MODEL PEMBERDAYAAN DIRI SURVIVOR KANKER PAYUDARA(DYARINA) DALAM MENANGGULANGI KELELAHAN DENGAN EDUKASI & LATIHAN FISIK DI RS DHARMAIS JAKARTA

Ismarina, ismarina (2019) MODEL PEMBERDAYAAN DIRI SURVIVOR KANKER PAYUDARA(DYARINA) DALAM MENANGGULANGI KELELAHAN DENGAN EDUKASI & LATIHAN FISIK DI RS DHARMAIS JAKARTA. Doctoral thesis, Universitas Andalas.

Preview	Text (cover dan abstrak) COVER.pdf - Published Version Download (264kB) | Preview
Preview	Text (Bab 1) BAB I.pdf - Published Version Download (417kB) | Preview
Preview	Text (Bab VII) BAB VII.pdf - Published Version Download (304kB) | Preview
Preview	Text (Daftar Pustaka) DAFTAR PUSTAKA.pdf - Published Version Download (311kB) | Preview
	Text (Disertasi Full) Disertasi Full.pdf Restricted to Repository staff only Download (3MB)

Abstract

ABSTRACT In 2013 prevalence of cancer in Indonesia decreased 1.4 per 1000 population. According to hospital statistics in Hospital Information System in 2007, breast cancer in this hospitas is a the biggest cancer cases in Indonesia (16.85%), followed by cervical cancer (11.78%), liver cancer and intrahepatic bile ducts (9.69%), leukemia (7.42%), and non-Hodgkin's lymphoma (6.69%). Breast cancer patients experience fatigue from cancer: before, during and after chemotherapy. Almost 30-99% of breast cancer sufferers have severe stage fatigue. The results of interview researchers at Dharmais hospital with 10 breast cancer patients, nearly 100% experienced severe stage fatigue despite receiving various treatment therapies. Fatigue due to breast cancer still received less attention in the treatment than pain, nausea, vomiting and other symptoms. Therapy provided by the health team, 95% was given to reduce pain and only 5% to reduce fatigue from cancer. Cancer sufferers only accept medical decisions and medical therapy, without being involved his ability to make decisions in managing fatigue and control his decisions in managing fatigue. The aim of this study to develop self empowerment model for survivor breast cancer in overcoming fatigue with education and physical exercise at Dharmais Hospital, Jakarta. This research started with three phase, phase one focus on qualitative method to develop basicl construct model, phase two focus on quantitative methode to determine factor related with fatigue which is involve 122 respondent with breast cancer in national cancer hospital Jakarta with simple random sampling methode, which use a questioner and secondary data respondent and phase three focus on quasi experiment to do some intervention such as an education and physical exercise. The prevalence rate of fatigue were 44,3% for light until moderate fatigue and 55,7% severe fatigue. Variables associated between fatigue and independent variable in are found that only four variable such as education, stadium of breast cancer, depresion level, and sports activities which entered in the best subset model of logistic regresion analysis. The most related variable are depresion level (OR 9,20). In this reseach we found five counfounding such as basic information about breast cancer, difficulty of breating, management of symptoms, communication with the doctor, management of depression with R square are 43,2%. To reduce for severe fatigue we need to give control group design with 4 weeks intervention. Base on all result, we can conclude that education and physical exercise can help survivor breast cancer can reduce fatigue and depression and can increase self efficacy and their knowledge with p value less than 0,05. Dyarina Model consistently can reduce fatigue and depression every week and consistently can increase self efficacy and their knowledge as a self empowerment for survivor breast cancer. For further reseach, we need to learn how long it takes to minimize fatigue and depression among survivor breast cancer and how to increasing physical activies to help responden of breast cancer.

Actions (login required)

View Item