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Abstrak :
ABSTRAK
Gangguan tidur yang dialami pasien kanker payudara bisa mempengaruhi fisik, mental, kesehatan serta kesejahteraan. Penelitian ini bertujuan melihat pengaruh latihan progressive muscle relaxation dan sleep hygiene education terhadap perubahan skor kualitas tidur pasien kanker payudara. Desain Penelitian menggunakan metode quasi eksperiment dengan pre-post test with control group yang melibatkan 62 pasien kanker payudara dengan metode consecutive sampling di Jakarta . Hasil uji statistik dengan independent t-test menunjukkan adanya perbedaan bermakna skor kualitas tidur antara kelompok intervensi dan kelompok kontrol (6,66±3,815;9,30±3,334, pvalue = 0,005). Latihan progressive muscle relaxation dan sleep hygiene education terbukti dapat mempengaruhi perubahan kualitas tidur pasien kanker sehingga menjadi pilihan terapi untuk mengatasi gangguan tidur.

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ABSTRACT
Sleeping disorder experienced by patients with breast cancer can affect the physical, mental, health, and well-being. This study examines the effect of progressive muscle relaxation training and sleep hygiene education to change sleep quality scores of patient with breast cancer. The study design using quasi experiment with pre-post test within control group, involving 62 breast cancer patients using consecutive sampling method in Jakarta. Statistical test results with independent t-test showed a significant difference in score of sleep quality between in intervention group and the control group (6,66±3,815;9,30±3,334, pvalue = 0,005). Progressive muscle relaxation exercise and sleep hygiene education proven to be affective to change the patients sleeping quality, so that it can be an alternative therapeutic option to overcome sleeping disorders.

Abstrak :
[ABSTRAK
Perawat memegang peranan penting dalam pemberian asuhan keperawatan serta mendampingi pasien dengan kanker ginekologi selama 24 jam. Pada pelaksanaan, belum semua perawat melakukan pengkajian psikoseksual ketika memberikan asuhan pelayanan keperawatan untuk menggali masalah seksual akibat terapi yang dialami oleh pasien kanker. Penelitian ini bertujuan untuk mengeksplorasi pengalaman perawat yang bekerja diunit ongkologi dalam mendiskusikan isu seksual dengan pasien dan penyintas kanker ginekologi. Secara keseluruhan fenomena yang didapatkan dalam penelitian ini adalah suatu gambaran pengalaman perawat dalam mendiskusikan isu seksual dengan pasien kanker ginekologi. Penelitian dengan metode kualitatif dengan desain fenomenologi ini melibatkan sampel sepuluh partisipan. Analisa hasil penelitian dilakukan dengan cara analisa isi dengan menyimpulkan pernyataan partisipan menjadi tema dalam penelitian. Penelitian ini menemukan lima tema utama yang berkaitan dengan pengalaman perawat dalam mendiskusikan isu seksual dengan pasien kanker ginekologi yaitu persepsi perawat tentang pelayanan psikoseksual, hambatan yang ditemukan perawat ketika mendiskusikan isu seksual dengan pasien kanker ginekologi, menemukan masalah yang mengganggu seksualitas pada pasien kanker ginekologi, cara/upaya perawat memperoleh dukungan dalam membantu masalah psikoseksual pada pasien kanker ginekologi, kebutuhan perawat terhadap implementasi pelayanan psikoseksual pada pasien kanker ginekologi. Pelayanan psikoseksual pada pasien kanker ginekologi dapat ditingkatkan dengan adanya diskusi isu seksual dengan pasien kanker ginekologi. Perawat diharapkan dapat melakukan pengkajian psikoseksual di dalam pemberian asuhan keperawatan pada pasien kanker ginekologi.

