Analysis of Factors for Palliative Care for Breast Cancer Patients in Java in 2020

Abstract

This study pays attention to breast cancer patients in Java Province in 2020 because it aims to analyze factors related to palliative care, especially for patients with cervical cancer. So, it is hoped that this research will be useful as a suggestion for breast cancer patient health services. In this study, using a cross sectional research method. Research data was taken from several sources such as cancer foundations and family planning associations. This study uses a measuring instrument in the form of instruments from secondary data and a PNPC (Problem and Needs of Palliative Care) questionnaire. The sampling method in this study was purposive sampling, with a total sample of 178 female patients with breast cancer. Patients with breast cancer ≥ 1 year, age ≥ 20 years, able to write and read, in a conscious and stable state, were the inclusion criteria for this study. From the results of the study, with multivariate analysis, linear regression, the monthly income was obtained (with a value of t = -2.90, p value = 0.04, 95% CI = -3,789, -1,807), marital status (t = -2.10, p value = 0.04, 95% CI = -3,111, -1,665), place of domicile (t = -5.10, p value = 0.04, 95% CI = -4,211, -1,415), the patient also had difficulty accepting meaning or perceptions of death. Then breast cancer patients also felt difficult and confused to tell their complaints (t = -6.10, p value = 0.04, 95% CI = -6.211, -1.667, then the patient felt distressed and lacked knowledge about pain management (t = -5.33, p value = 0.03 95% CI = -3.211, 1.886.From these factors the results are related to the palliative care of breast cancer patients in Java, Indonesia in 2020, with an R value of 0.109. This, nurses, doctors, families must increase their role proactively. The motivation of the patient's family must also be studied in the future because the patient's family is actively participating by participating in the training of doctors and nurses who perform health services to these patients. For other researchers, it can also improve further study so that palliative care of women with breast cancer can run smoothly both at home and in the hospital.