The Relationship between Sexual Function and Quality of Life in Cervical Cancer Patients
Keywords:
cervical cancer, sexual function, quality of life
Abstract
Introduction: Patients with cervical cancer have various physical complaints that can be felt directly, one of which is impaired sexual function, hormonal changes that occur due to the course of cervical cancer can cause decreased sexual desire, decreased lubrication and dyspareunia. Sexual function can result in decreased quality of life for women as an important role in sexuality. Many studies focus on the quality of life, but have not revealed sexual function. Objectives: The purpose of this study was to analyze the relationship between sexual function and quality of life for cervical cancer patients. Methods: Quantitative research design using cross-sectional method. Sample selection using quota sampling technique with 60 respondents. The instruments in this study were FSFI and WHOQoL. Data processing and analysis using the SPSS program with Spearman-rank test.
Results: The majority of respondents were adults (81.7%) and underwent multitherapy (73.3%). A total of 53 respondents experienced sexual dysfunction and 55 respondents had a good quality of life. The results of the Spearman rank statistical test showed that the p-value was 0.030 (<0.05). It can be concluded that there is a relationship between sexual function and quality of life and has a weak relationship strength.
Conclusions: Sexual function is a factor related to the quality of life of cervical cancer patients. Therefore, nurses must be able to reveal the sexual function experienced by patients in providing more comprehensive nursing care so that they can improve their quality of life.
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References
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Arianti, M., Nursanti, I., & Nugroho, M. N. (2020). Pengalaman seksual pada perempuan dengan kanker serviks yang sedang menjalani kemoterapi. Jurnal Ilmiah Kesehatan, 9(2), 72-77
Baroroh, I. (2023). Edukasi Kanker Serviks (Skrining, Diagnosa dan Pencegahan). Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat, 4(1), 31-36.
Christiyanty, C., Sulistyarini, W. D., & Sirait, Y. (2021). STUDI FENOMENOLOGI: KUALITAS HIDUP PEREMPUAN DENGAN KANKER SERVIKS
da Silva, R. P. et al. (2017) “Effect of strength training on sleep apnea severity in the elderly: Study protocol for a randomized controlled trial,” Trials, 18(1), hal. 1–10.
DALAM ASPEK KESEHATAN FISIK. Jurnal Keperawatan Wiyata, 2(1), 91-100.
de Alencar SBV, de Lima FM, Dias LDA, Dias VDA, Lessa AC, Bezerra JM, et al. Depression and quality of life in older adults on hemodialysis. Brazilian J Psychiatry. 2020;42(2):195–200
Dikmen HA, Terzioglu F. (2019). Effects of Reflexology and Progressive Muscle Relaxation on Pain, Fatigue, and Quality of Life during Chemotherapy in Gynecologic Cancer Patients. Pain Manag Nurs. 9;20(1):47–53.
Dinatha, G. N. K., Oka, A. A. G., & Santosa, K. B. (2022). Predictive Factors Influencing the Outcomes of Double “J” Stent Placement in Stage IIIB Cervical Cancer Patients With Hydronephrosis Complication. DOI: https://doi.org/10.24843/JBN.2022.v06.i01.p01
Erlinna, Milandani, E. (2023). Pengaruh Relaksasi Otot Progresif Dan Napas Dalam Terhadap Tingkat Kecemasan Pasien Kanker Serviks Pada Masa Pandemi Covid-19 Di Rsud Dr. Moewardi (Doctoral dissertation, Universitas Kusuma Husada Surakarta).
Fakunle, I. E., & Maree, J. E. (2019). Sexual function in South African women treated for cervical cancer. International Journal of Africa Nursing Sciences, 10, 124-130.
Firmino Murgel, A. C., Santos Simões, R., Maciel, G. A. R., Soares, J. M., & Baracat, E. C. (2019). Sexual dysfunction in women with polycystic ovary syndrome: systematic review and meta-analysis. The Journal of Sexual Medicine, 16(4), 542-550.
Frumovitz, M., Obermair, A., Coleman, R. L., Pareja, R., Lopez, A., Ribero, R., ... & Ramirez, P. T. (2020). Quality of life in patients with cervical cancer after open versus minimally invasive radical hysterectomy (LACC): a secondary outcome of a multicentre, randomised, open-label, phase 3, non-inferiority trial. The Lancet Oncology, 21(6), 851-860.
Gökşin, İ., & Ayaz-Alkaya, S. (2018). The effectiveness of progressive muscle relaxation on the postpartum quality of life: a randomized controlled trial. Asian nursing research, 12(2), 86-90.
