scholarly journals Lamanya Klien Mengalami Gangguan Jiwa Dengan Stres Keluarga Dalam Merawat Klien Di Rumah

Author(s):  
Dyah Widodo

Keluarga merupakan lingkungan sosial yang terdekat yang sangat penting perannya dalam mewujudkan derajad kesehatan jiwa. Perawatan gangguan jiwa yang membutuhkan waktu lama, berbagai permasalahan perilaku klien dan pandangan negatif masyarakat tentang gangguan jiwa merupakan stresor tinggi bagi keluarga. Tujuan penelitian menganalisis  hubungan lamanya klien mengalami gangguan jiwa dengan stres keluarga dalam merawat klien gangguan jiwa di rumah. Jenis penelitian korelasional, dengan sampel sebagian keluarga yang tinggal serumah dengan klien gangguan jiwa di wilayah Jawa Timur Indonesia sesuai kriteria inklusi, besar sampel 200 orang diambil dengan teknik consecutive sampling. Pengumpulan data bulan Oktober-Nopember 2016 di Poli Kesehatan Jiwa Rumah Sakit Jiwa dr Radjiman Wediodiningrat Lawang. Instrumen penelitiannya kuesioner yang telah teruji validitas dan reliabilitasnya. Analisis data menggunakan uji statistik deskriptif dan Spearman Rho’ dengan alpha 0,05. Hasil penelitian didapatkan bahwa ada hubungan lamanya klien mengalami gangguan jiwa dengan stres keluarga dalam merawat klien gangguan jiwa di rumah, dengan nilai p  0.026 dan  nilai correlation coefficient -158 artinya kekuatan hubungan sangat lemah berlawanan arah, yaitu  semakin lama klien mengalami gangguan jiwa maka semakin rendah tingkat stres yang dialami keluarga. Disarankan perlu diantisipasi munculnya stres pada keluarga gangguan jiwa dengan cara deteksi dini kesehatan anggota keluarga keluarga, pendampingan dan peningkatan pengetahuan dalam merawat gangguan jiwa untuk keluarga agar keluarga berkurang stresnya dan mampu merawat klien dengan lebih baik..

2020 ◽  
Vol 8 (1) ◽  
pp. 26
Author(s):  
PUTU RINA INDAHSARI ◽  
I Made Niko Winaya ◽  
I Putu Adiartha Griadhi ◽  
Putu Ayu Sita Saraswati

Penuaan merupakan suatu proses alami yang dialami setiap manusia. Wanita akan memasuki masa klimakterium sebelum masa tua. Klimakterium terbagi menjadi masa premenopause, menopause dan pasca menopause. Premenopause biasanya dimulai pada usia 40-49 tahun yang akan menimbulkan beberapa gejala yang mengakibatkan timbulnya kecemasan bagi wanita. Kecemasan adalah reaksi yang timbul karena adanya suatu masalah yang menekan seseorang. Kecemasan dipengaruhi oleh faktor internal yaitu keadaan fisik dan tipe kepribadian serta faktor eksternal yaitu tingkat pendidikan, dukungan suami, serta status sosial ekonomi. Hatha yoga merupakan aktivitas fisik yang dapat meredakan kecemasan. Tujuan dari penelitian ini adalah mengetahui bagaimana hubungan antara partisipasi latihan hatha yoga dengan tingkat kecemasan wanita premenopause. Jenis penelitian ini yaitu cross sectional analitik dengan teknik consecutive sampling yang dilakukan pada bulan Maret 2019 di Lapangan Niti Mandala Renon Bali. 82 orang wanita usia 40–49 tahun berpartisipasi dalam penelitian ini dan mengisi serangkaian kuisioner seperti kuisioner Hamilton Rating Scale for Anxiety (HRS-A) untuk mengukur tingkat kecemasan, form assessment fisioterapi untuk mengetahui keadaan fisik, kuisioner Eysenck Personality Inventory (EPI) untuk mengukur tipe kepribadian serta kuisioner dukungan suami. Uji analisis menggunakan uji Spearman Correlation. Hasil penelitian terdapat hubungan yang signifikan p=0,000<p=0,05 dengan hubungan korelasi kuat serta memiliki nilai yang negatif ( Correlation coefficient -0,687). Kesimpulan dari penelitian ini bahwa, wanita yang mengikuti latihan hatha yoga mengalami tingkat kecemasan yang rendah dibandingkan dengan yang tidak mengikuti latihan hatha yoga.   Kata Kunci : Hatha yoga, Tingkat Kecemasan, Tipe Kepribadian, Tingkat Pendidikan, Tingkat Status Sosial Ekonomi, Tingkat Dukungan Suami, Keadaan Fisik


