Application of Theory of Unpleasant Symptoms tRoad o Reduce Stress, Anxiety and Depression in Lung Cancer Patients
DOI:
https://doi.org/10.62710/4t3the41Keywords:
Lung Cancer, Psychological Distress, Loving Kindness Meditation, Discomfort Theory.Abstract
Lung cancer patients often face significant psychosocial distress, negatively impacting their quality of life. To address this
problem and equip patients with coping skills, the application of the concept of Theory of Unpleasant Symptoms (TOUS) has
become a relevant assessment format. Ten cases of lung cancer patients managed by the Resident showed that EvidenceBased Nursing Practice (EBNP) interventions in the form of Mindfulness Loving-Kindness Meditation (MLKM) were
effective in treating psychological distress. This intervention has been shown to significantly reduce levels of stress, anxiety,
and depression in patients. Therefore, MLKM is recommended as an essential nursing intervention to help lung cancer
patients cope with their psychological distress. Oncology nurses are advised to adopt the TOUS approach in managing lung
cancer patients experiencing psychological problems, strengthening evidence-based nursing practices in holistic governance.
Keywords: Lung Cancer, Psychological Distress, Loving Kindness Meditation, Discomfort Theory.
References
Alligood, M.R., & Tomey, A.M. (2006). Nursing theory utilization & application (3rd Ed.). St. Louis: Mosby Elsevier.
Bray F, Laversanne M, Sung H, Ferlay J, Siegel R, Soerjomataram, et al. 2024. Global cancer statistics 2022: GLOBOCAN
estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians.
(3): 229–263.
Gift, E. R., Lentz, M. R., Pugh, J. C., & Milligan, R. A. (1990). Theory of unpleasant symptoms. Unpublished manuscript,
School of Nursing, University of Washington, Seattle.
Global Cancer Observatory. 2024. Top 5 most frequent cancers Indonesia.
Hofmann, S. G., Grossmann, P., & Hinton, D. E. (2011). Loving-kindness meditation and compassion-focused therapy for
chronic pain. Journal of Clinical Psychology, 67(1), 105-112.
D. E. (2011). Loving-kindness meditation and compassion-focused therapy for chronic pain. Journal of Clinical
Psychology, 67(1), 105-112.
Johnson, L., & Lee, K. (2022). Psychological distress in lung cancer patients: A review. Journal of Psycho- Oncology,
(5), 123-130.
Lenz, E. R., Pugh, L. C., Milligan, R. A., Gift, A., & Suppe, F. (1997). The middle-range theory of unpleasant symptoms:
An update and future directions. Advances in Nursing Science, 19(3), 14-27.
Lutz, A., Brefczynski-Lewis, H., Johnstone, E. T., & Davidson, R. J. (2008). Regulation of the neural circuitry of emotion
by compassion meditation: Effects of expertise. PLoS One, 3(3), e1897.
Morgan, L., Schabert, J., & Smith, P. (2015).
Mindfulness-based interventions for cancer patients: A systematic review. Supportive Care in Cancer, 23(8), 2450-2460.
National Comprehensive Cancer Network (NCCN). (2024). NCCN Guidelines for Patients: Lung Cancer. Retrieved from
Putra A, Rasmin M, Aninwidyaningsih W. 2020. Kejadian Hipoksemia dan Faktor yang Berpengaruh pada Tindakan
Bronkoskopi Diagnostik Kasus Tumor Paru. Jurnal Respirologi Indonesia. 40(2): 66-119.
Salzberg, S. (1995). Lovingkindness: The revolutionary art of happiness. Shambhala Publications.
Shapiro, S. L., & Carlson, L. E. (2017). The art and science of mindfulness: Integrating mindfulness into psychology and
the helping professions. American Psychological Association.
Siegel, R. L., Miller, K. D., Wagle, G., & Jemal, A. (2024). Cancer statistics, 2024. CA: A Cancer Journal for Clinicians,
(1), 7-40.
Smith, A. B., Jones, C. D., & Brown, E. F. (2023). Prevalence of anxiety and depression in lung cancer patients undergoing
treatment. Oncology Nursing Forum, 50(2), 150-160.
Wang, X., Chen, Y., & Li, Z. (2023).
Coping strategies and psychological burden in lung cancer patients: A qualitative study. Journal of Clinical Nursing, 32(1
, 100-110.
World Health Organization (WHO). (2024). Lung Cancer. Retrieved from https://www.who.int/indonesia
Zhang, L., Wang, Q., & Liu, X. (2020). The effect of loving-kindness meditation on psychological well- being in cancer
patients: A meta- analysis. Complementary Therapies in Medicine, 52, 102488.