ANDIKAWATI FITRIASARI, - (2017) PENGARUH TINDAKAN ASERTIF MA:SY ARAKAT TERHADAP PSIKOSOSIAL KLIEN KANKER PAYUDARA. Masters thesis, UNIVERSITAS AIRLANGGA.

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Abstract

Women diagnosed with breast cancer have psychosocial problems. Psychosocial that occurs on clients with breast cancer include physical and psychological symptoms. Community assertive action is a psychosocial holistic approach for breast cancer clients performed in residential environments. This study aims to analyze the influence of community assertive actions against the psychosocial of clients with breast cancer. The study used pre-post control group design. The research samples are clients with breast cancer treated at Medokan Ayu Public Health Center Surabaya, there 'were 15 sample of treatment group and 15 sample of control group. Sampling technique used was purposive sampl ing. The variables in this study are community and psychosocial assertive actions including anxiety, depression, selfimage, physical condition, social, sexuality and socioeconomic. Data were collected using questionnaires and analyzed using Paired T test and Independent T test. The results showed changes in the mean values of pre-test and post-test in the treatment group of anxiety (p = 0,000), depression (p = 0.00 I), self-image (p =0,000), physical condition (p = 0.27]), social (p = 0,000), sexuality (p = 0,262), and socioeconomic (p = 0,597). The conclusions in this study of community assertive action can reduce anxiety, reduce depression, improve self-image, improve social and not affect the physical condition, sexuality and social economy. This study recommends health workers to perform community assertive actions in improving psychosocial services and increase the role of families in addressing the psychosocial problems of breast cancer clients.

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