PERCEPTION OF CANCER PATIENTS ON CHEMOTHERAPY SIDE EFFECTS

Chemotherapy causes various side effects that can affect the patient's physical or non-physical condition. Patients' perceptions or ratings of these side effects vary. This study aimed to identify cancer patients' perceptions of the side effects of chemotherapy they are undergoing. The descriptive study was conducted on 84 samples, namely cancer patients aged more than 20 years who had undergone chemotherapy at least once before. Data collection using a questionnaire that has been tested for validity and reliability. Data analysis was carried out descriptively with frequency distribution. The results showed that the perception of the physical side effects of chemotherapy that was considered very disturbing by the patient (severe symptoms) was nausea (59.5%), feeling of weakness (36.9%), hair loss (35.7%), vomiting. (29.8%), loss of appetite (28.6%). %), weight loss (27.4%), insomnia and skin discoloration (19% each), headache (16.7%) and fever (15.5%). When the perception of non-physical side effects was fear of death, affecting work/household duties and feeling fear (15.5% each), feeling anxious about my life, and the presence of family members I have to take care (14.3% each). The most disturbing side effects of chemotherapy are physical problems. The health service is expected to increase interventions to minimize the side effects of chemotherapy.

PENGGUNAAN KIPAS ANGIN UNTUK MENGURANGI DISPNEA PADA PASIEN KANKER

Dyspnea is a subjective experience, and often found in ptients with adavnced cancer. Use of a fan is one non-pharmacological approaches in dyspnea management. Purpose of applying evidence-based nursing (EBN) was to proved the effectiveness of the use of a fan in reducing the sensation of dyspnea perceived cancer patients. EBN was applied to paatients with advanced cancer, lung cancer or cancer that has undergone metastasis to lungs that reported dyspnea. This EBN implementation demonstrated the effectiveness of the fan in reducing dyspnea sensation of cancer patients. The use of the fan is expected to be part of the management of dyspnea in cancer patients both at home and in palliative care setting

FACTORS AFFECTING THE ANXIETY LEVEL OF PRE-SURGICAL PATIENTS IN HOSPITAL

A surgical procedure may induce psychological reactions in patients, including pre-surgical anxiety. Pre-surgical anxiety can influence the surgical process and patients’ health status after the surgery. Mild, moderate, and severe anxiety are some of the psychological responses to surgical procedures. Patients' anxiety before surgery is affected by internal and external factors. 30 respondents had the most anxiety levels of moderate preoperative patients, with 12 respondents (40%) and 18 respondents (60%) having surgical with mild preoperative anxiety levels. There were 25 respondents with less knowledge. There were 16 respondents (64%) with mild anxiety levels and 9 (36%) with moderate anxiety levels. 55 respondents with high family support, there were 48 respondents (87.3%) with moderate anxiety levels, there were 5 respondents (7.4%) with severe anxiety levels and 2 respondents (3.6%) with mild anxiety levels. The exact cause of anxiety is unknown, but it is thought to factor in experience, knowledge, and family support or RSUD Arifin Achmad, Riau Province. The study aims to describe factors that influence anxiety in patients’ pre-operation. The research instrument was a questionnaire through validity and reliability tests. Univariate and bivariate analyses were applied. The research instrument was a questionnaire through validity and reliability tests. The research showed no significant correlations between experiences, knowledge, and family support with the patients’ anxiety (p-value0.05). It was suggested that the hospital should concern with factors correlated with pre-surgical patients' anxiety and increase the quality of nursing care

Korelasi persepsi tentang efek samping kemoterapi dengan kualitas hidup pasien kanker payudara

Chemotherapy treatments undergone by breast cancer patients have several side effects. From the side effects that, each patient perceives the side effects that will interfere with their daily lives which in turn affect the quality of life. This research was made for showing the correlation of chemotherapy side effects with the quality of life of breast cancer patients in Arifin Achmad Hospital in Riau Province. The research was one of quantitative correlation research with a cross-section method that had been done to 63 respondents in Arifin Achmad Hospital in Riau Province by using consecutive sampling technique bye used was questionnaire. The test used an unpaired t-test. This research result was gotten if Pvalue=0.216 (Pvalue=0.05), which mean is no correlation between chemotherapy side effect perspective and quality of life of breast cancer patients. Based on the result, we hope Arifin Achmad Hospital in Riau Province develop more health service to the community to increase positive judgement from chemotherapy treatment and quality of life of breast cancer patients.

