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Financial Toxicity and Its Associated Factors in Cancer Patients: A Cross-sectional Study in Indonesia Handayani, Dewi; Afiyanti, Yati
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.v13i3.59504

Abstract

Background: Financial toxicity has been shown to negatively affect cancer patients’ quality of life, depression, anxiety, and even mortality rates. However, there is only limited data on financial toxicity and its associated factors, which are needed to address this problem in Indonesia. Purpose: This study aimed to identify factors associated with financial toxicity in cancer patients in Indonesia.Methods: This study was a cross-sectional study that recruited respondents at a cancer health center in Indonesia using a convenience sampling method. A total of 110 adult cancer patients undergoing treatment took part in the study. The questionnaires comprised sociodemographic data, clinical characteristics, and the Comprehensive Score for Financial Toxicity (COST). Logistic regression was performed to achieve the study's aim.Results: The median value of the financial toxicity index was 3.01 (min-max=1-5), indicating a medium level of financial toxicity. Occupational status was the only factor found to be associated with financial toxicity in this study. The participants who were unemployed were 2.389 more likely to have a higher financial toxicity level compared to those who were employed (OR=2.389; p=0.048).Conclusion: Unemployment was identified to be associated with financial toxicity among cancer patients. Nurses should assess and assist patients in utilizing financial resources and develop strategies to manage extra costs that burden them financially. Future nationwide studies are essential to provide more robust evidence on multifaceted factors influencing financial toxicity and inform policy-making aimed at effectively addressing financial toxicity. 
Inter-related Factors Influencing Sexual Quality of Life among Women Living with HIV in Banten Province, Indonesia: A Mixed Methods Study Juliastuti, Dyah; Dean, Judith; Afiyanti, Yati; Fitzgerald, Lisa
Kesmas Vol. 16, No. 2
Publisher : UI Scholars Hub

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Abstract

Socio-cultural concerns often restrict women's sexual rights and well-being living with HIV (WLHIV) in developing countries. These convergent parallel mixed methods study combined quantitative and qualitative approaches to explore factors influencing WLHIV sexual quality of life in Banten Province, Indonesia. A 2017 cross-sectional survey of 207 reproductive-aged WLHIV was analyzed using univariate and multivariate logistic regression statistics. Furthermore, in-depth interviews with a sub-sample of survey participants (n = 30) were thematically analyzed. Most of the women (60%) involved reported loss of sexual pleasure and depressed sexual life. Meanwhile, 48% affirmed low sexual quality of life which was associated with unemployment (aOR = 2.90, and 95%CI =1.51–5.58), limited sexual activities (aOR = 2.89, and 95%CI = 1.20–6.93), living with extended family (aOR = 2.68, and 95%CI = 1.27–5.65), and experiencing intimate partner violence (aOR = 2.28, and 95%CI = 1.03–5.03). The respondents described unsatisfactory sexual life in a belief that having sex is a wife's duty and choosing not to talk about sexual issues or refuse sexual invitation in fear of triggering intimate partner violence. Inter-related personal, social, cultural, and religious factors affected the sufferers’ sexual life.
RELATIONSHIP BETWEEN SELF-EFFICACY AND FEAR OF CANCER RECURRENCE IN CERVIX CANCER PATIENTS Isran, Isran; Nuraini, Tuti; Afiyanti, Yati; Gayatri, Dewi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 1 (2024): March 2024
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i1.2602

Abstract

Fear of cancer recurrence (FCR) makes cancer patients physically and psychologically disturbed. FCR is caused by cancer patients' lack of ability or competence to exercise self-control (self-efficacy) while undergoing cancer treatment. This study aims to determine the relationship between self-efficacy and fear of recurrence in cervix cancer patients. The method used was cross-sectional, and it was carried out on 169 cervix cancer patients using the CBI (Cancer Behaviour Inventory) instrument to measure self-efficacy and the FCRI (Fear of Cancer Recurrence) instrument to measure fear of recurrence. The results showed that low self-efficacy 90 patients (52,3%) and high fear of cancer recurrence 89 patients (55%). The domain of coping with medication and side effects had the lowest Self-efficacy with 96 patients (56.8%) and the domain of functional impairment was the highest FCR domain with 84 patients (49.7%). However, that a significant relationship between self-efficacy and FCR in cervix cancer patients (p=0,012) with an OR 2,290. Self-efficacy is needed by cancer patients to overcome their fear of cancer recurrence. Therefore, help from health workers is needed to increase the self-efficacy of cancer patients.
Peer Experiences In Supporting People With HIV (PLWH) On Antiretroviral (ARV) Therapy: A Qualitative Study Banna, Triani; Afiyanti, Yati; Mustikasari, Mustikasari; Yona, Sri
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 10, No 1 (2025): March
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v10i1.3056

