simple random sampling of 58 respondents. Data collectionusing questionnaires and data analyzed univariate and bivariate using Fisher Exact statistical tests. Theresults of statistical analysis showed that knowledge’s level of the respondents was mostly in less category of24 people (41.4%), husband's support for IVA test behavior was at less category of 39 people (67.2%), themost respondents did not do IVA test of 45 people (77.6 %). In bivariate analysis, with p-value of 0.001<0.05, it was concluded that there was significant correlation between knowledge with IVA examinationbehavior, and with a p-value of 0.04 <0.05. It was concluded that there was correlation between husband'ssupport and IVA examination behavior. It was need to increase knowledge about cervical cancer and IVAtest through education by health workers through the promotion of reproductive health.


2020 ◽  
Vol 6 (1) ◽  
pp. 35-42
Author(s):  
Suhardiana Rachmawati ◽  
Ahmad Yusuf ◽  
Rizky Fitriyasari

One problem in treating schizophrenia is recurrence. Recurrence indicates the return of symptoms of the previous disease is quite severe and disturbing daily activities and requires further treatment. Prevention of recurrence in schizophrenia can be sought by the family. This study aims to identify factors related to family abilities in preventing recurrence of schizophrenic patients. This study used a cross sectional design. The sample in the study were 82 families with family members of schizophrenic patients obtained using simple random sampling. The results of the analysis have a relationship between the age range of the family (p value 0.012), the role of respondents in the family (p value 0.032), duration of treating schizophrenic patients (p value 0.001) but there is no relationship between the ability to prevent recurrence with the sex of respondents (p value 0.835) and education level of respondents (p value 0.508). Recommendations from this study for health workers provide health education to families to provide an understanding of the ability to prevent recurrence in schizophrenic patients.   Keywords: Schizophrenia, Prevention of recurrence, Family


2018 ◽  
Vol 2 (4) ◽  
pp. 356
Author(s):  
Fauziah Itsnaini Shofiana ◽  
Denok Widari ◽  
Sri Sumarmi

Background: Anemia is a major nutritional problem in Indonesian, one of the occurs in pregnant women. Therefore the government issued prevention and control program of iron deficiency anemia through consecutive iron supplementation for at least 90 days during pregnancy.Objectives: This study aimed to analyze the influence of age, education and knowledge of consumption of iron tablets.Methods: This research was conducted in Maron Public Health Center, District of Probolinggo using a cross sectional design. A sample of 40 pregnant women in their last trimester who have received 90 iron tablets was recruited with a simple random sampling technique. The influence of age, education, and knowledge was analyzed using logistic regression test with significance value < 0,05.Results: The results showed that the knowledge of pregnant women affected of consumption of iron tablets (p=0.026), but age (p=0.914), education (p=0.419) did not affected of consumption of iron tablets. Conclusion: The conclusion of this research is that consumption of iron tablets in pregnant women is influenced by knowledge of pregnant women. The lack knowledge of the mother, the lower the level consumption of iron tablets. ABSTRAKLatar Belakang: Anemia merupakan masalah gizi utama di Indonesia, salah satunya terjadi pada ibu hamil. Oleh karena itu pemerintah mengeluarkan program pencegahan dan pengendalian anemia defisiensi besi melalui suplementasi besi berturut-turut selama setidaknya 90 hari selama kehamilan.Tujuan: Tujuan penelitian ini untuk menganalisis pengaruh usia, pendidikan, dan pengetahuan terhadap konsumsi tablet tambah darah.Metode: Penelitian ini dilakukan di Puskesmas Maron, Kabupaten Probolinggo menggunakan desain cross sectional, sampel sebanyak 40 ibu hamil TM III yang mendapatkan 90 tablet besi dengan teknik simple random sampling. Pengaruh usia, pendidikan, dan pengetahuan dianalisis menggunakan uji regresi logistik dengan nilai signifikansi <0,05.Hasil: Hasil penelitian menunjukkan bahwa pengetahuan ibu hamil berpengaruh terhadap konsumsi tablet besi (p = 0.026) , tapi usia (p = 0.914), pendidikan (p = 0.419) tidak berpengaruh terhadap konsumsi tablet besi.Kesimpulan: Konsumsi tablet besi pada ibu hamil dipengaruhi oleh pengetahuan ibu hamil. Rendahnya pengetahuan ibu, maka akan tingkat konsumsi tablet tambah darah semakin rendah.


