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"[Latar Belakang : Anestesiologis yang bertugas di IGD dapat menjalani jam kerja 24 jam. Anestesiologis yang lelah mempunyai konsekuensi menurunnya fungsi kognitif dan psikomotor. Peserta PPDS nestesiologi menjalani 32 jam kerja saat bertugas jaga IGD. Penelitian bertujuan mengetahui perubahan fungsi kognitif dan psikomotor PPDS Anestesiologi setelah menjalani 32 jam kerja.Metode : kami mengobservasi 69 peserta PPDS Anestesiologi yang menjalani 32 jam kerja, setiap peserta PPDS diperiksa fungsi kognitif dan psikmotor pada jam kerja ke-0 dan setelah 32 jam. Jumlah tidur ketika bertugas jaga dicatat. Fungsi kognitif diperiksa dengan MoCa-Ina dan psikomotor dengan grooved pegboard.Hasil : Secara statistik didapatkan penurunan bermakna fungsi kognitif (p 0,00) dan psikomotor pada tangan dominan/ non dominan (p 0,00/p 0,00) tetapi secara klinis fungsi kognitif dan psikomotornya masih dalam batas normal. Tidak terdapat pengaruh lamanya tidur dengan fungsi kognitif (p 0,121) dan psikomotor (p 0,282/p 0,317) setelah 32 jam kerja pada peserta PPDS Anestesiologi tidur minimal 5 jam dengan tidur kurang dari 5 jam.Kesimpulan : Fungsi kognitif dan Psikomotor peserta PPDS Anestesiologi dan Terapi Intensif setelah menjalani 32 jam kerja terbukti menurun, sedangkan lamanya tidur tidak terbukti mempengaruhi fungsi kognitif dan psikomotor;Background: anaesthesiologist on duty in the Emergency Room can undergo a 24-hour working hours. Anesthesiologists who are tired of having consequences with decreased cognitive and psychomotor function. Anesthesiology and Intensive Therapy resident undergo 32 work hours when he on duty in the ER. This study aims to determine changes in cognitive function and psychomotor after undergoing 32 hours of work.Method: we have done observations of the 69 participants Anesthesia resident undergo 32 work hours when he gets on duty IGD, each of PPDS in cognitive function and psikmotor examined on 0 work hours and after 32 work hours. The number of hours sleep that can be obtained when undergoing on duty was noted. Cognitive function was examined with the MOCA-Ina and psychomotor examined with the grooved pegboard.Results: Statistically significant decrease found on cognitive function (p 0.00) and decreased psychomotor function in the dominant hand (p 0.00) and the non-dominant hand (p 0.00) but clinically cognitive and psychomotor function Anesthesiology and Intensive therapy resident after 32 hours is still within the limits of normal values. There was no effect of sleep duration and cognitive function (p 0.121) and psychomotor (0.282 p / p 0.317) after 32 hours of work on the Anesthesiology redident at least 5 hours of sleep with who slept less than 5 hours.Conclusion: Cognitive and Psychomotor Function resident Anesthesiology and Intensive Therapy after undergoing 32 hours of work proved to be decreased, while the duration of sleep during working hours are not proved affect cognitive and psychomotor function, Background: anaesthesiologist on duty in the Emergency Room can undergo a 24-hour working hours. Anesthesiologists who are tired of having consequences with decreased cognitive and psychomotor function. Anesthesiology and Intensive Therapy resident undergo 32 work hours when he on duty in the ER. This study aims to determine changes in cognitive function and psychomotor after undergoing 32 hours of work.Method: we have done observations of the 69 participants Anesthesia resident undergo 32 work hours when he gets on duty IGD, each of PPDS in cognitive function and psikmotor examined on 0 work hours and after 32 work hours. The number of hours sleep that can be obtained when undergoing on duty was noted. Cognitive function was examined with the MOCA-Ina and psychomotor examined with the grooved pegboard.Results: Statistically significant decrease found on cognitive function (p 0.00) and decreased psychomotor function in the dominant hand (p 0.00) and the non-dominant hand (p 0.00) but clinically cognitive and psychomotor function Anesthesiology and Intensive therapy resident after 32 hours is still within the limits of normal values. There was no effect of sleep duration and cognitive function (p 0.121) and psychomotor (0.282 p / p 0.317) after 32 hours of work on the Anesthesiology redident at least 5 hours of sleep with who slept less than 5 hours.Conclusion: Cognitive and Psychomotor Function resident Anesthesiology and Intensive Therapy after undergoing 32 hours of work proved to be decreased, while the duration of sleep during working hours are not proved affect cognitive and psychomotor function]"

