Pasien Kanker Paru

Yono Taryono MKep

Pengertian Quality Of Life

Respons pasien terhadap pengobatan durasi respons

periode bebas gejala dan pengenalan awal kambuh

Manfaat kelangsungan hidup yang diperoleh setelah

pengobatan yang diukur dengan peningkatan rentang hidup dan QOL sebelum dan

sesudah terapi

Outcome Pasien Kanker Paru

Pilihan perawatan biasanya dibuat

bersama oleh dokter perawat dan pasien

setelah pertimbangan rinci dari semua aspek

yang relevan

jika dengan pengobatan QOL memburuk tetapi kelangsungan hidup membaik atau sebaliknya

Pengukuran Quality of life pada pasien

kanker paru Kualitas hidup dapat diukur dengan generic measures atau

disease specific

WHOQOL-BREF (WHO Quality of Life)

European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire (QLQ-C30)

A lung cancer specific module the LC13 includes complementary measures of symptoms and side effects

WHOQoL

Ada 26 Pertanyaan Persepsi pasien berpengaruh pada

bull Kesehatan fisik bull keadaan psikologis bull tingkat kepuasan bull hubungan sosial dan bull hubungan dengan

lingkungan

WHOQOL

QLQ-C30

Comprises 30 items that measure aspects bull of functioning (physical emotional

cognitive social and role) bull Symptoms (fatigue pain dyspnoea sleep

problems constipation diarrhoea appetite loss and nauseavomiting)

bull Financial problems and global healthquality of life

QLQ 30

QOL LC13

Complementary measures of symptoms and side effects (dyspnoea cough site-specific pain peripheral neuropathy sore mouth alopecia) related to lung cancer or its standard treatment

Faktor-faktor yang mempengaruhi Quality of life pasien kanker paru

bull Stadium penyakit dan karakteristik pengobatan

Gejala klinis yang paling mengganggu aktivitas adalah batuk kronis sindroma Pancoast kerusakan saraf yang diantaranya menyebabkan suara serak dan sulit menelan serta penyakit lain yang menyertainya

bull Siklus kemoterapi variasi lini kemoterapi dan efek samping kemoterapi seperti nyeri dan kelelahan juga mempengaruhi kualitas hidup

Quality of life of patients with lung cancer Polanski J1 Jankowska-Polanska B2 Rosinczuk J3 Chabowski M4 Szymanska-

Chabowska A5

Abstract Lung cancer is the major cause of oncologic-related death worldwide Due to delayed diagnosis 5-year survival rate accounts for only 15 Treatment includes surgery adjuvant chemotherapy and radiation therapy however it is burdened by many side effects Progress of the disease severity of its symptoms and side effects decrease significantly the quality of life (QoL) in those patients The level of self-assessed QoL helps in predicting survival which is especially important among patients receiving palliative care Patients assess their functioning in five dimensions (physical psychological cognitive social and life roles) severity of symptoms financial problems and overall QoL The QoL in lung cancer patients is lower than in healthy population and patients suffering from other malignancies It is affected by the severity and the number of symptoms such as fatigue loss of appetite dyspnea cough pain and blood in sputum which are specific for lung tumors Fatigue and respiratory problems reduce psychological dimension of QoL while sleep problems reduce cognitive functioning Physical dimension (related to growing disability) decreases in most of the patients Also most of them are unable to play their family and social roles The disease is a frequent reason of irritation distress and depression Management of the disease symptoms may improve QoL Controlling the level of fatigue pulmonary rehabilitation and social and spiritual support are recommended Early introduction of tailored palliative treatment is a strategy of choice for improvement of QoL in lung cancer patients

Pengertian Quality Of Life

Respons pasien terhadap pengobatan durasi respons

periode bebas gejala dan pengenalan awal kambuh

Manfaat kelangsungan hidup yang diperoleh setelah

pengobatan yang diukur dengan peningkatan rentang hidup dan QOL sebelum dan

sesudah terapi

Outcome Pasien Kanker Paru

Pilihan perawatan biasanya dibuat

bersama oleh dokter perawat dan pasien

setelah pertimbangan rinci dari semua aspek

yang relevan

jika dengan pengobatan QOL memburuk tetapi kelangsungan hidup membaik atau sebaliknya

