2.png)
EFEKTIVITAS PERAWATAN MALODOR LUKA KANKER MENGGUNAKAN FORMULA TOPIKAL INOVATIF (FTI) DALAM UPAYA MENINGKATKAN KUALITAS HIDUP PASIEN KANKER PAYUDARA
Abstract
Breast cancer with chronic wounds has a complex problem in wound management. One of the physical problem that can decrease the quality of life of patients with cancer wounds is an unpleasant odor arising from cancer wounds (malodor). The right treatment strategy is a main priority to improve the quality of life of the patients. This study aims to identified the difference of the average score decrease of the perception of physical response (malodor) in breast cancer wound using an innovative topical formula (ITF) compared to the standard topical formula (STF). Research design is a randomized controlled trial. The study involved 90 patients with breast cancer wounds who has come to wound care at Dharmais Wound Care Clinic in the February 2012 - June 2013 period. The out put of the study is a decrease of the average score of malodor perception by nurses and families. The results showed a decrease of the average score of malodor perception by nurses, (6.45 ± 1.37) vs (4.12 ± 1.45) p = 0.001, and a decrease of the average score of malodor perception by the family; (7.87 ± 1.41) vs (4.12 ± 1.26) p = 0.001. Variable perceptions of malodor by nurses and perceptions of malodor by family are influenced by demographic characteristics, stage of breast cancer and characteristics of cancer wounds (p <0,05). The decline in malodor score has an impact on improving the quality of life of patients with breast cancer wounds.
Keywords: ITFI, malodor, breast cancer, wounds care, quality of life
Keywords
Full Text:
PDF (Bahasa Indonesia)References
Abu-Saad, H.H., Courtens, A., (2001). Evidence based palliative care across the life span, p.103-115, Blackwell Science., Ltd USA.
ACSBC., (2006). American Cancer Society Breast Cancer Facts & Figures Among Those Cancer Free at Age Interval. Based on cases diagnosed 2000-2002.
MS., Ostenfeld, U., Kallehave, F., Gong, Y., Raffn, K., Crawford, ME., Kiss, K., Friis-M¸ller, A., Gluud, Ch., Jorgensen, LN., (2006). A randomized, double-blind, placebo-controlled multicenter trial evaluating topical zinc oxide for acute open wounds following pilonidal disease excision., The International Journal of Tissue Repair and Regeneration, first published online: 29 Sept, 2006
Alexander, S., (2009c). Malignant fungating wounds: key symptoms and psychosocial issues. Journal of Wound Care , 18(8): 325-329
Alexander, S., (2009b). Malignant fungating wounds: managing malodour and exudate. Journal of Wound Care 18(9): 374-382
Alexander, S., (2009a). Malignant Fungating Wounds: Epidemiology, Aetiology,
Alexander, S., (2010). An intense and unforgettable experience: the lived experience of malignant wounds from the perspectives of patients, caregivers and nurses., International Wounds Journal 7: 456-465
Ariawan, I., (1998). Besar dan Metoda Sampel Pada Penelitian Kesehatan. hal. 54-57 Jurusan Biostatistik dan Kependudukan FKM UI., Jakarta.
Arikunto, S. 2010. Prosedur Penelitian Suatu Pendekatan Praktik. Jakarta: PT Rineka Cipta
Arslan, K., Karahan, O., Okus, A., Unlu, Y., Erylmaz, MA., (2012). Comparison of topical zinc oxide and silver sulfadiazine in burn wounds: an experimental studyTurkish Journal of Trauma & Emergency Surgery., 2012;18 (5):376-383
Azamris., (2005). Respon terapi tamoxifen pada kanker payudara lanjut lokal dengan reseptor estrogen, reseptor progesterone dan Mr 29.000 positif. JurnalCermin Dunia Kedokteran, (149): 53-56
Bale, S., Tebbie, N., Price., (2004). A topical metronidazole gel used to treat malodorous wounds, Journal of Nursing 13 (11) p. 4-11
Benbow, M., (2005). Evidence-based Wound Management, Whurr.Publisher,London.
Bryant, RA., Nix, DP., (2007). Acute & chronic wounds current management Concepts 3rd Ed, Mosby Inc., USA.
Chaplin, J., (2003). The challenges of wound management in palliative care., British Journal Nursing 12 (supp.4): S4
Clark, Jane., (2002). Metronidazole gel in managing malodorous fungating wounds,Crosshouse Hospital, Ayrshire & Arran Acute Hospital, NHS, Trust.
