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All Journal Jurnal Penelitian Saintek Nurse Media Journal of Nursing LINK Folia Medica Indonesiana agriTECH Jurnal Keperawatan Padjadjaran JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Jurnal Kesehatan Prima Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) JURNAL NERS LENTERA Care : Jurnal Ilmiah Ilmu Kesehatan Bubungan Tinggi: Jurnal Pengabdian Masyarakat Jurnal Pengabdian Kesehatan Jurnal Kesehatan Saintika Meditory Indonesian Journal of Cancer Public Health and Preventive Medicine Archive JPK : Jurnal Penelitian Kesehatan Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Holistik Jurnal Kesehatan Strada Jurnal Ilmiah Kesehatan (SJIK) Jurnal Ners Lentera
Werdani, Yesiana Dwi Wahyu
Faculty Of Nursing Widya Mandala Surabaya Catholic University
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Multifaktorial Pemicu Cancer-Related (CRF) Pada Pasien Kanker Werdani, Yesiana Dwi Wahyu; Lilyana, Maria Theresia Arie; Putri, Tiffani Aditya Wijono
JURNAL NERS LENTERA Vol. 10 No. 1 (2022)
Publisher : Fakultas Keperawatan, Universitas Katolik Widya Mandala Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/ners.v10i1.4052

Abstract

Cancer related Fatigue (CRF) is a symptom that occurs in almost all cancer patients. CRF causes various physical and psychological impacts that can hinder the patient's normal life. The aim of this study was to explain the multifactorial triggers of CRF in cancer patients. The research design used is a descriptive design. The population of all cancer patients at the Kedungdoro Public Health Center Surabaya, with a large sample of 28 people. Samples were taken by purposive sampling based on inclusion criteria. The instrument uses a Brief Fatigue Inventory (BFI) which has been tested for validity and reliability. The triggering factor for CRF in this study with the highest CRF score for each factor was age in the elderly group (23.4 + 6.8), gender factor was found in women (18.96 + 6.73), the type of cancer was found in breast cancer (21.25 + 7.36), the cancer stage factor was in stage 3 cancer (24.11 + 8.29), the length of cancer was 4-6 years (21.62 + 6.04), and the cancer therapy factor was found in respondents who received chemotherapy + surgery therapy (24.11 + 8.29). All of the above factors trigger mild CRF with varying mean scores ranging from the lowest score of 16 to the highest score of 24.11. CRF does not appear only because of cancer, but there are other multifactorial factors that trigger CRF in cancer patients
Faktor Demografi Sebagai Penguat Timbulnya Stres Pada Pasien Kanker Werdani, Yesiana Dwi Wahyu; Sari, Nia Novita; Sibarani, Boy Sakti Parningotan
JURNAL NERS LENTERA Vol. 9 No. 2 (2021)
Publisher : Fakultas Keperawatan, Universitas Katolik Widya Mandala Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/ners.v9i2.4053

Abstract

Cancer is still interpreted by most people as a disease that is difficult to cure and causes death in a short time, this triggers the psychological distress of cancer patients. The purpose of this study was to describe the demographic factors that strengthen the incidence of stress in cancer patients. The design used is descriptive design. The population of all cancer patients at Kedungdoro and Rangkah Public Health Center Surabaya, a sample of 20 people was taken by purposive sampling based on inclusion criteria. The instrument used is the Perceived Stress Scale (PSS) which has been tested for validity and reliability. The statistical test used is descriptive statistics on each of the assessed factors. The factors that strengthen the emergence of stress with the highest score on each factor are adult age (19.2 + 7.91), male gender (24.5 + 9.19), respondents who work (18.66 + 4.76), living at home with parents (21.42 + 6.97), type of breast cancer (18.69 + 7.45), duration of diagnosis of cancer 5 – 7 years (21.8 + 5.89), cancer stage 0 (21.12 + 6.79), type of chemotherapy and radiation therapy (22.5 + 7.85). Eight factors amplify the occurrence of stress with the results of the mean stress scores varying and all of them fall into the category of moderate stress. Stress does not appear with just one stressor, but a combination of multifactorials that are interrelated and trigger stress in cancer patients
Pengaruh Dukungan Sosial Terhadap Tiga Dimensi Kepatuhan Pengobatan Kemoterapi Oral Pada Pasien Kanker Werdani, Yesiana Dwi Wahyu; Sari, Nia Novita; Lalu, Andriancy Yude
JURNAL NERS LENTERA Vol. 12 No. 2 (2024)
Publisher : Fakultas Keperawatan, Universitas Katolik Widya Mandala Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/ners.v12i2.5948

