Kanker payudara merupakan salah satu jenis kanker terbanyak di Indonesia. Tingginya angka kejadian dan kematian oleh kanker payudara menunjukkan kanker payudara  membutuhkan perhatian dan penanganan serius. Penelitian mengungkapkan aktivitas fisik penyintas kanker payudara berkurang secara signifikan setelah diagnosis kanker payudara. Diagnosis kanker adalah ‘‘teachable moment’’ yang memungkinkan dengan edukasi dan dukungan yang tepat dapat membantu penyintas kanker payudara mempertahankan atau bahkan meningkatkan tingkat aktivitas mereka. Penelitian ini untuk mengidentifikasi pengaruh Supportive Educative Nursing Intervention (SENI) terhadap pengetahuan, sikap dan intensitas aktivitas fisik penyintas kanker payudara. Jenis penelitian ini adalah kuantitatif dengan desain quasi experiment. Rancangan yang digunakan adalah pre-test and post-test with control group (quasy experiment with control). Jumlah sampel sebanyak 61 orang yang terbagi menjadi dua kelompok yaitu kelompok intervensi (30 orang) dan kelompok kontrol (31 orang). Hasil analisis menunjukkan terdapat pengaruh signifikan SENI terhadap pengetahuan (p-value=0,000) dan sikap (p-value=0,000) penyintas kanker payudara tentang aktivitas fisik. SENI memberikan pengaruh signifikan terhadap pengetahuan dan sikap penyintas kanker payudara tentang aktivitas fisik. Rumah singgah dapat mengadakan program untuk meningkatkan aktivitas fisik penyintas seperti senam bersama yang disesuaikan dengan kondisi di rumah singgah. Dinas kesehatan kota Bandung perlu memfasilitasi pelatihan bagi pengelola rumah singgah dalam hal kesehatan olahraga sebagai upaya peningkatan sosialisasi kesehatan olahraga bagi penghuni rumah singgah. Kata kunci: Aktivitas fisik, kanker payudara, pengetahuan, sikap, supportive educative nursing intervention.

Prevalence of  cancer is estimated will increase in the next two decades. Therefore, there is a challenge for health provider to encounter treatment and caring for the patients. Especially, the cancer patients face several problems not only physical but also psychological, emotional, spiritual and social cultural aspects.This study explored the evidence-based practice on community-based palliative cancer care. Literature study is done by making a summary of published articles related to the question. The searching method used several electronic databases such as Google Scholar, Proquest, and PubMed. Articles under the keywords of “Palliative Cancer Care”, “Community”, and “Nursing” reach as much as 1.804. The inclusion criteria for this literature review were articles that have been peer-reviewed, are in full-text, in either English or Indonesian, and publication year from 2008 to 2018. Meanwhile, the exclusion criteria include those that do not follow a standardized structure of an article (consisting of Abstract, Introduction, Method, Result, Discussion, Implication, and Reference), are in the form of a review, and whose content does not answer research questions.Results: The United States of America is on the highest place regarding palliative care service, following by community-based palliative cancer implementation in Europe. Asian countries had been applying palliative care service, integrated with national health care system. In the Middle East countries, palliative care program ranks the lowest, but in implementation, they have discreetly performed community-based palliative care. In Africa, it is not the main focus in the field of health. Palliative care for cancer patients that is potential for development in Indonesia is that of family-based.Conclusion: Community-based palliative care is a variant of palliative treatment long applied and being developed in many countries in the world. In continents such as America and Europe, the implementation of palliative care ranks the highest place. In Indonesia, it is done partially and only available in hospitals or non-governmental organization. In the level of community, family-based palliative care can be developed by involving trained family members.

BACKGROUND: The high incidence of and death by breast cancer show that breast cancer requires serious treatment. Studies revealed that the physical activity of survivors of breast cancer significantly reduced after a diagnosis of breast cancer. OBJECTIVE: This study aimed to examine the effect of supportive–educative nursing intervention (SENI) on the knowledge, attitudes and behaviour of survivors of breast cancer towards the intensity of physical activity. METHODS: The study population included patients with breast cancer living in a palliative shelter of a referral hospital. Data were obtained from 61 respondents (intervention group, n = 30; control group, n = 31). The study used a pre-test and post-test design with a control group (quasi-experiment with control). RESULTS: SENI showed a significant effect on the knowledge (p = 0.000) and attitude (p = 0.000) of the participants towards physical activity. SENI did not demonstrate a significant effect on increasing the intensity of physical activity (p = 0.413). CONCLUSIONS: Descriptively, the intensity of physical activity showed a tendency to increase in the intervention group, but no significant effect was noted. Palliative shelters in community can hold programmes that may increase the physical activity of survivors.

Cancer survivors are at risk of decreasing health and psychosocial problems. Physical activity can reduce the risk of recurrence, death, and negative effects of cancer treatment. Severalstudies have investigated how the use of internet technology can increase the physical activity of survivors of cancer. The purpose of this review is to explore and identify the types of internet-based supportive education interventions to increase the physical activity of cancer survivors. We followed the methodology for scoping studies which consists of identifying the research question, locating relevant studies, selecting studies, charting the data, and collating, summarizing, and reporting the results. The search method used several electronic databases namely Google Scholar, Proquest, PubMed, and Scopus. Articles obtained from keywords: internet-based; supportive education; physical activity; cancer survivors. The inclusion criteria are: peer reviewed articles, publication year from 2008 to 2018 and has a minimal research design quasi experiment. Out of 5375 original articles identified in the literature search, 15 articles were analysed. Online support groups are the most frequently studied method of educational intervention, followed by interactive messages and webforums. Most studies showed improved results on intensity of physical activity. Online groups can improve the wellbeing of survivors of cancer by providing opportunities to engage in social networking, connect with others with similar cancer experiences, and obtain cancer related information. Based on the findings of this review. Supportive education through internet technology approaches can encourage increased physical activity and changes in health behavior of survivors of cancer. Future research should consider the potential role of social media in addressing the unmet needs of survivors of cancer and in particular the implications for clinical and public health practice