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Pengaruh Edukasi Self Management terhadap Kualitas Hidup Pasien Kanker Payudara Nuiva, Uun; Nuraini, Tuti; Gayatri, Dewi
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.9843

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This study aims to identify the effectiveness of education or self-management programs on the quality of life of breast cancer patients. The method used was a systematic review using a systematic search through the Proquest, Science Direct, and EBSCOhost databases with articles that met the inclusion criteria with publications between 2014 and 2023 as well as an article search technique using the PRISMA scheme stages. The results of the research showed that the search results identified ten articles in which various self-management programs stated that self-management program education had a positive effect on the quality of life of breast cancer patients. The conclusion obtained is that the self-management program can be an effective intervention to improve the quality of life of breast cancer patients. Keywords:, Breast Cancer, Self Management, Quality of Life
Self-Compassion dan Psychological Well-Being pada Pasien Kanker Sihombing, Ratna M.; Nuraini, Tuti; Afiyanti, Yati
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.10321

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This study aims to examine the relationship between self-compassion and the psychological well-being of cancer patients. The method used in this research is a systematic review, where we conducted journal searches in the ScienceDirect, PubMed, ProQuest, Springer, and EBSCOhost databases using the keywords' cancer patients', 'psychological well-being, 'and 'self-compassion. ' The research results show that self-compassion influences levels of depression, stress, anxiety, quality of life, body image disturbance, body shame, stigma, and other things that affect the psychology of cancer patients. In conclusion, there is a relationship between self-compassion and psychological well-being in cancer patients.This study aims to examine the relationship between self-compassion and the psychological well-being of cancer patients. The method used in this research is a systematic review, where we conducted journal searches in the ScienceDirect, PubMed, ProQuest, Springer, and EBSCOhost databases using the keywords' cancer patients', 'psychological well-being, 'and 'self-compassion. ' The research results show that self-compassion influences levels of depression, stress, anxiety, quality of life, body image disturbance, body shame, stigma, and other things that affect the psychology of cancer patients. In conclusion, there is a relationship between self-compassion and psychological well-being in cancer patients. Keywords: Cancer Patients, Psychological Well-Being, Self-Compassion
AKUPRESUR SEBAGAI ALTERNATIF UNTUK MENGURANGI NYERI PASIEN KANKER SERVIKS: STUDI KASUS Ramadhana, Ayu; Dewi, Siti Utami; Susilowati, Indah; Nuraini, Tuti
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 3 (2022)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i3.375

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ABSTRAK Kanker serviks merupakan salah satu penyakit kronis yang dialami perempuan dengan berbagai gejala sepanjang hidup pasien. Nyeri pada pasien kanker berdampak serius secara fisik, mental, kesehatan emosional, serta kualitas hidup. Melihat dampak dari nyeri, diperlukan manajemen nyeri yang merupakan bagian esensial dalam perawatan kanker. Salah satu penatalaksanaan nyeri secara nonfarmakologi ialah teknik akupresur. Tujuan penelitian: untuk mendeskripsikan penanganan nyeri secara nonfarmakologi yaitu akupresur pada pasien kanker. Keluhan utama: Subjek dalam studi kasus, yaitu pasien kanker serviks dengan inisial Ny. SN 42 tahun dengan nyeri sejak terdiagnosis kanker dan semakin bertambah intensitasnya pada saat menjalani terapi radiasi. Intervensi akupresur dalam penelitian ini dilakukan selama tujuh hari, intervensi dilakukan oleh peneliti yang telah memiliki sertifikat kompetensi akupresur. Hasil: Studi kasus ini menunjukkan pasien mengalami penurunan skala nyeri setelah dilakukan intervensi akupresur selama 7 hari, dari skala 7 (nyeri berat) menjadi skala 3 (nyeri ringan). Simpulan: Manajemen nyeri dengan terapi nonfarmakologis, yakni akupresur, direkomendasikan sebagai terapi komplementer pilihan pada intervensi keperawatan, khususnya dalam mengurangi nyeri pada pasien kanker.Kata Kunci: akupresur, kanker serviks, nyeri  Acupressure as An Alternative To Reduce Pain in Cervical Cancer Patients: A Case Study ABSTRACTCervical cancer is one of the chronic diseases experienced by women with various symptoms throughout their life. Pain in cancer patients seriously impacts physical, mental, and emotional health and quality of life. Therefore, pain management is needed as an essential part of cancer treatment. One of the of non -pharmacological pain management is acupressure technique. Objective: To describe nonpharmacological pain management, namely acupressure in cancer patients. Chief Complaint: A subject in the case study was a cervical cancer patient, Mrs. SN, 42 years old, with pain since being diagnosed with cancer, and its intensity increased when undergoing radiation therapy. Acupressure intervention in this study was conducted for seven days and carried out by the researcher, who already had an acupressure competency certificate. Results: This case study indicated the patient had a decrease in pain scale after acupressure intervention for 7 days, from a scale of 7 (severe pain) to 3 (mild pain). Conclusion: Pain management with nonpharmacological therapy, namely acupressure, is recommended as an alternative to complementary therapy in nursing interventions, especially in managing pain in cancer patients.Keywords: acupressure, cervical cancer, pain
Peningkatan Kemampuan Timbang Terima Pasien Melalui Budaya Komunikasi SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION (SBAR) DI RS DI BEKASI Anggraini, Dian; Novieastari, Enie; Nuraini, Tuti
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 4, No 2 (2019)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (339.532 KB) | DOI: 10.32419/jppni.v4i2.182

