Intervensi Keperawatan dalam Meningkatkan Quality of Life (QoL) Pasien dengan Kanker: Studi Literatur

https://doi.org/10.22146/jkkk.36335

Tati Hardiyani(1), Sri Wahyuni(2), Muhammad Deri Ramadhan(3), Christantie Effendy(4*)

(1) Universitas Muhammadiyah Purwokerto, Jawa Tengah
(2) Program Studi Magister Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
(3) Rumah Sakit Kota Palangkaraya, Kalimantan Tengah
(4) Departemen Keperawatan Medikal Bedah, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

Abstract


Background: The cancer prevalance is predicted to raise. Cancer affects patient's quality of life, such as psychological, sexual, social function, and daily activities. The appropriate nursing interventions are needed for each type of cancer to improve nursing outcomes and quality of life.
Objective: To identify the types of nursing intervention that could improve the quality of life of patients with cancer.
Method: Four electronic databases, such as PubMed, Sciencedirect, Ebsco-host, and Clinical-Key, were explored to find original research articles which focused on the types of nursing intervention in caring for patients with cancer. Fourteen articles were included in the study, and each of article was analyzed using The Joanna Briggs Institute (JBI) Appraisal tool to achieve the purpose of the study.
Results: The study found that psychological nursing interventions, physical nursing intervention including exercise/physical activity, and technology application in nursing intervention were contributed significantly to enhance patients’ quality of life.
Conclusions: Nursing interventions which are psychological, physical, and using technology application can improve the quality of life of patients with cancer significantly.

 

ABSTRAK

Latar belakang: Angka kejadian kanker diprediksi semakin meningkat. Pasien kanker akan mengalami perubahan efek psikologi, seksual, fungsi sosial serta aktivitas keseharian yang memengaruhi Quality of Life pasien. Diperlukan intervensi keperawatan yang tepat sesuai jenis kanker untuk meningkatkan Quality of Life pasien kanker.
Tujuan: Studi ini bertujuan untuk mengidentifikasi jenis intervensi keperawatan dalam meningkatkan quality of life pasien kanker.
Metode: Pencarian literatur dilakukan untuk mendapatkan artikel berupa original research pada 4 database yaitu PubMed, Sciencedirect, Ebsco-host, Clinical-Key. Didapatkan  sebanyak 14 artikel yang mengukur quality of life pasien kanker sesuai kriteria inklusi. Setiap artikel dilakukan analisis menggunakan The Joanna Briggs Institute (JBI) Appraisal tool untuk mencapai tujuan penelitian.
Hasil: Penelitian ini menemukan bahwa  intervensi keperawatan psikologis, intervensi keperawatan fisik  berupa exercise/physical activity, dan intervensi keperawatan dengan aplikasi teknologi memberikan kontribusi pada kualitas hidup pasien kanker. Semua intervensi keperawatan tersebut secara statistik dapat meningkatkan Quality of Life pada pasien kanker.
Kesimpulan: Intervensi keperawatan yang berupa psikologis, fisik dan menggunakan aplikasi teknologi terbukti dapat meningkatkan quality of life pasien kanker secara signifikan.

 


Keywords


intervensi keperawatan; kualitas hidup; pasien kanker

Full Text:

