PENGARUH TINGKAT STRES TERHADAP MEKANISME KOPING PASIEN KANKER BERBASIS MANAJEMEN TERAPI KANKER

Yesiana Dwi Wahyu Werdani

Abstract

The management of cancer therapy is useful to improve the survival of cancer patients, but it has a physical impact on various functions of the body's organs. It can lead to stress and affect individual coping mechanisms. The aim of this study was to analyze the effect of stress levels on coping mechanisms of cancer patients based on cancer therapeutic management. This study used a mix method design and sequential explanatory approach. The population was cancer patients at the Indonesian Cancer Foundation, East Java Branch, Surabaya. The number of sample were 32 patients taken by total sampling method. The instrument used perceived stress scale and coping strategies inventory short form. The result of ordinal regression test and nagelkerle's pseudo R-Square in chemotherapy group 0.013 and R 0.621, in radiation group 0.016 and R 0.597, in chemoradiotherapy group 0.010 and R 0.737. It means that stress levels has a significant effect on individual coping mechanisms in all cancer therapeutic management groups. On the qualitative results showed that stress and maladaptive coping mechanisms caused by side effects of therapy, financial, relationships with caregiver was less harmonious, less able to think positively. The complexity of therapeutic stressors and the presence of poorly managed of external factors made respondents more likely to have maladaptive coping mechanisms.

Keywords

Stress levels; coping mechanisms; cancer therapy management

Full Text:

PDF

References

Ahadi, H., Delavar, A., & Rostami, A. M. (2014). Comparing Coping Styles in Cancer Patients and Healthy Subjects. Procedia - Social and Behavioral Sciences, 116, 3467–3470. https://doi.org/10.1016/j.sbspro.2014.01.785

Aslam, M. S., Naveed, S., Ahmed, A., Abbas, Z., Gull, I., & Athar, M. A. (2014). Side Effects of Chemotherapy in Cancer Patients and Evaluation of Patients Opinion about Starvation Based Differential Chemotherapy. Journal of Cancer Therapy. https://doi.org/10.4236/jct.2014.58089

Aydogan, U., Doganer, Y., Komurcu, S., Ozturk, B., Ozet, A., & Saglam, K. (2016). Coping attitudes of cancer patients and their caregivers and quality of life of caregivers. Indian Journal of Palliative Care, 22(2), 150. https://doi.org/10.4103/0973-1075.179598

Badan Penelitian dan Pengembangan Kesehatan. (2018). Hasil Utama Riskesdas 2018. Jakarta.

Benson, S., Hahn, S., Tan, S., Janssen, O. E., Schedlowski, M., & Elsenbruch, S. (2010). Maladaptive coping with illness in women with polycystic ovary syndrome. Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN, 39(1), 37–45. https://doi.org/10.1111/j.1552-6909.2009.01086.x

Bongers, M. L., de Ruysscher, D., Oberije, C., Lambin, P., Uyl-de Groot, C. A., Belderbos, J., & Coupé, V. M. H. (2017). MODEL-BASED COST-EFFECTIVENESS OF CONVENTIONAL AND INNOVATIVE CHEMO-RADIATION IN LUNG CANCER. International Journal of Technology Assessment in Health Care, 33(6), 681–690. https://doi.org/10.1017/S0266462317000939

Bower, J. E. (2014). Cancer-related fatigue—mechanisms, risk factors and treatments. Nature Reviews Clinical Oncology, 11(10), 597–609. https://doi.org/10.1038/nrclinonc.2014.127

Büssing, A., Ostermann, T., Neugebauer, E. A., & Heusser, P. (2010). Adaptive coping strategies in patients with chronic pain conditions and their interpretation of disease. BMC Public Health, 10(1), 507. https://doi.org/10.1186/1471-2458-10-507

Chandra, P., & Desai, G. (2007). Denial as an experiential phenomenon in serious illness. Indian Journal of Palliative Care, 13(1), 8. https://doi.org/10.4103/0973-1075.37184

