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"Fatigue adalah salah satu masalah yang paling sering terjadi pada pasien kanker yang menjalani kemoterapi. Berbagai terapi nonfarnakologi disarankan untuk mengurangi fatigue salah satunya adalah Relaxation Breathing Exercise (RBE). Penelitian ini bertujuan untuk mengetahui efektifitas RBE pada fatigue penderita kanker ginekologi yang menjalani kemoterapi. Desain penelitian yang digunakan adalah quasi experiment with pre-post test control group. Sebanyak 42 pasien yang diperoleh secara consecutive berpartisipasi dalam penelitian ini, 21 dimasukkan dalam kelompok RBE 4 kali dan 21 dalam kelompok 2 kali. Skor fatigue pasien akan diukur dengan menggunakan kuesioner Piper Fatigue Scale. Data yang diperoleh dianalisis dengan menggunakan uji Repeated-ANOVA dan Independent t-test dengan tingkat kemaknaan  < 0,01. Penelitian ini menemukan penurunan yang signifikan (p < 0,01) pada skor fatigue rata-rata di kedua kelompok (kelompok RBE 4 kali 3,29 ± 0,59 dan kelompok RBE 2 kali 4,19 ± 0,61) pada hari terakhir intervensi. Namun kelompok 4 kali RBE menunjukkan penurunan yang lebih besar dibandingkan kelompok 2 kali RBE (Selisih mean = 0,91; 99%CI = 0,41 - 1,41; p = 0,001). RBE yang dilakukan 4 kali sehari lebih efektif mengurangi fatigue pada pasien kanker yang menjalani kemoterapi. Peran perawat diperlukan untuk membantu pasien meminimalkan fatigue yang dialami salah satunya dengan mengajarkan terapi nonfarmakologi yang efektif seperti RBE.

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Fatigue is one of the most common problem experienced by patients undergoing chemotherapy. Some non-pharmacological therapies have been suggested to alleviate the problem such as Relaxation Breathing Exercise (RBE). This research aimed to determine the effectiveness of the RBE on the fatigue suffered by gynecological cancer patients undergoing chemotherapy. This study used a quasy randomized-controlled trial with pre- and post-test design. Forty two patients were consecutively sampled, 21 were assigned to RBE four times a day group and 21 to RBE two times a day group. Fatigue score were measured every day for seven days from both groups using Piper Fatigue Scale. The data obtained were analyzed using repeated-ANOVA and independent t-test with significant level α<0.01. This study found significant decreases (p < 0.01) of mean fatigue scores on both groups (RBE four times in a day group = 3.29 ± 0.59 and RBE two times in a day group = 4.19 ± 0.61) after the completion of the intervention. However, the RBE four times a day group shown a larger decrease on fatigue score compared to the RBE two times a day group (Mean Difference = 0.91; 99%CI = 0.41 - 1.41; p=0.001). Four times RBE in a day is more effective in relieving fatigue on cancer patients undergoing chemotherapy. Nurses' role is necessary to help patients in minimizing their fatigue by guiding the patient to perform an effective non-pharmacological therapy such as the RBE."

"ABSTRAKNama : Tina MawardikaProgram Studi : Magister Ilmu Keperawatan Universitas IndonesiaJudul :Perbedaan Kebutuhan Perawatan Suportif Pasien Kanker Ginekologi di Rawat Inap dan Rawat Jalan. Pelayanan kesehatan yang diterima di rawat inap dan rawat jalan dapat memunculkan perbedaan kebutuhan perawatan suportif. Penelitian cross-sectional ini bertujuan untuk mengidentifikasi perbedaan antara kebutuhan perawatan suportif pada pasien kanker ginekologi di rawat inap dan rawat jalan. Tehnik consecutive sampling diakukan untuk memilih 200 pasien kanker ginekologi. Hasil penelitian menunjukkan bahwa sebagian besar 83 pasien di rawat inap memerlukan kebutuhan perawatan suportif terutama pada domain fisik 80 dan domain psikologi 84 dan 40 pasien di rawat jalan memerlukan kebutuha perawatan terutama pada domain sistem informasi kesehatan 78 . Terdapat perbedaan yang signifikan secara statistik antara kebutuhan perawatan pada pasien kanker ginekologi di rawat inap dan rawat jalan ? value = 0,000 p le; 0,05 dan nilai OR 43,9, maka dapat disimpulkan pasien di rawat inap kebutuhan perawatan suportifnya meningkat 43,9 kali dibandingkan dengan pasien di rawat jalan. Penilaian kebutuhan perawatan suportif berguna untuk mengevaluasi kebutuhan perawatan suportif pasien kanker ginekologi di rawat inap maupun rawat jalan sehingga intervensi yang diberikan tepat guna dan tepat sasaran. Kata Kunci: Kebutuhan perawatan suportif, status perawatan, kanker ginekologi.

