Online ISSN: 2515-8260

Keywords : counseling


Low Quality of life (QoL) in Indian breast cancer patients : a critical analysis of UP

Sanjiv Srivastava; Dr.Alpana Srivastava; Dr. Sandeep Tiwari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 10, Pages 1561-1575

Background
Breast cancer is the commonest of all cancers among women across the world and India being no exception to this deadly disease. There may be many symptoms due to cancer, some are complex but some are not complex. Measuring quality of life (QoL) is important to measure overall burden of disease. It is important to evaluate cancer specific QoL which is associated to all stages of this disease. Also Quality of Life is a term that adds various dimensions of quality of life such as physical, psychological, socio-economical, spiritual, cognitional & social dimensions. Balance between all the four domains (i.e. Physical, Psychological, Social and Spiritual) means good quality of life, but in India QoL in general is not good and if we talk of cancer patients its worst.
Objective
The aim of this study is assessment of QoL in breast cancer patients undergoing treatment through various modalities at different stages of disease.
Methods
This is a cross-sectional study, a total of 150 breast cancer patients were included. Patients quality of life were assessed by Ferrel‘s Quality of Life Instrument-Breast Cancer patient
version and the instrument is already validated by Ferrel BR et al (2012). These questionnaires consist of general well-being, psychological well-being, distress, fearfulness, social concerns and spiritual well-being. The data obtained gives Cronbach alpha value of 0.642 which is reliable enough for further study. The QoL in for most subjects was around 50% and is a cause of concern as this is quite low as compare to global standards.
Results
A significant relationship between type of cancer, amount of pain, and fatigue (tiredness) was found. However, none of the demographic variables (age, marital status, income) were significantly related to QoL. Education and type of treatment were found to be correlated with QoL. The physical well-being score was found to be Mean = 4.82, SD = 2.19. The Psychological well-being score was found to be Mean=4.95, SD=2.02. For social well-being score was found to be Mean=4.98, SD=1.94. The highest score was for spiritual well-being Mean = 5.32, SD = 2.46.
Conclusion
Influencing quality of life (QoL) is an important issue in Breast cancer patients. Apart from effect of treatment there are other factors like socioeconomic status, psychological well-being, fear of recurrence etc., Which plays a pivotal role in patients wellbeing and if counseled at various levels like family, hospital and society can improve QoL.

Counselingevaluation of adolescentreproductive health in private junior high school

Indana Tri Rahmawati; Ratna Dwi Wulandari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 5, Pages 434-440

The problem of adolescents should get serious attention and focus on directing adolescents to a more positive direction, which focuses on creating a system to deal with delinquency among adolescents. The type of research used in this research is the evaluation research (evaluation study). The adolescent reproductive health counseling program carried out is one of a series of Field Learning Practice Programs (PBL) conducted by the Department of Public Health, Universitas Negeri Malang. To evaluate the success of this activity, an evaluation was carried out containing the pretest,posttest, and rating questionnaire. The resultsof the evaluation showed that students who studiedhealth increased from an average value of 41.47 to 90 after counseling. Based on the evaluation of the Adolescent Reproductive Health or called ”Kesehatan Reproduksi Remaja“(KRR) counseling program through a questionnaire, an average score of 86.79 was obtained, which indicated that the Adolescent Reproductive Health Renewal Programwas given according to a top category. Thus, it can be concluded that supporting good health will increase knowledge about adolescent health

Counselingevaluation of adolescentreproductive health in private junior high school.

Indana Tri Rahmawati; Ratna Dwi Wulandari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 5, Pages 644-650

The problem of adolescents should get serious attention and focus on directing adolescents to a more positive direction, which focuses on creating a system to deal with delinquency among adolescents. The type of research used in this research is the evaluation research (evaluation study). The adolescent reproductive health counseling program carried out is one of a series of Field Learning Practice Programs (PBL) conducted by the Department of Public Health, Universitas Negeri Malang. To evaluate the success of this activity, an evaluation was carried out containing the pretest,posttest, and rating questionnaire. The resultsof the evaluation showed that students who studiedhealth increased from an average value of 41.47 to 90 after counseling. Based on the evaluation of the Adolescent Reproductive Health or called ”Kesehatan Reproduksi Remaja“(KRR) counseling program through a questionnaire, an average score of 86.79 was obtained, which indicated that the Adolescent Reproductive Health Renewal Programwas given according to a top category. Thus, it can be concluded that supporting good health will increase knowledge about adolescent health.

The Process of Developing Online Consultation Application as an Alternative in Handling Adolescent Problems

Ira Mirawati; Dadang Sugiana; Slamet Mulyana; Putri Limilia

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 3627-3635

This increasingly advanced era has made us face the fact that adolescents' need for guidance and counseling is increasing. the problems they face are increasingly diverse. In schools and universities, for various reason, the need for consultation is also increasing. The problem is thatmany teenagers find it hard to tell their problems face-to-face. It’s not that they have a low communication skill, but a variety of other obstacles. Oneof which is that no one is able or willing to listen to their anxieties. On the other hand, the use of internet, including web-based applications,by the adolescents is increasingrapidly. The latest data from Indonesian Internet Service Provider Association (APJII) indicatesthat 49% of 88.1 million Indonesian internet users are adolescents. Therefore, providing a web-based consultation application is the right step to help them solve the problems anytime and anywhere.
The objective of this research is to describe the teenagers’ need for mobile application consultation media. In addition, this research will also design aweb-basedand android based application as thelecturer forum for voluntaryserving adolescents who want to confide in or consult their problems. The results showed that apart from career, teenage problems are friendship, love, family, and financial. Most respondents posted their problems in social media to release their pressure, without expecting feedback from their friends or followers. Nearly all respondents are interested in using online consultation service. They hope they can consult personally and privately, where no one can read their consultation history. In addition, the respondents recommended using a popular name, instead of institutional one, that is close to teen’s life for the online consultation media name. Thus, we developed www.sobatmu.com. After running for a year, the need for impoved consulting means this service should transform into an android application for mutual comfort of counselors, users and service managers.