Cooper, R., & Gray, D., (2005). The control of wound malodor with honey based wound dressing and ointments,Journal of of Wound UK
Dealey, C., 2005, The care of wounds-A Guide for nurses 3rd Ed. Blackwel Publishing Inc, USA.
Delmare, B., & Duran, D., (2009). Care of fungating breast wound,Journal of Clinical Oncology Nursing 13(1): 113-15
Diehr, S., & Jamieson, B., (2007). Do topical antibiotic improve wound healing? The Journal of Family Practice, 54(2): 140-44
Dirjen PP & PL., (2006). Pedoman Nasional Pengendalian Penyakit Kanker, Direktoral Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan Depkes RI
Ditjen Yan Medik., (2009). Sistim Informasi Rumah Sakit Tahun 2009 (SIRS, 2009).Direktorat Jenderal Pelayanan Medik, Kementerian Kesehatan R.I.
Doughty, DB., & Spark-Defriese, (2007), Wound healing physiology, dalam Bryant, RA., & P.Nix, D: Acute and Chronic Wound. USA: Mosby Elsevier p. 54-79
Dowset, C., (2002). Malignant fungating wounds : assessment and management British Journal of Community Nursing 7(8): 394-400
Draper, C., (2005). The Management of malodour and exsudates in fungating wounds., British Journal of Nursing 14: S4-S12
Flanagan, M., & Maran, DM., 1997, Wound management, Churchill Livingstone., New York.
Fleck, CA. (2006). Palliative dilemmas: wound odour, Journal of Wound Care Canada 4(3):10-13
Fobair, P., Stewart, SL., Chang, S., D’Onofrio, C., Banks, PJ., Bloom, JR., (2006). Body image and sexual problems in young women with breast cancer. Psychooncology. 2006;15:579-594
Gennari, A., Nanni, O., Puntoni, M., DeCensi, A., Scrarpi, E., Conte, PF., Antonucci, G., Amadori, D., Brizzi, P. (2013), Body mass index and prognosis of metastatic breast cancer patients receiving first line chemotherapy, Cancer Epidemiology BiomarkersJournal 22 (10): 1862-1867
Graves, ML. (2013). Providing quality wound care at the end of life. Journal of Hospice and Palliative Nursing.15 (2): 66-74.
Grocott, P. (2001). Developing a tool for researching fungating woundshttp://www.worldwidwwounds.com/20001/juli/Grocott/Fungating-Wounds.html. Diakses 18 Februari 2009
Grocott, P., (2000). The palliative management of fungating malignant wounds. Journal of Wound Care 9(1): 4-9
______ 2005, Commentary: A guide to wound management in palliative care.International Journal of Palliative Nursing 11(11): 579
Grocott, P., Browne, N., Cowley, S., 2005, Quality of life : assessing the impact and benefits of care to patients with fungating wounds, Journal of Wound 17 (1)
Grocott, P., Cowley, S., (2001)., The palliative management of fungating malignant wounds generalizing from multiple –case study data using a system of reasoning., International Journal of Nursing Studies 38 (5): 533-545
Hampson, JP., 1996 The use of metronidazole in the treatment of malodors wound,Journal of Wound Care 5(9): 421-26
Hampton, S.,2004, Managing symptoms of fungating wounds., Journal of Cancer Nursing, 18 (10)
Harun, SR., Putra, ST., Wiharta, AS., Chair, I., 2008, Uji Klinis., hal 166-191 Sastroasmoro, S., & Ismael, S., Dasar-dasar metodologi penelitian klinis, 3rdEd., Jakarta; CV. Sagung Seto.
