scholarly journals Hubungan Mekanisme Koping Dengan Skor Kecemasan Dalam Menghadapi Ujian Keterampilan Medik Pada Mahasiswa Prodi Pendidikan Dokter Universitas Mataram

2021 ◽  
Vol 4 (1) ◽  
pp. 18
Author(s):  
Nurrahmasia Nurrahmasia ◽  
Emmy Amalia ◽  
Dian Puspita Sari
Keyword(s):  
Test Anxiety ◽  
Performance Test ◽  
Clinical Skills ◽  
Anxiety Score ◽  
Coping Mechanism ◽  
Cross Sectional ◽  
Brief Cope ◽  
Second Year ◽  
Exam Anxiety ◽  
Bahasa Indonesia

<p><strong>Latar Belakang: </strong>Kecemasan merupakan suatu gejala yang timbul dari konflik bawah sadar yang tidak terselesaikan. Kecemasan ujian merupakan kecemasan antisipatif yang timbul ketika menghadapi situasi ujian.Setiap individu memiliki cara ataupun mekanisme koping yang berbeda dalam menghadapi masalahnya. Penggunaan mekanisme koping yang sesuai membantu seseorang beradaptasi terhadap perubahan atau beban yang dihadapi, termasuk beban belajar menghadapi ujian.Penelitian ini meneliti hubungan antara mekanisme koping dengan skor kecemasan mahasiswa program studi pendidikan dokter dalam menghadapi ujian keterampilan medik, serta korelasi antara skor kecemasan dengan nilai ujian.</p><p><strong>Metode:</strong> Penelitian ini menggunakan desain <em>cross-sectional</em>. Responden penelitian ini adalah mahasiswa program studi pendidikan dokter Fakultas Kedokteran Universitas Mataram tahun pertama dan kedua. Datamekanisme koping diambil dengan menggunakan instrumen <em>Brief COPE, </em>sementara data kecemasan diambil menggunakan instrumen PTA (<em>Performance Test Anxiety</em>). Keduanya telah diterjemahkan ke Bahasa Indonesia dan diuji validitas dan reliabilitasnya.Uji statistik yang digunakan adalah uji <em>Mann-Whitney </em>dan uji <em>Spearman. </em></p><p><strong>Hasil: </strong>Sebanyak 207 mahasiswa berpartisipasi dalam penelitian ini. Skorkecemasan mahasiswadidapatkan70.00 (31-94)dan 83.1% menggunakan<em>Problem Focused Coping</em>. Penggunaan <em>Problem focused coping</em> berhubungan signifikan dengan skor kecemasan yang lebih rendah(p=0,032). Tidak terdapat hubungan antara skor kecemasan dengan hasil ujian keterampilan medik pada mahasiswa tahun pertama maupun kedua (p &gt; 0.05)</p><p><strong>Simpulan: </strong>Jenis mekanisme koping yang paling banyak digunakan oleh mahasiswa fakultas kedokteran universitas mataram adalah <em>problem focused coping</em> dan jenis mekanisme koping ini berhubungan dengan skor kecemasan ujian yang lebih rendah.</p><p><strong>Kata Kunci:</strong> <strong>Kecemasan Ujian, Mekanisme Koping, Keterampilan Medik</strong></p><p><strong><em>Background: </em></strong><em>Anxiety is a symptom that arises from unfinished subconscious conflicts. Exam anxiety is anticipatory anxiety experienced when student in an examination situation.  Each individual has a different coping mechanism in dealing with the problem.</em><em>The use of appropriate coping mechanism helps individuals adapt to the changes or burden they face, including studying for exams. This study examined the relationship between coping mechanisms and anxiety score of medical students in facing clinical skills exam, as well as the correlation between anxiety score and clinical skills exam score.</em><em></em></p><p><strong><em>Method</em></strong><strong><em>s</em></strong><strong><em>:</em></strong><em>This study used a cross-sectional design. The study subjects were first and second year medical students at the Faculty of Medicine, Universitas Mataram. Coping mechanism data were obtained using the Brief COPE Inventory, while anxiety data were obtained using the Performance Test Anxiety (PTA). Both questionnaires have been translated into Bahasa Indonesia andtested for validity and reliability. The statistical test used in this study were the Mann-Whitney test and the Spearman test. </em></p><p><strong><em>Result</em></strong><strong><em>s</em></strong><strong><em>: </em></strong><em>A total of 207 students participated in this study. The participants’ anxiety score was 70.00 (31-94)and 83.1% using Problem Focused Coping. The use of Problem Focused Copingwas significantly associated with lower anxiety score (p=0.032). There was no relationship between anxiety score and clinical skills examination results for the first and second year student (p &gt; 0.05).</em></p><p><strong><em>Conclusion: </em></strong><em>The use of Problem Focused Coping was prevalent among the first and second year students participated in this study and this coping mechanism was associated with lower exam anxiety score.</em></p><p><strong><em>Keyword: Exam anxiety, coping mechanism, medical skill exam.</em></strong><strong><em></em></strong></p>

