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Komunikasi End of Life dengan Penyusunan Dokumen Wasiat Hidup: Qualitative Evidence Synthesis Jathu Dwi Wahyuni; Krisna Yetti; Dewi Gayatri; Imami Nur Rachmawati; Ati Surya Meidiawati
Faletehan Health Journal Vol 10 No 03 (2023): Faletehan Health Journal, November 2023
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v10i03.640

Abstract

End of Life (EoL) communication is carried out when the patient's condition is palliative and documented in an advance Directives (ADs) document which contains of patient's preferences of treatment options. ADs are highly important documents for patients, families and health worker, but have not been applied in Indonesia. This study aimed to identify the stages of preparing ADs with qualitative evidence synthesis research design. The Data sources used several data bases, namely Sage Journals, ProQuest, Scopus, Taylor & Francis, ScienceDirect, and ClinicalKey Nursing from 2003 to 2023. The article selection was based on the category of qualitative research on EoL communication and ADs drafting. The results of the study obtained 6 out of 38,185 articles. The articles contained of the stages of preparing ADs starting with the initiation of patients or health workers, providing an explanation of ADs and the course of patient's disease, discussion or EoL communication between families and health workers, reviewing the decisions in ADs according to patient's condition, and making ADs according to local regulations. The researchers concluded that ADs document as the result of EoL communication should be made by health workers and patients. ADs document is important for patients, families and health workers and can help patients become calmer to face a follow-up care and end-of-life care.
Penurunan Distres Psikologi Remaja dengan Penyakit Kronis melalui Peer Group Support: Scoping Review Devy Novita Cahyaningrum; Elly Nurachmah; Dewi Gayatri
Faletehan Health Journal Vol 12 No 01 (2025): Faletehan Health Journal, Maret 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v12i01.791

Abstract

Adolescents with chronic illnesses are at high risk of psychological distress such as stress, anxiety and depression that can affect their overall quality of life. One of effective approaches to reduce these impacts is peer group support. This study was to examine the effects of peer group support intervention in reducing psychological distress in adolescents with chronic illness through scoping review. The articles were obtained from SpringerLink, Science Direct, Taylor & Francis, Proquest, Scopus, BMC, and PubMed databases. Article selection was done by the PRISMA-ScR method. Searches of 7 databases obtained 1,578 articles. Based on the inclusion criteria, 291 articles were eligible. Further screening based on title, abstract, and full text selected 10 articles for analysis. Furthermore, the quality of the article was assessed using Jonna Briggs Institute (JBI). The results showed that peer group support reduced stress, anxiety, depression, and increased social support and emotional well-being. Interventions that emphasized active communication among adolescents have a positive impact on psychological disorders. Peer group support can reduce psychological distress in adolescents with chronic illness. This approach also strengthens positive social relationships among adolescents. Further research is needed to explore the factors that influence the success of this intervention and develop more adaptive support models.
Intervensi digital dalam pengelolaan beban gejala dan peningkatan self-management pasien kemoterapi Rahmatia Amelia Kaaba; Agung Waluyo; Dewi Gayatri
Holistik Jurnal Kesehatan Vol. 20 No. 1 (2026): Volume 20 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i1.2116

