FAMILY PROCESS WITH BREAST CANCER PATIENT IN INDONESIA

Citation for this: Wulandari, S. K., Hermayanti, Y., Yamin, A., & Efendi, F. 2017. FAMILY PROCESS WITH BREAST CANCER PATIENT IN INDONESIA.

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. Discussion: 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.

INTRODUCTION
The Indonesian profile in the WHO (2014) shows the statistics of cancer incidence reaching 103,100 new cases compared to new
cases in the world of 14.1 million cases. Specific cases of breast cancer in West Java show an incidence of 1.0 ‰ of the population (Riskesdas) (2014). Anderson and Jakesz (2008) state that developing countries need practical, cost-effective resource interventions in the treatment of breast cancer. Hopkinson (2016) proven eating disorders often occur in cancer patients and affect the family diet until cachexia syndrome. While the family as an informal caregiver who became the primary
caregiver tended to experience depression,
physical & mental fatigue (Buyck et al. (2011);
Papastavrou, Charalambous, and Tsangari
(2012). Limited resources in socioeconomic
problems made consequence of improper
treatment (Obrist et al., 2014). Especially for
patients with outpatient treatment. The role of
the family to be the companion not only affects
the patient but also the condition of the
resources around the family.

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