Pemantauan Kesehatan dan Reduksi Stres Melalui Terapi Komplementer pada Pasien Kanker dan Keluarganya

Yesiana Dwi Wahyu Werdani, Nia Novita Sari

Abstract


Terdiagnosis kanker merupakan stresor yang berat, karena prognosa kanker yang cenderung buruk mengakibatkan timbulnya stres psikologis bagi pasien dan keluarganya. Stres yang muncul berkepanjangan dan ditunjang dengan efek samping pengobatan kanker, menimbulkan resiko ketidakstabilan fungsi fisik tubuh. Tujuan pengabdian masyarakat ini adalah untuk meningkatkan pemahaman pasien dan keluarga tentang stres dan terapi komplementer untuk mereduksi stres serta mendeteksi dini kondisi kesehatan fisiknya. Metode kegiatan dilakukan melalui health education yang dievaluasi melalui pre-test dan post-test dilanjutkan dengan pemeriksaan tekanan darah, glukosa darah acak (GDA) dan uric acid (UA). Hasil uji statistik terhadap pemahaman materi health education didapatkan mean pre-test 14.20 + 1.627, mean post-test 15.8 + 0.664, dan hasil uji Wilcoxon Sign Rank Test pada pemahaman materi p = 0.000. Mean tekanan darah sistolik 136.77 + 29.31, diastolik 81.83 + 16.33, GDA 152.23 + 55.5, UA 8.99 + 3.81. Mayoritas peserta pengabdian masyarakat pasien kanker mengalami hipertensi stage 1 dan 2, hiperglikemia dan hiperurisemia, sedangkan peserta keluarga pasien mayoritas berada dalam kondisi kesehatan normal. Stres psikologis dan efek samping terapi kanker terbukti dapat mempengaruhi kondisi fisik pasien dan keluarganya, selain itu pada individu yang sehat apabila memiliki kebiasaan sedentary life style maka juga menyebabkan timbulnya berbagai masalah fisik

Keywords


Stres; Kanker; Tekanan Darah; Glukosa Darah Acak; Uric Acid

References


Aburto, M. J., Romero, D., Rezende, L. F. M., Sanchez, Z. M., Bolados, C. C., Guzmán-Habinger, J., … Ferrari, G. (2021). Prevalence and co-occurrence of lifestyle risk factors for non-communicable diseases according to sociodemographic characteristics among adults Chilean residents. Scientific Reports, 11(1), 1–9. https://doi.org/10.1038/s41598-021-01167-9

Alhidayat, N. S., & Latif, A. I. (2022). the Effectiveness of the Combination of Demonstration and Role-Play Methods To Improve Knowledge About Choking Management. Journal of Islamic Nursing, 7(2), 50–56. https://doi.org/10.24252/join.v7i1.32577

Allegrini, S., Garcia-Gil, M., Pesi, R., Camici, M., & Tozzi, M. G. (2022). The Good, the Bad and the New about Uric Acid in Cancer. Cancers, 14(19). https://doi.org/10.3390/cancers14194959

Andersson, D. P., Kerr, A. G., Dahlman, I., Rydéen, M., & Arner, P. (2023). Relationship Between a Sedentary Lifestyle and Adipose Insulin Resistance. Diabetes, 72(3), 316–325. https://doi.org/10.2337/db22-0612

Barre, P. V., Padmaja, G., & Rana, S. (2018). Original Article Stress and Quality of Life in Cancer Patients : Medical and Psychological Intervention. Indian Psychiatric Society, 40(3), 232–238. https://doi.org/10.4103/IJPSYM.IJPSYM

Chan, J. S. K., Satti, D. I., Dee, E. C., Sharma, G., Virani, S. S., Liu, T., & Tse, G. (2023). Association between psychological distress and cardiovascular health amongst cancer survivors in the United States: findings from nationally representative data. European Journal of Preventive Cardiology, 30(16), E74–E77. https://doi.org/10.1093/eurjpc/zwad162

