Main Article Content

Abstract

Adult cancer patients who received chemotherapy with JKN coverage were enrolled on this observational cross-sectional study to evaluate their quality of life (QOL) and to identify the associated variables that affected QOL. Eligible patients who received outpatient chemotherapy at Keluarga Sehat Hospital were asked to complete an EORTC QLQ-C30 questionnaire, as well as a socio-demographic inquiry. We collected answers from 53 patients and converted them into EORTC dimensions and symptoms. One-way analysis of variance was used in addition to descriptive statistics and independent t-tests. The QOL average score was 78.93 ± 20.89, with a 95% CI (73.31-84.55). The highest performance was on the cognitive scale (94.03 ± 16.85), while the poorest was on the role scale (73.27 ± 27.91). Pain (95% CI [24.05, 36.95]) and fatigue (95% CI [23.14, 35.98]) were the most troubling symptoms reported. The marital status (p < 0.05) and cancer treatment history (p < 0.01) were factors affecting our population’s QOL. Through the understanding of the relationship between QOL and socio-demographic and medical variables, oncologists, chemotherapy providers, and health insurers can improve the quality of life of vulnerable populations.

Keywords

quality of life chemotherapy cancer patients JKN coverage EORTC QLQ-C30

Article Details

Author Biography

Nancy Nancy, BPJS Kesehatan

claim verification staff at BPJS Kesehatan's Pati branch office

How to Cite
Nancy, N., Maysaroh, T., & Genias Unggulian, H. (2023). Adult Cancer Patients’ Quality of Life After Outpatient Chemotherapy with JKN Coverage. Jurnal Jaminan Kesehatan Nasional, 3(1). https://doi.org/10.53756/jjkn.v3i1.144

