scholarly journals Menurunkan Kecemasan Remaja pada Masa Pandemi Covid-9 Melalui Pendidikan Kesehatan Secara Daring di Dukuh Sutorejo Kecamatan Mulyorejo

2021 ◽  
Vol 5 (4) ◽  
pp. 600
Author(s):  
Mundakir Mundakir ◽  
I’in Masfiyah ◽  
Uswatun Hasanah ◽  
Sukadiono Sukadiono

Pandemi COVID-19 membawa perubahan pada berbagai aspek kehidupan termasuk aspek kesehatan mental. Tak hanya orang dewasa, kondisi psikologis remaja pun rentan terganggu oleh situasi. Salah satu upaya mengatasinya dapat dilakukan dengan cara memberikan pendidikan kesehatan(health education) melalui media daring, sehingga dapat meminimalisir penyebaran Covid-19. Pendidikan kesehatan melalui daring ini diharapkandapat menurunkan kecemasan remaja akibat pandemi. Kegiatan memberikan Pendidikan Kesehatan ini dilaksanakan kepada remaja yang mengalami kecemasan. Remaja terlebih dahulu diskrining tingkat kecemasannya Hamilton Anxiety Rating Scale (HARS). Remaja yang terlibat dalam kegiatan ini adalah remaja yang mengalami kecemasan ringan dan sedang. Jumlah remaja yang diberikan Pendidikan Kesehatan sebanyak 5 orang remaja dengan klasifikasi tiga partisipan mengalami kecemasan ringan dan dua partisipan lainnya mengalami kecemasan sedang. Pelaksanaan pendidikankesehatan melalui daring dilakukan sebanyak tiga kali pertemuan. Hasil evaluasi menunjukkan bahwa terjadi penurunan tingkat kecemasanberdasarkan skor yang diperoleh partisipan yang diukur mengunakan HARS. Tiga partisipan yang mengalami kecemasan ringan menjadi tidak cemas dan dua partisipan dengan kecemasan sedang menjadi cemas ringan. Kata Kunci: Pendidikan Kesehatan, Daring, Kecemasan, Remaja, Covid-19Reducing Adolescent Anxiety during the Covid-9 Pandemic Through Online Health Education in Sutorejo, Mulyorejo DistrictABSTRACKThe COVID-19 pandemic has brought changes to various aspects of life, including aspects of mental health. Not only adults, the psychological condition of teenagers is also vulnerable to being disturbed by the situation. One of the efforts to overcome this can be done by providing health education through online media, so as to minimize the spread of Covid-19. This online health education is expected to reduce adolescent anxiety due to the pandemic. The activity of providing Health Education is carried out for adolescents who experience anxiety. Adolescents were first screened for anxiety levels on the Hamilton Anxiety Rating Scale (HARS). Adolescents who are involved in this activity are teenagers who experience mild and moderate anxiety. The number of adolescents who were given Health Education was 5 adolescents with a classification of three participants experiencing mild anxiety and two other participants experiencing moderate anxiety. The implementation of health education through online was carried out in three meetings. The results of the evaluation showed that there was a decrease in the level of anxiety based on the scores obtained by the participants as measured using HARS. Three participants who experienced mild anxiety became less anxious and two participants with moderate anxiety became mildly anxious.Keywords: Health Education, Online, Anxiety, Youth, Covid-19

2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Frincia P. Maki ◽  
Cicilia Pali ◽  
Hendri Opod

