Karakteristik Penderita Kanker Payudara Rawat Inap di Rumah Sakit Haji Medan Tahun 2014-2015
ABSTRAK
Kanker payudara menempati urutan pertama secara global dari semua
kanker pada wanita dengan prevalens rate 56,5 per 100.000 perempuan. Indonesia
berada di peringkat ke-2 setelah kanker serviks. Sedangkan, dari Kemenkes RI
Sumatera Utara masuk dalam kategori peringkat 10 besar tertinggi dari 33
provinsi di Indonesia.
Penelitian ini merupakan penelitian deskriptif dengan desain case series
yang dilakukan di Rumah sakit Haji Medan mulai Januari – Juni 2016. Populasi
berjumlah 447 orang dan sampel berjumlah 96 orang. Data diperoleh dari rekam
medis, analisa data, dan uji Chi-square. Penelitian ini bertujuan mengetahui
karateristik penderita kanker payudara rawat inap di Rumah sakit Haji Medan
Tahun 2014-2015.
Hasil penelitian menunjukkan proporsi penderita kanker payudara
tertinggi pada umur ≥ 40 tahun (74,0%), Jawa (54,2%), Islam (94,8%), pendidikan
menengah (SLTA) (38,5%), IRT (79,3%), kawin (82,3%), kab/kota Deli Serdang
(72,9%), dengan penderita mengalami keluhan yang terlihat (59,4%), kuadran
letak kanker lateral atas (39,5%), pemeriksaan PA (88,5%), stadium lanjut
(67,7%) dengan stadium IIIB (30,2%), operasi (31,3%), Askes/BPJS (83,4%),
rata-rata lama rawatan < 7 hari (53,1%), pulang berobat jalan (65,6%). Hasil uji
statistik ditemukan tidak ada perbedaan antara umur berdasarkan stadium klinik
(p=0,051), pendidikan berdasarkan stadium klinik (p=0,113%), pemeriksaan PA
berdasarkan stadium klinik (p=0,321), penatalaksanaan medis berdasarkan
pemeriksaan patologis anatomi (p=0,999), penatalaksanaan medis berdasarkan
stadium klinik (p=0,712%), lama rawatan rata-rata berdasarkan stadium klinik
(p=0,838%), stadium klinik berdasarkan keadaan sewaktu pulang (p=0,281%).
Kepada Rumah Sakit Haji Medan diharapkan dapat melengkapi fasilitas
penunjang pengobatan kanker payudara seperti penatalaksanaan dengan
radioterapi dan kelengkapan catatan rekam medis mengenai riwayat keluarga.
Kepada masyarakat disarankan untuk melakukan pemeriksaan payudara sendiri
dan hendaknya segera memeriksakan diri ke pelayanan kesehatan bila
menemukan benjolan di payudara.
Kata kunci : Kanker Payudara, Karakteristik Penderita, Pemeriksaan payudara
sendiri.
iii
Universitas Sumatera Utara
ABSTRACT
Breast cancer ranks first globally of all cancers in women with a
prevalence rate of 56.5 per 100,000 women. Indonesia is ranked 2nd after
cervical cancer. Meanwhile, from the Ministry of Health of Indonesia North
Sumatra in the category of top 10 highest of the 33 provinces in Indonesia.
Research is a descriptive with case series design at the Hospital Haji
Medan start from January to June 2016. The population totaled to 447 people and
the sample totaled to 96 people. Data obstained medical records, data analyzed
by Chi-square test. This research aims to know the characteristics of breast
cancer patients hospitalized in Hospital Haji Medan Year 2014-2015.
The results show the highest proportion of breast cancer patients at the
ages ≥40 years (74,0%), Java (54.2%), Islam (94.8%), secondary education
(SLTA) (38.5%), IRT ( 79.3%), married (82.3%), Deli Serdang (72.9%), with
patients experiencing complaints seen (59.4%), upper lateral quadrant layout
cancer (39.5%), examination PA (88.5%), advanced (67.7 %) with stage IIIB
(30.2%), surgery (31.3%), Askes / BPJS (83.4%), the average length of treatment
< 7 days (53.1%), return outpatient (65.6%). Statistical test results found no
differences between age based on clinical stage (p= 0.051), education based on
clinical stage (p= 0.113%), examination of the PA based on clinical stage
(p= 0.321), medical management based examination of the PA (p= 0,999), medical
management based clinical stage (p= 0.712%), duration of treatment average
based on clinical stage (p= 0.838%), clinical stage based on the state when the
home (p= 0.281%).
For the Hospital Haji Medan is expected to complete supporting
facilities for the treatment with radiotherapy and to complete of the medical
record regarding family history. The public are advised to perform breast selfexamination and checking her self to the hospital a health service or a doctor it
find a lump in breast/axilla area .
