Background One of the psychological benefits of breastfeeding for mothers and infants is to get the satisfaction of breastfeeding. Maternal breastfeeding satisfaction derives from the interaction and cooperation between mothers and their babies. This research aims to identify the maternal breastfeeding satisfaction and its influential factors. Methods This study applied a cross-sectional design. Two hundred four breastfeeding mothers after four until 8 months postpartum were recruited using cluster sampling methods. Respondents completed the questionnaire of Maternal Breastfeeding Evaluation Scale (MBES) to identify maternal breastfeeding satisfaction. Factors affecting maternal breastfeeding satisfaction were identified using the following instruments: Breastfeeding Knowledge Questionnaire was used to identify knowledge on lactation, Infant Feeding Attitude Scale (IIFAS) to identify attitude toward lactation, and the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) to identify breastfeeding self-efficacy. Result We identified that 53.4% of the breastfeeding mothers had a high level of satisfaction. The results indicate that the household income, type of delivery, and breastfeeding self-efficacy was associated with breastfeeding satisfaction ( p < 0.05). Breastfeeding self-efficacy is the most influential factors in maternal breastfeeding satisfaction (OR=16.64; CI 95% 7.65–35.94). Conclusion Breastfeeding satisfaction is the satisfying feeling obtained during breastfeeding resulting from cooperation between the mother and the infant to fullfil desires or needs. Education and promotion of breast milk and breastfeeding provided by professional healthcare providers encouraged the successful of breastfeeding programs. Assistance by a health care provider or breastfeeding counselor during the seven contacts breastfeeding initiated during pregnancy until after delivery should be applied so that the mother is informed about breastfeeding. Breastfeeding satisfaction can keep the mother from continuing to breastfeed her baby for up to 2 years or more.

Kesehatan reproduksi merupakan masalah penting bagi remaja. Karakteristik perubahan awal pada remaja salah satunya mengalami menstruasi, yang dapat menimbulkan dismenore. Dismenore dapat mengganggu aktivitas belajar serta secara tidak langsung juga dapat berdampak pada produktivitas dan kualitas hidup remaja. Tujuan penelitian untuk mengidentifikasi efektifitas paket pereda terhadap intensitas nyeri pada remaja dengan dismenore. Penelitian ini merupakan penelitian quasi eksperimental, dengan posttest only with control group design. Total sampel adalah 64 responden. Hasil penelitian paket pereda efektif dalam menurunkan intensitas nyeri pada remaja dengan dismenore setelah dikontrol oleh kecemasan dan keletihan (OR= 14,339). Paket pereda disarankan untuk digunakan remaja dan sebagai bagian dari intervensi keperawatan untuk mengatasi dismenore.

Background Gynecological cancer inpatients and outpatients may have distinct supportive nursing care needs. This study aimed to compare the supportive care needs between these two patient cohorts. Methods This cross-sectional comparison analytic study aimed to identify the differences between the supportive nursing care needs of the gynecological cancer inpatients and outpatients. Data were collected from 200 participants who were recruited through consecutive sampling method. Results The results showed that gynecological cancer inpatients needed more supportive nursing care than the outpatients. The most reported supportive nursing care needs of the inpatients were in the domains of physical (80%) and the psychological (84%). Whilst, the outpatients needed more health information support (78%). There was a significant difference between the supportive nursing care needs of gynecological cancer inpatients and outpatients ( p value = 0.001). Supportive nursing care needs of the inpatients were 44 times higher compared to those of the outpatients. Conclusions The gynecological cancer inpatients and outpatients need supportive nursing care differently. Therefore, nurses should assess supportive care needs of their patients early during the care in each setting so that the intervention could be tailored to the patient’s individual needs. Our study findings can help nurses navigate the supportive care needs for gynecological cancer patients receiving inpatient and outpatient care.

Background: Fear of cancer recurrence is a long-term psychological problem of the cancer survivors regardless of the type of cancer. A growing number of studies had addressed fear of cancer recurrence, yet they are largely focused on the breast cancer survivors of the western world countries. This study investigates the fear of cancer recurrence and its relations to social support in Indonesian gynecological cancer survivors. Methods: Gynecological cancer survivors (n = 153) in Samarinda, East Kalimantan, Indonesia completed Fear of Cancer Recurrence Inventory, Interpersonal Support Evaluation List, socio-demographic and clinically-related characteristics questionnaires. Pearson r correlation tests, t-tests, and ANOVAs were used to identify the relationships between variables, and linear regression to determine to what extent the social support may predict the survivors? fear of recurrence. Results: Indonesian gynecological cancer survivors with higher social support were more likely to experience lower levels of fear of cancer recurrence. Whereas, having a family history of cancer was an important predictor of fear of cancer recurrence levels. Conclusion: Social support plays an essential role in predicting fear of cancer recurrence among Indonesian gynecological cancer survivors.

