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"[ABSTRAKPerawat memegang peranan penting dalam pemberian asuhan keperawatan serta mendampingipasien dengan kanker ginekologi selama 24 jam. Pada pelaksanaan, belum semua perawatmelakukan pengkajian psikoseksual ketika memberikan asuhan pelayanan keperawatan untukmenggali masalah seksual akibat terapi yang dialami oleh pasien kanker. Penelitian ini bertujuanuntuk mengeksplorasi pengalaman perawat yang bekerja diunit ongkologi dalam mendiskusikanisu seksual dengan pasien dan penyintas kanker ginekologi. Secara keseluruhan fenomena yangdidapatkan dalam penelitian ini adalah suatu gambaran pengalaman perawat dalammendiskusikan isu seksual dengan pasien kanker ginekologi. Penelitian dengan metode kualitatifdengan desain fenomenologi ini melibatkan sampel sepuluh partisipan. Analisa hasil penelitiandilakukan dengan cara analisa isi dengan menyimpulkan pernyataan partisipan menjadi temadalam penelitian. Penelitian ini menemukan lima tema utama yang berkaitan dengan pengalamanperawat dalam mendiskusikan isu seksual dengan pasien kanker ginekologi yaitu persepsiperawat tentang pelayanan psikoseksual, hambatan yang ditemukan perawat ketikamendiskusikan isu seksual dengan pasien kanker ginekologi, menemukan masalah yangmengganggu seksualitas pada pasien kanker ginekologi, cara/upaya perawat memperolehdukungan dalam membantu masalah psikoseksual pada pasien kanker ginekologi, kebutuhanperawat terhadap implementasi pelayanan psikoseksual pada pasien kanker ginekologi.Pelayanan psikoseksual pada pasien kanker ginekologi dapat ditingkatkan dengan adanya diskusiisu seksual dengan pasien kanker ginekologi. Perawat diharapkan dapat melakukan pengkajianpsikoseksual di dalam pemberian asuhan keperawatan pada pasien kanker ginekologi.

