Palliative Nursing Care with Cultural Values Approach for Cervical Cancer Patients in Moewardi General Hospital Surakarta

Abstract

Cervical cancer in Indonesia in 2007 has the second number cancer after breast cancer with 4.649 (11.07% of the population). Palliative nursing with cultural approach gives holistic nursing care. The Javanese values; temen (earnest), nrima (sincere), sabar (patient) and rila (compation) and then shortened to be “Trisna” are easily understood and applicable so that it is a phsycotherapy for Javanese. The aim of this research is to know the palliative influence of “Trisna” toward servical cancer patients in Moewardi General Hospital Surakarta. 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. 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. Palliative nursing care model “Trisna” is recomended as one of guidances in giving nursing care with Javanese values for servical cancer patients in hospitals.

Keywords: servical cancer, nurse, nursing care quality, patient’s quality of life, patient satisfaction, training, palliative nursing care “Trisna”