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Abstrak
Perawatan penderita kanker memiliki perbedaan dengan penyakit lain. Kondisi imunitas yang menurun karena pengobatan kemoterapi, perubahan peran karena tidak dapat bekerja dan penyesuaian kondisi tubuh post kemoterapi menurunkan kesehatan mental dan kualitas hidup secara keseluruhan. Hasil penelitian menunjukkan bahwa sekitar 632 penderita (82,3%) penderita kanker berada dalam kategori skor Quality of Life (QOL) di bawah rata-rata dan kualitas hidup penderita kanker dipengaruhi oleh gejala yang dilaporkan. Tingginya resiko stress yang berkepanjangan dan gangguan mental pada penderita kanker disebabkan salah satunya karena kurangnya dukungan dari masyarakat. Tindakan pencegahan perlu dilakukan untuk meminimalisir stress baik secara fisik dan mental. Selama ini dukungan yang diberikan kepada penderita kanker utamanya masih dari sesama penderita. Dukungan melalui Paguyuban Sehat yang beranggotakan Ibu PKK RW 5 Pacarkembang bagi penderita kanker diberikan melalui tiga aspek. Aspek yang pertama adalah pengetahuan, dimana pada Paguyuban Sehat akan diberikan informasi terkait kanker, perawatan penderita kanker setelah operasi dan saat pengobatan kemoterapi atau radiasi. Aspek kedua adalah sosial, dimana penguatan dukungan diberikan kepada penderita kanker. Aspek yang ketiga adalah spiritual dimana seseorang mencari makna, tujuan, dan koneksi ke kekuatan yang lebih tinggi, dan memungkinkan individu untuk berfungsi secara efektif menuju tujuan hidupnya. Hasil dari pengabdian masyarakat ini adalah dibentuknya kader Paguyuban Sehat yang sadar terhadap resiko kanker payudara dan kanker tiroid. Kader mendapatkan pengetahuan mengenai deteksi dini kanker payudara dan tiroid serta mampu untuk mempraktikan pemeriksaan payudara sendiri dan mengenali tanda-tanda tidak normal pada payudara dan leher.
Kata Kunci : kanker; dukungan sosial; kualitas hidup; pemberdayaan
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Capacity Building for Paguyuban Sehat in PKK RW 5 Pacarkembang in Providing Social Support for Cancer Patients
ABSTRACT
Treatment of cancer patients is different from other diseases. Decreased immunity due to chemotherapy treatment, changing roles due to inability to work and adjustment to post chemotherapy conditions. decreases mental health and overall quality of life. The results showed that about 632 patients (82.3%) of cancer patients were in the category of Quality of Life (QOL) score below the average and the quality of life of cancer patients was affected by the reported symptoms. The high risk of prolonged stress and mental disorders in cancer patients is due in part to the lack of support from the community. Precautions need to be taken to minimize stress both physically and mentally. So far, the support given to cancer patients mainly comes from fellow sufferers. Support through Paguyuban Sehat for cancer patients is provided in three aspects. The first aspect is knowledge, where the Healthy Paguyuban will be given information related to cancer, treatment of cancer patients after surgery and during chemotherapy or radiation treatment. The second aspect is social, where strengthening support is given to cancer sufferers. The third aspect is spiritual where a person seeks meaning, purpose, and connection to higher powers, and enables the individual to function effectively toward his or her life goals.
Keywords: cancer; empowerment; social support; quality of life
Kata Kunci
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Hak cipta artikel dimiliki oleh jurnal AKSIOLOGIYA
Ciptaan disebarluaskan di bawah Lisensi Creative Commons Atribusi-NonKomersial 4.0 Internasional.
