GAMBARAN KESEJAHTERAAN SOSIAL PADA PASIEN KANKER PAYUDARA STADIUM LANJUT YANG MENJALANI RAWAT INAP DI RSUD ARIFIN ACHMAD
DOI:
https://doi.org/10.31004/jkt.v6i3.46615Keywords:
dukungan sosial, kanker payudara, kualitas hidup, kesejahteraan sosialAbstract
Pendahuluan: Pasien kanker payudara stadium lanjut kerap mengalami masalah sosial akibat pengobatan, yang berdampak pada kesejahteraan sosial sehingga berpengaruh pada kualitas hidup pasien kanker. Tujuan: Mengidentifikasi gambaran kesejahteraan sosial pada pasien kanker payudara stadium lanjut yang menjalani rawat inap di RSUD Arifin Achmad. Metode: Penelitian ini menggunakan metode kuantitatif dengan desain deskriptif non-eksperimental. Teknik pengambilan sampel adalah purposive sampling dengan jumlah 76 responden pasien kanker payudara stadium lanjut yang menjalani rawat inap. Data dikumpulkan menggunakan kuesioner Functional Assessment of Cancer Therapy–Breast (FACT-B) yang sudah teruji valid (rhitung = 0.63–0.84, kuesioner dikatakan valid) dan uji reliabel (r = 0,71, kuesioner dikatakan reliabel). Analisis data dilakukan adalah univariat menggunakan distribusi frekuensi. Hasil: Mayoritas responden adalah perempuan usia pra lansia (45–59 tahun), berpendidikan SMP/sederajat, ibu rumah tangga, telah menikah, tidak berpenghasilan, dengan stadium kanker terbanyak stadium III dan telah terdiagnosis lebih dari satu tahun. Sebagian besar memiliki tingkat social well-being sedang (59,2%), dengan dukungan emosional tinggi dari keluarga (46,1%), penerimaan keluarga (48,7%), dan kedekatan dengan pasangan (44,7%). Namun, responden melaporkan dukungan pertemanan rendah (42,1%) dan kepuasan terhadap kehidupan seksual yang kurang (50%). Kesimpulan: Dukungan dari keluarga, pasangan, dan teman berperan penting terhadap social well-being pasien kanker payudara stadium lanjut. Penelitian selanjutnya perlu mengkaji penyebab rendahnya dukungan dari teman, terutama akibat dampak fisik dan emosional pengobatan yang membuat pasien menarik diri dari lingkungan sosial.References
Acquati C, Miller-Sonet E, Zhang A, Ionescu E. (2023). Social Wellbeing in Cancer Survivorship: A Cross-Sectional Analysis of Self-Reported Relationship Closeness and Ambivalence from a Community Sample. Current Oncology Journal.;30(2):1720-1732. https://doi.org/10.3390/curroncol30020133
Adnyana, I. M. D. M., Sari, N. W., Arifin, Z., Prihatin, K., Fatmawati, B. R., Wahyudi, G., Ilham, Oktaviana, E., & Febrianti, T. (2023). Epidemiologi Penyakit Tidak Menular (Annisa Ishmat Asir, Ed.; 1st ed.). CV. Media Sains Indonesia.
Afiyanti, Y., Wardani, I. Y., & Martha, E. (2019). The Quality of Life of Women with Cervical Cancer in Indonesia: A Cross-Sectional Study. Nurse Media Journal of Nursing, 9(2), 128–140. https://doi.org/10.14710/nmjn.v9i2.26014
Akin-Odanye, E. O., & Husman, A. J. (2021). Impact of stigma and stigma-focused interventions on screening and treatment outcomes in cancer patients. Ecancermedicalscience, 15, 1308. https://doi.org/10.3332/ecancer.2021.1308
Anggraeni, F. D., Sukartini, T., & Nihayati, H. E. (2023). Quality of life in breast cancer patients. Pediomaternal Nursing Journal. 9(1), 31-35. http://dx.doi.org/10.20473/pmnj.v9i1.42249
Arna, Endah, & Widyawati, dkk. (2024). Bunga Rampai Keperawatan Paliative. Cilacap; Media Pustaka Indo
Ayub, F., Khan, T. M., Baig, M. R., Amin, M. U., & Tahir, H. (2023). Quality of life and wellbeing among breast cancer patients in Lahore, Pakistan. Frontiers in Oncology, 13, 1105411.
Cella, D. F. (1994). Quality of life: concepts and definition. Journal of pain and symptom management, 9(3), 186-192.
