Dampak Psikis Pengobatan Kemoterapi dan Metode Kelompok Diskusi Suportif Edukatif (Supportive-Educative Discussion Group) dengan Pendekatan Spiritual Care pada Pasien Kanker

Nurul Rezki Anisa, Liza Fauzia, Anwar Ganing

Abstract


Meskipun pengobatan kemoterapi untuk kanker payudara menunjukkan peningkatan kelangsungan hidup, hal ini juga berkontribusi pada periode intervensi medis yang berkepanjangan yang juga mengakibatkan keluhan fisik dan terutama psikologis pasien. Harapan adalah salah satu elemen penting bagi pasien untuk bertahan hidup dengan diagnosis kanker payudara. Adanya teman, mentor, komunitas, atau kelompok sosial dalam Supportive-Educative Discussion Group (SEDG) dapat efektif meningkatkan harapan penyembuhan, mengurangi kesepian, dan meningkatkan kualitas hidup pasien. Penelitian ini bertujuan untuk mengetahui tingkat stres pada pengobatan kemoterapi dan efektivitas SEDG dengan pendekatan spiritual care dalam menurunkan stres. Metode penelitian ini menggunakan desain kuasi eksperimen pre-post test design dengan kuesioner DASS 42. Pengumpulan data dilakukan melalui diskusi kelompok terfokus pada 30 pasien kanker payudara, analisis bivariat menggunakan uji Kendal's Tau C. Hasil penelitian ini menunjukkan adanya penurunan tingkat stres pasien kanker setelah mengikuti SEDG. Penelitian ini juga menunjukkan bahwa pendekatan spiritual memiliki efek positif pada stres pasien. Namun perlu diketahui lebih lanjut faktor penyebab stres pada pasien kanker payudara selain menghadapi kemoterapi.


Keywords


Kanker payudara, perawatan spiritual, stres kemoterapi

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Adeola, M. T., Baird, C. L., Sands, L. P., Longoria, N., Henry, U., Nielsen, J., & Shields, C. G. (2015). Active despite pain: Patient experiences with guided imagery with relaxation compared to planned rest. Clinical Journal of Oncology Nursing, 19(6), 649–652. https://doi.org/10.1188/15.CJON.649-652

Aini, N., Fatmaningrum, W., & Yusuf, A. (2011). Peningkatkan Perilaku Pasien Dalam Tatalaksana Diabetes Melitus Menggunakan Model Behavioral System. Journal Ners, 6(1), 1–10.

Alligood, M. R. (2014). Nursing theory & their work (8th ed.). Mosby Elsevier. Inc.

Anisa, N. R., Erika, K. A., & Rachmawaty, R. (2018). Nurse’s Spiritual Care Competencies to Patient with End Stage Breast Cancer. International Journal of Public Health Science (IJPHS), 7(4), 268. https://doi.org/10.11591/ijphs.v7i4.14742

Anisa, N. R., Erika, K. A., & Rachmawaty, R. (2020). Spiritual Care Nurse To Patient With Breast Cancer At Last Stage. Jurnal Terpadu Ilmu Kesehatan, 9(1), 109–116.

Balboni, T. A., Balboni, M., Enzinger, A. C., Gallivan, K., Paulk, M. E., Wright, A., Steinhauser, K., VanderWeele, T. J., & Prigerson, H. G. (2013). Provision of spiritual support to patients with advanced cancer by religious communities and associations with medical care at the end of life. JAMA Internal Medicine, 173(12), 1109–1117. https://doi.org/10.1001/jamainternmed.2013.903

Baldacchino, D. (2015). Spiritual care education of health care professionals. Religions, 6(2), 594–613. https://doi.org/10.3390/rel6020594

Black, Joyce M., & Hawks, J. H. (2014). Keperawatan medikal bedah: Buku 1 manajemen klinis untuk hasil yang diharapkan (8th ed.). Elsevier Inc.

Borges, M. L., Caldeira, S., Loyola-Caetano, E. A., de Magalhães, P. A. P., Areco, F. S., & Panobianco, M. S. (2017). Spiritual/religious coping of women with breast cancer. Religions, 8(11), 1–10. https://doi.org/10.3390/rel8110254

Bulechek, Gloria M., Butcher, Howard K., Dochterman, Joanne M., Wagner, C. M. (2013). Nurisng Intervention Classification (6th ed.). Elsevier Inc.

