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Journal : INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL

DETERMINAN PERILAKU DETEKSI DINI KANKER SERVIKS METODE INSPEKSI VISUAL ASAM ASETAT (IVA) Arum Dewi Pusparini; Gatut Hardianto; Nila Kurniasari
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 1 (2019): Indonesian Midwifery and Health Sciences Journal, January 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i1.2019.51-61

Abstract

AbstrakLatar Belakang: Kanker serviks atau kanker leher rahim merupakan kanker pembunuh nomor dua di dunia. Pemerintah telah berupaya untuk mengatasi kanker serviks dengan metode inspeksi visual asam asetat (IVA). Faktor yang dapat mempengaruhi seseorang untuk melakukan IVA antara lain pengetahuan, sikap, budaya dan dukungan petugas kesehatan. Tujuan penelitian ini untuk mengetahui perbedaan faktor yang mempengaruhi wanita usia subur (WUS) yang pernah melakukan pemeriksaan IVA dan belum pernah tes IVA. Metode: mengguanakan analitik  observasional dengan pendekatan cross sectional. Jumlah sampel sebanyak 108 wanita usia subur dengan teknik purposive sampling yang memnuhi kriteria inklusi dan eksklusi. Untuk mengetahui tingkat signifikan, data yang terkumpul akan diuji statistik Chi-Square dan Fisher Exact Test pada tingkat kemaknaan 0,05. Hasil: faktor yang memiliki perbedaan yang bermakna antara wanita usia subur yang pernah melakukan dan belum pernah melakukan pemeriksaan IVA antara lain pengetahuan (p= 0,002), Budaya (p= 0,021), dukungan petugas kesehatan (p= 0,010). Sedangkan sikap (p= 1,000) tidak terdapat perbedaan yang bermakna. Kesimpulan: perbedaan faktor yang mempengaruhi WUS yang pernah dan belum pernah tes IVA di wilayah puskesmas Sidotopo adalah pengetahuan, budaya dan dukungan petugas kesehatan. AbstractBackground: Cervical cancer is the second leading deathly woman disease in the world. The Indonesian government has been trying through visual inspection of the cervix with acetic acid (VIA). There are some factors influencing women to undergo VIA such as knowledge, behaviour, culture and the support of medical workers. Thus, this research was aimed at finding significance differences among reproductive women undergoing and not undergoing. Method: This research employed Observational Analytic using cross sectional approach. The sample of this research was 108 women of reproductive age. Purposive sampling was employed as a technique which met inclusion and eksclusion criteria. To be able to find out the significance, the data collected was tested in the statistical test chi square of 0.05 significance level. Result: Factors like knowledge (p= 0,002), culture (p= 0,021), and support of medical workers (p= 0,010) showed significance difference among reproductive women undergoing and not undergoing VIA while behaviour (p= 1,000) showed no significance difference. Conclusion:the differences among reproductive women undergoing and not undergoingVIA in region of puskesmas Sidotopo was knowledge, culture and the support of medical workers. 
FAKTOR AKSESIBILITAS PELAYANAN KESEHATAN TERHADAP PEMERIKSAAN IVA DI PUSKESMAS BENCULUK KABUPATEN BANYUWANGI Arisca Arisca; Pudji Lestari; Nila Kurniasari
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 4 (2019): Indonesian Midwifery and Health Sciences Journal, October 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i4.2019.305-310

Abstract

Abstrak Latar Belakang: Kanker serviks merupakan salah satu penyakit kanker yang menyerang wanita dan menduduki urutan kedua setelah kanker payudara di Indonesia. Salah satu pencegahan yang dapat dilakukan adalah dengan melakukan pemeriksaan deteksi dini kanker serviks metode IVA. Keinginan melakukan pemeriksaan IVA dipengaruhi beberapa faktor, diantaranya pengetahuan, kesadaran, keternagkauan jarak, keterjangkauan biaya, serta persepsi Ibu. Penelitian ini bertujuan untuk menganalisis faktor aksesibilitas pelayanan kesehatan dan persepsi ibu terhadap pemeriksan IVA di Puskesmas Benculuk Kabupaten Banyuwangi. Metode: Penelitian ini merupakan penelitian observasional deskriptif dengan desain cross sectional. Pengambilan sampel menggunakan teknik random sampling sejumlah 60 responden dengan instrument penelitian kuisioner. Variabel penelitian terdiri dari pengetahuan, kesadaran, keterjangkauan jarak, keterjangkauan biaya, dan persepsi Ibu. Hasil: Hasil penelitian didapatkan bahwa 93,3% belum pernah melakukan pemeriksaan IVA, 90% WUS memiliki pengetahuan baik, 70% memiliki keterjangkauan jarak yang jauh dengan tempat pelayanan kesehatan, 100% mampu dalam pembiayaan pemeriksaan IVA, sebagian besar WUS memiliki persepsi yang baik terkait kanker serviks dan pemeriksaan IVA. Kesimpulan: Faktor aksesibilitas pelayanan kesehatan dan persepsi Ibu terhadap pemeriksaan IVA termasuk dalam golongan baik, namun dari 60 responden hanya 4 responden yang sudah pernah melakukan pemeriksaan IVA. Beberapa alasan mengapa WUS belum melakukan pemeriksaan  diantaranya karena rasa malu dan takut kepada petugas kesehatan, rasa takut apabila terdeteksi adanya penyakit kanker serviks, serta merasa belum membutuhkan pemeriksaan IVA karena belum merasakan adanya gejala yang mengarah pada penyakit kanker serviks.Abstract Background: Cervical is a cancer that involves women. Cervical cancer rank’s is the second after breast cancer in Indonesia. Prevention that can be done is by conducting an examination of the early detection of cervical cancer VIA method. The desire to conduct VIA test is influenced by several factors, including knowledge, awareness, distance awareness, cost affordability, and mother's perception. This study aims to analyze the accessibility factors of health services and maternal perceptions of VIA test at the Puskesmas Benculuk Kabupaten Banyuwangi. Methods: This study was a descriptive observational study with a cross sectional design. Sampling used a random sampling technique of 60 respondents with questionnaire research instruments. The research variables consisted of knowledge, awareness, affordability, affordability, and women's perception. Results: The results showed that 93.3% had never done VIA examination, 90% of women of childbearing age had good knowledge, 70% had far-reaching affordability with health care facilities, 100% were able to finance IVA examinations, most women of childbearing age had a good perception of cancer cervix and VIA test. Conclusion: Accessibility factors for health services and maternal perceptions of IVA examination are included in the good category, but from 60 respondents only 4 respondents have already conducted IVA examinations. Some of the reasons why women of childbearing age has not conducted an examination include the feeling of shame and fear of health workers, fear of cervical cancer being detected, and feeling that they have not needed an IVA examination because they have not felt any symptoms that lead to cervical cancer.
RISK FACTORS FOR ESTROGEN EXPOSURE IN VARIOUS GRADES OF ENDOMETRIOID CARINOMA Ma’rifatu Ulfa Hidayati; Pungky Mulawardhana; Nila Kurniasari
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 1 (2020): Indonesian Midwifery and Health Sciences Journal, January 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i1.2020.40-50