Cella, D. F., Brady, M. J., Mo, F., Bonomi, A. E., Tulsky, D. S., Lloyd, S. R., ... & Shiomoto, G. (1997). Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument. Journal of clinical oncology, 15(3), 974-986.
Day, J. R., Miller, B., Loeffler, B. T., Mott, S. L., Tanas, M., Curry, M., ... & Monga, V. (2022). Patient reported quality of life in young adults with sarcoma receiving care at a sarcoma center. Frontiers in psychology, 13, 871254.
Di Bella, O., Cocchiara, R. A., De Luca, A., Frusone, F., Aceti, V., Sestili, C., ... & La Torre, G. (2018). Functional assessment of cancer therapy questionnaire for breast cancer (FACT-B+ 4): Italian version validation. La Clinica Terapeutica, 169(4), e151-e154.
Dinas Kesehatan Provinsi Riau, (2021). Profil Kesehatan Provinsi Riau. Kota Pekanbaru.
Edianto, D., Yaznil, M. R., Chartyansari, A. A., & Effendi, I. H. (2019). Assessment of the quality of life for gynecologic cancer patients using functional assessment of cancer therapy-general (Fact-G) questionnaire at Haji Adam Malik Hospital. Open access Macedonian journal of medical sciences, 7(16), 2569.
Gerges, S., Hallit, R., & Hallit, S. (2023). Stressors in hospitalized patients and their associations with mental health outcomes: testing perceived social support and spiritual well-being as moderators. BMC psychiatry, 23(1), 323.sectional study. European journal of breast health, 15(1), 26.
Global Cancer Observatory. (2020). Global Cancer Observatory. In International Agency for Research on Cancer. Retrieved from https://gco.iarc.fr/today/data/factsheets/populations/900-worldfact-sheets.pdf
Global Cancer Observatory. (2020). Incidence, Mortality and Prevalence by Cancer Site. https://gco.iarc.fr/
Hamid, W., Jahangir, M. S., & Khan, T. A. (2021). Lived experiences of women suffering from breast cancer in Kashmir: a phenomenological study. Health promotion international, 36(3), 680-692.
Hananta, L., Fernando, B. C., Roliadi, Y., Tansil, N. J., Wangidjaja, O., & Tantry, S. I. (2022). Kualitas Hidup pada Pasien Lanjut Usia dan Kanker selama Pandemi COVID-19. Jurnal Pengabdian Kesehatan Masyarakat (Pengmaskesmas), 2(2).
Husni, M., Romadoni, S., &Rukiyati, D. (2015). Hubungan Dukungan Keluarga Dengan Kualitas Hidup Pasien Kanker Payudara Di Instalasi Rawat Inap Bedah RSUP Dr. Mohammad Hoesin Palembang Tahun 2012. Jurnal KeperawatanSriwijaya. Vol 2 (2): page 82.
Kadambi, S., Soto-Perez-de-Celis, E., Garg, T., Loh, K. P., Krok-Schoen, J. L., Battisti, N. M. L., ... & Hsu, T. (2020). Social support for older adults with cancer: Young International Society of Geriatric Oncology review paper. Journal of geriatric oncology, 11(2), 217-224.
Kementerian Kesehatan RI. (2022). Kanker Payudara Paling Banyak di Indonesia, Kemenkes Targetkan Pemerataan Layanan Kesehatan – Sehat Negeriku. Biro Komunikasi Dan Pelayanan Masyarakat, 8–9.
Larasati, A., Utama, M. S., & Kusumadjati, A. (2022). Profile of Breast Cancer Patients with Radiotherapy in Hasan Sadikin Hospital Bandung. Indonesian Journal of Cancer, 16(3), 142-148.
Lim, H., Son, H., Han, G., & Kim, T. (2024). Stigma and quality of life in lung cancer patients: The mediating effect of distress and the moderated mediating effect of social support. Asia-Pacific Journal of Oncology Nursing, 11(6), 100483.
Lind, A. K., Liedberg, F., Aljabery, F., Bläckberg, M., Gårdmark, T., Hosseini, A., ... & Stenzelius, K. (2023). Health-related quality of life prior to and 1 year after radical cystectomy evaluated with FACT-G and FACT-VCI questionnaires. Scandinavian journal of urology, 58, 76-83.
Medina, J. D. M. R., de Araujo Trugilho, I., Mendes, G. N. B., Silva, J. G., da Silva Paiva, M. A., de Aguiar, S. S., ... & Bergmann, A. (2019). Advanced clinical stage at diagnosis of breast cancer is associated with poorer health-related quality of life: a cross-
Meena, S. A., Srividya, A., Kannan, A., Krithika, C. L., & Aniyan, Y. (2021). Assessment of quality of life in patients receiving radiotherapy: A multicentric study. Journal of International Oral Health, 13(3), 293-297.
