ABSTRACT

Breast cancer and cervical cancer are the most common cause for death in women. The prevalence of breast and cervical cancer are increasing every year. Chemoterapy is usual treatment for cancer which can affect sleep quality. Quality of sleep is important to identify where can impact patient’s quality of life. The purpose of this study was to determine prevalence of poor sleep quality and the domains that contribute to it. This study used quantitative descriptive approach with 80 breast and cervical cancer patients undergoing chemotherapy. Pitssburgh Sleep Quality Index (PSQI) was used to measured the quality of sleep, a score of >5 indicates poor sleep quality. The data was analyze using univariate analysis. Most of the respondent (70%) have poor sleep quality. In the sleep quality domain, the most complaining problem were sleep disturbance (51.2%) and sleep latency (46.2%). Poor sleep quality is a significant problem experienced by patient breast and cervical cancer undergoing chemotherapy. The quality of sleep must be regularly assesed in order to provide appropriate interventions and treatments.

Keywords: Breast Cancer, Cervical Cancer, Chemoteraphy,Sleep Quality, PSQI

ABSTRAK

Kanker payudara dan kanker servik merupakan jenis kanker yang menjadi penyebab utama kematian dalam kasus kanker dengan jumlah penderita yang meningkat setiap tahunnya. Kemoterapi menjadi salah satu terapi bagi pasien kanker yang menimbulkan efek samping penurunan kualitas tidur. Kualitas tidur penting untuk diidenfifikasi karena memilik peran penting dalam kualitas hidup pasien. Mengetahui prevalensi gangguan tidur dan domain yang berperan dalam penurunan kualitas tidur. Penelitian menggunakan pendekatan deskriptif kuantitatif pada 80 pasien kanker payudara dan kanker servik yang menjalani kemoterapi. Kualitas tidur diukur dengan kuesioner Pitssburgh Sleep Quality Index (PSQI) dengan skor >5 menunjukan kualitas tidur yang buruk. Data dianalisis teknik analisa data univariate untuk variable yang diteliti. Sebanyak 70% responden melaporkan kualitas tidur yang buruk. Pada domain kualitas tidur responden melaporkan kualitas yang buruk pada gangguan tidur malam (51.2%) dan kesulitan memulai tidur atau latensi tidur (46.2%). Penurunan kualitas tidur merupakan permasalahan yang signifikan dialami oleh pasien kanker payudara dan kanker servik yang menjalani kemoterapi. Kesulitan tidur yang dialami sebaiknya dikaji secara rutin sehingga intervensi dan treatment yang sesuai dapat diberikan untuk meningkatkan kualitas tidurnya

Kata Kunci: Kanker Payudara, Kanker Servik, Kemoterapi, Kualitas Tidur, PSQI

Ambarwati, W. N., & Wardani, E. K. (2014). Efek samping kemoterapi secara fisik pasien penderita kanker servik. prosiding seminar nasional & internasional,

Amelia, W., Despitasari, L., & Alisa, F. (2021). Hubungan Stres Dengan Kualitas Tidur Pada Pasien Kanker Yang Menjalani Kemoterapi Pada Saat Pandemi Covid-19 Di RSUP Dr. M. Djamil Padang. Jurnal Keperawatan Muhammadiyah

Ancoli‐Israel, S., Moore, P., & Jones, V. (2001). The relationship between fatigue and sleep in cancer patients: a review. European journal of cancer care, 10(4), 245-255.

Andriojono. (2013). Sinopsis Kanker Ginekologi. Divisi Onkologi Departemen Obstetri dan GynecologiFakultasKedokteran Universitas Indonesia.

Anggraini, D., Marfuah, D., & Puspasari, S. (2020). Kualitas tidur pasien kanker payudara yang menjalani kemoterapi. Jurnal Ilmiah Kesehatan Keperawatan, 16, 91-100.

Araújo, D., Costa, R., Justino, D., Batista, F., Andrade, F., & Costa, I. (2014). Evaluation of sleep quality in patients with breast cancer. Journal of Sleep Disorders, 3-6.

Budhrani, P. H. (2015). An integrative review of subjective and objective measures of sleep disturbances in breast cancer survivors. Number 2/April 2015, 19, 185-191.

Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28, 193-213.http://sfx.lib.ncku.edu.tw:3410/sfxlcl41?sid=Entrez%3APubMed&id=pmid%3A2748771

Dahiya, S., Ahluwalia, M. S., & Walia, H. K. (2013). Sleep disturbances in cancer patients: underrecognized and undertreated. Cleve Clin J Med, 80(11), 722-732. https://www.ccjm.org/content/ccjom/80/11/722.full.pdf

Davidson, J. R., MacLean, A. W., Brundage, M. D., & Schulze, K. (2002). Sleep disturbance in cancer patients. Social science & medicine, 54(9), 1309-1321.

Delsigne, J. (2013). Managing sleep disorders in cancer patients. Oncology, 58, 4-5.

