ABSTRAK
Angka kejadian kanker payudara di Indonesia tertinggi diantara jenis kanker padawanita dengan prevalensi nyeri diperkirakan 40-89%. Tujuan penelitian ini adalahmengembangkan model pengelolaan nyeri berbasis kenyamanan dengan strategicoaching dan mengidentifikasi pengaruhnya terhadap derajat nyeri, kenyamanan, dankualitas hidup pasien kanker payudara. Penelitian ini dilakukan melalui dua tahap,yaitu tahap 1 berupa penelitian deskriptif kualitatif dan pengembangan model, sertatahap 2 berupa penelitian kuasi eksperimen pre-post test control group design.Metode sampling tahap 1 digunakan purposive sampling dengan 11 partisipan. Tahap2 sampel dipilih secara consecutive sampling dengan jumlah 64 responden (32 pasienkelompok intervensi dan 32 pasien kelompok kontrol). Hasil penelitian tahap satuteridentifikasi 12 tema dan dihasilkan model pengelolaan nyeri berbasis kenyamananbeserta perangkatnya. Hasil penelitian tahap dua membuktikan bahwa ada pengaruhyang signifikan dari model pengelolaan nyeri berbasis kenyamanan dengan strategicoaching terhadap penurunan derajat nyeri, peningkatan kenyamanan, peningkatanstatus fungsional dan perbaikan status gejala pasien kanker payudara. Namun, tidakada pengaruh pada status kesehatan/kualitas hidup global. Rekomendasi penelitianhendaknya perawat menerapkan model pengelolaan nyeri berbasis kenyamanansebagai bentuk nyata pengelolaan nyeri kanker secara holistik dalam pelayanankeperawatan.

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ABSTRACT
Incidence of breast cancer in Indonesia is still the highest among the other type ofcancer deseases on women with the prevalence of pain estimated from 40 ? 89per cent. The purpose of this research was to develop model of pain managementbased on comfort with coaching strategy and identify its effect on pain severity,comfort, and quality of life patient breast cancer. This study was conducted in twostages. The first stage was descriptive qualitative research and the development ofmodel. The second stage was quasi-experimental research with pre - post test controlgroup design. The sampling method that used to stage 1 was purposive samplingwith 11 partisipants. Sampling method on stage 2 this study was consecutivesampling with 64 breast cancer patients (32 respondents as intervention group and 32respondents as control group). The first stage of the study resulted 12 themes and hasresulted the model of pain management based on comfort and its devices. The secondstage of research proved that there were significance effects from the model of painmnagement based on comfort with coaching strategy toward decreasing painseverity, increasing comfort and functional status, and repairing symptom status forbreast cancer patients. However, there was no effect on global health status/quality oflife. This study recommends that nurse should apply the model of pain managementbased on comfort as a concrete holistic cancer pain management in setting practice ofnursing care.