Effect of Musical Therapy Langgam Jawa on Pre-chemotherapy Anxiety of Cancer Patients

Febriana Sartika Sari; Winda Fitriani; Innez Karunia Mustikasari; Imam Rosyada; Heni Nur Kusumawati; S. Dwi  Sulisetyawati; Ika Subekti Wulandari; Rufaida Nur Fitriana; Mellia Silvy Irdianty

doi:10.3889/oamjms.2021.6755

Authors

Febriana Sartika Sari Department of Nursing, Faculty of Health and Sciences, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia https://orcid.org/0000-0003-1261-036X
Winda Fitriani Department of Oncology, Oncology Hospital Surakarta, Surakarta, Indonesia
Innez Karunia Mustikasari Department of Nursing, Faculty of Health and Sciences, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia
Imam Rosyada Oncology Installation, Dr. Kariadi General Hospital Medical Center, Semarang, Indonesia
Heni Nur Kusumawati Poltekkes Kemenkes Surakarta, Surakarta, Indonesia
S. Dwi Sulisetyawati Department of Nursing, Faculty of Health and Sciences, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia
Ika Subekti Wulandari Department of Nursing, Faculty of Health and Sciences, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia
Rufaida Nur Fitriana Department of Nursing, Faculty of Health and Sciences, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia
Mellia Silvy Irdianty Department of Nursing, Faculty of Health and Sciences, Universitas Kusuma Husada Surakarta, Surakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.6755

Keywords:

Cancer, Langgam Jawa, Musical therapy, Pre-chemotherapy anxiety

Abstract

BACKGROUND: Anxiety occurs in cancer patients who are undergoing chemotherapy for the 1st time. Excessive anxiety which occurred in the pre-chemotherapy phase can contribute to the failure of chemotherapy programs. One of attempts to reduce anxiety is providing musical therapy Langgam Jawa.

AIM: The purpose of the research is to identify the effect of musical therapy Langgam Jawa to pre-chemotherapy anxiety score.

METHODS: The research used quasi-experimental design which involved pre-posttest with control group. The research was conducted at a hospital in Central Java. The population was cancer patients who undergoing chemotherapy for the 1st time and experienced pre-chemotherapy anxiety. Samples were selected with purposive sampling technique that met inclusion criteria. Subjects were 42 respondents consisting of 21 in each group obtained by simple random sampling technique. Health education and deep breathing exercise were provided to the control group, while the treatment group obtained health education, deep breathing exercise, and musical therapy Langgam Jawa. The measurement of pre-chemotherapy anxiety in the cancer patients was using State-Trait Anxiety Inventory. An independent t-test performed the analysis.

RESULTS: The results showed that pre-chemotherapy anxiety score decreases significantly in those two groups (p-value: 0.001; α: 0.05). The treatment group showed a higher decrease of pre-chemotherapy anxiety than the control group.

CONCLUSION: The finding highlights musical therapy Langgam Jawa is effective to reduce pre-chemotherapy anxiety of cancer patients. It is recommended to apply musical therapy Langgam Jawa for cancer patients who’re undergoing chemotherapy.

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References

World Health Organization. Globocan 2020. Vol. 419. Geneva: World Health Organization; 2020. p. 1-2.

American Cancer Society. Cancer Facts and Figures. American Cancer Society. American Cancer Society¨ 2020. p. 1-52. Available from: http://www.cancer.org/acs/groups/content/@nho/documents/document/caff2007pwsecuredpdf.pdf. [Last accessed on 2021 Feb 01]. https://doi.org/10.1080/15398285.2012.701177 DOI: https://doi.org/10.1080/15398285.2012.701177

Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020;70(1):7-30. PMid:31912902 DOI: https://doi.org/10.3322/caac.21590

Kemetrian Kesehat RI. State of Health Inequality. Indonesia: Kemetrian Kesehat RI; 2017.

Pangribowo S. Beban Kanker di Indonesia. Indonesia: Kemetrian Kesehat RI; 2019. p. 8-9.

Alam A. Chemotherapy treatment and strategy schemes: A review. Open Access J Toxicol. 2018;2(5):555600. DOI: https://doi.org/10.19080/OAJT.2018.02.555600

Nurgali K, Jagoe RT, Abalo R. Adverse effects of cancer chemotherapy: Anything new to improve tolerance and reduce sequelae? Front Pharmacol. 2018;9:245. https://doi.org/10.3389/978-2-88945-482-2 PMid:29623040 DOI: https://doi.org/10.3389/fphar.2018.00245

Lebel S, Beattie S, Arès I, Bielajew C. Young and worried: Age and fear of recurrence in breast cancer survivors. Health Psychol. 2013;32(6):695-705. https://doi.org/10.1037/a0030186 PMid:23088176 DOI: https://doi.org/10.1037/a0030186

Hapter C, Rch JO, Raske MI, Arch J, Craske, MJ. Panic disorder: In: Craighead WE, Miklowitz DJ, Craighead LW, editors. Psychopathology: History, Diagnosis, and Empirical Foundations. Ch. 4. New York: Wiley; 2008. p. 1-64.