Abstract

Background: Patients undergoing chemotherapy often experience persistent physical and psychological symptoms that are difficult to manage independently. Limitations in conventional monitoring have prompted the use of technology-based interventions as a supportive strategy for symptom management. Purpose: To determine the effectiveness of technology-based interventions in reducing symptom burden and improving self-management in chemotherapy patients. Method: A systematic review was conducted using the PRISMA framework. Articles published between 2013-2024 were searched across ProQuest, Scopus, PubMed, Clinical Key for Nursing, and Sage Journals. Inclusion criteria comprised quasi-experimental studies evaluating digital health technologies in chemotherapy patients, with quality assessment performed using the Critical Appraisal Skills Programme (CASP). Results: Ten studies met the inclusion criteria, which included the use of mobile apps, electronic patient-reported outcomes (ePRO) systems, telephone, SMS, and web-based platforms. Overall, digital interventions have the potential to reduce symptom burden and increase patient self-efficacy and active participation. The highest effectiveness was found in interventions that combined daily monitoring with follow-up by healthcare professionals, while adherence rates were found to be very low due to less interactive designs. Conclusion: Technology-based interventions can support symptom management and self-management in chemotherapy patients, provided they are integrated with responsive clinical support. Suggestion: Future development of digital interventions should prioritize the integration of clinical responses, adaptive user-centered design, and long-term evaluation to ensure sustained benefits for patients’ quality of life.   Keywords: Cancer; Chemotherapy; Self-Management; Symptom Burden; Technology-Based Interventions.   Pendahuluan: Pasien yang menjalani kemoterapi sering mengalami berbagai gejala fisik dan psikologis yang berkelanjutan serta sulit dikelola secara mandiri. Keterbatasan pemantauan konvensional mendorong penggunaan intervensi berbasis teknologi sebagai strategi pendukung dalam pengelolaan gejala. Tujuan: Untuk mengetahui efektivitas intervensi berbasis teknologi dalam menurunkan beban gejala dan meningkatkan self-management pada pasien kemoterapi. Metode: Penelitian systematic review ini dilakukan menggunakan kerangka kerja PRISMA. Pencarian artikel publikasi tahun 2014-2024 dillakukan pada database ProQuest, Scopus, PubMed, Clinical Key for Nursing, dan Sage Journals. Kriteria inklusi meliputi studi studi kuasi-eksperimental yang mengevaluasi teknologi kesehatan digital pada pasien kemoterapi, dengan penilaian kualitas menggunakan Critical Appraisal Skills Programme (CASP). Hasil: Sebanyak 10 studi memenuhi kriteria inklusi yang mencakup penggunaan aplikasi mobile, sistem electronic patient-reported outcomes (ePRO), telepon, SMS, dan platform web-based. Secara umum, intervensi digital berpotensi menurunkan beban gejala dan meningkatkan self-efficacy serta partisipasi aktif pasien. Efektivitas tertinggi ditemukan pada intervensi yang menggabungkan pemantauan harian dengan tindak lanjut dari tenaga kesehatan, sementara tingkat kepatuhan ditemukan sangat rendah karena desain yang kurang interaktif. Simpulan: Intervensi berbasis teknologi dapat mendukung pengelolaan gejala dan self-management pasien kemoterapi, terutama jika terintegrasi dengan dukungan klinis yang responsif. Saran: Pengembangan intervensi digital di masa depan perlu memprioritaskan integrasi respons klinis, desain adaptif berbasis kebutuhan pengguna, dan evaluasi jangka panjang untuk memastikan keberlanjutan manfaat bagi kualitas hidup pasien.   Kata Kunci: Beban Gejala; Intervensi Berbasis Teknologi; Kanker; Kemoterapi; Self-Management.
Pelaksanaan Supervisi Kepala Ruangan Dengan Kualitas Dokumentasi di Instalasi Gawat Darurat Fitri Alfisah; Rr. Tutik Sri Hariyati; Dewi Gayatri; Enie Novieastari; Desnita Fitri
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 7 No. 1 (2024)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jkmk.v7i1.1949

