Cervical Cancer Patients’ Perceptions of Treatment Experiences at Dr. Moewardi Regional General Hospital, Surakarta, Central Java, Indonesia
DOI:
https://doi.org/10.26911/Abstract
Background: Cervical cancer is one of the most common cancers affecting women and ranks fourth worldwide. During the course of treatment, cervical cancer patients in Indonesia often face various challenges that may affect their quality of life and treatment outcomes. Some of the main challenges experienced by cervical cancer patients include physical, psychological, social, and economic aspects. This study aimed to explore the experiences of cervical cancer patients while undergoing treatment.
Subjects and Method: This was a qualitative study with a phenomenological approach. The study was conducted at Dr. Moewardi Regional General Hospital, Surakarta, Central Java, parti-cular¬ly in the Obstetrics and Gynecology Outpatient Clinic. A total of 20 informants, consist¬ing of 1 key informant, 10 main informants, and 9 supporting informants, were selected using purposive sampling. Data were collected through interviews, observations, and documen¬tation. Data were analyzed using the Miles and Huberman approach.
Results: The study identified five themes: (1) the emotional journey of cervical cancer patients during treatment, (2) physical challenges experienced during cervical cancer treatment, (3) socio-economic barriers to undergoing cervical cancer treatment, (4) the role of social and spiritual support in patient resilience, and (5) the benefits of and expectations toward cervical cancer treatment.
Conclusion: The perceptions of cervical cancer patients during treatment were not limited to medical aspects alone but also encompassed emotional, social, spiritual, and economic dimensions. Addressing these aspects is essential for improving patients’ quality of life and enhancing adherence to cervical cancer treatment.
Keywords:
patient perceptions, cervical cancer, phenomenologyHow to Cite
References
Agustina L, Yuliani B, and Bahrul I (2020). Psikologis pasien kanker yang menjalani kemoterapi. J Kepera¬watan Suaka Insan. 5(8): 52–66
Akbulak F and Can G (2023). Effectiveness of mandala coloring in reducing anxiety in women with early-stage breast cancer receiving chemothe¬rapy for the first time. Explore. 19(1): 42–47. Doi: 10.1016/ J.Ex¬plore.2022.04.-007.
Ambarwati G (2017). Studi fenomenologi : Pemenuhan kebutuhan psikosial pasien kanker payudara yang menjalani kemoterapi di RSUD Tugurejo Semarang. universitas Diponegoro Semarang.
Apriany and Martha E (2023). Persepsi wanita usia subur terhadap deteksi dini kanker serviks dengan metode pemeriksaan Inspeksi Visual Asam Asetat (IVA) di Puskesmas Cinere. Med Publ Promos Kesehat Indones. 6(6): 1133–1141. Doi: 10.56338/Mp-pki.V6i7.3458
Arbyn M, Weiderpass E, Bruni L, de Sanjose S, Saraiya M, Ferlay J, et al. (2020). Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis. Lancet Glob Health. 8(2): e191–e203. Doi: 10.10-16/S2214-109X(19)30482-6
Atika MR and Nurfitria S (2024). Studi fenomenologi emotionl well being pada penderita kanker serviks. J Ilm Psikol Kesehat. 1(1): 39–48. Doi: 10.54443/sikontan.v1i1.356
Barbu M, Ghigeanu M, Bahaa-Eddin S, Michire A, Hanu A, Eremia G, et al. (2025). Impact of chemoradi¬otherapy on quality of life in cervical cancer patients : A pros¬pective cohort study. J Clin Med. 14(6023): 1–15. Doi: 10.3¬390/ jcm14176023
Christiyanty C, Sulistyarini WD, and Sirait Y (2021). Studi fenomenologi: Kua-litas hidup perempuan dengan kanker serviks dalam aspek kesehatan fisik. J Keperawatan Wiyata. 2(1): 91. Doi: 10.35728/ jkw.v2i1.442
Dirar A, Mekonnen W, and Berhanu Z (2022). Predictors of coping strategies among cervical cancer patients at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A cross-sectional study. Asian Pac J Cancer Care. 7(4): 629-636. Doi: 10.31557/-Apjcc.2022
Distinarista H, Wuriningsih AY, Laely AJ (2021). Pengalaman psikologis stres pasien kanker serviks: Studi feno-menologi. J Kep. 13(3): 543–552. Doi: 10.32583/keperawatan. v13i3.1180
Diyella NP, Sulistyorini WD, and Rahayu AP (2021). Studi fenomenologi aspek spiritualitas pada pejuang kanker serviks. J Keperawatan Wiyata. 2(2): 21. Doi: 10.35728/ jkw.v2i2.428
dr. Moewardi Hospital (2024). Lapor¬an pasien kanker serviks berdasarkan ICD Rumah Sakit dr. Moewardi. Surakarta: Rumah Sakit dr. Moewardi.
