scholarly journals Hubungan Tingkat Kecemasan dalam Menghadapi Objective Structured Clinical Examination (OSCE) dengan Kelulusan OSCE pada Mahasiswa Fakultas Kedokteran Universitas Andalas

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Dinda Putri Amir ◽  
Detty Iryani ◽  
Laila Isrona

AbstrakKecemasan adalah normal terjadi dalam kehidupan, namun kecemasan dapat menjadi abnormal jika respons terhadap stimulus berlebihan. Pada mahasiswa, kecemasan berpengaruh terhadap proses pendidikan. OSCE merupakan salah satu bagian dari ujian komprehensif yang menguji keterampilan medis mahasiswa yang akan memasuki kepaniteraan klinik. Ujian ini hampir sama dengan ujian skills lab, tapi materi ujian lebih banyak dan setting ujian juga berbeda sehingga situasi tersebut menimbulkan kecemasan pada mahasiswa menjelang OSCE. Tujuan penelitian ini adalah menentukan hubungan tingkat kecemasan dalam menghadapi OSCE dengan kelulusan OSCE pada mahasiwa FK Unand. Jenis penelitian ini adalah deskriptif analitik dengan sampel sebanyak 34 orang. Data diperoleh melalui wawancara kepada peserta OSCE menggunakan kuesioner Hamilton Rating Scale for Anxiety (HRS-A) dan Bagian Akademik FK Unand yang selanjutnya dianalisis melalui uji korelasi Gamma dan Somers’d. Hasil penelitian ini didapatkan nilai koefisien korelasi (r) sebesar -0,106 dan nilai signifikansi p>0,05. Berdasarkan hasil penelitian dapat disimpulkan bahwa tidak terdapat hubungan yang bermakna antara tingkat kecemasan dalam menghadapi OSCE dengan kelulusan OSCE pada mahasiwa FK Unand.Kata kunci: kecemasan, ujian, OSCE, HRS-A AbstractAnxiety normally occurs in life, but anxiety can become abnormal if the response to the stimulus is excessive. In student, anxiety affects the educational process. OSCE is a part of comprehensive exam that examine medical skills of the students who will enter their clinical stage. Although this exam is similiar like skills lab exam but the matters of exam is more complex and the setting of exam is different too, so these situations cause anxiety in students toward OSCE. The objective of this study was to determine the correlation between anxiety level in facing OSCE to students’ graduation of OSCE in Faculty of Medicine Andalas University. This study was a descriptive analytical and total sample of 34 people. Data were collected through interviewing the students use the questionnaire of Hamilton Rating Scale for Anxiety (HRS-A) and Academic Department of Faculty of Medicine Andalas University. It was analyzed by Gamma and Somerd’s correlation test. The result of this study found a correlation coefficient (r) is -0,106 and level of significance (p) >0,05.  Based on the result, it can be concluded  that there is no correlation between anxiety level in facing OSCE with students’ graduation of OSCE in Faculty of Medicine Andalas University.Keywords: anxiety, exam, OSCE, HRS-A

2019 ◽  
Author(s):  
Naufal Wildan Askandar

Anxiety normally occurs in life, but anxiety can become abnormal if the response to the stimulus is excessive. In student, anxiety affects the educational process. OSCE is a part of comprehensive exam that examine medical skills of the students who will enter their clinical stage. Although this exam is similiar like skills lab exam but the matters of exam is more complex and the setting of exam is different too, so these situations cause anxiety in students toward OSCE. OSCE is a clinical examination to test students’ skill. Students have to demonstrate skill possessed by the different conditions and examined by a particular examiners. The condition potentially the students suffering of anxiety in which symptoniced by phsichologies as students’ scared, felt nervous insecure. Impacts of anxiety caused reduction of students’ skill in pursuing their tasks thereby get the bad result.


2020 ◽  
Vol 2 (1) ◽  
pp. 28-30 ◽  
Author(s):  
Eva Ardianti ◽  
Sinar Pertiwi ◽  
Etin Rohmatin

Background: During pregnancy, most women experience psychological and emotional changes, it often comes up in the third trimester. Anxiety itself will have a negative impact on pregnant women to delivery, such as the fetal nervous and hindering growth, weakens the uterine muscle contraction, and others. One way to overcome anxiety in pregnancy with non-farmokologi method is prenatal massage.Methods: The study design used was pre-experimental research design with one group pretest posttest. Sampling in this research using purposive sampling technique with a sample size of 30 people. Pretest and posttest data retrieval using a measuring instrument HARS Scale (Hamilton Rating Scale for Anxiety). The data were analyzed using univariate and bivariate using Spearman Correlation Test.Result: Obtained results correlation value 0.769, it shows that the correlation is very strong with 0,000 ρvalue (ρvalue 0.05).Conclusion: Thus prenatal massage was effective to reduced the anxiety level of third trimester pregnant women


