Reducing Depression, Anxiety, and Fatigue Level in Cervical Cancer through Physical Exercise Intervention

Background: Depression level among elderly remains high in Indonesia. One of efforts to decrease depression is laughter therapy, which is assumed able to lower depression.Objective: This study aimed to examine the effect of laughter therapy on depression level in elderly at Nursing Home of Binjai Integrated Social Service Unit for the Elderly, North Sumatra, Indonesia.Methods: This was a quasi-experimental study with pretest posttest with control group design. Forty-two participants were selected using a purposive sampling, with twenty-one participants were randomly assigned in each group. An experimental group received one-hour laughter therapy for 3 times a week in 4 weeks, and a control group received usual care. Depression was measured using Geriatric Depression Scale-15. Data were collected from April to June 2018. Independent and dependent t-test were used for data analysis.Results: Findings revealed that the level of depression in elderly significantly decreased in the experimental group (p<.05), but there was no significant change of it in the control group (p=.648). Between the two groups, there was a significant difference in depression level in elderly (p<.05).Conclusion: Laughter therapy could reduce depression among elderly. Therefore, this therapy can be used as one of interventions in nursing practice, especially at nursing homes.

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THE EFFECT OF DHIKR ON ANXIETY AND DEPRESSION LEVEL IN HEMODIALYSIS PATIENTS AT PURWOKERTO ISLAMIC HOSPITAL

International Journal of Islamic Medicine ◽

10.37275/ijim.v2i1.17 ◽

2021 ◽

Vol 2 (1) ◽

pp. 15-25

Author(s):

Muhammad Anggun ◽

Titik Kusumawinakhyu ◽

Irma Finurina Mustikawati ◽

Wiharto Wiharto

Keyword(s):

Intervention Group ◽

Depression Scale ◽

Sampling Technique ◽

Hemodialysis Patients ◽

Anxiety And Depression ◽

Control Group ◽

Control Group Design ◽

Hemodialysis Unit ◽

Before And After ◽

The Mean

Hemodialysis is a routinely performed therapy on chronic kidney patients, leading to psychological problems among subjects who undergo hemodialysis, such as anxiety and depression. One of the efforts to overcome anxiety and depression is with the dhikr intervention. Dhikr presents hearts to remember and be obedient to Allah followed by the words and actions in various conditions. Discover dhikr's influence on the level of anxiety and depression in patients on hemodialysis in Purwokerto Islamic Hospital. It was a quantitative study using quasi experiment with a non-quivalent control group design. The number of samples was 12 subjects consisting of 6 subjects in the control group and six subjects in the intervention group with the purposive sampling technique. Instruments were used to measure anxiety and depression are the HADS ( Hospital Anxiety and Depression Scale ) before and after dhikr intervention as much as 12 times. Research is carried out in Hemodialysis Unit of Purwokerto Islamic Hospital. Test statistics on research are used paired t-test and independent t-tests. This study showed a decrease in the mean level of anxiety from 5, 83 to 1.67 in the experimental group ( p = 0.003). The mean level of depression experienced a decline of 9, 67 becomes 4.67 on a group experiment ( p = 0.003). Dhikr reduces the level of anxiety and depression in hemodialysis patients at the Purwokerto Islamic Hospital.

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Improvement of Anxiety, Coughing, Breathlessness and Pain Control in The Management of Bronchoscopy by Adding Alprazolam

Jurnal Respirologi Indonesia ◽

10.36497/jri.v39i4.74 ◽

2019 ◽

Vol 39 (4) ◽

pp. 245-255

Author(s):

Yanny Octavia Sally Ride ◽

Yusup Subagio Sutanto ◽

Debree Septiawan

Keyword(s):

Lung Tumor ◽

Depression Scale ◽

Anxiety And Depression ◽

Control Group ◽

Control Group Design ◽

Before And After ◽

Post Test ◽

Vas Scores ◽

And Control ◽

Test Control

Background: Anxiolytic premedication can reduce anxiety, improving procedural tolerance, and reduce postbronchoscopic complications. There was ongoing debate about the safety of bronchoscopist-administered sedation. Alprazolam as a surgical premedication can reduce anxiety. Alprazolam can be used as an adjuvant analgesic, to reduce anxiety-related breathlessness, and to reduce coughing as adjuvant antitussive. The study aimed to evaluate the effectiveness of alprazolam in patients undergoing bronchoscopy. Methods: A clinical study with experimental quasi pre-post test control group design, using consecutive sampling was performed in patients with lung tumor undergoing bronchoscopy in dr.Moewardi Hospital from February to March 2019. The study subjects were divided in experimental (alprazolam) and control groups (without alprazolam). The Hospital Anxiety and Depression Scale (HADS), VAS for pain score, modified Borg score, and VAS for cough were measured in baseline, before, and after bronchoscopy. Results: Thirty two lung subjects were included in this study. The intervention groups showed decreased HADS score pre and post bronchoscopy (6.56±2.83 and 6.88±2.63), pain VAS scores (15.00±10.95 and 9.69±11.61), cough VAS score (11.56±8.89 and 27.19±17.89), and these were different significantly compared to control group. We found decreased mean of modified Borg in the study group though they were not significant compared to the control group. Conclusion: Alprazolam controlled anxiety, coughing, and pain in patients undergoing bronchoscopy. Alprazolam minimized breathlessness after bronchoscopy. (J Respir Indo. 2019; 39(4): 245-55)

