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Body image perception among breast cancer patients after mastectomy: A phenomenology study Wulandari, Shenda Maulina; Yunitasari, Esti; Kusumaningrum, Tiyas; Myint, Nyein Moh Moh; Subu, Muhammad Arsyad
The Journal of Palembang Nursing Studies Vol. 2 No. 3 (2023): September 2023
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns87

Abstract

Background: Breast cancer is the most common type of cancer among all cancers. Most breast cancer treatments involve surgery, which leads to changes in body shape. These changes can have an impact on body image after mastectomy, affecting the patients’ quality of life. Objective: This study aimed to explore the perception of body image of breast cancer patient after mastectomy. Methods: A qualitative phenomenological approach was employed in this study. A total of 15 post-mastectomy clients were recruited through purposive sampling technique. Data collection involved semi-structured interviews, which were recorded. The data were analyzed using the Van Mannen approach with the assistance of NVivo 12 Plus software.  Results: The majority of the participants were in the elderly phase, with an average education level of junior high school. Most had a history of stage IIB breast cancer and, on average, had undergone mastectomy three years ago. This study identified the theme of body image, which consisted of four categories and eleven sub-categories. Conclusions: The description of body image in post-mastectomy clients includes beliefs, thoughts, feelings, and behaviors. This response is influenced by the belief in the importance of breasts, optimism regarding achieving one’s ideal self, thoughts about changes in the body, acceptance of oneself and those around us, enthusiasm for healing and comfort, and social roles.
PENGUATAN KAPASITAS KADER DALAM PEMANFAATAN KEARIFAN LOKAL ETNOMEDICINE UNTUK PENYAKIT HIPERTENSI DESA SAMUDA BARITO KUALA SECARA RASIONAL Anshari, Muhammad; Nurhanifah, Dewi; Ariyani, Herda; Yunitasari, Esti; Nabila, Alsha; Latifah, Latifah; Nurrahmah, Medina; Khairunnisa, Monica; Fandiny, Yeny 
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 8, No 9 (2025): MARTABE : JURNAL PENGABDIAN KEPADA MASYARAKAT
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v8i9.3635-3643

Abstract

Hipertensi merupakan salah satu penyakit tidak menular yang banyak dialami masyarakat di Desa Samuda, Barito Kuala. Pengobatan berbasis etnomedicine, yang menggunakan tanaman obat lokal, telah lama dikenal oleh masyarakat setempat. Namun, pemanfaatannya masih belum optimal dan belum sepenuhnya dilakukan secara rasional. Oleh karena itu, penguatan kapasitas kader kesehatan sangat diperlukan untuk meningkatkan pemahaman dan praktik penggunaan tanaman obat secara tepat guna. Tujuan Kegiatan:1) Meningkatkan pengetahuan dan keterampilan kader kesehatan dalam pemanfaatan tanaman obat lokal untuk hipertensi. 2)Mendorong penggunaan etnomedicine secara rasional dan berbasis bukti ilmiah.3)Membantu kader dalam mengedukasi masyarakat mengenai pengobatan tradisional yang aman dan efektif. Metode Pelaksanaan:1)Pelatihan dan Workshop: Penyampaian materi tentang hipertensi, tanaman obat yang berpotensi menurunkannya, serta cara pengolahan dan penggunaannya yang benar.2)Diskusi dan Demonstrasi: Praktik langsung dalam mengenali, meracik, dan menggunakan tanaman obat sesuai dengan standar kesehatan sertaa pelatihan pelaksanaan konseling pengobatan hipertensi bagi kader. 3)Penyusunan Panduan Praktis: Pembuatan booklet sederhana tentang etnomedicine untuk hipertensi sebagai referensi bagi kader dan masyarakat. 4)Monitoring dan Evaluasi: Penilaian pemahaman kader sebelum dan sesudah kegiatan melalui kuesioner serta pendampingan dalam implementasi di lapangan. Hasil yang Didapat adalah Kader kesehatan memiliki pemahaman yang lebih baik tentang penggunaan tanaman obat secara rasional.Terbentuknya kelompok kader yang aktif dalam mengedukasi masyarakat mengenai etnomedicine dan dapat menjadi konselor pengobatan untuk pasien hipertensi. Adanya panduan sederhana yang dapat digunakan masyarakat dalam pemanfaatan tanaman obat untuk hipertensi. Kegiatan ini diharapkan meningkatkan kapasitas kader dalam memanfaatkan kearifan lokal etnomedicine untuk penanganan hipertensi secara lebih aman dan efektif. Lebih lanjut lagi program ini, diharapkan pemanfaatan tanaman obat di Desa Samuda dapat menjadi solusi pendukung dalam mengelola hipertensi secara mandiri dan rasional.
Dilemma of Identification Patients Palliative Care Needs in Critical Care Unit Astuti, Nining Puji; Sriyono, Sriyono; Yunitasari, Esti; Kurniawati, Ninuk Dian; Baidhowy, Arief Shofyan
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): 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.v6i1.2664