Abstract

Supervisi dokumentasi keperawatan merupakan suatu upaya dalam meningkatkan mutu dan pelayanan asuhan keperawatan baik di rawat inap maupun di Instalasi Gawat Darurat (IGD). Penelitian ini bertujuan untuk mengetahui hubungan pelaksanaan supervisi kepala ruangan dengan kualitas dokumentasi triase dan penerapan pengkajian awal pasien di Instalasi Gawat Drurat (IGD). Penelitian ini menggunakan desain cross sectional dengan pendekatan observasional. Sampel di ambil secara acak berjumlah 107 perawat pelaksana yang tersebar di empat Rumah Sakit. Pelaksanaan supervisi yang dilakukan oleh kepala ruangan sebagian besar dinilai kurang baik oleh perawat pelaksana, sedangkan dokumentasi triase dan penerapan pengkajian awal pasien menurut hasil observasi pengamatan terhadap rekam medis dalam kategori baik. Tidak ada hubungan yang signifikan antara pelaksanaan supervisi dengan kualitas dokumentasi (p>0,05). Ada hubungan antara karakteristik (jenis kelamin) dengan kualitas dokumentas (p<0,05). Tidak terdapat perbedaan bermakna pelaksanaan supervisi kepala ruangan dan kualitas dokumentasi triase di IGD.
PENGARUH HIPNOSIS LIMA JARI TERHADAP TINGKAT NYERI DAN KECEMASAN PADA PASIEN KANKER KOLOREKTAL: STUDI KASUS Alvian Harisandy; Nurlelasari Harahap; Nurmalasari Nurmalasari; Dewi Gayatri
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 8, No 1 (2023)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v8i1.374

Abstract

ABSTRAKLiteratur perawatan paliatif menunjukkan peningkatan besar dalam munculnya intervensi nonfarmakologis untuk menangani masalah fisik,psikologis, psikososial, dan spiritual pasien yang mengalami penyakit terminal. Salah satu intervensi non-farmakologis untuk mengontrol tingkat nyeri dan kecemasan pada pasien dengan penyakit terminal yaitu hipnosis lima jari. Tujuan penelitian: Mengevaluasi penurunan skala nyeri dan kecemasan setelah dilakukan intervensi hipnosis lima jari. Metode: Studi kasus ini menggunakan demonstrasi secara langsung dan teknik purposive sampling bertujuan untuk mengambil sampel berdasarkan seleksi khusus dengan kriteria inklusi pasien lansia yang mengalami kanker. Intervensi ini diberikan kepada Tn. A (63 tahun) dengan diagnosis medis kanker kolorektal.  Instrumen Hamilton Anxiety Rating Scale (HARS) dan Visual Analogue Scale (VAS) digunakan sebagai pre-test dan post-test setelah dilakukan hipnosis lima jari selama 10 - 15 menit setiap kali pertemuan selama 1 minggu. Hasil: Studi kasus ini menunjukkan bahwa pasien mengalami penurunan skala nyeri rata-rata 1 poin setelah dilakukan intervensi danpenurunan tingkat kecemasan sebanyak 6 poin setelah dilakukan intervensi selama 1 minggu. Diskusi: Hipnosis lima jari dapat memengaruhi sistem limbik dan saraf otonom, menciptakan suasana rileks, aman, dan menyenangkan sehingga merangsang pusat rasa ganjaran dan pelepasan substrat kimia Gamma Amino Butyric Acid (GABA), enkephalin, dan β endorphin yang mengeliminasi neurotransmiter rasa nyeri. Kesimpulan: Perawat diharapkan dapat memberikan intervensi hipnosis lima jari kepada pasien kanker kolorektal untuk membantu mengurangi tingkat nyeri dan kecemasanKata Kunci: hipnosis lima jari, intervensi nonfarmakologis, kanker kolorektal, perawatan paliatif Effect of Five-Finger Hypnosis on Pain and Anxiety Levels in Colorectal Cancer Patients: A Case Study ABSTRACTThe literature on palliative care has exhibited a significant rise in the utilization of non-pharmacological interventions to address the physical, psychological, psychosocial, and spiritual challenges encountered by patients with terminal illnesses. Among these interventions, five-finger hypnosis has been employed as a non-pharmacological approach to manage pain and anxiety levels in patients with terminal diseases. Objective:  to assess the extent to which pain and anxiety scales were reduced after implementing the five-finger hypnosis intervention. Methods: This case study utilized direct demonstration and purposive sampling techniques to select suitable participants meeting the inclusion criteria, namely elderly patients with cancer. The intervention was administered to Mr. A, a 63-year-old individual diagnosed with colorectal cancer. The Hamilton Anxiety Rating Scale (HARS) and Visual Analogue Scale (VAS) were utilized as pre-test and post-test instruments, administered after each session of five-finger hypnosis lasting approximately 10-15 minutes, and implemented over a one-week period. Results: This case study indicated that the patient experienced an average reduction of 1 point on the pain scale and a decrease of 6 points in anxiety levels following the one-week intervention. Discussion:  The five-finger hypnosis can influence the limbic system and autonomic nerves, thereby fostering a state of relaxation, safety, and contentment. This, in turn, stimulates the reward center and triggers the release of various chemical substances, including Gamma Amino Butyric Acid (GABA), enkephalin, and β-endorphin, which act to alleviate pain neurotransmitters. Conclusion: It is recommended that nurses consider incorporating five-finger hypnosis interventions as part of their care provision for patients with colorectal cancer, as it can contribute to reducing pain and anxiety levels experienced by these individuals.Keywords: five-finger hypnosis, non-pharmacological interventions, colorectal cancer, palliative care
SIKAP DAN PENGETAHUAN MEMENGARUHI PERILAKU PENCEGAHAN PRESSURE ULCER Fani Hestiana Sari; Tuti Afriani; Dewi Gayatri; Kuntarti Kuntarti
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 8, No 1 (2023)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v8i1.445

