Effectiveness of the PRI (Psycho Religious Intervention) Model to Improve the Physical Well-Being of Cancer Patients
DOI:
https://doi.org/10.37287/ijghr.v8i2.854Keywords:
cancer, contemplative (tafakur) prayer, PRI model, psychoeducation, well-beingAbstract
Cancer imposes a significant health burden, encompassing not only physical symptoms like pain and fatigue but also substantial psychological and spiritual distress, which collectively diminish patients' overall well-being. Given the high cost of care in Indonesia, comprehensive supportive interventions are urgently needed. This study aimed to test the effectiveness of the Psycho Religious Intervention (PRI) model an innovative nursing therapy integrating psychoeducation and contemplative (tafakur) prayer on improving cancer patients' physical well-being. A randomized controlled trial (RCT) design with a pre-post test method was employed. Sixty cancer patients at Dr. Adhyatma Hospital were recruited and equally randomized into intervention and control groups. The intervention group received the PRI model for 30 minutes per session, twice daily, for four consecutive days. Effectiveness analysis using independent-samples t-tests revealed that the PRI model significantly improved physical well-being. The intervention group demonstrated a qualitative improvement from moderate (mean 159.07) to high well-being (mean 181.33), surpassing the control group (mean 161.20). Specifically, the model significantly reduced pain (p=0.010), physical fatigue (p=0.036), and sleep disturbance (p=0.016), although nausea reduction was marginally significant (p=0.058). The PRI Model is established as an effective, evidence-based self-care modality, proving highly relevant for holistic palliative care.
References
Agil, N. M., Agustina, M., Judijanto, L., Ulfah, M., Nuryati, C., & Fatma, E. P. L. (2025). Keperawatan Paliatif: Pendekatan Holistik dalam Perawatan Akhir Kehidupan (A. J. Putu Intan Daryaswanti (ed.)). PT. Sonpedia Publishing Indonesia, 2025. https://books.google.co.id/books?id=yGpcEQAAQBAJ&lpg=PA11&ots=UoE8_rukKH&dq=Retnaningsih D. Palliative Nursing%3A NEM Publisher%3B 2021&lr&hl=id&pg=PR1#v=onepage&q&f=false
Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications. (5 ed.). SAGE Publications, 2017. https://books.google.co.id/books?id=335ZDwAAQBAJ&lpg=PT16&ots=YEySMIzquK&dq=Creswell%2C J. W.%2C %26 Creswell%2C J. D. (2023). Research design%3A Qualitative%2C quantitative%2C and mixed methods approaches (6th ed.). SAGE Publications.&lr&hl=id&pg=PA1#v=onepage&q&f=false
Emery, J., & DPhila jon.emery Prof Phyllis Butow, PhDc ∙ Julia Lai-Kwon, MBBSd ∙ Prof Larissa Nekhlyudov, MDe ∙ Meg Rynderman, OAMf ∙ Prof Michael Jefford, P. (2022). Management of common clinical problems experienced by survivors of cancer. The Lancet, 399(10334), 1537–1550.
Flanagan, J., & Wilkins, cheryl tatano beck. (2024). Polit & Beck’s Nursing Research: Generating and assessing evidence for nursing practice (T. Edition (ed.); 12 th). Lippincott Williams & Wilkins, 2024. https://books.google.co.id/books?id=NUUgEQAAQBAJ&lpg=PA1&ots=183Krzoc4Y&dq=Flanagan%2C J. M.%2C %26 Beck%2C C. T. (2024). Polit %26 Beck’s nursing research%3A Generating and assessing evidence for nursing practice (12th ed.). Wolters Kluwer.&lr&hl=id&pg=PP1#v=onepage&q=Flanagan, J. M., & Beck, C. T. (2024). Polit & Beck’s nursing research: Generating and assessing evidence for nursing practice (12th ed.). Wolters Kluwer.&f=false
Garth, R. T. M. (2023). Best Practices in Prayer: Are Some Forms of Prayer Better than Others for a Healthcare Patient’s Well-Being?
Magambo, M. N. (2024). Influence Of Psychosocial Interventions In Enhancing. Kenya Methodist University KeMU, September.