2020 ◽  
Vol 2 (1) ◽  
pp. 40-56
Author(s):  
Aryanti Wardiyah ◽  
Sis Iswartini

ABSTRACTRELATED FACTORS WITH CHRONIC ENERGY DISABILITY (CED)ON PREGNANT WOMAN IN COMMUNITY HEALTH AREA RAJABASA iNDAH CITY BANDAR LAMPUNG YEAR 2019 The risk prevalence of CED pregnant women aged 15-49 years, nationally as much as 24.2%. The lowest prevalence of CED risk in Bali (10.1%) and the highest in East Nusa Tenggara (45.5%) while Lampung was 21.3%. While in Bandar Lampung City (21.0%). Rajabasa Indah Health Center which is equal to 25.8% Known Factors related to Chronic Energy Deficiency Event (CED) in pregnant women in Rajabasa Indah Health Center Work Area of Bandar Lampung City in 2017.Quantitative research was design using cross-sectional approach. The population in this study all pregnant women in Blambangan Health Center area is 489 people, with sample of 220, sampling technique was proportional random sampling Data taken by questioner. Data analysis was done by univariate and bivariate (chi square).The results of the study found that most respondents did not experience CED, 168 (76.4%) of respondents, high economic status 114 (51.8%) respondents, knowledgeable 126 (57.3%) respondents, good health status 170 (77, 3%) respondents, age not at risk 144 (65,5%) respondents. There is relationship between economic status (P-value = 0.000 and OR 6,3), maternal health status (p-value = 0,031 and OR 2,2). Age (p-value = 0,029 and OR 2,1) with CED occurrence in pregnant women and no significant correlation between knowledge and CED occurrence in pregnant women with p-value = 1,000. Health workers are advised to teach techniques to select and process food properly and properly with little funding but processed food has high nutritional value for pregnant women and provide skills to mothers, especially housewives in handicrafts making it possible to become income and improve economic status family. Keywords: KEK, nutrition of pregnant mother  ABSTRAKFAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KEKURANGAN ENERGI KRONIS (KEK) PADA IBU HAMIL DI WILAYAH KERJAPUSKESMAS RAJABASA INDAH BANDAR LAMPUNGTAHUN 2019Prevalensi risiko KEK wanita hamil umur 15–49 tahun, secara nasional sebanyak 24,2 %. Prevalensi risiko KEK terendah di Bali (10,1%) dan tertinggi di Nusa Tenggara Timur (45,5%) sedangkan Lampung sebesar 21,3%. Sementara di Bandar Lampung (21,0%). Puskesmas Rajabasa Indah yaitu sebesar 25,8% Diketahui Faktor-faktor yang berhubungan dengan Kejadian Kekurangan Energi Kronis (KEK) pada Ibu hamil di Wilayah Kerja Puskesmas Rajabasa Indah Bandar Lampung tahun 2018.Jenis penelitian kuantitatif pendekatan cross-sectional. Populasi dalam penelitian ini seluruh ibu hamil yang ada di wilayah Puskesmas Blambangan berjumlah 489 orang, dengan sampel sebanyak 220, teknik sampling proportional random sampling. Data diambil dengan kuesioner. Analisa data secara univariat dan bivariat (chi square).Hasil Penelitian didapati Sebagian besar responden tidak mengalami KEK yaitu sebesar 168 (76,4%) responden, status ekonomi tinggi 114 responden (51,8%), berpengetahuan baik 126 (57,3%) responden, status kesehatan baik 170 (77,3%) responden, umur yang tidak berisiko 144 (65,5%) responden. Ada hubungan antara status ekonomi (P-value = 0,000 dan OR 6,3), status kesehatan ibu (p-value = 0,031 dan OR 2,2). umur (p-value = 0,029 dan OR 2,1) dengan kejadian KEK pada ibu hamil dan tidak ada hubungan yang bermakna antara pengetahuan dengan kejadian KEK pada ibu hamil dengan p-value = 1,000. Petugas kesehatan disarankan mengajarkan teknik memilih dan mengolah makanan dengan baik dan benar dengan dana sedikit namun hasil olahan masakan memiliki nilai gizi yang tinggi bagi ibu hamil dan memberikan keterampilan pada ibu, terutama ibu rumah tangga dalam pembuatan kerajinan tangan sehingga dapat menjadi pemasukan dan meningkatkan status ekonomi keluarga Kata kunci : KEK, gizi ibu hamil


2016 ◽  
Vol 8 (2) ◽  
pp. 184
Author(s):  
Renita Diah Paramita ◽  
Lilis Sulistyorini

