Efektifitas Akupresur terhadap Tingkat Kelelahan pada Pasien Kanker yang Menjalani Kemoterapi
Abstract
This study aims to test the effectiveness of acupressure on the fatigue level of cancer patients undergoing chemotherapy. This research method is a quasi-experimental method with a pretest design and a post-test non-equivalent control group design. The sampling technique is a non-probability sampling technique, namely the convenience sampling method. Respondents to this study were cancer patients undergoing chemotherapy at the H. Adam Malik General Hospital in Medan, consisting of 32 respondents for the intervention group and 32 respondents for the control group. The fatigue measurement instrument uses the Brief Fatigue Inventory. Data were analyzed using the Mann-Whitney U test, Chi-Square, and logistic regression. The results showed that the p-value <0.05 and there was no effect of age, anemia, chemotherapy cycles, and cancer stage on the level of fatigue in cancer patients. In conclusion, it is known that acupressure is effective in reducing the level of fatigue in cancer patients undergoing chemotherapy and is recommended as an independent nursing intervention to reduce fatigue in cancer patients.
Keywords: Acupressure, Cancer, Chemotherapy, Fatigue.
References
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Arni W, Tawil S, Ayu Erika K, Mulhaeriah M. Efektivitas dalam Mengurangi Fatigue Pasien Kanker: A Systematic Review. 10(1), 131-45. https://doi.org/10.20527/jdk.v10i1.23
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Hendriyeni, P., & Allenidekania, A. (2022). Intervensi Teknik Relaksasi pada Caregiver Cancer yang Mengalami Fatigue. Jurnal Keperawatan Silampari, 5(2), 868–877. https://doi.org/10.31539/jks.v5i2.3482
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Sembiring, A., Tanjung, D., & Tarigan, R. (2020). Effectiveness of Acupressure to Reduce Vomiting Nausea in Patients Receiving Chemotherapy. Issue 1(9), 26–32. https://doi.org/10.9790/1959-0901112632
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Utli, H., Dinç, M., & Utli, M. D. A. (2023). The Effect of Acupressure or Reiki Interventions on the Levels of Pain and Fatigue of Cancer Patients Receiving Palliative Care: A Randomized Controlled Study. Explore, 19(1), 91–99. https://doi.org/10.1016/j.explore.2022.11.007
Winarti, G., Sembiring, M., & Tanjung, R. (2023). Terapi Akupresur pada Pasien Cancer yang Menjalani Kemoterapi. Community Development Journal: Jurnal Pengabdian Masyarakat, 4(1), 762–773. https://doi.org/10.31004/cdj.v4i1.12443
Zick, S. M., Kruger, G., Harte, S., Sen, A., Harris, R. E., & Pearce, C. L. (2021). Acupressure for Cancer-Fatigue in Ovarian Cancer Survivor (The AcuOva Study): A Community-Based Clinical Trial Study Protocol Examining the Impact of Self-Acupressure on Persistent Cancer Related Fatigue in Ovarian Cancer Survivors. Contemporary Clinical Trials, 107. https://doi.org/10.1016/j.cct.2021.106477
Apriyanti, M., & Zahra, A. N. (2022). The Effectiveness of Acupressure Therapy to Reduce Nausea and Vomiting in Colorectal Cancer Patients Undergoing Chemotherapy: Case Study. Journal of Health and Cardiovascular Nursing, 2(2), 71–80. https://doi.org/10.36082/jhcn.v2i2.839
Arni W, Tawil S, Ayu Erika K, Mulhaeriah M. Efektivitas dalam Mengurangi Fatigue Pasien Kanker: A Systematic Review. 10(1), 131-45. https://doi.org/10.20527/jdk.v10i1.23
Dogan, N. (2021). The Effects of Acupressure on Quality of Life and Dyspnea in Lung Cancer: A Randomized. Controlled Trial, 26(1).
