metode penilaian scrining
TRANSCRIPT
-
7/23/2019 Metode Penilaian Scrining
1/18
METODE EPIDEMIOLOGI
UNTUK MENILAIDIAGNOSIS PADA SCRINING
OLEH :
SAID TAUFIQ, M.Kes
-
7/23/2019 Metode Penilaian Scrining
2/18
Pendekatan penyakit padamasyarakat
Dua hal yan !a"a# !$la%u%an !ala& !$an's$s!$n$: (. Mene#ahu$ "enya%$# se!$n$ &un%$nse)a%#u #$&*u% e+ala %l$n$s, . Mene#ahu$"enya%$# se*elu& e+ala %l$n$s #a&"a%
Saa# $n$ "enea%an !$an's$s "enya%$# #e-u#a&as#lh $n!$$!u se/a-a "-$*a!$ &en/a-$ "en'*a#an.
se*a$an %e/$l %asus yan !$'*a#$ !$ !$an'sa!ala& s#a!$u& as$&"#'&a#$%.
Hal $n$ !$se*a*%an &as$h %u-annya "-'-a&su-e$lans
Mena%$*a#%an an%a "eny. &enahun &en$n%a#
-
7/23/2019 Metode Penilaian Scrining
3/18
Pengertian scrining
Penya-$nan a!alah sua#u $!en#$0$%as$ "enya%$#yan se/a-a %l$n$s *elu& +elas. Usaha $n$ !a"a#!$la%u%an !enan "e&e-$%saan #e-#en#u a#au"-'se!u- #e-#en#u yan se/a-a #e"a# !a"a#
&e&*e!a%an '-an yan #e-l$ha# seha# #e#a"$&e&"unya$ %e&un%$nan sa%$# !an '-an yan*e#ul1*e#ul seha#.
Pe&e-$%saan yan has$l #esnya "'s$#$0 a!a%e&un%$nan '-an #e-se*u# *e#ul1*e#ul sa%$#a#au #$!a% sa%$#, hal $n$ !$se*u# "'s$#$0 se&u 20alse"'s$#$03.
Penya-$nan &e-u"a%an salah sa#u su-eye"$!e&$'l'$ u#% &enen#u%an 0-e%uens$ "enya%$#.
-
7/23/2019 Metode Penilaian Scrining
4/18
Macam-macam scrining
Mass scrining: "enya-$nan !$la%u%an"a!a selu-uh "en!u!u%
Selectif scrining: Penya-$nan !$la%u%an
#e-ha!a" %el'&"'% "en!u!u% #e-#en#u Single disease scrining: "enya-$nan!$#un+u%an "a!a sua#u +en$s "enya%$#&$salnya "enya-$nan un#u% &ene#ahu$"enya%$# #*/
Multiphase scrining: "enya-$nan un#u%%e&un%$nan a!anya *e*e-a"a "enya%$#"a!a $n!$$!u, &$salnya "enya-$nan%eseha#an "a!a "ea)a$ se*elu& *e%e-+a
-
7/23/2019 Metode Penilaian Scrining
5/18
Syarat penyaringan
Penya%$# yan a%an !$s/-$n$n &e-u"a%an&asalah %eseha#an "a!a &asya-a%a# yansana# "en#$n.
Ha-us a!a /a-a "en'*a#an un#u%"en!e-$#a yan !$#e&u%an &elalu$"enya-$nan.
Fas$l$#as un#u% !$an's$s !an "en'*a#an
ha-us a!a. Ha-us !$%e#ahu$ s#a!$u& s$&"#'&a#$% !$n$
!an &asa la#en
-
7/23/2019 Metode Penilaian Scrining
6/18
Lan+u#an
ha-us a!a /a-a "e&e-$%saan yan #e"a#
"e&e-$%saan yan !$la%u%an #$!a%
*e-*ahaya !an !a"a# !$#e-$&a 'leh&asya-a%a#.
