Kecemasan dan Persepsi Pasien Kanker Ovarium dengan Kemoterapi setelah Terapi Smartphone-Based Virtual Reality (S-VR): Studi Kasus

Made Satya Nugraha Gautama(1*), Wiwin Lismidiati(2), Farida Widayati(3)

(1) Program Studi Ilmu Keperawatan Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan Universitas Gadjah Mada
(2) Departemen Keperawatan Anak dan Maternitas, Program Studi Ilmu Keperawatan Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan Universitas Gadjah Mada
(3) Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta
(*) Corresponding Author


Background: Chemotherapy is a systemic modality for cancer patients and has physical and psychological side effects. Psychological problems usually arise most often when undergoing chemotherapy. Not a few patients feel anxiety and negative perceptions when diagnosed with cancer, undergo surgery, or have an IV inserted to get chemotherapy drugs. Virtual Reality (VR) is a technology-based non-complementary therapy that has the potential to be involved as an alternative in the management of symptoms of cancer patients.
Objective: To describe the effects of using Smartphone-Based Virtual Reality (S-VR) on the level of anxiety and perceptions of cancer patients during chemotherapy.
Methods: A case study of ovarian cancer patient undergoing chemotherapy and were given Smartphone -Based Virtual Reality (S-VR) treatment.
Results: The results obtained were a decrease in situational anxiety facing chemotherapy from a score of 40 (moderate anxiety) to a score of 21 (mild anxiety), decreased in pulse rate, and a significant increase in the perception score (28.6%) (less perception) to 94.3% ( good perception) after getting S-VR intervention during chemotherapy.
Conclusion: S-VR can be a technology-based and non-invasive non-pharmacological intervention in reducing anxiety and providing positive experiences for patients during chemotherapy.



Latar Belakang: Tidak sedikit pasien merasakan kecemasan dan persepsi negatif saat didiagnosa kanker, menjalankan pembedahan, atau dipasang infus kemoterapi. Virtual Reality (VR) menjadi salah satu terapi non-komplementer berbasis teknologi yang potensial dilibatkan sebagai alternatif dalam manajemen gejala pasien kanker.
Tujuan: Untuk mengetahui efek penggunaan Smartphone-Based Virtual Reality (S-VR) terhadap tingkat kecemasan dan persepsi pasien kanker selama menjalani kemoterapi.
Metode: Studi kasus dilakukan pada pasien dengan kanker ovarium yang mendapatkan kemoterapi dan diberikan terapi S-VR. Kecemasan diukur dengan instrument S-AI, pengukuran nadi dan RR. Pengukuran persepsi menggunakan instrument dari Scates.
Hasil: Terjadi penurunan kecemasan saat kemoterapi dari skor 40 (kecemasan sedang) ke skor 21 (kecemasan ringan), penurunan frekuensi nadi dan adanya peningkatan secara signifikan skor persepsi (65,7%) (persepsi cukup) menjadi 94,3% (persepsi baik) setelah mendapatkan intervensi S-VR selama  kemoterapi.
Kesimpulan: S-VR dapat menjadi intervensi non-farmakologis berbasis teknologi dan non-invasif dalam menurunkan kecemasan dan memberikan pengalaman positif pada pasien selama menjalani kemoterapi.

Kata Kunci: 


kanker; kecemasan; kemoterapi; persepsi; virtual reality

Full Text:



