Efektivitas terapi seft dan back massage terhadap kelelahan dan spiritualitas pada pasien non-hodgkin’s lymphoma diffuse large b-cell cavum nasi dextra: Studi kasus
DOI: https://doi.org/10.56922/quilt.v6i2.2073
Back Massage DLBCL Fatigue SEFT Spiritualitas
Abstract
Background: Diffuse Large B-Cell Lymphoma (DLBCL) is the most common and aggressive subtype of Non-Hodgkin's Lymphoma, with nasal cavity involvement being very rare. Non-pharmacological approaches such as Spiritual Emotional Freedom Technique (SEFT) and back massage have been shown to reduce fatigue and improve spiritual well-being, but combination therapy has not been widely studied.
Purpose: To determine the effectiveness of the combination of SEFT and back massage on fatigue and spirituality in patients with nasal DLBCL through a case study approach.
Method: The research design used a quantitative descriptive pre-post case study. The subject was a 65-year-old male patient diagnosed with right nasal cavity DLBCL. The intervention was administered over three consecutive days, consisting of a combination of SEFT (15–20 minutes) and slow-stroke back massage (20–25 minutes). The instruments used were the Fatigue Assessment Scale (FAS) and the Spiritual Well-Being Scale (SWBS).
Results: There was a decrease in the FAS score from 40 to 32 and an increase in the SWBS score from 69 to 98. Although both interventions were still in the severe and moderate categories, the decrease and increase in post-test scores showed a positive trend after three intervention sessions.
Conclusion: The combination of SEFT and back massage effectively reduced fatigue and increased spirituality in patients with nasal cavity DLBCL. This intervention is safe, applicable, and supports a holistic nursing approach.
Keywords: Back Massage; DLBCL; Fatigue; SEFT; Spirituality.
Pendahuluan: Diffuse Large B-Cell Lymphoma (DLBCL) merupakan subtipe paling umum dan agresif dari Limfoma Non-Hodgkin, dengan keterlibatan kavum nasi yang sangat jarang. Pendekatan non farmakologis seperti Spiritual Emotional Freedom Technique (SEFT) dan back massage telah terbukti dapat menurunkan kelelahan dan meningkatkan kesejahteraan spiritual, tetapi belum banyak diteliti dalam pemberian kombinasi.
Tujuan: Mengetahui efektivitas kombinasi SEFT dan back massage terhadap kelelahan dan spiritualitas pada pasien DLBCL cavum nasi melalui pendekatan studi kasus.
Metode: Desain penelitian studi kasus pre–post deskriptif kuantitatif. Subjek adalah pasien laki-laki, 65 tahun, dengan diagnosa DLBCL cavum nasi dextra. Intervensi diberikan selama tiga hari berturut-turut berupa kombinasi SEFT (15–20 menit) dan back massage slow-stroke (20–25 menit). Instrumen yang digunakan yaitu Fatigue Assessment Scale (FAS) dan Spiritual Well-Being Scale (SWBS).
Hasil: Terjadi penurunan skor FAS dari 40 menjadi 32 dan peningkatan skor SWBS dari 69 menjadi 98. Meskipun kedua intervensi ini masih dalam kategori berat dan sedang tetapi penurunan dan peningkatan dalam skor post-test menunjukan arah yang positif setelah tiga sesi intervensi.
Simpulan: Kombinasi SEFT dan back massage efektif dapat menurunkan kelelahan dan meningkatkan spiritualitas pada pasien DLBCL kavum nasi. Intervensi ini aman, aplikatif, dan mendukung pendekatan keperawatan yang holistik.
Kata Kunci: Back Massage; DLBCL; Fatigue; SEFT; Spiritualitas.
Downloads
References
American Cancer Society. (2024). Cancer-related Fatigue. Diakses dari: https://www.cancer.org/cancer/managing-cancer/side-effects/fatigue-weakness-sleep/fatigue.html
Aravind, A., Sharma, S., & Swarup, M. S. (2025). Primary diffuse large B-cell lymphoma of the nasal cavity: a rare aggressive entity. International Journal of Otorhinolaryngology and Head and Neck Surgery, 11(4), 450–453.
Ayubbana, S. (2018). Efektifitas Backmassage Terhadap Fatigue Pada Pasien Kanker Payudara Yang Menjalani Kemoterapi. Jurnal Wacana Kesehatan, 3(1).
Che, Y.Q., Wang, D., Liu, P., Zhang, Y., Luo, Y., Liu, H.Y., Shen, D., & Cui, W. (2020). Rapid identification of novel independent serum biomarkers in diffuse large B-cell lymphoma. Translational Cancer Research, 9(8), 4534–4541.