Abstract: Anxiety during pregnancy is often found among primigravidas, especially in the third trimester. Psychological disorders during pregnancy is associated with the occurrence of uterin artery resistance that might cause stunted fetal growth, premature birth, higher risk of premature baby, and even miscarriage. This study was aimed to obtain the anxiety level of third semester primigravidas at the South Minahasa Sutra Clinic. This was a descriptive study with a cross-sectional design. Hamilton Anxiety Rating Scale was used to obtain the level of anxiety. Respondents were all third semester primigravidas who visited the Sutra Clinic in the period of September to November 2018. The results showed that there were 32 respondents in this study. The anxiety levels of respondents were as follows: moderate anxiety in 14 respondents (43.8%), severe anxiety in 10 respondents (31.3%), and mild anxiety in 6 respondents (18.8%). There were 2 respondents (6.3%) who did not have anxiety. Conclusion: In the Sutra Clinic, the most common anxiety among the third semester primigravidas was moderate anxiety, followed by severe anxiety and mild anxiety.Keywords: third semester primigravidas, anxiety, Hamilton Anxiety Rating Scale Abstrak: Kecemasan selama kehamilan sering ditemukan pada ibu hamil primigravida, terutama pada trimester ketiga. Gangguan psikologis selama kehamilan berhubungan dengan terjadinya resistensi pada arteri uterin yang menyebabkan pertumbuhan janin terhambat, kelahiran sebelum waktunya, risiko melahirkan bayi prematur, bahkan sampai keguguran. Penelitian ini bertujuan untuk mendapatkan gambaran tingkat kecemasan ibu hamil primigravida trimester III di Klinik Sutra Minahasa Selatan. Jenis penelitian ialah deskriptif dengan desain potong lintang. Hamilton Anxiety Rating Scale digunakan untuk mengukur tingkat kecemasan. Responden penelitian ialah seluruh ibu hamil primigravida trimester III yang berkunjung ke Klinik Sutra pada periode September sampai November 2018. Hasil penelitian mendapatkan sebanyak 32 responden. Tingkat kecemasan pada responden ialah kecemasan sedang sebanyak 14 responden (43,8%), kecemasan berat 10 responden (31,3%), kecemasan ringan 6 responden (18,8%), dan tidak memiliki kecemasan 2 responden (6,3%). Simpulan: Tingkat kecemasan ibu hamil primigravida trimester III di Klinik Sutra yang terbanyak ialah kecemasan sedang, diikuti kecemasan berat dan kecemasan ringan.Kata kunci: ibu hamil primigravida trimester III, kecemasan, Hamilton Anxiety Rating Scale


Author(s):  
Yun Jin Kim

Background: Preliminary studies support the clinical effect of acupressure in managing neuropsychiatric diseases. However, procedures for the selection of intervention and Tele-acupressure self-practice implementation techniques are lacking. This lack of information hinders further studies on the effect of Tele-acupressure self-practice and its subsequent clinical uses. Objective: The aims of this study was to assess the effect of Tele-acupressure self-practice on the improvement of mental health, as well as depression, anxiety and well-being during COVID-19 in Malaysia. Methods: The goal of this work is to manage for Tele-acupressure self-practice for the mental health during COVID-19. The participants (N=80) were enrolled in this study, all participants current stay at one of same community. The participants were randomly allocated to two groups: 40 participants were involved in the Tele-acupressure self-practice group, 40 participants were involved in the Non-acupressure group. Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, and Personal well-being was using the four Office for National Statistics personal well-being questions (ONS-4) were used to assess measurement. Data were collected at baseline and after four weeks of treatment. Results: The Hamilton Depression Rating Scale (6.29±1.65), Hamilton Anxiety Rating Scale (7.20±0.65), Anxiety score in well-being ONS-4 (3.34±0.38) were significantly lower; the Happiness score in well-being ONS-4 (8.82±0.86) was significantly higher in the Tele-acupressure self-practice group make a comparison between the Non-acupressure group in the after four week’s assessments. The two groups were not statistically different regarding Satisfaction with life and Worthwhile in the well-being ONS-4 questionnaires. Conclusions: Tele-acupressure self-practice had an effect than Non-acupressure in participants during COVID-19 pandemic. But, Satisfaction with life and Worthwhile in the well-being was make better in both of the groups, which approved the participants become more relaxed. Tele-acupressure self-practice being used for the COVID-19 pandemic period are facilitating the development of Malaysian public mental health intervention.


2019 ◽  
Vol 5 (2) ◽  
pp. 277-282
Author(s):  
Giatika Chrisnawati ◽  
Tutuk Aldino

Abstract  - The development of technology that getting increasingly has an impact on a mobile device. In this era, mobile phone is a communication tool that is flexible, easy to carry anywhere, and its function is almost the same as the computer. The operating system that mobile phone has got increasingly. One of them is that Android operating system has grown rapidly and almost dominates the mobile market. The development of technology and the increase of necessities life make people have to work harder to sufficient their life. People compete to sufficient the needs and keep up the development that exists, but not everyone is able to sufficient it. It makes people want to do crimes like theft, corruption, murder, etc. This happens because someone is too obsessed with their desire. so they are afraid and anxious if they cannot sufficient and achieve their desire. Anxiety can be interpreted as an uncertain fear with a feeling of uncertainty and helplessness that can cause an uncomfortable feeling. So, it triggers their self to do bad things. In this phenomenon is needed an application that can be used to determine the level of anxiety because knowing the level of anxiety early can prevent people to do bad things. The measurement applications of anxiety levels with HARS scale are made based on the Hamilton Anxiety Rating Scale (HARS).


