Articles
<![CDATA[Multifaktorial Pemicu Cancer-Related (CRF) Pada Pasien Kanker ]]>
<![CDATA[Yesiana Dwi Wahyu Werdani]]>;
<![CDATA[Maria Theresia Arie Lilyana]]>;
<![CDATA[Tiffani Aditya Wijono Putri]]>
<![CDATA[ JURNAL NERS LENTERA Vol 10, No 1 (2022) ]]>
Publisher : <![CDATA[JURNAL NERS LENTERA ]]>
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<![CDATA[Cancer related Fatigue (CRF) is a symptom that occurs in almost all cancer patients. CRF causes various physical and psychological impacts that can hinder the patient's normal life. The aim of this study was to explain the multifactorial triggers of CRF in cancer patients. The research design used is a descriptive design. The population of all cancer patients at the Kedungdoro Public Health Center Surabaya, with a large sample of 28 people. Samples were taken by purposive sampling based on inclusion criteria. The instrument uses a Brief Fatigue Inventory (BFI) which has been tested for validity and reliability. The triggering factor for CRF in this study with the highest CRF score for each factor was age in the elderly group (23.4 + 6.8), gender factor was found in women (18.96 + 6.73), the type of cancer was found in breast cancer (21.25 + 7.36), the cancer stage factor was in stage 3 cancer (24.11 + 8.29), the length of cancer was 4-6 years (21.62 + 6.04), and the cancer therapy factor was found in respondents who received chemotherapy + surgery therapy (24.11 + 8.29). All of the above factors trigger mild CRF with varying mean scores ranging from the lowest score of 16 to the highest score of 24.11. CRF does not appear only because of cancer, but there are other multifactorial factors that trigger CRF in cancer patients]]>
<![CDATA[Faktor Demografi Sebagai Penguat Timbulnya Stres Pada Pasien Kanker ]]>
<![CDATA[Yesiana Dwi Wahyu Werdani]]>;
<![CDATA[Nia Novita Sari]]>;
<![CDATA[Boy Sakti Parningotan Sibarani]]>
<![CDATA[ JURNAL NERS LENTERA Vol 9, No 2 (2021) ]]>
Publisher : <![CDATA[JURNAL NERS LENTERA ]]>
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<![CDATA[Cancer is still interpreted by most people as a disease that is difficult to cure and causes death in a short time, this triggers the psychological distress of cancer patients. The purpose of this study was to describe the demographic factors that strengthen the incidence of stress in cancer patients. The design used is descriptive design. The population of all cancer patients at Kedungdoro and Rangkah Public Health Center Surabaya, a sample of 20 people was taken by purposive sampling based on inclusion criteria. The instrument used is the Perceived Stress Scale (PSS) which has been tested for validity and reliability. The statistical test used is descriptive statistics on each of the assessed factors. The factors that strengthen the emergence of stress with the highest score on each factor are adult age (19.2 + 7.91), male gender (24.5 + 9.19), respondents who work (18.66 + 4.76), living at home with parents (21.42 + 6.97), type of breast cancer (18.69 + 7.45), duration of diagnosis of cancer 5 – 7 years (21.8 + 5.89), cancer stage 0 (21.12 + 6.79), type of chemotherapy and radiation therapy (22.5 + 7.85). Eight factors amplify the occurrence of stress with the results of the mean stress scores varying and all of them fall into the category of moderate stress. Stress does not appear with just one stressor, but a combination of multifactorials that are interrelated and trigger stress in cancer patients]]>
<![CDATA[The effectiveness of laughter yoga to improve sleep quality in cancer patients during COVID-19 pandemic ]]>
<![CDATA[Werdani, Yesiana Dwi Wahyu]]>
<![CDATA[ Public Health and Preventive Medicine Archive Vol. 10 No. 2 (2022) ]]>
Publisher : <![CDATA[Universitas Udayana ]]>
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DOI: 10.53638/phpma.2022.v10.i2.p09
