Clinical Evaluation For Cancer Cerviks Detection With Pap Smears Testing
Main Article Content
Abstract
Cervical cancer is a type of cancer that arises from the cells of the lower cervix which is connected to the vagina. According to the Global Burden of Cancer Information (GLOBOCAN) from the International Agency for Research on Cancer (IARC), in 2012 there were 16 cases of cancer per 100,000 population worldwide, with a total of 569,847 new cases. In Indonesia, cervical cancer screening is still inadequate due to a lack of information about its benefits among Indonesian women. Around 5% of women in Indonesia have knowledge about pap smears and receive early detection services through this test. The results of structured interviews with anatomical pathology laboratory officers at RA Kartini Hospital Jepara show that pap smear examinations for the detection of cervical cancer have increased every year. Objective: To find out an overview of the evaluation of cervical cancer detection clinics through examining pap smear results at RA Kartini Hospital, Jepara. Research method: This research uses a quantitative descriptive method with a survey research design. The population in this study was 70 women with pap smear examinations from January to December 2023. Based on data from the anatomical pathology laboratory, it was stated that of the 70 women who underwent cervical cancer screening via pap smear, data was obtained for 51 women with evaluation results and 19 women without evaluation. The population used in this study were women who underwent pap smears with an evaluation of 51 women. Sampling using the total sampling method came from secondary data sourced from reports from the anatomical pathology section of Kartini Jepara Hospital. The test analysis used is Descriptive statistics percentage. Research Results: The results of the research show that the distribution of characteristics of patients who underwent Pap smear examinations was mostly 32 women (62.7%) aged 31-60 years, and the frequency distribution of Pap smear evaluations in detecting cervical cancer was negative for 41 women (80.4%). %) is declared negative if the anatomical pathology is negative for intraepithelial lesion or malignancy (NILM), NILM atrophic vaginitic, NILM non-specific chronic inflammatory process, NILM non-specific inflammatory process. Frequency distribution of pap smear evaluation in detecting cervical cancer with positive results of 10 women (19.6%) were declared positive if the anatomical pathology was low-grade aquamous intraepithelial lesion (L-SIL) or atypical squamous cells (ASC-US) or atypical glandular cells or High-grade squamous intraepithelial lesion (H-SIL) or atypical glandular cells (AGS). Conclusion: The majority of people in the pap smear examination were adults with an age range of 31-60 years, 32 women (67.2%) and the highest number of pap smear evaluation results were 41 women (80.4%) with negative results.
Downloads
Article Details
References
Ariani, & Ayu, P. (2014). Aplikasi metodologi penelitian kebidanan dan kesehatan reproduksi. Nuha medika.
Ariani, S. (2015). Stop kanker. Istana Media.
Dewi, H. (2018). Korelasi kliniko-sitopatologi pada apusan serviks dengan gambaran epithelial cell abnormalities. 6(2), 176–184.
Enggayati, N. T., & Idaningsih, A. (2018). Faktor faktor yang berhubungan dengan pelaksanaa pemeriksaan pap smear pada wanita PUS>25 tahun di UPTD Puskesmas DPT maja kabupaten Majalengka tahun 2015. 3(01), 9–21.
Ernawati, Mastutik, G., & Klarin, F. (2019). Profil hasil pemeriksaan pap smear di RSUD dr Soetomo Periode 2015-2018. Jurnal Kesehatan Soetomo, 6(4), 132–193.
Fairuz, Dewi, H., Nuriyah, Ayudia, E. I., & Lestari, N. A. (2021). Kliniko-sitopatologi lesi prekanker leher rahim di klinik unja smart desa mendalo darat kaupaten muaro jambi. Jurnal Karya Abadi, 5(3), 471–482.
Fairuz, F., & Dewi, H. (2023). Gambaran sitologi apusan serviks di wilayah kerja puskemas pir ii bajubang, kabupaten muaro jambi, provinsi jambi. Medic, 6(1), 48–52.
Firsty, Y., Lantika, O., Rusli, R., Ayu, W. D., Farmasi, F., Mulawarman, U., Timur, K., Serviks, K., Pasien, K., Pengobatan, P., & Pasien, K. (2017). Kajian pola pengobatan penderita kanker serviks pada pasien rawat inap di instalansi RSUD Abdul Wahab Sjahranie periode 2014-2015. Jurnal Sains Dan Kesehatan, 1(8), 448–455.
Hanifah, L., & Sulistyorini, E. (2019). Hubungan Umur dengan Pengetahuan Wanita Usia Subur Tentang Pap Smear. Avicenna Journal Of Health Research. 2(1), 113–120.
Isfentiani, D., & Firdaus, M. . (2014). Fluor albus dengan kanker serviks pada pasangan usia subur. Jurnal Penelitian Kesehatan, 12(3), 152–157.
Khoirunnisa, V. A., Setyarini, A. I., & Indriani, R. (2023). Tingkat Pengetahuan Wanita Tentang Deteksi Dini Kanker Serviks Dan Pemeriksaan Pap Smear. Jurnal Penelitian Perawat Profesional. 5(1), 113–124.
Latifah, Hj, Nurachmah, Elly, & Hiryati. (2020). faktor yang berkontribusi terhadap motivasi menjalani pemeriksaan pap smear pasien kanker serviksss di poli kandungan. 5(1), 90–99.
