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Effectiveness of Music Therapy on Anxiety Levels and Sleep Quality in Cancer Patients: A Systematic Review Sitorus, Kristiani; Novieastari, Enie; Gayatri, Dewi; Nuraini, Tuti
Indonesian Journal of Global Health Research Vol 6 No 4 (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.v6i4.3227

Abstract

Cancer is a major global cause of death Cancer patients have a great sense of anxiety about their illness, which has an impact on their sleep quality. Music therapy intervention is one of the non-pharmacological therapies that can be given to cancer patients. It is important to identify the effectiveness of music therapy in reducing anxiety and improving sleep quality in cancer patients. Method: Journals and articles were searched using five databases ProQuest, EBSCOHost, Pubmed, ScienceDirect, and Sage Journal. The author selected several relevant journals and articles from 2010 to 2023. The results of the search of 11 articles found that music therapy interventions proved effective in reducing the stress levels of cancer patients. Music therapy can also improve the sleep quality of cancer patients. Music therapy is effective in reducing anxiety and improving the quality of sleep of cancer patients.
Modified Mindfulness-Based Stress Reduction (MBSR) Therapy to Reduce Psychological Distress in Chronic Kidney Disease (CKD) Patients on Haemodialysis (HD) Arsyi, Dila Nurul; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
Indonesian Journal of Global Health Research Vol 6 No 5 (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.v6i5.3694

Abstract

Chronic Kidney Disease (CKD), is a disease with high mortality and mortality, so it requires lifelong hemodialysis (HD) management, this will trigger psychological distress which increases the risk of worsening in CKD. So, it is necessary to give non-pharmacological therapies, one of which is a modification of Mindfulness-Based Stress Reduction (MBSR) Therapy. Objective: The purpose of this study was to determine the effect of MBSR therapy modification on psychological distress in CKD patients. Method: Quasi-experiment with pretest-posttest control group approach. A population of 44 respondents with a sample of 29 respondents using a simple random sampling technique. Measurement of psychological distress variables using the Kessler Pshycological Distress Scale-10 (K-10). MBSR modification therapy intervention has 4 sessions in one treatment, applied 7 days with a total duration of 30 minutes. Data analysis using paired t-test and independent t-test. Results: The results showed that the mean scores of Psychological Distress intervention group (21.7 (pre-test); 17.1 (post-test)), control group (18.8 (pre-test); 18.5 (post-test)). There were differences in mean psychological distress scores between the intervention and control groups (MD=4.38, t=5.92 (95%CI, 2.81; 5.95), p < 0.001, d=2.22). Conclusions: MBSR modification therapy can be used to reduce psychological distress in patients.
Implementation of Guided Imagery and Intradialityc Exercise Regular Flexibility on Fatigue of Hemodialysis Patients Yulianti, Maria; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
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. 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 < 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.
Systematic Review: The use of Propolis Mouthwash in Reducing Mucositis in Cancer Patients Undergoing Chemotherapy and Radiation Therapy Siregar, Ngolu; Nuraini, Tuti; Maria, Riri; Putri, Yossie Susanti Eka
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.v7i4.6490

Abstract

A systematic review of randomized clinical trials in cancer patients on the effectiveness of propolis mouthwash use in post-chemo and radiation cancer patients. Oral mucositis (OM) is a common and highly symptomatic complication of cancer therapy that affects function, quality of life. Chemotherapy and radiation are the most widely used interventions in cancer treatment. The prevalence of oral mucositis side effects among HNC patients is 93.9%. Research on the management of OM is still ongoing. This study aims to analyze a systematic review of the use of propolis in preventing and reducing the severity of oral mucositis in cancer patients undergoing chemo- and radiation therapy. Four databases through article searches tailored to the formulation of PICO questions consisting of ScienceDirect, Pubmed, ProQuest, Sage journals and EBSCO, A total of 2,252 articles were identified, and 8 articles were included in the final analysis. Of the ten articles selected, there were 6 articles that were suitable for oral mucositis treatment interventions that showed the effectiveness of using propolis mouthwash to treat ral mucositis with a Randomized Controlled Trial (RCT) design. The use of propolis mouthwash for oral mucositis can be done to overcome and prevent oral mucositis in cancer patients undergoing chemo and radiation therapy.
Pengaruh Pemberdayaan terhadap Self-Efficacy pada Pasien Kanker Payudara: Systematic Review Purnomo, Purnomo; Nuraini, Tuti; Putri, Yossie Susanti Eka; Maria, Riri
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.v12i01.794

