iii 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.
iv 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 self-examination 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