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ABSTRACTName Tina MawardikaProgram Study Faculty Of Nursing Indonesia UniversityTittle The difference of Supportive Care Needs in inpatient and outpatient gynecologic cancer patient. Health services that performed at inpatient and outpatient care can cause different supportive care needs. This cross sectional study aims to identify the differences of supportive care needs in inpatient and outpatient gynecologic cancer patient. Consecutive sampling techniques were undertaken to select 200 gynecological cancer patients. The results showed that of patients undergoing hospitalization required supportive care needs, especially in the physical 80 and pshycologic domain 84 , 40 of patients who underwent outpatient care require treatment especially in the information system domain 78 . Acording to statistical result, there was a different between inpatients and outpatients supportive care needs value 0,000 p le 0.05 OR 43,9. It means that inpatient rsquo s supportive care needs increase 43,9 compared with outpatient supportive care needs. Assessment of care needs is useful to evaluate the supportive care needs of gynecological cancer patients not only inpatient but also outpatient. That rsquo s way the intervention is given efficient and on target. Key Words Supportive Care Needs, Care Status, Gynecology Cancer. "

"ABSTRAKSalah satu masalah kesehatan yang disebabkan oleh penyintas kanker ginekologi adalah akibat kekambuhan. Takut kambuh kanker merupakan salah satu masalah psikologis yang paling penting di antara penyintas kanker. Tujuan penelitian ini adalah penyelidikan komprehensif tentang ketakutan kambuh para perempuan penyintas kanker ginekologi. Penelitian ini menggunakan studi deskriptif kualitatif dengan analisis tematik yang menghasilkan tema-tema. Penelitian ini mengungkap berbagai pengalaman 10 partisipan yang mengalami kesulitan kambuh. Hasil temuan pada penelitian ini mengungkap berbagai macam pertanyaan mengenai kesulitan kambuh termasuk faktor pemicunya dan cara mengatasi kesulitan kambuh serta harapan tentang masa depan mereka setelah menyelesaikan terapi kanker.

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ABSTRACTSalah satu masalah kesehatan yang terjadi pada survivor kanker ginekologi adalah kambuh. Ketakutan kambuh adalah salah satu masalah psikologi yang paling penting di antara penderita kanker. Rasa takut kambuh ini akan muncul berbagai ekspresi. Puporse dari penelitian ini adalah untuk mengeksplorasi secara mendalam tentang persepsi terhadap rasa takut kambuh pada penderita kanker ginekologi yang selamat. Penelitian ini adalah deskriptif kualitatif dengan Analisis Tematik yang menghasilkan tema. Studi ini mengungkap pengalaman sepuluh partisipan yang mengalami rasa takut kambuh. Temuan penelitian ini mengungkapkan berbagai ekspresi dari rasa takut yang kambuh termasuk faktor pemicu dan cara untuk mengatasi ketakutan yang meningkat dan diceritakan oleh peserta termasuk harapan tentang masa depan mereka setelah menyelesaikan terapi kanker."

"Seluruh aspek kehidupan telah dipengaruhi oleh pandemi COVID-19 termasuk bidang kesehatan. Disisi lain, terdapat peningkatan jumlah penderita kanker setiap tahunannya. Hubungan karakteristik klinis kanker ginekologi dengan infeksi COVID-19 terhadap mortalitas belum banyak diteliti. Dalam penelitian ini digunakan metode retrospective cross-sectional yang menggunakan data pasien penderita kanker ginekologi dengan infeksi COVID-19 yang terdaftar pada Departemen Obstetri Ginekologi RSPUN Dr. Cipto Mangunkusumo pada tahun 2020-2022. Penelitian ini menggunakan analisis uji Chi Square untuk menentukan variable yang akan dimasukan kedalam analisis regresi logistik backward stepwise. Dalam penelitian ini ditemukan usia >59 (OR, 0.020; Cl 95% 0.001-0.577; P= 0.023), anemia(OR,0.053; Cl 95% 0.005-0.565; P= 0.015), ARDS (OR, 50,010; CL 95%, 1,145-2185.101; P = 0.042), Hyperkalemia (OR, 11,189; Cl 95% 1,491-83.992; P = 0.019), Sepsis (OR, 18,386; Cl 95% 2,220-152.253; P= 0.007), ECOG >2 (OR, 12.859; Cl 95% 2.582-64.020; P= 0.002), and Degree of Severe-Critical COVID-19 (OR, 111.310; Cl 95% 3.961-3128.117; P= 0.006). Dapat disimpulkan ARDS, hyperkalemia, sepsis, ECOG >2, dan derajat COVID-19 berat-kritis memiliki signifikansi baik terhadap statistik maupun klinis dengan mortalitas, namun usia > 59 dan anemia secara klinis tidak memiliki signifikansi.

