HUBUNGAN KARAKTERISTIK, RIWAYAT KELUARGA DAN PENGETAHUAN PADA IBU YANG MENDERITA KANKER SERVIKS DALAM KETERLAMBATAN MENCARI PENGOBATAN KEPELAYANAN KESEHATAN
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Published:
Jul 8, 2020
Keywords:
Cervical Cancer, Delay, Knowledge, Family History
Main Article Content
Abstract
Introduction: Cervical cancer is cancer that occurs in the cervix of the uterus, is the entrance to the uterus located between the uterus and the vagina. Mothers with cervical cancer 65.5% come to health care already in an advanced stage, where this will have an impact on economic, social, physical, psychological suffering and even increased mortality due to cervical cancer. This study aims to determine the relationship of characteristics, family history of mothers suffering from cancer and maternal knowledge about cervical cancer in delay in seeking treatment at the RSUH. Adam Malik Medan.
Methods: This study used a cross-sectional study design. The population in this study were all women with cervical cancer who had been diagnosed through histopathological examination from Stage Ia to Stage IVb who were treated in the Midwifery and Midwifery Oncology Hospital of Adam Malik General Hospital Medan. The way to take sample is by using non probability sampling.
Research / Discussion Results: Based on univariate analysis that the delay of respondents in seeking treatment for health services in patients with cervical cancer, generally has an advanced stage (67.5%). Characteristics of respondents; age> 40 years (58%), low education (34.3%), having more than 2 children (77.5%), low socioeconomic (37.3%), having a family with a history of cancer (39.1%). Based on univariate analysis states that: There is a significant relationship: age> 40 years, low education, having more than 2 children, low socioeconomic, poor knowledge, family history of cancer where p <0.05 with 95% CI, to delays seek treatment to health services.
Conclusion: increasing maternal awareness through IEC with early detection of IVA or pap smears, increasing knowledge can prevent delays in patients coming to health care. Respondents who have a family history of cancer or not have the potential for cervical cancer, so they still need to be routinely detected early. Optimize efforts to prevent cervical cancer, by raising awareness of the awareness and importance of cervical cancer screening through early detection of either IVA or pap smear tests, health promotion so that people do not come at an advanced stage to health services.
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Literature Review
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References
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32. Notoatmodjo S. 2012. Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: PT Rineka Cipta.
33. Morita, S. E., Prabowo, W. C., & Rijai, L. (2016, November). Kajian Pengobatan Pasien Kanker Serviks Di RSUD Abdul Wahab Sjahranie Samarinda. In Proceeding of Mulawarman Pharmaceuticals Conferences (Vol. 4, pp. 330-334).
34. Paramita, S. 2013. Analisis Faktor Resiko Kanker Serviks di Kalimantan Timur. Skripsi. Universitas Udayana.
35. Husnah, A., Kurniati, N., & Mawarti, R. (2018). Hubungan Paritas Dan Umur Dengan Kejadian Kanker Serviks Di Rsu Pku Muhammadiyah Bantul Yogyakarta.
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48. Dyanti, G. A. R., & Suariyani, N. L. P. (2016). Faktor-Faktor Keterlambatan Penderita Kanker Payudara dalam Melakukan Pemeriksaan Awal ke Pelayanan Kesehatan. KEMAS: Jurnal Kesehatan Masyarakat, 11(2), 276-284.
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51. Anderson, A. S., Caswell, S., Macleod, M., Steele, R. J., Berg, J., Dunlop, J., ... & O’Carroll, R. E. (2017). Health behaviors and their relationship with disease control in people attending genetic clinics with a family history of breast or colorectal cancer. Journal of genetic counseling, 26(1), 40-51.
52. Marijanovi?, I., Pavlekovi?, G., Buhovac, T., & Martinac, M. (2017). The relationship between health locus of control, depression, and sociodemographic factors and amount of time breast cancer patients wait before seeking diagnosis and treatment. Psychiatria Danubina, 29(3), 330-344.
53. McCaul dan Tulloch A. S., Caswell, S., Macleod, M., Steele, R. J., Berg, J., Dunlop, J., ... & O’Carroll, R. E. (2017). Health behaviors and their relationship with disease control in people attending genetic clinics with a family history of breast or colorectal cancer. Journal of genetic counseling, 26(1), 40-51.
