HUBUNGAN TINGKAT KECEMASAN TERHADAP KUALITAS TIDUR PADA ANAK YANG MENJALANI KEMOTERAPI DI RSUD Dr. MOEWARDI

Anak, Kanker, Kemoterapi, Kecemasan, Kualitas Tidur

Abstract

Introduction: Cancer is an abnormal cell condition that undergoes continuous division and attacks the surrounding tissue. Chemotherapy is a cancer treatment to extinguish cancer cells using cytotoxic agents. The psychological impact of chemotherapy is anxiety which has a physical effect of decreasing sleep quality. The study aimed to analyze the relationship between anxiety levels and sleep quality in children before undergoing chemotherapy. The study used a correlation analytic design with a cross-sectional method. Sampling utilized total sampling with 32 patients aged 7-12 years before undergoing chemotherapy. The research instrument operated a CSAS-C (Chinese Version State Anxiety Scale for Children) statement checklist sheet and the PSQI (Pittsburgh Sleep Quality Index) questionnaire. Data were analyzed using univariate analysis and Spearman Rank bivariate analysis. The results revealed that 65.6% had severe anxiety and 65.6% had poor sleep quality. Spearman Rank results obtained a correlation value (r) of 0.861 and a p-value of 0.000. The value of p<ɑ (0.05). There was a relationship between anxiety level and sleep quality in children before undergoing chemotherapy at RSUD Dr. Moewardi. The lower the anxiety, the better the sleep quality, and vice versa.

Keyword: Children, Cancer, Chemotherapy, Anxiety, Sleep Quality