Abstract

Palliative care is start from diagnosis of serious illness until death and bereavement care. But, the term “Palliative Care” often mistakenly regarded identical to “End of Life Care” without any treatments. It’s caused dilemma among nurses to give maximum care of palliative care needs or let the patients get minimum of care. Methods: The aim of this article is to evaluate the dilemma palliative care needs in Intensive Care Unit. This is a case study report used a qualitative approach of 3 palliative patients in ICU used descriptive case study as well as in depth-interviews with patient’s family, nurses and internist. Results and Discussion: We present a case report of 3 patient who had been admitted to hospital with cancer and need palliative care in ICU. Patients subsequently suffered a pulmonary metastase with multiple organ failure. However the goal of end of life care for dying patients is to prevent or relieve suffering as much as possible while respecting the patient’s desires. But it is still a dilemma in Indonesia, especially palliative patients in ICU. According to medical decision, patients in ICU should receive maximum treatment, but if patient is facing multiple organ failure nurse should consider to providing palliative care. Conclusions: Palliative care approaches and provision within intensive care units can significantly impact care outcomes and increase the quality-of life people with end-of life period. Palliative care not to reduce the dose of drugs and patient care.
Correlation Between Child’s Gender, Birth Weight, Maternal Age, and Stunting Risk Under Five: A Systematic Review Kurniawati, Tya Wahyun; Yunitasari, Esti; Kurnia, Iqlima Dwi
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5472

Abstract

Stunting is a problem that threatens human quality in the world. Apart from the nutritional problems of the first 1000 days of life which are unbalanced, child and maternal factors greatly influence the incidence of stunting. Objective: this study is examines the relationship between gender, birth weight and maternal age with the risk of stunting in children under five. Method: A systematic review was conducted from three database, PubMed, Scopus, and ProQuest. Keyword used were “sex of child” or “gender of child” and “birth weight” and “maternal age” and “stunting”, articles published in the last five years from 2019 to 2023 in English. Article screening from titles and abstracts followed by full text review to assess article eligibility. The research design was cross-sectional and case-control studies. Article analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and JBI tool was used to assess the quality of studies. Results: From 686 article records screened, seven articles included review in this study. There are three factors that influence the occurrence of stunting, namely child's gender, child's birth weight and maternal age. Boy was more susceptible to stunting than girl births. Children with small birth weight were at risk of stunting and death, common causes due to poor health, disabilities, and maternal nutrition lifestyle. Furthermore, maternal age <18 years and >34 years increase the risk of malnutrition and death of children at birth. Conclusions: There is correlation child gender, birth weight, and maternal age on the risk of stunting. Increased knowledge and improved nutrition from pregnancy to birth contibute to improving the quality of life of children and reducing the risk of stunting.
Behavioral risk factors and maternal nutrition as predictors of pre-eclampsia among pregnant women in rural areas: cross-sectional study Azza, Awatiful; Esti Yunitasari; Mira Triharini; Susilo, Cipto
Jurnal Ners Vol. 18 No. 3 (2023): SEPTEMBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i3.47248