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PENGARUH MENGKONSUMSI GULA AREN (Arenga pinnata) SEBELUM OLAHRAGA TERHADAP DAYA TAHAN OTOT

JURNAL ILMU FAAL OLAHRAGA INDONESIA ◽

10.51671/jifo.v1i1.40 ◽

2019 ◽

Vol 1 (1) ◽

pp. 20

Author(s):

Cecep Muhammad Alawi ◽

Hamidie Ronald Daniel Ray

Keyword(s):

Physical Exercise ◽

Significant Influence ◽

The Body ◽

Control Group ◽

Muscular Endurance ◽

Control Group Design ◽

Squat Jump ◽

Jump Test ◽

Significant Difference ◽

Palm Sugar

Two kinds of carbohydrates that are used with the body as energy, is blood glucose and muscular glycogen. Savings glycogen in muscular is one of the factors that is affecting muscular endurance when physical exercise. The aim of this study is to find out the significant influence of consuming palm sugar to muscular endurance before physical exercise. The method that is used in this study is to experiment with design pretest-posttest control group design. Total of sample of this study is 18 trained mans that is divided into three groups. The first experiment group is given palm sugar that is dissolved in water, the second experiment group is given sugar that is dissolved in water, and the control group is given mineral water. The instrument of this study is used push up test, sit up test, and squat jump test to measures the upper muscular endurance, middle, and bottom. All of the samples have done pretest and posttest in different day. When posttest, all of the sample is consumed beverage based on the treatment 30 minutes before do the posttest. Data analysis by Paired Sample t-test and continued by One Way ANOVA to see the influence and comparison between groups. The result of this study has showed that there is a significant difference, the raising of muscular endurance is proved by the score (sig) 0.00>0.05, which the highest increasing is the palm sugar group. Therefore, it could be concluded that there is a significant influence of consuming palm sugar to muscular endurance before physical exercise.

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Effects of Curcumin on Vascular Endothelial Growth Factor Expression on Rattus norvegicus Cervical Cancer Xenograft Model

Indonesian Journal of Cancer ◽

10.33371/ijoc.v12i3.616 ◽

2019 ◽

Vol 12 (3) ◽

pp. 95

Author(s):

Laili Muninggar ◽

Widjiati Widjiati ◽

Indra Yuliati ◽

Brahmana Askandar ◽

Poedjo Hartono

Keyword(s):

Cervical Cancer ◽

Rattus Norvegicus ◽

Histopathological Examination ◽

Xenograft Model ◽

Control Group ◽

P Value ◽

Vegf Expression ◽

Control Group Design ◽

Significant Difference ◽

Median Expression

Objective: To analyze the effect of curcumin in VEGF expression on Rattus norvegicus cervical cancer cell xenograft model.Methods: An experimental study with randomized post test only control group design. The subjects were Rattus norvegicus (Sprague Dawley), inoculated with He-la cervical cancer cells from American Type Culture Collection (ATCC) processed in stem cell laboratory Institute of Tropical Disease (ITD) Airlangga University. 5x106 of He-La cells were injected subcutaneously in dorsal flank area of Rattus norvegicus. After 30 days of observation we performed histopathological examination of xenograft tissue and randomized into 2 groups which were given curcumin orally 1000 mg/kg (curcumin group) vs. no therapy (control group). After another 30 days the xenograft tissue was dissected and underwent immunochemistry examination for VEGF expression.Results: 32 samples of Rattus norvegicus were divided into 2 groups, In curcumin group the VEGF median expression was 2,2 (0,3-7,6) and in control group the VEGF median expression was 6,6 (1,2-12). There was a statistically significant difference with p value =0,009 with Mann Whitney test (p<0,05).Conclusion: VEGF expression in Rattus norvegicus xenograft model of cervical cancer was suppressed by giving Curcumin 1000 mg/kgBB orally.

