Pemberdayaan Wanita Usia Subur dalam Deteksi Kanker Payudara dengan Aplikasi mindful mom dan Pelatihan Mindfulness Based Cognitive Therapy Breast Cancer

Finta  Isti Kundarti; Ira Titisari; Nurul Pujiastuti

doi:10.53770/amjpm.v4i2.389

Authors

Finta Isti Kundarti Program Studi Profesi Kebidanan Malang, Politeknik Kesehatan Kemenkes Malang, Malang, Jawa Timur, Indonesia
Ira Titisari Program Studi Profesi Kebidanan Malang, Politeknik Kesehatan Kemenkes Malang, Malang, Jawa Timur, Indonesia
Nurul Pujiastuti Program Studi Keperawatan Lawang, Politeknik Kesehatan Kemenkes Malang, Malang, Jawa Timur, Indonesia

DOI:

https://doi.org/10.53770/amjpm.v4i2.389

Keywords:

Aplikasi Mindful Mom, Mindfulness, Kanker Payudara

Abstract

Kanker payudara merupakan kanker peringkat no 1 baik di duni dan di Indonesia. Di Desa Bandar Lor masih banyak wanita usia subur yang tidak memahami cara mendeteksi secara dini kanker payudara. Tujuan dari pengabdian masyarakat ini adalah untuk memberdayakan wanita usia subur dalam mendeteksi dini kanker payudara melalui aplikasi mindful mom dan pelatihan mindfulness based cognitive therapy. Dalam aplikasi ini juga diberikan petunjuk melakukan sadari. Kegiatan pengabdian masyarakat dilakukan sebanyak 2x pertemuan. Pertemuan pertama memberikan pelatihan mindfulness based cognitive therapy dan pertemuan kedua mengajarkan penggunaan aplikasi mindful mom yang berisi edukasi terkait kanker payudara dan praktik meditasi dan yoga. Pelatihan diberikan kepada 50 wanita usia subur. Hasil dari post test dan wawancara di peroleh peningkatan pengetahuan penggunaan aplikasi mindful mom pada 50 wanita usia subur dengan hasil pretest : pengetahuan kurang 39 orang (78%), pengetahuan cukup 8 orang (16%), pengetahuan baik 2 orang (4%) dan pengetahuan sangat baik 1 orang (2%) dan hasil posttest : pengetahuan kurang 1 orang (2%), pengetahuan cukup 3 (6%), pengetahuan baik 2 oang (4%), pengetahuan sangat baik 44 (88%). Terdapat peniingkatan keterampilan peserta dalam praktik meditasi, sadari dan yoga. Pengabdian kepada masyarakat ini memberikan wawasan dalam menggunakan aplikasi mindful mom dan keterampilan pelatihan mindfulness based cognitive therapy kepada wanita usia subur dalam mencegah kanker payudara. Saran untuk kegiatan pengabdian kepada masyarakat selanjutnya adalah mengembangkan pemberdayaan wanita usia subur pada wilayah yang lebih luas lagi dalam menggunakan aplikasi mindful mom dan ketrampilan yang diajarkan dalam program mindfulness based cognitive therapy yaitu yoga dan meditasi dalam mencegah atau meningkatkan kesehatan fisik dan mental wanita dengan kanker payudara.

References

Black, D. S., Milam, J., & Sussman, S. (2009). Sitting-Meditation Interventions Among Youth: A Review of Treatment Efficacy. Pediatrics, 124(3), e532–e541. https://doi.org/10.1542/peds.2008-3434

Chung, S., Zhu, S., Friedmann, E., Kelleher, C., Kozlovsky, A., Macfarlane, K. W., Tkaczuk, K. H. R., Ryan, A. S., & Griffith, K. A. (2016). Weight loss with mindful eating in African American women following treatment for breast cancer: a longitudinal study. Supportive Care in Cancer, 24(4), 1875–1881. https://doi.org/10.1007/s00520-015-2984-2

Farb, N., Daubenmier, J., Price, C. J., Gard, T., Kerr, C., Dunn, B. D., Klein, A. C., Paulus, M. P., & Mehling, W. E. (2015). Interoception, contemplative practice, and health. Frontiers in Psychology, 6(JUN). https://doi.org/10.3389/fpsyg.2015.00763

Huang, S., Riccardi, D., Pflanzer, S., Redwine, L. S., Gray, H. L., Carson, T. L., McDowell, M., Thompson, Z., Hubbard, J. J., & Pabbathi, S. (2023). Survivors Overcoming and Achieving Resiliency (SOAR): Mindful Eating Practice for Breast Cancer Survivors in a Virtual Teaching Kitchen. Nutrients, 15(19), 4205. https://doi.org/10.3390/nu15194205

Kashyap, D., Pal, D., Sharma, R., Garg, V. K., Goel, N., Koundal, D., Zaguia, A., Koundal, S., & Belay, A. (2022). Global Increase in Breast Cancer Incidence: Risk Factors and Preventive Measures. BioMed Research International, 2022, 1–16. https://doi.org/10.1155/2022/9605439

Katsura, C., Ogunmwonyi, I., Kankam, H. K., & Saha, S. (2022). Breast cancer: presentation, investigation and management. British Journal of Hospital Medicine, 83(2), 1–7. https://doi.org/10.12968/hmed.2021.0459

