Kualitas Hidup Klien Kanker Yang Menerima Pelayanan Hospis Atau Homecare: Suatu Analisis Kuantitatif

Quality of life is an important issue among clients with cancer who had succeeded to control their illness and extend their life trajectory (Ersek, Ferrel, Dow, & Melancon, 1997). However, not so many people concern with their quality of life during their terminal period (Stetz, 1998). Field experience showed many patients complain and express what they want to expect from the service provided. The purpose of the study was to develop a nursing intervention model that can improve the quality of life of the clients with cancer. Two approaches was utilized in collecting data includes quantitative and qualitative research methodes, but on this publication only the result of quantitative research which will be presented. Three questionnaires were used in quantitative approach to identify the demographic profile of the clients and their caregiver, to identify the level of quality of life of the clients receiving hospice/ home care service, and factors that influenced the quality of life. Through this data, the development of nursing intervention model was developed. The finding showed that 63.7% of respondents were diagnosed with breast and gynecologic cancers. The respondent who had advance cancer (stages III and IV) were 72.8%. Seventy seven point three percent of respondents stated that the most influencing factor to quality of life was the presence of their family. A pearson chi-square test showed significant relationships between the type of cancer, stages, job of the clients and quality of life (p = 0.04, 0.013, 0.018 respectively with  = 0.015). A logistic regression test demonstrated that job of the clients and stadium of illness had significant relationships with quality of life of clients (p = 0.025 & 0.02,  = 0.05). The conclusion of this study was the presence and supports of family were two important factors needed by clients with cancer. The nursing implication has directed to the efforts improving the quality of the life of client daily activities during their terminal period.