2015 ◽  
Vol 2 (1) ◽  
pp. 095-102
Author(s):  
Ulfa Husnul Fata

Fatigue is a symtoms that often arise in cancer patients undergoing chemotherapy. The purposeof this study was to determine the correlation between anxiety and depression with fatigue incancer patients undergoing chemotherapy. Method: Research design was analytic with cross sectionalapproach. Research sample was 95 cancer patients undergoing chemotherapy in Dharmais CancerHospital Jakarta on November 7th to 28th, 2013, its choosed with consecutive sampling. Analysis usingthe Wilcoxon Signed Rank Test with significance p = 0,05. Result: The result showed that associationbetween anxiety and fatigue with  = 0,005 and correlation coefficient 0,286, and association betweendepression and fatigue with  = 0,034 with correlation coefficient 0,218. Discussion: Anxiety anddepression associated with fatigue in cancer patient undergoing chemotherapy, therefore, shoukd betaken to cope with anxiety and depression to prevent or decrease the incidence of fatigue in cancerpatients undergoing chemotherapy.


1987 ◽  
Vol 26 (05) ◽  
pp. 192-197 ◽  
Author(s):  
T. Kreisig ◽  
P. Schmiedek ◽  
G. Leinsinger ◽  
K. Einhäupl ◽  
E. Moser

Using the 133Xe-DSPECT technique, quantitative measurements of regional cerebral blood flow (rCBF) were performed before and after provocation with acetazolamide (Diamox) i. v. in 32 patients without evidence of brain disease (normals). In 6 cases, additional studies were carried out to establish the time of maximal rCBF increase which was found to be approximately 15 min p. i. 1 g of Diamox increases the rCBF from 58 ±8 at rest to 73±5 ml/100 g/min. A Diamox dose of 2 g (9 cases) causes no further rCBF increase. After plotting the rCBF before provocation (rCBFR) and the Diamox-induced rCBF increase (reserve capacity, Δ rCBF) the regression line was Δ rCBF = −0,6 x rCBFR +50 (correlation coefficient: r = −0,77). In normals with relatively low rCBF values at rest, Diamox increases the reserve capacity much more than in normals with high rCBF values before provocation. It can be expected that this concept of measuring rCBF at rest and the reserve capacity will increase the sensitivity of distinguishing patients with reversible cerebrovascular disease (even bilateral) from normals.


1987 ◽  
Vol 58 (02) ◽  
pp. 744-748 ◽  
Author(s):  
A R Saniabadi ◽  
G D O Lowe ◽  
J C Barbenel ◽  
C D Forbes

SummarySpontaneous platelet aggregation (SPA) was studied in human whole blood at 3, 5, 10, 20, 30, 40 and 60 minutes after venepuncture. Using a whole blood platelet counter, SPA was quantified by measuring the fall in single platelet count upon rollermixing aliquots of citrated blood at 37° C. The extent of SPA increased with the time after venepuncture, with a correlation coefficient of 0.819. The inhibitory effect of dipyridamole (Dipy) on SPA was studied: (a) 10 μM at each time interval; (b) 0.5-100 μM at 3 and 30 minutes and (c) 15 μM in combination with 100 μM adenosine, 8 μM 2-chloroadenosine (2ClAd, an ADP receptor blocker) and 50 μM aspirin. There was a rapid decrease in the inhibitory effect of Dipy with the time after venepuncture; the correlation coefficient was -0.533. At all the concentrations studied, Dipy was more effective at 3 minutes than at 30 minutes after venepuncture. A combination of Dipy with adenosine, 2ClAd or aspirin was a more effective inhibitor of SPA than either drug alone. However, when 15 μM Dipy and 10 μM Ad were added together, the inhibitory effect of Dipy was not increased significantly, suggesting that Dipy inhibits platelet aggregation independent of Ad. The increase in SPA with the time after venepuncture was abolished when blood was taken directly into the anticoagulant containing 5 μM 2ClAd. It is suggested that ADP released from the red blood cells is responsible for the increased platelet aggregability with the time after venepuncture and makes a serious contribution to the artifacts of in vitro platelet function studies.