Pengukuran Quality of life pada pasien

kanker paru Kualitas hidup dapat diukur dengan generic measures atau

disease specific

WHOQOL-BREF (WHO Quality of Life)

European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire (QLQ-C30)

A lung cancer specific module the LC13 includes complementary measures of symptoms and side effects

WHOQoL

Ada 26 Pertanyaan Persepsi pasien berpengaruh pada

bull Kesehatan fisik bull keadaan psikologis bull tingkat kepuasan bull hubungan sosial dan bull hubungan dengan

lingkungan

WHOQOL

QLQ-C30

Comprises 30 items that measure aspects bull of functioning (physical emotional

cognitive social and role) bull Symptoms (fatigue pain dyspnoea sleep

problems constipation diarrhoea appetite loss and nauseavomiting)

bull Financial problems and global healthquality of life

QLQ 30

QOL LC13

Complementary measures of symptoms and side effects (dyspnoea cough site-specific pain peripheral neuropathy sore mouth alopecia) related to lung cancer or its standard treatment

Faktor-faktor yang mempengaruhi Quality of life pasien kanker paru

bull Stadium penyakit dan karakteristik pengobatan

Gejala klinis yang paling mengganggu aktivitas adalah batuk kronis sindroma Pancoast kerusakan saraf yang diantaranya menyebabkan suara serak dan sulit menelan serta penyakit lain yang menyertainya

bull Siklus kemoterapi variasi lini kemoterapi dan efek samping kemoterapi seperti nyeri dan kelelahan juga mempengaruhi kualitas hidup

Quality of life of patients with lung cancer Polanski J1 Jankowska-Polanska B2 Rosinczuk J3 Chabowski M4 Szymanska-

Chabowska A5

Abstract Lung cancer is the major cause of oncologic-related death worldwide Due to delayed diagnosis 5-year survival rate accounts for only 15 Treatment includes surgery adjuvant chemotherapy and radiation therapy however it is burdened by many side effects Progress of the disease severity of its symptoms and side effects decrease significantly the quality of life (QoL) in those patients The level of self-assessed QoL helps in predicting survival which is especially important among patients receiving palliative care Patients assess their functioning in five dimensions (physical psychological cognitive social and life roles) severity of symptoms financial problems and overall QoL The QoL in lung cancer patients is lower than in healthy population and patients suffering from other malignancies It is affected by the severity and the number of symptoms such as fatigue loss of appetite dyspnea cough pain and blood in sputum which are specific for lung tumors Fatigue and respiratory problems reduce psychological dimension of QoL while sleep problems reduce cognitive functioning Physical dimension (related to growing disability) decreases in most of the patients Also most of them are unable to play their family and social roles The disease is a frequent reason of irritation distress and depression Management of the disease symptoms may improve QoL Controlling the level of fatigue pulmonary rehabilitation and social and spiritual support are recommended Early introduction of tailored palliative treatment is a strategy of choice for improvement of QoL in lung cancer patients

Respons pasien terhadap pengobatan durasi respons

periode bebas gejala dan pengenalan awal kambuh

Manfaat kelangsungan hidup yang diperoleh setelah

pengobatan yang diukur dengan peningkatan rentang hidup dan QOL sebelum dan

sesudah terapi

Outcome Pasien Kanker Paru

Pilihan perawatan biasanya dibuat

bersama oleh dokter perawat dan pasien

setelah pertimbangan rinci dari semua aspek

yang relevan

jika dengan pengobatan QOL memburuk tetapi kelangsungan hidup membaik atau sebaliknya

Pengukuran Quality of life pada pasien

kanker paru Kualitas hidup dapat diukur dengan generic measures atau

disease specific

WHOQOL-BREF (WHO Quality of Life)

European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire (QLQ-C30)

A lung cancer specific module the LC13 includes complementary measures of symptoms and side effects