Muthanna, F.M., Karuppannan, M., Hassan, B.A., Mohammed, A.H., (2021). Impact of fatigue on quality of life among breast cancer patients receiving chemotherapy. Osong Public Health and Research Perspectives 12, 115–125. doi:10.24171/j.phrp.2021.12.2.09
Nasution, S. A. H., & Chalil, M. J. A. (2023). Pengaruh Stadium Kanker Payudara Terhadap Derajat Nyeri Dan Kualitas Hidup Pasien Kanker Payudara Di Rsu. Haji Medan. Jurnal Kedokteran dan Kesehatan: Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya, 10(3), 317-324.
Reynaldi, A., & Adiningsih, D. (2020). Gambaran Kualitas Hidup Pasien Kanker Paru Stadium Lanjut di RS Paru Dr. HA ROTINSULU Bandung. Journal of Nursing Care, 3(2).
Riskesdas. (2018). Penyakit Kanker diIndonesia.http://p2p.kemkes.go.id/penyakit-kanker-di-indonesia-berada-pada-urutan-8-di-asia-tenggara-dan-urutan-23-di-asia/
Rizka, Y., Deli, H., Dewi, W. N., & Putriana, N. (2024). Predictive Factors Associated Towards Quality Of Life In Patients With Cancer: A Cross-Sectional Study. Nurse And Health: Jurnal Keperawatan, 13(2), 248-258.
Roij, J, V., Brom, L., Youssef-El Soud, M., van de Poll-Franse, L., & Raijmakers, N. J. H. (2019). Social consequences of advanced cancer in patients and their informal caregivers: a qualitative study. Supportive Care in Cancer, 27(4), 1187–1195. https://doi.org/10.1007/s00520-018-4437-1
Roij, J., Raijmakers, N., Johnsen, A. T., Hansen, M. B., Thijs-Visser, M., & van de Poll-Franse, L. (2022). Sexual health and closeness in couples coping with advanced cancer: Results of a multicenter observational study (eQuiPe). Palliative Medicine, 36(4), 698-707.
Rumsilah, R., Suparman, R., Febriani, E., & Mamlukah, M. (2024). Analisis faktor-faktor yang mempengaruhi kualitas hidup pasien kanker payudara. Journal of Public Health Innovation, 5(1), 9-18.
Sari, N. N., & Syafiq, M. (2021). Penyesuaian Psikososial Pada Wanita Penderita Kanker Payudara Pasca Mastektomi. Character: Jurnal Penelitian Psikologi, 8(7), 1-10.
Sinnott, S. M., & Park, C. L. (2019). Social well-being in adolescent and young adult cancer survivors. Journal of Adolescent and Young Adult Oncology, 8(1), 32-39.
Solikhah, S., Matahari, R., Utami, F. P., Handayani, L., & Marwati, T. A. (2020). Breast cancer stigma among Indonesian women: a case study of breast cancer patients. BMC Women’s Health, 20(1), 116. https://doi.org/10.1186/s12905-020-00983-x
Surjoseto, R dan Sofyanty, D. (2022). Pengaruh Kecemasan dan Depresi Terhadap Kualitas Hidup Pasien Kanker Serviks di Rumah Sakit Dr. Cipto Mangkunkusomo, Jurnal Riset Rumbun Ilmu Kesehatan. Pusat Riset & Inovasi Nasional.
Vakilabad, R.N., Kheiri, R., Islamzadeh, N. et al. A survey of social well-being among employees, retirees, and nursing students: a descriptive-analytical study. BMC Nursing 22, 199 (2023). https://doi.org/10.1186/s12912-023-01321-w
Wahyuni, A. S., & Sallo, A. K. M. (2022). Dukungan keluarga dan kualitas hidup penderita kanker payudara. Journal Of Midwifery And Nursing Studies, 4(2).
Wondimagegnehu, A., Abebe, W., Abraha, A., & Teferra, S. (2019). Depression and social support among breast cancer patients in Addis Ababa, Ethiopia. BMC cancer, 19, 1-8.
World Health Organization. (2020). Estimated Age-Standardized Incidence Rates World, Both Sexes, Ages 20-79 https://gco.iarc.fr/today/
World Health Organization. (2022). WHOQOL: Measuring Quality of Life. Didapat melalui https://www. who.int/tools/whoqol
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