NURSING Palliative PATIENTS WITH CERVICAL CANCER APPROACH IN CULTURAL VALUES Hospital DR. Moewardi SURAKARTA

ABSTRACT: Background: Cervical cancer in Indonesia in 2007 has the second number after breast cancer with 4.649 (11.07% of the population). Palliative nursing with cultural values approach gives holistic nursing care. The Javanese culture values; temen (earnest), nrima (sincere), sabar (patient) and rila (compation) or “Trisna” are easily understood and applicable so that it is a phsycotherapy for Javanese. Objective: to know the palliative influence of “Trisna” toward servical cancer patients in Moewardi General Hospital Surakarta Method: The design applied is a mix method; quantitative with Quasi experimental Non Randomized Control Group Pretest Postest Design and qualitative. The samples of nurse respondent for the intervention group are 19 with 15 person of control group. The patients respondent are 136 with 69 for each intervention and control group. This research measures the quality of palliative nursing care “Trisna” with questionnaire, observation and interview; to measure the patient’s quality of life and satisfaction, the researcher applied Z test (Mann Whitney Test), t – test and double linear regretion test. Result: The result shows that palliative nursing care training “Trisna” given to nurse intervention group was more effective compared with the control group. It is also effective for patients intervention group especially for their quality of life and satisfaction. Conclusion: Palliative nursing care model “Trisna” is recomended as one of guidances in giving nursing care with Javanese values for servical cancer patients in hospitals