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All aspects of life have been affected by the COVID-19 pandemic, including the health sector. On the other hand, the number of cancer patients is continuously increasing every year. The relationship between clinical characteristics of gynecological cancer with COVID-19 infection and mortality has not been widely studied. This study used a retrospective cross-sectional method using data on patients with gynecological cancer with COVID-19 infection registered in the gynecology department of Dr. Cipto Mangunkusumo Hospital in 2020-2022. This study used chi-squared test analysis to determine the variables to be included in backward stepwise logistic regression analysis. In this study, it was found that age >59 (OR, 0.020; Cl 95% 0.001-0.577; P = 0.023), anemia (OR, 0.020; Cl 95% 0.001-0.578; p= 0.023), ARDS (OR, 48.796;  Cl 95%, 1.131-2105.921; P=0.043), hyperkalemia (OR, 10.960; Cl 95% 1.462-82.187; p= 0.020), sepsis (OR, 18.087; Cl 95% 2.192-149.271; P= 0.007), ECOG >2 (OR, 12.629; Cl 95% 2.538-62.854; P= 0.002), and degree of severe-critical COVID-19 (OR, 108.771; Cl 95% 3.917-3020.095; P= 0.006). It can be concluded that ARDS, hyperkalemia, sepsis, ECOG >2 and degree of severe-critical COVID-19 have both statistical and clinical significance with mortality, but age >59 and anemia have no clinical significance."

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Pendahuluan: Penyintas kanker terus menghadapi berbagai masalah fisik, psikologis, sosial, dan keuangan setelah menyelesaikan pengobatan primer. Ketakutan kambuh merupakan salah satu masalah psikososial yang sering dilaporkan oleh penyintas kanker ginekologi. Penelitian ini bertujuan untuk mengeksplorasi secara mendalam persepsi ketakutan kambuh pada penyintas kanker ginekologi.

Metode: Penelitian ini menggunakan pendekatan fenomenologi interpretatif. Partisipannya adalah 15 penyintas kanker ginekologi berusia 19-60 tahun dan telah menyelesaikan tahapan pengobatan primer. Pengumpulan data melalui wawancara semi terstruktur mendalam. Analisis data menggunakan analisis tematik.

Hasil: Analisis tematik memunculkan 6 tema yaitu: 1) pemicu ketakutan kambuh. 2) hal yang ditakutkan jika terjadi kekambuhan. 3) dampak ketakutan kambuh. 4) upaya yang dilakukan untuk mengalihkan ketakutan kambuh. 5) upaya yang dilakukan untuk mencegah kekambuhan. 6)  ketidakpastian tentang kekambuhan.

Simpulan: Ketakutan kambuh merupakan pengalaman multidimensi yang yang dipicu oleh berbagai faktor dan memiliki dampak terhadap berbagai aspek kehidupan penyintas kanker

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Introduction: Cancer survivor continue to face a variety of phisical, psychological, social and financial problems after completing primary treatment. Fear of recurrence is one of the psichosocial problems frequently reported by gynecologic cancer survovor. This study aimed to explore in depth the perceived fear of recurrence in gynecologic cancer survivors.

Methods: This study used an interpretative phenomenological approach. The participans were 15 gynecologic cancer survivors aged 19-60 years and had completed the primary treatment stage. Data were collected through indepth semi stuctured interviews. Data analysis used thematic analysis.

Result: Thematic analiysis revealed 6 themes, namely: 1) triggers of fear of recurrence. 2) things that are feared if there is a relapse. 3) the impact of fear of recurrence. 4) effort made to divert the fear of recurrence. 5) effort made to prevent recurrence. 6) uncertainty about fear of recurrence.

