Background: There have been various studies into the family caregivers’ experiences in taking care of advanced-cancer patients. But, a study exploring the burden among family caregivers has not yet been conducted in Indonesia, a country which has strong family bonds among family members.Objective: This present study aimed to identify the burden among family caregivers of advanced cancer patients.Methods: This study was a cross-sectional study conducted from December 2016 to February 2017 on 178 consenting family caregivers and advanced cancer patients, selected using a purposive sampling technique. The Caregiver Reaction Assessment (CRA) was used to measure their burden. Data were analyzed using descriptive analyzes and bivariate analyzes.Results: The burden among family caregivers was 2.38 ± 0.38 (mean range 1-5). The highest burden was in the disrupted schedule domain.Conclusion: Our findings identified that the burden among family caregivers was at the medium level. The length of care per day and family support are potential targets for preventative intervention strategies to reduce the burden among the family caregivers.

Background: Spiritual is one of the significant aspects in the concept of comprehensive nursing care. The broad variation of spiritual well-being and the limited number of research on spiritual well-being of patients with chronic kidney failure undergoing hemodialysis become the background of this research.Objective: To identify the spiritual well-being of patients undergoing hemodialysis.Method: The study used descriptive-analytic design. The sample was using purposive sampling technique with 62 patients with chronic kidney failure undergoing hemodialysis at RSUD Panembahan Senopati Bantul. Data was compiled through the valid and reliable Spiritual Well-Being Scale (SWBS) questionnaire. Data analysis consisted of univariate and bivariate (One-way ANNOVA and Unpaired T-test).Result: The measured respondents’ spiritual well-being was reached score of 91,58+10,47 within the range of 20-120. Based on the respondents’ characteristics, there is no difference of spiritual well-being based on age (p=0,691), gender (p=0,355), marital status (p=0,107), employment status (p=0,141), level education (p=0,141) and length of time of hemodialysis (p=0,300).Conclusion: The spiritual well-being of patients with chronic kidney failure undergoing hemodialysis at RSUD Panembahan Senopati Bantul was at the moderate level. There was not any significant difference of spiritual well-being based on respondents’ characteristics. Efforts to help patients obtain spiritual well-being through therapeutic communication, empathy, and facilitating patients to express spirituality are necessary. ABSTRAKLatar belakang: Spiritual merupakan salah satu aspek penting dalam konsep pelayanan keperawatan yang komprehensif. Beragamnya kesejahteraan spiritual dan sedikitnya penelitian mengenai gambaran kesejahteraan spiritual pasien Gagal Ginjal Kronis (GGK) yang menjalani hemodialisis mendorong penelitian ini untuk dilakukan.Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran kesejahteraan spiritual pasien GGK yang menjalani hemodialisis.Metode: Desain penelitian yang digunakan yaitu deskriptif-analitik. Teknik pengambilan sampel menggunakan purposive sampling dengan besar sampel 62 pasien GGK yang menjalani hemodialisis di RSUD Panembahan Senopati Bantul. Pengumpulan data menggunakan kuesioner Spiritual Well-Being Scale (SWBS) yang telah valid dan reliabel. Analisis data terdiri atas univariat dan bivariat (uji One-way ANNOVA dan uji t tidak berpasangan).Hasil: Kesejahteraan spiritual responden bernilai 91,58±10,47 dalam rentang skor 20-120. Berdasarkan karakteristik reponden, tidak ada perbedaan kesejahteraan spiritual berdasarkan usia (p=0,691), jenis kelamin (p=0,355), status pernikahan (p=0,107),  status pekerjaan (p=0,141), tingkat pendidikan  (p=0,549), dan lama hemodialisis (p=0,300).Simpulan: Kesejahteraan spiritual pasien GGK yang menjalani hemodialisis di RSUD Panembahan Senopati Bantul pada tingkat sedang. Tidak ada perbedaan bermakna kesejahteraaan spiritual berdasarkan karakteristik responden. Upaya untuk membantu pasien mencapai kesejahteraan spiritual yang tinggi melalui komunikasi terapeutik, empati, dan memfasilitasi pasien untuk mengekspresikan spiritual perlu dilakukan.