Abstract

ABSTRAKPrevalensi pressure ulcer yang tinggi menimbulkan kerugian bagi banyak pihak dalam pelayanan perawatan akut dan jangka panjang. Tujuan penelitian: Penelitian ini bertujuan mengidentifikasi hubungan sikap dan pengetahuan dengan perilaku pencegahan pressure ulcer pada mahasiswa profesi keperawatan. Metode: Penelitian ini berdesain cross sectional, melibatkan 227 sampel dengan teknik consecutive sampling.  Penelitian menggunakan The Pressure Ulcer Knowledge Assessment Tool (PUKAT) 2.0, Attitude towards Pressure Ulcer Prevention (APuP), dan kuesioner perilaku yang valid dan reliabel. Analisis univariat menggunakan distribusi frekuensi menggambarkan karakteristik responden, pengetahuan, sikap, dan perilaku. Analisis bivariat dengan uji Fisher exact dan chi square. Hasil: Hasil penelitian menunjukkan bahwa sebagian besar mahasiswa profesi memiliki pengetahuan masih kurang (53,7%), memiliki sikap yang baik (59%), dan sebagian besar memiliki perilaku melakukan tindakan pencegahan pressure ulcer (55,9%). Tidak ada hubungan signifikan antara pengetahuan dengan perilaku (p value = 0,071; α = 0,05), tetapi ada hubungan signifikan antara sikap dengan perilaku (p value= 0,010; α = 0,05). Diskusi: Sikap yang baik dipandang dapat menghindari terjadinya pressure ulcer. Pengetahuan tidak berpengaruh terhadap perilaku yang menandakan pengetahuan masih bersifat recall memory tentang materi yang dipelajari ketika tahap akademik.  Kesimpulan: Penelitian ini merekomendasikan agar institusi pendidikan merekonstruksi kurikulum, ujian teori preklinik, dan evaluasi berkala yang dilakukan pada tahap profesi.Kata Kunci: pengetahuan, perilaku pencegahan, pressure ulcer, sikap  Effects of Attitude and Knowledge on Pressure Ulcer Prevention Behavior ABSTRACTThe significant prevalence of pressure ulcers imposes detrimental consequences on various stakeholders within acute and long-term care services. Objective: This study aims to identify the correlation between attitude and knowledge with regard to pressure ulcer prevention behavior among nursing profession students. Methods: The research design employed in this study was cross-sectional, involving a sample size of 227 participants selected through the consecutive sampling technique. The data collection instruments included The Pressure Ulcer Knowledge Assessment Tool (PUKAT) 2.0, Attitude towards Pressure Ulcer Prevention (APuP) questionnaire, and validated and reliable behavior questionnaires. The univariate analysis entailed the use of frequency distribution to delineate the respondents' characteristics, knowledge levels, attitudes, and behaviors. The bivariate analysis consisted of Fisher's Exact test and Chi-square test. Results: The findings indicated that a majority of nursing profession students possess inadequate knowledge (53.7%), demonstrate positive attitudes (59%), and engage in pressure ulcer prevention behaviors to a considerable extent (55.9%). Notably, no statistically significant correlation was observed between knowledge and behavior (p-value=0.071; α=0.05); however, a significant correlation was found between attitude and behavior (p-value=0.010; α=0.05).  Discussion: This study highlights the pivotal role of positive attitudes in preventing pressure ulcers. Moreover, it is suggested that knowledge has limited influence on behavior, as it primarily relies on the recollection of information acquired during the academic phase. Conclusion: This study recommends educational institutions to reconstruct their curriculum, refine pre-clinical theory examinations, and implement regular evaluations during the professional stage.Keywords: knowledge, prevention behavior, pressure ulcer, attitude
Cancer Survival Under Universal Health Coverage: Evidence from Indonesia's National Health Insurance System Ambo Sakka; Ede Surya Darmawan; Dumilah Ayuningtyas; Dewi Gayatri; Syarif Rahman Hasibuan
Public Health of Indonesia Vol. 12 No. 2 (2026): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i2.2041

