scholarly journals Ansiedade e depressão na universidade: contribuições da Terapia Comunitária Integrativa

2020 ◽  
Vol 16 (esp. 1) ◽  
pp. 296-310
Author(s):  
Jucelei Pascoal Boaretto ◽  
Milene Zanoni da Silva ◽  
Eleine Aparecida Penha Martins

This paper assesses the levels of anxiety and depression of undergraduate and postgraduate students at public universities in the south of the country before and after participation in Integrative Community Therapy. We use the experimental research, with pre/post-test design with Integrative Community Therapy intervention, developed in 2018/2019, using the “Hospital Anxiety and Depression” Scale and analysis performed by statistical program R Core Team and Wilcoxon Test. It can be observed a statistically significant decrease of the probable anxiety and depression scores in approximately 30% of undergraduate and postgraduate students, which brings the potential of integrative community therapy to manage these pathologies besides promoting health, self-knowledge, strengthening bonds. Integrative Community Therapy has decreased the levels of anxiety and depression in students. Therefore, it can be considered an important tool to help health care in the university student environment.

2019 ◽  
Vol 39 (4) ◽  
pp. 245-255
Author(s):  
Yanny Octavia Sally Ride ◽  
Yusup Subagio Sutanto ◽  
Debree Septiawan

Background: Anxiolytic premedication can reduce anxiety, improving procedural tolerance, and reduce postbronchoscopic complications. There was ongoing debate about the safety of bronchoscopist-administered sedation. Alprazolam as a surgical premedication can reduce anxiety. Alprazolam can be used as an adjuvant analgesic, to reduce anxiety-related breathlessness, and to reduce coughing as adjuvant antitussive. The study aimed to evaluate the effectiveness of alprazolam in patients undergoing bronchoscopy. Methods: A clinical study with experimental quasi pre-post test control group design, using consecutive sampling was performed in patients with lung tumor undergoing bronchoscopy in dr.Moewardi Hospital from February to March 2019. The study subjects were divided in experimental (alprazolam) and control groups (without alprazolam). The Hospital Anxiety and Depression Scale (HADS), VAS for pain score, modified Borg score, and VAS for cough were measured in baseline, before, and after bronchoscopy. Results: Thirty two lung subjects were included in this study. The intervention groups showed decreased HADS score pre and post bronchoscopy (6.56±2.83 and 6.88±2.63), pain VAS scores (15.00±10.95 and 9.69±11.61), cough VAS score (11.56±8.89 and 27.19±17.89), and these were different significantly compared to control group. We found decreased mean of modified Borg in the study group though they were not significant compared to the control group. Conclusion: Alprazolam controlled anxiety, coughing, and pain in patients undergoing bronchoscopy. Alprazolam minimized breathlessness after bronchoscopy. (J Respir Indo. 2019; 39(4): 245-55)


2017 ◽  
Vol 1 (2) ◽  
pp. 127
Author(s):  
Jihanni Mustika Mawardani ◽  
Haryani . ◽  
Probosuseno .