Abstract

Introduction: The behavior of pregnant women in caring for pregnancy is influenced by the environment, culture, and lifestyle of the community. This study aimed to analyze the behavior of pregnant women and their nutritional status during pregnancy contributes to the incidence of pre-eclampsia  in rural areas. Methods: This study used a cross-sectional approach to 210 pregnant women who visited a community health center in East Java, Indonesia, in the period June 2020-February 2022. Potential risk factors, including maternal behavior in care during pregnancy, and obesity were evaluated as determinants of pre-eclampsia and its subtypes. The assessment instrument uses a structured questionnaire and has been tested for validity and reliability. Logistic regression analysis was used to determine potential risk factors. Odds ratios with 95% confidence intervals (CI) were calculated to estimate the effects of individual factors. All statistical analyses were performed with SPSS version 22.0 with a p-value < 0.05 considered significant. Results: There were 65 (31%) pregnant women experiencing pre-eclampsia from 210 samples. Maternal behavior during pregnancy could predict the incidence of pre-eclampsia (p = 0.001; 95% CI 0.121-0.583; OR = 0.266) while obesity was able to predict pre-eclampsia (p = 0.00; 95% CI 1.705-5.209; OR = 3.00). the age of pregnant women p = 0.014; 95% CI 1.143-3,355; OR = 1.959), and history of hypertension p = 0.036; 95% CI 1.053 – 4.550; OR = 2.189). Conclusions: The behavior and nutritional status of pregnant women have been proven to influence the incidence of pre-eclampsia.
Study Philosophy of Wound Care on DFU in an Effort of Wound Healing and Prevent Infection Based on Self-Care Manalu, Novita Verayanti; Yunitasari, Esti; Pandin, Moses Glorino Rumambo
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v9i1.14684

Abstract

Actualization of the self-care concept that affects DFU client wound healing in terms of the need for independent wound care that is able to facilitate the success of achieving client goals and preventing infections that can progress to gangrene. This literature aims to find out the study of the philosophy of DFU wound care based on independent wound care by clients. This literature study was carried out by searching scientific publications starting in 2018-2022. The databases used are PubMed, Science Direct, and ProQuest. A literature search was carried out according to the topic with four groups of keywords based on Medical Subject Heading (MeSH) and combined with the Boolean operators AND, OR and NOT, the keywords Wound Care AND DFU AND Self-Care AND Wound Healing. Results: Study of wound care for DFU clients based on self-care which is a study of ontology, epistemology, and axiology. Self-care philosophy focuses on self-ability as an active agent through a dynamic process that directs the behavior of DFU clients in caring for their own wounds to achieve wound healing. Wound care interventions are quality, evidence-based tools that support self-care and can be used with or without the direct supervision of a healthcare professional. The motivational approach is carried out to prevent negative impacts and avoid them. A holistic approach to the health and well-being of everyone, taking into account their circumstances, needs and desires throughout life, as well as the environment in which they live will improve the client's coping so that independent wound care by a DFU client will increase the efficiency of wound healing. Conclusion: The concept of wound care for DFU clients based on self-care is beneficial for families, especially for DFU clients themselves because they can be done at any time and have a better understanding and achieve their expected goals.
Aromaterapi Lavender dalam Upaya menurunkan Nausea dan Vomiting Pasien Kanker Payudara yang Menjalani Kemoterapi di RSUD Dr. Soetomo Surabaya Anisa Ain; Desak Gede Agung; Esty Yunitasari
Journal of Ners and Midwifery Vol 6 No 3 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i3.ART.p401-407