Abstract

Breast cancer is the second most prevalent type of cancer and one of the leading causes of mortality. Efforts to reduce mortality rates can be achieved by empowering patients to manage symptoms caused by cancer and the side effects of treatment therapies. This study aimed to evaluate the effectiveness of empowerment education in increasing self-efficacy in breast cancer patients. The study employed a systematic review of eight articles sourced from various databases, including ProQuest, SpringerLink, ScienceDirect, Sage Journal, Google Scholar, and PubMed. A total of 8,693 articles were retrieved from seven databases. After screening based on inclusion criteria, 638 articles were deemed eligible. Based on the selection of titles, abstracts, and full texts, 22 articles were chosen, and after duplicate elimination, 10 articles were analyzed using the Joanna Briggs Institute (JBI) quality assessment tool. The analysis results indicated that the empowerment approach is effective in improving self-efficacy and quality of life in breast cancer patients. By utilizing empowerment education, healthcare professionals can provide holistic support to patients, improve therapeutic outcomes, and reduce breast cancer mortality rates. This study recommended the integration of empowerment education as an essential component of breast cancer management in various healthcare facilities.
Pengaruh Cognitive Behaviour Therapy (CBT) terhadap Pasien Gagal Ginjal Kronik di Unit Hemodialisa Rumah Sakit Husada Jakarta Setyaningsih, Tri; Mustikasari, Mustikasari; Nuraini, Tuti
Jurnal Kesehatan Holistic Vol. 2 No. 1 (2018): Jurnal Kesehatan Holistic Volume 2/Nomor 1/Januari 2018
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (391.04 KB) | DOI: 10.33377/jkh.v2i1.33

Abstract

Chronic renal failure (GGK) or end-stage renal disease (PGTA), is one of the major diseases in the world. In addition to difficult to cure because it is irreversible can also cause psychososil disorders. This research was conducted on 27 respondents, using quasi experimental design pre-post test without control group. The results showed that there was a significant effect of CBT therapy on self-esteem level both cognitive and behavioral in patients with CRF (p value <0,000) and the opportunity to increase self-esteem in terms of behavior with CBT therapy was 43,9%. The conclusion of this study is that CBT therapy can improve the self-esteem of GGK patients undergoing hemodialysis therapy in he Husbandry Hemodialysis unit Jakarta.
Stigma and discrimination against breast cancer survivors in Indonesia: an interpretive phenomenology study Tisnasari, Ida Ayu Made Ari Santi; Nuraini, Tuti; Afiyanti, Yati
Jurnal Ners Vol. 17 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v17i2.39448

Abstract

Introduction: Breast cancer is the most common malignancy in women worldwide. Breast cancer and its treatment have a direct impact on all aspects of a woman's life, as well as on breast cancer survivors, thereby affecting the fulfillment of her needs. The purpose of the study is to explore stigma and discrimination against breast cancer sufferers. Methods: This study uses a qualitative method of interpretive phenomenology. Semi-structured interviews were purposively conducted from March to June 2022 with 14 women breast cancer survivors. Results: The three themes identified in this study include: a short duration of survival, being labeled as a suffering person, and social discrimination. Conclusions: Breast cancer survivors experienced stigma regarding their cancer diagnosis. Thus, highlighting the rising need of health professionals' intervention in resolving and adapting to stigma and discrimination regarding breast cancer diagnosis in Indonesia.
Reaching the 'New Normal': A Wish for Breast Cancer Patients in Palliative Care Sitorus, Kristiani; Novieastari, Enie; Nuraini, Tuti
JURNAL INFO KESEHATAN Vol 23 No 1 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss1.1830

Abstract

More than 80% of breast cancer patients in Indonesia who are diagnosed are at an advanced stage. Advanced cancer treatment is directed at palliative care from the beginning of diagnosis.  Patients undergoing palliative care must adjust to the changing needs that occur during palliative care in line with the decline in the condition of the disease and the impact of its treatment. It can affect changes in the patient's daily life patterns. This study was conducted to explore the unmet needs of breast cancer patients during palliative care in the context of the culture and healthcare system in Indonesia. This study utilized a descriptive qualitative phenomenological method. In-depth interviews with semi-structured interview guidelines were conducted on 14 breast cancer patients undergoing palliative care. The thematic analysis uses the Colaizzi approach. The results of this study obtained three specific themes of unmet needs in the study participants: 1) the need to achieve the 'New Normal' to return to activities with enthusiasm and hope, 2) the need for appreciation and recognition, and 3) Support to overcome the fear of death and the uncertainty of the future. Breast cancer patients want to return to their activities with enthusiasm and hope despite facing physical limitations and emotional challenges. In conclusion, achieving the 'New Normal' is an important aspect of this adjustment process, which involves physical, emotional, social, and spiritual support. This finding differs from previous research, where other publications did not explicitly mention the need to achieve the 'New Normal'. Therefore, the role of nurses in addressing unmet needs, both in the context of the 'New Normal' and more generally, is crucial in palliative care for breast cancer patients. This support enhances the patient's quality of life and gives greater meaning to the remainder of their lives.       
Cognitive Behavioral Therapy (CBT-I) Terhadap Kualitas Tidur Pasien Gagal Ginjal Yang Menjalani Hemodialisis Lakoro, Danny Des Kartyko; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
MAHESA : Malahayati Health Student Journal Vol 4, No 8 (2024): Volume 4 Nomor 8 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i8.15079