"[ABSTRAK, Background: The practice of anesthesia is potentially hazardous occupation andrequire sustained vigilance, parallel decision making and fine motor skills. Theworking hours of anesthesiology and intensive care residents are often extendedmore than 12 hours. There should be a study on cognitive and psychomotorfunctions of anesthesiology and intensive care residents after 12 working hours.Methods: This is an observational study on anesthesiology and intensive careresidents with 12 working hours, each of them got their cognitive and psychomotorfunctions tested on hour-0 and hour-12. The cognitive functions were tested with“Stimulasi Kognitif” (STIMKOG) and psychomotor functions were tested withgrooved pegboard.Results: In STIMKOG, stimulasi tayangan gambar berurutan we got statisticallysignificant decreased on hour-12 compare to hour-0 (p=0,035). In stimulasi kilatancahaya tunggal, kilatan cahaya ganda, nomor acak, frekuensi tayangan gambar,and asosiasi, we got statistically insignificant with p, consecutively, 0,261; 0,055;0,614; 0,061; 0,386. But in stimulasi orientasi letak we got 100% true of all testnot only in hour-0 but also in hour-12. In psychomotor functions test withGrooved Pegboard we got statistically significant decreased on hour-12 compareto hour-0 (p=0,037).Conclusion: There were decreasing in integrated attention function, visualmemory, naming and executive function, based on STIMKOG stimulasi tayangangambar berurutan, in anesthesiology and intensive care residents FKUI after 12working hours. There were decreasing in psychomotor functions of anesthesiology and intensive care residents FKUI after 12 working hours, tested with grooved pegboard.]"

"ABSTRAKLatar Belakang: Anestesiologis adalah profesi yang rentan mengalami kelelahan. Gangguan tidur adalah keluhan yang sering dialami oleh anestesiologis. Penelitian ini menggunakan kuesioner PSQI Pittsburgh Sleep Quality Index untuk menilai kualitas tidur dan kuesioner ESS Epworth Sleepines Scale untuk menilai skala kantuk berlebih. Metode: Penelitian observasional ini menggunakan rancangan potong lintang. Setelah disetujui komite etik didapatkan 114 peserta PPDS Anestesiologi dan Terapi Intensif FKUI RSUPN Cipto Mangunkusumo menggunakan total sampling selama April - Mei 2016. Formulir penelitian meliputi penilaian kualitas tidur menggunakan PSQI dan skala kantuk menggunakan ESS. Analisis deskriptif meliputi data gangguan kualitas tidur, skala kantuk, distribusi karakteristik dan jam kerja. Analisis bivariat menilai kriteria terkait nilai PSQI ? 5 kualitas tidur kurang dan ESS ?10 skala kantuk berlebih . Analisis multivariat dengan regresi logistik biner untuk melihat hubungan variabel paling dominan dengan variabel dependen. Setelah itu, dilakukan perbandingan antara data kualitas tidur dengan skala kantuk berlebih. Hasil: Faktor durasi tidur, keluhan tidur dan skala kantuk berlebih adalah faktor penyebab kualitas tidur kurang

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ABSTRACTBackground Anesthesiologists is a profession prone to fatigue. Sleep disorder is a common complaint suffered by the anesthesiologist. This study used a questionnaire PSQI Pittsburgh Sleep Quality Index to assess the quality of sleep and ESS Epworth Sleepines Scale to assess the scale of excessive sleepiness. Methods This observational study used cross sectional design. After approval from ethics committee we obtained 114 resident of Anesthesiology and Intensive Therapy at Cipto Mangunkusumo Hospital using total sampling during April May 2016. The research form contained PSQI questionnaire to asses sleep quality and ESS to asses sleepiness scale. Data of sleep quality disorder, sleepiness scale, characteristics distribution and working hours presented by descriptive analysis. The bivariate analysis measured the relevant criteria PSQI score 5 sleep disorder and ESS 10 excessive sleepiness scale . Multivariate analysis by binary logistic regression used to see the most significant variable from the dependent variable. After that, comparison between data quality of sleep with excessive sleepiness scale was done. Results Factor of sleep duration, sleep complaints and excessive sleepiness scale were causative factor of sleep quality disorder p "

