EFEKTIVITAS LOGOTERAPI TERHADAP KADAR KORTISOL SERUM PASIEN KANKER SERVIKS STADIUM LANJUT

Mendrofa, Gresilia Hilbarida (2015) EFEKTIVITAS LOGOTERAPI TERHADAP KADAR KORTISOL SERUM PASIEN KANKER SERVIKS STADIUM LANJUT. Masters thesis, Universitas Sebelas Maret.

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    Abstract

    More than 40% of all malignancy on woman were gynecologic cancer, the most common cancer is cervical cancer. On advance stage of cervical cancer, there may be a stres that comes from biologic, psychology and social aspects. The patients may face a physical and emotional burden which could activate the mechanism response of HPA-axis. Repeat activation could impair HPA-axis and circadian rhythm of cortisol. Psychotherapy, especially logotherapy is found to give benefit on cancer patient’s therapy by improving their knowledge about their disease and therapy, improving their emotional adjustment, quality of life, survival ability, satisfaction of therapy, as well as physical and functional heath adjustment. Purpose: To Analyze the effectivity of logotherapy towards cortisol serum level cervical cancer with intervention and not in dr. Moewardi general Hospital, Surakarta, Central Java. Methods: This study using experimental double blind non randomized clinical trial post-test group design towards cortisol serum level advance stage cervical cancer. The subjects of this study using purposive random sampling which consist of 30 patients, devided into 15 patients on control group, and the other 15 were treated group. Control group were having standard therapy only while treated group were having a 6 session of logoteraphy with 45 minutes duration on each session for a week plus standard therapy. All subjects were met the inclusion and exclusion criteria. The result were analyzed by SPSS 19.0 version for windows and using t test. Result: Distribution of mean cortisol level were lower in the serum of patients treated group (3.99 + 5.22 ng / ml), compared with the control group (20:28 + 7:44 ng / ml). Analysis of cortisol level variables using the Kolmogorov-Smirnov test in both groups showed the results are normally distributed with p = 0.069 (p> 0.05), for the treatment group and p = 0.805 (P> 0.05) for the control group. The results of t-test showed a significant difference with p = 0.000 (< 0.05). Conclusion: There is an effectiivity of logotherapy towardscortisol serum level of advanced stage cervical cancer. Keywords: Cervical cancer, Logotherapy, Cortisol serum level

    Item Type: Thesis (Masters)
    Subjects: R Medicine > R Medicine (General)
    Divisions: Fakultas Kedokteran
    Depositing User: fransiska siska meilani
    Date Deposited: 07 Nov 2015 17:33
    Last Modified: 07 Nov 2015 17:33
    URI: https://eprints.uns.ac.id/id/eprint/21404

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