THE EFFECTIVENESS OF GUIDED IMAGERY ON DEPRESSION AND CORTISOL LEVELS IN COLON RECTAL CANCER PATIENTS

Ariyanti Saleh; Syahrul Ningrat; Wa Ode Nurisna; Aulia Insani Latif

doi:10.24252/kesehatan.v15i2.34295

Ariyanti Saleh Faculty of Nursing, Hasanuddin University
(ID)
Syahrul Ningrat Nursing Lecturer, Faculty of Nursing Hasanuddin University
(ID)
Wa Ode Nurisna Nursing Lecturer, Faculty of Nursing Hasanuddin University
(ID)
Aulia Insani Latif Nursing Lecturer, Pelamonia Health Sciences Institute
(ID)

DOI: https://doi.org/10.24252/kesehatan.v15i2.34295

Keywords: Depression; cortisol levels;, Colonrectal Cancer; guided imagery

Abstract

Background: Depression in colon rectal cancer patients can inhibit the healing process, increasing the morbidity and mortality. Purpose of the study: This study aims to determine the effectiveness of guided imagery on the level of depression and cortisol. Guided imagery is a relaxation and comfort therapy that can provide a calm effect. Guided imagery is performed by guiding the patient in imagining a beautiful and comfortable place. Research Method: This study uses experimental design. The study sample consist of 52 patients with colon rectal cancer who undergo the treatment. Depression levels and examination of cortisol levels are carried out before and after the intervention. Guided imagery is given to 26 people in the intervention group, and 26 people in the control group for the standard care. Data analysis using independent t-test and dependent t-test if the data is normally distributed. Results: The use of Guided Imagery therapy can reduce the average level of depression in CRC patients but does not show changes in cortisol levels in patient's body.

Downloads

Download data is not yet available.

References

Afshar, M., Mohsenzadeh, A., Gilasi, H., & Gandomani, H. S. (2018). The effects of guided imagery on state and trait anxiety and sleep quality among patients receiving hemodialysis: a randomized controlled trial . Complementary Therapies in Medicine , 1-17.

Benson, H., Harvard Health Publications, & Harvard Medical School. (2008). Stress Management: Approaches for preventing and reducing stress. Harvard Health Publications.

Berman, A., Snyder, S., & Levett-Jones, T. (2012). Kozier and Erb's fundamentals of nursing. New York: Pearson Education.

Boyer P. (2000). Do anxiety and depression have a common pathophysiological mechanism? Acta Psychiair Scand 102:24-29.

Carney RM, Freedland KE, Stein PK. (2000). Anxiety, depression, and heart rate variability, Psyhosom Med 62: 84-87.

Cooper, K., & Stollings, S. (2010). Guided imagery for anxiety. Pittsburgh, PA: University of Pittsburgh Medical Center: 606 – 607.

Critchley HD, Taggart P, Sutton PM et al. (2005). Mental stress and sudden cardiac death: asymmetric midbrain activity as a linking mechanism, Brain 128: 75-85.

Fuadiyah, Ainun, R., Aristianti, Kun, & Kunjoro. (2016). EFEKTIFITAS Guided Imagery and Music (GIM) TERHADAP KADAR HORMON KORTISOL PADA IBU POST PARTUM BLUES DI WILAYAH KOTA SEMARANG. Diponegoro University, Intitutional Repository .

Foji, S., Tadayonfar, M. A., Mohsenpour, M., & Rakhshani, M. H. (2015). The study of the effect of guided imagery on pain, anxiety and some other hemodynamic factors in patients undergoing coronary angiography. Complementary therapies in clinical practice, 21(2), 119-123.

Gershenfeld HK, Philibert RA, Boehm GW. (2005). Looking forward in geriatric anxiety and depression: implications of basic science for the future, Am J Geriatr Psychiatry 13:1027-1040.

Gonzales, E. A., Ledesma, R. J., McAllister, D. J., Perry, S. M., Dyer, C. A., & Maye, J. P. (2010). Effects of guided imagery on postoperative outcomes in patients undergoing same-day surgical procedures: a randomized, single-blind study. UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES WRIGHT-PATTERSON AFB OH GRADUATE SCHOOL OF NURSING.

Halm, M. A. (2009). Relaxation: A self-care healing modality reduces harmful effects of anxiety. American Journal of Critical Care, 18(2), 169-172.

Heikkila, J., Paunonen, M., Virtanen, V., & Laippala, P. (1999). Gender differences in fears related to coronary arteriography. Heart Lung, 28(1), 20-30.

Krucoff, M. W., Crater, S. W., Green, C. L., Maas, A. C., Seskevich, J. E., Lane, J. D., ... & Koenig, H. G. (2001). Integrative noetic therapies as adjuncts to percutaneous intervention during unstable coronary syndromes: Monitoring and Actualization of Noetic Training (MANTRA) feasibility pilot. American Heart Journal, 142(5), 760-769.

Krucoff, M. W., Crater, S. W., Gallup, D., Blankenship, J. C., Cuffe, M., Guarneri, M., ... & Lee, K. L. (2005). Music, imagery, touch, and prayer as adjuncts to interventional cardiac care: the Monitoring and Actualisation of Noetic Trainings (MANTRA) II randomised study. The Lancet, 366(9481), 211-217.

Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., Bucher, L., Camera, I. M. (2011). Medical surgical nursing: Assessment and management of clinical problems . St Louis: Mosby Elsevier.

McPhee, S., J., & Papadakis, M., A. (2009). Current Medical Diagnosis & Treatment, 48th ed. USA: McGraw-Hill.

Millar, K., Jelicic, M., Bonke, B., & Asbury, A. J. (1995). Assessment of preoperative anxiety: comparison of measures in patients awaiting surgery for breast cancer.British Journal of Anaesthesia, 74(2), 180-183.

Mortimore C, Anderson IM. (2000). d-Fenfluramine in panic disorder: a dual role for 5-hydroxytryptamine. Psychopharmacology, 149:251-258.

Mustofa, E. (2012). Efek Stres Fisik dan Psikologis pada Kortisol, PGE , BAFF, IL-21, sIgA, dan Candidiasis 2 Vulvovaginal. Jurnal Kedokteran Brawijaya , 21-27.

Nurinasari, H., Respati, S. H., & Sulistyowati, S. (2015). Perbedaan Kadar Kortisol Serum Pasien Kanker ServiksStadium LanjutSetelah intervensi Psikoterapi Realitas dengan terapi Standart. Surakarta: Universitas Sebelas Maret.

Nuridah,, Ariyanti Saleh, &Cahyono Kaelan(2016). Faktor-faktor yang berhubungan dengan kualitas hidup penderita kanker kolorektal di rumah sakit di kota makassar

Polit, D.F. & Beck, C.T. (2012). Nursing research, generating and assesing evidence for nursing practice ninth edition. Philadelphia: Lippincott Williams & Wilkins.

Prato, C. A., & Yucha, C. B. (2013). Biofeedback-assisted relaxation training to decrease test anxiety in nursing students. Nursing education perspectives, 34(2), 76-81.

Riskesdas, RI, K. K. (2013). Riset Kesehatan Dasar (Riskesdas) 2013. Jakarta: Kemenkes RI.

Satrianegara, F. M. (2016) Pengaruh ruqyah mandiri terhadap kadar kortisol, depresi, kualitas hidup dan kualitas hidup spiritual penderita kanker yang menjalani radioterapi.

Serra Diane, R. N., MSL, A., Parris, C. R., Elise Carper, R. N., Fleishman, S. B., Harrison, L. B., & Chadha, M. (2012). Outcomes of guided imagery in patients receiving radiation therapy for breast cancer. Clinical journal of oncology nursing, 16(6), 617.

Seskevich, J. E., Crater, S. W., Lane, J. D., & Krucof, M. W. (2004). Beneficial effects of noetic therapies on mood before percutaneous intervention for unstable coronary syndromes. Nursing research, 53(2), 116-121.

Strik, J. J., Denollet, J., Lousberg, R., & Honig, A. (2003). Comparing symptoms of depression and anxiety as predictors of cardiac events and increased health care consumption after myocardial infarction. Journal of the American College of Cardiology, 42(10), 1801-1807.

Stuart, G., & Laraia, M. (2005). Psychiatric nursing. Philadelphia: Mosby, 16.

Valenza, M. C., Valenza-Peña, G., Torres-Sánchez, I., González-Jiménez, E., Conde-Valero, A., & Valenza-Demet, G. (2013). Effectiveness of controlled breathing techniques on anxiety and depression in hospitalized COPD: a randomized clinical trial. Respiratory care, respcare-02565.

von Kanel, R., Mills P., J., & Fainman C. (2001). Effects of psychological stress and psychiatric disorders on blood coagulation and fibrinolysis: a biobehavioral pathway to coronary artery disease? Psychosom Med 63: 531-544.

von Kanel, R., Mills P., J., & Ziegler, M., G. (2002). Effect of beta2- adrenergic receptor functioning and increased norepinephrine on the hypercoagulable state with mental stress, Am Heart J 144: 68-72.

Watanabe, E., Fukuda, S., Hara, H., Maeda, Y., Ohira, H., & Shirakawa, T. (2006). Differences in relaxation by means of guided imagery in a healthy community sample. Alternative Therapies In Health & Medicine, 12(2), 60-66.

Watkins, L. L., Blumenthal, J. A., Davidson, J. R., Babyak, M. A., McCants, C. B., Jr., & Sketch, M. H., Jr. (2006). Phobic anxiety, depression, and risk of ventricular arrhythmias in patients with coronary heart disease. Psychosomatic Medicine, 68(5), 651-656. Doi: 10.1097/01. psy. 0000228342.53606.b3.

Wood, D., & Patricolo, G. E. (2013). Using guided imagery in a hospital setting. Alternative and Complementary Therapies, 19(6), 301-305.

Yijing, Z., Xiaoping, D., Fang, L., Xiaolu, J., & Bin, W. (2015). The Effects of Guided Imagery on Heart Rate Variability in Simulated Spaceflight Emergency Tasks Performers. BioMed Research International.

Yusuf, S., Okuwa, M., Irwan, M., Rassa, S., Laitung, B., Thalib, A., et al. (2016). Prevalence and Risk Factor of Diabetic Foot Ulcers in a Regional Hospital, Eastern Indonesia. Open Journal of Nursing, 2016, 6, 1-10 , 1-10.