Stres Kerja Perawat Psikiatri di Ruang Rawat Inap Rumah Sakit Jiwa

Psychiatric nursing is considered one of the most stressful jobs in the world. 1 to 3 medical workers in the department of psychiatry have been reported to have higher fatigue levels than medical workers in other departments. This study aimed to determine the level of work stress of psychiatric nurses in the Mental Hospital. This type of research is descriptive. The sampling technique used purposive sampling of as many as 83 nurses from 12 inpatient rooms at the Aceh Mental Hospital with the criteria of implementing nurses, marital status, D3, and S1 education, nurses on duty, and willing to be respondents in this study. The instrument used to measure work stress is The Workplace Stress Scale which contains 8 statement items with 5 Likert scales. The results showed that the majority of respondents were in the category of severe stress (32.5%) followed by moderate stress (28.9%), potentially dangerous (24.1%), and mild stress (14.5%). Work stress on psychiatric nurses in the Aceh Mental Hospital inpatient room is in the category of severe stress. It is recommended that the hospital increase cooperation between nurses and other health workers and clarify the duties of nurses to reduce work stress on psychiatric nurses.

Perception of Families With Family Attitudes About Mental Disorders in Family Members That Experience Mental Disorders in The Mental Hospital

Mental disorders are considered as incurable diseases and are related to sin or crime, so that sometimes the treatment is brutal and inhumane. Wrong perceptions or myths related to mental disorders (schizophrenia) still exist in Indonesia; some cultural societies always link the cause of mental disorders caused by the occult. This perception causes them to come to health or mental health services if the mental disorder they experience is severe or even disturbs others. This study aims to determine the perception of families with family attitudes about mental disorders in family members that experience mental disorders in the mental hospital. Analytical research with cross sectional approach. Using 67 respondents with consecutive sampling probability sampling technique. Spearman rank's analysis results obtained p (0.00) <0.05 (0.000) with a correlation coefficient of 0.752, which shows the closeness of the relationship between the variable perception with attitude is strong. The conclusion of the study, there is a relationship between the perception of families with family attitudes about mental disorders in family members that experience mental disorders in the mental hospital.

TINJAUAN KESIAPAN PEKERJA DALAM PENANGGULANGAN DARURAT KEBAKARAN DI GEDUNG INSTALASI GIZI RUMAH SAKIT JIWA TAMPAN PROVINSI RIAU TAHUN 2020

Instalasi gizi di rumah sakit menjadi tempat yang berpotensi tinggi menyebabkan kebakaran karena di instalasi gizi terdapat pekerjaan memasak, dimana pekerjaan tersebut sangat berisiko karena langsung berhadapan dengan api dan tabung gas. Untuk itu perlu dilakasanakan program tanggap darurat agar bahaya tersebut dapat diminimalisir. Tujuan penelitian untuk mengetahui mengenai kesiapan pekerja dalam penanggulangan darurat kebakaran di gedung instalasi gizi rumah sakit jiwa tampan tahun 2020. Jenis penelitian ini menggunakan penelitian kualitatif dilakukan di gedung instalasi gizi Rumah Sakit Jiwa Tampan Riau pada tangga 7-9 Juli tahun 2020. Informan dalam penelitian ini berjumlah 3 orang terdiri dari Sekretaris komite K3, Kepala instalasi gizi, dan Karyawan instalasi gizi. Instrumen pendukung yang digunakan pedoman wawancara, yang terdapat pertanyaan-pertanyaan yang sesuai dengan fokus penelitian. Peneliti juga menggunakan alat bantu rekam, kamera, serta alat pencatat yang mendukung penelitian ini. Hasil penelitian menunjukan kesiapan pekerja dalam penanggulan darurat kebakaran khususnya dalam penggunaan APAR belum cukup siap, kesiapan dan pemahaman pekerja instalasi gizi terhadap proses evakuasi bila terjadi darurat kebakaran belum cukup siap, Akses menuju titik kumpul tidak sulit, hal ini sudah sesuai dengan Permen PU No.14/PRT/M/2017, namun jarak titik kumpul terlalu dekat, kurang dari 20 meter dengan bangunan gedung. Dapat disimpulkan kesiapan pekerja dalam penanggulangan darurat kebakaran di gedung instalasi gizi Rumah Sakit Jiwa Tampan Provinsi Riau belum cukup baik dikarnakan tidak semua pekerja mendapat pelatihan darurat kebakaran, untuk itu perlu pelatihan keseluruh pekerja sehingga bila terjadi darurat kebakaran semua pekerja sudah siap menghadapinya. The nutrition installation in the hospital is a place that has a high potential to cause fires because in the nutrition installation there is cooking work, where the work is very risky because it is directly dealing with fire and gas cylinders. For this reason, it is necessary to carry out an emergency response program so that these hazards can be minimized. The purpose of the study was to find out about the readiness of workers in dealing with fire emergencies in the nutrition installation building of the handsome mental hospital in 2020. This type of research used qualitative research, the research location was carried out in the nutrition installation building of the Tampan Riau Mental Hospital, the study was carried out in July 2020. There were 3 informants in this study, consisting of the secretary of the K3 committee, the head of the nutrition installation, and the employees of the nutrition installation. Collecting data using interview guidelines, and observation sheets. The results showed that the readiness of workers in dealing with fire emergencies, especially in the use of fire extinguishers, was not quite ready, the readiness and understanding of nutrition installation workers for the evacuation process in the event of a fire emergency was not quite ready. 14/PRT/M/2017, but the meeting point is too close, less than 20 meters from the building.

