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"[ABSTRAKKanker urogenital dan penatalaksanaannya sering kali menyebabkan perubahanidentitas seksual dan juga merubah struktur tubuh baik secara nyata ataupun keluhansubjektif pasien. Penelitian ini bertujuan mengidentifikasi gambaran pengalamankehidupan seksual pasien kanker urogenital bersama pasangannya, yang telahmenjalani kemoterapi, terapi radiasi atau pembedahan. Penelitian menggunakanpenelitian fenomenologi. Metode pengambilan data menggunakan teknik wawancara.Penelitian dilakukan di Siloam Hospitals Lippo Village. Partisipan adalah pasienkanker urogenital beserta pasanganya. Pengolahan Data dilakukan dengan caraverbatim, selanjutnya dianalisis dengan content analysis menggunakan teknik Colaizzi.Hasil penelitian didapatkan empat tema, yaitu ketidaknyamanan dalam melakukanhubungan seksual sebagai dampak perubahan kondisi fisik, ketidakterbukaan pasangandalam menyampaikan kepuasan seksual untuk lebih berfokus pada upaya pengobatan,pengalihan hasrat dalam berhubungan seksual sebagai upaya beradaptasi denganperubahan kondisi fisik, dan ketidakjelasan tentang pola hubungan seksual yang amanselama masa pengobatan. Kesimpulan: perubahan kondisi fisik dan psikososial pasienkanker urogenital menyebabkan permasalahan dalam kehidupan seksualnya. Hasilpenelitian ini merekomendasikan agar perawat proaktif dalam melakukan upayaprofesionalnya dalam perawatan klien kanker urogenital termasuk pemenuhankebutuhan seksual.

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ABSTRACTUrogenital cancers and their management leads to changes in sexual identity and alsochange the structure of the body, either real or subjective complaints. This study aimsto identify the description of the sexual life experience among urogenital cancerpatients with their partner, who had chemotherapy , pre-surgery or post-surgery. Thestudy used a qualitative research design with a phenomenological approach. Locationof this research in Siloam Hospitals Lippo Village. Participant were patients diagnosedwith urogenital cancer and their partner. Data processed in verbatim form, thenanalyzed using content analysis with Collaizi technique. Results of this study, foundfour themes, these are the themes had found: discomfort in sexual intercourse as aresult of changes in physical conditions, Lack of openness partner in delivering sexualsatisfaction in order to focus on treatment efforts, diversion of desire in intercourse asan attempt to adapt to the changing physical conditions, Attention couples (wife) as aneffort to adapt with changing physical condition of the client (the husband),Obscuration of pattern in safe sex during the treatment period. Conclusion: thephysical condition and psychosocial changing of urogenital cancer patients led toproblems in sexual life. The results of this study indicated that nurses proactive in theirprofessional efforts in the treatment of urogenital cancer clients including sexualfulfillment;Urogenital cancers and their management leads to changes in sexual identity and alsochange the structure of the body, either real or subjective complaints. This study aimsto identify the description of the sexual life experience among urogenital cancerpatients with their partner, who had chemotherapy , pre-surgery or post-surgery. Thestudy used a qualitative research design with a phenomenological approach. Locationof this research in Siloam Hospitals Lippo Village. Participant were patients diagnosedwith urogenital cancer and their partner. Data processed in verbatim form, thenanalyzed using content analysis with Collaizi technique. Results of this study, foundfour themes, these are the themes had found: discomfort in sexual intercourse as aresult of changes in physical conditions, Lack of openness partner in delivering sexualsatisfaction in order to focus on treatment efforts, diversion of desire in intercourse asan attempt to adapt to the changing physical conditions, Attention couples (wife) as aneffort to adapt with changing physical condition of the client (the husband),Obscuration of pattern in safe sex during the treatment period. Conclusion: thephysical condition and psychosocial changing of urogenital cancer patients led toproblems in sexual life. The results of this study indicated that nurses proactive in theirprofessional efforts in the treatment of urogenital cancer clients including sexualfulfillment, Urogenital cancers and their management leads to changes in sexual identity and alsochange the structure of the body, either real or subjective complaints. This study aimsto identify the description of the sexual life experience among urogenital cancerpatients with their partner, who had chemotherapy , pre-surgery or post-surgery. Thestudy used a qualitative research design with a phenomenological approach. Locationof this research in Siloam Hospitals Lippo Village. Participant were patients diagnosedwith urogenital cancer and their partner. Data processed in verbatim form, thenanalyzed using content analysis with Collaizi technique. Results of this study, foundfour themes, these are the themes had found: discomfort in sexual intercourse as aresult of changes in physical conditions, Lack of openness partner in delivering sexualsatisfaction in order to focus on treatment efforts, diversion of desire in intercourse asan attempt to adapt to the changing physical conditions, Attention couples (wife) as aneffort to adapt with changing physical condition of the client (the husband),Obscuration of pattern in safe sex during the treatment period. Conclusion: thephysical condition and psychosocial changing of urogenital cancer patients led toproblems in sexual life. The results of this study indicated that nurses proactive in theirprofessional efforts in the treatment of urogenital cancer clients including sexualfulfillment]"

