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Oct 13, 2025 by windailys.com 47 views

The Relationship between Pain Interference and the Mood of Breast Cancer Patients in Adam Malik Hospital Medan

Introduction

Breast cancer is one of the most common types of cancer in Indonesia, affecting thousands of women every year. Besides fighting against the illness, breast cancer patients often experience pain that interferes with their daily activities. This pain disorder is known as pain interference, which can have a significant impact on the quality of life of patients, including their mood. This study aims to reveal the relationship between pain interference and the mood of breast cancer patients in Adam Malik Hospital Medan.

Background

Breast cancer is a complex disease that affects not only the physical health of patients but also their emotional and psychological well-being. Pain interference is a common symptom experienced by breast cancer patients, which can be caused by various factors such as tumor growth, surgery, chemotherapy, and radiation therapy. Pain interference can have a significant impact on the quality of life of patients, including their mood, sleep, and daily activities.

Methodology

This study uses a descriptive correlation design with a cross-sectional approach. The research team collects data from 43 breast cancer patients at Adam Malik Hospital Medan through purposive sampling techniques. Data about pain interference is collected using a Brums questionnaire, while the mood is measured using a mood questionnaire. The mood questionnaire reliability used in this study was tested using Cronbach's Alpha and produced a value of 0.936, showing a high level of reliability.

Results

The results showed that most breast cancer patients under study experience pain interference. As many as 69.8% of respondents experienced a mood of enthusiasm. However, bivariate analysis shows a significant relationship between pain interference and mood, with a value of P = 0.00 (<0.5) and the correlation coefficient of 0.612. The value of this correlation coefficient shows a high relationship between the two variables, which means the higher the level of pain interference, the lower the patient's mood.

Discussion

This finding shows that pain is an important factor that can affect the mood of breast cancer patients. Appropriate intervention is needed to manage pain and improve the patient's mood. Pain management is a complex process that requires a multidisciplinary approach, involving nurses, doctors, psychologists, and physical therapists. Nurses play a crucial role in pain management, as they are often the first point of contact for patients and are responsible for providing ongoing care and support.

Recommendations for Nurses

This study provides several recommendations for nurses in dealing with breast cancer patients:

*** Perform Comprehensive Assessments: ** Nurses must actively examine the level of pain interference and the mood of breast cancer patients. This involves assessing the patient's physical and emotional needs, as well as their social and environmental context.

*** Focused Intervention: ** Nurses need to design focused interventions to overcome pain and improve the patient's mood. This intervention can be in the form of analgesic administration, non-pharmacological therapy such as relaxation, meditation, or yoga, as well as psychosocial support.

*** Increased Collaboration: ** Nurses need to work together with other medical teams, such as specialist doctors, psychologists, and physical therapists, to provide comprehensive treatment for breast cancer patients.

Importance of Social Support

Social support from family, friends, and supporting groups can play an important role in helping breast cancer patients overcome pain and maintain a positive mood. Nurses can encourage patients to involve themselves in support groups or therapeutic programs that can provide emotional and practical support.

Conclusion

This study provides a better understanding of the impact of pain interference on the mood of breast cancer patients. By applying the recommendations given, nurses can help improve the quality of life and welfare of breast cancer patients. Pain management is a complex process that requires a multidisciplinary approach, involving nurses, doctors, psychologists, and physical therapists. Nurses play a crucial role in pain management, as they are often the first point of contact for patients and are responsible for providing ongoing care and support.

Limitations of the Study

This study has several limitations, including the small sample size and the use of a cross-sectional design. Future studies should aim to recruit a larger sample size and use a longitudinal design to examine the relationship between pain interference and mood over time.

Future Directions

Future studies should aim to examine the relationship between pain interference and mood in breast cancer patients in different settings, such as outpatient clinics and community-based settings. Additionally, studies should aim to examine the effectiveness of different pain management interventions, such as non-pharmacological therapy and psychosocial support.