Background: Hypertension is a chronic disease which needs good self management. One of the factors influencing self-management behavior is social support. There are still limited number of studies which examine the correlation between social support and self-management behavior in patients with hypertension, especially focusing on certain behaviors such as the adherence on taking medicine, food intake, physical activities, smoking, maintaining the body weight, and avoiding alcohol consumption.Objective: To identify the correlation between social support and self-management behavior in patient with hypertension located in Puskesmas Pandak I Bantul.Methods: This research design used a descriptive correlative design with cross-sectional approach. The sample were 47 respondents who were selected using purposive sampling technique. The data collection used questionnaire of Chronic Illness Resources Survey (CIRS) and Hypertension Self-Care Activity Level Effects (H-SCALE) which were valid and reliable. The data was analysed using Pearson Corelation and Spearman Rank Test analysis to identify the relationship of social support to self management behavior in patients with hypertension.Results: The result showed that the social support had a significant correlation with self-management behavior in the food intake domain (r= 0,336; p= 0,021) and in the domain of body weight management (r= 0,392; p= 0,006). Meanwhile, the social support did not have a significant correlation with self-management behaviour in the domains of the adherence on taking medicine (p= 0,351), physical activity (p= 0,974), and smoking (p= 0,908).Conclusion: There is a significant correlation between social support and self-management behavior in the domains of food intake and body weight management. Nurses can provide health promotion related to self management as well as the increased of social support in patients with hypertension.Keywords: hypertension, self-management behavior, social support ABSTRAKLatar Belakang: Hipertensi merupakan penyakit kronik yang memerlukan manajemen diri yang baik. Salah satu faktor yang memengaruhi perilaku manajemen diri adalah adanya dukungan sosial. Namun, penelitian terkait hubungan dukungan sosial dengan perilaku manajemen diri pada pasien hipertensi dengan menggali aspek tiap domain seperti kepatuhan minum obat, asupan makanan, aktivitas fisik, merokok, menjaga berat badan, dan kepatuhan tidak mengkonsumsi alkohol, masih sangat terbatas.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan dukungan sosial dengan perilaku manajemen diri pada pasien hipertensi di Puskesmas Pandak I Bantul.Metode: Rancangan enelitian ini adalah deskriptif korelatif dengan pendekatan cross sectional. Sebanyak 47 responden dipilih dengan teknik purposive sampling. Pengumpulan data menggunakan kuesioner Chronic Illness Resources Survey (CIRS) dan Hypertension Self-Care Activity Level Effects (H-SCALE) yang telah valid dan reliabel. Analisis data Uji Pearson Correlation dan Spearman Rank digunakan untuk melihat hubungan dukungan sosial dengan perilaku manajemen diri pada pasien hipertensi.Hasil: Hasil penelitian menunjukkan bahwa dukungan sosial memiliki hubungan yang signifikan dengan perilaku manajemen diri pada domain asupan makanan (r= 0,336; p= 0,021) dan domain manajemen berat badan (r= 0,392; p= 0,006). Sementara dukungan sosial tidak memiliki hubungan yang signifikan dengan perilaku manajemen diri pada domain kepatuhan minum obat (p= 0,351), domain aktivitas fisik (p= 0,974), dan domain merokok (p= 0,908).Kesimpulan: Ada hubungan yang bermakna antara dukungan sosial dengan perilaku manajemen diri pada domain asupan makanan dan berat badan. Perawat dapat memberikan promosi kesehatan terkait management diri serta peningkatan dukungan sosial pada pasien hipertensi.Kata Kunci: dukungan sosial, hipertensi, perilaku manajemen diri

