The Effectiveness of Psychological Dhikr Therapy in Improving the Quality of Life of Cancer Patients Undergoing Chemotherapy

Alfi Syahri; Siti Marlina; Meta Rosaulina; Maria Hermita Manik; Yayang Harigustian; Yourisna Pasambo; Komang Ardidhana Nugraha Putra

doi:10.47718/jpd.v12i2.2524

Alfi Syahri Fakultas Keperawatan, Institut Kesehatan Deli Husada Deli Tua https://orcid.org/0009-0009-8756-6288
Siti Marlina Fakultas Keperawatan, Institut Kesehatan Deli Husada Deli Tua
Meta Rosaulina Fakultas Keperawatan, Institut Kesehatan Deli Husada Deli Tua
Maria Hermita Manik Fakultas Keperawatan, Institut Kesehatan Deli Husada Deli Tua
Yayang Harigustian STIKes YKY Yogyakarta https://orcid.org/0009-0005-2055-1189
Yourisna Pasambo Politeknik Kesehatan Kementerian Kesehatan Manado https://orcid.org/0000-0002-0949-2676
Komang Ardidhana Nugraha Putra Institut Teknologi dan Kesehatan Bali https://orcid.org/0000-0001-6598-6841

DOI: https://doi.org/10.47718/jpd.v12i2.2524

Keywords: Dhikr therapy, quality of life, cancer, chemotherapy, psychospiritual

Abstract

Introduction: Cancer is a chronic disease with increasing prevalence globally, including in Indonesia, and has a significant impact on patients' quality of life. This impact includes not only physical, but also emotional and spiritual aspects, especially for patients undergoing chemotherapy, who often face physical side effects such as fatigue, pain, and psychological disorders such as anxiety and depression. Objective: This study aims to analyze the effectiveness of dhikr therapy in improving the quality of life of cancer patients during chemotherapy. Methods: The study used a quasi-experimental approach with a one-group pre-post test design. The sample consisted of 37 adult cancer patients undergoing chemotherapy at Sembiring General Hospital, selected by purposive sampling technique. Dhikr intervention was conducted for 4 weeks, with data collected using the WHOQOL-BREF questionnaire to measure quality of life, as well as dhikr activity logs. Data analysis used paired t-test to evaluate changes before and after the intervention. Results: This study showed a significant improvement in patients' quality of life after dhikr therapy. The mean change score reached -9.184 with a standard deviation of 4.373, and a p-value of 0.000 (p < 0.05), indicating that this difference was statistically significant. Conclusion: Dhikr therapy is effective in improving the quality of life of cancer patients, especially in the physical, emotional, and spiritual dimensions.

Author Biography

Alfi Syahri, Fakultas Keperawatan, Institut Kesehatan Deli Husada Deli Tua

Alfi Syahri, is a lecturer in the Department of Fundamental, Medical-Surgical, and Critical Nursing, Faculty of Nursing, Institut Kesehatan Deli Husada and his research areas are Medical Surgical Nursing: Cardiovascular, HIV & AIDS and Oncology. Alfi Syahri is a lecturer who teaches courses on the fundamental nursing, medical surgical care, critical care, emergency care and Health management. Currently Alfi is pursuing specialist and doctoral education at the Faculty of Nursing, Airlangga University, Surabaya.

