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Andry Kelvianto
Pengaruh Terapi Medik Gizi terhadap Manajemen Berat Badan dan Komposisi Tubuh Pasien Gangguan Psikiatri dengan Obesitas = Effect of Medical Nutrition Therapy on Weight Management and Body Composition of Patients with Psychiatric Disorder and Obesity
"Gangguan psikiatri meningkatkan risiko penderitanya mengalami obesitas dan sindroma metabolik akibat interaksi faktor genetik, lingkungan, gejala penyakit psikiatri dan pengobatannya. Pengaturan asupan makan dan perubahan pola hidup tetap menjadi tatalaksana awal pada pasien dengan gangguan psikiatri. Penggunaan metformin telah disarankan dalam studi sebagai adjuvan dalam tatalaksana berat badan pada pasien gangguan psikiatri terutama yang menggunakan obat psikiatri dalam jangka panjang. Empat pasien rawat inap dengan gangguan psikiatri dipantau selama perawatan dan sebulan setelah rawat jalan dengan kontak per minggu. Dilakukan pencatatan masalah subjektif, objektif, riwayat peningkatan berat badan, riwayat pengobatan pola asupan serta pengukuran antropometri dan komposisi tubuh. Pola asupan harian dan 24 jam terakhir dikumpulkan dengan metode FFQ semi kuantitatif dan 24h dietary recall. Perencanaan terapi medik gizi dilakukan dengan restriksi kalori, peningkatan asupan protein, penyesuaian asupan karbohidrat, motivasi melakukan aktivitas fisik yang cukup dan pemberian metformin dengan dosis bertahap. Tiga pasien memiliki status gizi obes 2, 1 pasien memiliki status gizi obes morbid yang disertai massa lemak yang tinggi dan massa otot yang rendah. Seluruh pasien memiliki lingkar pinggang diatas normal, kadar kolesterol total, LDL yang tinggi dan HDL yang rendah. Tiga pasien tidak mematuhi preskripsi selama perawatan. Setelah rawat jalan, dua pasien memiliki caregiver yang memberikan pemantauan dan motivasi yang baik terhadap pasien selama sebulan dan terdapat penurunan berat badan, penurunan lingkar pinggang, dan perbaikan komposisi tubuh. Terapi medik gizi pada pasien dengan gangguan psikiatri membutuhkan kerjasama dengan caregiver agar dapat bermanfaat bagi pasien.
Patients with psychiatric disorders experienced an increased risk of obesity and metabolic syndrome due to genetic, environmental, disease symptoms and medication factor. Diet and lifestyle modification remained the firstline modalities for management of obesity in patients with psychiatric disorders. Metformin as an adjuvant therapy is recommended for preventing weight gain in patients especially with long-time psychiatric medication usage. Four inpatients with various psychiatric disorders were monitored during hospital stay and one month after discharge with weekly contact for monitoring. Subjective symptoms and objective signs, including history of weight gain, psychiatric medication history, intake pattern, anthropometric and body composition measurements were recorded. Daily intake pattern and 24 hour food intake were recorded and analyzed with semi-quantitative FFQ method and 24h food recall, respectively. Energy restriction, adjustment of protein and carbohydrate intake, physical activity encouragement and oral metformin administration with increasing dose were implemented in all patients. Three patients were grade 2 obese, one patients was morbidly obese with high fat mass and low muscle mass. All patients showed an increased waist circumference, high total cholesterol and LDL level, and low HDL level. Three patients failed to comply with nutrition prescription. After discharge, two patients had a supportive caregivers that gave an adequate monitoring and encouragement. Weight loss, reduced waist circumference, and better body compositition were found in 2 patients with supportive caregivers. Medical nutrition therapy on patient with psychiatric disorder will benefit greatly from supportive caregiver to bring benefit for patients."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2020
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Umie Faizah
Gambaran gangguan psikiatri pada pasien TB-MDR (Multi Drug Resistant) dan stres psikososial yang memengaruhi di RSUP Persahabatan = Psychiatric disorders in patients with Multi Drug Resistance Tuberculosis and psychosocial stress influences in RSUP Persahabatan
"[ABSTRAK
Latar Belakang. Pasien TB-MDR sedang menjalankan pengobatan akan memengaruhi kondisi kejiwaan yang dapat disebabkan dari obat-obatan TB-MDR dan atau stres psikososial. Tujuan penelitian adalah mendapatkan gambaran gangguan psikiatri pada pasien TB-MDR dan stres psikososial yang memengaruhi.
