Experiences of patients with Breast Cancer in Selecting Conventional and Complementary Therapies in Remote Areas: A Qualitative Study

Putriatri Krimasusini Senudin, Eufrasia Prinata Padeng, Dionesia Octaviany Laput, Natalia Damayanti Putri Raden, Reineldis E. Trisnawati, Fransiska Nova Nanur

Abstract


Background: The selection of therapy is a challenging issue to overcome. The selected therapy must be based on the condition of breast cancer patients and has advantages such as increasing life expectancy, being able to overcome the symptoms and complaints of breast cancer patients and improving the quality of life. This study aimed to explore the experiences of people with breast cancer regarding the reasons for choosing therapy, namely complementary and conventional therapies.

Methods: This study was qualitative research with a descriptive phenomenological study approach. Participants obtained using purposive sampling techniques were included until the data was saturated. Research data was collected through in-depth interviews conducted in a semi-structured manner. The thematic analysis used in this study consisted of several stages using the Colaizzi method.

Results: This study illustrated that complementary and conventional therapies were beneficial to cancer treatment. The three themes from the analysis results included the benefits of complementary and conventional therapies, access to therapy and treatment costs. The choice of therapy depended on available access and costs for breast cancer treatment.

Conclusion: People with breast cancer in remote areas choose complementary therapies, such as herbal medicine, meditation, reflexology, and acupuncture as the first choice and conventional therapies, such as surgery and chemotherapy as alternative therapies. This is because the choice of therapy also depends on the ease of access to treatment and the availability of costs for breast cancer patients.


Keywords


Breast cancer, experience, therapy

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References


  1. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394–424.
  2. Pusat Data dan Informasi Kementerian Kesehatan RI. INFODATIN: Beban kanker di Indonesia. Jakarta: Pusat Data dan Informasi Kementerian Kesehatan RI 2019.
  3. Rivera-Franco M, Leon-Rodriguez E. Delays in breast cancer detection and treatment in developing countries. Breast Cancer (Auckl). 2018;12:1178223417752677.
  4. Irawan E. Faktor-faktor pelaksanaan Sadari/breast self examination (BSE) kanker payudara (literature review). J Keperawatan BSI. 2018;VI(1):44–50.
  5. Irawan E, Rahayuwati L, Yani DI. Hubungan penggunaan terapi modern dan komplementer terhadap kualitas hidup pasien kanker payudara. J Keperawatan Padjadjaran. 2017;5(1):19–28.
  6. Sasaki Y, Cheon C, Motoo Y, Jang S, Park S, Ko SG, et al. Complementary and alternative medicine for breast cancer patients: an overview of systematic reviews. Yakugaku Zasshi. 2019;139(7):1027–46.
  7. Menteri Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia nomor 29 tahun 2017 taetang Perubahan Atas Peraturan Menteri Kesehatan nomor 34 tahun 2015 tentang Penanggulangan Kanker Payudara dan Kanker Leher Rahim. Jakarta: Kementerian Kesehatan Republik Indonesia; 2017.
  8. Basry S, Ibrahim K, Maryati I. Penggunaan terapi komplementer terkait kualitas hidup survivor kanker payudara stadium lanjut. J Keperawatan Silampari. 2022;5(3):811–22.
  9. Ryamizard R, Nawangsih C, Margawati A. Gambaran penggunaan pengobatan tradisional, komplementer dan alternatif pada pasien kanker yang menjalani radioterapi. J Kedokt Diponegoro. 2018;7(2):1568–84.
  10. 10. Evitasari W, Ismonah, Supriyadi. Pengaruh terapi musik relaksasi meditasi dan back massage terhadap penurunan intensitas mual muntah pada pasien kanker payudara yang sedang menjalani kemoterapi di SMC RS Telogorejo. Karya Ilmiah STIKES Telogorejo. 2017;6:633.
  11. Razali NH, Ali A, Gan SH, Lim CS. Prevalence of traditional and complementary alternative medicine’s use among cancer patients in south peninsular malaysia. Asian Pacific J Cancer Biol. 2020;5(1):19–26.
  12. Embong NH, Soh YC, Ming LC, Wong T. Revisiting reflexology: Concept, evidence, current practice, and practitioner training. J Tradit Complement Med. 2015;5(4):197–206.
  13. Tarrasch R, Carmel-Neiderman NN, Ben-Ami S, Kaufman B, Pfeffer R, Ben-David M, et al. The effect of reflexology on the pain-insomnia-fatigue disturbance cluster of breast cancer patients during adjuvant radiation therapy. J Altern Complement Med. 2018;24(1):62–8.
  14. Miller M, Xu D, Lehto R, Moser J, Wu HS, Wyatt G. Pain and spirituality outcomes among women with advanced breast cancer participating in a foot reflexology trial. Oncol Nurs Forum. 2021;48(1):31–43.
  15. Wanchai A, Armer JM. A systematic review association of reflexology in managing symptoms and side effects of breast cancer treatment. Complement Ther Clin Pract. 2020;38:101074.
  16. Pratama NMW, Wetan NGAAMY., Widiana IK. Faktor yang mempengaruhi keterlambatan pengobatan kanker payudara: sebuah tinjauan sistematik. Intisari Sains Medis. 2021;12(1):346–55.
  17. Mambodiyanto, Maharani P. Pengaruh pengobatan alternatif sebagai faktor penyebab keterlambatan penanganan medis penderita kanker payudara di Puskesmas Lumbir Kabupaten Banyumas. Medisains. 2016;14(3):1–7.
  18. Putri IY, Indra RL, Lita L. Gambaran faktor-faktor yang melatarbelakangi pemilihan pengobatan alternatif pada pasien kanker payudara. J Samodra Ilmu Cendekia. 2022;13(1):2086–210.
  19. Puspandari DA, Mukti Ghufron A, Kusnanto H. Faktor-faktor yang mempengaruhi biaya obat pasien kanker payudara di rumah sakit di Indonesia. JKKI. 2015;04(03):104–8.
  20. Budiarto W, Sugiharto M. Biaya klaim INA CBGs dan biaya riil penyakit katastropik rawat inap peserta Jamkesmas di Rumah Sakit Studi di 10 Rumah Sakit Milik Kementerian Kesehatan. Bul Penelit Sist Kesehat. 2013;16(1):58–65.




DOI: https://doi.org/10.15850/amj.v11n1.3028

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