"[ABSTRAKPerawat memegang peranan penting dalam pemberian asuhan keperawatan serta mendampingipasien dengan kanker ginekologi selama 24 jam. Pada pelaksanaan, belum semua perawatmelakukan pengkajian psikoseksual ketika memberikan asuhan pelayanan keperawatan untukmenggali masalah seksual akibat terapi yang dialami oleh pasien kanker. Penelitian ini bertujuanuntuk mengeksplorasi pengalaman perawat yang bekerja diunit ongkologi dalam mendiskusikanisu seksual dengan pasien dan penyintas kanker ginekologi. Secara keseluruhan fenomena yangdidapatkan dalam penelitian ini adalah suatu gambaran pengalaman perawat dalammendiskusikan isu seksual dengan pasien kanker ginekologi. Penelitian dengan metode kualitatifdengan desain fenomenologi ini melibatkan sampel sepuluh partisipan. Analisa hasil penelitiandilakukan dengan cara analisa isi dengan menyimpulkan pernyataan partisipan menjadi temadalam penelitian. Penelitian ini menemukan lima tema utama yang berkaitan dengan pengalamanperawat dalam mendiskusikan isu seksual dengan pasien kanker ginekologi yaitu persepsiperawat tentang pelayanan psikoseksual, hambatan yang ditemukan perawat ketikamendiskusikan isu seksual dengan pasien kanker ginekologi, menemukan masalah yangmengganggu seksualitas pada pasien kanker ginekologi, cara/upaya perawat memperolehdukungan dalam membantu masalah psikoseksual pada pasien kanker ginekologi, kebutuhanperawat terhadap implementasi pelayanan psikoseksual pada pasien kanker ginekologi.Pelayanan psikoseksual pada pasien kanker ginekologi dapat ditingkatkan dengan adanya diskusiisu seksual dengan pasien kanker ginekologi. Perawat diharapkan dapat melakukan pengkajianpsikoseksual di dalam pemberian asuhan keperawatan pada pasien kanker ginekologi.

