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"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."

"Pasien kanker yang menjalani operasi paska dibuat stoma mengalami suatu perubahan hidup yang besar. Banyak masalah yang timbul baik secara fisik, psikologis, seksual dan spiritual terutama dalam tahun pertama. Tujuan dari penelitian ini adalah untuk memperoleh gambaran pengalaman pasien kanker yang terpasang stoma dalam tahun pertama.Metode penelitian. Desain penelitian yang akan digunakan dalam penelitian ini dengan menggunakan metode kualitatif, studi fenomenologi interpretatif untuk memberikan interpretasi terhadap pengalaman pasien kanker paska dibuat stoma di tahu pertama.Hasil Penelitian. Analisis tematik menghasilkan lima tema utama dalam penelitian ini, yaitu tema satu “Gejala awal saat terdiagnosis kanker”, tema dua “Saat divonis harus terpasang stoma”, tema tiga“Keluhan yang dialami saat menjalani terapi”, tema empat “Tingkat kepuasan pelayanan kesehatan”, dan tema lima “Kehidupan setelah terpasang stoma”.Simpulan. Informasi yang diperoleh dari penelitian ini sangat bermanfaat bagi pasien kanker kolorektal ataupun kanker lain yang akan menjalani hidup terpasang stoma. Perubahan dan proses adaptasi baik secara fisik, psikologis, social, spiritual dan seksualitas, dapat menjadi informasi berharga bagi mereka untuk merencanakan kehidupan ke depan untuk menjalani hidup dengan terpasang stoma.

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Cancer patients who undergo post-stoma surgery experience a major life change. Many problems arise both physically, psychologically, sexually and spiritually, especially in the first year. The purpose of this study was to obtain an overview of the experiences of cancer patients with stoma in the first year.

Research methods. The research design that will be used in this study uses qualitative methods, interpretive phenomenological studies to provide an interpretation of the experience of cancer patients after a stoma is made in the first year.

Research result. Thematic analysis resulted in five main themes in this study, namely theme one “Early symptoms when diagnosed with cancer”, theme two “When sentenced, a stoma must be installed”, theme three “Complaints experienced while undergoing therapy”, theme four “Levels of satisfaction with health services”, and the five themes “Life after a stoma”.

Conclusion. The information obtained from this study is very useful for patients with colorectal cancer or other cancers who will undergo a life with a stoma attached. Changes and adaptation processes both physically, psychologically, socially, spiritually and sexually, can be valuable information for them to plan their future lives to live life with a stoma attached."

"Tujuan: penelitian ini bertujuan untuk mengetahui hubungan kesejahteraan spiritualitas terhadap kualitas hidup pasien kanker setelah dikontrol faktor potensial pengganggu. Metode: menggunakan desain analitik korelatif dengan pendekatan cross sectional. Penelitian cross-sectional digunakan untuk menjelaskan fenomena yang diteliti pada satu waktu. Kami merekrut subjek penelitian di Rumah Sakit Prof. WZ Yohanes Kupang dari bulan April hingga Mei 2023. Kuesioner untuk mengukur kualitas hidup menggunakan EORTC QLQ C30. Hasil: 107 pasien kanker menyelesaikan pengisian kuesioner penelitian. responden yang memiliki kualitas hidup kurang terjadi pada responden dengan tingkat kesejahteraan spiritualitas kurang sebanyak 70,7%. Responden yang memiliki kualitas hidup kurang tetapi memiliki kesejateraan spiritualitas baik sebanyak 39,4%. Sedangkan responden yang memiliki kualitas hidup baik namun kesejahteraan spiritualitas kurang sebanyak 29,3% dan lebih banyak pada tingkat kesejahteraan spiritualitas baik sebanyak 60,6%. Kualitas hidup cenderung dipengaruhi secara signifikan oleh kesejahteraan spiritualitas (p=0.003), fatigue (p=0.000), nyeri (p=0.000), mual muntah (p=0.000), dampak psikologis (p=0.000), dukungan keluarga (p=0.031). Kesimpulan: kualitas hidup pasien kanker di pengaruhi oleh kesejahteraan spiritualitas, fatigue, nyeri, mual muntah, dampak psikologis, dukungan keluarga. Semakin baik kesejahteraan spiritualitas yang dimiliki pasien kanker maka kualitas hidup pasien akan meningkat. Saran: perawat dapat melakukan pengkajian kebutuhan spiritualitas secara rutin menjadi data awal untuk menentukan intervensi terhadap pemenuhan kebutuhan spiritual membuat intervensi terkait pemenuhan kebutuhan spiritualitas pasien kanker.