Abstract

Background: Universal health coverage (UHC) aims to ensure equitable access to quality healthcare services. Indonesia's National Health Insurance (BPJS Kesehatan), covering 248.8 million people, provides unprecedented opportunities to examine cancer survival patterns under UHC implementation. However, survival outcomes and factors influencing mortality among cancer patients within this system remain underexplored. Objective: To analyze survival outcomes and identify factors associated with mortality among cancer patients covered by Indonesia's National Health Insurance from 2017-2023. Methods: A retrospective longitudinal cohort study was conducted using BPJS Kesehatan administrative data. From a database of 2.501.251 JKN participants, 2.444 patients with cancer diagnoses (ICD-10: C00-C97) were identified. After applying eligibility criteria, 330 patients diagnosed since 2017 were eligible, with 316 patients included in final analysis after excluding incomplete data. Cox proportional hazards regression was employed to identify factors associated with survival time. Variables analyzed included comorbidity status, insurance scheme type, regional healthcare access, regional setting, age groups, and gender. Results: The analysis included 316 cancer patients with overall mortality rate of 52.8%. Female patients comprised 64.9% of the cohort, with 47.8% in the 40-59 years age group. Urban (Kota) patients represented 77.5%. Patients with documented mild complications showed significantly better survival (HR=0.360, 95% CI: 0.331-0.392, p<0.001) compared to those without complications. Severe complications also demonstrated improved survival (HR=0.482, 95% CI: 0.440-0.527, p<0.001). Insurance scheme type emerged as a critical factor, with PBI APBN patients showing 2.3-fold increased death hazard (HR=2.306, 95% CI: 2.086-2.548, p<0.001), while PBPU patients had 55% reduced hazard (HR=0.445, 95% CI: 0.412-0.479, p<0.001). Substantial regional variations were observed, with Regional 3 showing 3-fold increased death hazard (HR=2.957, 95% CI: 2.682-3.260, p<0.001). Age group 40-59 years demonstrated optimal survival (HR=0.553, 95% CI: 0.514-0.596, p<0.001). Female patients showed 26% increased death hazard (HR=1.259, 95% CI: 1.185-1.338, p<0.001), and rural (Kabupaten) patients had 54% increased survival (HR=1.535, 95% CI: 1.426-1.653, p<0.001) compared to urban patients. Conclusion: Cancer survival outcomes under Indonesia's universal health coverage system are significantly influenced by insurance scheme type, complication documentation status, regional healthcare access, urban-rural disparities, age, and gender, revealing substantial inequities within the UHC framework that require targeted policy interventions to achieve equitable cancer care.
Implementation of Guided Imagery and Intradialityc Exercise Regular Flexibility on Fatigue of Hemodialysis Patients Maria Yulianti; Dhea Natashia; Dewi Gayatri; Diana Irawati; Wati Jumaiyah; Tuti Nuraini
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3706

