Tesis

Hubungan Disabilitas Pasien Usia Lanjut Penderita Kanker Stadium Lanjut dengan Kualitas Hidup Pelaku Rawat Informal = Correlation between Disabilities in Elderly Patients with Advancedstage Cancer and Quality of Life of Informal Caregivers.

Objektif: Penelitian ini bertujuan untuk menilai hubungan antara disabilitas pasien usia lanjut penderita kanker stadium lanjut dengan kualitas hidup pelaku rawat informal. Metode: Penelitian ini menggunakan metode deskriptif analitik potong lintang. Skor disabilitas pasien usia lanjut penderita kanker stadium lanjut dinilai menggunakan Index Barthel Activity Daily Living (ADL) dan skor kualitas hidup pelaku rawat informal dengan SF-36. Subjek penelitian terdiri dari 69 orang pasien usia lanjut penderita kanker stadium lanjut beserta 69 orang pelaku rawat informal. Wawancara dilakukan melalui tatap muka langsung pada seluruh subjek penelitian. Hasil: Pada penelitian ini didapatkan nilai tengah skor disabilitas pasien usia lanjut penderita kanker stadium lanjut adalah 10 (5 – 17) dan nilai tengah skor kualitas hidup pelaku rawat informal adalah 71,25 (60,42 – 86,53). Nilai tengah kualitas hidup pelaku rawat informal untuk komponen fisik adalah 79,09 (63,87 – 88,41) dan komponen mental adalah 66,79 (51,25 – 82,86). Dilakukan uji korelasi Spearman antara skor Indeks Barthel Activity Daily Living (ADL) dan SF-36, didapatkan korelasi positif kuat yang bermakna (r = 0,715; p < 0,01). Didapatkan pula korelasi positif sedang antara skor disabilitas pasien usia lanjut penderita kanker stadium lanjut terhadap kedua komponen fisik dan mental SF-36 (r = 0,673; p < 0,01 dan r = 0,682; p < 0,01). Kesimpulan: Didapatkan adanya korelasi positif antara skor disabilitas pasien usia lanjut penderita kanker stadium lanjut dengan skor total, komponen fisik, dan komponen mental kualitas hidup pelaku rawat informal.
Kata kunci: kanker stadium lanjut, pasien usia lanjut, disabilitas, kualitas hidup, pelaku rawat informal


Objective: This study aims to assess the correlation between disabilities in elderly patients with advanced-stage cancer and the quality of life of informal caregivers. Method: This study employs a cross-sectional analytical descriptive method. The disability scores of elderly patients with advanced-stage cancer are assessed using the Barthel Index of Activities of Daily Living (ADL), while the quality of life of informal caregivers are assessed using the SF-36. The study subjects consist of 69 elderly patients with advanced-stage cancer along with 69 informal caregivers. Interviews are conducted face-to-face with all research subjects. Result: In this study, the median score of disability for elderly patients with advancedstage cancer was 10 (5 – 17), and the median score of the quality of life for informal caregivers was 71.25 (60.42 – 86.53). The median quality of life score for informal caregivers for the physical component was 79.09 (63.87 – 88.41) and for the mental component was 66.79 (51.25 – 82.86). Spearman correlation tests were conducted between the Barthel Index of Activities of Daily Living (ADL) and SF-36 scores, revealing a significant strong positive correlation (r = 0.715; p < 0.01). Furthermore, a moderate positive correlation was found between the disability scores of elderly patients with advanced-stage cancer and both the physical and mental components of SF-36 (r = 0.673; p < 0.01 and r = 0.682; p < 0.01, respectively). Conclusion: There is a positive correlation between the disability scores of elderly patients with advanced-stage cancer and the quality of life of informal caregivers
Key words: advanced-stage cancer, elderly patient, disability, quality of life, informal caregiver