Gambaran Kelelahan Pada Anak Penderita Kanker Yang Menjalani Kemoterapi
DOI:
https://doi.org/10.30643/jiksht.v21i1.454Keywords:
Chemotherapy, childhood cancer, fatigueAbstract
Introduction: Cancer is a major cause of morbidity and mortality in children worldwide. Chemotherapy is commonly employed as a primary treatment modality in pediatric oncology; however, fatigue is frequently reported as one of its most prominent adverse effects.
Objectives: This study aimed to describe the dimensions of fatigue among pediatric cancer patients undergoing chemotherapy.
Methods: This descriptive quantitative study used consecutive sampling. A total of 40 pediatric cancer patients undergoing chemotherapy at the Seruni Integrated Cancer Unit of Arifin Achmad General Hospital, Riau Province, were recruited as respondents. Fatigue levels were measured using the Pediatric Quality of Life Inventory (PedsQL) Multidimensional Fatigue Scale and analyzed descriptively.
Results: The majority of respondents were aged 5–7 years (35%), male (52.5%), and diagnosed with leukemia (82.5%). The mean total fatigue score was 64.85 (0–100), consisting of General Fatigue (63.58), Sleep/Rest Fatigue (54.65), and Cognitive Fatigue (76.35). Lower scores indicated greater fatigue severity, with the Sleep/Rest dimension representing the most affected domain
Conclusions: Pediatric cancer patients undergoing chemotherapy experience varying levels of fatigue across multiple dimensions. These findings highlight the importance of addressing physiological and psychological fatigue-related symptoms to support children’s adaptation during chemotherapy
Downloads
References
American Cancer Society. (2024). Risk Factors and Causes of Childhood Cancer. American Cancer Society, 1–4. https://www.cancer.org/cancer/types/cancer-in-children/risk-factors-and-causes.html
American Cancer Society. (2022). Cancer facts & figures 2022. Political Groups, Parties, and Organizations that Shaped American Encyclopedia and Document Collection: Volume 1–3
Bray, F., Laversanne, M., Sung, H., Ferlay, J., Siegel, R. L., Soerjomataram, I., & Jemal, A. (2024). Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 74(3), 229–263. https://doi.org/10.3322/caac.21834
Darni, Z., Masruroh, Nayoan, C. R., Sulistyawati, R. A., Susanto, W. H. A., Sari, P., Saherna, J., Yulianti, N. R., Hadrianti, D., Herlina, & Zuriati. (2022). Perawatan pasien kanker. PT Global Eksekutif Teknologi.
Fernandes. A & Andriani. Y (2021). Faktor-Faktor Yang Mempengaruhi Terjadinya Gangguan Tidur Pada Anak Dengan Leukemia Limfoblastik Akut (Lla) Yang Yang Menjalani Kemoterapi. Jurnal Keperawatan Silampari, 5, 196–206.
Fernandes, A. (2020). Kelelahan Pada Anak Dengan Leukemia Limfoblastik Akut Dalam Menjalani Kemoterapi Fase Induksi. Jurnal Kesehatan Perintis (Perintis's Health Journal), 7(1), 69-74. https://doi.org/10.33653/jkp.v7i1.411
Hadinata, D., & Lutfi, B. (2022). Patofisiologi. Edu Publisher.
Kemenkes. (2018). Penyakit Tidak Menular Indonesia. Kemenkes. https://p2ptm.kemkes.go.id/kegiatan-p2ptm/pusat-/kenali-gejala-dini-kanker-pada-anak
Kemenkes RI (2024,). Kemenkes dan Viva Anak Kanker Indonesia sepakat perkuat kerja sama. Sehat Negeriku https://kemkes.go.id/id/kemenkes-dan-viva-anak-kanker-indonesia-sepakat-perkuat-kerja-sama
Latrianingsih, N. L., Utami, K. C., & Devi, N. L. P. S. (2024). Gambaran Tingkat Kelelahan Anak Dengan Kanker Yang Mendapatkan Kemoterapi Di Rumah Singgah Yayasan Peduli Kanker Anak Bali. Coping: Community of Publishing in Nursing, 12(1), 112. https://doi.org/10.24843/coping.2024.v12.i01.p15
Mendri, Ni Ketut & Prayogi, A. S. (2017). Asuhan Keperawatan Pada Anak Sakit Dan Bayi Resiko Tinggi (Pustaka Baru (ed.); 1st ed.). Pustaka Baru Press
Nabilla, H., Utami, A., & Adila, D.R. 2023. “Gambaran tindakan orang tua dalam mengatasi efek samping kemoterapi pada anak kanker.” Al-Asalmiya Nursing: Jurnal Ilmu Keperawatan, Vol. 12, No. 1. p-ISSN 2338-2112, e-ISSN 2580-0485.
National Cancer Institute. (2021). What Is Cancer? NCI. https://www.cancer.gov/about-cancer/understanding/what-is-cancer
National Cancer Institute. (2022). Cancer staging. National Cancer Institute. https://www.cancer.gov/about-cancer/diagnosis-staging/staging
National Cancer Institute at the National Institutes of Health. (2022). What is Cancer?. Diakses pada 27 September 2022 dari https://www.cancer.gov/aboutcancer/understanding/what- is-cancer
Nccn, & Guidelines, P. (2017). NCCN Clinical Practice Guidelines in Oncology. Lancet Oncol.2017, 18, 297-311
Wardin, I. (2020). the Validity and Reliability Test of the Pediatric Quality of Life Inventory Multidimentional Fatigue Scale Versions of Indonesia (Pedsql Mfs-I) in Children Who Are Through Chemotherapy. Jurnal Ilmu Kesehatan, 9, 1–9.
WHO. (2021). Framework: WHO global initiative for childhood cancer. In CureAll framework: WHO global initiative for childhood cancer: increasing access, advancing quality, saving lives. https://apps.who.int/iris/handle/10665/3473
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Syalaisha. NF, Agnita Utami, Rani Lisa Indra
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
