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All Journal Nurse Media Journal of Nursing Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) IJNP (Indonesian Journal of Nursing Practices) Jurnal Keperawatan Padjadjaran Jurnal Ilmiah Keperawatan Journal Of Bionursing Jurnal of Community Health Development (JCHD) Jurnal Ilmiah Kesehatan International Journal of Biomedical Nursing Review (IJBNR) Journal Of Bionursing
Agis Taufik
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Religion Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Veterinary

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Integrative Non-Pharmacological Interventions for Anxiety Management in Chemotherapy Patients: A Systematic Review Hidayat, Arif Imam; Taufik, Agis; Alivian, Galih Noor; Triyanto, Triyanto
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.17847

Abstract

Abstract Background: Anxiety is a prevalent and debilitating symptom among cancer patients undergoing chemotherapy. Pharmacological anxiolytics can produce undesirable side‑effects and may interact with cancer treatments. Consequently, research has explored non‑pharmacological interventions—such as mindfulness‑based interventions, cognitive–behavioural and acceptance therapies, relaxation practices, and complementary modalities—to reduce anxiety. This review critically evaluates randomized controlled trials (RCTs) and systematic reviews published between 2016 and 2025 on non‑pharmacological interventions for chemotherapy‑related anxiety. Methods: A systematic search of PubMed, Scopus, Web of Science, and Google Scholar (January 2016–September 2025) identified RCTs and meta-analyses on non-pharmacological interventions for anxiety in adult cancer patients receiving chemotherapy or survivors. Non-randomized, pharmacological, and pediatric studies were excluded. Two reviewers independently extracted data on samples, interventions, outcomes, and effect sizes. RCT quality was assessed using Cochrane’s risk-of-bias tool. Results: Twenty-three studies (14 RCTs and nine reviews) met inclusion criteria, evaluating mindfulness-based stress reduction (MBSR), acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), virtual reality (VR), music therapy, relaxation techniques, aromatherapy, gratitude or behavioral activation, Tai Chi/Qigong, hypnosis, acupuncture, and reflexology. MBSR showed the strongest effects, reducing distress (SMD = –1.35) and anxiety (SMD = –1.48) and improving self-efficacy. ACT and CBT achieved small-to-moderate anxiety reductions (SMD = –0.41 and –0.61). VR alleviated anxiety, pain, and stress, while music therapy alone or combined with relaxation significantly reduced anxiety and depression. Aromatherapy and gratitude-based interventions yielded modest benefits, whereas Tai Chi/Qigong (SMD = –0.99) and hypnosis improved anxiety. Guidelines recommend MBIs, yoga, hypnosis, relaxation, music, and lavender oil during treatment, and MBIs, yoga, acupuncture, Tai Chi/Qigong, and reflexology post-treatment. Conclusions: Non-pharmacological interventions offer promising adjuncts for chemotherapy-related anxiety. Strong evidence supports mindfulness-based therapies, ACT, CBT, VR, music therapy, relaxation, aromatherapy, and gratitude practices. Tai Chi/Qigong and hypnosis show emerging benefits, while evidence for reflexology and acupuncture remains limited. Integration should reflect patient preferences and resource availability. Future research needs standardized outcomes, larger trials, and combined approaches to strengthen evidence and optimize supportive care in oncology.
Studi Kasus Pengaruh Akupresur Titik P6 terhadap Tingkat Mual dan Muntah pada Pasien Kanker di RSUD Prof. Dr. Margono Soekarjo Alifah, Yosiana Nur; Taufik, Agis; Anam, Akhyarul
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.18462

Abstract

Latar Belakang: Kanker merupakan salah satu penyebab kematian tertinggi di dunia, termasuk di Indonesia. Kemoterapi sebagai terapi utama sering menimbulkan efek samping berupa mual dan muntah (Chemotherapy Induced Nausea and Vomiting atau CINV), terutama pada penggunaan obat yang memiliki tingkat emetogenik tinggi. Meskipun telah diberikan obat antiemetik, sebagian pasien masih mengalami keluhan tersebut. Akupresur titik Perikardium 6 (P6) atau Neiguan merupakan terapi komplementer non farmakologis yang dapat membantu menekan mual dan muntah akibat kemoterapi.Tujuan: Mengetahui pengaruh pemberian terapi akupresur titik perikardium 6 (P6) terhadap tingkat mual dan muntah pada pasien kanker yang menjalani kemoterapi.Metode: Metode yang digunakan studi kasus pada pasien kanker yang menjalani kemoterapi dengan regimen cisplatin di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Intervensi akupresur titik P6 dilakukan pada hari pertama kemoterapi setelah obat diberikan, dengan frekuensi tiga kali sehari pada pukul 07.00, 12.00, dan 18.00 WIB. Setiap tangan dilakukan selama 10 menit menggunakan minyak zaitun, dan penilaian mual muntah menggunakan Rhodes Index Nausea, Vomiting & Retching (RINVR).Hasil: Rata-rata skor RINVR sebelum intervensi adalah 17 (kategori mual muntah berat), dan setelah intervensi terjadi penurunan rata-rata skor sebesar 9 poin. Hasil ini menunjukkan bahwa akupresur titik P6 efektif menurunkan mual dan muntah pada pasien kemoterapi melalui mekanisme pelepasan β-endorfin dan ACTH yang menekan aktivitas chemoreceptor trigger zone (CTZ).Kesimpulan: Intervensi akupresur titik Perikardium 6 (P6) memiliki pengaruh terhadap penurunan tingkat mual dan muntah pada pasien kanker yang menjalani kemoterapi.
Co-Authors Akhyarul Anam, Akhyarul Alifah, Yosiana Nur Alivian, Galih Noor Arif Imam Hidayat Arif Setyo Upoyo Atyanti Isworo Dian Mustikasari Dwi Setiowati Eman Sutrisna Emilia, Silfi Eti Dwi H H, Eti Dwi H, Eti Dwi Han, Hae-Ra Handayani, Titi Sayekti Insani, Inas Nur Iwan Purnawan Juanda, Nuriya Nuriya Nuriya Nuriya, Nuriya Setyo, Arif Sumeru, Annas Ulya, Mahmudatun Wastu Adi Mulyono Yuniasti, Risna Devi Yunita Sari