The Relationship between Burden Symptoms and Uncertainty in Illness in Cancer Patients in Aceh
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Objective: Uncertainty in illness is a condition in which individuals have difficulty predicting, controlling, and understanding the development of their disease. In cancer patients, the high severity of symptoms has the potential to increase uncertainty in illness. This study aims to explore the relationship between burden symptoms and uncertainty in illness in cancer patients at one of the referral hospitals in the province of Aceh, Indonesia.
Material and Methods: This study is a quantitative research with a correlational analytical design with a cross-sectional approach and was carried out from January to February 2025 at one of the referral hospitals in Aceh province. From a total population of 220 patients, 142 samples were selected through purposive sampling techniques. The sample consisted of patients with breast cancer, ovarian cancer, and cervical cancer. Data were collected using questionnaires consisting of sociodemographic characteristics, MD Anderson Symptom Inventory (MDASI), and Mishel Uncertainty in Illness Scale (MUIS). Data analysis was carried out using chi-square.
Results: The results showed that the majority of respondents (n=142) were patients with breast, ovarian, and cervical cancer. A total of 112 patients (78.9%) experienced a high level of uncertainty in illness, while 30 respondents (21.1%) experienced a low level of uncertainty in illness. Then out of a total of 142 respondents, 77 respondents (54.2%) experienced burden symptom, while 65 respondents (45.8%) experienced mild and moderate burden symptom. This shows that there is a significant relationship between burden symptom and uncertainty in illness (p = 0.030).
Conclusion: There was a significant relationship between symptom severity and uncertainty in illness (p = 0.030).
Recommendation: It is recommended that further research be conducted with longitudinal or mixed methods design to gain a deeper understanding of the dynamics of uncertainty in illness.
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