THE EFFECT OF DHIKR ON ANXIETY AND DEPRESSION LEVEL IN HEMODIALYSIS PATIENTS AT PURWOKERTO ISLAMIC HOSPITAL

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.

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)


Author(s):  
Dyah Dyah Dewi ◽  
Wiwik Wiwik Kusumawati ◽  
Ismarwati Ismarwati Ismarwati

Background: Maternal Mortality Rate (MMR) as an indicator of maternal health during pregnancy, childbirth, and childbirth. Anemia contributes 20% to the incidence of maternal deaths caused by bleeding during labor. The government prevents anemia by giving iron tablets at least 90 tablets for pregnant women. However, the prevalence of anemia remains high, because of the low adherence in consuming Fe tablets every day. Self-efficacy adherence is a predictor of health behavior and adherence to treatment.Objective: To improve adherence with self-efficacy in consuming Fe tablets in pregnant women with health promotion and WhatsApp reminder in Yogyakarta City Health Center.Method: This study used a quasi-experiment method with a pre-test post-test non-equivalent control group design. The sample amounted to 59, the sampling technique used was consecutive sampling which was taken by random sampling technique in which samples were taken alternately to determine the intervention group and the control group.Results: There were significant differences in the self efficacy score between the intervention groups (Mean = 6.30, SD = 8.11) and the control group (Mean = 0.89, SD = 7.83) with t-test = 2.60 and ρ = 0.012.Conclusion: There is a significant difference in self-efficacy adherence with consuming Fe tablets in pregnant women before and after being given health promotion and WhatsApp reminder intervention and control groups. Health service agencies can consider the combined service between health promotion and WhatsApp reminder to improve self-efficacy in adhering to consuming Fe tablets in increasing Hb levels in anemic pregnant women.


2017 ◽  
Vol 26 (2) ◽  
pp. 151-158
Author(s):  
Zinnatul Borak ◽  
Shahjahan Ali ◽  
Sabrina Mahmood

The study was carried out to explore the outcome of relaxation on stress, anxiety and depression level of the caregivers of cancer patients. Fifty caregivers of cancer survivors were randomly assigned to two groups. In intervention group, participants received relaxation once a week for five consecutive weeks while control group received no intervention. Stress (life‐stress questionnaire), anxiety (anxiety scale) and depression (depression scale) levels were assessed before and after the intervention. Data were analyzed by independent sample t test. Results showed that relaxation helped the caregivers of cancer patients to reduce their stress and anxiety. But relaxation did not reduce the level of depression. Implication of the research and future guideline are also discussed. Dhaka Univ. J. Biol. Sci. 26(2): 151-158, 2017 (July)


2019 ◽  
Vol 2 (1) ◽  
pp. 23-32
Author(s):  
Dyah Tri Kusuma Dewi ◽  
Wiwik Kusumawati ◽  
Ismarwati Ismarwati

Maternal Mortality Rate (MMR) as an indicator of maternal health during pregnancy, childbirth, and childbirth. Anemia contributes 20% to the incidence of maternal deaths caused by bleeding during labor. The government prevents anemia by giving iron tablets at least 90 tablets for pregnant women. However, the prevalence of anemia remains high, because of the low adherence in consuming Fe tablets every day. Self-efficacy adherence is a predictor of health behavior and adherence to treatment.To improve adherence with self-efficacy in consuming Fe tablets in pregnant women with health promotion and WhatsApp reminder in Yogyakarta City Health Center.This study used a quasi-experiment method with a pre-test post-test non-equivalent control group design. The sample amounted to 59, the sampling technique used was consecutive sampling which was taken by random sampling technique in which samples were taken alternately to determine the intervention group and the control group.There were significant differences in the self efficacy score between the intervention groups (Mean = 6.30, SD = 8.11) and the control group (Mean = 0.89, SD = 7.83) with t-test = 2.60 and ρ = 0.012.There is a significant difference in self-efficacy adherence with consuming Fe tablets in pregnant women before and after being given health promotion and WhatsApp reminder intervention and control groups. Health service agencies can consider the combined service between health promotion and WhatsApp reminder to improve self-efficacy in adhering to consuming Fe tablets in increasing Hb levels in anemic pregnant women.


