BackgroundWith an estimated 13,000 newly diagnosed patients per year, nasopharyngeal carcinoma (NPC) is one of the most common types of cancer in males in Indonesia. Moreover, most patients are diagnosed at an advanced stage of the disease. This study aimed to explore the health behaviors of patients diagnosed with NPC and the possible causes of patient delay in NPC diagnosis.MethodsA qualitative research method was used to gain better insight into patient behaviors. Twelve patients were interviewed using semi-structured interview guidelines. All interviews were recorded, transcribed verbatim and analyzed according to a standard content analysis framework.ResultsMost patients had limited knowledge regarding NPC and its causes. Fifty percent of the patients had a delay of six months from the onset of symptoms to diagnosis. The main reason for this delay was the lack of awareness among the patients, which was influenced by their environment, economic status, family, culture, and religion. The perceived barriers to seeking medical help included direct non-medical costs not covered by health insurance, complex and time-consuming insurance and referral systems, and negative experiences in the past. Health insurance did motivate people to seek medical help.ConclusionThis study provides additional insight into patients’ motivations to delay seeking medical help and can facilitate the design of NPC education programs. To improve awareness of the abovementioned causes for delay, community-based education programs are highly warranted and should focus on the recognition of NPC symptoms and possible solutions to overcome the main barriers at an earlier disease stage.
Latar Belakang: Perilaku bullying yang dilakukan oleh remaja di Indonesia masih menjadisalah satu masalah yang belum teratasi. Tingginya angka kejadian bullying pada remaja memberikan dampak negatif bagi remaja seperti gangguan konsentrasi belajar, penurunan prestasi akademik, harga diri rendah, depresi, bahkan sampai keinginan remaja untuk bunuh diri.Tujuan Penelitian: Penelitian ini bertujuan untuk mengidentifikasi perilaku bullying pada remaja di Yogyakarta.Metodologi: Penelitianan ini menggunakan metode kualitatif pendekatan fenomenologi. Pengambilan data dilakukan dengan wawancara mendalam dan observasi. Partisipan dalam penelitian berjumalah 14 orang yang terdiri dari orang tua, remaja, dan guru yang ditentukan dengan purposive sampling. Keabsahan data dilakukan menggunakan triangulasi metode, sumber, dan peer debriefing. Analisis data menggunakan open code 4.02.Hasil: Hasil penelitian menunjukkan ada beberapa jenis bullying yang dilakukan remaja di Yogyakarta diantaranya bullying verbal seperti mengejek dan memberikan julukan tidak baik kepada teman. Bullying fisik seperti memukul, menendang, menjambak dan mencubit, kemudian ada juga bullying relasional seperti mengucilkan, mengintimidasi, dan mempermalukan teman di sekolah, serta cyberbullying seperti berkomentar kasar pada media sosial, mengupload foto, dan mengupdate instastory. Perilaku bullying pada remaja tersebut dipengaruhi oleh beberapa faktor seperti ajakan teman, keadaan lingkungan di sekitar remaja, riwayat bullying, pengaruh media elektronik dan karakter sasaran serta pelaku bullying.Kesimpulan: Perilaku bullying pada remaja memberikan dampak negatif baik pada pelaku maupun korbannya sehingga membutuhkan perhatian lebih baik bagi pemerintah, sekolah maupun orang tua. Dalam penelitian ini menemukan berbagai faktor yang mempengaruhi perilaku bullying pada remaja, namun belum bisa mengetahui faktor apa yang paling dominan sehingga diperlukan penelitian dengan menggunakan metode lain untuk mengindentifikasi hal tersebut.Kata Kunci: Perilaku Bullying, Remaja, Yogyakarta
BACKGROUND: Increasing the incidence of nasopharyngeal cancer causes an increase mortality in sufferers. Family support is an important aspect of the treatment of patients that very helpful to strengthen psychologically and make patients more enthusiastic about undergoing treatment. Patients who have high enthusiasm will improve their quality of life so that family support is needed in treating patients. AIM: This study aims to explore family experiences in providing support in the care of nasopharyngeal cancer patients in Yogyakarta. METHODS: This research uses qualitative method with phenomenological approach. Data collected through in-depth interviews. Informants in this study amounted to 12 people consisting of patients and families determined by purposive sampling. This research was conducted in Sleman Regency from January to April 2019. Data validity uses source triangulation, member checking, and peer debriefing. Analysis of the data in this study using the help of OpenCode 4.02 software. RESULTS: The results showed that the treatment of patients with nasopharyngeal cancer was influenced by several factors, namely, family perceptions in caring for patients, family knowledge about the disease, and family information sources. These factors will affect the family process in providing care to patients including family support, family communication, and medication that have been undertaken. Family support is provided in the care of nasopharyngeal cancer patients in the form of emotional, informational, instrumental, appreciation, and spiritual support. In addition, in carrying out patient care, there are several obstacles, namely, transportation, administrative, and financial obstacles. CONCLUSION: The family is expected to always provide support to patients in the form of emotional support, informational, instrumental, and appreciation as well as spiritual support for the success of treatment of the patient.
