Bernardo Oliber A. Arde
Master of Arts in Nursing Philippines University of Northern Philippines

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Relationship between Stress Levels and Sleep Quality of Breast Cancer Patients Undergoing Chemotherapy at Dharmais Cancer Hospital, DKI Jakarta Province in 2022 Umi Salamah; Yuni Susilowati; Ayu Pratiwi; Bernardo Oliber A. Arde
Jurnal Ilmiah Kesehatan Vol 16 No 03 (2023): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v16i03.3992

Abstract

Breast cancer ranks first for women worldwide, with an incidence rate of 40 per 100,000 women with a death rate of 21.5% per year. It is estimated that around 15% of all female deaths worldwide are caused by breast cancer. Breast cancer causes physical and psychological problems simultaneously related to the disease or its treatment. One of the most common disturbances in breast cancer patients is stress. Stressors that breast cancer patients constantly face can impact the disruption of the hormone melatonin and increase adrenaline and cortisol hormones, resulting in disturbed sleep quality of cancer patients. Research objective: To determine the relationship between stress levels and sleep quality in breast cancer patients undergoing chemotherapy. Research method: Correlational quantitative research with a cross-sectional approach. The total sample is 156 breast cancer patients taken by purposive sampling technique. Results: The results of the univariate analysis showed that most breast cancer patients undergoing chemotherapy at Dharmais Cancer Hospital experienced severe stress (51.9%), and most had poor sleep quality (60.9%). The results of the bivariate analysis showed that there was a significant relationship between stress levels and sleep quality in breast cancer patients undergoing chemotherapy at the Dharmais Cancer Hospital in 2022 (p-value: 0.000). Conclusions and Suggestions: It is hoped that the hospital will carry out stress management in cancer patients by providing health education or with relaxation techniques. So, it is hoped that this can improve the sleep quality of cancer patients
The Correlation between Sputum Retention and Oxygen Saturation in Nasopharyngeal Cancer Patients with Tracheostomy at The Emergency Department of Dharmais Cancer Hospital in 2022 Repidawati Sinaga; Yuni Susilowati; Meynur Rohmah; Bernardo Oliber A. Arde
Jurnal Ilmiah Kesehatan Vol 16 No 03 (2023): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v16i03.3993

Abstract

The Global Burden of Cancer Study (Globocan) stated that nasopharyngeal cancer is the fifth most common cancer in Indonesia, with an incidence of 19,943 cases. One of the therapies for patients with nasopharyngeal cancer is a tracheostomy. Post-tracheostomy care is critical because blockage in the cannula due to accumulation of secretions impact decreasing oxygen saturation and result in death. This study analyzes the correlation between sputum retention and oxygen saturation in nasopharyngeal cancer patients with tracheostomy at the Emergency Department of Dharmais Cancer Hospital in 2022. It was correlational quantitative research with a cross-sectional approach. The study population was all nasopharyngeal cancer patients with tracheostomy at the Emergency Department, Dharmais Cancer Hospital, from August to November 2022, totaling 65 respondents. There were 65 respondents with a total sampling technique. The data collection used secondary data, namely the level of sputum retention and oxygen saturation in nasopharyngeal cancer patients with tracheostomy. Data analysis was univariate analysis and bivariate analysis through chi-square test. The result showed that most respondents experienced poor sputum retention (61.5%) and moderate hypoxemia (63.1%). The chi-square test obtained a p=0.000 (p<0.05). Thus, there was a correlation between sputum retention and oxygen saturation in respondents. In conclusion, sputum retention correlates with oxygen saturation in nasopharyngeal cancer patients with tracheostomy at the Emergency Department of Dharmais Cancer Hospital. The hospital should continue improving the ability of nurses to manage airway blockage through regular training.