Abstract: Gempolklutuk is village with the lowest of access latrines achievement in Tarik, Sidoarjo. The low of access latrines achievements show that there are people who still defecate in the river.This research was to analyze the influence factors toward the low use of latrines in RW 02 Gempolklutuk, Tarik, Sidoarjo. This research was analytic with cross sectional design. The samples was taken from population by simple random sampling. Interviews was held to 57 household’s in RW 02, Desa Gempolklutuk. The instrument used questionnaire. The collected data was sorted and analyzed. The analysis showed that household’s attitude have infl uence toward the low use of latrines (p-value = 0.000). Good household’s attitude will be followed by good use of latrines. The moderate household’s attitude become barrier of using latrine. Education and income level, knowledge, house distance to river, family and community support factors had no effect in using latrine. It is concluded that household’s attitude was the most infl uence factor toward the low use of latrines. It is suggested to health worker or Sidoarjo’s Health Department to giving guidance for household’s who didn’t have latrines to increase using latrine.Keywords: attitude, household, latrine


2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Kusniyati Utami ◽  
Irni Setyawati

The West Nusa Tenggara Provincial Health Office (2017) mentions the number of maternal mortality from 2015 to 2017 continues to decrease, from 95 cases to 85 cases. Maternal mortality during pregnancy can be prevented by antenatal care by health workers in accordance with the frequency of antenatal visits a minimum of four times. The first visit is carry out at a gestational age of the mother <16 weeks (Ministry of Health Republic of Indonesia, 2013), but still found pregnant women who made the first antenatal visit in the second trimester and even the third trimester.The purpose of this study was to determine the differences in first visit of pregnant women by age in the Poskesdes working area of the UPTD Puskesmas Gunungsari.This study used a cross-sectional analytic research design in eight Poskesdes in the working area of the UPTD Puskesmas Gunungsari, West Lombok district in November 2018 to January 2019. Samples were taken using a total sampling technique of 1042 people.Secondary data was collected from the maternal cohort register in eight Poskesdes in the UPTD Puskesmas Gunungsari working area in the form of the age of the mother at the first visit and the age of the mother's pregnancy at the first visit. Data were processed univariately and bivariately using the chi-square test.There was a significant difference in the first visit of pregnant women between mothers aged <20 years, 20-35 years, and> 35 years as indicated by the p value of 0.00001 (<0.05). It is expected that midwives in Poskesdes will further enhance the role of cadres in capturing first trimester pregnant women especially those aged <20 years and> 35 years.


2020 ◽  
Vol 8 (2) ◽  
pp. 115-122
Author(s):  
Iffah Iffah ◽  
Nova Hasbani Prima Dewi ◽  
Mariamu Mariamu

Mitos kehamilan adalah satu cerita, pendapat atau anggapan dalam sebuah kebudayaan yang dianggap mempunyai kebenaran yang isinya tentang anjuran maupun larangan mengenai kehamilan yang pernah berlaku pada suatu masa dahulu hingga sekarang yang kebenarannya belum tentu benar adanya. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan dan sikap ibu hamil dengan mitos kehamilan di Wilayah Kerja UPTD Puskesmas Langsa Barat Kota Langsa tahun 2018. Desain penelitian ini adalah analitik dengan rancangan bedah lintang. Populasi penelitian diambil dari seluruh ibu hamil di Wilayah Kerja UPTD Puskesmas Langsa Barat Kecamatan Langsa Barat Kota Langsa pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 831 orang. Pengambilan sampel dilakukan dengan menggunakan rumus Slovin yang diperoleh sebanyak 89 sampel dengan menggunakan teknik acak stratifikasi. Penelitian dilaksanakan dari tanggal 15-11 Juli tahun 2018 dengan cara wawancara menggunakan kuesioner. Uji statistik menggunakan uji chi square. Hasil penelitian menunjukkan bahwa mayoritas tidak ada mitos kehamilan pada responden yaitu sebanyak 56 responden (62,9%). Secara statistik ada hubungan pengetahuan dan sikap ibu hamil dengan mitos kehamilan di Wilayah Kerja UPTD Puskesmas Langsa Barat Kota Langsa tahun 2018 dengan p value 0,000 (P < 0,1). Bagi ibu hamil agar tidak harus selalu menerima mitos-mitos yang dapat merugikan kesehatan ibu hamil. Ibu hamil harus rutin melakukan pemeriksaan kehamilan dan mencari informasi sebanyak-banyaknya dari tenaga kesehatan seputar kehamilan.Keyword : Pregnancy Myths, Knowledge, AttitudesABSTRACTPregnancy myth is a story, opinion or assumption in a culture that is considered to have the truth about the contents of the suggestions and prohibitions on pregnancy that had prevailed in a time ago until now that the truth is not necessarily true. The purpose of this study to determine the relationship of knowledge and attitude of pregnant women with the myth of pregnancy in the Work Area UPTD Puskesmas Langsa Barat Langsa City 2018. The design of this study was analytic with cross sectional design. The study population was taken from all pregnant women in the Working Area of UPTD Puskesmas Langsa Barat Langsa Barat Sub-district Langsa City from January to December of 2017, amounting to 831 people. Sampling was done by using Slovin formula obtained by 89 samples by using random stratification technique. The study was conducted from July 15-11, 2018 by interview using questionnaire. Statistical test using chi square test. The results showed that the majority of no pregnancy myths on respondents that as many as 56 respondents (62.9%). Statistically there is relationship of knowledge and attitude of pregnant mother with pregnancy myth in Work Area UPTD Puskesmas Langsa Barat City Langsa year 2018 with p value 0,000 (P <0,1). For pregnant women not to always accept the myths that can harm the health of pregnant women. Pregnant women should routinely perform pregnancy checkups and seek as much information as possible from health workers about pregnancy.Keyword : Pregnancy Myths, Knowledge, Attitudes


