Introduction: Breast cancer occupies the first position in Asia's women cancer cases in recent years. Signs and symptoms experienced by the patient affect the stress condition of the patient as well as the family as a caregiver. The condition changes to deal with problems during patient assistance as a major problem in an outpatient setting. The demands of adaptation to through the needs during the period of assistance by the family is more complex. The study aimed to determine the experience of stress and adaptation of breast cancer patient's family. Methods: The qualitative method used with in-depth interviews on seven respondents who were the family caregiver of breast cancer patients. Setting carried out at the shelter house in Bandung. The analysis process used thematic analysis based on Braun & Clarke. Results: The results found five main themes are: 1) Stressor on breast cancer patients, 2) Crisis fulfillment of companion needs, 3) Crisis accompaniment, 4) Coping mechanisms of caregiver, and 5) Ability in adaptation. Conclusions: Family experience in assisting breast cancer patients who undergo outpatient also impact families tension who traversed with a subjective effort optimally to adapt in accompanying patients and the needs of other resource support system. Suggestions for future step are early recognition of stress by health workers especially nurses to be able to provide targeted interventions to develop positive adaptation to clients. The development through research is needed in applying family center care both the outpatient and inpatient care in an integrated manner.

Stunting merupakan masalah kesehatan utama yang dapat menghambat masa depan bangsa. Hal tersebut terindikasi dari tingginya prevalensi stunting serta dampak buruk yang ditimbulkan. Tujuan review ini adalah mengidentifikasi faktor-faktor pemberian nutrisi pada masa golden age yang menyebabkan kejadian stunting pada balita di negara berkembang termasuk Indonesia. Pencarian secara sistematik dari literature 2015-2020 menggunakan Google Scholar, Proquest, Pubmed, Taylor and Francis, Plos One. Kata kunci pencarian: pemberian nutrisi, masa golden age, balita, stunting, negara berkembang. Peneliti memperoleh 28 artikel final yang dianalisis sesuai kriteria. Hasil menggambarkan faktor penyebab kejadian stunting terjadi sejak kehamilan akibat kekurangan nutrisi pada masa tersebut, inisiasi menyusui dini kurang dari 1 jam kelahiran maupun tidak sama sekali, pemberian ASI terhenti

AbstrakRemaja putri merupakan kelompok rawan terjangkit infeksi saluran reproduksi, salah satunya disebabkan pola perilaku belum mendukung dalam perawatan diri saat menstruasi yang menyebabkan meningkatnya angka keputihan patologis. Pola perilaku seseorang dapat dipengaruhi oleh usia dan informasi. Pada pondok pesantren biasanya guru memberikan edukasi tentang kesehatan reproduksi sesuai dengan ajaran islam yang dirasakan lengkap untuk siswinya sehingga akan berpengaruh pada perilaku kesehatan reproduksi mereka. Tujuan penelitian ini untuk mengetahui hubungan sumber informasi dan usia siswi dengan perilaku perawatan diri saat menstruasi. Metode: Desain penelitian deskriptif korelasional. Teknik pengambilan sample total sampling dengan jumlah 100 siswi kelas VIII dan IX. Kegiatan: Penelitian dilakukan di Pondok Pesantren Al-Musaddadiyah Garut tahun 2016. Instrumen terdiri dari quisioner data sumber informasi dan usia, serta lembar ceklis perilaku perawatan diri saat menstruasi. Data dianalisis menggunakan analisis univariat dan bivariat. Hasil penelitian menunjukkan hampir setengahnya responden berusia 15 tahun (27%), seluruh responden (100%) mendapatkan informasi, hampir seluruh responden (82%) mendapatkan informasi dari ibu, dan hampir seluruh responden (87%) berperilaku tidak mendukung. Hasil uji korelasi menunjukkan bahwa hanya variabel usia yang memiliki nilai signifikan terhadap perilaku perawatan diri saat menstruasi (p = 0,033), sedangkan variabel sumber informasi tidak ada yang memiliki nilai yang signifikan seperti dari; ibu (p = 1,000), koran (p = 0,767), TV (p = 0,338), internet (p = 0,296), guru (p = 0,682), teman (p = 0,675), petugas kesehatan (p = 0,208), dan informasi lainnya (p = 0,780). Kesimpulan terdapat hubungan yang bermakna antara usia dengan perilaku perawatan diri saat menstruasi.Kata kunci: Perawatan diri saat menstruasi, siswi, sumber informasi. The Correlation between Information Source and Age of Adolscent Girls to Self Care Practices of Menstrual Hygiene Behavior AbstractYoung female are prone to contracting of reproductive tract infections, one of which is due to a behavioral pattern in self-care during menstruation that leads to increase of pathological vaginal discharge. A person's behavior patterns can be affected by age and information. In the boarding school, usually teachers provide education about reproductive health in accordance with Islamic teachings so that will affect the behavior of their reproductive health. The purpose of this study was to determine the relationship between the source of information and the age of female students with self-care behavior during menstruation. Method: Descriptive correlational research design was used in this study. Sampling technique was total sampling of 100 students of class VIII and IX. Activity: The research was conducted at Pondok Pesantren Al-Musaddadiyah Garut in 2016. The instrument consisted of information questionaire and data of age, as well as checklist of self-care behavior during menstruation. Data were analyzed using univ...