Abstract

Kepatuhan program pengobatan kemoterapi oral merupakan hal yang perlu dioptimalkan untuk mencegah metastasis sel kanker. Dukungan sosial menjadi faktor penting agar pasien kanker patuh menjalani pengobatan. Tujuan penelitian menganalisis pengaruh dukungan sosial terhadap tiga dimensi kepatuhan pengobatan kemoterapi oral pada pasien kanker. Desain yang digunakan korelasional dengan pendekatan cross sectional. Populasi sejumlah 69 pasien kanker di Puskesmas Pacarkeling, Puskesmas Rangkah dan Puskesmas Kedungdoro Surabaya. Jumlah sampel 22 responden didapat melalui teknik purposive sampling sesuai kriteria tertentu. Instrumen yang digunakan yaitu Descriptive Statistics of Social Support dan Oral Chemotherapy Adherence Scale. Hasil mean dukungan sosial 31.77 + 4.23, kepatuhan dimensi 1 (kepatuhan minum obat) 38.04 + 5.68, dimensi 2 (kepatuhan instruksi obat) 16.36 + 2.66 dan dimensi 3 (kepatuhan penatalaksanaan efek samping) 10.54 + 1.59. Hasil uji statistik regresi linear sederhana dukungan sosial terhadap kepatuhan minum obat p = 0.007, terhadap kepatuhan instruksi obat p = 0.004, dan terhadap kepatuhan penatalaksanaan efek samping obat p = 0.018. Hal ini berarti ada pengaruh yang signifikan antara dukungan sosial dengan tiga dimensi kepatuhan pengobatan kemoterapi oral pada pasien kanker. Dukungan sosial dari keluarga, saudara, sahabat, dokter, perawat, dan kerabat dapat membantu meningkatkan keinginan pasien kanker untuk terus patuh dalam menjalani pengobatan kemoterapi oral sesuai dengan yang diprogramkan secara medis
PENGARUH TINGKAT STRES TERHADAP MEKANISME KOPING PASIEN KANKER BERBASIS MANAJEMEN TERAPI KANKER Werdani, Yesiana Dwi Wahyu
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 8, No 3 (2020): EDITION NOVEMBER 2020
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v8i3.1262

Abstract

The management of cancer therapy is useful to improve the survival of cancer patients, but it has a physical impact on various functions of the body's organs. It can lead to stress and affect individual coping mechanisms. The aim of this study was to analyze the effect of stress levels on coping mechanisms of cancer patients based on cancer therapeutic management. This study used a mix method design and sequential explanatory approach. The population was cancer patients at the Indonesian Cancer Foundation, East Java Branch, Surabaya. The number of sample were 32 patients taken by total sampling method. The instrument used perceived stress scale and coping strategies inventory short form. The result of ordinal regression test and nagelkerle's pseudo R-Square in chemotherapy group 0.013 and R 0.621, in radiation group 0.016 and R 0.597, in chemoradiotherapy group 0.010 and R 0.737. It means that stress levels has a significant effect on individual coping mechanisms in all cancer therapeutic management groups. On the qualitative results showed that stress and maladaptive coping mechanisms caused by side effects of therapy, financial, relationships with caregiver was less harmonious, less able to think positively. The complexity of therapeutic stressors and the presence of poorly managed of external factors made respondents more likely to have maladaptive coping mechanisms.
Empat Aspek Dukungan Keluarga Mampu Meningkatkan Motivasi Pengobatan Pasien Kanker Dalam Menjalani Kemoterapi Dan Radiasi Selama Pandemi Covid 19 Werdani, Yesiana Dwi Wahyu; Prasetiani, Abigael Grace
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 11, No 1 (2023): EDITION MARCH 2023
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v11i1.3259