2014 ◽  
Vol 2 (1) ◽  
pp. 141
Author(s):  
Eka Roisa Shodiqoh ◽  
Fahriani Syahrul

ABSTRACTFacing childbirth is one thing that can cause anxiety. The process of giving birth is not always only somatic, but also psychosomatic. It is because many psychological elements affect the process of giving birth. This study aimed to analyze the differences of the level anxiety in facing childbirth between primigravida and multigravida.The research was conducted with cross-sectional design using questionnaires and Hamilton Rating Scale Anxiety (HRS-A). Interviews were conducted on 43 primigravidae and multigravidae pregnant women on 3rd trimester who checkup at Puskesmas Talango Sumenep.  Sample was taken by simple random sampling. Independent variables in this study were maternal characteristics, internal and external factors which cause anxiety. The dependent variable was the level of anxiety in facing labor.Testing difference in the level anxiety in the face of labor between primigravida and multigravida with Wilcoxon Mann-Whitney U test, where statistic values sig. (2-tailed) is 0,006 or p<0,05 indicating that there were differences in anxiety levels between primigravida and multigravida. The conclusions that can be drawn is that there are differences in the level of anxiety in facing childbirth between primigravida and multigravida. It is recommended for health worker to concern not only on the pregnancy but also on mother’s psychology condition. Health worker should inform husbands to accompany their wife from pregnancy to childbirth.Keyword: anxiety level, labor, primigavida, multigravid


2000 ◽  
Vol 12 (1) ◽  
pp. 67-75 ◽  
Author(s):  
Emese Linka ◽  
György Bartkó ◽  
Tamás Agárdi ◽  
Katalin Kemény

The purpose of this study was to examine the prevalence and correlation of cognitive impairments, major depression, and depressive symptoms among elderly medical inpatients, and to compare the degree of depressive symptomatology as well as cognitive deterioration in possible vascular dementia and possible Alzheimer's disease. In a department of internal medicine, 100 (36 male, 64 female) 65-year-old or older patients were examined by a semistructured interview, and assessed by the Hachinski Ischemic Scale, the Hamilton Rating Scale for Depression (HDS), and the Modified Mini-Mental State (MMMS) Examination. In our total sample, the MMMS total score was (±SD) 76.0 ± 15.5 and the HDS total score was (±SD) 12.0 ± 6.1. Based on DSM-IV criteria, major depression was established in 11 patients. Deterioration of cognitive functions was seen in 66 patients; cognitive impairment was mild in 30 patients, moderate in 19, and severe in 17. Forty-six patients had mild depressive symptoms and 27 had severe depressive symptoms. In summary, a high prevalence of cognitive dysfunction and depressive symptomatology was detected in our study, illustrating the importance of psychiatric care in elderly medical inpatients.


2021 ◽  
Vol 7 (1) ◽  
pp. 24-28
Author(s):  
Madepan Mulia

Introduction: Cancer is a group of diseases characterized by the uncontrolled growth and spread of abnormal cells that can lead to death. The physical impact caused by cancer will affect a person's psychological condition, causing psychosocial problems. Purpose: This study aims to determine the effect of cognitive therapy and family psychoeducation therapy on the anxiety level of cancer clients at the Regional General Hospital (RSUD) Dr. Hi. Abdul Moeloek, Lampung Province. Methods: This study used a quasi-experimental design with pre-post test control group with a total sample of 35 people for each group. The instrument used was hamilton anxiety rating scale (HARS). The analytical test used was repeated ANOVA test and independent t-test. Results: The results showed that cancer client anxiety decreased significantly (p value <0.05) after receiving nurse nursing action, but after being given cognitive therapy and family psychoeducation therapy, it decreased significantly than after receiving nurse nursing action. Conclusion: The implication of this research is that cognitive therapy and family psychoeducation therapy reduce the anxiety level of cancer clients, so that the hospital can add interventions related to psychosocial problems, especially for cancer clients who experience anxiety at the Regional General Hospital (RSUD) Dr. Hi. Abdul Moeloek, Lampung Province.


