Kesimpula l n

Setela^lh dila^lkuka^ln penelitia^ln ya^lng berjudul Penga^lruh Sta^ldium Ka^lnker Pa^lyuda^lra^l Terha^lda^lp Dera^lja^lt Nyeri Da^ln Kulita^ls Hidup Pa^lsien Ka^lnker Pa^lyuda^lra^l di RSU. Ha^lji Meda^ln. Ma^lka^l, da^lpa^lt disimpulka^ln seba^lga^li berikut:

1. Terda^lpa^lt penga^lruh ya^lng signifika^ln a^lnta^lra^l sta^ldium ka^lnker pa^lyuda^lra^l denga^ln dera^lja^lt nyeri da^ln kua^llita^ls hidup pa^lsien ka^lnker pa^lyuda^lra^l.

2. Pa^lsien ka^lnker pa^lyuda^lra^l ya^lng beroba^lt ja^lla^ln di poli beda^lh RSU. Ha^lji Meda^ln pa^lling ba^lnya^lk bera^lda^l pa^lda^l sta^ldium la^lnjut

3. Pa^lsien ka^lnker pa^lyuda^lra^l ya^lng beroba^lt ja^lla^ln di poli beda^lh RSU. Ha^lji Meda^ln ma^lyorita^ls memiliki dera^lja^lt nyeri seda^lng hingga^l bera^lt, denga^ln penga^lruh nyeri terha^lda^lp a^lktivita^ls seha^lri-ha^lri pa^lda^l ka^ltegori seda^lng hingga^l bera^lt 5. Pa^lsien ka^lnker pa^lyuda^lra^l ya^lng beroba^lt ja^lla^ln di poli beda^lh RSU. Ha^lji Meda^ln

ma^lyorita^ls memiliki kua^llita^ls hidup seda^lng.

5.2 Sa^lra^ln

Da^lri sera^lngka^lia^ln penelitia^ln ya^lng tela^lh ya^lng dila^lkuka^ln oleh peneliti, ma^lka^l da^lpa^lt ditemuka^ln bebera^lpa^l sa^lra^ln ya^lng da^lpa^lt ditera^lpka^ln pa^lda^l penelitia^ln sela^lnjutnya^l berupa^l :

1. Penelitia^ln ini da^lpa^lt dila^lnjutka^ln denga^ln mena^lmba^lh jumla^lh popula^lsi da^ln subjek penelitia^ln ya^lng lebih ba^lnya^lk la^lgi untuk menda^lpa^ltka^ln dera^lja^lt nyeri da^ln da^ln kua^llita^ls hidup ya^lng lebih berva^lria^lsi.

2. Penelitia^ln ini da^lpa^lt dila^lnjutka^ln denga^ln mengguna^lka^ln jenis kuesioner ya^lng lebih bera^lga^lm la^lgi.

3. Kepa^lda^l dokter serta^l kelua^lrga^l ya^lng mera^lwa^lt pa^lsien ka^lnker pa^lyuda^lra^l disa^lra^lnka^ln lebih memperha^ltika^ln nyeri ka^lnker ya^lng dia^lla^lmi pa^lsien ka^lnker pa^lyuda^lra^l da^ln memberika^ln dukunga^ln dika^lrena^lka^ln ha^ll tersebut da^lpa^lt berda^lmpa^lk pa^lda^l keseja^lhtera^la^ln hidup/ kua^llita^ls pa^lsien ka^lnker pa^lyuda^lra^l.

48

Universitas Muhammadiyah Sumatera Utara

DA^lFTA^lR PUSTA^lKA^l

1. Sung H, Ferla^ly J, Siegel RL, et a^ll. Globa^ll Ca^lncer Sta^ltistics 2020:

GLOBOCA^lN Estima^ltes of Incidence a^lnd Morta^llity Worldwide for 36 Ca^lncers in 185 Countries. CA^l Ca^lncer J Clin. 2021;71(3):209-249.

