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"Objectives: This study aimed to gain insight into the unmet care needs and health care service barriers experienced by Indonesian gynecological cancer survivors after cancer therapy.Data Sources: Twenty purposively selected women who had completed gynecological cancer therapy for at least 1 year participated in a descriptive qualitative study. Data were collected through in-depth interviewsand thematically analyzed.Conclusion: The analysis constructed two themes and seven subthemes: (a) unmet care needs (subthemes: late side effects; cancer recurrence; stigma of cancer transmission; social-economic concerns), (b) deficientfunctions of health care services (subthemes: short consultation time; unempathetic health professionals; and inefficient time and cost for the health care services). The gynecological cancer survivors experiencedshortages of informational, psychological, and socioeconomic support after cancer therapy because of the deficient quality of the health care services.Implication for Nursing Practice: Nursing interventions couldmitigate the unmet care needs of gynecological cancer survivors after cancer therapy through patient-centered care services and multidisciplinary collaboration."

"Objective: The number of gynecological cancer survivors isincreasing in Indonesia, and these women often require physicaland emotional support from their male partners as primarycaregivers. However, the male caregiver`s need for biological,psychological, and social support is often neglected. This studyaims to assess the demographic and clinical determinantsaffecting the unmet supportive care needs of the gynecologicalcancer survivors` husbands in Indonesia. Methods: Thiscross‑sectional survey involved 152 husbands of survivors whowere recruited by a consecutive sampling method in two nationalreferral hospitals. A self‑administered Cancer Survivors` PartnersUnmet Needs Questionnaire was used for data collection.Multiple linear regression was performed to analyze the data.Results: The majority of participants (97.4%) reported at least oneunmet need. The primary unmet needs were legal services (71.1%),financial support (70.4%), cancer recurrence concerns (69.7%), andongoing health support (66.4%). These needs were significantlyassociated with the wife`s radio‑chemotherapy and lowerhousehold income (P < 0.01) and also related to the husband`seducation level, duration of caregiving, and wife`s cancer stage.Conclusions: Husbands of gynecological cancer survivors inIndonesia reported a need for legal, financial, and health‑careinformation and assistance. Multidisciplinary professionalsshould be involved in developing policy and interventions whichfacilitate the social‑economic protection of survivors and theirhusbands, as well as comprehensive care needs to enhance thewomen`s survival rate."

"Kanker payudara merupakan keganasan yang paling sering terjadi pada perempuan di seluruh dunia. Kanker payudara maupun pengobatannya memberikan dampak langsung pada segala aspek kehidupan seorang perempuan termasuk pada penyintas kanker payudara, sehingga memengaruhi pemenuhan kebutuhannya. Tujuan penelitian ini adalah mengeksplorasi masalah kesehatan dan kebutuhan yang tidak terpenuhi (unmet need) pada penyintas kanker payudara. Penelitian ini menggunakan desain penelitian kualitatif deskriptif. Wawancara semi terstruktur dilakukan pada 14 orang dalam penelitian ini. Hasil penelitian ini memunculkan lima tema antara lain: 5 tema utama yaitu : 1) Masalah Kesehatan pada Penyintas Kanker Payudara; 2) Cara Mengatasi Stigma Masyarakat tentang Penyintas Kanker; 3) Kebutuhan Mendapatkan Pelayanan Kesehatan Terbaik; 4) Tidak Terpenuhinya Kebutuhan Informasi tentang Perawatan Kanker; serta 5) Adanya Masalah Finansial (Financial Burden). Masalah kesehatan yang dialami oleh penyintas kanker payudara seperti kelelahan, ketakutan akan kekambuhan kanker, hingga masalah spiritual yang dirasakan dapat berdampak buruk bagi penyintas kanker payudara seperti ketakutan untuk melakukan restaging. Peran dari perawat onkologi maupun tenaga profesional lainnya dibutuhkan untuk memahami masalah dan kebutuhan yang tidak terpenuhi pada penyintas kanker payudara demi meningkatnya angka harapan hidup atau survival rate pasca perawatan kanker di Indonesia.

