GAMBARAN KEPUASAN PASIEN KANKER STADIUM LANJUT TERHADAP PERAWATAN PALIATIF DI RSUP DR. SARDJITO YOGYAKARTA
Abstract
Background: Patient satisfaction in palliative care is an important dimension that can describe a patient’s experience acceptable of care. Patient satisfaction is used to evaluate performance and improve the quality of palliative care.
Objective: This study aimed to know the description of patient satisfaction of palliative cancer against palliative care which has been given in IRNA I RSUP Dr.Sardjito Yogyakarta based on a ranking that includes 5 subscales of satisfaction in palliative care.
Method: Type of research was mixed methods with sequential explanatory design, collecting data began from collecting quantitative data and followed by collecting qualitative data. Subject of study involved cancer patient in Central Hospital of Dr. Sardjito Yogyakarta during September and October 2016 number of respondent was 48 patients and 8 participants. Sampling technique in quantitative research used purposive sampling, while the qualitative research used the techniques sampling criterion. Instrument used FAMCARE-P to measure satisfaction and the interview based on interview guideline. Quantitative data analysis used descriptive analysis and analysis of qualitative data used the content analysis. Integration of the results of quantitative research and qualitative used the joint displays.
Results: Cancer patients have a high satisfaction on the subscale of support in decision-making with a mean (4,60±0,49), followed by a subscale of symptom management (3,96±0,42), communication and information (3,93±0,35), coordination and consistency (3,8±0,38) and accessibility (3,7±0,44). Qualitative research gained eight categories.
Conclusion: Cancer patient satisfaction on palliative care was high with score on every subscales above mean score.
Keyword: Satisfaction, Cancer Patient, Mixed Method, Palliative Care
References
2. Effendy, C., Kris, V., Sunaryadi, T., Myrra, V., and Yvonne, E. The quality of palliative care for patients with cancer in Indonesia. World Institude of Pain. (2015).
3. Keputusan Menteri Kesehatan Indonesia. Surat Keputusan
No.812/Kemenkes/SK/VII/2007 tentang Kebijakan Nasional tentang Palliative Care. Jakarta.2007.
4. World Helath Oorganisation. Cancer control case. Diakses dari URL: http://www.who.int/research/en/. 2011 Pada tanggal 25 Maret 2016 pukul 10.21.
5. Charalambous, A. Variations in patient satisfaction with care for breast, lung, head and neck and prostate cancers in different cancer care. European Journal of Oncology Nursing. Elsevier. 2013. 17.588-595.
6. Morrison, R.S., and Meirer, D.E. Palliative Care. The New England Journal of Medicine. 2004. 350:2582-2590
7. Kullberg, A., Sharp, L., Johansson, H., and Bergenmar, M. Information exchange in oncological inpatient care-patient satisfaction, participation, and safety. European Journal of Oncology Nursing. Elseiver. 2015. 19.142-147.
8. Bredart, A., Sultan, S., and Regnault, A. Patient satisfaction instruments for cancer clinical research or practice. Expert Reviewer Pharmacoeconomics Outcomes Research. 2010. 10. 129-141.
9. Chapple, A., Ziebland, S., and McPherson, A. The specialist palliative care nurse: A qualitative study of the patients’ perspective. International Journal of Nursing Studies. 2006. 1011- 1022.
10. Miyashita, M., Wada, M., Morita, T., Ishida, M., Onishi, H., Tsuneto, S and Shima, Y. Care evaluation scale-patient version: Measuring the quality of the structure and process of palliative care from the patient’s perspective. Journal of Pain and Symptoms Management. 2014. Volume 48 Number 1. 110-118.
11. Lo, C., Burman, D., Rodin, G., and Zimmermann, C. Measuring patient satisfaction in oncology palliative care: psychometric properties of the FAMCARE-patient scale. Qual Life Res. 2009. 18:747-752.
12. Elo, S and Kyngas, H. The Qualitative content analysis process. Journal Compilation. Blacwell. 2007. 107-115.
13. Fetters, M.,Curry,L., and Creswell, J. W. Achieving integration in mixed methods designs: Principles and practices. Health Services Research. 2013. 48 (6),2134- 2156.
14. Wijayanti, N.M., Setiyarini, S., dan Martina S. Gambaran kepuasan keluarga pasien kanker paliatif terhadap pelayanan perawatan paliatif di RSUP Dr. Sardjito Yogyakarta. Skripsi. Fakultas Kedokteran: Universitas Gadjah Mada. 2014. Diakses Di Libmed.ugm.ac.id pada tanggal 6 Agustus 2015 Pukul 09.12.
15. Kotler, P., dan Keller, K.L. Manajemen pemasaran. Edisi12. Penerbit PT. Indeks. 2007.
16. Wentlandt, K., Seccareccia, D., Kevork, N., Workentin, K., Blacker, S., Grossman, D., and Zimermmann. Quality of care and satisfaction with care on palliative care units. Journal of Pain and Symptoms Management. 2016. Volume 5. Number 2.184-192.
17. Miyashita, M., Morita, T., Sato, K., Tsuneto, S., and Shima, Y. A nationwide survey of quality of end-of-life cancer care in disignated cancer centers, inpatient palliative care units and hospices in Japan: The J-HOPE study. Journal of Pain and Symptoms Management. 2015. Volume 50. Number 1.
Articles received and published by the Media Ilmu Kesehatan are by the publication, the copyright of the article is fully transferred to the Media Ilmu Kesehatan. All operational forms such as printing, publication, and distribution of hard file journals are carried out by the Media Ilmu Kesehatan. Articles that have finished the review process and have been declared accepted by the journal manager or editor will be asked to fill out a statement of submission of copyright by the journal secretary to the main author or correspondent author. The statement of transfer of copyright is signed with a seal and sent via email to journalmik2018@gmail.com and contacted the admin of the journal to be followed up on archiving. Journal managers and editors have the right to edit the manuscript according to the provisions of the writing rules in the Media Ilmu Kesehatan.
Articles that have been declared accepted either online through the author's account on the OJS website https://ejournal.unjaya.ac.id/index.php/mik or a letter of receipt of the article (LOA), as well as those that have been published on OJS are not allowed to be published in other journals, or proceedings. The number of authors with more than one and as the main author or designated as the correspondent writer must have coordinated with members of the research team. The order of the authors submitted in the article as the author of one, two, three and so on cannot be changed when the article is published unless an error occurs in the technical operation of the journal.