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Purpose: this study aims to determine the relationship of spiritual well-being to the quality of life of cancer patients after controlling for potential confounding factors.

Method: using a correlative analytic design with a cross sectional approach. Crosssectional research is used to explain the phenomenon under study at one time. We recruited research subjects at Prof. Hospital. WZ Yohanes Kupang from April to May 2023. Questionnaire to measure quality of life using the EORTC QLQ C30.

Results: 107 cancer patients completed the research questionnaire. Respondents who have a poor quality of life occur in respondents with a less spiritual level of well-being as much as 70.7%. Respondents who have a poor quality of life but have good spiritual welfare are 39.4%. Meanwhile, respondents who have a good quality of life but lack spiritual wellbeing are 29.3% and are more at a good level of spiritual well-being as much as 60.6%. Quality of life tends to be significantly influenced by spiritual well-being (p=0.003), fatigue (p=0.000), pain (p=0.000), nausea and vomiting (p=0.000), psychological impact (p=0.000), family support (p= 0.031).

Conclusion: quality of life of cancer patients is affected by spiritual well-being, fatigue, pain, nausea and vomiting, psychological impact, family support. The better the spiritual well-being of cancer patients, the patient's quality of life will increase.

Suggestion: nurses can carry out routine spiritual needs assessments as initial data to determine interventions to fulfill spiritual needs to make interventions related to meeting the spiritual needs of cancer patients."

"Latar Belakang. Pasien kanker usia lanjut sering mendapatkan terapi substandar sehingga memiliki luaran lebih buruk dibandingkan usia yang lebih muda namun di lain pihak kemungkinan untuk terjadinya komplikasi dan toksisitas terkait pengobatan juga meningkat. Comprehensive Geriatric Assessment (CGA) merupakan metode yang paling tepat untuk mendapatkan gambaran status kesehatan umum pada usia lanjut namun tidak selalu mampu laksana untuk diterapkan pada praktik klinik rutin sehingga diperlukan pemeriksaan penapis yang lebih singkat dan mudah digunakan. Skor G8 adalah instrumen penapis yang direkomendasikan untuk populasi kanker usia lanjut namun belum pernah diteliti di Indonesia.Tujuan. Mengetahui bagaimana performa skor G8 sebagai pemeriksaan penapis dalam menilai frailty pada pasien kanker usia lanjutMetode. Studi ini merupakan studi potong lintang yang dilakukan selama bulan Maret-Juni 2020. Subyek penelitian adalah pasien kanker berusia > 60 tahun yang berobat ke Poliklinik Hematologi Medik RSUPN Cipto Mangunkusumo, Jakarta. CGA dinilai pada 7 domain yaitu domain status fungsional, nutrisi, kognitif, gangguan mood, mobilitas, polifarmasi dan komorbiditas. CGA dianggap terganggu apabila terdapat gangguan pada 2 domain atau lebih.Hasil. Sejumlah 168 pasien kanker usia lanjut mengikuti studi ini dengan median usia 64 tahun. Didapatkan AUC (Area Under Curve) sebesar 0,76 (p < 0,001 dengan 95% CI 0,685-0,835). Pada nilai titik potong 11,25 didapatkan sensitivitas 78,5%, spesifisitas 56%, nilai duga positif 56,3% dan nilai duga negatif 78,4%. Akurasi diagnostik skor G8 adalah sebesar 67,75%.Simpulan. Skor G8 memiliki performa yang cukup baik sebagai alat penapis frailty pada pasien kanker usia lanjut sehingga dapat diterapkan pada praktik klinik sehari-hari. Masih diperlukan studi lebih lanjut untuk mencari pemeriksaan tambahan untuk meningkatkan sensitivitas G8 pada pasien kanker usia lanjut.