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ABSTRACTNurses play an important role in providing nursing care as well as assisting gynecologic cancerpatients for 24 hours. In fact, not all nurses do a psychosexual assessment when providingnursing care in order to explore sexual problems related to the cancer therapy experienced by thepatients. This study aimed to explore the experiences of nurses who work in oncology unit indiscussing sexual issues with the patients and survivors of gynecologic cancer. Overallphenomenon obtained in this study was an overview of nurses? experiences in discussing sexualissues with gynecologic cancer patients. This study applied a qualitative method withphenomenological design. The samples were ten participants. The results were analyzed usingcontent analysis by concluding the participants? statements to become the research themes. Thisstudy identified five main themes related to nurses? experiences in discussing sexual issues withgynecologic cancer patients, including nurses? perceptions of psychosexual services, theobstacles found by nurses when discussing sexual issues with gynecologic cancer patients,finding problems that interfere with sexuality in gynecologic cancer patients, nurses? attempts toobtain supports in helping psychosexual problems of gynecologic cancer patients, nurses? needsto the implementation of psychosexual services for gynecologic cancer patients. Psychosexualservices for gynecologic cancer patients can be improved by the presence of sexual issuesdiscussion with gynecologic cancer patients. Nurses are expected to do a psychosexualassessment in providing nursing care to gynecologic cancer patients.;Nurses play an important role in providing nursing care as well as assisting gynecologic cancerpatients for 24 hours. In fact, not all nurses do a psychosexual assessment when providingnursing care in order to explore sexual problems related to the cancer therapy experienced by thepatients. This study aimed to explore the experiences of nurses who work in oncology unit indiscussing sexual issues with the patients and survivors of gynecologic cancer. Overallphenomenon obtained in this study was an overview of nurses? experiences in discussing sexualissues with gynecologic cancer patients. This study applied a qualitative method withphenomenological design. The samples were ten participants. The results were analyzed usingcontent analysis by concluding the participants? statements to become the research themes. Thisstudy identified five main themes related to nurses? experiences in discussing sexual issues withgynecologic cancer patients, including nurses? perceptions of psychosexual services, theobstacles found by nurses when discussing sexual issues with gynecologic cancer patients,finding problems that interfere with sexuality in gynecologic cancer patients, nurses? attempts toobtain supports in helping psychosexual problems of gynecologic cancer patients, nurses? needsto the implementation of psychosexual services for gynecologic cancer patients. Psychosexualservices for gynecologic cancer patients can be improved by the presence of sexual issuesdiscussion with gynecologic cancer patients. Nurses are expected to do a psychosexualassessment in providing nursing care to gynecologic cancer patients.;Nurses play an important role in providing nursing care as well as assisting gynecologic cancerpatients for 24 hours. In fact, not all nurses do a psychosexual assessment when providingnursing care in order to explore sexual problems related to the cancer therapy experienced by thepatients. This study aimed to explore the experiences of nurses who work in oncology unit indiscussing sexual issues with the patients and survivors of gynecologic cancer. Overallphenomenon obtained in this study was an overview of nurses’ experiences in discussing sexualissues with gynecologic cancer patients. This study applied a qualitative method withphenomenological design. The samples were ten participants. The results were analyzed usingcontent analysis by concluding the participants’ statements to become the research themes. Thisstudy identified five main themes related to nurses’ experiences in discussing sexual issues withgynecologic cancer patients, including nurses’ perceptions of psychosexual services, theobstacles found by nurses when discussing sexual issues with gynecologic cancer patients,finding problems that interfere with sexuality in gynecologic cancer patients, nurses’ attempts toobtain supports in helping psychosexual problems of gynecologic cancer patients, nurses’ needsto the implementation of psychosexual services for gynecologic cancer patients. Psychosexualservices for gynecologic cancer patients can be improved by the presence of sexual issuesdiscussion with gynecologic cancer patients. Nurses are expected to do a psychosexualassessment in providing nursing care to gynecologic cancer patients.;Nurses play an important role in providing nursing care as well as assisting gynecologic cancerpatients for 24 hours. In fact, not all nurses do a psychosexual assessment when providingnursing care in order to explore sexual problems related to the cancer therapy experienced by thepatients. This study aimed to explore the experiences of nurses who work in oncology unit indiscussing sexual issues with the patients and survivors of gynecologic cancer. Overallphenomenon obtained in this study was an overview of nurses’ experiences in discussing sexualissues with gynecologic cancer patients. This study applied a qualitative method withphenomenological design. The samples were ten participants. The results were analyzed usingcontent analysis by concluding the participants’ statements to become the research themes. Thisstudy identified five main themes related to nurses’ experiences in discussing sexual issues withgynecologic cancer patients, including nurses’ perceptions of psychosexual services, theobstacles found by nurses when discussing sexual issues with gynecologic cancer patients,finding problems that interfere with sexuality in gynecologic cancer patients, nurses’ attempts toobtain supports in helping psychosexual problems of gynecologic cancer patients, nurses’ needsto the implementation of psychosexual services for gynecologic cancer patients. Psychosexualservices for gynecologic cancer patients can be improved by the presence of sexual issuesdiscussion with gynecologic cancer patients. Nurses are expected to do a psychosexualassessment in providing nursing care to gynecologic cancer patients., Nurses play an important role in providing nursing care as well as assisting gynecologic cancerpatients for 24 hours. In fact, not all nurses do a psychosexual assessment when providingnursing care in order to explore sexual problems related to the cancer therapy experienced by thepatients. This study aimed to explore the experiences of nurses who work in oncology unit indiscussing sexual issues with the patients and survivors of gynecologic cancer. Overallphenomenon obtained in this study was an overview of nurses’ experiences in discussing sexualissues with gynecologic cancer patients. This study applied a qualitative method withphenomenological design. The samples were ten participants. The results were analyzed usingcontent analysis by concluding the participants’ statements to become the research themes. Thisstudy identified five main themes related to nurses’ experiences in discussing sexual issues withgynecologic cancer patients, including nurses’ perceptions of psychosexual services, theobstacles found by nurses when discussing sexual issues with gynecologic cancer patients,finding problems that interfere with sexuality in gynecologic cancer patients, nurses’ attempts toobtain supports in helping psychosexual problems of gynecologic cancer patients, nurses’ needsto the implementation of psychosexual services for gynecologic cancer patients. Psychosexualservices for gynecologic cancer patients can be improved by the presence of sexual issuesdiscussion with gynecologic cancer patients. Nurses are expected to do a psychosexualassessment in providing nursing care to gynecologic cancer patients.]"

