scholarly journals Perfil do paciente com câncer gástrico do Instituto Nacional do Câncer

2020 ◽  
Vol 19 (2) ◽  
pp. 21-67
Author(s):  
Sonia Regina Aguiar Souza Springer ◽  
Maria Tereza dos Santos Guedes ◽  
Osnir Claudiano da Silva Júnior ◽  
Mônica de Almeida Carreiro ◽  
Alexandre Silva

Objetivo: Levantar y analizar el perfil de los pacientes con cáncer gástrico matriculados en el Instituto Nacional del Cáncer José de Alencar Gomes da Silva (INCA), y los diagnósticos de Enfermería más prevalentes.Metodología: Estudio seccional desarrollado en el Hospital de Cáncer I - INCA aprobado por el CEP-INCA, con muestra de datos secundarios de 649 pacientes admitidos entre el 1 de octubre de 2015 al 18 de abril de 2018. Los datos fueron analizados por el software R® - versión 3.4.4. En las pruebas Chi-cuadrado, Kruskal-Wallis y Wilcoxon. Se adoptó el nivel de significancia del 5%.Resultados: El promedio de edad fue de 62.74 años, variando de 21 años hasta 96 años. 35.29% de los pacientes presentaban enfermedad avanzada. El adenocarcinoma poco diferenciado fue el más prevalente (42.52%). Había células en anillo de sello en el 32.05% de los pacientes. Se destacó el tipo difuso (17.72%). Hubo predominio del compromiso del tercio medio del estómago (29.74%). Las pruebas de hipótesis demostraron que las variables de estadificación frente a la muerte y el color frente a la defunción mantienen una relación de dependencia. Las variables edad versus óbito y edad versus presencia de anillo de Sinete tienen distribución diferente entre sí, lo que significa que la primera variable puede influenciar la segunda. Los diagnósticos de enfermería más prevalentes estuvieron presentes en el 100% de la muestra y se encontraban en congruencia con el perfil de la clientela identificada.Conclusión: El perfil epidemiológico de una población es de gran valor para orientar las políticas de salud de un país, para la planificación interna institucional y para orientar las acciones asistenciales de los equipos multiprofesionales. Objective: Search and analyze the profile of patients with gastric cancer enrolled in the National Cancer Institute, José de Alencar Gomes da Silva (INCA), and the most prevalent nursing diagnoses.Methodology: A sectional study developed at the Cancer Hospital I - INCA, approved by CEP-INCA, with a sample of secondary data from 649 patients admitted from October 1, 2015 to April 18, 2018. Data were analyzed by R® software - version 3.4 .4. In the Chi-square, Kruskal-Wallis and Wilcoxon tests. The level of significance of 5% was adopted.Results: The average age was 62.74 years, ranging from 21 years to 96 years. 35.29% of patients had advanced disease. Low adenocarcinoma was the most prevalent (42.52%). Signal ring cells were present in 32.05% of the patients. The diffuse type was highlighted (17.72%). There was predominance of involvement of the middle third of the stomach (29.74%). Hypothesis tests have shown that the staging versus death and color versus death variables maintain a relationship of dependence. The variables age versus death and age versus the presence of the Sinete ring present a distinct distribution among them, which means that the first variable can influence the second. The most prevalent nursing diagnoses were present in 100% of the sample and were in congruence with the profile of the clientele identified.Conclusion: The epidemiological profile of a population is of great value to guide the health policies of a country, to the internal institutional planning and to guide the assistance actions of the multiprofessional teams.

2017 ◽  
Vol 1 (3) ◽  
pp. 180
Author(s):  
Mahmudah Wati Sugito ◽  
Agus Sri Wardoyo ◽  
Trias Mahmudiono

