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The Effectiveness of Massage Therapy in Reducing Fatigue among Cancer Patients Undergoing Chemotherapy: Systematic Review Ahmad Fadhlur Rahman; Dewi Gayatri; Giur Hargiana
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.v7i4.6500

Abstract

Fatigue is one of the most common side effects experienced by cancer patients undergoing chemotherapy and has a serious impact on quality of life. Massage therapy has emerged as a potential non-pharmacological intervention to alleviate this symptom. Objective: To systematically review the effectiveness of massage therapy in reducing fatigue among cancer patients undergoing chemotherapy. Methods: This study employed a systematic review design based on the PRISMA guidelines. Literature was searched through PubMed, ScienceDirect, ProQuest, and Google Scholar databases. Articles published in English or Indonesian in the last 10 years (2014–2024). Included articles were randomized controlled trials (RCTs), quasi-experimental studies, or clinical trials evaluating the effects of massage therapy on fatigue in cancer patients. 139 Articles were founds and 10 article were selected. Study quality was assessed using the CASP tool, and data were analyzed descriptively. Results: A total of 10 studies met the inclusion criteria. Findings showed that massage therapy—including slow-stroke back massage, Swedish massage, hand and foot massage, and combinations with aromatherapy—was effective in reducing fatigue. The effectiveness was influenced by the type of massage, duration, and frequency of the intervention. Conclusion: Massage therapy is an effective intervention that can be integrated into clinical care to reduce fatigue in chemotherapy patients. Further research is needed to strengthen the existing evidence.
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.