Carlson, L. E., Tamagawa, R., Stephen, J., Drysdale, E., Zhong, L., & Speca, M. (2016). Randomized-controlled trial of mindfulness-based cancer recovery versus supportive expressive group therapy among distressed breast cancer survivors (MINDSET): long-term follow-up results. Psycho-Oncology, 750–759. https://doi.org/10.1002/pon.4150

Classen, C., Butler, L. D., Koopman, C., Miller, E., DiMiceli, S., Giese-Davis, J., Fobair, P., Carlson, R. W., Kraemer, H. C., & Spiegel, D. (2001). Supportive-expressive group therapy and distress in patients with metastatic breast cancer: A randomized clinical intervention trial. Archives of General Psychiatry, 58(5), 494–501. https://doi.org/10.1001/archpsyc.58.5.494

El Nawawi, N. M., Balboni, M. J., & Balboni, T. A. (2012). Palliative care and spiritual care: the crucial role of spiritual care in the care of patients with advanced illness. Current Opinion in Supportive and Palliative Care, 6(2), 269–274. https://doi.org/10.1097/SPC.0b013e3283530d13

Hermelink, K., Bühner, M., Sckopke, P., Neufeld, F., Kaste, J., Voigt, V., Münzel, K., Wuerstlein, R., Ditsch, N., Hellerhoff, K., Rjosk-Dendorfer, D., Braun, M., von Koch, F. E., Härtl, K., Hasmüller, S., Bauerfeind, I., Debus, G., Herschbach, P., Mahner, S., & Harbeck, N. (2017). Chemotherapy and Post-traumatic Stress in the Causation of Cognitive Dysfunction in Breast Cancer Patients. Journal of the National Cancer Institute, 109(10), 1–15. https://doi.org/10.1093/jnci/djx057

Ho, R. T. H., Fong, T. C. T., Lo, P. H. Y., Ho, S. M. Y., Lee, P. W. H., Leung, P. P. Y., Spiegel, D., & Chan, C. L. W. (2016). Randomized controlled trial of supportive-expressive group therapy and body-mind-spirit intervention for Chinese non-metastatic breast cancer patients. Supportive Care in Cancer, 24(12), 4929–4937. https://doi.org/10.1007/s00520-016-3350-8

Koenig, H. G. (2014). The spiritual care team: Enabling the practice of whole person medicine. Religions, 5(4), 1161–1174. https://doi.org/10.3390/rel5041161

Nihayati, H. E., Junata, A. S. P., Tristiana, R. D., & Yusuf, A. (2017). Effect of Social Skills Training: Social Interaction Capabilities towards Social Isolation Clients. Advances in Health Sciences Research, 3, 121–125. http://creativecommons.org/licenses/by-nc/4.0/

Pahlevan Sharif, S., Lehto, R. H., Amiri, M., Ahadzadeh, A. S., Sharif Nia, H., Haghdoost, A. A., Khoshnavay Fomani, F., & Goudarzian, A. H. (2021). Spirituality and quality of life in women with breast cancer: The role of hope and educational attainment. Palliative and Supportive Care, 19(1), 55–61. https://doi.org/10.1017/S1478951520000383

Schellinger, S. E., Anderson, E. W., Frazer, M. S., & Cain, C. L. (2018). Patient Self-Defined Goals: Essentials of Person-Centered Care for Serious Illness. American Journal of Hospice and Palliative Medicine, 35(1), 159–165. https://doi.org/10.1177/1049909117699600

Setiati, S., Alwi, I., Sudoyo, A. W., Simadibrata, M., stiyohadi, B., & Syam, A. F. (2015). Buku ajar ilmu penyakit dalam. Interna Publishing.

Shahriari, M., Dehghan, M., Pahlavanzadeh, S., & Hazini, A. (2017). Effects of progressive muscle relaxation, guided imagery and deep diaphragmatic breathing on quality of life in elderly with breast or prostate cancer Mohsen. Journal of Education and Health Promotion, 6(April), 1–6. https://doi.org/10.4103/jehp.jehp




DOI: http://dx.doi.org/10.33757/jik.v6i1.493

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