ABSTRAKLatar belakang: Kemoterapi menimbulkan efek samping fi siologis dan psikologis. Gejala psikologis yang dapatterjadi berupa kecemasan dan depresi. Masalah psikososial dapat diatasi dengan memfasilitasi peningkatankoping pasien melalui pemberian informasi dan peningkatan sistem dukungan. Program PRO–SELF yangdidesain untuk pasien kanker dewasa meliputi informasi, keterampilan, dan dukungan supaya penderitakanker dapat terlibat mandiri secara efektif dan konsisten dalam mengelola efek samping kemoterapi sehinggakeparahan gejala yang berhubungan dengan penyakitnya atau penanganan penyakitnya dapat diminimalkan.Tujuan: mengetahui pengaruh implementasi Program PRO-SELF terhadap kecemasan dan depresi padapasien kemoterapi. Metode: penelitian quasi eksperimen dengan pre-test-post-test one group design yangmelibatkan 40 responden selama 3 bulan dengan kriteria inklusi semua pasien kemoterapi, berusia kurangdari 65 tahun, nilai skala Eastern Cooperative Oncology Group (ECOG) 0–2. Data dikumpulkan pada bulanJuli–September 2013 di Ruang Penyakit Dalam IRNA 1 RSUP Dr. Sardjito. Kriteria eksklusinya pasien kankeryang memiliki riwayat gangguan psikiatri. Responden diberikan pre-test, kemudian diberikan intervensi olehpeneliti berupa pemberian program PRO-SELF yang terdiri atas pemberian informasi, keterampilan tentangkemoterapi dan pengurangan efek samping kemoterapi, serta pemberian dukungan melalui telepon saatpasien di rumah. Setelah intervensi, responden diberikan post-test dengan jarak waktu 3 minggu dari pretest. Pengukuran kecemasan dan depresi menggunakan kuesioner hospital anxiety depression scale (HADS).Analisis data dilakukan dengan analisis Wilcoxon Test dengan tingkat kepercayaan 95%. Hasil: Terdapatperbedaan bermakna tingkat kecemasan pada responden (p=0,001) dari pre-test ke post-test. Tingkat depresitidak bermakna dari pre-test ke post-test (p=0,258). Kesimpulan: Implementasi program PRO-SELF secaraefektif dapat mengurangi kecemasan pasien kemoterapi, tetapi tidak dapat secara efektif mengurangi depresi.Kata Kunci: kemoterapi, kecemasan, depresi, program PRO-SELF.ABSTRACTBackground: Chemotherapy causes physiological and psychological side effects. Psychological symptomsthat can occur are anxiety and depression. Psychosocial problems can be overcame by improved patient copingthrough the provision of information and improved support system. PRO-SELF program that was designedincrease self-care skills for adult patients undergoing cancer therapy includes information, skills, and support socancer patients can be engaged effectively and consistently independent in managing side effect chemotherapy,so the severity of symptoms due to disease or treatment disease can be minimized. Objectives: To identify theeffect of implementation PRO-SELF program to anxiety and depression in chemotherapy patients. Methods:This study used pre-experimental, one-group pre-test-post-test design involving 40 respondents for 3 month,inclusion criteria in this study are all chemotherapy patients, aged less than 65 years, screening patients withEastern Cooperative Oncology Group (ECOG 0–2) scale. Data were collected within July–September 2013 inInternal Injuries IRNA 1 Room RSUP Dr. Sardjito Yogyakarta. Exclusion criteria is cancer patients who havehistory of psychiatric disorder. Respondents were given a pre-test, then were given intervention by nursingstudent with provision of information, skills in reducing chemotherapy side effects, and provide support withtelephone when patients are at home. Respondent were given post-test after intervention 3 weeks after pretest. Measurement of anxiety and depression using hospital anxiety depression scale (HADS) questionnairesand analyzed with Wilcoxon test with 95% level of signifi cancy. Results: Decrease respondents anxiety frompre-test to post-test with signifi cancy 0.001, there is signifi cant difference. Depression respondents changedfrom pre-test to post-test with signifi cancy 0.258, that is non-signifi cant difference. Discussion: PRO-SELFprogram effectively reduce anxiety because information, skills, support can reduce anxiety. Conclusions:Implementation of the PRO-SELF program effectively reduce patient anxiety chemotherapy. Yet it can notreduce depression effectively.Keywords: chemotherapy, anxiety, depression, PRO-SELF program.


2021 ◽  
Vol 10 (1) ◽  
pp. 80-87
Author(s):  
Ari Indra Susanti ◽  
Aminarista Aminarista ◽  
Neneng Martini ◽  
Nur Rahmah ◽  
Sri Astuti

Background: Lactating mothers were successful in giving exclusive breastfeeding as much as 42% based on SDKI (Survei Demografi Kesehatan Indonesia) in 2012. This is depend on the support of husbands and families as well as health workers. Thus, the husband or family should remind and motivate mothers as well as monitor the breastfeeding activity every day for 6 months using breastfeeding calendar.Objectives: This study aimed to determine the increase in knowledge and attitudes of mothers in providing exclusive breastfeeding after the exclusive breastfeeding calendar training.Materials and Methods: The research design used a quasi-experimental one group pre-test post-test design. This research was conducted on mothers who had babies (age 0-12 months) in Pasawahan Village and Pasawahan Kidul Village, Pasawahan District, Purwakarta Regency in April to November 2018, with 96 respondents. The sampling technique was conducted by purposive sampling. Data were collected by giving questionnaires to respondents, before and after the breastfeeding calendar training were given. The Wilcoxon test was used for the analysis of the data in this study.Results: The results showed that there were differences in the knowledge of mothers before and after training on breastfeeding calendar (p <0,000) and there were differences in the attitudes of mothers before and after the training on breastfeeding calendar (p <0,000).Conclusions: There was an increase in knowledge and changes in the attitude of mothers towards exclusive breastfeeding after being given the breastfeeding Calendar training. Therefore, suggestions for health workers, especially midwives and nutrition workers, can use the breastfeeding calendar as an educational medium to increase husband and family support in exclusive breastfeeding.