FAMILY ACTIONS TO OVERCOME THE SIDE EFFECTS OF CHEMOTHERAPY IN PATIENTS AT HOME

To cancer patients, families are the first home care and support providers who help meet all their needs. This study aims to define their actions that help the patients deal with the side effects of chemotherapy at home. This is a descriptive quantitative research involving cancer outpatients who are taking chemotherapies in Arifin Achmad Hospital of Riau Province. A consecutive sampling technique obtained 134 families as samples, from which the data were collected using a questionnaire and analyzed univariately. The results showed several major actions in helping their members get through the side effects of chemotherapy, which include helping overcome nausea and vomiting by providing preferable food (in as many as 84 patients or 63%), helping overcome hair loss by keeping hair short and easy to manage (in as many as 54 patients or 40.5%), helping overcome fatigue by assisting to manage routines (in as many as 83 patients or 62.2%), helping battle appetite loss by preparing favorite foods on demand (in as many as 99 patients or 74.2%), and helping overcome diarrhea by giving 8-10 glasses of water per day (in as many as 91 patients or 68.2%). These actions have given proper results in helping the patients overcome chemotherapy side effects at home. Therefore, our study is expected to be a reference for other families whose members are dealing with similar conditions

Pencegahan Keluarga Pasien Kanker Terhadap Paparan Obat Kemoterapi

Obat sitotoksik tidak hanya berpengaruh terhadap pasien kanker yang menerima kemoterapi, namun juga terhadap anggota keluarga yang melakukan kontak erat dengan pasien baik selama perawatan ataupun setelah pasien di rumah. Tujuan penelitian ini untuk mengidentifikasi tindakan pencegahan yang dilakukan keluarga pasien untuk menghindari paparan terhadap obat kemoterapi setelah pasien sampai di rumah. Penelitian deskriptif dilakukan dengan sampel 84 orang keluarga pasien yang menjalani kemoterapi yang diambil dengan teknik consecutive sampling. Pengumpulan data menggunakan kuesioner dan diolah menggunakan distribusi frekuensi. Hasil penelitian ditemukan 58,3% pasien tidak tinggal serumah dan atau menghindari kontak dengan anak-anak, ibu hamil dan lansia; 39,3% keluarga menggunakan toilet yang berbeda dengan pasien; 85,7% keluarga menyiram toilet menggunakan cairan pembersih toilet setelah digunakan pasien; 78,6% keluarga melakukan penggantian alas kasur minimal sekali 3 hari; 70,2% keluarga menggunakan sarung tangan sekali pakai saat mencuci pakaian pasien dan sebanyak 84,5% keluarga menyediakan tempat muntahan khusus. Diharapkan perawat mengedukasi pasien dan keluarganya mengenai pencegahan pajanan terhadap obat kemoterapi di rumah