Factors Increasing Noncompliance of Psychiatric Patients Undergoing for Psychotropic Therapy

Introduction: The positive result of the treatment regimen mainly depends on the adherence of the patients towards the instruction given by the physician and termed as the noncompliance or incomplete adherence to treatment. Methods: The present study aimed to descriptively analyze and identify the reasons that increasing the incomplete adherence for psychotropic therapy based on information retrieved from the patient and their relatives in Institute of Mental Hospital (IMH), Chennai.90 participants were interrogated using a structured questioner by purposive-sampling procedure after receiving their informed consent. Results: The present study showed the involvement of different factors such as pre – mature stopping the drug regimen (28.8%), buying lesser quantity of the drugs than prescribed by physicians (24.4%), and irregular drug consuming (23.3%). The present study importance of creating the awareness regarding the optimal follow- ups and emphasized the advices regarding the changing the mental health service regimes. The patients and relatives should be given the psychological based awareness for reducing the noncompliance on the psychotropic regimes.

One dose of Architecture, taken daily: Building for Mental Health in New Zealand

<p>Thousands of New Zealanders were treated in the nation’s mental hospitals in the late nineteenth and twentieth centuries. Existing research has examined this history of institutionalisation from the perspectives of policy, psychiatric medicine and nursing culture, but to date little has been written about the built fabric of this type of institutional care. This dissertation asks what does the architectural approach taken to Seacliff Asylum (1878-84), Kingseat Hospital (1927-40) and Cherry Farm Hospital (1943-71) indicate about official attitudes to mental illness in New Zealand. Architecture was thought to be capable of performing a curative role in the treatment of mental illness; the administrators of New Zealand’s mental hospitals stated this belief publically in various press releases and reports to the government between 1878 and 1957. This dissertation examines Seacliff, Kingseat and Cherry Farm against current thought regarding the treatment of mental illness and against best architectural practice in mental hospital design. While these three institutions were the jewels in the crown of New Zealand’s mental hospital network, only Kingseat could be considered an exemplary hospital of its time. The compromises that occurred in the construction of Seacliff, Kingseat and Cherry Farm hospitals indicate that meeting the needs of the mentally ill was only one of a number of agendas that were addressed by the officials involved in the design of these institutions. Many of these agendas were peripheral to the delivery of mental health care, such as the political desire for colonial propaganda and professional concerns of marginalisation, and conflicted with the attainment of ideal environments for the treatment of mental illness. The needs of the mentally ill were a low priority for successive New Zealand governments who exhibited a reluctance to spend taxpayer funds on patients who were not considered curable. The architects and medical advisors involved in the design of these facilities did attempt to meet the needs of these patients; however, they were limited by a design and procurement process that elevated political and operational concerns over the curative potential of these hospitals. This dissertation also examines the role of individuals in the design of these institutions. Architect Robert Lawson was reproached for deficiencies in the curative potential of Seacliff Asylum. Similarly, medical administrator Theodore Gray has received criticism for limiting the development of New Zealand’s wider network of mental hospital care. This dissertation establishes that Lawson and Gray deserve greater recognition for their relative contributions to the architecture created, within New Zealand, for the treatment of mental illness.</p>

