Karakteristik Faktor Risiko Penderita Endometriosis di RSI Sultan Agung Semarang Selama Periode 1 Juli 2018 - 31 Juli 2019

Rini Aryani, Fathia Kesuma Dinanti
In: MAHESA : Malahayati Health Student Journal · 2023 · vol. 3(10) , pp. 3098–3109 · doi:10.33024/mahesa.v3i10.10994 · W4387229465
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This retrospective study described endometriosis risk factors in patients at RSI Sultan Agung Semarang, finding most were reproductive-aged women with dysmenorrhea, high school education, housewives, and multiparas.

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This retrospective descriptive study used medical record data from endometriosis patients at RSI Sultan Agung Semarang (1 July 2018–31 July 2019) to describe the characteristics of reported risk-related factors. Researchers analyzed variables including age, education, occupation, parity, age at menarche, clinical symptoms, endometriosis location, disease stage, and management, using univariate frequency and percentage distributions. The results showed most patients were in reproductive age (64.8%), had a high school education level (31.5%), were housewives (44.4%), were multiparous (37%), were married (87%), most commonly reported dysmenorrhea (70.4%), and most often received surgical management (25.9%), with limitations implied by the retrospective, single-center design. This paper is centrally about endometriosis — it characterizes demographic and clinical “risk factor” profiles of endometriosis patients in a specific hospital setting in Semarang.

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Abstract

ABSTRACT Endometriosis is a female gynecological disorder which is defined as the growth of ectopic endometrial glands and stroma (outside the uterine cavity). Infertility, chronic pelvic pain and dysmenorrhea caused by endometriosis greatly impact the quality of life and productivity of women of reproductive age (18-45 years) (Nnoaham et al., 2011). The purpose of this study was to find out the description of the characteristics of the risk factors for endometriosis sufferers at RSI Sultan Agung Semarang during the period 1 July 2018-31 July 2019. This research used a retrospective descriptive study, using medical record data of endometriosis sufferers at RSI Sultan Agung Semarang. The time allocation for this study was August – October 2019. Data analysis was carried out univariately for each variable from the results of this study to see the distribution of frequencies and percentages. The research variables were age, education level, occupation, parity, menarche age, clinical symptoms, location of endometriosis, disease stage, and management. The results showed that the most endometriosis patients were in reproductive age (64.8%), with the education level of most endometriosis patients namely high school level (31.5%), housewives were the most dominant occupation (44.4%), and endometriosis patients were dominated by multiparas (37%), the most marital status was married (87%), the main symptom that was often found was dysmenorrhea (70.4%) and the most frequently given therapy was surgery (25.9%). Keyword: Endometriosis, Risk Factors. ABSTRAK Endometriosis merupakan kelainan ginekologi wanita yang didefinisikan sebagai adanya pertumbuhan kelanjar dan stroma endometrium ektopik (di luar kavum uterus). Infertilitas, nyeri pelvik kronik dan dismenorea yang diakibatkan oleh endometriosis sangat berdampak pada quality of life dan produktivitas perempuan usia produktif (18-45 tahun) (Nnoaham dkk., 2011). Tujuan penelitian ini untuk mengetahui mengetahui gambaran karakteristik faktor risiko penderita endometriosis di RSI Sultan Agung Semarang selama periode 1 Juli 2018-31 Juli 2019. Penelitian ini menggunakan studi deskriptif retrospektif, menggunakan data rekam medik penderita endometriosis di RSI Sultan Agung Semarang. Alokasi waktu penelitian ini pada bulan Agustus – Oktober 2019. Analisis data dilakukan dengan univariat terhadap tiap variabel dari hasil penelitian ini untuk melihat distribusi frekuensi dan prosentase. Variabel penelitian ialah usia, tingkat pendidikan, pekerjaan, paritas, usia menarche, gejala klinis, lokasi endometriosis, stadium penyakit, dan tatalaksana. Hasil penelitian menunjukkan bahwa pasien endometriosis terbanyak berada pada usia reproduktif (64,8%), dengan tingkat pendidikan pasien endometriosis terbanyak yaitu tingkat SMA (31,5%), ibu rumah tangga merupakan pekerjaan yang paling dominan (44,4%), serta pasien endometriosis didominasi oleh multipara (37%), status perkawinan terbanyak adalah kawin (87%), dengan gejala utama yang sering ditemukan adalah dismenorea (70,4%) dan terapi yang paling sering diberikan adalah operatif (25,9%). Kata Kunci : Endometriosis, Faktor Risiko.
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Abstract

Endometriosis is a female gynecological disorder which is defined as the growth of ectopic endometrial glands and stroma (outside the uterine cavity). Infertility, chronic pelvic pain and dysmenorrhea caused by endometriosis greatly impact the quality of life and productivity of women of reproductive age (18-45 years) (Nnoaham et al., 2011). The purpose of this study was to find out the description of the characteristics of the risk factors for endometriosis sufferers at RSI Sultan Agung Semarang during the period 1 July 2018-31 July 2019. This research used a retrospective descriptive study, using medical record data of endometriosis sufferers at RSI Sultan Agung Semarang. The time allocation for this study was August – October 2019. Data analysis was carried out univariately for each variable from the results of this study to see the distribution of frequencies and percentages. The research variables were age, education level, occupation, parity, menarche age, clinical symptoms, location of endometriosis, disease stage, and management. The results showed that the most endometriosis patients were in reproductive age (64.8%), with the education level of most endometriosis patients namely high school level (31.5%), housewives were the most dominant occupation (44.4%), and endometriosis patients were dominated by multiparas (37%), the most marital status was married (87%), the main symptom that was often found was dysmenorrhea (70.4%) and the most frequently given therapy was surgery (25.9%).

