| dc.description.abstract | Background: : Breast cancer is the leading cause of cancer death in women. From
Globocan data for 2020, the number of new cases of breast cancer reached 68,858 out
of a total of 396,914 new cases of cancer in Indonesia. Most breast cancer patients
tend to be slow in receiving medical treatment at the hospital. This is because patients
generally only come to health facilities when their breast cancer has reached an
advanced stage. So the need for long treatment causes biopsycho-social-spiritual
impacts. Breast cancer patients will experience physical and psychological changes
because they have to adapt to new conditions in their lives. Adaptation to breast
cancer is influenced by external factors (eg, social support and living conditions) and
internal factors (eg, personal resources, self-defense mechanisms, and coping
strategies). Personal resources include spirituality, optimism, and assertive behavior.
Personal adjustment affects the quality of life of breast cancer patients.
Methods: Sampling using non-probability sampling, consecutive sampling type, was
carried out on 103 subjects with advanced breast cancer who were treated at the
Surgical Oncology Polyclinic at H. Adam Malik General Hospital, Medan from July
to August 2023.
Results: A description of the demographic data of advanced breast cancer patients at
H. Adam Malik General Hospital in Medan is that the age variable is mean ± standard
deviation 50.85 ± 8.73, the highest employment variable is not working, 79 subjects
(76.7%), the highest educational variable is High School or equivalent, namely 56
subjects (54.4%), the largest ethnic variable was Batak, namely 42 subjects (40.8%),
and the highest marital status variable was married, namely 93 subjects (90.3%). The
highest category of spirituality is high, namely 60 subjects (58.3%), the most anxiety
is the severe category, namely 50 subjects (48.5%), the highest social support is the
high category, namely 51 subjects (49.5%) and the quality variable Most of the lives
were good, namely 50 subjects (48.5%). Using the Spearman test, we found a positive
correlation between spirituality (SWBS) and quality of life (WHOQOL Bref), r =
0.719, n = 103 and p value <0.0001, a negative correlation between anxiety level
(HADS) and quality of life (WHOQOL Bref). , r = - 0.915, n=103 and p value
<0.0001, and a positive correlation between perceived social support (MSPSS) and
quality of life (WHOQOL Bref), r=0.779, n=103 and p value <0.0001
Conclusion: There is a strong positive relationship and correlation between the level
of spirituality and perceived social support with the quality of life of advanced breast
cancer patients. There is a strong negative relationship and correlation between
anxiety levels and the quality of life of advanced breast cancer patients. | en_US |
