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Introduction: The COVID-19 pandemic has a negative impact on the mental health of pregnant women. Women are prone to psychological problems such as fatigue, emotional disturbances, mood disorders and anxiety disorders. Anxiety of pregnant women must be prevented so as not to cause negative impacts on pregnant women and their fetuses. Objectives: The purpose of this study is to identify the triggers for anxiety in pregnant women during the COVID-19 pandemic based on a systematic review. Method: The method used to search in PubMed, ProQuest, Google Scholar with the publication year starting 2020-2021. The critical appraisal used is The Joanna Briggs Institute JBI. Results: 20 articles met the inclusion criteria. Research and studies were conducted in China, Iran, Canada, Turkey, Indonesia and the USA. Anxiety trigger factors are identified into 2, namely threats to physical integrity and threats to the integrity of one's own system. Threats to physical integrity consist of age, parity, physical activity, trimester of pregnancy, pregnancy complications, food availability, COVID-19 prevention efforts. Threats to the integrity of the self system consist of education, occupation, history of depression, unplanned pregnancy, family income, location of residence, presence of caregivers, health facility services, COVID-19 information, life partners, social support, counseling, telemedicine and insurance services. Discussion and conclusion: There are many factors that cause anxiety during a pandemic. There is a need for new identification to identify risk factors for anxiety in pregnant women so that more comprehensive prevention efforts can be carried out involving various health professions in the service. Keywords: Pregnancy, Anxiety Triggers, COVID-19

Introduction: An understanding of supportive care needs is essential to achieve good quality care for women with breast cancer. This concept defines the needs of cancer patients in relation to the physical, emotional, psychological, social, informational and spiritual domains since the start of their journey through diagnosis, treatment, survivorship, palliative care and the grief process. Methods: This study was conducted to explore the unmet supportive care needs of women with breast cancer. Databases were searched in the journals using pre-determined keywords such as ‘supportive care needs’, ‘breast cancer’ and ‘woman’. The databases used were Scopus, Pro Quest, Science Direct and EBSCO. The search was limited to journals published in the period 2014-2020. Out of the 189 nursing journals initially found, 16 journals were selected that met all of the eligibility criteria. Eight studies used a cross-sectional design. Results: Most of the breast cancer patients were in the post-diagnosis phase and had survived. More than 50% of the journals reported that the needs of breast cancer women were going unmet. The predictors of a higher level of need among the breast cancer patients are age, social support and information. The most prevalent unmet needs among the women with breast cancer were found to be in the health system and related to information. Conclusion: Future research should focus on improving the education and psychological support programs available to provide for the unmet supportive care needs of patients newly-diagnosed with breast cancer. This can provide high quality care for them.

Background: Cesarean section (CS) is the most significant surgical intervention that affects the central nervous system and that slows down the bowel movement after CS. Intervention in the early period after CS is needed to improve bowel function. This study aims to determine the effect of early mobilization on intestinal peristalsis after cesarean section. Method: This quasi-experimental study was conducted on 72 patients divided into two groups of 36 for the intervention group at Dewi Sartika Public Hospital and for the control group at Kendari Public Hospital. A paired T-test was used for the data analysis. Result: After the intervention, there was a significant improvement in intestinal peristalsis in the intervention group (P

Background: Breast cancer is the most common type of cancer suffered by women. Cancer patients generally experience side effects of chemotherapy such as nausea and vomiting. Aim : The purpose of this study was to determine the effect of aromatherapy on nausea and vomiting of breast cancer patients undergoing chemotherapy. Method: this study is a true experimental study with a randomized pre-post-test design with a control group. The study sample was breast cancer patients with one day care chemotherapy at RSUD dr. Soetomo Surabaya. The sample was divided into 2 groups, the aromatherapy group (n = 20) and the control group (n = 20) collected consecutively in August to September 2019. Inhalation lavender aromatherapy is performed independently by patients at home every 2 times a day for 3 consecutive weeks (21 days). The instrument measures nausea and vomiting using the Rhodes Index Nausea, Vomiting and restcing. data analysis using paired t test. Results: The aromatherapy group had a mean difference of pre-post test -9.20, higher than the control group 0.30. Paired t test showed that there were significant differences in mean pre and post test in the aromatherapy group with p value 0.05). Conclusion: lavender aromatherapy inhaled continuously for three consecutive weeks can reduce the nausea and vomiting of breast cancer patients undergoing chemotherapy

Background: Pregnant adolescents (age 10-19) are at risk for complications of pregnancy and childbirth such as eclampsia and puerperal endometritis, which is one of the major causes of maternal death in the world. Unsafe abortions pose the same health risks (WHO 2018). Unwanted pregnancies reported by women in the 15-19 age group are twice as high (16%) as in the 20-24 age group (8%) (IDHS, 2017). Objective: The literature review’s purpose was to analyse the impact of pregnancy on adolescents through scientific evidence from research results of several researchers. Methods: The study was conducted with a literature review design, where the data used were secondary data from articles that examined adolescents with problems with unplanned pregnancies or adolescents who experienced early marriage due to unplanned pregnancies. The framework used to search for articles used PICOS. The article was limited to empirical studies of the last 5 years. Search through Google Scholar database, e-resource, Science Direct and Pubmed. Keywords and Boolean operators used were impacts and unplanned pregnancy and teen. Keywords adjusted to Medical Subject Heading (MeSH), obtained a sample of 22 reviewed articles. Result: The search results obtained 22 articles and it had similarities, namely 8 articles discussing physical impacts, 11 articles discussing psychological impacts, 15 articles discussing social impacts and 7 articles discussing economic impacts. Through this review, the physical impact results were premature birth, anemia and hypertension during pregnancy, attempted abortion, psychological impact in the form of feelings of fear, depression, guilt and disappointment with oneself, social impact in the form of dropping out of school, community stigma because it was considered a problem group, not getting support from the environment and the economic impact was difficulty finding work so that it was difficult to meet daily needs. Conclusion: Adolescents who decide to maintain their pregnancy is the best decision, but the significant impact that adolescents will experience makes them at high risk for physical disorders.

Leprosy disease is caused by Mycobacterium leprae which attacks the skin and peripheral nerves. Currently leprosy still remains a world problem. Leprosy patients should not experience severe structural and functional damage. The combination of the empowerment education, peer support can improve symptoms and signs of impairment, behavioral prevention defects. The objective of this study was describes empowerment education, peer support to behavior prevention of dissability. This study used true experimental randomized pre-post test control group design. The sampel was recruited using simple random sampling consisting of 16 respondents. The independent variable are empowerment education, peer support. The dependent variable are knowledge of disability prevention, attitude of disaility prevention, action of medication compliance. The data were collected by distributing questionnaires and check card patient treatment. Data were analized by Mann-Whitney Test and Wilcoxon Signed ranked Test. The result showed that 1) There is influence on knowledge, 2) There is influence on attitude , 3) There is influence on medication adherence. Supportive interventions through empowerment education, peer support can help leprosy patients in the treatment process. Proven knowledge, attitude, adherence to medication, and self efficacy intervention group increased after given intervention. Suggestions for further research is to examine the development of leprosy impairment prevention models based on other nursing theories and with a longer duration of study.