WHOQoL

Ada 26 Pertanyaan Persepsi pasien berpengaruh pada

bull Kesehatan fisik bull keadaan psikologis bull tingkat kepuasan bull hubungan sosial dan bull hubungan dengan

lingkungan

WHOQOL

QLQ-C30

Comprises 30 items that measure aspects bull of functioning (physical emotional

cognitive social and role) bull Symptoms (fatigue pain dyspnoea sleep

problems constipation diarrhoea appetite loss and nauseavomiting)

bull Financial problems and global healthquality of life

QLQ 30

QOL LC13

Complementary measures of symptoms and side effects (dyspnoea cough site-specific pain peripheral neuropathy sore mouth alopecia) related to lung cancer or its standard treatment

Faktor-faktor yang mempengaruhi Quality of life pasien kanker paru

bull Stadium penyakit dan karakteristik pengobatan

Gejala klinis yang paling mengganggu aktivitas adalah batuk kronis sindroma Pancoast kerusakan saraf yang diantaranya menyebabkan suara serak dan sulit menelan serta penyakit lain yang menyertainya

bull Siklus kemoterapi variasi lini kemoterapi dan efek samping kemoterapi seperti nyeri dan kelelahan juga mempengaruhi kualitas hidup

Quality of life of patients with lung cancer Polanski J1 Jankowska-Polanska B2 Rosinczuk J3 Chabowski M4 Szymanska-

Chabowska A5

Abstract Lung cancer is the major cause of oncologic-related death worldwide Due to delayed diagnosis 5-year survival rate accounts for only 15 Treatment includes surgery adjuvant chemotherapy and radiation therapy however it is burdened by many side effects Progress of the disease severity of its symptoms and side effects decrease significantly the quality of life (QoL) in those patients The level of self-assessed QoL helps in predicting survival which is especially important among patients receiving palliative care Patients assess their functioning in five dimensions (physical psychological cognitive social and life roles) severity of symptoms financial problems and overall QoL The QoL in lung cancer patients is lower than in healthy population and patients suffering from other malignancies It is affected by the severity and the number of symptoms such as fatigue loss of appetite dyspnea cough pain and blood in sputum which are specific for lung tumors Fatigue and respiratory problems reduce psychological dimension of QoL while sleep problems reduce cognitive functioning Physical dimension (related to growing disability) decreases in most of the patients Also most of them are unable to play their family and social roles The disease is a frequent reason of irritation distress and depression Management of the disease symptoms may improve QoL Controlling the level of fatigue pulmonary rehabilitation and social and spiritual support are recommended Early introduction of tailored palliative treatment is a strategy of choice for improvement of QoL in lung cancer patients

Pilihan perawatan biasanya dibuat

bersama oleh dokter perawat dan pasien

setelah pertimbangan rinci dari semua aspek

yang relevan

jika dengan pengobatan QOL memburuk tetapi kelangsungan hidup membaik atau sebaliknya

Pengukuran Quality of life pada pasien

kanker paru Kualitas hidup dapat diukur dengan generic measures atau

disease specific

WHOQOL-BREF (WHO Quality of Life)

European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire (QLQ-C30)

A lung cancer specific module the LC13 includes complementary measures of symptoms and side effects

WHOQoL

Ada 26 Pertanyaan Persepsi pasien berpengaruh pada

bull Kesehatan fisik bull keadaan psikologis bull tingkat kepuasan bull hubungan sosial dan bull hubungan dengan

lingkungan

WHOQOL

QLQ-C30

Comprises 30 items that measure aspects bull of functioning (physical emotional

cognitive social and role) bull Symptoms (fatigue pain dyspnoea sleep

problems constipation diarrhoea appetite loss and nauseavomiting)

bull Financial problems and global healthquality of life

QLQ 30

QOL LC13

Complementary measures of symptoms and side effects (dyspnoea cough site-specific pain peripheral neuropathy sore mouth alopecia) related to lung cancer or its standard treatment

Faktor-faktor yang mempengaruhi Quality of life pasien kanker paru

bull Stadium penyakit dan karakteristik pengobatan

Gejala klinis yang paling mengganggu aktivitas adalah batuk kronis sindroma Pancoast kerusakan saraf yang diantaranya menyebabkan suara serak dan sulit menelan serta penyakit lain yang menyertainya

bull Siklus kemoterapi variasi lini kemoterapi dan efek samping kemoterapi seperti nyeri dan kelelahan juga mempengaruhi kualitas hidup