"ABSTRAKCachexia merupakan masalah yang umum dialami oleh pasien kanker stadiumlanjut. Studi kualitatif dengan pendekatan fenomenologi dilakukan untukmemperoleh gambaran tentang pengalaman cachexia pasien kanker stadium lanjutdan keluarga yang merawat di RS Kanker Dharmais. Data studi diperoleh darilima partisipan pasien dan lima partisipan keluarga. Temuan memberikaninformasi rinci tentang pengalaman cachexia pada pasien kanker stadium lanjutdan keluarga yang merawat dengan enam tema utama yang sama yaitu 1)pengetahuan yang kurang tentang cachexia, 2) gangguan biopsikososial, 3)perubahan pola makan, 4) perhatian perawat yang dirasakan kurang oleh pasiendan keluarga, 5) kebutuhan akan pendidikan kesehatan dan 6) kebutuhan akanpeningkatan fasilitas kesehatan. Pada keluarga terdapat satu tema tambahan yaituterjadinya konflik dalam keluarga. Kemampuan dalam melakukan asuhankeperawatan yang menyeluruh pada akhirnya akan meningkatan status nutrisipasien dan mengurangi konflik dalam keluarga.

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AbstractCachexia is a common problem for cancer patient in end stage.Phenomenologycal approach of qualitative study was conducted to get illustrationregarding experience of end stage cancer patient with cachexia and their familieswho were involved during treatment in the Dharmais Cancer Hospital. Studyresult gathered from five participants constituted of five patients and five families.The current study showed detail information about experience of end stage cancerpatient with cachexia and their families within six main themes, namely : 1) lackof knowledge about cachexia, 2) Biopsychosocial disturbances, 3) diet patterndisturbances, 4) lack of attention from nurse, 5) in need of health education and 6)in need of improvement of health facilities. Particularly within families memberthere were additional main theme, namely : conflict in family. Abilities inestablishing holistic nursing care will lead to increase patient nutrition level anddecrease conflict within families."

"[ABSTRAKKanker urogenital dan penatalaksanaannya sering kali menyebabkan perubahanidentitas seksual dan juga merubah struktur tubuh baik secara nyata ataupun keluhansubjektif pasien. Penelitian ini bertujuan mengidentifikasi gambaran pengalamankehidupan seksual pasien kanker urogenital bersama pasangannya, yang telahmenjalani kemoterapi, terapi radiasi atau pembedahan. Penelitian menggunakanpenelitian fenomenologi. Metode pengambilan data menggunakan teknik wawancara.Penelitian dilakukan di Siloam Hospitals Lippo Village. Partisipan adalah pasienkanker urogenital beserta pasanganya. Pengolahan Data dilakukan dengan caraverbatim, selanjutnya dianalisis dengan content analysis menggunakan teknik Colaizzi.Hasil penelitian didapatkan empat tema, yaitu ketidaknyamanan dalam melakukanhubungan seksual sebagai dampak perubahan kondisi fisik, ketidakterbukaan pasangandalam menyampaikan kepuasan seksual untuk lebih berfokus pada upaya pengobatan,pengalihan hasrat dalam berhubungan seksual sebagai upaya beradaptasi denganperubahan kondisi fisik, dan ketidakjelasan tentang pola hubungan seksual yang amanselama masa pengobatan. Kesimpulan: perubahan kondisi fisik dan psikososial pasienkanker urogenital menyebabkan permasalahan dalam kehidupan seksualnya. Hasilpenelitian ini merekomendasikan agar perawat proaktif dalam melakukan upayaprofesionalnya dalam perawatan klien kanker urogenital termasuk pemenuhankebutuhan seksual.

