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Herlina J EL Matury
"ABSTRAK Disertasi ini membahas model faktor-faktor yang mempengaruhi depresi, kecemasan
dan stres pada mahasiswa S1. Jenis penelitian ini adalah kuantitatif dengan disain cross
sectional. Hasil factor analysis pada sumber masalah, didapat sumber masalah ada 3
faktor yaitu komunikasi dan adaptasi, personal dan emosional. Hasil structure equation
modeling, bahwa faktor sumber masalah dan faktor harga diri berhubungan signifikan
terhadap terjadinya depresi, kecemasan dan stres pada mahasiswa S1. Sumber masalah
merupakan faktor yang paling mempengaruhi depresi, kecemasan, dan stress pada
mahasiswa S1. Hasil penelitian menyarankan perlu ditambahkan program/kegiatan
seperti pelatihan, seminar, talk show, dan diskusi tentang peningkatan harga diri
mahasiswa.
ABSTRACT This dissertation discusses the model of factors that influence depression, anxiety and
stress in undergraduate students. This research is quantitative with cross sectional
design. The results of factor analysis on the source of the problem, the source of the
problem is that there are three factors, namely communication and adaptation, personal
and emotional. The results of structure equation modelling, that the problem and selfesteem
factors are significantly relate to depression, anxiety and stress in undergrasuate
students. The problem is the most affects depression, anxiety, and stress in
undergrasuate students. The results of the study suggest that programs / activities need
to add such as training, seminars, talk shows, discussions, about increasing student selfesteem.

"
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2019
D2587
UI - Disertasi Membership  Universitas Indonesia Library
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Feighner, J.P.
Chichester: John Wiley & Sons, 1991
616.852 7 FEI d
Buku Teks  Universitas Indonesia Library
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Syandra Divia Estheresia
"Penelitian kuantitatif ini ditujukan untuk melihat hubungan trait kepribadian dengan gejala depresi pada individu yang mengalami adverse childhood experience dan berdomisili di Jakarta, Bogor, Depok, Tangerang, dan Bekasi (Jabodetabek) dan berusia 18-29 tahun. Pengukuran terhadap trait kepribadian menggunakan instrumen Mini-IPIP, sedangkan ACEs diukur dengan ACE-Q, dan gejala depresi diukur dengan BDI-II. Penelitian melibatkan 250 partisipan dengan rata-rata skor ACEs 2, rata-rata gejala depresi minimal, dan kecenderungan memiliki trait kepribadian yang sedang. Hasil analisis regresi menunjukkan trait extraversion (b = -0.14, p < 0.05) dan trait conscientiousness (b = -0.25, p < 0.05) memiliki pengaruh signifikan dengan arah negatif
dalam hubungan ACEs dan gejala depresi. Sedangkan trait neuroticism berpengaruh signifikan secara positif (b = 0.49, p < 0.01).