2021 ◽  
Vol 2 (1) ◽  
pp. 15-25
Author(s):  
Muhammad Anggun ◽  
Titik Kusumawinakhyu ◽  
Irma Finurina Mustikawati ◽  
Wiharto Wiharto

Hemodialysis is a routinely performed therapy on chronic kidney patients, leading to psychological problems among subjects who undergo hemodialysis, such as anxiety and depression. One of the efforts to overcome anxiety and depression is with the dhikr intervention. Dhikr presents hearts to remember and be obedient to Allah followed by the words and actions in various conditions.  Discover dhikr's influence on the level of anxiety and depression in patients on hemodialysis in  Purwokerto Islamic Hospital. It was a quantitative study using quasi experiment with a non-quivalent control group design. The number of samples was 12 subjects consisting of 6 subjects in the control group and six subjects in the intervention group with the purposive sampling technique. Instruments were used to measure anxiety and depression are the HADS ( Hospital Anxiety and Depression Scale ) before and after dhikr intervention as much as 12 times. Research is carried out in Hemodialysis Unit of  Purwokerto Islamic Hospital. Test statistics on research are used paired t-test and independent t-tests. This study showed a decrease in the mean level of anxiety from 5, 83 to 1.67 in the experimental group ( p = 0.003). The mean level of depression experienced a decline of 9, 67 becomes 4.67 on a group experiment ( p = 0.003). Dhikr reduces the level of anxiety and depression in hemodialysis patients at the Purwokerto Islamic Hospital.


2021 ◽  
Vol 21 (1) ◽  
pp. 215
Author(s):  
Indah Dewi Sari ◽  
Utary Dwi Listiarini

Half of the women in Indonesia experience menstrual pain / dysmenorrhoea, 54.89%, experience various disorders including abdominal pain, cramps and back pain. The purpose of this study was to determine the effectiveness of acupressure, ginger drink and the difference in giving acupressure and ginger drink to reducing the intensity of menstrual pain / dysmenorrhea in young women at SMK Swasta PAB 5 Klambir Lima 2020. The design of this study used a quasi-experimental pre and post test with a sample of 30 students who were divided into two groups. Each group was given acupressure and ginger drink in the morning and evening during menstruation from day one to day two. Respondents were assessed for pain before and after the intervention was given. The results of the Shapiro-Wilk normality test contained Sig data (p <0.05). The Wilcoxon test has a p-value of 0.002 (p <0.05), which means that acupressure is effective in reducing the intensity of menstrual pain / dysmenorrhea, there is a p-value of 0.001 (p <0.05) which means that ginger is effective against reducing pain intensity. menstruation / dysmenorrhea, there is a p-value of 0.034 (p <0.05), which means that there is a difference in the effectiveness of acupressure and ginger drink in reducing the intensity of menstrual pain / dysmenorrhea. There is an effectiveness of giving acupressure, ginger drink, and there is a difference in giving acupressure and ginger drink on the intensity of menstrual pain / dysmenorrhea on young women. It is hoped that the school will provide ginger drinks and acupressure measures to young women who experience menstrual pain / dysmenorrhea so that they can participate in learning activities at school.


MEDIKORA ◽  
2019 ◽  
Vol 18 (1) ◽  
pp. 12-16
Author(s):  
Muhammad Rifqi Fatoni ◽  
Sigit Nugroho

