Body Image and Social Support as Contributing Factors to the Quality of Life of Breast Cancer Patients

Authors

DOI:

https://doi.org/10.26699/jnk.v12i1.ART.p064-070

Keywords:

Body Image, Breast Cancer, Social Support, Quality of Life

Abstract

Physical changes due to the disease and treatment of breast cancer affect patients' body image and cause significant emotional impacts. Social support is crucial in helping patients cope with these changes, reducing stress, and improving overall quality of life. The aim of the research was to determine the correlation between body image and quality of life, and to assess the relationship between social support and quality of life of breast cancer patients at the Surgical Polyclinic of Raden Mattaher General Hospital Jambi. The research used a quantitative method with a cross-sectional approach. The sample comprised 61 breast cancer patients, obtained by using the Lemeshow formula and purposive sampling method. The research instruments included the Body Image Scale questionnaire, the modified MOS Social Support questionnaire (MSS), and the EORTC-QLQ-BR23 questionnaire. The univariate results showed that the average quality of life score was 56.70 (moderate category), body image had an average score of 24.18 (moderate category), and social support had an average score of 62.80 (moderate category). The bivariate analysis found a correlation between body image and quality of life with a p-value of 0.000 < 0.05 and r = 0.940 and a correlation between social support and quality of life with a p-value of 0.003 < 0.05 and r = 0.371. Nurses can improve patients' quality of life by providing education about physical changes, offering emotional support, referring patients to support groups, and involving families in the healing process.

Author Biographies

Yulia Indah Permata Sari, Universitas Jambi

mceclip0-9354142a995628002553a8c6e8d2c4e2.jpg

Yulia Indah Permata Sari
mceclip0-1ef53eea11ea6b4af5dce49bf8958019.pngUniversitas Jambi, Indonesia
Expertise : Medical Surgical Nursing
(mceclip5.pngGoogle Scholarmceclip6.pngSintamceclip7.pngORCIDmceclip0-cc15ed9e0569af8d5016d5c9b0eea00d.jpgScopus)

Yosi Oktarina, Universitas Jambi

mceclip0-9354142a995628002553a8c6e8d2c4e2.jpg

Yosi Oktarina
mceclip1-d89071c4eca29f500c260d5a723b6be6.pngUniversitas Jambi, Indonesia
Expertise : Critical Care Nursing, Quality of Life
(mceclip5.pngGoogle Scholarmceclip6.pngSintamceclip7.pngORCID)

References

Ahn, J., & Suh, E. E. (2023). Body image alteration in women with breast cancer: A concept analysis using an evolutionary method. Asia-Pacific Journal of Oncology Nursing, 10(5). https://doi.org/10.1016/j.apjon.2023.100214

Alvarez-Pardo, S., De Paz, J. A., Montserrat Romero-Perez, E., Portilla-Cueto, K. M., Horta-Gim, M. A., Gonzalez-Bernal, J. J., Fernandez-Solana, J., Mielgo-Ayuso, J., García-Valverde, A., & Gonzalez-Santos, J. (2023). Factors Associated with Body Image and Self-Esteem in Mastectomized Breast Cancer Survivors. International Journal of Environmental Research and Public Health, 20(6). https://doi.org/10.3390/ijerph20065154

Brunet, J., Price, J., & Harris, C. (2022). Body image in women diagnosed with breast cancer: A grounded theory study. Body Image, 41, 417–431. https://doi.org/10.1016/j.bodyim.2022.04.012

Celik, G. K., Cakir, H., & Kut, E. (2021). Mediating Role of Social Support in Resilience and Quality of Life in Patients with Breast Cancer: Structural Equation Model Analysis. Asia-Pacific Journal of Oncology Nursing, 8(1), 86–93. https://doi.org/10.4103/apjon.apjon_44_20

Della, W., & Yudiarso, A. (2021). Studi Meta-Analysis: Body Image dan Self-Esteem (Body Image and Self-Esteem: Meta-Analysis Study). Jurnal Psibernetika, 14(2), 105–110. https://doi.org/10.30813/psibernetika.v14i2.2943

Dinkes Provinsi Jambi. (2022). Profil Kesehatan Provinsi Jambi. https://dinkes.jambiprov.go.id/file/informasi_publik/PROFIL%20KESEHATAN%20PROVINSI%20JAMBI%202022_NG_repaired_compressed.pdf

Dinkes Kota Jambi. (2023). Data Kanker Payudara Di Dinas Kesehatan kota Jambi. https://dinkes.jambiprov.go.id/file/informasi_publik/UFJPRklMIEtFU0VIQVRBTiBQUk9WSU5TSSBUQUhVTiAyMDIyLnBkZgMTY5MTMyNDEyOQ_Wkt1691324129_XtLnBkZg.pdf

EORTC. (2024). Breast Cancer (update of QLQ-BR23). https://qol.eortc.org/questionnaire/update-qlq-br23/

Ferlay, J., Ervik, M., Lam, F., Colombet, M., Mery, L., Pineros, M., Znaor, A., Soerjomataram, I., & Bray, F. (2024). Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. https://gco.iarc.who.int/today