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ABSTRACTUrogenital cancers and their management leads to changes in sexual identity and alsochange the structure of the body, either real or subjective complaints. This study aimsto identify the description of the sexual life experience among urogenital cancerpatients with their partner, who had chemotherapy , pre-surgery or post-surgery. Thestudy used a qualitative research design with a phenomenological approach. Locationof this research in Siloam Hospitals Lippo Village. Participant were patients diagnosedwith urogenital cancer and their partner. Data processed in verbatim form, thenanalyzed using content analysis with Collaizi technique. Results of this study, foundfour themes, these are the themes had found: discomfort in sexual intercourse as aresult of changes in physical conditions, Lack of openness partner in delivering sexualsatisfaction in order to focus on treatment efforts, diversion of desire in intercourse asan attempt to adapt to the changing physical conditions, Attention couples (wife) as aneffort to adapt with changing physical condition of the client (the husband),Obscuration of pattern in safe sex during the treatment period. Conclusion: thephysical condition and psychosocial changing of urogenital cancer patients led toproblems in sexual life. The results of this study indicated that nurses proactive in theirprofessional efforts in the treatment of urogenital cancer clients including sexualfulfillment;Urogenital cancers and their management leads to changes in sexual identity and alsochange the structure of the body, either real or subjective complaints. This study aimsto identify the description of the sexual life experience among urogenital cancerpatients with their partner, who had chemotherapy , pre-surgery or post-surgery. Thestudy used a qualitative research design with a phenomenological approach. Locationof this research in Siloam Hospitals Lippo Village. Participant were patients diagnosedwith urogenital cancer and their partner. Data processed in verbatim form, thenanalyzed using content analysis with Collaizi technique. Results of this study, foundfour themes, these are the themes had found: discomfort in sexual intercourse as aresult of changes in physical conditions, Lack of openness partner in delivering sexualsatisfaction in order to focus on treatment efforts, diversion of desire in intercourse asan attempt to adapt to the changing physical conditions, Attention couples (wife) as aneffort to adapt with changing physical condition of the client (the husband),Obscuration of pattern in safe sex during the treatment period. Conclusion: thephysical condition and psychosocial changing of urogenital cancer patients led toproblems in sexual life. The results of this study indicated that nurses proactive in theirprofessional efforts in the treatment of urogenital cancer clients including sexualfulfillment, Urogenital cancers and their management leads to changes in sexual identity and alsochange the structure of the body, either real or subjective complaints. This study aimsto identify the description of the sexual life experience among urogenital cancerpatients with their partner, who had chemotherapy , pre-surgery or post-surgery. Thestudy used a qualitative research design with a phenomenological approach. Locationof this research in Siloam Hospitals Lippo Village. Participant were patients diagnosedwith urogenital cancer and their partner. Data processed in verbatim form, thenanalyzed using content analysis with Collaizi technique. Results of this study, foundfour themes, these are the themes had found: discomfort in sexual intercourse as aresult of changes in physical conditions, Lack of openness partner in delivering sexualsatisfaction in order to focus on treatment efforts, diversion of desire in intercourse asan attempt to adapt to the changing physical conditions, Attention couples (wife) as aneffort to adapt with changing physical condition of the client (the husband),Obscuration of pattern in safe sex during the treatment period. Conclusion: thephysical condition and psychosocial changing of urogenital cancer patients led toproblems in sexual life. The results of this study indicated that nurses proactive in theirprofessional efforts in the treatment of urogenital cancer clients including sexualfulfillment]"

