The Effect of Husband’s Support on Fear of Cancer Recurrence in Gynecological and Breast Cancer Survivors

Authors

  • Heryani Heryani Banjarmasin City Health Office
  • Yati Afiyanti Universitas Indonesia
  • Yustan Azidin Universitas Muhammadiyah Banjarmasin
  • M. Syafwani Universitas Muhammadiyah Banjarmasin
  • Solikin Solikin Universitas Muhammadiyah Banjarmasin
  • Dini Rahmayani Universitas Sari Mulia

DOI:

https://doi.org/10.51143/jksi.v10i2.987

Keywords:

Breast Cancer, Fear of Cancer Recurrence, Gynecological Cancer, Husband Support, Instrumental Support

Abstract

Cancer is a leading cause of death, and survivors face a wide range of therapies and psychological challenges. A key need reported by cancer survivors, particularly gynecological and breast cancer survivors, at the end of their treatment is fear of recurrence, which many factors, including husband support, can influence. The purpose of this study was to analyze the effect of husband support on fear of recurrence in gynecological and breast cancer survivors. This study was conducted at Ulin Hospital, Banjarmasin, with 211 respondents who underwent outpatient evaluation and had undergone at least one treatment. The research instrument used the Fear of Cancer Recurrence Inventory (FCRI) questionnaire. This study design was cross-sectional. The main findings of this study showed no statistically significant association between husband support and fear of recurrence in gynecological and breast cancer survivors (P-value 0.06). Based on the statistical results, the global score is not significant, but the specific domains show significance there was a specific correlation in one subtype of husband's support (instrumental support, specifically in the contributing factor domain, with a p-value of 0.03 and a correlation coefficient of r=?0.15) with one domain of fear. The conclusion of this study indicates that overall, there is no relationship between husband's support and the contributing factor, but there is a significant relationship between instrumental and important support. This can provide recommendations for further research, including using a longitudinal design to obtain more accurate results.

References

He, X., Wu, Y., Zhou, Y., Chen, Q., Li, X., Fan, X., Xia, C., Ma, J., Han, J., & Han, X. (2024). Reproductive concerns and its correlation with fear of recurrence and level of family support in patients of childbearing age with gynecologic malignancies. Reproductive Health, 21(1). https://doi.org/10.1186/s12978-024-01827-9

Larsen, C., Kirchhoff, K. S., Saltbæk, L., Thygesen, L. C., Karlsen, R. V., Svendsen, M. N., Høeg, B. L., Horsbøl, T. A., Bidstrup, P. E., Christensen, H. G., Johansen, C., & Dalton, S. O. (2023). The association between education and fear of recurrence among breast cancer patients in follow-up–and the mediating effect of self-efficacy. Acta Oncologica, 62(7), 714–718. https://doi.org/10.1080/0284186X.2023.2197122

Lu, X., Wu, C., Bai, D., You, Q., Cai, M., Wang, W., Hou, C., & Gao, J. (2023). Relationship between social support and fear of cancer recurrence among Chinese cancer patients: A systematic review and meta-analysis. In Frontiers in Psychiatry (Vol. 14). Frontiers Media S.A. https://doi.org/10.3389/fpsyt.2023.1136013

Mohamed, N. A., & Muhamad, M. (2013). Older women breast cancer survivors: Decision making, Sources of information and wellness activities in Malaysia. Asian Pacific Journal of Cancer Prevention, 14(3), 2043–2048. https://doi.org/10.7314/APJCP.2013.14.3.2043

Rahmayani, D., Muhsin, M., Nasional Banjarmasin, S., Sari Mulia Banjarmasin, S., & Penulis, K. (n.d.-a). Dukungan Suami dalam. Dinamika Kesehatan, 07(1).

Rosdiana, M., & Afiyanti, Y. (2020). Perawatan Suportif Pada Penyintas Kanker Ginekologi: A Literature Review. Jurnal Penelitian Kesehatan “SUARA FORIKES” (Journal of Health Research “Forikes Voice”), 11(4), 338. https://doi.org/10.33846/sf11402

Sari, D. K., Dewi, R., & Daulay, W. (2019). Association between family support, coping strategies and anxiety in cancer patients undergoing chemotherapy at General Hospital in Medan, North Sumatera, Indonesia. Asian Pacific Journal of Cancer Prevention, 20(10), 3015–3019. https://doi.org/10.31557/APJCP.2019.20.10.3015

Sukyati Ira. (2018). Analisis Faktor-Faktor yang Mempengaruhi Kualitas Hidup Penyintas Kanker Ginekologi. Buletin Kesehatan Vol. 2 No. 1 Januari – Juli 2018. Termuat dalam :< https://journal.unair.ac.id/download-fullpapers-thtklac6b53d6eefull.pdf> di akses tanggal 25 Desember 2022

Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660

Tao, L., Ma, X., Yang, Y., Hu, X., Fu, L., & Li, J. (2024). Investigating fear of cancer recurrence among female breast cancer survivors and their spouses in southwest China: a cross-sectional study. BMJ Open, 14(2). https://doi.org/10.1136/bmjopen-2023-077964

Warapornmongkholkul, A., Howteerakul, N., Suwannapong, N., & Soparattanapaisarn, N. (2018). Self-efficacy, social support, and quality of life among primary family-member caregivers of patients with cancer in Thailand. Journal of Health Research, 32(2), 111–122. https://doi.org/10.1108/JHR-01-2018-012

Wijayanti, T., Afiyanti, Y., Rahmah, H., & Milanti, A. (2018). Fear of cancer recurrence and social support among Indonesian gynecological cancer survivors. Archive of Oncology, 24(2), 12–19. https://doi.org/10.2298/AOO180201004W