Conclucion: Fear of recurrence is a multidimensional experiences that is trigered by various factors and has an impact on various aspect of cancer survivor lives."

"Takut kambuh kanker dan dukungan sosial mempengaruhi kualitas hidup penyintas kanker ginekologi. Penelitian ini bertujuan menganalisa hubungan takut kambuh kanker dan dukungan sosial terhadap kualitas hidup penyintas kanker ginekologi. Desain penelitian menggunakan analisis deskriptif korelasi dengan pendekatan cross-sectional dan jumlah sampel sebanyak 106 menggunakan kuesioner Penn State Worry Questionnaire, Multidimensional Scale of Perceived Social Support, dan European Organization for Research and Questionnaire-C30. Hasil analisis menunjukkan adanya hubungan signifikan antara engagement of worry dan absence of worry dengan fungsi peran, fungsi kognitif, kelelahan, nyeri, dan kesulitan keuangan, sedangkan item fungsi fisik, peran, sosial, kelelahan, insomnia, kehilangan nafsu makan dan nyeri memiliki hubungan signifikan dengan dukungan dari pasangan dan teman, serta dukungan keluarga memiliki korelasi negatif dengan takut kambuh kanker. Kesimpulan dukungan sosial sebagai salah satu sumber daya terpenting untuk mengurangi ketakutan dan kualitas hidup. Hasil penelitian merekomendasikan penelitian selanjutnya untuk meneliti pengaruh data demografi dengan kualitas hidup pada penyintas kanker ginekologi.

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Fear of cancer recurrence and sosical support can affect gynnecologi cancer survivors quality of life. The purpose of this study was examine the relationship between fear of cancer recurrence and social support with quality of life in gynecologic cancer survivors. A cross-sectional study was conducted with 106 partisipants. Data were collected using the Penn State Worry Questionnaire, Multidimensional Scale of Perceived Social Support, dan European Organization for Research and Questionnaire-C30. The result showed that there was a statisticaly significant corelation between engagement of worry and absence of worry with role functioning, cognitive functioning, fatique, pain, and financial difficulties, then there was a significant corelation between physical functioning, role, social, fatique, insomnia, loss appetite and pain with partner and friends supporting, also family supporting has a negative corelation with engagemen of worry. The conculsion is social support is an important resource that can decreased fear and increased quality of life. This study recommends further research to examine the affect participants demography with quality of life in gynecologic cancer survivors."

"Nyeri merupakan masalah utama yang sering di alami oleh pasien kanker ginekologi yang berdampak pada berbagai aspek baik biopsikososio dan spiritual pasien, di laporkan ada 70 % pasien yang menderita kanker ginekologi, mengalami nyeri pada berbagai tingkat nyeri bahkan 33% pada pasien yang dinyatakan sembu. Meskipun tersedia agen farmakologis yang efektif dan pedoman manajemen nyeri berbasis bukti, nyeri kanker terus menjadi gejala yang menantang terkait dengan hambatan pengendalian nyeri yang berasal dari sikap terhadap pengendalian nyeri, sumber sistem, dan peraturan terkait ras, sosial dan ekonomi maupun hal yang berkaitan dengan kepercayaan atau keagamaan. Pendekatan manajemen yang efektif sangat di butuhkan dan terapi SEFT merupakan salah satu terapi non farmakologi yang di usulkan sebagai metode potensial untuk mengurangi nyeri. Penelitian ini bertujuan untuk mengidentifikasi efektivitas terapi Spiritual Emotional Freedom Technique (SEFT) dalam manajemen nyeri pada pasien kanker ginekologi. Metode penelitian yang digunakan menggunakan desain RCT dengan rancangan parallel. Jumlah sampel sebanyak 48 partisipan yang diacak dengan blok randomisasi ke dalam 24 kelompok kontrol dan 24 kelompok intervensi. Penelitian yang di lakukan di RS R.D. Kandou Manado. Dengan memberikan terapi SET selama 15-20 menit pada kelompok intervensi dan pemberian leaflet pada kelompok kontrol. Pengukuran skala nyeri menggunakan Numeric Rating Scale dilakukan selama 5 hari. Hasil penelitian menunjukkan bahwa terapi SEF mampu menurunkan skala nyeri pada pasien kanker ginekologi di bandingkan dengan kelompok kontrol dengan nilai P=0,000 (α<0,05). Penerapan terapi SEFT dapat menjadi acuan perawat onkologi dalam memberikan terapi non-farmakologi untuk menurunkan nyeri, stres serta meningkatkan kesejahteraan spiritual pasien terutama pasien kanker ginekologi.

