Hubungan Kualitas Hidup dan Kebutuhan Perawatan Paliatif Pasien Kanker Ginekologi di Rumah Sakit Dr. Hasan Sadikin

Rizna Tyrani Rumanti, Akhmad Yogi Pramatirta, Ali Budi Harsono, Jusuf Sulaeman Effendi

Abstract


Tujuan: Tujuan penelitian ini adalah untuk mengetahui bagaimana hubungan kualitas hidup dan kebutuhan perawatan paliatif pada pasien kanker ginekologi.       
Metode: Subjek penelitian ini adalah seluruh pasien kanker ginekologi yang dirawat di Rumah Sakit Dr. Hasan Sadikin Bandung pada bulan November-Desember 2018. Penelitian ini merupakan studi analitik dengan rancangan cross sectional. Data yang diperoleh dianalisis secara bivariat dengan menggunakan chi square dengan α = 0,05, untuk mengetahui hubungan antara kualitas hidup dengan kebutuhan perawatan paliatif.
Hasil: Karakteristik subjek terbanyak berusia > 50 tahun (65,67%), pendidikan dasar (70,15%), ibu rumah tangga (89,55%), pendapatan di atas upah minimum regional (61,19 %), tujuan rawat inap kemoterapi (47,76%) dan tipe kanker karsinoma serviks (43,28%). Subjek penelitian dengan skor paliatif ≥ 4 sebanyak 25 orang (37,31%). Keluhan yang terbanyak adalah berat badan turun dan tidak nafsu makan (86,57 %). Kualitas hidup pasien kategori baik sebanyak 29 orang, sedang 36 orang, dan kurang 2 orang. Kualitas hidup pasien kanker ginekologi berhubungan dengan kebutuhan perawatan paliatif dengan nilai signifikansi p 0,004.
Simpulan: Kualitas hidup berhubungan dengan skor paliatif. Semakin rendah skor paliatif maka kualitas hidup semakin baik.

Relations of  Quality of Life and Characteristics of Gynecological Cancer Patients In Hasan Sadikin Hospital

Abstract
Objective: The purpose of this study was to determine the characteristics of gynecological cancer patients, determine the quality of life of all gynecological cancer patients and to asses the correlation of quality of life and palliative care needs in gynecological cancer patients.
Method: The subjects of this study were all gynecological cancer patients who were treated at Dr. Hasan Sadikin Hospital Bandung in November-December 2018. This study was an analytic study with a cross sectional design. Data obtained from the study were analyzed bivariately using chi square with α = 0.05, to determine the relationship between quality of life and palliative care needs.
Results: The most characteristics of the subjects were with age> 50 years (65.67%), primary education (70.15%), housewives (89.55%) with income above the regional minimum wage (61.19%), the main goal of hospitalization is chemotherapy (47.76%) and the most types of cancer are cervical carcinoma (43.28%). The research subjects who had a palliative score of ≥ 4 were 25 people (37.31%). The most complaints were weight loss and no appetite (86.57%). The quality of life of patients with good category was 29 people, medium category was 36 people and poor category was 2 people. The quality of life of gynecological cancer patients has correlation with palliative care needs with a significance value of p 0.004.
Conclusion: Quality of life has correlation with palliative scores, the lower the palliative score, the better the quality of life.

Key words: Gynecological cancer; quality of life; palliative score


Keywords


Kanker ginekologi; kualitas hidup; skor paliatif

Full Text:

PDF

References


Karlin D, Phung P, Pietras C. Palliative care in gynecologic oncology. Curr Opin Obstet Gynecol. 2017 Dec;30(1):31–43.

Terzioğlu F, Şahan FU. Palliative Care in Gynecologic Cancers. J Palliat Care Med. 2016;6(5):25–7.

Meffert C, Rücker G, Hatami I, Becker G. Identification of hospital patients in need of palliative care--a predictive score. BMC Palliat Care. 2016 Feb 22;15:21.

