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Sexual Function and Its Relationship to Quality of Life among Married Women Mareti, Silvia; Afiyanti, Yati; Budiati, Tri
Clinical and Pharmaceutical Sciences Journal Vol. 1 No. 1 (2025)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/clips.v1i1.308

Abstract

Sexual function is one of the key elements of women's quality of life, reflecting their biological, emotional, and social well-being. This cross sectional study aims to identify the relationship between sexual function and women's quality of life. Method: Sampling used proportions according to the inclusion criteria with 305 female participant of productive age in DKI Jakarta Province. Significant relationships between sexual desire p = 0.00 and r = -.19, lubrication p = 0.00 and r = 0.17 and physical health domains, all with weak relationship strength. A significant relationship is also observed between sexual satisfaction p = 0.01 and r = 0.14 and the psychological domain, with weak relationship strength. Additionally, there is a significant relationship between sexual arousal p = 0.00 and r = 0.30, lubrication p = 0.00 and r = 0.27, and social relationship domains, with moderate relationship strength. A significant relationship exists between orgasm p = 0.00 and r = 0.19, sexual satisfaction p = 0.00 and r = 0.34 and the social relationship domain, with weak relationship strength. Considering the critical impact of sexual function on the health of couples, it is important to pay attention to sexual function in women. Therefore, there is a need for sexual health assessments and the design of educational programs to improve their quality of life.
The role of self-efficacy, social and economic support on the quality of life of cancer patients undergoing chemotherapy: A systematic review Sugo, Maria Evarista; Afiyanti , Yati; Allenidekania, Allenidekania; Gayatri , Dewi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.1479

Abstract

Background: Indonesia is currently facing a triple disease burden, including a rise in chronic illnesses such as cancer, which significantly impacts patients' quality of life. Chemotherapy affects not only physical health but also psychological, social, and spiritual well-being. Factors such as self-efficacy, social support, and economic status are believed to strongly influence the quality of life among cancer patients undergoing chemotherapy. Purpose: To examine the effects of self-efficacy, social support, and economic conditions on the quality of life of cancer patients receiving chemotherapy. Method: A systematic review was conducted by searching articles published between 2015 and 2025 across PubMed, ScienceDirect, and Scopus using relevant keywords. Studies included randomized controlled trials, cohorts, case-control, and quasi-experimental designs that explored the relationship between the selected variables and patient quality of life. Ten articles met the inclusion criteria and were analyzed. Results: From a total of 453,025 articles identified, only 10 met the eligibility criteria. Findings consistently indicate that higher self-efficacy, strong social support, and stable economic conditions are positively correlated with improved quality of life in cancer patients undergoing chemotherapy. Conclusion: Enhancing self-efficacy, providing adequate social support, and addressing economic challenges can significantly improve cancer patients’ quality of life. A holistic, integrated approach that includes psychosocial and spiritual care is essential. Nurses and healthcare professionals play a crucial role in delivering these interventions, supported by appropriate policies and education to strengthen global cancer care systems.
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

Show Abstract | Download Original | Original Source | Check in Google Scholar

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.
Factors Influencing Healthcare Providers and Barriers in Conducting Sexual Health Care Discussions with Cancer Patients: A Systematic Review Utami, Septyani Windi; Afiyanti, Yati; Kurniawati, Wiwit; Rachmawati, Imami Nur
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.5868

Abstract

Sexuality is often overlooked in the context of cancer treatment for women. Healthcare providers in providing holistic care for cancer patients have not focused on the aspect of sexuality. Objective to identify the various factors that influence healthcare providers to discuss sexual care and the barriers they face when addressing sexuality in cancer patients. A systematic review using databases such as Science Direct, Proquest, Wiley, Springer with a time range of 2019-2024 in English, resulting in 10 articles. Factors influencing healthcare providers in discussing sexual care include internal factors such as knowledge, attitude, self-efficacy, age, years of work, and competency, as well as external factors such as the work environment and cultural norms. Barriers include limited service time, lack of training, and insufficient institutional support.
Quality of Life and Symptoms Management in Cancer Patients with Financial Toxicity: A Systematic Review Sodik, Ikhsan; Afiyanti, Yati; Handiyani, Hanny; Rachmawati, Imami Nur
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6253