Background: Underweight is a public health problem caused by many factors. The prevalence of underweight in East Java in 2016 was 17.3%, wich was higher than the program’s targetted (12.9%). Breast milk is the best food to support the growth and development of the baby. Coverage of Exclusive Breast Milk in East Java in 2015 decreased (68.8%), compared to 2014 (72.89%). Early supplementary feeding in infants under 6 months may affect nutritional status. Objectives: The purpose of this study was to analyze the relationship of Exclusive Breast milk with the incidence of underweight in infants aged 0-23 months in East Java Province in 2016. Method: This study is a secondary data analysis of Nutrition Status Monitoring in East Java Province. The study population was all babies in East Java. Total sample is 4738. The data were analyzed using Chi-square test and Logistic Regression, with 95% CI (α = 0.05). Results: The results showed there was a significant relationship between exclusive breastfeeding only from birth until before the last 24 hours in infants aged 0-23 months with the incidence of underweight, with (p=0.000010;OR=1.654;95%CI=1.319–2.052), there was a significant  relationship of first to provide a food other than breast milk in infants aged 0-23 months  with the occurrence of underweight, (p = 0.000;OR=0.272; 95%CI=0.217–0.341).Conclusion: In conclusion, breastfeeding only in infants from birth until before the last 24 hours and first provide food other than breast milk in infants aged 0-23 months associated with underweight. Because breast milk is sufficient nutritional needs of infants aged 0-6 months.ABSTRAK Latar Belakang: Masalah gizi kurang merupakan masalah kesehatan masyarakat yang disebabkan oleh banyak faktor. Prevalensi underweight di Jawa Timur tahun 2016 sebesar 17,3%, lebih tinggi dari target program Dinas Kesehatan Provinsi Jawa Timur sebesar 12,9%. ASI merupakan makanan terbaik untuk mendukung pertumbuhan dan perkembangan bayi. Cakupan ASI Eksklusif di Jawa Timur tahun 2015 menurun (68,8%), dibandingkan tahun 2014 (72,89%). Pemberian makanan pendamping ASI dini pada bayi di bawah 6 bulan dapat mempengaruhi status gizi. Tajuan: Tujuan penelitian untuk menganalisis hubungan ASI Ekslusif dengan kejadian underweight pada bayi usia 0-23 bulan di Provinsi Jawa Timur tahun 2016.Metode: Penelitian ini merupakan analisis data sekunder survei Pemantauan Status Gizi Provinsi Jawa Timur. Populasi penelitian adalah semua bayi berusia 0-59 bulan yang ada di Jawa Timur. Total sampel sebanyak 4738 bayi.  Analisis data dilakukan dengan menggunakan uji Chi-square dan Regresi Logistik.Hasil: Hasil penelitian menunjukkan ada hubungan antara pemberian ASI saja sejak lahir sampai sebelum 24 jam terakhir pada bayi usia 0-23 bulan dengan kejadian underweight (p=0,000010;OR=1,654;95%CI=1,319–2,052), ada hubungan pertama kali memberikan makanan selain ASI pada bayi usia 0-23 bulan dengan kejadian underweight,  (p = 0,000;OR=0,272; 95%CI=0,217–0,341).Kesimpulan: Simpulan yaitu pemberian ASI saja pada bayi sejak lahir sampai sebelum 24 jam terakhir dan pertama kali memberikan makanan selain ASI pada bayi usia 0-23 bulan berhubungan dengan kejadian underweight. Pemberian ASI saja sudah mencukupi kebutuhan nutrisi bayi usia 0-6 bulan.


2017 ◽  
Vol 4 (2) ◽  
pp. 176
Author(s):  
Aminatul Fitria

Cataract is the leading cause of 51% blindness case in the world. Cataract can only be cured trough surgery, but most people with cataract in Indonesia is not in undergoing surgery due to several factors. The increasing number of cataract victim whose not undergoing any treatment to cure them will resulting in increasing number of blindness case, so blindness cause by cataracts can be a public health problem. This research was conducted to determine the relationship of age, attitudes, knowledge and the cost of the action to perform cataract surgery. This research was an observational analytic study with cross sectional design. The samples were cataract patients in Undaan Eye Hospital Surabaya who were randomly selected using a simple random sampling based on medical records of 60 people. Data collection was done by taking secondary data and interviews to patients. Those variables was analyzed with chi square or Fisher’s exact with significancy level at 95%. The result showed that there were correlation between knowledge (p = 0.017), operating costs (p = 0.001) and attitude (0.000) while age was not related (p = 1.000), the actions to perform cataract surgery. The conclusion from this research was the attitude, knowledge and operating costs related to the actions to perform cataract surgery, while age was not related to the actions to perform cataract surgery. It is recommended to give through leaflets or other media in the lobby for improving patient education, counseling to the patient family, the doctor’s advice to convince patient for surgery.Keywords: practice, surgery, cataract, attitudes, costs


2017 ◽  
Vol 74 (4) ◽  
pp. 261
Author(s):  
Anna Carolina Omena V. Le Campion ◽  
Karine de Cássia Batista dos Santos ◽  
Vanessa De Carla Batista dos Santos ◽  
Stefânia Jeronimo Ferreira ◽  
Jairo Calado Cavalcante ◽  
...  

