Karakteristik Penderita Kanker Prostat yang Dirawat di Rumah Sakit Umum Daerah DR. Pirngadi Medan Tahun 2011-2015
ABSTRAK
Kanker prostat merupakan penyakit kanker yang menyerang kelenjar
prostat yang tumbuh secara abnormal dan tidak terkendali sehingga mendesak dan
merusak jaringan sekitarnya bahkan dapat mengakibatkan kematian. Menurut
American cancer society (2015), pada tahun 2012 terdapat 307.500 kematian
kanker dan kematian kelima pada pria di dunia. Menurut Kemenkes RI (2015)
dari data GLOBACAN, international Agency for Research on Cancer prevalensi
kanker prostat di Indonesia tahun 2013 sebesar 0,20/00 atau sebanyak 25.012
penderita. Tujuan penelitian ini adalah untuk mengetahui karakteristik penderita
kanker prostat di RSUD DR. Pirngadi Medan tahun 2011-2015.
Penelitian ini bersifat deskriptif dengan desain case series. Data penelitian
adalah data sekunder dengan populasi penelitian seluruh data penderita kanker
prostat yang berjumlah 96 data dan dijadikan sebagai sampel. Data dianalisis
secara deskriptif dan dengan uji Chi-square, uji Mann whitney dan uji kolmogorov
smirnov.
`
Hasil penelitian menunjukkan bahwa proporsi penderita kanker prostat
tertinggi pada kelompok umur >65 tahun (71,9%), suku Batak (53,2%), agama
Islam (54,3%), wiraswasta (52,1%), pendidikan SMA (80,2%), kawin (93,8%),
Keluhan utama kencing berdarah (67,7%),stadium IV (87,5%),penatalaksanaan
medis operasi (56,2%), lama rawatan 7 hari, BPJS (93,8%), pulang berobat jalan
(85,7%). Hasil uji statistik, tidak ada perbedaan proporsi umur berdasarkan
stadium klinik (p=0,1000), tidak ada perbedeaan proporsi keluhan utama
berdasarkan stadium klinik (p=0,237), tidak ada perbedaan proporsi
penatalaksanaan medis berdasarkan stadium klinik (p=0,685), ada perbedaan
proporsi lama rawatan berdasarkan stadium klinik (p=0,031), tidak ada perbedaan
proporsi stadium klinik berdasarkan keadaan sewaktu pulang (p=0,205).
Diharapkan kepada pihak RSUD DR. Pirngadi Medan agar meningkatkan
pelayanan dan pemberian informasi kepada penderita kanker prostat yang pulang
berobat melakukan pemeriksaan untuk mengurangi kadar PSA (Prostate Spesific
Antigens).Pada penderita kanker prostat untuk melakukan pemantauan
perkembangan kanker melalui pemeriksaan kadar PSA pada usia lebih dari 50
tahun dan melakukan screening sejak umur 40 tahun untuk deteksi dini
Kata kunci : Karakteristik, Kanker Prostat, RSUD DR.PirngadiMedan
iii
Universitas Sumatera Utara
ABSRACT
Prostate cancer is a cancer that attacks the prostate gland grew
abnormally and out of control that urge and damage the surrounding tissue may
even lead to death. According to the American Cancer Society (2015), in 2012
there were 307 500 cancer deaths and the fifth from the fifth death in men in the
world. According to Indonesian Republic Health Ministry (2015) from
GLOBACAN data, international Agency for Research on Cancer prevalence of
prostate cancer in Indonesia on 2013 amounted to 0.20 / 00 or the estimated 25
012 patients.the purpose of this study was to determine the characteristics of
prostate cancer patients in hospitals DR.Pirngadi Medan 2011-2015.
This is a descriptive study with case series design. Research data is
secondary data with all the data of the study population of prostate cancer
patients who totaled 96 data and used as a sample. Data were analyzed
descriptively and with the Chi-square test. Mann Whitney test, and Kolmogorov
Smirnov test
the results showed that the proportion of patients with prostate cancer is
highest in the age group> 65 years (71.9%), Bataknees (53.2%), Moslem
(54.1%),self-employed (52,1%), high school education (80.2%) married ( 93.8%),
the main complaint bloody urine (67.7%), stadium stage IV (80.2%), medical
management with surgery (56.2%), long treatment of 7 days, BPJS (93.8%), were
becoming outpatient (85.7%). Results of statistical test,, there was no significant
difference in the proportion of age based on clinical stage (p = 0,1000), there was
no difference in the proportion of the main complaints by clinical stage (p =
0.237), there was no significant difference in the proportion of medical treatment
is based on clinical stage (p = 0.685), there is a difference the proportion of long
treatment based on clinical stage (p = 0.031), there was no significant difference
in the proportion of clinical stage based on becoming outpatient home (p =
0.205).