  1. Torre LA, Bray F, Siegel RL, Ferlay J, Lortet‐Tieulent J, Jemal A. Global cancer statistics, 2012. CA: a cancer journal for clinicians. 2015 Mar;65(2):87-108.
  2. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians. 2018 Nov;68(6):394-424.
  3. Bhatla N, Denny L. FIGO cancer report 2018. International Journal of Gynecology & Obstetrics. 2018 Oct;143:2-3.
  4. Harsono AB. Kanker Ovarium:“The Silent Killer”. Indonesian Journal of Obstetrics & Gynecology Science. 2020 Mar 29;3(1):1-6.
  5. Chandra A, Pius C, Nabeel M, Nair M, Vishwanatha JK, Ahmad S, Basha R. Ovarian cancer: Current status and strategies for improving therapeutic outcomes. Cancer medicine. 2019 Nov;8(16):7018-31.
  6. Neugut AI, Prigerson HG. Curative, Life‐Extending, and Palliative Chemotherapy: New Outcomes Need New Names. The oncologist. 2017 Aug;22(8):883.
  7. Oh PJ, Cho JR. Changes in fatigue, psychological distress, and quality of life after chemotherapy in women with breast cancer: a prospective study. Cancer nursing. 2020 Jan 1;43(1):E54-60.
  8. American Cancer Society. Anxiety, fear, and depression. Having cancer affects your emotional health. Available from: [Access 4th October 2020]
  9. Chandwani KD, Ryan JL, Peppone LJ, Janelsins MM, Sprod LK, Devine K, Trevino L, Gewandter J, Morrow GR, Mustian KM. Cancer-related stress and complementary and alternative medicine: a review. Evidence-Based Complementary and Alternative Medicine. 2012 Jan 1;2012.
  10. Chirico A, Lucidi F, De Laurentiis M, Milanese C, Napoli A, Giordano A. Virtual reality in health system: beyond entertainment. a mini‐review on the efficacy of VR during cancer treatment. Journal of cellular physiology. 2016 Feb;231(2):275-87.
  11. Duncan M, Moschopoulou E, Herrington E, Deane J, Roylance R, Jones L, Bourke L, Morgan A, Chalder T, Thaha MA, Taylor SC. Review of systematic reviews of non-pharmacological interventions to improve quality of life in cancer survivors. BMJ open. 2017 Nov 1;7(11).
  12. Cherry B, Jacob SR. Contemporary nursing: Issues, trends, & management. Elsevier Health Sciences; 2016 Feb 1.
  13. Baños RM, Espinoza M, García-Palacios A, Cervera JM, Esquerdo G, Barrajón E, Botella C. A positive psychological intervention using virtual reality for patients with advanced cancer in a hospital setting: a pilot study to assess feasibility. Supportive Care in Cancer. 2013 Jan 1;21(1):263-70.
  14. Dos Santos JR, Werner H, Ribeiro G, Belmonte SL. Combination of non invasive medical imaging technologies and virtual reality systems to generate immersive fetal 3D visualizations. InInternational Conference on Digital Human Modeling and Applications in Health, Safety, Ergonomics and Risk Management 2016 Jul 17 (pp. 92-99). Springer, Cham.
  15. Parong J, Mayer RE. Learning science in immersive virtual reality. Journal of Educational Psychology. 2018 Aug;110(6):785.
  16. Jimenez YA, Cumming S, Wang W, Stuart K, Thwaites DI, Lewis SJ. Patient education using virtual reality increases knowledge and positive experience for breast cancer patients undergoing radiation therapy. Supportive Care in Cancer. 2018 Aug 1;26(8):2879-88.
  17. Mohammad EB, Ahmad M. Virtual reality as a distraction technique for pain and anxiety among patients with breast cancer: A randomized control trial. Palliative & supportive care. 2019 Feb;17(1):29-34.
  18. Garrett BM, Tao G, Taverner T, Cordingley E, Sun C. Patients perceptions of virtual reality therapy in the management of chronic cancer pain. Heliyon. 2020 May 1;6(5):e03916.
  19. Hoellen F, Wagner JF, Lüdders DW, Rody A, Banz-Jansen C. Anxiety in caregiving partners of breast cancer patients. Archives of gynecology and obstetrics. 2019 Oct 1;300(4):993-1005.
  20. Scates D, Dickinson JI, Sullivan K, Cline H, Balaraman R. Using Nature-Inspired Virtual Reality as a Distraction to Reduce Stress and Pain Among Cancer Patients. Environment and Behavior. 2020 May 22:0013916520916259.
  21. 21. Chirico A, Maiorano P, Indovina P, Milanese C, Giordano GG, Alivernini F, Iodice G, Gallo L, De Pietro G, Lucidi F, Botti G. Virtual reality and music therapy as distraction interventions to alleviate anxiety and improve mood states in breast cancer patients during chemotherapy. Journal of Cellular Physiology. 2020 Jun;235(6):5353-62.
  22. 22. Wong CL, Li CK, Chan CW, Choi KC, Chen J, Yeung MT, Chan ON. Virtual Reality Intervention Targeting Pain and Anxiety Among Pediatric Cancer Patients Undergoing Peripheral Intravenous Cannulation: A Randomized Controlled Trial. Cancer Nursing. 2020 Jun 4.
  23. Tarrant J, Viczko J, Cope H. Virtual reality for anxiety reduction demonstrated by quantitative EEG: a pilot study. Frontiers in psychology. 2018 Jul 24; 9:1280. 10.3389/fpsyg.2018.01280
  24. Sherlin L, Muench F, Wyckoff S. Respiratory sinus arrhythmia feedback in a stressed population exposed to a brief stressor demonstrated by quantitative EEG and sLORETA. Applied Psychophysiology and Biofeedback. 2010 Sep 1;35(3):219-28.
  25. 25. Tashjian VC, Mosadeghi S, Howard AR, Lopez M, Dupuy T, Reid M, Martinez B, Ahmed S, Dailey F, Robbins K, Rosen B. Virtual reality for management of pain in hospitalized patients: results of a controlled trial. JMIR mental health. 2017;4(1):e9.
  26. 26. Tanja-Dijkstra K, Pahl S, White MP, Auvray M, Stone RJ, Andrade J, May J, Mills I, Moles DR. The soothing sea: a virtual coastal walk can reduce experienced and recollected pain. Environment and behavior. 2018 Jul;50(6):599-625.
  27. 27. Johnson T, Bauler L, Vos D, Hifko A, Garg P, Ahmed M, Raphelson M. Virtual reality use for symptom management in palliative care: a pilot study to assess user perceptions. Journal of Palliative Medicine. 2020 Jan 2.


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