Girsang VI, Afriani D, Saragih FL, and Octavia YT (2021). Karakteristik pasien penderita kanker serviks di Rumah Sakit Umum Pusat Provinsi Sumatera Utara. J Tek Kesehat Ilm Sos. 3(1): 129-150
Hadisiwi P, Arifin S (2018). Pengalaman komunikasi penyan¬dang kanker serviks dalam pen¬carian informasi pengobatan di Jawa Barat. J Kaj Komunik. 6(1): 51–63
Handayani S (2019). Hubungan stadium klinis dengan ketahanan hidup pasien kanker serviks di RSUP dr.Wahidin Sudirohusodo Maka¬ssar. J Kesehat Masy Mulawarman. 1(2): 93. Doi: 10.30872/Jkmm.V1i¬2.3054
Hidayat E, Sari DH, and Fitriyati Y (2014). Hubungan kejadian kanker serviks dengan jumlah paritas di RSUD dr. Moewardi Tahun 2013. J Kedokt Kesehat Indones. 6(3): 128–136. Doi: 10.20885/Jkki.Vol6.Iss3.Art4
Iwanaga M, Yokoyama H, and Seiwa H (2004). Coping availability and stress reduction for optimistic and pessi-mistic individuals. Pers In¬divid Dif. 36: 11–22. Doi.Org/ 10.1016/¬S0191-8869(03)00047-3.
Joe A and Darmayasa M (2019). Kualitas hidup pada pasien penderita kanker serviks di RSUP Sanglah Denpasar periode Juni 2016 hingga Januari 2017. Medicina. 50(2): 350–356. Doi: 10.15562/Medicina. V50i2.822
Kabalimu T, Mushi G, and Muindi R (2018). Social and cultural factors affecting treatment seeking behaviour of patients with cancer of the cervix, at Ocean Road Cancer Institute in Dar Es Salaam, Tanzania. Huria J Open Univ Tanzan. 25: 54–63. Doi: 10.43¬14/ huria.v25i2
Kardiyudiadi N (2012). Studi fenomeno-logi: Harapan pasien kanker payu-dara yang mendapatkan kemo¬terapi tentang dukungan keluarga di Rumah Sakit Kanker Dharmais. Universitas Indonesia
Kusumaningrum T, Pranadie R, Yunitasar E, Kinanti S (2022). Peran keluarga dan kualitas hidup pasien kanker serviks. J Ners. 11(1): 112-117. Doi: 10.20473/jn.v11i12016
Kolin MYK, Watjiman, and Mahdalena (2016). Kualitas hidup pasien kanker yang menjalani kemoterapi tahun 2014. J Keperawatan Suaka Insan. 1(1): 50–61. Doi: 10.51143/ jksi.v11-i1.21
Lestari A, Budiyarti Y, and Ilmi B (2020). Study fenomenologi: Psikologis pa-sien kanker yang menjalani kemo-terapi. J Keperawatan Suaka Insan. 5(1): 52–66. Doi: 10.51143/jksi. v5i-1.196
Li L, Lin M, Liang J, Hu Q, Chen D, Lan M, et al. (2017). Effects of intrinsic and extrinsic factors on the level of hope and psychological health status of patients with cervical cancer during radiotherapy. Med Sci Monit. 23: 3508–3517. Doi.Or¬g/10.12659/Msm-.901430.
Luo T, Xie R, Huang Y, Gong X, Qin H, Wu Y (2021). Self-perceived burden and influencing factors in patients with cervical cancer administered with radiotherapy. World J Clin Cases. 9: 4188–4198. Doi: 10.1299¬8/Wjcc.V9.-I17.4188
Maurida N, Sukartini T, and Indarwati R (2019). Persepsi keparahan kanker serviks dan keteraturan melakukan deteksi dini kanker serviks. J Penelit Kesehat Suara Forikes. 10(3): 215. Doi: 10.33846/sf.v1¬0i3.488
Morita SE, Probowo WC, and Rijai L (2016). Kajian pengobatan pasien kanker serviks di RSUD Abdul Wahab Sjahranie Samarinda. Proc Mulawar-man Pharm Conf. 4: 330–334. Doi: 10.25026/mpc.v4i1.201
Mort S, Salantera S, Matomaki J, Salmi TT, Lahteenmaki PM (2011). Cancer Related Factors Do Not Explain The Quality of Life Scores for Childhood Cancer Survivors Analy¬sed with Two Different Generic HRQL Instruments. J Cancer Epidemiol. 35: 202–210. Doi: 10.1016/j.canep.2010.07.005.
