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Journal : Jurnal NERS

predictors need for complementary interventions using mobile application technology in women with breast cancer Dewi, Inggriane; Tri Widianti, Anggriyana; Fatmawati, Ariani; Wulandari, Silfia; Indah Sarirudi, Tita
Jurnal Ners Vol. 18 No. 2 (2023): JUNE 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i2.45799

Abstract

Background. Some women with breast cancer tend to have psycho-social stress, embarrassment from the disease's treatment, and difficulty asking for help. Furthermore, several studies indicate limited use of complementary online intervention in mental and spiritual health care, particularly when using mobile-based technologies. Purpose. This study identifies the key factors that affect the need for mobile-app complementary interventions and the variables affecting them among Indonesian breast cancer patients. Methods. A cross-sectional survey study with a simple random sampling technique included 112 patients between May and July 2022. The research instrument used is The Quality of Life-Breast Cancer questionnaire, Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being (FACIT-Sp), Palliative Performa Scale Version 2, and The Need for Complementary Interventions using mobile-app technology (NCIM) to measure Predictors of The Need for Complementary Interventions. Meanwhile, multiple linear stepwise regression was used, and the potential multicollinearity effects among NCIM predictive variables were assessed through the collinearity analysis of variable inflation factors. Results. The mean score of NCIM was 25.17 and ranged from 10 to 40, and multiple regression analysis showed that the psychological and social dimensions of quality of life, as well as Facit-Sp, significantly affected the NCIM. This explains 8.5% of the total variance in the need for Mobile-app Complementary Intervention. Conclusion. Women with breast cancer have a high need for complementary interventions based on mobile technology. This study can provide the development of complementary intervention using mobile application technology.
Empowering primiparous mothers with e-coaching for enhanced self-efficacy in postpartum and newborn care Fatmawati, Ariani; Dewi, Inggriane Puspita; Syabariyah, Sitti; Ridlayanti, Annisa
Jurnal Ners Vol. 20 No. 4 (2025): VOLUME 20 ISSUE 4 (NOVEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i4.67984

Abstract

Introduction: Postpartum challenges pose significant stress and diminish maternal confidence among first-time mothers. These challenges are exacerbated by limited healthcare access, cultural influences, and logistical barriers, which complicate postpartum self-management, particularly in resource-constrained settings. Addressing these issues is essential. Methods: The study employed an explanatory sequential mixed-methods design. The initial phase involved a quasi-experimental survey to compare self-efficacy scores between intervention and control groups, each consisting of 30 participants. Self-efficacy was measured using the Perceived Maternal Parenting Self-Efficacy (PMP S-E) scale, and the Mann-Whitney test was employed to compare group means. The second phase was a qualitative study. Participants from the intervention group were selected using simple random sampling based on odd-numbered identifiers, resulting in 15 primiparous women. Data were analyzed using thematic analysis. Results: Participants in both groups had comparable age distributions and educational backgrounds.  The intervention group achieved a significantly higher mean score (65) compared to the control group (41.8), confirmed by a Mann-Whitney test (p < 0.001) with a large effect size (Cohen's d = 5.15). Qualitative findings identified five themes and 15 categories. Conclusions: E-coaching effectively enhances maternal self-efficacy in primiparous mothers, offering a promising approach to addressing postpartum challenges in resource-limited settings.