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Determinants of Physical and Mental Health-related Quality of Life among Patients with Breast Cancer During COVID-19 Pandemic Jamil, Mohd; Merdawati, Leni; Krisdianto, Boby Febri; Khambri, Daan; Harahap, Wirsma Arif; Arifin, Hidayat
Nurse Media Journal of Nursing Vol 13, No 3 (2023): (December 2023)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i3.54738

Abstract

Background: The concern surrounding the physical and mental health-related quality of life (HRQoL) among patients with breast cancer emerged during COVID-19. However, there is a lack of sufficient studies that have specifically addressed this issue. It is crucial to emphasize the evaluation of this aspect as it significantly impacts the enhancement of future physical and mental HRQoL for these patients.Purpose: This study investigated the determinants of physical and mental HRQoL among patients with breast cancer during COVID-19.Methods: In a cross-sectional study conducted between September and October 2022, participation involved 260 patients diagnosed with breast cancer, selected through convenience sampling. Our observation focused on assessing the outcomes of physical and mental HRQoL using the Short Form (SF-12) questionnaire for data collection. Additionally, the data underwent analysis via binary logistic regression.Results: Respondents aged <50 years (p=0.010; aOR=2.08; 95% CI=1.18–3.67), unemployed (p=0.022; aOR=2.29; 95% CI=1.16–4.53), and had high depression (p=0.026; aOR=2.41; 95% CI=1.13–5.12) have a more likelihood to have low physical HRQoL. In addition, unemployed respondents (p=<0.001; aOR=4.15; 95% CI=2.14–8.04) and had high anxiety (p=0.004; aOR=2.71; 95% CI=1.38–5.33) have more likelihood to have low mental HRQoL.Conclusion: In this study, it was found that anxiety, depression, and unemployed respondents were associated with a higher likelihood of experiencing lower physical and mental HRQoL. Nurses and healthcare workers should prioritize addressing psychological issues such as anxiety and depression among breast cancer patients, emphasizing the necessity for interventions aimed at alleviating these concerns. 
Hubungan Karakteristik Pasien Dengan Keparahan Chemotherapy-Induced Nausea And Vomiting (CINV) Pada Pasien Kanker Payudara Yang Menjalani Kemoterapi Tetrianti, Yelnia; Merdawati, Leni; Muliantino, Mulyanti Roberto; Lenggogeni, Devia Putri
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.51189

Abstract

Mual dan muntah merupakan efek samping yang sering dialami oleh pasien kanker payudara yang menjalani kemoterapi. Kondisi ini dapat menurunkan kualitas hidup dan memengaruhi kepatuhan pasien terhadap terapi. Penelitian ini bertujuan untuk mengidentifikasi hubungan karakteristik pasien dengan tingkat mual muntah pada pasien kanker payudara yang menjalani kemoterapi di RSUP Dr. M. Djamil Padang. Desain penelitian yang digunakan adalah cross sectional study dengan jumlah sampel 60 responden yang dipilih menggunakan teknik purposive sampling. Instrumen yang digunakan yaitu kuesioner Rhodes Index of Nausea, Vomiting, and Retching (RINVR). Analisis data dilakukan menggunakan uji Pearson correlation, independent t-test, dan Kruskal-Wallis dengan bantuan program SPSS 25. Hasil penelitian menunjukkan terdapat hubungan bermakna antara usia dengan tingkat mual muntah (p=0,000), tingkat pendidikan dengan tingkat mual muntah (p=0,000), stadium kanker dengan tingkat mual muntah (p=0,000), dan siklus kemoterapi dengan tingkat mual muntah (p=0,009). Pasien dengan tingkat pendidikan rendah memiliki skor mual muntah yang lebih tinggi dibandingkan pasien dengan pendidikan tinggi. Kesimpulan penelitian ini menunjukkan bahwa karakteristik pasien seperti usia, tingkat pendidikan, stadium kanker, dan siklus kemoterapi berhubungan dengan tingkat mual muntah pada pasien kanker payudara yang menjalani kemoterapi. Kata Kunci : kanker payudara, karakteristik pasien, kemoterapi, mual muntah
Gambaran Pelaksanaan Mobilisasi dengan Pola Eliminasi Fekal Pasien Paska Laparatomi : Overview of Mobilization Implementation with Fekal Elimination Pattern Post-Laparatomical Patients Feki Surya Ardica; Leni Merdawati; Emil Huriani
NERS Jurnal Keperawatan Vol. 9 No. 2 (2013): NJK Volume 9, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v9i2.115