2020 ◽  
Vol 4 (3) ◽  
pp. 174
Author(s):  
Zurriyatun Thoyibah ◽  
Dewi Nur Sukma Purqoti ◽  
Elisa Oktaviana

ABSTRAKGempa bumi secara konsisten terbukti berhubungan dengan masalah kesehatan mental seperti cemas, depresi dan gangguan stres pasca-trauma segera setelah bencana. Kondisi tersebut akan semakin memburuk bila tidak dideteksi sejak dini dan ditangani dengan baik, sehingga membutuhkan pelayanan kesehatan mental (trauma healing). Kecemasan yang berlebihan dapat mempunyai dampak yang merugikan pada pikiran serta tubuh bahkan dapat menimbulkan penyakit fisik. Tujuan: Penelitian ini bertujuan untuk mengetahui tingkat kecemasan korban Gempa Lombok. Metode: Penelitian ini merupakan penelitian yang bersifat deskriptif dengan pendekatan cross sectional. Tehnik pengambilan sampel yang digunakan yakni dengan Purposive Sampling dengan jumlah sampel 40 orang. Instrumen yang digunakan dalam penelitian ini adalah kuesioner Hamilton Anxiety Rating Scale (HARS). Analisis data yang digunakan adalah univariat dengan data disajikan dalam bentuk narasi, tabel distribusi frekuensi dan persentase. Hasil: Hasil penelitian menunjukkan bahwa 15 responden mengalami kecemasan ringan (37,5%) dan 25 responden mengalami kecemasan sedang (62,5%). Diskusi: Selain dampak fisik, kejadian gempa juga menimbulkan masalah kesehatan jiwa, salah satunya rasa cemas yang masih dirasakan responden meskipun 8 bulan setelah gempa. Sebagian responden mengelaman kecemasan dalam berbagai kategori sedang dengan skor berbeda. Hal tersebut terjadi dipengaruhi oleh jenis kelamin, usia, tingkat pendidikan dan pengalaman saat terjadi gempa. Kesimpulan: Sebagian besar responden pada penelitian ini masih mengalami kecemasan sedang.Kata Kunci: Gempa bumi, kecemasanThe Level of Anxiety of Lombok Earthquake Survivors ABSTRACTEarthquakes are consistently proven to be related to mental health issues such as anxiety, depression and post-traumatic stress disorders immediately after disaster. This condition will deteriorate if not detected early and well handled, so it requires mental health services (trauma healing). Excessive anxiety can have a detrimental impact on the mind as well as the body can even cause physical illness. Objectives: The study aims to determine the level of anxiety of Lombok earthquake survivors. Methods: This research is a descriptive study with a cross sectional approach. Sampling techniques used by purposive Sampling with a sample number of 40 people. The instruments used in this study are the Hamilton Anxiety Rating Scale (HARS) questionnaire. Data analysis used is univariate with data presented in narrative form, frequency distribution table and percentage. Results: The results showed that 15 respondents experienced mild anxiety (37.5%) and 25 respondents experienced moderate anxiety (62.5%). Discussion: In addition to physical impact, earthquake incidence also raises mental health problem, one of which is anxiety that was felt by respondents even 8 months after the earthquake. Respondents partly experienced anxiety in the medium category with different score. This can be influenced by gender, age, level of education and experience in the event of an earthquake. Conclusion: most of the respondents in this study is still experiencing moderate anxiety.Keywords: Earthquakes; anxiety


Author(s):  
Gabriella Martino ◽  
Federica Bellone ◽  
Carmelo M. Vicario ◽  
Agostino Gaudio ◽  
Andrea Caputo ◽  
...  

