ASPEK PSIKOSOSIAL PEREMPUAN YANG MENJALANI KEMOTERAPI

PSYCHOSOCIAL ASPECTS OF WOMEN UNDERGOING CHEMOTHERAPY

https://doi.org/10.47539/jktp.v5i2.310

Authors

  • Suci Azzani Senja Jurusan Keperawatan, Universitas Riau
  • Erika Erika Jurusan Keperawatan, Universitas Riau
  • Sri Wahyuni Jurusan Keperawatan, Universitas Riau

Abstract

Kemoterapi merupakan salah satu pengobatan kanker yang bekerja dengan cara menghancurkan struktur atau metabolisme sel kanker dengan tujuan untuk menghambat terjadinya metastase. Namun kemoterapi juga memiliki efek samping yang merugikan fisik maupun psikososial. Penelitian bertujuan untuk mengetahui gambaran aspek psikososial perempuan yang menjalani kemoterapi. Penelitian ini menggunakan desain penelitian kuantitatif dengan metode deskriptif. Teknik sampling yang digunakan adalah total sampling dengan sampel berjumlah 70 responden pasien perempuan yang menjalani kemoterapi di RSUD Arifin Achmad Provinsi Riau. Instrumen yang digunakan adalah Psychosocial Distress Questionnare-Breast Cancer. Analisis data penelitian ini menggunakan analisis univariat untuk melihat gambaran karakteristik dan aspek psikososial responden. Hasil penilitian menunjukkan mayoritas responden berusia dewasa (25-65 tahun) (94,3%), diagnosa terbanyak kanker payudara (38,6%), stadium kanker pada stadium IIA (34,3%), lama diagnosa kanker > 6 bulan – 1 tahun (35,7%), frekuensi kemoterapi terbanyak adalah kemoterapi ke 2 (24,3%) dan mayoritas responden didampingi suami selama menjalani kemoterapi (45,7%). Penelitian ini juga menunjukkan hasil bahwa 57,1% responden tidak mengalami distres psikososial dan 42,9% responden lainnya mengalami distres psikososial. Gambaran aspek psikososial mayoritas perempuan yang menjalani kemoterapi di RSUD Arifin Achmad adalah tidak mengalami distres psikososial.

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References

Almigbal. (2019). Assessment of psychological distress among cancer patients undergoing radiotherapy in Saudi Arabia. Dove Press Journal: Psychology Research and Behavior Management, 12, 691–700.

Ambarwati, W. N., & Wardani, E. K. (2014). Efek Samping Kemoterapi Secara Fisik Pasien Penderita Kanker Servik. Jurnal Universitas Muhammadiyah Semarang, 2(2), 97–106.

Andreu, Y., Galdón, M. J., Durá, E., Martínez, P., Pérez, S., & Murgui, S. (2012). A longitudinal study of psychosocial distress in breast cancer: Prevalence and risk factors. Psychology & Health, 27(1), 72–87. https://doi.org/10.1080/08870446.2010.542814

Aprilianto, E., Lumadi, S. A., & Handian, F. I. (2021). Family social support and the self-esteem of breast cancer patients undergoing neoadjuvant chemotherapy. Journal of Public Health Research, 10(2), 2234. https://doi.org/10.4081/jphr.2021.2234

Ariani, S. (2015). Stop Kanker. Yogyakarta: Istana Media.

Bogaarts, M. P. J., Oudsten, B. L. Den, Roukema, J. A., van Riel, J. M. G. H., Beerepoot, L. V, & de Vries, J. (2010). Development of the Psychosocial Distress Questionnaire—Breast Cancer (PDQ-BC): a breast cancer-specific screening instrument for psychosocial problems. Supportive Care in Cancer, 19, 1485–1493.

Bosire, A., Mageto, I., & Kimani, S. (2020). Psychological Effects of Chemotherapy Experienced by Patients Diagnosed With Breast and Cervical Cancer Attending Kenyatta National Hospital Cancer Treatment Centre. International Journal of Health Sciences and Research, 10(1), 166–174. www.ijhsr.org

Chan, H. K., & Ismail, S. (2014). Side effects of chemotherapy among cancer patients in a Malaysian general hospital: Experiences, perceptions and informational needs from clinical pharmacists. Asian Pacific Journal of Cancer Prevention, 15(13), 5305–5309. https://doi.org/10.7314/APJCP.2014.15.13.5305

Chaplin, J. P. (2011). Kamus lengkap psikologi. Jakarta: PT Raja Grafindo Persada.

Ercolano, E., Hoffman, E., Tan, H., Pasacreta, N., Lazenby, M., & McCorkle, R. (2018). Managing Psychosocial Distress: Lessons Learned in Optimizing Screening Program Implementation. Oncology (Williston Park), 32(10), 488–493.