Akumulasi pertandingan dengan masa pemulihan yang singkat menyebabkan kelelahan, kerusakan dan inflamasi otot yang dapat menurunkan daya tahan otot dan meningkatkan resiko cedera. Pada keadaan cedera akut, penggunaan terapi dingin dapat mencegah kerusakan jaringan yang lebih luas. Penelitian ini bertujuan untuk mengetahui efektivitas Cold Water Immersion (CWI) suhu 15°C dan 25°C terhadap daya tahan dan persepsi nyeri otot tungkai pada pemain sepak bola usia dini. Desain yang digunakan dalam penelitian ini adalah eksperimen semu dengan pola Two Group Pretest-Posttest. Instrumen yang digunakan adalah tes dan pengukuran nyeri dan daya tahan otot tungkai. Subjek penelitian ini adalah atlet sepak bola Sekolah Sepak Bola (SSB) KKK Klajuaran usia 9-11 tahun. Teknik sampel menggunakan quota sampling dengan subyek sebanyak 14 orang. Subyek dibagi menjadi dua kelompok yaitu, perlakuan CWI 15°C (G15) dan CWI suhu 25°C (G25). Data pretest pada kedua perlakuan dan data post test kedua perlakuan diuji dengan uji Mann Whitney. Daya tahan otot dan persepsi nyeri sebelum dan sesudah perlakuan pada masing masing kelompok terkumpul dianalisis secara deskriptif dan diuji dengan analisis Wilcoxon Signed Rank Test. Uji efektivitas dihitung dengan membandingkan selisih data post test dan pretest terhadap data pretest. Tidak ditemukan perbedaan daya tahan otot dan persepsi nyeri sebelum dan sesudah perlakuan antara kedua kelompok perlakuan. Pada kelompok G15 terjadi penurunan persepsi nyeri sebesar 55% dengan uji wilcoxon dengan nilai p = 0,018, akan tetapi tidak ditemukan perubahan daya tahan otot setelah perlakuan. Hasil yang sama ditemukan pada kelompok G25 dimana terdapat penurunan persepsi nyeri sebesar 58% dengan uji wilcoxon dengan p = 0,018 serta tidak ditemukan perubahan daya tahan otot tungkai. Dapat disimpulkan bahwa perlakuan CWI 15°C dan 25°C dapat menurunkan nyeri tapi tidak mempengaruhi daya tahan otot. Tidak terdapat perbedaan efektivitas kedua jenis perlakuan tersebut dalam menurunkan persepsi nyeri dan meningkatkan daya tahan otot. EFFECTIVENESS OF COLD WATER IMMERSION TEMPERATURE OF 15 ° C AND 25° C AGAINST IMPROVEMENT IN ENDURANCE AND PERCEPTION OF LEG MUSCLE PAIN IN EARLY AGE FOOTBALL PLAYERSAbstractAccumulation of matches with a short recovery period causes fatigue, damage and inflammation of the muscles which can reduce muscle endurance and increase the risk of injury. In the case of acute injury, the use of cold therapy can prevent damage to broader tissue. This study aims to determine the effectiveness of Cold Water Immersion (CWI) temperatures of 15 ° C and 25 ° C on the endurance and perception of leg muscle pain in early age soccer players.The design used in this study was quasi-experimental with Two Group Pretest-Posttest patterns. The instrument used was a test and measurement of pain and endurance of leg muscles. The subjects of this study were the soccer athletes of Klajuaran KKK Soccer School (SSB) aged 9-11 years. The sampling technique uses quota sampling with subjects as many as 14 people. The subjects were divided into two groups namely, 15 ° C (G15) CWI treatment and 25 ° C (G25) CWI treatment. Pretest data on both treatments and post-test data on both treatments were tested with the Mann Whitney test. Muscle endurance and pain perception before and after treatment in each group collected were analyzed descriptively and tested with the Wilcoxon Signed Rank Test analysis. The effectiveness test is calculated by comparing the difference between the post test and pretest data against the pretest data. There were no differences in muscle endurance and pain perception before and after treatment between the two treatment groups. In the G15 group there was a decrease in pain perception by 55% with the Wilcoxon test with a value of p = 0.018, but there was no change in muscle endurance after treatment. Similar results were found in the G25 group where there was a decrease in pain perception by 58% with the Wilcoxon test with p = 0.018 and no changes in endurance of leg muscles were found. It can be concluded that the CWI treatment of 15 ° C and 25 ° C can reduce pain but does not affect muscular endurance. There is no difference in the effectiveness of the two types of treatment in reducing pain perception and increasing muscle endurance.


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Cicilia Wahju Djajanti ◽  
Paula Aprilia Sukmanto ◽  
Iriene Kusuma Wardhani

At Lack of information is a risk factor for lack of knowledge on adolescents about the eye health. Phenomenon was obtained by adolescents in Kemala Bhayangkari 4 Waru High School had never received information about eye health. When they were asked didn’t know how to keep eye health. The purpose of this study was to identify effect of counseling on the level of knowledge (know) of adolescents about eye health before and after counseling in Kemala Bhayangkari 4 Waru High School. Design of this study was Pre Experimental One Group Pre Post Test Design. Sample of this study was grade X students at SMA Kemala Bhayangkari 4 Waru which included as many as 58 inclusion criteria using simple random sampling techniques. Instrument used was a questionnaire. Data were analyzed using descriptive statistics proportion with results before giving counseling 45% of respondents had a lack of knowledge. After being given counseling more than 50% (65%) of respondents had a good level of knowledge. Wilcoxon test results showed value of ρ (0,000) <α (0.05), so H0 was rejected, meaning that there is an influence of counseling on the level of knowledge (know) of adolescents about eye health before and after counseling.


