Kualitas Tidur Pasien Kanker Payudara Berdasarkan Terapi yang Diberikan di RSUP DR. Hasan Sadikin Bandung

Devita Alifiyanti, Yanti Hermayanti, Dyah Setyorini

Abstract


ABSTRAK

 

Tidur berkualitas dibutuhkan oleh pasien kanker payudara agar kondisi dan daya tahan tubuh dapat dipertahankan optimal. Pada saat tidur  sel yang rusak  dapat diperbaiki. Perawat harus memfasilitasi kebutuhan tersebut dan harus mengetahui kualitas tidur pasien dengan terapi yang berbeda, sebagai dasar perencanaan asuhan. Penelitian ini bertujuan untuk meggambarkan kondisi kualitas tidur pasien yang sedang menjalankan terapi di RSUP Dr. Hasan Sadikin Bandung. Penelitian ini menggunakan metode deskriptif kuantitatif dengan teknik consecutive sampling (n=31). Data dikumpulkan menggunakan kuesioner Pittsburgh Sleep Quality Index (PSQI). Kualitas tidur dikatakan baik bila skor total ≤ 5, dan kualitas tidur buruk bila skor total > 5. Hasil penelitian menunjukkan bahwa seluruh responden (100%) memiliki kualitas tidur yang buruk. Komponen yang paling banyak berkontribusi dalam penilaian tersebut adalah latensi tidur, durasi tidur, efisiensi kebiasaan tidur, dan disfungsi siang hari. Kualitas tidur terburuk dengan skor 18 terjadi pada responden yang menjalani radioterapi dengan mastektomi (2 orang) dan responden stadium lanjut (3 orang). Kesimpulan, bahwa terapi pengobatan yang dijalani dan kondisi kanker berkontribusi terhadap kualitas tidur pasien kanker payudara. Sejak pasien masuk perawat harus mengkaji kebutuhan tidur, menggali masalah kesulitan tidur, menjelaskan pengaruh tidur terhadap perbaikan sel, dan memberikan informasi tentang cara tidur berkualitas kepada pasien dan keluarganya untuk setting rumah sakit dan di rumah. Rumah Sakit harus memfasilitasi kebutuhan pasien agar tidak terganggu saat tertidur selama dalam perawatan.

 

 

ABSTRACT

 

Deep sleep is needed by breast cancer patients to maintain health quality  optimally.  During that time the damaged cells can be repair. Nurses should facilitate the need and should know the sleep quality as the basis for nursing care. This study aims to describe  sleep quality of breast cancer patients with the treatmen at Dr. Hasan Sadikin Bandung.  This research uses quantitative descriptive method with consecutive sampling technique (n = 31). Data were collected using the Pittsburgh Sleep Quality Index (PSQI). Sleep quality was good when the total score ≤5.  Sleep quality was  poor when the total score >5. The results show that all respondents (100%) had poor sleep quality. The components which contribute to the condition were sleep latency, sleep duration, sleep efficiency and daytime dysfunction. The worst score sleep quality was 18 which occurred on mastectomy patient with radiotherapy (2) and  advanced stage patients (3).  To  conclude that treatment for cancer contribute to sleep quality of breast cancer patients.  Nurses should assess the needs of sleep, explore the problem of sleeping difficulties, explain the effect of sleep on cell repair, and provide information about  getting a good sleep at the  hospital or home settings. Hospital should  facilitate  the infrastructure to full fill tne  need.

 


Keywords


kualitas tidur; pasien kanker payudara; terapi kanker; breast cancer patients; cancer therapy; sleep quality

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References


Akman, Yavuzsen, Sevgen, Eallidokuz, Y. (2015). Evaluation of sleep disorders in cancer patients based on Pittsburgh Sleep Quality Index. Original Article, 553–559. https://doi.org/10.1111/ecc.12296

Araújo, D. V. D., Costa, R. H. S., Justino, D. C. P., Batista, F. D. G. A., Andrade, F. B. D., Costa, I. D. C. C., (2014). Journal of Sleep Disorders : Evaluation of Sleep Quality in Patients with Breast Cancer, 3–6. http://dx.doi.org/10.4172/2325-9639.1000142

Budhrani, P. H., Lengacher, C. A., Kip, K., Tofthagen, C., & Jim, H. (2014). An Integrative Review of Subjective and Objective Measures of Sleep Disturbances in Breast Cancer Survivors, Volume 19, Number 2.