doi:10.3322/ca^la^lc.21660

2. Łuka^lsiewicz S, Czeczelewski M, Forma^l A^l, Ba^lj J, Sita^lrz R, Sta^lnisła^lwek A^l. Brea^lst Ca^lncer-Epidemiology, Risk Fa^lctors, Cla^lssifica^ltion, Prognostic Ma^lrkers, a^lnd Current Trea^ltment Stra^ltegies-A^ln Upda^lted Review. Ca^lncers (Ba^lsel). 2021;13(17). doi:10.3390/ca^lncers13174287

3. GLOBOCA^lN. Indonesia^l Popula^ltion Fa^lct Sheets. Published 2020. A^lccessed A^lugust 10, 2022. https://gco.ia^lrc.fr/toda^ly/da^lta^l/fa^lctsheets/popula^l tions/360-indonesia^l-fa^lct-sheets.pdf

4. Ca^lra^lceni A^l, Shkodra^l M. Ca^lncer Pa^lin A^lssessment a^lnd Cla^lssifica^ltion.

Ca^lncers (Ba^lsel). 2019;11(4). doi:10.3390/ca^lncers11040510

5. A^lngela^l D, A^lrdia^lnsya^lh D, Supbra^lba^lwa^lti GA^l. Hubunga^ln intensita^ls nyeri denga^ln kua^llita^ls hidup pa^lsien ka^lnker pa^lyuda^lra^l ya^lng menja^lla^lni kemotera^lpi di PPLK RSUD Dr. Soetomo. Intisa^lri Sa^lins Medis . 2022;13, Number 1:109-116. doi:10.1556/ism.v8i3.135

6. Costa^l WA^l, Monteiro MN, Queiroz JF, Gonça^llves A^lK. Pa^lin a^lnd qua^llity of life in brea^lst ca^lncer pa^ltients. Clinics. 2017;72(12):758-763.

doi:10.6061/clinics/2017(12)07

7. Bria^lni Sobri F, A^lzha^lr Y, Guna^lwa^ln Wibisa^lna^l I, Ra^lchma^ln A^l. Ma^lna^ljemen Terkini Ka^lnker Pa^lyuda^lra^l. II. SA^lGUNG SETO; 2018.

8. Da^lnta^ls de Oliveira^l NP, Guedes TSR, Hola^lnda^l A^lM, et a^ll. Functiona^ll Disa^lbility in Women Submitted to Brea^lst Ca^lncer Trea^ltment. A^lsia^ln Pa^lc J Ca^lncer Prev. 2017;18(5):1207-1214. doi:10.22034/A^lPJCP.2017.18.5.1207 9. Kementeria^ln Keseha^lta^ln Republik Indonesia^l. Profil Keseha^lta^ln Indonesia^l

Ta^lhun 2020.; 2021. A^lccessed July 23, 2022. https://www.kemkes.go.id 10. Ma^lrsia^l Y*, Sulistya^lwa^lti D. Penga^lruh Psikoeduka^lsi Terha^lda^lp Sika^lp Da^ln

Perila^lku Sa^lda^lri Da^lla^lm Mendeteksi Ka^lnker Pa^lyuda^lra^l Pa^lda^l Rema^lja^l Putri.

Vol 16.; 2020.

11. WHO. Brea^lst ca^lncer. https://www.who.int/news-room/fa^l ct-sheets/deta^lil/brea^lst-ca^lncer. Published Ma^lrch 26, 2021. A^lccessed July 30, 2022. https://www.who.int/news-room/fa^lct-sheets/deta^lil/brea^lst-ca^lncer 12. CDC. Wha^lt Is Brea^lst Ca^lncer? Published 2021. A^lccessed A^lugust 24, 2022.

https://www.cdc.gov/ca^lncer/brea^lst/ba^lsic_info/wha^lt-is-brea^lst-ca^lncer.htm 13. Sha^likh K, Krishna^ln S, Tha^lnki R. A^ln Introduction to Brea^lst Ca^lncer. In:

A^lrtificia^ll Intelligence in Brea^lst Ca^lncer Ea^lrly Detection a^lnd Dia^lgnosis.

Springer Interna^ltiona^ll Publishing; 2021:1-20. doi:10.1007/978-3-030-59208-0_1

14. Kuma^lr V, A^lbba^ls A^lK, A^lster JC. Robbins Ba^lsic Pa^lthology Ninth Edition.;

2013.

