ABSTRAK
Kejadian kandidiasis vaginalis di wilayah kerja puskesmas Sei Rampah Kabupaten Serdang Bedagai pada tahun 2013-2015 pada ibu mengalami peningkatan. Peningkatan kejadian kandidiasis vaginalis terkait dengan penggunaan alat kontrasepsi, antibiotik, personal hygiene, diabetes mellitus dan kehamilan.Penelitian ini bertujuan untuk menganalisis alat kontrasepsi, antibiotik, personal hygiene, diabetes mellitus dan kehamilan yang mempengaruhi kejadian kandidiasis vaginalis di wilayah kerja Puskesmas Sei Rampah Kecamatan Sei Rampah Kabupaten Serdang Bedagai.
Jenis penelitian ini adalah analitik observasional dengan menggunakan rancangan kasus kontrol (case control). Penelitian dilaksanakan di wilayah kerja Puskemas Sei Rampah Kabupaten Serdang Bedagai. Sampel sebanyak 34 orang sebagai kasus dan 34 sebagai kontrol, diambil dengan teknik accidental sampling. Data diperoleh dengan wawancara menggunakan kuesioner, analisis data menggunakan analisis univariat, analisis bivariat dengan uji chi-square dianalisis dengan regresi logistik ganda pada α = 5%.
Hasil penelitian multivariat menunjukkan bahwa terdapat pengaruh alat kontrasepsi dengan OR 6,089 (95% CI=1,377-929, antibiotika dengan OR 7,670(95% CI=1,599-36,786) personal hygiene degan OR 9,477(95% CI=2,077-43,246) dan diabetes mellitusdengan OR 9,170 (95% CI=1,536-54,733) terhadap kejadian kandidiasis vaginalis dan kehamilan tidak berpengaruh terhadap kejadian kandidiasis vaginalis.
Kesimpulan dari penlitian ini adalah faktor yang paling dominan mempengaruhi kejadian kandidiasis vaginalis adalah variabel vaginal hygiene. Disarankan kepada tenaga kesehatan di wilayah kerja Puskesmas Sei Rampah Kabupaten Serdang Bedagai perlu memberikan penyuluhan kepada bu tentang dampak dari kejadian kandidiasis vaginalis.
ABSTRACT
There was the increase in the incidence of vaginal candidiasis in women in the working area of Sei Rampah Puskesmas, Serdang Bedagai District, in the period of 2013-2015. It was related to the use of contraceptive devides and antibiotics, personal hygiene, diabetes mellitus, and pregnancy. The objective of the research was to analyze the influence of using contraceptive devides and antibiotics, personal hygiene, diabetes mellitus, and pregnancy on the incidence of candidiasis in the working area of Sei Rampah Puskesmas, Sei Rampah Subdistrict, Serdang Bedagai District.
The research used observational analytic and case control methods. It was conducted in the working area of Sei Rampah Puskesmas, Serdang Bedagai District. The samples consisted of 34 respondents in the case group and 34 respondents in the control group, takan by using accidental sampling technique. The data were gathered by conducting interviews, using questionnaires and analyzed by using univatriate analysis, bivariate analysis with chi square test and multiple logistic regression analysis at α = 5%.
The result of the research showed that there was the influence of contraceptive devices at OR 6.089 (95% CI = 1.377-929), antibiotics at OR 7.670 and diabetes mellitus at OR 9.170 (95% IC = 1.536-54.733) on the incidence of vaginal candidiasis. It was also found that fregnancy did not have any influence on the incidence of vaginal candidiasis.
The conclusion of the research was that the variable which had he most dominant influence on the incidence of vaginal candidiasis was the variable of vaginal hygiene. It is recommended that health care providers in the working area of Sei Rampah Puskesmas should provide counseling for women about the effect of the incidence of vaginal candidiasis.