Objective: the aim of this study was to analyze possible associations between the epidemiological variables of the study and the clinical stage and malignancy grade of squamous cell carcinomas (SCCs) of the oral cavity and oropharynx, and to evaluate whether there is a correlation between clinical stage and histological grade in SCCs. Material and Methods: retrospective analytical study of SCCs cases diagnosed between June 2005 and December 2013. The data from medical records and histopathological findings of patients over 18 years old were entered into an Excel® spreadsheet and analyzed by SPSS® 20, using the chi-square and Fisher's exact tests to analyse the variables. The level of significance of the tests was 0.05. Results: patients were predominantly black, male, illiterate, in their sixth decade of life, living in country towns and exposed to tobacco and alcohol. There was also predominance of advanced-stage tongue lesions with high-grade malignancy treated with combined radiotherapy and chemotherapy treatment. There was association between exposure to alcohol with advanced stage at diagnosis (p=<0.001). Conclusion: association of alcohol consumption with more advanced lesions at diagnosis underscores the need to address the risk factors more emphatically. Although classic factors implicated in the course of oral and oropharyngeal SCC have been observed, it is remarkable the high frequency of illiterate patients coming from country towns, which could have hampered the access to health care and contributed to a delayed diagnosis and thus, to a poorer prognosis.


2017 ◽  
Vol 1 (3) ◽  
pp. 180
Author(s):  
Mahmudah Wati Sugito ◽  
Agus Sri Wardoyo ◽  
Trias Mahmudiono

Background: Underweight is a public health problem caused by many factors. The prevalence of underweight in East Java in 2016 was 17.3%, wich was higher than the program’s targetted (12.9%). Breast milk is the best food to support the growth and development of the baby. Coverage of Exclusive Breast Milk in East Java in 2015 decreased (68.8%), compared to 2014 (72.89%). Early supplementary feeding in infants under 6 months may affect nutritional status. Objectives: The purpose of this study was to analyze the relationship of Exclusive Breast milk with the incidence of underweight in infants aged 0-23 months in East Java Province in 2016. Method: This study is a secondary data analysis of Nutrition Status Monitoring in East Java Province. The study population was all babies in East Java. Total sample is 4738. The data were analyzed using Chi-square test and Logistic Regression, with 95% CI (α = 0.05). Results: The results showed there was a significant relationship between exclusive breastfeeding only from birth until before the last 24 hours in infants aged 0-23 months with the incidence of underweight, with (p=0.000010;OR=1.654;95%CI=1.319–2.052), there was a significant  relationship of first to provide a food other than breast milk in infants aged 0-23 months  with the occurrence of underweight, (p = 0.000;OR=0.272; 95%CI=0.217–0.341).Conclusion: In conclusion, breastfeeding only in infants from birth until before the last 24 hours and first provide food other than breast milk in infants aged 0-23 months associated with underweight. Because breast milk is sufficient nutritional needs of infants aged 0-6 months.ABSTRAK Latar Belakang: Masalah gizi kurang merupakan masalah kesehatan masyarakat yang disebabkan oleh banyak faktor. Prevalensi underweight di Jawa Timur tahun 2016 sebesar 17,3%, lebih tinggi dari target program Dinas Kesehatan Provinsi Jawa Timur sebesar 12,9%. ASI merupakan makanan terbaik untuk mendukung pertumbuhan dan perkembangan bayi. Cakupan ASI Eksklusif di Jawa Timur tahun 2015 menurun (68,8%), dibandingkan tahun 2014 (72,89%). Pemberian makanan pendamping ASI dini pada bayi di bawah 6 bulan dapat mempengaruhi status gizi. Tajuan: Tujuan penelitian untuk menganalisis hubungan ASI Ekslusif dengan kejadian underweight pada bayi usia 0-23 bulan di Provinsi Jawa Timur tahun 2016.Metode: Penelitian ini merupakan analisis data sekunder survei Pemantauan Status Gizi Provinsi Jawa Timur. Populasi penelitian adalah semua bayi berusia 0-59 bulan yang ada di Jawa Timur. Total sampel sebanyak 4738 bayi.  Analisis data dilakukan dengan menggunakan uji Chi-square dan Regresi Logistik.Hasil: Hasil penelitian menunjukkan ada hubungan antara pemberian ASI saja sejak lahir sampai sebelum 24 jam terakhir pada bayi usia 0-23 bulan dengan kejadian underweight (p=0,000010;OR=1,654;95%CI=1,319–2,052), ada hubungan pertama kali memberikan makanan selain ASI pada bayi usia 0-23 bulan dengan kejadian underweight,  (p = 0,000;OR=0,272; 95%CI=0,217–0,341).Kesimpulan: Simpulan yaitu pemberian ASI saja pada bayi sejak lahir sampai sebelum 24 jam terakhir dan pertama kali memberikan makanan selain ASI pada bayi usia 0-23 bulan berhubungan dengan kejadian underweight. Pemberian ASI saja sudah mencukupi kebutuhan nutrisi bayi usia 0-6 bulan.


