The Effect of Palliative Care toward the Level of Anxiety and Pap Smear among Cervical Cancer Patients

Abstract

Background: Cervix cancer is cancer attacking uterus in area of cervix uterus or neck uterus. It is the biggest number of women malignancy disease. Prevalence of cervical cancer in Indonesia is 4.3 per 1000 of populations. The highest prevalence is in Yogyakarta which is 9.6 per 1000 of populations. The recovery rate of cervical cancer from palliative stage is low making patients always suffer from physical and psychological problems that can cause anxiety. The objective: This study was conducted to know the effect of palliative care toward the level of anxiety and Pap Smear for cervical cancer patients. Method: The type of this study is quasi experimental with one group pre and post test design. The population were all 41 cervical cancer patients admitted in Margono Soekarjo Hospital, Purwokerto, Indonesia during 2016. The anxiety questionnaire was used to find out the level of anxiety and Wilcoxon test was applied to find the difference before and after palliative treatment. Result: The levels of cervical cancer anxiety before and after palliative care in average are 27 and 20 indicating the decrease of 7 points, and statistical test confirms there is a significant effect of palliative care toward the level of anxiety (p=0.000) and pap smear (0.003) for patients with cervical cancer Conclusion: The palliative