Abstract

AbstractBackground: Incidence endometrial cancer in Southeast Asia it is estimated that 41% of new cases emerge. The incidence of endometrial cancer in Dr. Soetomo General Hospital has increased every year. In 2016 there were 119 new cases of endometrial cancer and in 2017 there were 160 cases. 75%-80% is type I endometrial cancer (endometrioid carcinoma). Risk factors for estrogen exposure (early menarche, parity, obesity) are risk factors for endometrial cancer. The prognosis of endometrial cancer depends on the grade. This study aims to determine differences in risk factors for estrogen exposure in various grades of  type I endometrial cancer (endometrioid carcinoma) in the Poli Onkologi Satu Atap Dr. Soetomo General Hospital Surabaya. Methods: the research method was analytic observational with cross-sectional design. Sample size of 40 medical records was taken by total sampling technique. Research variables include age of menarche, parity, BMI, and grade of endometrial cancer. The instrument used was a data collection sheet and medical records. Data analysis using chi-square test. Results: The results showed 52%  patients were grade 1-2, there were 95% of menarche patients in the age range of 12-14 years,  62.5% patients had parity of 1-2 and 52% patients, BMI was underweight-normal category. Test results based on early menarche did not show significant differences between grades 1-2 and grade 3 in endometrioid carcinoma (p = 0.168). Likewise, parity in various grades of endometrial cancer type I (endometrioid carcinoma) there was no significant difference (p = 0.220) and BMI also no significant difference (p = 0.987). Conclusions: risk factors for estrogen exposure which include menarche, parity, obesity do not make a significant differences to the grades of endometrioid carcinoma.
THE DIFFERENCE OF WEIGHT GAIN IN 5 CONTRACEPTIVE GROUPS IN PUSKESMAS DUPAK SURABAYA AREA Nurul Istiqomah; Nila Kurniasari; Budiono Budiono
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 3 (2020): Indonesian Midwifery and Health Sciences Journal, July 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i3.2020.210-219

Abstract

AbstractBackground: Weight gain is one of the predominantly problem for women who’s in childbearing age. Weight gain that occurs at women in childbearing age is often associated with contraceptive use. One type of contraception that affects weight gain is the hormonal contraception. Lerning the weight gain from each use of contraception is important as a consideration for the family planning program. Methods: This research method was observational analytic with cross-sectional design. Sample size was 136 respondents and the sampling technique used total sampling. The independent variable is the type of contraception includes 1 month injection contraception, 3 month injection contraception, implant contraception, combined pill contraception, and copper T. IUD contraception. The dependent variable is the weight gain. Data was analyzed with Kruskal Wallis test. Results: The results showed that 120 respondents from 5 contraceptive groups experienced weight gain after using contraception. The results of the Kruskal Wallis test were obtained at value of P <0.0001 (p <0.05). that there are differencea in weight gain in 5 groups of contraception. Conclusion: there are difference in weight gain from each contraceptive groups and the contraception that most influences weight gain is 3 months injection contraception. 
THE RELATIONSHIP BETWEEN BSE KNOWLEDGE AND BREAST TUMOR SIZE DURING SURGICAL CENTER VISIT AT UNAIR HOSPITAL Eva Silvia Yahya; Pungky Mulawardhana; Nila Kurniasari
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 1 (2022): Indonesian Midwifery and Health Sciences Journal, January 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i1.2022.66-73

Abstract

AbstractBackground: Breast tumor is a group of abnormal cells and continue growing multiply in the breast. In Indonesia, it is known that 8,1% of 38.749 women have tumor in the breast. One way to detect it early is to do the Breast Self Examination (SADARI). The purpose of the research was to know the correlation of SADARI knowledge with the size of the breast tumor at admission to surgery outpatient clinic. Methods: This type of research is observational analytic, cross sectional design. The sample were 36 tumor patients. The sampling technique was a convenient sampling. The independent variable was the knowledge SADARI and the dependent variable was the size of the breast tumor. The secondary data was taken in the form of USG and the primary data was a questionnaire. The data was tested with Spearman Rank. Results: The results of the bivariate analysis showed 0,328 (p>0,05) probability score (p value) and 0,168 R score which meant the correlation was very weak. Conclusion : there is no correlation of SADARI knowledge with the size of breast tumor at admission of surgery outpatient clinic. Keywords: Knowledge, SADARI, The size of breast tumor at admission