Farthmann, J., Hanjalic-Beck, A., Veit, J., Rautenberg, B., Stickeler, E., Erbes, T., Földi, M., & Hasenburg, A. (2016). The impact of chemotherapy for breast cancer on sexual function and health-related quality of life. Supportive Care in Cancer, 24, 2603–2609. https://doi.org/10.1007/s00520-015-3073-2

Graves, K. D., Arnold, S. M., Love, C. L., Kirsh, K. L., Moore, P. G., & Passik, S. D. (2007). Distress screening in a multidisciplinary lung cancer clinic: Prevalence and predictors of clinically significant distress. Lung Cancer, 55(2), 215–224. https://doi.org/https://doi.org/10.1016/j.lungcan.2006.10.001

Hernawaty, T., Ramdhani, R. I., & Solehati, T. (2015). Gambaran tingkat kecemasan pasien kanker serviks di RSUP Dr. Hasan Sadikin Bandung. In Simposium Nasional Universitas Kristen Maranatha.

Huang, B., Chen, H., Deng, Y., Yi, T., Wang, Y., & Jiang, Y. (2016). Diagnosis, disease stage, and distress of Chinese cancer patients. Ann Transl Med, 4(4), 73. https://doi.org/10.3978/j.issn.2305-5839.2016.02.08

Jokiel, M. (2009). Social aspects of breast cancer early detection after introduction of population screenings in Poland. Przeglad epidemiologiczny, 63(3), 443–447.

Kemenkes RI. (2019). Infodatin: beban kanker di Indonesia. https://pusdatin.kemkes.go.id. Jakarta: Kementerian Kesehatan RI.

Kheir, D. Y. M. E., & Ibrahim, A. H. M. (2019). Epidemiological assessment of distress during chemotherapy: who is affected? Journal of Taibah University Medical Sciences, 14(5), 448–453. https://doi.org/10.1016/j.jtumed.2019.08.004

Kim, G. M., Kim, S. J., Song, S. K., Kim, H. R., Kang, B. D., Noh, S. H., Chung, H. C., Kim, K. R., & Rha, S. Y. (2017). Prevalence and prognostic implications of psychological distress in patients with gastric cancer. Biomed Central Cancer, 17(1), 283. https://doi.org/10.1186/s12885-017-3260-2

Loquai, C., Scheurich, V., Syring, N., Schmidtmann, I., Rietz, S., Werner, A., Grabbe, S., & Beutel, M. E. (2013). Screening for Distress in Routine Oncological Care-A Survey in 520 Melanoma Patients. PLoS ONE, 8(7), 1–9. https://doi.org/10.1371/journal.pone.0066800

Prates, A. C. L., Freitas-Junior, R., Prates, M. F. O., Veloso, M. de F., & Barros, N. de M. (2017). Influence of Body Image in Women Undergoing Treatment for Breast Cancer. The Brazilian Journal of Gynecology and Obstetrics (Revista Brasileira de Ginecologia e Obstetrícia), 39(4), 175–183. https://doi.org/10.1055/s-0037-1601453

Pratiwi, S. R., Widianti, E., & Solehati, T. (2017). Gambaran Faktor-Faktor yang Berhubungan dengan Kecemasan Pasien Kanker Payudara dalam Menjalani Kemoterapi. Jurnal Pendidikan Keperawatan Indonesia, 3(2), 167–174. https://doi.org/10.17509/jpki.v3i2.9422

Riba, M. B., Donovan, K. A., Andersen, B., Braun, Ii., Breitbart, W. S., Brewer, B. W., Buchmann, L. O., Clark, M. M., Collins, M., Corbett, C., Fleishman, S., Garcia, S., Greenberg, D. B., Handzo, R. G. F., Hoofring, L., Huang, C. H., Lally, R., Martin, S., McGuffey, L., … Darlow, S. D. (2019). Distress Management, version 3.2019, NCCN Clinical Practice Guidelines in Oncology. Journal of the National Comprehensive Cancer Network: JNCCN, 17(10), 1229–1249. https://doi.org/10.6004/jnccn.2019.0048

Risdayanti, & Herlina, N. (2020). Hubungan Antara Faktor Psikososial dan Faktor Lingkungan dengan Kualitas Hidup Pasien Kanker yang Menjalani Kemoterapi di RSUD Abdul Wahab Sjahranie Samarinda. Borneo Student Research, 1(3), 2118–2129.