Abstract

One of the domains of quality of life for people living with HIV (PLWH) is independence, which is how PLWH undergo antiretroviral therapy (ARV) adherently. PLWHA face various problems, including social problems such as stigma, ostracization, and discrimination. Social stigma can be a form of chronic stress for HIV/AIDS patients. One of the approaches used to improve intervention outcomes for PLWH is peer support. This study was conducted to explore in-depth the experiences of peer supporters in assisting PLHIV undergoing ARV therapy. This study was a qualitative research with a descriptive qualitative approach. Eight peer supporters who are members of peer support groups in Sorong City and Sorong Regency, and have been actively providing support to PLHIV for at least one year were purposively selected for this study. Data were obtained through in-depth interviews using a semi-structured interview guide. Data was collected over a period of one month, and analyzed thematically. Three main themes were generated, namely the benefits of peer support for ODHIV, barriers to the implementation of peer support, and efforts to overcome barriers. The conclusion of this study is that the support provided to ODHIV through peer supporters has a good impact on the achievement of care for ODHIV. The peer support program can be integrated with nursing programs and interventions for PLHIV. Although there are obstacles in its implementation, it can be resolved with the cooperation of various parties.
ASUHAN KEPERAWATAN GESTATIONAL DIABETES MELLITUS DENGAN APLIKASI TEORI SELF CARE OREM. Riyanti, Eka; Setyowati, Setyowati; Afiyanti, Yati
Prosiding University Research Colloquium Proceeding of The 8th University Research Colloquium 2018: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Angka kematian ibu merupakan cerminan mortalitas ibu pada masa kehamilan, persalinan dan nifas. Fokus penanganan ibu hamil dengan GDM adalah untuk menurunkan angka kesakitan maternal, kesakitan dan kematian perinatal. Asuhan keperawatan yang optimal diberikan pada ibu gestational diabetes militus untuk memandirikan klien dalam merawat diri dan meminimalkan terjadinya komplikasi pada ibu dan janinnya. Komplikasi dapat dicegah dengan mempertahankan keadaan normoglikemia selama kehamilan. Ners spesialis keperawatan maternitas diharapkan mampu memandirikan ibu hamil dengan GDM untuk melakukan perawatan terhadap diri sendiri agar tidak terjadi masalah kesehatan pada ibu dan janinnya. Tujuan umum dari penulisan ini adalah memberikan gambaran pada kasus ibu hamil dengan GDM dengan penerapan teori self care Orem. Metode penelitian Studi kasus. Aplikasi self care Orem (tahap Supportive educative) membuat Ibu GDM mampu melakukan perawatan diri untuk menjaga kesehatan ibu dan janinnya selama kehamilannya. Perawatan diri tersebut meliputi penatalaksanaan nutrisi, pemberian insulin, pemantauan glukosa darah, dan olah raga.
Oral Health Problems of Children with Cancer After Chemotherapy: A Literature Review Naviati, Elsa; Afiyanti, Yati; Allenidekania, Allenidekania; Nugroho, Agus
Jurnal Kesehatan Gigi Vol. 12 No. 1 (2025): Juni 2025
Publisher : Jurusan Kesehatan Gigi, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkg.v12i1.12309

