Pengaruh Self-Selected Individual Music Therapy (SeLIMuT) terhadap Cancer Related Fatigue (CRF) pada Pasien Kanker

https://doi.org/10.22146/jkkk.88696

Gracia Rosiharjati Sarihastanti(1*), Sri Setiyarini(2), Christantie Effendy(3)

(1) Program Studi Ilmu Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(2) Departemen Keperawatan Dasar dan Emergensi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(3) Departemen Keperawatan Medikal Bedah, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Cancer is the second leading cause of death globally. Patients with cancer have various problems, both physicaly and physiologicaly, that are caused by the cancer itself or the effect of its treatment. One of the most common problems is cancer related fatigue (CRF). Music therapy is a kind of intervention to decrease CRF in cancer patient.
Objective: To understand the effect of Self-Selected Individual Music Therapy (SeLIMuT) intervention toward CRF and to measure relative risk between SeLIMuT and CRF.
Method: The design of this study was cohort retrospective with analytic observational approach. Research was conducted in IRNA 1 RSUP Prof. Sardjito Yogyakarta, Teratai and Bougenville unit of RSUD Prof. Margono Soekarjo Purwokerto. Respondents were divided into non exposure group with standard care in hospital (n = 21) and exposure group (n = 21) with SeLIMuT therapy four times in two days within 15-20 minutes. CRF was assessed in both group using visual analogue scale (VAS) Fatigue and had been put in observational sheet. This study used independent T test to measure the effect of SeLIMuT on CRF. The relative risk was calculated using RR with 95% confidence interval (CI).
Results: The result of the study showed that there was difference in average pre post in both groups with score 8,33 in SeLIMuT group and -1,53 in non SeLIMuT group with score of p = 0,00 (p < 0,05). CRF occurred in SeLIMuT group was decreased after intervention. The relative risk was measured using RR and the result was 5,00. 
Conclusion: SeLIMuT intervention is an effective intervention to reduce CRF.

ABSTRAK

Latar belakang: Kanker merupakan penyebab kematian kedua di dunia. Pasien kanker mengalami banyak permasalahan fisik dan psikis, baik karena efek proses penyakit maupun dari efek samping pengobatan. Masalah yang banyak timbul pada pasien kanker adalah cancer related fatigue (CRF). Salah satu intervensi yang digunakan untuk mengatasi CRF adalah terapi musik.
Tujuan: Mengetahui pengaruh Self-Selected Individual Music Therapy (SeLIMuT) terhadap CRF.
Metode: Penelitian diambil dari data sekunder penelitian SeLIMUT menggunakan metode observasional analitik dengan pendekatan cohort retrospective yang dilakukan di IRNA 1 RSUP Prof. Sardjito Yogyakarta serta bangsal Teratai dan Bougenville RSUD Prof. Margono Soekarjo Purwokerto. Responden dibagi dalam kelompok intervensi (n = 21) yang menerima SeLIMuT sebanyak empat kali dalam dua hari masing-masing selama 15-20 menit dan kelompok kontrol (n = 21) yang hanya mendapatkan perawatan standar rumah sakit. Visual analogue scale (VAS) fatigue digunakan untuk menilai outcome CRF yang dilakukan sebelum (pretest) dan setelah (posttest). Uji pengaruh SeLIMuT terhadap CRF menggunakan independent T test. Uji besar risiko menggunakan relative risk (RR) dengan confidence interval (CI) sebesar 95%.
Hasil: terdapat perbedaan rerata selisih pre-post pada kelompok intervensi sebesar 8,33 dan kelompok kontrol -1,53 dengan nilai p = 0,001 (p < 0,005). Hal ini menunjukkan bahwa terapi SeLIMuT berpengaruh terhadap penurunan CRF pada pasien kanker. RR didapatkan sebesar 5,00. Hal ini berarti bahwa SeLIMuT memiliki efek yang cukup besar terhadap penurunan CRF. Pasien kanker dengan SeLIMuT berpeluang tidak mengalami CRF kategori tidak lelah-lelah ringan 5x lebih banyak dibanding kelompok yang tidak mendapat intervensi.
Kesimpulan: SeLIMuT dapat berpengaruh positif terhadap penurunan cancer related fatigue pada pasien kanker. 


Keywords


cancer related fatigue; Self-Selected Individual Music Therapy

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DOI: https://doi.org/10.22146/jkkk.88696

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