The Effect of Structured Education Based on Midwifery Care on Anxiety Levels Among Premenopausal Cervical Cancer Patients
DOI:
https://doi.org/10.37287/jppp.v8i1.1399Keywords:
anxiety, cervical cancer, HADS-A, midwifery care, premenopause, structured educationAbstract
Premenopausal women with cervical cancer experience heightened anxiety due to hormonal changes, fear of treatment, and uncertainty about their future roles. Estrogen decline during perimenopause reduces neurotransmitter levels, further increasing vulnerability to anxiety. This study aimed to evaluate the effectiveness of structured education based on midwifery care in reducing anxiety levels among premenopausal cervical cancer patients at a public hospital in Banten. A quasi-experimental design with a one-group pretest–posttest approach was used. A total of 30 participants were selected through purposive sampling based on the following inclusion criteria: aged 35–50 years, diagnosed with cervical cancer, premenopausal status, and ability to communicate effectively. The dependent variable was anxiety level, measured using the validated Hospital Anxiety and Depression Scale–Anxiety (HADS-A). This instrument consists of 7 items, each scored on a 4-point Likert scale (0–3), with a total score ranging from 0 to 21, where higher scores indicate greater levels of anxiety. The Bahasa Indonesia version of the HADS-A was used, which has demonstrated good reliability with a Cronbach’s alpha of 0.82. Anxiety levels were assessed before and after the intervention. The structured educational intervention covered four key topics: understanding cervical cancer, perimenopausal changes, anxiety management techniques, and psychosocial and family support. Data were analyzed using a paired t-test, with statistical significance set at p < 0.05. After the intervention, the proportion of respondents with normal anxiety levels increased from 16.7% to 46.7%, while severe anxiety decreased from 16.7% to 0%. The mean anxiety score significantly decreased from 12.40 to 8.10 (p < 0.05). Structured education grounded in midwifery care offers a holistic, woman-centered approach that has the potential to effectively alleviate anxiety in this vulnerable.
References
Apriyani, T., & Fatrin, T. (2022). Health education about physiological changes before and during menopause to make productive elderly in plaju palembang. Jurnal Gema Keperawatan, 2(April), 185–190.
Asikin, B., Lestari, I. M. T., & Bahrum, S. W. (2024). Pengetahuan dan Sikap dengan Kecemasan pada Wanita Menopause. Jurnal Keperawatan Profesional (KEPO), 5(1), 168–175. https://doi.org/10.36590/kepo.v5i1.838
Chadha, L., Sharma, P., Bhide, N., & Arya, I. (2025). Empowering perimenopausal women : A critical examination of opportunistic teaching on cervical cancer awareness. https://doi.org/10.4103/jehp.jehp
Ekaputri, M., & Ramadia, A. (2022). Jurnal Kesehatan Saintika Meditory Jurnal Kesehatan Saintika Meditory. Jurnal Kesehatan Saintika Meditory, 4(4657), 78–84.
Gu, Z., Li, B., Ouyang, L., & Wu, H. (2024). A study on improving cancer-related fatigue and disease-related psychological variables in patients with cervical cancer based on online mindfulness-based stress reduction : a randomized controlled trial.
Hartanti, R., Satiyem, Wiyasa, W. A., Nurdiana, & Suryana, B. P. P. (2020). Menopause-Specific Quality of Life among Indonesian Women: A Descriptive Study. EAS Journal of Nursing and Midwifery, 2(4), 280–284. https://doi.org/10.36349/EASJNM.2020.v02i04.012
Hidayah, H. N., Sylve, P., & Sari, G. M. (2023). AGE, EDUCATIONAL LEVEL, ANXIETY LEVEL, AND SLEEP PATTERNS OF CERVICAL CANCER PATIENTS UNDERGOING EXTERNAL RADIOTHERAPY TREATMENT Hilda. Literasi Kesehatan Husada, 7(3), 96–102.
Ilafi Rumaisya N, S. M. (2020). Hubungan Pengetahuan Wanita Usia 48 – 55 Tahun Tentang Menopause Dengan Sikap Dalam Menghadapi Perubahan Pada Masa Menopause. Uniska Banjarmasin, 126–140.
Kurniasih, D., & Goretik, M. (2024). Exploring Women ’ s Experiences with Cervical Cancer : Sexual Life Changes , Emotional Responses , and Physical Adaptations. 09, 779–786.
Muchsin, E. N., & Heni, S. (2022). Tingkat Kecemasan Pada Ibu Menjelang Menopause. Jurnal Spikes Nas, 01(02), 2963–1343.
Rahmah, A. (2021). Kecemasan Pasien dan Dukungan Keluarga Pada Penderita Kanker Serviks. 4(4), 535–541.
Sinaga, D. M., Santosa, H., & Lubis, N. (2020). Pengalaman pasien kanker serviks dalam mengatasi kecemasan. 41–46.
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
Walker, N., Johnston, V., Glover, M., Bullen, C., Trenholme, A., Chang, A., Morris, P., Segan, C., Brown, N., Fenton, D., Hawthorne, E., Borland, R., Parag, V., Von blaramberg, T., Westphal, D., & Thomas, D. (2020). Effect of a family-centered, secondhand smoke intervention to reduce respiratory illness in indigenous infants in Australia and New Zealand: A randomized controlled trial. Nicotine and Tobacco Research, 17(1), 48–57. https://doi.org/10.1093/ntr/ntu128
Widiasih, R., Trisyani, M., Nurdani, G. R., Handayani, L., & Hariyawinata, N. (2022). Perubahan Psikologis Pada Perempuan Dengan Kanker Serviks : a Systematic Review. Journal of Maternity Care and Reproductive Health, 7(2).
Word Health Organization. (2020). Cancer.
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