This quantitative research is aimed to look at the relationship between personality traits
and symptom of depression in individuals who experienced adverse childhood
experiences and live in Jakarta, Bogor, Depok, Tangerang, and Bekasi (Jabodetabek) and
aged 18-29 years. The personality traits was measured using the Mini-IPIP as the instrument, while ACEs was measured by ACE-Q, and depression tendency was
measured by BDI-II. The research involved 250 participants with an average ACEs score of two, an average of minimal symptom of depression, and a tendency to have moderate personality traits. The regression analysis showed that extraversion (b = -0.14, p <0.05) and conscientiousness (b = -0.25, p <0.05) had a significant effect in a negative direction on the relationship between ACEs and depression tendency. Meanwhile, neuroticism had
a significant positive effect on the relationship (b = 0.49, p < 0.01).
"
Depok: Fakultas Psikologi Universitas Indonesia, 2021
S-pdf
UI - Skripsi Membership  Universitas Indonesia Library
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Ridha Safitri
"Ketidaksiapan remaja dalam menghadapi berbagai permasalahan hidup dapat menjadi salah satu faktor yang menyebabkan potensi risiko remaja mengalami depresi semakin tinggi. Dari pernyataan itu, permasalahan mengenai depresi membutuhkan penanganan serius sehingga perlu untuk mengetahui faktor-faktor yang mempengaruhi tingkat depresi agar dapat ditangani untuk mengurangi angka kejadian depresi. Oleh karena itu, tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang signifikan mempengaruhi tingkat depresi pada siswa SMA di SMAN ABC Jakarta dan untuk mengetahui profile siswa SMAN ABC Jakarta yang mempunyai tingkat depresi tinggi berdasarkan faktor-faktor yang signifikan tersebut. Faktor yang diduga berpengaruh terhadap tingkat depresi adalah status nikah orang tua, uang saku, kesulitan belajar, fatherless, ada masalah keluarga, social support, self-esteem, religiusitas, demandingness, dan responsiveness. Metode yang digunakan untuk mencapai tujuan tersebut yaitu Analisis Regresi Linear Berganda dan Classification and Regression Tree (CRT). Data yang digunakan merupakan data primer dengan sampel sejumlah 198 siswa SMA di SMAN ABC Jakarta yang diambil dengan metode cluster sampling dalam stratified sampling. Hasil yang diperoleh menunjukkan bahwa faktor yang signifikan mempengaruhi tingkat depresi yaitu kesulitan belajar, self-esteem dan responsiveness. Profile siswa yang memiliki tingkat depresi tinggi yaitu siswa dengan tingkat responsiveness yang rendah dan tingkat self-esteem yang rendah.

The unpreparedness of adolescent in dealing with various life problems can be one of the factors that causes higher potential risk of adolescent to experience depression. This statement shows that the issue of depression requires serious treatment. Therefore, it is necessary to know the factors influence the level of depression so it can be addressed to reduce the number of depression case. The purposes of this research are to determine the factors which significantly influence the level of depression on high school students at ABC High School Jakarta and to determine the profile of the students who have high levels of depression based on the significant factors. Presumption factors influenced the level of depression are parents' marital status, pocket money, learning difficulty, fatherless, family problem, social support, self-esteem, religiosity, demandingness, and responsiveness. The methods used in achieving the purposes of the research are Multiple Linear Regression Analysis and Classification and Regression Tree (CRT). The data of the research is primary data with a sample of 198 high school students at ABC Senior High School Jakarta, collected by using cluster sampling method in stratified sampling. The results obtained indicate that significant factors influence the level of depression, such as learning difficulty, self-esteem, social support, and responsiveness. The profile of students who have high levels of depression are students with low level of social support and self-esteem."
Depok: Universitas Indonesia, 2020
S-Pdf
UI - Skripsi Membership  Universitas Indonesia Library
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Annisa Dwi Astuti
"Penelitian ini bertujuan untuk mengetahui peran perilaku sedentary selama pandemi COVID-19 sebagai mediator antara kecemasan dan depresi. Kecemasan didefinisikan sebagai bentuk antisipasi dari ancaman di masa depan yang lebih sering diasosiasikan dengan ketegangan otot dan kewaspadaan, perilaku pencegahan, dan penghindaran. Depresi didefinisikan sebagai adanya perasaan sedih, kosong, suasana hati yang mudah tersinggung, disertai perubahan somatis dan kognitif yang secara signifikan mempengaruhi kapasitas dan fungsi individu. Adapun perilaku sedentary didefinisikan sebagai setiap perilaku dalam keadaan terjaga yang ditandai dengan pengeluaran energi sebesar ≤ 1,5 ekuivalen metabolik (MET), baik dalam postur duduk, bersandar, atau berbaring. Pengukuran variabel pada penelitian ini dilakukan dengan alat ukur Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), dan Sedentary Behavior Questionnaire (SBQ). Data diperoleh melalui survei daring dari warga negara Indonesia yang tinggal di Indonesia dan berada di rentang usia 20-40 tahun (N=608). Analisis data dilakukan dengan analisis model mediasi pada makro PROCESS dari Hayes, analisis korelasi parsial dan semi parsial, serta analisis kovariat. Hasil penelitian ini menunjukkan bahwa perilaku sedentary mentally passive ditemukan memediasi secara parsial hubungan antara kecemasan dan depresi.

