Electronic Theses and Dissertation

Kementerian pendidikan tinggi, sains dan teknologi universitas syiah kuala fakultas keperawatan program magister keperawatan tesis 21 juli 2026 xvi + 5 bab + 85 halaman + 7 tabel + 1 gambar + 3 skema + 1 diagram + 14 lampiran dara anjalita 2412201010019 pengaruh slow deep breathing exercise (sdbe) terhadap tingkat kelelahan pada pasien kanker di rumah sakit umum daerah provinsi aceh abstrak kelelahan adalah salah satu gejala yang sering dialami oleh pasien kanker dengan prevalensi 60% hingga 90%. kelelahan akibat kanker dapat mempengaruhi kemampuan fisik, kognitif dan emosional sehingga berdampak pada kualitas hidup pasien. penelitian ini bertujuan untuk mengetahui pengaruh slow deep breathing exercise (sdbe) terhadap tingkat kelelahan pada pasien kanker di rumah sakit umum daerah provinsi aceh. desain penelitian ini menggunakan quasi-experimental dengan non-randomized pretest-posttest control group. populasi penelitian berjumlah 284 pasien. sampel berjumlah 70 responden yang sedang menjalani perawatan, dipilih menggunakan metode consecutive sampling dan dibagi melalui temporal separation menjadi kelompok intervensi (n=35) dan kontrol (n=35). selama penelitian, masing-masing kelompok drop out sebanyak 3 responden, sehingga jumlah sampel akhir yang di analisis adalah 32 responden per kelompok. kelompok intervensi diberikan sdbe sebanyak dua kali sehari dengan durasi 15-20 menit per sesi selama 7 hari berturut-turut dan kelompok kontrol hanya menerima perawatan standar. pengukuran tingkat kelelahan menggunakan cancer fatigue scale (cfs) sebelum dan sesudah intervensi. analisis data dengan uji wilcoxon signed-rank test dan mann whitney u test. hasil penelitian menunjukkan, median tingkat kelelahan kelompok intervensi menurun dari 47,00 menjadi 38,00 nilai z = -4990 dengan (p = 0,0001), sedangkan kelompok kontrol tetap 48,00 nilai z = -2979 (p = 0,003). hasil uji antar kelompok menunjukkan tidak ada perbedaan signifikan kelompok intervensi dan kontrol sebelum intervensi dengan nilai z = -1,391 (p= 0,164). sedangkan sesudah intervensi terdapat perbedaan antara kelompok intervensi dan kontrol dengan nilai z = -6,934 (p = 0,0001). sdbe berpengaruh signifikan menurunkan tingkat kelelahan pada pasien kanker. sdbe dapat direkomendasikan sebagai salah satu terapi non-farmakologis sederhana, aman dan mudah diterapkan dalam praktik keperawatan pada pasien kanker. kata kunci: kanker; kelelahan; slow deep breathing exercise; aktivitas daftar pustaka: 10 buku, 46 jurnal ilmiah, 6 sumber online (1991 – 2026)

MINISTRY OF HIGHER EDUCATION, SCIENCE, AND TECHNOLOGY UNIVERSITAS SYIAH KUALA FACULTY OF NURSING MASTER’S PROGRAM OF NURSING SCIENCE THESIS 21 July 2026 xvi + 5 Chapters + 84 pages + 7 Tables + 1 Figure + 3 Schemes + 1 Diagram + 14 Appendices DARA ANJALITA 2412201010019 THE EFFECT OF SLOW DEEP BREATHING EXERCISE (SDBE) ON FATIGUE LEVELS AMONG CANCER PATIENTS AT THE REGIONAL GENERAL HOSPITAL OF ACEH PROVINCE ABSTRAK Fatigue is one of the most common symptoms experienced by cancer patients, with a prevalence ranging from 60% to 90%. Cancer-related fatigue can affect patients physical, cognitive, and emotional functioning, thereby reducing their quality of life. This study aimed to determine the effect of Slow Deep Breathing Exercise (SDBE) on fatigue levels among cancer patients at the Regional General Hospital of Aceh Province. This study employed a quasi-experimental design using a non-randomized pretest-posttest control group design. The study population consisted of 284 patients. A total of 70 patients undergoing treatment were selected using consecutive sampling and allocated through temporal separation into an intervention group (n=35) and a control group (n=35). During the study period, three respondents from each group dropped out, resulting in a final analyzed sample of 32 respondents per group. The intervention group received SDBE twice daily, with each session lasting 15–20 minutes for seven consecutive days, while the control group received standard care only. Fatigue levels were measured using the Cancer Fatigue Scale (CFS) before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test and the Mann–Whitney U test. The results showed that the median fatigue level in the intervention group decreased from 47.00 to 38.00, Z value of −4.990 (p = 0.0001), whereas the control group remained at 48.00, Z value of −2.979 (p = 0.003). The between-group analysis showed no significant difference between the intervention and control groups before the intervention, with a Z value −1.391 (p = 0.164). However, after the intervention, a significant difference was observed between the intervention and control groups, Z value of −6.934 (p = 0.0001). SDBE significantly reduced fatigue levels in cancer patients. Therefore, SDBE can be recommended as a simple, safe, and easily applicable non-pharmacological therapy in nursing practice for cancer patients. Kata Kunci: Cancer; Fatigue; Slow Deep Breathing Exercise, Activity References: 10 books, 46 journals, 6 online sources (1991-2026)