Quality of life of patients with lung cancer Polanski J1 Jankowska-Polanska B2 Rosinczuk J3 Chabowski M4 Szymanska-

Chabowska A5

Abstract Lung cancer is the major cause of oncologic-related death worldwide Due to delayed diagnosis 5-year survival rate accounts for only 15 Treatment includes surgery adjuvant chemotherapy and radiation therapy however it is burdened by many side effects Progress of the disease severity of its symptoms and side effects decrease significantly the quality of life (QoL) in those patients The level of self-assessed QoL helps in predicting survival which is especially important among patients receiving palliative care Patients assess their functioning in five dimensions (physical psychological cognitive social and life roles) severity of symptoms financial problems and overall QoL The QoL in lung cancer patients is lower than in healthy population and patients suffering from other malignancies It is affected by the severity and the number of symptoms such as fatigue loss of appetite dyspnea cough pain and blood in sputum which are specific for lung tumors Fatigue and respiratory problems reduce psychological dimension of QoL while sleep problems reduce cognitive functioning Physical dimension (related to growing disability) decreases in most of the patients Also most of them are unable to play their family and social roles The disease is a frequent reason of irritation distress and depression Management of the disease symptoms may improve QoL Controlling the level of fatigue pulmonary rehabilitation and social and spiritual support are recommended Early introduction of tailored palliative treatment is a strategy of choice for improvement of QoL in lung cancer patients

Pengukuran Quality of life pada pasien

kanker paru Kualitas hidup dapat diukur dengan generic measures atau

disease specific

WHOQOL-BREF (WHO Quality of Life)

European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire (QLQ-C30)

A lung cancer specific module the LC13 includes complementary measures of symptoms and side effects

WHOQoL

Ada 26 Pertanyaan Persepsi pasien berpengaruh pada

bull Kesehatan fisik bull keadaan psikologis bull tingkat kepuasan bull hubungan sosial dan bull hubungan dengan

lingkungan

WHOQOL

QLQ-C30

Comprises 30 items that measure aspects bull of functioning (physical emotional

cognitive social and role) bull Symptoms (fatigue pain dyspnoea sleep

problems constipation diarrhoea appetite loss and nauseavomiting)

bull Financial problems and global healthquality of life

QLQ 30

QOL LC13

Complementary measures of symptoms and side effects (dyspnoea cough site-specific pain peripheral neuropathy sore mouth alopecia) related to lung cancer or its standard treatment

Faktor-faktor yang mempengaruhi Quality of life pasien kanker paru

bull Stadium penyakit dan karakteristik pengobatan

Gejala klinis yang paling mengganggu aktivitas adalah batuk kronis sindroma Pancoast kerusakan saraf yang diantaranya menyebabkan suara serak dan sulit menelan serta penyakit lain yang menyertainya

bull Siklus kemoterapi variasi lini kemoterapi dan efek samping kemoterapi seperti nyeri dan kelelahan juga mempengaruhi kualitas hidup

Quality of life of patients with lung cancer Polanski J1 Jankowska-Polanska B2 Rosinczuk J3 Chabowski M4 Szymanska-

Chabowska A5

Abstract Lung cancer is the major cause of oncologic-related death worldwide Due to delayed diagnosis 5-year survival rate accounts for only 15 Treatment includes surgery adjuvant chemotherapy and radiation therapy however it is burdened by many side effects Progress of the disease severity of its symptoms and side effects decrease significantly the quality of life (QoL) in those patients The level of self-assessed QoL helps in predicting survival which is especially important among patients receiving palliative care Patients assess their functioning in five dimensions (physical psychological cognitive social and life roles) severity of symptoms financial problems and overall QoL The QoL in lung cancer patients is lower than in healthy population and patients suffering from other malignancies It is affected by the severity and the number of symptoms such as fatigue loss of appetite dyspnea cough pain and blood in sputum which are specific for lung tumors Fatigue and respiratory problems reduce psychological dimension of QoL while sleep problems reduce cognitive functioning Physical dimension (related to growing disability) decreases in most of the patients Also most of them are unable to play their family and social roles The disease is a frequent reason of irritation distress and depression Management of the disease symptoms may improve QoL Controlling the level of fatigue pulmonary rehabilitation and social and spiritual support are recommended Early introduction of tailored palliative treatment is a strategy of choice for improvement of QoL in lung cancer patients