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ABSTRACTNurses play an important role in providing nursing care as well as assisting gynecologic cancerpatients for 24 hours. In fact, not all nurses do a psychosexual assessment when providingnursing care in order to explore sexual problems related to the cancer therapy experienced by thepatients. This study aimed to explore the experiences of nurses who work in oncology unit indiscussing sexual issues with the patients and survivors of gynecologic cancer. Overallphenomenon obtained in this study was an overview of nurses? experiences in discussing sexualissues with gynecologic cancer patients. This study applied a qualitative method withphenomenological design. The samples were ten participants. The results were analyzed usingcontent analysis by concluding the participants? statements to become the research themes. Thisstudy identified five main themes related to nurses? experiences in discussing sexual issues withgynecologic cancer patients, including nurses? perceptions of psychosexual services, theobstacles found by nurses when discussing sexual issues with gynecologic cancer patients,finding problems that interfere with sexuality in gynecologic cancer patients, nurses? attempts toobtain supports in helping psychosexual problems of gynecologic cancer patients, nurses? needsto the implementation of psychosexual services for gynecologic cancer patients. Psychosexualservices for gynecologic cancer patients can be improved by the presence of sexual issuesdiscussion with gynecologic cancer patients. Nurses are expected to do a psychosexualassessment in providing nursing care to gynecologic cancer patients.;Nurses play an important role in providing nursing care as well as assisting gynecologic cancerpatients for 24 hours. In fact, not all nurses do a psychosexual assessment when providingnursing care in order to explore sexual problems related to the cancer therapy experienced by thepatients. This study aimed to explore the experiences of nurses who work in oncology unit indiscussing sexual issues with the patients and survivors of gynecologic cancer. Overallphenomenon obtained in this study was an overview of nurses? experiences in discussing sexualissues with gynecologic cancer patients. This study applied a qualitative method withphenomenological design. The samples were ten participants. The results were analyzed usingcontent analysis by concluding the participants? statements to become the research themes. Thisstudy identified five main themes related to nurses? experiences in discussing sexual issues withgynecologic cancer patients, including nurses? perceptions of psychosexual services, theobstacles found by nurses when discussing sexual issues with gynecologic cancer patients,finding problems that interfere with sexuality in gynecologic cancer patients, nurses? attempts toobtain supports in helping psychosexual problems of gynecologic cancer patients, nurses? needsto the implementation of psychosexual services for gynecologic cancer patients. Psychosexualservices for gynecologic cancer patients can be improved by the presence of sexual issuesdiscussion with gynecologic cancer patients. Nurses are expected to do a psychosexualassessment in providing nursing care to gynecologic cancer patients.;Nurses play an important role in providing nursing care as well as assisting gynecologic cancerpatients for 24 hours. In fact, not all nurses do a psychosexual assessment when providingnursing care in order to explore sexual problems related to the cancer therapy experienced by thepatients. This study aimed to explore the experiences of nurses who work in oncology unit indiscussing sexual issues with the patients and survivors of gynecologic cancer. Overallphenomenon obtained in this study was an overview of nurses’ experiences in discussing sexualissues with gynecologic cancer patients. This study applied a qualitative method withphenomenological design. The samples were ten participants. The results were analyzed usingcontent analysis by concluding the participants’ statements to become the research themes. Thisstudy identified five main themes related to nurses’ experiences in discussing sexual issues withgynecologic cancer patients, including nurses’ perceptions of psychosexual services, theobstacles found by nurses when discussing sexual issues with gynecologic cancer patients,finding problems that interfere with sexuality in gynecologic cancer patients, nurses’ attempts toobtain supports in helping psychosexual problems of gynecologic cancer patients, nurses’ needsto the implementation of psychosexual services for gynecologic cancer patients. Psychosexualservices for gynecologic cancer patients can be improved by the presence of sexual issuesdiscussion with gynecologic cancer patients. Nurses are expected to do a psychosexualassessment in providing nursing care to gynecologic cancer patients.;Nurses play an important role in providing nursing care as well as assisting gynecologic cancerpatients for 24 hours. In fact, not all nurses do a psychosexual assessment when providingnursing care in order to explore sexual problems related to the cancer therapy experienced by thepatients. This study aimed to explore the experiences of nurses who work in oncology unit indiscussing sexual issues with the patients and survivors of gynecologic cancer. Overallphenomenon obtained in this study was an overview of nurses’ experiences in discussing sexualissues with gynecologic cancer patients. This study applied a qualitative method withphenomenological design. The samples were ten participants. The results were analyzed usingcontent analysis by concluding the participants’ statements to become the research themes. Thisstudy identified five main themes related to nurses’ experiences in discussing sexual issues withgynecologic cancer patients, including nurses’ perceptions of psychosexual services, theobstacles found by nurses when discussing sexual issues with gynecologic cancer patients,finding problems that interfere with sexuality in gynecologic cancer patients, nurses’ attempts toobtain supports in helping psychosexual problems of gynecologic cancer patients, nurses’ needsto the implementation of psychosexual services for gynecologic cancer patients. Psychosexualservices for gynecologic cancer patients can be improved by the presence of sexual issuesdiscussion with gynecologic cancer patients. Nurses are expected to do a psychosexualassessment in providing nursing care to gynecologic cancer patients., Nurses play an important role in providing nursing care as well as assisting gynecologic cancerpatients for 24 hours. In fact, not all nurses do a psychosexual assessment when providingnursing care in order to explore sexual problems related to the cancer therapy experienced by thepatients. This study aimed to explore the experiences of nurses who work in oncology unit indiscussing sexual issues with the patients and survivors of gynecologic cancer. Overallphenomenon obtained in this study was an overview of nurses’ experiences in discussing sexualissues with gynecologic cancer patients. This study applied a qualitative method withphenomenological design. The samples were ten participants. The results were analyzed usingcontent analysis by concluding the participants’ statements to become the research themes. Thisstudy identified five main themes related to nurses’ experiences in discussing sexual issues withgynecologic cancer patients, including nurses’ perceptions of psychosexual services, theobstacles found by nurses when discussing sexual issues with gynecologic cancer patients,finding problems that interfere with sexuality in gynecologic cancer patients, nurses’ attempts toobtain supports in helping psychosexual problems of gynecologic cancer patients, nurses’ needsto the implementation of psychosexual services for gynecologic cancer patients. Psychosexualservices for gynecologic cancer patients can be improved by the presence of sexual issuesdiscussion with gynecologic cancer patients. Nurses are expected to do a psychosexualassessment in providing nursing care to gynecologic cancer patients.]"