scholarly journals Risk of Depression Among MMT Patients: Does Coping Strategies and Perceived Social Support Play a Role?

2021 ◽  
Vol 15 ◽  
pp. 117822182110494
Author(s):  
Suzaily Wahab ◽  
Tee Chun Keat ◽  
Amirul Danial Azmi ◽  
Raynuha Mahadevan ◽  
Eni Rahaiza Muhamed Ramli ◽  
...  
Keyword(s):  
Social Support ◽  
Coping Strategies ◽  
Mental Health Problems ◽  
Methadone Maintenance ◽  
Perceived Social Support ◽  
Cross Sectional Study ◽  
Coping Mechanism ◽  
Cross Sectional ◽  
Self Blame ◽  
Brief Cope

Introduction: Patients receiving methadone maintenance therapy (MMT) experience higher level of stress and are at greater risk of developing mental health problems such as depression which could potentially affect both quality of life and treatment outcomes. This cross-sectional study is aimed at understanding the relationship between psychosocial factors such as social support, coping, and depression among patients receiving MMT in a Malaysian Hospital. Methods: One hundred and ninety-six patients attending MMT program were recruited. The Patient Health Questionnaire-9 (PHQ-9) was used to screen for depression, Multidimensional Scale of Perceived Social Support (MSPSS) was used to assess participants’ perceived social support, and the Brief COPE questionnaire was used to assess coping strategies. The diagnosis of depression was made using Mini-International Neuropsychiatric Interview (MINI). Results: About 13.8% of our sample were diagnosed with depression. From our analysis, it was found that having higher levels of perceived social support (OR = 0.462, 95% CI 0.238-0.899, P < .05), the use of active and emotion focused coping mechanism (OR = 0.231, 95% CI 0.095-0.565, P < .005), and support seeking and self-distraction coping mechanism (OR = 0.196, 95% CI 0.074-0.521, P < .001) was associated with lower likelihood of depression. On the contrary, the use of dysfunctional coping strategies such as denial, behavioral disengagement, and self-blame was associated with increased likelihood of depression (OR = 9.384, 95% CI 3.081-28.581, P < .001). Conclusion: Active and emotion focused along with support and self-distraction coping strategies, and higher levels of perceived social support may serve as a buffer against depression in patients receiving MMT.

scholarly journals Coping Styles in Patients with Anxiety and Depression

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Pashtoon Murtaza Kasi ◽  
Haider Ali Naqvi ◽  
Abaseen Khan Afghan ◽  
Talha Khawar ◽  
Farooq Hasan Khan ◽  
...  
Keyword(s):  
Coping Styles ◽  
Depression Scale ◽  
Primary Objective ◽  
Anxiety And Depression ◽  
Instrumental Support ◽  
Coping Mechanism ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Coping Methods ◽  
Brief Cope

