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Survival and Clinicopathological Features of Cervical Carcinoma Patients with Radiation Therapy Yahya Irwanto; Aliesya Patricia Wulandari; Ineke Permatasari; Ainun Ganisia; Lilik Zuhriyah; I Wayan Agung Indrawan; Sutrisno .
Medical Laboratory Technology Journal Vol. 8 No. 1 (2022): June
Publisher : Poltekkes Kemenkes Banjarmasin Jurusan Analis Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (637.95 KB) | DOI: 10.31964/mltj.v0i0.452

Abstract

Cervical cancer has a high incidence with a low survival rate. The clinicopathological profile and risk factors cause this. Most cervical cancer sufferers are late in realizing this, contributing to the severity suffered. Radiation has a very important role because it is a therapy that can be done in cervical cancer patients who have experienced an advanced level of severity. This study aims to determine the survival and influence of the clinicopathological and risk factors of radiation patients as a consideration in selecting effective therapy to increase the survival rate of cervical cancer patients. The benefit of this research is to help evaluate cervical cancer management procedures with radiation therapy applied in many hospitals in Indonesia to increase the success of therapy for cervical cancer. An analytical observational study with a retrospective cohort type using medical record data with samples of all patients diagnosed with cervical cancer who received radiation therapy from January to December 2017. Samples in this study were 111 patients. This study revealed that the five-year survival rate of cervical cancer patients was only 53.1%. There was an influence on the clinicopathological stage (p<0.000), histopathology (p<0.000), lymph node status (p<0.000), degree of differentiation (p<0.001), and risk factors for age (p<0.038), parity (p<0.001), education (0.022), marital status (0.001), contraceptive use (p<0.000), and BMI (p<0.000) which resulted in a log-rank p-value <0.05, so it was concluded that there was an effect between these variables on cervical carcinoma survival rate. Multivariate, it was found that radiation, histopathology, lymph node status, contraception, and BMI had a significant effect (p<0.005) on the survival rate of cervical cancer patients. The results of this study indicate that the survival rate of cervical cancer patients is still low, and there is a clinicopathological and risk factors that influence the survival rate of cervical cancer patients.
POTENTIALLY ENHANCEMENT OF POSTPARTUM PSYCHOLOGICAL DISORDERS IN THE PANDEMIC OF COVID-19 Ineke Permatasari
Journal of Psychiatry Psychology and Behavioral Research Vol. 4 No. 1 (2023): Fight Against Depression and Embrace Equity in Mental Health
Publisher : Departemen Psikiatri Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (159.623 KB) | DOI: 10.21776/ub.jppbr.2023.004.01.9

Abstract

Background: The resulting consequences of pandemic COVID-19 include non-natural disasters, as well as trauma, which causes challenges in the psychological field due to the resulting situational under pressures. This can also be used as a benchmark for psychological well-being in postpartum women. The process of giving birth is one of the stressful events for the mother and this is a critical period for the mother, it can cause some physical and psychological damage due to unpleasant experiences during childbirth, such as difficult cases, prolonged labor, and traumatic manipulation during labor.Objective: To discussed the factors that can have a potential effect on the risk of this incident, the potential to exacerbate psychological disorders in postpartum women, including factors from a medical, social, and psychological perspective.Method: This paper involved on referral sources and based on observation by author.Results: Prevalence of disorders such as depression and PTSD increased during the COVID-19 pandemic. Other supportive conditions such as the lack of mental support from families, the process of independent isolation, limited access to health services which also causes stress and feelings of being alone. Based on the literature, all of these events can create fear and suppress the mental state of the post partum woman, hinder the postpartum process of transition, and increase the intensity of depression severityConclusion: Pandemic COVID-19 made alleviate of postpartum psychological disorder, therefore preventive effort can be choosen to bring positive impact by increasing productivity and make a positive mind in the mother, also described as an efficient and useful method for postpartum mothers. Keywords: enhancement, psychological, pregnancy.
Effectiveness of Slow Deep Breathing Therapy Against Emesis Gravidarum Permatasari, Ineke; Nuraini, Lutfi
Jurnal Ilmiah Kesehatan Rustida Vol 11 No 2 (2024): Juli
Publisher : Akademi Kesehatan Rustida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55500/jikr.v11i2.225