Haryati, F., & Sari, D. N. A. (2019). Hubungan body image dengan kualitas hidup pada pasien kanker payudara yang menjalankan kemoterapi. Health Sciences and Pharmacy Journal, 3(2), 54. https://doi.org/10.32504/hspj.v3i2.138

Heidary, Z., Ghaemi, M., Hossein Rashidi, B., Kohandel Gargari, O., & Montazeri, A. (2023). Quality of Life in Breast Cancer Patients: A Systematic Review of the Qualitative Studies. Cancer Control, 30. https://doi.org/10.1177/10732748231168318

Khanuun, L., & Makiyah, S. N. N. (2021). Social Support to Women with Breast Cancer Undergoing Treatment. Media Keperawatan Indonesia, 4(3), 247. https://doi.org/10.26714/mki.4.3.2021.247-255

Krok, D., Telka, E., & Kocur, D. (2024). Perceived and Received Social Support and Illness Acceptance Among Breast Cancer Patients: The Serial Mediation of Meaning-Making and Fear of Recurrence. Annals of Behavioral Medicine, 58(3), 147–155. https://doi.org/10.1093/abm/kaad067

Lauren, & Kolokotron. (2023). Trajectories of Quality of Life among an International Sample of Women during the First Year after the Diagnosis of Early Breast Cancer: A Latent Growth Curve Analysis. Cancers, 15(7). https://doi.org/10.3390/cancers15071961

Li, M., Xie, X., Xu, H., & Li, H. (2022). A Psychological Nursing Intervention for Patients with Breast Cancer on Inflammatory Factors, Negative Emotions and Quali-ty of Life. Iran J Public Health, 51(9), 2041–2047. https://doi.org/10.18502/ijph.v51i9.10559

Morsy, Z. Y. A.-N., Zaki, R. A.-H., & Ahmed, F. M. (2022). Effect of Psycho-educational Nursing Program on Body Image, Self-esteem and Quality of Sexual Life among Women with Breast Cancer. Journal of Nursing Science-Benha University, 3(3), 2022. https://doi.org/10.21608/JNSBU.2022.213771

Nurohmat, N., Hasim Asyari, Marsono, M., & Fikri, Moh. A. (2022). Deteksi Dini Kanker Payudara dengan Self Assessmen SADARI Berbasis Aplikasi Android pada Dinas Kesehatan Kabupaten Indramayu. Jurnal Pengabdian Ilmu Kesehatan, 9(1), 22–31. https://doi.org/10.55606/jpikes.v2i3.476

Purwanti, S., Syukur, N. A., & Haloho, C. B. (2021). Faktor Risiko Berhubungan dengan Kejadian Kanker Payudara Wanita. Jurnal Bidan Cerdas, 3(4), 168–175. https://doi.org/10.33860/jbc.v3i4.460

Rand Health Care. (2024). Social Support Survey Instrument. https://www.rand.org/health-care/surveys_tools/mos.html

Sari, D. A., Nasution, S. Z., & Zulfendri, Z. (2023). The Relationship Between Body Image and Quality of Life in Breast Cancer Patients at H. Adam Malik Center General Hospital Medan City. Contagion: Scientific Periodical of Public Health and Coastal Health, 5(3). https://doi.org/10.30829/contagion.v5i3.15504

Sudiasta, D. G., Yanti, N. L. G. P., & Citrawati, N. K. (2022). Gambaran Kualitas Hidup Pasien Kanker Payudara yang Menjalani Kemoterapi Selama Masa Pandemi Covid-19. Jurnal Keperawatan Dan Fisioterapi (JKF), 4(2), 260–267. https://doi.org/10.35451/jkf.v4i2.986

Witdiawati, W., Purnama, D., & Eriyani, T. (2018). Dukungan Sosial Dalam Adaptasi Kehidupan Klien Kanker Payudara di Kabupaten Garut. Indonesian Journal of Nursing Research, 1(1). https://doi.org/10.35473/ijnr.v1i1.10

Wondimagegnehu, A., Abebe, W., Abraha, A., & Teferra, S. (2019). Depression and social support among breast cancer patients in Addis Ababa, Ethiopia. BMC Cancer, 19(1). https://doi.org/10.1186/s12885-019-6007-4

Wulandari, S. M., Yunitasari, E., Kusumaningrum, T., Myint, N. M. M., & Subu, M. A. (2023). Body image perception among breast cancer patients after mastectomy: A phenomenology study. The Journal of Palembang Nursing Studies, 2(3). https://doi.org/10.55048/jpns87

Yunita, Y. (2023). Pengaruh Penyesuaian Sosial, Dukungan Sosial dan Keterampilan Sosial Sebagai Moderator Pembentukan Perilaku Sosial Siswa di Sekolah. Indonesian Journal of Social Science Education (IJSSE), 5(1), 41. https://doi.org/10.29300/ijsse.v5i1.9499

Downloads

Published

17-04-2025

How to Cite

Sari, E. P., Sari, Y. I. P., & Oktarina, Y. (2025). Body Image and Social Support as Contributing Factors to the Quality of Life of Breast Cancer Patients. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 12(1), 064–070. https://doi.org/10.26699/jnk.v12i1.ART.p064-070

Issue

Section

Article