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Sianipar, Berlian Kando
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Structured Training Program About Breast Self Examination Toward Awareness and Behavior Among Women in Bengkulu City, Indonesia Jipri Suyanto; Sianipar, Berlian Kando; Danur Azissah Roeliana Sofais; Santhna Letchmi Panduragan
Public Health of Indonesia Vol. 10 No. 3 (2024): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i3.833

Abstract

Background:Indonesia, an emerging country, faces a substantial mortality rate due to breast cancer. This high mortality rate is largely attributed to a lack of knowledge and health literacy among women, which limits their ability to independently seek and understand relevant health information. As a result, a significant proportion of breast cancer patients are only informed that their cancer is in an advanced stage during health assessments, often due to worsening health conditions. Breast cancer carries a significant risk of mortality. Objective:The aim of this study was to examine the influence of a structured training program on breast self-examination (BSE) on women's awareness and behavior. Methods:This study employed a two-group quasi-experimental design involving women aged 26 to 35 over a period of 4 months. Awareness and behavior were assessed before and after receiving organized training. A self-designed questionnaire was utilized, which was validated for its reliability. The sampling technique used was purposive sampling. A total of 250 participants were included, with 125 in the intervention group and 125 in the control group. An unpaired group comparison test of awareness and behavior data was performed using the Mann-Whitney test to evaluate the differences between the control and treatment groups after the intervention. Results:The mean ± standard deviation of awareness in the control group was 45.12 ± 15.830 before the intervention and 47.96 ± 16.754 after. The mean score for post-intervention awareness in the control group was 13.67. The mean rank for awareness in the intervention group increased from 64.69 before the intervention to 45.87 after. The average rank for behavior in the control group increased from pre-control to post-control, reaching 31.80, while the behavior in the intervention group increased from pre-control to post-control, reaching 45.87. Conclusion:The results revealed a significant difference between the control group and the intervention group. A structured training program can effectively improve awareness and behavior related to routine breast self-examinations. Keywords: structured training program; breast self-examination; awareness; behavior
Pemberdayaan Remaja Melalui Pengembangan Kesehatan Reproduksi Remaja Metasari, Des; Sianipar, Berlian Kando
Jurnal PADAMU NEGERI (Pengabdian pada Masyarakat Bidang Eksakta) Vol. 2 No. 1 (2021)
Publisher : Perkumpulan Dosen Muda (PDM) Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1999.199 KB) | DOI: 10.37638/padamunegeri.v2i1.520

Abstract

Masalah kesehatan reproduksi yang dialami remaja diantaranya kehamilan remaja dengan segala konsekuensinya yaitu hubungan seks pranikah, aborsi, Penyakit Menular Seksual (PMS), HIV-AIDS serta narkotika, Berdasarkan data yang diperoleh dari Direktorat Jenderal Badan Peradilan Agama, terdapat 34 ribu permohonan dispensasi kawin yang terhitung dari bulan Januari-Juni tahun 2018, 60% yang mengajukan adalah anak di bawah 18 tahun, Menurt komnas perempuan Kekerasan seksual pada remaja tahun 2018 mengalami kenaikan sebanyak 14 persen dari tahun sebelumnya, yaitu 406.178 (kasus). Pola kekerasan yang terjadi masih sama, lagi-lagi yang paling tinggi di ranah personal atau ranah privat, ranah yang paling dianggap tabu untuk diungkapkan di ruang publik atau di ruang-ruang politik sebanyak 71 persen, yaitu 9.637 kasus. Kesehatan reproduksi sangat penting di paparkan ada saat memasuki masa remaja lebih cepat dan lebih sehat, remaja, ada beberapa hal yang menjadi perhatian agar lebih sehata diantaranya remaja cenderung menghabiskan masa remaja lebih banyak di sekolah, cenderung menunda masuk ke pasar kerja, dan cenderung menunda perkawinan dan melahirkan (BPS dan UNICEF, 2015). Berdasarkan data yang dilansir dari Survei Kesehatan Reproduksi Remaja di Indonesian tahun 2015, pengetahuaan mengenai kesehatan reproduksi dan seksualitas di kalangan remaja masih terbilang rendah. remaja perempuan tidak mengetahui perubahan fisik yang terjadi pada diri mereka dan hampir separuh dari mereka (49,9%) tidak mengetahui masa suburnya. Masa remaja adalah masa transisi dan sangat problematis dalam aspek psikologis. Hal ini membuat mereka berada dalam kondisi anomi (sebuah situasi tanpa norma dan hukum) karena kontradiksi antara norma dan fase orientasi. Kesehatan reproduksi adalah suatu keadaan fisik, mental dan sosial yang utuh, bukan hanya bebas dari penyakit atau kecacatan dalam segala aspek yang berhubungan dengan sistem reproduksi, fungsi serta prosesnya atau suatu keadaan dimana manusia dapat menikmati kehidupan seksualnya serta mampu menjalankan fungsi dan proses reproduksinya secara sehat dan aman yang berisiko terhadap kesehatan (merokok, narkoba, minuman keras), berisiko terhadap masa depan (putus sekolah, kehamilan dak diinginkan, konsep diri yang dak cukup) dan berisiko terhadap lingkungan sosialnya (pengangguran, kriminalitas). Oleh karena itu, perilaku berisiko dapat membahayakan aspek-aspek psikososial dan kesehatannya.
Pendampingan Pasien Kanker Sistem Reproduksi Wanita Melalui Therapi Akupressure Sebagai Upaya Mengurangi Efek Kemotherapi Di Rumah Singgah Kanker Baiti Jannati Bengkulu Metasari, Des; Rahmawati, Diyah Tepi; Sianipar, Berlian Kando; Diniarti, Fiya
Jurnal Dehasen Untuk Negeri Vol 3 No 2 (2024): Juli
Publisher : Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jdun.v3i2.6039