Abstract

Emesis gravidarum is a normal symptom experienced by most pregnant women. This condition is common in early pregnancy, especially in the first week to the third month of pregnancy. The aim of this research is to find out how effective slow deep breathing therapy is for pregnant women with emesis gravidarum, quantitative research using experimental methods, using a quasi research design. experiment with a One Group Pretest-Posttest Design research design, the population in this study were all pregnant women in the Independent Practice Midwives in the Glenmore Region in 2023, totaling 30 respondents, with a classification of respondents based on age who experienced emesis gravidarum, most of whom were 25-33 years old, namely 19 respondents (63.30), most of whom had completed high school, namely 20 respondents (66.70%), most of whom worked as housewives, namely 24 respondents (80.00%). Frequency distribution of levels of nausea and vomiting before implementing slow deep breathing therapy at BPM Puspitarini, A.Md. Keb Glenmore Banyuwangi, namely 16 (53.30%) respondents with mild nausea and vomiting criteria and 14 (46.70%) respondents with nausea criteria moderate vomiting.The pre-test and post-test showed a significant relationship with p value = 0 <0.05 N = 30 It can be concluded that there is an effect of applying slow deep breathing therapy (independent) on pregnant women with emesis gravidarum.
Classical Music Interventions to Reduce Anxiety in Pregnancy Permatasari, Ineke; Farona, Isabela
Jurnal Ilmiah Kesehatan Rustida Vol 12 No 1 (2025): Januari
Publisher : Akademi Kesehatan Rustida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55500/jikr.v12i1.249

Abstract

To calming mind, people can be intend with music therapy and free their body from mentally, physicaly, and emotional stress who rapidly experience by pregnant women, its also a train to patients to be able relax. Pregnant women generally experience anxiety due to changes in body shape, hormones or preparation for childbirth. This experience study conducting and providing classical music as therapy a interventions to pregnant women which proven in several study to reducting anxiety. Use a quasi-experimental design, one group pre and post test research design. This aimed a purposive sampling tehniques of 30 respondents. Study performed a significant relationship among classical music that decreasing a level of anxiety of pregnant women showed a p value = 0.000 < 0.05, N 30. Conclusions that there is a significant effect between classical music as therapy to reducing a level of anxiety of pregnant women.
Manajemen asuhan kebidanan ibu hamil dengan anemia defisiensi besi: Studi kasus pada Ny. ‘’C’’ umur 28 tahun di Puskesmas Panekan Permatasari, Ineke; Nafisah, Khilda Durrotun; Fatah, Roiful
Indonesian Journal of Health Science Vol 5 No 2 (2025)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v5i2.1471

Abstract

Anemia defisiensi besi merupakan masalah kesehatan yang sering terjadi pada ibu hamil dan dapat berdampak serius terhadap kesehatan ibu maupun janin. Studi kasus ini bertujuan untuk mendeskripsikan manajemen asuhan kebidanan pada ibu hamil dengan anemia defisiensi besi di Puskesmas Panekan. Subjek studi adalah Ny. C, umur 28 tahun, dengan diagnosa anemia defisiensi besi pada kehamilan trimester kedua. Metode yang digunakan adalah studi kasus dengan pendekatan asuhan kebidanan komprehensif meliputi pengkajian, diagnosa kebidanan, perencanaan, implementasi, dan evaluasi. Hasil asuhan menunjukkan bahwa intervensi berupa pemberian suplementasi zat besi, edukasi gizi, dan pemantauan rutin berhasil meningkatkan kadar hemoglobin Ny. X dari 9,5 g/dL menjadi 11 g/dL dalam waktu 4 minggu. Studi ini menyimpulkan bahwa manajemen asuhan kebidanan yang tepat dan komprehensif dapat efektif dalam menangani anemia defisiensi besi pada ibu hamil. Diperlukan kolaborasi antara tenaga kesehatan dan pasien untuk mencapai hasil yang optimal.
Edukasi Kesehatan Reproduksi dan Skrining Kehamilan di Desa Kedungwungu, Kabupaten Banyuwangi: Studi Intervensi Komunitas Permatasari, Ineke; Nita Indah Lestari; Rizky Dwiyanti Yunita; Tria Eni Rafika Devi
Jurnal Pengabdian Kesehatan Masyarakat Mulawarman Vol. 3 No. 1 (2025): Juni 2025
Publisher : Fakultas Kedokteran, Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The level of public awareness about reproductive health and the importance of pregnancy screening in rural areas is still low, resulting in a high risk of pregnancy complications. Kedungwungu Village, Banyuwangi, is one of the areas with suboptimal coverage of antenatal check-ups (K1). Education is provided with the aim of increasing community understanding of reproductive health and early detection of pregnancy risks through education and health screening. The service activities are carried out through: (1) Interactive counseling with visual media, (2) Individual counseling, (3) Basic health checks (blood pressure and physical examination). Participants consisted of 71 mothers who were purposively selected. After the activity, there was a 65% increase in participants' knowledge (from pretest to posttest) regarding reproductive health and pregnancy danger signs. Screening identified 1 mothers at risk of anemia who were get according to the procedure. Participants also showed high enthusiasm in group discussions. This program is effective in improving understanding and early detection of reproductive health problems. Continued collaboration with health cadres is needed to monitor at-risk participants.
Analisis Faktor Determinan Kanker Serviks Stadium IIIB di RSUD X Permatasari, Ineke; Puspitasari, Lina Agustiana
Jurnal Ilmiah Kesehatan Rustida Vol 12 No 2 (2025): Juli
Publisher : Akademi Kesehatan Rustida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55500/jikr.v12i2.285

