Background: A mother who does not breastfeed or unable to breastfeed has a high risk to get breast cancer. Breastfeeding quality in women is influenced by prolactin and oxytocin. The prolactin activates breastmilk production while oxytocin is an important factor in breast milk releasing. Currently, the result of 6-month exclusive breastfeeding program is still below the national target. Therefore, the procedures to assess breastfeeding potential by understanding the hormonal profile should be taken immediately after parturition period. Methods: The study was conducted to 32 first-day postpartum women in the Semarang City Hospital. The sampling method was a purposive sampling. The blood samples were taken 10 hours after postpartum period. The serum analysis used ELISA techniques to measure the oxytocin, prolactin and betaendorphin hormones. Results: The study showed that the breastfeeding mothers are in the age of 15-43 years old. Most of them are working-postpartum-mothers (71.9%). The average oxytocin levels of this sample group is 346 pg/ml, while the average prolactin level in of 245.36 ng/ml, and the average beta-endorphin level is 190.41. There is a correlation between the frequency of breastfeeding with prolactin level (p = 0.001). Moreover, there is also a correlation between breast-milk production with the prolactin (p = 0.005). Similarly, there is a correlation between beta-endorphin hormone with oxytocin (p = 0.000). Conclusion: Breast cancer risk can be reduced through breastfeeding at the age of less 35 years old. Every breastfeeding mother should regularly release breastmilk through breastfeeding as well as milking.
The number of cancer survivors increase in the last decade. The cancer patients' survival rate is 65.8 months and the five-year survival rate is 71.1%. The cancer survivors need information, services, and holistic treatment to have a high quality life. This study aimed to explore cancer survivor experiences of cervical cancer patients. This study used a hermeneutic phenomenological approach, involved five participants in the Central Java Province. The data were collected using semi-structured interview, documented into transcript form then analyzed using content analysis method. The study results revealed that there were five themes: healthy cancer survivor behavior in facing cervical cancer, using complementary or herbal treatment in cervical cancer survivor patient, coping in overcoming problem during cervical cancer treatment, family and health worker support to cervical cancer survivor, spiritual aspect among cervical cancer survivor. The results of this study conclude that the servix cancer survivors applied several self care methods. ABSTRAKKelangsungan hidup jangka panjang dari pasien kanker telah meningkat secara drastis selama beberapa dekade terakhir. Ketahanan hidup pasien kanker serviks rata-rata 65,8 bulan, dan tingkat kelangsungan hidup 5 tahun secara keseluruhan adalah 71,1%. Pasien kanker membutuhkan informasi, pelayanan, dan perawatan secara holistik agar dapat menjalani hidup yang berkualitas. Penelitian ini dirancang untuk mengeksplorasi pengalaman survivor cancer pada pasien kanker serviks. Penelitian ini menggunakan metode fenomenologi hermeneutik, melibatkan lima partisipan di Provinsi Jawa Tengah. Pengambilan data dilakukan dengan wawancara semi terstruktur yang selanjutnya dilakukan transkipsi data. Analisa data menggunakan content analysis. Pada penelitian ini didapatkan lima tema, yaitu perilaku hidup sehat survivor cancer dalam menghadapi kanker serviks, pengobatan komplementer atau herbal yang dijalani survivor cancer pada pasien kanker serviks, koping survivor cancer dalam mengatasi masalah selama pengobatan kanker serviks, dukungan keluarga dan tenaga kesehatan kepada survivor cancer pada pasien kanker serviks, aspek spiritual survivor cancer pada pasien kanker serviks. Hasil penelitian ini menunjukkan bahwa para survivor cancer pada pasien kanker serviks menerapkan berbagai metode perawatan diri. Kata kunci: Pengalaman, survivor cancer, pasien kanker serviks
Approximately 38-63% of primiparous postpartum mothers experience lactation insufficiency, which has an impact on not breastfeeding their babies. The purpose of this study was to determine the characteristics and factors associated with postpartum mothers' milk production at the Public Health Center of Semarang City. This type of research is observational and cross-sectional design. The population of all postpartum women in Semarang City in October 2021, was taken by cluster random sampling at 8 selected health centers and a sample of 124 postpartum women. Methods of collecting data were questionnaires and data analysis with chi-square. The results of the research are the characteristics of mothers with an average age of 28 years, 56.5% of secondary education, 40% of primiparous parity, 59% of normal BMI, 92.7% of normal LILA, average age of the baby was 7 days, 82.3% of moderate anxiety level, 99.2% off good staff support, 58.9% of good surveillance worker support, 91.1% of good family support, 82.3% of more calorie intake of 2200 kcal, 62.1% of 1600 ml more fluid intake. There was a relationship between anxiety, family support, health volunteer support, calorie and fluid intake with breast milk production (p-value <0.05). There was no relationship between the support of health workers with postpartum mothers' milk production (p = 0.166). Mother’s psychological condition while breastfeeding, support from family, and health insurance are important things in increasing breast milk production as a continuation of breastfeeding and exclusive breastfeeding. In addition, calorie and fluid intake need to be considered to maintain the adequacy of mother's milk.
Patients with chronic kidney disease should take regular hemodialysis therapy. The main cause of the deterioration of the psychosocial state of the patients undergoing hemodialysis is the failure to adapt to the current state of illness. Objective of this study is to investigate the effect of self-management (education and SEFT therapy) towards psychosocial adjustment in patients with chronic kidney disease undergoing hemodialysis. The method used is quasi experiment with pre-test and post-test control group design. This study used purposive sampling with 32 patients with chronic kidney disease. The treatment provided is self-management with education and SEFT therapy in respondent at the hospital. The data collection used is questionnaire Pasychosocial Adjustment to Illness Scale (PAIS). Result of research showed that the ability of psychosocial adjustment patients on pre-test (x) PAIS: 103,12 and post test (x) PAIS: 141,81. Based on the results of wilcoxon test obtained p value 0,000, the hypothesis of this study is accepted. The ability of psychosocial adjustment of patients increases after participating educational treatment and SEFT therapy. The engagement between patient, family and nurse can improve the patient's psychosocial adjustment as respond the changes in health status.
Background: Assessment of the needs of palliative care is the first step to know about the picture quality of life and determine interventions to solve problems experienced by patients with chronic conditions and terminal. One of the instruments that can be used is the PROBLEMS AND NEEDS IN PALLIATIVE CARE INSTRUMENT - SHORT VERSION (PNPC-sv). Instrument PNPC-sv examines the 8 dimensions of activity and excersice, physical symptoms, autonomy, psychological, spiritual, financial, and information needs. Methods: This research uses qualitative method with case study approach. Data collection was conducted by means of questionnaires filled in the assessment of the needs of palliative care (PNPC-SV), then performed in-depth interviews in accordance with the results of the assessment and observation on the 6 participants in the space of oncology in one of hospital in Semarang. Result: The theme results of this research are: (1) Self-acceptance as well as support to the family of the condition of the patient, (2) Influence the patient's psychological to the social environment, (3) the right education to improve the quality of life and (4) The basic components assessment of the needs palliative care should be assessed by the nurse. Conclusion: The assessment which done in a holistic manner can help the nurse to provide nursing care in accordance with the needs of the patient to face the condition of the disease. The needs of the patient in physical, psychological, social and spiritual is very necessary to maintain the balance of her consistency and integrity in the ability to remain accepted, loved and appreciated by others. Keywords: The need for palliative care, PNPC-SV, cancer patients.
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