Referensi
- Cheng, C. T., Ho, S. M. Y., Liu, W. K., Hou, Y. C., Lim, L. C., Gao, S. Y., … Wang, G. L. (2019). Cancer-coping profile predicts long-term psychological functions and quality of life in cancer survivors. Supportive Care in Cancer, 27(3), 933–941. https://doi.org/10.1007/s00520-018-4382-z
- Cho, Y., Jeon, Y., Jang, S. I., & Park, E. C. (2018). Family members of cancer patients in Korea are at an increased risk of medically diagnosed depression. Journal of Preventive Medicine and Public Health, 51(2), 100–108. https://doi.org/10.3961/jpmph.17.166
- Dalton, J., Thomas, S., Harden, M., Eastwood, A., & Parker, G. (2018). Updated meta-review of evidence on support for carers. Journal of Health Services Research and Policy, Vol. 23, pp. 196–207. https://doi.org/10.1177/1355819618766559
- Edwards, K. S., Vaca, K. C., Naderi, S., & Tremmel, J. A. (2019). Patient-Reported Psychological Distress after Spontaneous Coronary Artery Dissection: EVIDENCE for POST-TRAUMATIC STRESS. Journal of Cardiopulmonary Rehabilitation and Prevention, 39(5), E20–E23. https://doi.org/10.1097/HCR.0000000000000460
- Hodge, D. R., Sun, F., & Wolosin, R. J. (2014). Hospitalized asian patients and their spiritual needs: Developing a model of spiritual care. Journal of Aging and Health, 26(3), 380–400. https://doi.org/10.1177/0898264313516995
- Hussain, S., & Chowdhury, T. A. (2019, February 28). The Impact of Comorbidities on the Pharmacological Management of Type 2 Diabetes Mellitus. Drugs, Vol. 79, pp. 231–242. https://doi.org/10.1007/s40265-019-1061-4
- Hwang, I. C., Kim, Y. S., Lee, Y. J., Choi, Y. S., Hwang, S. W., Kim, H. M., & Koh, S. J. (2018). Factors Associated With Caregivers’ Resilience in a Terminal Cancer Care Setting. American Journal of Hospice and Palliative Medicine, 35(4), 677–683. https://doi.org/10.1177/1049909117741110
- Kharisma, A. C. (2017). TINGKAT DEPRSI PADA KLIEN KANKER SERVIKS DI WILAYAH PUSKESMAS PACAR KELING SURABAYA (Politeknik Kesehatan Kementrian Kesehatan Surabaya). Retrieved from http://digilib.poltekkesdepkes-sby.ac.id/public/POLTEKKESSBY-Studi-2428-6.ABSTRAK.pdf
- Lee, Y., nursing, A. S.-A. of psychiatric, & 2018, undefined. (n.d.). The mediating effect of spiritual well-being on depressive symptoms and health-related quality of life among elders. Elsevier. Retrieved from https://www.sciencedirect.com/science/article/pii/S0883941717302522
- Mattsson, E., Einhorn, K., Ljungman, L., Sundström-Poromaa, I., Stålberg, K., & Wikman, A. (2018). Women treated for gynaecological cancer during young adulthood – A mixed-methods study of perceived psychological distress and experiences of support from health care following end-of-treatment. Gynecologic Oncology, 149(3), 464–469. https://doi.org/10.1016/j.ygyno.2018.03.055
- McMullen, M., Lau, P. K. H., Taylor, S., McTigue, J., Cook, A., Bamblett, M., … Johnson, C. E. (2018). Factors associated with psychological distress amongst outpatient chemotherapy patients: An analysis of depression, anxiety and stress using the DASS-21. Applied Nursing Research, 40, 45–50. https://doi.org/10.1016/j.apnr.2017.12.002
- Puchalski, C. (2018a). Spiritual considerations. Hematology/Oncology, 6(2), 34–35. Retrieved from https://www.hemonc.theclinics.com/article/S0889-8588(18)30021-2/abstract
- Puchalski, C. (2018b). Spirituality in the cancer trajectory. Annals of Oncology. Retrieved from https://academic.oup.com/annonc/article-abstract/23/suppl_3/49/207138
- SE Rektor Unair 736 UN3 HK 2020.pdf. (n.d.).
