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HUBUNGAN ANTARA FREKUENSI KEMOTERAPI DENGAN STATUS FUNGSIONAL PASIEN KANKER YANG MENJALANI KEMOTERAPI DI RSUP SANGLAH DENPASAR Melia, E.KD.A., Putrayasa, I.D.P.Gd., Azis, A. Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Udayana Abstract. Cancer is a condition in which cells have lost their control and normal mechanism, is one of treatment for cancer therapy is chemotherapy. The frequency of chemotherapy in cancer patients is the number of patients doing treatment with cytostatic medicines. The functional status of cancer patients is an ability to perform daily activities included at work, self-care and maintenance of family or social roles that can be affect by the patient condition and the therapy. The aim of this research was to analyze the relationship between the frequency of chemotherapy with the functional status of cancer patients who undergone chemotherapy in RSUP Sanglah Denpasar. This research include in descriptive correlational and used cross- sectional method approach. Samples were taken from 38 patient with nonprobability sample selection technique with the purposive sampling. The analysis technique of the data to examine the hypothesis is correlation product moment (p<0.05). The result of this research showed the average score of the chemotherapy frequency is four times with the minimal frequency is two times and the maximal is eight times, the average score of functional status is 24,03. The p-value is 0.000 which means p<0.05 so the H0 is rejected and the r-value is (-0,745) with an absolute value is 0,745, then it can be stated there was a strong correlation and inversely between the frequency of chemotherapy with the functional status of cancer patients who undergone chemotherapy. Based on this result, it can be suggest nurses should increase their roles in providing care for cancer patients who undergone chemotherapy, to maintain their functional status during chemotherapy. Keyword: Cancer, Frequency of Chemotherapy, Functional Status. PENDAHULUAN Kanker merupakan suatu kondisi dimana sel telah mengalami kehilangan pengendalian dan mekanisme normalnya sehingga mengalami

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HUBUNGAN ANTARA FREKUENSI KEMOTERAPI DENGAN STATUSFUNGSIONAL PASIEN KANKER YANG MENJALANI KEMOTERAPI DIRSUP SANGLAH DENPASARMelia, E.KD.A., Putrayaa, I.D.P.G!., A"i, A.Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas UdayanaAbstract. Cancer is a condition in which cells have lost their control and normalmechanism, isone oftreatmentforcancertherapy ischemotherapy.Thefrequency ofchemotherapyincancerpatientsisthenumberofpatientsdoingtreatmentwithcytostatic medicines.The functionalstatusofcancerpatientsisanability toperformdailyactivitiesincludedatwork,self-careandmaintenanceoffamilyorsocialrolesthat can be affect by the patient condition and the therapy. The aim of this research wastoanalyze therelationshipbetweenthefrequencyofchemotherapywiththe functionalstatusofcancerpatientswhoundergonechemotherapyinR!"anglah#enpasar.Thisresearchincludeindescriptivecorrelationalandusedcross-sectionalmethodapproach.amplesweretakenfrom$%patientwithnonprobabilitysampleselectiontechniquewiththepurposivesampling.Theanalysistechniqueofthedatatoe&aminethehypothesisiscorrelationproductmoment'p().)*+.Theresultofthisresearchshowed the average score of the chemotherapy frequency is four times with the minimalfrequency istwotimesandthe ma&imaliseighttimes,the average scoreoffunctionalstatus is ,-,)$. The p-value is ).))) which means p().)* so the .) is re/ected and ther-valueis'-),0-*+ withanabsolutevalueis),0-*,thenitcanbestatedtherewasastrongcorrelationandinverselybetweenthefrequencyofchemotherapywiththefunctional status of cancer patients who undergone chemotherapy. 