One dose of Architecture, taken daily: Building for Mental Health in New Zealand

<p>Thousands of New Zealanders were treated in the nation’s mental hospitals in the late nineteenth and twentieth centuries. Existing research has examined this history of institutionalisation from the perspectives of policy, psychiatric medicine and nursing culture, but to date little has been written about the built fabric of this type of institutional care. This dissertation asks what does the architectural approach taken to Seacliff Asylum (1878-84), Kingseat Hospital (1927-40) and Cherry Farm Hospital (1943-71) indicate about official attitudes to mental illness in New Zealand. Architecture was thought to be capable of performing a curative role in the treatment of mental illness; the administrators of New Zealand’s mental hospitals stated this belief publically in various press releases and reports to the government between 1878 and 1957. This dissertation examines Seacliff, Kingseat and Cherry Farm against current thought regarding the treatment of mental illness and against best architectural practice in mental hospital design. While these three institutions were the jewels in the crown of New Zealand’s mental hospital network, only Kingseat could be considered an exemplary hospital of its time. The compromises that occurred in the construction of Seacliff, Kingseat and Cherry Farm hospitals indicate that meeting the needs of the mentally ill was only one of a number of agendas that were addressed by the officials involved in the design of these institutions. Many of these agendas were peripheral to the delivery of mental health care, such as the political desire for colonial propaganda and professional concerns of marginalisation, and conflicted with the attainment of ideal environments for the treatment of mental illness. The needs of the mentally ill were a low priority for successive New Zealand governments who exhibited a reluctance to spend taxpayer funds on patients who were not considered curable. The architects and medical advisors involved in the design of these facilities did attempt to meet the needs of these patients; however, they were limited by a design and procurement process that elevated political and operational concerns over the curative potential of these hospitals. This dissertation also examines the role of individuals in the design of these institutions. Architect Robert Lawson was reproached for deficiencies in the curative potential of Seacliff Asylum. Similarly, medical administrator Theodore Gray has received criticism for limiting the development of New Zealand’s wider network of mental hospital care. This dissertation establishes that Lawson and Gray deserve greater recognition for their relative contributions to the architecture created, within New Zealand, for the treatment of mental illness.</p>

Pengaruh Sleep Hygiene Therapy Terhadap Kualitas Tidur Pasien Skizofrenia

Introduction: Sleep hygiene therapy is a non- pharmacological therapy that can be done by nurses in providing nursing actions to schizophrenic patients. Methods: The design of this research is Pre- Experimental Design in the form of One-Group Pretest-Postest Design. The sampling technique used purposive sampling with a total of 15 respondents Results: The results of the analysis showed that there were differences in the sleep quality of schizophrenic patients before and after sleep hygiene therapy which was indicated by the results of the Paired Sample T- Test analysis where the significance results were p value = 0.000 <0.05. Discussion: The results showed the influence of sleep hygiene therapy on the quality of sleep of schizophrenia patients in the Elang 1 and Elang 2 at Soeharto Heerdjan Mental Hospital, Jakarta 2020.

Adverse Events of Risperidone and Clozapine Combination Therapy on Schizophrenic Patients at Magelang Mental Hospital

The adverse drug effect of risperidone and clozapine combination therapy possibly increases the BMI, systolic and diastolic blood pressures of mental victims. This study aimed at determining the relationship between the duration of risperidone and clozapine combination therapy and increase in body mass index (BMI), systolic and diastolic blood pressures of schizophrenic patients. The correlation was obtained using the cohort retrospective method on 59 schizophrenic inpatients at Magelang Mental Hospital from February–May 2019. Participants were grouped into 2 categories, termed <8 and ≥8 weeks with 48 and 11 persons, respectively. Subsequently, patients’ BMI, systolic and diastolic blood pressures were measured during the first day of hospitalization and outpatient consultations, based on NCEP-ATP III cut off-point with the modification of Southeast Asian population’s BMI. Structured questionnaires were used to evaluate calory intake and physical activity as well as generate respondents’ medical records. The bivariate analysis results showed a significant relationship between BMI increase at initial hospitalization and during outpatient consultation on group ≥8 weeks therapy, 22.41±2.98 kg/m2 vs 25.2±6.80 kg/m2 (p=0.023, –2.75 (–5.12–(–0.39)). However, there is no major correlation occurred in systolic 117±11.73 mmHg vs 118±15.42 mmHg (p=0.797, 95%CI –1.07 (–9.41–7.26)) and diastolic blood pressures 76±7.86 mmHg vs 73±8.48 mmHg (p=0.192, 95% CI 3.52 (–1.81–8.86)) for both groups. Furthermore, age, gender, smoking status, dosage, co-medication, calory intake and physical activity indicated no substantial variations, in terms of the increase in BMI, systolic and diastolic blood pressures among two categories.