Background: Family caregivers spend 24 hours a day looking after and assisting patients. However, they are not always adequately prepared for all the problems they face. There is a lack of evidence exploring caregivers’ preparedness among family caregivers of patients with non-communicable diseases in Indonesia.Purpose: This study aimed to identify caregivers’ preparedness among family caregivers of patients with non-communicable diseases.Methods: This was a cross-sectional study conducted on 120 Indonesian family caregivers for patients with non-communicable diseases, who were selected using a purposive sampling technique. Data were collected using the Indonesian version of the Preparedness for Caregiving Scale (PCS) which had been validated before its use. The possible scores of this tool ranged from 0.00 to 4.00. The higher the score, the more prepared the family caregivers were. Data were analyzed using one way ANOVA .Results: Family caregivers reported feeling of moderately prepared for caregiving. The score of family caregiver preparedness for patients with diabetes, cancer, and chronic kidney disease were 2.97±0.42; 2.83±0.40; 2.89±0.49, respectively with possible range from 0.00 to 4.00. There were no differences on the caregivers’ preparedness among family caregivers of patients with non-communicable diseases (p=0.387).Conclusion: Caregivers’ preparedness is an essential element of patient care. Nurses have to be proactive in assessing each family caregiver’s preparedness to enhance the quality of life of both the family caregivers and the patients themselves, so that they can be empowered as a source of nursing care.

Background: Mastectomy and chemotherapy have side effects that can affect the body image of breast cancer patients. The Emotional Freedom Technique (EFT) is a complementary alternative medicine that has the power of tapping and suggestion that can correct physical and psychological problems in just minutes.Objective: The aim of this study was to determine the effect of EFT on the body image of breast cancer patients in one of hospital in Yogyakarta.Methods: This study used a pre-experimental design with one group pre-test and post-test designs. The sampling used purposive sampling technique with a sample size of 17 respondents. The body image was measured using a valid and reliable Body Image Scale (BIS). Data were analysed using the Wilcoxon test.Results: The body image of breast cancer patients before being given an EFT showed a median value of 8,00 (range of score from 0-30). Meanwhile, respondent’s body image after being given EFT showed a median value of 4,00 (range of score 0-30). Wilcoxon test results obtained a p-value of <0,001, which means that there was a significant effect of EFT on the body image of breast cancer patients.Conclusion: There is an effect of EFT on the body image of breast cancer patients. EFT therapy is a non-pharmacological alternative therapy that can be applied to improving negative body image in breast cancer patients.Keywords: body image, breast cancer, EFT ABSTRAKLatar Belakang: Pengobatan kanker payudara seperti mastektomi ataupun kemoterapi memiliki efek samping yang dapat memengaruhi gambaran diri pasien kanker payudara. Emotional Freedom Technique (EFT) merupakan pengobatan komplementer alternatif yang mempunyai kekuatan tapping dan sugesti yang bisa memperbaiki masalah fisik dan psikologis hanya dalam waktu hitungan menit.Tujuan: Untuk mengetahui pengaruh Emotional Freedom Technique (EFT) terhadap gambaran diri pasien kanker payudara di Yogyakarta.Metode: Penelitian ini menggunakan desain pre experiment dengan rancangan one group pretest and posttest. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah sampel sebanyak 17 responden. Gambaran diri diukur menggunakan Body Image Scale (BIS) yang telah valid dan reliabel. Analisis data menggunakan uji Wilcoxon.Hasil: Gambaran diri pasien kanker payudara sebelum diberikan EFT menunjukkan nilai median 8,00 (rentang skor 0-30). Sementara gambaran diri responden setelah diberikan EFT menunjukkan nilai median 4,00 (rentang skor 0-30). Hasil uji Wilcoxon diperoleh p-value <0,001.Kesimpulan: Terdapat pengaruh EFT terhadap gambaran diri pasien kanker payudara. Terapi EFT merupakan pengobatan alternatif non farmakologi yang dapat diterapkan dalam memperbaiki gambaran diri yang negatif pada pasien kanker payudara.Kata Kunci: EFT, gambaran diri, kanker payudara