Different individuals use different coping styles to cope with their problems. In patients with anxiety and/or depression, these have important implications. The primary objective of our study was to estimate the frequency of different coping mechanisms used by patients with symptoms of anxiety and depression. A descriptive, cross-sectional survey was conducted and patients with symptoms of anxiety and depression were identified using the Aga Khan University’s Anxiety and Depression Scale (AKUADS). Coping styles were determined by using the 28-item Brief COPE inventory. We were able to recruit 162 people. The prevalence of anxiety and depression was found to be 34%. Females were more than 2 times likely to have anxiety and depression (P value , ). In patients screening positive for AKUADS, “religion” was the most common coping mechanism identified. “Acceptance”, “Use of instrumental support”, and “Active coping” were other commonly used coping styles. Our findings suggest that religious coping is a common behavior in patients presenting with symptoms anxiety and depression in Pakistan. Knowledge of these coping styles is important in the care of such patients, as these coping methods can be identified and to some extent modified by the treating clinician/psychiatrist.

scholarly journals Relationship between Homesickness and Test Anxiety in Non-Native Students of Shiraz University of Medical Sciences International Branch in the Clinical and Physiopathology Course In 2013

2015 ◽  
Vol 8 (7) ◽  
pp. 293
Author(s):  
Saman Azizi
Keyword(s):  
Correlation Coefficient ◽  
Test Anxiety ◽  
Native Students ◽  
Cross Sectional ◽  
Pearson’S Correlation ◽  
Pearson’S Correlation Coefficient ◽  
Pearson's Correlation ◽  
Reverse Relationship ◽  
Exam Anxiety ◽  
Pearson's Correlation Coefficient

<p><strong>INTRODUCTION:</strong> Anxiety is an emotional and physiological response to the internal felling of overall danger that is easily resolved. The aim of this study has been to determine the relationship between exam anxiety and the feeling of homesickness among non-native students.</p><p><strong>METHODOLOGY:</strong> The present study is cross-sectional and the subjects in this study are 80 non-native male and female PhD candidates in clinical and physiopathology majors in 2013 academic year that have been evaluated with the help of Persian homesickness questionnaire and Sarason’s test anxiety questionnaire and the data was analyzed using Pearson’s correlation coefficient.</p><p><strong>RESULTS:</strong> With regard to the Pearson’s correlation coefficient there is a significant<strong> </strong>and reverse relationship between the desire to return to home and exam anxiety (r=0.0344, p=0.004) and there is a significant<strong> </strong>and reverse relationship between the Compatibility and exam anxiety (r=0.428, p&lt;0.0001) and there is a significant<strong> </strong>and direct relationship between the feeling of alone and exam anxiety (r=0.888, p&lt;0.0001).<strong></strong></p><p><strong>DISCUSSION &amp; CONCLUSION:</strong> There is a significant relationship between the feeling of homesickness and exam anxiety and the mental health of non-native students will be deteriorated by the feeling of homesickness and anxiety.</p>

scholarly journals Performance and impact of disposable and reusable respirators for healthcare workers during pandemic respiratory disease: a rapid evidence review

2020 ◽  
Author(s):  
Chris Burton ◽  
Briana Coles ◽  
Anil Adisesh ◽  
Simon Smith ◽  
Elaine Toomey ◽  
...  
Keyword(s):  
Patient Care ◽  
Healthcare Workers ◽  
Performance Test ◽  
Clinical Skills ◽  
Careful Consideration ◽  
International Standards ◽  
Rapid Review ◽  
Cross Sectional ◽  
Wide Range ◽  
The Impact

