Terapi Kognitif Sebagai Intervensi Keperawatan untuk Mengatasi Ketidakberdayaan pada Pasien Kanker
DOI:
https://doi.org/10.31539/0h05vj22Abstract
This study aims to determine the application and effectiveness of cognitive therapy in reducing signs and symptoms of helplessness in cancer patients. The method used is a case series study design. The results showed that patients had an average of 25.4 signs of helplessness. After initial intervention, cognitive therapy significantly reduced the number of symptoms further to an average of 8.1, with an average total reduction of 17.3 symptoms per patient. The greatest reduction was seen in the cognitive domain (e.g., reduced doubts and negative thoughts) and affective domains (e.g., reduced anxiety and depressed mood). In conclusion, the application of cognitive therapy as a specialist mental health care intervention was significantly effective in reducing signs and symptoms of helplessness in cancer patients. This intervention successfully improved patients' ability to manage negative thoughts, which had a positive impact on their affective, behavioral, and social conditions. Cognitive therapy empowers patients with adaptive coping skills, helps them rebuild a sense of control, and has the potential to improve quality of life during the challenges of cancer treatment.
Keywords: Cancer, Helplessness, Cognitive Therapy
References
Cáceres, M. C., Martín-Parrilla, M. Á., Montanero-Fernández, J., Santos-Fernández, A., López-Jurado, C. F., & Durán-Gómez, N. (2025). Cognitive Stimulation Interventions for Chemotherapy-Related Cognitive Impairment in Breast Cancer Patients: A Systematic Review and Meta-Analysis. Cancers, 17(18), 1-17. https://doi.org/10.3390/cancers17183001
Gonzalez-Ling, A., Vázquez, O. G., Bello, M. E., Robles, R., Rascón-Gasca, M. L., Lara-Mejía, L., Heredia, D., & Arrieta, O. (2022). Quality of Life, Anxiety, Depression, and Distress in Patients with Advanced and Metastatic Lung Cancer. Palliative & Supportive Care, 1-8 . https://doi.org/10.1017/s147895152200116x
Hirschmiller, J., Schmeckenbecher, J., Schwinn, T., Wiltink, J., Brähler, E., Kapusta, N. D., Zwerenz, R., Beutel, M., & Ernst, M. (2024). Perceived Control as a Potential Protective Factor for Suicidal Thoughts and Behaviors in Cancer Patients and Survivors: A Systematic Review with Meta‐Analysis. Psycho‐Oncology, 33. https://doi.org/10.1002/pon.70030
Huang, F. M., Shi, Y., Ding, L., Huang, J., & Zhang, Z. (2024). Learned Helplessness and Associated Factors Among Patients with Lung Cancer. Patient Preference and Adherence, 18, 467 - 474. https://doi.org/10.2147/ppa.s446523
Lan, B., Lv, D., Yang, M., Sun, X., Zhang, L., & F. (2022). Psychological Distress and Quality of Life in Chinese Early-Stage Breast Cancer Patients Throughout Chemotherapy. Journal of the National Cancer Center, 2, 155-161. https://doi.org/10.1016/j.jncc.2022.06.002
Naser, A. Y., Hameed, A. N., Mustafa, N., Alwafi, H., Dahmash, E., Alyami, H. S., & Khalil, H. (2021). Depression and Anxiety in Patients with Cancer: A Cross-Sectional Study. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.585534
Papadopoulou, A., Govina, O., Tsatsou, I., Mantzorou, M., Mantoudi, A., Tsiou, C., & Adamakidou, T. (2022). Quality of Life, Distress, Anxiety and Depression of Ambulatory Cancer Patients Receiving Chemotherapy. Medicine and Pharmacy Reports, 95, 418 - 429. https://doi.org/10.15386/mpr-2458
Sanabria-Mazo, J. P., Colomer-Carbonell, A., Fernández-Vázquez, Ó., Noboa-Rocamora, G., Cardona-Ros, G., Mccracken, L. M., Montes-Pérez, A., Castaño-Asins, J. R., Edo, S., Borràs, X., Sanz, A., Feliu-Soler, A., & Luciano, J. V. (2023). A Systematic Review of Cognitive Behavioral Therapy-Based Interventions for Comorbid Chronic Pain and Clinically Relevant Psychological Distress. Frontiers in Psychology, 14, 1200685. https://doi.org/10.3389/fpsyg.2023.1200685
Siegel, R., Miller, K., & Jemal, A. (2023). Cancer Statistics. CA: A Cancer Journal for Clinicians, 73(1), 17–48. https://doi.org/10.3322/caac.21763
Song, W., Shari, N. I., Abdullah, M. F. I. L. B., Hussin, H., Zhang, R., & Mansor, N. (2026). Acceptance and Commitment Therapy Improves the Quality of Life of Breast Cancer Patients by Reducing Helplessness: A Randomized Controlled Trial. BMC Palliative Care. https://doi.org/10.1186/s12904-026-02049-5
Wang, Y., Sun, H., Ji, Q., Wu, Q., Wei, J., & Zhu, P. (2023). Prevalence, Associated Factors and Adverse Outcomes of Demoralization in Cancer Patients: A Decade of Systematic Review. American Journal of Hospice and Palliative Medicine®, 40, 1216 - 1230. https://doi.org/10.1177/10499091231154887
Wei, X., Wu, L., Chen, X., Ding, J., & Hua, Q. (2026). Qualitative Study of Learned Helplessness in Colorectal Cancer Patients with Colostomy: A Social-Ecological Perspective. Patient Preference and Adherence, 20. https://doi.org/10.2147/ppa.s574914
Zeng, Y., Dong, J., Huang, M., Zhang, J. E., Zhang, X., Xie, M., & Wefel, J. S. (2020). Nonpharmacological Interventions for Cancer-Related Cognitive Impairment in Adult Cancer Patients: A Network Meta-Analysis. International Journal of Nursing Studies, 104, 103514. https://doi.org/10.1016/j.ijnurstu.2019.103514
Zhang, Y., Gao, Y., Li, X., Zou, Y., Ye, Y., & Zou, Z. (2025). Antidepressant Treatment of Depression in Children and Adolescents: A Systematic Review and Dose-Response Meta-Analysis. European Child & Adolescent Psychiatry, 34(7), 1979–1990. https://doi.org/10.1007/s00787-025-02688-8
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