Imami Nur Rachmawati

Maternal Self-Efficacy of Pregnant Indonesian Teens: Development and Validation of an Indonesian Version of the Young Adult Maternal Confidence Scale and Measurement of Its Validity and Reliability

ABSTRACT Pregnant teens often feel uncertain in the last trimester about their ability to take care of their baby. At this time, maternal confidence in the ability to care for the baby is an important step in the preparation for becoming a mother. The purpose of this study was to examine the validity and reliability of an Indonesian version of the Young Adult Maternal Confidence Scale (YAMCS) as an instrument to measure maternal self-efficacy of pregnant teens in the last trimester. The study consisted of 90 pregnant teens, age of respondents less than 19 years and living in 1 of 3 sub-districts: Cilember, Sukamanah and Megamendung, Bogor Regency. West Java. All the participants completed a questionnaire based on the YAMCS to assess maternal self-efficacy. The YAMCS consists of 3 dimensions (perception of ability, uncertainty, and mothering behaviors) and 10 items. All items of the YAMCS had corrected item-total item correlation more than 0.3 and had 0.859 Cronbach’s α scores. Based on the findings of this study, this questionnaire is a valid and reliable measure of maternal self-efficacy of pregnant teens in Indonesia. Health workers can use the questionnaire to assess the confidence of pregnant women, especially that of adolescents, in caring for their baby and being a good mother.

Improving Quality of Life on Cancer Patient by Implementation of Psychosexual Health Care

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 preand 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.

Evaluating sexual nursing care intervention for reducing sexual dysfunction in Indonesian cervical cancer survivors

Objective: This study aims to describe the factors affecting successful nursing care intervention on sexuality. Methods: A one-group pre- and post-test design was used. Fifty-three cervical cancer survivors and their spouses were administered with nursing care intervention on sexuality in three sessions and evaluated after 6 weeks. Results: Sexual intervention reduced dyspareunia symptoms, improved vaginal lubrication, improved sexual satisfaction, and enhanced sexual arousal, sexual desire, and orgasm among cancer survivors and their spouses. The other influencing factors also simultaneously contributed to the success of nursing care intervention. Conclusions: Nursing care intervention on sexuality could be a part of supportive nursing care and an important aspect in standard nursing care for cancer patients in Indonesia.