In this research, we expected that DR. Pirngadi Medan Hospital to
increase the provision of information to patients with prostate cancer who return
outpatient regarding a healthy diet to reduce levels of prostate cancer patients
PSA ( Prostate Spesific Antigens). For the patients who have prostate cancer do
monitoring the progression of cancer through PSA levels inspection at the age of
over 50 years and screening since age 40 years for early detection
Keywords: Characteristics, Prostate Cancer, RSUD DR.Pirngadi Medan
iv
Universitas Sumatera Utara
Kanker prostat merupakan penyakit kanker yang menyerang kelenjar
prostat yang tumbuh secara abnormal dan tidak terkendali sehingga mendesak dan
merusak jaringan sekitarnya bahkan dapat mengakibatkan kematian. Menurut
American cancer society (2015), pada tahun 2012 terdapat 307.500 kematian
kanker dan kematian kelima pada pria di dunia. Menurut Kemenkes RI (2015)
dari data GLOBACAN, international Agency for Research on Cancer prevalensi
kanker prostat di Indonesia tahun 2013 sebesar 0,20/00 atau sebanyak 25.012
penderita. Tujuan penelitian ini adalah untuk mengetahui karakteristik penderita
kanker prostat di RSUD DR. Pirngadi Medan tahun 2011-2015.
Penelitian ini bersifat deskriptif dengan desain case series. Data penelitian
adalah data sekunder dengan populasi penelitian seluruh data penderita kanker
prostat yang berjumlah 96 data dan dijadikan sebagai sampel. Data dianalisis
secara deskriptif dan dengan uji Chi-square, uji Mann whitney dan uji kolmogorov
smirnov.
`
Hasil penelitian menunjukkan bahwa proporsi penderita kanker prostat
tertinggi pada kelompok umur >65 tahun (71,9%), suku Batak (53,2%), agama
Islam (54,3%), wiraswasta (52,1%), pendidikan SMA (80,2%), kawin (93,8%),
Keluhan utama kencing berdarah (67,7%),stadium IV (87,5%),penatalaksanaan
medis operasi (56,2%), lama rawatan 7 hari, BPJS (93,8%), pulang berobat jalan
(85,7%). Hasil uji statistik, tidak ada perbedaan proporsi umur berdasarkan
stadium klinik (p=0,1000), tidak ada perbedeaan proporsi keluhan utama
berdasarkan stadium klinik (p=0,237), tidak ada perbedaan proporsi
penatalaksanaan medis berdasarkan stadium klinik (p=0,685), ada perbedaan
proporsi lama rawatan berdasarkan stadium klinik (p=0,031), tidak ada perbedaan
proporsi stadium klinik berdasarkan keadaan sewaktu pulang (p=0,205).
Diharapkan kepada pihak RSUD DR. Pirngadi Medan agar meningkatkan
pelayanan dan pemberian informasi kepada penderita kanker prostat yang pulang
berobat melakukan pemeriksaan untuk mengurangi kadar PSA (Prostate Spesific
Antigens).Pada penderita kanker prostat untuk melakukan pemantauan
perkembangan kanker melalui pemeriksaan kadar PSA pada usia lebih dari 50
tahun dan melakukan screening sejak umur 40 tahun untuk deteksi dini
Kata kunci : Karakteristik, Kanker Prostat, RSUD DR.PirngadiMedan
iii
Universitas Sumatera Utara
ABSRACT
Prostate cancer is a cancer that attacks the prostate gland grew
abnormally and out of control that urge and damage the surrounding tissue may
even lead to death. According to the American Cancer Society (2015), in 2012
there were 307 500 cancer deaths and the fifth from the fifth death in men in the
world. According to Indonesian Republic Health Ministry (2015) from
GLOBACAN data, international Agency for Research on Cancer prevalence of
prostate cancer in Indonesia on 2013 amounted to 0.20 / 00 or the estimated 25
012 patients.the purpose of this study was to determine the characteristics of
prostate cancer patients in hospitals DR.Pirngadi Medan 2011-2015.
This is a descriptive study with case series design. Research data is
secondary data with all the data of the study population of prostate cancer
patients who totaled 96 data and used as a sample. Data were analyzed
descriptively and with the Chi-square test. Mann Whitney test, and Kolmogorov
Smirnov test
the results showed that the proportion of patients with prostate cancer is
highest in the age group> 65 years (71.9%), Bataknees (53.2%), Moslem
(54.1%),self-employed (52,1%), high school education (80.2%) married ( 93.8%),
the main complaint bloody urine (67.7%), stadium stage IV (80.2%), medical
management with surgery (56.2%), long treatment of 7 days, BPJS (93.8%), were
becoming outpatient (85.7%). Results of statistical test,, there was no significant
difference in the proportion of age based on clinical stage (p = 0,1000), there was
no difference in the proportion of the main complaints by clinical stage (p =
0.237), there was no significant difference in the proportion of medical treatment
is based on clinical stage (p = 0.685), there is a difference the proportion of long
treatment based on clinical stage (p = 0.031), there was no significant difference
in the proportion of clinical stage based on becoming outpatient home (p =
0.205).
In this research, we expected that DR. Pirngadi Medan Hospital to
increase the provision of information to patients with prostate cancer who return
outpatient regarding a healthy diet to reduce levels of prostate cancer patients
PSA ( Prostate Spesific Antigens). For the patients who have prostate cancer do
monitoring the progression of cancer through PSA levels inspection at the age of
over 50 years and screening since age 40 years for early detection
Keywords: Characteristics, Prostate Cancer, RSUD DR.Pirngadi Medan
iv
Universitas Sumatera Utara