Abstract

The COVID-19 pandemic has caused chronic diseases patient such as cancer survivors vulnerable to death, on the other hand, cancer treatment programs must continue to prevent cell metastasis. The study aimed to prove the effect of four aspects of family support on increasing the motivation for completing chemotherapy and radiation therapy during the COVID-19 pandemic. This is a correlation study with a cross-sectional approach. Samples were cancer patients living at the Indonesian Cancer Foundation, East Java Surabaya Branch who met the inclusion criteria set, which amounted to 50 people. The instruments used are the Family Support Scale (FSS) and the Treatment Motivation Questionnaire (TMQ) which have been tested for validity and reliability. The linear regression test found that all aspects of family support had a significant effect on treatment motivation. Informational support (r = 0.387, p = 0.005), emotional support (r = 0.386, p = 0.006), instrumental support (r = 0.372, p = 0.008), appraisal support (r = 0.367, p = 0.009). Four aspects of family support can provide enthusiasm and motivation for patients to continue carrying out cancer treatment in a pandemic situation 19.
Health Belief as a Determining Factor in the Behavior of Complementary Therapy use in Cancer Patients Undergoing Treatment Werdani, Yesiana Dwi Wahyu; Sari, Nia Novita
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i1.788

Abstract

Aims: Analyzing the correlation between health beliefs and the behavior of using complementary therapies in cancer patients. Methods: The study was conducted at the Indonesian Cancer Foundation (YKI) East Java Branch, Surabaya in July 2024 using a correlation design and cross-sectional approach and added interview methods to support quantitative data results. The population of all cancer patients at YKI, 33 patients was obtained according to the inclusion criteria. The instruments used were the Health Belief Questionnaire, and the Scale for Attitudes Towards Complementary and Alternative Medicine (SACAM), and continued by in deep interview to support the quantitative data. Results: Mean of health belief score was 77.88 + 11.467 (good health belief category), and mean of the behavior of using complementary therapies was 42.48 + 8.758 (neutral behavior category). The results of the Kendal Tau test (p < 0.05) showed a significant correlation between health beliefs and behavior of using complementary therapies (p-value = 0.000). Conclusions: Health beliefs are an important factor for cancer survivors in determining their decision-making behavior regarding medical treatment and complementary treatments.
Penguatan Tindakan Pencegahan Terhadap Ancaman Penyakit Tidak Menular (PTM) pada Usia Produktif Werdani, Yesiana Dwi Wahyu; Sari, Nia Novita
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 6 (2024): Volume 7 No 6 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i6.12501

Abstract

ABSTRAK Prevalensi penyakit tidak menular (PTM) meningkat pesat pada usia produktif. Hipertensi, diabetes dan stres psikologis memicu timbulnya PTM di usia produktif. Pengabdian masyarakat untuk meningkatkan pemahaman peserta tentang PTM pada usia produktif, dampak stres terhadap PTM dan cara menyeimbangkan stres. Metode yang digunakan penyuluhan dan pemeriksaan fisik berupa tekanan darah, nadi, kolesterol dan glukosa darah acak (GDA). Sasaran warga usia produktif di lingkungan F7 St. Laurensius Driyorejo Gresik. Pelaksanan kegiatan 2 hari, diawali dengan pengkoordinasian kegiatan dengan pengurus lingkungan pada hari pertama, yang dilanjutkan di hari kedua dengan penilaian pengetahuan melalui pre-test kemudian pemberian penyuluhan tentang PTM dan pengelolaan stres untuk mencegah PTM dan diakhiri dengan post-test. Mayoritas peserta mengalami pra-hipertensi 19 orang (34%), normocardia 44 orang (79%), memiliki kolesterol batas tinggi 29 orang (52%) dan GDA normal 51 orang (91%). Hasil penyuluhan rata-rata skor pre-test 74.99 + 15.17, sedangkan post-test 97.82 + 5.18, terjadi peningkatan pengetahuan 22.83 skor pasca penyuluhan. Uji statistik paired t-test p = 0.000, berarti penyuluhan terbukti berhasil meningkatkan pengetahuan warga tentang pencegahan PTM di usia produktif. Hasil pemeriksaan fisik membantu warga memahami kondisinya dan meningkatkan kesadaran untuk memperbaiki kesehatan lebih optimal yang didukung dari materi penyuluhan yang dipahami oleh seluruh warga. Kata Kunci: Penyakit Tidak Menular (PTM), Usia Produktif, Pencegahan  ABSTRACT The prevalence of non-communicable diseases (NCDs) increases rapidly in productive age. Hypertension, diabetes and psychological stress trigger the emergence of NCDs in productive age. Objective: Community service to increase participants' understanding of PTM in productive age, the impact of stress on PTM and how to balance stress. The methods used are counseling and physical examination in the form of blood pressure, pulse, cholesterol and random blood glucose (GDA). Target residents of productive age in the F7 St. Laurensius Driyorejo Gresik. Implementation of the 2-day activity, starting with coordinating activities with environmental administrators on the first day, continued on the second day with knowledge assessment through a pre-test then providing counseling about PTM and stress management to prevent PTM and ending with a post-test. The majority of participants had pre-hypertension, 19 people (34%), normocardia, 44 people (79%), had borderline high cholesterol, 29 people (52%) and normal GDA, 51 people (91%). The results of the counseling were an average pre-test score of 74.99 + 15.17, while the post-test was 97.82 + 5.18, there was an increase in knowledge of 22.83 after the counseling. Paired t-test statistical test p = 0.000, meaning that counseling has proven successful in increasing residents' knowledge about preventing NCDs in productive age. The results of the physical examination help residents understand their condition and increase awareness to improve their health more optimally, supported by education material that is understood by all residents. Keywords: Non-communicable Diseases (Ncds), Productive Age, Prevention
Dampak Berpikir Positif Terhadap Resiliensi Pasien Kanker Werdani, Yesiana Dwi Wahyu; Sari, Nia Novita
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.12504

