Correlation Between Family Support and Emotional Regulation with The Resilience of Breast Cancer Patients in The City of Surabaya: A Literature Review

Results: 4,434 journals then identified for titles obtained as much as 2,142 and filtered according to abstract obtained 98 remaining journals, then review the complete full-text publication of a fully detailed 46 journal The final article that was in accordance with the inclusion criteria was 19 journals (articles).There is a significant relationship between family support and emotional regulation to the resilience of breast cancer patients.


INTRODUCTION
The incidence of breast cancer every year has increased, especially in developing countries (Kementerian Kesehatan RI, 2018;Luzzati, Parenti and Rughi, 2018). In general, people living with breast cancer experience unpleasant events and impacts in their lives (Molina et al., 2014). Psychological effects that are often felt by breast cancer patients are helplessness, anxiety, stress, unstable emotions, and depression (Oetami et al., 2014). Unstable emotions in breast cancer patients are associated with the ability to adapt to the disease (Vaziri et al., 2017). Emotion regulation is the process of controlling emotions during or after experiences of threatening events and also stress (Garnefski, Kraaij and Spinhoven, 2007). By providing emotional regulation interventions in cancer, patients can manage negative emotions that are modified into selfmotivation as well as express perceived emotions (Vaziri et al., 2017).
While family support can affect the health conditions felt by breast cancer patients, at present, family support for people living with breast cancer is not good (Husni, Romadoni and Rukiyati, 2012). Support from family members can influence stress in women with gynecological cancer. Cancer patients who have the support of the family feel loved and cared for (Kirana, 2016). Resilience is one's ability to adapt to problems, survive, improve themselves, and grow in the face of crises and challenges (Connor and Davidson, 2003). At present many people with breast cancer are less able to adapt to the disease process they are experiencing so that they experience a personal burden (Habersack and Luschin, 2013). In Indonesia, the number of studies that explain in detail the relationship of family support and emotional regulation to resilience in breast cancer patients is still limited.
According to Globocan (2018b), the incidence of new cases of breast cancer in women increased from 1.7 million in 2012 to 2.1 million in 2018. Breast cancer is most commonly experienced by women in 140 countries out of a total of 184 countries worldwide, with numbers of death reached 522,000 (Union for Internasional Cancer Control, 2016 (Penelitian and Pengembangan, 2013). Breast cancer occupies the highest level in East Java. In 2016, there were 3600 breast cancer clients (Kemenkes RI, 2016). The purpose of this study is to review the literature on the relationship between family support and emotional regulation with the resilience of breast cancer patients.

METHOD
A literature study is a method used to collect data or sources related to the topic raised in writing. Literature studies can be obtained from various sources, both journals, books, documentation, the internet, and literature. The method of literature study is a series of activities that are pleased with the method of collecting library data, reading and recording, and managing writing material (Nursalam, 2017

RESULT
International literature sought using the Google Scholar database, Sprott, Nurse Journal and Scopus with the keywords "Family Support, Emotion Regulation, Resilience, Breast Cancer, Patient" in the last ten years 2009-2019 obtained 4,434 journals then identified for titles obtained as much as 2,142 and filtered according to abstract obtained Sebanayk 98 remaining journals, then review the complete full-text publication of a fully detailed 46 journal The final article that was in accordance with the inclusion criteria was 19 journals (articles) (See Table 1).

DISCUSSION
Stressful situations and conditions, such as those experienced by people with breast cancer, have the potential to cause negative emotions (Burgess, 2006). Emotional reactions that are not appropriate, extreme, or uncontrolled will disrupt individual functions, so it is necessary to regulate emotions every time (Gross, 2014). Emotional regulation is important for someone to be able to control his emotions in the face of pressure; being able to express the  The results showed that all four respondents showed a good picture of resilience. Emotional regulation, being able to control pressure, having hopes for the future, and being able to identify problems were the most instrumental aspects in forming resilience. The results showed that in the regulation scores of positive and negative cognitive emotions, the average score of the MS group was significantly more than the cancer group. In lifestyle, the average score of the brain tumor group is significantly more than the other two groups. In the adjustment and dimensions of personal, social, work, and family, the cancer group scores significantly more than the other two groups. There is a relationship between family support and the level of motivation of breast cancer patients to take chemotherapy right feelings will help foster resilience in a person (Nasution, 2011). Research on emotion regulation states that the ability to manage emotions can help someone in controlling themselves, especially when faced with pressure so that the ability to control oneself well can help someone direct their behavior (Mawardah and Adiyanti, 2014). In patients with breast cancer, good emotional regulation is needed so that the patient is able to survive, overcome stress so that it can be said as a patient who has resilience (Connor and Davidson, 2003). (Horton and Wallander, 2001). The support given by the family to sufferers in the form of motivation, information, moral support in the form of enthusiasm can increase the ability of resilience in patients characterized by the emergence of the patient's enthusiasm for recovery (Shally and Prasetyaningrum, 2017). ). Patients with good resilience can help patients to reduce the negative impact of the treatment process they are undergoing and tend to be able to deal with the disease appropriately and maintain a balance of mental, psychological conditions (Molina et al., 2014).

Relationship of Family
Based on previous research, in increasing the resilience of breast cancer patients, religious cognitive intervention/therapy is carried out (Alifia, 2018). Based on the resilience theory model developed by (Deshields et al., 2016), Based on the resilience theory model developed by (Deshields et al., 2016), resilience has basic attributes in the form of personal and environmental aspects. The basic attribute can be protective or can be a dangerous factor. Internal protective factors can be found in aspects of personality, cognitive components, previous life experiences, intelligent individuals, able to express themselves emotionally, or who have better self-control. Environmental factors are factors outside one's personal, including this aspect; for example, social support, some of these factors can increase resilience in people with breast cancer.

CONCLUSION
Emotional regulation is important for a person to be able to control his emotions in the face of pressure, in patients with breast cancer good emotional regulation is needed so that the patient is able to survive, overcome stress so that it can be said as a patient who has resilience. Family support can also affect the health conditions felt by breast cancer patients. Support provided by the family to sufferers in the form of motivation, information, moral support in the form of enthusiasm can increase the ability of resilience in patients characterized by the emergence of the patient's enthusiasm for recovery.