Author(s):  
Trevor Simcox ◽  
Lauren Seo ◽  
Kevin Dunham ◽  
Shengnan Huang ◽  
Catherine Petchprapa ◽  
...  

Abstract Background The etiology of carpal tunnel syndrome (CTS) is multifactorial. Static mechanical characteristics of CTS have been described, but dynamic (muscular) parameters remain obscure. We believe that musculature overlying the transverse carpal ligament may have an effect on carpal tunnel pressure and may explain the prevalence of CTS in manual workers. Questions/Purposes To utilize magnetic resonance imaging (MRI) imaging to estimate the amount of muscle crossing the area of the carpal tunnel and to compare these MRI measurements in patients with and without documented CTS. Methods A case–control study of wrist MRI scans between January 1, 2018, and December 1, 2019, was performed. Patients with a diagnosis of CTS were matched by age and gender with controls without a diagnosis of CTS. Axial MRI cuts at the level of the hook of the hamate were used to measure the thenar and hypothenar muscle depth overlying the carpal tunnel. Muscle depth was quantified in millimeters at three points: midcapitate, capitate–hamate border, capitate–trapezoid border. Average depth was calculated by dividing the cross-sectional area (CSA) by the transverse carpal ligament width. Statistical analysis included Student's t-test, chi-square test, and Pearson's correlation coefficient calculation. Results A total of 21 cases and 21 controls met the inclusion criteria for the study. There were no significant differences in demographics between case and control groups. The location and depth of the musculature crossing the carpal tunnel were highly variable in all areas evaluated. A significantly positive correlation was found between proximal median nerve CSA and muscle depth in the capitate–hamate area (correlation coefficient = 0.375; p = 0.014). CSA was not significantly associated with chart documented CTS. Conclusions We found large variability in our measurements. This likely reflects true anatomical variation. The significance of our findings depends on the location of the muscles and the line of pull and their effect on the mechanics of the transverse carpal ligament. Future research will focus on refining measurement methodology and understanding the mechanical effect of the muscular structure and insertions on carpal tunnel pressure. Level of Evidence This is a Level 3, case–control study.


2019 ◽  
Vol 9 (3) ◽  
pp. 301-310
Author(s):  
Nirmala Fajar Pertiwi ◽  
Ice Yulia Wardani

