Faktor Yang Mempengaruhi Kepatuhan Pasien Kanker Serviks dalam Melaksanakan Kemoterappi di RSUD Arifin Achmad Provinsi Riau

Kemoterapi memiliki waktu pengobatan yang panjang, pasien kemoterapi harus patuh dalam melaksanakan pengobatan, dampak tidak patuh terhadap kemoterapi menyebabkan komplikasi lebih lanjut. Kepatuhan pasien terhadap pengobatan kanker yaitu kepatuhan terhadap rencana pengobatan yang telah ditentukan berupa jumlah siklus yang harus diikuti, yang mana pengobatan ini harus berlanjut tanpa henti hingga selesai. Tujuan dari penelitian ini adalah untuk mengetahui faktor yang mempengaruhi kepatuhan pasien kanker serviks dalam melaksanakan kemoterapi di RSUD Arifin Achmad Provinsi Riau. Jenis penelitian adalah kuantitatif dengan desain cross sectional. Instrumen penelitian berupa kuesioner. Sampel penelitian berjumlah 95 orang yang diambil dengan teknik accidental sampling. Analisa data univariat dan bivariat mengguakan uji chi-square. Hasil penelitian responden tidak patuh melaksanakan kemoterapi 63 orang (66,3%), yang pengetahuan rendah 60 orang (63,2%), yang memiliki jarak tempuh dekat ke pelayanan kesehatan 54 orang (56,8%), yang mendapatkan dukungan keluarga cukup 50 orang (52,6%), dan kecemasan sedang 43 orang (45,3%). Terdapat hubungan pengetahuan (p-value=0,000), jarak tempuh (p-value=0,006), dukungan keluarga (p-value=0,001) dan kecemasan (p-value=0,018) dengan kepatuhan pasien kanker serviks dalam menjalani kemoterapi. Diharapkan bagi tempat penelitian untuk melakukan promosi kesehatan dalam upaya meningkatkan kepatuhan pasien kanker serviks dalam melaksanakan kemoterapi.

Chemotherapy has a long treatment time, chemotherapy patients must comply with the treatment, the impact of non-compliance with chemotherapy causes further complications. Patient compliance with cancer treatment is compliance with the treatment plan that has been determined in the form of the number of cycles that must be followed, where this treatment must continue without stopping until completion. The aim of this research is to determine the factors that influence the compliance of cervical cancer patients in carrying out chemotherapy at Arifin Achmad Regional Hospital, Riau Province. This type of research is quantitative with a cross sectional design. The research instrument is a questionnaire. The research sample consisted of 95 people taken using accidental sampling technique. Univariate and bivariate data analysis used the chi-square test. The research results showed that more than half of the respondents were not compliant in carrying out chemotherapy, 63 people (66.3%), more than half of the respondents had low knowledge, 60 people (63.2%), more than half of the respondents had a short distance to health services. as many as 54 people (56.8%), more than half of the respondents received sufficient family support, 50 people (52.6%), less than half of the respondents had moderate anxiety, 43 people (45.3%). There was a relationship between knowledge (p=0.000), distance traveled (p=0.006), family support (p=0.001) and anxiety (p=0.018) with cervical cancer patients' compliance in undergoing chemotherapy. It is hoped that the research site will carry out health promotion in an effort to increase the compliance of cervical cancer patients in carrying out chemotherapy.