Abstract

Kanker serviks stadium IIIB merupakan masalah kesehatan serius dengan angka kejadian dan mortalitas yang tinggi. Faktor determinan seperti riwayat skrining, status sosial ekonomi, usia, kebiasaan merokok, riwayat seksual, dan komorbiditas perlu dianalisis untuk memahami penyebab tingginya kasus stadium lanjut di RSUD X, sebagai salah satu rumah sakit rujukan di Jawa Timur. Penelitian ini bertujuan untuk menganalisis faktor determinan kejadian kanker serviks stadium IIIB di RSUD X. Metode penelitian ini adalah studi observasional cross-sectional, tehnik pengambilan sampel total sampling, responden sebesar 52 pasien kanker serviks stadium IIIB periode dalam periode 1 tahun terakhir. Data dikumpulkan melalui rekam medis dan wawancara terstruktur. Analisis statistik menggunakan analisis univariat dan regresi cox untuk mengidentifikasi faktor dominan dengan hasil faktor determinan utama yang teridentifikasi meliputi 70% pasien tidak pernah melakukan skrining, 60% pasien berasal dari keluarga berpendapatan rendah. Analisis multivariat menunjukkan bahwa skrining (OR = 5,2; p < 0,001), usia (OR = 4,8; p < 0,001), dan status sosial ekonomi rendah (OR = 3,5; p = 0,002)merupakan faktor dominan yang signifikan. Hasil penelitian menunjukkan bahwa 90,4% pasien dengan status sosial ekonomi terbanyak berkategori rendah, didominasi usia > 50 th, sebagian besar yakni 61,3% responden dengan komorbid. Kesimpulan dalam penelitian ini determinan utama kanker serviks stadium IIIB di RSUD X adalah rendahnya partisipasi skrining, usia > 50 tahun, status sosio ekonomi rendah dan komorbiditas.
Survival Analysis of Clinicopathology Profile, Risk Factor, and Prognostic Factor in Cervical Carcinomas with Chemoradiation Yahya Irwanto; Ineke Permatasari; Aliesya Patricia; Ainun Ganisia; Eviana Norahmawati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S1 (2022): Suplement 1
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (938.982 KB) | DOI: 10.30604/jika.v7iS1.1187