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Pain is the main problem often experienced by gynecological cancer patients which has an impact on various aspects, both biopsychosocial and spiritual of the patient. It is reported that 70% of patients suffering from gynecological cancer experience pain at various levels of pain, even 33% of patients who are declared cured. Despite the availability of effective pharmacologic agents and evidence-based pain management guidelines, cancer pain continues to be a challenging symptom associated with barriers to pain control stemming from attitudes toward pain control, system resources, and racial, social and economic regulations and beliefs. or religious. An effective management approach is urgently needed and SEFT therapy is one of the non-pharmacological therapies proposed as a potential method for reducing pain. This study aims to identify the effectiveness of Spiritual Emotional Freedom Technique (SEFT) therapy in pain management in gynecological cancer patients. The research method used was an RCT design with a parallel design. The total sample was 48 participants who were randomized by block randomization into 24 control groups and 24 intervention groups. Research conducted at R.D. Hospital. Kandou Manado. By providing SEFT therapy for 15-20 minutes in the intervention group and giving leaflets to the control group. Pain scale measurements using the Numeric Rating Scale were carried out for 5 days. The results showed that SEFT therapy was able to reduce the pain scale in gynecological cancer patients compared to the control group with a value of P=0.000 (α<0.05). The application of SEFT therapy can be a reference for oncology nurses in providing non-pharmacological therapy to reduce pain, stress and improve the spiritual well-being of patients, especially gynecological cancer patients."

"Pendahuluan: Nyeri merupakan salah satu gejala terpenting pasien kanker, dengan hampir 40% dari semua pasien kanker mengalami nyeri sedang hingga berat. Pasien Onkologi Ginekologi dengan perawatan paliatif memiliki keluhan utama nyeri atau mual/muntah yang signifikan. Direkomendasikan kuat oleh WHO mengenai penggunaan obat antiinflamasi nonsteroid (NSAID), parasetamol, dan opioid baik sendiri atau dalam untuk nyeri terkait kanker pereda nyeri tergantung pada penilaian klinis dan keparahan . kupunktur telinga adalah metode yang sederhanadan aman yang dapat digunakan sendiri atau dikombinasikan dengan bentuk perawatan kesehatan lainnya Saat ini belum ada penelitian tentang keefektifan terapi akupunktur telinga BFA dalam pengobatan nyeri kanker ginekologi untuk mengatasi berdasarkan konsistensi pemilihan titik, sehingga perlu dilakukan penelitian tentang keefektifan terapi akupunktur telinga BattleField Acupuncture (BFA) dalam pengobatan nyeri kanker ginekologi.Metode: Desain penelitian ini adalah uji klinis acak terkontrol tunggal atau single blinded randomized control trial. Penelitian dilakukan di Rawat Inap RSUPN dr. Cipto Mangunkusumo, Rumah sakit Umum Pusat Persahabatan dan Rumah Sakit Fatmawati Jakarta pada bulan Juli 2023 sampai dengan Desember 2023 yang memenuhi kriteria inklusi dan eksklusi. Terdapat 2 kelompok studi yaitu Kelompok akupunktur telinga ditambah dengan terapi standar dibandingkan dengan kelompok terapi standar saja. Pada kelompok perlakuan dilakukan pemasangan jarum tempel pada titik MA-IT1 Cingulate Gyrus, MA-AT2 Thalamus, MA-H2 Omega 2, MA-H1 Point Zero, MA-TF1 Shenmen pada kedua sisi telinga. Jarum diretensi selama tiga hari dan dilakukan perangsangan pada lokasi pemasangan jarum tempel dengan cara penekanan pada titik akupunktur telinga yang telah terpasang jarum tempel pada kedua sisi, 1 menit pada setiap titik , empat kali sehari, selama 3 hari berturut dan jarum tempel dilepas pada hari ke 3.Hasil: Terdapat perbedaan hasil untuk intensitas nyeri, perubahan dosis analgetik, dan kualitas hidup, pada pasien dengan nyeri kanker ginekologi pada kelompok yang mendapatkan akupunktur telinga BFA ditambah dengan terapi standar dibandingkan dengan terapi standar saja.Kesimpulan: Terapi akupunktur telinga BFA ditambah dengan terapi standar berpengaruh padaintensitas nyeri, perubahan dosis analgetik, dan kualitas hidup, pada pasien dengan nyeri kanker ginekologi dibandingkan dengan terapi standar saja.

