THE RELATION BETWEEN THE CYCLE OF ADMINISTRATION OF CHEMOTHERAPY TO PSYCHOSOCIAL PROBLEMS IN BREAST CANCER PATIENTS

Sri  Handayani; Ulfah Nuraini  Karim; Puji Astuti  Wiratmo

doi:10.47522/jmk.v1iIAHSC.113

Authors

Sri Handayani RSUD KOJA
Ulfah Nuraini Karim Universitas Binawan
Puji Astuti Wiratmo Universitas Binawan

DOI:

https://doi.org/10.47522/jmk.v1iIAHSC.113

Keywords:

Nursing care, Breast cancer, Chemotherapy, Psychosocial problems

Abstract

Introduction: Breast cancer is the most common malignant neoplasm that affects women. One of the treatments for breast cancer is chemotherapy which is carried out according to a particular schedule with a specified length of therapy to increase the patient's recovery rate. In addition to the physiological effects, chemotherapy also has a psychological impact on the patient. Fulfillment of psychosocial needs is important to improve the quality of life of patients caused by changes in physical, social, cognitive, spiritual, emotional and role functions. The purpose of this study was to determine the relationship between the cycle of chemoteraphy with psychosocial problems in breast cancer patients.

Method: This study is a quantitative correlational study using 54 breast cancer patients as samples by purposive sampling. Data collection was carried out during April 2020 to June 2020 in the chemotherapy room at Koja Hospital, North Jakarta. The Depression Anxiety Stress Scale (DASS 21) questionnaire was used to identify psychosocial problems in breast cancer patients. Statistical analysis of the Spearman rank test was carried out to analyze the relationship between chemotherapy cycles and psychosocial problems.

Results: The results showed that there was a relationship between chemotherapy cycles and psychosocial problems (p value 0.001) although it showed a weak relationship between those two variables (r 0.257). Psychosocial problems identified included anxiety (53%), depression (9.3%), low self-esteem (16.7%) and stress (20.4%).

Conclusion: Nurses need to provide comprehensive nursing care for patients undergoing chemotherapy including identifying problems related to physical complaints and psychosocial needs so that nursing interventions can be given comprehensively to breast cancer patients undergoing chemotherapy.

Author Biographies

Ulfah Nuraini Karim, Universitas Binawan

Faculty of Nursing and Midwifery

Puji Astuti Wiratmo, Universitas Binawan

Faculty of Nursing and Midwifery

References

Damayanti,N.A. (2010). Hubungan Keluarga Terhadap Tingkat Stress Pada Pasien Kanker Colon Yang Menjalani Kemoterapi Di Ruang Cendrawasih RSUP Dr Kardi Semarang. Undergraduate thesis, Universitas Muhammadiyah Semarang.

Ekawati & Anggraini.T.Y.( 2016). Faktor Resiko Diit Pada Penderita Kanker Payudara. Jurnal Kesehatan Madani Medika. 7(1).

Firasi, A.A. & Yudhanto, E. (2016). Hubungan Usia Terhadap Derajat Differensiasi Kanker Payudara Pada Wanita. Jurnal Kedokteran Diponegoro. 5(4).

Hilli, Y.W., Tat, F., & Lektor, Y.M.K. (2017). Hubungan Karakteristik dan Frekuensi Kemoterapi Dengan Tingkat Gangguan Fisik (Alopesia, Nausea, dan Vomit) Pada Pasien Kanker Yang Menjalani Kemoterapi Di Ruangan Mutis RSUD Prof.Dr.W.Z Johannes Kupang. CHMK Nuising Scientific Journal. 1(2).

Kemenkes RI .(2019). Penyakit Kanker di Indonesia Berada Pada Urutan 8 di Asia Tenggara dan Urutan 23 di Asia. Direktorat Jenderal Pencegahan dan Pengendalian Penyakit. Kementrian Kesehatan Republik Indonesia. Tersedia pada http://p2p.kemkes.go.id/penyakit-kanker-di-indonesia-berada-pada-urutan-8-di-asia-tenggara-dan-urutan-23-di-asia/. Diakses pada Juni 2020.

Kowalak JP, W. W. (2011). Buku Ajar Patofisiologi. Jakarta : EGC.

Lali, M.G., Wawo, A.M., & Gerontini, R. (2018). Studi Fenomenologi : Eksplorasi Kebutuhan Psikososial Pasien Ca Mamae di RSUD Prof.Dr.W.Z Johannes Kupang. CHMK Nursing Scientific Journal. 2(2).

Lewis, S. L. (2013). Medical Surgical Nursing : Assessment Management and Clinical Problem. Elsevier Mosby.

Misgiyanto & Susilawati.D. (2014). Hubungan Antara Dukungan Keluarga Dengan Tingkat Kecemasan Penderita Kanker Serviks Paliatif. Jurnal Keperawatan. 5(1). DOI: https://doi.org/10.22219/jk.v5i1.1855

Putri, C.H., Widjayanti,Y., & Kurnyawaty,Y. (2018). Citra Tubuh Dan Fungsi Sksual Wanita Penderita kanker Payudara Di Yayasan Kanker Indonesia. Jurnal Penelitian kesehatan. 5 (2).

Setiawan.M., Lestari, D.R., & Rachmawati,K. (2018). Hubungan Lama Keoterapi Dengan Konsep Diri Pasien Kanker Payudara Yang Menjalani Kemoterapi di RSUD Ulin Banjarmasin. Dinamika Kesehatan. 9(2).

Sitepu, Y.E. & Wahyuni, S.E. (2018). Gambaran Tingkat Stress, Ansietas dan Depresi Pada Pasien Kanker Payudara Yang Menjalani Kemoterapi di RSUP H. Adam Malik Medan. Tropical Medicine. 1(1). DOI: 10.32734/tm.v1i1.50

Situmorang, P.R. (2019) Hubungan Dukungan Sosial Keluarga Dengan Tingkat Kecemasan Pasien Penyakit Ca Servik Yang Menjalani Kemotherapi di Rumah Sakit Umum Imelda Pekerja Medan. Indonesian Trust Health Journal. 2(2). DOI: https://doi.org/10.37104/ithj.v2i2

Smeltzer, C. S. (2010). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddart. Jakarta: EGC.

Sudoyo, A. W. (2009). Buku Ajar Penyakit Dalam. Jilid II, Edisi V. Jakarta: InternaPublising

Surbakti, E. (2013). Hubungan Riwayat Keturunan Dengan Terjadinya Kanker Payu- dara Pada Ibu Di RSUP H . Adam Malik Medan.Jurnal Precure. 1(1).

Tjokronegoro, A. (2006). Buku Ajar Ilmu Keperawatan.Jilid kedua. Jakarta: FKUI.

Turner, L. H. (2011). Pengantar Teori Komunikasi: Analisis dan Aplikasi. Jakarta: Salemba Humanika.

Utami,S.S. & Mustikasari (2017). Aspek Psikososial Pada Penderita Kanker Payudara : Studi Pendahuluan. Jurnal Keperawatan Indonesia.20 (2). DOI: 10.7454/jki.v20i2.503

Wahyuni, T. (2015). Hubungan Antara Frekuensi Kemoterapi dengan Kualitas Hidup Perempuan dengan kanker payudara Yang Menjalani Kemoterapi di Ruang Kemoterapi RSUD PARIKASIT TENGGARONG. Jurnal Ilmu Kesehatan. 3(2).