Respon Fatigue Pasien Bio-Psiko-Spiritual pada Pasien Kanker yang Menjalani Kemoterapi
DOI:
https://doi.org/10.31004/joecy.v6i2.6148Keywords:
Cancer-related fatigue, Kemoterapi, Bio-psiko-spiritual, Kelelahan kanker, Kualitas hidupAbstract
Latar Belakang Cancer-Related Fatigue (CRF) merupakan gejala paling umum dan melemahkan pada pasien kanker yang menjalani kemoterapi. CRF tidak hanya memengaruhi kondisi fisik, tetapi juga berdampak pada aspek psikologis dan spiritual, sehingga menurunkan kualitas hidup secara signifikan. Namun, dalam praktik klinis, CRF sering kurang teridentifikasi dan kurang ditangani secara komprehensif karena kompleksitas gejala dan variasi pengalaman antar individu. Berdasarkan hal tersebut, penelitian ini bertujuan menyintesis bukti ilmiah terkait respons bio-psiko-spiritual pasien kanker terhadap CRF selama menjalani kemoterapi melalui pendekatan systematic literature review. Tujuan Penulisan artikel ini untuk menyintesis bukti ilmiah mengenai respons bio-psiko-spiritual pasien kanker terhadap CRF, sekaligus memberikan dasar bagi pengembangan intervensi keperawatan yang lebih holistik dan berpusat pada pasien. Metode penulisan artikel ini menggunakan pendekatan systematic literature review, di dalamnya terdapat 18 jurnal yang membahas tentang respon fatigue pasien bio-psiko-spiritual pasien kanker. Kesimpulan CRF membutuhkan asesmen dan manajemen berbasis pendekatan bio-psiko-spiritual. Penulisan ini menegaskan pentingnya intervensi yang lebih integratif, sensitif budaya, dan sesuai kebutuhan individual pasien.
References
Arizona, I. K. L. T., Sukartini, T., & Efendi, F. (2020). “I Feel Like A Baby”: A Cancer-Related Fatigue Experience Based on A Male Perspective. Systematic Reviews in Pharmacy, 11w(6), 1069–1074. https://doi.org/10.31838/srp.2020.6.152
Bootsma, T. I., Schellekens, M. P. J., Van Woezik, R. A. M., Slatman, J., & Van der Lee, M. L. (2021). Forming New Habits in The Face of Chronic Cancer-Related Fatigue: An Interpretative Phenomenological Study. Supportive Care in Cancer, 29(11), 6651–6659. https://doi.org/10.1007/s00520-021-06252-3
Bootsma, T. I., Schellekens, M. P. J., van Woezik, R. A. M., Van der Lee, M. L., & Slatman, J. (2020). Experiencing and Responding to Chronic Cancer‐Related Fatigue: A Meta‐Ethnography of Qualitative Research. Psycho-Oncology, 29(2), 241–250. https://doi.org/10.1002/pon.5213
Bootsma, T. I., Schellekens, M. P. J., Van Woezik, R. A. M., van der Lee, M. L., & Slatman, J. (2023). Navigating Severe Chronic Cancer-Related Fatigue: An Interpretative Phenomenological Analysis. Psychology & Health, 38(4), 494–517. https://doi.org/10.1080/08870446.2021.1973468
Borneman, T., Piper, B. F., Koczywas, M., Munevar, C. M., Sun, V., Uman, G. C., & Ferrell, B. R. (2014). A Qualitative Analysis of Cancer-Related Fatigue in Ambulatory Oncology. Clinical Journal of Oncology Nursing, 16(1), E26–E32. https://doi.org/10.1188/12.CJON.E26-E32
Calderon, J. M., Muñoz, C. G., García, F. J. C., & Rizo, A. M. H. (2025). Spiritual Well-Being, Faith, Meaning in Life, Peace, and Purpose in Life for Cancer-Related Fatigue: Systematic Review with Meta-Analysis and meta-regressions. Journal of Cancer Survivorship, 19(5), 1634–1650. https://doi.org/10.1007/s11764-024-01579-2
Campbell, R., Shaw, J. M., Carlick, T., Banks, H., Faris, M. M., Jeon, M. S., Legge, D. M., Foster, C., Leonard, R., Chan, R. J., Agar, M. R., Miller, A., & Dhillon, H. M. (2024). “Such a Different Type of Tiredness”: People with Brain Tumour, Their Caregivers’, and Healthcare Professionals’ Qualitative Perceptions of Cancer-Related Fatigue. Journal of Cancer Survivorship, 1–19. https://doi.org/10.1007/s11764-024-01691-3