Clinical psychological factors may predict medical diseases. Anxiety level has been associated with osteoporosis, but its role on bone mineral density (BMD) change is still unknown. This study aimed to investigate the association between anxiety levels and both adherence and treatment response to oral bisphosphonates (BPs) in postmenopausal osteoporosis. BMD and anxiety levels were evaluated trough dual-energy X-ray absorptiometry and the Hamilton Anxiety Rating Scale (HAM-A), respectively. Participants received weekly medication with alendronate or risedronate and were grouped according to the HAM-A scores into tertiles (HAM-A 3 > HAM-A 2 > HAM-A 1). After 24 months, BMD changes were different among the HAM-A tertiles. The median lumbar BMD change was significantly greater in both the HAM-A 2 and HAM-A 3 in comparison with the HAM-A 1. The same trend was observed for femoral BMD change. Adherence to BPs was >75% in 68% of patients in the HAM-A 1, 79% of patients in the HAM-A 2, and 89% of patients in the HAM-A 3 (p = 0.0014). After correcting for age, body mass index, depressive symptoms, and the 10-yr. probability of osteoporotic fractures, anxiety levels independently predicted lumbar BMD change (β = 0.3417, SE 0.145, p = 0.02). In conclusion, women with higher anxiety levels reported greater BMD improvement, highlighting that anxiety was associated with adherence and response to osteoporosis medical treatment, although further research on this topic is needed.


2021 ◽  
pp. 221049172098333
Author(s):  
Arezoo Samadi ◽  
Razieh Salehian ◽  
Danial Kiani ◽  
Atefeh Ghanbari Jolfaei

Background: In this study, we want to search the effectiveness of Duloxetine on the severity of pain and quality of life in patients with chronic low back pain who had posterior spinal fixation. Methods: In this randomized, placebo-controlled trial done in 6 months 50 patients who had CLBP and were candidates for PSF surgery selected and divided into two groups (drug and placebo). They filled the VAS, SF-36, and Hamilton questionnaires before surgery and after 6 weeks from using 30 mg of duloxetine or placebo. Results: Significant differences were evidenced among groups for the Visual Analogue Scale (P = 0.005) and Verbal Analogue Scale (p = 0.003). Patients in the Duloxetine group have more visual and verbal pain scores than the placebo group. In the quality of life, there was a significant difference between the two groups before the intervention. Also, significant differences were evidenced among groups for the Hamilton Anxiety Rating Scale (p = 0.17). After the intervention, only the Hamilton Anxiety Rating Scale (p = 0.001) and ‘bodily pain’ and ‘general health’ subscales of quality of life (p = 0.008, 0.004, respectively) have a significant difference between the two groups. There was a significant difference between pre and post-intervention in the Hamilton Anxiety Rating Scale only in the duloxetine group. Also, in terms of quality of life, the subscales of ‘physical role’, ‘emotional role’, ‘physical pain’ and ‘total score of quality of life’ in the duloxetine and placebo groups were significantly different between pre and post-intervention. However, the subscales of ‘physical function’ and ‘general health’ were significantly different only in the duloxetine group between pre and post-intervention. Conclusion: The results suggest that the use of duloxetine in patients who had spinal surgery can help to better control back pain, on the other hand, it can cause a better psychological condition that affects the quality of life.


2018 ◽  
Vol 2 (1) ◽  
pp. 77
Author(s):  
Mario Carl Joseph ◽  
Monty P. Satiadarma ◽  
Rismiyati E. Koesma

Kekerasan dalam rumah tangga adalah bentuk kekerasan yang paling banyak dialami oleh perempuan berusia 25 – 40 tahun. Kecemasan merupakan salah satu bentuk reaksi emosional yang menyertai perempuan ketika mengalami kekerasan dalam rumah tangga. Kecemasan pada perempuan yang menjadi korban kekerasan dalam rumah tangga diukur dengan Hamilton Anxiety Rating Scale (HARS) dan melihat gejala kecemasan dari segi kognitif, somatis, motorik dan afektif. Penelitian ini menggunakan metode kualitatif untuk menggambarkan kecemasan dan metode kuantitatif untuk melihat penurunan tingkat kecemasan dengan terapi seni pada perempuan korban kekerasan dalam rumah tangga. Subyek penelitian ini adalah dua perempuan yang telah bercerai dan mengalami kekerasan dalam rumah tangga dalam bentuk fisik, seksual, psikis atau verbal dan penelantaran rumah tangga. Teknik pengambilan sampel dengan menggunakan metode purposive sampling. Pemberian terapi seni pada masing-masing subyek dilakukan sebanyak tujuh sesi. Dalam penelitian ini, terapi seni telah terbukti dapat mengurangi kecemasan pada perempuan korban kekerasan dalam rumah tangga dengan menunjukan perubahan tingkat kecemasan sebelum dan sesudah intervensi. Keberhasilan terapi seni ini juga dipengaruhi oleh adanya kesadaran pada masing-masing subyek untuk konsisten menjalani terapi.


