HYPNOPARENTING EFFECTS TOWARDS FATIGUE AS AN IMPACT OF CHEMOTHERAPY AMONG PEDIATRIC PATIENTS WITH ACUTE LYMPHOBLASTIC LEUKEMIA

Sapariah Anggraini


DOI: http://dx.doi.org/10.7454/jki.v21i2.570


Abstract


The management of fatigue among pediatric patients with lymphoblastic leukemia does not become a priority apart from the cancer management itself. Hence, it is necessary to put an attention towards this issue by giving another complementary therapy for the patient called hypnoparenting. By implementing hypnoparenting will decrease the level of fatigue because of the chemotherapy process. Therefore the purpose of study was to investigate the effect of hypnoparenting towards fatigue prevalence as an impact of chemotherapy among pediatric patients with Acute Lymphoblastic Leukemia. This research utilized quasi experiment before after study. The population of the study was pediatric patients (5-12 years old) who suffered by Acute Lymphoblastic leukemia under chemotherapy treatment at RSUD Ulin Banjarmasin. The study was started on Mei 2016 until June 2016 with the total participants were 30 pediatrics patients. The data analysis used dependent t-test with 95% CI and p value <0.05. According to the mean score of  30 patients in the range of age 5-12 years revealed  ; before and after hypnoparenting implementation, The mean score was different 5.30 and p value 0.0003, 95% CI (2.681 – 7.919). There was a significant difference on fatigue level among the patients before and after hypnoparenting implementation.

 

Keyword: acute lymphoblastic leukemia, fatigue, hypnoparenting

                                                                                                                      
 

Abstrak

 

Fenomena yang sering terjadi, manajemen kelelahan untuk pasien anak dengan kanker belum menjadi prioritas dalam manajemen efek samping terapi kanker. Tujuan dari penelitian ini untuk mengetahui pengaruh hypnoparenting terhadap kejadian kelelahan akibat kemoterapi pada anak dengan acute lymphoblastic leukemia di RSUD Ulin Banjarmasin. Penelitian ini menggunakan desain studi quasi eksperimen dengan jenis before after study. Populasi dalam penelitian ini adalah anak usia 5-12 tahun yang menderita kanker dengan jenis acute lymphoblastic leukemia yang sedang menjalani kemoterapi di RSUD Ulin Banjarmasin yang terdiri dari 30 orang anak dengan waktu penelitian dari Mei 2016 sampai Juni 2016. Analisa menggunakan uji beda 2 mean dependen dengan 95% CI dan p value < 0,05. Berdasarkan perhitungan rerata tingkat kelelahan  pada anak usia 5 – 12 tahun yang berjumlah 30 responden didapatkan  sebelum dan sesudah dilakukan hypnoparenting yakni beda mean sebesar 5,30 dan p value  0.0003,  95% CI (2.681 - 7.919). Terjadi penurunan rerata skor secara bermakna pada tingkat kelelahan sebelum dan sesudah dilakukan hypnoparenting.

 

Kata Kunci: hypnoparenting, kelelahan, leukemia limfoblastik akut


Keywords


hypnoparenting; kelelahan; leukemia limfoblastik akut

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References


Bower, J.E., Bak, K., Berger, A., Breitbart, W., Escalante, C.P., Ganz, P.A., Schnipper, H.H., et al. (2014). Screening, assessment, and management of fatigue in adult survivors of cancer: An american society of clinical oncology clinical practice guideline adaptation. Journal of Clinical Oncology 32 (17), 1840–1850. doi: 10. 1200/JCO.2013.53.4495.

Diaz, N., Menjon, S., Rolfo, C., Garcia-Alonso, P., Carulla, J., Magro, A., Miramon, J., Rodriguez, C.A., et al. (2008). Patients' perception of cancer-related fatigue: Results of a survey to assess the impact on their everyday life. Clin. Transl. Oncol., 10, 753–757.

Faeni, D.P. (2015). Hypnoparenting. Jakarta: Noura Books (PT Mizan Publika).

Hoffbrand, V., & Paul, M. (2011). Essential haematology. Somerset: Wiley. Retrieved from http://public.eblib.com/choice/public fullrecord.aspx?p=4033893. Accessed 28 Januari 2016.

Isselbacher, J.K., Braunwald, E., Wilson, D.J., Martin B.J., Fauci S.A., & Kasper, I.D. (2000). Horrison prinsip-prinsip ilmu penyakit dalam (Translator Asdie, H.A.) (Vol 4; 13th Ed.). Jakarta: EGC.

Kwekkeboom, K.L., Cherwin, C.H., Lee, J.W., & Wanta, B. (2010). Mind-body treatments for the pain-fatigue-sleep disturbance symptom cluster in persons with cancer. Journal of Pain and Symptom Management, 39 (1), 126–138. doi: 10. 1016/j.jpainsymman.2009.05.022.

Leukemia & Lymphoma Society. (2013). Long term and late effects of treatment for childhood leukemia or lymphoma facts. Retrieved from http://www.LLS.org/sites/ default/files/fileassets/longtermlateeffectschildhood.pdf.

Leung, A.W., Chan, C.C., & He, J. (2000). Structural stability and reliability of the swedish occupational fatigue inventory among Chinese VDT workers. Applied Ergonomics, 35 (3), 233–241. doi: 10.1016 /j.apergo.2004.02.004.

Mitchell, S.A. (2010). Cancer-related fatigue: state of the science. The American Academy of Physical Medicine and Rehabilitation Journal, 26, 971–982.

Nascimento, L.C., Nunes, M.D.R., Rocha, E.L., Bomfim, E.O., Floria-Santos, M., dos Santos, C.B., dos Santos, D.M.d.S.S., & de Lima, R.A.G. (2015). High validity and reliability of the PedsQl multidimensional fatigue scale for Brazilian children with cancer. Journal of Pediatric Oncology Nursing, 32 (1), 57–64. doi: 10.1177/1043 454214554656.

Tomey, A.M., & Alligood, M.R. (2006). Nursing theorist and their work (4th Ed.). St. Louis:Mosby-Year Book.

Varni, J.W. (2014). Pediatric quality of life infentoryTM PedsQL multidimensional fatigue scale. Mapi Research Trust, 1–130.

Ward, E., DeSantis, C., Robbins, A., Kohler, B., & Jemal, A. (2014). Childhood and adolescent cancer statistics 2014. CA: A Cancer Journal for Clinicians, 64 (2), 83–103.

Wong, D.L., Marilyn, H.E., Wilson, D., Winkelstein, M.L., & Schwartz, P. (2008). Pengaruh tumbuh kembang pada peningkatan kesehatan anak. In: Wilson D, Winkelstein ML, Schwartz P, eds. Buku ajar keperawatan pediatric (6th Ed.). Jakarta: EGC.

Yeh, C.H., Chiang, Y.C., Lin, L., Yang, C.P., Chien, L.C., Weaver, M.A., & Chuang, H.L. (2008). Clinical factors associated with fatigue over time in paediatric oncology patients receiving chemotherapy. British Journal of Cancer, 99 (1), 23–29. doi: 10.1038/sj.bjc.6604434.


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