RINGKASAN Di Indonesia, diperkirakan 40 ribu kasus baru kanker

ADLN Perpustakaan Universitas Airlangga
RINGKASAN
Di Indonesia, diperkirakan 40 ribu kasus baru kanker mulut rahim ditemukan setiap
tahunnya. Data dari Poli Onkologi Ginekologi Satu Atap di RSUD Dr. Soetomo Surabaya,
kanker serviks merupakan kasus terbanyak ke dua (setelah kanker payudara). Mayoritas
pasien terlambat ke pelayanan kesehatan sehingga juga menyebabkan keterlambatan
diagnosis, sehingga pengobatan dan perawatannya lebih sulit. Keterlambatan ini bisa
disebabkan oleh keterlambatan pemeriksaan, rasa takut, rasa malu, kepercayaan terhadap
pengobatan, status ekonomi, jarak tempat pengobatan, jaminan atau penanggungan biaya.
Tujuan penelitian, untuk mengetahui faktor-faktor yang mempengahruhi
keterlambatan diagnosis pasien kanker serviks di POSA RSUD Dr. Soetomo Surabaya Tahun
2013.
Metode penelitian, analitik observasional, pendekatan cross section. Populasi
sebanyak 96 orang penderita kanker serviks stadium dini maupun lanjut. Pengambilan
sampel, teknik accidental sampling di POSA, tanggal 6 - 25 Mei 2013. Variabel independen,
faktor-faktor yang mempengaruhi keterlambatan diagnosis dan variabel dependen
keterlambatan diagnosis. Instrumen penelitian kuisioner dan wawancara. Analisis data, uji
Chi-square.
Hasil penelitian menunjukkan mayoritas penderita berusia ≥35 tahun, berpendidikan
tinggi, dan pegawai swasta. Faktor-faktor yang terbukti berpengaruh : keterlambatan
pemeriksaan (P=0.004; OR = 3,870, P=0.011, P=0.011). Faktor-faktor yang tidak
berpengaruh : rasa takut (P=0.428), rasa malu (P=0.118), kepercayaan pengobatan (P=0.308),
status ekonomi (P=0.374), jarak tempat pengobatan (P=0.259), penanggungan biaya
(P=0.971), faktor kebutuhan (P=0.349).
Kesimpulan, adanya keterlambatan diagnosis dipengaruhi oleh keterlambatan
pemeriksaan. Sehingga diharapkan adanya kerjasama dari tenaga kesehatan, departmen
kesehatan, YKI agar lebih meningkatkan penyuluhan serta pelaksanaan deteksi dini kanker
serviks seperti papsmear dan IVA.
Kata kunci : Kanker Serviks, Faktor Keterlambatan
Skripsi
ANALISIS FAKTOR KETERLAMBATAN DIAGNOSIS..
WENNI RACHMAWURI
ADLN Perpustakaan Universitas Airlangga
ABSTRACT
Indonesia have about 40.000 cases of cervical cancer had been found every year. The
data of POSA stated that cervical cancer is the second biggest cases in RSUD DR. Soetomo.
Ordinary cases is about delay to healthy service. It caused diagnosis delay. So, the treatment
is more difficult than undelay of diagnosis. It may cause by delay of pre-hospital, fear of
cancer, shy feeling, medical trust, economic status, the distance of medical centre, insurance.
The purpose of the research is for knowing the side effect factors of the diagnosis
delay from cervical cancer patient in POSA RSUD Dr. Soetomo on the year of 2013.
Research method was observational analytic, cross section approach. 96 respondent
of cervical cancer patient early and worst stage of disease. Sample was taken by accidental
technique in POSA, 6-25th of may 2013. Independent variable are side effect factors of the
diagnosis delay and dependent variable of diagnosis delay. Research instrument are
questioner and interview. Data analysis was chi-square test.
Research result show that the victims are people >/ 35 years old, high educated, and
private worker. Influential factors that proved is : delay of pre-hospital (P=0.004; OR =
3,870, P=0.011, P=0.011). The factor that didn’t influent : fear of cancer (P=0.428), shy
feeling (P=118), medical trust (P=0.308), economic status (P=0.374), insurance (P=0.971),
need factor (P=0.349). The conclusion of this research, the diagnosis late is influent by the
delay of pre-hospital. Hoping that there is an integration between the medical expert,
medical department, YKI (cancer institution of Indonesia), and increase of socialization of
information and implementation of early detection of cervical cancer, like Papsmear and
IVA.
Keyword : Cervical Cancer, Delay Factors
Skripsi
ANALISIS FAKTOR KETERLAMBATAN DIAGNOSIS..
WENNI RACHMAWURI