Respon Fisik Dan Psikologi Wanita Dengan Kanker Serviks Yang Telah Mendapat Kemoterapi Di RSUD Dr Moewardi Surakarta

Erlinda Kusuma Wardani(1*), Winarsih Nur Ambarwati(2),

(1) Universitas Muhammadiyah Surakarta
(2) Universitas Muhammadiyah Surakarta
(*) Corresponding Author


: Cervical cancer is a gynecological disease that causes the most deaths, especially in developing countries. Chemotheraphy is the major alternative treatment of cervical cancer. Chemotheraphy has an impact in many sector of life. Among others, the physical and psychological impact such as psychosocial stress felt by most of women after cervical cancer diagnosis and during treatment. Purpose of this study is to find a representation related to physical and psycological respons in cervical cancer survivor under the chemotheraphy in RSUD Dr Moewardi Surakarta. The design of this research is a qualitative research. Methods: This research is using a phenomenological approach and purposive sampling technique. The number of participant is 8 women who are diagnosed with cervical cancer stage IIB to IVA and had been on chemotheraphy at least 2 times. The methods of data collection is using depth interviews with structure interview technique, observation, field notes, tape recorders and cameras. The result of the study in physical respons includes nausea and vomit, constipation, alopecia, weight loss, peripheral neuropathy, fatigue, decrease in appetite, skin toxicities (vein becomes dark), pain and taste changes. While, the psycological responses which found include anxiety, striving to normality, negative self-esteem, sadness and resignation. Result: Chemotheraphy has the real effects on patients’s physical and psychological.


Chemotheraphy; Physical respons; Psychological respons

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American Cancer Society. 2013.Understanding Chemotheraphy: A Guide for Patients and Families.

Anwar, M., Baziad, A., Prabowo, P (Ed). 2011. Ilmu kandungan.Jakarta : PT Bina ustaka Sarwono Prawiroharjo.

Avila, G. J. 2004. Pharmacologic Treatment of Constipation in Cancer Patients. Journal of Departement of Pharmacy, ol. 11, No.3,

Aydogan., Kavak, A., Parlak, H. A., Alper, M., Annakkaya, N. A., Erbas, M. 2005. Persistent Serpentine Supravenous Hyperpigmented Eruption Associated with Docetaxel. Journal of European Academy of Dermatology and Venereology, Doi: 10.1111/j.1468 3083.2005.01088.x

Bartoces, G. M., Severson, K. R., Rusin, A. B., Schwartz, L. K., Ruterbusch, J. J., Neale, V. A. 2009. Quality of Life and Self Esteem of Long Term Survivors of Invasive and Noninvasive Cervical Cancer. Journal ofWomen’s Health, Vol. 18, No. 5. Doi: 10.1089/jwh.2008.0959.

Cherwin, H. C. 2012. Gatrointestinal Symptom Representation in Cancer Symptom Clusters: A Synthesis of the Literature. Journal of Oncology Nursing Society, Doi: 10.1188/12.ONF.157-165

Decherney, A., Goodwin, M., Nathan, L., Laufer, N. 2007.Current Diagnosis and Treatment Obstetrics and Gynecology (10th ed). New York: McGraw-Hill.

Dizon, D., Krychman, L. M., Disilvestro, A. P. 2011. 100 Tanya Jawab Mengenai Kanker Serviks (Alexander sindoro, Penerjemah). Jakarta: Indeks.

Fabbrocini, G., Cameli, N., Romano, C. M., Mariano, M., Panariello, L., Bianca, D., Monfrecola, G. 2012. Chemotherapy and Skin Reaction. Journal of Experimental and Clinical Cancer Research, 31:50. /31/50

Feldman, S. R. 2012. Pengantar Psikologi (Ed. 10) (Petty Gina & Putri Nurdina, penerjemah). Jakarta: Salemba Humanika

Fiore, D. F., & Cutsem, V. E. 2009. Acute and long-term gastrointestinal consequences of chemotherapy. Journal of Research Clinical Gastroenterology. University Hospital Gasthuisberg, Belgium, Doi: 10.1016/j.bpg.2008.11.016

Gralla, J. R., Grunberg, M. S., Messner, C. 2008. Coping with Nausea a Vomiting from Chemotheraphy.