2. KEMENKES. Buletin Kanker. Pusat Data dan Informasi Kementerian Kesehatan RI 2015. 2015.
3. Purwoto, G. & Nurrana, L. 2000. Motode Skrining Alternatif Pada Kanker Serviks. Ramli, M. Umbas, R. & Panigoro, S.S. (Ed). Deteksi Dini Kanker (hml 142 – 149), Jakarta: Balai Penerbit Fakultas Kedokteran Universitas Indonesia
4. Purwoto, G & Nuranna, L, 2002. Metode Skrining Alternatif pada Kanker Serviks. In : Ramli HM, Et al, eds. Deteksi Dini Kanker, Jakarta : Balai Penerbit FKUI
5. Surbakti, E., Ginting, B. K. B., Mangkuji, B., & Sitorus, S. (2017). Influence Of Cancer Fetalism And Family Support Against Delay Cervical Cancer Sufferers Seek Treatment At The Hospital Center H. Adam Malik Medan Indonesia. Adam Malik Medan Indonesia. Asian Jr of Microbiol Biotech Env Sc, 19(2).
6. Pusat Data dan Informasi, Situasi Penyakit Kanker, 2015. Jendela Buletin Pusat Data dan Informasi, Kemenkes RI.
7. Nurlelawati, E., Devi, T. E. R., & Sumiati, I. (2018). Faktor-Faktor yang Berhubungan dengan Kejadian Kanker Serviks di Rumah Sakit Pusat Pertamina Jakarta Tahun 2016. Jurnal Bidan, 4(1).
8. Emelia,O, Kusumanto,A,.Hananta,P.,&Freitag,H. 2010, Bebas Ancaman Kanker Serviks, Yogyakarta: MedPres.
9. Fritzgerald, S.R. Stany, M.P. & Hamilton, C.A. 2014. Cervical Cancer. Abraham, J. Gulley, J.L. & Allegra, C.J. (Ed). The Bethesda Handbook Of Clinical Oncology (4th edition ). (hal. 252), Philadelphia: Wolters Kluwer
10. Aziz, M.F. 2000. Srining Dan Deteksi Dini Kanker Serviks. Ramli, M. Umbas, R. Panigoro, S.S. Deteksi Dini Kanker. (hml 97 – 112), Jakarta : Balai Penerbit Fakultas Kedokteran Universitas Indonesia
11. Winawer, S.J. & Shike, M. 1995. Cancer Free. New York: Memorial Sloan – Kettering Cancer Center
12. Fritzgerald, S.R. Stany, M.P. & Hamilton, C.A. 2014. Cervical Cancer. Abraham, J. Gulley, J.L. & Allegra, C.J. (Ed). The Bethesda Handbook Of Clinical Oncology (4th edition ). (hal. 252), Philadelphia: Wolters Kluwer
13. Rasjidi,I. 2013. Onkologi Klinik. Jakarta : Penerbit Buku Kedokteran EGC
14. Maria, I. L., Sainal, A. A., & Nyorong, M. (2017). Risiko Gaya Hidup terhadap Kejadian Kanker Payudara pada Wanita. Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin, 13(2), 157-166.
15. Septianingrum, A. (2018). Hubungan pengetahuan wanita usia subur tentang kanker serviks terhadap perilaku pemeriksaan inspeksi visual asam asetat di Wilayah Kerja Puskesmas Pisangan (Bachelor's thesis, UIN Syarif Hidayatullah Jakarta: Fakultas Kedokteran dan Ilmu Kesehatan, 2017).
16. Risasi, C.A. & Malumba, P. 2014. Knowledge, Attitude and Practice About Cancer of The Uterine Cervix Among Women Living in Kinshasa, The Democratic Republic of Cango. BMC Women’s Health. 14:30
17. Sichanh, C. Quet, F. Chanthavilay, P. Diendere, J. Latthaphasavang, L. Longuet, C. & Buisson, Y. 2014. Knowledge, Awareness and Attitude About Cervical Cancer Among Women Attending or Not An HIV Treatment Center in Lao PDR. BMC Cancer. 14:161
18. Murff, H. J., Spigel, D. R., & Syngal, S. (2004). Does this patient have a family history of cancer?: an evidence-based analysis of the accuracy of family cancer history. Jama, 292(12), 1480-1489.
