Sagala, Hotma Ulina and Dr. Lilik Zuhriyah and Dr I Wayan Agung Indrawan (2022) Persepsi Wanita Berisiko Tinggi Kanker Serviks Tentang Metode Tes Iva Berdasarkan Health Belief Model Diwilayah Kerja Puskesmas Ujungbatu. Magister thesis, Universitas Brawijaya.
Abstract
Pada tahun 2018 kanker serviks menduduki urutan ke 2 di Indonesia penyebab kematian Wanita. Faktor yang menjadi penyebab tingginya angka kematian dan kejadian akibat kanker serviks di Indonesia adalah rendahnya cakupan deteksi dini kanker serviks. Skrining dengan metode tes IVA adalah upaya preventif kanker serviks yang dapat dilakukan untuk negara berkembang seperti di Indonesia. Metode IVA dilakukan dengan cara sederhana, praktis, murah dan mudah dilakukan dengan hanya mengoleskan asam asetat (cuka) 3-5% pada leher rahim lalu mengamati perubahannya, dimana lesi prakanker dapat terdeteksi bila terlihat bercak putih pada leher rahim Jenis penelitian yang digunakan adalah penelitian kualitatif dengan pendekatan fenomenologi deskriptif, tehnik pengambilan sampel pada penelitian ini menggunakan teknik purposive sampling yaitu pemilihan partisipan berdasarkan kriteria inklusi di wilayah kerja Puskesmas Ujung batu. Penelitian yang dilakukan pada bulan April sampai Mei 2022 di wilayah kerja Puskesmas Ujung batu dengan subyek penelitian 10 partisipan dilakukan wawancara mendalam selama 25- 35 menit Studi fenomenologi deskriptif sering melibatkan empat langkah berikut: bracketing, intuisi, menganalisis, dan menggambarkan. Peneliti menganalisis data yang ditranskip dengan dibaca berulang-ulang agar mendapatkan pemahaman komprenhensif tentang hal yang terjadi atau pengalaman partisipan. Selanjutnya peneliti melakukan kuotasi, cooding, setelah proses cooding, tahap selanjutnya menyusun kategori. Proses diakhiri dengan analisis tematik yaitu mengidentifikasi tema, yaitu pola yang paling penting dan menarik dari data dan menggunakan tema-tema tersebut untuk membahas atau menjawab suatu masalah. Hasil penelitian menghasilkan 5 tema yaitu: 1. Berdasarkan persepsi wanita berisiko tinggi kanker serviks tentang kerentanan melakukan pemeriksaan IVA ibu akan memeriksakan diri apabila merasakan adanya tanda dan gejala dalam diri ibu. ; 2. Pemahaman yang baik tentang bahaya kanker serviks sebagai salah satu penyebab kematian, tidak langsung membuat ibu bersedia melakukan pemeriksaan IVA.; 3. Dalam hal ini manfaat metode tes IVA diperoleh hasil bahwa seluruh partisipan telah menyadari manfaat dari pemeriksaan IVA: 4. Dalam hambatan metode tes IVA wanita berisiko tinggi kanker serviks berpersepsi masih adanya perasaan malu dan tabu untuk melakukan skrining dengan metode tes IVA, perasaan takut mengetahui hasil pemeriksaan dan perasaan takut dengan prosedur pemeriksaan yang mengharuskan ibu membuka area sensitive; 5. persepsi wanita berisiko tinggi kanker serviks tentang self-efficacy dipengaruhi oleh lingkungan sekitar khususnya dukungan teman dan suami
English Abstract
In 2018, cervical cancer was the second leading cause of death for women in Indonesia. The factor that causes the high mortality and incidence of cervical cancer in Indonesia is the low coverage of early detection of cervical cancer. Screening with the IVA test method is a cervical cancer preventive effort that can be done in developing countries such as Indonesia. The IVA method is carried out in a simple, practical, inexpensive, and easy way by simply applying 3–5% acetic acid (vinegar) to the cervix and then observing the changes, where precancerous lesions can be detected when white patches are seen on the cervix. The type of research used is qualitative research with a descriptive phenomenological approach. The sampling technique in this study uses a purposive sampling technique, namely the selection of participants based on inclusion criteria in the working area of the Ujung Batu Health Center. The research was conducted from April to May 2022 in the working area of the Ujung Batu Health Center with 10 participants as research subjects. In-depth interviews last 25–35 minutes. Descriptive phenomenological studies often involve the following four steps: bracketing, intuition, analyzing, and describing. Researchers analysed the transcribed data by reading it over and over again in order to gain a comprehensive understanding of what happened or the experiences of the participants. Furthermore, the researcher did the quotation and coding. After the coding process, the next stage was compiling categories. The process ends with thematic analysis, namely identifying themes, namely the most important and interesting patterns from the data, and using these themes to discuss or answer a problem The results of the study resulted in 5 themes, namely: 1. the perception of women at high risk of cervical cancer about the susceptibility to conducting VIA examinations is that new mothers will check themselves if they feel signs and symptoms in the mother; 2. the perception of women at high risk of cervical cancer regarding the severity of the IVA test method shows a good understanding of the dangers of cervical cancer as a cause of death, but does not immediately make the mother willing to carry out an IVA examination; 3. the perception of women at high risk of cervical cancer about the benefits of the IVA method. The results showed that all participants were aware of the benefits of the IVA examination: 4. The perception of women at high risk of cervical cancer about the barriers to the IVA test method was that there was a feeling of shame and taboo about screening with the test method VIA, feeling afraid of knowing the results of the examination, and feeling afraid of examination procedures that required the mother to open sensitive areas. 5. The perception of self-efficacy of women at high risk of cervical cancer is influenced by the surrounding environment, especially the support of friends and husbands.
Other obstract
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| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | 0422060102 |
| Subjects: | 600 Technology (Applied sciences) > 618 Gynecology, obstetrics, pediatrics, geriatrics > 618.2 Obstetrics |
| Divisions: | S2/S3 > Magister Kebidanan, Fakultas Kedokteran |
| Depositing User: | Endang Susworini |
| Date Deposited: | 27 Jan 2023 04:28 |
| Last Modified: | 27 Jan 2023 04:28 |
| URI: | http://repository.ub.ac.id/id/eprint/196998 |
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