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A Factors Causing Cluster of Symptoms in Head and Neck Cancer Patients

Faktor Penyebab Symptom Cluster Pada Pasien Kanker Kepala Dan Leher

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  • Sena Wahyu Purwanza, S.Kep., Ners., M.Kep Institut Teknologi Kesehatan Malang Widya Cipta Husada

Keywords:

Head and Neck Cancer, Causative Factor of Symptom Cluster.

Abstract

ABSTRAK

Persamaan gejala umum dialami pasien kanker, namun prevalensi dan tingkat keparahannya dapat berbeda. Prevalensi dan tingkat keparahan gejala dalam cluster akan mempengaruhi semakin baik atau memperburuk keseluruhan symptom experience, seperti yang disampaikan oleh teori symptom management. Prevalensi dan tingkat keparahan gejala dalam cluster berhubungan dengan karakteristik pasien. Tujuan studi ini adalah menganalisis hubungan umur, jenis kelamin, dan tingkat pendidikan terhadap symptom cluster pada pasien kanker kepala dan leher.Metode studi ini adalahobservasional analitikdengan pendekatancross-sectional. Pemilihan sampel menggunakan kriteria inklusi, sebagai berikut: kanker kepala dan leher tanpa metastatik ke otak, umur 18-70 tahun, kooperatif dan baik dalam berkomunikasi. Sedangkan kriteria eksklusi: tidak menyelesaikan pengisian kuesioner karena kondisi kritis,meninggal,kelainan jiwa, dan pulang. Teknik sampling menggunakan consecutive sampling, terdiri dari 111 pasien di RSUP Dr. Kariadi Semarang. Analisis data menggunakan Spearman Rho.Hasil studi memperlihatkan bahwa terdapat hubungan bermakna variabel jenis kelamin terhadap gastrointestinal symptom cluster dengan signifikansi p<0,05. Umur dan tingkat pendidikan tidak berhubungan dengan symptom cluster. Tingkat keparahan symptom cluster berbeda terkait jenis kelamin. Perempuan lebih parah dalam mengalami symptom cluster dibandingkan laki-laki. Identifikasi yang baik tentang umur, jenis kelamin, dan tingkat pendidikan diharapkan dapat mengatasi symptom cluster pada kanker kepala dan leher.

Kata kunci: Kanker Kepala dan Leher, Faktor Penyebab Symptom Cluster.

Abstract

Common symptoms experienced by cancer patients, but the prevalence and severity can be different. The prevalence and severity of symptoms in the cluster will affect the better or worse the overall symptom experience, as stated by the symptom management theory. The prevalence and severity of symptoms in the cluster correlated with patient characteristics. The purpose of this study was to analyze the relationship between age, sex, and education level on symptom clusters in head and neck cancer patients. The method of this study was an observational analyticwith a cross-sectional approach. Sample selection using inclusion criteria, as follows: head and neck cancer without metastatic to the brain, age 18-70 years, cooperative and good in communication. While the exclusion criteria: did not complete filling out the questionnaire because of a critical condition, died, mental disorders, and went home. The sampling technique used consecutive sampling, consisting of 111 patients at RSUP Dr. Kariadi Semarang. Data analysis using Spearman Rho. The results of the study showed that there was a significant relationship between the sex variable and the gastrointestinal symptom cluster with a significance of p<0.05. Age and education level were not associated with symptom clusters. The severity of symptom clusters differs by gender. Women are more severe in experiencing symptom clusters than men. Proper identification of age, gender, and level of education is expected to overcome symptom clusters in head andneck cancer.

Keywords: Head and Neck Cancer, Causative Factor of Symptom Cluster.

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Posted

2022-04-27