Relationship between Neutrophil Lymphocyte Ratio (NLR) and Anxiety Levels among COVID-19 Patients at H. Adam Malik General Hospital Medan

2021 ◽  
Vol 8 (12) ◽  
pp. 378-383
Author(s):  
Habibie Hasyim Lubis ◽  
Wika Hanida Lubis ◽  
Tambar Kembaren
Keyword(s):  
Anxiety Level ◽  
P Value ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Neutrophil Lymphocyte Ratio ◽  
Lymphocyte Ratio ◽  
Post Traumatic ◽  
Anxiety Levels ◽  
Cross Sectional Design ◽  
The Relationship

Background: COVID-19 caused great anxiety and stress in patients, especially those treated in isolation wards. SARS-CoV-2 infected respiratory tract and caused acute respiratory syndrome with the consequent release of pro-inflammatory cytokines, such as IL-1β and IL-6, resulting in a "cytokine storm". These cytokines were also elevated in psychiatric disorders such as depression, anxiety, schizophrenia, and post-traumatic stress disorder. Therefore, this study aimed to determine the relationship between NLR and anxiety levels in COVID-19 patients at RSUP. H Adam Malik. Methods: This was an analytic observational study using cross-sectional design. This study was conducted from February to August 2021 on confirmed COVID-19 patients being treated at H. Adam Malik Hospital. The patient's anxiety scale was measured using the Beck Anxiety Inventory (BAI) questionnaire. The NLR value were taken from the results of a blood test performed when patient was first admitted to the isolation room. The data were coded, tabulated, and analyzed using SPSS 23.00 software. The magnitude of the desired deviation (α) was 0.05, with p value of <0.05. Results: The median NLR ratio among 50 confirmed COVID-19 patients in each group respectively was 2.18, 5.03, 3.57 and 8.37. The median NLR ratio increased accordingly to the level of anxiety in COVID-19 patients, with p-value of <0.05 (p = 0.034). Conclusion: NLR ratio was significantly related to anxiety level among COVID-19 patients. Keywords: NLR, Anxiety Level, COVID-19, Neutrophil Lymphocyte Ratio.

scholarly journals TINDAKAN KEMOTERAPI DENGAN TINGKAT KECEMASAN PADA KLIEN KANKER DI RUMAH SAKIT GRANDMED LUBUK PAKAM TAHUN 2021

2021 ◽  
Vol 1 (1) ◽  
pp. 180-185
Author(s):  
Kuat Sitepu ◽  
Adi Arianto ◽  
Luci Riani Br Ginting ◽  
Henni Dawati Damanik
Keyword(s):  
Observational Study ◽  
Cancer Cells ◽  
Quantitative Research ◽  
Treatment Process ◽  
P Value ◽  
Cross Sectional ◽  
Anxiety Levels ◽  
Cross Sectional Design ◽  
The Relationship ◽  
Different Levels

Chemotherapy is a treatment process that uses antineoplastic preparations with the aim of killing cancer cells and slowing the growth of cancer cells by disrupting cellular function and reproduction. Research objectives: To determine the relationship between chemotherapy and anxiety levels in cancer clients at Grandmed Lubuk Pakam Hospital in 2021. Research methods: This study used a quantitative research design with the type of analytical survey. This study used a cross-sectional design, which is a type of observational study that analyzes data from a population. the research results obtained p value = 0.00. It means that the p value <0.05, then there is a relationship between chemotherapy measures and anxiety levels in cancer clients at Grandmed Lubuk Pakam Hospital in 2021. Conclusion: chemotherapy will provide different levels of anxiety for each patient undergoing it, depending on their attitude to accept the disease. as well as the existing knowledge about cancer that will be treated by chemotherapy. Suggestion: For Research Sites: It is hoped that it can add insight to other nurses to further maximize the actions to be taken

scholarly journals THE RELATIONSHIP BETWEEN NURSE CARING BEHAVIOR AND ANXIETY LEVELS AMONG COVID-19 PATIENTS

2021 ◽  
Vol 1 (2) ◽  
pp. 82-88
Author(s):  
Erik Kusuma ◽  
Ayu Dewi Nastiti ◽  
Dwining Handayani ◽  
R.A. Helda Puspitasari
Keyword(s):  
Sampling Technique ◽  
Anxiety Level ◽  
P Value ◽  
Test Results ◽  
Cross Sectional ◽  
Isolation Room ◽  
Good Communication ◽  
Caring Behavior ◽  
Anxiety Levels ◽  
The Relationship

