Breast cancer becomes a frightening disease for women, it is not only physically painful but also causes psychological disorders. This study aimed to explore the psychological condition of breast cancer survivors after mastectomy and chemotherapy. This was a qualitative study with thematic analysis methods. Samples were 20 breast cancer survivors taken by purposive sampling technique based on inclusion criteria from three community health centers in Surabaya Indonesia. Ethical requirements are completed before data collection. Data collection using an in-depth interview technique and recorded by a voice recorder. Content analysis is used to process the data. This study found 2 main themes hopelessness and negative psychological well-being. On the first main theme, there was 4 sub-theme consist of worthlessness, purposeless in life, pessimistic, unhappy. While on the second main theme there were 6 sub-theme consist of worried, negative thought, irritable, negative relationship with others, denial, felt guilty. Breast cancer survivors after mastectomy and chemotherapy experience a variety of sufferings on the psychological condition and could not be able to see other good things in their life.
Menopausal period is the period of permanent cessation of menstruation due to reduced or lost ovarian activity. One of the effects of decline estrogen levels during menopause is atropic vulvovaginitis. Consumption of phytoestrogens can reduce menopausal symptoms. Phytoestrogen is found in vegetables and fruits such as tomatoes and red melon. The objective of this study was to compare the effectiveness of red melon juice and tomato on the increase of vaginal wall thickness in menopausal rats. This study revealed an alternative of phytoestrogen sources that is more effective to reduce menopausal symptoms, especially those related to vaginal atrophy to improve the quality of life of menopausal women. Subjects of this study were 27 ovariectomized Wistar strain Rattus norvegicus which were s divided into 3 groups randomly, one control group and two treatment groups with tomato juice and red melon juice at a dose of 330 mg/kgBW/day administered for 28 days. The variable of this study were the thickness of the vaginal wall which was precipitated by Hematoxiline Eosine. The highest vaginal wall thickness was found in the treatment group of red melon juice of 879.89 ± 70.52 µm and the lowest of the control group (K) of 643.3 ± 58.33 µm. The results of Anova test showed that there was a significant difference between control group and treatment groups, the tomato juice and red melon juice with a dose of 330 mg/kgBW/day, so it can be concluded that red melon juice with a dose of 330mg/Kg BW/day has the best effect in increasing the thickness of vaginal wall of menopausal rats as compared with tomato juice.
<p align="center"><strong> </strong></p><p><strong><em>Background:</em></strong><em> Cancer is perceived as a deadly disease for most people, it will affect the hope and psychological well-being of long-term cancer survivors. </em></p><p><strong><em>Objectives:</em></strong><em> This study aimed to explore changes in hope and psychological well-being after 5 years become breast cancer survivors. </em></p><p><strong><em>Methods:</em></strong><em> This was a qualitative study </em><em>with a phenomenological design. Samples were 23 breast cancer survivors in three health centers in Surabaya Indonesia taken by purposive sampling technique based on inclusion criteria. An in-depth interview was done when collecting the data. The interview was recorded with the permission of the participants. The data were inductively analyzed through conventional content analysis. </em></p><p><strong><em>Results:</em></strong><em> The participant has an age range of 41 – 70 years old, and most of them are no longer working since being diagnosed with cancer. This study found 4 themes consisting of the first theme was positive hope about cancer with 3 sub-themes:</em><em> h</em><em>ope to recover</em><em>, h</em><em>ope no recurrence occurs, and </em><em>h</em><em>ope to be healthier, the second theme was a good future with 3 sub-themes: long life, back to work, and optimism, the third theme was positive psychological well-being with 3 sub-themes: positive thinking, self-control ability, happy feeling, the last theme was a close relationship with God with 2 sub-themes: grateful and pray, repentance. </em></p><p><strong><em>Conclusions:</em></strong><em> Breast cancer survivors who have been diagnosed for more than 5 years and have completed cancer therapy had a positive hope to recover, are optimistic about the future and are closer to God, this encourages the achievement of positive psychological well-being</em><em>.</em></p>
Cancer modality therapy can minimize metastatic, but it causes decrease in body functions and interfere the daily needs fulfilled. This study was to identify symptoms and self-treatment due to radiotherapy and chemotherapy based on the different cancer stage. This was mixed method design with sequential explanatory approach. Samples were 30 cancer patients taken by purposive sampling at Indonesian Cancer Foundation East Java Branch Surabaya. The instrument was a questionnaire. Fatigue was the most symptoms complained by all patients. Pain, hair loss, constipation were dominated in cancer stage 4, nausea-vomiting, insomnia were dominated in cancer stage 3. The majority self-treatment of fatigue was yoga exercise. Pain and nausea-vomiting were treated by medication and relaxation. Insomnia was treated by mild massage. Constipation was treated by consuming the high fiber foods. Radiotherapy and chemotherapy affect the disturbance of metabolism that cause physical symptoms disorders. Self-treatment by the patient could reduce the symptoms effectively.
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