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All Journal AMALIAH: JURNAL PENGABDIAN KEPADA MASYARAKAT Folia Medica Indonesiana
Budi, Erindra
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience

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The Influence of Psychocurative on Cortisol Level, Anxiety, and Quality of Life in Advanced Stage Cervical Cancer Patients Soetrisno, Soetrisno; Mulyani, Sri; Nurinasari, Hafi; Nurinasari, Hafi; Budi, Erindra
Folia Medica Indonesiana Vol. 55, No. 3
Publisher : Folia Medica Indonesiana

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Abstract

Every year, there are 500.000 new cases and more than 250.000 deaths caused by cervical cancerworldwide. Cervical cancer patients faced physical and psychological problems several times that it activate stress mechanism such as hypothalamus-pituitary-adrenal (HPA) axis. These recurrent activations caused HPA axis disruption and adverse clinical effects. Several symptoms of endocrine stress response are the change of circadian cortisol rhythm. Cortisol is known as a stress hormone that involves an organism's response to stress and anxiety that influence the quality of life. This research aims to analyze the differences among serum cortisol level, anxiety, and quality of life in cervical cancer patients before and after psychocurative intervention in obstetrics and gynecology wards and polyclinic in RSUD Dr. Moewardi Surakarta. This research is an experimental double-blind randomized controlled clinical trial pre-test post-test group design study. The subjects were advance stage (IIB-IV)cervical cancer patients. The subjects were randomly chosen into fifteen subjects that given standard therapy and psychocurative, while the other fifteen subjects as a control only got standard therapy. Data were obtained from measurement of serum cortisol level, anxiety questionnaire DASS 42 and WHO quality of life questionnaire. Data were analyzed using SPSS 21 using difference test. The difference mean test result of cortisol serum level, anxiety, quality of life from the controlled group and uncontrolled group showed a significant difference (p < 0.05). In conclusion, psychocurative is significant to reduce cortisol level, anxiety, and improve the quality of life in advanced stage cervical cancer patients.
Optimalisasi Kesiapan Mental Anak Melalui Edukasi dan Permainan Interaktif dalam Mengurangi Kecemasan Pra-Khitan Budi, Erindra; Tri Budi Santoso; Sri Mulyani; Kanthi Suratih; Anis Laela Megasari; Ika Subekti Wulandari
Amaliah: Jurnal Pengabdian Kepada Masyarakat Vol 9 No 2 (2025): Amaliah Jurnal: Pengabdian kepada Masyarakat
Publisher : LPPI UMN AL WASHLIYAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32696/ajpkm.v9i2.5106

Abstract

Mass circumcision often induces anxiety in children, potentially affecting their experience and recovery process. This community service initiative aimed to optimize children's mental preparedness and reduce pre-mass circumcision anxiety through educational and interactive play interventions. The activity took place in Nagwen Village, Klaten Regency, Central Java, involving 41 children aged 7-11 years. The approach employed included interactive educational sessions on the circumcision procedure, its benefits, and strategies for managing discomfort, interspersed with relevant educational games. Additionally, simple relaxation techniques and open question-and-answer sessions were implemented to create a safe and comfortable environment for the children.Observational results indicated an increase in children's understanding of the circumcision process and a significant reduction in anxiety indicators, such as restlessness and repetitive questioning. Children appeared calmer, more cooperative, and enthusiastic, and were able to undergo the circumcision procedure smoothly. Most experienced moderate anxiety with an average score of 6.97, as measured by a self-assessment questionnaire. This program demonstrates that education presented in an enjoyable manner, combined with interactive play, is highly effective in preparing children psychologically for circumcision. The recommendation for this activity is to integrate similar methods into every mass circumcision event to ensure a positive experience and support children's psychological well-being
Co-Authors Ika Subekti Wulandari Kanthi Suratih Megasari, Anis Laela Nurinasari, Hafi Soetrisno Soetrisno Sri Mulyani Sri Mulyani Tri Budi Santoso