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Gambaran kebutuhan perawatan suportif pada pasien kanker payudara yang menjalani kemoterapi Hijriani, Nadifa; Pahria, Tuti; Harun, Hasniatisari
Holistik Jurnal Kesehatan Vol. 19 No. 6 (2025): Volume 19 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i6.1004

Abstract

Background: Breast cancer is the most common cancer in women, with a global incidence of 2.3 million cases and the fourth highest mortality rate. In Indonesia, 66,271 new cases were recorded in 2022, while West Java Province saw an increase from 594 cases in 2019 to 973 referrals in 2023. Chemotherapy, while effective in destroying cancer cells systemically, often reduces patients' quality of life due to physical, psychological, and social side effects. Supportive care can alleviate this burden, but providing and meeting patient needs in facilities remains suboptimal. Purpose: To identify supportive care needs in breast cancer patients undergoing chemotherapy. Method: This quantitative descriptive study was conducted on patients undergoing chemotherapy in January 2025 at Al-Ihsan Regional General Hospital, Bandung. Sampling was conducted consecutively to select 105 breast cancer patients. The instrument used was the Supportive Care Needs-Short Form 34 (SCNS-SF34), and univariate analysis was performed. Results: Most respondents (52.3%) required supportive care. The highest level of need was in the health systems and information domain (58%), followed by the physical and daily activities domain (56.1%), the psychological domain (53.3%), and the support and care domain (52.3%). Most respondents (61%) did not require supportive care in the sexuality domain. Conclusion: Breast cancer patients undergoing chemotherapy at Al-Ihsan Regional Hospital, Bandung, require supportive interventions, particularly in the form of health information, physical and psychological support, with nurses playing a key role in improving quality of life. Suggestion: Expand outpatient consultations and utilize print and digital media for therapy information, implement self-education at home, provide structured psychological counseling, develop a protocol for interventions related to sexual side effects, and train healthcare workers in empathy and sensitive communication.   Keywords: Breast Cancer; Chemotherapy; Supportive Care.   Pendahuluan: Kanker payudara menjadi kanker paling umum pada wanita dengan insiden global mencapai 2.3 juta kasus dan menempati peringkat ke-4 kematian tertinggi. Di Indonesia, tercatat 66.271 kasus baru pada 2022, sementara Provinsi Jawa Barat mencatat peningkatan dari 594 kasus pada 2019 menjadi 973 rujukan pada 2023. Kemoterapi, meski efektif secara sistemik dalam menghancurkan sel kanker, sering menurunkan kualitas hidup pasien karena efek samping fisik, psikologis, dan sosial. Perawatan suportif dapat meringankan beban ini, tetapi identifikasi dan pemenuhan kebutuhan pasien di fasilitas masih belum optimal. Tujuan: Untuk mengidentifikasi kebutuhan perawatan suportif pada pasien kanker payudara yang menjalani kemoterapi. Metode: Penelitian deskriptif kuantitatif yang dilakukan kepada pasien yang menjalani kemoterapi pada bulan Januari 2025 di RSUD Al-Ihsan Bandung. Pengumpulan sampel menggunakan teknik consecutive sampling dan mendapatkan 105 pasien kanker payudara untuk menjadi responden. Instrumen yang digunakan adalah Supportive Care Needs-Short Form 34 (SCNS-SF34) dan dianalisis menggunakan univariat. Hasil: Sebagian besar responden (52.3%) membutuhkan perawatan suportif. Tingkat kebutuhan tertinggi berada pada domain sistem dan informasi kesehatan (58%), dilanjut domain fisik dan aktivitas sehari-hari (56.1%), domain psikologis (53.3%), dan domain dukungan dan perawatan (52.3%). Sebagian besar responden (61%) tidak membutuhkan perawatan suportif pada domain seksualitas. Simpulan: Pasien kanker payudara yang menjalani kemoterapi memerlukan intervensi suportif, terutama informasi kesehatan, dukungan fisik dan psikologis dengan perawat sebagai kunci peningkatan kualitas hidup. Saran: Perluas konsultasi rawat jalan dan dapat memanfaatkan media cetak/digital untuk informasi terapi. Selain itu, dapat dilakukan edukasi mandiri di rumah, adanya ketersediaan konseling psikologis terstruktur, mengembangkan protokol intervensi efek samping seksual, serta melatih empati dan komunikasi sensitif bagi tenaga kesehatan.   Kata Kunci: Kanker Payudara; Kemoterapi; Perawatan Suportif.