This study aims to determine the role of sedentary behavior during the COVID-19 pandemic as a mediator between anxiety and depression. Anxiety is defined as the anticipation of a future threat associated with muscle tension and alertness, prevention, and avoidance. Depression is defined as feelings of sadness, emptiness, irritable moods, somatic and cognitive changes that significantly affect individual capacity and function. Sedentary behavior is defined as any behavior in an awake state with an energy expenditure of ≤ 1.5 metabolic equivalents (MET), whether in a sitting, leaning, or lying posture. Variables in this study were measured using Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and the Sedentary Behavior Questionnaire (SBQ). Data collected by online surveys from Indonesian citizens who live in Indonesia in the age range of 20-40 (N = 608). Data were analyzed using a mediation model on Hayes macro PROCESS, part and partial correlation, and analysis of covariance. This study indicates that sedentary behavior mentally passive was found to partially mediated relationship between anxiety and depression."
Depok: Fakultas Psikologi Universitas Indonesia, 2021
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
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Syena Aulia Tasya Pratiwi
"Fenomena kegiatan menggemari budaya korea terutama dari sektor industri musik yaitu K-pop marak terjadi di kalangan remaja. Pada masa remaja mereka mengalami masa transisi atau peralihan dari usia kanak-kanak menuju usia dewasa yang berisiko mengalami gangguan kesehatan mental. Usia remaja menjadi tempat proses dalam mencari jati dirinya yang mencari sosok figure yang dapat dicontohnya dan tak sedikit dari mereka memiliki sosok figure dari tokoh idola korea yang mereka gemari. Tujuan penelitian ini adalah untuk mengetahui gambaran tingkat stres, kecemasan, dan depresi di wilayah kabupaten tangerang. Penelitian deskriptif ini menggunakan metode purposive sampling dimana mengikutsertakan 108 remaja penggemar K-pop yang berdomisili di Kabupaten Tangerang. Data penelitian dikumpulkan pada bulan Juni 2024 dengan menggunakan kuesioner DASS-42 (Depression, anxiety,stress scale). Hasil penelitian yang dilakukan menunjukkan bahwa mayoritas responden mengalami stres tingkat sedang (33.33%), kecemasan tingkat sangat berat (33.33%) dan depresi tingkat normal (42.59%). Studi ini juga meneliti karakteristik responden seperti jenis kelamin, usia, pendidikan, dan ekonomi dimana mayoritas penelitian diikuti oleh remaja akhir (69.44%), paling banyak diikuti remaja yang berjenis kelamin perempuan (95.4%), responden mayoritas berasal dari perguruan tinggi (49.07%) dan mayoritas bersumber pendapatan masih ditanggung oleh orang tua (90.74%). Adanya perbedaan tingkat stres, kecemasan, dan depresi kemungkinan dipengaruhi oleh peggunaan coping strategy menggemari K-pop. Saran untuk penelitian selanjutnya dapat menganalisa lebih lanjut terkait hubungan tingkat stres, kecemasan dan depresi terhadap perilaku menggemari K-pop dengan memperhatikan keseimbangan pada karakteristik responden.

