Attitudes, Belief, and Barriers of Indonesian Oncology Nurses on Providing Assistance to Overcome Sexuality Problem

Background: Sexuality and problems related to sexuality have been identified as components of nursing care by the nursing profession, nurse educators, other disciplines and patients.Purpose: This study aimed to describe the attitudes and beliefs of the Indonesian oncology nurses towards providing sexual care for the patients with cancer.Methods: The study used a descriptive design. Using convenient sampling method, 135 oncology nurses from three hospitals in Jakarta, Indonesia participated in this study.Results: Over 85% of the nurses believed that discussing sexuality with patients is a taboo and private issue. More than 90% of nurses understood that giving a patient permission to talk about sexual concerns is a nursing responsibility. About 73.3% nurses had beliefs that most hospitalized patients are too sick to be interested in sexuality and agreed that sexuality should be discussed if only the patient initiates it. However, more than 70% of the nurses believed that the patients expect nurses to ask about their sexual concerns.Conclusion: This study revealed that inappropriate attitude and belief of nurses on sexuality aspect of their patients might become a barrier in facilitating the needs of cancer patients to manage the sexuality problem caused by cancer and the treatment. Nurses need to overcome those various barriers so that they can increase the quality of life of the cancer patients.

Download Full-text

Evaluating the Effects of a Mobile Health App on Reducing Patient Care Needs and Improving Quality of Life After Oral Cancer Surgery: Quasiexperimental Study

JMIR mhealth and uhealth ◽

10.2196/18132 ◽

2020 ◽

Vol 8 (7) ◽

pp. e18132

Author(s):

Tze-Fang Wang ◽

Rou-Chen Huang ◽

Su-Chen Yang ◽

Chyuan Chou ◽

Lee-Chen Chen

Keyword(s):

Quality Of Life ◽

Health Care ◽

Oral Cancer ◽

Cancer Patients ◽

Nursing Care ◽

Control Group ◽

Care Needs ◽

Oral Cancer Patients ◽

Experimental Group

Background Intervention with a mobile Health (mHealth) app can improve the efficacy of early detection of oral cancer and the outcomes for patients taking oral anticancer medications. The quality of life of oral cancer patients is significantly reduced within three months after surgery; also, their needs for nursing care and health information increase, mainly due to side effects and associated psychological problems. Objective This study aimed to evaluate changes in the care needs and quality of life of patients with oral cancer after receiving the intervention of a newly developed mHealth app. Methods After surgery, oral cancer patients were divided into an experimental group (n=50) who received the mHealth app intervention and a control group (n=50) who received routine health care and instruction. After 3 months of intervention, survey questionnaires were used to assess the patients’ quality of life, nursing care needs, and acceptance of the mHealth app. Results The physiological care needs were significantly decreased in the experimental group compared with the control group (P<.05). Although the differences were not statistically significant, the psychological needs, communication needs, and care support needs all improved after the mHealth app intervention. The overall improvement in quality of life was higher in the experimental group than in the control group (–7.24 vs –4.36). In terms of intention to use, perceived usefulness, and perceived ease of use, the acceptability scores of the mHealth app were significantly increased after 3 months of intervention (P<.05). Conclusions Compared with routine health care and instruction, for patients after surgery, the education/information intervention using the mHealth app significantly reduced their nursing care needs, improved their quality of life, and increased their acceptance of using an mHealth app on a mobile device. These findings can provide a theoretical basis for future health care app design and improvement. This study suggests that an mHealth app should be incorporated into the routine care of oral cancer patients to provide medical information quickly and improve their self-management abilities, thereby reducing the patients’ need for physiological care and improving their quality of life. Trial Registration ClinicalTrials.gov NCT04049968; https://www.clinicaltrials.gov/ct2/show/NCT04049968

Download Full-text

Quality of life during chemotherapy and satisfaction with nursing care in Turkish breast cancer patients

European Journal of Cancer Care ◽

10.1111/ecc.12185 ◽

2014 ◽

Vol 23 (5) ◽

pp. 675-684 ◽

Cited By ~ 10

Author(s):

Z. Bayram ◽

Z. Durna ◽

S. Akin

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Cancer Patients ◽

Nursing Care ◽

Breast Cancer Patients

Download Full-text

Evaluating the Effects of a Mobile Health App on Reducing Patient Care Needs and Improving Quality of Life After Oral Cancer Surgery: Quasiexperimental Study (Preprint)