2020 ◽  
Vol 7 (1) ◽  
pp. 73-82
Author(s):  
Risna Fazlaini

One of the competencies of midwife is responsible to give care during the postpartum period according to women’s individual need. In providing postpartum care, midwives should be able to detect of complications, thereby reducing morbidity and maternal mortality. Counseling is one of the interventions that can be given to the mother. Postpartum counseling module is a module that was designed and compiled based on literature review as a guide to help midwives provide counseling on postpartum mothers. The aim of the study is to analyze the effect of implementation of postpartum counseling module to increase knowledge, attitudes and counseling skills of midwives. The study is analitic with quasi experimental with pretest-posttest control group design. A sample size of 42 people that divided into two groups, 21 people in intervention group and 21 people in control group using stratified random sampling technique in the period January 16-February 25, 2017 conducted in Tegal. Data were analyzed by using t-test to examine the average increase scores of knowledge, attitudes and skills before and after training module on intervention group and before and after submission of KIA book in the control group. Mann-Whitney test to analyzed the comparison of the average increase score of knowledge, attitude and skills of midwives between the two groups. Instrument which is used in this study were questionnaire to measure knowledge and attitudes and observation sheet to assess the counseling skills of midwives The result showed that the average increase in score of knowledge 50% (p<0,05), attitude 40% (p<0,05), and midwife counseling skill 99,7% (p<0,05) in the treatment group is higher than control group with percentage increase of 0% (p>0,05) on knowledge, 0% (p>0,05) on attitude and 0% (p>0,05) on skills. The conclusion is score of knowledge, attitudes and skills of midwife counseling in the treatment group higher than control group. The optimal use of the postpartum counseling module by midwife is expected to improve the quality care in counseling during postpartum period. Keyword: Attitude, Counseling, Module, Knowledge, Skill, Postpartum


2021 ◽  
Vol 10 (1) ◽  
pp. 163
Author(s):  
Ruwayda Ruwayda ◽  
Netti Herawati

This study aims to analyze the effectiveness of the Brainstorming method and the Buzz Group method in providing IEC for reproductive health at the AurDuri Youth Health Center Posyandu in Jambi City in 2019. This research is a quasi-experimental study using a pretest and posttest design with control group design. The population is all adolescents who visit the posyandu as many as 60 people. Samples were taken using a total sampling technique of 30 treatment groups given the Brainstorming method and 30 people received the Buzz Group method. The research instrument was a questionnaire. Data analysis was carried out univariately to determine the frequency distribution, then bivariate analysis using the dependent t-test to see differences in knowledge before and after giving the brainstorming method and the Buzz Group method. The results showed that there was a difference in the mean increase in respondents' knowledge before and after using the brainstorming method with a mean difference of 1.233 and the difference in knowledge before and after using the buzz group method, namely 3.133. While the results of the analysis of differences in knowledge using the brainstorming method and the buzz group with a p value of 0.000, the difference in the mean value of 2.689 means that the buzz group method is more effective in increasing adolescent knowledge about reproductive health than the brainstorming method. It is suggested that the puskesmas should provide guidance to youth posyandu using a variety of varied methods such as buzz groups in providing IEC for reproductive health


Author(s):  
Nuramalia Nuramalia ◽  
Ida Leida Maria ◽  
Nurhaedar Jafar

Learning media have an important role in supporting the delivery of information, one of the learning media that is currently developing is audio visual media. Recognizing the problems faced in efforts to prevent and control HIV and AIDS among adolescent groups, then through audio-visual media, I am Proud I Know (ABAT) as an education to spread true and comprehensive knowledge about HIV and AIDS. This study aims to determine the effect of ABAT audio-visual media on attitudes about HIV and AIDS at school adolescents in Makassar City. The research design uses quasy experiment with The Nonequivalent Control Group Design. The sampling technique used was simple random sampling, as many as 96 adolescents. The results showed that most respondents were in the age group of 17 years (49%), female sex (52%), grade 12 level (51%). Based on the results of the Mann-Whitney U Test, there were differences in attitude before and after the intervention of ABAT audio-visual media playback with a frequency of playback three times and once in the intervention group and the control group (p = 0.036). Conclusion: there are significant differences in adolescent attitudes about HIV and AIDS before and after the intervention. Some comparison of counseling media is needed in order to better know the effectiveness of a media.


