PENGARUH PEMBERIAN INTERVENSI PERAWATAN SPIRITUAL HUMANISTIS, PRAGMATIS DAN RELIGIUS (HUMANIS) TERHADAP LEVEL NYERI PASIEN KANKER GINEKOLOGI

EKA RORA SUCI W, Dr. dr. Sudadi, Sp.An., KNA, KAR.; Wiwin Lismidiati,S.Kep.Ns.M.Kep.Sp.Kep.Mat

2018 | Tesis | MAGISTER KEPERAWATAN

Pendahuluan: Penyakit kanker yang sering dialami wanita adalah kanker ginekologi. Pasien kanker umumnya mengalami nyeri kanker. Selama ini pendekatan utama penanganan nyeri kanker adalah pemberian analgesik, nyeri merupakan hal kompleksitas sehingga tidak hanya membutuhkan penanganan terapi farmakologis, namun terapi suportif sangat dibutuhkan memberikan rasa nyaman pasien. Perawatan spiritual berpotensi meningkatkan kualitas hidup dan mencakup managemen nyeri pasien. Metode: Jenis penelitian adalah quasy-eksperimen pre - post test with control group . Jumlah sampel masing-masing kelompok intervensi dan kontrol sebanyak 32 responden (n=64), sampel diambil menggunakan teknik consecutive sampling. Kelompok intervensi mendapatkan intervensi perawatan spiritual Humanistis, Pragmatis dan Religius (Humanis) , kelompok kontrol diberikan asuhan keperawatan standar di ruang rawat inap. Instrumen yang digunakan untuk mengukur level nyeri responden menggunakan Numeric Rating Scale (NRS). Analisis data dilakukan menggunakan uji Friedman, Post Hoc Wilcoxon dan Mann Whitney dengan tingkat signifikansi 95%. Hasil: Hasil Penelitian menunjukkan bahwa terdapat pengaruh intervensi perawatan spiritual Humanis terhadap level nyeri kanker pasien kanker ginekologi dengan nilai signifikansi p = 0.001 (p<0.05) dan ES = 1.04 (efek besar). Perbedaan level nyeri penilaian awal dan penilaian akhir kelompok intervensi diperoleh nilai p = 0.001 (p<0.05). Kesimpulan: Berdasarkan hasil penelitian ini secara statistik dan klinis, disimpulkan bahwa intervensi pemberian perawatan spiritual Humanis berpengaruh terhadap penurunan level nyeri kanker pada pasien kanker ginekologi.

Introduction: Most cancer disease suffered by women is gynecology cancer. The cancer patients generally suffer from cancer pains. Hitherto, the main approach to treat cancer is to give analgesic since a pain is a matter of complexity that it needs not only the therapy of pharmacological treatments but also supports needing by patients to get a hassle-free sense. Spiritual care potentially improves the quality of life including the management of pains suffered by patients. Method: The type of this research is the queasy-experiment of pre - post-test with control group. Both intervention and control groups have 32 respondents respectively (n=64), by using the consecutive sampling technique. The intervention group received Humanistic, Pragmatic, and Religious (Humanis) spiritual care intervention, while the control group was given standard nursing care in the inpatient units. The instrument used to measure the respondent's pain level is Numeric Rating Scale (NRS). The data analysis was conducted by using Friedman, Post Hoc Wilcoxon and Mann Whitney Tests at the level of significance of 95%. Results: The research shows that the influence of spiritual care intervention Humanis exists affecting the level of pains of gynecology cancer patients with the point of significance at p = 0.001 (p<0.05) and ES = 1.04 (large effect). The level differences of initial assessment and final assessment of the intervention group is p = 0.001 (p<0.05). Conclusion: Based on the research output, it can be concluded statistically and clinically that the intervention of giving Humanis spiritual care intervention affects the decrease of pain levels of gynecology cancer patients.

Kata Kunci : Nyeri Kanker, Perawatan Spiritual, Kanker Ginekologi, Cancer Pain, Spiritual Care, Gynecology Cancer