Characteristics Of Cervical Cancer Patients Who Are Hospitalized In Dr. Pirngadi Medan 2016-2017

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Characteristics of Cervical Cancer Patients Who Are Hospitalized in Dr. Pirngadi Medan 2016-2017: A Descriptive Study

Overview of Cervical Cancer in Indonesia

Cervical cancer is one of the most common and deadly diseases affecting women in Indonesia. According to recent data, cervical cancer is the leading type of cancer experienced by women in the country. This study aims to analyze the characteristics of cervical cancer patients who were hospitalized at Dr. Pirngadi Medan in 2016-2017. Understanding the characteristics of cervical cancer patients is crucial in developing effective prevention and treatment strategies.

Methodology

This study employed a descriptive design with a Case Series approach, involving 108 cervical cancer patients. Univariate data were analyzed descriptively, while bivariate data were analyzed using the Chi-Square test. The results of this study provide valuable insights into the characteristics of cervical cancer patients in Dr. Pirngadi Medan.

Overview of Patient Characteristics

Age

The majority of patients (39.8%) were between 45-54 years old, indicating that cervical cancer is a disease that affects women in their middle age. This finding is consistent with previous studies that have shown that cervical cancer is more common in women between 40-59 years old.

Tribe

The majority of patients (93.5%) came from the Batak tribe, which is one of the largest ethnic groups in Indonesia. This finding suggests that cervical cancer may be more common in certain ethnic groups, and further research is needed to understand the underlying factors.

Religion

As many as 69.4% of patients were Muslim, which is consistent with the demographic characteristics of the population in Dr. Pirngadi Medan. This finding highlights the importance of cultural and religious factors in the prevention and treatment of cervical cancer.

Education

The highest level of education of patients was high school (78.7%), indicating that cervical cancer is a disease that affects women with varying levels of education. This finding suggests that education may not be a significant factor in the prevention and treatment of cervical cancer.

Work

Most patients (71.3%) worked as housewives, which is consistent with the demographic characteristics of the population in Dr. Pirngadi Medan. This finding highlights the importance of social and economic factors in the prevention and treatment of cervical cancer.

Marriage Status

66.6% of patients were married, which is consistent with the demographic characteristics of the population in Dr. Pirngadi Medan. This finding suggests that marriage status may not be a significant factor in the prevention and treatment of cervical cancer.

Age of First Marriage

51.9% of patients first married at the age of ≥ 20 years, which is consistent with the demographic characteristics of the population in Dr. Pirngadi Medan. This finding highlights the importance of age of first marriage in the prevention and treatment of cervical cancer.

Domicile

66.7% of patients came from outside the city of Medan, which is consistent with the demographic characteristics of the population in Dr. Pirngadi Medan. This finding suggests that domicile may not be a significant factor in the prevention and treatment of cervical cancer.

Main Complaint

Vaginal bleeding was the main complaint most often found (57.4%), which is consistent with the symptoms of cervical cancer. This finding highlights the importance of early detection and treatment of cervical cancer.

Parity

As many as 67.6% of patients had parity ≥ 3 (giving birth to 3 or more children), which is consistent with the demographic characteristics of the population in Dr. Pirngadi Medan. This finding suggests that parity may be a significant factor in the prevention and treatment of cervical cancer.

Stadium

63.9% of patients were in an advanced stage, which is consistent with the symptoms of cervical cancer. This finding highlights the importance of early detection and treatment of cervical cancer.

Management

35.2% of patients underwent chemotherapy, which is consistent with the treatment options for cervical cancer. This finding suggests that chemotherapy may be an effective treatment option for cervical cancer.

Long Treatment

The average length of patient care was 7.51 days, which is consistent with the treatment options for cervical cancer. This finding highlights the importance of effective treatment and management of cervical cancer.

Cost Source

70.4% of patients used non-PBI costs (National Health Insurance Program), which is consistent with the healthcare system in Indonesia. This finding suggests that the healthcare system may not be effective in preventing and treating cervical cancer.

The Situation When Returning Home

72.2% of patients returned home, which is consistent with the treatment options for cervical cancer. This finding highlights the importance of effective treatment and management of cervical cancer.

Case Fatality Rate (CFR)

The mortality rate (CFR) of cervical cancer patients was 13.8%, which is consistent with the symptoms of cervical cancer. This finding highlights the importance of early detection and treatment of cervical cancer.

Further Analysis

This study also shows a significant difference between the proportion of age, education, marital status, parity, main complaints, and medical management based on clinical stages. This finding suggests that these factors may be related to the severity of the disease.