2020 ◽  
Vol 1 (2) ◽  
pp. 101-110
Author(s):  
Anggit Septy Nugraheni ◽  
Siwi Ikaristi Maria Theresia

Background: Anxiety is often associated with a life-threatening event such as during surgery. The emergence of anxiety begins in the preoperative phase as the initial phase in the surgical process. For someone who is undergoing surgery for the first time, an anxious response will emerge so that it can affect the success of the operation.   Objective: The purpose of this study was to determine the level of anxiety of patients who underwent the first operation at RapihPanti Hospital Yogyakarta.   Methods: This research uses descriptive quantitative survey method, with a total sample of 30 respondents using purposive sampling technique. The instrument to assess used was the Hamilton Rating Scale for Anxiety (HRS-A) which was translated into Indonesian.   Results: The results showed that the mild anxiety level was in the early elderly 16.7%. The most moderate level of anxiety in the elderly was 13.3% and severe anxiety in late adolescence was 3.3%. Based on gender, the level of mild anxiety was mostly experienced by men 33.3% and moderate anxiety was mostly experienced by women 30%. As many as 60% of patients get information sources on surgery from health workers and seek information on social media independently.   Conclusion: The level of anxiety is mild, moderate and severe experienced by all age groups. Types of gender men experience the mild anxiety level and women experience the most moderate level of anxiety. Recommendation for nurses is to provide assistance in knowledge, understanding, and spiritual support, besides the nurses assess the level of anxiety in all patients undergoing surgery. For hospitals develop social media communication as a source of information on surgery.


2014 ◽  
Vol 2 (1) ◽  
pp. 141
Author(s):  
Eka Roisa Shodiqoh ◽  
Fahriani Syahrul

ABSTRACTFacing childbirth is one thing that can cause anxiety. The process of giving birth is not always only somatic, but also psychosomatic. It is because many psychological elements affect the process of giving birth. This study aimed to analyze the differences of the level anxiety in facing childbirth between primigravida and multigravida.The research was conducted with cross-sectional design using questionnaires and Hamilton Rating Scale Anxiety (HRS-A). Interviews were conducted on 43 primigravidae and multigravidae pregnant women on 3rd trimester who checkup at Puskesmas Talango Sumenep.  Sample was taken by simple random sampling. Independent variables in this study were maternal characteristics, internal and external factors which cause anxiety. The dependent variable was the level of anxiety in facing labor.Testing difference in the level anxiety in the face of labor between primigravida and multigravida with Wilcoxon Mann-Whitney U test, where statistic values sig. (2-tailed) is 0,006 or p<0,05 indicating that there were differences in anxiety levels between primigravida and multigravida. The conclusions that can be drawn is that there are differences in the level of anxiety in facing childbirth between primigravida and multigravida. It is recommended for health worker to concern not only on the pregnancy but also on mother’s psychology condition. Health worker should inform husbands to accompany their wife from pregnancy to childbirth.Keyword: anxiety level, labor, primigavida, multigravid


2018 ◽  
Vol 10 (3) ◽  
pp. 159
Author(s):  
Gilbert Limen ◽  
Joshua Runtuwene ◽  
Christillia Wagiu

Abstract: Exam is a potential stressor to cause anxiety among students. As an exit exam, the medical competency examination consists of two parts: multiple choice question computer-based test and an objective structured clinical examination (OSCE). The anxiety level during the latter part where the cognitive, psychomotor and professional behaviour aspects of examinees are tested, is considered the highest. Passing grade of the exam as one criterion used for important decisions can also be another source of anxiety. Anxiety may impact performance during exam and consequently the passing grade. This study was aimed to evaluate the correlation between the anxiety level right before medical competency examination OSCE and the August 2018 OSCE final results. This was an analytical study with a cross sectional design. Respondents were all students partaking in OSCE at Sam Ratulangi University Medical School. The Hamilton Anxiety Rating Scale was used to measure the anxiety level. The OSCE results were retrieved from the Academic Department. Data were analyzed with the Spearman correlation test that obtained a P value of 0.289. Overall, 81.20% of respondents experienced anxiety, however, the majority (43.50%) were considered as mild anxiety. Moreover, the median score of August 2018 OSCE was 80.00. Conclusion: There is no correlation between anxiety level right before OSCE and August 2018 final results.Keywords: anxiety level, medical competency examination, OSCE scoreAbstrak: Ujian dapat menjadi sebuah stresor yang menimbulkan kecemasan. Uji Kompetensi Mahasiswa Program Profesi Dokter (UKMPPD) sebagai exit exam terdiri atas dua jenis ujian yakni pilihan ganda berbasis komputer dan Objective Structured Clinical Examination (OSCE). Tingkat kecemasan yang dihasilkan oleh OSCE paling tinggi karena OSCE menguji aspek kognitif, psikomotor dan professional behavior. Nilai batas lulus ujian UKMPPD juga dapat menjadi sumber kecemasan karena digunakan untuk menentukan keputusan yang penting. Kecemasan dalam menghadapi ujian dapat menjadi salah satu penyebab yang memengaruhi performa dan berdampak pada kelulusan. Penelitian ini bertujuan untuk mengetahui hubungan tingkat kecemasan mahasiswa dalam menghadapi UKMPPD OSCE dengan nilai UKMPPD OSCE periode Agustus 2018. Jenis penelitian ialah analitik dengan desain potong lintang. Responden ialah seluruh mahasiswa yang mengikuti UKMPPD OSCE di Fakultas Kedokteran Universitas Sam Ratulangi (Unsrat) dengan menggunakan instrumen penelitian Hamilton Anxiety Rating Scale untuk mengukur tingkat kecemasan dan nilai OSCE dari Bagian Akademik Fakultas Kedokteran Unsrat. Analisis statistik menggunakan uji kore-lasi Spearman. Hasil analisis hubungan antara kecemasan dalam menghadapi UKMPPD OSCE dengan nilai UKMPPD OSCE periode Agustus 2018 mendapatkan nilai P=0,289. Responden yang mengalami kecemasan sebanyak 81,20% dan umumnya memiliki tingkat kecemasan yang ringan (43,50%). Median nilai UKMPPD OSCE periode Agustus 2018 yang diperoleh ialah 80,00. Simpulan: Tidak terdapat hubungan antara tingkat kecemasan dalam menghadapi UKMPPD OSCE dengan nilai UKMPPD OSCE periode Agustus 2018.Kata kunci: tingkat kecemasan, UKMPPD, nilai OSCE