Keyword

Endometriosis, Risk Factors. ABSTRAK Endometriosis merupakan kelainan ginekologi wanita yang didefinisikan sebagai adanya pertumbuhan kelanjar dan stroma endometrium ektopik (di luar kavum uterus). Infertilitas, nyeri pelvik kronik dan dismenorea yang diakibatkan oleh endometriosis sangat berdampak pada quality of life dan produktivitas perempuan usia produktif (18-45 tahun) (Nnoaham dkk., 2011). Tujuan penelitian ini untuk mengetahui mengetahui gambaran karakteristik faktor risiko penderita endometriosis di RSI Sultan Agung Semarang selama periode 1 Juli 2018-31 Juli 2019. Penelitian ini menggunakan studi deskriptif retrospektif, menggunakan data rekam medik penderita endometriosis di RSI Sultan Agung Semarang. Alokasi waktu penelitian ini pada bulan Agustus – Oktober 2019. Analisis data dilakukan dengan univariat terhadap tiap variabel dari hasil penelitian ini untuk melihat distribusi frekuensi dan prosentase. Variabel penelitian ialah usia, tingkat pendidikan, pekerjaan, paritas, usia menarche, gejala klinis, lokasi endometriosis, stadium penyakit, dan tatalaksana. Hasil penelitian menunjukkan bahwa pasien endometriosis terbanyak berada pada usia reproduktif (64,8%), dengan tingkat pendidikan pasien endometriosis terbanyak yaitu tingkat SMA (31,5%), ibu rumah tangga merupakan pekerjaan yang paling dominan (44,4%), serta pasien endometriosis didominasi oleh multipara (37%), status perkawinan terbanyak adalah kawin (87%), dengan gejala utama yang sering ditemukan adalah dismenorea (70,4%) dan terapi yang paling sering diberikan adalah operatif (25,9%). Kata Kunci : Endometriosis, Faktor Risiko. Teks Lengkap: Download ArtikelReferensi Abadi, K.C. 2014. Gambaran Endometriosis Di Laboratorium Patologi Anatomi Rsup Dr. M. Djamil Padang Periode 2010-2013. Http://Scholar.Unand.Ac.Id/9403/. Akbarzadeh-Jahromi, M., Shekarkhar, G., Aslani, F.S., Azarpira, N., Esfahani, M.H. & Momtahan, M. 2015. Prevalence Of Endometriosis In Malignant Epithelial Ovarian Tumor. Archives Of Iranian Medicine, 18(12): 844–848. Anwar, R., Alif, M. & Pribadi, A. 2015. Expression Of Ki-67 Has Correlation With The Degree And Size Of Endometriosis Cysts. Journal Of Medicine & Health, 1(1): 20–27. Asante, A. & Taylor, R.N. 2011. Endometriosis: The Role Of Neuroangiogenesis. Annual Review Of Physiology, 73(1): 163–182. Bellelis, P., Dias, J.A., Podgaec, S., Gonzales, M., Baracat, E.C. & Abrão, M.S. 2010. Epidemiological And Clinical Aspects Of Pelvic Endometriosis–A Case Series. Revista Da Associacao Medica Brasileira (1992), 56(4): 467–71.Http://Www.Ncbi.Nlm.Nih.Gov/Pubmed/20835646. Bijlani, S. & Sonawane, P. 2012. Current Practice In Obstetric And Gynecology : Endometriosis. 3rd Ed. P. Desai, Ed. New Delhi: Jaypee Brother Medical Publisher (P) Ltd.Https://Books.Google.Co.Id/Books?Id=YTwbst240c&Pg=Pt10&Lpg=Pt10&Dq=Bijlani+Dan+Sonawane+Endometriosis&Source=Bl&Ots=Qasrigpdmk&Sig=Acfu3u36bhokstzjBqmjqb1ttkfm6Rlw&Hl=Id&Sa=X&Ved=2ahukewjs2o6ywc7nahuuyjgghvfpanwq6aewahoecaoqaq#V=Onepage&Q&F=False 13 February 2020. Cunningham, Leveno, Bloom, Dashe, Hoffman, Casey & Spong. 2018. Williams Obstetrics. 25th Ed. Jakartat: Egc. Ghani, L. 2012. Seluk Beluk Menopause. Media Of Health Research And Development, 19(4 Des): 193–197. Hiferi. 2017. Konsensis Tata Laksana Nyeri Endometriosis. Hoffman, B.L., Schorge, J.O., Bradshaw, K.D., Halvorson, L.M., Schaffer, J.I. & Corton, M. 2016. Williams Gynecology. 