Effect of Cancer Related Fatigue tTo the Level of Independence of Cancer Patients and Caregiver Stress Level

Abstract

Chemotherapy/radiation in cancer patients causes cancer-related fatigue (CRF). It affects the level of independence of patients’ activity of daily living (ADL). Thus, the responsibility of caregivers will be higher and it impacts on caregiver stress level. The aim of this study was to prove the effects of CRF on independence level of cancer patients and caregivers’ stress level. This study used analytical associative design. The population was cancer patients and caregivers in Yayasan Kanker Indonesia in East Java. The number of samples were 30 cancer patients and 30 caregivers, taken by total sampling method. The assessment was based on instrument brief fatigue questionnaire, activity of daily living based on Katz, and caregiver stress on self assessment questionnaire. The effects of CRF on the level of independence were indicated by p=0.000, and the levels of independence of the caregiver stress level were indicated by p=0.000. As a conclusion, the failure of muscle function due to CRF can affect the independence of patient’s ADL fulfilling, so caregiver should take much time to treat patient and it affects on the increased stress level of caregiver.

Effectiveness of applying fatigue Nursing Guidelines on Oncology Patient Health Outcome

“…This results goes in the same line with the study done in Indonesia by Werdani (2018) who mentioned that most of the cancer patients had severe fatigue and the researcher defined severe fatigue as the fatigue felt by the patients for the last 24 hours that disrupts their activity, worsens their mood, and prevents interaction with others, so the enjoyment of life is interrupted. Also, it may be attributed to that the etiology of cancer related fatigue is complex and multidimensional, including several actual aspects.…”

Pengaruh caregiving pada pasien kanker terhadap tingkat caregiver burden

“…Berbagai keluhan yang dihadapi oleh pasien kanker menyebabkan tingginya tingkat ketergantungan pasien kepada orang lain, dalam hal ini adalah caregiver. Sejumlah 86.6% pasien kanker memiliki ketergantungan pada caregiver dengan tingkatan yang bervariasi, dan jumlah yang terbesar berada pada tingkat ketergantungan berat yaitu 36.7% (Werdani, 2018). Minimnya tingkat kemandirian pasien inilah yang menyebabkan perlu dilakukan caregiving secara totalitas.…”

“…Kelelahan/ cancer related fatigue (CRF) menjadi aspek utama yang selalu terjadi pada pasien pasca kemoterapi maupun radiasi. 50% pasien kanker mengalami CRF pada tingkat kelelahan berat (Werdani, 2018). Tingginya tingkat kelelahan pasien kanker mengakibatkan pasien menjadi terhambat dalam memenuhi aktivitas sehari-harinya, sehingga membutuhkan peran caregiver dalam membantu memenuhi kebutuhan tersebut.…”

“…Hal ini mengakibatkan tingkat ketergantungan pasien terhadap caregiver menjadi tinggi. (Werdani, 2018) juga menjelaskan bahwa 86.6% pasien kanker memiliki ketergantungan pada caregiver. Hal ini tertuang dalam hasil penelitian bahwa caregiving yang diberikan oleh caregiver mayoritas berada pada tingkat moderate.…”

Acupressure Therapy as Alternative Treatment on Cancer-Related Fatigue in Cancer Patients

“…Severe fatigue is experienced by 50% of cancer patients and they had a caregiver dependency level of 86.6% with the majority was the severe dependence. (Werdani, 2018). Based on the results of the preliminary survey in 2017 at Indonesian Cancer Foundation East Java Branch, cancer patients with CRF only received pharmacological treatment from the hospital and they only reduced their activities when they felt fatigue (Werdani, 2018).…”