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Efektivitas Mindfulness Loving Kindness Meditation terhadap Penurunan Tingkat Stres, Kecemasan dan Depresi pada Pasien Kanker Paru Arza Rufli; Dewi Gayatri; Muhammad Reza Rizki
Jurnal Penelitian Perawat Profesional Vol. 7 No. 6 (2025): Desember 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i6.831

Abstract

Kanker paru merupakan masalah kesehatan global yang serius yang ditandai dengan tingginya angka kejadian dan kematian. Teori gejala tidak menyenangkan berfokus pada penilaian, pemahaman faktor-faktor yang mempengaruhi, dan pengelolaan gejala tidak menyenangkan yang kompleks dan saling terkait termasuk gejala psikologis seperti stres, kecemasan, dan depresi dengan tujuan untuk meningkatkan kinerja dan kemampuan beraktivitas pasien kanker paru. Tujuan: Untuk memberikan gambaran pelaksanaan asuhan keperawatan pada pasien kanker paru yang mengalami distres psikologis dengan pendekatan teori TOUS. Metode: Desain studi kasus melalui pendekatan asuhan keperawatan dengan menerapkan Teori Gejala Tidak Menyenangkan. Asuhan keperawatan onkologi yang diberikan pada sepuluh kasus diberikan di ruang rawat inap dan ruang rawat jalan Pusat Kanker Nasional Rumah Sakit Kanker Dharmais yang dilakukan selama tujuh hari pada bulan April hingga awal Mei 2025. Terdapat sepuluh kasus kanker paru yang dikonfirmasi mengalami tekanan psikologis seperti stres, cemas dan depresi. Hasil: Proses keperawatan pemenuhan kebutuhan dasar pasien kanker paru yang mengalami distress psikologis dan gejala yang dialami mengalami penurunan. Dari intervensi tersebut, pasien mengalami peningkatan fokus, lebih mandiri dalam melakukan aktivitas dan penurunan stres, cemas dan depresi.
The Impact of Psychosocial Factors on Quality of Life among Young Women with Breast Cancer: A Systematic Review Yuzia Melantika; Riri Maria; Yati Afiyanti; Dewi Gayatri
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): 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.v8i2.817

Abstract

Young women with breast cancer experience complex psychosocial challenges resulting from physical, emotional, and social changes during treatment, which significantly affect their quality of life (QoL). Objective to identify and analyze psychosocial aspects influencing the quality of life among young women with breast cancer. This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Literature searches were conducted across five databases (PubMed, ScienceDirect, Scopus, Sage Journals, and Taylor & Francis) for studies published between 2015 and 2025. Inclusion criteria included young women (≤40 years) diagnosed with breast cancer, using quantitative observational designs (cross-sectional or prospective cohort). A total of 11 eligible studies from 5761 articles were included and analyzed narratively. Five major themes influencing QoL were identified: (1) psychological distress (anxiety, depression, and fear of cancer recurrence); (2) sexual dysfunction and negative body image; (3) reproductive and fertility concerns; (4) social support and partner relationships; and (5) long-term QoL decline up to five years post-diagnosis, which is improved with strong social support and adaptive coping strategies. Psychosocial factors have a significant impact on the quality of life of young women with breast cancer. A holistic nursing approach that integrates psychological, social, and family support is essential to enhance emotional well-being and improve the long-term quality of life of these patients.
Validity of the Construct and Reliability of the Indonesian Version of the Cancer Fatigue Scale (CFS) Instrument in Measuring Fatigue in Cancer Patients Ahmad Fadhlur Rahman; Dewi Gayatri; Giur Hargiana; Yati Afianti; Retno Setiowati
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.1128

Abstract

Cancer-related fatigue is one of the most frequent symptoms and has a significant impact on the quality of life of cancer patients. Accurate fatigue measurements require instruments that are valid and reliable, and appropriate to the cultural and linguistic context. Therefore, it is necessary to test the validity of the construct and reliability of the Indonesian version of the Cancer Fatigue Scale (CFS) before it is widely used. This study aims to test the validity of the construct and reliability of the Indonesian version of the Cancer Fatigue Scale (CFS) instrument in measuring fatigue in cancer patients. This study is an analytical descriptive research using a Cross Sectional design. This research was conducted at Darmais Cancer Hospital (RSKD). The number of samples was 220 people, with a sampling technique, namely purposive sampling. The instrument used in this study was the Cancer Fatigue Scale (CFS) as the core questionnaire. The data was analaysed to test realibility and validity of instruments CFS.   The results showed that all Indonesian version of CFS items had a total item–correlation value above the minimum acceptable limit (r > 0.30), indicating adequate construct validity. The reliability test showed Cronbach's alpha value of 0.824, which indicated good internal consistency. The Indonesian version of the Cancer Fatigue Scale has been proven to have good construct validity and reliability, making it suitable for use as an instrument for measuring fatigue in cancer patients in oncology nursing research and practice.
The role of self-efficacy, social and economic support on the quality of life of cancer patients undergoing chemotherapy: A systematic review Maria Evarista Sugo; Yati Afiyanti; Allenidekania Allenidekania; Dewi Gayatri
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.1479