2017 ◽  
Vol 5 (2) ◽  
pp. 115
Author(s):  
Nunung Rachmawati ◽  
Luky Dwiantoro ◽  
Bambang Edi Warsito

<em>The holistic nursing service is based on the concept that humans are sick not only physically that cured by drug delivery, but also pay attention to other aspects of </em>mental<em> where the patient needs motivation and spirit to cope with illness, social where the patient wants to meet and gather with family/friends and spiritual where the patient wants to pray and pray for healing. Spiritual care is an important part of the overall care provided to improve the quality of life of patients. The role of nurses is now more involved on treatment measures. Proper methods </em>in<em> clinical supervision are necessary for the implementation of spiritual care to be as important as physical care, one of them using drill method. This study aims to analyze the influence of drill methods in the team leader's clinical supervision on the implementation of nurses spiritual care. The research method used is </em>quasy<em> experiment with pretest-posttest research design with control group design. The population of nurse research in inpatient room of PKU Muhammadiyah Yogyakarta and PKU Muhammadiyah Gamping Hospital. A total of 32 nurses were taken as samples through consecutive sampling technique. To see the implementation of spiritual care used observation sheet refers to the label Nursing Interventions Classification, spiritual care is observed before and after the application of drill methods in clinical supervision. Data were analyzed by paired t-test. The results showed the average of nurses' spiritual care before the drill method applied to the intervention group was 6,56 and 6,13 in the control group, after drill method applied in the intervention group was 17,44 and 6,50 in the control group. The results of statistical tests showed that there was a significant difference in nurse's spiritual care before and after the application of drill methods in the intervention group. It is recommended for the hospital to improve the implementation of clinical supervision to the nurses related to non-physical skills using drill method.</em>


2020 ◽  
Vol 10 (2) ◽  
pp. 174-183
Author(s):  
Ahmadreza Siasari ◽  
◽  
Mansour Zamani Afshar ◽  
Fatemeh Sargolzaie ◽  
Najmeh Saberi ◽  
...  

Objective: Anxiety and depression are the most common psychological problems and effective on treatment process in hemodialysis patients. Acupressure is inexpensive, effective, and available method for reducing anxiety and depression. Therefore, this study was conducted to determine the effect of acupressure on anxiety and depression in hemodialysis patients. Methods: This study was a clinical trial, conducted on 40 patient’s referral to Imam Khomeini medical center in Zabul at 2017. Patient-based census method selected and randomly divided in two groups (intervention group: 20, control group: 20). For data collection we used demographic, Spielberger Anxiety and Beck Depression Questionnaire. The intervention group received acupressure in p6 point in three days a week for four weeks. Data were collected before and one month after the intervention then data analyzed by SPSS v. 16 with paired t-test and independent statistical test.   Results: The Mean±SD depression and anxiety score after intervention were 25.41±5.67 and 37.15±5.13, respectively. Evaluation of depression and anxiety scores after intervention showed a significant difference (P<0.05). Conclusion: The results of this study indicated that acupressure is effective in reducing anxiety and depression in patients. Therefore, it is recommended as a simple, inexpensive, and workable method by the patient himself.


Author(s):  
Asieh Mehdipour ◽  
Parvin Abedi ◽  
Somayeh Ansari ◽  
Maryam Dastoorpoor

Abstract Objectives Postmenopausal women are at greater risk of depression. Depression may negatively affect the quality of life of women. An emotional freedom technique (EFT) is an evidence-based therapy combining cognitive and exposure components with acupressure. This study aimed to evaluate the effect of EFT on depression in postmenopausal women. Methods This was a randomized controlled trial in which 88 women with mild to moderate depression recruited from a menopausal clinic in Ahvaz, Iran, and randomly assigned into two groups of EFT (n=44) and control for sham therapy (n=44). Women in the EFT group received two sessions of training and asked to continue EFT for 8 weeks, one time per day. The Beck Depression Inventory (BDI2) completed by women before and after the intervention. The control group received training on sham acupressure points similar to the intervention group. Data collected using a demographic and BDI2. Women requested to complete the BDI2 before and after the intervention. The independent t-test, chi-square, and ANCOVA were used to analyze data. Results The mean depression score in the intervention group reduced from 20.93 ± 4.6 to 10.96 ± 4.38 in comparison to the control group that reduced from 19.18 ± 2.79 to 17.01 ± 6.05 after intervention (p=0.001). After the 8 week intervention, the frequency of moderate depression decreased from 56.8 to 9.35% in the intervention and from 50 to 29.5% in the control group. In total, 63.4 and 34.15% in the intervention and control groups were free of depression respectively after the intervention (p<0.001). Conclusions The results of this study showed that using EFT for 8 weeks could significantly reduce the mean score of depression in postmenopausal women. Using this method in public health centers for postmenopausal women is recommended.


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