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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 ◽  
Vol 1 (3) ◽  
pp. 81
Author(s):  
Siti Annisa Rahmasita ◽  
Agustine Mahardika ◽  
Muhammad Rizkinov Jumsa

<p><strong>Pendahuluan: </strong>Kecemasan merupakan keadaan patologis yang ditandai dengan gejala fisiologis dan gejala psikologis, gejala-gejala tersebut dapat terjadi berbeda pada setiap orang dan situasi. Pada kehamilan, risiko terjadinya kecemasan akan meningkat. Memasuki trimester tiga, ibu hamil dapat merasa cemas akan keselamatan dirinya maupun keselamatan bayinya. Saat merasa cemas, akan terjadi peningkatan kadar noradrenergik akibat stimulasi sistem saraf simpatis yang akan menyebabkan berkurangnya siklus REM, sehingga meningkatkan frekuensi terbangun di malam hari dan menyebabkan kualitas tidur yang buruk. Kecemasan dapat menurunkan kadar GABA sehingga seseorang akan sulit untuk menginisiasi tidur.</p><p><strong>Metode: </strong>Desain penelitian ini adalah deskriptif analitik dengan pendekatan <em>cross sectional</em>. Jumlah responden pada penelitian ini adalah sebanyak 32 ibu hamil trimester tiga di Puskesmas tanjung Karang Mataram, dengan teknik <em>consecutive sampling</em>. Alat pengambilan data pada penelitian ini adalah kuesioner <em>Hamilton Anxiety Rating Scale </em>(HARS) untuk mengukur tingkat kecemasan dan kuesioner <em>Pittsburgh Sleep Quality Index </em>(PSQI) untuk mengukur kualitas tidur. Data pada penelitian ini dianalisis menggunakan uji korelasi spearman.<strong></strong></p><p><strong>Hasil dan pembahasan: </strong>Penelitian menyatakan bahwa tingkat kecemasan berpengaruh terhadap kualitas tidur ibu hamil trimester tiga di Puskesmas Tanjung Karang Mataram dengan P <em>value</em> &lt;0,001 (P <em>value</em> &lt; 0.5) dan r = 0.731 menunjukkan korelasi positif dengan kekuatan korelasi yang kuat.</p><strong>Kesimpulan: </strong>Tingkat kecemasan berpengaruh terhadap kualitas tidur ibu hamil trimester tiga di Puskesmas Tanjung Karang Mataram.


2021 ◽  
Vol 1 ◽  
pp. 1111-1119
Author(s):  
Astri Fitriya ◽  
Emi Nurlaela

AbstractOne of the ways to reduce anxiety during pregnancy is by doing yoga exercise. It is a recommended method of physical exercise because it is cheap, easy to operate, and beneficial for physical and mental health so that mothers can accept the physiological changes during pregnancy and childbirth. This study aimed to examine the effect of the exercise on the anxiety level of pregnant women in facing their childbirth. To be known, it is a literature review. HARS (Hamilton Anxiety Rating Scale) was appliied as the questionnaires in the articles. The process of collecting data was conducted by searching Google Scholar, it obtained 5 articless published during 2011-2021. Besides, JBI critical appraisal checklist for quasi-experimental was used as critically reviewed instruments.Based on the reviewing literatures from 5 articles, it showed the yoga exercise has an effect on reducing anxiety level of pregnant women in facing childbirth, with the result of p value was <0,05. A yoga exercise is one of some physical exercises which be able to reduce anxiety of pregnant women.Keywords : anxiety,yoga exercise, childbirth AbstrakLatihan fisik terbukti dapat mengurangi kecemasan selama kehamilan. Latihan yoga adalah metode latihan fisik yang direkomendasikan karena murah, mudah dioperasikan, dan bermanfaat bagi kesehatan fisik dan mental sehingga ibu dapat menerima perubahan fisiologis selama masa kehamilan dan persalinan. Tujuan penelitian ini adalah mengetahui pengaruh senam yoga terhadap tingkat kecemasan ibu hamil dalam menghadapi persalinan melalui literature review. Penelitian ini menggunakan metode literature review. Adapun kuesioner yang dipergunakan didalam artikel menggunakan kuesioner HARS (Hamilton Anxiety Rating Scale). Mengakses database menggunakan Google Scholar 5 artikel yang dipublish pada tahun 2011-2021. Instrumen telaah kritis yang digunakan yaitu dengan menggunakan JBI critical appraisal checklist for quasi-eksperimental. Hasil literature review dari 5 artikel menunjukkan bahwa senam yoga berpengaruh terhadap kecemasan pada ibu hamil dalam menghadapi persalinan dengan hasil p value < 0,05. Senam yoga merupakan salah satu latihan fisik yang dapat mengatasi kecemasan pada ibu hamil. Kata Kunci : Kecemasan, Senam Yoga, Persalinan