Pencegahan Keluarga Pasien Kanker Terhadap Paparan Obat Kemoterapi

Cytotoxic drugs not only affected cancer patients receiving chemotherapy but also family members who come into close contact with the patient either during treatment or after the patient is at home. The aim of this study was to identify prevention taken by the patient's family to avoid exposure to chemotherapy drugs after the patient arrived home. This study was descriptive with a sample of 84 families of cancer patients undergoing chemotherapy, who were taken by consecutive sampling technique. Data collection using a questionnaire and processing was carried out univariately using a frequency distribution. The results showed that 58.3% of patients did not live in one house with children, pregnant women, and the elderly; 39.3% of families used different toilets from patients; 85.7% of families flushed the toilet using toilet cleaning fluid after being used by the patient; 78.6% of families replaced mattress pads at least once in 3 days, 70.2% of families used disposable gloves to handle contaminated clothing by patient excretions and 84.5% of families provide a special vomitus place. It is hoped that the nurses will educate patients and their families on how to prevent exposure to chemotherapy drugs at home.Obat sitotoksik tidak hanya berpengaruh terhadap pasien kanker yang menerima kemoterapi, namun juga terhadap anggota keluarga yang melakukan kontak erat dengan pasien baik selama perawatan ataupun setelah pasien di rumah. Tujuan penelitian ini untuk mengidentifikasi tindakan pencegahan yang dilakukan keluarga pasien untuk menghindari paparan terhadap obat kemoterapi setelah pasien sampai di rumah. Penelitian deskriptif dilakukan dengan sampel 84 orang keluarga pasien yang menjalani kemoterapi yang diambil dengan teknik consecutive sampling. Pengumpulan data menggunakan kuesioner dan diolah menggunakan distribusi frekuensi. Hasil penelitian ditemukan 58,3% pasien tidak tinggal serumah dan atau menghindari kontak dengan anak-anak, ibu hamil dan lansia; 39,3% keluarga menggunakan toilet yang berbeda dengan pasien; 85,7% keluarga menyiram toilet menggunakan cairan pembersih toilet setelah digunakan pasien; 78,6% keluarga melakukan penggantian alas kasur minimal sekali 3 hari; 70,2% keluarga menggunakan sarung tangan sekali pakai saat mencuci pakaian pasien dan sebanyak 84,5% keluarga menyediakan tempat muntahan khusus. Diharapkan perawat mengedukasi pasien dan keluarganya mengenai pencegahan pajanan terhadap obat kemoterapi di rumah

Gambaran Pengetahuan Masyarakat Tentang Vaksinasi Covid-19 di Puskesmas Sidomulyo Kecamatan Tampan Kota Pekanbaru

The spread of COVID-19 has not only attacked globally but has also reached Indonesia. COVID-19 has spread to provinces in the territory of Indonesia, including Riau Province. One way to prevent COVID-19 is to carry out the COVID-19 vaccination. The purpose of this study was to describe the public's knowledge of COVID-19 vaccination. This study uses a type of quantitative research. The population used by the researcher was 361 people. The sample of this study used 177 respondents. The sampling technique used is Consecutive Sampling. The research instrument was carried out using a questionnaire. Data analysis was carried out by using the univariate method, while on the characteristics of respondents, age used a numerical test, gender, education, occupation, and socioeconomic used a frequency distribution. the results of the study showed that the average age was 33.2 years, the majority of respondents were female as much as 80.8%, the majority of secondary education levels were education (SMA/SMK equivalent) as much as 79.7%, the majority of respondents worked as housewives (IRT) as much as 75.1%, the majority of the socioeconomic level is classified as low level as much as 54.2%. Respondents' knowledge about COVID-19 vaccination, most of the respondents still have a low level of knowledge about COVID vaccination as much as 44.5%, so it can be concluded that knowledge at the Sidomulyo Health Center is still in the low category.Penyebaran COVID-19 tidak hanya menyerang secara global, namun juga telah sampai ke Indonesia. COVID-19 menyebar di provinsi – provinsi di wilayah Indonesia termasuk ke Provinsi Riau. Salah satu pencegahan COVID-19 yaitu dengan melaksanakan Vaksinasi COVID-19. Tujuan penelitian ini untuk mengetahui gambaran pengetahuan masyarakat terhadap vaksinasi COVID-19. Penelitian ini menggunakan jenis penelitian kuantitaif. Populasi yang digunakan peneliti adalah 361 orang. Sampel penelitian ini menggunakan 177 responden. Teknik sampel yang digunakan adalah Consecutive Sampling. Instrumen penelitian dilakukan dengan menggunakan kuesioner. Analisis data dilakukan dengan univariat, sementara pada karakteristik responden usia menggunakan uji numerik, jenis kelamin, pendidikan, pekerjaan, dan sosial ekonomi menggunakan distribusi frekuensi. didapatkan hasil penelitian usia rata-rata adalah 33,2 tahun, mayoritas responden berjenis kelamin perempuan sebanyak 80,8%, mayoritas tingkat pendidikan menengah yaitu, pendidikan (SMA/SMK sederajat) sebanyak 79,7%, mayoritas responden bekerja sebagai Ibu Rumah Tangga (IRT) sebanyak 75,1%, mayoritas tingkat sosial ekonomi tergolong tingkat rendah sebanyak 54,2%. Pengetahuan responden tentang vaksinasi COVID-19 sebagian besar responden masih memiliki tingkat pengetahuan rendah terhadap vaksinasi COVID sebanyak 44,5%, sehingga dapat disimpulkan bahwasanya pengetahuan di Puskesmas Sidomulyo masih dalam kategori rendah. Diharapkan agar sosisalisasi terkait vaksinasi di wilayah Puskesmas harus terus digalakan dengan melibatkan tokoh masyarakat dan tenaga kesehatan serta mahasiswa kesehatan, dan untuk Puskesmas Sidomulyo lebih tanggap dalam mengedukasi tentang pengetahuan vaksinasi COVID-19