Conclusion and Recommendations

This study shows that cervical cancer is still a serious health problem in the city of Medan. The results of this study can be taken into consideration in the prevention and handling of cervical cancer in the future. Some recommendations that can be taken from this study include:

  • The need to increase awareness and education related to the prevention of cervical cancer, especially for women ≥ 40 years.
  • Increasing accessibility of IVA examination (visual inspection with acetic acid) as an early detection method for cervical cancer.
  • The need for efforts to improve the quality of medical records at Dr. Pirngadi Medan, especially in terms of recording the patient's parity.
  • Increased collaboration between health workers and the community in efforts to prevent and handle cervical cancer.

Through these various efforts, it is expected to help reduce the incidence of cervical cancer and improve the quality of life of cervical cancer sufferers in the city of Medan.
Frequently Asked Questions (FAQs) About Cervical Cancer in Dr. Pirngadi Medan 2016-2017

Q: What is cervical cancer?

A: Cervical cancer is a type of cancer that affects the cervix, which is the lower part of the uterus in the female reproductive system. It is one of the most common and deadly diseases affecting women in Indonesia.

Q: What are the risk factors for cervical cancer?

A: The risk factors for cervical cancer include:

  • Age: Women over 40 years old are at higher risk of developing cervical cancer.
  • Human Papillomavirus (HPV): HPV is a virus that can cause cervical cancer.
  • Smoking: Smoking is a known risk factor for cervical cancer.
  • Multiple sexual partners: Women with multiple sexual partners are at higher risk of developing cervical cancer.
  • Low socioeconomic status: Women from low socioeconomic backgrounds are at higher risk of developing cervical cancer.

Q: What are the symptoms of cervical cancer?

A: The symptoms of cervical cancer include:

  • Abnormal vaginal bleeding
  • Pelvic pain
  • Abnormal vaginal discharge
  • Pain during sex
  • Unusual vaginal bleeding after menopause

Q: How is cervical cancer diagnosed?

A: Cervical cancer is diagnosed through a combination of physical examination, medical history, and diagnostic tests such as:

  • Pap smear: A test that involves collecting cells from the cervix to check for abnormal cell growth.
  • Colposcopy: A test that involves using a special microscope to examine the cervix for abnormal cell growth.
  • Biopsy: A test that involves removing a sample of tissue from the cervix to check for cancer cells.

Q: What are the treatment options for cervical cancer?

A: The treatment options for cervical cancer include:

  • Surgery: Removing the tumor and surrounding tissue.
  • Radiation therapy: Using high-energy rays to kill cancer cells.
  • Chemotherapy: Using medications to kill cancer cells.
  • Combination therapy: Using a combination of surgery, radiation therapy, and chemotherapy.

Q: What is the prognosis for cervical cancer?

A: The prognosis for cervical cancer depends on the stage of the disease, the patient's overall health, and the effectiveness of treatment. In general, the prognosis for cervical cancer is better if the disease is detected and treated early.

Q: How can cervical cancer be prevented?

A: Cervical cancer can be prevented through:

  • Regular Pap smear screening
  • Human Papillomavirus (HPV) vaccination
  • Avoiding smoking and other risk factors
  • Practicing safe sex
  • Getting regular check-ups with a healthcare provider

Q: What is the role of healthcare providers in preventing and treating cervical cancer?

A: Healthcare providers play a crucial role in preventing and treating cervical cancer by:

  • Providing regular Pap smear screening and other diagnostic tests
  • Educating patients about the risks and symptoms of cervical cancer
  • Providing treatment options and follow-up care
  • Collaborating with other healthcare providers to ensure comprehensive care

Q: What is the importance of early detection and treatment of cervical cancer?

A: Early detection and treatment of cervical cancer are crucial in preventing the disease from progressing and improving patient outcomes. Regular Pap smear screening and other diagnostic tests can help detect cervical cancer in its early stages, when it is more treatable.

Q: What are the challenges in preventing and treating cervical cancer in Dr. Pirngadi Medan?

A: The challenges in preventing and treating cervical cancer in Dr. Pirngadi Medan include:

  • Limited access to healthcare services
  • Limited awareness and education about cervical cancer
  • Limited resources for screening and treatment
  • Limited collaboration between healthcare providers and the community.

Q: What are the recommendations for preventing and treating cervical cancer in Dr. Pirngadi Medan?

A: The recommendations for preventing and treating cervical cancer in Dr. Pirngadi Medan include:

  • Increasing awareness and education about cervical cancer
  • Improving access to healthcare services
  • Increasing resources for screening and treatment
  • Improving collaboration between healthcare providers and the community.

Through these various efforts, it is expected to help reduce the incidence of cervical cancer and improve the quality of life of cervical cancer sufferers in the city of Medan.