Abstract

Fatigue is a common symptom in dialysis patients, with a significant prevalence rate. In overcoming the problem of fatigue, therapeutic management is done through the application of guided imagery and intradialytic exercise.&nbsp; Objective: Objective is assess the effect of guided imagery and intradialytic exercise regular flexibility on fatigue in patients with chronic kidney disease who are undergoing hemodialysis process. Methods: The research method used a quasi-experiment with a one group pretest-posttest design without control group approach. The population was 23 respondents with a sample size of 22 respondents using total sampling technique. Measurement of fatigue using Functional Assessment Chronic Illness Therapy (FACIT). Data analysis was performed using paired t-test and Repeated Measures ANOVA. Results: The results showed that the mean value of fatigue before intervention in the first measurement was 24.00 (±3.911). The value increased in the second measurement to 25.22 (±4.095), in the third measurement to 28.11 (±3.411), in the fourth measurement to 33.89 (±2.908), and in the last measurement to 39.67 (±3.106). This finding explained that both interventions had a significant impact on reducing fatigue (t = -18.561, p = 0.000). Time effect analysis confirmed the significant impact of the interventions on fatigue reduction scores (F(1, 473) = 187.798, p &lt; 0.000, partial eta squared = 0.917). Conclusion: This study can be used as a non-pharmacological treatment to reduce fatigue symptoms that can be done independently during the hemodialysis process, and is expected as an independent nursing intervention for a nurse in providing nursing care.
Optimism's Impact on Quality of Life in Chronic Disease Patients: A Systematic Review Yulis Andri Nuryani; Dewi Gayatri; Yati Afianti
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6315

Abstract

Chronic diseases have a significant impact on patients' quality of life, physically, psychologically and socially. Optimism, as part of positive psychology, plays an important role in helping patients face health challenges and improve their well-being. Objective: To identify the relationship between optimism and quality of life in patients with chronic diseases through a systematic review. Method: Following PRISMA 2020 guidelines, a comprehensive search across databases such as PubMed, Scopus, Sage, and Nature identified 7,340 articles, with six studies meeting the inclusion criteria. The review included only full-text, English-language quantitative studies—specifically case-control, cross-sectional, cohort, randomised controlled trials (RCTs), or quasi-experimental designs—that examined the relationship between optimism and quality of life in patients with chronic illnesses. There were no restrictions on publication year. Exclusion criteria comprised review articles, meta-analyses, and book or book chapter publications. Each included study was critically appraised using the CASP tool, which assessed research objectives, study design, sampling methods, measurement validity, bias control, and data analysis to ensure methodological rigour. Results: The analysis showed that optimism was positively associated with improved quality of life, especially in physical aspects such as reduced fatigue and improved mobility, as well as psychological aspects such as emotional and spiritual well-being. Social support also strengthened the impact of optimism on quality of life. Community-based interventions, occupational therapy, and multimodal approaches proved effective in increasing patient engagement in meaningful activities. Conclusions: Optimism is an important factor in improving the quality of life of chronic patients, and optimism-based interventions can be an effective strategy to support holistic patient well-being.
The Effectiveness of Massage Therapy in Reducing Fatigue among Cancer Patients Undergoing Chemotherapy: Systematic Review Ahmad Fadhlur Rahman; Dewi Gayatri; Giur Hargiana
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6500