Abstract

Pediatric cancer patients are particularly vulnerable to oral health complications, primarily due to the adverse effects of chemotherapy. This treatment significantly influences both oral health and nutritional status, especially in children diagnosed with acute lymphoblastic leukemia (ALL). Chemotherapy can trigger a range of oral issues, including mucositis, dry mouth (xerostomia), and oral infections, which in turn can hinder proper nutritional intake and compromise overall health. This paper aims to investigate the impact of chemotherapy on oral health and nutrition in pediatric cancer patients, focusing on those with ALL. Through a literature review, the study examines the prevalence and types of oral complications and their effects on well-being. Relevant literature published between 2014 and 2024 was sourced from databases such as EBSCO, ScienceDirect, SpringerLink, ProQuest, and Scopus. Using the PICO (Population, Intervention, Comparison, and Outcomes) framework, articles were selected and critically appraised by two independent reviewers. A descriptive method was employed to analyze the data. Out of 2,465 initially identified articles, eight were selected for in-depth analysis. The findings show that pediatric cancer patients face both immediate and long-term oral health issues, including dental abnormalities and jaw development problems. These complications can cause pain, eating difficulties, and social stigma, negatively affecting the child's quality of life. The study emphasizes the need for early oral health intervention, better training for healthcare providers, and the development of standardized oral care protocols. Future research should aim to assess the effectiveness of targeted oral health interventions in improving nutrition and overall quality of life in pediatric oncology patients. 
Aplikasi Teori Keperawatan Wiedenbach dan Kolcaba pada Ibu dengan Persalinan Kala Dua Memanjang: Case Study: Indonesia Rahmawati, Veronica Yeni; Setyowati, Setyowati; Afiyanti, Yati
Jurnal Kesehatan Holistic Vol. 6 No. 1 (2022): Jurnal Kesehatan Holistic Volume 6/ Nomor 1/ Januari 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (227.301 KB) | DOI: 10.33377/jkh.v6i1.110

Abstract

Prolonged second stage of labor is an emergency condition that requires immediate treatment by nurses so that there are no complications for the mother and fetus. The physical and psychological problems experienced by mothers with prolonged second stage of labor include infection, exhaustion, dehydration and even death in the mother. Nursing actions for mothers experiencing prolonged second stage of labor include fluid management, pain management, fetal resuscitation, infection control, anxiety reduction, environmental modification, coping strategies and Early Breastfeeding Initiation. The method used is a case study with a focus on the application of Wiedenbach's need for help theory and Kolcaba's comfort in nursing care for mothers who experience a prolonged second stage of labor. The cases managed in this study were five mothers who experienced a prolonged second stage of labor at two different hospitals in the Greater Jakarta area. Nurses can apply the theory of Wiedenbach's need for help and Kolcaba's comfort in providing nursing care to mothers with prolonged second stage of labor.
Stigma and discrimination against breast cancer survivors in Indonesia: an interpretive phenomenology study Tisnasari, Ida Ayu Made Ari Santi; Nuraini, Tuti; Afiyanti, Yati
Jurnal Ners Vol. 17 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v17i2.39448

Abstract

Introduction: Breast cancer is the most common malignancy in women worldwide. Breast cancer and its treatment have a direct impact on all aspects of a woman's life, as well as on breast cancer survivors, thereby affecting the fulfillment of her needs. The purpose of the study is to explore stigma and discrimination against breast cancer sufferers. Methods: This study uses a qualitative method of interpretive phenomenology. Semi-structured interviews were purposively conducted from March to June 2022 with 14 women breast cancer survivors. Results: The three themes identified in this study include: a short duration of survival, being labeled as a suffering person, and social discrimination. Conclusions: Breast cancer survivors experienced stigma regarding their cancer diagnosis. Thus, highlighting the rising need of health professionals' intervention in resolving and adapting to stigma and discrimination regarding breast cancer diagnosis in Indonesia.
Cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever in children with leukemia after chemotherapy: an Ethnonursing study Naviati, Elsa; Afiyanti, Yati; Allenidekania, Allenidekania; Novieastari, Enie
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.50681

