Hubungan antara tingkat keganasan dan depresi pada pasien kanker serviks
D Di Indonesia, angka kejadian kanker serviks menempati urutan ke-2 terbanyak setelah kanker payudara. Menurut GLOBOCAN 2020, terdapat 36.633 kasus baru dan 21.003 kematian akibat kanker serviks. Kanker serviks tidak hanya menimbulkan masalah kesehatan secara fisik namun juga psikologis. Menurut penelitian yang dilakukan oleh Endarti W,et al. kejadian depresi pada pasien kanker serviks sebanyak 57,5%. Semakin berat stadium kanker semakin berat pula depresi yang dialami pasien sehingga berdampak pada proses penyembuhan dan survival rate. Namun penelitian lain oleh Nufus menyatakan tidak terdapat hubungan antara stadium kanker dan kejadian depresi. Adanya perbedaan hasil ini membuat peneliti tertarik mengangkat topik ini dan mencari hubungan antara stadium kanker dan depresi pada pasien kanker serviks.METODEPenelitian ini merupakan studi analitik observasional dengan desain cross-sectional dan pasien kanker serviks sebagai subjek penelitian. Penilaian stadium kanker didapatkan melalui wawancara dan penilaian depresi menggunakan Beck Depression Inventory II. Data selanjutnya dianalisis dengan uji chi-square dan Kolmogorov Smirnov dengan kemaknaan < 0,05.HASILDari penelitian ini didapatkan, penderita kanker serviks terbanyak berada pada stadium IV yaitu 39,3% dan kejadian depresi terbanyak berada pada depresi berat yaitu 35,7%. Pada uji bivariat antara stadium kanker dan depresi pada pasien kanker serviks didapatkan nilai p = 0,010.KESIMPULANBerdasarkan hasil penelitian, dapat disimpulkan terdapat hubungan yang bermakna secara statistik antara stadium kanker dan depresi pada pasien kanker serviks.
I In Indonesia, the incidence of cervical cancer ranks second after breast cancer. According to GLOBOCAN 2020, there were 36,633 new cases and 21,003 deaths from cervical cancer. Cervical cancer does not only cause health problems physically but also psychologically. According to research conducted by Endarti W et al the incidence of depression in cervical cancer patients is 57.5%. The more severe the stage of cancer, the more severe the depression experienced by the patient, that it has an impact on the healing process and survival rate. However, another study by Nufus stated that there was no relationship between cancer stage and the incidence of depression. The existence of these differences in results makes researchers interested in bringing up this topic and looking for the relationship between cancer stage and depression in cervical cancer patients.METHODThis study is an observational analytic study with a cross-sectional design and cervical cancer patients as research subjects. Cancer stage assessment was obtained through interviews and depression assessment using the Beck Depression Inventory II. The data were analyzed by chi-square test and Kolmogorov Smirnov test with a significance level of <0.05.RESULTSFrom this research, it was obtained that the most cervical cancer patients are in stage IV that is 39.3% and the highest incidence of depression is in severe depression that is 35.7%. In the bivariate test between cancer stage and depression in cervical cancer patients, the p-value = 0.010.CONCLUSIONBased on research, it can be concluded that there is a statistically significant relationship between cancer stage and depression in cervical cancer patients.