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All Journal International Journal of Public Health Science (IJPHS) Jurnal NERS
Ni Putu Wulan Purnama Sari
Widya Mandala Catholic University Surabaya
Health Professions Nursing

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Stress and fear in women living with cancer: An argumentation towards the adaptation theory Ni Putu Wulan Purnama Sari
International Journal of Public Health Science (IJPHS) Vol 9, No 3: September 2020
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v9i3.20413

Abstract

Extended life expectancy in cancer nowadays has implication on longer exposures toward cancer-related stressors. Based on the adaptation theory, the longer the stressor exposures then the more the stress tolerance expected. This study aimed to compare and analyze the differences of stress and fear in cervical and breast cancer survivors (CCS and BCS) between cases and survivorship stages, impacting on anxiety, depression, and perceived life normality (PLN). This cross-sectional study involved 47 CCS and 58 BCS (n=105). Self-developed instrument was used in data collection (r=-0.256-0.935; Chronbach’s Alpha=0.908). Various statistical tests were used in data analysis (α<0.05). Stress due to cancer diagnosis and treatments were significantly different between cases (p=0.005 and p=0.003 in CCS and BCS respectively), impacting significant differences on anxiety, depression, and PLN between cases (p=0.025, p=0.000, and p=0.000 respectively). In both cases, stress due to cancer diagnosis and treatments, anxiety, depression, and PLN were not significantly different between survivorship stages (all p>0.05). Fear towards cancer recurrence, metastasis, additional cancer, and diagnostic test were not significantly different between cases and survivorship stages (all p>0.05). These findings argue the adaptation theory because the adaptation process was proved to be limitless in CCS and BCS; therefore it can’t be seen as a product.
Social wellbeing among women living with cancer Ni Putu Wulan Purnama Sari
International Journal of Public Health Science (IJPHS) Vol 9, No 1: March 2020
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (602.003 KB) | DOI: 10.11591/ijphs.v9i1.20414

Abstract

Women living with cancer are gradually increases in number due to the increase prevalence of breast and cervical cancer worldwide. The social impact of cancer is underappreciated compared to physical and psychological impacts. This study aimed to: 1) compare and analyze the social wellbeing (SWB) between women living with breast and cervical cancer, and 2) determine the best predictor of SWB in both groups. This cross-sectional study involved 58 and 47 women living wih breast and cervical cancer (n=105). Questionnaire of QOL-CS part III was used in data collection. Various statistical tests were used in data analysis (α<0.05). Sufficient SWB was mostly found in both cases. Family stress, work life, home activities, worriness, social support, personal relation, sexuality, social isolation, and financial burden were significantly different between cases (p=0.021, p=0.027, p=0.004, p=0.022, p=0.000, p=0.000, p=0.000, p=0.000, and p=0.001 respectively), resulted in significant difference in overall SWB between cases (p=0.000). Home activities were the best predictor of SWB in both cases (R2=0.680 and R2=0.840 respectively) with more influences on cervical cancer (84% of influence). SWB was better in women living with breast cancer.
Comparison of stress level and coping strategy between therapeutic phases in newly diagnosed tuberculosis Ni Putu Wulan Purnama Sari; Ayu Kurnia Endar Sari
International Journal of Public Health Science (IJPHS) Vol 9, No 2: June 2020
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.123 KB) | DOI: 10.11591/ijphs.v9i2.20410

Abstract

In newly diagnosed Tuberculosis (TB), the diagnosis and therapy duration may cause psychological stress requiring effective coping strategy. This study aimed to compare and analyze the differences of stress level and coping strategy between intensive and advanced phases in newly diagnosed TB. This cross-sectional study involved 16 respondents in intensive phase and 29 respondents in advanced phase (n=45), in the working area of Pacar Keling Public Health Center of Surabaya. Perceived Stress Scale (PSS) and coping strategy questionnaire were used for collecting data. Data were collected in May 2018. Independent sample t test was used in data analysis (α<0.05). Results showed that mostly moderate stress level and adaptive coping strategy were found in both phases. Overall, stress and coping were not significantly different between phases in newly diagnosed TB (p=0.259 and p=0.079 respectively), but the feeling of angry, losing control, nervous & depressed, whether things happened as wishes, talking problems to professionals, and trying new dangerous thing were differ significantly between phases (p=0.046, p=0.024, p=0.044, p=0.016, p=0.014, and p=0.005 respectively). Although stress level and coping strategy were not significantly different between therapeutic phases in newly diagnosed TB, but more attention needs to be given towards patients’ emotion, such as the feeling of angry, losing control, nervous and depressed, and patients’ wishes, especially in intensive phase.
Model Theory of Planned Behavior to Improve Adherence to Treatment and the Quality of Life in Tuberculosis Patients Made Mahaguna Putra; Ni Putu Wulan Purnama Sari
Jurnal Ners Vol. 15 No. 2 (2020): OCTOBER 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i2.17958

Abstract

Introduction: Tuberculosis (TB) is a global public health problem and a leading cause of death from infectious diseases. The research objective was to determine the relationship between the theory of planned behavior, adherence and quality of life using the path model.Methods: This study employed a cross-sectional design with 154 tuberculosis patients. The research was conducted in all community health centers in the Buleleng, Bali. Data on subjective norms, attitudes, perceived behavior control, intention, physical and mental HRQoL domains and medical adherence were collected. Data were analyzed using a descriptive and structural equation model feature using structural equation model.Results: Most respondents have attitudes in the positive category and subjective norms in the good category. Perceived behavior is control in the good category, intentions in the good category and physical health in the good category. Almost all respondents have mental health in the good category and are married. All respondents in this study had adherence to treatment. The influence of subjective norms on intentions (p = <0.01), the influence of intentions on adherence (p = <0.01) and the effect of adherence on quality of life (p = <0.01) were found.Conclusion:Subjective norms are the most important part to influence intention. Adequate TB treatment causes HRQoL to improve.
Co-Authors Ayu Kurnia Endar Sari Made Mahaguna Putra