ANALISIS PENGARUH BEBAN GEJALA TERHADAP KUALITAS HIDUP ANAK KANKER YANG MENJALANI KEMOTERAPI
Abstract
Anak kanker dapat mengalami berbagai permasalahan baik secara fisik maupun psikologis yang seringkali tidak teridentifikasi dengan baik. Tingginya beban gejala yang dialami oleh anak dapat berisiko menyebabkan anak merasa tertekan dan dapat mempengaruhi kualitas hidup anak. Penelitian ini bertujuan untuk melihat besar pengaruh dari beban gejala anak kanker terhadap kualitas hidup anak. Penelitian ini menggunakan desain deskriptif korelatif dengan pendekatan cross sectional. Penelitian dilakukan di ruang rawat inap anak RSUP Prof. I.G.N.G Ngoerah Denpasar. Sampel pada penelitian ini berjumlah 32 orang yang dipilih menggunakan teknik purposive sampling. Data yang dikumpulkan dalam penelitian ini meliputi data demografi responden, beban gejala anak kanker yang dinilai menggunakan Memorial Symptom Assessment Scale (MSAS) (7-12) dan kualitas hidup anak yang dinilai menggunakan PedsQL 3.0 Cancer Module. Berdasarkan hasil analisis data menggunakan regresi linier sederhana didapatkan bahwa terdapat hubungan yang signifikan antara beban gejala dengan kualitas hidup anak kanker (p=0,00005; ?=0,05). Hubungan beban gejala dengan kualitas hidup anak kanker menunjukkan hubungan kuat (r=0,685) dan berpola negatif artinya semakin tinggi beban gejala yang dirasakan anak maka semakin rendah kualitas hidup anak. Beban gejala juga ditemukan dapat mempengaruhi kualitas hidup anak sebesar 46,9%.
Downloads
References
American Cancer Society. (2022). Key statistics for childhood cancers. https://www.cancer.org/cancer/cancer-in-children/key-statistics.html
Arifah, S., Pookboonmee, R., Patoomwan, A., Kittidumrongsuk, P., & Andarsini, M. R. (2023). Quality of life of children with acute lymphoblastic leukemia. Paediatrica Indonesiana, 63(5), 405–410. https://doi.org/10.14238/pi63.5.2023.405-10
Arslan, F. T., Basbakkal, Z., & Kantar, M. (2013). Quality of life and chemotherapy-related symptoms of Turkish cancer children undergoing chemotherapy. Asian Pacific Journal of Cancer Prevention, 14(3), 1761–1768. https://doi.org/10.7314/APJCP.2013.14.3.1761
Cheung, H., Li, W., Chung, O. K. J., & Chiu, S. Y. (2010). The Impact of Cancer on Children’s Physical, Emotional, and Psychosocial Well-being.
Cleeland, C. S. (2007). Symptom burden: multiple symptoms and their impact as patient-reported outcomes. In Journal of the National Cancer Institute. Monographs (Issue 37, pp. 16–21). https://doi.org/10.1093/jncimonographs/lgm005
de Andrade Cadamuro, S., Onishi Franco, J., Paiva, C. E., Oliveira, M. A. de, & Sakamoto Ribeiro Paiva, B. (2020). Association between multiple symptoms and quality of life of paediatric patients with cancer in Brazil: a cross-sectional study. BMJ Open, 10(5), e035844. https://doi.org/10.1136/bmjopen-2019-035844
Eche, I. J., Eche, I. M., & Aronowitz, T. (2020). An Integrative Review of Factors Associated With Symptom Burden at the End of Life in Children With Cancer. In Journal of Pediatric Oncology Nursing (Vol. 37, Issue 4, pp. 284–295). SAGE Publications Inc. https://doi.org/10.1177/1043454220909805
Garniasih, D., Susanah, S., Sribudiani, Y., & Hilmanto, D. (2022). The incidence and mortality of childhood acute lymphoblastic leukemia in Indonesia: A systematic review and meta-analysis. PLoS ONE, 17(6 June). https://doi.org/10.1371/journal.pone.0269706
Hedén, L., Pöoder, U., Von Essen, L., & Ljungman, G. (2013). Parents’ perceptions of their child’s symptom burden during and after cancer treatment. Journal of Pain and Symptom Management, 46(3), 366–375. https://doi.org/10.1016/j.jpainsymman.2012.09.012
Metayer, C., Dahl, G., Wiemels, J., & Miller, M. (2016). Childhood Leukemia: A preventable disease. Pediatrics, 138, S45–S55. https://doi.org/10.1542/peds.2015-4268H
Namayandeh, S. M., Khazaei, Z., Najafi, M. L., Goodarzi, E., & Moslem, A. (2020). GLOBAL Leukemia in children 0-14 statistics 2018, incidence and mortality and human development index (HDI): GLOBOCAN sources and methods. Asian Pacific Journal of Cancer Prevention, 21(5), 1487–1494. https://doi.org/10.31557/APJCP.2020.21.5.1487
Rosenberg, A. R., Orellana, L., Ullrich, C., Kang, T., Geyer, J. R., Feudtner, C., Dussel, V., & Wolfe, J. (2016). Quality of Life in Children With Advanced Cancer: A Report From the PediQUEST Study. Journal of Pain and Symptom Management, 52(2), 243–253. https://doi.org/10.1016/j.jpainsymman.2016.04.002
Ruland, C. M., Hamilton, G. A., & Schjødt-Osmo, B. (2009). The Complexity of Symptoms and Problems Experienced in Children with Cancer: A Review of the Literature. In Journal of Pain and Symptom Management (Vol. 37, Issue 3, pp. 403–418). Elsevier Inc. https://doi.org/10.1016/j.jpainsymman.2008.03.009
Skeens, M. A., Cullen, P., Stanek, J., & Hockenberry, M. (2019). Perspectives of Childhood Cancer Symptom-Related Distress: Results of the State of the Science Survey. Journal of Pediatric Oncology Nursing, 36(4), 287–293. https://doi.org/10.1177/1043454219858608
Soita, P. (2021). Symptom burden and quality of life in cancer patients at kenyatta national hospital nairobi city county, kenya [Kenyatta University]. https://ir-library.ku.ac.ke/bitstream/handle/123456789/24086/Symptom%20Burden%20.pdf?sequence=1
Waldman, E., & Wolfe, J. (2013). High symptom burden in children with cancer and high parental satisfaction: why the disconnect? Annals of Palliative Medicine, 2(2), 54–55. https://doi.org/10.3978/j.issn.2224-5820.2013.04.02
World Health Organization. (2021). Childhood cancer. https://www.who.int/news-room/fact-sheets/detail/cancer-in-children
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
