Analisis Hubungan Mekanisme Koping Dengan Kualitas Hidup Pada Pasien Kanker Payudara Pasca Mastektomi

Sari

Breast cancer is one type of cancer that has the highest number of cases in Indonesia with 65,858 new cases or 16.6% of the total 396,914 cancer cases (Globacon, 2020). One of the treatments for breast cancer is mastectomy surgery which can have physical and psychological impacts. Data in the surgical inpatient room of RSUD Jenderal Ahmad Yani Metro shows that 70% of post-mastectomy patients experience stress, 30% feel hopeless, and 75% experience decreased self-confidence due to physical changes. This data shows that some patients are able to adapt well through social support and effective coping strategies, while others have difficulty in adjusting which has an impact on the physical and mental well-being of patients. The purpose of the study was to determine the relationship between coping mechanisms and quality of life in post-mastectomy breast cancer patients at General Ahmad Yani Metro Lampung Hospital in 2025. This study used an analytic design with a cross sectional approach. The population of this study were postoperative mastectomy patients, the sampling technique used purposive sampling, the number of samples was 45 respondents. Data analysis method by means of univariate and bivariate analysis with chi square test. The results showed that out of 45 respondents who had adaptive coping mechanisms as many as 16 respondents (35.6%) and maladaptive coping mechanisms as many as 29 respondents (64.4%).While those who had good quality of life were 20 respondents (44.4%) and those who had poor quality of life were 25 respondents (55.6%). The results of the statistical test showed a significant relationship between coping mechanisms and the quality of life of breast cancer patients after mastectomy at the General Ahmad Yani Metro Lampung Hospital in 2025 with a p-value of 0.000 (ρ>0.05). It is expected that health workers can provide psychological support and education to patients to improve adaptive coping mechanisms so that patients' quality of life can be better.