scholarly journals PENGARUH IMPLEMENTASI PROGRAM PRO-SELF TERHADAP KECEMASAN DAN DEPRESI PASIEN KEMOTERAPI

2017 ◽  
Vol 1 (2) ◽  
pp. 127
Author(s):  
Jihanni Mustika Mawardani ◽  
Haryani . ◽  
Probosuseno .
Keyword(s):  
Depression Scale ◽  
Wilcoxon Test ◽  
Anxiety And Depression ◽  
Oncology Group ◽  
Hospital Anxiety ◽  
Hospital Anxiety Depression Scale ◽  
Post Test ◽  
Information Skills ◽  
Chemotherapy Patients ◽  
Anxiety Depression

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.

scholarly journals Factors associated with anxiety and depression in rheumatoid arthritis patients: a cross-sectional study

2020 ◽  
Author(s):  
Miyabi Uda ◽  
Motomu Hashimoto ◽  
Ryuji Uozumi ◽  
Mie Torii ◽  
Takao Fujii ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Sectional Study ◽  
Hospital Anxiety ◽  
Cross Sectional ◽  
Hospital Anxiety Depression Scale ◽  
Anxiety Depression

Abstract Introduction / objectives Management of anxiety and depression in rheumatoid arthritis (RA) patients is vital. Previous studies investigating this topic are conflicting, and this topic still has not been thoroughly investigated. This study aimed to clarify the association of disease activity with anxiety and depression after controlling for physical disability, pain, and treatment. Method We conducted a cross-sectional study of RA patients from the Kyoto University Rheumatoid Arthritis Management Alliance cohort. For assessments, we used the Disease Activity Score (DAS28), Health Assessment Questionnaire Disability Index (HAQ-DI), and Hospital Anxiety Depression Scale. Depression and anxiety were defined by a Hospital Anxiety Depression Scale score ≥8. We then performed multivariable logistic regression analyses. Results Of 517 participants, 17.9% had anxiety, and 28.2% had depression. The multivariable logistic regression analyses showed patients with DAS28-based non-remission had low association with anxiety (odds ratio [OR] [95% confidence interval {CI}], 0.93 [0.48–1.78]: p = 0.82) but slight association with depression (OR [95% CI], 1.45 [0.81–2.61]: p = 0.22). However, severity of the patient’s global assessment (PtGA) on DAS28 was associated with anxiety (OR [95% CI], 1.15 [1.02–1.29]; p = 0.03) and depression (OR [95% CI], 1.21 [1.09–1.35]; p < 0.01). Additionally, HAQ-DI-based non-remission was associated with anxiety (OR [95% CI], 3.51 [1.85–6.64]; p < 0.01) and depression (OR [95% CI], 2.65 [1.56–4.50]; p < 0.01). Younger patients (OR [95% CI], 0.83 [0.68–1.01]; p = 0.07) and patients not treated with methotrexate (OR [95% CI], 0.67 [0.40–1.13]; p = 0.13) tended to suffer from anxiety. Patients using steroids had a closer association with depression than those not using them (OR [95% CI], 1.66 [1.03–2.67]; p = 0.04). Conclusions Assessment of disease activity, PtGA, and HAQ-DI are important for assessing anxiety and depression in RA patients. Attention should be paid to improving PtGA and physical function.

Frequency of emotional disturbances among hostelites and day scholars medical students

2020 ◽  
pp. 1-13
Author(s):  
Shireen Jawed ◽  
Benash Altaf ◽  
Rana Muhammad Tahir Salam ◽  
Farhat Ijaz
Keyword(s):  
Medical Students ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Emotional Disturbances ◽  
Anxiety And Depression ◽  
P Value ◽  
Hospital Anxiety ◽  
Cross Sectional ◽  
Hospital Anxiety Depression Scale ◽  
Anxiety Depression

Abstract Objectives: This study was aimed to determine and compare the frequency of the emotional disturbances, anxiety and depression among the medical students on Hospital Anxiety Depression scale (HAD) score among the hostelites and day scholars. Methodology: This cross sectional study was conducted at private medical college in Faisalabad, Pakistan, from March 2019 to April 2019, comprising of 105 male and female students. Validated Hospital Anxiety depression scale (HAD-A and HAD-D) was used to collect data from 1st year and 2nd year MBBS students in order to evaluate anxiety and depression among them.  Data was analyzed on SPSS 21. Pearson’s Chi-square was applied to compare the percentages of anxious and depressed subjects among the studied group. Independent sample t-test was applied for comparison of mean HAD scores between hostelites and day scholars. P value ? 0.05 was taken as significant. Results: There were 105 students in the study with a mean age of 19.4± 0.68 years. Overall, 82.7% students had anxiety, and 52.1% suffered from depression. Average HAD –A and HAD- D scores were 11.2 ± 3.41 and 7.2 ± 3.37 respectively. Greater number of hostelites was suffering from emotional disturbances as compared to day scholars.  HAD –A scores was significantly higher in hostelites than day scholars with P value 0.003*(11.85 ± 3.42 Vs 10.92 ±2.56).  HAD- D scores were also higher in hostilities but difference was insignificant. (7.57± 3.42   Vs 6.85 ±1.58) Continuous...