Hajibashi A, Sarrafzadeh J, Amiri A, Salehi R, Vasaghi-Gharamaleki B. (2023). Effect of progressive muscle relaxation as an add-on to pulmonary telerehabilitation indischarged patients with COVID-19: A randomised controlled trial. Complement Ther Clin Pract. 2023;51(February 2022):101730.
Hasanpour-Dehkordi, A. dan Jalali, A. (2016) “Effect of progressive muscle relaxation on the fatigue and quality of life amongiranian aging persons,” Acta Medica Iranica, 54(7), hal. 430–436. Tersedia pada: https://pubmed.ncbi.nlm.nih.gov/27424013/.
Hasnani, F. (2022). HIDUP DENGAN KANKER SERVIKS. Journal of Syntax Literate, 7(3).
Heriyanto, H. (2018). Thematic Analysis sebagai Metode Menganalisa Data untuk Penelitian Kualitatif. Anuva: Jurnal Kajian Budaya, Perpustakaan, dan Informasi, 2(3), 317-324.
Jakarta: Rajagrafi Prasada
Karim, U. N., Dewi, A., & Hijriyati, Y. (2021). Analisa faktor resiko kanker serviks dikaitkan dengan kualitas hidup pasien di rsia bunda jakarta.
Kementrian Kesehatan. 2022. Wanita Beresiko Terkena Kanker Serviks. https://yankes.kemkes.go.id/view_artikel/389/wanita-beresiko-terkena- kanker-serviks diakses tanggal 2 April 2023
Kuile, M.M, ter, at al, (2016), Cervical cancer survivors and partners’ experience with sexual dysfunction and psychosexual support, support care cancer, 24;1679- 1687 DOI 10.1007/s 00520-0520-015- 2928
Kuile, M.M, ter, at al, (2016), Cervical cancer survivors and partners’ experience with sexual dysfunction and psychosexual support, support care cancer, 24;1679- 1687 DOI 10.1007/s 00520-0520-015- 2928
Lekatompessy, M. F., & Lisum, K. (2024). Terapi Relaksasi Otot Progresif terhadap Kualitas Hidup Pasien dengan Penyakit Kronis: Literature Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(4), 815-821.
Maulida, M. N., Idriansari, A., & Adhisty, K. (2019, February). Gambaran Kualitas Hidup Penderita Kanker Serviks Stadium III. In Proceeding Seminar Nasional Keperawatan (Vol. 4, No. 1, pp. 18-22).
Najafi Ghezeljeh T, Kohandany M, Oskouei FH, Malek M. (2017). The Effect of Progressive Muscle Relaxation on Glycated Hemoglobin and Health-related Quality of Life in Patients with Type 2 Diabetes Mellitus. Appl Nurs Res. 2017;33:142–8.
Novackova, M., Pastor, Z., Chmel Jr, R., Mala, I., & Chmel, R. (2022). Sexuality and quality of life after nerve-sparing radical hysterectomy for cervical cancer: A prospective study. Taiwanese Journal of Obstetrics and Gynecology, 61(4), 641-645.
Osei Appiah E, Amertil NP, Oti-Boadi Ezekiel E, Lavoe H, Siedu DJ. (2021). Impact of cervical cancer on the sexual and physical health of women diagnosed with cervical cancer in Ghana: A qualitative phenomenological study. Womens Health (Lond). 2021 Jan-Dec;17:17455065211066075. doi: 10.1177/17455065211066075. PMID: 34937442; PMCID: PMC8724983.
Putri, N. A., Wedayani, A. A. A. N., & Irawan, M. R. (2023). Edukasi Mengenai Kanker Serviks dan Langkah Penanganan dan Pencegahan di Poli Radiologi RSUD Provinsi Mataram. Jurnal Pengabdian Magister Pendidikan IPA, 6(2), 34-36.
Rahmi, E., Nuraeni, A., & Solehati, T. (2019). Gambaran fungsi seksual pada wanita dengan terapi akibat kanker payudara. Kebidanan dan Keperawatan, 1.
Rijken M, Hujala A, van Ginneken E, Melchiorre MG, Groenewegen P, Schellevis F. (2018). Managing multimorbidity: Profiles of integrated care approaches targeting people with multiple chronic conditions in Europe. Health Policy (New York). 2018;122(1):44–52.
