RELATIONSHIP BETWEEN CANCER PAIN WITH QUALITY OF LIFE IN PATIENTS colorectal cancer TULIP POLYCLINIC Hospital. DR. Sardjito
ABSTRACT: Background. Almost 70 % of cancer patients in Indonesia are found in advanced stage condition. Pain is the main complaint in patients with advanced stage cancer. We wanted to study the correlation between cancer pain with the quality of life among patients with colorectal cancer in Tulip Oncology Clinic Dr. Sardjito General Hospital that had not been done. Objectives. The main objective of this study was to determine the association between cancer pain with the quality of life among patients with colorectal cancer in Tulip Oncology Clinic Dr.Sardjito General Hospital Methods. Pain was measured by VAS, while the quality of life was measured by EORTC QLQ - 30 questionnaire and EORTC QLQ 29. The measurements were done twice, before and after therapy. Wilcoxson signed ranks test was used to determine the difference between quality of life before and after treatment, whereas to measure the increase or decrease in pain and quality of life we calculated the difference of pain scale score and quality of life before and after treatment. The study was conducted from January 1, 2015 until August 31, 2015. Results. We got 75 research subjects within 8 months. It showed that before and after the therapy there were decreases in pain after urinating, abdominal pain, pain in the buttock, bloating, bloody and mucoid stool, dry mouth, hair loss, anxiety, weight, body image, flatulence, leakage of feces, sores on the skin of the anus, frequence of defecation on daytime and night, fell embarrassed of defecation, problems caring the stoma bag, impotensia in men, dyspareunia, pain scale, dyspnea, fatigue, insomnia, loss of appetite, nausea, constipation, diarrhea, pain, and financial problems. The physical functioning, role functioning, cognitive functioning, sexual functioning and quality of life increased after treatment. Conclusion. Our research shows a decrease in pain scale between patients who had received treatment compared with patients who have not received treatment. Physical functioning, role functioning, cognitive functioning, sexual functioning and quality of life of patients increase after treatment.