Author(s):  
Arisyna Arisyna ◽  
Florentina Sustini ◽  
Nalini Muhdi

Introduction: Medical students are more susceptible to anxiety than non-medical students. This study aimed to describe the anxiety level and its risk factors among the first, third, and fifth year medical students in Universitas Airlangga.Methods: We conducted cross-sectional study involving 195 medical students by consecutive sampling. The inclusion criteria in this study were all first, third, and fifth year medical students who were willing to participate in the study. The data was recorded using questionnaire of anxiety risk factors, Hamilton Rating Scale for Anxiety, and Miller and Smith Stress Vulnerability Scale. All data then was processed and analyzed descriptively.Results: From 195 students, 57 male (29.2%) and 138 female (70.8%) students participated, consisted of 63 first year, 68 third year, and 64 fifth year students. Anxiety mostly occurred in fifth year students (20.3%), followed by first year students (19%), and third year students (11.8%). Anxiety mostly occured in male (24.6%), at the age of 17 (33.3%), susceptible to stress (75%), dissatisfied with physical condition (29.2%), had chronic diseases (26.4%), on middle birth order (34.6%), had frequent conflict with parents in almost every month (50%), lived in dorm (20%), had no close friends (33.3%), perceived that health was not important (100%), orphaned (18.8%), low parental income (35%), overburdened with examination (26.3%), and dissatisfied with the examination criteria (26.5%).Conclusion: Fifth year medical students had the highest frequency of anxiety, while third year students had the lowest frequency. Nevertheless, based on the age, anxiety mostly occurred at the age of 17. These conditions were caused by some risk factors. 


2019 ◽  
Vol 8 (1) ◽  
pp. 23-27
Author(s):  
Marlita Dewi Lestari ◽  
Kusuma Wijaya Ridi Putra ◽  
Dimyati Dimyati

Background: Mothers who undergo labor with sectio caesarea can experience anxiety because they have never experienced surgery or do not know about the actions to be taken.Objective: The study aimed to determine the maternal anxiety level of preoperative sectio caesarea in the Maternity Room of the DKT Hospital in Sidoarjo.Method: The research design used was descriptive method with cross sectional approach. The population in this study were patients who will undergo labor with sectio caesarea in the Maternity Room of the DKT Hospital in Sidoarjo. Sampling technique with accidental sampling. The instrument used was the Hamilton Rating Scale for Anxiety (HRS-A) which was adopted from the book Stress, Anxiety, and Depression Management (Hawari, 2004), which included 14 psychological symptoms of anxiety.Results: The results showed that the most anxiety level of preoperative sectio caesarean mothers was moderate anxiety as many as 25 people (50%).Conclusion: The anxiety level of mothers who will undergo Caesarean section surgery is moderate anxiety, so special care is needed by health workers. Handling that can be given in the form of health education about surgical procedures and post-surgical treatment. In addition, providing knowledge to the family so that they will continue to motivate mothers who will face the caesarean section surgery. Keywords: Level of anxiety, caesarean section surgery, labor.


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