WHOQoL

Ada 26 Pertanyaan Persepsi pasien berpengaruh pada

bull Kesehatan fisik bull keadaan psikologis bull tingkat kepuasan bull hubungan sosial dan bull hubungan dengan

lingkungan

WHOQOL

QLQ-C30

Comprises 30 items that measure aspects bull of functioning (physical emotional

cognitive social and role) bull Symptoms (fatigue pain dyspnoea sleep

problems constipation diarrhoea appetite loss and nauseavomiting)

bull Financial problems and global healthquality of life

QLQ 30

QOL LC13

Complementary measures of symptoms and side effects (dyspnoea cough site-specific pain peripheral neuropathy sore mouth alopecia) related to lung cancer or its standard treatment

Faktor-faktor yang mempengaruhi Quality of life pasien kanker paru

bull Stadium penyakit dan karakteristik pengobatan

Gejala klinis yang paling mengganggu aktivitas adalah batuk kronis sindroma Pancoast kerusakan saraf yang diantaranya menyebabkan suara serak dan sulit menelan serta penyakit lain yang menyertainya

bull Siklus kemoterapi variasi lini kemoterapi dan efek samping kemoterapi seperti nyeri dan kelelahan juga mempengaruhi kualitas hidup

Quality of life of patients with lung cancer Polanski J1 Jankowska-Polanska B2 Rosinczuk J3 Chabowski M4 Szymanska-

Chabowska A5

Abstract Lung cancer is the major cause of oncologic-related death worldwide Due to delayed diagnosis 5-year survival rate accounts for only 15 Treatment includes surgery adjuvant chemotherapy and radiation therapy however it is burdened by many side effects Progress of the disease severity of its symptoms and side effects decrease significantly the quality of life (QoL) in those patients The level of self-assessed QoL helps in predicting survival which is especially important among patients receiving palliative care Patients assess their functioning in five dimensions (physical psychological cognitive social and life roles) severity of symptoms financial problems and overall QoL The QoL in lung cancer patients is lower than in healthy population and patients suffering from other malignancies It is affected by the severity and the number of symptoms such as fatigue loss of appetite dyspnea cough pain and blood in sputum which are specific for lung tumors Fatigue and respiratory problems reduce psychological dimension of QoL while sleep problems reduce cognitive functioning Physical dimension (related to growing disability) decreases in most of the patients Also most of them are unable to play their family and social roles The disease is a frequent reason of irritation distress and depression Management of the disease symptoms may improve QoL Controlling the level of fatigue pulmonary rehabilitation and social and spiritual support are recommended Early introduction of tailored palliative treatment is a strategy of choice for improvement of QoL in lung cancer patients

WHOQOL

QLQ-C30

Comprises 30 items that measure aspects bull of functioning (physical emotional

cognitive social and role) bull Symptoms (fatigue pain dyspnoea sleep

problems constipation diarrhoea appetite loss and nauseavomiting)

bull Financial problems and global healthquality of life

QLQ 30

QOL LC13

Complementary measures of symptoms and side effects (dyspnoea cough site-specific pain peripheral neuropathy sore mouth alopecia) related to lung cancer or its standard treatment

Faktor-faktor yang mempengaruhi Quality of life pasien kanker paru

bull Stadium penyakit dan karakteristik pengobatan

Gejala klinis yang paling mengganggu aktivitas adalah batuk kronis sindroma Pancoast kerusakan saraf yang diantaranya menyebabkan suara serak dan sulit menelan serta penyakit lain yang menyertainya

bull Siklus kemoterapi variasi lini kemoterapi dan efek samping kemoterapi seperti nyeri dan kelelahan juga mempengaruhi kualitas hidup

Quality of life of patients with lung cancer Polanski J1 Jankowska-Polanska B2 Rosinczuk J3 Chabowski M4 Szymanska-

