DETERMINAN WANITA UNTUK MELAKUKAN PEMERIKSAAN LANJUTAN SETELAH USG PAYUDARA
Authors: Amri Artika Dewi , Suariyani Ni Luh Putu 
Published: January 2021

Abstract

Background: The further examination after breast ultrasound is needed because the ultrasound examination is not merely recommended for early detection of breast cancer; however by the combination of ultrasound and mammography, the disorder in the breast could be determined more accurately. Mammography method is a method that could detect breast cancer with an accuracy up to 90 percent.

Objective: This study is aimed to identify the determinant of women to conduct further examination after breast ultrasound in Badung.

Method: The study’s design used a descriptive observational study with cross-sectional design. The sampling technique used was simple random sampling with a sample of 100 people. The bivariate analysis used chi-square with α = 0.05.

Result: The results of this study showed that, among the 100 respondents, there were 43 percent have done further examination. The proportion of women taking a further examination was 41 percent with high education, 38 percent with good knowledge, 18 percent stated the distance of health services were far, 43 percent were able to pay the further examination, 38 percent had ever received the information about breast cancer, 43 percent gained the support of health workers and 41 percent received good support from family. The results showed that there were four factors that had a relationship with the further examination after breast ultrasound, including the level of knowledge (OR = 8,65; 95% CI 3,19-23,86), affordability (p-value <0,0001), the support of health workers (p-value <0,0001) and the support of family (OR = 30,3; 95% CI 6,52-273,73).

Conclusion: The conclusion of this study is that the determinant of women to undertake the further examination after breast ultrasound depends on the level of knowledge, affordability, the support of health workers and the support of family. There is a need of an increase in socialization about breast cancer to women and husband/family. In addition, to increase further examination there is a need of socialization regarding the utilization of BPJS.

Keywords: breast cancer, advanced examination, breast ultrasound

Abstrak

Latar belakang: Pemeriksaan lanjutan setelah USG payudara perlu dilakukan karena pemeriksaan USG saja tidak direkomendasikan untuk deteksi dini kanker payudara, tetapi dengan kombinasi USG dan mammografi kelainan pada payudara dapat ditentukan lebih akurat. Metode mammografi merupakan metode yang dapat mendeteksi kanker payudara dengan akurasi sampai 90 persen.

Tujuan: Penelitian ini bertujuan untuk mengetahui determinan wanita untuk melakukan pemeriksaan lanjutan setelah USG payudara di Kabupaten Badung.

Metode: Desain penelitian menggunakan studi observasional deskriptif dengan desain potong lintang. Teknik pengambilan sampel yang digunakan simple random sampling  dengan jumlah sampel 100 orang. Analisis bivariat menggunakan chi-square dengan α=0,05.

Hasil: Hasil penelitian ini menggambarkan dari 100 responden sebanyak 43 persen sudah melakukan pemeriksaan lanjutan. Proporsi wanita yang melakukan pemeriksaan lanjutan sebanyak 41 persen orang berpendidikan tinggi, 38 persen orang berpengetahuan baik, 18 persen orang menyatakan jarak pelayanan kesehatan jauh, 43 persen orang mampu untuk membiayai pemeriksaan lanjutan, 38 persen pernah memperoleh informasi tentang kanker payudara, 43 persen orang memperoleh dukungan petugas kesehatan, dan 41 persen memperoleh dukungan baik dari keluarga. Hasil penelitian menunjukkan terdapat empat faktor yang memiliki hubungan terhadap pemeriksaan lanjutan setelah USG payudara yaitu tingkat pengetahuan (OR = 8,65; 95% CI 3,19-23,86), keterjangkauan biaya (p-value <0,0001), dukungan petugas kesehatan (p-value <0,0001) dan dukungan keluarga (OR = 30,3; 95% CI 6,52-273,73).

Kesimpulan: Simpulan penelitian adalah determinan wanita untuk melakukan pemeriksaan lanjutan setelah USG payudara adalah tingkat pengetahuan, keterjangkauan biaya, dukungan petugas kesehatan, dan dukungan keluarga. Perlu adanya peningkatan sosialiasasi mengenai kanker payudara kepada wanita dan suami/keluarga. Selain itu untuk meningkatkan pemeriksaan lanjutan perlu adanya sosialisasi mengenai pemanfaatan BPJS Kesehatan.

Kata kunci: kanker payudara, pemeriksaan lanjutan, USG Payudara