"Piutang merupakan harta lancar yang terbesar pada organisasi kesehatan dan berdampak dana investasi. Kegagalan pengelolaan piutang di rumah sakitakan mengganggu cash flow dan kegiatan operasional rumah sakit. Penelitian ini bertujuan mengetahui penyebab saldo piutang pasien jaminan pihak keti-ga yang tinggi, meliputi dinas dan langganan di RS Port Medical Center. Penelitian operasional ini melakukan pengamatan langsung dan telaah dokumen pa-da proses pengelolaan piutang pada tahap penerimaan, pembebanan biaya, penataan rekening, penagihan dan penutupan rekening. Informan adalah parapejabat dan pelaksana yang terlibat. Didapatkan bahwa tidak ada standar atau persyaratan kredit yang berlaku sebelum kerja sama. Potongan harga, jang-ka waktu pembayaran dan sanksi yang tertera dalam perjanjian kerja sama tidak dapat dijalankan. Telah ada upaya penagihan, tetapi belum optimal. Belumada prosedur tentang cara penagihan bila pembayaran terlambat. Pada lima tahap pengelolaan piutang terlihat beban tugas penata rekening yang tinggi.Dan SOP hanya tersedia pada tahap pembebanan biaya. Proses seleksi yang menggunakan sistem billing online mempermudah pekerjaan tetapi menuntutketelitian tinggi. Jumlah tagihan dan saldo piutang terbesar adalah dinas. Perusahaan asuransi mempunyai saldo piutang terkecil dan proporsi pembayaranterkecil adalah Jamsostek. Proses penagihan pada dinas, perusahaan umum dan perusahaan asuransi relatif sama (20 hari). Lama proses penagihan danumur piutang terlama adalah Jamsostek.Account receivables is the biggest current assets in health organization including hospitals and will influence investation fund management. Failure in ac-count receivables management will confound the cash flow and operational activities. The purpose of this study is to know the causes of high account re-ceivables of patients insured by third party. This operational research used direct observations and documents review regarding the management process ofthe insured patient account receivables at the stage of admission, charge capture, account billing, collecting and account writing off. An in-depth interview wasconducted to the involved persons and officers. The result of the study shows that the current credit policy prevails at PMC hospital seems to be linient sinceno credit standard or credit terms given before colaboration. Discount, payment period and sanctions are included in the agreement but not effective. Thereare efforts for claiming, but it has not been done optimally. There is no procedure that can be used in collecting account if there were delay. There is a shor-tage of staff on the account arrangement and overlapped tasks of staff at central opname. The only available standard operating procedure was at the stageof charge capture. Although the completion process has used on line billing system, to simplify the task, it still needs high accuracy to get accurate data. Thehighest claim goes to the state owned company. The highest account receivable also goes to the state owned company. From four health insurance compa-nies, Jamsostek has the lowest payment percentage. It is also found that the length of the collecting process is 20 days for state owned companies, publiccompanies and insurance companies and 60 days for Jamsostek. The length of billing process and account receivable days for Jamsostek was the longest."

"Pandemi COVID-19 memberikan dampak pada kehidupan masyarakat di seluruh dunia, termasuk kehidupan seksual dan kepuasan hidup masyarakat Indonesia. Penelitian ini berusaha mengetahui lebih lanjut bagaimana perubahan dan hubungan antara aktivitas seksual, kepuasan seksual, dan kepuasan hidup masyarakat dewasa yang aktif secara seksual pada periode sebelum pandemi (Februari 2019 - Februari 2020) dan selama pandemi (Maret 2020 - Juni 2020). Hasil penelitian dengan 1006 partisipan menunjukkan bahwa terdapat penurunan yang signifikan pada aktivitas seksual berpelukan, nonpenetrasi, masturbasi, seks oral, dan penetrasi, namun tidak pada aktivitas sexting akibat pandemi COVID-19. Hasil penelitian juga menunjukkan terdapat penurunan yang signifikan pada kepuasan seksual dan kepuasan hidup akibat pandemi COVID-19. Selain itu, hubungan antar aktivitas seksual dengan kepuasan seksual dan kepuasan hidup menunjukkan hubungan yang beragam pada kedua periode. Terlepas ada tidaknya pandemi COVID-19, kepuasan seksual dan kepuasan hidup berkorelasi positif dan signifikan pada masyarakat dewasa di Indonesia. Hasil penelitian ini menunjukkan bahwa kehidupan seksual merupakan aspek penting, terutama ketika menghadapi stressful life event seperti pandemi COVID-19.

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COVID-19 pandemic has an impact on people's lives around the world, including sexual life and life satisfaction for Indonesian adults. This study further measures changes and the relationship between sexual activities, sexual satisfaction, and life satisfaction in sexually active adults before the pandemic (February 2019 - February 2020) and during the pandemic (March 2020 - June 2020). The results with 1006 participants showed that there was a significant decrease in sexual activities (hugging, non-penetrative sex, masturbation, oral sex, and penetrative sex), but not in sexting due to the pandemic. The results also showed a significant decrease in sexual satisfaction and life satisfaction despite gender and relationship status. In addition, the relationship between sexual activity and sexual satisfaction and life satisfaction showed diverse results between the two periods. Regardless of COVID-19 pandemic, sexual satisfaction and life satisfaction have a positive and significant correlation in Indonesian adults. The results of this study indicate that sexual life is an important aspect, especially when facing stressful life events like the COVID-19 pandemic."