Abstract

Cancer of the reproductive system is the most common type of cancer suffered with the highest order of breast cancer after cervical cancer. Kemotherapi is one of the therapies undertaken by cancer patients including patients with reproductive system cancers including breast cancer and mammal cancer, this motherfire uses chemicals that can cause side effects in patients including headaches (myalgia), nausea and vomiting, alopecia etc. Acupressure is one type / way of health care that is done through pressing techniques on the surface of the body on acupuncture points using fingers, or other body parts, or blunt-tipped aids with health purposes. The acupressure method prioritizes promotive and preventive., Acupressure can also reduce pain in cancer patients as a result of motherhood, besides that it can also reduce nausea and vomiting. The purpose of this service is to find out that acupressure carried out on cervical cancer patients and breast cancer who undergo mothership can reduce side effects due to motherhood that is adopted. The method of this study was to acupressure patients who treated motherfire at the Biati Jannati halfway house as much as 15 pasein, The results of this study showed that there was a decrease in maternal side effects after acupressure for 1 month with decreased side effects in the form of pain, nausea and vomiting
Hubungan Kadar Kolesterol Dan Indeks Masa Tubuh Terhadap Kejadian Hipertensi Di Laboratorium Klinik Prodia Bengkulu Tahun 2022 Lenzu, Hendrek Miko; Nurdan, Jon Hendri; Sianipar, Berlian Kando
Journal Hygeia Public Health Vol 1 No 1 (2022): Desember
Publisher : Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jhph.v1i1.3518

Abstract

Hypertension is a condition in which there is an increase in systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg (RI Ministry of Health, 2019). Data released by WHO (2018) shows that around 26.4% of the world's population has hypertension with a ratio of 26.6% of men and 26.1% of women. In Indonesia, the estimated number of cases of hypertension in Indonesia is 63,309,620 people, while the death rate in Indonesia due to hypertension is 427,218 deaths. Hypertension occurs in the age group 31-44 years (31.6%), age 45-54 years (45.3%), age 55-64 years (55.2%) (Riskesdas RI Ministry of Health, 2018). Based on data from the 2018 Bengkulu Province Health Profile, it is estimated that there are 889,010 sufferers who have hypertension in Bengkulu province and only 9% receive services or utilize health services according to standards (Bengkulu Provincial Health Office, 2019). This study used a quantitative method with a cross-sectional research design. The population in this study were all patients seeking treatment at the Prodia Bengkulu Clinical Laboratory in 2022, totaling 1,426 patients. The sample used in this study were 93 respondents. The results of this study indicate that there is a relationship between cholesterol levels and the incidence of hypertension at the Prodia Bengkulu Clinical Laboratory in 2022. Viewed using the Chi-Square test (Pearson Chi-Square), a value of 9.265 is obtained with a value of p = 0.010 and there is a relationship between body mass index and the incidence of hypertension in Prodia Bengkulu Clinical Laboratory in 2022 viewed using the Chi-Square test (Pearson Chi-Square) obtained a value of 9.783 with a p value = 0.021 Suggestions can contribute information to the public, regarding the relationship between cholesterol levels and Body Mass Index with hypertension in Bengkulu City and for people with hypertension to be able to check and carry out routine checks in the laboratory
THE EFFECTIVENESS OF HEALTH EDUCATION ON KNOWLEDGE ABOUT BREAST SELF EXAMINATION AS AN EARLY DETECTION OF BREAST CANCER IN WOMEN IN BENGKULU CITY Sianipar, Berlian Kando; Panduragan, Santhna Letchmi; Murwati, Murwati
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 2 (2024): VOLUME 8 ISSUE 2 AUGUST 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss2/588