1ased on this result,itcanbesuggestnursesshouldincreasetheirrolesinprovidingcareforcancerpatientswhoundergonechemotherapy,tomaintaintheirfunctional statusduringchemotherapy.Keyword: Cancer, 2requency of Chemotherapy, 2unctional tatus.PENDAHULUANKanker merupakansuatukondisidimana seltelahmengalamikehilanganpengendalian danmekanismenormalnya sehingga mengalamipertumbuhanyangtidaknormal,cepatdantidakterkendali(Leone, !""#$%Kankermerupakansalahsatupenyebabutama kematian global, berdasarkandatayangdirilis3nternational4gencyforResearchon Cancersalahsatulembaga dibawah&adanKesehatan'uniaPerserikatan&angsa&angsa(P&&$%Penderita kanker duniamencapai(!,)*utaorangpadatahun!""#danmengakibatkankematian),+*uta penderita (,apitupulu, !"("$%enurut data -umahSakitUmum Pusat (-SUP$ Sanglah 'enpasarpada tahun!"("*umlahpenderitakankeryang dirawatdiInstalasi-awatInap sebanyak (.!!pasien danmengalamipeningkatanpadatahun!"(( yaitu sebanyak !"!" pasien%Kanker merupakanpenyakityang kompleks dengan mani/estasi yangbervariasi%Umumnyapasien kankermengalamige*ala/isik,psikologis,dangangguan/ungsional(0gce102kan,!""#$%enurutPersatuan3hli&edah0nkologiIndonesia (!""4$,penatalaksanaanatau pengobatanutamapenyakitkanker meliputiempatmacamyaitu pembedahan,radioterapi,kemoterapi dan terapi hormon%Kemoterapi dilakukanuntukmembunuhselkanker denganobatantikanker (sitostatika$(Sukard*a,(..+dalamLut/ah, !"".$%Frekuensipemberian kemoterapidapatmenimbulkanbeberapae/ekyang dapatmemperburukstatus /ungsional pasien%5/ekkemoterapiyaitusupresi sumsumtulang,ge*alagastrointestinal sepertimual, muntah, kehilanganberatbadan,perubahanrasa, konstipasi, diare,dange*alalainnyaalopesia,fatigue,perubahanemosi,danperubahanpadasistem sara/ (,agla, !"("$%Status /ungsional merupakansuatu kemampuan untuk melakukantugassehari6hariyangtermasukdalampeker*aan, perawatandiri, danpemeliharaankeluargaatau peransosial%&eberapapenelitianmenun*ukkan bahwae/ek kemoterapidapat memperburuk status /ungsional(mencakupketidakmampuan dalammen*alankan perannya$setelahpemberiankemoterapipadaperiodekedua(Lee, !""4 dalam 0gce 102kan, !""#$%'enganlatar belakangdiatas,maka penelitiinginmengetahuihubunganantara /rekuensikemoterapidenganstatus/ungsionalpasienkankeryang men*alanikemoterapi%'enganevidence baseinidiharapkanperawatdapatmeningkatkan perannya sebagaicare giver dalam merencanakan langkahantisipasipada /rekuensitertentupemberian kemoterapi,kaitanya denganperubahanpadastatus/ungsionalyangdialamiolehpasiendanmeningkatkankolaborasidengan timmedis lainnyadalam mempertahankan danmeningkatkan status /ungsional pasienselama pemberian kemoterapi%METODE PENELITIANRa#$a#%a# Pe#elitia#Penelitian initermasukpenelitiandeskriptifkorelasionaldengan menggunakan metodependekatancross-sectional.Sehinggamemungkinkan untukmengungkapkanhubungan korelati/ antar variabel%P&'ulai !a# Sa('elPopulasipenelitianiniadalahseluruhpasienkankeryangmen*alanikemoterapidi-uang7empaka8imurdanKambo*a-SUPSanglah'enpasarselama periode waktu pengumpulandata%Penelitimengambilsampelber*umlah 9# orang sesuai dengankriteria sampel%Pengambilan sampeldisinidilakukandengancara,on"robability amplingdengan8eknikPurposive ampling%I#tru(e# Pe#elitia#Pengumpulandata dilakukandengancara dokumentasiuntukdata/rekuensikemoterapi dan karakteristikrespondenyang diperoleh melaluirekam medik pasien oleh penelitisendiridan kuesionerpertanyaanhort2orm 5,(SF6(!$untukstatus/ungsionalpasien%/rekuensikemoterapidanstatus/ungsionalmenggunakanskala numerik%Pr&e!urPe#%u('ula#!a#A#aliiData'ari sampelyangterpilihdiberikan pen*elasan tentang man/aatdan tu*uan penelitian% Kemudian sampelmenandatangani3nformedconsentsebagai responden%Pengumpulan data/rekuensikemoterapidan datakarakteristik respondenyang didapatkanmelalui dokumentasi rekam medikrespondenyang ditulisdalamkuesionerpenelitiantentang/rekuensikemoterapidan dilakukan validasi dari responden%Setelah data terkumpul makadata diidenti/ikasidandata status/ungsionaldiberikanskordenganketentuan skordalamSF6(!yaitu (!skor minimla dan :: skor maksimal%Untuk menganalisis hubunganantara/rekuensi kemoterapi denganstatus /ungsional digunakan u*i statistik6orelasi "roduct 7oment programSPSSfor8indowsdengan tingkatsigni/ikansip;","4dantingkatkepercayaan .4