"ABSTRAKAgen antineoplasti bekerja pada materi genetik dalam nucleus sel sebagai sitotoksik dan sitostatik terhadap sel-sel target. Target terapi adalah pada sel malignant tetapi dapat juga mengakibatkan kerusakan pembelahan pada sel normal, sehingga sering menimbulkan efek samping. Tujuan penelitian ini adalah mendapatkan gambaran tentang pengalaman pasien kanker dalam menjalani kemoterapi. Desain penelitian ini adalah penelitian kualitatif dengan pendekatan fenomenologi terhadap delapan pasien kanker yang menjalani kemoterapi. Analisis konten menggunakan metode colaizzi. Hasil penelitian mengidentifikasi delapan tema, yaitu (1) mengingkari kenyataan menderita kanker, (2) keinginan mendapat dukungan keluarga, (3) penolakan pasangan terhadap kemoterapi, (4) ketidakyamanan fisik sebagai dampak kemoterapi, (5) ketidakstabilan emosional sebagai respon terhadap kemoterapi, (6) mengidentifikasi adanya ketidak nyamanan dalam hubungan interpersonal di tempat kerja, (7) melibatkan dukungan spiritual keagamaan, dan (8) mengupayakan penyembuhan dan pemulihan. Kesimpulan: Kemoterapi berdampak terhadap penurunan kondisi fisik, psikologis, dan hubungan interpersonal, namun kemoterapi menyebabkan ketidakberdayaan sehingga meningkatkan spiritual keagamaan. Hasil penelitian diharapkan dapat menjadi masukan dalam meningkatkan kualitas asuhan keperawatan pada pasien kanker.

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ABSTRACTAntineoplastic agents are works into the genetic material in the cell nucleus as cytotoxic and cytostatic against target cells. Its targeted therapy is specifically on malignant cells but also cause damage to normal cell that cause side effects. The aims of this study is to get a description of ​​the experience of cancer patients undergoing chemotherapy. METHOD: research design is a qualitative study with phenomenological approach, involving 8 cancer patients undergoing chemotherapy. RESULTS: identified eight themes were as follows: (1) given the fact had cancer, (2) desire for family support, (3) spouse’s rejection of chemotherapy, (4) physical discomfort as of chemotherapy side effect, (5) emotional instability as a responses of chemotherapy, (6) identify any discomfort in interpersonal relationships in the workplace, (7) involving support religious spiritual, and (8) strive for to healing and recovery. Conclusion: chemotherapy side effect were as decrease physical well-being, emotional well-being, interpersonal relationship, and increase spiritual well-being. Results are expected to be addressed by improving the quality of nursing care to cancer patients."

"Trastuzumab adalah produk bioteknologi terbaru dalam pengobatan kanker payudara. Antibodi monoklonal ini bekerja langsung pada targetnya yaitu reseptor HER2 (Human Epidermal growth factor Receptor-2). Harga obat ini sangat mahal. Penelitian ini bertujuan untuk mengamati pola pengobatan 61 data rekam medis pasien kanker payudara yang memiliki HER2+ di Rumah Sakit Kanker Dharmais Jakarta selama periode September 2003 hingga Maret 2006. Hasil dari uji chi-square menggunakan likelihood ratio menunjukkan bahwa ada hubungan antara penjamin biaya pengobatan terhadap jenis pengobatan (p< 0,05). Sedangkan tidak ada hubungan antara pendidikan dengan jenis pengobatan (p>0,05). Hasil survei deskriptif menunjukkan bahwa kelompok usia 40 - 49 tahun memiliki persentase kanker payudara yang memiliki HER2+ terbesar (36,1 %), stadium yang tertinggi persentasenya adalah stadium IV (19,7 %), serta pasien yang mempunyai riwayat kanker keluarga adalah sebanyak 10 dari 17 pasien (58,82 %), sedangkan 44 pasien tidak diketahui datanya."

"Beban caregiver merupakan faktor penting dalam pemberian kebutuhan pasien kanker yang menjadi bagian dalam asuhan keperawatan holistik dibidang keperawatan. Penelitian ini bertujuan untuk mengeksplorasi persepsi caregiver tentang pengalaman beban caregiver dalam merawat pasien kanker di Rumah Sakit Dr. Dorys Slylvanus Palangka Raya. Penelitian ini merupakan penelitian kualitatif dengan pendekatan deskriptif fenomenologi dari 11 pengalaman caregiver yang merawat pasien kanker. Pengumpulan data dilakukan dengan cara menggunakan metode wawancara. Hasil penelitian ini mengungkapkan tema yang diidentifikasi dalam penelitian ini: 1) Berbagai masalah yang dirasakan caregiver; 2) keterbatasan layanan dan fasilitas kesehatan yang diterima caregiver; 3) koping caregiver dalam mengelola beban yang dirasakan. Caregiver yang merawat pasien kanker memiliki berbagai masalah yang dirasakan termasuk juga pelayanan kesehatan yang diterimanya. Masalah yang muncul menjadikan beban yang dialami caregiver, namun caregiver mampu untuk mengelola beban tersebut dengan berbagai macam koping yang digunakannya. Penelitian ini merekomendasikan penelitian lebih lanjut terkait pengalaman beban caregiver yang merawat pasien dengan diagnosis kanker spesifik dan koping yang digunakannya.