Dyah, R. P. (2021). Penerapan Back Massage Terhadap Fatigue (Kelelahan) Pasien Kanker Payudara Yang Menjalani Kemoterapi. Jurnal Manajemen Asuhan Keperawatan, 5(1), 6–12.
Haris, R. P. Y. A., & Asnaniar, W. O. S. (2023). Intervensi Terapi Kombinasi: Dzikir dan SEFT Menurunkan Kecemasan Pasien Kanker. Window of Nursing Journal, 77-87.
Izgu, N., Metin, Z. G., Eroglu, H., Semerci, R., & Pars, H. (2024). Impact of spiritual interventions in individuals with cancer: A systematic review and meta-analysis. European Journal of Oncology Nursing, 71, 102646.
Miladinia, M., Voss, J. G., Molavynejad, S., Malehi, A. S., Zarea, K., Nouri, E. M., & Ahmadzadeh, A. (2021). Slow-stroke back massage compared with music therapy for leukemia-related pain and fatigue: a randomized controlled trial. JCO oncology practice, 17(11), e1614-e1621.
National Cancer Institute. (2025). Spirituality in Cancer Care. Cancer.Gov. diakses dari: https://www.cancer.gov/about-cancer/coping/day-to-day/faith-and-spirituality/spirituality-pdq
Padala, S. A., & Kallam, A. (2023). Diffuse Large B-Cell Lymphoma (NIH, Ed.). Treasure Island (FL).
Paul, A., & Kalir, T. (2025). The Role of Spirituality/Religiosity in the Cancer Journey. Medical Research Archives, 13(3).
PPNI. (2017). Standar Diagnosis Keperawatan Indonesia: Definisi dan Indikator Diagnostik (1st ed., Vol. 3). DPP PPNI.
PPNI. (2018). Standar Intervensi Keperawatan Indonesia: Definisi dan Tindakan Keperawatan (1st ed., Vol. 2). DPP PPNI.
PPNI. (2019). Standar Luaran Keperawatan Indonesia: Definisi dan Kriteria Hasil Keperawatan (1st ed., Vol. 2). DPP PPNI.
Priyanto, W., Widyana, R., & Verasari, M. (2021). Spiritual Emotional Freedom Technique (SEFT) to Reducethe Diabetes Distress in People with Diabetes Mellitus. Indigenous: Jurnal Ilmiah Psikologi, 6(2), 66–36.
Salsabila, M. P., & Novieastari, E. (2024). The Effectiveness Of Spiritual Emotional Freedom Technique (SEFT) On The Decrease of Psychological Issues In Cancer Patients: A Systematic Review. Media Keperawatan Indonesia, 7(3).
Safitri, A. W., & Machmudah, M. (2021). Penurunan Nyeri dengan Intervensi Kombinasi Terapi Relaksasi Pernafasan dan Terapi SEFT pada Pasien dengan Kanker Servik Stadium IIIB. Holistic Nursing Care Approach, 1(1), 1.
Salami, F. (2019). The Implementation of Spiritual Emotional Freedom Technique (S-EFT) to Reduce Self-discomfort: A Study among College Students. In International Conference on Psychology.
Sleight, A. G., Crowder, S. L., Skarbinski, J., Coen, P., Parker, N. H., Hoogland, A. I., Gonzalez, B. D., Playdon, M. C., Cole, S., Ose, J., Murayama, Y., Siegel, E. M., Figueiredo, J. C., & Jim, H. S. L. (2022). A New Approach to Understanding Cancer-Related Fatigue: Leveraging the 3P Model to Facilitate Risk Prediction and Clinical Care. Cancers, 14(8), 1982.
The ASCO Post. (2018). Massage Therapy for Patients With Cancer. Di akses dari: https://ascopost.com/issues/april-25-2018/massage-therapy-for-patients-with-cancer/
Werdani, Y. D. W., Lilyana, M. T. A., & Putri, T. A. W. (2022). Multifaktorial Pemicu Cancer-Related (CRF) Pada Pasien Kanker. Jurnal Ners LENTERA, 10(1), 49–59.
Xu, H., & Xiao, W. (2025). Aromatherapy Combined with Emotional Freedom Techniques on Fear of Recurrence and Sleep Quality in Lung Cancer Survivors. Journal of Clinical and Nursing Research, 9(10), 371–377.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Sri Wulandari, Hamudi Prasestiyo
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