Metode. Penelitian ini menggunakan desain potong lintang dengan subjek penelitian berjumlah 50 orang. Pengambilan sampel pada subjek menggunakan metode konsekutif. Instrumen yang digunakan pada penelitian ini adalah MINI ICD-10 dan Life Experiences Survey (LES) dari Irwin G. Sarason yang terdiri dari 60 item yang dinilai dengan skala likert -3 sampai 3. Pada subjek dinilai dampak positif dan negatif stresor menggunakan instrumen LES. Data demografi meliputi usia, jenis kelamin, status pernikahan, jumlah anak, agama, suku, agama, pendapatan, tingkat pendidikan, obat-obatan yang digunakan dan jangka waktu pengobatan. Data dianalisis dengan menggunakan program SPSS untuk windows versi 20. Tingkat kemaknaan yang digunakan untuk uji statistik adalah p < 0,05.
Hasil. Proporsi gangguan psikiatri pada subyek TB-MDR adalah 62%. Proporsi gangguan psikiatri pada subjek TB-MDR terbanyak pada gangguan depresi (32%) diikuti dengan risiko bunuh diri (26%), gangguan panik (24%), gangguan anxietas menyeluruh (20%), gangguan depresi berulang (12%), gangguan psikotik (12%), gangguan agorafobia (8%), gangguan obsesif kompulsif (8%), agorafobia dengan gangguan panik (4%), anorexia nervosa (2%) dan gangguan berkaitan dengan zat psikoaktif (2%). Sebagian besar subjek mendapatkan regimen standar pengobatan TB-MDR mengalami gangguan psikiatri sebesar 58,1%. Terdapat hubungan yang bermakna antara usia subjek dengan gangguan psikiatri sebesar <0,001, antara obat TB-MDR yang didapatkan dengan risiko bunuh diri (p<0,005) dan antara stresor psikososial dengan gangguan psikiatri.
Kesimpulan. Terdapat gangguan psikiatri pada subjek TB-MDR selama menjalani pengobatan. Kelompok subjek TB-MDR dengan gangguan psikiatri cenderung memiliki skor stres negatif yang lebih tinggi (lebih banyak yang mengalami stresor negatif) dibandingan dengan subjek tanpa gangguan psikiatri.ABSTRACT Background. Patients with Multi Drug Resistance Tuberculosis (MDR-TB) during treatment can influence psychiatric conditions caused by MDR-TB drugs and psychosocial stress. The objective of this research is to describe various psychiatric disorders in patients with MDR-TB and various psychosocial stress during the treatment.
Methods. Design of this study is a cross-sectional design with total 50 subjects. Subjects were selected through consecutive sampling methods. Instruments used in this study were the MINI ICD-10 and Life Experiences Survey (LES) of Irwin G. Sarason which consists of 60 items of Likert scale ranging from -3 to 3. Subjects were assessed using the positive and negative impacts of stressors with LES instrument. Demographic data observed consist of age, gender, marital status, number of children, religion, ethnicity, religion, income, education level, drugs taken and the length of treatment. Data were analyzed using SPSS for Windows version 20. The level of significance used for the statistical tests was p <0.05.