Hat, B., & Hurai, R. (2020). Hubungan Jenis Kanker dengan Fatigue pada Pasien Kemoterapi di RSUD. Abdul Wahab Sjahranie Samarinda. Jurnal Keperawatan Dirgahayu (JKD), 2(1), 1–8. https://doi.org/10.52841/jkd.v2i1.266
Hendriyeni, P., & Allenidekania, A. (2022). Intervensi Teknik Relaksasi pada Caregiver Cancer yang Mengalami Fatigue. Jurnal Keperawatan Silampari, 5(2), 868–877. https://doi.org/10.31539/jks.v5i2.3482
Kurniawan, K., Nur'aeni, Y., Mujahidah, S. A., Nugraha, P., Zahra, S., Aquino, A. (2023). Social Media Fatigue Management among Adolescents : Rapid Review. Jurnal Kesehatan Pasak Bumi Kalimantan, 6(1). http://dx.doi.org/10.30872/j.kes.pasmi.kal.v6i1.8566
Komariah, M., Mulyana, A. M., Maulana, S., Rachmah, A. D., & Nuraeni, F. (2021). Literature Review Terkait Manfaat Terapi Akupresur dalam Mengatasi Berbagai Masalah Kesehatan. Jurnal Medika Hutama, 2(4). https://www.researchgate.net
Khanghah, A. G., Rizi, M. S., Nabi, B. N., Adib, M., & Leili, E. K. N. (2020). Effects of Acupressure on Fatigue in Patients with Cancer Who Underwent Chemotherapy. JAMS Journal of Acupuncture and Meridian Studies, 12(4), 103–110. https://doi.org/10.1016/j.jams.2019.07.003
Larasati, A. D., & Noni, I. B. (2022). Intervensi Komplementer untuk Menurunkan Fatigue dan Meningkatkan Kualitas Hidup Pasien Kanker: A Systematic Review. Asjn (Aisyiyah Surakarta Journal of Nursing), 3(1), 34–42. http://jurnal.aiska-university.ac.id/index.php/ASJN/article/view/838.
Liu, Q., Wang, C., Wang, Y., Xu, W., Zhan, C., Wu, J., & Hu, R. (2022). Mindfulness-Based Stress Reduction with Acupressure for Sleep Quality in Breast Cancer Patients with Insomnia Undergoing Chemotherapy: A Randomized Controlled Trial. European Journal of Oncology Nursing, 61. https://doi.org/10.1016/j.ejon.2022.102219
Prasetya, F. I. (2023). Pemberian Terapi Komplementer Akupressure Sebagai Alternatif Pemulihan Kelelahan pada Perawat Geriatri. Jpma: Jurnal Pengabdian Masyarakat Al-Qodiri, 2(1), 28–31. http://jurnal.stikesalqodiri.ac.id/index.php/JPMA_STIKESAlQodiri/article/view/217.
Prasetyo, R. A., Nuryana, H. S., Nisa, U. U., & Istiqomah, N. (2021). Evidence Based Nursing Self-Management untuk Mengurangi Konstipasi pada Pasien Kanker Payudara yang Menjalani Kemoterapi: A Literature Review. Journal of Bionursing, 3(1), 61–71. https://doi.org/10.20884/1.bion.2021.3.1.99 .
Rahmah, S., & Alfiyanti, D. (2021). Penurunan Kelelahan yang Menjalani Kemoterapi dengan Terapi Akupresur pada Titik P6 (Neiguan) dan Titik ST36 (Zusanli). Ners Muda, 2(2), 37. https://doi.org/10.26714/nm.v2i2.6262
Ruhyanudin, F., Theresia, M. W., & Azalia, N. R. (2022). Analisis Terapi Pilihan untuk Mengurangi Keluhan Subyektif pada Pasien Kanker yang Menjalani Kemoterapi. Jurnal Keperawatan Muhammadiyah, 7(3). http://dx.doi.org/10.30651/jkm.v7i3.14522
Sari, N., Suza, D. E., Tarigan, M., & Sumatera Utara, U. (2021). Terapi Komplementari terhadap Penurunan Nyeri pada Pasien Kanker. Journal of Telenursing (JOTING), 3(2). https://doi.org/10.31539/joting.v3i2.2936.
Sembiring, A., Tanjung, D., & Tarigan, R. (2020). Effectiveness of Acupressure to Reduce Vomiting Nausea in Patients Receiving Chemotherapy. Issue 1(9), 26–32. https://doi.org/10.9790/1959-0901112632
Stanton, A. L., Rowland, J. H., & Ganz, P. A. (2020). Life After Diagnosis and Treatment of Cancer in Adulthood. Psychosocial Oncology Research, 159–174. https://doi.org/10.1002/9781119057840.ch141.
Utli, H., Dinç, M., & Utli, M. D. A. (2023). The Effect of Acupressure or Reiki Interventions on the Levels of Pain and Fatigue of Cancer Patients Receiving Palliative Care: A Randomized Controlled Study. Explore, 19(1), 91–99. https://doi.org/10.1016/j.explore.2022.11.007
Winarti, G., Sembiring, M., & Tanjung, R. (2023). Terapi Akupresur pada Pasien Cancer yang Menjalani Kemoterapi. Community Development Journal: Jurnal Pengabdian Masyarakat, 4(1), 762–773. https://doi.org/10.31004/cdj.v4i1.12443
Zick, S. M., Kruger, G., Harte, S., Sen, A., Harris, R. E., & Pearce, C. L. (2021). Acupressure for Cancer-Fatigue in Ovarian Cancer Survivor (The AcuOva Study): A Community-Based Clinical Trial Study Protocol Examining the Impact of Self-Acupressure on Persistent Cancer Related Fatigue in Ovarian Cancer Survivors. Contemporary Clinical Trials, 107. https://doi.org/10.1016/j.cct.2021.106477
