The Relationship Between Self-efficacy and Coping Mechanisms with Quality of Life in Breast Cancer Patients

The exponential increase in incidence and mortality from breast cancer is of global concern. Breast cancer patients experience physical, psychological, social, and economic changes that reduce their quality of life. Several factors, such as self-efficacy and coping mechanisms, can affect the quality of life of breast cancer patients. This study aims to explain how self-efficacy and coping mechanisms affect the quality of life of breast cancer patients. This research is a correlational study with a cross sectional design. A sample of 320 respondents used total sampling as a sampling method. This tool measures the quality of life using the EORTC QLQ-C30, self-efficacy with the breast cancer survivor self-efficiency scale questionnaire, and coping mechanisms with the cancer management questionnaire (CCQ). The statistical analysis was based on multiple linear regression. The results showed that self-efficacy had a significant effect on quality of life (p = 0.000), coping mechanisms had a significant effect on quality of life (p = 0.000), and the joint effect of self-efficacy and coping mechanisms. For the quality of life of breast cancer patients (p-value 0.000). Self-efficacy and coping mechanisms have a partial or simultaneous positive impact on the quality of life of breast cancer patients. Therefore, follow-up interventions to improve self-efficacy and coping mechanisms in breast cancer patients are urgently needed. Keywords: self-efficacy, coping mechanisms, quality of life of breast cancer patient

The effect of empowerment to improve patient safety culture among hospital nurses

A decline in the quality of services provided to patients and an increase in patient care costs are caused by a decline in their ability to work. Patient safety culture is a product of individual and group values, attitudes, competencies, and behavioral patterns that determine the commitment, style, and capabilities of a health service organization towards patient safety programs. This study examined the effects of empowerment on patient safety culture and employed descriptive, cross-sectional, analytical methodology. Proportionate random sampling was the sample method used at a hospital in Samarinda, Indonesia, with 119 respondents. Hospital surveys regarding patient safety culture and empowerment were used to gather data. Partial least squares and structural equation modeling were used for data analysis. Regarding opportunity indications for activities, the empowerment average had the highest score, 15.8 (SD=2.987). For teamwork within the unit, the patient safety culture had the highest average score of 13.3 (SD=1.777). The initial sample estimate value of 0.677 indicated that empowerment had a positive impact on patient safety culture. The T-Test result was 15.180, indicating that the value was greater than 1.98. Nurses’ autonomy in their work can be supported through empowerment. The stronger the empowerment, the more patient-safety culture the hospital will have

Religiosity and quality of life among breast cancer patients: an integrative literature review

This paper examines recent data on the relationship between religiosity and quality of life. It also identifies emerging issues arising from the link between religion and quality of life. An integrative research review design implemented to review the existing articles on religiosity and quality of life. Search was conducted between January and February, 2021 in three online databases (PubMed, PsycINFO, and ScienceDirect) using MeSH keywords such as 'religion' or 'religiosity', 'quality of life' and 'breast cancer,' Initial search resulted on 264 articles, however only nine articles met eligibility criteria for review. The seven of the studies employed a cross-sectional design and two studies implemented prospective design. The definition of religiosity and quality of life were varying in included study. Most of studies reported positive correlation and direct effect between religiosity and quality of life. Two studies reported no association between religiosity and quality of life. Two studies investigate the role of religiosity as moderating variabel; religiosity mediated relationship between posttraumatic growth and quality. A greater emphasis on the importance of religiosity in healthcare services and partnerships with other community groups benefit in improved service competence and cooperative relationships between healthcare providers and faith-based institutions

Characteristics of the Mothers on Stunting Toddlers 12-36 Months West Bandung Regency, Indonesia

Objective: To determine the characteristics of respondents with stunted toddlers aged 12-36 months in the Batujajar and Cihampelas districts of West Bandung District. Methods: A case-control study with a pretest-posttest design was conducted from May to August 2022 in West Bandung Regency, Indonesia. The study included 124 mothers with stunted toddlers, who were divided into two groups - control and treatment - with 62 toddlers each, using simple random sampling. Result: The majority of children under the age of five in this study were female. In the case group, the majority of mothers were in the 20-29 age range (40.3%), while in the control group, the majority were in the 30-39 age range (38.7%). Most mothers in both the control and case groups had a high school education (41.8%). The majority of participating mothers were housewives (85.5%). Childcare was primarily provided by mothers, and most of the resource persons were also mothers. Conclusion: Based on the characteristics observed in this study, the majority of children under the age of five were female in both the case and treatment groups. Most mothers in both groups had a high school education, and the majority of participating mothers were housewives. Childcare was primarily handled by mothers, and most of the resource persons were also mothers

Hand washing behavior among school children in Sekolah Kebangsaan Sultan Abdullah, Kuantan, Pahang