<![CDATA[Background and purpose: The COVID-19 pandemic triggered a high-stress situation and disrupted sleep quality in cancer patients. Laughter yoga is a method that suggested to improve sleep quality. The purpose of this study was to assess the effectiveness of laughter yoga to improve sleep quality of cancer patients during the pandemic. Methods: This was a quasi-experimental design with a non-equivalent control group approach. The study was conducted at the Indonesian Cancer Foundation, East Java Surabaya branch, in June 202, involved 20 people in each intervention and control group. The instrument used was Pittsburg Sleep Quality Index (PSQI), with lower scores reflect better sleep quality. Laughter yoga intervention was given to the intervention group for four weeks, twice a week, and 20 minutes each meeting while the control group performed daily routine activities. Data was analysed with Paired t-test for pre and post intervention, and Independent Sample t-test for comparing both groups. Results: The intervention group shows a decrease in the global PSQI score (from 10.15+2.18 to 7.55+1.87) with p< 0.001, while in control group, there was an increased score (from 10.05+1.46 to 10.10+1.44) with p=0.841. The intervention group showed a decrease in the average score on the global and all of the components PSQI score, indicating a better sleep quality. Meanwhile, in the control group, the average global sleep quality score almost the same, and no significant decrease in all components. Laughter yoga was effective in improving the sleep quality of cancer patients during the pandemic. Conclusion: Laughter yoga is effective to improve sleep quality. This technique can be routinely practice to improve relaxation and stimulate improvements in sleep quality in all components.]]>
<![CDATA[PENGARUH ACUPRESSURE TITIK HT7 SHENMEN TERHADAP LATENSI DAN DURASI TIDUR PASIEN KANKER PASCA TERAPI ]]>
<![CDATA[Werdani, Yesiana Dwi Wahyu]]>
<![CDATA[ JPK : Jurnal Penelitian Kesehatan Vol. 13 No. 2 (2023): Desember ]]>
Publisher : <![CDATA[Sekolah Tinggi Ilmu Kesehatan Katolik St. Vincentius a Paulo Surabaya ]]>
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DOI: 10.54040/jpk.v13i2.243
<![CDATA[Abstract: Disruption of sleep latency and duration of cancer patients occurs due to multifactorial causes, one of which is a side effect of cancer therapy. The aim of this study was to analyze the effect of acupressure at the Shenmen HT7 point on sleep latency and duration of post-therapy cancer patients. The design uses a pre-experimental one-group pretest-posttest design approach. The population is 50 cancer patients at the Pucang Sewu Health Center and the Rangkah Health Center, Surabaya. A sample of 25 respondents was taken by purposive sampling according to the researcher's criteria. The instrument used was the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The results of the pre-test mean latency and sleep duration scores respectively were 1.96 + 0.61 and 1.08 + 0.86, while in the post-test conditions it was 1.12 + 0.72 and 0.56 + 0.71. The results of the Wilcoxon Signed Rank Test statistical test found that the p-value on the latency and sleep duration variables was 0.000 and 0.001, respectively, which means that there was a significant effect of giving the HT7 Shenmen point acupressure on the latency and sleep duration of post-therapy cancer patients. HT7 Shenmen stimulates the release of endorphins which cause relaxation, a feeling of calm, comfort, thereby helping to improve sleep latency and duration.]]>
<![CDATA[HUBUNGAN USIA DAN TINGKAT PENDIDIKAN TERHADAP STADIUM PASIEN KANKER ]]>
<![CDATA[Cempaka, Anindya Arum]]>;
<![CDATA[Werdani, Yesiana Dwi Wahyu]]>;
<![CDATA[Sakoikoi, Maria Yohana Patricia]]>
<![CDATA[ JPK : Jurnal Penelitian Kesehatan Vol. 14 No. 2 (2024): Desember ]]>
Publisher : <![CDATA[Sekolah Tinggi Ilmu Kesehatan Katolik St. Vincentius a Paulo Surabaya ]]>
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DOI: 10.54040/jpk.v14i2.273
<![CDATA[Risiko mengalami kanker diduga akan meningkat seiring bertambahnya usia seseorang karena semakin menua usia menyebabkan proses kemunduran organ tubuh. Pendidikan seharusnya berdampak kepada tingginya tingkat pemahaman saat menerima informasi sehingga memengaruhi pola berpikir dalam mengambil keputusan yang berhubungan dengan kesehatan. Desain penelitian ini adalah cross sectional dengan populasi populasi semua pasien kanker di dua wilayah kerja Puskesmas di Surabaya. Sampel berjumlah 28 dengan teknik purposive sampling. Variabel dependen dalam ini adalah stadium kanker sedangkan variabel independennya adalah usia dan tingkat pendidikan. Data dianalisis dengan SPSS dengan uji Spearman. Hasil analiss statistik hubungan antara usia dan stadium kanker didapatkan nilai p=0.003 (p<0,05), sedangkan pada tingkat pendidikan dan stadium kanker didapatkan nilai p=0.047 (p<0,05). Sehingga dapat disimpulkan bahwa terdapat