Emilee, G., Ussher, J. M., & Perz, J. (2010). Sexuality after breast cancer: a review. Maturitas, 66(4), 397-407.

Enderlin, C. A. (2011). Subjective sleep quality, objective sleep characteristics, insomnia symptom severity, and daytime sleepiness in women aged 50 and older with nonmetastatic breast cancer. Number 4/July 2011, 38(4), E314-E325.

Engstrom, C. A., Strohl, R. A., Rose, L., Lewandowski, L., & Stefanek, M. E. (1999). Sleep alterations in cancer patients. Cancer nursing, 2 , 143-148.

Evriarti, P. R., & Yasmon, A. (2019). Patogenesis Human Papillomavirus (HPV) pada Kanker Serviks. Jurnal Biotek Medisiana Indonesia, 8, 23-32.

Hong, J. S., & Tian, J. (2014). Prevalence of anxiety and depression and their risk factors in Chinese cancer patients. Supportive care in cancer,22,453459.https://link.springer.com/article/10.1007/s00520-013-1997-y

IARC. (2021). Spotlight on IARC Research Related to Breast Cancer. 1965–2022. vailable online:https://www.iarc.who.int/featurednews/worldcancer-day-2021

Juanda, D., & Kesuma, H. (2015). Pemeriksaan metode IVA (Inspeksi Visual Asam asetat) untuk pencegahan kanker serviks. Jurnal Kedokteran dan Kesehatan: Publikasi Ilmiah FakultasKedokteranUniversitas Sriwijaya, 2, 169-174.

Kemenkes, R. (2022). Kanker Payudara Paling Banyak di Indonesia,Kemenkes Targetkan PemerataanLayananKesehatan.https://sehatnegeriku.kemkes.go.id/baca/umum/20220202/1639254/kankerpayudayapalingbanyakdiindonesiakemenkestargetkanpemerataanlayanan-kesehatan/

Kwekkeboom, K. L., Abbott-Anderson, K., & Wanta, B. (2010). Feasibility of a patient-controlled cognitive behavioral intervention for pain, fatigue, and sleep disturbance in cancer. Oncology Nursing Forum,

Lee, K., Cho, M., Miaskowski, C., & Dodd, M. (2004). Impaired sleep and rhythms in persons with cancer. Sleep medicine reviews, 8(3), 199-212.

Liu, L., & Ancoli-Israel, S. (2008). Sleep disturbances in cancer. Psychiatric annals, 38(9).

Lowery, A. (2014). Insomnia screening and treatment in cancercare: Current practices, barriers and future directions. JSM Clinical Oncology and Research, 2, 1026.

Matthew J. Salganik1, D. D. H. Sampling and Estimation in Hidden Populations Using Respondent-Driven Sampling

Medicine, A. A. o. S. (2005). International classification of sleep disorders. Diagnostic and coding manual, 148-152.

Mullington, J. M., Haack, M., Toth, M., Serrador, J. M., & Meier-Ewert,H.K.(2009).Cardiovascular,inflammatory,andmetabolic consequencesofsleepdeprivation. Progress in cardiovascular diseases, 51(4), 294-302.

O'Donnell, J. F. (2004). Insomnia in cancer patients. Clinical cornerstone, 6(Matthew J. Salganik1), S6-S14.

Olfah, Y., Mendri, N. K., & Badi’ah, . (2013). Kanker Payudara dan Sadari. Nuha Medika.

Perry, A. G., & Potter, P. A. (2010). Mosby's Pocket Guide to Nursing Skills and Procedures-E-Book. Elsevier Health Sciences.

Pratiwi, S. R., Widianti, E., & Solehati, T. (2017). Gambaran faktor-faktoryangberhubungan dengankecemasanpasienkanker payudara dalam menjalani kemoterapi. Jurnal Pendidikan KeperawatanIndonesia,3(Matthew J. Salganik1), 167-174.

Rad, A. K., Noroozi, M., AhmariTehran, H., & Rahmani, A. (2012). Quality of sleep and related factors in breast cancer patients receiving chemotherapy in Qom 2011. Iranian Quarterly Journal of Breast Diseases, 4(4), 51-60.

Rasjidi, I. (2009). Deteksi dini dan pencegahan kanker pada wanita. Jakarta: Sagung Seto.

Suryaningsih, E., & Sukaca, B. E. (2009). Kupas tuntas kanker payudara. Yogyakarta: Paradigma Indonesia.

Theobald, D. E. (2004). Cancer pain, fatigue, distress, and insomnia in cancer patients. Clinical cornerstone, 6(Matthew J. Salganik1), S15-S21.

Tian, J., Chen, G. L., & Zhang, H. R. (2015). Sleep status of cervical cancer patients and predictors of poor sleep quality during adjuvant therapy. Supportive care in cancer, 23(5), 1401-1408.https://link.springer.com/article/10.1007/s00520-014-2493-8

Zeng, Y. C., Li, D., & Loke, A. Y. (2011). Life after cervical cancer: quality of life among Chinese women. Nursing & health sciences, 13(3), 296-302.