The Impact of Family-Centered Care on Resilience and Depression Levels among Cancer Patients at Dr. OEN Solo
Abstract
Cancer patients undergoing chemotherapy often experience psychological distress, physical changes, and long-term care needs that may affect their resilience and level of depression. Family involvement is essential in palliative care because families can provide emotional support, psychological assistance, daily care, and help patients make decisions related to treatment and end-of-life preferences. This study aimed to determine the effect of Family-Centered Care on resilience and depression among cancer patients receiving chemotherapy at the Chemotherapy Unit of Dr. OEN Kandang Sapi Hospital, Solo. This study used a quasi-experimental design with a one-group pretest and posttest approach. The participants were cancer patients undergoing chemotherapy who were selected using total sampling. Data were collected using a Family-Centered Care implementation evaluation checklist, a resilience questionnaire, and a depression assessment instrument. Data were analyzed using the Wilcoxon signed-rank test. The results showed a decrease in depression levels and an increase in resilience after the implementation of Family-Centered Care. These findings indicate that Family-Centered Care has a positive effect on reducing depression and improving resilience among cancer patients. Therefore, strengthening family involvement in palliative and oncology nursing care is important to support the psychological well-being of patients undergoing cancer treatment.
References
Astria, N., & Setyawan, I. (2020). A Phenomenological Study of Resilience in Mothers with Children with Autism. Jurnal Empati, 9(1), 27–46.
Aulia, Nur (2024). The Relationship Between Family Support and Resilience in Cancer Patients at Ibu Sina Hospital, Makassar. https://repository.unimerz.ac.id/server/api/core/bitstreams/2daf471f-8d45-4a4b-8b83-5b180fc83ae5/content.
Beck, Aaron T., Robert A. Steer, and Gregory K. Brown. 2018. BDI-2 MANUAL. www.pearsonclinical.com
Deswanda, A. R. (2019). Factors Influencing the Resilience of Adolescents from Social Foundations in South Jakarta.
Glajchen, M., Goehring, A., Johns, H., & Portenoy, R. K. (2022). Family Meetings in Palliative Care: Benefits and Barriers. Current Treatment Options in Oncology, 23(5), 658–667.
Hendriani, W. (2018). Protective Factors in the Attainment of Resilience in Persons with Disabilities. Protective factors in achieving resilience in people with disabilities. Society, Culture, and Politics, 31(3), 291–299.
Isa, Wamina la, Irmayani, & Yusnaeni. (2023). Palliative Care Nursing Textbook (Ari Maftuhin, Ed.; 1st ed., Vol. 1). CV. Trans Info Media.
Ministry of Health. (2019). Palliative Care Through Home Care Programs. https://sardjito.co.id/2019/05/15/perawatan-paliatif- melalui-program-home-care/
Missasi, V., & Izzati, I. D. C. (2019). Factors Influencing Resilience. Proceedings of the National Seminar on Master of Psychology, Ahmad Dahlan University, 8, 433–441.
Shatri, H., Faisal, E., Putranto, R., & Sampurna, B. (2020a). Advanced Directives in Palliative Care. Indonesian Journal of Internal Medicine, 7(2), 9.
Shatri, H., Faisal, E., Putranto, R., & Sampurna, B. (2020b). Advanced Directives in Palliative Care. Indonesian Journal of Internal Medicine, 7(2), 125. https://doi.org/10.7454/jpdi.v7i2.315
Wahyuningrum, A. (2021). Family-Centered Care: A Literature Review. https://doi.org/10.20944/preprints202104.0190.v1
WHO. (2024). Western Pacific. https://www.who.int/westernpacific/newsroom/feature-stories/item/patient- engagement--elevating-the-voices-of-patients-and-families-for-safer-care
S. Widiyono, Sri Setiyarini & Christantie Effendy (2017). Depression Levels in Cancer Patients at Dr. Sardjito General Hospital, Yogyakarta, and Prof. Dr. Margono Soekarjo General Hospital, Purwokerto: Pilot Study. https://www.researchgate.net/publication/367704542_Tingkat_Depresi_pada_Pasien_Kanker_di_RSUP_Dr_Sardjito_Yogyakarta_dan_RSUD_Prof_Dr_Margono_Soekarjo_Purwokerto_Pilot_Study#:~:t ext=Tlevel%20Depression%20at%20Patients%20Cancer%20at%20RSUP%20Dr.%20Sardjito%2C%20Yogyakar ta%2C%20dan%20RSUD%20Prof.%20Dr.%20Margono%20Soekarjo%2C%20Purwokerto%3A%20Pilot%20Study. Indonesian Journal Of Cancer. 11(4):171
Kristanto, Adhi Dharma, and Yohanis F. La Kahija (2017). Coping Experiences with a Cancer Diagnosis in Working-Age Patients at Margono Soekarjo Hospital, Purwokerto. Empathy Journal. Faculty of Psychology, Diponegoro University, Semarang. https://ejournal3.undip.ac.id/index.php/empati/article/view/19723.
Shally, Rayi Dwi Vica, and Juliani Prasetyaningrum (2017). Resilience in Patients with Advanced Cervical Cancer. Indigenous Journal. Faculty of Psychology, Muhammadiyah University of Surakarta. Vol. 2 No. 1. 77–86.
Lestari Agustina, Yuliani Budiyarti, and Bahrul Ilmi (2020). Phenomenological Study: The Psychology of Cancer Patients Undergoing Chemotherapy, Suaka Intan Nursing Journal. Suaka Intan Health College, Banjarmasin. https://journal.stikessuakainsan.ac.id/index.php/jksi/issue/view/13
Sulistyowati, Dita, Dewi Gayatri, Hanny Handiyani, Jathu Dwi Wahyuni (2024). Overview of Resilience and Mental Health of Nurses in Indonesia: A Systematic Review. HIJP: Health Information Research Journal. https://www.researchgate.net/publication/387789330_Gambaran_Resiliensi_dan_Kesehatan_Mental_Perawat_di_Indonesia_sebuah_Systematic_Review_Portrait_of_Indonesian_Nurses'_Resilience_and_Mental_Health_A_Systematic_Review.
Vidhayati, Dea, Henry Sudiyanto, Nurul Mawadah (2020). The Relationship Between Family Support and Depression Levels in Breast Cancer Patients Undergoing Chemotherapy in the Chemotherapy Ward at Gatoel Hospital, Mojokerto. http://www.repo.stikesmajapahit.ac.id/91/3/JURNAL_DEA%20VIDHAYATI.pdf.
Fitriani, Rahmah Dini (2020). The Relationship Between Family Support and Depression in Patients with Cervical Cancer at Dr. Moewardi Hospital, Surakarta. https://eprints.ums.ac.id/80335/14/NASKAH%20PUBLIKASI%20REVISI.pdf
Sipayung, Oniya Ocvi Kezya (2025). The Influence of Family Support on Resilience in Parents of Children with Cancer at the Smiling Kids Foundation. https://repositori.uma.ac.id/jspui/bitstream/123456789/27122/1/218600136%20-%20Oniya%20Ocvi%20Kezya%20Sipayung%20-%20Fulltext.pdf
Sinambela, Natasha Irena (2018). The Influence of Social Support on Resilience in Parents of Children with Cancer. https://repositori.usu.ac.id/handle/123456789/10271.
Keywords
Family Centered Care, Depression, Resilience

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