"Latar Belakang: Penyakit keganasan urogenital merupakan spektrum penyakit yang luas, dengan penatalaksanaan mulai dari observasi dan pemantauan ketat hingga pembedahan ekstirpatif mayor. Risiko malnutrisi praoperatif akibat kanker dan pascaoperatif akibat stres pembedahan akan meningkatkan risiko morbiditas dan mortalitas. Terapi nutrisi perioperatif yang adekuat bertujuan untuk menunjang perbaikan klinis dan status nutrisi, mendukung proses pemulihan, menurunkan risiko komplikasi pascaoperasi, serta menurunkan lama rawat di rumah sakit. Metode: Laporan serial kasus ini menyajikan empat kasus kanker urogenital, terdiri dari dua kasus kanker buli, satu kasus kanker ginjal, dan satu kasus kanker penis. Tiga kasus termasuk kaheksia kanker, dan satu kasus termasuk pra-kaheksia. Seluruh pasien menjalani pembedahan urologi mayor dengan anestesi umum dan epidural. Terapi nutrisi perioperatif yang diberikan antara lain carbohydrate loading, nutrisi enteral dini pascaoperasi, serta pemberian nutrisi secara bertahap berdasarkan kondisi klinis. Dilakukan pemantauan yang meliputi keluhan klinis, antropometri, pemeriksaan fisik, hasil laboratorium, dan analisis asupan. Hasil: Dua pasien mengalami ileus paralitik pascaoperasi dengan satu pasien di antaranya membutuhkan nutrisi parenteral total, dan dapat teratasi dalam 7 hari pascaoperasi. Satu pasien mengalami hiperglikemia reaktif dan diberikan terapi insulin, dapat teratasi dalam 7 hari pascaoperasi. Satu pasien mengalami perlambatan penyembuhan luka dan memiliki masa rawat pascaoperasi paling lama. Pasien yang mengalami ileus paralitik membutuhkan waktu lebih lama untuk mencapai target kalori 80 , namun seluruh pasien telah dapat mencapai target tersebut dalam 7 hari pascaoperasi. Lama perawatan pascaoperasi bervariasi, sekitar 10-27 hari. Kesimpulan: Terapi nutrisi perioperatif yang diberikan pada keempat pasien menunjang perbaikan klinis dan status nutrisi, mendukung proses pemulihan, menurunkan risiko komplikasi pascaoperasi, serta menurunkan lama rawat di rumah sakit.