Abstract

Introduction: Neutropenic fever is commonly found in children with leukemia after chemotherapy. Fever occurs when children's immunity decreases after chemotherapy, and they are prone to infection. This study aims to describe the cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever among hospitalized children with leukemia after chemotherapy. Methods: An ethnonursing study was conducted at a cancer referral hospital in Central Java, Indonesia. Data were collected through observation in two Pediatric ward and chemotherapy unit for three months and FGDs and in-depth interviews with health workers who provided care services to leukemia patients post-chemotherapy. Data were collected from 14 informants: six nurses, four doctors, two clinical pharmacists, and two nutritionists. This study employed four phases of Leininger analysis for qualitative data to develop its thematic structures. Results: The analysis of the entire data has revealed five themes: (1) performing antiseptic and aseptic techniques consistently, (2) nurse and dietician collaboration in handling eating difficulties post-chemotherapy, (3) collaborative interactions interdisciplinary in handling medication, (4) patient placement in an isolation room adjusted to patients' conditions, and (5) nurse's challenge to educate patients and their families. Conclusions: Health workers from multiple disciplines play essential roles in preventing neutropenic fever by involving patients, parents, and other family members. It is necessary for the nurses to collaborate with other healthcare professionals and educate patients, and families to participate in the care interventions for these patients in minimizing the occurrence of infection among leukemia patients.
Effectiveness of Healthy Lifestyle Education through Card Games for The Early Detection and Prevention of Cancer in Women: A Quasi-Experimental Study Nuraini, Tuti Nuraini; Gayatri, Dewi; Afiyanti, Yati; Putri, Tissa Aulia; Hassan, Hamidah
Jurnal Keperawatan Soedirman Vol 20 No 3 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.3.15916