Key words : Breast cancer, Patient Characteristics, Breast Self- examination
iv
Universitas Sumatera Utara
Kanker payudara menempati urutan pertama secara global dari semua
kanker pada wanita dengan prevalens rate 56,5 per 100.000 perempuan. Indonesia
berada di peringkat ke-2 setelah kanker serviks. Sedangkan, dari Kemenkes RI
Sumatera Utara masuk dalam kategori peringkat 10 besar tertinggi dari 33
provinsi di Indonesia.
Penelitian ini merupakan penelitian deskriptif dengan desain case series
yang dilakukan di Rumah sakit Haji Medan mulai Januari – Juni 2016. Populasi
berjumlah 447 orang dan sampel berjumlah 96 orang. Data diperoleh dari rekam
medis, analisa data, dan uji Chi-square. Penelitian ini bertujuan mengetahui
karateristik penderita kanker payudara rawat inap di Rumah sakit Haji Medan
Tahun 2014-2015.
Hasil penelitian menunjukkan proporsi penderita kanker payudara
tertinggi pada umur ≥ 40 tahun (74,0%), Jawa (54,2%), Islam (94,8%), pendidikan
menengah (SLTA) (38,5%), IRT (79,3%), kawin (82,3%), kab/kota Deli Serdang
(72,9%), dengan penderita mengalami keluhan yang terlihat (59,4%), kuadran
letak kanker lateral atas (39,5%), pemeriksaan PA (88,5%), stadium lanjut
(67,7%) dengan stadium IIIB (30,2%), operasi (31,3%), Askes/BPJS (83,4%),
rata-rata lama rawatan < 7 hari (53,1%), pulang berobat jalan (65,6%). Hasil uji
statistik ditemukan tidak ada perbedaan antara umur berdasarkan stadium klinik
(p=0,051), pendidikan berdasarkan stadium klinik (p=0,113%), pemeriksaan PA
berdasarkan stadium klinik (p=0,321), penatalaksanaan medis berdasarkan
pemeriksaan patologis anatomi (p=0,999), penatalaksanaan medis berdasarkan
stadium klinik (p=0,712%), lama rawatan rata-rata berdasarkan stadium klinik
(p=0,838%), stadium klinik berdasarkan keadaan sewaktu pulang (p=0,281%).
Kepada Rumah Sakit Haji Medan diharapkan dapat melengkapi fasilitas
penunjang pengobatan kanker payudara seperti penatalaksanaan dengan
radioterapi dan kelengkapan catatan rekam medis mengenai riwayat keluarga.
Kepada masyarakat disarankan untuk melakukan pemeriksaan payudara sendiri
dan hendaknya segera memeriksakan diri ke pelayanan kesehatan bila
menemukan benjolan di payudara.
Kata kunci : Kanker Payudara, Karakteristik Penderita, Pemeriksaan payudara
sendiri.
iii
Universitas Sumatera Utara
ABSTRACT
Breast cancer ranks first globally of all cancers in women with a
prevalence rate of 56.5 per 100,000 women. Indonesia is ranked 2nd after
cervical cancer. Meanwhile, from the Ministry of Health of Indonesia North
Sumatra in the category of top 10 highest of the 33 provinces in Indonesia.
Research is a descriptive with case series design at the Hospital Haji
Medan start from January to June 2016. The population totaled to 447 people and
the sample totaled to 96 people. Data obstained medical records, data analyzed
by Chi-square test. This research aims to know the characteristics of breast
cancer patients hospitalized in Hospital Haji Medan Year 2014-2015.
The results show the highest proportion of breast cancer patients at the
ages ≥40 years (74,0%), Java (54.2%), Islam (94.8%), secondary education
(SLTA) (38.5%), IRT ( 79.3%), married (82.3%), Deli Serdang (72.9%), with
patients experiencing complaints seen (59.4%), upper lateral quadrant layout
cancer (39.5%), examination PA (88.5%), advanced (67.7 %) with stage IIIB
(30.2%), surgery (31.3%), Askes / BPJS (83.4%), the average length of treatment
< 7 days (53.1%), return outpatient (65.6%). Statistical test results found no
differences between age based on clinical stage (p= 0.051), education based on
clinical stage (p= 0.113%), examination of the PA based on clinical stage
(p= 0.321), medical management based examination of the PA (p= 0,999), medical
management based clinical stage (p= 0.712%), duration of treatment average
based on clinical stage (p= 0.838%), clinical stage based on the state when the
home (p= 0.281%).
For the Hospital Haji Medan is expected to complete supporting
facilities for the treatment with radiotherapy and to complete of the medical
record regarding family history. The public are advised to perform breast selfexamination and checking her self to the hospital a health service or a doctor it
find a lump in breast/axilla area .
Key words : Breast cancer, Patient Characteristics, Breast Self- examination
iv
Universitas Sumatera Utara