Kasus kekerasan seksual anak (KSA) di Indonesia meningkat setiap tahunnya. Orangtua berperan penting dalam pendidikan pencegahan KSA. Tujuan penelitian untuk memetakan intervensi bagi orang tua dalam mencegah KSA. Desain penelitian scoping review. Pencarian artikel menggunakan database terkomputerisasi, yaitu: CINAHL EBSCO, PubMed, Pyschoinfo, Google Scholar, Jurnal Unpad, dan pencarian secara manual dengan menggunakan kunci berbahasa Inggris dan Indonesia. Hasil artikel awal didapatkan berjumlah 15.507, kemudian dilakukan penyaringan berdasarkan kriteria inklusi serta dilakukan penilainan artikel sehingga menghasilkan 18 artikel yang memenuhi syarat. Hasil penelitian menunjukan ditemukan ada 6 bentuk intervensi pencegahan KSA yang dapat dilakukan orang tua, yaitu pemberian pendidikan kesehatan seksual pada orangtua, pemberian pendidikan bagi orang tua tentang pencegahan KSA, program pendidikan keluarga, pola asuh orang tua yang baik, optimalisasi peran orang tua, dan hubungan tingkat pendidikan dengan pengetahuan orang tua. Dengan demikian ada beberapa pencegahan KSA yang dapat dilakukan orang tua untuk melindungi anaknya dari KSA.

ABSTRAKTidur berkualitas dibutuhkan oleh pasien kanker payudara agar kondisi dan daya tahan tubuh dapat dipertahankan optimal. Pada saat tidur sel yang rusak dapat diperbaiki. Perawat harus memfasilitasi kebutuhan tersebut dan harus mengetahui kualitas tidur pasien dengan terapi yang berbeda, sebagai dasar perencanaan asuhan. Penelitian ini bertujuan untuk meggambarkan kondisi kualitas tidur pasien yang sedang menjalankan terapi di RSUP Dr. Hasan Sadikin Bandung. Penelitian ini menggunakan metode deskriptif kuantitatif dengan teknik consecutive sampling (n=31). Data dikumpulkan menggunakan kuesioner Pittsburgh Sleep Quality Index (PSQI). Kualitas tidur dikatakan baik bila skor total ≤ 5, dan kualitas tidur buruk bila skor total > 5. Hasil penelitian menunjukkan bahwa seluruh responden (100%) memiliki kualitas tidur yang buruk. Komponen yang paling banyak berkontribusi dalam penilaian tersebut adalah latensi tidur, durasi tidur, efisiensi kebiasaan tidur, dan disfungsi siang hari. Kualitas tidur terburuk dengan skor 18 terjadi pada responden yang menjalani radioterapi dengan mastektomi (2 orang) dan responden stadium lanjut (3 orang). Kesimpulan, bahwa terapi pengobatan yang dijalani dan kondisi kanker berkontribusi terhadap kualitas tidur pasien kanker payudara. Sejak pasien masuk perawat harus mengkaji kebutuhan tidur, menggali masalah kesulitan tidur, menjelaskan pengaruh tidur terhadap perbaikan sel, dan memberikan informasi tentang cara tidur berkualitas kepada pasien dan keluarganya untuk setting rumah sakit dan di rumah. Rumah Sakit harus memfasilitasi kebutuhan pasien agar tidak terganggu saat tertidur selama dalam perawatan.Kata kunci: kualitas tidur, pasien kanker payudara, terapi kanker. ABSTRACT