Abstract

Fatigue is one of the most common side effects experienced by cancer patients undergoing chemotherapy and has a serious impact on quality of life. Massage therapy has emerged as a potential non-pharmacological intervention to alleviate this symptom. Objective: To systematically review the effectiveness of massage therapy in reducing fatigue among cancer patients undergoing chemotherapy. Methods: This study employed a systematic review design based on the PRISMA guidelines. Literature was searched through PubMed, ScienceDirect, ProQuest, and Google Scholar databases. Articles published in English or Indonesian in the last 10 years (2014–2024). Included articles were randomized controlled trials (RCTs), quasi-experimental studies, or clinical trials evaluating the effects of massage therapy on fatigue in cancer patients. 139 Articles were founds and 10 article were selected. Study quality was assessed using the CASP tool, and data were analyzed descriptively. Results: A total of 10 studies met the inclusion criteria. Findings showed that massage therapy—including slow-stroke back massage, Swedish massage, hand and foot massage, and combinations with aromatherapy—was effective in reducing fatigue. The effectiveness was influenced by the type of massage, duration, and frequency of the intervention. Conclusion: Massage therapy is an effective intervention that can be integrated into clinical care to reduce fatigue in chemotherapy patients. Further research is needed to strengthen the existing evidence.
Co-Authors Abd Rahman, La Ode Abd. Kodir Jailani Achir Yani S. Hamid Afriyanti, Yati Agung Waluyo Agustina Rifa Ahmad Asyrofi, Ahmad Ahmad Fadhlur Rahman Ahmad Syaripudin Alfhy Septiana Ningsih Allenidekania , Allenidekania Allenidekania Allenidekania Allenidekania Allenidekania Allenidekania, Allenidekania Alpan Habibi Alvian Harisandy Amalia Nur Aqmarini Ambo Sakka Anak Agung Ayu Emi Primayanthi Andrian Waluya Adi Andriani, Zilya Andriyani, Yulia Ani Haryani, Ani Anisah Ardiana Aprianto Guntur Irawan Aria Wahyuni Arif Rahman Arruum, Diah Arza Rufli Arza Rufli Asep Kuswandi Asriadi Asriadi Astuti Giantini Astuti Yuni Nursasi Ati Surya Mediawat Ati Surya Meidiawati Ayu Ramadhana Basuki Supartono Bayu Aji Sismanto Bejo Utomo Bergita Olivia Hali Samon Besral . Betty Luinta Saragih Budi Anna Keliat Cahyaningrum, Devy Novita Cicilia Ika Wulandari Cynthia Tri Wardhani Dadan Erwandi Dahlia, Debie - Darmajayanti, Febry Dede Kurniati Desnita Fitri Devy Novita Cahyaningrum dewi adnan Dhea Natasha Dhea Natashia Dhea Natashia Dian Novita Kurniasih Dian Novita Kurniasih Diana Irawati Dila Nurul Arsyi Dina Lestari Dita Sulistyowati Dumilah Ayuningtyas Dwi Suryani Ede Surya Darmawan Edi Purnomo Edian Fitriana Edy Soesanto Ella Nurlaella Hadi Elly Nurachmah Elly Nurrachmah Eni Hidayati Enie Novieastari Ermi Rabiuliya Erni Saraswati Fani Hestiana Sari Fatma Lestari Febrianti Asbaningsih, Febrianti Febrianty, Indida Leli Indah Feri Atmajaya Fitri Alfisah Fitriyan Rayasari Fitriyanti, Dwi Gorean, Grace Irma