Khalsa, S. S., Adolphs, R., Cameron, O. G., Critchley, H. D., Davenport, P. W., Feinstein, J. S., Feusner, J. D., Garfinkel, S. N., Lane, R. D., Mehling, W. E., Meuret, A. E., Nemeroff, C. B., Oppenheimer, S., Petzschner, F. H., Pollatos, O., Rhudy, J. L., Schramm, L. P., Simmons, W. K., Stein, M. B., … Zucker, N. (2018). Interoception and Mental Health: A Roadmap. In Biological Psychiatry: Cognitive Neuroscience and Neuroimaging (Vol. 3, Issue 6, pp. 501–513). Elsevier Inc. https://doi.org/10.1016/j.bpsc.2017.12.004

Kirkham, A. A., & Jerzak, K. J. (2022). Prevalence of Breast Cancer Survivors Among Canadian Women. Journal of the National Comprehensive Cancer Network, 20(9), 1005–1011. https://doi.org/10.6004/jnccn.2022.7028

Kuswanto, C. N., Stafford, L., Schofield, P., & Sharp, J. (2024). Self-compassion and parenting efficacy among mothers who are breast cancer survivors: Implications for psychological distress. Journal of Health Psychology, 29(5), 425–437. https://doi.org/10.1177/13591053231222162

Nissen, E. R., O’Connor, M., Kaldo, V., Højris, I., Borre, M., Zachariae, R., & Mehlsen, M. (2020). Internet‐delivered mindfulness‐based cognitive therapy for anxiety and depression in cancer survivors: A randomized controlled trial. Psycho-Oncology, 29(1), 68–75. https://doi.org/10.1002/pon.5237

Ortiz, M., Schröder, M. L., Brinkhaus, B., & Stöckigt, B. (2024). Implementation of a Mindful Walking Intervention in Breast Cancer Patients After Their Primary Oncologic Treatment: Results of a Qualitative Study Within a Randomized Controlled Trial. Integrative Cancer Therapies, 23. https://doi.org/10.1177/15347354241237972

Schröder, M. L., Stöckigt, B., Binting, S., Tissen-Diabaté, T., Bangemann, N., Goerling, U., Kröz, M., Blohmer, J.-U., Ortiz, M., & Brinkhaus, B. (2022). Feasibility and Possible Effects of Mindful Walking and Moderate Walking in Breast Cancer Survivors: A Randomized Controlled Pilot Study With a Nested Qualitative Study Part. Integrative Cancer Therapies, 21. https://doi.org/10.1177/15347354211066067

Telke, S., Leininger, B., Hanson, L., & Kreitzer, M. J. (2022). A Randomized Trial of 21 Days of Loving Kindness Meditation for Stress Reduction and Emotional Well-being Within an Online Health Community for Patients, Family, and Friends Experiencing a Cancer Health Journey. Journal of Integrative and Complementary Medicine, 28(2), 158–167. https://doi.org/10.1089/jicm.2020.0512

Telles, G. D., Conceição, M. S., Vechin, F. C., Libardi, C. A., Mori, M. A. da S., Derchain, S., & Ugrinowitsch, C. (2022). Exercise-Induced Circulating microRNAs: Potential Key Factors in the Control of Breast Cancer. Frontiers in Physiology, 13. https://doi.org/10.3389/fphys.2022.800094

Tung, Y. Z., & Tan, S. B. (2023). Mindful breathing for suffering. BMJ Supportive & Palliative Care, 13(2), 241–242. https://doi.org/10.1136/bmjspcare-2020-002373

Wilkinson, L., & Gathani, T. (2022). Understanding breast cancer as a global health concern. The British Journal of Radiology, 95(1130). https://doi.org/10.1259/bjr.20211033

Wong, G., Sun, R., Adler, J., Yeung, K. W., Yu, S., & Gao, J. (2022). Loving-kindness meditation (LKM) modulates brain-heart connection: An EEG case study.

Wren, A. A., Shelby, R. A., Soo, M. S., Huysmans, Z., Jarosz, J. A., & Keefe, F. J. (2019). Preliminary efficacy of a lovingkindness meditation intervention for patients undergoing biopsy and breast cancer surgery: A randomized controlled pilot study. Supportive Care in Cancer, 27(9), 3583–3592. https://doi.org/10.1007/s00520-019-4657-z

Yang, J., Lin, X.-Z., Guo, Q.-W., Wang, C.-L., Yang, R.-Y., Zhang, J.-W., & Zeng, Y. (2023). Mediating effect of mindfulness level on the relationship between marital quality and postpartum depression among primiparas. World Journal of Clinical Cases, 11(12), 2729–2739. https://doi.org/10.12998/wjcc.v11.i12.2729

Zeichner, S. B., Zeichner, R. L., Gogineni, K., Shatil, S., & Ioachimescu, O. (2017). Cognitive Behavioral Therapy for Insomnia, Mindfulness, and Yoga in Patients With Breast Cancer with Sleep Disturbance: A Literature Review. Breast Cancer: Basic and Clinical Research, 11, 117822341774556. https://doi.org/10.1177/1178223417745564

Zhu, F., Zhang, W., Liu, C., Qiang, W., & Lu, Q. (2023). Association of self-compassion and body image disturbance among young breast cancer patients: Mediating effect of body surveillance and body shame. Asia-Pacific Journal of Oncology Nursing, 10(4), 100199. https://doi.org/10.1016/j.apjon.2023.100199