Impact of Resilience on Psychological Well-Being In Breast Cancer Patients Undergoing Chemotherapy

Abstract

Impact of Resilience on Psychological Well-Being In Breast Cancer Patients Undergoing Chemotherapy Abd Gani Baeda* , Eka Nurwahyuni Department of Medical Surgical Nursing, Faculty of Science and Technology, Universitas Sembianbelas November Kolaka, Kolaka, Indonesia Abstract Background: The most commonly used therapy for breast cancer is chemotherapy. Chemotherapy has physical and psychological side effects that affect the psychological well-being of the patient. Resilience plays an important role in changing psychological well-being. Cancer patients who have low levels of resilience will show negative psychological well-being and vice versa. However, the condition of cancer patients undergoing chemotherapy is not yet known whether resilience can change psychological well-being so that they can adapt to the stressors of chemotherapy. Purpose: This study aims to analyze the relationship between resilience and psychological well-being of breast cancer patients undergoing chemotherapy. Methods: This study was conducted using an observational analytic method with a cross-sectional approach. The population in this study were breast cancer patients who underwent chemotherapy sessions 2-6 at one of the hospitals in Malang, Indonesia. A sample of 62 people was obtained by using a stratified random sampling technique based on the chemotherapy sessions the patient underwent. Data Collection used the Connor-Davidson Resilience Scale questionnaire. Data analysis procedures were carried out in univariate and bivariate ways (lambda correlation test). Results: The Univariate analysis showed that the lowest resilience was experienced by respondents who underwent the second chemotherapy session and the bivariate analysis showed that there was a positive correlation between resilience and psychological well-being with p=0.039 and r=0.267. This means that the higher a person’s resilience, the greater the chance of having positive psychological well-being. Conclusion: This study shows that the higher the resilience, the greater the probability of experiencing positive psychological well-being. While the higher the resilience, the more likely it is to experience positive psychological wellbeing. It is recommended that patients who will undergo chemotherapy are given education related to therapy so that low resilience is not experienced at the beginning of chemotherapy. Keywords: breast cancer; chemotherapy; psychological well-being; resilience.