Background: Covid-19 patients who undergoing treatment in isolation rooms experience anxiety problems due to loss of contact with their surrounding. Caring behavior in providing nursing services provides comfort and tranquillity for patients. Objective: This study aimed to determine the relationship between nurses' caring behavior with the anxiety level of Covid-19 patients undergoing treatment in the isolation rooms. Methods: This study used a cross-sectional design. The sample in this study was COVID-19 patients undergoing treatment in the Isolation Room as many as 30 people. The respondents were selected using a consecutive sampling technique. The anxiety levels were measured using the State-Anxiety Inventory (S-AI) questionnaire. The data were analyzed using the Gamma and Somers'd correlation test. Results: The results showed that the better caring behaviour by nurses the lesser the anxiety level of patients. Gamma statistical test results obtained a p-value of 0.000 <0.05, which means that there was a significant relationship between nurses’ caring behaviour and the anxiety level of Covid-19 patients in the Isolation Room. Conclusions: The caring behaviour of nurses in Covid-19 patients was shown by the presence of caring, empathy, compassion, and good communication so that a therapeutic relationship is established between patients and nurses. Therefore, the patient feels safe, comfortable, and has less anxiety.

scholarly journals Komunikasi Terapeutik Perawat dengan Tingkat Kecemasan Pasien Pre-Operasi di Ruang Instalasi Bedah Sentral RSUD Saras Husada Purworejo

2016 ◽  
Vol 3 (2) ◽  
pp. 96
Author(s):  
Warsini Warsini ◽  
Winda Irwanti ◽  
R. Agus Siswanto
Keyword(s):  
Medical Condition ◽  
Sampling Technique ◽  
Stress Reaction ◽  
Anxiety Level ◽  
P Value ◽  
Therapeutic Communication ◽  
Potential Threat ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
The Relationship

<p>The symptoms of anxiety relate to medical condition are often found, though there are various incidences for each condition. The surgery is a potential threat that may rise stress reaction either physically or psychologically. One factor that may decrease the level of anxiety of patients is nursing therpeutic communication. The purposes of this study were to know the relationship between nursing therapeutic communication and anxiety level of preoperative patients in central surgical instalation room at RSUD Saras Husada Purworejo. This study was used an observational with a cross sectional design. The population in this study was preoperative patients in central surgical instalation room at RSUD Saras Husada Purworejo. Samples were obtained by accidental<br />sampling technique, which consisted of 81 respondent. Data analysis was done by Kendal Tau test. The results showed that nursing therapeutic communication was 37.0% in a good category. Anxiety level of preoperative patients was 44.4% in average level. The result of Kendall Tau test showed a p-value=0.000 (p&lt;0.05). There was a relationship between nursing therapeutic communication and anxiety level of preoperative patients. In conclusion, there was a relationship between nursing therapeutic communication and anxiety level of<br />preoperative patients in central surgical instalation room at RSUD Saras Husada Purworejo.</p>

HUBUNGAN INTELEGENSI DENGAN PERILAKU NERS TINGKAT II STIKES SANTA ELISABETH MEDAN

2016 ◽  
Vol 1 (1) ◽  
pp. 21-30
Author(s):  
Imelda Derang
Keyword(s):  
Student Nurses ◽  
Sampling Technique ◽  
P Value ◽  
Test Results ◽  
Cross Sectional ◽  
Intelligence Level ◽  
Level Ii ◽  
Study Population ◽  
Cross Sectional Design ◽  
The Relationship

