The Relationship between Psychosocial Stress and Coping Strategies for Breast Cancer Patients
DOI:
https://doi.org/10.61841/d2tvx885Keywords:
breast cancer, coping, psychosocial, stressAbstract
Breast cancer becomes a traumatic event for a woman’s life due to various influencing factors such as physical condition, self-image, sexuality, and social condition. One of the efforts that can be conducted to overcome these problems is by the coping strategies. The purpose of this study was to analyze the relationship between psychosocial stress and the coping strategies for breast cancer patients. The design of this study was cross-sectional research. The population in this study was 158 people, and the number of samples was 121 respondents selected using the consecutive sampling technique. The independent variable was psychosocial stress, while the dependent variable was the coping strategy. The instruments in this study were The Psychosocial Distress Questionnaire-Breast Cancer (PDQ-BC), and the Cancer Coping Questionnaire. Furthermore, data were analyzed using Spearman’s rho. Psychosocial stress experienced by most of the breast cancer patients was categorized as moderate stress, namely 75 (60.3%). The coping strategy applied mostly by breast cancer patients, was the maladaptive coping strategy, namely 71 (58.7%). There was a relationship between psychosocial stress and coping strategies for breast cancer patients (p = 0,000, r = -582). There is a moderate relationship between psychosocial stress and the maladaptive coping strategy. Therefore, nurses can convey to patients’ family members to continue and keep motivating the patients, and to help reduce anxiety, depression, physical condition, social condition, and sexual problems of the breast cancer patients.
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[1] J. E. Bower, A. D. Crosswell, A. L. Stanton, and C. M. Crespi, “Mindfulness Meditation for Younger Breast Cancer Survivors : A Randomized Controlled Trial,” pp. 1–10, 2014.
[2] M. Deliana, D. E. Suza, and R. Tarigan, “Advanced stage cancer patients experience in seeking treatment in Medan, Indonesia,” Open Access Maced. J. Med. Sci., vol. 7, no. 13, pp. 2194–2203, 2019.
[3] Franco, “Body Image and Quality of Life in Patients who Underwent Breast Surgery,” Am. Surg., no. 76, pp. 1000–1005, 2010.
[4] C. Hinnen, M. Hagedoom, R. Sanderman, and A. V Ranchor, “The role of distrees, neuroticim and time since diagnosis in explaining support behaviors in partners of women with breast cance: result of a longitudinal analysiis,” Psychooncology., vol. 919, no. January, pp. 913–919, 2009.
[5] D. K. Sari, R. Dewi, and W. Daulay, “Association between family support, coping strategies and anxiety in cancer patients undergoing chemotherapy at General Hospital in Medan, North Sumatera, Indonesia,” Asian Pacific J. Cancer Prev., vol. 20, no. 10, pp. 3015–3019, 2019.
[6] G. W. Stuart and Sundeen, “Buku Keperawatan (alih bahasa) Achir Yani S. Hamid,” 3rd ed., Jakarta: EGC, 1995.
[7] WHO, Breast Cancer Facts and Figures 2013-2014. Atalanta: American Cancer Society, Inc. 2017., 2013.
[8] Dinkes Jawa Timur, Profil Kesehatan Provinsi Jawa Timur. Surabaya: Kementrian Kesehatan Republik Indonesia, 2016.
[9] Zamli, M. Syafar, S. Palutturi, Suriah, and A. Yani, “Relaxation intervention and counselling models in controlling stress in cancer patients,” Indian J. Public Heal. Res. Dev., vol. 10, no. 8, pp. 1277– 1280, 2019.
[10] J. Min et al., “Psychological resilience contributes to low emotional distress in cancer patients,” pp. 2469–2476, 2013.
[11] Farming, A. M. Nasrudin, and Budu, “Relationship between premenstrual coping and premenstrual syndrome (PMS) among female midwifery students in Kendari Health Polytechnic,” Indian J. Public Heal. Res. Dev., vol. 10, no. 4, pp. 1002–1007, 2019.
[12] R. S. Lazarus and Folkman.S, Stress, appraisal, and coping. . New York, USA: Springer Publishing Company, 1984.
[13] C. E. Loprinzi, K. Prasad, D. R. Schroeder, and A. Sood, “Stress Management and Resilience Training ( SMART ) Program to Decrease Stress and Enhance Resilience Among Breast Cancer Survivors : A Pilot Randomized Clinical Trial,” Clin. Breast Cancer, vol. 11, no. 6, pp. 364–368, 2011.