Chabowska A5

Abstract Lung cancer is the major cause of oncologic-related death worldwide Due to delayed diagnosis 5-year survival rate accounts for only 15 Treatment includes surgery adjuvant chemotherapy and radiation therapy however it is burdened by many side effects Progress of the disease severity of its symptoms and side effects decrease significantly the quality of life (QoL) in those patients The level of self-assessed QoL helps in predicting survival which is especially important among patients receiving palliative care Patients assess their functioning in five dimensions (physical psychological cognitive social and life roles) severity of symptoms financial problems and overall QoL The QoL in lung cancer patients is lower than in healthy population and patients suffering from other malignancies It is affected by the severity and the number of symptoms such as fatigue loss of appetite dyspnea cough pain and blood in sputum which are specific for lung tumors Fatigue and respiratory problems reduce psychological dimension of QoL while sleep problems reduce cognitive functioning Physical dimension (related to growing disability) decreases in most of the patients Also most of them are unable to play their family and social roles The disease is a frequent reason of irritation distress and depression Management of the disease symptoms may improve QoL Controlling the level of fatigue pulmonary rehabilitation and social and spiritual support are recommended Early introduction of tailored palliative treatment is a strategy of choice for improvement of QoL in lung cancer patients

QLQ-C30

Comprises 30 items that measure aspects bull of functioning (physical emotional

cognitive social and role) bull Symptoms (fatigue pain dyspnoea sleep

problems constipation diarrhoea appetite loss and nauseavomiting)

bull Financial problems and global healthquality of life

QLQ 30

QOL LC13

Complementary measures of symptoms and side effects (dyspnoea cough site-specific pain peripheral neuropathy sore mouth alopecia) related to lung cancer or its standard treatment

Faktor-faktor yang mempengaruhi Quality of life pasien kanker paru

bull Stadium penyakit dan karakteristik pengobatan

Gejala klinis yang paling mengganggu aktivitas adalah batuk kronis sindroma Pancoast kerusakan saraf yang diantaranya menyebabkan suara serak dan sulit menelan serta penyakit lain yang menyertainya

bull Siklus kemoterapi variasi lini kemoterapi dan efek samping kemoterapi seperti nyeri dan kelelahan juga mempengaruhi kualitas hidup

Quality of life of patients with lung cancer Polanski J1 Jankowska-Polanska B2 Rosinczuk J3 Chabowski M4 Szymanska-

Chabowska A5

Abstract Lung cancer is the major cause of oncologic-related death worldwide Due to delayed diagnosis 5-year survival rate accounts for only 15 Treatment includes surgery adjuvant chemotherapy and radiation therapy however it is burdened by many side effects Progress of the disease severity of its symptoms and side effects decrease significantly the quality of life (QoL) in those patients The level of self-assessed QoL helps in predicting survival which is especially important among patients receiving palliative care Patients assess their functioning in five dimensions (physical psychological cognitive social and life roles) severity of symptoms financial problems and overall QoL The QoL in lung cancer patients is lower than in healthy population and patients suffering from other malignancies It is affected by the severity and the number of symptoms such as fatigue loss of appetite dyspnea cough pain and blood in sputum which are specific for lung tumors Fatigue and respiratory problems reduce psychological dimension of QoL while sleep problems reduce cognitive functioning Physical dimension (related to growing disability) decreases in most of the patients Also most of them are unable to play their family and social roles The disease is a frequent reason of irritation distress and depression Management of the disease symptoms may improve QoL Controlling the level of fatigue pulmonary rehabilitation and social and spiritual support are recommended Early introduction of tailored palliative treatment is a strategy of choice for improvement of QoL in lung cancer patients

QLQ 30

QOL LC13

Complementary measures of symptoms and side effects (dyspnoea cough site-specific pain peripheral neuropathy sore mouth alopecia) related to lung cancer or its standard treatment

Faktor-faktor yang mempengaruhi Quality of life pasien kanker paru

bull Stadium penyakit dan karakteristik pengobatan

Gejala klinis yang paling mengganggu aktivitas adalah batuk kronis sindroma Pancoast kerusakan saraf yang diantaranya menyebabkan suara serak dan sulit menelan serta penyakit lain yang menyertainya

bull Siklus kemoterapi variasi lini kemoterapi dan efek samping kemoterapi seperti nyeri dan kelelahan juga mempengaruhi kualitas hidup

