The Association between the Application of Nursing Ethics Principles (Beneficence and Justice Principles) and Quality of Nursing Care at Dr. Pirngadi General Hospital, Medan


  • Ivan Elisabeth Purba Graduate School, Public Health Science, Sari Mutiara Indonesia University
  • Taruli Rohana Sinaga Public Health Science Study Program Sari Mutiara Indonesia University
  • Rinco Siregar Sari Mutiara Indonesia University


Breast Cancer, Quality of Life, Palliative Care


Breast cancer is one of the most common cancr in women wotdlwide. The occurrence of breast canceris very diverse, resulting from the internal and external factors of individuals. Patients diagnosed with breast cancer will experience social, medical, psychological, spiritual, and physical problems, which can affect quality of life. The purpose of this study was to determine the relationship between palliative care and quality of life among patients with breast cancer at Adam Malik Central General Hospital. This study was a cross sectional study. Eighty three (83) patients with breast cancer were selected by purposive sampling technique. The EORTC QLQ-C30 Indonesian Version 28 item questionnaire and 43 item questionnaire of Palliative care were used for data collection to measures the variables. The data were analyzed by frequency, percentage, mean, standard deviation and chi-square test. The results of this study found that patients with breast cancer accepted palliative care in the high level (67.5%), and quality of life of patients with breast cancer was high (89.2%). There was a significant association between palliative care and the quality of life of patients with breast cancer (P= 0.001,< 0.05).Health care providers should promote palliative care to patients diagnosed with brast cancer to increase their perception and quality of life.


Aziz, M.F., Andrijono, Saifuddin, A.B. (2008). Gynecological Oncology Reference Book.Jakarta, Yayasan Bina Pustaka Sarwono Prawirohardjo, 101-109.

Anita, A. (2016). Palliative care and quality of life for cancer patients. Journal Poltekes. Retrieved on July 2019, from : › index.php› article › view.

Angraini,D., Semiarty,R.,Rasyid,R., and Khambri, D.(2018). Factors that affect the quality of life of breast cancer patients in the city of Padang West Sumatra. Jurnal Endurance. Vol. 3(3). 562-567.

Campell,M.L. (2013). Nurse to nurse: perawatan paliatif: translated by Daniaty, D. Jakarta: Salemba Medika.

Crozier, F. & Hancock, L. E. (2012). Pediatric Palliative Care: Beyond the End of Life. Journal Palliative Nursing, 38(4), 198-227. Retrieved January 13, 2019, from http: pubmed/22970482

Indonesian Basic Health Reseach . (2018.)National Report. Retrieved January 20, 2017, from Riset Kesehatan Dasar 2013 :http//

Irawan, E. (2013). Effects of Palliative Care on Late-Stage Cancer Patients.Jurnal Ilmu Keperawatan. Vol.1. No.1. Retrieved February 20, 2019, from: › ejurnal› index.php› article › download

Masriadi, H. (2016). Epidemiology of Non-Communicable Diseases .Jakarta. Trans Info Media

Matzo, M & Sherman, D.W. (2014). Palliative Care Nursing : Quality Care to the End of Life. Fourth Edition. New York. Springer Publishing Company.

Meier, D.E. (2011).Increased Access to Palliative Care and Hospice Services: Opportunities to Improve Value in Health Care. The Milbank Quarterly. A multydisciplinary Journal of Population Heatlh and Heatlh Policy. 89(3): 343–380. Retrieved on July 10, 2019. From :

Ministry of Health Republic of Indonesia. (2018). National Guidelines for the Management of Breast Cancer Medicine. Accessed on January17,2019,from:

Ministry of Health Repubic of Indonesia. (2019). Guide to Breast Cancer Management: National Cancer Management Committee. Accessed on March 17, 2019, from:

Nazario, B. (2014). Relationship of Palliative Care with Quality of Life of patients diagnosed with cancer by overcoming problems that can occur such as physical, psychological, social and spiritual problems. Thesis Nursing School of Nursing Sari Mutiara Indonesia University..

Nuridah, Saleh, A., and Kaelan, C. (2019). Depression Related to Life Quality of Colorectal Cancer Patients in Makassar City Hospital. Jurnal Keperawatan Indonesia (Indonesian Nursing Journal). Vol, 22 (2), 83–91.

Perwitasari,D.A., Atthobari, J.,Dwiprahasto,I., Hakimi,M.,Gelderblom,H., Putter,H., Nortier,J.W.R., Guchelaar,G,J., and. Kaptein, A.A. (2011). Translation and validation of EORT QLQ-C30 into indonesian version for cancer patients in Indonesian. Japanese Journal of Clinical Oncology. Vol. 41(4), p:519-529.Retriveved Juli16,2019,from:

Putu, I.G., Victor, Wi., Kunta, S., and Wahyono,R.(2015). Factors Affecting The Quality Of Life Of Patients With Locally Advanced Breast Cancer Who Were Treated According The Protocol Of Surgical. Universitas Gadjah Mada

Rasjidi, I. (2013). Clinical Oncology TeachingBook. Jakarta : Buku Kedokteran. EGC.

Schroeder, K. & Lorenz, K. (2018). Nursing and the Future of Palliative Care.Asia Pac J Oncol Nurs. Jan-Mar;5(1):4-8. Retrieved January 20, 2019, from:

Suranta,T.G. (2016). The Relationship between Palliative Care Needs and Quality of Life of Cancer Patients in Adam Malik Central General Hospital. Thesis Nursing School of Nursing Sari Mutiara Indonesia University

The International Agency for Research on Cancer (IARC). (2019).New Global Cancer Insidence : Globocan 2018. Accessed on January May 27, 2019, from:

Toulasik, N., Kusumaningrum, T., and Pradanie, R. (2019). Analysis of factors related to the quality of life on women with cancer. Pediomaternal Nursing Journal. Vol.5. (1). 9-16. from :

World Health Organization. (2009). WHO Quality of Life-Breff (WHOQOL-BREFF). Accessed on Febuari 17, 2019, from : abuse/research tool/whoqolbref/en/.

World Health Organization.(2019). International Agency for Research on Cancer. Indonesia : Globocan2018.Accessed on January, 2019 :






Research Articles