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Dukungan Keluarga terhadap Wanita dengan Kanker Serviks Stadium IIIB yang Mendapat Concurrent Chemoradiation Therapy (CCRT): Studi Kasus Ningsih, Dini Cristia; Fitriana, Nazula; Effendy, Christantie
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 1 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.101011

Abstract

Background: Patients with cervical cancer undergoing CCRT therapy often experience a decline in quality of life such as physical complaints, decreased spiritual well-being, and poor mental health. Family support plays a crucial role for individuals with certain illnesses, including those with cervical cancer.Objective: To describe family support for woman with stage IIIB cervical cancer undergoing CCRT.Case report: Mrs. Y, 37 years old, had been married for 10 years with a parity status of P2A1. She was currently a housewife in a middle-class family. The patient came for a routine check-up at the ICC Oncology Clinic of Dr. Sardjito General Hospital with a diagnosis of stage IIIB cervical cancer, scheduled for CCRT, and anemia. She has undergone chemotherapy twice and radiation therapy 10 times. Additionally, she had no history of hypertension, diabetes mellitus, or previous cancer.Outcomes: CCRT therapy had several physical and psychological impacts on the patient. These were including diarrhea, weight loss, oral problems, frequent fatigue, tingling in the hands and feet, the menstrual cycle alteration, bleeding, anxiety, and sexual relationships modification. Throughout the treatment process, the patient had received strong family support in the form of informational, emotional, instrumental, and appreciation support.Conclusion: Family support enhances self-confidence, provides motivation, and offers significant encouragement to patients. Therefore, family support plays a crucial role in the treatment of cervical cancer, especially for patients undergoing CCRT therapy.INTISARILatar belakang: Pasien kanker serviks yang mendapat terapi CCRT sering dilaporkan mengalami penurunan kualitas hidup yang berkaitan dengan keluhan fisik, penurunan kesejahteraan spiritual, dan kesehatan mental yang buruk. Dukungan keluarga memiliki peranan penting pada individu dengan penyakit tertentu, termasuk individu dengan kanker serviks.Tujuan: Mengetahui gambaran dukungan keluarga pada wanita yang menderita kanker serviks stadium IIIB dengan CCRT.Laporan kasus: Ny. Y, berusia 37 tahun, sudah menikah selama 10 tahun dengan status paritas P2A1. Pekerjaan pasien saat ini sebagai ibu rumah tangga dan pasien termasuk keluarga kelas menengah. Pasien datang untuk melakukan kontrol rutin di Poliklinik Onkologi ICC RSUP Dr. Sardjito dengan diagnosis kanker serviks stadium IIIB pro CCRT dengan anemia. Pasien sudah menjalani kemoterapi sebanyak dua kali dan radiasi sebanyak 10 kali. Selain itu, pasien tidak memiliki riwayat penyakit hipertensi, DM,  dan kanker sebelumnya.Hasil: Terapi CCRT memberikan beberapa dampak bagi pasien, baik secara psikis maupun psikologis. Dampak yang dialami pasien seperti diare, berat badan turun, masalah pada mulut, sering merasa lelah, kesemutan pada tangan dan kaki, perubahan siklus menstruasi, perdarahan, perasaan cemas dan perubahan dalam hubungan seksual. Selama menjalani pengobatan, dukungan keluarga yang didapatkan pasien baik dukungan informasional, penghargaan, instrumental maupun emosional sudah baik.Simpulan: Dukungan keluarga meningkatkan rasa percaya diri, memberikan motivasi dan semangat yang besar bagi pasien sehingga dukungan keluarga mempunyai peranan penting dalam proses pengobatan kanker serviks terutama pasien dengan terapi CCRT.
Management of lymphedema and pleural efusion in patients with breast cancer stadium IV: a case study Novriyanti, Sukma; Effendy, Christantie; Fitriana, Nazula
Journal of health research and technology Vol. 1 No. 1 (2023): Journal of health research and technology
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/jhrt.v1i1.49

Abstract

Background: Metastasis of breast cancer to distant organs occurs as a result of cancer cells spreading through the lymphatic system or blood flow. Pleural effusion and lymphedema are manifestations due to metastasis of cancer cells. Management is needed to relieve suffering, reduce complications, and improve quality of life. Methods: Case study was conducted using observation, interviews, physical examination, and tracing of patient medical records. Informed consents were given before the case study started. Case: Mrs. S, 67 years old, was diagnosed with breast cancer in 2021. The patient was only treated with herbal treatment before being admitted to the hospital in June 2022 with shortness of breath which later found metastases to the lungs. Clinical findings include pitting edema in the right upper extremity, pleural effusion, ulcer cancer from the breast to the right armpit, and a closed fracture of the right clavicle. Swelling in the right arm has occurred since March 2022 slowly spreading throughout the arm. The patient is on bed rest in a semi-fowler's position, limited range of motion, and all activities are assisted by the family. Intervention: The patient is given oxygen therapy with nasal cannula 3lpm and 30o semi-fowler positioning. Skin care intervention is used to treat lymphedema problem. Patient’s family also received education to prevent and reduce the occurrence of swelling in the contralateral arm. Conclusion: Shortness of breath management with oxygen therapy and positioning can help facilitate adequate breathing along with drainage of pleural fluid. Treatment of lymphedema focuses on reducing swelling and minimizing complications. Treatment options are adjusted to the patient's clinical condition.