Analysis of the Effectiveness of Counseling and Digital Booklet by Pharmacist on Adherence and Pain Control of Cancer Patients at Dharmais Cancer Hospital

Abstract

Objective: This study aimed to compare the effectiveness of counseling and digital booklet on the level of treatment adherence through reduced pain scale, Morisky Medication Adherence Scale (MMAS-8) scores, and pill count scores in patients with cancer pain using opioid analgesics. Methods: The author conducted this study at Dharmais Cancer Hospital with a quasi-experimental design. The study sample consisted of 134 respondents who met the inclusion and exclusion criteria, underwent a counseling intervention, and received a digital booklet. The author divided the sample into two groups, the counseling group (n=67) and the digital booklet group (n=67). Adherence level was measured using MMAS-8 and pill count. The pain scale was measured using the Numerical Rating Scale. Those measurements were conducted before the intervention (pre-test) and after 2 weeks of provisioning counseling and receipt of the digital booklet (post-test). Results: The results showed that each counseling and digital booklet improve adherence (p<0.05) and decrease pain scale (p<0.05). There was a significant difference in changes in the level of adherence (p=0.027) between the two groups. However, there was no significant difference in changes in the pain scale (p=0.132) between the two groups. Conclusions: The analysis showed a significant difference (p<0.05) between adherence level and pain scale before and after intervention by both counseling and digital booklet. Nevertheless, adherent increasing and pain scale reduction by counseling is better than a digital booklet.

Pengaruh Intervensi terhadap Kepatuhan Penggunaan Analgesik Opioid dan Skala Nyeri Pasien Kanker

“…Hasil penelitian yang dilakukan di Rumah Sakit Kanker Dharmais Indonesia menunjukkan bahwa pemberian intervensi edukasi berupa konseling dan buklet digital keduanya meningkatkan kepatuhan dan menurunkan skala nyeri (Shavira, Andrajati and Putri, 2021).…”