Absenteeism school children are usually related to respiratory and gastrointestinal disease as children are more susceptible to be infected with dangerous bacteria and viruses. Therefore, hand washing is the single most important measure to prevent the spread of infection. School children should be taught and stressed about the importance of hand-washing. A cross-sectional study was held in Sekolah Kebangsaan Sultan Abdullah, Kuantan, Pahang, The participants were school pupils aged 10 to 12 years old and data was obtained from questionnaires and observation to evaluate their hand washing techniques. The objective of this study was to know their hand washing behaviors and techniques as well as to understand the conditions that affect hand-washing behaviors in school. It can be concluded that 86 of the students (49.7%) had proper hand washing behavior. Age, individual intention, perceive control and attitude were found to have association with hand washing behavior. In addition, it was found that 40.8% of the respondents were having correct hand washing techniques. Overall, the results of this study will help in promoting better hand washing behavior and techniques among school children particularly as it is the best way to prevent from infections which can lead to increase number of morbidity and mortality

Social Demographic Factor on Early Detection Ability of Acute Coronary Syndrome in Blitar Regency Indonesia

Background: The prevalence of ACS in Indonesia is high, at least 2 million people in Indonesia are diagnosed with ACS. It is one of the main causes of death among adults in many countries around the world, including Indonesia with prevalence of heart disease in Indonesia is estimated at 2 million ACS cases. One of the causes of the high ACS mortality rate is a prehospital delay. Decision time delay refers to the length of time the patient takes for early detection or to make a decision to seek help. This study will focus on the influence of social demographic factors on the ability of early detection of ACS. Purpose: This study aims to explain the relationship between treatment-seeking behavior, transportation, and socio-demographic factors (age, gender, socio-economic, educational status, health insurance). Methods: A prospective cross-sectional study was conducted in this study. The samples will be obtained in Blitar regency with 22 public health center sub-districts with sample 126 respondents. The correlation among variables was analyzed using chi-squared (?2), and for determining the dominant factors, multiple logistic regression with the enter method was used. A p value <0.05 was considered significant. Results: The study found that the age, health insurance status, education level, and employment status of the patients were significant factors for early detection. Delay to early detection increased with the increase in age of the patients, although it was not significant by logistic regression. Conclusions:  This study reveals that several sociodemographic factors that can affect early detection abilities are education, employment status, and health insurance

Self-Care in Patients With Hypertension in Indonesia

Hypertension or elevated blood pressure is one of the leading causes of premature death worldwide. One strategy to better treat hypertension is to involve patients in their own self-care. This cross-sectional descriptive study was conducted in West Java, Indonesia, from June to July 2021. A convenience sample of 144 adults with hypertension was used. The inclusion criteria were: people aged 35 to 65; prescribed two or fewer antihypertensive drugs for hypertension; with a blood pressure of more than 140/90 mm Hg at baseline; able to control their blood pressure and self-titrate medicine; and able to read and write in Bahasa Indonesia. The SC-HI is a 24-item questionnaire that assesses self-care in hypertension on three dimensions: self-care maintenance, management, and confidence. Linear regression analyses were used to investigate self-care and its associated factors. The average age of the patients was 55.67 ± 10.65 years, 59.7% were female, 77.8% were married, and 48.6% had finished secondary school. The mean overall self-care score among the hypertensive patients was 2.43 (SD = 1.26). The self-care domain with the lowest mean score was in confidence (mean = 2.12, SD = 1.96) and the highest score was in maintenance (mean = 2.86, SD = 2.01). Gender, education level, and duration of hypertension contributed significantly to the variance in self-care with an R-squared of 23.4%. We found that the level of self-care in the hypertensive patients in general was inadequate. Patients should be educated and counseled about the importance of adherence to self-care in the management of hypertension. Keywords: self-care, hypertension, self-managemen

Effectiveness Of Education Regarding Stunting Prevention to Cadres: Systematic Literature Review

Stunting, a disease characterized by prolonged nutritional deficiency during the initial 1,000 days of a newborn's life, continues to be a significant health concern in Indonesia, holding the second highest global prevalence. Ineffective parenting practices, insufficient prenatal care, challenges getting to nutrients and clean water, and infectious illnesses are some of the factors that contribute to childhood stunting. The provision of education to cadres on the prevention of stunting is one of the aspects of stunting prevention that plays a significant role in the process of overcoming the variables which lead to stunting from their underlying causes. Through the transmission of health information, the training that is offered to cadres has the potential to promote public health. This research wants to see how effective stunting education is in increasing cadres' knowledge about stunting prevention. In this study, a systematic literature review was combined with a search for systematic studies using the PRISMA technique, and the search was conducted on two national journal portals. The primary discussion of the study was based on six papers, all of which were investigated with a cross-sectional design that included stunting prevention instruction for cadres. These studies were chosen for the research project. Education with audiovisual media and lecture and discussion techniques has a 70% efficacy rate in expanding cadre knowledge. This is the way with the highest effectiveness rate. &nbsp