scholarly journals PENGARUH TINGKAT STRES TERHADAP MEKANISME KOPING PASIEN KANKER BERBASIS MANAJEMEN TERAPI KANKER

2020 ◽  
Vol 8 (3) ◽  
pp. 346
Author(s):  
Yesiana Dwi Wahyu Werdani

The management of cancer therapy is useful to improve the survival of cancer patients, but it has a physical impact on various functions of the body's organs. It can lead to stress and affect individual coping mechanisms. The aim of this study was to analyze the effect of stress levels on coping mechanisms of cancer patients based on cancer therapeutic management. This study used a mix method design and sequential explanatory approach. The population was cancer patients at the Indonesian Cancer Foundation, East Java Branch, Surabaya. The number of sample were 32 patients taken by total sampling method. The instrument used perceived stress scale and coping strategies inventory short form. The result of ordinal regression test and nagelkerle's pseudo R-Square in chemotherapy group 0.013 and R 0.621, in radiation group 0.016 and R 0.597, in chemoradiotherapy group 0.010 and R 0.737. It means that stress levels has a significant effect on individual coping mechanisms in all cancer therapeutic management groups. On the qualitative results showed that stress and maladaptive coping mechanisms caused by side effects of therapy, financial, relationships with caregiver was less harmonious, less able to think positively. The complexity of therapeutic stressors and the presence of poorly managed of external factors made respondents more likely to have maladaptive coping mechanisms.

2017 ◽  
Vol 53 (1) ◽  
pp. 33 ◽  
Author(s):  
Yesiana Dwi Wahyu Werdani

Cancer patients have a tendency to experience mental disorders, because the physical changes cause frustration and despair. It impacts on anxiety, depression, and social isolation. The purpose of this study was to analyze the influence of mindfullness meditation to stress levels and coping mechanisms in cancer patients. This study used pre experimental approach with one group pre-test post-test design. Samples were 32 cancer patients with composmentis condition in Indonesian Cancer Foundation East Java Branch, taken by total sampling. The instrument was Perceived Stress Scale and Coping Strategies Inventory. Statistics was verified with Wilcoxon Sign Rank Test and Paired T-test P < 0.05. Results showed the effect of Mindfulness Meditation on the level of stress p = 0.001, the adaptive of coping mechanisms p = 0.001 and maldaptive p = 0.003. In conclusion, Mindfulness meditation can cause the respondent to concentrate and focus on themselves, and also strengthen brain regions at the center of attention and executive function, interoception and mental flexibility.


Author(s):  
Elmer G. De Jose

This study explored the stressors and coping mechanisms of older adults, 60 years old and over, who teach in three state higher education institutions in Manila, Philippines. Descriptive correlation method of research was employed. One hundred eighty-eight were randomly selected from the roster of 356 target participants. The Older Adults Life Stress Inventory was used to identify the severity of stressors as experienced by the respondent senior professionals for the past 3 years along the areas of physical, health, social, family, occupational and financial domains. The Coping Strategy Inventory Short Form 32 was used to determine typical coping strategies that involve problem-solving, cognitive restructuring, express emotions and social contact. Tests of correlation, however, revealed that all the six stressors areas have a significant positive correlation with problem avoidance, wishful thinking, self-criticism and social withdrawal (p < 0.01). Multiple regression analyses disclosed that older adult men have a greater preponderance to experience stressors than older adult women   Keywords: Older adult professionals, stressors, coping mechanisms, physical-related stressors, health-related stressors, social-related stressors, family-related stressors, occupational stressors, financial stressors.


2015 ◽  
Vol 14 (3) ◽  
pp. 204-211 ◽  
Author(s):  
Elena Meggiolaro ◽  
Maria Alejandra Berardi ◽  
Elisabeth Andritsch ◽  
Maria Giulia Nanni ◽  
Agustina Sirgo ◽  
...  