Roza, G. E., & Setiawati, O. R. (2019). Hubungan Dukungan Keluarga Dengan Kepatuhan Pasien Kanker Payudara Menjalani Kemoterapi Di Rsud Dr. H. Abdul Moeloek. Anfusina: Journal of Psychology:, 2(2), 159–168. https://doi.org/10.24042/ajp.v2i2.6097

Ruhyanudin, F., Waluyo, A., & Yulia. (2014). Pengalaman pasien kanker dalam menjalani kemoterapi: Studi fenomenologi di RSPAD Gatot Soebroto Ditkesad Jakarta. Malang: Universitas Muhammadiyah Malang.

Sari, M., Dewi, Y. I., & Utami, A. (2012). Hubungan Dukungan Keluarga Terhadap Motivasi Pasien Kanker Payudara Dalam Menjalani Kemoterapi Di Ruang Cendrawasih I Rsud Arifin Achmad Provinsi Riau. Jurnal Ners Indonesia, 2(2), 158–166.

Schneider, A., Kotronoulas, G., Papadopoulou, C., McCann, L., Miller, M., McBride, J., Polly, Z., Bettles, S., Whitehouse, A., Kearney, N., & Maguire, R. (2016). Trajectories and predictors of state and trait anxiety in patients receiving chemotherapy for breast and colorectal cancer: Results from a longitudinal study. European Journal of Oncology Nursing, 24, 1–7. https://doi.org/10.1016/j.ejon.2016.07.001

Setiawan, S. D. (2015). The Effect of Chemotherapy in Cancer Patient To Anxiety. Jurnal Majority, 4(4), 94–99.

Sitepu, Y., & Wahyuni, S. E. (2018). Gambaran Tingkat Stres, Ansietas Dan Depresi Pada Pasien Kanker Payudara Yang Menjalani Kemoterapi di RSUP H. Adam Malik Medan. Talenta Conference Series: Tropical Medicine (TM), 1(1), 107–113. https://doi.org/10.32734/tm.v1i1.50

Sitio, R. (2019). Pengalaman Psikososial Pasien Kanker Payudara yang Menjalani Terapi Kemoterapi di BLUD dr. Zainoel Abidin Banda Aceh. Jurnak Keperawatan Priority, 2(1), 17–32.

Spielberger, C. D. (2010). State-Trait Anxiety Inventory. The Corsini Encyclopedia of Psychology. https://doi.org/10.1002/9780470479216.corpsy0943

Suyanto, & Arumdari, N. P. P. (2018). Dukungan Keluarga pada Pasien Kanker yang Menjalani Kemoterapi Family support in cancer patients with chemotherapy. Proceeding Unissula Nursing Conference, 1(1), 90–95.

Turan, V., & Oktay, K. (2014). Sexual and fertility adverse effects associated with chemotherapy treatment in women. Expert Opinion on Drug Safety, 13(6), 775–783. https://doi.org/10.1517/14740338.2014.915940

Utami, S. S., & Mustikasari. (2017). Aspek Psikososial Pada Penderita Kanker Payudara: Studi Pendahuluan. Jurnal Keperawatan Indonesia, 20(2), 65–74. https://doi.org/10.7454/jki.v20i2.503

Wagner, J. F., Lüdders, D., Hoellen, F., Rody, A., & Banz-Jansen, C. (2019). Treatment anxiety in breast cancer patients. Archives of Gynecology and Obstetrics, 299, 1365–1371. https://doi.org/10.1007/s00404-018-05038-z

Wang, X., Lv, Y., Li, W., Gan, C., Chen, H., Liu, Y., Chao, H. H., Li, C. S. R., & Cheng, H. (2018). Correlation between Psychosocial Distress and Quality of Life in Patients with Nasopharyngeal Carcinoma following Radiotherapy. Hindawi: Journal of Oncology, 2018, 1–4. https://doi.org/10.1155/2018/3625302

WHO. (2018). Cancer. Diperoleh pada 14 Maret, 2021, dari https://www.who.int/health-topics/cancer#tab=tab_1

Widianti, M. O., Yona, S., Masfuri, & Waluyo, A. (2019). Body image, social support, effects of chemotherapy, and sexual desire in breast cancer patients. Journal of International Dental and Medical Research, 12(1), 323–330.

Yusof, S., Zakaria, F. N., Hashim, N. K., & Dasiman, R. (2016). Depressive Symptoms among Cancer Patients Undergoing Chemotherapy. Procedia - Social and Behavioral Sciences, 234, 185–192. https://doi.org/10.1016/j.sbspro.2016.10.233

Published

2022-12-24

How to Cite

Suci Azzani Senja, Erika, E., & Wahyuni, S. . (2022). ASPEK PSIKOSOSIAL PEREMPUAN YANG MENJALANI KEMOTERAPI: PSYCHOSOCIAL ASPECTS OF WOMEN UNDERGOING CHEMOTHERAPY. JURNAL KEPERAWATAN TROPIS PAPUA, 5(2). https://doi.org/10.47539/jktp.v5i2.310