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Introduction: Pain is one of the most important symptoms of cancer patients, with almost40% of all cancer patients experiencing moderate to severe pain. Gynecologic Oncology patients on palliative care have a chief complaint of significant pain or nausea/vomiting.There are strong recommendations by WHO regarding the use of non- steroidal anti- inflammatory drugs (NSAIDs), paracetamol, and opioids either alone or in cancer-related pain relief depending on clinical assessment and severity. Ear acupuncture is a simple and safe method that can be used alone or in combination with other forms of health care.Currently there has been no research on the effectiveness of BFA ear acupuncture therapyin the treatment of gynecological cancer pain to overcome based on the consistency of point selection, so it is necessary to conduct research on the effectiveness of acupuncture therapy BattleField Acupuncture (BFA) Ear in the treatment of gynecologic cancer pain.

Method: The design of this research is a single blinded randomized control trial. The research was conducted at the Inpatient Hospital of Dr. Cipto Mangunkusumo, Friendship Center General Hospital and Fatmawati Hospital Jakarta from July 2023 to December 2023 who meet the inclusion and exclusion criteria. There were 2 study groups, namely the ear acupuncture group plus standard therapy compared to the standard therapy alone group. In the treatment group, needles were placed at the MA-IT1 CingulateGyrus, MA-AT2 Thalamus, MA-H2 Omega 2, MA-H1 Point Zero, MA-TF1 Shenmen points on both sides of the ear. The needle is retained for three days and stimulation is carried out at the location where the needle is inserted by pressing the ear acupuncture points where the needle has been installed on both sides, for 1 minute at each point, fourtimes a day, for 3 consecutive days and the needle is removed at day 3.

Results: There were differences in outcomes for pain intensity, changes in analgesic dose,and quality of life, in patients with gynecological cancer pain in the group who received BFA ear acupuncture plus standard therapy compared with standard therapy alone.

Conclusion: BFA ear acupuncture therapy plus standard therapy has an effect on pain intensity, changes in analgesic dose, and quality of life, in patients with gynecological cancer pain compared with standard therapy alone."

"[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.]"

"ABSTRAKKualitas hidup merupakan salah satu parameter keberhasilan intervensi keperawatan padapenyakit kronik, terutama kanker. Penelitian ini bertujuan untuk mengetahui perbedaankualitas hidup pasien kanker payudara dan kanker ginekologi. Desain penelitian ini adalahdeskriptif dengan pendekatan cross sectional, dan jumlah sampel 96 responden untukmasing-masing kelompok data. Teknik pengambilan sampel adalah consecutive sampling dananalisa data distribusi frekuensi. Hasil penelitian menunjukkan bahwa skor rata-rata kualitashidup responden kanker payudara adalah 66,49; ginekologi 59,04, skor tertinggi kategoriskala fungsional pada kanker payudara adalah fungsi peran 40,55; ginekologi fungsi sosial82,60, skala gejala pada kanker payudara adalah diare 92,70; ginekologi dypsnoea 89,23.Skor tertinggi pada aspek seksual kanker payudara pada kepuasan seksual dan kecemasanseksual 48,26 dan 82,27;ginekologi 89,93 dan 89,23. Penelitian ini merekomendasikankepada peneliti selanjutnya untuk meneliti perbedaan rerata nilai mean pada setiap skala itemdi kuesioner.Kata kunci: kualitas hidup, kanker payudara, kanker ginekologi.

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ABSTRACTQuality of life is one of the parameters of the success of nursing interventions on chronicdiseases, especially cancer. This study aims to determine differences in the quality of life ofpatients with breast cancer and gynecologic cancer. This study was a descriptive crosssectional approach, and the number of samples 96 respondents for each group of data. Thesampling technique is consecutive sampling and analysis of the frequency distribution data.The results showed that the average score of respondents quality of life of breast cancer was66.49; gynecology 59.04, the highest score in the category of functional scale breast canceris the function of the role of 40.55; 82.60 gynecology social function, scale symptoms inbreast cancer were diarrhea 92.70; gynecology was dypsnoea 89.23. The highest scores onthe sexual aspects of breast cancer in sexual enjoyment and sexual anxiety 48.26 and 82.27;gynecology 89.93 and 89.23. The study recommends further research to examine thedifferences between the mean value of the mean on each scale item in the questionnaire."