Holloway, S., (2004). Recognising and treating the causes of chronic malodours wounds, Proceeding lecturer wound healing research unit, Cardiff Medicentre, Cardiff
Holloway, S., Bale, S., Harding, K., Robinson, B., and Ballard, K., (2002). Evaluating the effectiveness of dressing for use in malodorous excuding wounds. Ostomy / Wound Management Journal, 48 (5)
______ (2002). Evaluating the effectiveness of a dressing for use in malodorous, exuding wounds., Ostomy / Wound Mangement Journal, 48 (5): 22-28
http://www.bellaonline.com/articles/art16981.asp, Diakses 30 Desember 2009
Hughes, RG., Bakos, AD., O’Mara, A., and Kovner, CT., (2005). Palliative wound care at the end of life, Journal Home Health Care Management & Practice : 17 (3) p. 196 - 202
Janben, HJ., (2007). Integrated system of chronic wound care healing- creating, managing and cost reduction. Proceeding of the 17th Conference of the Eureopean Wound Management Association, Evidence, Consensus and Driving the Agenda Foward, Glasgow. Journal Of Cancer Control, H. Lee Moffitt Cancer Centre & Research
Kagawa-Singer, M., Wellisch, DK., Breast cancer patient’s perceptions of their husband’s support in a cross-cultural contex. Psychooncology 2003;12 (1): 24-37
Kalinski, C., Scenepf, M., Laboy, D., and Hernandez, L., (2005). Effectiveness of topical formulation containing metrinidazole for wound odor and exudate controlhttp://www.woundsresearch.com/article/3950. Diakses 7 Agustus, 2009
Kalinski, C., (2005). Formulation containing metronidazole- odor & exudate control:discussion , Health Management Publication, Vol 17 (4): 84-90
Krishnasamy, M., (2008). Wound Management., Corner, J., & Bayley, Ch., Cancer Nursing Care in Context, 2nd., Oxford – UK: Blackwell Publishing.,
Kuge, S., Tukuda, Y., Ohta, M., Okomura, A., Kubota, M., Nonomiya, S., Sawamura, S., Makuuchi, H., Tajima, Y., and Mitomi, T., (1996). Use of metronidazole gel to control malodor in advanced and recurrent breast cancer, Japan Journal Clinical Oncology 26: 207-10, 1996.
Laverty,D., (2003).Fungating wounds: informing practice through knowledge/theoryBritish Journal of Nursing 12: S29-S40
Lazelle-Ali, C., (2007). Psychological and physical care of malodorous fungating wounds, British Journal of Nursing. 16 (15): 516-524
Lipsky, B., Hoey, Ch., (2009). Topical antimicrobial therapy for treating chronic wounds, Journal of Clinical infection Diseases 49 : 1541-1549
Litbangkes., (2007). Riset Kesehatan Dasar tahun 2007., Badan penelitian dan Pengembangan Kesehatan Departemen Kesehatan R.I.
Lo, SF., Hayter, M., Hu, WY., Tai, CY., Hsu, MY., Li, YF., (2011). Symptom burden and quality of life in patients with malignant fungating wounds, Journal of Advanced Nursing, 68 (6): 1312 – 1321
Lund-Nielsen, B., Muller, K., and Adamsen, L., (2005). Malignant wounds in women with breast cancer: feminine and sexual perspectives., Journal of Clinical Nursing 14 (1): 56-64
Matzo, ML., & Sherman, D., (2001). Palliative care nursing , quality care to the end of life., Springer Publishing Company Inc., Broadway - New York.
Mc. Evoy, GK., (2004). Drug Information: Metronidazole absorpstion in topical administration, American Society of Health System Pharmacist, Wisconsin.
McManus, J., (2007). Principles of skin and wound care: the palliative approach Journal End of Life Care 1 (1): 13-19
McMurray, V., (2007). Managing patients with fungating malignant wounds, Nursing Times Journal. 99 (13): 55-57
Moody, M., (1998). Metrotop: a topical antimicrobial agent for malodours wounds. Journal of Pallliative Care 4 (3): 148-151.
Morris, C., (2008). Wound odour : principles of management and the use of Clinisorb, British Journal of Nursing 17 (6): 538 – 542
National Cancer Institute., (1999). Eastern Cooperative Oncology Group
Naylor, W., (2002a). Symptom self – assesment in the management of fungating wounds part 1 [online] .http://worldwidewounds.com, diakses 18 Februari 2009.
Naylor, W., (2002b). Symptom self – assesment in the management of fungating wounds Part 2 [online]. http://worldwidewounds.com, diakses 18 Februari 2009
Naylor, W., (2005). A guide to wound management in palliative care. International Journal of Palliative Nursing.11 (11): 572–579
Nazarko, L., (2006). Malignant fungating wounds : clinical review, Nursing & Resedential Care Journal, 8 (9): 402-406
Notoatmojo, Soekidjo., (2002). Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta,
Piggin, C., & Jones,V. (2007). Malignant fungating wounds: an analysis of the live experience, International Journal of Palliative Nursing, 13(8): 38 –91)
Price, E., (1996). The stigma of smell., Nurs Time., 1996;92: 70-72
Probst, S., Arber, A., Faithfull, S., (2009). Milignant fungating wounds: A survey of nurses’clinical practice in Switzerland, European Journal of Oncology Nursing 13: 295-298
Pusat Promosi Kesehatan. (2005). Jejaring Nasional Pencegahan dan Penanggulangan Penyakit Kanker, Departemen kesehatan RI
Regan, PO., (2007). The impact of cancer and its treatment on wound healing : Clinical Review, UK Wound Journal., 3(2): 87 – 95
Reksodiputro, AH. (2002). Pentingnya pendekatan interdisiplin pada pengobatan paliatif bagi pasien kanker, Prosiding Pekan Ilmiah Tahunan IMasyarakat Paliatif Indonesia, Jakarta Agustus 2002.