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ABSTRAK Latar Belakang: Komunikasi tidak efektif dalam timbang terima dapat meningkatkan kejadian medication error, membahayakan pasien, memperpanjang proses perawatan, menurunkan kepuasan pasien, memperpanjang hari rawat pasien yang akan berdampak pada kurangnya mutu asuhan keperawatan yang diberikan pada pasien. Upaya meningkatkan mutu pelayanan salah satunya dengan menerapkan komunikasi Situation, Background, Assessment, Recommendation (SBAR). Komunikasi SBAR sudah mulai diterapkan pada kebijakan akreditasi rumah sakit, di beberapa rumah sakit masih ada yang belum menerapkan komunikasi SBAR. Tujuan: penelitian ini bertujuan mengidentifikasi perbedaan pengetahuan dan kemampuan perawat setelah pelatihan SBAR. Metode: pre-eksperiment dengan pre-post tanpa kelompok kontrol, sampel penelitian seluruh Perawat Primer dan Penanggung Jawab shift (n= 17). Pengukuran pengetahuan dengan melakukan tes tertulis sebelum dan sesudah pelatihan, dan untuk data kemampuan perawat timbang terima dengan komunikasi SBAR dilakukan pengamatan timbang terima sebelum dan sesudah pelatihan dengan menggunakan lembar observasi. Analisis data dengan uji t berpasangan dan uji Wilcoxon. Hasil: ada perbedaan yang bermakna rerata pengetahuan sebelum dan sesudah pelatihan (p-value <0,001), ada perbedaan yang bermakna rerata kemampuan perawat sebelum dan sesudah pelatihan komunikasi SBAR dalam timbang terima pasien antar shift (p-value <0,001). Kesimpulan: komunikasi SBAR efektif untuk meningkatkan sosialisasi, motivasi, mentoring, supervisi, serta pengembangan pendidikan yang berkelanjutan.Kata Kunci: Komunikasi, pengetahuan, SBAR, timbang terimaImprovement of the Handover Ability Through Situation, Background, Assessment, Recommendation (Sbar) Communication Culture in Hospital at Bekasi City ABSTRACTBackground: Ineffective communication in the handover can increase the incidence of medication errors, endanger the patient, prolong the treatment process, reduce patient satisfaction, extend patient care days which will have an impact on the lack of quality nursing care provided to patients. To improve quality of service, one of them is to apply SBAR communication. SBAR communication is already implemented in accreditation policy at hospital. Meanwhile, there are some hospital not yet implement it. Objective: this study was to identify differences in nurses’ knowledge and abilities after training. Methods: pre-experiment with pre-post without a control group, a sample of all Primary Nurse and Shift Guidance (n = 17), Measurement of knowledge by conducting a written test before and after training, and measurement of the ability to handover nurses with SBAR communication conducted handover observations before and after training using observation sheets. Data analysis by paired t-test and Wilcoxon test. Results: there were significant differences in the mean of knowledge before and after training (p-value <0.001), there were significant differences in the mean ability of nurses before and after SBAR communication training in the handover of patients between shifts (p-value <0.001). Discussion: SBAR communication must become a culture, its implementation needs managerial support and nurse commitment. Conclusion: communication with SBAR could improve effectively socialization, motivation, mentoring, supervision, and continuing education development.Keywords: Communication, knowledge, SBAR, handover
ANALISIS KEBUTUHAN KADER KESEHATAN DALAM MENGATASI PENYAKIT TIDAK MENULAR SAAT PANDEMI COVID-19 DI BANTEN Nuraini, Tuti; Dewi, Nani Asna; Lestari, Retno; Wardani, Ice Yulia; Fitriani, Poppy; Rachmi, Shanti Farida
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 6, No 1 (2021)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v6i1.255

