PREVALENCE AND FACTORS ASSOCIATED WITH CARE DEPENDENCY OF CANCER PATIENT UNDERGOING CHEMOTHERAPY

Authors

  • Muhamad Zulfatul A'la Faculty of Nursing, Universitas Jember, Jember, Indonesia
  • Rondhianto Rondhianto Faculty of Nursing, Universitas Jember, Jember, Indonesia
  • Jon Hafan Sutawardana Faculty of Nursing, Universitas Jember, Jember, Indonesia
  • Lianawati Lianawati Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand

DOI:

https://doi.org/10.31004/jkt.v4i2.14556

Keywords:

Care dependency, Cancer, Chemotherapy

Abstract

Increasing the number of cancer patients need exploration of the impact of cancer and chemotherapy. Care dependency is one impact of chemotherapy treatment and can affect the quality of life. Therefore, the prevalence and factor associated with care dependency of cancer patients undergoing chemotherapy need to be explored. This study aimed to determine the prevalence of care dependency and correlation among depression, hemoglobin level, pain, and fatigue to care dependency of cancer patients undergoing chemotherapy. Cross-sectional study was performed. 388 cancer patient undergoing chemotherapy in Baladhika Husada Hospital Jember, Indonesia was recruited using a consecutive sampling technique. Multivariate logistic regression was used to determine the association..The age of the samples was 51.49 (± 9.71) years old. This study found 29.9% of people have care-dependent conditions. After multivariate analysis, hemoglobin, pain, fatigue, and depression were statistically significant with care dependency. Conclusion: Fatigue has the most significant influence on care dependency of cancer patients undergoing chemotherapy. Further research needs to be analyzed care dependency in cancer patients using multi-center chemotherapy service. Also, the development of nursing interventions to reduce care-dependent conditions needs to be conducted.

References

Abu Obead, K., Yaser, S., Khattab, M., Al-Badainah, F., Saqer, L., & Al-dosouqi, N. (2014). Chemotherapy-induced fatigue among jordanian cancer patients: What are the contributing factors? Middle East Journal of Cancer, 5(2), 75–82.

Amir, Y., Kottner, J., Schols, Jos M. G. A., Lohrmann, Christa, & Halfens, Ruud J. G. (2014). Psychometric properties of the Dutch national prevalence measurement of care problems used to measure quality of pressure ulcer care in Indonesian hospitals. Advances in Skin & Wound Care, 27(8), 363–370.

Boggatz, T., Dijkstra, A., Lohrmann, C., & Dassen, T. (2007). The meaning of care dependency as shared by care givers and care recipients: a concept analysis. Journal of Advanced Nursing, 60(5), 561–569.

Bortolato, Beatrice, Hyphantis, Thomas N., Valpione, Sara, Perini, Giulia, Maes, Michael, Morris, Gerwyn, Kubera, Marta, Köhler, Cristiano A., Fernandes, Brisa S., & Stubbs, Brendon. (2017). Depression in cancer: the many biobehavioral pathways driving tumor progression. Cancer Treatment Reviews, 52, 58–70.

Bujang, M., Sa’at, N., Bakar, Tg Mohd I, & Joo, L. (2018). Sample size guidelines for logistic regression from observational studies with large population: emphasis on the accuracy between statistics and parameters based on real life clinical data. The Malaysian Journal of Medical Sciences: MJMS, 25(4), 122.

Cella, D., Kallich, J., McDermott, A., & Xu, X. (2004). The longitudinal relationship of hemoglobin, fatigue and quality of life in anemic cancer patients: results from five randomized clinical trials. Annals of Oncology, 15(6), 979–986.

Dijkstra, A., Hakverdio?lu, G., Muszalik, M., Andela, R., Korhan, E., & K?dziora-Kornatowska, K. (2015). Health related quality of life and care dependency among elderly hospital patients: an international comparison. The Tohoku Journal of Experimental Medicine, 235(3), 193–200.

Dueñas, M., Salazar, A., & Failde, I. (2020). Limitations in activities of daily living in people with chronic pain: Identification of groups using clusters analysis. Pain Practice, 20(2), 179–187.

Effendy, C., Vissers, K., Osse, Bart H. P., Tejawinata, S., Vernooij?Dassen, Myrra, & Engels, Y.. (2015). Comparison of problems and unmet needs of patients with advanced cancer in a European country and an Asian country. Pain Practice, 15(5), 433–440.

