Sys Rev Pharm 2020;11(3):829-833 A multifaceted review journal in the field of pharmacy 829 Systematic Reviews in Pharmacy Vol 11, Issue 3, Mar-Apr 2020 The Relationship of Family Support with Psychological Conditions and Body Image of Breast Cancer Patients Hanik Endang Nihayati 1 , Laksana Rouf Rohimna 1 , Aria Aulia Nastiti 1 ABSTRACT Patients with breast cancer will experience psychological stress in the form of depression and anxiety and changes in body shape that will affect the body image of breast cancer patients. Breast cancer patients need external support that can improve their psychological conditions and body image is undergoing treatment that requires a long time. The purpose of this study is to analyze the relationship between family support and psychological conditions and body image of breast cancer patients. The samples obtained were 116 breast cancer patients using purposive sampling. The independent variable is the family support. The dependent variable is a psychological condition and body image. The instruments in this study were in the form of family support questionnaire, psychological distress inventory (PDI) and body image scale (BIS), the data were analyzed with Spearman’s Rho. Breast cancer patients with positive family support were 98 (84.5%) respondents, positive psychological conditions were 91 (78.4%) respondents and positive body image were 94 (81.0%) respondents. There is a relationship between family support with the psychological condition of breast cancer patients (p=0.000. r=0,470) and family support with the body image of breast cancer patients (p=0,000. r=4,00). The role of family support greatly affects the psychological condition and body image of breast cancer patients. Therefore, nurses and other health services can convey to family members to continue to support, motivate and help the needs of breast cancer patients to improve their psychological condition and body image. Keywords: body image, breast cancer, family support, psychological condition INTRODUCTION Breast cancer is a disease that often occurs in women from both developed and developing countries, therefore breast cancer is still a global problem and an international health issue [1]. Someone who is diagnosed with cancer considered will have a very sad experience because cancer is a life- threatening disease that causes discomfort, possibly do death and it can also cause stress [2]. Cancer becomes the most frightening disease and tends to reduce the quality of life of a person. Therefore, it is not only medical care that needs to be done but also psychological care [3]. Various kinds of treatments performed by breast cancer patients can also cause problems such as physiological, psychological and social [4]. Besides psychological disorders, breast cancer patients also experience some changes such as appearance, or function of their body so that it causes changes in body image [5]. The study of Cancer Epidemiology Biomarker in 2014 stated that of the 3 million breast cancer incidents in the world, 39% were founded in Asia, 29% in Europe, 15% in America, 8% in Africa and 1.1% in Australia [6]. The The prevalence of cancer in Indonesia is 1.4% or an estimated 349,793 people [7]. In 2006, in East Java, there were 2,091 or around 19.70% of breast cancer cases [8]. In 2017, Surabaya occupies the highest number of cases of breast cancer in the past 5 years, namely from all non-transmitted diseases consisting of 181 cases or around 8.6% [9]. The psychological reaction is the most important factor in the quality of life of cancer patients [2]. Maintaining psychological conditions in making adjustments and adaptations to undergo treatments carried out by cancer patients is a positive action because the effects of the negative psychological condition will affect nerves and hormones that can cause a decrease in immunity and will adversely affect cancer patients who are undergoing treatments [10]. Changes in body structure in post- mastectomy can occur due to breast loss which is a symbol of sexuality for a woman [11]. Breast removal is very influential, especially on body image, which is potentially reducing sexual function and sexual attraction [12]. The patients who are depressed and anxious have a higher risk of undergoing treatment, the treatment that is inconsistent even to the point of stopping the treatment will harm the health of cancer patients and it can even cause death, therefore in maintaining the psychological condition of cancer patients, the support of the family is needed [13]. In addition, the positive body image that is formed in patients can not be separated from family support [14]. Proper cancer treatment plus family support can improve the quality of life of patients to facilitate the healing process [15]. Family support will make it easier for patients to do various activities including helping in the treatment process they are undergoing [13]. Especially for patients with outpatient care. The role of the family not only affects the patient but also the condition of the resources around the family [16]. Feeling valued, motivating, feeling loved, being able to share burdens, being able to express feelings openly and helping in dealing with problems that occur makes cancer patients have very high expectations and forms such actions that families need to the patients [17]. This study aims to analyze the relationship of family support with psychological conditions and body image of breast cancer patients. METHODS