Family Process with Breast Cancer Patient in Indonesia

Abstract

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.

The experiences of family caregivers living with breast cancer patients in low-and middle-income countries: a systematic review

“…Following the full-text screening, 107 were excluded because they did not meet the inclusion criteria as detailed in the PRISMA flow diagram. At the end of the screening procedure, 19 peer-reviewed citations remained for final inclusion in the review [3,4,6,10,15,[17][18][19][23][24][25][26][27][28][29][30][31][32][33].…”

“…The majority of the included studies (n = 15) used quantitative approaches [3,10,15,18,19,[23][24][25][26][27][28][30][31][32][33] and the remaining (n = 4) were qualitative studies [4,6,17,29]. Studies were conducted in the following countries: Nigeria (n = 2), Malaysia (n = 3), Ghana (n = 1), China (n = 3), Iran (n = 6), Turkey (n = 1), Mexico (n = 1), Indonesia (n = 1), and India (n = 1).…”

“…A total of 2330 family caregivers were included in the studies. The sample sizes within the included studies ranged from 7 caregivers [17,29] to 384 caregivers [26]. The disease severity of the patients being cared for by the caregivers was only stated in 10 studies [4,15,24,26,[28][29][30][31][32]34].…”

“…Additional articles were searched from other sources such as Google Scholar as well as hand-searching the references of all included studies. This produced three additional articles from Google Scholar [17][18][19].…”

Kualitas Hidup Pasien Kanker Payudara: Setting Rawat Jalan

“…Karena proses adaptasi dan pandangan pasien terhadap penyakitnya akan menentukan penilaiannya terhadap kualitas hidupnya sendiri (Witdiawati, Laili Rahayuwati & 2017, n.d.). Kondisi pendamping/caregiver yang dalam hal ini lebih banyak keluarga juga dapat berkontribusi secara timbal balik pada kondisi KL pasien begitu pula pendampingnya (Wulandari, Hermayanti, Yamin, & Efendi, 2017). Sehingga bias disimpulkan factor yang mempengaruhi kualitas hidup seseorang masih sangat kompleks.…”