Remaja yang tidak mampu menghadapi tekanan akan membawanya pada ketidakstabilan emosional dan cenderung melakukan berbagai perilaku berbahaya hingga bunuh diri. Bunuh diri memiliki faktor protektif berupa harga diri tinggi karena dapat memberikan kualitas psikologis positif. Faktor protektif ide bunuh diri lainnya yaitu pola asuh yang seimbang antara dimensi penerimaan dan pengendalian atau disebut pola asuh otoritatif. Penelitian ini bertujuan untuk mengetahui hubungan harga diri dan pola asuh orangtua dengan ide bunuh diri pada remaja SMA. Desain penelitian ini menggunakan deskriptif korelatif dan pendekatan secara chross-sectional. Penelitian ini memiliki responden sejumlah 322 remaja di SMA yang dipilih dengan teknik proportional random sampling. Terdapat hubungan yang kuat dan arah negatifantara harga diri dengan ide bunuh diri dengan koefisien korelasi -0,876, yang berarti bahwa semakin rendah harga diri yang dimiliki remaja maka semakin tinggi ide bunuh diri. Terdapat hubungan dengan kekuatan sedangdan arah negatif antara pola asuh orangtua dengan ide bunuh diri dengan koefisien korelasi -0,365, artinya apabila pola asuh orangtua mengarah pada otoritatif maka ide bunuh diri akan semakin rendah, dan sebaliknya apabila pola asuh orangtua mengarah pada otoritarian maka ide bunuh diri akan semakin tinggi. Penelitian ini diharapkan dapat meningkatkan intervensi keperawatan jiwa dalammengidentifikasi ide bunuh diri pada remaja, serta meningkatkan wawasan remaja dan guru terkait faktor protektif ide bunuh diri.   Kata kunci: faktor proteksi, harga diri,ide bunuh diri,dan pola asuh orangtua   SELF-SELF-PRICE AND PARENT'S PATTERN AS SELF-KILLING IDEAS PROTECTIVE FACTORS   ABSTRACT Teenagers who do not cope well under pressure will lead them to emotional instability and tend to perform a variety of malicious behavior or commit to suicide. Suicidial Ideation has protective factor such as high self esteem, because it can provide positive psychological qualities.Other protective factor is parenting style that contain balance between the dimensions of acceptance and control, also called authoritative. This study aims to determine the relationship of self-esteem and parenting Stylewith Suicidial Ideation in high school adolescents. This study used descriptive correlative and cross-sectional approach. This study has a number of 322 respondents, that are high school adolescents selected by proportional random sampling technique. There is strong relationshipwith negative directionbetween self-esteem with suicidal ideationand the correlation coefficient is -0,876, which means that the if adolescent’s self-esteem is lower so suicidal ideation will be higher. There is moderate relationshipwith negative direction between parenting style with suicidal ideation and the correlation coefficient is -0,365, which means that if parenting style is authoritative so suicidal ideation will be lower, and if parenting style is authoritarian so suicidal ideation will be higher.This study can be used to improve nursing intervention in identify suicidal ideation, and also to improve teenager’s and teacher’s knowledge about protective factors of suicidal ideation.   Keywords: parenting style, protective factor,self-esteem and suicidal ideation


2020 ◽  
Vol 1 (2) ◽  
pp. 9
Author(s):  
Yunita Mansyah Lestari ◽  
Suzy Yusna Dewi ◽  
Aulia Chairani

ABSTRAK   Alexithymia ditandai dengan ketidakmampuan dalam mengenali dan mengekpresikan emosi serta pemikiran yang berorientasi eksternal sehingga mereka memiliki hubungan interpersonal yang buruk. Remaja dengan alexithymia cenderung menjadi kecanduan media sosial.Penelitian ini bertujuan untuk mengetahui hubungan antara Alexithymia terhadap kecanduan media sosial pada remaja di Jakarta Selatan. Subjek penelitian adalah remaja yang berusia 13-19 tahun dan tinggal di Jakarta selatan. Pengambilan data menggunakan metode consecutive sampling dan snowball sampling dengan menyebar kuesioner menggunakan link googleform. Jumlah subjek penelitian sebanyak 207 orang (41 = laki-laki, 166 = perempuan). Skala yang digunakan adalah Toronto Alexithymia Scale (TAS-20) dan Social Media Disorder (SMD). Analisa data menggunakan metode chi-square pada SPSS 25. Hasil penelitian didapatkan 85 orang mengalami alexithymia, 88 mengalami kecanduan dan 62 orang mengalami alexithymia dan kecanduan media sosial. p-value didapatkan 0,000. Hal ini berarti terdapat hubungan antara Alexithymia dengan Kecanduan Media Sosial pada remaja di Jakarta Selatan. Kata Kunci :Alexithymia, Kecanduan Media Sosial, Remaja     ABSTRACT   Alexithymia is characterized by an inability to recognize and express emotions and have external oriented thoughts so that they have poor interpersonal relationships. Teenagers with alexithymial tend to become addicted to social media. This study aims to determine the relationship between Alexithymia towards social media addiction in adolescents in South Jakarta. The research subjects were adolescents aged 13-19 years and lived in south Jakarta. Retrieval of the data was using consecutive sampling and snowball sampling method by distributing questionnaires using the googleform link. The number of research subjects was 207 people (41 = men, 166 = women). The scale was used is the Toronto Alexithymia Scale (TAS-20) and Social Media Disorder (SMD). Data analysis using the chi-square method in SPSS 25. The results showed that 85 people had alexithymia, 88 were addicted and 62 people had alexithymia and were addicted to social media. p-value obtained is 0,000. This means that there is a relationship between Alexithymia and Social Media Addiction in adolescents in South Jakarta. Keyword : Adolescents, Alexithymia, Social Media Addiction


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