Carmichael, C., Gousset, C., Burns, D., Miller, J., Van Tomme, S., Kitchen, H., Makin, H., Aldhouse, N., & Cordero, P. (2025). Fatigue Experience in Oncology; a Targeted Qualitative Literature Review and Novel Patient-Centric Conceptual Model. Advances in Therapy, 42(11), 5380–5396. https://doi.org/10.1007/s12325-025-03330-4
Levkovich, I., Cohen, M., & Karkabi, K. (2019). The Experience of Fatigue in Breast Cancer Patients 1–12 Month Post-Chemotherapy: A Qualitative Study. Behavioral Medicine, 45(1), 7–18. https://doi.org/10.1080/08964289.2017.1399100
Lewis, S., Salins, N., Rao, Mr., & Kadam, A. (2014). Spiritual Well-Being and its Influence on Fatigue in Patients Undergoing Active Cancer Directed Treatment: A Correlational Study. Journal of Cancer Research and Therapeutics, 10(3), 676. https://doi.org/10.4103/0973-1482.138125
Li, H., Ng, M. S. N., Jin, X., & Wong, C. L. (2023). ‘Life became Slow Down’: A Descriptive Qualitative Study of The Experiences of Cancer-Related Fatigue Amongst People with Advanced Lung Cancer. Palliative Medicine, 37(8), 1168–1182. https://doi.org/10.1177/02692163231184926
Liu, Q., Ho, K.-Y., Lam, K.-K.-W., Lam, W.-Y.-Y., Cheng, E.-H.-L., Ching, S.-S.-Y., & Wong, F.-K.-Y. (2022). A Descriptive and Phenomenological Exploration of the Spiritual Needs of Chinese Children Hospitalized with Cancer. International Journal of Environmental Research and Public Health, 19(20), 13217. https://doi.org/10.3390/ijerph192013217
Ma, X., Wang, Q., & Chan, D. N. S. (2025). Women’s Experience and Management of Cancer‐Related Fatigue and Psychological Distress During Treatment for Gynaecological Cancer: A Qualitative Study. Journal of Advanced Nursing, 81(6), 3213–3225. https://doi.org/10.1111/jan.16527
Medeiros, M. B. de, Silva, R. M. C. R. A., Pereira, E. R., Melo, S. H. da S., Joaquim, F. L., Santos, B. M. dos, & Goés, T. R. P. (2019). Perception of Women with Breast Cancer Undergoing Chemotherapy: A Comprehensive Analysis. Revista Brasileira de Enfermagem, 72(suppl 3), 103–110. https://doi.org/10.1590/0034-7167-2018-0165
Robertsen, I., & Skär, L. (2021). Oncology Nurses’ Experiences of Meeting with Men with Cancer‐Related Fatigue: A Qualitative Study. Scandinavian Journal of Caring Sciences, 35(1), 252–259. https://doi.org/10.1111/scs.12841
Rohde, G., Kersten, C., Vistad, I., & Mesel, T. (2017). Spiritual Well-being in Patients With Metastatic Colorectal Cancer Receiving Noncurative Chemotherapy. Cancer Nursing, 40(3), 209–216. https://doi.org/10.1097/NCC.0000000000000385
Shin, J.-W., Lee, B.-J., Chung, S., Lee, K. S., Kim, K., & Hwang, J.-I. (2024). Understanding Experiences of Cancer-Related Fatigue in Patients with Lung Cancer After Their Cancer Treatment: A Qualitative Content Analysis. Quality of Life Research, 33(4), 975–987. https://doi.org/10.1007/s11136-023-03578-9
Siswanto. (2021). Systematic Review Sebagai Metode Penelitian Untuk Mensintesis Hasil-Hasil Penelitian (Sebuah Pengantar). Buletin Penelitian Sistem Kesehatan, 4(13), 326–-333.
Triandana, I. K. L., Sukartini, T., Efendi, F., Estiadewi, P. S., & Anggraeni, N. P. D. A. (2019). The Experiences of Cancer-Related Fatigue Among Adult Cancer Patients: A Systematic Review. Jurnal Ners, 14(3), 35–44. https://doi.org/10.20473/jn.v14i3.16973
Wijlens, K. A. E., Beenhakker, L., Witteveen, A., Siemerink, E. J. M., Jansen, L., Gernaat, C., Schellekens, M. P. J., Siesling, S., Vollenbroek-Hutten, M. M. R., & Bode, C. (2025). A Holistic Profile for Cancer-Related Fatigue for Women With Breast Cancer–A Qualitative Study. Psychology & Health, 40(6), 1037–1061. https://doi.org/10.1080/08870446.2023.2289457
Yang, Y., Zhao, X., Meng, C., & Wang, Y. (2023). Dimensions of Spiritual Well-Being in Relation to Physical and Psychological Symptoms: A Cross-Sectional Study of Advanced Cancer Patients Admitted to A Palliative Care Unit. BMC Palliative Care , 137.
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