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Background: Genitourinary malignancy represents a broad spectrum of disease, with treatments ranging from watchful waiting to major extirpative surgery. The risk of preoperative malnutrition due to cancer and postoperatively due to surgical stress will increase the risk of morbidity and mortality. An adequate perioperative nutrition therapy aims to support clinical and nutritional status improvement, hasten the recovery process, reduce the risk of postoperative complications, and decrease the length of hospital stay.

Method This case series report presents four cases of genitourinary cancers, consist of two cases of bladder cancer, one case of kidney cancer, and one case of penile cancer. Three cases are classified into cancer cachexia, and one case of pre cachexia. All patients had undergone major urological surgery under general and epidural anesthesia. Perioperative nutrition therapy provides carbohydrate loading, postoperative early enteral nutrition, as well as gradual nutrition based on clinical conditions. The monitoring given included clinical complaints, anthropometric measurement, physical examination, laboratory test results, and intake analysis.

Result Two patients had postoperative paralytic ileus with one patient requires total parenteral nutrition, and resolved within 7 days after surgery. One patient had reactive hyperglycemia and treated with insulin therapy, resolved in 7 days postoperative. One patient experienced impaired wound healing and had the longest postoperative care period. Patients with paralytic ileus may take more days to achieve 80 calorie target, yet all patients have been able to achieve the target in 7 days postoperative. The length of hospital stay after surgery was varied between 10 to 27 days.

Conclusion Perioperative nutrition therapy given to four patients in this case series leads to the clinical and nutritional status improvement, supports the recovery process, decreases the risk of postoperative complications, and shortens the hospital stays."

"ABSTRAKAgen antineoplasti bekerja pada materi genetik dalam nucleus sel sebagai sitotoksik dan sitostatik terhadap sel-sel target. Target terapi adalah pada sel malignant tetapi dapat juga mengakibatkan kerusakan pembelahan pada sel normal, sehingga sering menimbulkan efek samping. Tujuan penelitian ini adalah mendapatkan gambaran tentang pengalaman pasien kanker dalam menjalani kemoterapi. Desain penelitian ini adalah penelitian kualitatif dengan pendekatan fenomenologi terhadap delapan pasien kanker yang menjalani kemoterapi. Analisis konten menggunakan metode colaizzi. Hasil penelitian mengidentifikasi delapan tema, yaitu (1) mengingkari kenyataan menderita kanker, (2) keinginan mendapat dukungan keluarga, (3) penolakan pasangan terhadap kemoterapi, (4) ketidakyamanan fisik sebagai dampak kemoterapi, (5) ketidakstabilan emosional sebagai respon terhadap kemoterapi, (6) mengidentifikasi adanya ketidak nyamanan dalam hubungan interpersonal di tempat kerja, (7) melibatkan dukungan spiritual keagamaan, dan (8) mengupayakan penyembuhan dan pemulihan. Kesimpulan: Kemoterapi berdampak terhadap penurunan kondisi fisik, psikologis, dan hubungan interpersonal, namun kemoterapi menyebabkan ketidakberdayaan sehingga meningkatkan spiritual keagamaan. Hasil penelitian diharapkan dapat menjadi masukan dalam meningkatkan kualitas asuhan keperawatan pada pasien kanker.