scholarly journals Level of Anxiety and Depression in Post-Stroke Patients at DR. Hasan Sadikin Hospital Bandung

2017 ◽  
Vol 3 (2) ◽  
pp. 139
Author(s):  
Sri Hartati Pratiwi ◽  
Eka Afrima Sari ◽  
Taty Hernawaty
Keyword(s):  
Health Workers ◽  
Depression Scale ◽  
Nursing Intervention ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Stroke Patients ◽  
Post Stroke ◽  
Hospital Anxiety Depression Scale ◽  
Long Term Treatment ◽  
Anxiety Depression

ABSTRAK            Pasien paska stroke dapat mengalami berbagai gejala sisa sehingga dibutuhkan perawatan dalam jangka waktu yang lama. Kondisi tersebut dapat menjadi penghambat dan sumber stress bagi pasien paska stroke. Stres dan depresi dapat menjadi penghambat dan memperberat kondisi pasien. Banyak faktor yang mempengaruhi kecemasan dan depresi pasien sehingga dapat berbeda-beda di berbagai tempat. Oleh karena itu, penelitian ini dilakukan untuk mengidentifikasi kecemasan dan depresi di Rumah Sakit Hasan Sadikin Bandung sehingga dapat dijadikan bahan dasar dalam memberikan asuhan keperawatan yang sesuai dengan kondisi pasien. Penelitian ini merupakan penelitian deskriptif terhadap pasien paska stroke yang kontrol ke poliklinik saraf RS. Hasan Sadikin Bandung. Teknik sample yang digunakan adalah konsekutive sampling dengan jumlah sampel sebanyak 50 orang. Instrumen yang digunakan dalam penelitian ini adalah Hospital Anxiety Depression Scale (HADS). HADS memiliki kelebihan yaitu dapat mengukur kecemasan dan depresi dalam waktu yang sama. Data yang terkumpul akan dianalisa dengan distribusi frekuensi. Hasil penelitian ini memperlihatkan bahwa 74% pasien paska stroke berada dalam kondisi kecemasan normal, 24% mengalami kecemasan ringan, 2% kecemasan sedang dan tidak ada yang mengalami kecemasan berat. Responden berada pada kondisi depresi ringan 8%, 92 % berada dalam kategori normal dan tidak ada satupun yang mengalami depresi sedang maupun berat. Hasil penelitian ini dapat dipengaruhi oleh karakteristik sebagian besar responden yang berusia pada tahapan dewasa madya, memiliki status menikah, dan tidak memiliki penyakit penyerta apapun. Kecemasan dan depresi sebagian besar pasien paska stroke berada dalam kondisi normal namun ada beberapa yang mengalami kecemasan dan depresi. Tenaga kesehatan khususnya perawat diharapkan dapat mengkaji dan memberikan intervensi terhadap kecemasan dan depresi sedini mungkin dengan memberikan konseling sebagai program tambahan dalam rehabilitasi. Keywords: Kecemasan, depresi, stroke  ABSTRACT Post-stroke patients may experience a variety of residual symptoms that require long-term treatment. These conditions can be a source of stress for patients post-stroke. Stress and depression can be aggravate the condition of the patient. There is many factors can affect anxiety and depression in patients so they can differ in different places. Therefore, this study was conducted to assess anxiety and depression in  post-stroke patients at Hasan Sadikin Hospital so that it can be used as a basic data of nursing intervention and implementation to match the conditions that exist there. This research was a descriptive study of post-stroke patients who control at the neurological polyclinic of Hasan Sadikin Hospital Bandung. The sample technique used consecutive sampling with a sample size of 50 people. The instrument used in this study was Hospital Anxiety Depression Scale (HADS). HADS is an instrument for assessing anxiety and depression at the same time in patients at the hospital. The collected data were analyzed by using frequency distribution. The results of this study showed that 74% of post-stroke patients were in normal anxiety states, 24% had borderline abnormal, 2% abnormal. There were 8% of respondens who had borderline abnormal,  92% were in the normal category and none of them had abnormal. The results of this study can be influenced by the characteristics of most respondents who are at middle age mature, married and do not have comorbidities so that his anxiety is low and his coping skills are good. Most of post-stroke patients had normal level of anxiety and depression, only some who experienced mild and severe level of anxiety and depression. Health workers, especially nurses are expected to early assess and provide intervention to anxiety and depression as early as possible by providing counseling as an additional program in rehabilitation.