Tian J, Jia LN, Cheng ZC. Relationships between patient knowledge and the severity of side effects, daily nutrient intake, psychological status, and performance status in lung cancer patients. Curr Oncol. 2015;22(4):e254-8. https://doi.org/10.3747/co.22.2366 PMid:26300675 DOI: https://doi.org/10.3747/co.22.2366

Jasemi M, Aazami S, Zabihi RE. The effects of music therapy on anxiety and depression of cancer patients. Indian J Palliat Care. 2016;22(4):455-8. https://doi.org/10.4103/0973-1075.191823 PMid:27803568 DOI: https://doi.org/10.4103/0973-1075.191823

Noor Z, Junaidi J. Reducing anxiety levels in the elderly through Javanese style music therapy. J Keperawatan Indonesia. 2010;13(3):195-201. https://doi.org/10.7454/jki.v13i3.252 DOI: https://doi.org/10.7454/jki.v13i3.252

Triatna A, Sucipto A, Wiyani C. Javanese music to reduce anxiety in preoperative patients. J Kesehatan. 2018;9(2):170. https://doi.org/10.26630/jk.v9i2.680 DOI: https://doi.org/10.26630/jk.v9i2.680

Shimizu N, Umemura T, Hirai T, Tamura T, Sato K, Kusaka Y. Effects of movement music therapy with the Naruko clapper on psychological, physical and physiological indices among elderly females: A randomized controlled trial. Gerontology. 2013;59(4):355-67. https://doi.org/10.1159/000346763 PMid:23615154 DOI: https://doi.org/10.1159/000346763

Bekiroğlu T, Ovayolu N, Ergün Y, Ekerbiçer HC. Effect of Turkish classical music on blood pressure: A randomized controlled trial in hypertensive elderly patients. Complement Ther Med. 2013;21(3):147-54. https://doi.org/10.1016/j.ctim.2013.03.005 PMid:23642944 DOI: https://doi.org/10.1016/j.ctim.2013.03.005

Spielberger CD. State-trait anxiety inventory for adults: Self-evaluation questionnaire. Anxiety. 2012;91(5):75.

Gustafson LW, Gabel P, Hammer A, Lauridsen HH, Petersen LK, Andersen B, et al. Validity and reliability of State-Trait Anxiety Inventory in Danish women aged 45 years and older with abnormal cervical screening results. BMC Med Res Methodol. 2020;20(1):89. https://doi.org/10.1186/s12874-020-00982-4 PMid:32326886 DOI: https://doi.org/10.1186/s12874-020-00982-4

Parás-Bravo P, Paz-Zulueta M, Boixadera-Planas E, Fradejas-Sastre V, Palacios-Ceña D, Fernández-de-Las-Peñas C, et al. Cancer patients and anxiety: A gender perspective. Int J Environ Res Public Health. 2020;17(4):1302. https://doi.org/10.3390/ijerph17041302 PMid:32085538 DOI: https://doi.org/10.3390/ijerph17041302

Donner NC, Lowry CA. Sex differences in anxiety and emotional behavior. Pflugers Arch Eur J Physiol. 2013;465(5):601-26. https://doi.org/10.1007/s00424-013-1271-7 PMid:23588380 DOI: https://doi.org/10.1007/s00424-013-1271-7

Hosseini L, Khazali H. Comparing the Level of Anxiety in Male and Female School Students. Proc Soc Behav Sci. 2013;84:41-6. DOI: https://doi.org/10.1016/j.sbspro.2013.06.506

Garcia S. The effects of education on anxiety levels in patients receiving chemotherapy for the first time: An integrative review. Clin J Oncol Nurs. 2014;18:A1-6. DOI: https://doi.org/10.1188/14.CJON.18-05AP

Prawesti I, Haryanti F, Lusmilasari L. Effect of health education using video and brochure on maternal health literacy. Belitung Nurs J. 2018;4(6):612-8. https://doi.org/10.33546/bnj.176 DOI: https://doi.org/10.33546/bnj.176

Hargiana G, Keliat BA, Mustikasari M. The effects of cognitive behavioral therapy on smoking behavior and anxiety in heads of family who smoke. J Keperawatan Indones. 2018;21(2):117-26. https://doi.org/10.7454/jki.v21i2.770 DOI: https://doi.org/10.7454/jki.v21i2.770

Harris SJ. The Time to Relax is when you don’t have Time for it; 2012.

Sellakumar GK. Effect of slow-deep breathing exercise to reduce anxiety among adolescent school students in a selected higher secondary school in Coimbatore, India. J Psychol Educ Res. 2015;23(1):54-72.

Gillen E, Biley F, Allen D. Effects of music listening on adult patients’ pre-procedural state anxiety in hospital. Int J Evid Based Healthc. 2008;6(1):24-49. https://doi.org/10.1111/j.1744-1609.2007.00097.x PMid:21631813 DOI: https://doi.org/10.1111/j.1744-1609.2007.00097.x

Jeppesen E, Pedersen CM, Larsen KR, Walsted ES, Rehl A, Ehrenreich J, et al. Listening to music prior to bronchoscopy reduces anxiety-a randomised controlled trial. Eur Clin Respir J. 2019;6(1):1583517. https://doi.org/10.1080/20018525.2019.1583517 PMid:30915199 DOI: https://doi.org/10.1080/20018525.2019.1583517

Larasati S. Gaya Vokal Waldjinah pada Langgam Keroncong Universitas Pendidikan Indonesia; 2014. p. 2010-1.

Yusli UD, Rachma N. The effect of giving Javanese gamelan music on the level of anxiety of the elderly in the social service home for the elderly in Semarang. J Perawat Indonesia. 2018;3(1):72-78. https://doi.org/10.32584/jpi.v3i1.290 DOI: https://doi.org/10.32584/jpi.v3i1.290

Gangrade A. The effect of music on the production of neurotransmitters, hormones, cytokines, and peptides: A review. Music Med. 2012;4(1):40-3. https://doi.org/10.1177/1943862111415117 DOI: https://doi.org/10.1177/1943862111415117