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ABSTRACTAntineoplastic agents are works into the genetic material in the cell nucleus as cytotoxic and cytostatic against target cells. Its targeted therapy is specifically on malignant cells but also cause damage to normal cell that cause side effects. The aims of this study is to get a description of ​​the experience of cancer patients undergoing chemotherapy. METHOD: research design is a qualitative study with phenomenological approach, involving 8 cancer patients undergoing chemotherapy. RESULTS: identified eight themes were as follows: (1) given the fact had cancer, (2) desire for family support, (3) spouse’s rejection of chemotherapy, (4) physical discomfort as of chemotherapy side effect, (5) emotional instability as a responses of chemotherapy, (6) identify any discomfort in interpersonal relationships in the workplace, (7) involving support religious spiritual, and (8) strive for to healing and recovery. Conclusion: chemotherapy side effect were as decrease physical well-being, emotional well-being, interpersonal relationship, and increase spiritual well-being. Results are expected to be addressed by improving the quality of nursing care to cancer patients."

"Disfungsi seksual merupakan masalah yang umum dialami oleh pasien hemodialisa (Hd). Studi kualitatif ini dilakukan untuk menggali pengalaman disfungsi seksual pasien penyakit ginjal kronik tahap akhir (PGK) yang menjalani Hd dengan jumlah partisipan 6 laki-laki dan 6 perempuan. Terdapat lima tema yang diperoleh dalam penelitian ini yaitu perubahan akibat PGK, aktivitas seksual pasien Hd, jenis disfungsi seksual pasien, penyebab timbulnya masalah seksual serta dukungan yang diperlukan pasien dalam mengatasi masalah seksualnya. Kemampuan perawat melakukan kerjasama dengan tim kesehatan lain untuk mengatasi masalah seksual pasien, pada akhirnya akan meningkatkan kualitas hidup pasien.

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Sexual dysfunction is a common problem experienced by patients on hemodialysis. This qualitative study explored the sexual dysfunction experience of patients with end stage renal disease disease (ESRD) and hemodialysis. Six female and 6 male participated as respondents on this study. There are five themes identified on this study, including changes caused by ESRD, sexual activity of patients on hemodialysis, type of sexual dysfunction, the cause of sexual dysfunction and supports needed by the patients to cope with their sexual problems. Nurse ability to cooperate with other health professionals is needed to overcome the patients sexual problem, and increasing the patients? life quality as the final impact."

"Penelitian ini bertujuan untuk mengekplorasi fenomena yang terjadi pada pasien kanker yang mengalami neutropenia akibat kemoterapi. Desain penelitian yang digunakan adalh studi kualitatif dengan menggunakan pendekatan fenomenologi deskriptif. Fenomenologi deskriptif digunakan karena peneliti ingin memperoleh makna dari pengalaman yang diungkapkan partisipan selama penelitian dilakukan. sampel yang digunakan dalam penelitian ini adalah pasien yang dirawat atau dalam pengobatan RS Kanker Dharmais Jakarta< berjumlah 5 partisipan. Metode pengumpulan data pada penelitian dengan menggunakan wawancara mendalam (incepth interview) dengan bantuan tape recorder/digital vices recorder dilengkapi dengan catatan (fiels notes). Hasil penelitian ditemukan enam buah tema yaitu: 1) Waktu pengobatan dan perawatan yang lama, 2) persepsi yang salah tentang neutropenia, 3) perasaan negatif dan koping saat neutropenia, 4) kesulitan perawatan diri, 5) dukungan kluarga dan teman, dan 6) harapan saat neutropenia implikasi untuk keperawatan dapat memberikan informasi pengalaman pasien saat mengalami neutropenia akibat kemoterapi, serta dapat digunakan dalam penelitian selanjutnya.

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The purpose of this study is to explore the phenomena that occur in cancer patients who experience chemotherapy-induced neutropenia. The design of this study is qualitative study using descriptive phenomenolgy. Descriptive phenomenology used because researcher wants to gain the meaning of the patients who were treated in Dharmais Cancer Hospital Jakarta, amounted to 5 participants. Data collection methods in this study using in-depth interviews with the help of a tape recorder/digital voices recorder and field notes.

The research found six themes, namely: 1) the length of treatment and care 2) a wrong perception of neutropenia 3) the negative feelings and coping when neutropenia 4) the difficulty of self-care 5) support of family and friends and 6) expectations and hope when neutropenia. Implication for nursing practice are can give an information about experiences in cancer patients when having neutropenia also as a base fotr further research."