"Latar belakang. Pandemi COVID-19 telah membawa banyak tantangan baru bagi dunia kesehatan di berbagai negara di dunia, termasuk Indonesia. Tingkat kelelahan kerja yang tinggi ditemukan diantara petugas kesehatan, terutama di lingkungan unit perawatan darurat dan intensif. Penelitian ini dilakukan untuk mengetahui tingkat kelelahan dan faktor yang memengaruhi kelelahan peserta Program pendidikan Dokter Spesialis (PPDS) Anestesiologi dan Terapi Intensif FKUI yang bekerja di RSCM di era pandemi COVID-19. Penelitian ini merupakan penelitian kualitatif dan kuantitatif pada peserta PPDS Anestesiologi dan Terapi intensif tahap magang, mandiri, dan paripurna. Kelelahan dinilai dengan menggunakan Fatigue Severity Scale yang sudah divalidasi sebagai data kuantitatif dan 10 subjek dari responden dirandomisasi terstratifikasi untuk mengikuti Focus Group Discussion (FGD) yang isinya membahas mengenai faktor-faktor yang memengaruhi kelelahan peserta PPDS Anestesiologi dan Terapi Intensif pada masa pandemi sebagai data kualitatitf. Sebanyak 61% peserta pendidikan mengalami kelelahan dengan median dari nilai FSS pada seluruh subjek yang diteliti yaitu 43,5 dengan IQR (22). Peningkatan kelelahan ditemukan bermakna pada responden dengan lama jam kerja ≥ 60 jam perminggu dan lama jam tidur <6 jam perhari. Berdasarkan FGD faktor yang meningkatkan kelelahan yaitu perubahan metode pembelajaran menjadi dalam bentuk daring, peningkatan rasa cemas akibat kurangnya pencapaian kompetensi, penggunaan alat pelindung diri (APD) dalam jangka waktu yang lama, dan penutupan tempat hiburan terkait aturan pembatasan sosial berskala besar, sedangkan faktor yang menurunkan kelelahan yaitu perubahan jadwal jaga, jaminan ketersediaan APD, perlindungan terhadap kesehatan fisik dan mental PPDS, kompensasi pemerintah terhadap kinerja PPDS. Simpulan. Sebanyak 61% Peserta PPDS Anestesiologi dan Terapi Intensif di RSCM yang bertugas pada masa COVID-19 mengalami kelelahan, yang disebabkan oleh berbagai faktor eksternal yang terjadi selama pandemi COVID 19. 

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Background. COVID-19 pandemic has brought many new challenges to the world of health in various countries around the world, including Indonesia. High level of fatigue was found among health workers. This study was conducted to determine the level of fatigue and the factors that affect fatigue of Anesthesiology and Intensive Care resident from Universitas Indonesia who worked at RSCM during the COVID-19 pandemic era. Methods. This was a cross-sectional study on 77 subjects who participated in Anesthesiology and Intensive Care resident from Universitas Indonesia in plenary, independent, and internship stages during the research period. Fatigue was assessed using the Fatigue Severity Scale (FSS) which had been validated as cuantitative data and 10 subjects from respondents were randomized to participate in a Focus Group Discussion (FGD) which discussed the factors that affect the fatigue of Anesthesiology and Intensive Care resident from Universitas Indonesia during pandemic as cualitative data. Results. 61% of residents experienced fatigue with the median FSS value was 43.5, with an IQR (27.8 - 49.8). Increased fatigue was found in respondents with long working hours ≥60 hours per week and sleeping hours <6 hours per day. Based on the FGDs, several factors that increased fatigue are changing learning methods to online form, increasing anxiety due to lack of competence achievement, using personal protective equipment for a long time, and closure of entertainment venues related to large scale social restriction policy. And several factors that decreasing of fatigue are modifying of shift scheduled, guaranteeeing the availability of personal protective equipment, protecting the physical and mental health of resident, and government compensation for resident. Conclusion. Anesthesiology and Intensive Care resident from Universitas Indonesia who were on duty during the COVID-19 pandemic experienced fatigue. Based on FGD, various factors that affect fatigue among resident were found COVID-19 pandemic, Fatigue, Residents."

