HUBUNGAN RESILIENSI DENGAN TINGKAT KECEMASAN PASIEN KANKER PAYUDARA YANG MENJALANI KEMOTERAPI
Abstract
In 2020, the prevalence of breast cancer in Indonesia reached 65,858 cases (16.6%) with 22,430 deaths (9.6%) from 396,914 cancer cases. Breast cancer treatment therapy often involves chemotherapy, which can have psychological side effects, notably anxiety. Anxiety can occur due to a person's lack of ability to adapt when facing difficulties, also known as resilience. The study aimed to determine the relationship between resilience and anxiety levels in breast cancer patients undergoing chemotherapy at Al-Ihsan Hospital, West Java Province. This research was a descriptive correlational research using a cross-sectional approach. Sampling was using a purposive sampling technique, resulting in a total of 84 respondents. The measuring instruments used were Connor Davidson-Resilience Scale (CD-RISC) 25 and Zung Self-Rating Anxiety Scale (ZSAS).The results showed that respondents had moderate resilience with an average score of 70.51, and moderate anxiety with an average score of 39.00. The results of the Spearman Rho statistical test indicated a relationship between resilience and anxiety levels in breast cancer patients undergoing chemotherapy at Al-Ihsan Hospital, West Java Province, with a p-value of 0.000 (p<α) and a calculated r-value of -0.520, indicating a strong and negative relationship. This suggests that the higher resilience in breast cancer patients undergoing chemotherapy, the lower level of anxiety experienced. Providing comprehensive nursing care is especially necessary for breast cancer patients who undergo chemotherapy for less than one year. Social support from family and medical personnel can help increase resilience and reduce the anxiety levels of breast cancer patients.
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References
2. Kemenkes RI. Profil Kesehatan Indo-Nesia.; 2022. https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-2021.pdf.
3. CancerHelps T. Stop Kanker. Jakarta: Agro Media Pustaka; 2019.
4. Kementrian Kesehatan RI. Laporan Nasional: Riset kesehatan dasar (Riskesdas). Jakarta: Kementrian Kesehatan;2018.
5. Fransiska I. Dampak Fisik Kanker Payudara. Stikes Panti Rapih. Published online 2018:30. http://repository.stikespantirapih.ac.id/id/eprint/127
6. Rasjidi. Kemoterapi Kanker Ginekologi Dalam Praktik Sehari-Hari. Jakarta: Sagung Seto; 2014.
7. Pratiwi SR, Widianti E, Solehati T. Gambaran Faktor-Faktor yang Berhubungan dengan Kecemasan Pasien Kanker Payudara dalam Menjalani Kemoterapi. J Pendidik Keperawatan Indones. 2017;3(2):167. doi:10.17509/jpki.v3i2.9422.
8. Tomey, A M A. Nursing Theorist and Their Work. Mosby Elsevier; 2014.
9. Nuwa MS, Utami S. Pengaruh Usia Dan Mekanisme Koping Terhadap Ketahanan Pasien Kanker Dalam Menjalani Kemoterapi. The Proceeding of The 9h Internasional Nursing Conference. Published online 2018:28-36.
10. Yunitasari E. Pengembangan Model Asuhan Keperawatan Koping Dalam Upaya Meningkatkan Resiliensi Pasien Kanker Serviks Post Radikal Hysterectomy + Bso Yang Mendapatkan Kemoterapi Berbasisadaptasiroy. Universitas Airlangga; 2016
11. Herninandari A, Elita V, deli H. Hubungan Kecerdasan Spiritual Dengan Resiliensi Pada Pasien Kanker Payudara Yang Menjalani Kemoterapi Peran Mikronutrisi Sebagai Upaya Pencegah Covid-19. Jurnal Ilmiah STIKES Kendal. 202212(Januari):75-82.
12. Sugeng, Prayogi A sarwo, Agung GA komang. Hubungan Antara Resiliensi Dengan Tingkat Kecemasan Pasien Kanker. J Chem Inf Model. 2016;53(9):1689-1699.
13. Kadek Widya Antari N, Made Ari Dwi Jayanti D, Agung Sri Sanjiwani Program Studi Keperawatan Program Sarjana A, Wira Medika Bali Stik, Kecak No J. Hubungan Resiliensi Dengan Tingkat Kecemasan Pasien Kanker Payudara Yang Menjalani Kemoterapi. JKJ) Persat Perawat Nas Indones. 2023;11(2):293-304.
14. Almasyhur A. Uji Validitas Instrumen Connor-Davidson Resilience Scale 25 (CD-RISC 25) versi Bahasa Indonesia = The Validation Study of Connor-Davidson Resilience Scale 25 (CD-RISC 25) in Indonesia. Published online 2021. https://lib.ui.ac.id/detail?id=20513439&lokasi=lokal
15. Nasution TH, Helwiyah R, Sitorus RE. Faktor–Faktor yang Berhubungan dengan Manajemen Diri pada Pasien yang Menjalani Hemodialisis di Ruang Hemodialisis RSUP Dr Hasan Sadikin Bandung. J Ilmu Keperawatan. 2013;1(2):162-168.
16. Hendriani W. Resiliensi Psikologis. Jakarta: Kencana Prenadamedia Group; 2022.
17. Saputri A, Valentina tience debora. Gambaran Resiliensi Pada Perempuan Dengan Kanker Payudara. J Psikol Udayana. Published online 2018: edisi khusus psikologi positif;62-71.
18. Kim E, Kim S LY. Recilience and related factor for patients with breast cancer. Asian Oncol Nurse. Published online 2015;15(4):193-202.
19. Stuart G. Prinsip Dan Praktik Keperawatan Kesehatan Jiwa. 1st ed. Elsevier; 2019. https://www.elsevier.com/books/pri nsip-dan-praktik-keperawatan-jiwastuart-10e/stuart/978-981-4570-13-8
20. Rogers LQ, Courneya KS AP. Effects of a multicomponent physical activity behavior change intervention on fatigue, anxiety, and depressive symptomatology in breast cancer survivors:randomized trial. Psychooncology. 2017;26(11):1901-1906.
21. Mubarak, W., Indrawati, L., Susanto J. Buku Ajar Ilmu Keperawatan Dasar. 2nd ed. Jakarta: Salemba Medika; 2015.
22. Subekti T. Hubungan Dukungan Keluarga terhadap Tingkat Kecemasan pada Pasien Kanker Payudara yang Menjalani Kemoterapi di Rumah Sakit Urip Sumoharjo Bandar Lampung. 2020;8(April):137-140.
23. Alagizy HA, Soltan MR, Soliman SS, Hegazy NN, Gohar SF. Anxiety, depression and perceived stress among breast cancer patients: single institute experience. Middle East Curr Psychiatry. 2020;27(1):29. doi:10.1186/s43045-020-00036-x
24. An’nurihza Zidhan Azhara, I Gusti Bagus Indro Nugroho, Bulan Kakanita Hermasari. Hubungan Resiliensi Diri dengan Tingkat Kecemasan Pasien Systemic Lupus Erythematosus (SLE). Plex Med J. 2023;2(1):26-31. doi:10.20961/plexus.v2i1.456
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