Pengaruh Spiritual Guided Imagery and Music terhadap Kecemasan Pasien Kanker yang Menjalani Kemoterapi
DOI:
https://doi.org/10.26699/jnk.v7i1.ART.p095-106Keywords:
SGIM, Kesemasan, Kanker, KemoterapiAbstract
Latar Belakang : Kemoterapi membuat pasien yang didiagnosa menderita kanker memiliki perasaan gelisah, cemas dan takut akan bayang-bayang kematian yang menghantui setiap saat. Penelitian ini bertujuan untuk mengetahui Pengaruh Spiritual Guided imagery and music (SGIM) terhadap kecemasan pasien kanker yang menjalani kemoterapi. Metode : Jenis Penelitiani ini adalah Quasi experimental dengan rancangan one group pre and post test with control group design. Penelitian dilaksanakan diruangan kemoterapi pada 30 pasien yang mendapatkan terapi SGIM dan 30 sebagai kelompok kontrol. Skore kecemasan diukur sebanyak 3 kali yaitu 1 hari dan 30 menit sebelum kemoterapi serta 1 hari setelah kemoterapi. Kecemasan diukur menggunakaan skala HARS. Data dianalsisi dengan uji GLM repeated mesure dengan bantun SPSS 21. Hasil : sebanyak  73,3 % dan 26,7 pasien memiliki kecemasan berat dan sedang saat pre test   menjadi kecemasan sedang (56,7%) dan kecemasan ringan  (43,3%) pada pengukuran 30 menit sebelum kemoterapi dan pada akhir pengukuran berada pada kecemasan ringan (63,4 %) dan tidak ada kecemasan (33,3 %) dan sisanya 3,3 % masih mengalami kecemasan berat pada kelompok SGIM. Analisis uji GLM repeated measure post hock banferoni diketahui p value = 0,001, dengan nilai r square =0,29. Hal ini menunjukan ada pengaruh SGIM terhadap penurunan kecemasan pasien kanker yang menjalani kemoterapi dengan besar sumbangan  pengaruh sebesar 29% sisanya dipengaruhi variabel yang lain. Kesimpulan : Pemberian Terapi SGIM menurunkan kecemasan pasien kanker yang menjalani kemoterapi. Rekomendasi penelitian adalah SGIM dapat diaplikasikan sebagai salah satu terapi komplementer dalam pemberian intervensi keperawatan di rumah sakit untuk menurunkan kecemaasan pasien terutama pada saat pertama kali melakukan kemoterapi.
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Background : Chemotherapy make patients who diagnosed with cancer have feelings of aneasy, anxiety and fear of the shadows of death that haunts every time. The aim of this study was to investigate the effect of Spiritual Guided imagery and music (SGIM) on the anxiety of cancer patients undergoing chemotherapy. Method : This is a Quasi experimental research study with one group pre and post test design with control group design. The study was conducted in a chemotherapy room in 30 patients who received SGIM therapy and 30 as a control group. Anxiety scores were measured 3 times: 1 day and 30 minutes before chemotherapy and 1 day after chemotherapy. Anxiety is measured using the Hamilton Anciety Rating Scale (HARS). Data were analyzed by GLM repeated mesure test with SPSS 21. Results : as many as 73.3% and 26.7 patients had severe and moderate anxiety during the pre test becoming moderate anxiety (56.7%) and mild anxiety (43.3%) at the measurement 30 minutes before chemotherapy and at the end of the measurement had mild anxiety (63.4%) and (33,3 %) had no anxiety, and the rest 3.3% still have experience of severe anxiety in the SGIM group. The Analysis of GLM repeated measure test with  post hock banferoni known p value = 0.001, with the r sguare value = 0.29. This shows that there is an effect of SGIM on anxiety reduction of cancer patients during chemotherapy with a contribution of 29% ,and the rest are affected by other variables. Conclusion : SGIM Therapy reduces anxiety of cancer patients undergoing chemotherapy. The research recommendation is that SGIM can be applied as one of the complementary therapies in providing nursing interventions in hospitals to reduce patient anxiety, especially at the first time undergoing chemotherapy
References
Beck, B. D. (2012). Guided Imagery and Music (GIM) with adults on sick leave suffering from work-related stress – a mixed methods experimental study. Aalborg Universitety Denmark.
Bhana, V. M. (2016). Implementation of Bonny Method of Guided Imagery and Music (BMGIM) to Complement Care Provided In Selected Cancer Interim Homes in Gauteng Province. University of Pretoria.
Chan, H., & Ismail, S. (2014). Side Effects of Chemotherapy among Cancer Patients in a Malaysian General Hospital : Experiences , Perceptions and Informational Needs from Clinical Pharmacists. Asian Pacific Journal of Cancer Prevention, 15(13), 5305–5309. https://doi.org/10.7314/APJCP.2014.15.13.5305
Deshields, T. L., Heiland, M. F., Kracen, A. C., & Dua, P. (2016). Resilience in adults with cancer: Development of a conceptual model. Psycho-Oncology, 25(1), 11–18. https://doi.org/10.1002/pon.3800
Gaffey, A. E., Bergeman, C. S., Clark, L. A., & Wirth, M. M. (2016). Aging and the HPA axis : Stress and resilience in older adults. Neuroscience and Biobehavioral Reviews, 68, 928–945. https://doi.org/10.1016/j.neubiorev.2016.05.036
Hamilton, M. (1959). The assessment of anxiety states by rating. Br J Med Psychol, 32(1), 50–55.