Charalambous, A., Giannakopoulou, M., Bozas, E., & Paikousis, L. (2015). A Randomized Controlled Trial for the Effectiveness of Progressive Muscle Relaxation and Guided Imagery as Anxiety Reducing Interventions in Breast and Prostate Cancer Patients Undergoing Chemotherapy. Evidence-Based Complementary and Alternative Medicine, 2015. https://doi.org/10.1155/2015/270876

Chen, S. F., Wang, H. H., Yang, H. Y., & Chung, U. L. (2015). Effect of relaxation with guided imagery on the physical and psychological symptoms of breast cancer patients undergoing chemotherapy. Iranian Red Crescent Medical Journal, 17(11), 11–13. https://doi.org/10.5812/ircmj.31277

Chung, R., Tyebally, S., Chen, D., Kapil, V., Walker, J. M., Addison, D., … Ghosh, A. K. (2020). Hypertensive cardiotoxicity in cancer treatment— systematic analysis of adjunct, conventional chemotherapy, and novel therapies—epidemiology, incidence, and pathophysiology. Journal of Clinical Medicine, 9(10), 1–22. https://doi.org/10.3390/jcm9103346

Cohen, J. B., Brown, N. J., Brown, S. A., Dent, S., Van Dorst, D. C. H., Herrmann, S. M., … Touyz, R. M. (2023). Cancer Therapy-Related Hypertension: A Scientific Statement from the American Heart Association. Hypertension, 80(3), E46–E57. https://doi.org/10.1161/HYP.0000000000000224

de Jesus, M., Mohammed, T., Singh, M., Tiu, J. G., & Kim, A. S. (2022). Etiology and Management of Dyslipidemia in Patients With Cancer. Frontiers in Cardiovascular Medicine, 9, 1–13. https://doi.org/10.3389/fcvm.2022.892335

Dehghan, M., Jazinizade, M., Malakoutikhah, A., Madadimahani, A., Iranmanesh, M. H., Oghabian, S., … Zakeri, M. A. (2020). Stress and Quality of Life of Patients with Cancer: The Mediating Role of Mindfulness. Journal of Oncology, 2020. https://doi.org/10.1155/2020/3289521

Duan, W., Shen, X., Lei, J., Xu, Q., Yu, Y., Li, R., … Ma, Q. (2014). Hyperglycemia , a Neglected Factor during Cancer Progression. BioMed Research International, (1–10). https://doi.org/10.1155/2014/461917

Hwangbo, Y., & Lee, E. K. (2017). Acute hyperglycemia associated with anti-cancer medication. Endocrinology and Metabolism, 32(1), 23–29. https://doi.org/10.3803/EnM.2017.32.1.23

Kashani, F., Babaee, S., Bahrami, M., & Valiani, M. (2012). The effects of relaxation on reducing depression, anxiety and stress in women who underwent mastectomy for breast cancer. Iranian Journal of Nursing and Midwifery Research, 17(1), 30–33. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/23493112%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC3590692

Lan, S.-C., Lin, Y.-E., Chen, S.-C., Lin, Y.-F., & Wang, Y.-J. (2015). Effects of Acupressure on Fatigue and Depression in Hepatocellular Carcinoma Patients Treated with Transcatheter Arterial Chemoembolization: A Quasi-Experimental Study. Evidence-Based Complementary and Alternative Medicine, 2015, 1–10. https://doi.org/10.1155/2015/496485

Latimier, A., Riegert, A., Peyre, H., Ly, S. T., Casati, R., & Ramus, F. (2019). Does pre-testing promote better retention than post-testing? Npj Science of Learning, 4(1), 1–7. https://doi.org/10.1038/s41539-019-0053-1

Li, D. dan, Yang, Y., Gao, Z. yi, Zhao, L. hua, Yang, X., Xu, F., … Su, J. bin. (2022). Sedentary lifestyle and body composition in type 2 diabetes. Diabetology and Metabolic Syndrome, 14(1), 1–11. https://doi.org/10.1186/s13098-021-00778-6

