PERBANDINGAN KUALITAS HIDUP PADA PASIEN KARSINOMA PAYUDARA POST MASTEKTOMI ANTARA 0-6 BULAN DAN 6-12 BULAN YANG MENJALANI KEMOTERAPI DI RSUP.Dr.HASAN SADIKIN BANDUNG.
ABSTRAK
Kehilangan bagian tubuh pada wanita pasca mastektomi dan kemoterapi
berpengaruh sangat besar terhadap kualitas hidup karena rasa sakit dan
ketidaknyamanan berikutnya menjadi pengalaman yang sangat traumatis dan
menakutkan serta menimbulkan masalah fisik, psikologis, sosial dan spiritual.
Penelitian bertujuan untuk membandingkan kualitas hidup pasien karsinoma
payudara post mastektomi antara 0-6 bulan dan 6-12 bulan yang menjalani
kemoterapi.
Penelitian menggunakan metode deskriptif kuantitatif dengan pendekatan
study comparative. Pengambilan data menggunakan consecutive sampling yang
dilakukan pada 64 pasien di Poli Bedah Onkologi Sub.Kemoterapi RSHS, Ruang
kemoterapi Asnawati dan Ruang Perawatan Bedah Wanita Kemuning 3, dengan
menggunakan kuisioner inventory Quality of Life Instrument - Breast Cancer
Patient Version City Of Hope National Medical Center and Beckman Research
Institute (1995) yang berisi 45 item pertanyaan. Analisa data menggunakan mean
score dan uji parametrik t-independent dengan taraf signifikan < 0,05.
Hasil penelitian menunjukkan bahwa kualitas hidup post mastektomi 0-6
bulan maupun 6-12 bulan tinggi (100% ; 86.67%). Dimensi fisik tinggi (94.12% ;
73.33%). Dimensi psikologis tinggi (85.29% ; 76.67%). Dimensi sosial tinggi
(91.18% ; 80%). Dimensi spiritual tinggi (85.29% ; 83.33%). Hasil analisis
komparatif lebih lanjut didapatkan bahwa p value kualitas hidup p=0.017, dimensi
fisik p=0.011, dimensi psikologis p=0.151, dimensi sosial p=0.073, dimensi
spiritual p=0.187. Dari hasil tersebut dapat disimpulkan bahwa kualitas hidup
keseluruhan dan dimensi fisik post mastektomi 6-12 bulan lebih rendah dari post
mastektomi 0-6 bulan dan tidak terdapat perbandingan signifikan untuk dimensi
psikologis, sosial dan spiritual. Bagi RSUP Dr. Hasan Sadikin Bandung dapat
mempertahankan dan meningkatkan kualitas hidup keseluruhan pasien post
mastektomi yang menjalani kemoterapi, khususnya dimensi fisik pada pasien post
mastektomi 6-12 bulan.
Kata Kunci : Kemoterapi, kualitas hidup, post mastektomi, satu tahun
ABSTRACT
Loss of limb on women after mastectomy and chemotheraphy is giving a
big influence on quality of life (QoL) because pain and discomfort which can
cause a traumatic and frightening feeling. They can cause physical,
psychological, social and spiritual problems. This study was designed using
quantitative descriptive methods about QoL of patiens breast cancer after
mastectomy 0-12 month on going chemotherapy with a comparative study
approach QoL 0-6 months and 6-12 month.
Sample size was 64 patients after mastectomy, taken with consecutive
sampling technique. Data collection was conducted in Chemotherapy of Surgical
Oncology Polyclinic, Eijkman Teaching Hospital, Asnawati’s room of
chemotherapy and Surgical Treatment Room for Women 3rd floor Kemuning at
Dr. Hasan Sadikin General Hospital Bandung, using a standard Quality of Life
Instrument - Breast Cancer Patient Version City Of Hope National Medical
Center and Beckman Research Institute (1995). Analysis of the data was using the
mean score and t-independent parametric test.
This results showed that QoL of 0-6 month as higher as the QoL of 6-12
month (100% ; 86.67%). The Physical dimension (94.12% ; 73.33%). The
psychological dimension (85.29% ; 76.67%). The social dimension (91.18% ;
80%). The spiritual dimension (85.29% ; 83.33%). Further comparative analysis
with significant level < 0.05, which means that there showed a significant
comparison in the QoL on 0-6 months after mastectomy with the quality of life on
6-12 months after mastectomy. From these results we can conclude there is
overall the QoL and physical dimension of QoL on 6-12 months’ patients after
mastectomy on going chemotherapy is lower than the QoL and physical
dimension of QoL on 0-6 months (p= 0.017; p= 0.011). The psychological, social
and spiritual dimensions of QoL was no significant comparison (p= 0.151;
p= 0.073; p= 0.187). For Dr Hasan Sadikin General Hospital Bandung can
maintan overall QoL and enhance the quality of life patients after mastectomy on
going chemotherapy, especially physical dimension on 6-12 months.
