Latar belakang : nyeri pada pasien kanker kolorektal merupakan pengalaman yang tidak menyenangkan yang terjadi pada pasien akibat dari adanya penekanan sel tumor dan juga efek samping obat kemoterapi. Nyeri dapat berdampak pada berbagai aspek baik biopsikososiokultural dan spiritual. Tujuan dari penelitian untuk mendeskrisikan skala nyeri pada pasien kanker kolorektal yang menjalani kemoterapi. Metode : Metode penelitian merupakan penelitian deskriptif. Subyek penelitian sebanyak 24 pasien kanker kolorektal dengan kemoterapi ditentukan dengan teknik simple random sampling. Data dikumpulkan menggunakan instrumen buku harian yang didalamnya terdapat numeric rating scale untuk nyeri. Hasil : Nilai rata-rata kemampuan aktivitas pasien hari pertama hingga hari kesembilan yaitu 4,33SD 1,09 hingga 3,45 SD 1,06. Kesimpulan : Nyeri pada pada pasien kanker kolorektal yang menjalani kemoterapi ada pada kategori sedang. Perawat hendaknya mengkaji nyeri pada pasien kanker kolorektal yang menjalani kemoterapi dan memberikan intervensi yang tepat.
MDR TB (multidrug-resistant) is tuberculosis caused by Mycobacterium tuberculosis which has developed immunity to OAT (rifampin and isoniazid). The incidences of MDR TB are an artificial phenomenon (artificial phenomenon) due to inadequate TB treatment. Adherence to TB treatment is a factor that influences the incidence of MDR TB. This study aims to determine the relationship of adherence with the incidence of MDR TB in TB patients with a case-control design. The number of respondents in this study was 20 case respondents and 20 control respondents at Embung Fatimah Hospital, Batam City. The sampling technique used purposive sampling with a non-probability sampling technique. The results of the chi-square test obtained a p-value = 0.004 (< 0.05), then H? is accepted, this indicates that there is a significant relationship between adherence and the incidence of MDR TB in Embung Fatimah Hospital, Batam City in 2019, with an OR value of 7,000 where medication adherence with no category has a seven times greater risk of developing MDR TB. This study concludes that there is a relationship between compliance with the incidence of MDR TB at Embung Fatimah Hospital, Batam City, in 2019. The implication of this study is to identify one of the factors that have a relationship with the incidence of MDR TB to reduce the increase in the incidence of MDR TB. Keywords: Relevance, Compliance, MDR TB, OAT, TB
Background: Barriers to performing activities of daily living are common complaints of patients with cancer. One of the factors causing these barriers is pain. A modified pro-self pain control is a method used to enhance the patients' ability to cope with pain to increase their activity. Purpose: This study aimed to evaluate the modified pro-self pain control to increase activity in patients with colorectal cancer undergoing chemotherapy. Methods: The present study employed an experimental design. Patients with colorectal cancer undergoing chemotherapy were randomly assigned to the intervention group (n=24) and the control group (n=24). The patients in the control group were given a standard hospital intervention, while the patients in the intervention group were given the modified pro-self pain control for nine days. The data were collected using the instrument of KATZ index and analyzed using the independent t-test. Results: The result of this study showed that there was a higher increase of activity among the patients in the intervention group than in the control group. Independent ttest showed that there was a significant difference between the intervention group and the control group (p=0.00). Conclusion:The modified pro-self pain control was found more effective to increase the activity in patients with colorectal cancer undergoing chemotherapy than that of the standard hospital intervention.
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