Electronic Theses and Dissertation

Pendahuluan: Abnormal Invasive Placenta (AIP) merupakan suatu masalah kesehatan yang prevalensinya sedang meningkat beberapa tahun terahir dan meningkatkan angka morbiditas sebesar 18 kali lipat. Angka morbiditas dipengaruhi oleh kedalaman invasi plasenta, jumlah perdarahan, jenis operasi dan durasi operasi. Tindakan sesarean histerektomi adalah salah satu pilihan penanganan AIP. Disfungsi seksual masih menjadi kekhawatiran pasca tindakan sesarean histerektomi. Penelitian ini bertujuan untuk menilai kualitas hidup dan gangguan fungsi seksual pada perempuan yang menjalani sesarean histerektomi atas indikasi Abnormal Invasive Placenta (AIP) di RSUD Dr. Zainoel Abidin Banda Aceh. Metode: Penelitian ini adalah studi cross sectional yang dilakukan di RSUD Dr. Zainoel Abidin Banda Aceh. Perempuan yang menjalani sesarean histerektomi dengan diagnosis AIP terlibat dalam penelitian. Penilaian kualitas hidup menggunakan Kuesioner SF-36 dan penilaian fungsi seksual menggunakan kuesioner FSFI. Analisis Mann-Whitney U test dilakukan dengan tingkat kepercayaan 95%. Hasil: Sebanyak 46 subjek penelitian terlibat dalam penelitian. Sebanyak 18 dari 46 perempuan berdasarkan FSFI (39,1%) menunjukkan disfungsi seksual. Rerata usia subjek penelitian antar kelompok relatif sama yakni 34 tahun. Diagnosis Akreta mendominasi dari kelompok yang mengalami disfungsi seksual (44.4%). Rerata skor kualitas hidup berdasarkan evaluasi SF-36 antar kelompok adalah sama yakni sebesar 80,3 dengan rentang 68,9 hingga 90 (p = 0.759). Kesimpulan: Sebesar 39.1% perempuan yang menjalani sesarean histerektomi atas indikasi Abnormal Invasive Placenta di RSUD Dr. Zainoel Abidin Banda Aceh mengalami disfungsi seksual. Tidak terdapat perbedaan kualitas hidup antara kelompok Disfungsi maupun yang tidak.

Kata Kunci: Abnormal Invasive Placenta, Disfungsi Seksual, Kualitas Hidup

Introduction : Abnormal invasive placenta (AIP) is a medical issue that its prevalence rate increasing in the past few years, and it is also increasing morbidity 18 times among pregnant woman. The morbidity rate is affected by the depth of placenta invasion, blood loss, type of procedure and duration of procedure. Cesarean hysterectomy is one of the surgical options for AIP. Sexual dysfunction is still a concern after cesarean hysterectomy. This study aims to assess the quality of life and impaired sexual function in women undergoing cesarean hysterectomy for Abnormal Invasive Placenta indications in at the Zainoel Abidin Regional General Hospital, Banda Aceh. Method : This research includes a case-control study conducted at the dr. Zainoel Abidin Banda Aceh. Women who underwent cesarean hysterectomy with a diagnosis of AIP were included in the study. Assessment of quality of life using the SF-36 Questionnaire and assessing sexual function using the FSFI questionnaire. The Mann-Whitney U test analysis was carried out with a 95% confidence level. Results : A total of 46 woman took part in the study. As many as 18 out of 46 women based on the FSFI (39.1%) had sexual dysfunction. The mean age of the subjects between the groups was relatively the same at 34 years. The Accreta diagnosis was dominant in the sexual dysfunction group (44.4%). The median quality of life based on the SF-36 assessment was the same between the groups, 80.3 ranging from 68.9 to 90 (p=0.759). Conclusion : As many as 39.1% of women who underwent cesarean hysterectomy for indications of Abnormal Invasive Placenta at Dr. Zainoel Abidin Banda Aceh experienced sexual dysfunction. There was no difference in quality of life between the dysfunctional and non-dysfunction groups. Keywords: Abnormal Invasive Placenta, Sexual Dysfunction, Quality of Life