hubungan antara usia dan tingkat pendidikan dengan stadium kanker. Usia adalah salah satu faktor risiko untuk kejadian kanker karena faktor penurunan fungsi organ tubuh, imunitas, dan peningkatan mutasi genetik sel. Tingkat pendidikan berhubungan dengan kecerdasan emosi dan kemampuan memilih strategi koping adaptif saat stres. Kondisi mental yang buruk berkontribusi terhadap progresifitas dan pengobatan kanker. Pendidikan yang lebih tinggi memungkinkan peningkatan produktivitas dan pendapatan. Individu dengan pendapatan dan jenis pekerjaan yang lebih baik berpeluang untuk melakukan screening pemeriksaan kanker lebih dini. Kesimpulannya yaitu faktor yang berhubungan dengan stadium pada penderita kanker adalah usia dan tingkat pendidikan. Rekomendasi bagi peneliti selanjutnya dapat mengembangkan penelitian dengan meneliti faktor lain yang berhubungan dengan stadium pada pasien kanker.]]>
<![CDATA[Health Belief as a Determining Factor in the Behavior of Complementary Therapy use in Cancer Patients Undergoing Treatment ]]>
<![CDATA[Werdani, Yesiana Dwi Wahyu]]>;
<![CDATA[Sari, Nia Novita]]>
<![CDATA[ Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL) ]]>
Publisher : <![CDATA[STIKep PPNI Jawa Barat ]]>
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DOI: 10.33755/jkk.v11i1.788
<![CDATA[Aims: Analyzing the correlation between health beliefs and the behavior of using complementary therapies in cancer patients. Methods: The study was conducted at the Indonesian Cancer Foundation (YKI) East Java Branch, Surabaya in July 2024 using a correlation design and cross-sectional approach and added interview methods to support quantitative data results. The population of all cancer patients at YKI, 33 patients was obtained according to the inclusion criteria. The instruments used were the Health Belief Questionnaire, and the Scale for Attitudes Towards Complementary and Alternative Medicine (SACAM), and continued by in deep interview to support the quantitative data. Results: Mean of health belief score was 77.88 + 11.467 (good health belief category), and mean of the behavior of using complementary therapies was 42.48 + 8.758 (neutral behavior category). The results of the Kendal Tau test (p < 0.05) showed a significant correlation between health beliefs and behavior of using complementary therapies (p-value = 0.000). Conclusions: Health beliefs are an important factor for cancer survivors in determining their decision-making behavior regarding medical treatment and complementary treatments.]]>
<![CDATA[Health Belief as a Determining Factor in the Behavior of Complementary Therapy use in Cancer Patients Undergoing Treatment ]]>
<![CDATA[Werdani, Yesiana Dwi Wahyu]]>;
<![CDATA[Sari, Nia Novita]]>
<![CDATA[ Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL) ]]>
Publisher : <![CDATA[STIKep PPNI Jawa Barat ]]>
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DOI: 10.33755/jkk.v11i1.788
<![CDATA[Aims: Analyzing the correlation between health beliefs and the behavior of using complementary therapies in cancer patients. Methods: The study was conducted at the Indonesian Cancer Foundation (YKI) East Java Branch, Surabaya in July 2024 using a correlation design and cross-sectional approach and added interview methods to support quantitative data results. The population of all cancer patients at YKI, 33 patients was obtained according to the inclusion criteria. The instruments used were the Health Belief Questionnaire, and the Scale for Attitudes Towards Complementary and Alternative Medicine (SACAM), and continued by in deep interview to support the quantitative data. Results: Mean of health belief score was 77.88 + 11.467 (good health belief category), and mean of the behavior of using complementary therapies was 42.48 + 8.758 (neutral behavior category). The results of the Kendal Tau test (p < 0.05) showed a significant correlation between health beliefs and behavior of using complementary therapies (p-value = 0.000). Conclusions: Health beliefs are an important factor for cancer survivors in determining their decision-making behavior regarding medical treatment and complementary treatments.]]>
<![CDATA[Acupressure Therapy as Alternative Treatment on Cancer-Related Fatigue in Cancer Patients ]]>
<![CDATA[Yesiana Dwi Wahyu Werdani]]>
<![CDATA[ STRADA : Jurnal Ilmiah Kesehatan Vol. 8 No. 1 (2019): May ]]>
Publisher : <![CDATA[Universitas STRADA Indonesia ]]>