Mastutik, G., Alia, R., Rahniayu, A., Kurniasari, N., & Rahaju, A. S. (2015). Skrining Kanker Serviks dengan Pemeriksaan Pap Smear di Puskesmas Tanah Kali Kedinding Surabaya dan Rumah Sakit Mawadah Mojokerto. 23(2), 56–60.
Maulani, H., Kartika, I., & Murti, K. (2022). Penyuluhan dan deteksi dini kanker serviks menggunakan teknik sitologi Pap Smear konvensional penyebab kematian pada wanita . Lesi serviks berdasarkan penilaian system Bethesda 2014 Lesi prakanker sebagai lesi prekursor dapat dideteksi secara dini dengan. Jurnal Pengabdian Masyarakat, 3(1), 58–70. https://doi.org/10.32539/Hummed.V3I1.71
Mishra, R., Bisht, D., & Gupta, M. (2022). Artikel asli Skrining primer kanker serviks dengan Pap smear pada wanita kelompok usia subur. Jurnal Kedokteran & Keperawatan Primer, 5327–5331. https://doi.org/10.4103/jfmpc.jfmpc
Notoatmodjo. (2012). metode penelitian kesehatan. PT Rineka Cipta.
Okoro, S. O., Ajah, L. O., Nkwo, P. O., Aniebue, U. U., Chukwuma, B., & Ogwuegbu, C. (2020). Hubungan antara obesitas dan abnormal Hasil sitologi Pap smear Papanicolau ( Pap ) terjadi di wilayah Nigeria yang miskin sumber daya. BMC Women"s Health, 1–8.
Porajow, Z. C. J. G. P., Duury, M. F., & Pandiangan, D. (2024). Program Pencegahan Kanker Leher Rahim pada Wanita Kaum Ibu Desa Matungkas Kecamatan Dimembe Kabupaten Minahasa Utara. Jurnal Perempuan dan Anak Indonesia. 5(2), 80–85.
Prastio, M., & Rahma, H. (2023). Realtionship education with knowledge of cervical cancer screening. Jurnal Kedokteran STM (Sains Dan Teknologi Penelitian). VI(I), 23–31.
Rauf, Sharvianty, Johnson, Monika, & Hasnawati. (2019). manul clinic skill lab pemeriksaan pap smear. universitas hasanuddin-fakultas kedokteran.
Rochayati, A., & Ernawati, D. (2023). Hubungan tingkat pengetahuan WUS terhadap sikap melakukan deteksi dini kanker leher rahim dengan pemeriksaan IVA di puskesmas Pare kecamatan Kranggan kabupaten Temanggung Jawa Tengah. 05(1), 41–51.
Salehiniya, H., Momenimovahed, Z., Allahqoli, L., Momenimovahed, S., & Alkatout, I. (2021). Factors related to cervical cancer screening among Asian women. 25, 6109–6122.
Samaria, D. (2022). Edukasi kesehatan tentang deteksi dini kanker serviks di desa Cibadung, Gunung Sindur, Bogor. Jurnal kreastivitas Pengabdian Kepada Masyarakat (PKM). 5(7), 2243–2258.
Syauqi, A., Au, E., Dewi, H., & Fairuz, F. (2022). Kliniko-sitopatologi apusan serviks di puskesmas muara bulian kabupaten batang hari provinsi jambi 1 1. 5(2), 445–449.
Tilong, A. . (2012). Bebas dari Ancaman Kanker Serviks. Yogyakarta:Flashboo.
Umami, S. F., Zubaidah, R., Idayanti, T., & Anggraeni, W. (2021). Deteksi Dini Pencegahan CA Servik dengan Pemeriksaan IVA Pap Smear di Rumah Cantik Almira Beauty Desa Tunggalpager Kec . Pungging Kab . Mojokerto Bekerja Sama dengan PKBI. Journal of Community Engagement in Health. 4(2), 378–382.
Wahidin & Febrianti. (2020). Faktor faktor yang mempengaruhi pemeriksaan pap smear pada wanita usia subur di poli klinik kebidanan bunda edu-midwifery journal (BMJ). 3(1), 1–10.
Widyaningsih, H., Wulan, E. S., Indah, N. N., Hartini, S., & Fatmawati, Y. (2023). Profil of parent’s knowlegde about prevension of servical carcimona through human papilloma virus vactonation. Cendekia International Conference on Health & Technology. 18, 196–206.
Yarlagadda, S., Int, K., Obstet, J. R., Juni, G., Narra, P. J. L., Yarlagadda, S., & Diddi, R. (2018). Evaluasi wanita dengan perdarahan postcoital melalui pemeriksaan klinis , papsmear , kolposkopi dan histopatologi serviks. Artikel Penelitian, 7(6), 2184–2191.
Zahirah, F. F., Octavianda, Y., Adiwinoto, R. P., Kedokteran, F., Tuah, U. H., Anatomi, D. P., Ramelan, R., Obstetri, D., & Ramelan, R. (2024). Karakteristik gambaran sitolopatologi pap smear sebagai skrining lesi pra kanker serviks menurut Bethesda dr. Ramelan Surabaya Periode 2020-2021. Surabaya Biomedical Journal, 3(2), 87–94