The Effect of Cognitive Behavioral Therapy (CBT) on Reducing the Anxiety Level of Breast Cancer Patients Undergoing Chemotherapy at Hasanuddin University Hospital

M. Malik, I Kade Wijaya, Nirmala Amir, Atikah Asri Putri
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Abstract

Breast cancer is the number one cancer in women in the world both globally and nationally. In Indonesia, breast cancer is in the top position of all types of cancer experienced by women in Indonesia. Cancer treatment is generally done by surgery and chemotherapy. Several studies describing the mental effects of breast cancer patients showed that 33.3% experienced anxiety. Psycho-educational interventions have proven effective in overcoming mental problems faced by patients with chronic illnesses such as cancer. One type of psycho-education that can be done includes Cognitive Behavioral Therapy (CBT). This study aims to determine the effect of Cognitive Behavioral Therapy (CBT) on Reducing the Anxiety Level of Breast Cancer Patients Undergoing Chemotherapy at Makassar City Hospital. This study used a Quasi-Experimental Design Pre-Post Test Design with Control Group. The results showed that the majority of respondents' anxiety before being given treatment had no anxiety/low anxiety in the intervention group and in the control group even though there were 16% of respondents who felt high anxiety. After treatment, the anxiety of the respondents in the intervention group remained the same as before the treatment and the anxiety of the respondents in the control group changed by 1 respondent (8.3%) who had experienced high anxiety decreased to moderate anxiety. Cognitive Behavioral Therapy (CBT) therapy did not show any significant results in reducing the patient's anxiety level. It is recommended that the CBT implementation session be maximized again to get maximum results.
认知行为疗法(CBT)对降低Hasanuddin大学医院化疗乳腺癌患者焦虑水平的影响
无论是在全球还是在全国范围内,乳腺癌都是女性的头号癌症。在印度尼西亚,乳腺癌在印度尼西亚妇女所患的各种癌症中居首位。癌症治疗通常是通过手术和化疗来完成的。几项描述乳腺癌患者心理影响的研究表明,33.3%的人经历过焦虑。心理教育干预已被证明对克服慢性疾病(如癌症)患者所面临的心理问题是有效的。其中一种心理教育包括认知行为疗法(CBT)。本研究旨在探讨认知行为疗法(CBT)对降低望加锡市医院化疗乳腺癌患者焦虑水平的影响。本研究采用准实验设计,对照组采用前-后测试设计。结果显示,干预组和对照组中,尽管有16%的受访者感到高度焦虑,但大多数受访者在接受治疗前的焦虑没有焦虑或低焦虑。治疗后,干预组被调查者的焦虑状态与治疗前持平,对照组被调查者的焦虑状态由1名(8.3%)由高焦虑状态降至中度焦虑状态。认知行为疗法(CBT)在降低患者焦虑水平方面没有显示出任何显著的效果。建议再次最大化CBT实现会话,以获得最大的效果。
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