Abstract

Breast cancer is one of the causes of death in women. To reduce the death rate in breast cancer sufferers, early detection is necessary, which can be done through Breast Self Examination. Where BSE is the easiest way to do it, but there are still many women who don't know how to do BSE properly. The purpose of this study is to find out how health education affects women's knowledge of BSE as a means of early breast cancer screening in Bengkulu City. This research method uses pre-experimental with one group pre-post test design. The population in this study were women aged 26-35 years with a total sample of 86 people using purposive sampling technique. The results of the T Test statistical test p value = 0.000, this shows that there is an influence of Health Education on women's level of knowledge about BSE. Health education can increase knowledge, so nurses need to carry out health education about BSE in early detection of breast cancer.
Exploring the Potential of Acupressure in Managing Chemotherapy Side Effects: A Case Study on Breast Cancer Patients in Bengkulu, Indonesia Rahmawati, Diyah Tepi; Metasari, Des; Diniarti, Fiya; Samidah, Ida; Sianipar, Berlian kando
Journal of Current Health Sciences Vol. 4 No. 1: May 2024
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.202459

Abstract

Breast cancer is the most common cancer among women, with significant global mortality rates. The World Health Organization (WHO, 2012) reported that in 2011, over 508,000 women worldwide died from this disease, which accounts for the highest percentage of new cases at 43.3% and a mortality rate of 12.9%. Existing therapies, including surgery, radiotherapy, and chemotherapy, often accompany side effects such as pain, weakness, hair loss, and menstrual disorders. Acupressure, as a form of non-pharmacological therapy, has the potential to mitigate these side effects through the application on meridian points LI4, SP6, and LR3, selected for their relevance to the energy flow affecting pain and the reproductive system. This study investigates the impact of acupressure on points LI4, SP6, and LR3 concerning pain and menstrual disorders in patients with carcinoma mammae undergoing chemotherapy in Bengkulu City. Utilizing a quasi-experimental design and a two-group pretest-posttest with control approach, this study involved 30 participants divided into two groups: 15 in the control group and 15 in the intervention group, selected through purposive sampling. The findings indicated no significant differences in the reduction of pain and menstrual disorders between the groups, with a p-value showing no statistical significance. This suggests that acupressure might be more effective if applied continuously in the early stages of chemotherapy. These findings invite further research to explore the therapeutic potential of acupressure in managing breast cancer, particularly for mitigating chemotherapy side effects.
A Systematic Review of Women's Knowledge and Practices Regarding Breast Self-Examination Sianipar, Berlian Kando; Panduragan, Santhna Letchmi; Situmorang, Ronalen Br
International Journal of Nursing Information Vol. 3 No. 1 (2024)
Publisher : Qualitative and Quantitative Research Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58418/ijni.v3i1.64

Abstract

Globally, breast cancer is the primary cause of death. Non-pharmacological therapy involving knowledge and practice of breast self-examination (BSE) is a straightforward, incredibly affordable, non-invasive initial diagnostic technique for early breast cancer diagnosis. The objective of this study is to examine women's knowledge and practices about breast self-examination. The method is a systematic review using PRISMA. Data sourced from searches in PubMed, ScienceDirect, and Google Scholar were conducted to identify relevant published studies. The data was restricted to English-language articles on women's knowledge and practice of breast self-examination published during the previous five years. The results show 15 articles that explain the knowledge and practice of breast self-examination carried out by women. The majority of women have heard of BSE but do not fail to carry out BSE regularly every month. The majority of evaluated studies demonstrated a notable correlation between participants' knowledge of breast cancer and their age, marital status, and level of education. The conclusion is that women's knowledge and practice of breast self-examination are still lacking. Hence, it is imperative to develop techniques that might enhance the awareness and adoption of breast self-examination. Although breast self-examination is generally part of a prevention and monitoring strategy, it does not replace medical or pharmacological care. The contribution of this study is to provide information that breast self-examination has several important contributions in the context of breast health and early detection of breast cancer.
Co-Authors Danur Azissah Roeliana Sofais diniarti, fiya Jipri Suyanto Lenzu, Hendrek Miko Metasari, Des Murwati Murwati Nurdan, Jon Hendri Panduragan, Santhna Letchmi Rahmawati, Diyah Tepi Samidah, Ida Santhna Letchmi Panduragan Situmorang, Ronalen Br