Rokhman, A., & Supriati, L. (2018). Pengaruh Terapi Progressive Muscle Relaxation Terhadap Kecemasan Dan Kualitas Hidup Pada Pasien Diabetes Mellitus Tipe 2 Di RS Muhammadiyah Lamongan. Jurnal Riset Kesehatan Nasional, 2(1), 45-58.
Samaria, D. (2022). Edukasi Kesehatan tentang Deteksi Dini Kanker Serviks di Desa Cibadung, Gunung Sindur, Bogor. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 5(7), 2243-2258.
Sarwono, B., & Kriswoyo, P. G. (2022). Faktor Risiko Pola Seksualitas Pada Wanita Lesi Servik. Juru Rawat. Jurnal Update Keperawatan, 2(1).
Seyedi, Chegeni P, Gholami M, Azargoon A, Hossein Pour AH, Birjandi M, Norollahi H. The effect of progressive muscle relaxation on the management of fatigue and quality of sleep in patients with chronic obstructive pulmonary disease: A randomized controlled clinical trial. Complement Ther Clin Pract. 2018;31:64–70.
Shofany, C. (2017). Quality of Life among Chronic Disease Patients. Nurs Care Open Access J. 2017;4(2):385–94.
Sopfe, J., Pettigrew, J., Afghahi, A., Appiah, L. C., & Coons, H. L. (2021). Interventions to improve sexual health in women living with and surviving cancer: review and recommendations. Cancers, 13(13), 3153.
Trisnaputri, A. P., Adhisty, K., & Purwanto, S. (2022). Terapi Kombinasi: Aromaterapi Jahe dan Relaksasi Otot Progresif pada Pasien Kanker Serviks Pasca Kemoterapi. Jurnal Untuk Masyarakat Sehat (JUKMAS), 6(1), 85-91.
WHO. (2022). Cervical Cancer. https://www.who.int/news-room/fact- sheets/detail/cervical-cancer diakses tanggal 1 April 2023
Wu, X., Wu, L., Han, J., Wu, Y., Cao, T., Gao, Y., ... & Wang, J. (2021). Evaluation of the sexual quality of life and sexual function of cervical cancer survivors after cancer treatment: a retrospective trial. Archives of Gynecology and Obstetrics, 1-8.
Yavas G, Yavas C, Dogan NU, Ilhan TT, Dogan S, Karabagli P, Ata O, Yuce E, Celik, C. (2017). Pelvic radiotherapy does not deteriorate the quality of life of women with gynecologic cancers in long-term follow-up: A 2 years prospective single-center study. J Cancer Res Ther. 2017 Jul-Sep;13(3):524- 532. doi: 10.4103/0973-1482.187243. PMID: 28862221
Afiyanti, Y., & Milanti, A. (2013). Physical sexual and intimate relationship concerns among Indonesian cervical cancer survivors: A phenomenological study. Nursing & Health Sciences, 15(2), 151-156.
Alligood, M. R. (2014). Nursing theory & their work (8 th ed). The CV Mosby Company St. Louis. Toronto. Missouri: Mosby Elsevier. Inc
Arianti, M., Nursanti, I., & Nugroho, M. N. (2020). Pengalaman seksual pada perempuan dengan kanker serviks yang sedang menjalani kemoterapi. Jurnal Ilmiah Kesehatan, 9(2), 72-77.
Arianti, M., Nursanti, I., & Nugroho, M. N. (2020). Pengalaman seksual pada perempuan dengan kanker serviks yang sedang menjalani kemoterapi. Jurnal Ilmiah Kesehatan, 9(2), 72-77
Baroroh, I. (2023). Edukasi Kanker Serviks (Skrining, Diagnosa dan Pencegahan). Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat, 4(1), 31-36.
Christiyanty, C., Sulistyarini, W. D., & Sirait, Y. (2021). STUDI FENOMENOLOGI: KUALITAS HIDUP PEREMPUAN DENGAN KANKER SERVIKS
da Silva, R. P. et al. (2017) “Effect of strength training on sleep apnea severity in the elderly: Study protocol for a randomized controlled trial,” Trials, 18(1), hal. 1–10.
DALAM ASPEK KESEHATAN FISIK. Jurnal Keperawatan Wiyata, 2(1), 91-100.
de Alencar SBV, de Lima FM, Dias LDA, Dias VDA, Lessa AC, Bezerra JM, et al. Depression and quality of life in older adults on hemodialysis. Brazilian J Psychiatry. 2020;42(2):195–200
Dikmen HA, Terzioglu F. (2019). Effects of Reflexology and Progressive Muscle Relaxation on Pain, Fatigue, and Quality of Life during Chemotherapy in Gynecologic Cancer Patients. Pain Manag Nurs. 9;20(1):47–53.