[14] H. Ahadi, A. Delavar, and A. M. Rostami, “Comparing Coping Styles in Cancer Patients and Healthy Subjects,” Procedia - Soc. Behav. Sci., vol. 116, pp. 3467–3470, 2014.
[15] E. Yunitasari, “Pengembangan Model Asuhan Keperawatan Koping dalam Upaya Meningkatkan Resiliensi Pasien Kanker Serviks Post Radikal Hysterectomy + BSO yang Mendapatkan Kemoterapi Berbasis Adaptasi Roy,” Universitas Airlangga, 2016.
[16] H. W. Krohne, Stress and Coping Theories. Germany: Universitas Mainz Germany, 2002.
[17] K. I. Pargament, “The Psychology of Religion and Coping,” vol. m, p. 115, 2001.
[18] Nursalam, Metodologi Penelitian Ilmu Keperawatan: Pendekatan Prakti. Jakarta: Salemba Medika,
2015.
[19] L. Siegel and I. M. Lane, “Personnel and Organizational Psychology.,” Jakarta, 1987.
[20] T. Kusumaningrum, R. Pradanie, E. Yunitasari, and S. Kinanti, “PERAN KELUARGA DAN KUALITAS HIDUP PASIEN KANKER SERVIKS (The Role of Family and Quality of Life in Patients with Cervical Cancer),” J. Ners, vol. 11, no. 1, pp. 112–117, 2016.
[21] M. A. Hoffman, R. W. Lent, and T. L. Raque-Bogdan, “A Social Cognitive Perspective on Coping With Cancer,” Couns. Psychol., vol. 41, no. 2, pp. 240–267, 2013.
[22] A. Yusuf, R. Fitriyasari, and H. E. Nihayati, “Buku Ajar Keperawatan Kesehatan Jiwa,” Jakarta: Salemba Medika, 2015.
[23] R. Saniatuzzulfa and S. Retnowati, “Program ‘ Pasien PANDA I ’ untuk Meningkatkan Optimisme Pasien Kanker,” vol. 1, no. 3, pp. 163–172, 2015.
[24] P. Y. Chen and H. C. Chang, “The coping process of patients with cancer,” Eur. J. Oncol. Nurs., vol. 16, no. 1, pp. 10–16, 2012.
[25] S. K. Wulandari, Y. Hermayanti, A. Yamin, F. Efendi, U. Padjadjaran, and U. Airlangga, “Family Process with Breast Cancer Patient ... ( Sarah Kartika Wulandari et . al .),” pp. 180–188, 2015.
[26] E. Chu and V. T. Devita, Physicians’ Cancer Chemotherapy Drug Manual. Sudbury: Massachuset Jones and Bartlett, 2008.
[27] D. Edianto, M. R. Yaznil, A. A. Chartyansari, and I. H. Effendi, “Assessment of the quality of life for gynecologic cancer patients using functional assessment of cancer therapy-general (Fact-g) questionnaire at Haji Adam Malik Hospital,” Open Access Maced. J. Med. Sci., vol. 7, no. 16, pp. 2569–2573, 2019.
[28] A. Montazeri et al., “Anxiety and depression in breast cancer patients before and after participation in a cancer support group,” Patient Educ. Couns., vol. 45, no. 3, pp. 195–198, 2001.
[29] N. Niven, “Psikologi Kesehatan dan Pengantar untuk Perawat dan Profesional Kesehatan Lain,” Jakarta: EGC, 2002.
[30] M. Friedman, Buku Ajar Keperawatan Keluarga: Riset, Teori, dan praktik, 5th ed. Jakarta: EGC, 2010.
[31] M. Sari, Y. I. Dewi, and A. Utami, “Hubungan Dukunga Keluarga Terhadap Motivasi Pasien Kanker Payudara dalam Menjalmi Kemoterapi di Raung Cendrawasih I RSUD Arifin Achmad Provinsi Riau,”
J. Ners Indones., vol. 2, no. 2, 2012.
[32] L. W. Green and M. W. Kreuter, “Health Promotion Planning : An Educational and Environmental Approach,” Landon: Mayfield Publising Company, 1991.
[33] B. Mary, “Beban Psikologi Dan Stres Pasien Kanker Payudara,” Bandung: Cipta Persada, 2008.
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