Modifikasi Pro Self Pain Control untuk Menurunkan Nyeri dan Meningkatkan Kemampuan Aktivitas Pada Pasien Kanker Kolorektal yang Menjalani Kemoterapi

Abstract

Cancer pain is an unpleasant experience as a result of tissue damage due to cancer and side effects of chemotherapy. One of impacts of pain is a disturbance of activity. The obstacles encountered in the implementation of pain management include the lack of knowledge and ability of the patients to cope with pain independently. A modification of pro-self pain control is an alternative method used to improve the ability of patients to cope with pain independently so that their activity can be increased. This study aimed to evaluate the relationship between the pain and activity and prove that the modified pro-self pain control could decrease the pain and increase the activity in patients with colorectal cancer undergoing chemotherapy. 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 control pain for 9 days. The data were collected by using the instrument of Numeric Rating Scale (NRS) and KATZ index and analyzed by using the Pearson correlation, paired t-test dan independent t-test. The results of correlation test showed the p-value of <0.001 and r= -0.58. The comparisson test show that in the intervention group, the mean of pain decreased from 4.71±1.27 to 1.80±1.12 (p <0.001), whereas in the control group, the pain decreased from 4.33±1.09 to 3.33±1.16 (p <0.001). The activity in the intervention group increased from 4.29±1.30 to 5.17±0.72 (p <0.001), while in the control group, it increased from 4.62±1.06 to 4.92±1.05 (p=0.05). The results of the mean difference between the two groups also found the p-value of <0.001 for the pain, and p of <0.001 for the activity. The study concluded that there was a relationship between the pain and activity. The modified pro-self pain control could decrease the pain and increase the activity in patients with colorectal cancer undergoing chemotherapy. Keywords: pain, activity, modified pro-self pain control, colorectal cancer