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Sleep is one of the physiologic necessities of human life, the postpartum mother could experience changing of sleep pattern and loss of sleep duration in the evening. Factors that cause irregular sleep pattern and sleep deprivation of role adaptation and baby characteristic. This study aims to identify the correlation between Infant temperament and sleep quality of postpartum mother. This study was designed to cross-sectional with 168 respondents, the samples' inclusion criteria was 4-6 weeks postpartum mother, non-coffee consumer, non-alcoholic mother, did not smoke actively, healthy, literate, and mother of healthy baby/infant, who taken by consecutive sampling in work area of primary health care in Prambanan and Jogonalan, Klaten, Central Java, Indonesia. The instrument of this study was using Infant Characteristic Questionnaire (ICQ) and Pittsburg Sleep Quality Index (PSQI). Chi square test was used to analyze the data. The resulting study showed that the respondents have the average age of 27 years and had a vaginal delivery (79,8%). The respondents show that dominant had poor sleep quality (83,3%) and have a baby with non-difficult temperament (69,6%). The infant temperament and sleep quality postpartum mother were significantly correlation (p=0,007). Education of infant temperament should share in a prenatal mother. Further research can examine the effect of education on infant temperament for a mother to sleep quality of postpartum mother.

Despite the increasing complexity of the tasks and responsibilities in providing nursing care to patients, many Indonesian nurses may not possess adequate knowledge and skills to discuss sexuality with their patients. The purpose of this study is to explore the experience of Indonesian nurses in providing nursing care to patients regarding sexual problems. This research adopted a descriptive qualitative design to explore the experiences of Indonesian nurses in solving their patient’s sexual problems. Ten nurses working in a general hospital in Indonesia participated in this work. These nurses were interviewed extensively, and the data were transcribed and analyzed thematically. Four main themes were identified in this study: (1) Nurses believe that discussing a patient's sexual problems as part of their professional responsibility, (2) discomfort and embarrassments are barriers to providing adequate solutions to help resolve a patient's sexual problems, (3) nurses assume that most patients are not interested in discussing sexual problems because of illness, and (4) nurses do not have the confidence to discuss the patient's sexual problems. The findings of this study confirm that many nurses feel hesitant and uncomfortable when addressing patients' sexual problems. Thus, Indonesian nurses require more training related to providing nursing care to patients with sexual problems.  Abstrak “Saya Merasa Tidak Percaya Diri dan Tidak Nyaman dalam Mendiskusikan Masalah Seksual”: Analisis Tematik Pengalaman Perawat Indonesia Mendiskusikan Masalah Seksual Pasien. Terlepas dari meningkatnya kompleksitas tugas dan tanggung jawab dalam memberikan asuhan keperawatan kepada para pasien, banyak perawat Indonesia mungkin tidak memiliki pengetahuan dan keterampilan yang memadai untuk membahas seksualitas dengan pasien mereka. Tujuan dari penelitian ini adalah untuk mengeksplorasi pengalaman perawat Indonesia dalam memberikan asuhan keperawatan kepada pasien terkait masalah seksual. Penelitian ini mengadopsi desain deskriptif kualitatif untuk mengeksplorasi pengalaman perawat Indonesia dalam menyelesaikan masalah seksual pasien mereka. Sepuluh perawat yang bekerja di rumah sakit umum di Indonesia berpartisipasi dalam penelitian ini. Perawat diwawancarai, kemudian data ditranskripsi dan dianalisis secara tematis. Empat tema utama diidentifikasi dalam penelitian ini: (1) Perawat percaya bahwa mendiskusikan masalah seksual pasien adalah bagian dari tanggung jawab profesional mereka, (2) ketidaknyamanan dan rasa malu adalah hambatan untuk memberikan solusi yang memadai untuk membantu menyelesaikan masalah seksual pasien, (3) perawat menganggap bahwa sebagian besar pasien tidak berminat mendiskusikan masalah seksual karena penyakitnya, dan (4) perawat tidak memiliki percaya diri untuk mendiskusikan masalah seksual pasien. Temuan penelitian ini mengkonfirmasi bahwa banyak perawat merasa ragu dan tidak nyaman ketika menangani masalah seksual pasien. Oleh karena itu, perawat Indonesia membutuhkan lebih banyak pelatihan terkait memberikan asuhan keperawatan kepada pasien yang memiliki masalah seksual. Kata Kunci: deskriptif kualitatif, masalah seksual, perawat Indonesia, perawatan seksual

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