Electronic Theses and Dissertation

KEMENTERIAN PENDIDIKAN TINGGI, SAINS, DAN TEKNOLOGI
UNIVERSITAS SYIAH KUALA
FAKULTAS KEPERAWATAN
PROGRAM STUDI MAGISTER KEPERAWATAN

TESIS
29 April 2025
xvii + V BAB + 86 Halaman + 9 Tabel + 3 Skema + 18 Lampiran
Nurul Nisah
NPM: 2312201010028

DETERMINAN UNCERTAINTY IN ILLNESS PADA WANITA PENYINTAS
KANKER DI PUSAT ONCOLOGY RUMAH SAKIT BANDA ACEH

ABSTRAK
Uncertainty in illness merupakan ketidakmampuan seseorang dalam memahami
kondisi penyakit dan membuat keputusan terkait pengobatan mereka, yang
berdampak negatif terhadap kesejahteraan psikologis dan kemampuan beradaptasi
terhadap pengobatan. Adapun faktor-faktor yang mempengaruhi uncertainty in illness
adalah dukungan sosial, kecemasan, kelelahan, kesejahteraan spiritual, dan tingkat
keparahan gejala. Penelitian ini bertujuan untuk mengidentifikasi determinan
uncertainty in illness pada pasien kanker. Studi korelasional dengan desain crosssectional ini melibatkan 142 pasien yang didiagnosis kanker payudara, ovarium, dan
serviks. Sampel dipilih menggunakan teknik purposive sampling di Pusat Onkologi
Rumah Sakit Banda Aceh. Data dikumpulkan melalui kuesioner Multidimensional
Scale of Perceived Social Support (MSPSS), Hamilton Rating Scale for Anxiety
(HRS-A), Cancer Fatigue Scale (CFS), Spiritual Well-Being Scale (SWBS), dan MD
Anderson Symptom Inventory (MDASI). Analisis data menggunakan chi-square dan
regresi logistik biner. Hasil penelitian menunjukkan bahwa dukungan sosial,
kelelahan, dan tingkat keparahan gejala berhubungan signifikan dengan uncertainty
in illness (p = 0,003; p = 0,030; p = 0,030). Kelelahan diidentifikasi sebagai faktor
yang paling berpotensi meningkatkan kejadian uncertainty in illness (p = 0,030; OR =
3,389). Temuan ini mengindikasikan bahwa kelelahan, selain berdampak terhadap
fisik, juga merupakan prediktor penting terhadap persepsi uncertainty. Semakin
tinggi tingkat kelelahan, semakin besar pula tingkat uncertainty in illness yang
dirasakan. Kesimpulan dari penelitian ini adalah kelelahan merupakan determinan
utama uncertainty in illness pada wanita penderita kanker.

Kata kunci: Uncertainty, kanker, payudara, ovarium, serviks
Daftar pustaka: 2 buku, 48 jurnal, 8 sumber online

MINISTRY OF HIGHER EDUCATION, SCIENCE, AND TECHNOLOGY SYIAH KUALA UNIVERSITY FACULTY OF NURSING PROGRAM STUDY MAGISTER OF NURSING TESIS April 29, 2025 xvii + V CHAPTER + 86 Pages + 9 Tables + 3 Schemes + 18 Attachments Nurul Nisah NPM: 2312201010028 DETERMINANTS OF UNCERTAINTY IN ILLNESS IN WOMEN'S CANCER PATIENTS AT THE ONCOLOGY CENTER OF DR. ZAINOEL ABIDIN REGIONAL GENERAL HOSPITAL BANDA ACEH ABSTRACT Uncertainty in illness is a person's inability to understand their disease condition and make decisions regarding their treatment, which negatively affects psychological well-being and adaptability to treatment. This study aimed to identify the determinants of uncertainty in illness in cancer patients. This correlational study with a cross-sectional design involved 142 patients diagnosed with breast, ovarian and cervical cancer. The sample was selected using purposive sampling technique at the Oncology Center of RSUD dr. Zainoel Abidin, Banda Aceh. Data were collected through the Multidimensional Scale of Perceived Social Support (MSPSS), Hamilton Rating Scale for Anxiety (HRS-A), Cancer Fatigue Scale (CFS), Spiritual Well-Being Scale (SWBS), and MD Anderson Symptom Inventory (MDASI) questionnaires. Data analysis used chi-square and binary logistic regression. The results showed that social support, fatigue, and symptom severity (p = 0.003; p = 0.030; p = 0.030) were significantly associated with uncertainty in illness. Fatigue was identified as the factor most likely to increase the incidence of uncertainty in illness (p = 0.030; OR = 3.389). This finding indicates that fatigue, in addition to its physical impact, is also an important predictor of perceived uncertainty. The higher the level of fatigue, the greater the level of perceived uncertainty in illness. The conclusion of this study is that fatigue is a major determinant of uncertainty in illness in women with cancer. Keywords: Uncertainty, cancer, breast, ovary, cervix Bibliography: 2 books, 48 journals, 8 online sources