Chemotherapy Side Effects and Their Correlation with Self-Concept Disruption in Cancer Patients

Yustina Emi Setyobudi* -  STIKES Panti Waluya Malang, Indonesia
Ifa Pannya Sakti -  STIKES Panti Waluya Malang, Indonesia

Introduction: Chemotherapy, while an effective cancer treatment, often brings significant side effects that can negatively impact patients' psychological well-being, including their self-concept. This issue is critical, as a disturbed self-concept may influence patients' overall health and their response to treatment. Objectives: This study aims to determine the relationship between the side effects of chemotherapy and self-concept disturbances in cancer patients. Methods: This research employed a descriptive correlational design using a cross-sectional approach. The population consisted of cancer patients undergoing chemotherapy in January 2016. Data collection used structured questionnaires measuring both the severity of chemotherapy side effects and the level of self-concept disturbance. The Chi-Square test was used for data analysis with a significance level of 5% (α = 0.05). Results: The majority of respondents (83%) experienced severe side effects of chemotherapy, and 67% of them showed negative disturbances in self-concept. The statistical test revealed a significant relationship between chemotherapy side effects and self-concept disturbance (p = 0.015), indicating that patients with more severe side effects tend to have more disturbed self-concepts. Conclusions: There is a significant relationship between the side effects of chemotherapy and self-concept disturbance among cancer patients. These findings highlight the importance of psychological support and counseling in cancer care to help patients maintain a positive self-concept during treatment.

Keywords : Chemotherapy; Side Effects; Self-Concept; Cancer Patients; Psychological Support.

  1. Smeltzer, S. C., & Bare, B. G. (2014). Buku ajar keperawatan medikal bedah Brunner & Suddarth (Edisi ke-12, Vol. 1–2). Jakarta: EGC.
  2. Donadoear, A. (n.d.). Pelaksanaan kemoterapi di RSUP Dr. Hasan Sadikin. Jurnal Kesehatan.
  3. Ester, J. (2012). Pengaruh efek samping kemoterapi terhadap gangguan konsep diri pasien kanker di RSUP H. Adam Malik Medan (Skripsi). Medan.
  4. Infodatin. (2015). Hari kanker sedunia tahun 2015. Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia.
  5. Lutfat, U. (2009). The effect of combining herbal therapy with conventional chemotherapy on the incidence of chemotherapy side effects in 2nd stage breast cancer patients. Journal of American Science.
  6. Muhammad, R. (2012). Hubungan dukungan keluarga dengan motivasi kemoterapi pasien kanker payudara di RSUD Kraton Kabupaten Pekalongan (Naskah Publikasi). Universitas Muhammadiyah Semarang.
  7. Nimas, A. (2012). Kualitas hidup pada penderita kanker serviks yang menjalani pengobatan. Jurnal Psikologi Klinis dan Kesehatan Mental, 1. Surabaya: Fakultas Psikologi Universitas Airlangga.
  8. Notoatmodjo, S. (2010). Metodologi penelitian kesehatan. Jakarta: Rineka Cipta.
  9. Nursalam. (2008). Konsep dan penerapan metodologi penelitian ilmu keperawatan: Pedoman skripsi, tesis dan instrumen penelitian keperawatan. Jakarta: Salemba Medika.
  10. Octaviani, N. (2013). Hubungan perubahan fisik pasien kemoterapi dengan konsep diri pada penderita kanker serviks di Ruang Mawar 3 RSUD Dr. Moewardi (Skripsi). Universitas Muhammadiyah Surakarta.
  11. Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (7th ed.). Jakarta: Salemba Medika.
  12. Riskesdas. (2013). Data riset kesehatan dasar. Balitbangkes, Kementerian Kesehatan Republik Indonesia.
  13. Saam, Z., & Wahyuni, S. (2013). Psikologi keperawatan (Edisi 1, Cetakan ke-2). Jakarta: PT Raja Grafindo Persada.
  14. Sammuel, S. (2011). Motivasi pasien kanker menjalani pengobatan kemoterapi. Jakarta: Trans Info Media.
  15. Sugiyono. (2015). Statistika untuk penelitian (Cetakan ke-26). Bandung: Alfabeta.
  16. Sukardja, I. D. G. (2010). Onkologi klinik (Edisi ke-2). Surabaya: Airlangga University Press.
  17. Sutanto, P. H. (2007). Modul analisa data kesehatan. Jakarta: Fakultas Kedokteran Universitas Indonesia.
  18. Tamsuri, A. (2008). Riset keperawatan bagi pemula. Kediri: Pamenang Press.
  19. Tarwoto, & Wartonah. (2006). Kebutuhan dasar manusia dan proses keperawatan. Jakarta: Salemba Medika.
  20. Yunita, P. (2012). Gambaran kemoterapi di RSUP H. Adam Malik Medan (Skripsi). Medan

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