Abstract

ABSTRACT Hemodialysis can cause multi-component impacts such as fatigue, pain, restless legs syndrome, anxiety and depression which can cause sleep disturbances resulting in decreased sleep quality. CBT-I is a multi-component therapy that can overcome sleep problems caused by many factors. The purpose of this study was to determine the effect of CBT-I on sleep quality. The research method used a quasi-experiment with a one group pretest-posttest design without control group approach. The population was 90 respondents with a sample size of 30 respondents using purposive sampling technique. Measurement sleep quality using pittsburgh sleep quality index (PSQI). Data analysis was performed using paired t-test and Repeated Measures ANOVA. The results showed that the average value of sleep quality before the intervention on the 1st measurement was 15.00 (±2.262), on the 2nd measurement after the intervention was 13.23 (±2.674) and the 3rd measurement was 10.23 (2.991). These findings explain cognitive behavioral insomnia (CBT-i) has a significant impact on improving sleep quality (P = 0.00). Multivariate analysis results showed the effect of time on sleep quality improvement scores (F(2, 58) = 349.493, p-value 0.000, partial eta squared = 0.959). It was also found that fatigue, pain, restless legs syndrome, anxiety and depression scores decreased. The results of this study can be used as a non-pharmacological treatment to improve sleep quality independently. Keywords: Cognitive Behavioral Therapy Insomnia, Fatigue, Sleep Quality, Hemodialysis.  ABSTRAK Hemodialisis dapat menimbulkan dampak multi komponen seperti kelelahan, nyeri, sindrom kaki gelisah, kecemasan dan depresi yang dapat menyebabkan gangguan tidur sehingga mengakibatkan penurunan kualitas tidur. CBT-I merupakan terapi multikomponen yang dapat mengatasi gangguan tidur yang disebabkan oleh banyak faktor. Tujuan penelitian ini adalah untuk mengetahui pengaruh CBT-I terhadap kualitas tidur. Metode penelitian yang digunakan adalah quasi eksperimen dengan pendekatan one group pretest-posttest tanpa pendekatan kelompok kontrol. Populasi sebanyak 90 responden dengan jumlah sampel sebanyak 30 responden dengan menggunakan teknik purposive sampling. Pengukuran kualitas tidur menggunakan pittsburgh sleep quality index (PSQI). Analisis data dilakukan dengan menggunakan uji t berpasangan dan Repeated Measures ANOVA. Hasil penelitian menunjukkan nilai rata-rata kualitas tidur sebelum intervensi pada pengukuran ke-1 sebesar 15,00 (±2,262), pada pengukuran ke-2 setelah intervensi sebesar 13,23 (±2,674) dan pada pengukuran ke-3 sebesar 10,23 (2,991). Temuan ini menjelaskan insomnia perilaku kognitif (CBT-i) mempunyai dampak signifikan terhadap peningkatan kualitas tidur (P = 0,00). Hasil analisis multivariat menunjukkan adanya pengaruh waktu terhadap skor peningkatan kualitas tidur (F(2,58) = 349,493, p-value 0,000, parsial eta squared = 0,959). Ditemukan juga bahwa skor kelelahan, nyeri, sindrom kaki gelisah, kecemasan dan depresi menurun. Hasil penelitian ini dapat digunakan sebagai pengobatan non farmakologi untuk meningkatkan kualitas tidur secara mandiri. Kata Kunci: Terapi Perilaku Kognitif Insomnia, Kelelahan, Kualitas Tidur, Hemodialisis.
Peran Navigasi Terhadap Kualitas Hidup Pasien Kanker Andriyani, Yulia; Allenidekania, Allenidekania; Gayatri, Dewi; Nuraini, Tuti
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i6.60542

Abstract

Navigasi pasien kanker merupakan pendekatan yang bertujuan untuk membantu individu dalam mengatasi hambatan selama proses diagnosis, pengobatan, hingga pemulihan. Penelitian ini bertujuan untuk mengkaji secara sistematis peran navigasi pasien dalam meningkatkan kualitas hidup penderita kanker melalui telaah literatur ilmiah. Metode yang digunakan adalah studi pustaka dengan menelusuri artikel dari database bereputasi internasional seperti PubMed, Springer, dan ScienceDirect. Hasil tinjauan menunjukkan bahwa navigasi pasien mampu mempercepat diagnosis dan inisiasi terapi, meningkatkan kepatuhan terhadap pengobatan, serta memberikan dukungan emosional dan informatif kepada pasien. Di negara berkembang, peran navigator juga berkontribusi dalam mengurangi ketimpangan akses layanan, khususnya bagi kelompok marjinal. Namun, di Indonesia, implementasi navigasi pasien masih terkendala oleh minimnya regulasi, pelatihan SDM, dan kesadaran masyarakat.. Kajian ini menekankan pentingnya integrasi layanan navigasi dalam perawatan kanker untuk mendukung kesejahteraan pasien secara holistik. Sehingga dapat disimpulkan bahwa navigasi pasien merupakan pendekatan strategis yang terbukti efektif dalam meningkatkan kualitas hidup pasien kanker, dan perlu diintegrasikan dalam sistem layanan onkologi nasional.