Skip to main navigation menu Skip to main content Skip to site footer

Original

Vol. 10 No. 1 (2022): Jurnal Keperawatan Padjadjaran

Impact of Resilience on Psychological Well-Being In Breast Cancer Patients Undergoing Chemotherapy

DOI
https://doi.org/10.24198/jkp.v10i1.1867
Submitted
October 29, 2021
Published
2022-04-25

Abstract

Background: The most commonly used therapy for breast cancer is chemotherapy. Chemotherapy has physical and psychological side effects that affect the psychological well-being of the patient. Resilience plays an important role in changing psychological well-being. Cancer patients who have low levels of resilience will show negative psychological well-being and vice versa. However, the condition of cancer patients undergoing chemotherapy is not yet known whether resilience can change psychological well-being so that they can adapt to the stressors of chemotherapy. Purpose: This study aims to analyze the relationship between resilience and psychological well-being of breast cancer patients undergoing chemotherapy. Methods: This study was conducted using an observational analytic method with a cross-sectional approach. The population in this study were breast cancer patients who underwent chemotherapy sessions 2-6 at one of the hospitals in Malang, Indonesia. A sample of 62 people was obtained by using a stratified random sampling technique based on the chemotherapy sessions the patient underwent. Data Collection used the Connor-Davidson Resilience Scale questionnaire. Data analysis procedures were carried out in univariate and bivariate ways (lambda correlation test). Results: The Univariate analysis showed that the lowest resilience was experienced by respondents who underwent the second chemotherapy session and the bivariate analysis showed that there was a positive correlation between resilience and psychological well-being with p=0.039 and r=0.267. This means that the higher a person’s resilience, the greater the chance of having positive psychological well-being. Conclusion: This study shows that the higher the resilience, the greater the probability of experiencing positive psychological well-being. While the higher the resilience, the more likely it is to experience positive psychological well-being. It is recommended that patients who will undergo chemotherapy are given education related to therapy so that low resilience is not experienced at the beginning of chemotherapy.

Article Matrics
Abstract views : 136 times PDF Downloads: 75

Downloads

Download data is not yet available.