The phenomenon of Korean culture, especially from the music industry, is that K-pop is common among teenagers. In adolescence they experience a transition or transition from childhood to adulthood at risk of mental health disorders. Adolescence is the process of finding a figure that can be portrayed and not a few of them have the figure of a Korean idol that they love. The aim of this study is to get a picture of the levels of stress, anxiety, and depression in the district. This descriptive study uses a purposive sampling method involving 108 K-pop teenagers residing in Tangerang District. Research data collected in June 2024 using the DASS-42 questionnaire (Depression, anxiety,stress scale). The study also examined the characteristics of respondents such as gender, age, education, and economics where the majority of the study was followed by late adolescents (69.44%), the most followed adolescents of the female type (95.4%), respondents were mostly from college (49.07%) and the main source of income was still borne by parents (90.74%). There are differences in the levels of stress, anxiety, and depression that are likely to be influenced by the use of coping strategies by K-pop fans. Recommendations for further research could further analyze the relationship between levels of Stress, Anxiety and Depression to K-Pop fans' behavior by considering the balance in the characteristics of respondents."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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UI - Skripsi Membership  Universitas Indonesia Library
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Turnip, Maria
"Stress psikososial dialami oleh klien kanker. Penelitian ini mengeksplorasi pengalaman konflik, ansietas, dan depresi pada klien kanker setelah satu tahun didiagnosa dan mendapat terapi. Pengumpulan data melalui wawancara mendalam menggunakan pertanyaan semi terstruktur pada 15 partisipan di poliklinik rumah sakit umum pusat di Bandung.
Didapatkan delapan tema, yaitu: kecemasan terhadap penyebaran dan kekambuhan penyakit, perubahan relasi dengan pasangan, ?labelling? dari diri sendiri dan orang lain, ketidaknyamanan fisik dan psikologis selama proses pengobatan, konsep diri, religius/spiritual, merahasiakan penyakit dan keluhan, dan defisit informasi. Dari delapan tema, ditemukan empat tema yang bukan merupakan konflik, ansietas, dan depresi.
Kesimpulan: konflik, ansietas dan depresi mempengaruhi kondisi klien.

Psychosocial distress emerges in cancer disease. This research explores experience of conflict, anxiety, and depression in one year cancer survivor. Data were collected through in-depth semi structured interviews with fifteen participants when seeking treatment at a public hospital in Bandung.
There eight themes emerge: anxiety about cancer's spread and recurrence, changing relationships with a partner, 'labeling' from oneself and others, physical and psychological discomfort along treatment, self-concept, religious/spiritual, hiding diagnose and complain, and deficit information about cancer. But, four themes among were not characterized with conflict, anxiety, and depression.
Conclusions: conflict, anxiety, and depression impact condition of the client cancer."
Depok: Universitas Indonesia, 2016
T44788
UI - Tesis Membership  Universitas Indonesia Library
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Hilda Meriyandah
"

Depresi Pascamelahirkan merupakan masalah yang berhubungan dengan proses kelahiran. Perasaan sedih, tertekan, dan timbulnya keinginan untuk menyakiti diri sendiri merupakan tanda dari adanya masalah ini. Penelitian di berbagai negara menunjukkan bahwa angka kejadian depresi pascamelahirkan menyentuh angka 10-34%

dan sebanyak 55,7% disebabkan minimnya dukungan pasangan. Desain penelitian ini adalah analitik deskriptif dengan pendekatan cross-sectional menggunakan sampel ibu postpartum di wilayah Depok sebesar 92 responden yang dipilih dengan teknik random sampling. Instrumen yang digunakan adalah Partner Support Questionnaire dan Edinburgh Postnatal Depression Scale.

Hasil penelitian dianalisis menggunakan analisis univariat dan bivariat. Hasil penelitian ini mendapatkan bahwa usia, status pekerjaan, status kehamilan, komplikasi persalinan, dan status tinggal bersama memiliki hubungan yang signifikan dengan kejadian depresi pascamelahirkan. Sedangkan tingkat pendidikan, paritas, dan dukungan pasangan tidak memiliki hubungan yang signifikan dengan kejadian depresi pascamelahirkan. Dari hasil ini menunjukkan bahwa dukungan pasangan tidak menjadi penyebab utama kejadian depresi pascamelahirkan di Kota Depok, karena dukungan sosial dari sumber lain juga banyak didapatkan oleh responden. Hasil penelitian ini diharapkan dapat meningkatkan kesadaran masyarakat

untuk meningkatkan pendampingan kepada ibu hingga masa pascamelahirkan.


Postpartum depression is a problem associated with the birth process. Feeling sad, depressed, and a desire to harm herself are some signs of this problem. Researches in various countries indicate that the incidence of postpartum depression touched 10-34% and as much as 55.7% due to the lack of spousal support. Design of this study is a descriptive analytic, cross-sectional, and the sample are postpartum mothers in Depok, about 92 respondents who selected by the random sampling technique. The instrument was a Partner Support Questionnaire and the Edinburgh Postnatal Depression Scale.