Li, W., Zhang, X., Sang, H., Zhou, Y., Shang, C., Wang, Y., & Zhu, H. (2019). Effects of hyperglycemia on the progression of tumor diseases. Journal of Experimental and Clinical Cancer Research, 38(1), 1–7. https://doi.org/10.1186/s13046-019-1309-6

Lidyasari, A. T., Kawuryan, S. P., Purnomo, Y. W., Faturrohman, F., Wibowo, S. E., Anggito, A., … Da Comte, A. (2023). The effectiveness of problem-based teaching module training to increase elementary teacher motivation. Jurnal Penelitian Ilmu Pendidikan, 16(2), 133–143. https://doi.org/10.21831/jpipfip.v16i2.64636

Mahumud, R. A., Alam, K., Dunn, J., & Gow, J. (2020). The burden of chronic diseases among Australian cancer patients: Evidence from a longitudinal exploration, 2007-2017. PLoS ONE, 15(2), 2007–2017. https://doi.org/10.1371/journal.pone.0228744

Marithasari, H., G Barus, I., Resmayasari, I., & Suriaatmaja Suwanda, B. (2023). Pretest and Posttest Technique To Control Students Mastery in Online Learning of English for Communication Courses At Vocational Studies of Ipb University. The Journal Of English Teaching For Young And Adult Learners, 2(1), 12–15. https://doi.org/10.21137/jeeyal.2023.2.1.2

McLaughlin, A. N., & Policarpo, G. (2012). Hypertension in cancer patients. Community Oncology, 9(10), 324–330. https://doi.org/10.1016/j.cmonc.2012.09.013

Mi, S., Gong, L., & Sui, Z. (2020). Friend or foe? An unrecognized role of uric acid in cancer development and the potential anticancer effects of uric acid-lowering drugs. Journal of Cancer, 11(17), 5236–5244. https://doi.org/10.7150/jca.46200

Mouhayar, E., & Salahudeen, A. (2011). Hypertension in cancer patients. Texas Heart Institute Journal, 38(3), 263–265.

Munakata, M. (2018). Clinical significance of stress-related increase in blood pressure: current evidence in office and out-of-office settings. Hypertension Research, 41(8), 553–569. https://doi.org/10.1038/s41440-018-0053-1

Niedzwiedz, C. L., Knifton, L., Robb, K. A., Katikireddi, S. V., & Smith, D. J. (2019). Depression and anxiety among people living with and beyond cancer: A growing clinical and research priority. BMC Cancer, 19(1), 1–8. https://doi.org/10.1186/s12885-019-6181-4

Nurul, A. A. C., & Silvy, I. M. (2019). The Effectiveness Of Demonstration Methods On The Skills Of Adolescents As Bystander CPR. Biotika, 2(April), 3–8.

Pandey, S., Kalaria, A., Jhaveri, K. D., Herrmann, S. M., & Kim, A. S. (2023). Management of hypertension in patients with cancer: challenges and considerations. Clinical Kidney Journal, 16(12), 2336–2348. https://doi.org/10.1093/ckj/sfad195

Pires, A. M., Oqui, M., Soares, V., Xavier, B. O. F., & Mahyuvi, T. (2022). Relations Between Stress Level With Recurrence Of Hypertension Disease To Patients Aged 40-60 Years Old In Community Health Center Level II Municipality Lospalos, Timor Leste. Journal of Applied Nursing and Health, 4(2), 319–329. https://doi.org/10.55018/janh.v4i2.118

Pituskin, E. (2022). Cancer as a new chronic disease: Oncology nursing in the 21st Century. Canadian Oncology Nursing Journal = Revue Canadienne de Nursing Oncologique, 32(1), 87–92. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/35280062%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC8849169

Priyanto, A., Abdillah, A., & J, L. F. (2023). the Correlation Between Physical Activity and Stress and Their Impact on Uric Acid Levels in Older Individuals. International Journal of Nursing and Midwifery Science (Ijnms), 7(3), 387–393. https://doi.org/10.29082/ijnms/2023/vol7/iss3/532

Reski Amallia, I. (2021). Music therapy versus deep breathing relaxation to manage stress in children with cancer: An integrative review. Jurnal Perawat Indonesia, 5(2), 692–700.