Cieślak, K., Pawlukiewicz, M., Gołąb, D., Konys, M., Kuśnierkiewicz, M., & Kleka, P. (2012). Styles of coping with stress of cancer in patients treated with radiotherapy and expectations towards medical staff - Practical implications. Reports of Practical Oncology and Radiotherapy : Journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology, 18(2), 61–66. https://doi.org/10.1016/j.rpor.2012.10.006

Duijts, S. F. A., van Egmond, M. P., Spelten, E., van Muijen, P., Anema, J. R., & van der Beek, A. J. (2014). Physical and psychosocial problems in cancer survivors beyond return to work: a systematic review. Psycho-Oncology, 23(5), 481–492. https://doi.org/10.1002/pon.3467

Ferlay, J., Soerjomataram, I., Dikshit, R., Eser, S., Mathers, C., Rebelo, M., … Bray, F. (2015). Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012. International Journal of Cancer, 136(5), E359–E386. https://doi.org/10.1002/ijc.29210

Geng, C., Paganetti, H., & Grassberger, C. (2017). Prediction of Treatment Response for Combined Chemo- and Radiation Therapy for Non-Small Cell Lung Cancer Patients Using a Bio-Mathematical Model. Scientific Reports, 7(1), 13542. https://doi.org/10.1038/s41598-017-13646-z

Ghodusi, M., & Heidari, M. (2015). The relationship between body esteem and hope and mental health in breast cancer patients after mastectomy. Indian Journal of Palliative Care, 21(2), 198. https://doi.org/10.4103/0973-1075.156500

Ho, R. T. H., Chan, C. L. W., & Ho, S. M. Y. (2004). Emotional control in Chinese female cancer survivors. Psycho-Oncology, 13(11), 808–817. https://doi.org/10.1002/pon.799

İzci, F., İlgün, A. S., Fındıklı, E., & Özmen, V. (2016). Psychiatric Symptoms and Psychosocial Problems in Patients with Breast Cancer. The Journal of Breast Health, 12(3), 94–101. https://doi.org/10.5152/tjbh.2016.3041

Kang, H.-J., Bae, K.-Y., Kim, S.-W., Shin, H.-Y., Shin, I.-S., Yoon, J.-S., & Kim, J.-M. (2017). Impact of Anxiety and Depression on Physical Health Condition and Disability in an Elderly Korean Population. Psychiatry Investigation, 14(3), 240–248. https://doi.org/10.4306/pi.2017.14.3.240

Koch, L., Jansen, L., Brenner, H., & Arndt, V. (2013). Fear of recurrence and disease progression in long-term (≥5 years) cancer survivors-a systematic review of quantitative studies. Psycho-Oncology, 22(1), 1–11. https://doi.org/10.1002/pon.3022

Martin, O. A., Anderson, R. L., Russell, P. A., Ashley Cox, R., Ivashkevich, A., Swierczak, A., … MacManus, M. P. (2014). Mobilization of Viable Tumor Cells Into the Circulation During Radiation Therapy. International Journal of Radiation Oncology*Biology*Physics, 88(2), 395–403. https://doi.org/10.1016/j.ijrobp.2013.10.033

Moreno, A. C., Zhang, N., Giordano, S., Komaki, R. U., Liao, Z., Nguyen, Q. N., … Lin, S. H. (2017). Comparative Effectiveness of Chemotherapy Alone Versus Chemotherapy and Radiation Therapy for Patients with Stage IV Esophageal Cancer. International Journal of Radiation Oncology*Biology*Physics, 99(2), E172–E173. https://doi.org/10.1016/j.ijrobp.2017.06.1014

Mukwato, K., Mweemba, P., Makukula, M., & Makoleka, M. (n.d.). Medical journal of Zambia.Medical Journal of Zambia (Vol. 37). [Associated Reviews Ltd.]. Retrieved from https://www.ajol.info/index.php/mjz/article/view/75653