AbstractObjectivesIn the context of the Covid-19 pandemic, to identify the range of filtering respirators that can be used in patient care and synthesise evidence to guide the selection and use of different respirator types.DesignComparative analysis of international standards for filtering respirators and rapid review of their performance and impact in healthcare.Data sourcesWebsites of international standards organisations, Medline and EMBASE (final search 11th May 2020), with hand-searching of references and citations.Study selectionGuided by the SPIDER tool, we included studies whose sample was healthcare workers (including students). The phenomenon of interest was respirators, including disposable and reusable types. Study designs including cross-sectional, observational cohort, simulation, interview and focus group. Evaluation approaches included test of respirator performance, test of clinician performance or adherence, self-reported comfort and impact, and perceptions of use. Research types included quantitative, qualitative and mixed methods. We excluded studies comparing the effectiveness of respirators with other forms of protective equipment.Data extraction, analysis and synthesisTwo reviewers extracted data using a template. Suitability for inclusion in the analysis was judged by two reviewers. We synthesised standards by tabulating data according to key criteria. For the empirical studies, we coded data thematically followed by narrative synthesis.ResultsWe included relevant standards from 8 authorities across Europe, North and South America, Asia and Australasia. 39 research studies met our inclusion criteria. There were no instances of comparable publications suitable for quantitative comparison. There were four main findings. First, international standards for respirators apply across workplace settings and are broadly comparable across jurisdictions. Second, effective and safe respirator use depends on proper fitting and fit-testing. Third, all respirator types carry a burden to the user of discomfort and interference with communication which may limit their safe use over long periods; studies suggest that they have little impact on specific clinical skills in the short term but there is limited evidence on the impact of prolonged wearing. Finally, some clinical activities, particularly chest compressions, reduce the performance of filtering facepiece respirators.ConclusionA wide range of respirator types and models is available for use in patient care during respiratory pandemics. Careful consideration of performance and impact of respirators is needed to maximise protection of healthcare workers and minimise disruption to the delivery of care.

scholarly journals HUBUNGAN MEKANISME KOPING DENGAN KEPATUHAN KEMOTERAPI PADA PENDERITA KEGANASAN YANG MENGALAMI ANSIETAS DAN DEPRESI

2015 ◽  
Vol 37 (1) ◽  
pp. 32
Author(s):  
Gina Sonia ◽  
Helmi Arifin ◽  
Arina Widya Murni
Keyword(s):  
Strong Relationship ◽  
Anxiety And Depression ◽  
Final Conclusion ◽  
Coping Mechanism ◽  
Chi Square ◽  
Cross Sectional ◽  
Brief Cope ◽  
Number Of Patients ◽  
Prevalence Of Depression ◽  
Had Scale

AbstrakPenderita keganasan mendapat kemoterapi banyak menunjukkan gejala psikologisseperti ansietas dan depresi yang sangat berpengaruh terhadap kepatuhan penderita dalammenjalani kemoterapi. Penelitian ini bertujuan untuk melihat hubungan mekanisme kopingdengan kepatuhan melakukan kemoterapi pada penderita keganasan yang mengalamiansietas dan depresi. Penelitian dilakukan selama 3 bulan pada penderita keganasan yangmenjalani kemoterapi di RSUP M.Djamil dengan metode cross sectional. Jumlah pasienadalah 59 pasien, 38 diantaranya mengalami ansietas dan/atau depresi. Mekanisme kopingdinilai dengan Brief Cope. Kepatuhan dinilai dengan wawancara dan kuesioner. Ansietasdan depresi dinilai dengan HAD Scale. Data di analisa dengan SPSS menggunakan uji Chi-Square dan korelasi koefisien kontingensi dengan tingkat kebermaknaan p<0,05. Kesimpulandari penelitian ini adalah prevalensi depresi lebih tinggi dari pada ansietas pada penderitakeganasan yang menjalani kemoterapi, dan ada hubungan kuat yang bermakna secarastatistik antara mekanisme koping dengan kepatuhan melakukan kemoterapi pada penderitakeganasan yang mengalami ansietas dan depresi.AbstractPatients with malignancies who received chemotherapy show psychological symptomssuch as anxiety and depression that correlated with their adherence to chemotherapy. Thisstudy aims to see the relationship between coping mechanisms with chemotherapy adherencein patients with malignancies who experience anxiety and depression. The study was conductedfor 3 months in patients with malignancies undergoing chemotherapy at Dr M.Djamil usingcross sectional design. The number of patients was 59, 38 of them experienced anxiety and/ordepression. Coping mechanism was assessed using the Brief Cope. Compliance was assessedby interview and questionnaire. Anxiety and depression were assessed by the HAD Scale. Datawas analyzed with SPSS using Chi-Square and coefficient contingency correlation, significancelevel of p <0.05. The final conclusion of this study is that the prevalence of depression washigher than the prevalence of anxiety in patients with malignancies who undergo chemotherapy,and there was a strong relationship between coping mechanism and chemotherapy adherencein patients with malignancies who experienced anxiety and depression.

