Effectiveness of Self-Management Training, “EDUDARA,” on Psychological Wellbeing and Cortisol Levels in Breast Cancer Patients during the COVID-19 Pandemic
Dublin Core
Title
Effectiveness of Self-Management Training, “EDUDARA,” on Psychological Wellbeing and Cortisol Levels in Breast Cancer Patients during the COVID-19 Pandemic
Subject
Breast cancer; cortisol level; psychological wellbeing; self-
management
management
Description
Background: Women diagnosed with breast cancer often experience emotional
distress, leading to a decrease in psychological well-being. Online self-management
training during the COVID-19 pandemic is crucial for maintaining psychological well-
being, as it is closely related to stress hormone cortisol levels, which play a vital role
in boosting the body’s immune system. However, research on self-management
strategies for breast cancer patients, particularly regarding psychological aspect and
its relationship to cortisol levels during the COVID-19 pandemic, remains limited.
Purpose: The purpose of this study was to measure the effectiveness of self-
management training on psychological well-being and salivary cortisol levels in
breast cancer patients.
Methods: This study used a pre-post-test quasi-experimental design with a control
group. The participants included 70 breast cancer patients undergoing chemotherapy
at a hospital in Malang City, East Java, Indonesia, recruited using simple random
sampling. Self-management training using the EDUDARA (Edukasi Kanker
Payudara) was administered to the participants in the intervention group for six
weeks. Data on wellbeing were collected using the Ryff Psychological Wellbeing
Questionnaire, while salivary cortisol levels were measured with the DBD cortisol kit
using the competitive ELISA method. SPSS with t-tests was used to analyze the data.
Results: The average post-test psychological well-being score in the intervention
group was 90.3, while in the control group, it was 82.69. The results of statistical tests
showed a significant difference in psychological well-being between the two groups,
with the intervention group showing greater improvement after the training.
Additionally, the mean salivary cortisol level post-training was 4.531 in the
intervention group and 6.169 in the control group (p=0.001). This indicates a greater
reduction in cortisol levels in the intervention group after training, showing that
participants’ psychological condition following the “EDUDARA” training was better
than that of the control group.
Conclusion: Self-management training had a positive effect on increasing
psychological well-being and decreasing salivary cortisol levels among breast cancer
patients. Therefore, structured self-management training for these patients can be
used for nursing intervention
distress, leading to a decrease in psychological well-being. Online self-management
training during the COVID-19 pandemic is crucial for maintaining psychological well-
being, as it is closely related to stress hormone cortisol levels, which play a vital role
in boosting the body’s immune system. However, research on self-management
strategies for breast cancer patients, particularly regarding psychological aspect and
its relationship to cortisol levels during the COVID-19 pandemic, remains limited.
Purpose: The purpose of this study was to measure the effectiveness of self-
management training on psychological well-being and salivary cortisol levels in
breast cancer patients.
Methods: This study used a pre-post-test quasi-experimental design with a control
group. The participants included 70 breast cancer patients undergoing chemotherapy
at a hospital in Malang City, East Java, Indonesia, recruited using simple random
sampling. Self-management training using the EDUDARA (Edukasi Kanker
Payudara) was administered to the participants in the intervention group for six
weeks. Data on wellbeing were collected using the Ryff Psychological Wellbeing
Questionnaire, while salivary cortisol levels were measured with the DBD cortisol kit
using the competitive ELISA method. SPSS with t-tests was used to analyze the data.
Results: The average post-test psychological well-being score in the intervention
group was 90.3, while in the control group, it was 82.69. The results of statistical tests
showed a significant difference in psychological well-being between the two groups,
with the intervention group showing greater improvement after the training.
Additionally, the mean salivary cortisol level post-training was 4.531 in the
intervention group and 6.169 in the control group (p=0.001). This indicates a greater
reduction in cortisol levels in the intervention group after training, showing that
participants’ psychological condition following the “EDUDARA” training was better
than that of the control group.
Conclusion: Self-management training had a positive effect on increasing
psychological well-being and decreasing salivary cortisol levels among breast cancer
patients. Therefore, structured self-management training for these patients can be
used for nursing intervention
Creator
Lilik Supriati1
, Renny Nova1
, Muhammad Rodli2, Ahsan Ahsan1
, Nur Hidaayah3, I Dewa Ayu Rismayanti4
, Renny Nova1
, Muhammad Rodli2, Ahsan Ahsan1
, Nur Hidaayah3, I Dewa Ayu Rismayanti4
Source
https://doi.org/10.14710/nmjn.v14i1.61652
Date
22 April 2024
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Collection
Citation
Lilik Supriati1
, Renny Nova1
, Muhammad Rodli2, Ahsan Ahsan1
, Nur Hidaayah3, I Dewa Ayu Rismayanti4, “Effectiveness of Self-Management Training, “EDUDARA,” on Psychological Wellbeing and Cortisol Levels in Breast Cancer Patients during the COVID-19 Pandemic,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11246.