PENGARUH ORAL CRYOTHERAPY (MINUM AIR DINGIN) TERHADAP MUAL MUNTAH AKIBAT KEMOTERAPI PADA PASIEN KANKER PAYUDARA DI RSUD BALI MANDARA

Andewi, Ni Nyoman Ristu Ayu (2026) PENGARUH ORAL CRYOTHERAPY (MINUM AIR DINGIN) TERHADAP MUAL MUNTAH AKIBAT KEMOTERAPI PADA PASIEN KANKER PAYUDARA DI RSUD BALI MANDARA. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2026.

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Abstract

THE EFFECT OF ORAL CRYOTHERAPY (DRINKING COLD WATER) ON CHEMOTHERAPY INDUCED NAUSEA AND VOMITING IN BREAST CANCER PATIENTS AT BALI MANDARA REGIONAL GENERAL HOSPITAL ABSTRACT Nausea and vomiting are side effects of chemotherapy that can affect patients quality of life. Therefore, an intervention that can reduce nausea and vomiting is required. Oral cryotherapy (drinking cold water), at a temperature of 15–16°C and a volume of 150–330 cc, is administered once when the patient receives chemotherapy. The aim of this study is to determine the effect of oral cryotherapy on nausea and vomiting caused by chemotherapy in breast cancer patients at RSUD Bali Mandara. The study used a pre-experimental design with an intact group comparison, with 38 respondents divided into two groups: an intervention group of 19 respondents and a control group of 19 respondents. The instrument used to collect data was the INVR questionnaire. The results of the study revealed that the majority of the respondents were aged 50 – 80 years (22 respondents, 57.8%), had been diagnosed with stage II breast cancer (14 respondents, 36.8%), and were undergoing the second cycle of chemotherapy (12 respondents, 31.5%). The average nausea and vomiting score for the intervention group, which received oral cryotherapy, was 5.16, while for the control group it was 12.37. Statistical analysis using an independent sample t-test produced a p-value of <0.001, which is less than the α value of 0.05. Therefore, it can be concluded that oral cryotherapy (drinking cold water) has an effect on nausea and vomiting caused by chemotherapy in patients with breast cancer at RSUD Bali Mandara. Oral cryotherapy can be used as a non-pharmacological supportive therapy to reduce nausea and vomiting caused by chemotherapy in breast cancer patients. Keywords: oral cryotherapy, nausea vomiting, chemotherapy PENGARUH ORAL CRYOTHERAPY (MINUM AIR DINGIN) TERHADAP MUAL MUNTAH AKIBAT KEMOTERAPI PADA PASIEN KANKER PAYUDARA DI RSUD BALI MANDARA ABSTRAK Mual muntah merupakan salah satu efek samping kemoterapi yang dapat mengganggu kualitas hidup pasien. Oleh karena itu, diperlukan intervensi yang mampu menurunkan mual muntah. Oral cryotherapy (minum air dingin), dengan suhu 15 – 16°C, volume 150 – 330 cc, diberikan 1x ketika pasien menerima kemoterapi. Tujuan dari penelitian ini untuk mengetahui pengaruh oral cryotherapy (minum air dingin) terhadap mual muntah akibat kemoterapi pada pasien kanker payudara di RSUD Bali Mandara. Penelitian ini menggunakan desain pra-eksperimental dengan Intact-Group Comparison, dengan 38 responden dibagi menjadi dua kelompok, kelompok intervensi 19 responden dan kelompok kontrol 19 responden. Instrumen yang digunakan untuk pengumpulan data adalah kuesioner INVR. Hasil penelitian ditemukan karakteristik responden mayoritas berusia 50 – 80 tahun 22 responden (57,8%), terdiagnosis kanker payudara stadium II 14 responden (36,8%), kemoterapi siklus ke-2 12 responden (31,5%). Rata-rata skor mual muntah pada kelompok intervensi yang diberikan oral cryotherapy sebesar 5,16, sedangkan kelompok kontrol sebesar 12,37. Analisis statistik menggunakan Independent Sampel T-Test menghasilkan p-value < 0,001 < α 0,05, sehingga disimpulkan ada pengaruh oral cryotherapy (minum air dingin) terhadap mual muntah akibat kemoterapi pada pasien kanker payudara di RSUD Bali Mandara. Oral cryotherapy dapat diberikan sebagai terapi pendukung nonfarmakologis dalam upaya mengurangi mual muntah akibat kemoterapi pada pasien kanker payudara. Kata kunci: oral cryotherapy, mual muntah, kemoterapi

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