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ABSTRACT
Nurses play an important role in providing nursing care as well as assisting gynecologic cancer patients for 24 hours. In fact, not all nurses do a psychosexual assessment when providing nursing care in order to explore sexual problems related to the cancer therapy experienced by the patients. This study aimed to explore the experiences of nurses who work in oncology unit in discussing sexual issues with the patients and survivors of gynecologic cancer. Overall phenomenon obtained in this study was an overview of nurses? experiences in discussing sexual issues with gynecologic cancer patients. This study applied a qualitative method with phenomenological design. The samples were ten participants. The results were analyzed using content analysis by concluding the participants? statements to become the research themes. This study identified five main themes related to nurses? experiences in discussing sexual issues with gynecologic cancer patients, including nurses? perceptions of psychosexual services, the obstacles found by nurses when discussing sexual issues with gynecologic cancer patients, finding problems that interfere with sexuality in gynecologic cancer patients, nurses? attempts to obtain supports in helping psychosexual problems of gynecologic cancer patients, nurses? needs to the implementation of psychosexual services for gynecologic cancer patients. Psychosexual services for gynecologic cancer patients can be improved by the presence of sexual issues discussion with gynecologic cancer patients. Nurses are expected to do a psychosexual assessment in providing nursing care to gynecologic cancer patients.;Nurses play an important role in providing nursing care as well as assisting gynecologic cancer patients for 24 hours. In fact, not all nurses do a psychosexual assessment when providing nursing care in order to explore sexual problems related to the cancer therapy experienced by the patients. This study aimed to explore the experiences of nurses who work in oncology unit in discussing sexual issues with the patients and survivors of gynecologic cancer. Overall phenomenon obtained in this study was an overview of nurses? experiences in discussing sexual issues with gynecologic cancer patients. This study applied a qualitative method with phenomenological design. The samples were ten participants. The results were analyzed using content analysis by concluding the participants? statements to become the research themes. This study identified five main themes related to nurses? experiences in discussing sexual issues with gynecologic cancer patients, including nurses? perceptions of psychosexual services, the obstacles found by nurses when discussing sexual issues with gynecologic cancer patients, finding problems that interfere with sexuality in gynecologic cancer patients, nurses? attempts to obtain supports in helping psychosexual problems of gynecologic cancer patients, nurses? needs to the implementation of psychosexual services for gynecologic cancer patients. Psychosexual services for gynecologic cancer patients can be improved by the presence of sexual issues discussion with gynecologic cancer patients. Nurses are expected to do a psychosexual assessment in providing nursing care to gynecologic cancer patients.;Nurses play an important role in providing nursing care as well as assisting gynecologic cancer patients for 24 hours. In fact, not all nurses do a psychosexual assessment when providing nursing care in order to explore sexual problems related to the cancer therapy experienced by the patients. This study aimed to explore the experiences of nurses who work in oncology unit in discussing sexual issues with the patients and survivors of gynecologic cancer. Overall phenomenon obtained in this study was an overview of nurses’ experiences in discussing sexual issues with gynecologic cancer patients. This study applied a qualitative method with phenomenological design. The samples were ten participants. The results were analyzed using content analysis by concluding the participants’ statements to become the research themes. This study identified five main themes related to nurses’ experiences in discussing sexual issues with gynecologic cancer patients, including nurses’ perceptions of psychosexual services, the obstacles found by nurses when discussing sexual issues with gynecologic cancer patients, finding problems that interfere with sexuality in gynecologic cancer patients, nurses’ attempts to obtain supports in helping psychosexual problems of gynecologic cancer patients, nurses’ needs to the implementation of psychosexual services for gynecologic cancer patients. Psychosexual services for gynecologic cancer patients can be improved by the presence of sexual issues discussion with gynecologic cancer patients. Nurses are expected to do a psychosexual assessment in providing nursing care to gynecologic cancer patients.;Nurses play an important role in providing nursing care as well as assisting gynecologic cancer patients for 24 hours. In fact, not all nurses do a psychosexual assessment when providing nursing care in order to explore sexual problems related to the cancer therapy experienced by the patients. This study aimed to explore the experiences of nurses who work in oncology unit in discussing sexual issues with the patients and survivors of gynecologic cancer. Overall phenomenon obtained in this study was an overview of nurses’ experiences in discussing sexual issues with gynecologic cancer patients. This study applied a qualitative method with phenomenological design. The samples were ten participants. The results were analyzed using content analysis by concluding the participants’ statements to become the research themes. This study identified five main themes related to nurses’ experiences in discussing sexual issues with gynecologic cancer patients, including nurses’ perceptions of psychosexual services, the obstacles found by nurses when discussing sexual issues with gynecologic cancer patients, finding problems that interfere with sexuality in gynecologic cancer patients, nurses’ attempts to obtain supports in helping psychosexual problems of gynecologic cancer patients, nurses’ needs to the implementation of psychosexual services for gynecologic cancer patients. Psychosexual services for gynecologic cancer patients can be improved by the presence of sexual issues discussion with gynecologic cancer patients. Nurses are expected to do a psychosexual assessment in providing nursing care to gynecologic cancer patients., Nurses play an important role in providing nursing care as well as assisting gynecologic cancer patients for 24 hours. In fact, not all nurses do a psychosexual assessment when providing nursing care in order to explore sexual problems related to the cancer therapy experienced by the patients. This study aimed to explore the experiences of nurses who work in oncology unit in discussing sexual issues with the patients and survivors of gynecologic cancer. Overall phenomenon obtained in this study was an overview of nurses’ experiences in discussing sexual issues with gynecologic cancer patients. This study applied a qualitative method with phenomenological design. The samples were ten participants. The results were analyzed using content analysis by concluding the participants’ statements to become the research themes. This study identified five main themes related to nurses’ experiences in discussing sexual issues with gynecologic cancer patients, including nurses’ perceptions of psychosexual services, the obstacles found by nurses when discussing sexual issues with gynecologic cancer patients, finding problems that interfere with sexuality in gynecologic cancer patients, nurses’ attempts to obtain supports in helping psychosexual problems of gynecologic cancer patients, nurses’ needs to the implementation of psychosexual services for gynecologic cancer patients. Psychosexual services for gynecologic cancer patients can be improved by the presence of sexual issues discussion with gynecologic cancer patients. Nurses are expected to do a psychosexual assessment in providing nursing care to gynecologic cancer patients.]