Abstract

Cervical carcinoma causes several problems like pain and suffering at least death. However, it is the most preventable, curable, and high survival type of cancer. This study aims to analyze the survival of cervical cancer patients based on factors that are considered influential, such as clinicopathological profiles, risk factors, and prognostic factors to order the effectiveness of therapy and improve the quality of life in patients receiving chemoradiation. In an analytical observational retrospective cohort design study, using secondary data, samples contain all patients diagnosed with cervical cancer who received chemoradiation therapy from January to December 2017 which is 151 patients. This study revealed that the 5year survival rate is 57.6%. The lowest Person Time is 3 months and the longest is 60 months, average 45.80 months, standard deviation 18.179 months. There was a significant influence on the clinicopathological profile including Age (0.002), Histopathology (0.012), and Stage (0.000). Risk factors: parity (0.000), Education (0.007), Number of Marriages (0.025), Menstrual Disorders (0.021), Contraception (0.004), Cancer History (0.000), Body Mass Index (0.022), Area of residence (0.009). Prognostic factors: chemoradiation type (0.002), chemotherapy type (0.000), radiation type (0.001), radiation technique (0.007). The results indicate that the survival rate of cervical cancer patients with chemoradiation still has to be concern. Abstrak: Karsinoma serviks menyebabkan masalah kesakitan, penderitaan dan menjadi penyebab kematian. Akan tetapi, juga merupakan jenis kanker yang paling dapat dicegah, disembuhkan dan memiliki kesintasan hidup tinggi. Penelitian ini bertujuan untuk menganalisa kesintasan hidup pasien karsinoma serviks berdasarkan faktor yang dinilai berpengaruh yaitu profil klinikopatologi, faktor risiko, dan faktor prognostik guna menilai efektivitas terapi demi peningkatan kualitas hidup pada pasien yang menerima kemoradiasi. Penelitian ini merupakan studi analisis observasional dengan desain retrospective cohort, menggunakan data sekunder, sampel dalam penelitian ini mencakup semua pasien dengan diagnosa karsinoma serviks yang menerima terapi kemoradiasi dari bulan Januari hingga Desember 2017 sejumlah 151 pasien. Pada penelitian ini didapatkan data 5 tahun kesintasan sebesar 57.6%. Person Time terendah 3 bulan dan terlama 60 bulan dengan nilai rata-rata 45,80 bulan, standar deviasi 18,179 bulan. Terdapat pengaruh signifikan Profil Klinikopatologi meliputi kategori Usia (0.002), Histopatologi (0.012), Stadium (0.000). Faktor Risiko meliputi kategori paritas (0.000), Pendidikan (0.007), Jumlah Pernikahan (0.025), Gangguan Menstruasi (0.021), Kontrasepsi (0.004), Riwayat Kanker (0.000), Indeks Masa Tubuh (0.022), Daerah tinggal (0.009). Faktor Prognostik meliputi Jenis Kemoradiasi (0.002), Jenis Kemoterapi (0.000), Jenis Radiasi (0.001), Teknik Radiasi (0.007). Hasil ini menunjukan bahwa kesintasan hidup pada pasien karsinoma serviks yang mendapat terapi kemoradiasi masih membutuhkan perhatian.
Optimalisasi Keberlanjutan Pemberian ASI Ekslusif Melalui Pelatihan Manajemen Pengelolaan ASI Perah Bagi Ibu Yang Bekerja Fristiyanti, Regina Ayu; Permatasari, Ineke; Wardani, Suci Fitriana Pramudya
RENATA: Jurnal Pengabdian Masyarakat Kita Semua Vol. 3 No. 3 (2025): Renata - Desember 2025
Publisher : PT Berkah Tematik Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61124/1.renata.269

Abstract

Pemberian air susu ibu (ASI) eksklusif selama enam bulan pertama kehidupan berperan penting dalam menurunkan angka kesakitan dan kematian bayi, mendukung tumbuh kembang optimal, serta memperkuat pencapaian indikator kesehatan nasional. Namun, cakupan ASI eksklusif di Indonesia masih berada di bawah target nasional sebesar 80%. Salah satu faktor penyebab utama adalah kondisi ibu bekerja yang menghadapi keterbatasan cuti melahirkan, durasi kerja yang panjang, kelelahan fisik, serta minimnya fasilitas laktasi di tempat kerja. Untuk mengatasi kendala tersebut, dilakukan kegiatan pengabdian masyarakat berupa pelatihan manajemen pengelolaan ASI perah di Posyandu Kemuning I, Desa Alasmalang, Kecamatan Singojuruh, Kabupaten Banyuwangi, sebagai strategi agar ibu bekerja tetap dapat memberikan ASI eksklusif. Kegiatan ini menggunakan desain pra-eksperimental dengan pendekatan one group pretest–posttest untuk menilai efektivitas pelatihan terhadap peningkatan pengetahuan dan keterampilan peserta. Sebanyak 15 peserta yang terdiri atas ibu bekerja, kader kesehatan, dan perwakilan PKK mengikuti kegiatan. Intervensi dilakukan melalui ceramah interaktif, demonstrasi manajemen ASI perah yang mencakup teknik pemerahan, penyimpanan, dan pemberian ASI perah sesuai standar, dilanjutkan dengan simulasi praktik mandiri dan sesi umpan balik. Hasil analisis menunjukkan adanya peningkatan signifikan pengetahuan sebesar 63,47%, dari rata-rata 52,40±18,25 menjadi 85,67±9,80 (p=0,001). Selain itu, 80% peserta mencapai kategori keterampilan baik dalam pengelolaan ASI perah setelah pelatihan. Temuan ini menunjukkan bahwa edukasi partisipatif berbasis praktik efektif meningkatkan kompetensi ibu bekerja dalam manajemen ASI perah dan berpotensi mendukung keberlanjutan pemberian ASI eksklusif