15. KEMENTRIA^lN KESEHA^lTA^lN RI DEP& PPPTM. Pedoma^ln Teknis Pengenda^llia^ln Ka^lnker Pa^lyuda^lra^l & Ka^lnker Leher Ra^lhim.; 2013.

Universitas Muhammadiyah Sumatera Utara

16. A^lkra^lm M, Iqba^ll M, Da^lniya^ll M, Kha^ln A^lU. A^lwa^lreness a^lnd current knowledge of brea^lst ca^lncer. Biol Res. 2017;50(1):33. doi:10.1186/s40659-017-0140-9

17. Purwa^lnto H, Ha^lndojo D, J. Ha^lryono S, A^lrif Ha^lra^lha^lp W, eds. Pa^lndua^ln Pena^lta^lla^lksa^lna^la^ln Ka^lnker Pa^lyuda^lra^l. PERA^lBOI ; 2014.

18. A^lulia^l. Ena^lm La^lngka^lh SA^lDA^lRI untuk Deteksi Dini Ka^lnker Pa^lyuda^lra^l. KEMENKES . Published November 7, 2016. A^lccessed A^lugust 15, 2022.

http://p2ptm.kemkes.go.id/ta^lg/ena^lm-la^lngka^lh-sa^lda^l ri-untuk-deteksi-dini-ka^lnker-pa^lyuda^lra^l

19. Komite Na^lsiona^ll Pena^lnga^lna^ln Ka^lnker (KPKN). Pa^lndua^ln Na^lsiona^ll Pena^lnga^lna^ln Ka^lnker Pa^lyuda^lra^l . Published online 2015.

20. Senkus-Konefka^l E; FL a^lnd SJ, Ca^lrdoso F, Douilla^lrd JY, Bra^lmley C, Longo F, Jezdic S. Brea^lst Ca^lncer: A^ln ESMO Guide for Pa^ltients. Europea^ln Society for Medica^ll Oncology. Published online 2018.

21. Cohen M, Quintner J, va^ln Rysewyk S. Reconsidering the Interna^ltiona^ll A^lssocia^ltion for the Study of Pa^lin definition of pa^lin. Pa^lin Rep.

2018;3(2):e634. doi:10.1097/PR9.0000000000000634

22. Silberna^lgl S, La^lng F. Teks & A^ltla^ls Berwa^lrna^l Pa^ltofisiologi. (Setia^lwa^ln I, Mochta^lr I, Resmisa^lri T, Liena^l, eds.). Penerbit Buku Kedoktera^ln EGC ; 2006.

23. Fra^lming Opioid Prescribing Guidelines for A^lcute Pa^lin. Na^ltiona^ll A^lca^ldemies Press; 2019. doi:10.17226/25555

24. JS C, PF K, i M, Fitzgera^lld LA^l, Sehdev JS. Physiology, Pa^lin. Sta^ltPea^lrls Publishing; 2022. A^lccessed A^lugust 3, 2022.

https://www.ncbi.nlm.nih.gov/books/NBK539789/

25. Bennett MI, Ka^la^lsa^l S, Ba^lrke A^l, Korwisi B, Rief W, Treede RD. The IA^lSP cla^lssifica^ltion of chronic pa^lin for ICD-11: chronic ca^lncer-rela^lted pa^lin. Pa^lin.

2019;160(1):38-44. doi:10.1097/j.pa^lin.0000000000001363

26. Ha^lefeli M, Elfering A^l. Pa^lin A^lssessment. Europea^ln Spine Journa^ll.

2006;15(S1):S17-S24. doi:10.1007/s00586-005-1044-x

27. Fillingim RB, Loeser JD, Ba^lron R, Edwa^lrds RR. A^lssessment of Chronic Pa^lin: Doma^lins, Methods, a^lnd Mecha^lnisms. J Pa^lin. 2017;17(9):T10-T20.

doi:10.1016/j.jpa^lin.2015.08.010

28. Ha^lyes C, West C, Egger G. Rethinking Chronic Pa^lin in a^l Lifestyle Medicine Context. In: Lifestyle Medicine. Elsevier; 2017:339-353.

doi:10.1016/B978-0-12-810401-9.00022-X

29. A^lneka^lr A^lA^l, Ca^lscella^l M. WHO A^lna^llgesic La^ldder. Sta^ltPea^lrls Publishing;

2022.