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Penyakit tidak menular (PTM) merupakan komorbid yang akan memperberat kondisi kesehatan seseorang saat terserang COVID-19. Kader kesehatan berperan penting dalam meminimalkan dampak tersebut namun masih sedikit informasi yang tersedia mengenai kebutuhan kader untuk dapat mengoptimalkan peran tersebut.  Tujuan: Penelitian ini bertujuan untuk mengidentifikasi kebutuhan kader untuk membantu masyarakat dengan PTM di wilayah Banten saat pandemi COVID-19 di daerah yang berpotensi bencana. Metode: Metode penelitian yang digunakan adalah kualitatif dengan melakukan Focus Group Discussions (FGD) pada 43 orang kader dari dua desa. Pengumpulan data dilakukan masing-masing tiga kali, sepanjang bulan November 2019 dan 2020, di dua desa.  Data dianalisis dengan metode konten analisis. Hasil: Didapatkan 3 tema kebutuhan kader, yaitu: (1) Kader butuh dukungan dari keluarga, tokoh masyarakat, dan tenaga kesehatan; (2) Masyarakat kurang sadar kesehatan; (3) Masyarakat lebih percaya pengobatan tradisional dan belum memiliki Badan Penyelenggara Jaminan Sosial (BPJS). Diskusi: Kader adalah orang pilihan yang bersedia membantu tetangganya tanpa pamrih. Namun, tidak mudah agar dapat dipercaya masyarakat. Pembekalan kader dengan ilmu keperawatan diperlukan untuk peningkatan kesehatan masyarakat. Kesimpulan: Kader perlu dukungan berbagai pihak agar dapat melakukan perannya dengan baik. Pengetahuan dari mulai deteksi dini sampai penanganan dengan pendekatan budaya merupakan bekal yang penting untuk kader dalam mengatasi PTM di masa pandemi COVID-19. Hal ini merupakan salah satu strategi untuk mencegah risiko terjadinya dan akibat dari PTM dan terpapar COVID-19. Keterlibatan tokoh masyarakat, persepsi positif dan pengetahuan tentang PTM dan pandemi COVID-19 menjadi penentu keberhasilan program pemerintah dalam pengendalian PTM di masa Pandemi ini.Kata kunci: bencana, COVID-19, kader kesehatan, pengetahuan, penyakit tidak menular.Analysis of the Need for Health Cadres in Overcoming Non-Communicable Diseases During the Covid-19 Pandemic in Banten ABSTRACTNon-communicable diseases (NCDs) are comorbidities that will worsen a person's health condition when they are attacked by the COVID-19. Health cadres play an important role in minimizing such impact, but little information is available regarding the needs of cadres to optimize this role. Objective: This research aims to identify the needs of cadres to assist communities with NCDs in Banten region during the COVID-19 pandemic in areas with potential disasters. Methods: The research is qualitative by conducting Focus Group Discussions (FGD) on 43 cadres from two villages. Data were collected three times each, in November 2019 and November 2020, in two villages. Data were analyzed by using content analysis method. Results: There were 3 themes of cadre needs, namely: (1) Cadres need support from families, community leaders, and health workers; (2) People were less aware of health; (3) People believed more in traditional medicine and did not have health insurance from the Social Security Administering Agency (BPJS). Discussion: Cadres were chosen people who are willing to help their neighbors selflessly. However, it is not easy to be trusted by the community. It is necessary to provide cadres with nursing knowledge to improve public health. Conclusion: Cadres need support from various parties to play their roles well. Knowledge from early detection to handling with a cultural approach is important in overcoming NCDs during the COVID-19 pandemic. This is one of the strategies to prevent the risk of incidence and consequences of NCDs and exposure to COVID-19. The involvement of community leaders, positive perceptions and knowledge about NCDs and the COVID-19 pandemic are the determinants of the success of government programs in controlling NCDs during this Pandemic.Keywords: disaster, COVID-19, health cadres, knowledge, non-communicable diseases.  
Implementasi Evidence Based Nursing Practice Latihan Autogenik untuk Mengurangi Kecemasan dan Meningkatkan Kualitas Tidur Prasestiyo, Hamudi; Nurachmah, Elly; Nuraini, Tuti
Jurnal Kesmas Asclepius Vol 6 No 2 (2024): Jurnal Kesmas Asclepius
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jka.v6i2.11723