Dinatha, G. N. K., Oka, A. A. G., & Santosa, K. B. (2022). Predictive Factors Influencing the Outcomes of Double “J” Stent Placement in Stage IIIB Cervical Cancer Patients With Hydronephrosis Complication. DOI: https://doi.org/10.24843/JBN.2022.v06.i01.p01
Erlinna, Milandani, E. (2023). Pengaruh Relaksasi Otot Progresif Dan Napas Dalam Terhadap Tingkat Kecemasan Pasien Kanker Serviks Pada Masa Pandemi Covid-19 Di Rsud Dr. Moewardi (Doctoral dissertation, Universitas Kusuma Husada Surakarta).
Fakunle, I. E., & Maree, J. E. (2019). Sexual function in South African women treated for cervical cancer. International Journal of Africa Nursing Sciences, 10, 124-130.
Firmino Murgel, A. C., Santos Simões, R., Maciel, G. A. R., Soares, J. M., & Baracat, E. C. (2019). Sexual dysfunction in women with polycystic ovary syndrome: systematic review and meta-analysis. The Journal of Sexual Medicine, 16(4), 542-550.
Frumovitz, M., Obermair, A., Coleman, R. L., Pareja, R., Lopez, A., Ribero, R., ... & Ramirez, P. T. (2020). Quality of life in patients with cervical cancer after open versus minimally invasive radical hysterectomy (LACC): a secondary outcome of a multicentre, randomised, open-label, phase 3, non-inferiority trial. The Lancet Oncology, 21(6), 851-860.
Gökşin, İ., & Ayaz-Alkaya, S. (2018). The effectiveness of progressive muscle relaxation on the postpartum quality of life: a randomized controlled trial. Asian nursing research, 12(2), 86-90.
Hajibashi A, Sarrafzadeh J, Amiri A, Salehi R, Vasaghi-Gharamaleki B. (2023). Effect of progressive muscle relaxation as an add-on to pulmonary telerehabilitation indischarged patients with COVID-19: A randomised controlled trial. Complement Ther Clin Pract. 2023;51(February 2022):101730.
Hasanpour-Dehkordi, A. dan Jalali, A. (2016) “Effect of progressive muscle relaxation on the fatigue and quality of life amongiranian aging persons,” Acta Medica Iranica, 54(7), hal. 430–436. Tersedia pada: https://pubmed.ncbi.nlm.nih.gov/27424013/.
Hasnani, F. (2022). HIDUP DENGAN KANKER SERVIKS. Journal of Syntax Literate, 7(3).
Heriyanto, H. (2018). Thematic Analysis sebagai Metode Menganalisa Data untuk Penelitian Kualitatif. Anuva: Jurnal Kajian Budaya, Perpustakaan, dan Informasi, 2(3), 317-324.
Jakarta: Rajagrafi Prasada
Karim, U. N., Dewi, A., & Hijriyati, Y. (2021). Analisa faktor resiko kanker serviks dikaitkan dengan kualitas hidup pasien di rsia bunda jakarta.
Kementrian Kesehatan. 2022. Wanita Beresiko Terkena Kanker Serviks. https://yankes.kemkes.go.id/view_artikel/389/wanita-beresiko-terkena- kanker-serviks diakses tanggal 2 April 2023
Kuile, M.M, ter, at al, (2016), Cervical cancer survivors and partners’ experience with sexual dysfunction and psychosexual support, support care cancer, 24;1679- 1687 DOI 10.1007/s 00520-0520-015- 2928
Kuile, M.M, ter, at al, (2016), Cervical cancer survivors and partners’ experience with sexual dysfunction and psychosexual support, support care cancer, 24;1679- 1687 DOI 10.1007/s 00520-0520-015- 2928
Lekatompessy, M. F., & Lisum, K. (2024). Terapi Relaksasi Otot Progresif terhadap Kualitas Hidup Pasien dengan Penyakit Kronis: Literature Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(4), 815-821.
Maulida, M. N., Idriansari, A., & Adhisty, K. (2019, February). Gambaran Kualitas Hidup Penderita Kanker Serviks Stadium III. In Proceeding Seminar Nasional Keperawatan (Vol. 4, No. 1, pp. 18-22).