PENGETAHUAN PERAWAT TENTANG PENCEGAHAN LIMFEDEMA PADA PASIEN POST MASTEKTOMI DI RSUD ARIFIN ACHMAD PROVINSI RIAU

Limfedema adalah pembengkakan lengan dalam jaringan subkutan dan merupakan komplikasi post mastektomi yang disertai dengan pengangkatan nodus limfe aksilaris. Walaupun tidak mengancam nyawa, namun berdampak negatif pada kualitas hidup survivor kanker payudara. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan perawat tentang pencegahan limfedema pada pasien post mastektomi di RSUD Arifin Achmad Provinsi Riau. Penelitian ini merupakan penelitian deskriptif kuantitatif, dengan sampel 36 perawat yang bekerja di ruang rawat inap surgical yang diambil secara consecutive sampling. Pengumpulan data menggunakan kuesioner yang diolah secara univariat menggunakan tendensi sentral dan distribusi frekuensi. Hasil penelitian menunjukkan rata-rata responden berusia 31 tahun dengan lama bekerja 42,42 bulan, 75% responden berjenis kelamin perempuan, 50% responden dengan tingkat pendidikan DIII keperawatan, dan sebanyak 72,2% respon tidak pernah mengikuti pelatihan tenteng perawatan post mastektomi. Pengetahuan perawat tentang pencegahan limfedema post mastektomi berada pada kategori cukup. Kepada perawat diharapkan untuk lebih meningkatkan lagi pengetahuannya tentang perawatan post mastektomi untuk mencegah terjadinya limfedema salah satunya dengan mengikuti seminar/pelatihan dan melanjutkan jenjang pendidikannya

PENGARUH PENDIDIKAN KESEHATAN TERHADAP MOTIVASI MENGONTROL KADAR GULA DARAH PADA PASIEN DM TIPE II

Motivasi dari setiap individu berkaitan dengan pengetahuan yang dimiliki masing-masing pasien. Tingkat motivasi pasien yang rendah dapat dipengaruhi oleh pengetahuan yang rendah terutama tidak didapatkannya pendidikan kesehatan secara baik, sehingga kontrol gula darah pada pasien DM tipe II tidak dapat berjalan dengan baik. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh pendidikan kesehatan terhadap motivasi mengontrol kadar gula darah pada pasien diabetes melitus tipe II. Jenis penelitian yang digunakan adalah pre-eksperiment dengan desain one group pre and post test. Penelitian dilaksanakan di Wilayah Kerja Puskesmas Rejosari. Dengan sampel yang digunakan sebanyak 35 pasien DM menggunakan teknik  penelitian Purposive Sampling. Instrumen yang digunakan kuesioner demografi responden dan kuesioner motivasi yang di uji menggunakan dependent t-test. Hasil menunjukkan bahwa pengaruh pendidikan kesehatan terhadap motivasi dalam mengontrol kadar gula darah pada pasien DM tipe II diperoleh p 0.000. Kesimpulan yaitu ada pengaruh antara pendidikan kesehatan terhadap motivasi pasien DM tipe II dalam mengontrol kadar gula darah di wilayah kerja puskesmas Rejosari. Dari hasil penelitian diharapkan kepada pihak puskesmas khususnya puskesma Rejosari untuk dapat meningkatkan kegiatan baik berupa kegiatan penyuluhan dan pendidikan kesehatan untuk meningkatkan motivasi pasien DM tipe II mengontrol kadar gula darah. Kata kunci : Diabetes Melitus, Motivasi, Pendidikan Kesehatan