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Tujuan penelitian ini untuk mengimplementasikan evidence-based nursing practice berupa latihan autogenik untuk mengurangi kecemasan dan meningkatkan kualitas tidur pada pasien kanekr limfoma yang menjalani kemoterapi. Metode studi kasus dilakukan pada enam pasien kanker limfoma yang menjalani kemoterapi. Tingkat kecemasan diukur menggunakan penilaian kecemasan Depression, Anxiety, And Stress Scales-42 (DASS-42) dan kualitas tidur diukur secara kualitatif sebelum dan sesudah intervensi. Hasil studi kasus dari penerapan Latihan Autogenik pada pasien Limfoma yang sedang menjalani program Kemoterapi menunjukan bahwa terjadi penurunan kecemasan dengan rerata skor dari 17,8 menjadi 6,5. Masalah gangguan tidur juga teratasi dari laporan pasien merasa lebih lebih baik tidurnya dari sebelum intervensi. Kesimpulan pada implementasi latihan autogenik sebagai evidence-based nursing practice efektif dalam mengurangi kecemasan dan meningkatkan kualitas tidur pada pasien kanker limfoma yang menjalani kemoterapi. Perawat onkologi dapat mempertimbangkan penggunaan teknik ini sebagai intervensi non-farmakologis. Penelitian lebih lanjut harus dilakukan dengan jumlah partisipan dengan skala yang lebih bersar serta metode penelitian lain dapat berupa RCT sebagai metode yang lebih tinggi. Kata Kunci: Gangguan Tidur, Kanker Limfoma, Kecemasan, Kemoterapi, Latihan Autogenik.
Pentingnya Kewaspadaan Perawat Terhadap Universal Precaution Di Masa Pandemi Covid-19 Asna Dewi, Nani; Utami, Yuli; Manurung, Sondang; Pramestiyani, Mustika; Nuraini, Tuti
Profesi (Profesional Islam) : Media Publikasi Penelitian Vol. 19 No. No.2 (2022): Jurnal PROFESI (Profesional Islam): Media Publikasi Penelitian
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM) ITS PKU Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26576/profesi.v19iNo.2.93

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Universal precaution merupakan upaya yang diharapkan dapat mengurangi risiko penularan infeksi kepada tenaga kesehatan, terutama pada masa pandemi saat ini. Hal ini bertujuan untuk mengetahui hubungan antara pengetahuan dan sikap perawat dengan kualitas universal precaution. Sebuah studi korelasional deskriptif cross-sectional dilakukan dengan 114 perawat. Sampling acak sederhana digunakan untuk perekrutan peserta. Data dikumpulkan dengan kuesioner yang dianalisis menggunakan uji korelasi Pearson. Dalam penelitian ini, perawat memiliki kualitas pengetahuan dan sikap yang baik tentang universal precaution. Ada hubungan yang kuat antara kualitas pengetahuan dan sikap universal precaution (p = 0,001; r = 0,391; r = 0,247). Penelitian ini mengkonfirmasi hubungan pengetahuan perawat dan kualitas sikap universal precaution. Tingkat pendidikan tampaknya memiliki pengaruh terbesar, hasilnya menyiratkan kebutuhan perawat untuk memiliki pendidikan tinggi.
Remote Learning for Nursing Education in Indonesia during The Covid-19 Pandemic: Efforts and Recommendations Haryanti, Fitri; Nuraini, Tuti; Sukartini, Tintin; Hidayati, Wahyu; Nursalam, Nursalam; Arofiati, Fitri; Purwati, Nyimas Heny; Nursanti, Irna; Prabawati, Dewi; Trisyani, Yanny; Hadi, Muhammad
Jurnal Keperawatan Soedirman Vol 17 No 1 (2022): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.486 KB) | DOI: 10.20884/1.jks.2022.17.1.5297