Najafi Ghezeljeh T, Kohandany M, Oskouei FH, Malek M. (2017). The Effect of Progressive Muscle Relaxation on Glycated Hemoglobin and Health-related Quality of Life in Patients with Type 2 Diabetes Mellitus. Appl Nurs Res. 2017;33:142–8.
Novackova, M., Pastor, Z., Chmel Jr, R., Mala, I., & Chmel, R. (2022). Sexuality and quality of life after nerve-sparing radical hysterectomy for cervical cancer: A prospective study. Taiwanese Journal of Obstetrics and Gynecology, 61(4), 641-645.
Osei Appiah E, Amertil NP, Oti-Boadi Ezekiel E, Lavoe H, Siedu DJ. (2021). Impact of cervical cancer on the sexual and physical health of women diagnosed with cervical cancer in Ghana: A qualitative phenomenological study. Womens Health (Lond). 2021 Jan-Dec;17:17455065211066075. doi: 10.1177/17455065211066075. PMID: 34937442; PMCID: PMC8724983.
Putri, N. A., Wedayani, A. A. A. N., & Irawan, M. R. (2023). Edukasi Mengenai Kanker Serviks dan Langkah Penanganan dan Pencegahan di Poli Radiologi RSUD Provinsi Mataram. Jurnal Pengabdian Magister Pendidikan IPA, 6(2), 34-36.
Rahmi, E., Nuraeni, A., & Solehati, T. (2019). Gambaran fungsi seksual pada wanita dengan terapi akibat kanker payudara. Kebidanan dan Keperawatan, 1.
Rijken M, Hujala A, van Ginneken E, Melchiorre MG, Groenewegen P, Schellevis F. (2018). Managing multimorbidity: Profiles of integrated care approaches targeting people with multiple chronic conditions in Europe. Health Policy (New York). 2018;122(1):44–52.
Rokhman, A., & Supriati, L. (2018). Pengaruh Terapi Progressive Muscle Relaxation Terhadap Kecemasan Dan Kualitas Hidup Pada Pasien Diabetes Mellitus Tipe 2 Di RS Muhammadiyah Lamongan. Jurnal Riset Kesehatan Nasional, 2(1), 45-58.
Samaria, D. (2022). Edukasi Kesehatan tentang Deteksi Dini Kanker Serviks di Desa Cibadung, Gunung Sindur, Bogor. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 5(7), 2243-2258.
Sarwono, B., & Kriswoyo, P. G. (2022). Faktor Risiko Pola Seksualitas Pada Wanita Lesi Servik. Juru Rawat. Jurnal Update Keperawatan, 2(1).
Seyedi, Chegeni P, Gholami M, Azargoon A, Hossein Pour AH, Birjandi M, Norollahi H. The effect of progressive muscle relaxation on the management of fatigue and quality of sleep in patients with chronic obstructive pulmonary disease: A randomized controlled clinical trial. Complement Ther Clin Pract. 2018;31:64–70.
Shofany, C. (2017). Quality of Life among Chronic Disease Patients. Nurs Care Open Access J. 2017;4(2):385–94.
Sopfe, J., Pettigrew, J., Afghahi, A., Appiah, L. C., & Coons, H. L. (2021). Interventions to improve sexual health in women living with and surviving cancer: review and recommendations. Cancers, 13(13), 3153.
Trisnaputri, A. P., Adhisty, K., & Purwanto, S. (2022). Terapi Kombinasi: Aromaterapi Jahe dan Relaksasi Otot Progresif pada Pasien Kanker Serviks Pasca Kemoterapi. Jurnal Untuk Masyarakat Sehat (JUKMAS), 6(1), 85-91.
WHO. (2022). Cervical Cancer. https://www.who.int/news-room/fact- sheets/detail/cervical-cancer diakses tanggal 1 April 2023
Wu, X., Wu, L., Han, J., Wu, Y., Cao, T., Gao, Y., ... & Wang, J. (2021). Evaluation of the sexual quality of life and sexual function of cervical cancer survivors after cancer treatment: a retrospective trial. Archives of Gynecology and Obstetrics, 1-8.
Yavas G, Yavas C, Dogan NU, Ilhan TT, Dogan S, Karabagli P, Ata O, Yuce E, Celik, C. (2017). Pelvic radiotherapy does not deteriorate the quality of life of women with gynecologic cancers in long-term follow-up: A 2 years prospective single-center study. J Cancer Res Ther. 2017 Jul-Sep;13(3):524- 532. doi: 10.4103/0973-1482.187243. PMID: 28862221