Abstract

ABSTRACT Cancer is still considered a deadly disease by society, giving rise to negative thoughts that have a negative impact on the patient's physical and psychological well-being and lead to a low ability to survive or known as resilience. analyzes the positive thinking and its effect on resilience in cancer patients. Correlational study with a cross sectional approach. The population of all cancer patients at the Indonesian Cancer Foundation, Surabaya, East Java, with a sample of 37 who met the inclusion criteria. The instruments used are the positivity scale and the 14-item resilience scale (RS-14). The collected data was tested for normality and followed by a linear regression test. Mean age of respondents 46.16 years, female (78.4%), high school educated (32.5%), married (86.5%), breast cancer (27%), stage 3 (46%), diagnosed with cancer 1 - 2 years (37.9%), underwent radiotherapy 10 – 20 times (27.2%). The average score for positive thinking is 32.89 + 4.18, while for resilience it is 75.91 + 13.49. The linear regression test obtained a p value of 0.003, R squared 0.229, R 0.479 which means positive thinking has a strong and significant effect on the resilience of cancer patients, with a magnitude of 22.9%. Positive thinking can be a cancer patient's strength to survive in difficult situations, because positive thinking can increase self-acceptance, so that patients become more adaptable and have high resilience. Keywords: Positive Thinking, Resilience, Cancer  ABSTRAK Kanker masih dianggap sebagai penyakit mematikan oleh masyarakat, sehingga menimbulkan pemikiran negatif yang berdampak buruk terhadap kondisi fisik dan psikologis pasien dan berujung rendahnya kemampuan bertahan hidup atau dikenal dengan resiliensi. Menganalisis tentang berpikir positif dan pengaruhnya terhadap resiliensi pada pasien kanker. Studi korelasional dengan pendekatan cross sectional. Populasi seluruh pasien kanker di Yayasan Kanker Indonesia Cabang Surabaya Jawa Timur dengan sampel berjumlah 37 yang memenuhi kriteria inklusi. Instrumen yang digunakan adalah positivity scale dan 14-Item Resilience Scale (RS-14). Data yang terkumpul diuji normalitas dan dilanjutkan dengan uji regresi linear. Rerata usia responden 46,16 tahun, berjenis kelamin perempuan (78,4%), berpendidikan SMA (32,5%), menikah (86,5%), kanker payudara (27%), stadium 3 (46%), terdiagnosis kanker 1 - 2 tahun (37,9%), menjalani radioterapi 10 – 20x (27,2%). Skor rata-rata berpikir positif 32.89 + 4.18, sedangkan pada resiliensi 75.91 + 13.49. Uji regresi linear didapatkan p value 0.003, R square 0.229, R 0.479 yang berarti berpikir positif memberikan pengaruh yang kuat dan bermakna terhadap resiliensi pasien kanker, dengan besarnya pengaruh 22.9%. Berpikir positif dapat menjadi kekuatan pasien kanker untuk bertahan dalam situasi sulit, karena berpikir positif dapat meningkatkan penerimaan diri, sehingga pasien menjadi lebih mudah beradaptasi dan memiliki resiliensi yang tinggi. Kata Kunci: Berpikir Positif, Resiliensi, Kanker
Pemantauan Kesehatan dan Reduksi Stres Melalui Terapi Komplementer pada Pasien Kanker dan Keluarganya Werdani, Yesiana Dwi Wahyu; Sari, Nia Novita
Jurnal LINK Vol 21 No 1 (2025): MEI 2025
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v21i1.12439