Abstract

Cancer prevention and early detection efforts in Indonesia remain suboptimal, primarily due to limited public awareness. Therefore, this study evaluated the effectiveness of a card game–based educational intervention in improving women’s knowledge of early cancer detection and healthy lifestyle practices. The researchers employed a quasi-experimental design involving 70 women in Depok and Jakarta, with 40 assigned to the intervention group and 30 to the control group. Eligible participants completed a validated questionnaire before and after the intervention. The intervention group received an interactive education session using card games, while the control group received a standard informational brochure. The ANCOVA analysis revealed a significant increase in post-test knowledge scores in both the intervention and control groups (mean square = 190.301, p < 0.05). However, a significant difference in knowledge score improvement was observed in the intervention group (mean square = 23.618, p < 0.05). These findings suggest that card game–based educational interventions have the potential to improve public understanding of cancer prevention and early detection. It is recommended that larger randomized controlled trials integrate this card game into community health activities (such as school-based programs) to ensure broader engagement and the sustainability of cancer awareness initiatives.
Co-Authors Achir Yani S. Hamid Achmad Fauji Ade Purnama Aditama, Dicky Agil, Hilda M Agung Waluyo Agus Nugroho, Agus Agustine Ramie Ai Aminah Allenidekania Allenidekania Andriani, Zilya Andrijono Andrijono Anita agustina Anme, Tokie Anshari, M. Apriyani Apriyani Arif Wahyu Setyo Budi Ariyanti, Kadek Yemi Aryanti Wardiyah Aryanti Wardiyah, Aryanti Arza Rufli Astrida Budiarti Atun Raudatul Ma’rifah Atun Raudotul Ma&#039;rifah Awatiful Azza Azidin, Yustan Bahrul Ilmi Blacius Dedi Brension Relly Budiyarti, Yuliani Chandra Isabella Chrismilasari, Lucia Andi Damayanti, Shella Dean, Judith Dewi Atika Sari Dewi Gayatri Dewi Handayani Dewi Handayani Dewi Irawaty Dewi Setya Paramitha dini rahmayani Dwi Dahlia Susanti Dwi Prihatin Era Eka Riyanti Elsa Naviati Enie Novieastari Erfina Erfina Eriyono Budi Wijoyo Erni Saraswati Evi Martha Fansha Tio Anugrah Faridah , Ida Faridah, Ida Feri Atmajaya Firda Apriyanti Fitriyanti, Dwi Fitzgerald, Lisa Grace Carol Sipasulta Hana Dodik Pramiasti Handayani, Fitria Hanik Rohmah Irawati Hanny Handiyani Hargiana, Giur Hasan Fuadi Hassan, Hamidah Hayani, Nuriah Hayuni Rahmah Hemi Fitriani Hening Pujasari Herita, Gusti Heryani, Heryani Hilman Syarif Hilman, Syarif Huriyanah, Huriyanah Ice Yulia Wardani Ida Ayu Made Ari Santi Tisnasari Ida Faridah Ida Faridah Iis Kholisoh Ikhsan Sodik Imalia Dewi Asih Imami Nur Rachmawati Imanuel, Yovan Indah Susilowati Indang Trihandini Indra, Ibaadi Ismiatin Ismiatin Isran, Isran Jamhari Jamhari Judith Dean Juliastuti, Dyah La Ode Abdul Rahman Laksono Trisnantoro Lastri Mei Winarni Laviana Nita Ludyanti Lela Larasati Lisa Fitzgerald Lismidiayati, Wiwin Luknis Sabri M Hasan Basri M. Syafwani Machli Riyadi Maelani susilowat Mangkuayu, Cluny Martina Maradona Maradona Mareti, Silvia Margaret I Fitch Maria Evarista Sugo Mataputun, Donny Richard Mega Ariska Meyke Rosdiana Misrawati Monna Maharani Hidayat Muaningsih Muaningsih Muaningsih, Muaningsih Muchtaruddin Mansyur Muhammad Syafwani Mulhaeriah, Mulhaeriah Murtiningsih Murtiningsih Mustikasari Mustikasari Nani Nurhaeni Nasution, Lina A. Nasution, Lina Anisa Ningsih, Indarti Dwi Ninik Yunitr Nolla Lisa Lolowang Nora Idiawati Nugraha, Rudi Osrika Sitompul Parmawati, Ika Patrisia, Irene Pius Almindu Leki Berek Prawesti, Aprilia D. Prawesti, Aprilia Dian Puji Astuti Puji Raharja Santosa Puspita Palupi Putri, Tissa Aulia R Ratnawati Ratnawati Rahmawati, Veronica Yeni Ratna Sitorus Ratna Sitorus Ratnawati, R Ratnawati Ratnawati, R Ratnawati Renie Kumalasari Ria Andjarwati Rini Rahmayanti Riri Maria Ristriyani, Rizka Riven Karundeng, Riven Rizka Ristriyani Rizka Ristriyani Rodiyatul Nadawiyah Eka Putri Rohmawati, Dwi Asih Rudi Rudi S. Setyowati Sabi’ah Khairi Santi Wahyuningsih Sari, Levi Anggriani Purnama Sari, Mulat Selamita, Selamita Septyani Windi Utami Setiasih, Diana Tri Budi Setiowati, Retno Setyowati . Setyowati . Setyowati Setyowati Setyowati Setyowati Setyowati Setyowati Setyowati Setyowati Setyowati Setyowati Setyowati, Sigalingging, Astika Irmawaty Sihombing, Ratna M. Siti Fatonah Siti Kurnasih Siti Maesaroh Siti Nurjannah So, Winnie KW. Solikin Solikin Sopiah, Siti Herlina Ali Sri Yona Styowati . Sudaryo, Mondastri Korib Suherman, Reni Suryani Hartati susanti, suryane sulistiana Susiladewi, Ida Ayu Md Vera Susiladewi, Ida Ayu Md. Vera Syamsul Firdaus Tanaka, Emiko Tengku Riza Zarzani N Tia Damayanti Tisnasari, Ida Ayu Made Ari Santi Titin Ungsianik Tri Budiati Triani Banna Tris Eryando Tuti Nuraini Tuti Nuraini Vella Yovinna Tobing Watanabe, Kumi Welly Vitriawan Widia Lestari Windy Natasya Al Baihaqi Wiranti, Isna Wiwik Handayani Wiwit Kurniawati Wulansari, Ika Yeni Rustina Yessi Andriani Yossie Susanti Eka Putri Yuhansyah Yuhansyah Yulia Irvani Dewi Yuliani Budiarti Yuliani Budiarti Yuliani Budiyarti Yuzia Melantika