Abstrak :
ABSTRAK
Self efficacy dalam mengatasi kanker pada pasien kanker payudara dapat meningkatkan koping yang adaptif, kesejahteraan dan kualitas hidup pasien. Penelitian ini bertujuan melihat pengaruh dukungan support group terhadap perbaikan self efficacy pasien kanker payudara yang mendapat kemoterapi dalam mengatasi kanker. Desain penelitian ini menggunakan metode quasi experiment dengan pre-post test with control group yang melibatkan 76 pasien kanker payudara yang terdiri dari kelompok intervensi (38 responden) dan kontrol (38 responden) dengan metode concecutive sampling. Pengambilan data menggunakan instrumen Cancer Behavior Inventory versi 2. Hasil uji statistik dengan chi square menunjukkan tidak ada perbedaan proporsi yang bermakna tingkat self efficacy yang tinggi dalam mengatasi kanker setelah intervensi antara kelompok intervensi dan kelompok kontrol (RR 1,4 dengan 95% CI 0,8-2,4). Dukungan support group dengan metode yang tepat perlu diberikan pada pasien kanker sebagai bagian dari asuhan keperawatan guna meningkatkan self efficacy dalam mengatasi kanker.

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ABSTRACT
Self efficacy for coping with cancer in breast cancer patients can improve the adaptive coping, welfare dan quality of life of the patients. This study examines the effect of support of the support group to improvement self efficacy breast cancer patients taking chemoteraphy for coping with cancer. The study design uses quasi experiment with pre-post test within control group, involving 76 breast cancer patients with intervention (38 respondents) and control (38 respondents) using concecutive sampling method. Retrieving data using instruments Cancer Behavior Inventory Version 2. Statistical test results with chi square showed no significance difference proportion self efficacy for coping with cancer between in intervention group and the control group (RR 1,4 with 95% CI 0,8-2,4). The support of support group with appropriate methods needs to be given to cancer patients as part of nursing care in order to increase self-efficacy for coping with cancer.

Abstrak :
Ketidakmampuan tidur yang berkualitas dapat meningkatkan risiko kanker menjadi sernakin agresif. Kondisi ini terjadi karena sistem kekebalan tubuh menjadi terganggu sehingga kemampuan imun uutuk mengendalikan atau mengontrol sel kanker me4iadi berkurang. Penelitian ini bertujuan untuk mengetahui pengaruh masase aromaterapi terhadap kualitas tidur pasien kanker. Penelitian ini adalah penelitian kuantitatif dengar desain quasi experiment dengan metode pre and post test without control group. Sampel qene$tian sebanyak 15 ofiulg dan pengarnbilan sampel menggunakan teknik consecutive sompling. Kualitas tidur diukur menggunakan kuesioner PSQI (fte Pittsburg sleep quality index). Hasil penelitian menunjulkan adanya penurunan skor kualitas tidur sesudah masaso aromaterapi dengan nilai probabilitas sebesar 0,0001 (gt value < 0,05). Penunrnan skor kualitas tidur menunjukkan adanya peningkatan kualitas tidur sehingga dapat disimpulkan bahwa ada pengaruh masase aromaterapi terhadap kualitas tidur pasien kanker. Berdasarkan hasil penelitian ini maka diharapkan masase aromaterapi direkomendasikan sebagai intervensi mandiri perawat di pelayanan kesehatan unhrk meningkatkan kualitas tidur pasien kanker.

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The inability to hahe a goog sleep can increase the risk of cancer to be more agressive. This condition occurs because the immune system is disturbed so that the ability of the immune to control the cancer cells is reduced. This research is aimed to determine the effect of the aromatherapy massage on sleep quality of the cancer patients. This research is a quantitative research with quasi experimental design by using pre- and post-test method without control group. The sample of the study's 15 respondence that is choosen by using consecutive sampling technique. The sleep quality measured by using a questionnaire PSQI (The Pittsburgh sleep quality index). The resuh shows there is a decrease score of sleep quality after the aromatherapy massage with the probability value of 0.0001 (p value <0.05). The decline score of sleep quality showes the increase in the quality of sleeping so it can be concluded that there was an effect of aromatherapy massage on sleep quality of cancer patients. Based on this result it is expected that aromatherapy massage is recommended as a self iqtervention of nurses in healthcare services to improve the sleep quality of the cancer patients.