Background: Neoadjuvant chemotherapy is the first step in breast cancer treatment. However, the medical procedure causes stressors on the self-concept of patients, especially low self-esteem, due to the decrease in the function of their limbs. This research aims to investigate the correlation between family social support and the self-esteem of breast cancer patients undergoing neoadjuvant chemotherapy. It was conducted using a cross-sectional approach.Design and Methods: A sample of 56 people was selected by a simple random sampling technique, using a family social support questionnaire and the Rosenberg Self Esteem Scale.Results: Based on the Spearman Rho statistical test, it was found that the value of p was 0.000 with a correlation coefficient value of 0.762. This indicated that there was a strong positive correlation between family social support and patient self-esteem.Conclusions: Families are the closest systems to patients that play an important role as a coping strategy and in disease management. Therefore, it is suggested that family community groups should be developed among families that have breast cancer patients through social networking.

Background: Giving spinal anaesthesia is an effort to relieve pain to create optimal conditions for surgery operation consciously. A shivering event frequently follows the phenomenon of the long duration of the operation.  Purpose: The study aimed to determine the relationship between operation duration and shivering in post spinal anaesthesia patients. Methods: The study design is a quantitative study and uses a cross-sectional approach. Sampling used a systematic sampling technique on the population of patients undergoing surgery under spinal anaesthesia. The instrument used Croessley and Mahajan’s observation sheet. This study uses Spearman rank rho as the statistical test with a significant value of p=0.05.  Results: The study showed almost respondents, as many as 86.15 respondents (56 patients) experienced shivering. Based on the Spearman statistical test, the p-value is 0.046. Conclusions: It can be concluded that there was a relationship between operation duration and incidence of shivering. Therefore, to reduce the occurrence of shivering, it is necessary to take measures such as giving warm blankets, warm fluids, and tools to maintain body temperature (force air warming).

Background: Uncontrolled cancer conditions will cause several impacts, both physiological impacts, as well as psychological impacts such as maladaptive self-concepts. Objective: To determine the relationship between family support and self-concept in post-mastectomy patients. Methods: The variables measured in this study were family support and self-concept. The sample was taken using a purposive sampling technique, namely selecting existing respondents with inclusion and exclusion criteria. In this study, the researcher used an observational analytic research design with a cross sectional approach with a sample of 30 respondents. The measuring instrument used was a questionnaire that was measured using a questionnaire that had been compiled and validated by Nurwulan for family support, while the self-concept questionnaire was adapted from Hartoyo’s theory. Test data analysis using Spearman Rho with ?=0.05.  Results: The results showed that most of the patients received high family support as many as 17 people (56.7%). On family support, most of the respondents have a high self-concept as many as 21 people (70%). The results also show that there is a relationship between family support and the patient’s self-concept. with a p-value=0.001 (p<0.05) and r=0.57. Conclusions: Based on the results of this study, it is recommended from nurses in the treatment room, to improve the quality of service and provide support to patients.

Pendokumentasian pengkajian keperawatan menjadi tanggung jawab dan tanggunggugat tindakan keperawatan yang telah dilakukan. Dalam pelaksanaannya perawat belummelakukan sesuai standar. Salah satu factor yang diyakini mampu mempengaruhipembuatan dokumentasi yang baik adalah motivasi perawat. Tujuan penelitian ini untukmengetahui hubungan antara motivasi perawat dengan kelengkapan dokumentasipengkajian keperawatan di Instalasi rawat inap RS Baptis Batu. Metode :deskriptifkorelasi dengan pendekatan Cross sectional. Populasi :seluruh perawat pelaksanayangberstatus aktif di Instalasi Rawat Inap RS Baptis Batu. Pengambilan sampel :tehnik totalsampling berjumlah 46 responden. Analisis data yang digunakan adalah uji SpearmanRank. Hasil Uji Statistik didapatkan nilai p Value = 0,001 (<0,005) sehingga dapatdisimpulkan terdapat hubungan antara motivasi perawat dengan kelengkapandokumentasi pengkajian keperawatan dengan koefisien korelasi sebesar 0,818 sehinggadinyatakan keeratan hubungan yang sangat kuat . Motivasi perawat sebagian besar adalahrendah dengan jumlah 27 responden (58,7%), dan untuk kelengkapan dokumentasipengkajian keperawatan sebagian besar juga rendah dengan jumlah 27 dokumentasi(58,7%), Hal ini dikarenakan belum terpenuhinya kebutuhan dasar perawat sebagaipekerja dan juga dikarenakan format pengkajian yang terlalu rumit. Kesimpulan :menunjukkan ada hubungan antara motivasi perawat dengan kelengkapan dokumentasipengkajian keperawatan di Instalasi Rawat Inap RS Baptis Batu. Hasil penelitian inimerekomendasikan kepada pimpinan RS Baptis Batu untuk meningkatkan motivasiperawat dengan memberi kesempatan bagi perawat untuk mendapat pendidikanberkelanjutan, dan latihan serta pertimbangan pemberian insentif tambahan untukpelaksanaan pendokumentasian, serta melengkapi sarana dan prasarana yang mendukungperawat dalam pelaksanaan kegiatan pendokumentasian.

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