Abstract

Cancer is a complex disease associated with a wide range of symptoms, declining quality of life, and financial toxicity (FT).To examine the quality of life and symptoms management in Cancer patients experiencing financial toxicity based on a review of published literature.A systematic review was conducted using five databases: Sage Journals, Science Direct, ProQuest, Clinical Key, and Oxford Academic from 2015-2025 years with keywords Quality of Life, Symptom Management and Cancer Patients. The quality of studies was assessed depending on the study design of the 1,050 articles found, only 11 were reviewed. Findings from 11 studies indicated that the quality of life in cancer patients is influenced by multiple factors. Financial toxicity showed a negative correlation with quality of life (r =0.23, p = 0.0057), indicating that higher levels of financial toxicity are associated with lower quality of life. Psychological symptoms such US anxiety and depression were positively associated with FT (r = 0.27, p = 0.0151; r = 0.18, p = 0.0336). High symptom burden, both physical and psychological, significantly reduced quality of life, while social support played a positive role in enhancing well-being (r = -0.17, p = 0.0412). Integrative therapies improved quality of life by 82%, and cost related health literacy was found to reduce financial toxicity (OR = 0.823, p= 0.039). Holistic interventions and attention to the financial challenges faced by cancer patients are essential for improving quality of life, particularly for those affected by financial toxicity. Effective symptom management involves the use of various tools (ESAS, HADS, FACT-G, SESI, EORTC QLQ-C30) and approaches such as palliative care, integrative therapies, symptom cluster management, acupuncture, financial support, social support, enhanced cost-related health literacy, improved psychological resilience, and identification of financial toxicity risks.The quality of life in Cancer patients is influenced by a complex interaction of factors, including financial condition, symptom management, social support, and multidisciplinary care. Enhancing health literacy—especially regarding financial aspects—with comprehensive, evidence-based, and accessible information such as insurance, medication coverage, and financial resources, is critically important.
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. 
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 Atmajaya, Feri Atun Raudotul Ma'rifah Atun Raudotul Marifah Awatiful Azza Azidin, Yustan Bahrul Ilmi Blacius Dedi Brension Relly Budiyarti, Yuliani Chandra Isabella Chrismilasari, Lucia Andi Damayanti, Shella Dean, Judith Dewi , Gayatri 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 Emalia, Faiqa Himma Enie Novieastari Erfina Erfina Eriyono Budi Wijoyo Erni Saraswati Evi Martha Fansha Tio Anugrah Faridah , Ida Faridah, Ida Firda Apriyanti Fithriyyah, Yayu Nidaul Fitriyanti, Dwi Fitzgerald, Lisa Gayatri , Dewi 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 Hemi Fitriani, Hemi 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 Imalia Dewi Asih Imami Nur Rachmawati Imanuel, Yovan Indah Susilowati Indang Trihandini Indra, Ibaadi Ismiatin Ismiatin Isran, Isran Jamhari Jamhari Judith Dean Juliastuti, Dyah Kheli Fitria Annuril Kurniawati, Wiwit 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, Riri Mataputun, Donny Richard Mega Ariska Meyke Rosdiana Misrawati Misrawati Mondastri Korib Sudaryo Monna Maharani Hidayat Muaningsih Muaningsih Muaningsih, Muaningsih Muchtaruddin Mansyur 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 Nuraini, Tuti Nuraini Osrika Sitompul Parmawati, Ika Patrisia, Irene Pius Almindu Leki Berek Prawesti, Aprilia D. Prawesti, Aprilia Dian Puji Raharja Santosa Puspita Palupi Putri, Tissa Aulia R Ratnawati Ratnawati Rachmawati, Imami N Rahmawati, Veronica Yeni Ratna Sitorus Ratna Sitorus Ratnawati, R Ratnawati Ratnawati, R Ratnawati Renie Kumalasari Ria Andjarwati Rini Rahmayanti Ristriyani, Rizka 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 Setiasih, Diana Tri Budi Setiowati, Retno Setyowati 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. Sodik, Ikhsan Solikin Solikin Sopiah, Siti Herlina Ali Sri Yona Styowati . Sugo, Maria Evarista 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 Utami, Septyani Windi 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