Rowbottom, L., Stinson, J., McDonald, R., Emmenegger, U., Cheng, S., Lowe, J., … DeAngelis, C. (2015). Retrospective review of the incidence of monitoring blood glucose levels in patients receiving corticosteroids with systemic anticancer therapy. Annals of Palliative Medicine, 4(2), 70–77. https://doi.org/10.3978/j.issn.2224-5820.2015.04.07

Sangani, N. J., Rahimi, H., Mirzaei, S. M. M., BahramiTaghanaki, H., & Vagharseyyedin, S. A. (2023). Effect of Acupressure on Anxiety, Stress, and Depression Among the Primary Family Caregivers of the Patients with Stroke. Journal of Holistic Nursing and Midwifery, 33(2), 113–121. https://doi.org/10.32598/JHNM.33.2.2303

Setyawati, R., Astuti, A., Utami, T. P., Adiwijaya, S., & Hasyim, D. M. (2024). The Importance of Early Detection in Disease Management The Importance of Early Detection in Disease Management Sekolah Tinggi Ilmu Kesehatan Kesosi , Indonesia Poltekkes Kemenkes Kupang , Indonesia Universitas Esa Unggul , Indonesia Universitas Palangka. Journal of World Future Medicine, Health and Nursing, 2(1). https://doi.org/10.55849/health.v2i1.692

Shivaraju, P. T., Manu, G., Vinaya, M., & Savkar, M. K. (2017). Evaluating the effectiveness of pre- and post-test model of learning in a medical school. National Journal of Physiology, Pharmacy and Pharmacology, 7(9), 947–951. https://doi.org/10.5455/njppp.2017.7.0412802052017

Susanti, S., & Bistara, D. N. (2022). Relationship Between Stress Level and Increased Blood Sugar Levels in Patients With Diabetes Mellitus. Jurnal Keperawatan Respati Yogyakarta, 9(3), 181. https://doi.org/10.35842/jkry.v9i3.692

Vedantam, D., Poman, D. S., Motwani, L., Asif, N., Patel, A., & Anne, K. K. (2022). Stress-Induced Hyperglycemia: Consequences and Management. Cureus, 1(7), 1–13. https://doi.org/10.7759/cureus.26714

Vichaya, E. G., Chiu, G. S., Krukowski, K., Lacourt, T. E., Kavelaars, A., Dantzer, R., … Walker, A. K. (2015). Mechanisms of chemotherapy-induced behavioral toxicities. Frontiers in Neuroscience, 9(APR), 1–17. https://doi.org/10.3389/fnins.2015.00131

Werdani, Y. D. W. (2018). Pengaruh caregiving pada pasien kanker terhadap tingkat caregiver burden. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 5(3), 249–256. https://doi.org/10.26699/jnk.v5i3.art.p249-256

Werdani, Y. D. W. (2019). Three Acupoints of Acupressure Improve the Anxiety Level in Cancer Patients based on Types of Cancer Therapy. Indonesian Journal of Cancer, 13(4), 110. https://doi.org/10.33371/ijoc.v13i4.654

Werdani, Y. D. W. (2020). Pengaruh Tingkat Stres Terhadap Mekanisme Koping Pasien Kanker Berbasis Manajemen Terapi Kanker. Care : Jurnal Ilmiah Ilmu Kesehatan, 8(3), 346. https://doi.org/10.33366/jc.v8i3.1262

Yan, J., & Zhu, C. (2021). Hyperuricemia is a adverse prognostic factor for colon cancer patients. International Journal of General Medicine, 14, 3001–3006. https://doi.org/10.2147/IJGM.S314834




DOI: https://doi.org/10.31983/link.v21i1.12439

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