Hadi, Muhammad Hanny Handiyani Hargiana, Giur Harmilah Harmilah Hasan Fuadi Hassan, Hamidah Hening Pujasari Heri Kristianto Hilman Syarif I Ketut Suada Ida Yanti Iin Inayah Ikeu Nurhidayah Ikeu Nurhidayah Imam Ghozali Imami Nur Rachmawati Indah Susilowati Indah Susilowati Irawati, Diana Irman Irman Isran, Isran Janno Sinaga Jathu Dwi Wahyuni Jathu Dwi Wahyuni Jumaiyah, Wati Jumaiyah, Wati Junaiti Sahar Khaier, Nurhayati Kimin, Amelia Krisna Yetti Krisna Yetti Krisna Yetti Krisna Yetti Malawat Kuntarti Kustiyuwati Kustiyuwati La Ode Abd Rahman Lakoro, Danny Des Kartyko Laras Adythia Pratiwi Lasiyani, Ni Luh Lasut, Margareth Latif, Yusep Abdul Legu, Ermelinda Toyo Lina Herida Pinem Liya Arista Malau, Mahda Chresginova Maria Evarista Sugo Maria Yulianti Maria, Riri Maria, Riri Martiningsih Martiningsih, Martiningsih Masfuri - Mataputun, Donny Richard Mediawati, Ati Surya Meidiawati, Ati Surya Meilati Suryani Meilati Suryani Misbahul Munif Muhammad Adam Muhammad Reza Rizki Mustafidz, Mustafidz Nana Rochana, Nana Nani Nurhaeni Natashia, Dhea Ni Nyoman Budi Indrayanti Ni Nyoman Budi Indrayanti Nugraha, Rudi Nuiva, Uun Nuniek Nizmah Fajriyah Nur Miladiyah Nuraini, Tuti Nuraini, Tuti Nuraini Nurbaeti, Reidha Fitri Nurfitriani, Putri Nurlelasari Harahap Nurmalasari Nurmalasari Osty Histry Kapahang Pertiwi, Christina Airyunda Poppy Fitriyani Pradana Soewondo Prakartini, Entin Pratiwi, Laras Adythia Primayanthi, Anak Agung Ayu Emi Purba, Venbora Putri, Arcellia Farosyah Putri, Tissa Aulia Raden Mohamad Herdian Bhakti Raden Siti Maryam, Raden Siti Rahma Jumila Rahman, Ahmad Fadhlur Rahmatia Amelia Kaaba Ratna Aryani Ratna Aryani Ratna Sitorus Ratna Sitorus Raudhatul Firdausiah Rayasari, Fitrian Renie Kumalasari Resty, Dian Eka Retno Setiowati Ria Andjarwati Ria Mariatul Isnaani Ria Utami Riadinni Alita Rikumahu, Marisco Riski Oktafia Rita Erlina Rizany, Ichsan Rohman Azzam Ros Endah Happy Patriyani Rr Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati S., Chiyar Edison Saharuddin Sali Rahadi Asih Sapriyanti Sapriyanti Sari, Mulat Septi Kurniasari Setiasih, Diana Tri Budi Setiyadi, Agus Setyowati Setyowati Setyowati, Setyowati Shanti Farida Rachmi Sidik Awaludin Sigalingging, Astika Irmawaty Sigit Mulyono Sistina, Norma Sitorus, Kristiani Sri Hendrawati Sri Murtiasih Sri Yona Sukarmin SUKARMIN Sukarmin Sukarmin Sukarmin Sukarmin Sukma Wicaturatmashudi Sulisnadewi, Ni Luh Kompyang Susanti, Epi Susi Hartati Susiladewi, Ida Ayu Md Vera Syafrina Arbaani Djuria Syarif Rahman Hasibuan Tantri Widyarti Utami Teresa Teresa Titiek Muhaeriwati Titin Sutini Tommy Indra Tri Cahyo Sepdianto Tulangow, Indri Winny Tuti Afriani Tuti Herawati Tuti Herawati Tuti Nuraini Tuti Nuraini Tuti Nuraini Tuti Nuraini Tuti Nuraini Untung Sujianto Vivi Yosafianti Pohan Waluyo, Agung Waluyo, Agung Wati Jumaiyah Widyatuti Wildani, Andi Amalia Winda Yuniarsih Winda Yuniarsih Yari, Yarwin Yati Afianti Yati Afiyanti Yeni Rustina Yesi Ariani Yiyin Qamariah Takaredas Yodang Yodang Yulis Andri Nuryani Yushlihah Rofiati Yusuf Yuzia Melantika Zulfa Zulfa