2017 ◽  
Vol 33 (10) ◽  
pp. 467
Author(s):  
Anna Tri Hardati ◽  
Riris Andono Ahmad

Purpose:  This research aimed to know the influence of physical activity and external variables on hypertension in workers. Methods: We used secondary data for our research which is Basic Health Research (Riskesdas) 2013. The total population was 1,027,763. Our inclusion criteria were: have a main job, aged ≥15 years, measured height, measured weight, measured abdominal circumference, measured blood pressure, and not pregnant. We found 371,713 respondents matching our criteria. We analyzed our data using chi square and logistic regression with 5% level of significance. Results: Physical activity affects the incidence of hypertension in workers with OR of 1.25 (95% CI: 1.21-1.28), physical activity involving external variables to 1.16 (95% CI: 1.13-1.19). External variables that became hypertension risk factors include: age, obesity, abdominal obesity, daily smoking habits, 10-20 cigarette/day cigarettes, consumption of fatty foods, vegetables consumption <3 servings/day, stress, history of DM, chronic renal failure and kidney stones. Conclusion: Physical activity affects the incidence of hypertension in workers.


2006 ◽  
Vol 5 (1) ◽  
Author(s):  
Jenu Widjaja Tandjung ◽  
Armanu Toyib ◽  
Multifiah .

A competition of 4T oil business is growing up. It can be seen from the increasing of a number of producers that have NPT (registered oil number). Customers will have more choices selecting many trademarks of 4T oil. To come out on top of this competition, the oil producers need to know oil attributes that influence customer choosing trademarks of 4T oil.This study wants to know the relationship between customer demography based on age, income, education level, sex and occupation with the choosing of 4T oil attributes. Besides, it is also to know the oil attributes that have strong relationship with characteristics of customer demography. The researcher also wants to know the relationship of customer demography of 4T oil with 4T oil post-hoc segmentation.This study focuses on 4T oil with motorcycle owners who change 4T oil in the garages in city area of Surabaya as samples. In taking sample, rescuer used accidental sampling with 168 people as respondents. Respondent characteristic is limited on demographically characteristic. Besides using primer data, it also used secondary data which taken from tabloid of Marketing, Jawa Pos, Badan Pusat Statistik, Indommercial and Bulletin Dirjen Migas. Scale and measurement that are used in this study is Likert Scale. Whereas, researcher used correlation of Rank Spearman and CHAID (Chi-Square Automatic Interaction Detection) as method of data analysis.The interesting result of this study is the choosing of 4T oil attributes in relation with characteristic of demography that is age, income, education, and occupation. Whereas, sex is not in relation with the choosing of 4T oil attributes. Besides, the customers of 4T oil tend to be rational that is taking more consideration on quality, acceleration of machine and oil endurance comparing with appearance and price.