Naveed S, Thappa DM, Dubashi B, Pandja-tcharam J, Munisamy M, Singh N (2019). Mucocutaneous adverse react-ions of cancer chemotherapy and chemora¬diation. Indian J Dermatol. 2(64): 122–128. Doi: 10.4103/ijd.IJ-D_ 129_17
Nurhayati S, Rahmadani SD, Marfuah D, and Mutiar A (2019). Gambaran kua-litas hidup penderita kanker serviks : Literatur review. J Reprod Med Child Health. 3(3): 150–162
Provincial Health Office of Central Java (2024). Health Profiles Report of Central Java Province Year 2023 (in Indonesia language). Surakarta, Indonesia.
Puspita IM, Anifah F, Sukarsih RI, Mardli-yana NE (2023). Sosialisasi pencegah¬an kanker serviks pada wanita usia subur dan lansia. J Pengabdi Kpd Masy. 3(2): 223–227. Doi: 10.36082/¬gemakes. v3i2.1316. .
Ratna S, Asriwati A, and Marsaulina I (2022). Studi fenomenologi penga-laman dan pengobatan pasien kanker serviks. Jukep. 5(2): 1–12. Doi: 10.3-4012/Jukep. V5i2.2658
Rio S, Sri E, Suci T (2017). Persepsi tentang kanker serviks dan upaya prevensinya pada perempuan yang memiliki keluarga dengan riwayat kanker. J Kesehat Reprod. 4(3): 159–169
Sarkar M (2009). Effect of treatment on the quality of life of cervical cancer patients: A prospective study from A Tertiary Care Centre of West Bengal. Int J Community Med Public Health. 7(1): 300. Doi.Org¬/10.18203/2394-6040.Ijcmph201¬95871
Sinaga DM, Santoso H, Lubis N (2020). Pengalaman pasien kanker serviks dalam mengatasi kecemasan. J Ilm PANNMED. 15(1): 41–45. Doi: 10.36911/pannmed.v15i1.647
Sirait FB, Wirawan NS, Ahmad MR, Gaus S, Husain AAA, and Datu MD (2023). Efek pemberian tiamin oral sebagai adjuvan opioid terhadap kadar en¬zim Cathecol-O-Methyltrans¬ferase (COMT) pada penderita kanker
serviks. Maj Anestesi Crit Care. 41(1): 12–20. Doi: 10.55497/ma¬janestcricar.v-41¬i1.273
Sulistyawati RA, Azali LMP, Mardiyah S, and Budiman AA (2022). Opti-malisasi pemberdayaan caregiver sebagai upaya peningkatan kualitas hidup pasien kanker di Rumah Sakit Umum Daerah dr. Moewardi. J Abdi Masy Indones. 2(4): 1311-1318. Doi: 10.5¬4082/jamsi.419
Syatriani S (2011). Faktor risiko kanker serviks di Rumah Sakit Umum Pemerintah dr. Wahidin Sudiro-husodo Makassar, Sulawesi Sela¬tan. Kesmas Natl Public Health J. 5(6): 283. Doi: 10.21109/kesmas. v5i6.125.
Valentina ND, Sari RI, and Puspita NVI (2024). Hubungan pengobatan ter-hadap fungsi seksual pada pasien kanker serviks di RSUP dr . Kariadi Semarang. J Inov Ris Ilmu Kese¬hat. 2(4): 50–56. Doi: 10.55606/ detector.v2i3.4415
WHO (2020). Cervix uteri source: Globo-can 2020. International agency for research on cancer. Geneva:
WHO (2022). Cervical Cancer. Geneva: WHO
Zhu L, Wang Y, Yang S, Li Q, Wang J, Zhao J, et al. (2025). Patient willingness to pay and preference for cervical cancer treatments among middle- and low-income populations in Xinjiang. J Patient-Rep Outcomes. 9(107): 2–15. Doi: 10.1186/s41687-025-00938-6
