Ahmar Metastasis Health Journal (AMHJ)
Vol. 6 No. 1 (2026): Ahmar Metastasis Health Journal

The Impact of Psychoeducation and Spiritual Emotional Freedom Technique on Self-Efficacy Among Chemotherapy Patients with Cancer

Septiyanti Septiyanti (Department of Nursing, Poltekkes Kemenkes Bengkulu, Bengkulu City, Bengkulu, Indonesia)
Nehru Nugroho (Department of Nursing, Poltekkes Kemenkes Bengkulu, Bengkulu City, Bengkulu, Indonesia)
Dwi Wulandari (Department of Nursing, Poltekkes Kemenkes Bengkulu, Bengkulu City, Bengkulu, Indonesia)
Jordan Llego (College of Nursing and Midwifery, University of Luzon, Dagupan City, Pangasinan, Philippines)



Article Info

Publish Date
30 Jun 2026

Abstract

Cancer and chemotherapy often cause psychological distress, including anxiety, depression, and reduced self-efficacy, which can negatively affect treatment adherence and quality of life. Strengthening self-efficacy is essential to support emotional resilience and adaptive coping during treatment. This study aimed to evaluate the effectiveness of a psychoeducation program integrated with the Spiritual Emotional Freedom Technique in improving self-efficacy among cancer patients. A quasi-experimental study with a one-group pre-test and post-test design was conducted at Dr. M. Yunus Hospital, Bengkulu Province, from March to May 2024. A total of 40 patients undergoing chemotherapy were recruited using purposive sampling. The intervention consisted of five structured psychoeducation sessions combined with the Spiritual Emotional Freedom Technique, delivered using a standardized protocol. Self-efficacy was measured using the General Self-Efficacy Scale developed by Schwarzer and Jerusalem (1995), with higher scores indicating greater perceived self-efficacy. Data were analysed using the Wilcoxon signed-rank test due to non-normality. Self-efficacy significantly improved after the intervention (Z = −5.44, p < 0.001). The mean score increased from 198.90 to 220.30, indicating a moderate-to-high improvement in patients’ confidence in managing treatment-related challenges. This finding suggests a clinically meaningful enhancement in patients’ ability to cope with the psychological demands of chemotherapy. Psychoeducation integrated with the Spiritual Emotional Freedom Technique significantly improves self-efficacy and may serve as a complementary approach to support psychological well-being among patients undergoing chemotherapy.  

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Journal Info

Abbrev

AMHJ

Publisher

Subject

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Description

Ahmar Metastasis Health Journal (AMHJ), with registered number ISSN 2797-6483 (Print), 2797-4952 (Online) managed by the AHMAR Foundation, published by Yayasan Ahmad Mansyur Nasirah, which is a scientific forum for publishing articles on research activities in health (midwifery, pharmacy, nursing, ...