"ABSTRAK

Skizofrenia merupakan penyakit neurobiologis berat dan terus menerus yang mengakibatkan terganggunya kehidupan individu. Tanda gejala yang terjadi klien berupa berupa gejala positif dan gejala negatif dengan diagnosis keperawatan harga diri rendah kronik dan risiko perilaku kekerasan. Tujuan karya ilmiah akhir spesialis ini adalah untuk mengetahui perubahan tanda gejala dan kemampuan klien harga diri rendah kronik dan risiko perilaku kekerasan setelah mendapatkan tindakan keperawatan ners generalis dan ners spesialis : terapi kognitif perilaku dan latihan asertif. Asuhan medik adalah pemberian antipsikotik dan asuhan keperawatan adalah tindakan ners dan ners spesialis. Metode karya ilmiah akhir yang digunakan adalah riset operational dengan jumlah sampel 30 klien. Hasil penelitian ini didapatkan bahwa tanda dan gejala harga diri rendah kronik dan risiko perilaku kekerasan menurun secara bermakna (p-value ≤ 0.05) dan kemampuan klien meningkat secara bermakna (p-value ≤ 0.05) setelah pemberian tindakan keperawatan ners generalis dan ners spesialis terapi kognitif perilaku dan latihan asertif. Pemberian kombinasi tindakan ners, ners spesialis terapi kognitif perilaku dan latihan asertif sangat direkomendasikan untuk penatalaksanaan diagnosis keperawatan harga diri rendah kronik dan risiko perilaku kekerasan.

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ABSTRACT

Schizophrenia is a severe and continuous neurobiological disease that results in disruption of individual life. Signs and symptoms that occur on clients are in the form of positive symptoms and negative symptoms with a nursing diagnosis chronic low self-esteem and the risk of violent behavior. The purpose of this specialist s final scientific work is to determine changes in signs and symptoms and the client's ability who have chronic low self-esteem and the risk of violent behavior after obtaining nursing actions by generalist nurses and specialist nurses : cognitive behaviour therapy and assertiveness training. Medical care is the provision of antipsychotics and nursing care is the action of nurses and specialist nurses. The final scientific method used is operational research with a sample of 30 clients. The results of this study showed that the signs and symptoms of chronic low self-esteem and the risk of violent behavior decreased significantly (p-value ≤ 0.05) and the ability of clients increased significantly (p-value ≤ 0.05) after giving generalist nursing actions and specialist nursing actions cognitive behaviour therapy and assertiveness training. Giving a combination of actions by nurses, specialist nurses cognitive behaviour therapy and assertiveness training is highly recommended for the management of nursing diagnoses of chronic low self-esteem and the risk of violent behavior."

"Skizofrenia adalah kondisi kecatatan yang kronik dan persisten, ditandai dengan gejala positif dan negatif. Diagnosis keperawatan yang muncul adalah risiko perilaku kekerasan dan isolasi sosial. Tujuan karya ilmiah akhir spesialis ini adalah untuk mengetahui perubahan tanda dan gejala serta kemampuan klien risiko perilaku kekerasan dan isolasi sosial setelah mendapatkan tindakan keperawatan ners dan tindakan keperawatan ners spesilais terapi kognitif perilaku dan latihan keterampilan sosial. Metode yang digunakan adalah desain operational riset, jumlah sampel sebanyak 30 orang klien skizofrenia paranoid dengan diagnosis keperawatan risiko perilaku kekerasan dan isolasi sosial. Hasil penelitian ini didapatkan tanda gejala risiko perilaku kekerasan dan isolasi sosial menurun (p-value<0.05) dan kemampuan meningkat (p-value<0.05) setelah pemberian tindakan keperawatan ners, terapi kognitif perilaku dan latihan keterampilan sosial. Kesimpulan, kombinasi tindakan keperawatan ners, terapi kognitif perilaku dan latihan keterampilan sosial direkomendasikan untuk diberikan pada diagnosis risiko perilaku kekerasan dan isolasi sosial.

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Schizophrenia is a chronic and persistent condition, characterized by positive and negative symptoms. The diagnosis of nursing that appears on these signs and symptoms are the risk of violent behavior and social isolation. The purpose of the scientific work of this specialist are to know the change in the signs of symptoms and the ability of clients the risk of behavioral violence and social isolation after obtaining the of nursing generalis and nursing specialist actions of the Cognitive Behaviours Therapy and Social Skills Training. The method using the design of operational research, the number of samples of 30 patients schizophrenia paranoid with the diagnosis of the risk of violent behavior and social isolation. The results of this study were obtained signs of risk of violent behavior and social isolation (p-value of < 0.05) and increased capability (P-value of < 0.05) after the administration of nursing action, cognitive behaviour therapy, and social skills training. Conclusions, the combination of nursing action, behavioral Mind therapy and social skills therapy are recommended to be administered on the diagnosis of risk of violent behavior and social isolation"