Abstract

Background: Indonesia is currently facing a triple disease burden, including a rise in chronic illnesses such as cancer, which significantly impacts patients' quality of life. Chemotherapy affects not only physical health but also psychological, social, and spiritual well-being. Factors such as self-efficacy, social support, and economic status are believed to strongly influence the quality of life among cancer patients undergoing chemotherapy. Purpose: To examine the effects of self-efficacy, social support, and economic conditions on the quality of life of cancer patients receiving chemotherapy. Method: A systematic review was conducted by searching articles published between 2015 and 2025 across PubMed, ScienceDirect, and Scopus using relevant keywords. Studies included randomized controlled trials, cohorts, case-control, and quasi-experimental designs that explored the relationship between the selected variables and patient quality of life. Ten articles met the inclusion criteria and were analyzed. Results: From a total of 453,025 articles identified, only 10 met the eligibility criteria. Findings consistently indicate that higher self-efficacy, strong social support, and stable economic conditions are positively correlated with improved quality of life in cancer patients undergoing chemotherapy. Conclusion: Enhancing self-efficacy, providing adequate social support, and addressing economic challenges can significantly improve cancer patients’ quality of life. A holistic, integrated approach that includes psychosocial and spiritual care is essential. Nurses and healthcare professionals play a crucial role in delivering these interventions, supported by appropriate policies and education to strengthen global cancer care systems.
Factors influencing self-acceptance in cancer patients: A systematic review Bergita Olivia Hali Samon; Allenidekania Allenidekania; Agung Waluyo; Dewi Gayatri
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1557

Abstract

Background: A cancer diagnosis often has a significant impact on patients’ psychological aspects, particularly on self-acceptance. Purpose: To identify and summarize various factors influencing self-acceptance in cancer patients. Method: The selection process followed the PRISMA guidelines. Literature searches were conducted in PubMed, Scopus, and Google Scholar databases for studies published between 2010 and 2025, including English-language articles with quantitative study designs (cross-sectional, cohort, case-control, or case report), involving cancer patients aged ≥18 years. Results: Nine studies met the criteria for further analysis. Factors influencing self-acceptance included sociodemographic factors (age, gender, education, income, residence, marital status, employment status, social support, educational level, economic status), disease-related factors (TNM stage, metastasis status, disease duration), and psychosocial factors (social support, meaning-making, fear of recurrence). Conclusion: Self-acceptance in cancer patients is influenced by sociodemographic, disease-related, and psychosocial factors. These findings are important for developing more targeted psychosocial interventions to improve the well-being of cancer patients.
Effectiveness of non-pharmacological interventions in managing dyspnea among cancer patients: A systematic review Feri Atmajaya; Allenidekania Allenidekania; Yati Afiyanti; Dewi Gayatri
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1738

Abstract

Background: The management of dyspnea in cancer patients still faces various challenges. Non-pharmacological interventions are increasingly recognized as effective, potentially cost-effective, and effective approaches to managing this symptom. Purpose: To identify, evaluate, and analyze evidence regarding the effectiveness of non-pharmacological interventions in managing dyspnea in cancer patients. Method: This systematic review followed PRISMA guidelines and conducted a literature search across five databases (Sage Journals, PubMed, ScienceDirect, Springerlink, and Google Scholar). Inclusion criteria included English-language articles published between 2015 and 2025, with a randomized controlled trial (RCT) or cohort study design. From 59,225 articles identified, 11 studies met the inclusion criteria for analysis. Results: A total of 1,369 cancer patients were analyzed across 10 RCTs and one cohort study. Various non-pharmacological interventions proven effective in managing dyspnea include Tai Chi, aerobic exercise, Respiratory Distress Symptom Intervention (RDSI), Inspiratory Muscle Training (IMT), home-based education programs, and acupuncture. Conclusion: Non-pharmacological interventions can be an important component in the management of dyspnea in cancer patients, significantly contributing to symptom reduction and overall patient well-being.
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