Hubungan Dukungan Keluarga Dengan Tingkat Kecemasan Pada Pasien Kanker Yang Menjalani Kemoterapi Di RS Kanker Dharmais Tahun 2022

Lidia Rosaria; Yuni Susilowati; Zahrah Maulidia Septimar

doi:10.55606/termometer.v2i1.2820

Authors

Lidia Rosaria Universitas Yatsi Madani
Yuni Susilowati Universitas Yatsi Madani
Zahrah Maulidia Septimar Universitas Yatsi Madani

DOI:

https://doi.org/10.55606/termometer.v2i1.2820

Keywords:

Cancer, Chemotherapy, Anxiety, Family Support

Abstract

Introduction: The World Health Organization (WHO) reports that cancer sufferers worldwide in 2020 will reach 19.3 million cases with a death rate of up to 10 million people. Riskesdas data for 2018 shows the prevalence of cancer in Indonesia is 1.49%. Chemotherapy in cancer patients often causes anxiety as a psychological effect. Family is the closest person for cancer patients in dealing with their illness. Family support for cancer patients is needed to lift the patient's mentality and enthusiasm for life. Purpose: This study was to determine the relationship between family support and anxiety levels in cancer patients undergoing chemotherapy. Method: Correlational descriptive with cross sectional approach. The study was conducted at the Dharmais Cancer Hospital in December 2022 - January 2023, with a sample of 185 respondents taken using a purposive sampling technique. Results: 38.9% of cancer patients undergoing chemotherapy at Dharmais Cancer Hospital experienced severe anxiety, 49.7% patients experienced moderate anxiety, 11.4% of patients experienced mild anxiety, and most of the cancer patients had good family support (60.5%). The results of the bivariate analysis of the Spearman rank test obtained p value: 0.000, and r: 0.506. Conclusion: there is a significant relationship between family support and the anxiety level of cancer patients undergoing chemotherapy, where the better the family support, the lighter the anxiety of cancer patients undergoing chemotherapy

References

Adipo. (2021). Hubungan Dukungan Keluarga Dengan Tingkat Kecemasan Pasien Yang Menjalani Kemoterapi di Ruang Anyelir RSUD Arifin Achmad Provinsi Riau. Jurnal Keperawatan. Universitas Riau

ACS. (2016). What Causes Cancer-Related Fatigue?. American Cancer Society. https://www.cancer.org/treatment/treatments-and-side-effects/physical-sideeffects/fatigue/what-causes-cancer-related-fatigue.html

Amalia, L. (2019). Kanker Serviks dan 32 Jenis Kanker Lainnya. Yogyakarta: Landscape

Bakar Melissa, Elizabeth C, Melissa Patterson et.al. (2020). The Role of Palliative Care in Caring for the Families of Patients With COVID-19. American Journal of Hospice & Palliative Medicine. Sagepub.com/journals-permissions. doi: 10.1177/1049909120931506.

Desen, W. (2018). Buku Ajar Onkologi Klinis. Jakarta: Balai Penerbit FKUI.

Diananda, R. (2016). Mengenal Seluk Beluk Kanker (Edisi 3). Katahati.

Dinarti & Muryanti. (2017). Bahan Ajar Keperawatan: Dokumentasi Keperawatan. 1–172.

Esen, S. A., Acikgoz, U., Yildirim, M., Ucar, G., Ergun, Y., Diriko, M., Bal,O., Algin, E., Esen, I., & Unc, D. (2021). Anxiety, Insomnia and Pandemic Awareness of Cancer Patients Receiving Chemotherapy During the COVID-19 Pandemic Period. International Journal of Hematology and Oncology, 31(2), 1–9. https://doi.org/10.4999/uhod.UHOD

Friedman, M. (2014). Buku Ajar Keperawatan keluarga : Riset, Teori, dan Praktek. Jakarta: EGC.

Ghozali (2018). Hubungan Dukungan Keluarga Dengan Tingkat Kecemasan Pasien Yang Menjalani Kemoterapi Di Rs Baladhika Husada Jember. Jurnal Muhammadiyah Jember. http://fikes.unmuhjember.ac.id

Hart JL, Turnbull AE, Oppenheim IM, Courtright KR. (2020). Family-Centered Care During the COVID-19 Era. J Pain Symptom Manage

Hawari, D. (2016). Manajemen Stres, Cemas dan Depresi. Jakarta: Balai Penerbit FKUI

Hastono, S.P. (2016). Analisis Data Kesehatan. Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia

Harnilawati. (2013). Konsep dan Proses Keperawatan Keluarga. Sulawesi Selatan: Pustaka As Salam.