References

  1. Agarwal, A. K., Yadav, A., Yadav, C. S., Mahore, R., & Dixit, P. (2022). Assess and Evaluation the Quality Of Life (Qol) Among Cancer Patients Undergoing Treatment by Using EORTC QLQ-30 Scale. National Journal of Community Medicine, 13(2), 64–73. https://doi.org/10.5455/njcm.20211231064923
  2. Amalia, R. (2020). Analisis Penerapan Indonesia Case Based Groups (INA-CBG’s) dalam Pelayanan Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan di Rumah Sakit Kabupaten Pelalawan. Pekbis Jurnal, 12(2), 106–116.
  3. Badan Penelitian dan Pengembangan Kesehatan (Litbangkes) Kemenkes RI. (2018). Hasil Utama Riset Kesehatan Dasar (Riskesdas) 2018.
  4. Boscolo-Rizzo, P., Maronato, F., Marchiori, C., Gava, A., & Da Mosto, M. C. (2008). Long-Term Quality of Life After Total Laryngectomy and Postoperative Radiotherapy Versus Concurrent Chemoradiotherapy for Laryngeal Preservation. The Laryngoscope, 118(2), 300–306. https://doi.org/10.1097/MLG.0b013e31815a9ed3
  5. Bower, J. E., Greendale, G., Crosswell, A. D., Garet, D., Sternlieb, B., Ganz, P. A., Irwin, M. R., Olmstead, R., Arevalo, J., & Cole, S. W. (2014). Yoga reduces inflammatory signaling in fatigued breast cancer survivors: A randomized controlled trial. Psychoneuroendocrinology, 43, 20–29. https://doi.org/10.1016/j.psyneuen.2014.01.019
  6. BPJS Kesehatan. (2021, November 18). Info BPJS Kesehatan – Edisi ke 104. https://www.bpjs-kesehatan.go.id/bpjs/arsip/detail/1871
  7. BPJS Kesehatan. (2023, January 31). Peserta Program JKN. https://bpjs-kesehatan.go.id/bpjs/
  8. Carrera, P. M., Kantarjian, H. M., & Blinder, V. S. (2018). The financial burden and distress of patients with cancer: Understanding and stepping-up action on the financial toxicity of cancer treatment. CA: A Cancer Journal for Clinicians, 68(2), 153–165. https://doi.org/10.3322/caac.21443
  9. DJSN. (2014). Seri Buku Saku 1: Paham SJSN Sistem Jaminan Sosial Nasional. Friedrich-Ebert-Stiftung. https://djsn.go.id/files/dokumen/Dokumen%20Kajian/202112090816Seri%20Buku%20Saku%201%20%20Paham%20Sistem%20Jaminan%20Sosial%20Nasional.pdf
  10. Evenepoel, M., Haenen, V., De Baerdemaecker, T., Meeus, M., Devoogdt, N., Dams, L., Van Dijck, S., Van der Gucht, E., & De Groef, A. (2022). Pain Prevalence During Cancer Treatment: A Systematic Review and Meta-Analysis. Journal of Pain and Symptom Management, 63(3), e317–e335. https://doi.org/10.1016/j.jpainsymman.2021.09.011
  11. Jassim, G. A., & Whitford, D. L. (2013). Quality of life of Bahraini women with breast cancer: a cross sectional study. BMC Cancer, 13(1), 212. https://doi.org/10.1186/1471-2407-13-212
  12. Juwita, D. A., Almahdy, A., & Afdila, R. (2019). Penilaian Kualitas Hidup Terkait Kesehatan Pasien Kanker Payudara di RSUP dr. M. Djamil Padang, Indonesia. JURNAL ILMU KEFARMASIAN INDONESIA, 17(1), 114. https://doi.org/10.35814/jifi.v17i1.682
  13. Kolin, M. Y. K., Warjiman, & Mahdalena. (2016). Kualitas Hidup Pasien Kanker yang Menjalani Kemoterapi. Jurnal Keperawatan Suaka Insan, 1(1), 50–61. https://journal.stikessuakainsan.ac.id/index.php/jksi/article/view/21/12
  14. Meneses-Echávez, J. F., González-Jiménez, E., & Ramírez-Vélez, R. (2015). Supervised exercise reduces cancer-related fatigue: a systematic review. Journal of Physiotherapy, 61(1), 3–9. https://doi.org/10.1016/j.jphys.2014.08.019
  15. Nurwahyuni, S. Mk. Dr. A., & Setiawan, E. S. (2020). Kinerja Rumah Sakit Swasta dengan Pembayaran INA-CBGs di Era Jaminan Kesehatan Nasional: Casemix, Casemix Index, Hospital Base Rate. Jurnal Ekonomi Kesehatan Indonesia, 4(2). https://doi.org/10.7454/eki.v4i2.3822
  16. Permata, A., Perwitasari, D. A., Candradewi, S. F., Septiantoro, B. P., & Purba, F. D. (2022). Penilaian Kualitas Hidup Pasien Kanker Nasofaring Dengan Menggunakan EORTC QLQ-C30 di RSUP dr. Kariadi Semarang. JPSCR: Journal of Pharmaceutical Science and Clinical Research, 7(1), 39. https://doi.org/10.20961/jpscr.v7i1.43764
  17. Quang, B. V., Minh, L. D., Quyen, L. T. Le, Mai, D. N. Le, Dat, N. T., & Giang, K. B. (2020). Quality of life among newly admitted patients to cancer hospital in Vietnam and associated factors. Health Psychology Open, 7(2), 205510292095304. https://doi.org/10.1177/2055102920953049
  18. Ramasubbu, S. K., Pasricha, R. K., Nath, U. K., Rawat, V. S., & Das, B. (2021). Quality of life and factors affecting it in adult cancer patients undergoing cancer chemotherapy in a tertiary care hospital. Cancer Reports, 4(2). https://doi.org/10.1002/cnr2.1312
  19. Sadler, K., Abudari, G., Sweilem, A., Aldhari, M., & AlShammari, F. (2022). Quality of life assessment and supportive management in a cancer outpatient setting in Saudi Arabia. Saudi Journal for Health Sciences, 11(2), 131. https://doi.org/10.4103/sjhs.sjhs_36_22
  20. Siboni, F., Alimoradi, Z., Atashi, V., Alipour, M., & Khatooni, M. (2019). Quality of life in different chronic diseases and its related factors. International Journal of Preventive Medicine, 10(1), 65. https://doi.org/10.4103/ijpvm.IJPVM_429_17
  21. Sisyani, Pribadi, F., & Urhmilla, M. (2016). Perbedaan Kualitas Pelayanan Pada Sistem Pembayaran INA-CBGs dengan Fee For Service di RS PKU Muhammadiyah Bantul. In A. Dewi (Ed.), Proceeding Book Simposium Nasional 1st Muhammadiyah Healthcare Conference (2nd ed., Vol. 2, pp. 66–77). LP3M Universitas Muhammadiyah Yogyakarta. http://repository.umy.ac.id/handle/123456789/20646
  22. Üstündag, S., & Zencirci, A. D. (2015). Factors affecting the quality of life of cancer patients undergoing chemotherapy: A questionnaire study. Asia-Pacific Journal of Oncology Nursing, 2(1), 17–25. https://doi.org/10.4103/2347-5625.152402
  23. Velenik, V., Secerov-Ermenc, A., But-Hadzic, J., & Zadnik, V. (2017). Health-related quality of life assessed by the EORTC QLQ-C30 questionnaire in the general slovenian population. Radiology and Oncology, 51(3), 342–350. https://doi.org/10.1515/raon-2017-0021
  24. Wahyuni, A. W., Supadmi, W., & Yuniarti, E. (2020). Quality of life in cancer outpatients using the EORTC QLQ-C30 questionnaire at PKU Muhammadiyah Yogyakarta Hospital. Farmasains: Jurnal Farmasi Dan Ilmu Kesehatan, 5(2), 63–70.
  25. Yan, B., Yang, L.-M., Hao, L.-P., Yang, C., Quan, L., Wang, L.-H., Wu, Z., Li, X.-P., Gao, Y.-T., Sun, Q., & Yuan, J.-M. (2016). Determinants of Quality of Life for Breast Cancer Patients in Shanghai, China. PLOS ONE, 11(4), e0153714. https://doi.org/10.1371/journal.pone.0153714
  26. Yoon, S. Y., & Oh, J. (2018). Neuropathic cancer pain: prevalence, pathophysiology, and management. The Korean Journal of Internal Medicine, 33(6), 1058–1069. https://doi.org/10.3904/kjim.2018.162
  27. Yuan, R., Zhang, C., Li, Q., Ji, M., & He, N. (2021). The impact of marital status on stage at diagnosis and survival of female patients with breast and gynecologic cancers: A meta-analysis. Gynecologic Oncology, 162(3), 778–787. https://doi.org/10.1016/j.ygyno.2021.06.008

Most read articles by the same author(s)