2021 ◽  
Vol 24 (3) ◽  
pp. 140-148
Author(s):  
Arbianingsih Arbianingsih ◽  
Huriati Huriati ◽  
Nur Hidayah ◽  
Syarifah Musnayni ◽  
Nuravia Afiifah ◽  
...  

Hospitalization-induced anxiety in children can impede healing and lengthen hospitalization. As such, appropriate interventions are needed to reduce their anxiety during hospitalization. For example, brain exercise has been shown to reduce anxiety in children in diverse settings and developmental stages. This study was performed to compare the effect of brain exercise on anxiety in hospitalized school-and preschool-aged children. A pre-experimental pre/ posttest design was used, and 32 children were selected by consecutive sampling. Brain gym was given twice a day for 2 consecutive days. Data were collected from school-aged children by using a modified Zung Sel-Rating Anxiety Scale and Tailor Manifest Anxiety Scale and from preschoolers by utilizing a modified Hamilton Anxiety Rating Scale observation sheet. Wilcoxon test results showed that brain gyms were effective in reducing anxiety in school-aged children (p = 0.016) and preschoolers (p = 0.006). Movements during brain exercises could activate the neocortex and parasympathetic nerves that can ease psychic and physical tension. Therefore, brain gym can be an effective intervention to decrease anxiety in preschoolers and school-aged children. Abstrak Brain Gym Efektif Menurunkan Kecemasan Pada Anak Usia Sekolah dan Pra Sekolah di Rumah Sakit. Kecemasan akibat rawat inap pada anak dapat menghambat penyembuhan dan memperpanjang rawat inap. Dengan demikian, intervensi yang tepat diperlukan untuk mengurangi kecemasan mereka selama dirawat di rumah sakit. Misalnya, latihan otak telah terbukti mengurangi kecemasan pada anak-anak dalam berbagai pengaturan dan tahap perkembangan. Penelitian bertujuan untuk membandingkan pengaruh senam otak terhadap kecemasan pada anak usia sekolah dan prasekolah yang dirawat di rumah sakit. Penelitian menggunakan desain pre-eksperimen pre/posttest, dan 32 anak dipilih dengan sampel konsekutif. Senam otak diberikan dua kali sehari selama dua hari berturut-turut. Data yang dikumpulkan dari anak-anak usia sekolah menggunakan modifikasi Zung Sel-Rating Anxiety Scale dan Tailor Manifest Anxiety Scale, sedangkan data anak-anak prasekolah menggunakan lembar observasi modifikasi Hamilton Anxiety Rating Scale. Hasil uji Wilcoxon menunjukkan bahwa senam otak efektif menurunkan kecemasan pada anak usia sekolah (p = 0,016) dan anak prasekolah (p = 0,006). Gerakan pada saat senam otak dapat mengaktifkan neokorteks dan saraf parasimpatis yang dapat meredakan ketegangan psikis dan fisik. Oleh karena itu, senam otak dapat menjadi intervensi yang efektif untuk menurunkan kecemasan pada anak prasekolah dan usia sekolah. Kata Kunci: kecemasan, prasekolah, senam otak, usia sekolah


2021 ◽  
Vol 31 (4) ◽  
pp. 55-60
Author(s):  
Edward Goering ◽  
Maranda Herner ◽  
Meagan Smith ◽  
Mary Galka ◽  
Samuel Kammerzell ◽  
...  