Buysse, J. D., Reynold III, C. F., Monk, T. H., Berman, S. R., Kupfer, D. J. (1989). Pittsburgh Sleep Quality Index (PSQI). Psychiatry Research, 28, 193-213

Demiralp, M., Oflaz, F., & Komurcu, S. (2010). Impact of mood disturbance, sleep disturbance, fatigue and pain among patients receiving cancer therapy, 1073–1083. https://doi.org/10.1111/j.1365-2702.2009.03037.x

Dhruva, A., Paul, S. M., Cooper, B. A., Lee, K., West, C., Aouizerat, B. E.,

Miaskowski, C. (2012). A Longitudinal Study of Measures of Objective and Subjective Sleep Disturbance in Patients With Breast Cancer Before , During , and After Radiation Therapy. 44(2), 215–228. https://doi.org/10.1016/j.jpainsymman.2011.08.010

Graci, Gina. (2005). Pathogenesis and Management of Cancer-Related Insomnia, 349–359. Volume 3, Number 5

Gronskaya, O., Collie, K., Batiuchok, D., Tilston, J., Koopman, C., Perlis, M. L., Spiegel, D. (2007). A longitudinal study of depression , pain , and stress as predictors of sleep disturbance among women with metastatic breast cancer, 75, 37–44. https://doi.org/ 10.1016/j.biopsycho.2006.11.002

Irawan, E., Rahayuwati, L., Yani D. I. (2017). Hubungan Penggunaan Terapi Modern Dan Komplementer Terhadap Kualitas Hidup Pasien Kanker Payudara, volume 5 nomor 1.

Joyce M. Black, Jane. H. Hawks. (2014). Keperawatan Medikal Bedah. Jakarta: Salemba Medika.

Kashani, F., & Kashani, P. (2014). The effect of massage therapy on the quality of sleep in breast cancer patients, Vol. 19 | Issue 2.

Kementrian Kesehatan RI. (2013). Riset Kesehatan Dasar Riskesdas 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.

Kozier, Erb, Berman, S. (2010). Fundamental Keperawatan : konsep, proses, & praktik. (S. K. Ns. Dwi Widiarti, S.Kep, NS. Anastasia Onny Tampubolon, S.Kep, & Nike Budhi Subekti, Ed.). Jakarta: EGC.

Krisdhianty. (2016). Kualitas Tidur Pasien Kanker Payudara yang Menjalani Kemoterapi di RSUP Dr. Hasan Sadikin Bandung.

Kwekkeboom, K. L., Abbott-anderson, K., & Wanta, B. (2010). Feasibility of a Patient-Controlled Cognitive-Behavioral Intervention for Pain, Fatigue, and Sleep Disturbance in Cancer, Vol. 37, No. 3, May 2010.

Liu, L., Mills, P. J., Rissling, M., Fiorentino, L., Natarajan, L., Dimsdale, J. E., Ancoli-israel, S. (2012). Brain , Behavior , and Immunity Fatigue and sleep quality are associated with changes in inflammatory markers in breast cancer patients undergoing chemotherapy. Brain Behavior and Immunity, 26(5), 706–713. https://doi.org/10.1016/j.bbi.2012.02.001

Lowery, A. E. (2014). Insomnia Screening and Treatment in Cancer Care : Current Practices , Barriers and Future Directions, vol 2, pages 29–31.

Patricia A. Potter, Anna. G. Perry. (2009). Fundamental Keperawatan. Jakarta: Salemba Medika.

Paul James. (2012). Anaesthesia , Sleep And Dyssomnias - Part 1 Anaesthesia Tutorial Of The Week paul_t_james@yahoo.co.uk, 1–7.

Rekam Medik. 2017. Data Kanker Payudara. Rumah Sakit Hasan Sadikin Bandung.

Romito, F., Cormio, C., De Padova, S., Lorusso, V., Berio, M. A., Fimiani, F., Mattioli, V. (2014). Patients attitudes towards sleep disturbances during chemotherapy. European Journal of Cancer Care, 23(3), 385–393. https://doi.org/10.1111/ecc.12106

Roscoe, J. A., Kaufman, M. E., Matteson-rusby, S. E., Palesh, O. G., Ryan, J. L., Kohli, S., Morrow, R. (2007). Cancer-Related Fatigue and Sleep Disorders, 12(suppl 1), 35–42. https://doi.org/10.1634/theon-cologist.12-S1-35

Rute, A., Fontes, F., Pereira, S., Gonçalves, M., Azevedo, A., & Lunet, N. (2014). Impact of breast cancer treatments on sleep disturbances e A systematic review. The Breast, 23(6), 697–709. https://doi.org/10.1016/j.breast.2014.09.003

Stephen J. Mcphee, W. F. G. (2011). Patofisiologi Penyakit. ( dr. F. Dany, Ed.). Jakarta: EGC.

Tiara D. Pratiwi. (2016). Jenis Gangguan Tidur Pada Pasien Kanker Payudara yang Menjalani Kemoterapi di RSUP Dr. Hasan Sadikin Bandung.

WHO. (2017). Globocan 2012 Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2012. IARC: 150 Cours Albert Thomas, 69372 Lyon CEDEX 08, France.




DOI: http://dx.doi.org/10.17509/jpki.v3i2.9418

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