References

  1. American Cancer Society (2016). Breast cancer facts & Figures 2012-2014, Breast Cancer Facts & Figures. https:doi.org/10.1007/s10549-012-2018-4.Mesothelin
  2. Baati, I., Mnif, L., Masmoudi, J., Allouche, C., Damak, R., Halwani, N., Feki, A., Ayadi, N., & Jaoua, A. (2010). The psychological impact of chemotherapy-induced alopecia. European Psychiatry, 25, 869. https://doi.org/10.1016/S0924-9338(10)70860-9
  3. Bicakli, D. H., Ozveren, A., Uslu, R., Dalak, R. M., Cehreli, R., Uyar, M., Karabulut, B., & Akcicek, F. (2018). The effect of chemotherapy on nutritional status and weakness in geriatric gastrointestinal system cancer patients. Nutrition (Burbank, Los Angeles County, Calif.), 47, 39–42. https://doi.org/10.1016/j.nut.2017.09.013
  4. Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The connor-davidson resilience scale (CD-RISC). Depression and anxiety, 18(2), 76–82. https://doi.org/10.1002/da.10113
  5. Costa, D. S. J. Rebecca Mercieca-bebber, Claudia Rutherford, Liam Gabb & Madeleine T King. (2016) ‘The impact of cancer on psychological and social outcomes’, Australian Psychologist, 51(2), pp. 89–99. https://doi.org/10.1111/ap.12165
  6. Chon, S. Y., Champion, R. W., Geddes, E. R., & Rashid, R. M. (2012). Chemotherapy-induced alopecia. Journal of the American Academy of Dermatology, 67(1), e37–e47. https://doi.org/10.1016/j.jaad.2011.02.026
  7. De Couto, M. C. P. P., Koller, S. H. and Novo, R. (2011) ‘Stressful life events and sychological well-being in a brazilian sample of older persons: The role of resilience’, Ageing International, 36(4), pp. 492–505. https://doi.org/10.1007/s12126-011-9123-2
  8. Escalante, J., McQuade, R. M., Stojanovska, V., & Nurgali, K. (2017). Impact of chemotherapy on gastrointestinal functions and the enteric nervous system. Maturitas, 105, 23–29. https://doi.org/10.1016/j.maturitas.2017.04.021
  9. Fathania, D., Rahayuwati, L., & Yani, D. I. (2019). Factors that correlate with the health services seeking on breast cancer patients. 7(1). https://doi.org/10.24198/jkp
  10. Ifeagwazi, C. M., Chukwuorji, J. B. C. and Zacchaeus, E. A. (2015) ‘Alienation and psychological wellbeing: Moderation by Resilience’, Social Indicators Research, 120(2), pp. 525–544. https://doi.org/10.1007/s11205-014-0602-1
  11. Ivtzan, I., Chan, C. P., Gardner, H. E., & Prashar, K. (2013). Linking religion and spirituality with psychological well-being: examining self-actualisation, meaning in life, and personal growth initiative. Journal of religion and health, 52(3), 915–929. https://doi.org/10.1007/s10943-011-9540-2
  12. Ye, Z. J., Peng, C. H., Zhang, H. W., Liang, M. Z., Zhao, J. J., Sun, Z., Hu, G. Y., & Yu, Y. L. (2018). A biopsychosocial model of resilience for breast cancer: A preliminary study in mainland China. European journal of oncology nursing : the official journal of European Oncology Nursing Society, 36, 95–102. https://doi.org/10.1016/j.ejon.2018.08.001
  13. Karyono, Dewi, K. S. and Lela, T. (2008) ‘Media Medika’, Penanganan stres dan kesejahteraan psikologis pasien kanker payudara yang menjalani radioterapi di RSUD Dr. Moewardi Surakarta, 43(2).
  14. Kuchuk, I., Bouganim, N., Beusterien, K., Grinspan, J., Vandermeer, L., Gertler, S., Dent, S. F., Song, X., Segal, R., Mazzarello, S., Crawley, F., Dranitsaris, G., & Clemons, M. (2013). Preference weights for chemotherapy side effects from the perspective of women with breast cancer. Breast cancer research and treatment, 142(1), 101–107. https://doi.org/10.1007/s10549-013-2727-3
  15. Lai, X. B., Ching, S., Wong, F., Leung, C., Lee, L. H., Wong, J., & Lo, Y. F. (2018). The cost-effectiveness of a nurse-led care program for breast cancer patients undergoing outpatient-based chemotherapy - A feasibility trial. European journal of oncology nursing : the official journal of European Oncology Nursing Society, 36, 16–25. https://doi.org/10.1016/j.ejon.2018.07.001
  16. Lee, K. E. and Lim, K. H. (2019) ‘Mediation effect of adaptation on the quality of life in patients with gastric cancer undergoing gastrectomy : A structure equation model’, Asian Nursing Research, 1(2), pp. 1–9. https://doi.org/10.1016/j.anr.2019.01.001
  17. Mawarpury, M. (2013) ‘Coping sebagai prediktor kesejahteraan psikologis : Studi meta analisis’, Psycho Idea, 11(1), pp. 38–47.
  18. Ministry of Health Republic of Indonesia. (2017). Pusat data dan informasi Kementerian Kesehatan RI. Ministry of Health Republic of Indonesia
  19. Moatter, T., Aban, M., Iqbal, W., & Pervez, S. (2015). Cyclooxygenase-2 polymorphisms and breast cancer associated risk in Pakistani patients. Pathology oncology research : POR, 21(1), 97–101. https://doi.org/10.1007/s12253-014-9792-8
  20. Moser, A., Silliman, R.A., Stuck, A.E., Clough-Gorr, K.M. (2012) ‘Resilience in older breast cancer survivors’, Journal of Geriatric Oncology, 3(1), pp. S87–S90. https://doi.org/10.1016/j.jgo.2012.10.109
  21. DeSantis, C. E., Ma, J., Goding Sauer, A., Newman, L. A., & Jemal, A. (2017). Breast cancer statistics, 2017, racial disparity in mortality by state. CA: a cancer journal for clinicians, 67(6), 439–448. https://doi.org/10.3322/caac.21412
  22. Rahayuwati, L., Ibrahim, K., Nurhidayah, I., & Hendrawati, S. (2020). The correlation of socio demographic and knowledge factors toward therapy options among breast cancer Patients. 8(3). https://doi.org/10.24198/jkp
  23. Souri, H. and Hasanirad, T. (2011) ‘Relationship between resilience, optimism and psychological well-being in students of medicine’, Procedia - Social and Behavioral Sciences, 30, 1541–1544. https://doi.org/10.1016/j.sbspro.2011.10.299
  24. Torre, L. A., Sauer, A. M., Chen, M. S., Jr, Kagawa-Singer, M., Jemal, A., & Siegel, R. L. (2016). Cancer statistics for Asian Americans, Native Hawaiians, and Pacific Islanders, 2016: Converging incidence in males and females. CA: a cancer journal for clinicians, 66(3), 182–202. https://doi.org/10.3322/caac.21335
  25. Wang, X. and Tian, J. (2010) ‘A Path Analysis Method for Measuring the Resilience of Cancer Patients’, pp. 2–5.
  26. Wu, Z., Liu, Y., Li, X., & Li, X. (2016). Resilience and associated factors among mainland Chinese women newly diagnosed with breast cancer. PloS one, 11(12). https://doi.org/10.1371/journal.pone.0167976
  27. Witdiawati, Rahayuwati, L., & Sari, S. P. (2017). Studi kualitatif pola kehidupan pasien kanker payudara A Qualitative Study on Breast Cancer Patients ’ Life. 5(1), 73–85. http://dx.doi.org/10.24198/jkp.v5n1.9
  28. Yang, F., & Smith, G. D. (2016). Stress, resilience and psychological well-being in Chinese undergraduate nursing students. Nurse Education Today 49, 90-95. https://doi.org/10.1016/j.nedt.2016.10.004
  29. Yurtsever, S. (2010) ‘European Journal of Oncology Nursing Relationship between social support and fatigue in geriatric patients receiving outpatient chemotherapy’, European Journal of Oncology Nursing, 14(5), pp. 61–67. https://doi.org/10.1016/j.ejon.2009.07.001
  30. Zimmermann, F. F., Burrell, B. and Jordan, J. (2018) ‘The acceptability and potential benefits of mindfulness-based interventions in improving psychological well-being for adults with advanced cancer: A systematic review’, Complementary Therapies in Clinical Practice, 30, pp. 68–78. https://doi.org/10.1016/j.ctcp.2017.12.014