Rachmawati, Nadya
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Level of Disability and Limitation of Shoulder Motion in Post Mastectomy at Hasan Sadikin Hospital Bandung in 2019 Rachmawati, Nadya; Prabowo, Tertianto; Fathurrachman, Fathurrachman
Jurnal Penyakit Dalam Indonesia Vol. 7, No. 4
Publisher : UI Scholars Hub

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Abstract

Introduction. Post-mastectomy complications in breast cancer patients can be a long-term disabilities such as limitation of shoulder function that only appears after several months to years after surgery and may remain for the rest of the patient’s life. This study aims to describe the level of disability and limitation of the shoulder joint’s range of motion in breast cancer patients following mastectomy at Hasan Sadikin Hospital, Bandung 2019. Methods. This research was conducted by using descriptive method with cross-sectional study design. Sampling technique using consecutive sampling method during one-month study period. Samples were post-mastectomy breast cancer patients who came to the Surgical Oncology Department of Hasan Sadikin Hospital Bandung on October-November 2019. Upper limb disability level obtained based on the results of quickDASH score filled by the patient while the range of motion of the shoulder joint measured by the researcher itself using a goniometer. Results. The QuickDASH scores from 84 patients studied, showed a median of 4.6 (range 0 - 59.1) with the majority falling in the category of minimum disability (score 1-20). The measurement of shoulder joint’s range of motion using goniometer showed a decrease in abduction on 52% of patients, decrease in flexion on 44% of patients, and decrease in external rotation on 20% of patients. Conclusions. The level of disability of the shoulder joint in the department of post-mastectomy Dr. Hasan Sadikin Bandung October-November 2019 showed the majority of minimum disability and limitation of motion of the shoulder joint occurs dominant abduction motion. Keywords: Breast cancer, mastectomy, quickDASH score, range of motion
Informasi Dini Terhadap Penyakit Kanker Payudara berbasis Telepon Pintar Wiraswati, Hesti Lina; Ekawardhani, Savira; Windria, Sarasati; Khaq, Arina Al; Nurfitri, Fauzia; Wahyuni, Dini; Rachmawati, Nadya; Baasin, Rusdi Toriq; Arimdayu, Annissa Retno; Arimdayu, Annisa Retno
Jurnal Teknologi Informasi dan Ilmu Komputer Vol 9 No 4: Agustus 2022
Publisher : Fakultas Ilmu Komputer, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25126/jtiik.2022933182

Abstract

Latar Belakang: Deteksi dini kanker payudara akan memberikan tingkat kesembuhan lebih tinggi bagi penderita jika penderita datang lebih dini ketika terdapat gejala adanya kanker payudara. Namun, masyarakat Indonesia cenderung datang ke pusat kesehatan dalam kondisi kanker stadium lanjut sehingga sulit diobati. Ketersediaan layanan informasi tentang kanker payudara, dan pemeriksaan mandiri berbasis telepon pintar menjadi kebutuhan saat ini.  Oleh karena itu diperlukan sosialisasi yang benar tentang kanker. Salah satu alat sosialisasi yang dianggap efektif adalah media digital. Di Indonesia, aplikasi berbasis telepon pintar sudah dibuat untuk kanker serviks, tetapi untuk kanker payudara hanya tersedia dalam bentuk hologram berisi simulasi gerakan Periksa Payudara Sendiri (SADARI). Aplikasi hologram ini belum menyertakan informasi tentang kanker payudara secara komprehensif. Tujuan: Menyediakan layanan informasi tentang kanker payudara, dan penjelasan serta simulasi bagaimana memeriksa secara mandiri yang berbasis menggunakan aplikasi berbasis telepon pintar. Metode: Metode penelitian terdiri atas desain aplikasi, pengumpulan asset sebagai sumber database, validasi aplikasi, dan uji coba aplikasi kepada 100 responden menggunakan teknik purposive sampling. Evaluasi kelayakan aplikasi dilakukan menggunakan kuesioner pre-test dan post-test. Hasil: Aplikasi berhasil dibuat dan dapat diunduh melalui google play store. Aplikasi ini membantu meningkatkan pengetahuan responden tentang kanker dari rata-rata 43,38% menjadi 77,72%. Sebesar 34.6% responden setuju dan  61.8% sangat setuju bahwa aplikasi ‘Be Care’ berguna dan bermanfaat. Kesimpulan: Aplikasi “Be Care” dinilai layak untuk digunakan dalam meningkatkan pengetahuan, kesadaran, dan keterampilan terkait deteksi dini kanker payudara. Aplikasi berbahasa Indonesia dengan status ‘free access’ ini diharapkan menjadi salah satu media efektif yang berkontribusi dalam menurunkan jumlah kasus baru dan kematian akibat kanker. AbstractBackground: An early breast cancer detection will provide a higher cure rate for sufferers if the patient arrives early when there are symptoms of breast cancer. However, Indonesians tend to come to the health centres with an advance condition, which it makes difficult to be treated. The availability of information about breast cancer and smartphone-based self-examination is a necessity at this time. Therefore, we need the correct socialization. One of the socialization tools that are considered effective is digital media. In Indonesia, smartphone-based application has been made for servical cancer, but it is only available in hologram containing of Breast Self-Examination (BSE) for breast cancer. This does not include comprehensive information about breast cancer. Objective: To provide information service about breast cancer, and an explanation also simulation of how to do BSE based on a smartphone-based app. Methods: The research consists of application design, collection of assets as a database source, application validation, and testing to 100 respondents using purposive technique sampling. The evaluation for feasibility of the app was carried out using pre-test and post-test questionnaire.  Results: The app was successfully created and can be downloaded via Google Playstore. This app helps increase knowledge of the respondents about cancer from an average 43.38% to 77.22%. As much as 34.6% of respondents agree and 61.8% strongly agree that the app “Be Care” is useful. Conclusion: "Be Care" app is considered feasible to be used in increasing knowledge, awareness, and skills related to early detection of breast cancer. This Indonesian language app with “free access” is expected to be one of the effective media contributing to reducing the number of new cases and death due to cancer.