Electronic Theses and Dissertation

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

TESIS
3 Juni 2025

XII + V BAB + 93 Halaman +Tabel XII+Skema III + Lampiran XIV
SRI MAULIDA
2312201010009

DETERMINAN PENERIMAAN TERHADAP PENYAKIT PADA WANITA PENYINTAS KANKER DI PUSAT ONKOLOGI RUMAH SAKIT
BANDA ACEH
ABSTRAK
Kanker pada wanita tidak hanya mengancam secara fisik akan tetapi juga secara psikologis yang mempengaruhi penerimaan terhadap penyakit. Variabel penelitian yaitu nyeri, kelelahan, dukungan sosial dan spiritual well-being dengan penerimaan terhadap penyakit. Tujuan penelitian untuk mengetahui faktor-faktor penerimaan terhadap penyakit pada penyintas kanker wanita yang menjalani pengobatan di Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh. Penelitian ini merupakan correlasional study menggunakan desain cross sectional study dengan total sampling sebanyak 131 penyintas kanker. Instrumen penelitian menggunakan beberapa kuesioner yaitu: Acceptance of illness (AIS), Cacer Fatigue Scale (CSF), Multidimensional Scale of Perceived Social Support (MSPSS), Spiritual Well-Being (SWB) dengan teknik self-report. Analisis data menggunakan chi-square dan regresi logistic binery. Hasil penelitian yang berhubungan dengan penerimaan terhadap penyakit yaitu kelelahan (AOR= 0,454, p=0,007), dukungan sosial (AOR= 4,025, p= 0,027) dan spiritual well-being (AOR= 9,524, p=0,000). Berdasarkan hasil uji multivariat menunjukkan bahwa faktor spiritual well-being memiliki peluang lebih tinggi terhadap penerimaan penyakit pada penyintas kanker wanita dengan (AOR 9,524, p=0,000). Kesimpulan dari hasil penelitian ini bahwa faktor spiritual well-being mempunyai tingkat penerimaan terhadap penyakit lebih tinggi dibandingkan faktor lainnya. Mayoritas masyarakat Aceh yang beragama Islam memaknai prinsip keislaman secara menyeluruh (kaffah) dalam menjalani hidup, termasuk saat menghadapi penyakit kanker. Penyakit tersebut dipandang sebagai ujian dari Allah SWT yang harus dijalani dengan sabar dan ikhlas, serta diyakini sebagai sarana penghapus dosa.

Kata Kunci : Kanker, ovarium, payudara, serviks, Penerimaan, Penyakit, Kemoterapi, Spiritual, Well-Being.

MINISTRY OF HIGHER EDUCATION, SCIENCE AND TECHNOLOGY UNIVERSITAS SYIAH KUALA FACULTY OF NURSING MASTER OF NURSING STUDY PROGRAM THESIS June 3, 2025 Xii + V Chapters + 93 Pages + Table Xii + Schema 1ii + Appendices Xiv SRI MAULIDA 231220101009 DETERMINANTS OF DISEASE ACCEPTANCE AMONG FEMALE CANCER SURVIVORS AT ONCOLOGY CENTERS IN BANDA ACEH ABSTRACT Cancer in women poses not only a physical threat but also a psychological challenge, affecting their acceptance of the disease. The research variables include pain, fatigue, social support, and spiritual well-being in relation to disease acceptance. This study aims to identify the factors influencing disease acceptance among female cancer survivors undergoing treatment at dr. Zainoel Abidin Regional General Hospital in Banda Aceh. A correlational study with a cross-sectional design was conducted involving a total of 131 cancer survivors. The research instruments included several questionnaires: the Acceptance of Illness Scale (AIS), the Cancer Fatigue Scale (CFS), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Spiritual Well-Being Scale (SWB), all administered through self-reporting techniques. Data were analyzed using chi-square tests and binary logistic regression The study found that illness acceptance was significantly associated with fatigue (AOR = 0.454, p = 0.007), social support (AOR = 4.025, p = 0.027), and spiritual well-being (AOR = 9.524, p = 0.000). Based on the multivariate analysis, spiritual well-being was identified as the strongest predictor of disease acceptance among female cancer survivors (AOR = 9.524, p = 0.000). In conclusion, spiritual well-being plays a dominant role in enhancing disease acceptance. This may be attributed to the cultural and religious background of the Acehnese population, the majority of whom are Muslim and embrace Islamic principles comprehensively (kaffah) in their daily lives, including in the face of illness. Disease is perceived as a test from Allah SWT that must be faced with patience and sincerity, and is believed to serve as a means of spiritual purification. Keywords: cancer, breast, ovarian, serviks, acceptance, disease, chemoteraphy, spiritual, well-being.