Ferlay, J., Soerjomataram, I., Dikshit, R., Eser, S., Mathers, C., Rebelo, M., Parkin, Donald Maxwell, Forman, David, & Bray, Freddie. (2015). Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. International Journal of Cancer, 136(5), E359–E386.

Ginting, Henndy, Näring, Gérard, Van Der Veld, William M., Srisayekti, Wilis, & Becker, Eni S. (2013). Validating the Beck Depression Inventory-II in Indonesia’s general population and coronary heart disease patients. International Journal of Clinical and Health Psychology, 13(3), 235–242.

Handayani, F., Setyowati, S., & Sawitri, D. R. (2019). Psychosocial associated and predictors of post stroke depression 3-6 months after onset: a systematic review. Pakistan Journal of Medical & Health Sciences 13(4).1219-1223.

Herdman, T. Heather, Kamitsuru, Shigemi, & International, Nanda. (2017). Nursing diagnoses 2018-2020: Definitions and classification. New York, US: Thieme Medical Publishers.

Hoedl, M., & Bauer, S. (2020). The relationship between care dependency and pain in nursing home residents. Archives of Gerontology and Geriatrics, 90, 104166.

Karakurt, P., & Ünsal, A.. (2013). Fatigue, anxiety and depression levels, activities of daily living of patients with chronic obstructive pulmonary disease. International Journal of Nursing Practice, 19(2), 221–231.

Lenz, Elizabeth R. (2018). Application of the theory of unpleasant symptoms in practice: A challenge for nursing. Investigación En Enfermería: Imagen y Desarrollo, 20(1).

Lindahl-Jacobsen, Line, Hansen, Dorte Gilså, Wæhrens, Eva Ejlersen, La Cour, Karen, & Søndergaard, Jens. (2015). Performance of activities of daily living among hospitalized cancer patients. Scandinavian Journal of Occupational Therapy, 22(2), 137–146.

Neidlein, S., Wirth, R., & Pourhassan, M. (2021). Iron deficiency, fatigue and muscle strength and function in older hospitalized patients. European Journal of Clinical Nutrition, 75(3), 456-463.

Nursiswati, N, Halfens, Ruud J. G., & Lohrmann, C. (2017). Change in care dependency of stroke patients: A longitudinal and multicenter study. Asian Nursing Research, 11(2), 113–118.

Paramita, N., Nusdwinuringtyas, N., Nuhonni, Siti Annisa, Atmakusuma, Tubagus Djumhana, Ismail, R. Irawati, Mendoza, Tito R., & Cleeland, Charles S. (2016). Validity and reliability of the Indonesian version of the Brief Fatigue Inventory in cancer patients. Journal of Pain and Symptom Management, 52(5), 744–751.

Schüssler, S., & Lohrmann, C.. (2015). Change in care dependency and nursing care problems in nursing home residents with and without dementia: a 2-year panel study. PloS One, 10(10), e0141653.

Sharma, Munish Kumar, Choudhary, Sanjay, Gour, Neeraj, Pandey, Awadhesh, Chaudhary, Meenakshi, & Srivastava, Dhiraj. (2020). Assessment of hemoglobin status among cancer patients: a hospital based study. International Journal of Advances in Medicine, 7(2), 293.

Silver, Julie K., Raj, Vishwa S., Fu, Jack B., Wisotzky, Eric M., Smith, Sean Robinson, & Kirch, Rebecca A. (2015). Cancer rehabilitation and palliative care: critical components in the delivery of high-quality oncology services. Supportive Care in Cancer, 23, 3633–3643.

Strömgren, A. S., Groenvold, M., Pedersen, L., Olsen, A. K., & Sjogren, P. (2002). Symptomatology of cancer patients in palliative care: content validation of self-assessment questionnaires against medical records. European Journal of Cancer, 38(6), 788–794.

Timmerman, J. G., Dekker-van Weering, M. G. H., Tönis, T. M., Hermens, H. J., & Vollenbroek-Hutten, M. M. R. (2015). Relationship between patterns of daily physical activity and fatigue in cancer survivors. European Journal of Oncology Nursing, 19(2), 162–168.

Vaes, A. W., Machado, F. V., Meys, R., Delbressine, J. M., Goertz, Y. M., Van Herck, M., ... & Spruit, M. A. (2020). Care dependency in non-hospitalized patients with COVID-19. Journal of clinical medicine, 9(9), 2946

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Published

2023-06-06

Issue

Vol. 4 No. 2 (2023): JUNI 2023

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Articles

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Copyright (c) 2023 Muhamad Zulfatul A'la, Jon Hafan Sutawardana, Lianawati Lianawati

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