scholarly journals Assessing the growth in clinical skills using a progress clinical skills examination

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e9091
Author(s):  
Heather S. Laird-Fick ◽  
Chi Chang ◽  
Ling Wang ◽  
Carol Parker ◽  
Robert Malinowski ◽  
...  
Keyword(s):  
Medical School ◽  
Repeated Measures ◽  
Clinical Skills ◽  
Clinical Skill ◽  
Skills Training ◽  
Longitudinal Growth ◽  
First Year ◽  
Cross Sectional ◽  
First Year Students ◽  
Second Year

Background This study evaluates the generalizability of an eight-station progress clinical skills examination and assesses the growth in performance for six clinical skills domains among first- and second-year medical students over four time points during the academic year. Methods We conducted a generalizability study for longitudinal and cross-sectional comparisons and assessed growth in six clinical skill domains via repeated measures ANOVA over the first and second year of medical school. Results The generalizability of the examination domain scores was low but consistent with previous studies of data gathering and communication skills. Variations in case difficulty across administrations of the examination made it difficult to assess longitudinal growth. It was possible to compare students at different training levels and the interaction of training level and growth. Second-year students outperformed first-year students, but first-year students’ clinical skills performance grew faster than second-year students narrowing the gap in clinical skills over the students’ first year of medical school. Conclusions Case specificity limits the ability to assess longitudinal growth in clinical skills through progress testing. Providing students with early clinical skills training and authentic clinical experiences appears to result in the rapid growth of clinical skills during the first year of medical school.

Impact of an Epilepsy Educational Programme on Coping Mechanism, Attitude, Knowledge and Awareness: A Rural Sabah Experience

2020 ◽  
Vol 18 (2) ◽  
pp. 1-14
Author(s):  
Sivaraj Raman ◽  
Chun Wai Chang ◽  
Jin Ee Heng ◽  
See Wan Wong
Keyword(s):  
Standard Of Care ◽  
Education Programme ◽  
Educational Programme ◽  
Health Concern ◽  
Coping Mechanism ◽  
Brief Cope ◽  
Educational Programmes ◽  
Knowledge And Attitude ◽  
And Coping ◽  
Programme Planning

Epilepsy is a disabling disease which has not been adequately emphasised as a public health concern. Patients are often left in the dark about their disease, affecting their ability to cope and live a normal life. This study aimed to explore and evaluate the effects of a structured epilepsy education programme (EEP) on awareness, knowledge and attitude (AKA) and coping mechanism of patients. Recruited participants were required to complete the modified Malay AKA epilepsy questionnaire and Malay brief coping orientation to problem experienced (Brief COPE)-27. Upon completion, they received a structured EEP conducted by trained personnel using validated materials. Participants were then followed up for a period of 6 months and reassessed at 1, 3 and 6 months to measure any changes in their AKA and coping mechanisms. Twenty-two participants were successfully recruited. Total AKA score of participants showed a significant increase (mean score difference = 16.3, p = 0.021, 95% CI: 3.0, 28.1) at 6 months post-EEP. This improvement was mostly contributed by the increase in both knowledge and attitude scores. Religion was the most preferred coping mechanism (82.5%), followed by instrumental support, emotional support, active coping and acceptance at 75.0%, respectively. Only three domains showed significant differences after the educational programme: planning: 62.5% versus 77.5%, p = 0.026; denial: 57.5% versus 37.5%, p = 0.004; venting: 62.5% versus 52.5%, p = 0.004. The EEP was effective in improving attitude and knowledge while bringing about changes in coping skills of patients over a period of time. Educational programmes should be part of epilepsy standard of care, especially as they are inexpensive and brief yet impactful

