Hubungan Antara Jumlah Fraksinasi Radiasi Terhadap Kejadian Radiodermatitis Pada Pasien Dengan Ca Mamae Yang Menjalani Radioterapi Di RS Kanker Dharmais
DOI:
https://doi.org/10.47861/usd.v2i1.604Keywords:
Ca Mammae, Fractionation, RadiodermatitisAbstract
Ca mammae disease is the most common cancer in women. One of the therapies given is radiotherapy treatment. All Ca Mammae cases that underwent radiotherapy mostly experienced radiodermatitis both acute and chronic, the amount of radiotherapy fractionation was one of the causes of radiodermatitis. This study aims to determine the relationship between the amount of radiation fractionation and the incidence of radiodermatitis in patients with Ca Mamae undergoing radiotherapy at Dharmais Cancer Hospital. This study uses a quantitative descriptive cross-sectional approach. A sample of 100 respondents with breast cancer who underwent radiotherapy at the Dharmais Cancer Hospital in January 2023. Data was obtained from the patient's medical records. The analysis used is Chi Square. The results showed that the majority were >45 years old (79.0%), had comorbidities (82.0%), normal BMI (84.0%), the number of fractionations was 16-20 times (48.0%), there was radiodermatitis (Grade I-III) as much (64.0%). There is a significant relationship between the amount of radiation fractionation and the incidence of radiodermatitis in patients with Ca Mamae who undergo radiotherapy at the Dharmais Cancer Hospital with a p-value of 0.002 (<0.05). There is a relationship between the amount of radiation fractionation and the incidence of radiodermatitis in patients with Ca Mamae undergoing radiotherapy at Dharmais Cancer Hospital.
References
AACN, A. (2016). Buku ajar keperawatan klinis Kozier & Erb. Ed. 5. Jakarata : EGC.
American Joint Committee on Cancer, (2018). AJCC Cancer Staging Manual. Edisi 8. New York. Springer
Black, J.M. & Hawks, J. H .(2014).Keperawatan Medikal Bedah :Manajemen Klinis Untuk Hasil Yang Diharapkan. Ed.8-Buku 1+3.Editor : Ns. Aklia Suslia, SKep, dkk.Singapura : ElsevierDarmawan. 2010. Anatomi Fisiologi Uuntuk Mahasiswa Keperawatan. Ed.3. Jakarta : EGC.
Herlinda Mahdania Harun1* , Nurul Jannah1, Idawati1, Zul Fikar Ahmad (2022). Evaluasi Pengobatan Radioterapi Pada Pasien Kanker. Journal Syifa Sciences and Clinical Research (JSSCR) Volume 4 Nomor 3 Journal Homepage: http://ejurnal.ung.ac.id/index.php/jsscr, E-ISSN: 2656-9612 P-ISSN:2656-8187 DOI : https://doi.org/10.37311/jsscr.v4i3.1579
Juli Jamnasi (2021). Respon Baik Kombinasi Cdk 4/6 Inhibitor Dan Aromatase Inhibitor Dengan Radioterapi Konkuren Pada Kanker Payudara Stadium Lanjut Tipe Luminal. Jurnal Kedokteran Methodist, Vol. 14 No.2 Desember 2021 https://ejurnal.methodist.ac.id/index.php/jkm/article/view/74
Kai J. Borm, Maximilian Loos, et al (2020). Acute radiodermatitis in modern adjuvant 3D conformal radiotherapy for breast cancer - the impact of dose distribution and patient related factors. Borm et al. Radiation Oncology (2018) 13:218 https://doi.org/10.1186/s13014-018-1160-5
Kemenkes RI. (2020) Keputusan Menteri Kesehatan Republik Indonesia. Jakarta: Kementrian Kesehatan RI.
Kementrian Kesehatan Republik Indonesia. (2018). Profil Kesehatan Indonesia 2012. Jakarta : Kemenkes RI.
Kozier, Erb, Berman, Snyder. (2009). Buku Ajar Fundamental keperawatan Konsep, proses & Praktek. Edisi 5. Alih bahasa : Eny,M., Esti, W., Devi, Y. Jakarta: EGC.
LeMone, P, & Burke.(2017). Medical surgical nursing : Critical thinking in client care.( 4th ed). Pearson Prentice Hall : New Jersey
Medicastore, (2018). Irritant Contact Dermatitis, in Goldsmith. L., Katz, S.I., Gilchrest, B.A., Paller, A.S., Leffell, D.J., Wolff, K., (eds). Fitzpatrick’s Dermatology in General Medicine. 8th edition, McGraw-Hill Company, New York, pp. 499–506
Notoadmojo, Soekidjo. (2014). Ilmu kesehatan dan Prinsip- prinsip dasar. Revisi Jakarta: Renika Cipta.
Pamela Laszewski, et al (2022). Patient Preference for Instructional Reinforcement Regarding Prevention of Radiation Dermatitis. Digital Object Identifier: 10.1188/16.CJON.187-19. April 2016 • Volume 20, Number 2 • Clinical Journal of Oncology Nursing
Prijadarminto, 2013. Keperawatan Medikal Bedah. Edisi 8, Vol 2. Jakarta : Buku kedokteran
Reeder, Martin, 2011. Keperawatan Medikal Bedah Brunner dan Suddart. Edisi 8, Vol 2. Jakarta : Buku kedokteran
Rhandyka Rafli, Amelia Oktaviani, Rinita Amelia(2021). Hubungan parameter dosis 3-Dimensional Conformal RadioTherapy dengan kejadian dermatitis radiasi pada pasien kanker payudara setelah pembedahan. Majalah Kedokteran Andalas http://jurnalmka.fk.unand.ac.id Vol. 44, No. 1, Mei 2021, Hal. 41-48 p-ISSN: 0126-2092 e-ISSN: 2442-5230
Riset Kesehatan Dasar, (2018). Publikasi Kemenkes RI tahun 2018 sebagai Acuan Data Kesesehatan Indonesia. Badan Penelitian Dan Pengembangan Kesehatan Kementerian Kesehatan RI. Jakarta
RM RSK Dharmais, 2020-2022. Tidak dipublikasikan
Smeltzer, Suzanne C . 2001. Keperawatan Medikal Bedah Brunner dan Suddart. Edisi 8, Vol 2. Jakarta : Buku kedokteran
Sudoyo, Aru W, dkk. 2007. Buku Ajar Ilmu penyakit Dalam. Edisi 4, Jilid 1. Jakarta : Departemen Ilmu Penyakit Dalam FKUI.
Susan, et al, (2013) Irritant Contact Dermatitis, in Goldsmith. L., Katz, S.I., Gilchrest, B.A., Paller, A.S., Leffell, D.J., Wolff, K., (eds). Fitzpatrick’s
Susilo, W. H. (2013). Prinsip-prinsip Biostatika dan Aplikasi SPSS pada Ilmu Keperawatan. Jakarta: In Media.
Tadashi Takenaka, Et Al (2020). Correlation Between Dosimetric Parameters and Acute Dermatitis of Post-operative Radiotherapy in Breast Cancer Patients. in vivo 32: 1499-1504 (2018) doi:10.21873/invivo.11406
Willy, Tjin. (2018). Aligment of pain reassessment practices and national comprehensive cancer network guidlines. Oncology Nursing Forum, Oncology Nursing Forum.