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Breast cancer is the most common malignancy in women worldwide. Breast cancer and its treatment have direct impacts on all aspects of a woman's life, also on breast cancer survivors, thus affecting the achievement of their needs. The purpose of this study was to explore health problems and unmet needs in breast cancer survivors. This study used descriptive qualitative method. Semi-structured interviews were conducted on 14 survivors in this research. The results of this study find five themes, including: 1) Health Problems of Breast Cancer Survivors; 2) How to Address Society's Stigma about Cancer Survivors; 3) The need to get best health services; 4) Unfulfilled Information Needs about Cancer Treatment; and 5) Existence of Financial Burden. Health problems experienced by breast cancer survivors such as fatigue, fear of cancer recurrence, and perceived spiritual problems make breast cancer survivors afraid to do restaging. Therefore, role of oncology nurses and other professionals is needed to understand the problems and unmet needs of breast cancer survivors in order to increase life expectancy or survival rate after cancer treatment in Indonesia. "

"Peran monitoring berarti perawat mencari hal-hal yang berguna, memantau hasil, serta menjadi pusat informasi. Disseminator berarti perawat menyampaikan informasi, dan spokesperson berarti perawat menjadi juru bicara. Studi ini bertujuan untuk mengeksplorasi peran informasional perawat dalam mengelola layanan home care lansia di puskesmas. Studi ini berupa studi kualitatif dengan menggunakan pendekatan deskriptif kualitatif. Sembilan partisipan perawat sebagai koordinator program lansia terlibat pada pelaksanaan studi ini, dan memiliki pengelaman mengelola layanan home care lansia di puskesmas antara 1 hingga 9 tahun. Studi ini menghasilkan enam tema meliputi; upaya pemenuhan kebutuhan layanan; upaya identifikasi hasil layanan; monitoring pelaksanaan layanan home care; diseminasi tata laksana layanan home care; koordinasi dalam perencanaan dan tata laksana program; serta koordinasi dengan stakeholder dalam upaya pelaksanaan layanan. Hasil menunjukkan bahwasanya perawat sebagai koordinator layanan home care lansia di puskesmas ditemukan masih memiliki banyak keterbatasan dalam menjalankan peran informasional.

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The role of monitoring means that nurses look for useful things, monitor results, and become a center of information. Disseminator means the nurse conveys information, and spokesperson means the nurse becomes the spokesperson. This study aims to explore the informational role of nurses in managing elderly home care services in primary health care. This study is in the form of a qualitative study using a qualitative descriptive approach. Nine nurse participants as coordinators of the elderly program were involved in the implementation of this study and had experience managing elderly home care services at the primary helath care between 1 to 9 years. The study produced six themes including; efforts to meet service needs; efforts to identify service outcomes; monitoring the implementation of home care services; dissemination of home care service management; coordination in program planning and governance; and coordination with stakeholders in service implementation efforts. The results showed that nurses as coordinators of elderly home care services at puskesmas were found to still have many limitations in carrying out informational roles."

"In response, the Handbook of children with special health care needs assembles research, applied, and policy perspectives reflecting the range of children’s problems requiring special services. Widely studied conditions (e.g., communication disorders, substance abuse) and those receiving lesser attention (e.g., tuberculosis) are covered, as are emerging ideas such as the “medical home” concept of continuity of care. "

"Perubahan yang terjadi akibat dampak dari kanker ginekologi dan terapinya tidak hanya dialami oleh penyintas kanker ginekologi tetapi juga pada pasangan mereka termasuk pada hubungan intimasi penyintas kanker dan pasangannya. Penelitian ini bertujuan mengeksplorasi adaptasi hubungan intimasi pada suami penyintas kanker ginekologi di Indonesia. Tujuh suami penyintas kanker ginekologi berpartisipasi dalam penelitian deskriptif kualitatif melalui wawancara mendalam. Data dianalisis menggunakan metode analisis tematik. Terdapat tiga tema utama dan 4 sub tema berdasarkan analisis tematik. Tema yang dihasilkan dari data wawancara adalah berkurangnya hasrat dan keintiman seksual (sub tema: hasrat dan frekuensi hubungan seksual menurun; tidak bisa disalurkan lewat hubungan seksual), cara lain untuk memenuhi kebutuhan seksual dan menjadi perawat untuk istri dibanding sebagai kekasih (sub tema: membantu pekerjaan rumah tangga dan merawat istri; pemulihan istri adalah tujuan utama).

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Changes that occur due to the impact of gynecological cancer and its therapy are not only experienced by gynecological cancer survivors but also in their partners, including the intimate relationship between cancer survivors and their partners. This study aims to explore the adaptation of intimate relationships among husbands of gynecological cancer survivors in Indonesia. Seven husbands of gynecological cancer survivors participated in a qualitative descriptive study through in-depth interviews. Data were analyzed using thematic analysis methods. There are three main themes and 4 sub themes based on thematic analysis. The themes generated from the interview data are reduced sexual desire and intimacy (sub-theme: decreased sexual desire and frequency; cannot be channeled through sexual intercourse), other ways to meet sexual needs and become a caregiver for a wife rather than as a lover (sub-theme: help housework and taking care of the wife; wife's recovery is the main goal)."