Abstract

Patient post laparatomy just lay in bed and afraid to move because he felt pain in the scar. Constipation rate increased by 17-15% in patients who experience physical decline because long bed rest due to surgery. Recommended 6-10 hours post-op patients should be mobilized to accelerate the recovery of organs in patients. This research determine the effect of mobilization to fecal elimination patterns in patients after laparotomy in Irna B (Surgery) RSUP Dr. M. Djamil Padang. Pre-exsperiment Research design uses post-test only design with many use 13 respondents, sampling was done in quota sampling. Data collection techniques with observation. Analysis performed univariate. Results showed that there were 92% of respondents had normal fecal elimination patterns. Expected for the nursing, institution RSUP Dr. M. Djamil padang can be suggested that the mobilization is importan post-laparotomy patients to improve teh patient’s fecal elimination and revise SOP mobilization after surgery and socialized.
Pengaruh Latihan Yoga terhadap Kadar Gula Darah Pasien Diabetes Melitus Tipe 2 : Effect of Yoga Exercise on Blood Sugar Levels of Diabetes Patients Mellitus Type 2 Leni Merdawati; Reni Prima Gusty; Rika Fatmadona; Esi Afrianti
NERS Jurnal Keperawatan Vol. 14 No. 1 (2018): NJK Volume 14, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v14i1.186

Abstract

The International Diabetes Federation (IDF) states that more than 371 million people in the world aged 20 79 years have diabetes mellitus (DM). While Indonesia is the 7th country with the highest prevalence of diabetes, in the world. Diabetes mellitus has become a widespread epidemic, primarily because of the increasing prevalence and incidence of type 2 diabetes. DM can increase of the morbidity and mortality associated with cardiovascular disease, blindness, kidney disorders, neurological disorders and amputation. Physical activity such as yoga is a key element in the prevention and management of type 2 diabetes, The purpose of this study was to identify the effectiveness of Yoga exercise on decreasing blood sugar levels in Type 2 DM patients. This study used an experimental approach with non equivalent group comparison pre and post test design. The study subjects consist of 40 patients as experimental group and 40 patients as control group. All patient in experimental group were guided by yoga expert for reguler practice with supervision for 3 days. The result of this study show average of blood glucose level in experimental group was 217.05mg/dl with deviation standart 56,735mg/dl, while in the control group was 256.85mg/dl with deviation standart 34.04mg/dl. There was highly significant differences blood glucose average between experimental and control group (p=0,000). Yoga exercise is effective in reducing the blood glucose level on type 2 DM Patients and higly recommended as one of treatment for promotive care.
Stigma sebagai Beban Psikososial pada Pasien Kanker Payudara: Studi Deskriptif Putri, Fillia; Maisa, Esthika Ariany; Khambri, Daan; Gautama, Made Satya Nugraha; Merdawati, Leni
Jurnal Ners Vol. 10 No. 1 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52033

Abstract

Kanker payudara merupakan kanker dengan prevalensi tertinggi pada perempuan dan berdampak pada aspek psikososial. Selain beban fisik akibat pengobatan, pasien juga menghadapi stigma yang memengaruhi citra diri, hubungan sosial, dan pemulihan.Penelitian ini bertujuan untuk menggambarkan tingkat stigma yang dialami oleh pasien kanker payudara di RSUP Dr. M. Djamil Padang. Desain penelitian yang digunakan adalah deskriptif kuantitatif dengan teknik purposive sampling. Sebanyak 280 responden yang memenuhi kriteria inklusi berpartisipasi dalam penelitian ini, yaitu perempuan berusia ≥18 tahun yang telah didiagnosis kanker payudara dan sedang atau telah menjalani pengobatan. Instrumen yang digunakan adalah Breast Cancer Stigma Assessment Scale (BCSAS) yang terdiri atas 28 item dengan tujuh domain. Analisis data dilakukan secara deskriptif menggunakan SPSS versi 26. Hasil penelitian menunjukkan bahwa sebagian besar pasien mengalami tingkat stigma tinggi (39,6%), sedangkan 25,4% dengan tingkat sedang dan 35% pada tingkat rendah. Domain dengan skor tertinggi adalah dapat disembunyikan dan perubahan citra diri, sedangkan skor terendah terdapat pada gangguan keluarga dan asal penyakit. Hasil ini menunjukkan bahwa stigma masih menjadi beban psikososial signifikan bagi pasien kanker payudara. Oleh karena itu, diperlukan intervensi psikososial yang berkelanjutan, seperti pembentukan peer support group, untuk membantu pasien saling berbagi pengalaman, meningkatkan penerimaan diri, dan mengurangi dampak stigma terhadap kesejahteraan emosional.