10.2196/preprints.18132 ◽

2020 ◽

Author(s):

Tze-Fang Wang ◽

Rou-Chen Huang ◽

Su-Chen Yang ◽

Chyuan Chou ◽

Lee-Chen Chen

Keyword(s):

Quality Of Life ◽

Health Care ◽

Oral Cancer ◽

Cancer Patients ◽

Nursing Care ◽

Control Group ◽

Care Needs ◽

Oral Cancer Patients ◽

Experimental Group

BACKGROUND Intervention with a mobile Health (mHealth) app can improve the efficacy of early detection of oral cancer and the outcomes for patients taking oral anticancer medications. The quality of life of oral cancer patients is significantly reduced within three months after surgery; also, their needs for nursing care and health information increase, mainly due to side effects and associated psychological problems. OBJECTIVE This study aimed to evaluate changes in the care needs and quality of life of patients with oral cancer after receiving the intervention of a newly developed mHealth app. METHODS After surgery, oral cancer patients were divided into an experimental group (n=50) who received the mHealth app intervention and a control group (n=50) who received routine health care and instruction. After 3 months of intervention, survey questionnaires were used to assess the patients’ quality of life, nursing care needs, and acceptance of the mHealth app. RESULTS The physiological care needs were significantly decreased in the experimental group compared with the control group (<i>P</i><.05). Although the differences were not statistically significant, the psychological needs, communication needs, and care support needs all improved after the mHealth app intervention. The overall improvement in quality of life was higher in the experimental group than in the control group (–7.24 vs –4.36). In terms of intention to use, perceived usefulness, and perceived ease of use, the acceptability scores of the mHealth app were significantly increased after 3 months of intervention (<i>P</i><.05). CONCLUSIONS Compared with routine health care and instruction, for patients after surgery, the education/information intervention using the mHealth app significantly reduced their nursing care needs, improved their quality of life, and increased their acceptance of using an mHealth app on a mobile device. These findings can provide a theoretical basis for future health care app design and improvement. This study suggests that an mHealth app should be incorporated into the routine care of oral cancer patients to provide medical information quickly and improve their self-management abilities, thereby reducing the patients’ need for physiological care and improving their quality of life. CLINICALTRIAL ClinicalTrials.gov NCT04049968; https://www.clinicaltrials.gov/ct2/show/NCT04049968

Download Full-text

PENINGKATKAN KUALITAS HIDUP PASIEN KANKER DENGAN IMPLEMENTASI PERAWATAN KESEHATAN PSIKOSEKSUAL

Jurnal NERS ◽

10.20473/jn.v11i12016.7-16 ◽

2016 ◽

Vol 11 (1) ◽

pp. 7 ◽

Cited By ~ 1

Author(s):

Yati Afiyati ◽

Budi Keliat ◽

Ida Ruwaida ◽

Imami Rachmawati ◽

Nur Agustini

Keyword(s):

Quality Of Life ◽

Health Care ◽

Nursing Care ◽

Self Efficacy ◽

Health Care Services ◽

Oncology Nurses ◽

Patients With Cancer ◽

Health Care Training ◽

Care Training

Introduction: The contribution of nurses in improving the quality of life of patients with cancer has caused them to have needs of getting knowledge and skills to provide services on psychosexual health care. Training on psychosexual health care has been developed, implemented and given to oncology nurses in Indonesia in order to fulfill the needs so that the nurses are able to provide psychosexual health care to cancer survivors and their spouse. Method: The training utilized a method of pre- and post-test evaluation to identify outcomes including changes of evaluation scores of knowledge, belief, practice, and self-efficacy of trainees before and after receiving psychosexual health care training. Result: The training has been implemented on 46 oncology nurses in Indonesia so that they can have knowledge, practice, belief and self-efficacy in providing psychosexual health care to patients with cancer and their spouse. After training and mentorship had been provided, there were significant changes on knowledge, belief and self-efficacy in providing psychosexual health care services to patients with cancer and their spouse; however, there were no significant changes on practices. Discussion: The training has become a standard nursing care for cancer in Indonesia and has provided scientific evidences that nurses have contribution in improving quality of life of patients with cancer by providing a comprehensive nursing care through implementation of psychosexual health care in their daily nursing care for patients with cancer and their spouse. Keywords: Psychosexual health care, training, nursing, cancer

Download Full-text