Intelligence is the ability to apply the knowledge and experiences that have been gained into the effort tasks are challenging and flexible book. Behaviour is an action that involves aspects of affective, cognitive, and psychomotor. Goal: This study aims to determine the relationship between the behavior of student nurses intelligence level II STIKes Santa Elisabeth Medan. Method: This study uses correlation with cross sectional design. The study population was all students / i Ners Level II STIKes Santa Elisabeth Medan as 65. The samples used were 65 respondents, the sampling technique in this research is using purposive sampling. The instrument of this study using questionnaire and observation sheets by using product moment test person. Result: Intelligence students as many as 30 people (46.2%) classified as having an average level of intelligence. A total of 32 people (49.2%) classified as well-behaved students. Person product moment test results obtained p value = 0.172 where a significant level of p> 0.05 so that this value proves that the absence of a relationship between the behavior of student nurses intelligence level II STIKes Santa Elisabeth Medan. Conclusion: Recommended for institutions, motivating students in balancing the behavior and intelligence. 

scholarly journals HUBUNGAN TINGKAT PENGETAHUAN IBU DAN DUKUNGAN SUAMI TERHADAP KEBERHASILAN PEMBERIAN ASI EKSKLUSIF

2019 ◽  
Vol 2 (1) ◽  
pp. 5
Author(s):  
Eka Putri Primasari
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Statistical Test ◽  
P Value ◽  
Test Results ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
Cross Sectional Design ◽  
The Relationship ◽  
Low Rate

Abstract: Breast milk is the best food for babies, especially in the first month of life. Breast milk contains all nutrients to build and provide the energy needed by the baby. The low rate of breastfeeding is a threat to child development. Several factors related to the success of exclusive breastfeeding are the level of knowledge of the mother and husband's support. The purpose of this study was to determine the relationship between the level of knowledge of mothers and husband's support  towards the success of exclusive breastfeeding in Lubuk Kilangan Puskesmas in 2017. This study was analytical with a cross sectional design. The population in this study amounted to 153 respondents. A sample of 31 respondents obtained by simple ramdom sampling. Data were analyzed bivariate. The statistical test results obtained p-value = 0,000. It can be concluded that there is a relationship between the knowledge of mothers about exclusive breastfeeding and husband's support for the success of exclusive breastfeeding.

scholarly journals Hubungan Masa Kerja, Jenis Kelamin dan Sikap Kerja dengan Keluhan Muskuloskeletal pada Operator SPBU di Kota Kupang

2020 ◽  
Vol 2 (2) ◽  
pp. 42-49
Author(s):  
Kasimirus Ebu To ◽  
Noorce C. Berek ◽  
Agus Setyobudi
Keyword(s):  
Work Attitudes ◽  
P Value ◽  
Musculoskeletal Complaints ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Related ◽  
High Prevalence ◽  
Cross Sectional Design ◽  
Work Tenure ◽  
The Relationship

Musculoskeletal disorder (MSDs) is a disorder in workers. This work-related disease has a high prevalence globally. MSDs occurs in work environment that exposes workers to non-ergonomic posture. The disorder triggers fatigue and indirectly adds to the workload among workers. This study aims to analyze the relationship between work tenure, sex and work attitudes with musculoskeletal complaints in general refueling station operators in Kupang City. The research was an analytical survey with a cross-sectional design. The research were conducted at 15 General Refueling Stations in Kupang from October to November 2019. A sample of 69 people were selected from the population of 222 operators. Data were analyzed by using chi-square (X2) with p-value = 0,05. The results showed that there was a relationship between musculoskeletal complaints and length of work (ρ-value= 0,004), gender (ρ-value 0,007) and work attitude (ρ-value= 0,001).

scholarly journals Hubungan antara Kebiasaan Merokok dengan Angka Kejadian Lesi yang Diduga Stomatitis Nikotina pada Masyarakat Desa Ongkaw Dua

e-CliniC ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Miranda A. Tambunan ◽  
Pieter L. Suling ◽  
Christy N. Mintjelungan
Keyword(s):  
Significant Relationship ◽  
Analytical Study ◽  
Smoking Habit ◽  
Smoking Habits ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
The Relationship ◽  
Heavy Smokers