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Effect of relaxation on stress, anxiety and depression level of the caregivers' of cancer patients

Dhaka University Journal of Biological Sciences ◽

10.3329/dujbs.v26i2.46398 ◽

2017 ◽

Vol 26 (2) ◽

pp. 151-158

Author(s):

Zinnatul Borak ◽

Shahjahan Ali ◽

Sabrina Mahmood

Keyword(s):

Cancer Patients ◽

Life Stress ◽

Intervention Group ◽

Depression Scale ◽

Anxiety And Depression ◽

Control Group ◽

Test Results ◽

Before And After ◽

Scale Levels ◽

Depression Level

The study was carried out to explore the outcome of relaxation on stress, anxiety and depression level of the caregivers of cancer patients. Fifty caregivers of cancer survivors were randomly assigned to two groups. In intervention group, participants received relaxation once a week for five consecutive weeks while control group received no intervention. Stress (life‐stress questionnaire), anxiety (anxiety scale) and depression (depression scale) levels were assessed before and after the intervention. Data were analyzed by independent sample t test. Results showed that relaxation helped the caregivers of cancer patients to reduce their stress and anxiety. But relaxation did not reduce the level of depression. Implication of the research and future guideline are also discussed. Dhaka Univ. J. Biol. Sci. 26(2): 151-158, 2017 (July)

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PENGARUH MENGKONSUMSI GULA AREN (Arenga pinnata) SEBELUM OLAHRAGA TERHADAP DAYA TAHAN OTOT

JURNAL ILMU FAAL OLAHRAGA INDONESIA ◽

10.51671/jifo.v2i2.103 ◽

2021 ◽

Vol 2 (2) ◽

pp. 53

Author(s):

Cecep Muhammad Alawi ◽

Hamidie Ronald Daniel Ray

Keyword(s):

Physical Exercise ◽

Significant Influence ◽

The Body ◽

Control Group ◽

Muscular Endurance ◽

Control Group Design ◽

Squat Jump ◽

Jump Test ◽

Significant Difference ◽

Palm Sugar

Two kinds of carbohydrates that are used with the body as energy, is blood glucose and muscular glycogen. Savings glycogen in muscular is one of the factors that is affecting muscular endurance when physical exercise. The aim of this study is to find out the significant influence of consuming palm sugar to muscular endurance before physical exercise. The method that is used in this study is to experiment with design pretest-posttest control group design. Total of sample of this study is 18 trained mans that is divided into three groups. The first experiment group is given palm sugar that is dissolved in water, the second experiment group is given sugar that is dissolved in water, and the control group is given mineral water. The instrument of this study is used push up test, sit up test, and squat jump test to measures the upper muscular endurance, middle, and bottom. All of the samples have done pretest and posttest in different day. When posttest, all of the sample is consumed beverage based on the treatment 30 minutes before do the posttest. Data analysis by Paired Sample t-test and continued by One Way ANOVA to see the influence and comparison between groups. The result of this study has showed that there is a significant difference, the raising of muscular endurance is proved by the score (sig) 0.00>0.05, which the highest increasing is the palm sugar group. Therefore, it could be concluded that there is a significant influence of consuming palm sugar to muscular endurance before physical exercise.

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The Effect of Education Given to the Caregivers of Patients with Stroke on Anxiety and Depression: An Example from Eastern Turkey

International Journal of Psychiatry ◽

10.33140/ijp/03/02/00001 ◽

2018 ◽

Vol 3 (2) ◽

Keyword(s):

Stroke Patient ◽

Depression Scale ◽

Anxiety And Depression ◽

Control Group ◽

Chi Square ◽

Care Givers ◽

Significant Difference ◽

Neurology Clinic ◽

The Individual ◽

And Control

Background: As one of the chronic conditions, stroke brings about important problems for the individual, their family and the society. Aim: This research was made in order to determine the effect of training given to stroke patient caregivers on their anxiety and depression levels. Methods: This experimental research with pretest-posttest control group was conducted in Neurology Clinic between July 2011 and July 2012. The experiment group of the research consisted of 31 stroke patient lying for the first time in the clinic and control group consisted of 33 stroke patients who lied in the clinic before and also care givers. The pretest data was collected by the patient and care giver introduction form prepared by the researchers starting from the week the patient was accepted to the clinic, Barthel Index and Hospital Anxiety and Depression Scale. Posttest data was collected by using all scales after discharge of patient (except introduction form). In the evaluation of the data percentage, average, chi-square was used and also t test was used in independent groups. Results: According to research results a significant difference could not be found between anxiety and depression points of experiment and control groups before training (p>0.05). In the evaluation made after the training it was determined that the anxiety and depression points of the caregivers decreased and the decreases were significant (p<0.001). Conclusions: As a result it was determined that the training given to care givers in the experiment group decreased their anxiety and depression levels. We can recommend that nurses participate in educations on the care of patients with stroke, provide education to caregivers and arrange workshops to increase their awareness on this issue.