Keyword: After mastectomy, breast cancer, chemotherapy, one year, quality of
life
Kehilangan bagian tubuh pada wanita pasca mastektomi dan kemoterapi
berpengaruh sangat besar terhadap kualitas hidup karena rasa sakit dan
ketidaknyamanan berikutnya menjadi pengalaman yang sangat traumatis dan
menakutkan serta menimbulkan masalah fisik, psikologis, sosial dan spiritual.
Penelitian bertujuan untuk membandingkan kualitas hidup pasien karsinoma
payudara post mastektomi antara 0-6 bulan dan 6-12 bulan yang menjalani
kemoterapi.
Penelitian menggunakan metode deskriptif kuantitatif dengan pendekatan
study comparative. Pengambilan data menggunakan consecutive sampling yang
dilakukan pada 64 pasien di Poli Bedah Onkologi Sub.Kemoterapi RSHS, Ruang
kemoterapi Asnawati dan Ruang Perawatan Bedah Wanita Kemuning 3, dengan
menggunakan kuisioner inventory Quality of Life Instrument - Breast Cancer
Patient Version City Of Hope National Medical Center and Beckman Research
Institute (1995) yang berisi 45 item pertanyaan. Analisa data menggunakan mean
score dan uji parametrik t-independent dengan taraf signifikan < 0,05.
Hasil penelitian menunjukkan bahwa kualitas hidup post mastektomi 0-6
bulan maupun 6-12 bulan tinggi (100% ; 86.67%). Dimensi fisik tinggi (94.12% ;
73.33%). Dimensi psikologis tinggi (85.29% ; 76.67%). Dimensi sosial tinggi
(91.18% ; 80%). Dimensi spiritual tinggi (85.29% ; 83.33%). Hasil analisis
komparatif lebih lanjut didapatkan bahwa p value kualitas hidup p=0.017, dimensi
fisik p=0.011, dimensi psikologis p=0.151, dimensi sosial p=0.073, dimensi
spiritual p=0.187. Dari hasil tersebut dapat disimpulkan bahwa kualitas hidup
keseluruhan dan dimensi fisik post mastektomi 6-12 bulan lebih rendah dari post
mastektomi 0-6 bulan dan tidak terdapat perbandingan signifikan untuk dimensi
psikologis, sosial dan spiritual. Bagi RSUP Dr. Hasan Sadikin Bandung dapat
mempertahankan dan meningkatkan kualitas hidup keseluruhan pasien post
mastektomi yang menjalani kemoterapi, khususnya dimensi fisik pada pasien post
mastektomi 6-12 bulan.
Kata Kunci : Kemoterapi, kualitas hidup, post mastektomi, satu tahun
ABSTRACT
Loss of limb on women after mastectomy and chemotheraphy is giving a
big influence on quality of life (QoL) because pain and discomfort which can
cause a traumatic and frightening feeling. They can cause physical,
psychological, social and spiritual problems. This study was designed using
quantitative descriptive methods about QoL of patiens breast cancer after
mastectomy 0-12 month on going chemotherapy with a comparative study
approach QoL 0-6 months and 6-12 month.
Sample size was 64 patients after mastectomy, taken with consecutive
sampling technique. Data collection was conducted in Chemotherapy of Surgical
Oncology Polyclinic, Eijkman Teaching Hospital, Asnawati’s room of
chemotherapy and Surgical Treatment Room for Women 3rd floor Kemuning at
Dr. Hasan Sadikin General Hospital Bandung, using a standard Quality of Life
Instrument - Breast Cancer Patient Version City Of Hope National Medical
Center and Beckman Research Institute (1995). Analysis of the data was using the
mean score and t-independent parametric test.
This results showed that QoL of 0-6 month as higher as the QoL of 6-12
month (100% ; 86.67%). The Physical dimension (94.12% ; 73.33%). The
psychological dimension (85.29% ; 76.67%). The social dimension (91.18% ;
80%). The spiritual dimension (85.29% ; 83.33%). Further comparative analysis
with significant level < 0.05, which means that there showed a significant
comparison in the QoL on 0-6 months after mastectomy with the quality of life on
6-12 months after mastectomy. From these results we can conclude there is
overall the QoL and physical dimension of QoL on 6-12 months’ patients after
mastectomy on going chemotherapy is lower than the QoL and physical
dimension of QoL on 0-6 months (p= 0.017; p= 0.011). The psychological, social
and spiritual dimensions of QoL was no significant comparison (p= 0.151;
p= 0.073; p= 0.187). For Dr Hasan Sadikin General Hospital Bandung can
maintan overall QoL and enhance the quality of life patients after mastectomy on
going chemotherapy, especially physical dimension on 6-12 months.
Keyword: After mastectomy, breast cancer, chemotherapy, one year, quality of
life