Mukaromah, S., Setiawan, D., Postma, M. J., & Jong, L. A. De. (2025). Cancer Treatment and Research Communications Trends in breast cancer in Indonesia from 2017 to 2020 : A national-level analysis by age and disease severity. Cancer Treatment and Research Communications, 45(September), 101000. https://doi.org/10.1016/j.ctarc.2025.101000
Priyanto, & Achmad Fauzi Kamal, D. D. (2020). The Effectiveness Of Psychoreligious Intervention: Murottal Al-Quran On Pain And Stress Level Of Bone Cancer Patient. Indonesia Journal of Global Health Research, 2(4), 375–384. https://doi.org/https://doi.org/10.37287/ijghr.v2i4.260
Priyanto, & Achmad Fauzi Kamal, D. D. (2021). Integrated Nursing Intervention Theory in Providing Comfortableness to Increase Patient Well Being: Simple Theory Construction. Universitas Indonesia, 3(4), 585–594. https://doi.org/10.37287/ijghr.v3i4.720
Priyanto, & Faridah Aini, Yunita Galih Yudanari, Adzani Divanayasyashabila, P. R. P. (2025). A New Technique of Oncology Massage Combining Effluerage and Acupressure Methods to Improve the Physical Well-Being of Cancer Patients. Indonesian Journal of Global Health Research, 7(1), 655–674. https://doi.org/https://doi.org/10.37287/ijghr.v7i1.5222
Priyanto, Kamal, A. F., Dahlia, D., & Besral, B. (2023a). Terapi Spiritual Doa Tafakur terhadap Peningkatan Kesejahteraan Pasien Kanker : A Systematic Review. Journal of Holistics and Health Sciences (JHHS) Fakultas Kesehatan Universitas Ngudi Waluyo, 5(2), 251–266. https://doi.org/https://doi.org/10.35473/jhhs.v5i2.341
Priyanto, P., Kamal, A. F., Dahlia, D., & Besral, B. (2023b). Physical Well-Being Needs of Bone Cancer Patients during Treatment in the Hospital : A Qualitative Study. Nurse Media Journal of Nursing, 13(December), 342–355. https://doi.org/https://doi.org/10.14710/nmjn.v13i3.52696
Priyanto, P., Waluyo, U. N., Dan, K., & Edukasi, P. (2024). Intervensi Psiko Edukasi terhadap Peningkatan Kesejahteraan Pasien Kanker : Systematic Review. Journal of Holistics and Health Sciences, 6(1), 153–166. https://doi.org/https://doi.org/10.35473/jhhs.v6i1.449
Rahmawati, E. (2024). Policy Strategies in the Implementation of Referral Health Service Transformation. Jurnal Multidisiplin Indonesia JMI, 3(10), 4446–4457. https://doi.org/https://doi.org/10.58344/jmi.v3i10.1857
Ruiz-casado, A., Álvarez-bustos, A., Pedro, C. G. De, Méndez-otero, M., & Romero-elías, M. (2020). Cancer-related Fatigue in Breast Cancer Survivors : A Review. Clinical Breast Cancer. https://doi.org/10.1016/j.clbc.2020.07.011
Saharullah, Saleh, A., Syamsuddin, S., Erika, K. A., & Bukhari, A. (2024). Virtual Reality-Based Spiritual Emotional Freedom Technique ( SEFT ) Model on Spiritual Well-Being and BDNF Levels in Drug Inmates in The Class 1 State Prison in Makassar. Pakistan Journal of Life and Social Sciences, 22(2), 2946–2955. https://doi.org/https://doi.org/10.57239/PJLSS-2024-22.2.00216
Scott, B. (2021). Multidisciplinary Team Approach in Cancer Care: A Review of The Latest Advancements. EMJ oncology, 9(November).
Siegel, R. L. (2022). Cancer statistics , 2022. American Cencer Society, 72(1), 7–33. https://doi.org/10.3322/caac.21708
Smith, R. A., Andrews, K. S., Brooks, D., Fedewa, S. A., Manassaram-baptiste, D., Saslow, D., & Wender, R. C. (2019). Cancer Screening in the United States , 2019 : A Review of Current American Cancer Society Guidelines and Current Issues in Cancer Screening. American Cencer Society, 69(3), 184–210. https://doi.org/10.3322/caac.21557
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020 : GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. 71(3), 209–249. https://doi.org/10.3322/caac.21660
Suszycki, M. (2023). The Effects Of Prayer And Meditation On Psychological Well-Being: A Comparison. Azusa Pacific University.
Virdun, C., & Davidson, P. T. L. J. K. L. P. M. (2020). Hospital patients’ perspectives on what is essential to enable optimal palliative care: A qualitative study. Sage Journal Paliative Medicine, 34(10), 1402–1415. https://doi.org/doi.org/10.1177/0269216320947570
Yunara, Y., Aridamayanti, bernadetta G., Fajriyah, N., Rohmah, U. N., Maskur, A., Dahoklory, D. F., & Lestari, W. A. E. (2025). Deteksi Dini dan Penatalaksanaan Penyakit Tidak Menular (Achmad Wah). CV. Dewa Publishing.
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