19. Bristow Robert E, Montz F. J. Cervikal Cancer in Pregnancy : Cancer Obstetrics and Gynecology. Lippincott Williams and Wilkins,Philadelphia_USA ; 157-173.
20. Lopez A, Kuldeta .A .P, Edwards C. L, Kavanagh J.J. Carcinom a of TheUterine Cervix. M, D. Anderson Cancer Centre, Houston. Texas ; 2002
21. Prandana,D.A. & Rusda, M. 2012. Pasien Kanker Serviks di RSUP H. Adam Malik Medan tahun 2011. E-Jurnal FK USU Volume 1 no 2 tahun 2013.
22. SURBAKTI, E., GINTING, B. K. B., MANGKUJI, B., & SITORUS, S. (2017). INFLUENCE OF CANCER FETALISM AND FAMILY SUPPORT AGAINST DELAY CERVICAL CANCER SUFFERERS SEEK TREATMENT AT THE HOSPITAL CENTER H. ADAM MALIK MEDAN INDONESIA. Adam Malik Medan Indonesia. Asian Jr of Microbiol Biotech Env Sc, 19(2).
23. Suwiyoga, I. K. (2013). Penanganan Nyeri pada Kanker Serviks Stadium Lanjut. Jurnal Studi Jender Srikandi.
24. Birhanu, Z. Abdissa, A. Belachew, T. Deribew, A. Segni, H. Tsu,V . Mulholland, K. Russeel, F.M. 2012. Health Seeking Behavior For Cervical Cancer In Ethiopia : A Qualitative Study. International Journal For Equality Health, 11, 1 – 8 .
25. Masturoh, E. (2016). Faktor-Faktor yang Mempengaruhi Wanita Usia Subur (WUS) dalam Melakukan Deteksi Dini Kanker Serviks Metode Inspeksi Visual Asam Asetat (IVA) (Doctoral dissertation, Universitas Negeri Semarang).
26. Siahpus, M. & Singh, G.K. (2002) Sociodemographic predictors of pap test receipt, currency and knowledge among Australian women. PrevMed, 35: 362-368.
27. Twenge, J. M. (2014). Generation me-revised and updated: Why today's young Americans are more confident, assertive, entitled--and more miserable than ever before. Simon and Schuster.
28. Sabates, R. & Feinstein, L. (2004) Education, training and the take-up of preventative health care. Wider benefits of learining reseach report no.12
29. Engelstad, L. P., Stewart, S. L., Nguyen, B. H., Bedeian, K. L., Rubin, M. M., Pasick, R. J., & Hiatt, R. A. (2001). Abnormal Pap smear follow-up in a high-risk population. Cancer Epidemiology and Prevention Biomarkers, 10(10), 1015-1020.
30. Rwamugira, J. (2018). Promoting cervical screening by involving men as motivators (Doctoral dissertation).
31. Stocking, G. W. (1982). Race, culture, and evolution: Essays in the history of anthropology. University of Chicago Press.
32. Notoatmodjo S. 2012. Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: PT Rineka Cipta.
33. Morita, S. E., Prabowo, W. C., & Rijai, L. (2016, November). Kajian Pengobatan Pasien Kanker Serviks Di RSUD Abdul Wahab Sjahranie Samarinda. In Proceeding of Mulawarman Pharmaceuticals Conferences (Vol. 4, pp. 330-334).
34. Paramita, S. 2013. Analisis Faktor Resiko Kanker Serviks di Kalimantan Timur. Skripsi. Universitas Udayana.
35. Husnah, A., Kurniati, N., & Mawarti, R. (2018). Hubungan Paritas Dan Umur Dengan Kejadian Kanker Serviks Di Rsu Pku Muhammadiyah Bantul Yogyakarta.
36. Aminati D. 2013. Cara Bijak Menghadapi dan Mencegah Kanker Leher Rahim (Serviks).Yogyakarta: Brillian Books.
37. Sukaca, E. Bertiani. 2009, Cara Cerdas Menghadapi Kanker Serviks (Leber Rahim). Yogyakarta : Genius Printika.
38. Mukharomah, K. I., & Cahyati, W. H. (2016). Hubungan faktor sosial ekonomi dengan keterlambatan diagnosis penderita kanker leher rahim di rsud kota semarang. Public Health Perspective Journal, 1(1).
