scholarly journals Tingkat Kecemasan Perawat Ruang Isolasi Terhadap Risiko Paparan Covid-19 Di RS Advent Medan

2021 ◽  
Vol 1 (12) ◽  
Author(s):  
Waslen Naibaho ◽  
Untung Sudharmono

Latar belakang: COVID-19 adalah penyakit pernapasan (respiration) yang disebabkan oleh virus Severe Acute Respiratory Syndrome Coronavirus-2. Angka kematian pada petugas kesehatan akibat COVID-19 baik dokter, perawat, apoteker dan petugas kesehatan lainnya terus meningkat. Rumah sakit memerlukan tambahan pekerja khususnya perawat untuk menangani kasus COVID-19. Hal ini menyebabkan semakin tingginya resiko perawat terpapar COVID-19. Tujuan : Tujuan dari penelitian ini adalah untuk mengukur tingkat kecemasan perawat ruang isolasi terhadap risiko paparan COVID-19 di Rumah Sakit Advent Medan. Metode : Metode penelitian ini adalah deskriptif kuantitatif untuk menggambarkan tingkat kecemasan perawat yang bekerja di ruang isolasi COVID-19. Subjek dalam penelitian ini 21 orang yang dipilih dengan menggunakan teknik pengambilan sampel sampling jenuh. Instrumen untuk mengukur tanda kecemasan baik psikis maupun somatic menggunakan Hamilton Anxiety Rating Scale (HARS) yang terdiri dari 14 item pertanyaan. Hasil : Hasil penelitian ini didapati bahwa perawat yang bekerja di ruang isolasi COVID-19 dalam tingkat kecemasan berat sekali dengan nilai rata-rata 43.33 dan nilai Std. Deviation 31.261. Kesimpulan : Kesimpulan dari penelitian ini adalah perawat di ruang isolasi COVID-19 mempunyai kecemasan yang tinggi terhadap resiko paparan COVID-19. Saran yang dapat diberikan adalah mencoba Spiritual Emotional Freedom Technique (SEFT) untuk menurunkan tingkat kecemasan yang dialami perawat yang bertugas di ruang isolasi.

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.


Author(s):  
Sheina Orbell ◽  
Havah Schneider ◽  
Sabrina Esbitt ◽  
Jeffrey S. Gonzalez ◽  
Jeffrey S. Gonzalez ◽  
...  

Author(s):  
PADMA PRIYA CHANDRAN ◽  
SINDHU S. ◽  
NAVANEETHAKRISHNAN S. ◽  
SASIKUMAR S. ◽  
KARTHIK S.

Objective: Anxiety disorders are the most common group of psychiatric illnesses in children. This study is to observe the effectiveness of Paroxetine in anxiety disorder among teenagers in South India population using Hamilton Anxiety Rating Scale (HAM-A) and to screen the possible risk for paroxetine in anxiety disorder among teenagers. Methods: This study is a prospective observational study that was conducted for a period of 6 mo. Of 84 teenage patients with anxiety disorder assessed using Hamilton Anxiety Rating Scale (HAM-A) were followed-up in an outpatient psychiatric ward. Study population includes both sexes, age group between 13 to 19 y, Teenage patient receiving paroxetine for anxiety disorder were included and patients unwilling to give written informed consent or assent form were excluded. Results: Out of 84 patients the prevalence of symptoms before the drug treatment, 65 patients were falling in very severe category, which was assessed by HAM-A scale. Then reassessed with drug Paroxetine at week 4 and week 8. There was a drastic reduction in the prevalence of symptoms in week 8 than compared to week 4. A significant reduction in body weight was also observed during the study period. Among various side effects, nausea was the prominent risk found during the study. Conclusion: The present study demonstrated that paroxetine is effective and well-tolerated for the treatment of various types of anxiety disorder in teenagers with few side effects.


2019 ◽  
Vol 10 (1) ◽  
pp. 1-9
Author(s):  
Paul Slater ◽  
Brendan Bunting ◽  
Felicity Hasson ◽  
Ahmed Mohammad Al-Smadi ◽  
Omar Salem Gammouh ◽  
...  

2010 ◽  
Vol 68 (4) ◽  
pp. 495-501 ◽  
Author(s):  
Arthur Kummer ◽  
Francisco Cardoso ◽  
Antonio Lucio Teixeira

Anxiety is common in Parkinson's disease (PD), but studies concerning specific anxiety disorders are scarce. Essential psychometric properties of anxiety rating scales are also lacking. OBJECTIVE: To investigate general anxiety disorder (GAD) in PD and psychometric properties of the Hamilton Anxiety Rating Scale (Ham-A). METHOD: Ninety-one PD patients underwent neurological and psychiatric examination, which included the MINI-Plus, the Ham-A and the Hamilton Depression Rating Scale (Ham-D). RESULTS: GAD was present in 30.8% of PD patients. Patients with GAD had longer disease duration (p=0.044) and were in use of higher doses of levodopa (p=0.034). They also tended to have more motor fluctuations and dyskinesias. The group with GAD scored higher in Ham-A (p<0.001), in the somatic (p=0.004) and psychic (p<0.001) subscales of Ham-A, and in Ham-D (p=0.004). The Ham-A showed good internal consistency (Cronbach's alpha=0.893) and a cutoff score of 10/11 is suggested to screen for GAD. CONCLUSION: GAD is frequent in PD and the Ham-A may be a useful instrument to screen for this disorder.


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