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Emuliana Sulpat
Faculty Of Vocational Studies, Universitas Airlangga
Health Professions Nursing Public Health

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PHYSICAL AND PSYCHOLOGICAL SYMPTOMS OF MENOPOUSE IN WOMEN WITH A HISTORY OF HORMONAL CONTRACEPTIVE USE: A DESCRIPTIVE ANALYTICAL STUDY Lailatul Fadliyah; Anestasia Pangestu Mei Tyas; Emuliana Sulpat; Amellia Mardhika; Anis Nur Laili; Yusfina Modesta Rua
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.88000

Abstract

Introduction: Menopause is associated with a range of somatic and psychological symptoms that may be influenced by prior exposure to exogenous sex hormones. This study aimed to examine the association between a history of hormonal contraceptive use and the severity of physical and anxiety-related psychological symptoms among menopausal women. Methods: This cross-sectional analytical study enrolled 88 menopausal women aged 45–55 years from the Lamongan Community Health Center using purposive sampling. The Menopause Rating Scale (MRS) was used to assess somatic and urogenital symptom severity, while the Hamilton Anxiety Rating Scale (HARS) was used to quantify anxiety symptoms. Its use is reported here as a measure of anxiety rather than a broad index of all psychological complaints. Results: This study showed that 28.4% of menopausal women experienced severe physical complaints, 30.7% mild complaints, 26.1% no complaints, and the remaining 11.4% moderate complaints. Psychological complaints were mild in 27.3% of respondents, moderate in 11.4%, severe in 10.2%, and 39.8% reported no psychological complaints. The results of the statistical test, with a significance value of p = 0.029 (< 0.05), indicate that there is a relationship between a history of hormonal contraceptive use and psychological complaints in menopausal women. Conclusions: This study showed that 28.4% of menopausal women experienced severe physical complaints, 30.7% mild complaints, 26.1% no complaints, and the remaining 11.4% moderate complaints. Psychological complaints were mild in 27.3% of respondents, moderate in 11.4%, severe in 10.2%, and 39.8% reported no psychological complaints. The results of the statistical test, with a significance value of p = 0.029 (< 0.05), indicate that there is a relationship between a history of hormonal contraceptive use and psychological complaints in menopausal women.
THE RELATIONSHIP BETWEEN SOCIAL SUPPORT AND ADHERENCE TO CHEMOTHERAPY TREATMENT IN BREAST CANCER PATIENTS: UNCERTAINTY AS MEDIATOR Susilo Harianto; Dewi Maryam; Hafna Ilmy Muhalla; Emuliana Sulpat; Cucuk Rahmadi Purwanto; Fanni Okviasanti
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.89382

Abstract

Introduction: In recent years, the prevalence of breast cancer has increased globally, including in Indonesia. Despite its high prevalence, patient adherence to treatment remains low. Social support is known to be one of the factors that can increase patient adherence. Although many studies have explained the relationship between social support and adherence in breast cancer patients, the underlying mechanism remains unclear. The aim of this study was to examine the relationship between social support and patient adherence using uncertainty as a mediator. Methods: A descriptive and correlational survey was conducted in a regional hospital in Surabaya, Indonesia. A convenience sample of 165 Indonesian breast cancer patients voluntarily participated in the study and responded to a set of questionnaires, including a socio-demographic questionnaire, the Social Support Scale (SSS), the ShortForm Mishel Uncertainty in Illness Scale (SF-MUIS), and the Morisky Medication Adherence Scale (MMAS8). Results: The results revealed that breast cancer patients with higher social support found it easier to undergo treatment, resulting in better adherence. Patients who experienced higher social support had reduced uncertainty through improved subjective perceptions and reduced evaluations of the severity of stressful illness events. In addition, uncertainty significantly mediated the relationship between social support and patient adherence. Conclusions: These findings indicate that social support for breast cancer patients improves patient adherence. Moreover, healthcare providers can help breast cancer patients
DESCRIPTION OF NURSING INTERNSHIP STUDENT'S ANXIETY DURING THE PANDEMIC ERA Amellia Mardhika; Selvyana Dewi Anggraeni; Anestasia Pangestu Mei Tyas; Lailatul Fadliyah; Emuliana Sulpat
Journal of Vocational Nursing Vol. 4 No. 2 (2023): OCTOBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v4i2.49116

Abstract

Introduction: COVID-19 changed students' educational activities, especially during internships taking into account the condition of the number exposed to COVID-19. A preliminary study conducted on 11 students showed that they all felt anxious about undertaking an internship during the pandemic. This can negatively impact quality of life, learning, academic performance, and clinical practice performance. The aim of this study is to find out the description of students' anxiety during internships. Methods: This research is a quantitative observational study with a descriptive research design”a sample of 148 students with a purposive sampling method. The variable in this study was detained students who were undergoing internships during the start of the COVID-19 pandemic. The instrument used in this study was the Hamilton Anxiety Rating for Scale (HAM-A), which had been tested for validity and reliability to see the level of student anxiety during the internship. The results of the questionnaire were then analyzed through descriptive/univariate analysis. Results: Almost all respondents had a mild anxiety level, 120 respondents (81.08%). Conclusions: A suitable coping mechanism for students during internships, is a strategy to deal with anxiety. Clarifying information, consistently implementing health protocols correctly, maintaining health by exercising regularly, eating healthy food, and communicating well with family and friends must still be carried out by students so that the support system remains stable
THE RELATIONSHIP BETWEEN KNOWLEDGE AND EARLY WEANING OF BREASTFEEDING Amellia Mardhika; Nopi Ispari Indah; Anestasia Pangestu Mei Tyas; Lailatul Fadliyah; Emuliana Sulpat
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i2.77894

Abstract

Introduction: Exclusive breastfeeding is recommended for the first six months of life and may be continued until the child is two years old, providing numerous benefits for the mother, baby, family, and nation. However, not all mothers breastfeed for the full six months, a practice known as early weaning. This study aims to analyze the relationship between mothers’ knowledge and early weaning practices. This study aims to analyze the relationship between knowledge and early weaning of breastfeeding. Methods: This quantitative analytical study was conducted in May 2024 at the Kebomas Community Health Center. A total of 44 mothers with children aged 6–24 months who met the inclusion criteria were selected using purposive sampling. Data on mothers’ knowledge regarding breastfeeding and early weaning were collected using a structured questionnaire and analyzed using the chi-square test with SPSS. Results: The findings indicate a relationship between mothers’ knowledge and early weaning practices in the Kebomas Community Health Center working area. Conclusions: Breastfeeding has positive effects on mothers, babies, families, and the nation. If early weaning is practiced by many mothers who lack knowledge about breastfeeding, these benefits may be lost. Education and counseling for pregnant women, continued through the postpartum period, are needed to prevent early weaning.
Co-Authors Amellia Mardhika Anestasia Pangestu Mei Tyas Anis Nur Laili Cucuk Rahmadi Purwanto Dewi Maryam Fadliyah, Lailatul Fanni Okviasanti Harianto, Susilo Muhalla, Hafna Ilmy Nopi Ispari Indah Selvyana Dewi Anggraeni Yusfina Modesta Rua