Hubungan Spiritual Well-Being Dengan Mekanisme Koping Pada Pasien Kanker Payudara Yang Menjalani Kemoterapi Di RSUD Bali Mandara

Ratnadi, Ni Kadek Ari (2026) Hubungan Spiritual Well-Being Dengan Mekanisme Koping Pada Pasien Kanker Payudara Yang Menjalani Kemoterapi Di RSUD Bali Mandara. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2026.

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Abstract

THE RELATIONSHIP BETWEEN SPIRITUAL WELL-BEING AND COPING MECHANISMS IN BREAST CANCER PATIENTS UNDERGOING CHEMOTHERAPY AT BALI MANDARA REGIONAL HOSPITAL ABSTRACT Breast cancer is a chronic disease that can have physical, psychological, and spiritual impacts on patients. Patients undergoing chemotherapy often experience stress due to the side effects of treatment, requiring adaptive coping mechanisms. Factors that can influence coping mechanisms include age, educational level, and spiritual well-being. This study aims to analyze the relationship between age, educational level, and spiritual well-being with coping mechanisms in breast cancer patients undergoing chemotherapy at Bali Mandara Regional General Hospital. The study employed a correlational analytical design with a cross-sectional approach. The sample consisted of 53 respondents selected using consecutive sampling. The research instruments included the Spiritual Well-Being Scale (SWBS) and the Coping Mechanisms Scale. Data analysis was performed using the Spearman rank test. The results showed a relationship between age and coping mechanisms (p=0.020; r=0.319), educational level and coping mechanisms (p=0.004; r=0.392), and spiritual well-being and coping mechanisms (p=0.000; r=0.566). Based on the dimensions of spiritual well-being, Religious Well-Being was associated with coping mechanisms (p=0.041; r=0.282) and Existential Well-Being was associated with coping mechanisms (p=0.000; r=0.546). The conclusion of this study indicates that age, educational level, and spiritual well-being are associated with coping mechanisms in breast cancer patients undergoing Keywords: breast cancer, spiritual well-being, coping mechanisms HUBUNGAN SPIRITUAL WELL-BEING DENGAN MEKANISME KOPING PADA PASIEN KANKER PAYUDARA YANG MENJALANI KEMOTERAPI DI RSUD BALI MANDARA ABSTRAK Kanker payudara merupakan penyakit kronis yang dapat menimbulkan dampak fisik, psikologis, dan spiritual pada pasien. Pasien yang menjalani kemoterapi sering mengalami stres akibat efek samping pengobatan sehingga membutuhkan mekanisme koping yang adaptif. Faktor yang dapat memengaruhi mekanisme koping antara lain usia, tingkat pendidikan, dan spiritual well-being. Penelitian ini bertujuan menganalisis hubungan usia, tingkat pendidikan, dan spiritual well-being dengan mekanisme koping pada pasien kanker payudara yang menjalani kemoterapi di RSUD Bali Mandara. Penelitian menggunakan desain analitik korelasional dengan pendekatan cross-sectional. Sampel penelitian berjumlah 53 responden yang dipilih menggunakan teknik consecutive sampling. Instrumen penelitian menggunakan Spiritual Well-Being Scale (SWBS) dan Skala mekanisme koping. Analisis data dilakukan menggunakan uji Spearman Rank. Hasil penelitian menunjukkan terdapat hubungan usia dengan mekanisme koping (p=0,020; r=0,319), tingkat pendidikan dengan mekanisme koping (p=0,004; r=0,392), dan spiritual well-being dengan mekanisme koping (p=0,000; r=0,566). Berdasarkan dimensi spiritual well-being, Religious Well-Being berhubungan dengan mekanisme koping (p=0,041; r=0,282) dan Existential Well-Being berhubungan dengan mekanisme koping (p=0,000; r=0,546). Kesimpulan penelitian ini menunjukkan bahwa usia, tingkat pendidikan, dan spiritual well-being berhubungan dengan mekanisme koping pada pasien kanker payudara yang menjalani kemoterapi. Kata kunci: kanker payudara, spiritual well-being, mekanisme koping

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