Yu, Z., Sun, D., & Sun, J. (2022). Social Support and Fear of Cancer Recurrence Among Chinese Breast Cancer Survivors: The Mediation Role of Illness Uncertainty. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.864129

Downloads

Published

2026-01-21

How to Cite

Heryani, H., Afiyanti, Y., Azidin, Y., M. Syafwani, Solikin, S., & Rahmayani, D. (2026). The Effect of Husband’s Support on Fear of Cancer Recurrence in Gynecological and Breast Cancer Survivors. JURNAL KEPERAWATAN SUAKA INSAN (JKSI), 10(2), 373–382. https://doi.org/10.51143/jksi.v10i2.987

Issue

Vol. 10 No. 2 (2025): Jurnal Keperawatan Suaka Insan (JKSI)

Section

Articles

License

Copyright (c) 2026 Heryani Heryani, Yati Afiyanti, Yustan Azidin, M. Syafwani, Solikin Solikin, Dini Rahmayani

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

All articles published in Jurnal Keperawatan Suaka Insan (JKSI) are licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).

Under this open-access license, users are free to:

  • Share: Copy and redistribute the material in any medium or format.

  • Adapt: Remix, transform, and build upon the material for any purpose, even commercially.

Under the following terms:

  • Attribution: You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor (author or JKSI) endorses you or your use.

  • No Additional Restrictions: You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Copyright: Authors retain the full copyright of their published work without restrictions and grant JKSI the right of first publication.

For the complete legal code of this license, please visit: https://creativecommons.org/licenses/by/4.0/legalcode.id

References

He, X., Wu, Y., Zhou, Y., Chen, Q., Li, X., Fan, X., Xia, C., Ma, J., Han, J., & Han, X. (2024). Reproductive concerns and its correlation with fear of recurrence and level of family support in patients of childbearing age with gynecologic malignancies. Reproductive Health, 21(1). https://doi.org/10.1186/s12978-024-01827-9

Larsen, C., Kirchhoff, K. S., Saltbæk, L., Thygesen, L. C., Karlsen, R. V., Svendsen, M. N., Høeg, B. L., Horsbøl, T. A., Bidstrup, P. E., Christensen, H. G., Johansen, C., & Dalton, S. O. (2023). The association between education and fear of recurrence among breast cancer patients in follow-up–and the mediating effect of self-efficacy. Acta Oncologica, 62(7), 714–718. https://doi.org/10.1080/0284186X.2023.2197122

Lu, X., Wu, C., Bai, D., You, Q., Cai, M., Wang, W., Hou, C., & Gao, J. (2023). Relationship between social support and fear of cancer recurrence among Chinese cancer patients: A systematic review and meta-analysis. In Frontiers in Psychiatry (Vol. 14). Frontiers Media S.A. https://doi.org/10.3389/fpsyt.2023.1136013

Mohamed, N. A., & Muhamad, M. (2013). Older women breast cancer survivors: Decision making, Sources of information and wellness activities in Malaysia. Asian Pacific Journal of Cancer Prevention, 14(3), 2043–2048. https://doi.org/10.7314/APJCP.2013.14.3.2043

Rahmayani, D., Muhsin, M., Nasional Banjarmasin, S., Sari Mulia Banjarmasin, S., & Penulis, K. (n.d.-a). Dukungan Suami dalam. Dinamika Kesehatan, 07(1).

Rosdiana, M., & Afiyanti, Y. (2020). Perawatan Suportif Pada Penyintas Kanker Ginekologi: A Literature Review. Jurnal Penelitian Kesehatan “SUARA FORIKES” (Journal of Health Research “Forikes Voice”), 11(4), 338. https://doi.org/10.33846/sf11402

Sari, D. K., Dewi, R., & Daulay, W. (2019). Association between family support, coping strategies and anxiety in cancer patients undergoing chemotherapy at General Hospital in Medan, North Sumatera, Indonesia. Asian Pacific Journal of Cancer Prevention, 20(10), 3015–3019. https://doi.org/10.31557/APJCP.2019.20.10.3015

Sukyati Ira. (2018). Analisis Faktor-Faktor yang Mempengaruhi Kualitas Hidup Penyintas Kanker Ginekologi. Buletin Kesehatan Vol. 2 No. 1 Januari – Juli 2018. Termuat dalam :< https://journal.unair.ac.id/download-fullpapers-thtklac6b53d6eefull.pdf> di akses tanggal 25 Desember 2022

Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660

Tao, L., Ma, X., Yang, Y., Hu, X., Fu, L., & Li, J. (2024). Investigating fear of cancer recurrence among female breast cancer survivors and their spouses in southwest China: a cross-sectional study. BMJ Open, 14(2). https://doi.org/10.1136/bmjopen-2023-077964

Warapornmongkholkul, A., Howteerakul, N., Suwannapong, N., & Soparattanapaisarn, N. (2018). Self-efficacy, social support, and quality of life among primary family-member caregivers of patients with cancer in Thailand. Journal of Health Research, 32(2), 111–122. https://doi.org/10.1108/JHR-01-2018-012

Wijayanti, T., Afiyanti, Y., Rahmah, H., & Milanti, A. (2018). Fear of cancer recurrence and social support among Indonesian gynecological cancer survivors. Archive of Oncology, 24(2), 12–19. https://doi.org/10.2298/AOO180201004W

Yu, Z., Sun, D., & Sun, J. (2022). Social Support and Fear of Cancer Recurrence Among Chinese Breast Cancer Survivors: The Mediation Role of Illness Uncertainty. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.864129