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Background. Elderly cancer patients are at increased risk of undertreatment or overtreatment, therefore they may have worse outcome compared to their younger counterparts. Currently Comprehensive Geriatric Assessment (CGA) remains the most appropriate method to assess frailty in elderly patients but not always feasible in routine clinical practice. A screening tool is needed to make a quick assessment to recognize the patients who need a CGA. G8 score is the screening tool recommended for elderly cancer patients, but it’s performance has never been assessed in Indonesia.

Objectives. To assess the performance of G8 Score as frailty screening tool assessment in Elderly Cancer Patients

Methods. A cross-sectional study on elderly cancer patients (> 60 years old) was conducted in Hematology and Medical Oncology outpatient clinic, Cipto Mangunkusumo Hospital from March to June 2020. The CGA domain assessed was functional status, nutrition, cognitive, mood disturbance, mobility, polypharmacy and comorbidity. CGA considered abnormal if there was abnormality in 2 or more domains.

Results. In 168 subjects aged 60-82 (median 64) years old, the AUC was 0.76 (p < 0.001; 95% CI 0.685-0.835). At cutoff point 11.25 the G8 score has sensitivity 78.5%, specificity 56%, positive predictive value 56.3% and negative predictive value 78.4% with diagnostic accuracy 67.75%.

Conclusion. The G8 score has a moderate performance as a screening tool for frailty assessment in elderly cancer patients and may be used in daily clinical practice. Studies to find additional instruments to increase the performance of G8 is needed."

"Terdiagnosis kanker membuat seseorang merasa tidak berdaya. Spiritualitas dibutuhkan dalam menangani kanker yang merupakan penyakit terminal. Penelitian ini bertujuan untuk mengidentifikasi spiritualitas pasien kanker dan meng identifikasi hubungan karakteristik individu serta keparahan penyakit. Sampel penelitian cross sectional ini berjumlah total 171responden dengan menggunakan kuesioner Daily Spiritual Experience Scale (DSES).Penelitian ini menggunakan teknik non probability sampling dan analisis bivariat korelasi. Kesimpulan hasil penelitian ini adalah sebagian besar aspek spiritualitas pasien kanker di RSUPN Dr. Cipto Mangunkusumo adalah baik dilihat dari hasil nilai mean kumulatif 75,8%. Secara umum keseluruhan variabel karakteristik responden dan karakteristik penyakit tidak memiliki hubungan yang bermakna terhadap skoring spiritualitas, kecuali pada variabel usia (t = -2,80; p= 0,006 < 0,05), tingkat pendidikan (t = -2,26; p= 0,02 < 0,05), status perkawinan (t =-2,1; p= 0,03< 0,05), tinggal bersama pasangan (t = -2,4; p= 0,01 < 0,05), dan suka bersosialisasi (t =2,3; p= 0,02 < 0,05) mendapatkan hasil bahwa terdapat hubungan yang bermakna dari variabel tersebut terhadap skoring spiritualitas.Hasil penelitian ini akan membantu pengembangan pelayanan khususnya dalam meberian asuhan keperawatan yang holistik. Rekomendasi penelitian selanjutnya dari penelitian ini adalah mengidentifikasi hubungan spiritualitas dengan kualitas hidup pada pasien kanker.

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Being diagnosed with cancer makes a person feel helpless. Spirituality is needed in dealing with cancer which is a terminal disease. This study aims to identify the spirituality of cancer patients and identify the relationship between individual characteristics and disease severity. This cross-sectional research sample totaled 171 respondents using the Daily Spiritual Experience Scale (DSES) questionnaire.

This study applied a non-probability sampling technique and bivariate correlation analysis. This study concludes that most aspects of the spirituality of cancer patients at Dr. Cipto Mangunkusumo National Central Public Hospital are good, judging from the cumulative mean score of 75.8%. In general, the variables of respondent characteristics and disease characteristics do not have a significant relationship with spirituality scoring, except for the variable age (t = -2,80; p= 0,006 < 0,05), education level (t = -2,26; p= 0,02 < 0,05), marital status (t =-2,1; p= 0,03< 0,05), living with spouse (t = -2,4; p= 0,01 < 0,05), and socializing (t =2,3; p= 0,02 < 0,05) get the results that there is a significant relationship of these variables to spirituality scoring.