Quality of life of patients with lung cancer Polanski J1 Jankowska-Polanska B2 Rosinczuk J3 Chabowski M4 Szymanska-

Chabowska A5

Abstract Lung cancer is the major cause of oncologic-related death worldwide Due to delayed diagnosis 5-year survival rate accounts for only 15 Treatment includes surgery adjuvant chemotherapy and radiation therapy however it is burdened by many side effects Progress of the disease severity of its symptoms and side effects decrease significantly the quality of life (QoL) in those patients The level of self-assessed QoL helps in predicting survival which is especially important among patients receiving palliative care Patients assess their functioning in five dimensions (physical psychological cognitive social and life roles) severity of symptoms financial problems and overall QoL The QoL in lung cancer patients is lower than in healthy population and patients suffering from other malignancies It is affected by the severity and the number of symptoms such as fatigue loss of appetite dyspnea cough pain and blood in sputum which are specific for lung tumors Fatigue and respiratory problems reduce psychological dimension of QoL while sleep problems reduce cognitive functioning Physical dimension (related to growing disability) decreases in most of the patients Also most of them are unable to play their family and social roles The disease is a frequent reason of irritation distress and depression Management of the disease symptoms may improve QoL Controlling the level of fatigue pulmonary rehabilitation and social and spiritual support are recommended Early introduction of tailored palliative treatment is a strategy of choice for improvement of QoL in lung cancer patients

QOL LC13

Complementary measures of symptoms and side effects (dyspnoea cough site-specific pain peripheral neuropathy sore mouth alopecia) related to lung cancer or its standard treatment

Faktor-faktor yang mempengaruhi Quality of life pasien kanker paru

bull Stadium penyakit dan karakteristik pengobatan

Gejala klinis yang paling mengganggu aktivitas adalah batuk kronis sindroma Pancoast kerusakan saraf yang diantaranya menyebabkan suara serak dan sulit menelan serta penyakit lain yang menyertainya

bull Siklus kemoterapi variasi lini kemoterapi dan efek samping kemoterapi seperti nyeri dan kelelahan juga mempengaruhi kualitas hidup

Quality of life of patients with lung cancer Polanski J1 Jankowska-Polanska B2 Rosinczuk J3 Chabowski M4 Szymanska-

Chabowska A5

Abstract Lung cancer is the major cause of oncologic-related death worldwide Due to delayed diagnosis 5-year survival rate accounts for only 15 Treatment includes surgery adjuvant chemotherapy and radiation therapy however it is burdened by many side effects Progress of the disease severity of its symptoms and side effects decrease significantly the quality of life (QoL) in those patients The level of self-assessed QoL helps in predicting survival which is especially important among patients receiving palliative care Patients assess their functioning in five dimensions (physical psychological cognitive social and life roles) severity of symptoms financial problems and overall QoL The QoL in lung cancer patients is lower than in healthy population and patients suffering from other malignancies It is affected by the severity and the number of symptoms such as fatigue loss of appetite dyspnea cough pain and blood in sputum which are specific for lung tumors Fatigue and respiratory problems reduce psychological dimension of QoL while sleep problems reduce cognitive functioning Physical dimension (related to growing disability) decreases in most of the patients Also most of them are unable to play their family and social roles The disease is a frequent reason of irritation distress and depression Management of the disease symptoms may improve QoL Controlling the level of fatigue pulmonary rehabilitation and social and spiritual support are recommended Early introduction of tailored palliative treatment is a strategy of choice for improvement of QoL in lung cancer patients

Faktor-faktor yang mempengaruhi Quality of life pasien kanker paru

bull Stadium penyakit dan karakteristik pengobatan

Gejala klinis yang paling mengganggu aktivitas adalah batuk kronis sindroma Pancoast kerusakan saraf yang diantaranya menyebabkan suara serak dan sulit menelan serta penyakit lain yang menyertainya

bull Siklus kemoterapi variasi lini kemoterapi dan efek samping kemoterapi seperti nyeri dan kelelahan juga mempengaruhi kualitas hidup

Quality of life of patients with lung cancer Polanski J1 Jankowska-Polanska B2 Rosinczuk J3 Chabowski M4 Szymanska-