Romeo, JH., (2000). Comprehensive versus holistic care, Journal of Holistic Nursing18 (4): 352–61
Sabri, L., Hastono, SP., (2006). Statistik kesehatan. Jakarta: PT. Radja Grafindo Persada,
Said, MI., (2012). Hubungan ketidaknyamanan nyeri dan malodor dengan tingkat stres pada pasien kanker payudara di RS. Kanker Dharmais jakarta dan RSAM bAndar Lampung., Thesis, Program Pasca Sarjana, Fakultas Ilmu Keperawatan, Universitas Indonesia, Jakarta.
Sastroasmoro, S., Ismael, S., (2008). Dasar-dasar Metodologi Penelitian Klinis. Edisi 3 , Jakarta: CV. Sagung Seto
Schiench, L., 2002., Malignant cutaneus wounds,. Clinical Journal of Oncology Nursing 6 (5): 305-09.
Seaman, S., (2006). Management of malignant fungating wounds in advanced cancer, Seminar in Oncology Nursing, Vol 22 (3): 185-193
Selby, T., (2009). Managing exudates in malignant fungating wounds and solving problems for patient, [online]. http://www.nursingtimes.net/nursing-practice-clinical- research/specialists/wound-care diakses 9 Juni 2009.
Shu-Fen, L., (2008). Experiences of living with a malignat fungating wound. Journal Of Clinical Nursing 17 (20): 2699-2708
Tanjung, D, (2007). Perbedaan efektivitas perawatan luka Menggunakan madu dengan metronidazole terhadap tingkat malodor dan jumlah eksudat luka maligna di RS. Kanker Dharmais., Thesis. Program Pasca Sarjana , Fakultas Ilmu Keperawatan Universitas Indonesia, Jakarta.
Taylor, C., & Lillis, C., (2001). The art & science of nursing care, 4th ed Lippincott., Philadelphia.
Teare, J., Barrett, C., (2002). Using quality of life assessment in wound care. Nursing StAndard. 17(6): 59-68.
Timby, BK., (2003). Fundamental skills and concepts in patient care, Journal of Health Occupations Education 15 (2)
Tomey, MA., Alligood, M.R., (2006). Nursing theorists and their work, 6th.ed Missouri: Mosby, Elsevier.
Wahidi, K dan Anjarwaty, R., (2008). Laporan studi kasus: Efektivitas perawatan luka kanker menggunakan Formula Topikal Inovatif di RS. Kanker â€Dharmais†Jakarta (tidak dipublikasikan)
West, D., (2007). A palliative approach to the management of malodour from malignant fungating tumours. International Journal Palliative Nursing. 2007;13: 137-142
White, K., (2001). Management of malignant wounds in the palliative care setting,In ArAnda, S., O’Connor, M., Hodder, P., Pallliative care nursing : a guide to
WHO,(2009).,Health.Statistic.Breast.cancer.incidence.,http//www.nationmaster.com/graph/hea_bre_can_inc-health-breast-cance-incidence. Diakses 18 Januari 2010.
Wilkes, LM., Bower, E., White, K., (2003). The hidden side of the nursing: why caring for patient with malignant malodorous wounds is so difficult. Journal WoundCare 12 (2): 76-78
Williams, C., (2001). Role of carboflexs in the nursing management of wounds odour. Britis Journal of Nursing 10 (2): 122-25
Wilson, V., (2005). Asessment and management of fungating wounds : a review, British Journal Community Nursing 10 (3): S.28-34
Young, CV., (2005). The effects of malodours fungating malignant wounds on body image and quality of life. Journal Wound Care 2005;14: 359-362
DOI: https://doi.org/10.47007/.v1i02.2620
Refbacks
- There are currently no refbacks.
Lembaga Penerbitan Universitas Esa Unggul
Jalan Arjuna Utara No 9 Kebon Jeruk Jakarta 11510
Telp : 021 5674223 ext 266
email : [email protected]