This article reports a systematic review of articles published between 2009 and 2019 focusing specifically on the experiences of international students studying at Indonesian universities. We used such international databases as PubMed and CINAHL, and a national database, SINTA. The articles abstracted in such databases were screened out using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The analysis of the six selected articles found that international students studying in Indonesia encountered such challenges as cultural adaptations, language problems, and differences in the educational system. The international students also experienced health care systems different from those of their home country. This empirical evidence suggests that prospective international students who plan to study in Indonesia should be well-informed of both academic and non-academic matters that they may encounter or they may have to anticipate.

Bleeding is the main cause of maternal mortality in the world, the mortality rate due to bleeding about 30.3% in Indonesia in 2013. Dealing bleeding during and after labor is very important for health professionals including nurses. Research on the management of postpartum hemorrhage is still limited. The purpose of this literature review was to determine the management of postpartum hemorrhage from various countries. The method, this literature review involved articles that published in 2008-2018. The articles searched from several databases, including ProQuest, 32 articles, PubMed 22 articles, and Google 21 scholar articles. Keywords for article search included postpartum hemorrhage, nurse, prevention, treatment, management, and intervention. 75 articles were assessed for the quality using the JBI instrument (Joanna Briggs Institute), and finally, 10 articles were found and met the inclusion criteria. The results show that there are two types of actions to deal with postpartum hemorrhage including direct treatment and indirect treatment. The direct treatment includes bimanual compression, maneuvering techniques, balloon tampons, and tools resembling a butterfly shape for bimanual compression. Indirect actions include training of health workers, initiation of early breastfeeding and ice packs. Conclusion, effective management both directly and indirectly is able to overcome postpartum hemorrhage. Health workers are expected to master effective ways to deal with postpartum hemorrhage.

Background: The number of cervical cancer still remains high among women, including nurses in Indonesia. This is due to low participation of them to early detect and prevent it.Objective: This study aimed to identify the factors associated with the participation of nurses in early detection (pap-smear test) of cervical cancer at the hospitals in Bandung Indonesia.Methods: This was a correlational study with a cross-sectional approach on 286 nurses selected using cluster sampling at three hospitals in Bandung on March 2018. Data were collected using health belief model (HBM) questionnaire. Data were analyzed using Chi-square or Fisher exact and multivariate logistic regression test.Results: Factors associated with pap-smear behavior were the level of education, perceived susceptibility, perceived barrier and self-efficacy (p-value <0.05). Perceived susceptibility was the most correlated factor with pap-smear behavior with relationship strength (OR) of 16.259 and gave an effect of 27.89% as illustrated in the model equation of y = 0.324 + 2.789 susceptibility + 2.738 barriers.Conclusion: Pap smear behavior of the nurses was still relatively low because they had a negative perception of susceptibility to cervical cancer. Therefore, information is needed to change the nurses' perception related to the susceptibility of symptoms and risk factors that encourages nurses to do the pap-smear and increase nurses' awareness to actively participate in cervical cancer prevention program.