Abstract Introduction: This study explores the effects of one Compression of the 4th Ventricle (CV4) treatment performed by experienced osteopathic physicians on reactive anxiety in healthy medical students. Anxiety was assessed with heart rate, blood pressure, and the Hamilton Anxiety Scale (HAM-A). Methods: Western University of Health Sciences IRB #15/IRB/113 was obtained for this single blind study. Volunteer first and second year medical students naïve to Osteopathic Cranial Manipulative Medicine, both in curriculum and as a patient, were recruited for this two-day study. Students were de-identified and demographic information was collected. On the first day, all 64 students received a sham treatment. Eight practitioners agreed on CV4 and sham techniques (mastoid cranial hold). In the CV4 technique, the operator’s thenar eminences contact the lateral angles of the occiput, and the operator encouraged the extension phase and discouraged the flexion phase of the CRI. Compression continued until a still point was reached in each student as identified by the practitioner. Students were evaluated before and after treatment using heart rate, blood pressure, and the Hamilton Anxiety Rating Scale (HAM-A). Results: No significant difference was found in demographics of the two groups. A significant difference between sham and CV4 treatments was found for heart rate (p=0.036), but not for systolic or diastolic blood pressure (p=0.446 and p=0.799, respectively). Average heart rate reduction of CV4 group was 3.11 and of sham group was 1.12, with p=0.036 (Mann Whitney U = 1271). Heart rate increased in a few students after both CV4 and sham treatments. Average HAM-A score for students before and after CV4 treatment were 21.9 and 18.3, with an average net reduction of 3.58 compared to the sham’s 2.77, but results were not found to be statistically significant (p=0.09, U=1172). Conclusion: A statistically significant average reduction in heart rate, but not in blood pressure or HAM-A scores, was found after CV4 treatment compared to sham treatment. More studies with larger samples are needed to further investigate the effects of CV4.


2021 ◽  
Vol 5 (4) ◽  
pp. 600
Author(s):  
Mundakir Mundakir ◽  
I’in Masfiyah ◽  
Uswatun Hasanah ◽  
Sukadiono Sukadiono

Pandemi COVID-19 membawa perubahan pada berbagai aspek kehidupan termasuk aspek kesehatan mental. Tak hanya orang dewasa, kondisi psikologis remaja pun rentan terganggu oleh situasi. Salah satu upaya mengatasinya dapat dilakukan dengan cara memberikan pendidikan kesehatan(health education) melalui media daring, sehingga dapat meminimalisir penyebaran Covid-19. Pendidikan kesehatan melalui daring ini diharapkandapat menurunkan kecemasan remaja akibat pandemi. Kegiatan memberikan Pendidikan Kesehatan ini dilaksanakan kepada remaja yang mengalami kecemasan. Remaja terlebih dahulu diskrining tingkat kecemasannya Hamilton Anxiety Rating Scale (HARS). Remaja yang terlibat dalam kegiatan ini adalah remaja yang mengalami kecemasan ringan dan sedang. Jumlah remaja yang diberikan Pendidikan Kesehatan sebanyak 5 orang remaja dengan klasifikasi tiga partisipan mengalami kecemasan ringan dan dua partisipan lainnya mengalami kecemasan sedang. Pelaksanaan pendidikankesehatan melalui daring dilakukan sebanyak tiga kali pertemuan. Hasil evaluasi menunjukkan bahwa terjadi penurunan tingkat kecemasanberdasarkan skor yang diperoleh partisipan yang diukur mengunakan HARS. Tiga partisipan yang mengalami kecemasan ringan menjadi tidak cemas dan dua partisipan dengan kecemasan sedang menjadi cemas ringan. Kata Kunci: Pendidikan Kesehatan, Daring, Kecemasan, Remaja, Covid-19Reducing Adolescent Anxiety during the Covid-9 Pandemic Through Online Health Education in Sutorejo, Mulyorejo DistrictABSTRACKThe COVID-19 pandemic has brought changes to various aspects of life, including aspects of mental health. Not only adults, the psychological condition of teenagers is also vulnerable to being disturbed by the situation. One of the efforts to overcome this can be done by providing health education through online media, so as to minimize the spread of Covid-19. This online health education is expected to reduce adolescent anxiety due to the pandemic. The activity of providing Health Education is carried out for adolescents who experience anxiety. Adolescents were first screened for anxiety levels on the Hamilton Anxiety Rating Scale (HARS). Adolescents who are involved in this activity are teenagers who experience mild and moderate anxiety. The number of adolescents who were given Health Education was 5 adolescents with a classification of three participants experiencing mild anxiety and two other participants experiencing moderate anxiety. The implementation of health education through online was carried out in three meetings. The results of the evaluation showed that there was a decrease in the level of anxiety based on the scores obtained by the participants as measured using HARS. Three participants who experienced mild anxiety became less anxious and two participants with moderate anxiety became mildly anxious.Keywords: Health Education, Online, Anxiety, Youth, Covid-19