se*a$%nya !$%e#ahu$ #en#an -$)aya#ala&$ah sua#u "enya%$#
*$aya "ene&uan %asus !a"a# e%'n'&$s
-
7/23/2019 Metode Penilaian Scrining
7/18
Konsep dasar dalam skrining
I!en#$0$%as$ n$la$ n'-&al
4al$!$#y sua#u ala# #es s/-$n$n
Ke#e-an!alan -el$a*$l$#y
-
7/23/2019 Metode Penilaian Scrining
8/18
Identifikasi nilai normal
Pene-#$an n'-&a *$asanya !$"a%a$un#u% &enen#u%an %a-a%#e-$s#$%"'"ulas$ #e-#en#u, &$salnya %a!a--a#a1-a#a he&'l'*$n. N$la$ -a#a1-a#a#e-se*u# !a"a# !$"e-%$-a%an *a#as
yan !$ana" n'-&al
-
7/23/2019 Metode Penilaian Scrining
9/18
Validity suatu alat tes scrining
Ke&a&"uan !a-$ sua#u"e&e-$%saan un#u% &enen#u%an
$n!$$!u &ana yan &e&"unya$"enya%$# 2#$!a% n'-&al3 !an$n!$$!u yan &ana #$!a%
&e&"unya$ "enya%$# 2n'-&al3. A!a hal 5 sens$#$0$#y !an s"es$0$#y
-
7/23/2019 Metode Penilaian Scrining
10/18
Sensitifity Ke&a&"uan sua#u "e&e-$%saan
un#u% &en$!en#$0$%as$ se/a-a
*ena- '-an yan &en!a"a#"enya%$#.
#-ue "'s$#$0
sensitifitas6 11111111111111111111111111111
#-ue "'s$#$0 7 0alse nea#$0
-
7/23/2019 Metode Penilaian Scrining
11/18
Spesifitas
Ke&a&"uan !a-$ sua#u "e&e-$%saanun#u% &en$!en#$0$%as$ se/a-a *ena-
'-an1'-an yan #$!a% &e&"unya$"enya%$#.
#-ue nea#$0
spesifitas61111111111111111111111111111111
#-ue nea#$0 7 0alse "'s$#$0
-
7/23/2019 Metode Penilaian Scrining
12/18
KEADAAN DAAM MAS!A"AKA#
$
A
S
I
SAKI# SE$A#
P
E
"
I
%#"&E % 'ASE %
K
S
A -'ASE - #"&E -
-
7/23/2019 Metode Penilaian Scrining
13/18
C'n#'h
Da-$ "'"ulas$ (888 '-an !$"e-'leh (88'-an &e&"unya$ "enya%$# 9 se!an 88'-an #$!a% &e&"unya$ "enya%$# 9.
Se/-$n$n !$la%u%an un#u% &en$!en#$0$%as$(88 'a-an yan &e&"unya$ "enya%$#. Da-$has$l "e&e-$%saan H; #e-nya#a !$!a"a#%an '-an. ;e-a"asens$#$0$#as !an s"es$0$#as ala# #e-se*u#!$a#a?
-
7/23/2019 Metode Penilaian Scrining
14/18
Has$l
-
7/23/2019 Metode Penilaian Scrining
15/18
PERTAN@AAN
;e-a"a n$la$ sens$#$0$#as..?
;e-a"a n$la$ s"es$0$#as..?
-
7/23/2019 Metode Penilaian Scrining
16/18
Keterandalan relia(ility
Pe&e-$%saan yan &e&*e-$ has$l
%'ns$s#ens$ +$%a "e&e-$%saan $n$!$la%u%an le*$h !a-$ sa#u %al$"a!a $n!$$!u yan sa&a !enan%'n!$s$ yan sa&a.
-
7/23/2019 Metode Penilaian Scrining
17/18
Keterandalan relia(ility
A!a hal yan &e&"ena-uh$ %'ns$s#ens$ has$l:
a-$as$ #e-+a!$ "a!a &e#'!e "e&e-$%saan !ana-$as$ !$!ala& su*+e% sen!$-$ 2a-$as$ *$'l'$s
!a-$ $n!$$!u3 a-$as$ "a!a &e#'!e "e&e-$%saan
a-$as$ !$!ala& su*+e%
4a-$as$ "a!a "enel$#$5 Pa!a "enel$#$an *$sa sa+a
#e-+a!$ "e-*e!aan !ala& &e&*a/a has$l #es"a!a )a%#u yan *e-*e!a. M$salnya se'-an-a!$'l' !a"a# sa+a &e&"unya$ $n#e-"-e#as$*e-*e!a &enena$ sua#u has$l -'n#hen.
-
7/23/2019 Metode Penilaian Scrining
18/18
#E"IMA KASI$