INTISARIInsomnia merupakan salah satu gangguan tidur yang dapat disebabkan oleh stres, masalah sekolah maupun pekerjaan, kesehatan, merokok, ataupun efek samping dari pengobatan. Insomnia berdampak pada kualitas hidup seseorang seperti penurunan konsentrasi. Berdasarkan Statistic by Country for Insomnia terdapat 10% kejadian insomnia yang ada di Indonesia. Penelitian ini bertujuan untuk mengetahui hubungan antara derajat insomnia dengan konsentrasi belajar pada mahasiswa keperawatan di Yogyakarta. Penelitian ini merupakan penelitian kuantitatif menggunakan rancangan korelasional dengan pendekatan cross sectional. Sampel dalam penelitian ini sebanyak 91 responden yang dipilih menggunakan teknik proportional stratified random sampling pada semua mahasiswa keperawatan di salah satu Program Studi Ilmu Keperawatan swasta di Yogyakarta. . Pengambilan data dilakukan dengan kuesioner Insomnia Rating Scale dan kuesioner konsentrasi belajar yang telah diuji validitas dan reliabilitas. Analisis data menggunakan uji statistik Spearman Rank.Hasil penelitian menunjukkan 57,1% mahasiswa mengalami insomnia kategori ringan dan 73,6% mahasiswa memiliki tingkat konsentrasi belajar kategori cukup. Analisa dengan Spearman Rank diperoleh p value 0,013 (<0,05) yang berarti bahwa terdapat hubungan antara derajat insomnia dengan konsentrasi belajar mahasiswa keperawatan di Yogyakarta. Berdasarkan hasil penelitian dapat disarankan bagi peneliti selanjutnya untuk menggali lebih dalam tentang faktor-faktor yang mempengaruhi derajat insomnia dan konsentrasi belajar pada mahasiswa sehingga konsentrasi belajar tidak terganggu. Kata kunci: derajat insomnia, konsentrasi belajar, mahasiswa keperawatan ABSTRACT Insomnia is one of the sleep problem that caused by stress, school or job problem, health problem, smooking, and also side effects from medication.
IntroductionNasopharyngeal cancer ranks first among head and neck cancer. About 60-95% of nasopharyngeal cancer patients seek for treatment at advanced stage. Attitudes and behavior of cancer patients in choosing healthcare is affected by the level of socio-economic and cultural backgrounds. Surgery and treatment costs are also the reasons patients to late seek treatment. This study aims to explore what contributes the treatment seeking behavior of nasopharyngeal cancer patients. It conducted in the Yogyakarta, Indonesia.MethodsAs many as 20 patients were interviewed using questionnaire. All interviews were done using Opencode 3.6. To ensure the data validity, triangulation approach, peer debriefing and thick description were done.Resultsit showed that there are five factors that affect the patients in seeking treatment: disease perception, medical services perception, medical expenses, external support and assessment of treatment process.ConclusionThis study may help to design health education programs to raise public awareness of nasopharyngeal cancer.
Background: Phenomena of bullying for adolescents in Indonesia require a serious concern from the government, schools and parents. A high number of bullying incidents on adolescents can have negative impact physically and psychologically for actors and victims. Adolescent responses on bullying can be indicated as self-defence of a victim when being bullied.Objective: This research aimed to identify adolescent responses on bullying and its impacts for the adolescents in Yogyakarta. Methods: This study used a qualitative method of phenomenology. Data in this study were collected through observation and in-depth interviews. Participants included in this study were 14 people who consists of parents, adolescents, and teachers, and they were determined by purposive sampling. Validating of the data was conducted by using methodological triangulation, data triangulation and peer debriefing. Thematic data analysis was conducted by using the open code software 4.02. Results: This study found that the responses of adolescents to the bullying included resistance, avoidance, silence, and fear. Then impacts of the bullying could make the victims have avoidant personality disorder or shift them as actors. For actors, they would feared by his friend at school and get punishment from the school. Conclusion: Prevention of bullying of adolescents is urgently needed to overcome the impacts for the adolescents. The results of this study could be used as basic data to deal with bullying of the adolescents.
Adolescents have a distinctive characteristic of great curiosity to take risks without careful consideration. This makes teenagers enter susceptible to perform behaviors such as pre-marital sexual behavior which bring many negative effects, physically, psychologically, and socially. Therefore, it is required the availability of reproductive health services that are friendly and appealing to teenagers, such as a playful education by using the ladder snake games, so that the respondents catch much information is submitted. This study was tried to determine the effect of health education with the ladder snake games to students’ knowledge level about adolescent reproductive health. This quasi-experimental study used pre-posttest design with control group. The sample used was 116 students in the secondary school, selected through the total sampling method. Instruments in this study used questionnaires that its validity and reliability had been tested. As well as ladder snakes measuring 2x2 meters. Data were analyzed by nonparametric Statistic test. Wilcoxon test showed a significance value of 0.000 (p 0.05) which means there are significant differences in the intervention group before and after health education with snake ladder. This research concluded that there was ladders snake game influence to the students’ knowledge about adolescent reproductive health.
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