AbstractObjective:As a part of a European study, we cross-culturally examined the rate of emotional distress and maladaptive coping and their association with cancer patients' satisfaction with their interactions with the physician responsible for their care.Methods:Cancer patients (n = 302) from one Middle European (Austria) and two Southern European (Italy, Spain) countries completed the NCCN Distress Thermometer (DT), the Mini-Mental Adjustment to Cancer (Mini-MAC) Anxious Preoccupation (AP) and Hopelessness (H) sub-scales, and the Physician Patient Satisfaction with Doctors Questionnaire (PSQ).Results:The prevalence of emotional distress (DT caseness) was 60% (26.1% mild, 18.8% moderate, and 14.9% severe distress). Maladaptive coping (Mini-MAC cases) was found in 22.8% (hopeless cases), and 22.5% (anxious preoccupation cases). PSQ-MD was significantly correlated with Mini-MAC/H and Mini-Mac/AP, while PSQ-PS was negatively correlated with Mini-MAC/H. DT cases and those with higher levels of hopelessness reported higher scores on PSQ-MD and lower on PSQ-PS than non-cases. Some differences were found between countries both as far as patients' coping and perception of the interaction with doctors. In hierarchical multiple regression analysis, after adjusting for socio-demographic and medical variables, Mini-MAC/H significantly predicted the scores on PSQ-MD (positive direction) and PSQ-PS (negative direction).Significance of results:The study confirms that about one out of three cancer patients have moderate to high level of emotional distress and about one out of four, clinically significant maladaptive coping. Also, patients showing hopelessness and distress tended to perceive their doctors as both disengaged and less supportive. These results highlights the need for physicians to monitor their patient's level of distress and coping mechanisms and to adjust their own relational and communication style according to patients' psychological condition. Also, cross-cultural issues should be taken into account when exploring psychosocial variables and cancer patients' perception of and satisfaction with the interaction with their doctors.


Author(s):  
Sami Aldhuwayhi ◽  
Saquib Ahmed Shaikh ◽  
Sreekanth Kumar Mallineni ◽  
Vinutha Kumari Varadharaju ◽  
Amar Ashok Thakare ◽  
...  

Abstract Aim: This study aims to assess the stress levels, stress busters (stress relievers), and coping mechanisms among Saudi dental practitioners (SDPs) during the COVID-19 pandemic outbreak. Methodology: Self-administered questionnaire was sent to SDPs via Google forms. Cohen’s stress score scale was used for stress evaluation, and the mean scores were compared based on age, gender, qualification, and occupation. In addition, comparisons of the utilization of stress coping mechanisms and stress busters based on gender, age, and occupation were evaluated. Descriptive statistics were carried out using SPSS (Version 21.0, Chicago, Illinois, USA). Results: A total of 206 SDPs (69% males and 31% females) participated in the study. Male SDPs showed a higher score than females (P>0.05). SDPs around 50 years and above obtained high-stress scores (25±7.4) as compared to other age groups (P<0.05). The occupational level showed higher stress scores (22.6 ± 4.6 than the other occupation groups (P<0.05). The majority of the SDPs used watching TV/mobile/computer (80%) as a stress buster, followed by binge eating (64%), exercise (44%), smoking (32%), do it yourself (DIY-23%), and meditation (17%). Conclusion: SDPs are experiencing stress levels during this COVID-19 pandemic time. Male SDPs above 50 years and private practitioners showed higher levels of stress scores. An overall commonly used stress buster was smoking in males and meditation in females.