Are Future Doctors Prepared to Address Patients’ Nutritional Needs? Cooking and Nutritional Knowledge and Habits in Medical Students

2021 ◽  
pp. 155982762110181
Author(s):  
Sam Sugimoto ◽  
Drew Recker ◽  
Elizabeth E. Halvorson ◽  
Joseph A. Skelton
Keyword(s):  
Medical Students ◽  
Prior Knowledge ◽  
The United States ◽  
First Year ◽  
Nutritional Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Nutritional Needs ◽  
Second Year ◽  
First Year Medical Students

Background. Many diseases are linked to lifestyle in the United States, yet physicians receive little training in nutrition. Medical students’ prior knowledge of nutrition and cooking is unknown. Objective. To determine incoming medical students’ prior nutrition knowledge, culinary skills, and nutrition habits. Methods. A dual-methods study of first-year medical students. Cross-sectional survey assessing prior knowledge, self-efficacy, and previous education of cooking and nutrition. Interviews of second-year medical students explored cooking and nutrition in greater depth. Results. A total of 142 first-year medical students participated; 16% had taken a nutrition course, with majority (66%) learning outside classroom settings. Students had a mean score of 87% on the Nutritional Knowledge Questionnaire versus comparison group (64.9%). Mean cooking and food skills score were lower than comparison scores. Overall, students did not meet guidelines for fiber, fruit, vegetables, and whole grains. Interviews with second-year students revealed most learned to cook from their families; all believed it important for physicians to have this knowledge. Conclusions. Medical students were knowledgeable about nutrition, but typically self-taught. They were not as confident or skilled in cooking, and mostly learned from their family. They expressed interest in learning more about nutrition and cooking.

scholarly journals Higher dietary diversity is related to better visual and auditory sustained attention

2016 ◽  
Vol 115 (8) ◽  
pp. 1470-1480 ◽  
Author(s):  
Farideh Shiraseb ◽  
Fereydoun Siassi ◽  
Mostafa Qorbani ◽  
Gity Sotoudeh ◽  
Reza Rostami ◽  
...  
Keyword(s):  
Sustained Attention ◽  
Performance Test ◽  
Dietary Diversity ◽  
Continuous Performance Test ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Sports Clubs ◽  
Dietary Recall ◽  
Effective Performance ◽  
The Mean

AbstractAttention is a complex cognitive function that is necessary for learning, for following social norms of behaviour and for effective performance of responsibilities and duties. It is especially important in sensitive occupations requiring sustained attention. Improvement of dietary diversity (DD) is recognised as an important factor in health promotion, but its association with sustained attention is unknown. The aim of this study was to determine the association between auditory and visual sustained attention and DD. A cross-sectional study was carried out on 400 women aged 20–50 years who attended sports clubs at Tehran Municipality. Sustained attention was evaluated on the basis of the Integrated Visual and Auditory Continuous Performance Test using Integrated Visual and Auditory software. A single 24-h dietary recall questionnaire was used for DD assessment. Dietary diversity scores (DDS) were determined using the FAO guidelines. The mean visual and auditory sustained attention scores were 40·2 (sd35·2) and 42·5 (sd38), respectively. The mean DDS was 4·7 (sd1·5). After adjusting for age, education years, physical activity, energy intake and BMI, mean visual and auditory sustained attention showed a significant increase as the quartiles of DDS increased (P=0·001). In addition, the mean subscales of attention, including auditory consistency and vigilance, visual persistence, visual and auditory focus, speed, comprehension and full attention, increased significantly with increasing DDS (P<0·05). In conclusion, higher DDS is associated with better visual and auditory sustained attention.

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