National Cancer Institute. (2015). Cancer Staging - National Cancer Institute. Retrieved from https://www.cancer.gov/about-cancer/diagnosis-staging/staging

Nikbakhsh, N., Moudi, S., Abbasian, S., & Khafri, S. (2014). Prevalence of depression and anxiety among cancer patients. Caspian Journal of Internal Medicine, 5(3), 167–170. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/25202445

Nipp, R. D., El-Jawahri, A., Fishbein, J. N., Eusebio, J., Stagl, J. M., Gallagher, E. R., … Temel, J. S. (2016). The relationship between coping strategies, quality of life, and mood in patients with incurable cancer. Cancer, 122(13), 2110–2116. https://doi.org/10.1002/cncr.30025

Orzechowska, A., Zajączkowska, M., Talarowska, M., & Gałecki, P. (2013). Depression and ways of coping with stress: a preliminary study. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, 19, 1050–1056. https://doi.org/10.12659/MSM.889778

Pearce, A., Haas, M., Viney, R., Pearson, S.-A., Haywood, P., Brown, C., & Ward, R. (2017). Incidence and severity of self-reported chemotherapy side effects in routine care: A prospective cohort study. PLOS ONE, 12(10), e0184360. https://doi.org/10.1371/journal.pone.0184360

Rossi, L., Stevens, D., Pierga, J.-Y., Lerebours, F., Reyal, F., Robain, M., … Rouzier, R. (2015). Impact of Adjuvant Chemotherapy on Breast Cancer Survival: A Real-World Population. PLOS ONE, 10(7), e0132853. https://doi.org/10.1371/journal.pone.0132853

Scott, S. B., Sliwinski, M. J., & Blanchard-Fields, F. (2013). Age differences in emotional responses to daily stress: the role of timing, severity, and global perceived stress. Psychology and Aging, 28(4), 1076–1087. https://doi.org/10.1037/a0034000

Seo, Y. M., Oh, H. S., Seo, W. S., & Kim, H. S. (2006). [Comprehensive predictors of fatigue for cancer patients]. Taehan Kanho Hakhoe Chi, 36(7), 1224–1231. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/17211125

Sharma, N., & Purkayastha, A. (2017). Factors affecting quality of life in breast cancer patients: A descriptive and cross-sectional study with review of literature. Journal of Mid-Life Health, 8(2), 75. https://doi.org/10.4103/jmh.JMH_15_17

Short, P. F., Vasey, J. J., & Tunceli, K. (2005). Employment pathways in a large cohort of adult cancer survivors. Cancer, 103(6), 1292–1301. https://doi.org/10.1002/cncr.20912

Siegel, R., Naishadham, D., & Jemal, A. (2012). Cancer statistics, 2012. CA: A Cancer Journal for Clinicians, 62(1), 10–29. https://doi.org/10.3322/caac.20138

Strøm, H. H., Bremnes, R. M., Sundstrøm, S. H., Helbekkmo, N., Fløtten, Ø., & Aasebø, U. (2013). Concurrent palliative chemoradiation leads to survival and quality of life benefits in poor prognosis stage III non-small-cell lung cancer: a randomised trial by the Norwegian Lung Cancer Study Group. British Journal of Cancer, 109(6), 1467–1475. https://doi.org/10.1038/bjc.2013.466

Werdani, Y. D. W. (2018). Effect of Cancer Related Fatigue tTo the Level of Independence of Cancer Patients and Caregiver Stress Level. Folia Medica Indonesiana, 54(2), 108. https://doi.org/10.20473/fmi.v54i2.8859

Zimmermann, P., & Iwanski, A. (2014). Emotion regulation from early adolescence to emerging adulthood and middle adulthood. International Journal of Behavioral Development, 38(2), 182–194. https://doi.org/10.1177/0165025413515405

Abstract - Print this article - Indexing metadata - How to cite item - Finding References - Email this article (Login required) - Email the author (Login required)

Refbacks

  • There are currently no refbacks.