"Proses perkembangan penyakit dan terapi kanker ginekologi dapat berdampak pada keadaan fisik maupun psikologi pasien kanker ginekologi. Hal inilah yang dapat memicu kejadian disfungsi seksual. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang mempengaruhi disfungsi seksual pada pasien kanker ginekologi. Penelitian dengan metode cross sectional ini dilakukan pada 218 pasien kanker ginekologi dengan menggunakan teknik pengambilan sampel purposive sampling. Analisis data menunjukan hasil bahwa ada pengaruh yang signifikan dari faktor usia (p-value 0,001), pendidikan (p-value 0,047), fatigue (p-value 0,001), kecemasan (p-value 0,001) terhadap kejadian disfungsi seksual pada pasien kanker ginekologi. Tidak terdapat pengaruh signifikan dari faktor pekerjaan terhadap kejadian disfungsi seksual pada pasien kanker ginekologi. Fatigue merupakan faktor yang paling mempengaruhi kejadian disfungsi seksual pada pasien kanker ginekologi (OR 5,762). Penelitian ini merekomendasikan pembentukan divisi khusus untuk pelayanan terkait masalah disfungsi seksual pada pasien kanker serta menambahkan intervensi keperawatan khusus untuk masalah disfungsi seksual pada pasien kanker.

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The development of gynaecological cancer and its therapy can significantly impact both the physical and psychological well-being of patients. This can lead to the occurrence of sexual dysfunction. This study aimed to identify the factors influencing sexual dysfunction in gynaecological cancer patients. Using a cross-sectional method, this study was conducted on 218 gynaecological cancer patients using purposive sampling. The data analysis revealed significant effects from factors such as age (p-value 0.001), education (p-value 0.047),  pain (p-value 0.001), and fatigue (p-value 0.001) on the occurrence of sexual dysfunction in gynaecological cancer patients. There was no significant effect from the factor of occupation on the occurrence of sexual dysfunction. Fatigue was found to be the most influential factor in the occurrence of sexual dysfunction in gynaecological cancer patients (OR 5.762). This study recommends the establishment of a specialized division for addressing sexual dysfunction issues in gynaecological cancer patients and the addition of specialized nursing interventions for sexual dysfunction in gynaecological cancer patients."

"ABSTRAKCachexia merupakan masalah yang umum dialami oleh pasien kanker stadiumlanjut. Studi kualitatif dengan pendekatan fenomenologi dilakukan untukmemperoleh gambaran tentang pengalaman cachexia pasien kanker stadium lanjutdan keluarga yang merawat di RS Kanker Dharmais. Data studi diperoleh darilima partisipan pasien dan lima partisipan keluarga. Temuan memberikaninformasi rinci tentang pengalaman cachexia pada pasien kanker stadium lanjutdan keluarga yang merawat dengan enam tema utama yang sama yaitu 1)pengetahuan yang kurang tentang cachexia, 2) gangguan biopsikososial, 3)perubahan pola makan, 4) perhatian perawat yang dirasakan kurang oleh pasiendan keluarga, 5) kebutuhan akan pendidikan kesehatan dan 6) kebutuhan akanpeningkatan fasilitas kesehatan. Pada keluarga terdapat satu tema tambahan yaituterjadinya konflik dalam keluarga. Kemampuan dalam melakukan asuhankeperawatan yang menyeluruh pada akhirnya akan meningkatan status nutrisipasien dan mengurangi konflik dalam keluarga.