The results of this study will assist the development of services, especially in providing holistic nursing care. The further research recommendation from this study is to identify the relationship of spirituality with quality of life in cancer patients."

"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."

"ABSTRAK Peningkatan angka morbiditas dan mortalitas akibat penyakit kanker di Indonesia menunjukkan bahwa permasalahan kanker ini semakin besar dan kompleks Salah satunya adalah adanya keterlambatan pasien kanker untuk mendapatkan terapi definitif yang disebabkan oleh faktor faktor yang berasal dari pasien sendiri Penelitian ini merupakan studi analisis deskriptif menggunakan metode campuran kuantitatif dan kualitatif untuk mengetahui data insidens keterlambatan terapi karena keterlambatan pasien pada pasien kanker yang dirujuk ke Departemen Radioterapi RSUPN Dr Cipto Mangunkusmo pada bulan Mei Agustus 2015 serta mengevaluasi faktor faktor apa saja yang mempengaruhi keterlambatan pasien tersebut Terdapat 294 orang pasien yang diikutsertakan dalam penelitian ini setelah mendapatkan persetujuan tertulis Sebagian besar pasien 71 4 adalah perempuan dan 141 orang 48 bekerja sebagai ibu rumah tangga Rentang umur terbanyak adalah 36 50 tahun yaitu sebanyak 132 pasien 44 9 dan hampir seluruh pasien 91 8 telah menikah Keterlambatan terapi didapatkan pada 153 orang pasien 52 dan 67 orang di antaranya 43 8 memiliki riwayat pengobatan alternatif yang dilakukan dalam interval waktu setelah timbul keluhan pertama kali dan atau setelah pasien melakukan konsultasi medis pertama kali Analisis statistik menunjukkan adanya hubungan yang signifikan antara faktor usia p 0 047 pendidikan p 0 047 dan riwayat pengobatan alternatif p 0 0001 dengan keterlambatan terapi Adanya rasa takut untuk berobat secara medis atau menjalani tindakan medis menjadi alasan 51 orang pasien untuk memilih pengobatan alternatif Oleh karena itu diperlukan pengawasan dan evaluasi terhadap pengobatan alternatif terutama yang menyangkut kualitas efikasi dan keamanannya ABSTRACT Increased morbidity and mortality due to cancer in Indonesia showed that this problem has become more complex and significant One of the problems pointed out is regarding a delay in cancer patients to receive definitive therapy caused by factors derived from the patients themselves This study is a descriptive analysis using combination of quantitative and qualitative methods to determine the incidence of treatment delay due to patient delay in cancer patients who were referred to Radiotherapy Department Dr Cipto Mangunkusmo hospital during May August 2015 and to evaluate factors that influence the patient delay There are 294 patients enrolled in this study after obtaining a written consent Most of the patients 71 4 were women and 141 48 work as a housewife The largest age range was 36 50 years with 132 patients 44 9 and almost all patients 91 8 were married Delay in treatment obtained in 153 patients 52 and 67 of them 43 8 had a history of alternative medicine that is performed in a time interval after the patients experienced first complaints and or after patients had their first medical consultation Statistical analysis showed a significant relationship between age p 0 047 educational level p 0 047 and history of alternative medicine p 0 0001 with the treatment delay The fear of being treated medically or undergo a medical procedure has become the major reasons found in 51 patients to choose the alternative treatment Therefore it is necessary to conduct monitoring and evaluation of alternative medicine especially concerning the quality efficacy and its safety ;Increased morbidity and mortality due to cancer in Indonesia showed that this problem has become more complex and significant One of the problems pointed out is regarding a delay in cancer patients to receive definitive therapy caused by factors derived from the patients themselves This study is a descriptive analysis using combination of quantitative and qualitative methods to determine the incidence of treatment delay due to patient delay in cancer patients who were referred to Radiotherapy Department Dr Cipto Mangunkusmo hospital during May August 2015 and to evaluate factors that influence the patient delay There are 294 patients enrolled in this study after obtaining a written consent Most of the patients 71 4 were women and 141 48 work as a housewife The largest age range was 36 50 years with 132 patients 44 9 and almost all patients 91 8 were married Delay in treatment obtained in 153 patients 52 and 67 of them 43 8 had a history of alternative medicine that is performed in a time interval after the patients experienced first complaints and or after patients had their first medical consultation Statistical analysis showed a significant relationship between age p 0 047 educational level p 0 047 and history of alternative medicine p 0 0001 with the treatment delay The fear of being treated medically or undergo a medical procedure has become the major reasons found in 51 patients to choose the alternative treatment Therefore it is necessary to conduct monitoring and evaluation of alternative medicine especially concerning the quality efficacy and its safety ;Increased morbidity and mortality due to cancer in Indonesia showed that this problem has become more complex and significant One of the problems pointed out is regarding a delay in cancer patients to receive definitive therapy caused by factors derived from the patients themselves This study is a descriptive analysis using combination of quantitative and qualitative methods to determine the incidence of treatment delay due to patient delay in cancer patients who were referred to Radiotherapy Department Dr Cipto Mangunkusmo hospital during May August 2015 and to evaluate factors that influence the patient delay There are 294 patients enrolled in this study after obtaining a written consent Most of the patients 71 4 were women and 141 48 work as a housewife The largest age range was 36 50 years with 132 patients 44 9 and almost all patients 91 8 were married Delay in treatment obtained in 153 patients 52 and 67 of them 43 8 had a history of alternative medicine that is performed in a time interval after the patients experienced first complaints and or after patients had their first medical consultation Statistical analysis showed a significant relationship between age p 0 047 educational level p 0 047 and history of alternative medicine p 0 0001 with the treatment delay The fear of being treated medically or undergo a medical procedure has become the major reasons found in 51 patients to choose the alternative treatment Therefore it is necessary to conduct monitoring and evaluation of alternative medicine especially concerning the quality efficacy and its safety "