2020 ◽  
Vol 5 (2) ◽  
pp. 61-67
Author(s):  
Widiharti Widiharti ◽  
Wiwik Widiyawati ◽  
Widya Lita Fitrianur

Tekanan darah adalah faktor penting dalam sistem sirkulasi tubuh manusia. Tekanan darah dapat dengan mudah berubah meski dalam hitungan detik (Sasmalinda, Syafriandi, & Helma, 2013). Pada 2 Maret 2020, pemerintah Indonesia pertama kali mengumumkan dua kasus pasien postif Covid-19. (Pranita, 2020). Pasien tidak berani melakukan pemeriksaan ke rumah sakit, sehingga jika ada keluhan yang tidak begitu berat mereka akan membeli obat di apotik tanpa mengetahui tekanan darahnya. Hal ini sangat mengkhawatirkan karena tekanan darah yang tidak terkontrol dapat menyebabkan komplikasi lain seperti stroke. Tujuan penelitian menganalisis faktor yang berhubungan dengan tekanan darah. Desain penelitian analitik observasional, dengan pendekatan Cross Sectional (Notoatmodjo, 2012). Pelaksanaan bulan  Maret – Mei 2020. Populasi dari Seluruh warga  babatan RT 8 RW 2 Kelurahan Babatan Kecamatan Wiyung sebanyak 110 orang. Teknik Sampel total sampling. Variabel independen; jenis kelamin, beban kerja, pendapatan, tingkat kecemasan dan riwayat keluarga. Variabel dependen; tekanan darah. Instrument penelitian; timbangan injak digital, tensi digital, dan kuesioner. Variabel Tingkat kecemasan  menggunakan HARS (Hamilton Anxiety Rating Scale). Dianalisis uji statistik Chi Square dengan nilai p value <0.05. Hasil penelitian chi square  beban kerja nilai p-value 0,004<0,005 ada hubungan beban kerja dengan  tekanan darah. Hasil  p – value 0,002<0,05 ada hubungan antara jenis kelamin dengan tekanan darah.  Hasil p value 0,463<0,05 tidak ada hubungan antara tingkat kecemasan, hasilnya p – value 0,000<0,05 ada hubungan riwayat keluarga dengan tekanan darah. Kesimpulan faktor yang berhubungan dengan tekanan darah yaitu jenis kelamin, beban kerja, pendapatan, riwayat keluarga sedangkan faktor yang tidak berhubungan dengan tekanan darah yaitu kecemasan


Author(s):  
Yoga Setia Kurniawan ◽  
Yuliarni Syafrita ◽  
Restu Susanti

Introduction : Anxiety is one of the most non-motorized symptoms in patients with Parkinson's which greatly affects the quality of life, but in clinical practice it is often neglected. Anxiety in patients with Parkinson's can accelerate motor deterioration / disability and also increase mortality. Methods: This cross-sectional study was conducted at the Neurology polyclinic Dr. M Djamil Padang from July to December 2020 in patients who had been diagnosed with Parkinson's Disease (PD) by excluding secondary Parkinson's and a history of stroke. Anxiety was measured using the Hamilton Anxiety Rating Scale (HARS). The research subjects were 60 people. Univariate analysis to present baseline characteristics and bivariate tests assessed factors associated with anxiety and the relationship between variables. A p value <0.05 was considered statistically significant. Results: Most of the subjects were male (55%) with a mean age of 58.05 ± 9.7 years and disease duration of 6.35 ± 5.29 years. By examining the Hamilton Anxiety Rating Scale (HARS), it was obtained 38.3% of Parkinson's sufferers with anxiety. There is a significant relationship between marital status, duration of illness and degree of disease with the incidence of anxiety (p <0.05) and there is no significant relationship between age and sex with the incidence of anxiety in patients with Parkinson's. Conclusion: There is a significant relationship between marital status, duration of illness and degree of disease with the incidence of anxiety in patients with Parkinson's and there is no relationship between age and sex with the incidence of anxiety in patients with Parkinson's.


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