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The COVID-19 pandemic had an impact on nursing students’ academic and clinical performance. Nursing institutions have provided remote learning to continue the learning process. However, students have met several obstacles that caused a decrease in the quality of learning. Remote learning for education requires the support of information and communication technology. However, studies related to how the COVID-19 pandemic affected nursing education in Indonesia are still rarely done. Accordingly, this study was conducted to evaluate the implementation of remote learning for nursing education during the COVID-19 pandemic. A cross-sectional study was conducted with 331 members of the Association of Indonesian Nurse Education Center (AINEC). The instrument used was the Guidelines of Filling Out Remote Learning. The results showed that 51% of the study programs implemented remote learning, while 69% of the regulations for remote learning were created by rectors. The most common teaching materials were visual, text, and audio-visual content. These materials were distributed through WhatsApp Group, Learning Management System (LMS), and video conference. To support the process of remote learning, nursing institutions need to improve information technology staff and cooperate agreement with other institutions. Overall, the remote learning process needs to be further improved to increase the students’ learning quality.
BEBAN PERAWATAN, KESIAPAN MERAWAT, DAN KECEMASAN PADA FAMILY CAREGIVER ANAK DENGAN KANKER DI INDONESIA Harahap, Nurlelasari; Waluyo, Agung; Nuraini, Tuti; Sutarni , Nani
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 2 (2024): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v10i2.1719

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ABSTRACT Background: Family caregivers (FCs) of children with cancer experience various psychological stresses. Objective: This study aims to identify the relationship between burden of care and readiness to care on family caregiver anxiety of children with cancer. Methods: The design in this study is correlative analytic with a cross sectional approach. We recruited 127 study subjects from the inpatient and outpatient ward of the National Cancer Centre, Jakarta from March to April 2023 using purposive sampling technique. Anxiety and factors affecting the psychological distress of family caregivers of children with cancer were identified with the Generalised Anxiety Disorder-7 (GAD-7), Zarit Burden Interview (ZBI) and Preparedness for Caregiving Scale (PCS) instruments. The data from this study were analyzed using the chi-square test and binary logistic regression. Results: Of the 132 family caregivers recruited for this study in the initial phase, 127 family caregivers completed the research questionnaire where the majority were female, aged between 18-45 years old, graduated from secondary education, had more than equal income, caring for children with high risk, were in outpatient or paediatric care, experienced mild care burden, said they were not prepared to provide care to a child with cancer, and experienced mild anxiety. Family caregiver anxiety levels tended to be significantly influenced by age (18-45 years) (p=0.004), cancer category (p=0.018) and burden of care (0.001). Conclusion: the heavier the burden of care and the unpreparedness of family caregivers in providing care to children with cancer, the level of anxiety will increase. Suggestion: there is a need to design and target psychosocial interventions to reduce the burden of care, increase care readiness which can reduce family caregiver anxiety levels.
The effect of therapeutic regimen education on improving the self-efficacy in cancer patients undergoing haemodialysis: a quasi-experimental study Susilowati, Indah; Nuraini, Tuti; Gayatri, Dewi; Afiyanti, Yati
Jurnal Ners Vol. 19 No. 3 (2024): AUGUST 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i3.54116

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Introduction: Cancer treatments often comes with varying adverse effects on both functional and physiological status of cancer patients, such as reduced kidney function, necessitating haemodialysis. The aim of this study was to determine the effect of therapeutic regimen education on the treatment self-efficacy of cancer patients undergoing haemodialysis. Methods: This study used a quasi-experimental method, involving 136 participants divided into control and intervention groups. The intervention group was given therapeutic regimen education that lasted for 4 weeks. The self-efficacy score was measured before and after intervention in both groups. Pre- and post-intervention scores were measured using the Chronic Kidney Disease Self-Efficacy instrument (r = 0.845). Paired t-test and independent t-test were used, respectively. Results: The results show that the patients who received therapeutic regimen education had significant increases in self-efficacy scores (p < 0.001). The mean (SD) score for all sub-variables increased after treatment: autonomy, from 15.07 (4.29) to 26.50 (1.74); personal integrity, from 11.63 (3.92) to 23.68 (2.59); problem-solving, from 10.66 (3.98) to 18.85 (0.82); and seeking social support, from 7.13 (2.38) to 14.06 (1.62). From the statistical test results, a significant difference in each dimension of self-efficacy was found between before and after treatment (p < 0.001). When the post test scores between intervention and control were compared, it showed significant different between them (p < 0.001). Conclusions: Therapeutic regimen education can increase treatment self-efficacy in cancer patients undergoing haemodialysis treatment, which can affect the patient’s healing process. Keywords: cancer patients, haemodialysis, self-efficacy, therapeutic regimen education