Abstract

Terdiagnosis kanker merupakan stresor yang berat, karena prognosa kanker yang cenderung buruk mengakibatkan timbulnya stres psikologis bagi pasien dan keluarganya. Stres yang muncul berkepanjangan dan ditunjang dengan efek samping pengobatan kanker, menimbulkan resiko ketidakstabilan fungsi fisik tubuh. Tujuan pengabdian masyarakat ini adalah untuk meningkatkan pemahaman pasien dan keluarga tentang stres dan terapi komplementer untuk mereduksi stres serta mendeteksi dini kondisi kesehatan fisiknya. Metode kegiatan dilakukan melalui health education yang dievaluasi melalui pre-test dan post-test dilanjutkan dengan pemeriksaan tekanan darah, glukosa darah acak (GDA) dan uric acid (UA). Hasil uji statistik terhadap pemahaman materi health education didapatkan mean pre-test 14.20 + 1.627, mean post-test 15.8 + 0.664, dan hasil uji Wilcoxon Sign Rank Test pada pemahaman materi p = 0.000. Mean tekanan darah sistolik 136.77 + 29.31, diastolik 81.83 + 16.33, GDA 152.23 + 55.5, UA 8.99 + 3.81. Mayoritas peserta pengabdian masyarakat pasien kanker mengalami hipertensi stage 1 dan 2, hiperglikemia dan hiperurisemia, sedangkan peserta keluarga pasien mayoritas berada dalam kondisi kesehatan normal. Stres psikologis dan efek samping terapi kanker terbukti dapat mempengaruhi kondisi fisik pasien dan keluarganya, selain itu pada individu yang sehat apabila memiliki kebiasaan sedentary life style maka juga menyebabkan timbulnya berbagai masalah fisik
Pengaruh caregiving pada pasien kanker terhadap tingkat caregiver burden Yesiana Dwi Wahyu Werdani
Journal of Ners and Midwifery Vol 5 No 3 (2018)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v5i3.ART.p249-256

Abstract

Kompleksitas perawatan pasien kanker menyebabkan tingginya tingkat ketergantungan pasien kepada caregiver baik ketergantungan fisik maupun psikologis, yang berdampak terhadap timbulnya caregiver burden. Tujuan penelitian membuktikan adanya pengaruh caregiving pada pasien kanker terhadap tingkat caregiver burden. Desain yang digunakan cross sectional. Populasinya adalah caregiver pasien kanker di wilayah kerja puskesmas Kedungdoro dan Pacarkeling Surabaya yang jumlah 60 orang, yang diambil dengan teknik total sampling. Instrumen yang digunakan yaitu kuesioner caregiving dan caregiver burden scale yang telah diuji validitas dan reliabilitasnya. Uji statistik dengan regresi ordinal didapatkan p = 0.000, dengan nilai R = 0.699 yang berarti ada pengaruh caregiving terhadap terhadap tingkat caregiver burden dengan besarnya pengaruh adalah 69.9%. Semakin kompleks keluhan pasien kanker, menyebabkan semakin lamanya durasi perawatan yang diberikan caregiver kepada pasien, hal ini berdampak terhadap ketidaseimbangan waktu kerja pribadi dengan waktu luang yang dimiliki caregiver untuk berelaksasi, hal ini menjadi stresor yang memicu stres, dan dalam jangka waktu yang lama dapat menyebabkan caregiver burden.
Co-Authors Abigael Grace Prasetiani Abigael Prasetiani Benedictus Teja Boy Sakti Parningotan Sibarani Cempaka, Anindya Arum Dian I Y Ribka Stefanie Wongso, Paini Sri Widyawati, Tarsisius D B Fenny A K, Evelyn L W, Dian I Y Lalu, Andriancy Yude Lanny Agustine Lanny Agustine Lestariningsih, Diana Lilyana, Maria Theresia Arie Maria Olivia Halim Maria Theresia Arie Lilyana Nia Novita Sari Pranjoto, Hartono Prasetya, Arief Widya Putri, Tiffani Aditya Wijono Sakoikoi, Maria Yohana Patricia Sawo, Elisabeth Bebhe Sawo, Elisabeth Bebhe Sibarani, Boy Sakti Parningotan Silab, Pascalis Arief Ardiansyah Tarsisius Dwi Wibawa Budianta Tiffani Aditya Wijono Putri