"Kanker payudara adalah perkembangan yang tidak normal dari sel yang terjadi pada jaringan payudara. Masalah yang sering muncul pada pasien kanker payudara adalah nyeri. Guided Imagery merupakan strategi nonfarmakologi yang dapat menurunkan nyeri. Tujuan penelitian untuk mengetahui pengaruh Guided Imagery terhadap skala nyeri pada pasien kanker payudara di ruang rawat inap bedah wanita RSUP Dr. M. Djamil Padang. Desain penelitian menggunakan quasi experiment berupa pendekatan pretest-posttest with control group, penggunaan sampel menggunakan consecutive sampling. Jumlah sampel adalah 30 orang (15 orang kelompok kontrol dan 15 orang kelompok intervensi). Nyeri diukur dengan Numeric Rating Scale (NRS). Uji statistik menggunakan uji beda dua mean.Hasilnya ada pengaruh yang signifikan Guided Imagery terhadap skala nyeri pada pasien kanker payudara (P Value = 0,000; α = 0,05). Ada hubungan yang signifikan antara usia terhadap skala nyeri (P Value = 0,000; α = 0,05), dan tidak ada hubungan antara suku terhadap skala nyeri. Hasil penelitian ini merekomendasikan Guided Imagery sebagai intervensi mandiri keperawatan untuk mengurangi nyeri kanker payudara.

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Breast cancer is the abnormal growth of cells that occurs in breast tissue. The problem often arises in patients with breast cancer is pain. Guided Imagery is a nonpharmacological strategi that can reduce pain.

The aimed of this research was to identify the effect of Guided Imagery to the scale of pain in breast cancer patients admited in female surgical wards in Dr. M. Djamil hospital Padang. The study design was quasi experimental using pretest-posttest with control group and using a consecutive sampling. The number of samples was 30 people (15 control group and 15 the intervention group). Pain was measured by the Numeric Rating Scale (NRS). The statistical test was two different test mean.

The result showed that there was a significant effect on the pain scale Guided Imagery in breast cancer patients (P Value = 0.000; α = 0.05). There was a significant relationship between the age with the pain scale (P Value = 0.000; α = 0.05), and there is no relationship between the tribe with the pain scale. The results of this study recommends Guided Imagery being implemented as nursing interventions to reduce the pain of breast cancer."