Infodatin Kanker. (2019). Situasi Penyakit Kanker. Buletin Jendela Data dan Informasi Kesehatan. Jakarta : Kementerian Kesehatan RI

Joanne G. Kuntz, Dio Kavalieratos, Gregory J. Esper et.al. (2020). Feasibility and Acceptability of Inpatient Palliative Care E-Family Meetings During COVID-19 Pandemic. Journal of Pain and Symptom Management. Elsevier Inc. doi:10.1016/j.jpainsymman.2020.06.001

Karsono, B. (2016). Tenik-Teknik Biologi Molekular dan Selular pada Kanker. Jakarta: Pusat Penerbit Departemen Penyakit Dalam FKUI

Kowalak. (2015). Buku Ajar Patofisiologi. Jakarta: EGC

Liave & Rosa. (2017). Bila ada keluarga kena kanker, inilah yang patut dilakukan. http://palembang.tribunnews/2011

Marini, I. (2016). Pengaruh Pemberian Informed Consent Terhadap Tingkat Kecemasan Pasien Pre Operasi di RSUD Banten. Skripsi. PSIK Universitas Faletehan

Natosba (2020). Aplikasi Progressive Muscle Relaxation Sebagai Upaya Reduksi Nyeri Dan Kecemasan. JAMALI - Jurnal Abdimas Madani dan Lestari. Vol. 02, Issue. 02. Fakultas Kedokteran Universitas Sriwijaya

Nugroho, S. (2017). Kualitas Tidur dan Fatigue Pada Klien Cancer. Adi Husada Nursing Journal, 3(1), 88–92.

NCCN. (2019). Clinical Practice Guidelines in Oncology: Breast Cancer. The National Comprehensive Cancer Network

Noorwati, S. (2017). Kemoterapi, Manfaat dan Efek Samping. Dharmais Cancer Hospital. Jakarta

Notoatmodjo. (2017). Metodologi Penelitian Kesehatan. Jakarta : PT. Rineka Cipta

Omri. (2017). Masalah Psikologi Pada Penderita Kanker. http://rumahkanker.com/perawatan/perawatanpsikis/68-psikologi-penderita-kanker

Potter & Perry. (2015). Buku Ajar Fundamental Keperawatan: Konsep, Proses, dan Praktik edisi 4. Jakarta: EGC

Rasjidi, I. (2019). Kemoterapi Kanker Ginekologi Dalam Praktek Sehari-hari. Jakarta : Sagung Seto.

Ratna, W. (2016). Sosiologi dan antropologi kesehatan. Yogyakarta: Pustaka Rihama.

RS Kanker Dharmais. (2022). Data Pasien Kanker Rawat Inap Tahun 2022.

Simanullang, P. (2019). Pengaruh Progressive Muscle Relaxation (PMR) Terhadap Kecemasan Pada Pasien Kanker Yang Menjalani Kemoterapi di RSU Martha Friska Brayan Medan. Jurnal V(April), 1–8.

Smeltzer, C. S., & Bare, B. G. (2017). Keperawatan Medikal Bedah. Jakarta: EGC.

Suhayat. (2015). Hubungan Dukungan Keluarga Dengan Tingkat Kecemasan Pasien Pre Operasi di RSUD Dr. Pirngadi Medan. Skripsi. Universitas Sumatera Utara

Tariq, M. J., Almani, M. U., Sherazi, S. A. A., Usman, M., Arif, A. W., Yim, B., & Gupta, S. (2020). Anxiety Due to COVID-19 and Impact on Patients Receiving Chemotherapy in An Inner-City Minority Population. Journal of Clinical Oncology, 38(29), 1–9. https://doi.org/10.1200/JCO.2020.38.29_suppl.108

Tjindarbumi. (2014). Penanganan Kanker Payudara Masa Kini deng berbagai Macam Issue di Indonesia. Proceeding Indonesian Issues on Breast Cancer. Surabaya

Wallace CL, Wladkowski SP, Gibson A,White P, et al. (2020) Grief during the COVID-19 pandemic: considerations for palliative care providers. Journal Pain Symptom Manage: S0885-3924(20)30207-30214.