The results of the study were analyzed using univariate and bivariate analysis. The results of

this study found that age, employment status, pregnancy status, delivery complications, and status of living together have a significant relationship with the incidence of postpartum depression. While the level of education, parity, and partner support has no significant relationship with the incidence of postpartum depression. From these results indicate that spousal support is not the main cause of the incidence of postpartum depression in Depok, because social support from other sources may also be obtained by most of respondents. The results of this study are expected to increase public awareness to increase assistance to the mother until the postpartum period.

"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
S55385
UI - Skripsi Membership  Universitas Indonesia Library
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Sartika Irsa Putri
"ABSTRAK
Depresi merupakan masalah psikososial yang sering terjadi pada lansia akibat ketidakmampuan adaptasi masa tua. Namun, melakukan aktivitas fisik dapat mencegah timbulnya masalah psikososial pada lansia. Desain penelitian ini menggunakan deskriptif cross sectional dengan teknik purposive sampling yang bertujuan untuk melihat gambaran tingkat depresi lansia yang melakukan senam. Pengumpulan data menggunakan instrumen Geriatric Depression Scale dan absensi kehadiran senam. Hasil penelitian terhadap 74 lansia yang mengikuti senam didapatkan mayoritas 65% lansia yang aktif senam tidak mengalami depresi sedangkan 58,8% lansia yang tidak aktif senam lebih banyak mengalami depresi ringan. Oleh karena itu, perawat dan petugas panti perlu memotivasi lansia untuk melakukan senam lansia secara rutin sehingga dapat menurunkan kejadian depresi di panti.

ABSTRACT
Depression is a psychological problem that often occurs in the elderly due to inability to adapt to the aging. However, depression can be prevented by undertaking physical exercise activity. The aim of this study was to describe the level of depression in elderly who perform physical exercise. The design of this study was descriptive cross sectional study with purposive sampling technique. Data were collected using instruments Geriatric Depression Scale and observation form of physical exercise. The result showed that 74 elderly who undertook physical exercise 65% did not experience depression, while 58.8% who did not perform exercise experienced mild depression. Nurses and social workers should motivate elderly to get into physical exercise in order to reduce the incidence of depression in aged-care institution."
2015
S60963
UI - Skripsi Membership  Universitas Indonesia Library
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Arshita Auliana
"[ABSTRAK
Latar Belakang: Pasien DM dengan ulkus kaki lebih banyak yang mengalamidepresi dan memiliki kualitas hidup yang buruk. Dalam tatalaksana ulkus kaki diabetic perlu diperhatikan faktor psikososial karena diperkirakan dapat mempengaruhi penyembuhan luka melalui induksi gangguan keseimbangan neuroendokrin-imun. Beberapa penelitian mengenai pengaruh depresi pada proses penyembuhan ulkus diabetik telah dilakukan dengan hasil yang masih kontroversial.
Tujuan: Mengetahui pengaruh depresi terhadap proses perbaikan infeksi ulkus kaki diabetik, serta tingkat depresi pada pasien ulkus kaki diabetik rawat inap.
Metode: Observasional, kohort prospektif, terhadap 95 pasien ulkus kaki diabetic terinfeksi yang dirawat di RSCM dan RS jejaring dalam kurun waktu penelitian, terbagi 2 kelompok yaitu kelompok depresi dan kelompok tidak depresi. Data klinis, penilaian depresi, dan data laboratorium diambil saat pasien masuk rumah sakit kemudian dinilai perbaikan infeksi ulkus kaki diabetik dalam 21 hari masa perawatan. Dilakukan analisis bivariat dengan uji Chi-square berdasarkan batas kemaknaan (α) sebesar 5% dan analisis multivariat.
Hasil: Dari 95 subyek penelitian, 38 orang (40%) masuk dalam kelompok tidak depresi, sedangkan kelompok depresi terdiri atas 57 orang (60%). Subyek perempuan jumlahnya dominan pada kelompok depresi (70%). Komorbid terbanyak adalah hipertensi, dengan angka komorbiditas dan penyakit kardivaskular lebih tinggi pada kelompok depresi. Malnutrisi dan obesitas juga lebih banyak pada kelompok depresi (64,9% dan 31,6%), demikian pula dengan kontrol glikemik yang buruk (73,7%). Sebagian besar pasien (73,7%) yang masuk dalam kelompok depresi memiliki depresi ringan. Pada kelompok depresi 40,4% mengalami perbaikan infeksi dalam 21 hari masa perawatan, sedangkan pada kelompok tidak depresi 68,4%.
Simpulan: Depresi cenderung meningkatkan risiko atau kemungkinan tidak terjadinya perbaikan infeksi ulkus kaki diabetik, walaupun setelah dilakukan penyesuaian terhadap variabel perancu, hasil tersebut tidak bermakna secara statistik (adjusted OR 2,429 dengan IK 95% 0,890-6,632). Lebih banyak subjek dengan depresi sedang yang tidak mengalami perbaikan infeksi ulkus kaki diabetik dibandingkan dengan subjek dengan depresi ringan (93,3% dan 47,6%).