Anxiety Depression and Burden among the Caregivers of Persons with Neurological Illness

2018 ◽  
Vol 9 (2) ◽  
pp. 63
Author(s):  
Anil Kumar Roy ◽  
Nilesh Maruti Gujar ◽  
Arif Ali ◽  
Utpal Borah
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Depression Scale ◽  
Sampling Technique ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Care Burden ◽  
Neurological Illness ◽  
Rehabilitation Sciences ◽  
Anxiety Depression

Background: Studies have shown that caregivers of the persons with the neurological illness have high levels of psychological distress, depression and caregiver’s burden. The aim of the study was to find out anxiety, depression and caregiver’s burden among the caregivers of persons with neurological illness (PWNI). Method: Thirty caregivers of PWNI attending the Centre of Rehabilitation Sciences, LGB Regional Institute of Mental Health, Tezpur, Assam were selected using purposive sampling technique for the present study. Socio-demographic and clinical data sheet, Zarit Burden Interview Scale and The Hospital Anxiety and Depression Scale were used. Results: The results shown that in Hospital Anxiety and Depression Scale, 26.6% of the caregivers' scores were in the abnormal range in the domain of depression. While in the domain of anxiety, 16.6% scored in the abnormal range. In Zarit Burden of Scale, 13.3% of the caregivers were having little or no burden, 26.6% of the caregivers were having mild to moderate level of burden, 20% were having moderate to severe burden and 30% were having a severe burden of care. Care burden has significant positive correlation with depression (r= .124, p≤ 0.01 and anxiety (r= .124, p≤ 0.05). Conclusion: Caregivers of PWNI have been found to be at higher risk of mental health problems and care burden. The importance of addressing the burden of caregivers involved in the care of PWNI need to be taken into consideration while providing treatment and rehabilitation of PWNI.     Keywords: Anxiety, depression, burden, neurological illness

scholarly journals Association Between Hospital Anxiety Depression Scale and Autonomic Recovery Following Exercise

2019 ◽  
Vol 27 (2) ◽  
pp. 295-304
Author(s):  
Milana D. R. Santana ◽  
David M. Garner ◽  
Yasmim M. de Moraes ◽  
Luana B. Mangueira ◽  
Guilherme C. Alcantara ◽  
...  
Keyword(s):  
Depression Scale ◽  
Hospital Anxiety ◽  
Hospital Anxiety Depression Scale ◽  
Anxiety Depression

scholarly journals Restless legs syndrome, anxiety, and depression in phlebology practice

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Konstantin Mazayshvili ◽  
Kseniya Kiyan ◽  
Alexey Sukhanov ◽  
Yury Gustelev
Keyword(s):  
Restless Legs Syndrome ◽  
Depression Scale ◽  
Physical Exam ◽  
Anxiety And Depression ◽  
Ultrasound Scanning ◽  
Restless Leg Syndrome ◽  
Hospital Anxiety ◽  
Restless Legs ◽  
Anxiety Depression ◽  
Venous Disorders

The aim was to analyze the prevalence and overlapping of chronic venous disorders, restless legs syndrome, anxiety and depressive conditions. There were 582 subjects enroll; 450 (77.5%) women and 132 (22.5%) men (mean age 45.0). The examination included a physical exam with ultrasound scanning, restless legs syndrome questionnaire, and the hospital anxiety and depression scale (HADS). The prevalence of chronic venous disorders was in 82.6% subjects, restless legs syndrome - 13.9%, anxiety - 28% and depression - 8.6%. Chronic venous disorders were more frequent in anxious patients (34%; P<0.05) vs non-anxious (25%; P<0.05). Significant interrelations between chronic venous disorders and depression were not found (P>0.05). Anxiety and depression were significantly more frequent in patients with restless leg syndrome (anxiety 54.3% vs non-anxiety 23.8%, P<0.001; depression 24.7% vs non-depression 6%, P<0.001). There were not relevant interrelations between chronic venous disorders and restless leg syndrome or anxiety/depression. Anxiety and depressive were significantly correlated with restless legs syndrome.

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