Co-Authors Aan Nuraeni Aan Nuraeni Aaron Tigor Sihombing Aat Sriati Abd. Rasyid Syamsuri Acob, Joel Rey Ade Kirana Adisite, Meina Nur Aeni Agung Maulana Yusuf Ahyar Ginanjar Ai Mardhiyah Amalia, Asna Andi Miftahul Khair Andini Tri Lestari Annisa Nur Fadhilla Annisa Yuniar Handayani Arseda, Astuti Asna Amalia Atlastieka Praptiwi Atout, Maha Audi Siti Sarah Ayu, Rahadiani Chandra Isabella Hostanida Purba Citra Windani Mambang Sari Deni Alia Yadi Dewin Safitri Dewin Safitri Dian Adiningsih Dina Auliyah Early Octavia Limbong Eka Afirmasari Eka Afrima Sari Eka Afrima Sari Elizabeth Sarah Apriani Etika Emaliyawati Fadhilah, Adinda Fitriana, Epi Giovanni Maria Hana Rizmadewi Agustina Harun, Hasniatisari Harun, Hasniatisari Hendrawati Hendrawati Hendrawati Hendrawati Hendrawati Hendrawati Henny Suzana Mediani Hermin Setiorini Hesti Platini Hijriani, Nadifa Ikawati, Dewi Iqbal Abdul Rizal Irman Somantri Iwan Shalahuddin Juniarti, Neti Kalay, Mayriska Keiko Pasaribu Kurnia, Dedi Kurniawan Yudianto Kusman Ibrahim Laili Rahayuwati Lilis Mamuroh Linda Yulia Malihatunnisa Nurrofikoh Mamat Lukman Mamat Lukman Mamat Lukman, Mamat Maria Komariah Mia Listia Mira Trisyani Muslim, Revita Nur Istiqomah Mutiudin, Ade Iwan Nurhakim, Furkon Nursiswati Nursiswati Nursiswati Pitriana, Epi Rahayu, Kusila Devi Rahmania, Sina Sabila Rani Asyuni Sipayung Revita Nur Istiqomah Muslim Reza Rizkika Faturrahman Ridal Sagala Rizkiani, Agni Safitri, Dania Iva Safitri, Dewin Sagala, Ridal Salwa Ghaida Fauzia Sandra Pebrianti Sandra Pebrianti Sari, Citra Windani Mambang Setiorini, Hermin Sidik Maulana Simanjuntak, Dikes Siti Noor Sya'fa Siti Ulfah Rifa’atul Siti Ulfah Rifa’atul Fitri Siti Yuyun Rahayu Fitri Slamet Riyanto Sri Hartati Pratiwi Sri Hendrawati Sumarna, Umar Syifa Eka Rahmawati Titin Sutini Titin Sutini, Titin Titis Kurniawan Titis Kurniawan Tobi Pitora Tobi Pitora Umar Sumarna Urip Rahayu Urip Rahayu Urip Rahayu, Urip Wardani, Siti Dahlia Windy Rakhmawati Witdiawati Yeni Binteriawati Yudianto, Kurniawan Yuliana Yuliana Yuniko Febby Husnul Fauzia Yusshy Kurnia Yusshy Kurnia Herliani, Yusshy Kurnia Zahirah, Esa Zikran Zikran