ABSTRACT
Background: Patients with diabetic foot ulcers are more depressed and have a poor quality of life. In the management of diabetic foot ulcers, psychosocial factors need to be considered because it can influence wound healing through induction of neuroendocrine-immune balance disorders. Several studies on the effect of depression in diabetic ulcer healing process has been carried out with results that are still controversial.
Objective: To investigate the effect of depression on diabetic foot ulcer infection healing process, as well as the level of depression in patients with diabetic foot ulcers.
Methods: Observational, prospective cohort, of the 95 patients with infected diabetic foot ulcers treated at Cipto Mangunkusumo hospital and networking hospitals within the study, divided into 2 groups: group of depressed and non-depressed group. Clinical data, assessment of depression, and laboratory data were taken on admission to hospital then we assessed improvements infection of diabetic foot ulcers in 21 days of treatment. Bivariate analysis performed using Chi-square test based on the limit of significance (α) of 5%, also does multivariate analysis.
Results: Of the 95 subjects, 40%was not depressed, while the depressed group consisted of 60%. Female subjects was dominant in the depressed group (66,7%). Most comorbid was hypertension, with a number of comorbidities and disease cardivascular higher in depressed group. Malnutrition and obesity are also higher in the depression group (64,9% and 31,6%), as well as poor glycemic control (73,7%). Most patients (73,7%) included in the depressed group had mild depression. In the depressed group, 40,4% experienced improvement in 21-day period of treatment, whereas in the non-depressed group 68,4%.
Conclusion: Depression tends to increse diabetic foot ulcer infection risk to not improved, although after adjusment of confounding variables the result was not statistically significant (adjusted OR 2,429 with CI95% 0,890-6,632). More subjects with moderate depression who did not exeperience improvement when compared to subjects with mild depression did not exeperience improvement (93,3% and 47,6%).
;Background: Patients with diabetic foot ulcers are more depressed and have a poor quality of life. In the management of diabetic foot ulcers, psychosocial factors need to be considered because it can influence wound healing through induction of neuroendocrine-immune balance disorders. Several studies on the effect of depression in diabetic ulcer healing process has been carried out with results that are still controversial.
Objective: To investigate the effect of depression on diabetic foot ulcer infection healing process, as well as the level of depression in patients with diabetic foot ulcers.
Methods: Observational, prospective cohort, of the 95 patients with infected diabetic foot ulcers treated at Cipto Mangunkusumo hospital and networking hospitals within the study, divided into 2 groups: group of depressed and non-depressed group. Clinical data, assessment of depression, and laboratory data were taken on admission to hospital then we assessed improvements infection of diabetic foot ulcers in 21 days of treatment. Bivariate analysis performed using Chi-square test based on the limit of significance (α) of 5%, also does multivariate analysis.
Results: Of the 95 subjects, 40%was not depressed, while the depressed group consisted of 60%. Female subjects was dominant in the depressed group (66,7%). Most comorbid was hypertension, with a number of comorbidities and disease cardivascular higher in depressed group. Malnutrition and obesity are also higher in the depression group (64,9% and 31,6%), as well as poor glycemic control (73,7%). Most patients (73,7%) included in the depressed group had mild depression. In the depressed group, 40,4% experienced improvement in 21-day period of treatment, whereas in the non-depressed group 68,4%.
Conclusion: Depression tends to increse diabetic foot ulcer infection risk to not improved, although after adjusment of confounding variables the result was not statistically significant (adjusted OR 2,429 with CI95% 0,890-6,632). More subjects with moderate depression who did not exeperience improvement when compared to subjects with mild depression did not exeperience improvement (93,3% and 47,6%).