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The caregiver burden is an important factor in providing the needs of cancer patients who are part of holictic nursing care in the field of nursing. This study is to explore caregivers’s perception about caregiver’s burden experience in caring for cancer patients at Dr. Dorys Sylvanus Hospital Palangka Raya. This study was a qualitative study with a phenomenological descriptive approach of 11 caregiver experiences who provide care for cancer patients. The data collection was conducted through the interview method. The results of this study reveal the themes including: various perceived problems caregiver, limited health services and facilities received by the caregiver, and coping caregivers in managing the perceived burden. Caregivers who provide care for cancer patients have various perceived problems including the health services. Problems that arise created burdens for caregiver, however the caregivers could manage the burden with the various coping methods. This study recommends further study related to the caregiver’s experience of caring for patients with a specific cancer diagnosis and their coping methods."

"Pasien ESRD yang menjalani hemodialisis merupakan kelompok yang rentan terkena infeksi di masa pandemi ini. Ketika pasien terkonfirmasi COVID-19, pasien harus menjalani isolasi dan hemodialisis di unit khusus COVID-19. Akan muncul berbagai respon dan dampak bagi pasien. Tujuan penelitian ini adalah untuk mengeksplorasi secara mendalam tentang pengalaman pasien yang menjalani hemodialisis dan terkonfrimasi COVID-19. Penelitian ini menggunakan pendekatan fenomenologi dengan metode wawancara mendalam. Partisipan berjumlah 15 orang dari RS Universitas Hasanuddin yang dipilih melalui teknik purposive sampling. Terdapat 5 tema yang dihasilkan dalam penelitian ini yaitu respon emosi saat terkonfirmasi COVID-19, dampak yang dialami pasien saat terkonfirmasi COVID-19 dan menjalani isolasi, perbedaan yang dialami saat menjalani isolasi dan HD COVID-19, support system dan harapan terhadap ruang perawatan isolasi dan HD COVID-19. Temuan tersebut menunjukkan bahwa pasien yang menjalani hemodialisis dan terkonfirmasi COVID-19 memerlukan bantuan dan dukungan dari penyedia layanan kesehatan di unit hemodialisis khususnya unit hemodialisis khusus COVID-19 untuk mengatasi berbagai masalah dan dampak akibat terkonfirmasi. Perawat perlu berperan aktif untuk melakukan pengkajian secara holistik dan evaluasi secara terus menerus dan berkelanjutan agar dapat memberikan asuhan keperawatan yang komprehensif dalam memenuhi kebutuhan pasien

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Hemodialysis patients were a susceptible group to get infection during pandemic. When a patient was confirmed COVID-19, the patient must undergo isolation and hemodialysis in a special COVID-19 unit. There would be various responses and impacts for the patient. The purpose of this study was to explore in depth the experiences of patients undergoing hemodialysis and confirmed COVID-19. This study used a phenomenological approach with in-depth interviews. There were 15 participants from Hasanuddin University Hospital who were selected through purposive sampling technique. There are 5 themes generated in this study, emotional responses when confirmed COVID-19, the impact experienced by patients when confirmed COVID-19 and undergoing isolation, differences experienced when undergoing isolation and HD COVID-19, support system and expectations for the isolation room.and HD COVID-19. These findings indicate that patients undergoing hemodialysis and confirmed COVID-19 require assistance and support from health care providers in the hemodialysis unit, especially in the COVID-19 hemodialysis unit for to overcome various problems and impacts of being confirmed. Nurses need to play an active role in conducting holistic assessments and evaluations continuously in order to provide comprehensive nursing care in meeting patient needs."