2021 ◽  
Vol 49 ◽  
Author(s):  
M. M. Tlish ◽  
P. S. Osmolovskaya

Rationale: Taking into account the significance of psychogenic factor in the onset of lichen planus, its correction is advisable. Transcranial electric stimulation is promising, given its autonomous regulating, analgesic, antipruritic, reparative and regenerative, and immunomodulatory effects, in addition to the anti-stress one.Aim: To assess the effectiveness of the combination therapy including cranial electrotherapy stimulation (CES) with lichen ruber planus.Materials and methods: This was an open label, prospective, comparative study in 61 patients with common typical form of lichen ruber planus (39 (63%) women and 22 (37%) men) aged 18 to 74 years (mean age 41 ± 14.29 years). The duration of the disease was 11.88 ± 10.15 months (range, 1 to 42 months). The patients were adaptively randomized into two groups of similar gender distribution, age, and disease duration. The patients in the comparison group (n = 30) were treated conventionally in accordance with the Federal Clinical Guidelines (chloroquine, hydroxyzine, topical corticosteroids). The main group (n = 31) was administered similar therapy; however, instead of hydroxyzine, CES was performed. The duration of in-patient treatment in both groups was 14 days, with the follow-up lasting for up to 3 months. The results of treatment were assessed by dynamics of pathological changes of the skin (Index of Lichen Planus, ILP), impact of dermatosis on various domains of the patient’s life (Dermatology Life Quality Index, DLQI), changes in psychological status (Hamilton Anxiety Scale and Hamilton Depression Scale). In addition, the impact of pruritus on the patients' daily activities was assessed by Behavioral Rating Scores questionnaire (BRS).Results: At baseline, there were no significant differences between the groups in ILP (p = 0.801), DLQI (p = 0.501), BRS (p = 0.521), Hamilton Anxiety Scale (p = 0.301), and Hamilton Depression Scale (p = 0.493). At the end of treatment, ILP in the CES group decreased 3.25-fold (p < 0.001), whereas in the group treated with conventional therapy the decrease was 2.1-fold (p < 0.001); DLQI decreased 2.5-fold (p < 0.001) and 1.8-fold (p < 0.001), respectively. The corresponding decreases of Hamilton Anxiety Scale in the treatment groups were 2.3-fold and 1.3-fold, respectively, and those in Hamilton Depression Scale – 2-fold and 1.6-fold, respectively (all p < 0.001). In addition, statistically significant intergroup differences were found for ILP (p = 0.04), DQLI (p < 0.001), Hamilton Anxiety and Depression scale scores (p = 0.021 and p = 0.006, respectively). As for the BRS changes, in both groups there was an equally significant (p < 0.001) decrease, but the intergroup differences were not statistically significant (p = 0.485).Conclusion: The proposed combination therapy of patients with lichen ruber planus including CES has led to a decrease in the indicators of the skin process activity within a shorter time period than in the patients under conventional treatment. In addition, the patients of both groups showed normalization of psychological parameters and improvement in dermatological quality of life; however, only in the CES group, these changes were significant.