PDF


References

  1. Help C. Bebas Kanker Itu Mudah [Internet]. FM Media. Jakarta; 2014 [cited 2021 Sep 14]. Available from: https://www.google.com/search?q=Cancer+Help.+Bebas+Kanker+Itu+Mudah.+FM+Media.+Jakarta+Selatan%2C+2014.&rlz=1C1GGRV_enID934ID934&oq=Cancer
    +Help.+Bebas+Kanker+Itu+Mudah.+FM+Media.+Jakarta+Selatan%2C+2014.&aqs=chrome..69i57j69i59i450l8.316j0j7&sourceid=
    chro
  2. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6).
  3. Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar Nasional 2018 (RISKESDAS 2018). 2018;
  4. Smeltzer SC, Bare B. Buku Ajar Keperawatan Medikal Bedah: Brunner & Suddarth volume 3. Edisi 8. Jakarta: EGC; 2002.
  5. World Health Organization (WHO). Maternal Mortality in 2005. Geneva: Departement of Reproductive Health and Research WHO; 2007.
  6. Rochmayanti. Analisis Faktor-faktor yang Mempengaruhi Kualitas Hidup Pasien Penyakit Jantung Koroner di Rumah Sakit Pelni Jakarta [Tesis]. Depok: Universitas Indonesia; 2011.
  7. Mubarak WI. Buku Ajar Ilmu Keperawatan Komunitas 2 : Teori & Aplikasi dalam Praktik dengan Pendekatan Asuhan Keperawatan Komunitas, Gerontik dan Keluarga. CV.Sagung seto; 2006.
  8. Kang X, Fang Y, Kong Y. Effect of comprehensive nursing intervention on therapy and life quality of patients with breast cancer. Biomed Res [Internet]. 2017 Dec 21 [cited 2021 Sep 15];28(20):8801–5. Available from: https://www.alliedacademies.org/articles/effect-of-comprehensive-nursing-intervention-on-therapy-and-life-quality-of-patients-with-breast-cancer-8979.html
  9. Li X, Li J, Shi Y, Wang T, Zhang A, Shao N, et al. Psychological intervention improves life quality of patients with laryngeal cancer. Patient Prefer Adherence [Internet]. 2017 Oct 5 [cited 2021 Sep 15];11:1723–7. Available from: https://pubmed.ncbi.nlm.nih.gov/29042756/
  10. Zhao X-L, Zhang X-Y, Gao J-H. Clinical efficacy of paclitaxel in the treatment of mid-stage and advanced malignant gastric cancer, and effect of nursing interventions. Trop J Pharm Res [Internet]. 2016 Oct 5 [cited 2021 Sep 15];15(9):2035–9. Available from: https://www.ajol.info/index.php/tjpr/article/view/145231
  11. Charalambous A, Giannakopoulou M, Bozas E, Marcou Y, Kitsios P, Paikousis L. Guided imagery and progressive muscle relaxation as a cluster of symptoms management intervention in patients receiving chemotherapy: A randomized control trial. PLoS One [Internet]. 2016 Jun 1 [cited 2021 Sep 15];11(6). Available from: https://pubmed.ncbi.nlm.nih.gov/27341675/
  12. Meulen IC van der, May AM, Leeuw JRJ de, Koole R, Oosterom M, Hordijk G-J, et al. Long-term effect of a nurse-led psychosocial intervention on health-related quality of life in patients with head and neck cancer: a randomised controlled trial. Br J Cancer [Internet]. 2014 Feb 4 [cited 2021 Sep 15];110(3):593. Available from: /pmc/articles/PMC3915114/
  13. Parás-Bravo P, Salvadores-Fuentes P, Alonso-Blanco C, Paz-Zulueta M, Santibañez-Margüello M, Palacios-Ceña D, et al. The impact of muscle relaxation techniques on the quality of life of cancer patients, as measured by the FACT-G questionnaire. PLoS One [Internet]. 2017 Oct 1 [cited 2021 Sep 15];12(10). Available from: https://pubmed.ncbi.nlm.nih.gov/29049283/
  14. Grabenbauer A, Grabenbauer AJ, Lengenfelder R, Grabenbauer GG, Distel L V. Feasibility of a 12-month-exercise intervention during and after radiation and chemotherapy in cancer patients: Impact on quality of life, peak oxygen consumption, and body composition. Radiat Oncol [Internet]. 2016 Mar 16 [cited 2021 Sep 15];11(1). Available from: https://pubmed.ncbi.nlm.nih.gov/26984513/