Abstract

Kanker payudara merupakan jenis kanker yang umum terjadi wanita. umumnya pasien yang menjalani kemoterapi mengalami gejala akibat proses penyakit atau efek samping pengobatan seperti nausea dan vomiting. Tujuan penelitian ini adalah untuk menjelaskan pengaruh aromaterapi lavender terhadap nausea dan vomiting pada pasien kanker payudara yang menjalani kemoterapi. Metode: penelitian ini adalah penelitian true experimental dengan desain randomized pre-post test with control group. Sampel penelitian melibatkan pasien kanker payudara yang menjalani kemoterapi one day care di RSUD dr. Soetomo Surabaya. Sampel dibagi menjadi 2 kelompok, kelompok aromaterapi (n = 20) dan kelompok kontrol (n = 20).  Aromaterapi lavender dilakukan mandiri oleh pasien dirumah setiap dua kali sehari selama tiga minggu berturut-turut (21 hari). Instrumen mengukur nausea dan vomiting menggunakan Rhodes Index Nausea, Vomiting and Retching. Data dianalisis menggunakan uji pair t test dan independent t test. Hasil: Skor nyeri pre kelompok aromaterapi 17.60 ± 3,05 dan post 8,40 ± 4,74 (p value <0,001). Independent t test menunjukkan nilai p value 0,001 (< 0,05). Kesimpulan: studi ini menunjukkan aromaterapi lavender inhalasi yang diterapkan secara berkesinambungan selama tiga minggu berturut-turut mampu menurunkan nausea dan vomiting pasien kanker payudara yang menjalani kemoterap Background: Breast cancer is the most common type of cancer suffered by women. Cancer patients generally experience side effects of chemotherapy such as nausea and vomiting. Aim : The purpose of this study was to determine the effect of aromatherapy on nausea and vomiting of breast cancer patients undergoing chemotherapy. Method: this study is a true experimental study with a randomized pre-post-test design with a control group. The study sample was breast cancer patients with one day care chemotherapy at RSUD dr. Soetomo Surabaya. The sample was divided into 2 groups, the aromatherapy group (n = 20) and the control group (n = 20) collected consecutively in August to September 2019. Inhalation lavender aromatherapy is performed independently by patients at home every 2 times a day for 3 consecutive weeks (21 days). The instrument measures nausea and vomiting using the Rhodes Index Nausea, Vomiting and restcing. data analysis using paired t test. Results: The aromatherapy group had a mean difference of pre-post test -9.20, higher than the control group 0.30. Paired t test showed that there were significant differences in mean pre and post test in the aromatherapy group with p value <0.001 compared to the control group p 0.741 (> 0.05). Conclusion: lavender aromatherapy inhaled continuously for three consecutive weeks can reduce the nausea and vomiting of breast cancer patients undergoing chemotherapy
Systematic Review : The Effect of Intervention Rehabilitation “Computer-Based Cognitive Training Program” to Improve Cognitive Skills of Children with ADHD Fitrianti Mahardika; Esti Yunitasari; Praba Rachmawati
Journal of Ners and Midwifery Vol 8 No 2 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i2.ART.p263-269