30. Da^lunda^lseka^lra^l SS, A^lrlingha^lus KR, Johnston CA^l. Qua^llity of Life: The Prima^lry Goa^ll of Lifestyle Intervention. A^lm J Lifestyle Med. 14(3):267-270.

doi:10.1177/1559827620907309

31. Rodriguez C, Ji M, Wa^lng HL, Pa^ldhya^l T, McMilla^ln SC. Ca^lncer Pa^lin a^lnd Qua^llity of Life. Journa^ll of Hospice & Pa^lllia^ltive Nursing. 2019;21(2):116-123. doi:10.1097/NJH.0000000000000507

32. Perwita^lsa^lri DA^l, A^ltthoba^lri J, Dwipra^lha^lsto I, et a^ll. Tra^lnsla^ltion a^lnd Va^llida^ltion of EORTC QLQ-C30 into Indonesia^ln Version for Ca^lncer

50

Universitas Muhammadiyah Sumatera Utara

Pa^ltients in Indonesia^l. Jpn J Clin Oncol. 2011;41(4):519-529.

doi:10.1093/jjco/hyq243

33. FA^lCT-G Functiona^ll A^lssessment of Ca^lncer Thera^lpy - Genera^ll. A^lccessed A^lugust 17, 2022. https://www.fa^lcit.org/mea^lsures/FA^lCT-G

34. Lemeshow. Besa^lr Sa^lmpel Da^lla^lm Penelitia^ln Keseha^lta^ln. UGM; 1997.

35. McGuire A^l, Brown J, Ma^llone C, McLa^lughlin R, Kerin M. Effects of A^lge on the Detection a^lnd Ma^lna^lgement of Brea^lst Ca^lncer. Ca^lncers (Ba^lsel).

2015;7(2):908-929. doi:10.3390/ca^lncers7020815

36. Johnson RH, A^lnders CK, Litton JK, Ruddy KJ, Bleyer A^l. Brea^lst ca^lncer in a^ldolescents a^lnd young a^ldults. Pedia^ltr Blood Ca^lncer. 2018;65(12):e27397.

doi:10.1002/pbc.27397

37. Sa^lri GN, Esha^lk ES, Shira^li K, Fujino Y, Ta^lma^lkoshi A^l, Iso H. A^lssocia^ltion of job ca^ltegory a^lnd occupa^ltiona^ll a^lctivity with brea^lst ca^lncer incidence in Ja^lpa^lnese fema^lle workers: the JA^lCC study. BMC Public Hea^llth.

2020;20(1):1106. doi:10.1186/s12889-020-09134-1

38. Ong CK, Forbes D. Embra^lcing Cicely Sa^lunders’s concept of tota^ll pa^lin.

BMJ. 2005;331(7516):576.5-577. doi:10.1136/bmj.331.7516.576-d

39. Medina^l J de MR, Trugilho I de A^l, Mendes GNB, et a^ll. A^ldva^lnced Clinica^ll Sta^lge a^lt Dia^lgnosis of Brea^lst Ca^lncer Is A^lssocia^lted with Poorer Hea^l lth-Rela^lted Qua^llity of Life: A^l Cross-Sectiona^ll Study. Eur J Brea^lst Hea^llth.

2019;15(1):26-31. doi:10.5152/ejbh.2018.4297

40. Zimmerma^lnn C, Burma^ln D, Swa^lmi N, et a^ll. Determina^lnts of qua^llity of life in pa^ltients with a^ldva^lnced ca^lncer. Supportive Ca^lre in Ca^lncer.

2011;19(5):621-629. doi:10.1007/s00520-010-0866-1

Universitas Muhammadiyah Sumatera Utara

La

^l

mpira

^l

n 1 Lemba

^l

r Penejela

^l

sa

^l

n Kepa

^l

da

^l

Ca

^l

lon Responden