2021 ◽  
Vol 3 (1) ◽  
pp. 29-38
Author(s):  
Devi Listiana ◽  
S. Effendi

ABSTRACT : RELATIONSHIP OF COPING MECHANISM WITH SELF WITHDRAW ON PATIENTS WHO TREATED IN MURAI B AND ANGGREK WARD RSKJ SOEPRAPTO BENGKULU Background : Withdrawing is a challenge that avoids communication with other people because they have problems with other people.Purpose : The purpose of this study was to determine the Relationship of Coping Mechanism with Self Withdraw on Patients who Treated in Murai B and Anggrek Ward RSKJ Soeprapto Bengkulu.Methods : This study used observational approach with cross sectional design. Population in this study were all Patients who Treated in Murai B and Anggrek Ward RSKJ Soeprapto Bengkulu Province in 2018 with the amount of 72 people. The data used were primary data and secondary data. Data were analyzed using univariate and bivariate analysis with Chi-Square test (c2), Contingency Coefficient test (C) and Odds Ratio (OR) test.Results :  The result of this study showed from 72 people respondent there were 39 people (54,2%) with maladaptive coping and 33 people (45,8%) with adaptive coping. From 72 people respondent there were 41 people (56,9%) with self withdraw and 31 people (43,1%) did not self withdraw.Conclusion : There was significant relationship between Coping Mechanism with Self Withdraw on Patients who Treated in Murai B and Anggrek Ward RSKJ Soeprapto Bengkulu with closed category relationship. Health workers are expected to be able to implement nursing interventions such as SP withdrawing and can continue to collaborate on drugs in monitoring medication and taking medication. Keywords: Coping Mechanism, Self Withdraw INTISARI: HUBUNGAN MEKANISME KOPING DENGAN MENARIK DIRI PADA PASIEN RAWAT INAP DI RUANG MURAI B DAN ANGGREK RUMAH SAKIT KHUSUS JIWA SOEPRAPTO PROVINSI BENGKULU Pendahuluan : Menarik diri merupakan upaya menghindari suatu hubungan komunikasi dengan orang lain karena merasa kehilangan hubungan akrab dan tidak mempunyai kesulitan dalam berhubungan secara spontan dengan orang lain.Tujuan : Penelitian ini bertujuan untuk mempelajari hubungan mekanisme koping dengan menarik diri pada pasien rawat inap di Ruang Murai B dan Anggrek Rumah Sakit Khusus Jiwa Soeprapto Provinsi Bengkulu.Metode : Penelitian ini menggunakan metode penelitian observasional yang menggunakan pendekatan Cross Sectional yang dikaji sekaligus dalam waktu yang bersamaan, populasi dalam penelitian ini adalah semua pasien rawat inap di Ruang Murai B dan Anggrek Rumah Sakit Khusus Jiwa Soeprapto Provinsi Bengkulu pada tahun 2018 yang berjumlah 72 orang. Data yang digunakan adalah data primer dan data sekunder. Data dianalisis menggunakan analisis univariat dan bivariat dengan uji Chi-Square (c2), uji Contingency Coefficient (C) dan uji Odds Ratio (OR).Hasil Penelitian : Hasil penelitian didapatkan dari 72 orang responden terdapat 39 orang (54,2%) dengan koping maladaptif dan 33 orang (45,8%) dengan koping adaptif. Dan dari 72 orang responden terdapat 41 orang (56,9%) menarik diri dan 31 orang (43,1%) tidak menarik diri.Kesimpulan : Ada hubungan mekanisme koping dengan menarik diri pada pasien rawat inap di Ruang Murai B dan Anggrek Rumah Sakit Khusus Jiwa Soeprapto Provinsi Bengkulu dengan kategori hubungan erat. Diharapkan tenaga kesehatan dapat menerapkan intervensi keperawatan seperti SP menarik diri dan dapat terus mengkolaborasikan obat-obatan dalam pemantauan makan dan minum obat. Kata Kunci : Mekanisme Koping, Menarik Diri


2021 ◽  
Vol 2 (2) ◽  
pp. 112-121
Author(s):  
Ida Rahmawati ◽  
Violita siska Mutiara ◽  
Nuril Absari ◽  
Putri Andini