  15. Barber FD. Effects of social support on physical activity, self-efficacy, and quality of life in adult cancer survivors and their caregivers. Oncol Nurs Forum [Internet]. 2013 Sep [cited 2021 Sep 15];40(5):481–9. Available from: https://pubmed.ncbi.nlm.nih.gov/23989022/
  16. Badger T, Segrin C, Pasvogel A, Lopez AM. The effect of psychosocial interventions delivered by telephone and videophone on quality of life in early-stage breast cancer survivors and their supportive partners. J Telemed Telecare [Internet]. 2013 Jul 1 [cited 2021 Sep 15];19(5):260–5. Available from: https://pubmed.ncbi.nlm.nih.gov/24163235/
  17. Berntsen S, Aaronson NK, Buffart L, Börjeson S, Demmelmaier I, Hellbom M, et al. Design of a randomized controlled trial of physical training and cancer (Phys-Can) - the impact of exercise intensity on cancer related fatigue, quality of life and disease outcome. BMC Cancer [Internet]. 2017 Mar 27 [cited 2021 Sep 15];17(1). Available from: https://pubmed.ncbi.nlm.nih.gov/28347291/
  18. Shobeiri, F., Zahra Masoumi, S., Nikravesh, A., Heidari Moghadam, R., & Karami M. The Impact of Aerobic Exercise on Quality of Life in Women with Breast Cancer: A Randomized Controlled Trial. J Res Health Sci. 2016;16(163):127–32.
  19. Xu Z, Chen B, Li G, Dai W. The interference in the suicide ideation of patients with malignant tumors by mental clinical nursing pathway. Patient Prefer Adherence [Internet]. 2014 Dec 4 [cited 2021 Sep 15];8:1665–9. Available from: https://www.dovepress.com/the-interference-in-the-suicide-ideation-of-patients-with-malignant-tu-peer-reviewed-fulltext-article-PPA
  20. Shi RC, Meng AF, Zhou WL, Yu XY, Huang XE, Ji AJ, et al. Effects of home nursing intervention on the quality of life of patients with nasopharyngeal carcinoma after radiotherapy and chemotherapy. Asian Pacific J Cancer Prev [Internet]. 2015 [cited 2021 Sep 15];16(16):7117–21. Available from: https://pubmed.ncbi.nlm.nih.gov/26514499/
  21. Galiano-Castillo N, Cantarero-Villanueva I, Fernández-Lao C, Ariza-García A, Díaz-Rodríguez L, Del-Moral-Ávila R, et al. Telehealth system: A randomized controlled trial evaluating the impact of an internet-based exercise intervention on quality of life, pain, muscle strength, and fatigue in breast cancer survivors. Cancer [Internet]. 2016 Oct 15 [cited 2021 Sep 15];122(20):3166–74. Available from: https://pubmed.ncbi.nlm.nih.gov/27332968/
  22. Oskam IM, Verdonck-De Leeuw IM, Aaronson NK, Witte BI, De Bree R, Doornaert P, et al. Prospective evaluation of health-related quality of life in long-term oral and oropharyngeal cancer survivors and the perceived need for supportive care. Oral Oncol [Internet]. 2013 Jan 11 [cited 2021 Sep 15];49(5):443–8. Available from: https://europepmc.org/article/med/23318122
  23. De Leeuw J, Prins JB, Teerenstra S, Merkx MAW, Marres HAM, Van Achterberg T. Nurse-led follow-up care for head and neck cancer patients: A quasi-experimental prospective trial. Support Care Cancer. 2013 Feb;21(2):537–47.



DOI: https://doi.org/10.22146/jkkk.36335

Article Metrics

Abstract views : 2116 | views : 9093

Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Tati Hardiyani, Sri Wahyuni, Muhammad Deri Ramadhan, Christantie Effendy



Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) 
collaborates with DPW PPNI DIY

Lisensi Creative Commons  

Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.