Franks PJ, Salisbury C, Bosanquet N, Wilkinson EK, Kite S, Naysmith A, et al. The level of need for palliative care: a systematic review of the literature. Palliat Med. 2000 Mar 1;14(2):93–104.

McIlfatrick S. Assessing palliative care needs: views of patients, informal carers and healthcare professionals. J Adv Nurs. 2007 Jan 1;57(1):77–86.

Aditiyono AA, Harsono AB, Susanto H. CA 125 Dan Risk Of Malignancy Index (RMI)2 Sebagai Prediktor Kegansan Tumor Ovarium Tipe Epitel. Mandala Heal A Sci J. 2018 Oct 17;11(1):18–30.

Casey C, Chen L, Rabow MW. Symptom management in gynecologic malignancies. Expert Rev Anticancer Ther. 2011 Jul 10;11(7):1079–91.

Johnsen AT, Petersen MA, Pedersen L, Groenvold M. Development and Initial Validation of the Three-Levels-of-Needs Questionnaire for Self-Assessment of Palliative Needs in Patients with Cancer. J Pain Symptom Manage. 2011 Jun 1;41(6):1025–39.

Ferris FD, Bruera E, Cherny N, Cummings C, Currow D, Dudgeon D, et al. Palliative Cancer Care a Decade Later: Accomplishments, the Need, Next Steps-From the American Society of Clinical Oncology. J Clin Oncol. 2008;27(18):3052–8.

Rosanne Moses, Philip JAM, Lickiss JN. Berek and Hacker’s Gynecologic Oncology - Google Books. Berek JS, Hacker NF editors, editor. Lippincott Williams & Wilkins; 2010. 902-25 p.

White MC, Holman DM, Boehm JE, Peipins LA, Grossman M, Henley SJ. Age and cancer risk: a potentially modifiable relationship. Am J Prev Med. 2014 Mar;46(3 Suppl 1):S7-15.

Macdonald S, Cunningham Y, Patterson C, Robb K, Macleod U, Anker T, et al. Mass media and risk factors for cancer: the under-representation of age. BMC Public Health. 2018;18(1):490.

Leuven E, Plug E, Rønning M. Education and cancer risk. Labour Econ. 2016 Dec 1;43:106–21.

Mouw T, Koster A, Wright ME, Blank MM, Moore SC, Hollenbeck A, et al. Education and Risk of Cancer in a Large Cohort of Men and Women in the United States. von Elm E, editor. PLoS One. 2008 Nov 4;3(11):e3639.

Dias D, Leite Â, Ramires A, Bicho P. Working with cancer: motivation and job satisfaction. Int J Organ Anal. 2017 Sep 4;25(4):662–86.

Aggarwal A. The challenge of cancer in middle-income countries with an ageing population: Mexico as a case study. Ecancermedicalscience. 2015 May 7;9.

Numico G, Cristofano A, Mozzicafreddo A, Cursio OE, Franco P, Courthod G, et al. Hospital admission of cancer patients: avoidable practice or necessary care? PLoS One. 2015;10(3):e0120827.

Kementrian Kesehatan Indonesia. Pusat Data dan Informasi Kementrian Kesehatan Indonesia [Internet]. 2013 [cited 2019 Feb 25]. Available from: http://www.depkes.go.id/resources/download/pusdatin/infodatin/infodatin-kanker.pdf

Sankaranarayanan R, Head MD, Group S, Ferlay J. Worldwide burden of gynaecological cancer: The size of the problem.

Tisdale MJ. Cachexia in cancer patients. Nat Rev Cancer. 2002 Nov 1;2(11):862–71.




DOI: http://dx.doi.org/10.24198/obgynia/v3n2.218

Refbacks

  • There are currently no refbacks.


Alamat Redaksi

 

KSM/Dep Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran RSUP Dr. Hasan Sadikin

Jl. Pasteur No 38 Bandung 40161 

Telp: 0813-2012-9954

Email: obgyniajurnal@gmail.com

 

 

 




Indexed By
         



Web Analytics
View My Stats

Indonesian Journal of Obstetrics & Gynecology Science @2017