Premature labor is labor before 37 weeks' gestation or birth weight between 500-2499 grams. The impact of premature birth is likely that babies born prematurely will need intensive care to survive. This study aims to study the factors associated with preterm labor in the Rose Room of RSUD Dr. M. Yunus Bengkulu in 2018. The study used the Analytical Survey method with a Case Control design. The population is all maternity mothers in the RSUD dr. M. Yunus Bengkulu in 2018 as many as 603 deliveries. Samples were taken as many as 88 mothers consisting of 44 mothers with preterm labor taken by Total Sampling and 44 mothers without preterm labor who were taken by Systematic Random Sampling. The data used is secondary data. Data were analyzed using univariate, bivariate and multivariate analysis with Chi Square (c2) and Contingency Coefficient (C) tests. The results obtained from 88 mothers there were 44 (50.0%) mothers with preterm labor, 44 (50.0%) non-preterm delivery mothers, 61 (69.3%) mothers aged 20-35 years, 52 (59.1 %) multiparous parity mothers, 61 (69.3%) mothers not KPD, there is an age relationship with preterm labor with the category of moderate relationship, there is a relationship of parity with preterm labor with a close relationship category, there is a relationship of KPD with preterm labor with a close relationship category. It is hoped that health workers can increase screening for pregnant women who visit the Midwifery Clinic to conduct early detection of pregnancy at risk so that it does not have an impact on preterm labor.


2018 ◽  
Vol 8 (1) ◽  
pp. 25-29
Author(s):  
Dina Andesty

According to the result of Riskesdas 2010, one of the causes of neonatal mortality inIndonesia was a blood disorder / jaundice / hyperbilirubinemia (6.6%). Hyperbilirubinemia oneof the causes of infant mortality, one of which caused low birth weight. The incidence of hyperbilirubinemiain hospitals dr.M.Yunus Bengkulu in 2013 was 8.9%. The purpose of this studywas to determine the relationship of LBW with hyperbilirubinemia in space perinatalogi dr. M.Yunus Bengkulu 2013. This study used a case-control design. The population in this study all infantsborn in dr. M. Yunus Bengkulu in 2013, amounting to 1,580 babies. Samples were taken fora total of 35 cases in total sampling in the ratio 1: 2 to take control using systematic random samplingtechnique. The study used secondary data from the register book perinatal room. Data analysisusing univariate and bivariate analysis using chi-square analysis. The results showed almosthalf (34.3%) experienced LBW infants and almost half (33.3%) experienced hyperbilirubinemia.Infants with hyperbilirubinemia most (57.1%) had low birth weight. Results of Chi-Square statisticaltest showed a p-value = 0.001 < α of 0.05, meaning that there is a relationship between theincidence of LBW with hyperbilirubinemia. Obtained value OR = 4.5, which means the incidenceof hyperbilirubinemia have a 4.5 times greater risk in LBW infants than non-LBW. It isrecommended for health care workers, especially in the baby room can improve health care inproviding midwifery care to newborns who had low birth weight and increased infant with hyperbilirubinemiahandling.


2018 ◽  
Vol 5 (10) ◽  
pp. 599-608
Author(s):  
Raquel Alves Fernandes ◽  
and Daniela Soares Leite

Malaria is a tropical disease caused by protozoa of the genus Plasmodium (Aconoidasida: Haemosporida: Plasmodiidae). The Brazilian Amazon is the area with the highest risk of malaria transmission in the country. The aim of this study was to trace the epidemiological profile of malaria patients between 2010 and 2015, in the Municipality of Marabá, State of Pará, North Brazil. Secondary data were used, of Sivep-malaria of the Municipal Health Department of the municipality. The variables analyzed were the incidence autochthonous or imported cases, genus, species of the causative parasite infection during pregnancy and parasitic annual index. Data analysis used the Chi-Square Test, in the Biostat 5.0. The annual parasitic index (IPA) of malaria cases in Marabá in 2010 was 3.7, followed by the year of 2011 with 2.7, from the year 2012 the IPA drops sharply to 0.68, followed by the years 2013, 2014 and 2015, which presented an IPA of 0.1, 0.07 and 0.01 respectively. Data on the contamination site revealed that 51% of the cases in the period studied were of imported origin and 49% were autochthonous, and there was no significant statistical difference between the years. Males were the most affected by the disease (67%). The most common parasitic species was Plasmodium vivax. Malaria cases have been reduced over the years, and this is due to several factors, such as better access to the diagnosis and treatment of the disease, to the control of the vectors, and to the constant work of epidemiological surveillance, although underreporting is still a great problem in the measurement of the actual numbers of cases.


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