Rissaadah, Siti
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Levels of hope among children under 18 years old with acute lymphoblastic leukemia undergoing chemotherapy: A descriptive study Alya, Fania Putri; Ulfah, Diana; Lusiani, Eli; Deniati, Kiki; Febriyona, Rona; Sugiharto, Firman; Rissaadah, Siti
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 8 (2025): November Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i8.1812

Abstract

Background: Hope is an essential psychological resource that enables children with cancer to cope with the stress and uncertainty of long-term treatment. However, research focusing on the level of hope among children with Acute Lymphoblastic Leukemia (ALL) in Indonesia or Southeast Asia remains limited, as most studies have centered on adults or on depression and anxiety rather than hope. Understanding hope among pediatric cancer patients is crucial for developing psychosocial interventions that enhance emotional resilience and treatment adherence. Purpose: to describe the levels of hope among children under 18 years old with ALL who were undergoing chemotherapy. Method: This was a quantitative descriptive study involving 66 respondents selected through convenience sampling. Data were collected using the Children’s Hope Scale (CHS), consisting of six items that assess agency and pathway thinking. Ethical approval and parental consent were obtained prior to data collection. Descriptive statistics were applied to analyze respondents’ demographic characteristics and hope scores. Result: The findings showed that most respondents were aged 8–12 years (56.1%), male (59.1%), and diagnosed with high-risk ALL (89.4%). More than half (54.5%) demonstrated a high level of hope, while 45.5% had a low level of hope. Younger children exhibited higher hope levels compared to adolescents. The mean hope score was 22.9 ± 3.95, with a median of 23 and a score range of 16–32, indicating a moderate to high overall level of hope. Conclusion: Most children with ALL in this study maintained a moderate to high level of hope during chemotherapy. These results emphasize the importance of assessing hope as part of psychosocial care. Strengthening hope through supportive communication and family-centered interventions can enhance children’s PWB and promote better adherence throughout the treatment process.
Kualitas hidup pasien diabetes melitus dengan tuberkulosis: Literatur review Rissaadah, Siti; Sulastini, Sulastini; Widadi, Sri Yekti; Setiowati, Rahayu; Sriwahyuni, Sriwahyuni; Sugiharto, Firman; Alia, Fania Putri
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 7 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i7.1936

Abstract

Abstract   Background: Diabetes mellitus (DM) is a chronic disease with a steadily increasing prevalence globally. DM is often associated with a decreased quality of life, especially if comorbidities such as tuberculosis (TB) occur. Uncontrolled hyperglycemia in diabetes can suppress the immune system, increasing the risk of TB infection. Purpose: To evaluate the quality of life of DM patients with TB based on physical, psychological, and social domains through a narrative review approach. Method: Articles used in this study were identified through the PubMed, Scopus, and EBSCHO databases. The literature search used the keywords "Diabetes Mellitus," "Type 2 Diabetes Mellitus," "Tuberculosis," and "Quality of Life." A total of 367 articles were found, of which 7 met the inclusion criteria and eligibility criteria using the Joanna Briggs Institute (JBI). Data analysis was conducted thematically based on quality of life domains. Results: Patients with DM with TB (DM-TB) have a poorer quality of life, with significant declines in the physical domain due to poor diabetes management. Depression is a major factor in the decline in psychological quality of life. While social aspects tend not to be directly affected but can be influenced by socioeconomic status. Conclusion: A holistic and multidisciplinary approach in the management of DM-TB patients is crucial for improving their quality of life.   Keywords: Diabetes Mellitus; Quality of Life; Tuberculosis.   Pendahuluan: Diabetes melitus (DM) merupakan penyakit kronis dengan angka prevalensinya terus meningkat secara global. DM seringkali dikaitkan dengan penurunan kualitas hidup, terutama jika terjadi komorbiditas seperti tuberkulosis (TB). Hiperglikemia yang tidak terkontrol pada penderita diabetes dapat menekan imunitas tubuh, sehingga meningkatkan resiko infeksi TB. Tujuan: Untuk mengevaluasi kualitas hidup pasien DM dengan TB berdasarkan domain fisik, psikologis, dan sosial melalui pendekatan narrative review. Metode: Artikel yang digunakan dalam penelitian ini diidentifikasi melalui database PubMed, Scopus, dan EBSCHO. Pencarian literatur menggunakan kata kunci “Diabetes Mellitus”, “Type 2 Diabetes Mellitus”, “Tuberculosis”, dan “Quality of Life”. Sebanyak 367 artikel yang ditemukan, 7 artikel diantaranya memenuhi kriteria inklusi dan memenuhi kriteria eligibility menggunakan Joanna Briggs Institute (JBI). Analisis data dilakukan secara tematik berdasarkan domain kualitas hidup. Hasil: Pasien DM dengan TB (DM-TB) memiliki kualitas hidup yang lebih buruk dengan penurunan yang signifikan pada domain fisik yang diakibatkan pengelolaan diabetes yang buruk serta depresi yang menjadi faktor utama dalam penurunan kualitas hidup pada domain psikologis, sementara aspek sosial cenderung tidak terpengaruh secara langsung tetapi dapat dipengaruhi oleh status sosial sosial. Simpulan: Pentingnya pendekatan holistik dan multidisipliner dalam pengelolaan pasien DM-TB untuk meningkatkan kualitas hidup pasien.   Kata Kunci: Diabetes Melitus; Kualitas Hidup; Tuberkulosis.