Hubungan Frekuensi Kemoterapi dan Kecemasan dengan Asupan Energi-Protein Pasien Kanker Payudara di RS Onkologi Surabaya

The Relationship between Chemotherapy Frequency and Anxiety with Energy-Protein Intake among Breast Cancer Patients at Surabaya Oncology Hospital

Abstract

Chemotherapy is among the treatments for cancer patients. High frequency chemotherapy tends to be followed by severe side effects in cancer patients, one of which is a decrease in appetite. Cancer and its treatment also have a psychological impact, one of which is anxiety, which can reduce the appetite of cancer patients. This research aimed to examine the frequency of chemotherapy, anxiety levels, energy and protein intake levels, and to analyze the relationship between chemotherapy frequency and anxiety levels with energy and protein intake levels in breast cancer patients at Surabaya Oncology Hospital. This research used a cross-sectional study with an analytic observational study design. The total sample amounted to 52 patients selected using accidental sampling method. The instruments used as assessment tools were the Generalized Anxiety Disorder 7 questionnaire and Semi-Quantitative Food Frequency Questionnaires, and secondary data from medical records. The statistical analysis used was Kendall Tau test. The results showed that 63,5% of subject underwent chemotherapy with a low frequency (≤4 cycles), 19,2% of subjects were categorized as anxious (mild and moderate), 46,2% of subjects had excessive energy intake, and 36.5% of subjects had excessive protein intake. There was no relationship between chemotherapy frequency and energy intake level (p=0.409). There was no relationship between the frequency of chemotherapy and protein intake level (p=0.840). There was a relationship between anxiety level and energy intake level (p=0.014, τ=0.255). There was no relationship between anxiety level and protein intake level (p=0.242).