2020 ◽  
Vol 10 (2) ◽  
pp. 146-157
Author(s):  
Yesiana Dwi Wahyu Werdani ◽  
Pascalis Arief Ardiansyah Silab

Background: Cancer is a disease that causes various physical and mental problems. Being diagnosed with cancer affects the self-efficacy and behavior of individuals to choose a coping mechanism in facing the problem.Purpose: This study aimed to determine the effect of self-efficacy on solving problems, seeking support, and avoiding problems as coping mechanisms in cancer patients.Methods: A cross-sectional study was conducted on 45 cancer patients selected using a total sampling technique from two public health centers in Surabaya, Indonesia. Data were collected using the General Self-Efficacy Scale and Coping Strategy Indicator, and analyzed using the Shapiro Wilk for data normality, and linear regression to determine the effects of self-efficacy on solving problems, seeking support, and avoiding problems with p< 0.05.  Results: The results showed the participants’ rate of self-efficacy levels (M=3.26), and coping mechanism levels in solving problems (M=3.46), seeking support (M=2.88), and avoiding problems (M=3.27), as well as mean scores of self-efficacy (32.6±3.8), solving problems (34.6±3.8), seeking support (31.8±3.7), and avoiding problems (32.7±3.2). Based on the linear regression test, there was a significant effect self-efficacy on solving problems (p<0.001; R2=0.97), seeking support (p<0.001; R2=0.98), and avoiding problems (p<0.001; R2=0.98) as coping mechanisms.  Conclusion: Cancer patients who had high self-efficacy scores would choose solving problems and seeking support as the coping mechanisms, but those with lower scores on self-efficacy prefer to avoid the problems.


2021 ◽  
pp. 109861112098416
Author(s):  
Kerry Lynne Edwards ◽  
Yvonne M. Eaton-Stull ◽  
Sarah Kuehn

This study was conducted as controversy and turmoil engulfed police worldwide. Police-community conflict was widespread and conceivably increased officers’ stress levels. Because stress affects officers’ health and job performance, it is important to understand the phenomenon. This study was designed to ascertain officers’ stress levels, coping mechanisms, and perspectives regarding police-community relations, their perceived stress-related needs, and their perceptions of departmental assistance. Participants (N = 128) were police officers across several jurisdictions of various sizes in the northeastern United States. Both quantitative and qualitative data were collected; analytic methods included statistical correlations and regression, as well as qualitative, thematic analysis. Results indicated the following: Participants experienced stress across multiple areas; some coping mechanisms predicted higher expressions of stress, as did certain perspectives of police-community relations and years in law enforcement. Participants’ perspectives of their needs and their suggestions for action contributed to data-driven policy recommendations regarding both prevention and symptom reduction approaches.


Author(s):  
Nagarani Veeraboina ◽  
Dolar Doshi ◽  
Suhas Kulkarni ◽  
Shiva Kumar Patanapu ◽  
Satya Narayana Danatala ◽  
...  

AbstractBackgroundCoping strategies are highly mediated by the environment, in particular when the person deals with the obstacles and impediments to fulfill their goals. This study aimed to investigate the Perceived Stress and Coping Strategies among Undergraduate Dental Students of Panineeya Institute of Dental Sciences Hyderabad, India.Materials and MethodsA cross-sectional study was carried out among 267 undergraduate dental students. The survey tool comprised of Perceived Stress Scale (PSS) and Brief COPE Scale along with demographic variables. Statistical analysis was done using SPSS 20.0.ResultsBased on gender, females had high PSS mean scores (23.8±7.3) than males and to overwhelm these stress levels most of the students followed adaptive coping strategies (40.4±7.8) with no significant difference. But, significant difference noted for maladaptive coping dimension “denial” (p=0.004). On comparison between year of study, higher perceived stress was noted among second year students (26.7± 5.8), and least among first years (21.6±7). In order to defeat the stressors most of the second year undergraduate students used adaptive coping strategies. However, highest mean adaptive coping scores were noted among first years (41.6±7.5) and least scores observed among fourth years (38.6±9.2). However, total PSS score showed significant positive correlation (p<0.001) with maladaptive coping strategies.ConclusionFemales and second year students perceived more stress levels, to overtake those stressors most of them followed adaptive coping strategies. Hence, institutional authorities should take measures to decrease the stress levels and encourage the students to adopt healthy life style such as meditation and exercise to beat their stressors.


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