HUBUNGAN ANTARA DERAJAT NYERI DENGAN TINGKAT KUALITAS HIDUP PASIEN KANKER PARU YANG MENJALANI KEMOTERAPI

Abstract

Background. Lung cancer is the most common case of malignancy and the leading cause of death from malignancy throughout the world, more so in Indonesia, which most of population are smokers. In general, lung cancer is found at an advance stage, specifically stage IIIB and IV, so that the main goals of therapy are to increase life expectancy and quality of life. Chemotherapy is one of the options of palliative therapy. Chemotherapy cause many side effects including pain. In addition, pain can also occur due to the cancer itself. Objective. To prove the correlation between pain intensity and quality of life in lung cancer patients undergoing chemotherapy. Methods. Cross-sectional analysis was conducted on 13 lung cancer patients from the Chemotherapy Department, Kariadi Hospital, Semarang from April to June 2015. Sosiodemographic characteristics and clinical data including diagnosis, cancer stage, performance status, and chemotherapy cycle were obtained from the medical records, followed by a questionnaire-based interview afterwards. Statistical analysis using Perason and Spearman were performed. Results. The mean of pain intensity of the patients was 6,5 ± 2,22 and mean of quality of life score was 799,6 ± 81,05. The results showed that there was no significant correlation between pain intensity and quality of life in lung cancer patients undergoing chemotherapy (p=0,8). Pain intensity had a significant correlation (r=-0,854) with global quality of life (p<0,001) and dyspneu (r=0,537) with p=0,04. Conclusion. There was no correlation between pain intensity and quality of life in lung cancer patients undergoing chemotherapy. Key word: lung cancer, chemotherapy, pain intensity, quality of life