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DOI: 10.30994/sjik.v8i1.184
<![CDATA[Cancer affects the neurophysiological changes in skeletal muscle progressively and leading to cancer-related fatigue (CRF). Acupressure therapy can stimulate local microcirculation improvement and increasing physical performance. The purpose was determine the influence of acupressure therapy on CRF in cancer patients. The design used pre-experiment one group pre-test post-test design. Samples were 30 cancer patients living at the Indonesian Cancer Foundation East Java Branch taken by purposive technique based on inclusion criteria. The instrument was the Brief Fatigue Inventory. Acupressure therapy is given to acupoint C6, GB20, P6, Li4, Li11, Sp 6, St 36, 2 times per week for 4 weeks. Statistics was verified with Wilcoxon Sign Rank Test p < 0.05. Result showed the effect of acupressure therapy on CRF p = 0.000. Acupressure therapy can activate acupoint on the meridians, stimulating myelin nerves in the muscles and impulses into the central nervous system and can facilitate the reduction fatigue.]]>
<![CDATA[Evaluation on Symptoms and Self-Treatment due to Radiotherapy and Chemotherapy Based on Different Cancer Stage ]]>
<![CDATA[Yesiana Dwi Wahyu Werdani]]>;
<![CDATA[Arief Widya Prasetya]]>
<![CDATA[ STRADA : Jurnal Ilmiah Kesehatan Vol. 9 No. 1 (2020): May ]]>
Publisher : <![CDATA[Universitas STRADA Indonesia ]]>
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DOI: 10.30994/sjik.v9i1.215
<![CDATA[Cancer modality therapy can minimize metastatic, but it causes decrease in body functions and interfere the daily needs fulfilled. This study was to identify symptoms and self-treatment due to radiotherapy and chemotherapy based on the different cancer stage. This was mixed method design with sequential explanatory approach. Samples were 30 cancer patients taken by purposive sampling at Indonesian Cancer Foundation East Java Branch Surabaya. The instrument was a questionnaire. Fatigue was the most symptoms complained by all patients. Pain, hair loss, constipation were dominated in cancer stage 4, nausea-vomiting, insomnia were dominated in cancer stage 3. The majority self-treatment of fatigue was yoga exercise. Pain and nausea-vomiting were treated by medication and relaxation. Insomnia was treated by mild massage. Constipation was treated by consuming the high fiber foods. Radiotherapy and chemotherapy affect the disturbance of metabolism that cause physical symptoms disorders. Self-treatment by the patient could reduce the symptoms effectively.]]>
<![CDATA[Pemantauan Kesehatan dan Reduksi Stres Melalui Terapi Komplementer pada Pasien Kanker dan Keluarganya ]]>
<![CDATA[Werdani, Yesiana Dwi Wahyu]]>;
<![CDATA[Sari, Nia Novita]]>
<![CDATA[ Jurnal LINK Vol 21, No 1 (2025): MEI 2025 ]]>
Publisher : <![CDATA[Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/link.v21i1.12439
<![CDATA[Terdiagnosis kanker merupakan stresor yang berat, karena prognosa kanker yang cenderung buruk mengakibatkan timbulnya stres psikologis bagi pasien dan keluarganya. Stres yang muncul berkepanjangan dan ditunjang dengan efek samping pengobatan kanker, menimbulkan resiko ketidakstabilan fungsi fisik tubuh. Tujuan pengabdian masyarakat ini adalah untuk meningkatkan pemahaman pasien dan keluarga tentang stres dan terapi komplementer untuk mereduksi stres serta mendeteksi dini kondisi kesehatan fisiknya. Metode kegiatan dilakukan melalui health education yang dievaluasi melalui pre-test dan post-test dilanjutkan dengan pemeriksaan tekanan darah, glukosa darah acak (GDA) dan uric acid (UA). Hasil uji statistik terhadap pemahaman materi health education didapatkan mean pre-test 14.20 + 1.627, mean post-test 15.8 + 0.664, dan hasil uji Wilcoxon Sign Rank Test pada pemahaman materi p = 0.000. Mean tekanan darah sistolik 136.77 + 29.31, diastolik 81.83 + 16.33, GDA 152.23 + 55.5, UA 8.99 + 3.81. Mayoritas peserta pengabdian masyarakat pasien kanker mengalami hipertensi stage 1 dan 2, hiperglikemia dan hiperurisemia, sedangkan peserta keluarga pasien mayoritas berada dalam kondisi kesehatan normal. Stres psikologis dan efek samping terapi kanker terbukti dapat mempengaruhi kondisi fisik pasien dan keluarganya, selain itu pada individu yang sehat apabila memiliki kebiasaan sedentary life style maka juga menyebabkan timbulnya berbagai masalah fisik]]>