Author(s):  
Norisca Aliza Putriana ◽  
Keri Lestari ◽  
Melisa Intan Barliana ◽  
Sri Hartini

Objective:Warfarin is a derivate of coumarin, which is usually prescribed as an oral anti-coagulant for treatment and prevention of thromboembolic disorders. The aim of presents research is analysis the influence of pharmacist counseling on complience and INR score recovery on warfarin management.Methods:Design in this research used mixed method, combination ofqualitative and quantitative method. Qualitative data were used for completingquantitative data. Qualitative method used a content analysis with interview.Quantitative method used a quasi experimental method with control groups, pre test, and post test design. Data were analysed by wilcoxon test and mann whitney test at significance levelP ≤ 0,05 and multivariate analysis covariate.Results:Data were collected from 80 patients with Rheumatic Heart Disease (42.5 %), Atrial Fibrilation (17.5 %), Deep Vein Thrombosis (10%), Rheumatic Mitral Valve Disease (10%), Prosthetic Heart (7.5%), other (22.5%). The numbers of patients whose International Normalized Ratio (INR) was in the therapeutic range for each indication were not statistically different between before and after receiving counseling (P >0.05), Patients' behavior compliance of warfarin therapy had increased after receiving the counseling service (P <0.05). The result of presents research is pharmacist counseling affected  behavior compliance before and after counseling(P <0.05), but not for INR (P >0.05).Conclusion:Pharmacist counseling can improve behavior compliance, but not improve INR target. The effect of warfarin to every individual not only affected by behavior compliance, but several factors could influence effect of warfarin is clinical factors, non clinical factors, and genetic factors. Clinical factors that wereinfluenced were age, gender, pharmacokinetic and pharmacodynamic variability in patiens. 


2021 ◽  
Vol 10 (2) ◽  
pp. 175-183
Author(s):  
Nur Hidayati ◽  
Abdul Rokhman ◽  
Suratmi Suratmi ◽  
M. Syukri Ghozali ◽  
Muhtadi Muhtadi

Background: The spread of COVID-19 has continued to increase since March 2020. Patients with chronic kidney failure who undergo Hemodialysis are one of the groups vulnerable to COVID-19 because they routinely undergo Hemodialysis. One of the ways to prevent transmission of COVID-19 to hemodialysis patients is by providing education to comply with the COVID-19 prevention Health protocol. Objective: The purpose of this study was to determine the effect of virtual education on Hemodialysis patient compliance in preventing covid-19 transmission at the Muhammadiyah Hospital in Lamongan. Methods: This study used the Pre-Experiment approach one group pre-test post-test design on all CKD patients who were routine Hemodialysis at Muhammadiyah Lamongan Hospital from October - December 2020 who were taken using the purposive sampling technique. The intervention given was playing educational videos for 2 months. Data were collected using a questionnaire before and after the intervention, which was tested by the Wilcoxon test with α <0.05. Results: There were 69 patients who took part in the entire processes until it was completed. The results revealed that there were differences in the level of compliance of hemodialysis patients before and after treatment (p = 0.000). Further research with larger sample and RCT design is needed for stronger generalization in population. Conclusion: Providing educational videos can increase the level of compliance of hemodialysis patients in implementing Health protocols to prevent transmission of COVID-19.


2021 ◽  
Author(s):  
Zheyi Shao ◽  
Chao Huang ◽  
Ying Zhang ◽  
Shanshan Li ◽  
Donglin Wang ◽  
...  

Abstract Purpose: To investigate whether the FCVB could help improve the mental health of patients with impending eye atrophy. Methods: Fifty-five patients who underwent FCVB implantation from 2017 to 2019 were screened to take part in this retrospective study. The researchers used independent third parties to distribute questionnaires, including the Hospital Anxiety and Depression Scale and the interpersonal sensitivity part of the Symptom Checklist 90 (SCL-90) scale to score the patients' depression, anxiety, and interpersonal sensitivity before and after surgery. Finally, 52 responses were collected.Results: After FCVB implantation, patients had significantly better mental health and less depression, anxiety, and interpersonal sensitivity levels. Before FCVB implantation, 44.23% of patients with ocular trauma and retinal detachment were depressed, 48.08% were anxious, and 19.23% were sensitive to interpersonal communication. After FCVB implantation, 17.31% were depressed, 15.38% were anxious, and 9.62% were sensitive to interpersonal communication. However, baseline demographic and clinical data, such as age, gender, occupation, finance, pre-FCVB-implantation vision, number of surgeries before FCVB implantation, postoperative period length, and surgical satisfaction, had no significant effects on psychological scores of mental health before and after surgery (P> 0.05). Conclusion: Mental health (depression, anxiety, and interpersonal sensitivity) significantly improved in patients after FCVB implantation.


Sign in / Sign up

Export Citation Format

Share Document