- Smith, A. “Ben,†Rutherford, C., Butow, P., Olver, I.,
- Luckett, T., Grimison, P., … King, M. (2018, April 1). A systematic review of quantitative observational studies investigating psychological distress in testicular cancer survivors. Psycho-Oncology, Vol. 27, pp. 1129–1137. https://doi.org/10.1002/pon.4596
- Von Blanckenburg, P., & Leppin, N. (2018). Psychological interventions in palliative care. Current Opinion in Psychiatry, 31(5), 389–395. https://doi.org/10.1097/YCO.0000000000000441
Referensi
Cheng, C. T., Ho, S. M. Y., Liu, W. K., Hou, Y. C., Lim, L. C., Gao, S. Y., … Wang, G. L. (2019). Cancer-coping profile predicts long-term psychological functions and quality of life in cancer survivors. Supportive Care in Cancer, 27(3), 933–941. https://doi.org/10.1007/s00520-018-4382-z
Cho, Y., Jeon, Y., Jang, S. I., & Park, E. C. (2018). Family members of cancer patients in Korea are at an increased risk of medically diagnosed depression. Journal of Preventive Medicine and Public Health, 51(2), 100–108. https://doi.org/10.3961/jpmph.17.166
Dalton, J., Thomas, S., Harden, M., Eastwood, A., & Parker, G. (2018). Updated meta-review of evidence on support for carers. Journal of Health Services Research and Policy, Vol. 23, pp. 196–207. https://doi.org/10.1177/1355819618766559
Edwards, K. S., Vaca, K. C., Naderi, S., & Tremmel, J. A. (2019). Patient-Reported Psychological Distress after Spontaneous Coronary Artery Dissection: EVIDENCE for POST-TRAUMATIC STRESS. Journal of Cardiopulmonary Rehabilitation and Prevention, 39(5), E20–E23. https://doi.org/10.1097/HCR.0000000000000460
Hodge, D. R., Sun, F., & Wolosin, R. J. (2014). Hospitalized asian patients and their spiritual needs: Developing a model of spiritual care. Journal of Aging and Health, 26(3), 380–400. https://doi.org/10.1177/0898264313516995
Hussain, S., & Chowdhury, T. A. (2019, February 28). The Impact of Comorbidities on the Pharmacological Management of Type 2 Diabetes Mellitus. Drugs, Vol. 79, pp. 231–242. https://doi.org/10.1007/s40265-019-1061-4
Hwang, I. C., Kim, Y. S., Lee, Y. J., Choi, Y. S., Hwang, S. W., Kim, H. M., & Koh, S. J. (2018). Factors Associated With Caregivers’ Resilience in a Terminal Cancer Care Setting. American Journal of Hospice and Palliative Medicine, 35(4), 677–683. https://doi.org/10.1177/1049909117741110
Kharisma, A. C. (2017). TINGKAT DEPRSI PADA KLIEN KANKER SERVIKS DI WILAYAH PUSKESMAS PACAR KELING SURABAYA (Politeknik Kesehatan Kementrian Kesehatan Surabaya). Retrieved from http://digilib.poltekkesdepkes-sby.ac.id/public/POLTEKKESSBY-Studi-2428-6.ABSTRAK.pdf
Lee, Y., nursing, A. S.-A. of psychiatric, & 2018, undefined. (n.d.). The mediating effect of spiritual well-being on depressive symptoms and health-related quality of life among elders. Elsevier. Retrieved from https://www.sciencedirect.com/science/article/pii/S0883941717302522
Mattsson, E., Einhorn, K., Ljungman, L., Sundström-Poromaa, I., Stålberg, K., & Wikman, A. (2018). Women treated for gynaecological cancer during young adulthood – A mixed-methods study of perceived psychological distress and experiences of support from health care following end-of-treatment. Gynecologic Oncology, 149(3), 464–469. https://doi.org/10.1016/j.ygyno.2018.03.055
McMullen, M., Lau, P. K. H., Taylor, S., McTigue, J., Cook, A., Bamblett, M., … Johnson, C. E. (2018). Factors associated with psychological distress amongst outpatient chemotherapy patients: An analysis of depression, anxiety and stress using the DASS-21. Applied Nursing Research, 40, 45–50. https://doi.org/10.1016/j.apnr.2017.12.002
Puchalski, C. (2018a). Spiritual considerations. Hematology/Oncology, 6(2), 34–35. Retrieved from https://www.hemonc.theclinics.com/article/S0889-8588(18)30021-2/abstract
Puchalski, C. (2018b). Spirituality in the cancer trajectory. Annals of Oncology. Retrieved from https://academic.oup.com/annonc/article-abstract/23/suppl_3/49/207138
SE Rektor Unair 736 UN3 HK 2020.pdf. (n.d.).
Smith, A. “Ben,†Rutherford, C., Butow, P., Olver, I.,
Luckett, T., Grimison, P., … King, M. (2018, April 1). A systematic review of quantitative observational studies investigating psychological distress in testicular cancer survivors. Psycho-Oncology, Vol. 27, pp. 1129–1137. https://doi.org/10.1002/pon.4596
Von Blanckenburg, P., & Leppin, N. (2018). Psychological interventions in palliative care. Current Opinion in Psychiatry, 31(5), 389–395. https://doi.org/10.1097/YCO.0000000000000441