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AbstractCachexia is a common problem for cancer patient in end stage.Phenomenologycal approach of qualitative study was conducted to get illustrationregarding experience of end stage cancer patient with cachexia and their familieswho were involved during treatment in the Dharmais Cancer Hospital. Studyresult gathered from five participants constituted of five patients and five families.The current study showed detail information about experience of end stage cancerpatient with cachexia and their families within six main themes, namely : 1) lackof knowledge about cachexia, 2) Biopsychosocial disturbances, 3) diet patterndisturbances, 4) lack of attention from nurse, 5) in need of health education and 6)in need of improvement of health facilities. Particularly within families memberthere were additional main theme, namely : conflict in family. Abilities inestablishing holistic nursing care will lead to increase patient nutrition level anddecrease conflict within families."

"Mencapai kematian yang bermartabat adalah salah satu tujuan perawatan paliatif yang paling mendasar. Pasien memiliki hak untuk mendapatkan kematian yang diinginkanya dan keluarga memiliki kewajiban untuk membantu pasien mendapatkan kualitas hidup yang optimal dalam fase akhir kehidupan. Penelitian ini bertujuan untuk mengeksplorasi persepsi pasien kanker paru tentang makna kematian yang bermartabat. Penelitian kualitatif dengan pendekatan fenomenologi deskriptif melibatkan 10 pasien kanker paru yang dirawat di ruang rawat inap Rumah Sakit Paru dr. M. Goenawan Partowidigdo Cisarua yang dipilih dengan teknik purposive sampling. Hasil penelitian menghasilkan tiga tema yaitu strategi koping menghadapi penyakit, merasa sendiri dan kurangnya rasa aman, dan makna kematian bagi pasien. Standar Pelayanan Operasional untuk perawatan paliatif dan kesiapan perawat dibutuhkan dalam pelayanan perawatan palatif/ fase akhir kehidupan untuk meningkatkan kualitas hidup pasien.

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Achieving a dignified death is one of the most fundamental goals of palliative care. Patients have the right to get the death they want, and their families have a responsibility to help patients get an optimal quality of life in the end of life. This study aims to explore the perception of lung cancer patients on the meaning of dignified death. Qualitative research with a descriptive phenomenological approach involved 10 lung cancer patients who were treated in the inpatient ward of the Lung Hospital, dr. M. Goenawan Partowidigdo Cisarua selected by purposive sampling technique. The findings of the study resulted in three themes, coping strategies, feeling alone and lack of security, and the meaning of death for the patient. This study recommends that Operational Service Standards and nurse readiness are needed in palliative care services/end of life phase to improve the quality of life of patients.

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"Berbagai dampak yang tidak menyenangkan terkait hubungan suami istri terjadi setelah terdiagnosa kanker serviks terutama permasalahan seksual. Tujuan penelitian ini adalah memperoleh gambaran tentang pemenuhan kebutuhan seksual pasangan dari pasien kanker servik stadium awal. Pengumpulan data kualitatif dilakukan dengan FGD pada 13 partisipan di wilayah Bandung yang dibagi menjadi tiga kelompok. Hasil penelitian ditemukan tujuh tema yaitu (1) pola hubungan seksual (2) alasan tidak melakukan hubungan seksual (3) menahan hasrat seksual (4) koping untuk menahan hasrat seksual (5) komunikasi antara pasangan dan istri (6) harapan suami dalam mempertahankan keharmonisan rumah tangga dengan istri dan (7) tidak memperoleh informasi tentang seksualitas dari petugas kesehatan. Berdasarkan temuan hasil tema tersebut disarankan agar perawat maternitas dapat memberikan informasi tentang seksualitas.

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There are some sexual problems related womens was diagnosed with cervical cancer and disrupt the husbands’ sexual need. This study aimed to obtain an overview of husbands’ sexual needs of early stage cervical cancer patients. This research used a qualitative desaign. Focus group discussions werw conducted to 13 participants. This study found seven themes namely (1) pattern of sexual relationship (2) reason for not having sexual intimate (3) hold sexual desire (4) coping to the hold sexual desire (5) communication between the spouses and their wife (6) husbands’ epectation in maintaining marital harmony (7) lack of information about sexuality from health workers. Base on these findings, it is suggested that maternity nurses can provide adequate information about sexuality to women with cervical cancer ang their husband’s."