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All Journal Jurnal Sains Kebidanan Napande: Jurnal Bidan
Pramadita Elena
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Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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The Effect of Psycho-Educational Therapy on Anxiety Levels in Children with Leukemia Undergoing Chemotherapy: A Pre-Experimental Study Anis Laela Megasari; Ika Subekti Wulandari; Pramadita Elena
Napande: Jurnal Bidan Vol. 5 No. 1 (2026): March
Publisher : Poltekkes Kemenkes Palu

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Abstract

Background: Cancer remains a major global health issue, with approximately 400.000 children and adolescents diagnosed with cancer each year worldwide. Anxiety is one of the most common psychological responses experienced by children undergoing chemotherapy, which may affect treatment cooperation and quality of life. Therefore, this study aimed to analyze the effect of psycho-educational therapy on anxiety levels in children with cancer undergoing chemotherapy. Methods: This study used a pre-experimental study one-group pretest–posttest design conducted at the YKAKI (Yayasan Kasih Anak Kanker Indonesia) in Semarang Halfway House from May to June 2023. A total of 25 children diagnosed with leukemia and undergoing chemotherapy were recruited using total sampling. Data were collected using respondent characteristic observation sheets and the Spence Children’s Anxiety Scale (SCAS) to measure anxiety levels. The psycho-educational therapy consisted of four sessions, including education about cancer and chemotherapy, prevention and management of chemotherapy side effects, and stress management techniques. Data were analysed using the Wilcoxon signed-rank test. Ethical approval was obtained from the Ethics Commission of the Faculty of Medicine, Sultan Agung University. Results: Before the intervention, the majority of respondents experienced severe anxiety (44%). After the intervention, most respondents experienced mild anxiety (72%).  The mean anxiety score decreased from 2.24 ± 0.77 before the intervention to 1.32 ± 0.55 after the intervention, indicating a significant reduction of 0.92 points (41.1%) after the intervention (p = 0.001). Conclusion: This study indicates a potential benefit of psycho-educational therapy in reducing anxiety. This intervention may be considered a supportive psychological strategy to help reduce anxiety in children undergoing chemotherapy.
Efektivitas Enhanced Recovery After Cesarean Section Terhadap Pemulihan Ibu: Tinjauan Sistematis Anis Laela Megasari; Taupik Rahman; Pramadita Elena
Jurnal Sains Kebidanan Vol. 8 No. 1 (2026): MEI 2026
Publisher : POLTEKKES KEMENKES SEMARANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jsk.v8i1.14905

Abstract

Enhanced Recovery After Cesarean Section semakin banyak diterapkan untuk mengoptimalkan luaran pascaoperasi. Namun bukti yang ada masih terfragmentasi dan terbatas. Studi ini bertujuan mengevaluasi efektivitas ERACS terhadap pemulihan maternal pascaoperasi. Pencarian literatur dilakukan menggunakan PRISMA, PubMed dan Scopus untuk studi tahun 2020–2025. Kombinasi kata kunci menggunakan ERACS, persalinan sesar, dan luaran pemulihan maternal pascaoperasi seperti nyeri, analgesia, lama rawat inap, dan pemulihan fungsional. Sebanyak 45 artikel diidentifikasi, dan 12 studi memenuhi kriteria inklusi dan dimasukkan dalam sintesis kualitatif. Studi yang termasuk adalah uji coba terkontrol acak dan observasional yang mengevaluasi ERACS pada persalinan sesar. Luaran meliputi lama rawat inap, nyeri dan konsumsi opioid, kualitas pemulihan, serta pemulihan fungsional. Risiko bias dinilai dengan RoB 2 dan ROBINS-I, dan hasil disintesis secara kualitatif karena heterogenitas. Dua belas studi memenuhi kriteria. Dari hasil temuan 5 studi yang mengukur LOS, 4 di antaranya menyatakan ERACS secara konsisten dikaitkan dengan lama rawat inap lebih singkat tanpa peningkatan morbiditas maternal. Beberapa studi menunjukkan penurunan konsumsi opioid dengan kontrol nyeri yang setara atau lebih baik. Studi dengan instrumen tervalidasi seperti the ObsQoR-11T, QoR-35 scores (Quality of Recovery), dan Obstetric Quality of Recovery-10 melaporkan kualitas pemulihan yang lebih tinggi serta pemulihan fungsional yang lebih cepat.
Co-Authors Anis Laela Megasari Anis Laela Megasari Ika Subekti Wulandari Taupik Rahman