Chabowska A5

Abstract Lung cancer is the major cause of oncologic-related death worldwide Due to delayed diagnosis 5-year survival rate accounts for only 15 Treatment includes surgery adjuvant chemotherapy and radiation therapy however it is burdened by many side effects Progress of the disease severity of its symptoms and side effects decrease significantly the quality of life (QoL) in those patients The level of self-assessed QoL helps in predicting survival which is especially important among patients receiving palliative care Patients assess their functioning in five dimensions (physical psychological cognitive social and life roles) severity of symptoms financial problems and overall QoL The QoL in lung cancer patients is lower than in healthy population and patients suffering from other malignancies It is affected by the severity and the number of symptoms such as fatigue loss of appetite dyspnea cough pain and blood in sputum which are specific for lung tumors Fatigue and respiratory problems reduce psychological dimension of QoL while sleep problems reduce cognitive functioning Physical dimension (related to growing disability) decreases in most of the patients Also most of them are unable to play their family and social roles The disease is a frequent reason of irritation distress and depression Management of the disease symptoms may improve QoL Controlling the level of fatigue pulmonary rehabilitation and social and spiritual support are recommended Early introduction of tailored palliative treatment is a strategy of choice for improvement of QoL in lung cancer patients

Quality of life of patients with lung cancer Polanski J1 Jankowska-Polanska B2 Rosinczuk J3 Chabowski M4 Szymanska-

Chabowska A5

Abstract Lung cancer is the major cause of oncologic-related death worldwide Due to delayed diagnosis 5-year survival rate accounts for only 15 Treatment includes surgery adjuvant chemotherapy and radiation therapy however it is burdened by many side effects Progress of the disease severity of its symptoms and side effects decrease significantly the quality of life (QoL) in those patients The level of self-assessed QoL helps in predicting survival which is especially important among patients receiving palliative care Patients assess their functioning in five dimensions (physical psychological cognitive social and life roles) severity of symptoms financial problems and overall QoL The QoL in lung cancer patients is lower than in healthy population and patients suffering from other malignancies It is affected by the severity and the number of symptoms such as fatigue loss of appetite dyspnea cough pain and blood in sputum which are specific for lung tumors Fatigue and respiratory problems reduce psychological dimension of QoL while sleep problems reduce cognitive functioning Physical dimension (related to growing disability) decreases in most of the patients Also most of them are unable to play their family and social roles The disease is a frequent reason of irritation distress and depression Management of the disease symptoms may improve QoL Controlling the level of fatigue pulmonary rehabilitation and social and spiritual support are recommended Early introduction of tailored palliative treatment is a strategy of choice for improvement of QoL in lung cancer patients

Faktor diluar penyakit

1) Jenis Kelamin 2) Usia 3) Pendidikan 4) Pekerjaan 5) Status pernikahan 6) Status sosial

ekonomi

Meningkatkan Quality of life pasien kanker paru

bull Menjaga status gizi pasien Ahli diet juga bekerja dengan dokter perawat karena desain rencana gizi harus mengatasi semua penyebab gejala pasien

bull Mempertahankan kebugaran fisik bukan hanya karena berkontribusi pada kualitas hidup yang baik tetapi karena langsung melawan banyak efek samping dari kedua penyakit dan perawatannya

Mengikuti perkumpulan penderitan kanker dan aktif secara media sosial dapat memiliki dampak yang luar biasa jika ada strategi yang dirancang

dengan baik

Meningkatkan Quality of life pasien kanker paru

bull Menjaga status gizi pasien Ahli diet juga bekerja dengan dokter perawat karena desain rencana gizi harus mengatasi semua penyebab gejala pasien

bull Mempertahankan kebugaran fisik bukan hanya karena berkontribusi pada kualitas hidup yang baik tetapi karena langsung melawan banyak efek samping dari kedua penyakit dan perawatannya

Mengikuti perkumpulan penderitan kanker dan aktif secara media sosial dapat memiliki dampak yang luar biasa jika ada strategi yang dirancang

dengan baik

Mengikuti perkumpulan penderitan kanker dan aktif secara media sosial dapat memiliki dampak yang luar biasa jika ada strategi yang dirancang

dengan baik