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Effect of Physical Exercise on Fatigue in Cervical Cancer Patients

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2019.7(1).41-46 ◽

2019 ◽

Vol 7 (1) ◽

pp. 41

Author(s):

Fatwa Imelda ◽

Nur Afi Darti ◽

Farida Linda Sari Siregar

Keyword(s):

Cervical Cancer ◽

Physical Exercise ◽

Cancer Patients ◽

T Test ◽

Control Group ◽

P Value ◽

Control Group Design ◽

Group Design ◽

And Control ◽

Post Therapy

<p><em>Cervical cancer is the first female health problem in Indonesia with a high mortality rate. Fatigue is a common problem in patients with cervical cancer, fatigue due to cancer is different from fatigue of normal people. One of the self-empowerment recommended for managing post-therapy fatigue is physical exercise. Objective: to examine the effect of physical exercise on fatigue in cervical cancer patients. Metods: a quasy-experimental research with pretest-posttest with control group design was used. Thirty-four respondents were selected using purposive sampling in this study, which 17 respondents were randomly assigned in the experiment and control group. The Piper Fatigue Scale (PFS) was used to measure fatigue level. Paired t-test and Independent t-test were used for data analysis. Results: there was a significant effect of physical exercise on the decrease of fatigue levels in cervical cancer patients with p-value 0.000 (p<0.05), t= -5.794. Conclusion: physical exercise can be recommended in reducing fatigue levels in patients with cervical cancer.</em></p>

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Pengaruh Terapi Spiritual Emotional Freedom Technique (SEFT) Terhadap Penurunan Tingkat Depresi Pada Pasien Kanker Serviks

Medica Hospitalia : Journal of Clinical Medicine ◽

10.36408/mhjcm.v7i2.511 ◽

2020 ◽

Vol 7 (2) ◽

pp. 398-402

Author(s):

Sugih Wijayati ◽

Suci Abrelia Fitriyanti ◽

Arwani Arwani

Keyword(s):

Cervical Cancer ◽

Cancer Patients ◽

Complementary Therapy ◽

Depression Score ◽

Wilcoxon Test ◽

Control Group ◽

Control Group Design ◽

Consecutive Sampling ◽

Post Test ◽

Depression Level

Latar Belakang: Reaksi psikologis yang dapat muncul setelah pasien didiagnosis kanker serviks pada umumnya merasa shock mental, takut, tidak bisa menerima kenyataan, sampai pada keadaan depresi. Depresi berdampak pada gangguan mood yang dikarakteristikkan dengan kesedihan yang intens, berlangsung dalam waktu lama, dan mengganggu kehidupan normal.Kondisi ini terjadi pada pasien kanker servix .Salah satu terapi komplementer yang dapat digunakan untuk menurunkan tingkat depresi pada pasien kanker servix yaitu terapi Spiritual Emotional Freedom Technique (SEFT).Salah satu dampak depresi yang akan muncul adalah lemahnya kondisi fisik yang akan menghambat proses pengobatan dan mendukung sel kanker servix semakin berkembang. Tujuan: untuk mengetahui pengaruh terapi SEFT terhadap tingkat depresi pada pasien kanker serviks di RSUD Dr. Moewardi Surakarta. Metode: Jenis penelitian ini adalah penelitian pra – eksperimental dengan desain penelitian pre and post-test without control group. Sampel dalam penelitian ini sebanyak 33 responden dengan teknik consecutive sampling. Uji analisis data dengan uji Wilcoxon – test. Hasil: Hasil penelitian menunjukkan penurunan skor depresi dari 28 (depresi sedang) menjadi 20 (depresi klinis) setelah dilakukan SEFT dan perubahan skor depresi secara statistik bermakna (p = 0,000). Kesimpulan: ada penurunan terapi SEFT terhadap tingkat depresi pada pasien kanker serviks. Kata kunci : depresi , SEFT, kanker serviks. Abstract Background : Psychological reactions commonly occur among cervical cancer patients are mental alteration, fear, denial and depression. Depression is a mood disorder characterized by prolonged sorrow, which can disrupt normal life. The SEFT therapy is an effective complementary therapy to reduce depression level. Aims: This study aims to examine the effect of SEFT therapy on depression among cervical cancer patients at Dr. Moewardi Surakarta General Hospital. Methods: A pre - experimental study using pre and post-test without control group design was applied to 33 respondents recruited by consecutive sampling method. The data were analyzed using the Wilcoxon test. Result: The depression score was decreased from 28 (moderate depression) to 20 (clinical depression) after intervention, which is statistically significant (p= 0.000). Conclusion : It is concluded that there is positive effect of SEFT therapy on depression level among cervical cancer patients. Keyword : depression, SEFT. Cervical Cancer.

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