Author(s):  
Rini Mayasari Rini Mayasari

  ABSTRACT According to the WHO in 2010 as many as 800 pregnant women died.According to IDHS 2007 maternal mortality rate of 228/100.000 live births. Maternal mortality in South Sumatra in 2009 was 143/100.000 live births.The purpose of this study was to determinerelationship between education andparitas with the incidence hyperemesis gravidarum of pregnant women in General Hospital Palembang BARI on 2013.This study used a survey method with the analytic cross-sectional approach.The samples in this study were all pregnant mothers TM I ever treated in General Hospital Palembang BARIon 2013 amounted to 194 respondents.This research was conducted on February 2014. Samples were taken by random sampling Simple random sampling technique. Analyze data using statistical test Chi-Square with α ( 0,05 ).Results of univariate analysis of this study showed that as many as 46 respondents ( 23,7% % ) who experienced hyperemesis gravidarum and as many as 148 respondents ( 76,3% ) who did not have hyperemesis gravidarum,a total of 4 respondents ( 2,1% ) including high- education age and a total of  42respondents (21,6 % ) including lower education a total of  33 respondents(17,0%)includingprimigravida and as many as 13 srespondents (6,7 % .) including multigravida.So the bivariate analysis showed  significant relationship betweeneducation with the incidence of hyperemesis gravidarum with the P value ( 0,017)and significant relationship betweenparitas with the incidence of hyperemesis gravidarum with the P value ( 0,000 ).Advice tohealth care workerscanimprove servicesandcounseling, especially in the service of Ante Natal Care and more attention to maternal risk hypermesisgravidarum       ABSTRAK Menurut WHO pada tahun 2010sebanyak 800 ibu hamil meninggal dunia. Menurut SDK tahun 2007 angkakematian ibu sebesar 228/100.000 kelahiran hidup. AKI di Sumatera Selatan tahun 2009 adalah 143/100.000 kelahiran hidup. Tujuan penelitian ini adalah untuk mengetahui hubungan antara pendidikan dan dan paritas dengan kejadian hyperemesis gravidarum pada ibu hamil di Rumah Sakit Umum Daerah Palembang BARI Tahun 2013. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional. Sampel dalam penelitian ini adalah seluruh ibu hamil TM I yang pernah dirawat di Rumah Sakit Umum Daerah Palembang BARI Tahun 2013 berjumlah 194 responden. Penelitian ini dilakukan pada bulan Februari 2014.Sampel penelitian diambil secara random sampling dengan teknik Simple random sampling. Analisa data menggunakan uji statistik Chi–Square dengan α (0,05). Hasil penelitian analisa univariat ini menunjukkan bahwa sebanyak 46 responden (23,7,0%) yang mengalami hyperemesis gravidarum dan sebanyak 148 responden (76,3%) yang tidak mengalami hyperemesis gravidarum, sebanyak 4 responden (2,1%) termasuk pendidikan tinggi dan sebanyak 42 responden (21,6%) termasuk pendidikan rendah , sebanyak 33 responden (17,0%) termasuk primigravida dan sebanyak 13 responden (6,7%) termasuk multigravida.Sehingga analisa bivariat menunjukkan ada hubungan yang bermakna antara pendidikan dengan kejadian hyperemesis gravidarum dengan P value (0,017) dan ada hubungan yang bermakna antara paritas dengan kejadian hyperemesis gravidarum dengan P value (0,000). Saran kepada petugas pelayanan kesehatan dapat meningkatkan pelayanan dan penyuluhan terutama dalam pelayanan Ante Natal Care danlebih memperhatikan kehamilan ibu yang berisiko hypermesis gravidarum.      