3rd Ed. United States: Mcgraw Hill Education. Kim, A.H. & Adamson, G.D. 2009. Endometriosis. The Global Library Of Women’s Medicine. Http://Www.Glowm.Com/Index.Html?P=Glowm.Cml/Section_View&Articleid=11 11 September 2019. Konar, H. 2016. Dc Dutta’s Textbook Of Gynecology. 6th Ed. New Delhi: Jaypee Brother Medical Publisher (P) Ltd. Kondi-Pafitis, A. 2012. Pathological Aspects Of Endometriosis. In Endometriosis - Basic Concepts And Current Research Trends. Intech. Kvaskoff, M., Mu, F., Terry, K.L., Harris, H.R., Poole, E.M., Farland, L. & Missmer, S.A. 2014. Endometriosis: A High-Risk Population For Major Chronic Diseases? Human Reproduction Update, 21(4): 500–516. Limilla, P. & Prasanti, D. 2016. Representasi Ibu Bekerja Vs Ibu Rumah Tangga Di Media Online. Jurnal Ilmiah Kajian Gender, 6(2): 133–154. Lubis, N.K. 2017. Karakteristik Pasien Endometriosis Di Rumah Sakit Umum Pusat Haji Adam Malik Medan Tahun 2016. Martinez, G., Daniels, K. & Chandra, A. 2012. National Health Statistics Reports Number 51, April 12, 2012. Number 51, 51(51): 2006–2010. Meuleman, C., Vandenabeele, B., Fieuws, S., Spiessens, C., Timmerman, D. & D’hooghe, T. 2009. High Prevalence Of Endometriosis In Infertile Women With Normal Ovulation And Normospermic Partners. Fertility And Sterility, 92(1): 6874Http://Dx.Doi.Org/10.1016/J.Fertnstert.2008.04.056. Mishra, V. V., Gaddagi, R.A., Aggarwal, R., Choudhary, S., Sharma, U. & Patel, U. 2015. Prevalence; Characteristics And Management Of Endometriosis Amongst Infertile Women: A One Year Retrospective Study. Journal Of Clinical And Diagnostic Research, 9(6): Qc01–Qc03. Nnoaham, K.E., Hummelshoj, L., Webster, P., D’hooghe, T., De Cicco Nardone, F., De Cicco Nardone, C., Jenkinson, C., Kennedy, S.H. & Zondervan, K.T. 2011. Impact Of Endometriosis On Quality Of Life And Work Productivity: A Multicenter Study Across Ten Countries. Fertility And Sterility, 96(2): 366–373. Pangemanan, G., Loho, M. & Wagey, F.W. 2017. Profil Penderita Endometriosis Di Rsup Prof. Dr. R. D. Kandou Manado Pada Tahun 2011-2015. Parasar, P., Ozcan, P. & Terry, K.L. 2017. Endometriosis: Epidemiology, Diagnosis And Clinical Management. Current Obstetrics And Gynecology Reports, 6(1): 34–41. Puspasari, B., Baziad, A. & Hestiantoro, A. 2007. Karakteristik Pasien Endometriosis Di Rumah Sakit Dr . Cipto Mangunkusumo. Indones J Obstet Gynecol, 31(2): 73–8. Senolinggi, M.A., Mewengkang, M. & Wantania, J. 2015. Menopause Pada Wanita Di Kecamatan Kakas Sulawesi Utara Tahun 2014. Jurnal E-Clinic (Ecl), 3(April). Shao, J., Zhang, B., Yu, J.J., Wei, C.Y., Zhou, W.J., Chang, K.K., Yang, H.L., Jin, L.P., Zhu, X.Y. & Li, M.Q. 2016. Macrophages Promote The Growth And Invasion Of Endometrial Stromal Cells By Downregulating Il-24 In Endometriosis. Reproduction Research, 152(6): 673–682. Smith, R. 2008. Netter‟S Obstetrics And Gynecology. 2nd Ed. Philadelphia: Saunders Elsevier Inc. Sourial, S., Tempest, N. & Hapangama, D.K. 2014. Review Article. Theories On The Pathogenesis Of Endometriosis. International Journal Of Reproductive Medicine, 2014(179515): 1–9. Http://Dx.Doi.Org/10.1155/2014/179515. Vercellini, P., Viganò, P., Somigliana, E. & Fedele, L. 2014. Endometriosis : Pathogenesis And Treatment. Nature Publishing Group. Http://Dx.Doi.Org/10.1038/Nrendo.2013.255. Wu, I.B., Tendean, H.M.M. & Mewengkang, M.E. 2017. Gambaran Karakteristik Penderita Endometriosis Di Rsup Prof. Dr. R. D. Kandou Manado. E-Clinic (Ecli), 5. DOI: https://doi.org/10.33024/mahesa.v3i10.10994 Refbacks - Saat ini tidak ada refbacks. Publisher: Universitas Malahayati Lampung Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License

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