Abstract

Attention Deficit Hyperactivity Disorder (ADHD) is a medical condition characterized by an inability to concentrate, hyperactivity, and impulsiveness. Children with ADHD tend to be careless, irritable, difficult to gather, difficult to carry out orders so it is important to treat this condition as early as possible. The purpose of this study was to analyze studies according to computer program-based cognitive rehabilitation interventions to improve the cognitive abilities of children with ADHD on empirical studies in the last five years. Journals or articles were obtained by searching in databases indexed by Scopus, PubMed, Science Direct, Garuda Portal using adequate keywords. The quality assessment of the study used inclusion and exclusion criteria. The framework used to conduct the review was PICOS and the inclusion criteria used English and Indonesian journals from 2015 to 2020. The data analysis and tabulation were carried out in articles or journals. Title, abstract, full text, and methodology were assessed to determine the eligibility of the article or journal. Researchers found 15 journals that match the inclusion and exclusion criteria, and passed the study selection and quality assessment. 7 journals discuss about training-based intervention programs and 8 journals discussed the game or game-based intervention programs. The 15 journals obtained came from four continents, Asia, America, Australia, and Europe. Computer-based intervention significantly improved the cognitive abilities of children with ADHD such as concentration skills, working memory, and academic learning outcomes. Modifications need to be made, among others, to facilitate parents who can not afford compatible facilities and infrastructure. In Indonesia, the modifications that are possibly made are the daily training program compared to video games.
Co-Authors ,Jessica Berliana Berliana A.A. Nastiti Adelya Salsabila Putri Agung, Desak Gede Agus Sulistyono Ah Yusuf Ah Yusuf Ah. Yusuf Ain, Anisa Akbar Tukan, Ramdya Alfiani Triningsih Alifia Zuqni Tajrida Alimansur, Moh Alit Armini, Ni Ketut Andi Herman Andi Herman Andri Setiya Wahyud Andri Setiya Wahyudi Andrik Hermanto Anisa Ain Anita Nurmasitoh Anna Rufaida Aria A. Nastiti Aria Aulia Nastiti Aria Aulia, Aria Arief, Yuni Sufyanti Arif, Taufan Ariyani, Herda Awatiful Azza awatiful azza, awatiful Ayu Susilawati Baidhowy, Arief Shofyan Bani Bacan Hacantya Yudanagara Budi Prasetyo Budi Santoso Budi Santoso Budi Santoso Cholicul H Cipto Susilo, Cipto Desak Gede Agung Desy Indah Nur Lestari Devi Rahma Sofia Dewi Nurhanifah, Dewi Dewi Purnama Sari Dewi Purnama Sari Diana Pefbrianti Diana Rachmania Dita Dwi Oktav Dita Fajrianti Dita Fajrianti Diyan Indriyani, Diyan Dominicus Husada Dwi Budi Santoso Dwi Rahayu Dwi Rahayu Dwiyanti Puspitasari, Dwiyanti Eldatia Utari Putri Elida Ulfiana Ema Kahrismawati Endang Retno Surjaningrum Erna Dwi W Ernawati, Rini Esa Rosyida Umam Eva Riantika Ratna Palupi Fandiny, Yeny  Fendy Hardyanto Feriani, Pipit Ferry Efendi Fitrianti Mahardika Grathima, Eishca Fanani Hardiansyah Hardiansyah Hasanah Nurbawena Hesti Permanasari Hidaayah, Nur Hilliyatul Aulia Makhsusoh I. Krisnana I.D. Kurnia Ida Arunia Iismayanti Iismayanti Ilya Krisnana, Ilya Imamatul Faizah Imelda Mbati Mbana Indarwati , Retno Inneke Yuliana Iqlima Dwi Kurnia Irfan Wabula Joni Haryanto Juwita, Bening Kasiati Ketut L. Aryati Khairunnisa, Monica Khalifatus Zuhriyah Alfianti Kristiawati Kristiawati Kristina Yuniarti Kundarti, Finta Isti Kurniawati, Ninuk Dian Kurniawati, Tya Wahyun Kusnanto Kusnanto Kusnanto Kusnanto Laila Mufida Laily Bestari Putri Laily Hidayati Lantip Muhammad Dewabrata Latifah Latifah Lucia Tri Suwanti, Lucia Tri Lukman Handoyo Lulut R. Siwi Lutfi Agus Salim M Rifqi M. Triharini Margareta Nendy Martono Tri Utomo Masadah Masadah Maulida Puteri Kusumadewi Mika Mediawati Mira Triharini Muhammad Anshari, Muhammad Myint, Nyein Moh Moh N.K.A. Armini Nabila, Alsha Ni Ketut Alit Nihayati, Hanik Endang Nining Puji Astuti NK A. Armini Novita Verayanti Manalu Nur Afifah Nur Aini Lutfi Rahmawati Nur Ainy Fardana N. Nur Hidayatin Nurrahmah, Medina Nursalam Nursalam, Nursalam Nuzul Qur'aniati P.D. Rachmawati Padoli Padoli Praba Diyan Rachmawati, Praba Diyan Praba Rachmawati Pradanie, Retnayu Puji Hastuti puji hastuti Purwaningsih - Purwanti, Nunik Purwoning Husnul C R. Pradanie Rahayu Catur Ria Wati Regitha Adit Pramesty Reny Mareta Sari, Reny Mareta Ribka Putri Sholecha Rina Q. Awaliyah Risa Etika, Risa RR Dian Tristiana Rr.Sri Nuriaty Ruslinawati Ruslinawati Safaah, Nurus Saidah, Qoriila Sariati Sariati Shinta Kristianti Sih Kinanti Siti Khadijah Sriyono Sriyono Subu, Muhammad Arsyad Suhartono Suhartono Suharyono Suharyono Sulistiawati Sulistiawati Sumiati Sumiati Sumiati Sumiati Tianingrum, Niken Agus Tintin Sukartini Sukartini, Tintin Sukartini Tiyas Kusumaningrum Tri M. Januwati Tri Nurhudi Sasono Triatmi Andri Yanuarini Triharini, Mira Ushaq Legenda Verantika Setya Putri Vima Utya Cahyani Wafirotul Rizqi Hasanah Wulan Prihantini Wulandari, Shenda Maulina Y.S. Arief Yenny Okvitasari Yuliana, Inneke Yulida Mufidah Yurista Prahesti