Abstract: Nicotine stomatitis could be found among heavy smokers. This study was aimed to determine the relationship between smoking habits and the incidence of lesions suspected as nicotine stomatitis among villagers of Ongkaw Dua. This was an analytical study with a cross sectional design. Population consisted of 183 smokers aged >15 years at Desa Ongkaw Dua and the subjects were 65 smokers. The chi-square showed a p-value of 0.592 for the relationship between the duration of smoking and the occurence of lesion supspected as nicotine stomatitis. Moreover, the chi-square showed a p-value of 0.005 for the relationship between the number of cigarettes consumed per day and the occurence of lesion suspected as nicotine stomatitis. In conclusion, there was no relationship between the duration of smoking and the occurence of lesion suspected as nicotine stomatitis, but there was a significant relationship between the number of cigarettes consumed per day and the occurence of lesion suspected as nicotine stomatitis.Keywords: smoking habit, nicotine stomatitis Abstrak: Stomatitis nikotina dapat dijumpai pada perokok berat. Penelitian ini bertujuan untuk mengetahui hubungan antara kebiasaan merokok dengan angka kejadian lesi yang diduga stomatitis nikotina pada masyarakat desa Ongkaw Dua. Jenis penelitian ialah analitik observasional dengan desain potong lintang. Populasi penelitian ini yaitu 183 perokok berusia >15 tahun di Desa Ongkaw Dua dan yang menjadi subyek penelitian berjumlah 65 orang. Hasil uji chi-square terhadap hubungan lama merokok dengan angka kejadian lesi yang diduga stomatitis nikotina mendapatkan p=0,592. Hasil uji chi-square terhadap hubungan antara jumlah rokok yang dihisap setiap hari dengan angka kejadian lesi yang diduga stomatitis nikotina mendapatkan p=0,005. Simpulan penelitian ini ialah tidak terdapat hubungan antara lamanya merokok dengan angka kejadian lesi yang diduga stomatitis nikotina, tetapi terdapat hubungan bermakna antara jumlah rokok yang dihisap setiap hari dengan angka kejadian lesi yang diduga stomatitis nikotina.Kata kunci: kebiasaan merokok, stomatitis nikotina

scholarly journals Penyebab Terjadinya Ruptur Perineum pada Persalinan Normal di RSUD Muntilan Kabupaten Magelang

2016 ◽  
Vol 3 (2) ◽  
pp. 77
Author(s):  
Eka Prawitasari ◽  
Anafrin Yugistyowati ◽  
Dyah Kartika Sari
Keyword(s):  
Birth Weight ◽  
Birth Spacing ◽  
Statistical Test ◽  
P Value ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Spontaneous Vaginal Delivery ◽  
Birth Canal ◽  
Cross Sectional Design ◽  
The Relationship

<p>Perineal Rupture is a laceration on perineum when delivering a baby. Perineal rupture is one of lacerations on birth canal which can cause complication which is dangerous for mother. The danger and complication of perineal rupture are bleeding, hematoma, fi stula, and infection. Based on the baseline study in RSUD Muntilan Magelang District, the number of normal deliveries in November 2013 to June 2014 found 612 people with normal delivery (spontaneous), as many as 243 people with a rupture perineum and the majority occur in women primiparous total of 37 people (15.22%), at a birth spacing &gt;2 years as many as 87 people (35.80%), maternal aged 20-35 years as many as 46 people (18.93%), and 2.500-4.000 grams birth weight as much as 73 people (30.04%). The purposes of this study were to know the frequency distribution of perineal rupture on normal delivery and to know the relationship between perineal rupture and partum, birth spacing, mothers’ age, birth weight on normal delivery in RSUD Muntilan Magelang District of 2015. This study was observational analytics with cross sectional design. The research samples were 41 women of spontaneous vaginal delivery in RSUD Muntilan. The data were collected by using checklist. Based on the statistical test, there were no signifi cant relationship between perineal rupture and partum (p-value=0.893), birth spacing (p-value=0.682), and mothers age (p-value=0.434); while on birth weight there was a signifi cant relationship with the occurrence of rupture perineum (p-value=0.000). In conclusion, there was no infl uence between partum, birth spacing, and mothers’ age on perineal rupture. In this study, the factor that infl uences perineal rupture was the birth weight.</p>