References

Brums questionnaire
Mood questionnaire
Cronbach's Alpha
Adam Malik Hospital Medan
Breast cancer patients
Pain interference
Mood
Nurses
Pain management
Multidisciplinary approach
Social support

Appendix

Table 1: Demographic characteristics of breast cancer patients
Table 2: Pain interference and mood scores
Table 3: Correlation coefficient between pain interference and mood
Figure 1: Flowchart of the study design
Figure 2: Scatter plot of pain interference and mood scores
Frequently Asked Questions (FAQs) about the Relationship between Pain Interference and the Mood of Breast Cancer Patients

Q: What is pain interference, and how does it affect breast cancer patients?

A: Pain interference is a common symptom experienced by breast cancer patients, which can be caused by various factors such as tumor growth, surgery, chemotherapy, and radiation therapy. Pain interference can have a significant impact on the quality of life of patients, including their mood, sleep, and daily activities.

Q: What is the relationship between pain interference and mood in breast cancer patients?

A: The results of this study show a significant relationship between pain interference and mood in breast cancer patients. The higher the level of pain interference, the lower the patient's mood.

Q: What are the recommendations for nurses in dealing with breast cancer patients?

A: This study provides several recommendations for nurses in dealing with breast cancer patients, including:

Perform comprehensive assessments: Nurses must actively examine the level of pain interference and the mood of breast cancer patients.
Focused intervention: Nurses need to design focused interventions to overcome pain and improve the patient's mood.
Increased collaboration: Nurses need to work together with other medical teams, such as specialist doctors, psychologists, and physical therapists, to provide comprehensive treatment for breast cancer patients.

Q: What is the importance of social support in helping breast cancer patients overcome pain and maintain a positive mood?

A: Social support from family, friends, and supporting groups can play an important role in helping breast cancer patients overcome pain and maintain a positive mood. Nurses can encourage patients to involve themselves in support groups or therapeutic programs that can provide emotional and practical support.

Q: What are the limitations of this study?

A: This study has several limitations, including the small sample size and the use of a cross-sectional design. Future studies should aim to recruit a larger sample size and use a longitudinal design to examine the relationship between pain interference and mood over time.

Q: What are the future directions for research on the relationship between pain interference and mood in breast cancer patients?

A: Future studies should aim to examine the relationship between pain interference and mood in breast cancer patients in different settings, such as outpatient clinics and community-based settings. Additionally, studies should aim to examine the effectiveness of different pain management interventions, such as non-pharmacological therapy and psychosocial support.

Q: What can nurses do to improve the quality of life and welfare of breast cancer patients?

A: Nurses can play a crucial role in improving the quality of life and welfare of breast cancer patients by:

Providing comprehensive assessments and focused interventions to overcome pain and improve mood.
Working together with other medical teams to provide comprehensive treatment.
Encouraging patients to involve themselves in support groups or therapeutic programs that can provide emotional and practical support.

Q: What can patients do to manage their pain and improve their mood?

A: Patients can take several steps to manage their pain and improve their mood, including:

Practicing relaxation techniques, such as deep breathing and meditation.
Engaging in physical activity, such as walking or yoga.
Seeking social support from family, friends, and supporting groups.
Working with their healthcare team to develop a pain management plan.

Q: What resources are available to support breast cancer patients?

A: There are several resources available to support breast cancer patients, including:

National Cancer Institute (NCI) resources and support services.
American Cancer Society (ACS) resources and support services.
Local support groups and online communities.
Healthcare providers and medical teams.

Q: How can healthcare providers and medical teams support breast cancer patients?

A: Healthcare providers and medical teams can support breast cancer patients by:

Providing comprehensive assessments and focused interventions to overcome pain and improve mood.
Working together with other medical teams to provide comprehensive treatment.
Encouraging patients to involve themselves in support groups or therapeutic programs that can provide emotional and practical support.
Providing education and resources on pain management and mood improvement.