Kecemasan dan Persepsi Pasien Kanker Ovarium dengan Kemoterapi setelah Terapi Smartphone-Based Virtual Reality (S-VR): Studi Kasus

https://doi.org/10.22146/jkkk.67529

Made Satya Nugraha Gautama(1*), Wiwin Lismidiati(2), Farida Widayati(3)

(1) Program Studi Ilmu Keperawatan Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan Universitas Gadjah Mada
(2) Departemen Keperawatan Anak dan Maternitas, Program Studi Ilmu Keperawatan Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan Universitas Gadjah Mada
(3) Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta
(*) Corresponding Author

Abstract


Background: Chemotherapy is a systemic modality for cancer patients and has physical and psychological side effects. Psychological problems usually arise most often when undergoing chemotherapy. Not a few patients feel anxiety and negative perceptions when diagnosed with cancer, undergo surgery, or have an IV inserted to get chemotherapy drugs. Virtual Reality (VR) is a technology-based non-complementary therapy that has the potential to be involved as an alternative in the management of symptoms of cancer patients.
Objective: To describe the effects of using Smartphone-Based Virtual Reality (S-VR) on the level of anxiety and perceptions of cancer patients during chemotherapy.
Methods: A case study of ovarian cancer patient undergoing chemotherapy and were given Smartphone -Based Virtual Reality (S-VR) treatment.
Results: The results obtained were a decrease in situational anxiety facing chemotherapy from a score of 40 (moderate anxiety) to a score of 21 (mild anxiety), decreased in pulse rate, and a significant increase in the perception score (28.6%) (less perception) to 94.3% ( good perception) after getting S-VR intervention during chemotherapy.
Conclusion: S-VR can be a technology-based and non-invasive non-pharmacological intervention in reducing anxiety and providing positive experiences for patients during chemotherapy.

 

ABSTRAK

Latar Belakang: Tidak sedikit pasien merasakan kecemasan dan persepsi negatif saat didiagnosa kanker, menjalankan pembedahan, atau dipasang infus kemoterapi. Virtual Reality (VR) menjadi salah satu terapi non-komplementer berbasis teknologi yang potensial dilibatkan sebagai alternatif dalam manajemen gejala pasien kanker.
Tujuan: Untuk mengetahui efek penggunaan Smartphone-Based Virtual Reality (S-VR) terhadap tingkat kecemasan dan persepsi pasien kanker selama menjalani kemoterapi.
Metode: Studi kasus dilakukan pada pasien dengan kanker ovarium yang mendapatkan kemoterapi dan diberikan terapi S-VR. Kecemasan diukur dengan instrument S-AI, pengukuran nadi dan RR. Pengukuran persepsi menggunakan instrument dari Scates.
Hasil: Terjadi penurunan kecemasan saat kemoterapi dari skor 40 (kecemasan sedang) ke skor 21 (kecemasan ringan), penurunan frekuensi nadi dan adanya peningkatan secara signifikan skor persepsi (65,7%) (persepsi cukup) menjadi 94,3% (persepsi baik) setelah mendapatkan intervensi S-VR selama  kemoterapi.
Kesimpulan: S-VR dapat menjadi intervensi non-farmakologis berbasis teknologi dan non-invasif dalam menurunkan kecemasan dan memberikan pengalaman positif pada pasien selama menjalani kemoterapi.

Kata Kunci: 


Keywords


kanker; kecemasan; kemoterapi; persepsi; virtual reality

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DOI: https://doi.org/10.22146/jkkk.67529

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