Hart, J. (2008). Guided Imagery. Alternative and Complementary Therapies, 14(6), 295–300. https://doi.org/10.1089/act.2008.14604
Jacobson, E. (1938). Progressive Relaxation. Chicago: University of Chicago Press.
Jacobson, J. O., Polovich, M., Mcniff, K. K., Lefebvre, K. B., Cummings, C., Galioto, M., Mccorkle, M. R. (2009). American Society of Clinical Oncology / Oncology Nursing Society Chemotherapy Administration Safety Standards. Journal of Clinical Oncology, 27(32), 5469–5475. https://doi.org/10.1200/JCO.2009.25.1264
KEMENKES RI. (2013). Riset Keshatan Dasar (RISKESDAS 2013). In Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. JAKARTA: Badan LITBANG KEMENKES RI.
Kirana, L. A. (2016). Dukungan Sosial dan Resiliensi Pada Pasien Kanker Payudara ( Studi Kasus Pada Pasien Kanker Payudara yang Sedang Menjalani Kemoterapi ). PSIKOBORNEO, 4(4), 829–837.
Lorusso, D., Bria, E., Costantini, A., Massimo Di, M., Rosti, G., & Mancuso, A. (2016). Patients ’ perception of chemotherapy side effects : Expectations , doctor – patient communication and impact on quality of life – An Italian survey. European Journal of Cancer Care, (November), 1–9. https://doi.org/10.1111/ecc.12618
Min, J., Yoon, S., Lee, C., Chae, J., Lee, C., Song, K., & Kim, T. (2013). Psychological resilience contributes to low emotional distress in cancer patients. Support Care Cancer, 21, 2469–2476. https://doi.org/10.1007/s00520-013-1807-6
Nursalam. (2017). Metodologi Penelitian Ilmu Keperawatan : Pendekatan Praktis (4th ed.). Jakarta: Salemba Medika.
Nuwa, M. S. (2018). Pengaruh Kombinasi Progressive Muscle Relaxation dengan Spritual Guided Imagery and Music terhadap koping dan Resiliensi pasien Kanker yang Menjalani Kemoterapi. Universitas Airlangga, Surabaya.
Pentz, M. (2005). Adaptation to American Culture. Journal of Gerontological Social Work, 44(3–4), 175–203. https://doi.org/10.1300/J083v44n03
Puchalski, C., Ferrell, B., Virani, R., Otis-Green, S., Baird, P., Bull, J., … Sulmasy, D. (2009). Improving the Quality of Spiritual Care as a Dimension of Palliative Care : The Report of the Consensus Conference. JOURNAL OF PALLIATIVE MEDICINE, 12(October), 885–904. https://doi.org/10.1089/jpm.2009.0142.
Rekam Medik. (2018). Rekam Medik RSUD Prof. Dr. W.Z. Johannes Kupang bualn Juli 2018. Kupang.
Rosenberg, A. R., S, M., Bona, K., H, M. P., Ketterl, T., D, M., … S, M. (2017). Intimacy , Substance Use , and Communication Needs During Cancer Therapy : A Report From the “ Resilience in Adolescents and Young Adults †Study. Journal of Adolescent Health, 60(1), 93–99. https://doi.org/10.1016/j.jadohealth.2016.08.017
Sana, Begum, N., Mutha, S. S., Marda, sachin subhsah, & Bakshi, V. (2016). Assessment of psychological impact of breast cancer in women. International Journal of Applied Pharmaceutical Sciences and Research 2016, 1(3), 119–126. https://doi.org/10.21477/ijapsr.v1i3.11338
Smeltzer, S. C. O., Bare, B. G., Hinkle, J. L., & Cheeve, K. H. (2013). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (10th ed.). USA: Wolters Kluwer Health/Lippincott Williams & Wilkins, 530 Walnut Street, Philadelphia,.
Stuart, G. W. (2013). Principles an Practice of Psichiatric Nursing (10th ed.). St Louis, Missouri 63043: Mosby, an imprint of Elsevier Inc.
Sugiyono. (2013). Metode Penelitian Kuantitatif dan Kualitatif. Bandung: ALFABETA.
Tobing, D. L. (2012). Pengaruh Progressive Muscle Relaxation Dan Logoterapi Terhadap Perubahan Ansietas, Depresi, Kemampuan Relaksasi Dan Kemampuan Memaknai Hidup Klien Kanker Di Rumah Sakit Dharmais Jakarta. UNIVERSITAS INDONESIA.
Varcarolis, Elizabeth, M., & Halter. (2009). Foundations of Psychiatric Mental Health Nursing (4th ed.). Philadelphia: F.A. Davis Company.
Wang, X., Zhang, Y., Fan, Y., Tan, X.-S., & Lei, X. (2018). Effects of Music Intervention on the Physical and Mental Status of Patients with Breast Cancer : A Systematic Review and Meta-Analysis. Breast Care, 13(3), 183–190. https://doi.org/10.1159/000487073
Yusof, S., Nadzirah, F., Keterina, N., & Dasiman, R. (2016). Depressive Symptoms among Cancer Patients Undergoing Chemotherapy. Procedia - Social and Behavioral Sciences, 234, 185–192. https://doi.org/10.1016/j.sbspro.2016.10.233
Zhou, K., Li, X., Li, J., Liu, M., Dang, S., Wang, D., & Xia Xin. (2015). A clinical randomized controlled trial of music therapy and progressive muscle relaxation training in female breast cancer patients after radical mastectomy : Results on depression , anxiety and length of hospital stay. European Journal of Oncology Nursing, 19(1), 54–59. https://doi.org/10.1016/j.ejon.2014.07.010
