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Family Decision-Making and Actions in Cancer Emergency Events Florensius Andri; Eben Haezar Kristian; Stepanus Maman Hermawan
Journal of Language and Health Vol. 6 No. 4 (2025): Journal of Language and Health: December 2025
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v6i4.1078

Abstract

Emergency deterioration in cancer patients often occurs unexpectedly at home, requiring families to respond rapidly despite limited knowledge and skills. This study explores the experiences of family caregivers in managing home-based cancer emergencies using a descriptive qualitative approach through in-depth semi-structured interviews with 11 (eleven) family caregivers, analyzed manually with thematic analysis. Four themes emerged. The first theme, Emotional and Psychological Experiences of Families, describes distress such as panic, fear, and confusion that hindered effective responses. The second theme, Family Preparedness and Capabilities in Handling Emergencies, highlights limited knowledge, insufficient practical skills, and the lack of basic equipment, which created uncertainty during initial actions. The third theme, Decision-Making and Family Response Strategies, shows that decisions were made under time pressure and often relied on instinct or brief discussions due to limited guidance. The fourth theme, Social Support and the Healthcare System, emphasizes the importance of communication with health workers and support from neighbors or community volunteers, although delays in accessing emergency services remained common. These findings indicate the need for practical educational programs, clear emergency action guidelines, community-based training, and improved telehealth or hotline services to enhance family preparedness in managing cancer emergencies at home.
Effectiveness Of Video-Based Progressive Muscle Relaxation On Pain Intensity And Sleep Quality Among Patients With Osteoarthritis Putra Ardhana; Eben Haezar Kristian; Elisabeth Wahyu Savitri; Marsela Oktavia Yunita
Open Access Health Scientific Journal Vol. 7 No. 1 (2026): February 2026
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v7i1.166

Abstract

Background: Osteoarthritis is a degenerative joint disease commonly associated with chronic pain and sleep disturbances, which significantly reduce patients’ quality of life. Persistent pain and poor sleep quality often interact bidirectionally, leading to worsening physical and psychological conditions. Therefore, effective, feasible, and non-pharmacological interventions are needed to manage pain and improve sleep quality. This study aimed to evaluate the effectiveness of video-based progressive muscle relaxation on pain intensity and sleep quality among patients with osteoarthritis. Methods: A quasi-experimental study with a pretest–posttest control group design was conducted in healthcare facilities in Pontianak, Indonesia. A total of 50 patients with osteoarthritis were recruited using purposive sampling and assigned to an intervention group (n = 25) and a control group (n = 25). The intervention group performed video-based progressive muscle relaxation once daily for seven consecutive days in addition to standard care, while the control group received standard care only. Pain intensity was measured using the Numeric Rating Scale (NRS), and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using the Mann–Whitney U test. Results: The intervention group showed significantly greater reductions in pain intensity and improvements in sleep quality compared with the control group (p < 0.001). The magnitude of change in both outcomes was substantially higher in the intervention group, indicating a strong effect of video-based progressive muscle relaxation. Conclusion: Video-based progressive muscle relaxation is effective in reducing pain intensity and improving sleep quality among patients with osteoarthritis. This intervention has important implications for nursing practice and health sciences, as it provides a practical, safe, and easily implemented non-pharmacological strategy to support self-care management in patients with chronic musculoskeletal conditions