Hawkins, R., & Grunberg, S. 2009. Chemotherapy Induced Nausea and Vomiting: Challenges and Opportunitiesfor Improved Patients Outcomes. Journal of Oncology Nursing or the Oncology Nursing Society. Vol. 13, No. 1, Doi: 10.118/09.CJON,55-64

Holland, C. J., & Alici, Y. 2010. Management of Distress in Cancer Patients. Journal of Supportive Oncology, 8:4- 12

Hong, H.J., Ozbek, O. P., Stanek, T. B., Dietrich, M. A., Duncan, E. S., Lee, W. Y., Lesser, G. 2009. Taste and Odor Abnormalities in cancer Patients. The Journal of Supportive Oncology, 7:58 65. www.SupportiveOncology.n t

Lara, S. K., Morales, U. E., Kuba, M. D., Green, D. 2012. Gastrointestinal symptoms and weight loss in cancer patients receiving chemotherapy.British journal of Nutrition, 894-897. Doi: 10.1017/S00071145120020 3.

Luanpitpong, S., & Rojanasakul, Y. 2012. Chemotherapy Induced Alopecia Topics in Cancer Survivorship. Journal of Europe: In Tech. ISBN: 978 953 3078946,www.intechopen.c m.

Mitchell, T. 2007. The Social and Emotional Toll ofChemotherapy patients perspective. European Journal of Cancer Care, 39 47, Doi: 10.1111/j.1365 2354.2006.0070i.x

Pierobon, A., Giardini, A., Callegari, S., Majani, G. 2011. Psychological Adjusment to a Chronic Illness: The Contribution from Cognitive Behavioural Treatment in a Rehabilitation Setting. Giornale Italiono diMedicine del Lavoro ed Ergonomia Supplemento Psicologia, ISSN 1592 7830, Vol. 33.

Raphael J et al. 2010. Cancer pain: Part 1: Pathophysiology; Oncological, Pharmacological, and Psychological Treatmens: A Perspective from the British Pain Society Endorsed by the UK Association of Palliative Medicine and the Royal College of General Practitioners. Journal of Pain Medicine Wiley Periodicals, 11: 742-764

Ream, E., Richardson, A., Dann, A. C. 2006. Supportive Intervention for Fatigue in Patients Undergoing Chemotherapy. Journal ofPain and Symptom Management, Vol. 31, No. 2. Doi:10.1016/j.jpainsymman. 0007.003

Rim, H. 2012. Chemotherapy Induced Anemia in Cancer Patients. Journal of Abrasom Cancer Center of the University of Pennsylvania.

Shuang, L., Ting, H., Yile, C., Hang, Z., Xiong, L., Xiodong, C., Ru, Y., Shisuan, W., Xing, X.,Ding, M. 2013. Adjuvant chemotherapy A valuable alternative option in selected patients with cervical cancer. Journal of Departement of obstetric and gynecology tongji hospital: China. PLoS ONE 8(9): e73837. doi:10.1371/journal.pone.00738 37

Silverman, S. 2006. Diagnosis and Management of Oral Mucositis. Journal Support Oncology, Vol. 5, No.2,www.SupportiveOncol

Tiligada, E. 2006. Chemotherapy: Induction of Stress Responses. Journal ofDepartement of Experimental Pharmacology Medical School University of Athens, Doi: 10.1677/erc.1.01272,http:// www.endocrinology

Trevino, M. K., Maciejewski, K. P., Fasciano, K., Greer, A, J., Partridge, A., Kacel, L. E., Block, S., Prigerson, G, H. 2011. Coping adn Psychological Distress in Young Adults with Advanced Cancer. The Journal ofSupportive Oncology, Doi: 10.1016, Vol. 20. www.SupportiveOncology.n t

Trueb, M. R. 2009. Chemotheraphy Induced Alopecia. Journal of Departement of Dermatology UniversityHospital of Zurich, Doi 10.1016/j.sder.2008.12.001.

Vitkauskaite, E., Juozaityte, E., Drukteniene, J., Bunevicius, R. 2011. A Systematic Review of Cancer RelatedFatigu. BiologicalPsychiatry and Psychopharmacology. Vol. 13.

Wolf, S., Barton, D., Kottschade, L., Grothey, A., Loprinzi, C.2008. Chemotherapy Induced PeripheralNeuropathy Prevention and Treatment Strategies.European journal of cancer, 1507 – 1515. Doi: 10.1016/j.ejca.2008.04.018,

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