References

1. Xue H, Li Y, Xia Y, Wang Y. The Assessment of Spirituality Between Cancer and Chronic Inpatients: A Cross-Sectional Study. Supportive Care in Cancer. 2022;30(5):4157–67.
2. Ahmed S, Khalil SME. Relationship Between Health-Related Quality of Life and Self-Esteem of Adult Patients Receiving Chemotherapy for Cancer Treatment. International Journal of Advanced Nursing Studies. 2017;6(1):63.
3. Vries YC d., Boesveldt S, Kelfkens CS, Posthuma EE, Berg MMGA v. d., Kruif JThCM d., et al. Taste and Smell Perception and Quality of Life During and After Systemic Therapy for Breast Cancer. Breast Cancer Res Treat. 2018;170(1):27–34.
4. Shimada S, Aoyanagi M, Sumi N. Components and Related Factors of Nursing Interventions for Improving Resilience in Cancer Patients Undergoing Chemotherapy. Healthcare. 2021;9(3):300.
5. Nuraeni A, Mirwanti R, Anna A. Relationship of Spiritual-Wellbeing With Anxiety and Depression in Patients With Cardiac Heart Disease. Belitung Nurs J. 2018;4(1):45–50.
6. Lou S, Xu D, Yan H, Li J. Study of Psychological State of Cancer Patients Undergoing Radiation Therapy During Novel Coronavirus Outbreak and Effects of Nursing Intervention. Precision Medical Sciences. 2020;9(2):83–9.
7. Rajaei A, Kadkani H, Sadeghi M. The Effect of Spiritual Cognitive Emotional Group Therapy in Reducing Psychological Problems in Cancer Patients. Journal of Research and Health. 2016;6(5):512–21.
8. Sulistyawati RA, Probosuseno, Setiyarini S. Dhikr Therapy for Reducing Anxiety in Cancer Patients. Asia Pac J Oncol Nurs. 2019;6(4):411–6.
9. Subhi MR, Habibi BY. Development of Creativity and Innovation in Guidance and Counseling: A Sufistic Approach. Pamomong Journal of Islamic Educational Counseling. 2022;3(2):53–63.
10. Binoriang DP, Pramesti SW. The Comparison of the Effectiveness Between Cananga Aromatherapy and Dzikr Therapy on Reducing Anxiety in the Elderly With Hypertension at Posyandu Tawarsari Wonosari Gunungkidul. Bali Medical Journal. 2021;10(3):1263–7.
11. Pangestika DD, Trisyani Y, Nuraeni A. The Effect of Dhikr Therapy on the Cardiac Chest Pain of Acute Coronary Syndrome (ACS) Patients. Nurse Media Journal of Nursing. 2020;10(2):200–10.
12. Anjastya HA, Yuniartika W. Spiritual Spiritual Therapy (Dhikr) Can Decrease Blood Sugar Levels in Diabetes Mellitus Patients in the Intensive Care Unit (ICU): A Study Literature. Klasics. 2022;2(01):16–26.
13. Zhao Y, Zhu R. The Effect of a Psycho-Educational Intervention on Quality of Life of Patients With Advanced Lung Cancer Undergoing Chemotherapy. Open J Nurs. 2015;05(10):843–7.
14. Lavdaniti M. Assessment of Symptoms in Cancer Patients Undergoing Chemotherapy in Northern Greece. Materia Socio Medica. 2015;27(4):255.
15. Sastra L, Büssing A, Chen CH, Yen M, Lin ECL. Spiritual Needs and Influencing Factors of Indonesian Muslims With Cancer During Hospitalization. Journal of Transcultural Nursing. 2020;32(3):212–20.
16. Holtmaat K, Spek N v. d., Witte BI, Breitbart W, Cuijpers P, Leeuw IM V. Moderators of the Effects of Meaning-Centered Group Psychotherapy in Cancer Survivors on Personal Meaning, Psychological Well-Being, and Distress. Supportive Care in Cancer. 2017;25(11):3385–93.
17. Compen F, Bisseling E, Schellekens MPJ, Donders R, Carlson LE, Lee M v. d., et al. Face-to-Face and Internet-Based Mindfulness-Based Cognitive Therapy Compared With Treatment as Usual in Reducing Psychological Distress in Patients With Cancer: A Multicenter Randomized Controlled Trial. Journal of Clinical Oncology. 2018;36(23):2413–21.
18. Tu M, Wang F, Shen S, Wang H, Feng J. Influences of Psychological Intervention on Negative Emotion, Cancer-Related Fatigue and Level of Hope in Lung Cancer Chemotherapy Patients Based on the PERMA Framework. Iran J Public Health. 2021;
19. Li H, Li J, Wang X, Lin S, Yang W, Cai H, et al. Systematic Review and Meta-Analysis of the Efficacy and Safety of Psychological Intervention Nursing on the Quality of Life of Breast Cancer Patients. Gland Surg. 2022;11(5):882–91.
20. Cillessen L, Johannsen M, Speckens A, Zachariae R. Mindfulness‐based Interventions for Psychological and Physical Health Outcomes in Cancer Patients and Survivors: A Systematic Review and Meta‐analysis of Randomized Controlled Trials. Psychooncology. 2019;28(12):2257–69.
21. Ye ZJ, Zhang Z, Zhang XY, Tang Y, Liang J, Sun Z, et al. Effectiveness of adjuvant supportive-expressive group therapy for breast cancer. Breast Cancer Res Treat. 2020 Feb 1;180(1):121–34.