Abstrak
LatarBelakang: Kanker serviks merupakan jenis kanker kedua terbanyak di dunia setelah kanker payudara. Penderita kanker serviks stadium lanjut umumnya mengalami depresi akibat dari penyakit yang dideritanya yang menyebabkan penurunan kadar serotonin. Pemberian logoterapi akan berdampak positif.
Tujuan: Menganalisis terjadinya perbedaan kadar serotonin dan skor nyeri pasien kanker serviks stadium lanjut sebelum dan setelah mendapat psikoterapi logoterapi di RSUD dr Moewardi Surakarta.
Metode Penelitian: experimental non randomized pre post test design, dengan 15 subyek penelitian. Penelitian dilakukan di bangsal dan poliklinik kebidanan dan kandungan RSUD dr Moewardi Surakarta dan Laboratorium Prodia, dimulai bulan Januari 2015.
Hasil: Nilai rerata serotonin sebelum perlakuan sebesar 91,28±30,28 dan nilai rerata setelah perlakuan logoterapi sebesar 217,53±40,64 dengan p-value (0.00) < 0.05, yang berarti ada perbedaan sangat bermakna pada rerata serotonin sebelum perlakuan dan setelah perlakuan logoterapi pada pasien penderita kanker serviks stadium lanjut. Skor nyeri sebelum perlakuan nilai mean 7,80 ±0,775 dan skor nyeri setelah perlakan sebesar 5,20±0,775, dengan nilai p = 0.001 < 0.05, yang berarti ada perbedaan sangat bermakna skor nyeri sebelum dan setelah adanya perlakuan.
Kesimpulan: Terdapat pengaruh psikoterapi logoterapi terhadap kadar serotonin pada pasien kanker serviks stadium lanjut dan secara statistik sangat bermakna. Terdapat pengaruh psikoterapi logoterapi terhadap skor nyeri pada kanker serviks stadium lanjut dan secara secara statistik sangat bermakna.
Kata kunci: Serotonin, Skor nyeri, Psikoterapi logoterapi, Kanker serviks stadium lanjut.
Abstract
Background: Cervical cancer is the second most frequent type of cancer in the world after breast cancer. Patients with advanced cervical cancer commonly experience depression as a result of their illness and causing decrease the level of serotonin. Giving logotherapy will make a positif impact.
Objective: To analyze the different levels of serotonin and pain scores of patients with advanced cervical cancer before and after being administered with psychotherapy logotherapy at Dr. Moewardi Hospital Surakarta.
Methods: experimental non randomized pre post test design, with 15 subjects of study. This study performed in wards and polyclinic of Obstetrics and Gynecology at dr. Moewardi Hospital Surakarta and Prodia Laboratory, started in January 2015.
Results: The mean value of serotonin before treatment is 91.28 ± 30.28 and the mean value after logotherapy treatment is 217.53 ± 40.64 with a p-value (0.00) of <0.05, which means that there are very significant differences in the average serotonin before logotherapy treatment and after treatment in patients with advanced cervical cancer. The mean value of pain score before treatment is 7.80 ± 0.775 and pain scores after treatment is 5.20 ± 0.775, with p value = 0.001< 0.05, which means that there are very significant differences in pain scores before and after treatment.
Conclusions: There was effect of logotherapy psychotherapy on serotonin level in advanced cervical cancer patient and statistically very significant. There was a effect of logotherapy psychotherapy on pain score in cervical cancer patient and statistically very significant.
Keywords: Serotonin, pain scores, Psychotherapy logotherapy, advanced cervical cancer.