2020 ◽  
Vol 11 (1) ◽  
pp. 57-67
Author(s):  
Artika Dewi Amri ◽  
Ni Luh Putu Suariyani

Abstract Background: The further examination after breast ultrasound is needed because the ultrasound examination is not merely recommended for early detection of breast cancer; however by the combination of ultrasound and mammography, the disorder in the breast could be determined more accurately. Mammography method is a method that could detect breast cancer with an accuracy up to 90 percent. Objective: This study is aimed to identify the determinant of women to conduct further examination after breast ultrasound in Badung. Method: The study’s design used a descriptive observational study with cross-sectional design. The sampling technique used was simple random sampling with a sample of 100 people. The bivariate analysis used chi-square with α = 0.05. Result: The results of this study showed that, among the 100 respondents, there were 43 percent have done further examination. The proportion of women taking a further examination was 41 percent with high education, 38 percent with good knowledge, 18 percent stated the distance of health services were far, 43 percent were able to pay the further examination, 38 percent had ever received the information about breast cancer, 43 percent gained the support of health workers and 41 percent received good support from family. The results showed that there were four factors that had a relationship with the further examination after breast ultrasound, including the level of knowledge (OR = 8,65; 95% CI 3,19-23,86), affordability (p-value <0,0001), the support of health workers (p-value <0,0001) and the support of family (OR = 30,3; 95% CI 6,52-273,73). Conclusion: The conclusion of this study is that the determinant of women to undertake the further examination after breast ultrasound depends on the level of knowledge, affordability, the support of health workers and the support of family. There is a need of an increase in socialization about breast cancer to women and husband/family. In addition, to increase further examination there is a need of socialization regarding the utilization of BPJS. Keywords: breast cancer, advanced examination, breast ultrasound Abstrak Latar belakang: Pemeriksaan lanjutan setelah USG payudara perlu dilakukan karena pemeriksaan USG saja tidak direkomendasikan untuk deteksi dini kanker payudara, tetapi dengan kombinasi USG dan mammografi kelainan pada payudara dapat ditentukan lebih akurat. Metode mammografi merupakan metode yang dapat mendeteksi kanker payudara dengan akurasi sampai 90 persen. Tujuan: Penelitian ini bertujuan untuk mengetahui determinan wanita untuk melakukan pemeriksaan lanjutan setelah USG payudara di Kabupaten Badung. Metode: Desain penelitian menggunakan studi observasional deskriptif dengan desain potong lintang. Teknik pengambilan sampel yang digunakan simple random sampling  dengan jumlah sampel 100 orang. Analisis bivariat menggunakan chi-square dengan α=0,05. Hasil: Hasil penelitian ini menggambarkan dari 100 responden sebanyak 43 persen sudah melakukan pemeriksaan lanjutan. Proporsi wanita yang melakukan pemeriksaan lanjutan sebanyak 41 persen orang berpendidikan tinggi, 38 persen orang berpengetahuan baik, 18 persen orang menyatakan jarak pelayanan kesehatan jauh, 43 persen orang mampu untuk membiayai pemeriksaan lanjutan, 38 persen pernah memperoleh informasi tentang kanker payudara, 43 persen orang memperoleh dukungan petugas kesehatan, dan 41 persen memperoleh dukungan baik dari keluarga. Hasil penelitian menunjukkan terdapat empat faktor yang memiliki hubungan terhadap pemeriksaan lanjutan setelah USG payudara yaitu tingkat pengetahuan (OR = 8,65; 95% CI 3,19-23,86), keterjangkauan biaya (p-value <0,0001), dukungan petugas kesehatan (p-value <0,0001) dan dukungan keluarga (OR = 30,3; 95% CI 6,52-273,73). Kesimpulan: Simpulan penelitian adalah determinan wanita untuk melakukan pemeriksaan lanjutan setelah USG payudara adalah tingkat pengetahuan, keterjangkauan biaya, dukungan petugas kesehatan, dan dukungan keluarga. Perlu adanya peningkatan sosialiasasi mengenai kanker payudara kepada wanita dan suami/keluarga. Selain itu untuk meningkatkan pemeriksaan lanjutan perlu adanya sosialisasi mengenai pemanfaatan BPJS Kesehatan. Kata kunci: kanker payudara, pemeriksaan lanjutan, USG Payudara  


Sign in / Sign up

Export Citation Format

Share Document