scholarly journals HUBUNGAN MASA KERJA DAN USIA DENGAN TINGKAT HIDRASI PEKERJA PERAJIN MANIK-MANIK DI KABUPATEN JOMBANG

2018 ◽  
Vol 9 (2) ◽  
pp. 1-9
Author(s):  
Neffrety Nilamsari ◽  
Ratih Damayanti ◽  
Erwin Dyah Nawawinetu
Keyword(s):  
Statistical Tests ◽  
Hydration Status ◽  
P Value ◽  
Design Data ◽  
Cross Sectional ◽  
Hydration Level ◽  
Physical Hazards ◽  
Hours Of Work ◽  
Cross Sectional Design ◽  
The Relationship

Every workplace always has potential hazards. The potential hazards most often found inmanufacturing industries are potential physical hazards that can affect labor productivity. The purposeof this study was to analyze the relationship between working period and age of bead craftsmen withhydration levels. Respondents in this study were 19 workers in PT X Jombang Regency. This researchis an observational study with a cross sectional design. Data collection was conducted from April toJuly 2018. Statistical tests used correlation test in testing urin color indications to determinedehydration levels. The results showed a relationship between the variable work period and the level oflabor hydration with p-value 0.000, age variable with hydration level did not have a relationship withp-value 0.087 where the temperature in the workspace averages 34.1°C. There is a relationship betweenthe length of work and the level of hydration of bead craftsmen and there is no relationship betweenage and level of hydration of bead craftsmen. To reduce the level of hydration status, it isrecommended that every bead craftsman every 2 hours drink as much as 0.5 liters of water, so that theneed for fluids is approximately 2 liter in 8 hours of work can be fulfilled. Companies are advised toadd the amount of ventilation in the workspace to reduce exposure to hot temperatures in theworkspace. Keywords: Hydration level, working period, age

Association Between Structural Determinants of Health and Posttraumatic Stress Symptoms during the COVID-19 Pandemic

2021 ◽  
Vol 17 ◽  
Author(s):  
Zohreh Mahmoodi ◽  
Kian Javadi Koshesh ◽  
Ghaffar Almasi ◽  
Safura Pournajaf ◽  
Hadith Rastad ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Female Gender ◽  
Underlying Disease ◽  
Determinants Of Health ◽  
P Value ◽  
Post Traumatic Stress ◽  
Structural Determinants ◽  
Cross Sectional ◽  
Stress Symptoms ◽  
Post Traumatic

Background: Psychological problems, such as post-traumatic stress symptoms (PTSS), are among the most important complications associated with the COVID-19 pandemic in people. Studying the social determinants of health (SDH) and its impact on the populations during the crisis will help governments deal better with health emergencies so that every person can have an equal opportunity to stay healthy. Objective: To determine what factors affect PTSS, we conducted a study to investigate the association between structural determinants of health and PTSS during the COVID-19 pandemic. Methods: We conducted a cross-sectional study on 370 people referred to a selected laboratory between June and July 2020 in Karaj province, Iran. Post-traumatic stress disorder (PTSD) 8-item inventory was used to evaluate the PTSS and its subscales, including intrusion, avoidance, and hypervigilance in the participants. Results: Overall, 51.2% of participants were male, and 17.3% were positive for the IgM or IgG COVID-19 test. The most common symptoms in these patients were weakness, myalgia, cough, anosmia, and fever. The prevalence of total PTSS, intrusion, avoidance, and hypervigilance symptoms were 7.1%, 25.7%, 41.6%, and 16.2%, respectively. In univariable regression analysis, female gender (p-value=0.01, 95%CI (2.25-0.31)), un-employment (p-value=0.011, 95%CI (0.37-2.81)), having symptoms of COVID-19 disease (p-value=0.000, 95%CI (.82-2.75)), underlying chronic disease, were directly associated with PTSS. Conclusion: Results showed that sex and occupation as structural determinants of health could affect PTSS in the COVID-19 pandemic. However, in the multivariable model, having symptoms of the COVID-19 disease and underlying disease affected PTSS.

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