;Background: Patients with diabetic foot ulcers are more depressed and have a poor quality of life. In the management of diabetic foot ulcers, psychosocial factors need to be considered because it can influence wound healing through induction of neuroendocrine-immune balance disorders. Several studies on the effect of depression in diabetic ulcer healing process has been carried out with results that are still controversial.
Objective: To investigate the effect of depression on diabetic foot ulcer infection healing process, as well as the level of depression in patients with diabetic foot ulcers.
Methods: Observational, prospective cohort, of the 95 patients with infected diabetic foot ulcers treated at Cipto Mangunkusumo hospital and networking hospitals within the study, divided into 2 groups: group of depressed and non-depressed group. Clinical data, assessment of depression, and laboratory data were taken on admission to hospital then we assessed improvements infection of diabetic foot ulcers in 21 days of treatment. Bivariate analysis performed using Chi-square test based on the limit of significance (α) of 5%, also does multivariate analysis.
Results: Of the 95 subjects, 40%was not depressed, while the depressed group consisted of 60%. Female subjects was dominant in the depressed group (66,7%). Most comorbid was hypertension, with a number of comorbidities and disease cardivascular higher in depressed group. Malnutrition and obesity are also higher in the depression group (64,9% and 31,6%), as well as poor glycemic control (73,7%). Most patients (73,7%) included in the depressed group had mild depression. In the depressed group, 40,4% experienced improvement in 21-day period of treatment, whereas in the non-depressed group 68,4%.
Conclusion: Depression tends to increse diabetic foot ulcer infection risk to not improved, although after adjusment of confounding variables the result was not statistically significant (adjusted OR 2,429 with CI95% 0,890-6,632). More subjects with moderate depression who did not exeperience improvement when compared to subjects with mild depression did not exeperience improvement (93,3% and 47,6%).
, Background: Patients with diabetic foot ulcers are more depressed and have a poor quality of life. In the management of diabetic foot ulcers, psychosocial factors need to be considered because it can influence wound healing through induction of neuroendocrine-immune balance disorders. Several studies on the effect of depression in diabetic ulcer healing process has been carried out with results that are still controversial.
Objective: To investigate the effect of depression on diabetic foot ulcer infection healing process, as well as the level of depression in patients with diabetic foot ulcers.
Methods: Observational, prospective cohort, of the 95 patients with infected diabetic foot ulcers treated at Cipto Mangunkusumo hospital and networking hospitals within the study, divided into 2 groups: group of depressed and non-depressed group. Clinical data, assessment of depression, and laboratory data were taken on admission to hospital then we assessed improvements infection of diabetic foot ulcers in 21 days of treatment. Bivariate analysis performed using Chi-square test based on the limit of significance (α) of 5%, also does multivariate analysis.
Results: Of the 95 subjects, 40%was not depressed, while the depressed group consisted of 60%. Female subjects was dominant in the depressed group (66,7%). Most comorbid was hypertension, with a number of comorbidities and disease cardivascular higher in depressed group. Malnutrition and obesity are also higher in the depression group (64,9% and 31,6%), as well as poor glycemic control (73,7%). Most patients (73,7%) included in the depressed group had mild depression. In the depressed group, 40,4% experienced improvement in 21-day period of treatment, whereas in the non-depressed group 68,4%.
Conclusion: Depression tends to increse diabetic foot ulcer infection risk to not improved, although after adjusment of confounding variables the result was not statistically significant (adjusted OR 2,429 with CI95% 0,890-6,632). More subjects with moderate depression who did not exeperience improvement when compared to subjects with mild depression did not exeperience improvement (93,3% and 47,6%).
]"
2015
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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