PERSEPSI PASIEN KANKER TENTANG KUALITAS DAN KEPUASAN PERAWATAN PALIATIF DI RSUP Dr. SARDJITO YOGYAKARTA

DWI SUSANTI, Dr. Christantie Effendy, S.Kp., M.Kes.; Dr. Sri Setiyarini, S.Kp., M.Kes,

2017 | Tesis | S2 Keperawatan

Latar Belakang: Evaluasi perawatan paliatif dibutuhkan untuk mengetahui kondisi perawatan serta meningkatkan kualitas perawatan yang sesuai dengan standar. Tujuan: Mengetahui bagaimana persepsi pasien kanker tentang kualitas dan kepuasan perawatan paliatif di RSUP Dr. Sardjito Yogyakarta. Metode: Jenis penelitian ini adalah mixed methods dengan desain eksplanatori sekuensial, yaitu penelitian kuantitatif dilakukan sebelum penelitian kualitatif. Subyek penelitian ini adalah pasien kanker yang menjalani rawat inap di IRNA I RSUP Dr. Sardjito Yogyakarta pada bulan September-Oktober 2016 dengan jumlah 48 responden dan 8 partisipan. Teknik pengambilan sampel pada penelitian kuantitatif menggunakan purposive sampling, sedangkan penelitian kualitatif menggunakan teknik criterion sampling. Instrumen yang digunakan adalah kuesioner CES-P untuk mengukur kualitas dan Famcare-P untuk mengukur kepuasan, sedangkan wawancara menggunakan panduan wawancara. Analisa data kuantitatif menggunakan analisis deskriptif dan analisa data kualitatif menggunakan content analysis. Integrasi hasil penelitian kuantitatif dan kualitatif menggunakan pendekatan joint displays. Hasil: Hasil penelitian kuantitatif meliputi: kualitas perawatan paliatif pada lima domain memiliki skor yang tinggi yaitu perawatan fisik oleh dokter (92,66), koordinasi dan konsistensi (91,72), bantuan pengambilan keputusan (90,94), lingkungan (87,77), dan perawatan fisik oleh perawat (86,10), dua domain yang memiliki skor rendah yaitu perawatan psiko-eksistensial (70,03), dan ketersediaan (62,22). Pasien kanker memiliki kepuasan yang tinggi pada s+-0,49), kemudian diikuti oleh subskala manajemen gejala (3,96+-0,42), komunikasi dan informasi (3,93+-0,35), koordinasi dan konsistensi (3,8+-0,38) dan aksesibilitas (3,7+-0,44). Pada penelitian kualitatif diperoleh lima tema yaitu kualitas perawatan paliatif, asuhan perawatan paliatif, koordinasi perawatan, kepuasan terhadap perawatan paliatif dan aksesibilitas perawatan. Kesimpulan: Kualitas perawatan paliatif sedikit memerlukan perbaikan pada lima domain dan memerlukan banyak perbaikan pada dua domain. Pasien kanker memiliki tingkat kepuasan yang tinggi terhadap perawatan paliatif.

Background: Evaluation of palliative care is needed to understanding condition of treatment also increasing quality of care according to standard. Objective: Understanding perception of cancer patient towards quality and satisfaction on palliative care in Central Hospital of Dr.Sardjito Yogyakarta. Method: Type of research is mixed methods with sequential explanatory design, collecting data began from collecting quantitative data and followed by collecting qualitative data. Subject of study involved cancer patient in Central Hospital of Dr. Sardjito Yogyakarta during September and October 2016 number of respondent was 48 patient and 8 participant. Sampling technique in quantitative research using purposive sampling, qualitative research using the techniques sampling criterion. Instrument used CES-P questionnaire to measured quality and Famcare-P to measured satisfaction also interview based on interview guideline. Quantitative data analysis using descriptive analysis and analysis of qualitative data using the content analysis. Integration of the results of quantitative research and qualitative used the joint displays. Result: The result of data quantitative showed: the highest score of five quality domain on palliative care was physical care by doctor (92,66), coordination and consistency (91,72), supported on making decision (90,94), environment (87,77), and physical care by nurse (86,10), the lowest score of quality domain included two domain were psycho-existential care (70,03), and availability (62,22). Cancer patients have a high satisfaction on the subscale of support in decision-making with a mean (4,60+-0,49), followed by a subscale of symptom management (3,96+-0,42), communication and information (3,93+-0,35), coordination and consistency (3,8+_0,38) and accessibility (3,7+-0,44). Qualitative research gained five themes, included quality of palliative care, palliative care, coordination of care, satisfaction against palliative care and accessibility of care. Conclusion: Quality of palliative care need improvement on five domain, especially on two domain with the lowest score. Patient of cancer have high satisfaction on palliative care.

Kata Kunci : Kepuasan, Kualitas, Mixed Methods, Pasien Kanker, Perawatan paliatif, Satisfaction, Quality, Mixed Method, Patient of Cancer, Palliative Care