Ningsih, Dini Cristia
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Dukungan Keluarga terhadap Wanita dengan Kanker Serviks Stadium IIIB yang Mendapat Concurrent Chemoradiation Therapy (CCRT): Studi Kasus Ningsih, Dini Cristia; Fitriana, Nazula; Effendy, Christantie
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 1 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.101011

Abstract

Background: Patients with cervical cancer undergoing CCRT therapy often experience a decline in quality of life such as physical complaints, decreased spiritual well-being, and poor mental health. Family support plays a crucial role for individuals with certain illnesses, including those with cervical cancer.Objective: To describe family support for woman with stage IIIB cervical cancer undergoing CCRT.Case report: Mrs. Y, 37 years old, had been married for 10 years with a parity status of P2A1. She was currently a housewife in a middle-class family. The patient came for a routine check-up at the ICC Oncology Clinic of Dr. Sardjito General Hospital with a diagnosis of stage IIIB cervical cancer, scheduled for CCRT, and anemia. She has undergone chemotherapy twice and radiation therapy 10 times. Additionally, she had no history of hypertension, diabetes mellitus, or previous cancer.Outcomes: CCRT therapy had several physical and psychological impacts on the patient. These were including diarrhea, weight loss, oral problems, frequent fatigue, tingling in the hands and feet, the menstrual cycle alteration, bleeding, anxiety, and sexual relationships modification. Throughout the treatment process, the patient had received strong family support in the form of informational, emotional, instrumental, and appreciation support.Conclusion: Family support enhances self-confidence, provides motivation, and offers significant encouragement to patients. Therefore, family support plays a crucial role in the treatment of cervical cancer, especially for patients undergoing CCRT therapy.INTISARILatar belakang: Pasien kanker serviks yang mendapat terapi CCRT sering dilaporkan mengalami penurunan kualitas hidup yang berkaitan dengan keluhan fisik, penurunan kesejahteraan spiritual, dan kesehatan mental yang buruk. Dukungan keluarga memiliki peranan penting pada individu dengan penyakit tertentu, termasuk individu dengan kanker serviks.Tujuan: Mengetahui gambaran dukungan keluarga pada wanita yang menderita kanker serviks stadium IIIB dengan CCRT.Laporan kasus: Ny. Y, berusia 37 tahun, sudah menikah selama 10 tahun dengan status paritas P2A1. Pekerjaan pasien saat ini sebagai ibu rumah tangga dan pasien termasuk keluarga kelas menengah. Pasien datang untuk melakukan kontrol rutin di Poliklinik Onkologi ICC RSUP Dr. Sardjito dengan diagnosis kanker serviks stadium IIIB pro CCRT dengan anemia. Pasien sudah menjalani kemoterapi sebanyak dua kali dan radiasi sebanyak 10 kali. Selain itu, pasien tidak memiliki riwayat penyakit hipertensi, DM,  dan kanker sebelumnya.Hasil: Terapi CCRT memberikan beberapa dampak bagi pasien, baik secara psikis maupun psikologis. Dampak yang dialami pasien seperti diare, berat badan turun, masalah pada mulut, sering merasa lelah, kesemutan pada tangan dan kaki, perubahan siklus menstruasi, perdarahan, perasaan cemas dan perubahan dalam hubungan seksual. Selama menjalani pengobatan, dukungan keluarga yang didapatkan pasien baik dukungan informasional, penghargaan, instrumental maupun emosional sudah baik.Simpulan: Dukungan keluarga meningkatkan rasa percaya diri, memberikan motivasi dan semangat yang besar bagi pasien sehingga dukungan keluarga mempunyai peranan penting dalam proses pengobatan kanker serviks terutama pasien dengan terapi CCRT.
“MAMA” mobile application for pregnancy knowledge and anxiety: A quasi-experimental study Ningsih, Dini Cristia; Widyawati, Widyawati; Lismidiati, Wiwin
Journal of Community Empowerment for Health Vol 8, No 3 (2025)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.100153

Abstract

Introduction: Pregnancy is a critical phase in a woman’s life that induces a range of alterations, including physical, emotional, and social changes. Prenatal anxiety, often known as anxiety during pregnancy, is a prevalent psychological illness that frequently manifests throughout the gestation period. Knowledge is an indicator of anxiety levels throughout pregnancy. The objective of this study was to assess the impact of implementing the MAMA mobile application intervention on the level of awareness and anxiety related to pregnancy among pregnant women. Methods: This study employed a quasi-experimental design, which included a pretest and posttest, along with a control group that was not equivalent to the experimental group. This study followed a quantitative method and was conducted at two community health centres in the Sleman, Yogyakarta area for the control group and intervention group. We conducted the research from December 2019 to March 2020. The participants in this study were exclusively third-semester pregnant women who received care at community health centres and matched the specified research requirements. The sample size for each group consisted of 39 respondents. This study included a knowledge questionnaire to assess pregnancy knowledge and the HRSA questionnaire to assess pregnancy anxiety.Results: The research results indicate a significant impact on the knowledge variable in the intervention group before and after they received the MAMA mobile application (p=0.000). In addition, the intervention group experienced an influence on the anxiety variable before and after receiving the MAMA mobile application (p=0.018). Conclusion: The mean difference test comparing the control group to the MAMA mobile application group revealed a significant impact of the application on pregnant knowledge. However, we observed no significant effect on pregnancy anxiety.