39. Berraho, M. et al. (2012). Sociodemographic factors and delay in the diagnosis of cervical cancer in Morocco. Pan African Medical Jurnal. Vol 12, No 14, Mei 2012, hlm. 1-8.
40. Chadza, Eleanor, Chirwa E, Maluwa A, Malata A, Kazembe A, Chimwaza W. (2012). Factors that contribute to delay in seeking cervical cancer diagnosis and treatment among women in malawi. Vol.4, No.11, ISSN 1015-1022. http://dx.Doi.org/10.4236/health.2012.411155.
41. Tanturovski D, ElizabetaZafirova, MarjanStojovski, NeliBasheska, ViktorijaJovanovska, 2013, Impact of Socio-Demographic Factors on The Delayed Diagnosis and Advanced Stage Presentation of Patients with Invasive Cervical Cancer in Macedonia, CONTRIBUTIONS. Sec. Med. Sei, Vol XXXIV, No 3, hlm 71-78.
42. Muchena RM, KoigiKomau, Kihara Ann Beatrice, 2012, Factors Influencing Early Diagnosis of Cervical Cancer, Dissertation, University of Nairobi.
43. Freeman, H.P. (1989) Cancer in the socioeconomically disadvantaged. CA Cancer J Clin; 39; 266-288.
44. RAHAYU, E. S. (2013). Hubungan Asupan Makanan, Kebersihan Diri Dan Sosial Ekonomi (Pendidikan, Status Pekerjan Dan Pendapatan) Dengan Status Gizi Balita Pada Puskesmas Meureubo Kecamatan Meureubo Kabupaten Aceh Barat Tahun 2012 (Doctoral dissertation, Universitas Teuku Umar Meulaboh).
45. Syaiful, S., Tarigan, F. L., & Zuska, F. (2018). Skrining Kanker Serviks Dengan Pemeriksaan Pap Smear Pada Profesi Bidan Di Rumah Sakit Tk Ii Putri Hijau Medan Tahun 2017. Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan, 3(2), 1-15.
46. Mukama, T., Ndejjo, R., Musabyimana, A., Halage, A. A., & Musoke, D. (2017). Women’s knowledge and attitudes towards cervical cancer prevention: a cross sectional study in Eastern Uganda. BMC women's health, 17(1), 9.
47. Damailia, H. T., & Oktavia, T. R. (2015). Faktor-faktor determinan deteksi dini kanker serviks melalui metode pap smear pada Pasangan Usia Subur (PUS). Gaster: Jurnal Kesehatan, 12(2), 99-107.
48. Dyanti, G. A. R., & Suariyani, N. L. P. (2016). Faktor-Faktor Keterlambatan Penderita Kanker Payudara dalam Melakukan Pemeriksaan Awal ke Pelayanan Kesehatan. KEMAS: Jurnal Kesehatan Masyarakat, 11(2), 276-284.
49. Fitoni, H. (2014). Faktor Risiko Kanker Payudara di RSUD Dr. Soedarso Pontianak. Jurnal Mahasiswa PSPD FK Universitas Tanjungpura, 1(1).
50. American Cancer Society. 2014. Cervical Cancer. http://www.cancer.org, diakses pada 22 Januari 2016 pukul 09.06.
51. Anderson, A. S., Caswell, S., Macleod, M., Steele, R. J., Berg, J., Dunlop, J., ... & O’Carroll, R. E. (2017). Health behaviors and their relationship with disease control in people attending genetic clinics with a family history of breast or colorectal cancer. Journal of genetic counseling, 26(1), 40-51.
52. Marijanovi?, I., Pavlekovi?, G., Buhovac, T., & Martinac, M. (2017). The relationship between health locus of control, depression, and sociodemographic factors and amount of time breast cancer patients wait before seeking diagnosis and treatment. Psychiatria Danubina, 29(3), 330-344.
53. McCaul dan Tulloch A. S., Caswell, S., Macleod, M., Steele, R. J., Berg, J., Dunlop, J., ... & O’Carroll, R. E. (2017). Health behaviors and their relationship with disease control in people attending genetic clinics with a family history of breast or colorectal cancer. Journal of genetic counseling, 26(1), 40-51.