2021 ◽  
Author(s):  
Ashar Prima ◽  
Amzal Mortin Andas ◽  
Syifa Hanifah

ABSTRACTPatients with cancer will experience limitations in meeting their daily needs and face physical problems (pain, fatigue, sleep problems, coughing, etc.), psychological problems, spiritual problems, and financial problems. Therefore karerna nursing intervention is needed to overcome these problems, one of them with foot reflexology massage. Study of this literature aims to determine the effectiveness of foot reflexology massage in cancer patients with anxiety problems. The design in this scientific paper is literature review, searches are carried out in Pubhmed and Google Scholar. The key word in searching is cancer and anxiety and foot reflexology. With the criteria of the last 10 years of publication, full text, international or national, articles do not pay. The results have been found 3 articles, namely 2 articles from Google Scholar and 1 article from Pubhmed. The inclusion criteria used were using intervention journals to overcome anxiety problems with cancer problems that can be accessed full text. The journal year that is used is limited from 2010-2020. Based on literature review in 3 journals, it is found that foot reflexology therapy can be given to cancer patients by doing massage on the foot using tools in accordance with SOP reflexology foot massage. Anxiety scale assessment can use the HARS (Hamilton Anxiety Rating Scale) questionnaire. The results of the literature review indicate that foot reflexology massage therapy can reduce the anxiety scale in cancer patients.Keywords : Cancer, Foot Reflexyology, AnxietyABSTRAKPasien dengan kanker akan mengalami keterbatasan dalam memenuhi kebutuhan hariannya dan menghadapi masalah fisik (nyeri, kelelahan, masalah tidur, batuk, dan lain-lain), masalah psikologis, masalah spiritual, dan masalah financial. Oleh karerna itu dibutuhkan intervensi keperwatan untuk mengatasi masalah tersebut, salah satunya dengan pijat refleksi kaki, Telaah literatur ini bertujuan untuk mengetahui efektifitas pijat refleksi kaki pada pasien kanker dengan masalah kecemasan. Desain dalam karya tulis ilmiah ini adalah literature review, pencarian dilakukan dalam pubhmed dan google scholar. Kata kunci dalam melakukan pencarian adalah cancer and anxiety and foot reflexology. Dengan kriteria 10 tahun terakhir publikasi, full text, internasional atau nasional, artikel tidak berbayar. Hasil telah ditemukan 3 artikel yaitu 2 artikel dari google scholar dan 1 artikel dari pubhmed. Kriteria inklusi yang digunakan yaitu menggunakan jurnal intervensi untuk mengatasi masalah kecemasan dengan permasalahan kanker yang dapat diakses full text. Tahun jurnal yang digunakan dibatasi dari 2010-2020.Berdasarkan telaah literatur pada 3 jurnal didapatkan bahwa terapi pijat refleksi kaki dapat diberikan kepada pasien kanker dengan cara melakukan pemijatan pada bagian kaki menggunakan alat sesuai dengan SOP pijat refleksi kaki. Penilaian skala kecemasan dapat menggunakan kuesioner HARS (Hamilton Anxiety Rating Scale). Hasil telaah literatur menunjukkan bahwa terapi pijat refleksi kaki dapat mengurangi skala kecemasan pada pasien kanker.Kata kunci : Kanker, Pijat Refleksi Kaki, Cemas.


2021 ◽  
Vol 10 (45) ◽  
pp. 141-147
Author(s):  
H.M. Kozhyna ◽  
K.O. Zelenska ◽  
V.V. Viun ◽  
M.M. Khaustov ◽  
Yu.O. Asieieva

A volunteer movement has emerged in Ukraine during the Revolution of Dignity and the events that followed it. Experts consider this event as an important component of civil society and the main driving force of the country’s reform. The clinical structure of post-stress disorders among examined volunteers was represented by the following nosologic forms: F 43.2 adjustment disorders (32.7% of men and 28.1% of women), F 43.1 - post-traumatic stress disorder (27.6% of men and 22.9% of women), F 41.0 - panic disorder (22.4% of men and 29.1% of women), F 41.1 - generalized anxiety disorder (17.3% of men and 19.9% of women). According to the Scale of Severity of Traumatic Stress, 62.8% of respondents have complete manifestation and 37.2% clear manifestation of stress disorder. According to the Hamilton Anxiety and Depression Rating Scale, 56.2% of subjects had a severe depressive episode, 62.1% had severe anxiety episode, 42.3% had moderate depressive episode, and 33.4% had a moderate anxiety episode. Severe clinical manifestations of PTSD were characteristic of volunteers who survived the fighting, with a high level of exposure to the traumatic event on all PTSD scales; excessive signs of stress disorder, severe or moderate depressive and anxiety episodes by the Hamilton Anxiety and Depression Rating Scale.


Ciencia Unemi ◽  
2021 ◽  
Vol 14 (37) ◽  
pp. 39-48
Author(s):  
Vinicio Ramírez Enríquez ◽  
Isabel Ramos Noboa

El objetivo de la presente investigación es establecer la diferencia entre los niveles de ansiedad antes y después de la pandemia COVID- 19, en una muestra de 30 pacientes con diagnóstico previo de reacciones de estrés (CIE 10: F43.0, F43.8). Para este estudio, se empleó una metodología de diseño no experimental y de alcance descriptivo- comparativo, de corte longitudinal. La evaluación se realizó a través del empleo de la Escala de Ansiedad de Hamilton (Hamilton Anxiety Scale- HAS). La edad de los examinados tenía una media (Ẋ) de 28,27 años, con una distribución de género mayoritariamente femenino (60%). Entre los resultados se encontró que, en un 60% de los casos, los niveles de ansiedad encontrados en el postest son mayores que los hallados en el pretest y que dichas diferencias son estadísticamente significativas, (p<.05). Se concluye que dicho incremento es mayor en personas jóvenes y jóvenes adultos, de género femenino, con una instrucción primaria o secundaria y de condiciones socioeconómicas bajas; paralelamente, la condición de estar casado funcionó como un factor protector ante la ansiedad


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