Results. Proportion of psychiatric disorders in subjects with MDR-TB is 62%. Proportion of psychiatric disorders in subjects with MDR-TB are depressive disorders (32%) followed by risk of suicide (26%), panic disorder (24%), anxiety disorder (20%), recurrent depressive disorder (12%), psychotic disorder (12%), agoraphobia disorders (8%), obsessive compulsive disorder (8%), agoraphobia with panic disorder (4%), anorexia nervosa (2%) and psychoactive substances associated disorders (2%). Proportion of psychiatric disorders in subjects getting standard treatment regimen for MDR-TB are 58.1%. A significant relationship is made statistically between age of subjects with psychiatric disorders, MDR-TB drugs with suicide risk and psychosocial stressors with psychiatric disorders.
Conclusions. Psychiatric disorders were found in subjects with MDR-TB during treatment. Subject groups of MDR-TB with psychiatric disorders have higher negative stress score (more likely to have a negative stressor) than subjects without psychiatric disorders. ;Background. Patients with Multi Drug Resistance Tuberculosis (MDR-TB) during treatment can influence psychiatric conditions caused by MDR-TB drugs and psychosocial stress. The objective of this research is to describe various psychiatric disorders in patients with MDR-TB and various psychosocial stress during the treatment.
Methods. Design of this study is a cross-sectional design with total 50 subjects. Subjects were selected through consecutive sampling methods. Instruments used in this study were the MINI ICD-10 and Life Experiences Survey (LES) of Irwin G. Sarason which consists of 60 items of Likert scale ranging from -3 to 3. Subjects were assessed using the positive and negative impacts of stressors with LES instrument. Demographic data observed consist of age, gender, marital status, number of children, religion, ethnicity, religion, income, education level, drugs taken and the length of treatment. Data were analyzed using SPSS for Windows version 20. The level of significance used for the statistical tests was p <0.05.
Results. Proportion of psychiatric disorders in subjects with MDR-TB is 62%. Proportion of psychiatric disorders in subjects with MDR-TB are depressive disorders (32%) followed by risk of suicide (26%), panic disorder (24%), anxiety disorder (20%), recurrent depressive disorder (12%), psychotic disorder (12%), agoraphobia disorders (8%), obsessive compulsive disorder (8%), agoraphobia with panic disorder (4%), anorexia nervosa (2%) and psychoactive substances associated disorders (2%). Proportion of psychiatric disorders in subjects getting standard treatment regimen for MDR-TB are 58.1%. A significant relationship is made statistically between age of subjects with psychiatric disorders, MDR-TB drugs with suicide risk and psychosocial stressors with psychiatric disorders.
Conclusions. Psychiatric disorders were found in subjects with MDR-TB during treatment. Subject groups of MDR-TB with psychiatric disorders have higher negative stress score (more likely to have a negative stressor) than subjects without psychiatric disorders. , Background. Patients with Multi Drug Resistance Tuberculosis (MDR-TB) during treatment can influence psychiatric conditions caused by MDR-TB drugs and psychosocial stress. The objective of this research is to describe various psychiatric disorders in patients with MDR-TB and various psychosocial stress during the treatment.
Methods. Design of this study is a cross-sectional design with total 50 subjects. Subjects were selected through consecutive sampling methods. Instruments used in this study were the MINI ICD-10 and Life Experiences Survey (LES) of Irwin G. Sarason which consists of 60 items of Likert scale ranging from -3 to 3. Subjects were assessed using the positive and negative impacts of stressors with LES instrument. Demographic data observed consist of age, gender, marital status, number of children, religion, ethnicity, religion, income, education level, drugs taken and the length of treatment. Data were analyzed using SPSS for Windows version 20. The level of significance used for the statistical tests was p <0.05.
Results. Proportion of psychiatric disorders in subjects with MDR-TB is 62%. Proportion of psychiatric disorders in subjects with MDR-TB are depressive disorders (32%) followed by risk of suicide (26%), panic disorder (24%), anxiety disorder (20%), recurrent depressive disorder (12%), psychotic disorder (12%), agoraphobia disorders (8%), obsessive compulsive disorder (8%), agoraphobia with panic disorder (4%), anorexia nervosa (2%) and psychoactive substances associated disorders (2%). Proportion of psychiatric disorders in subjects getting standard treatment regimen for MDR-TB are 58.1%. A significant relationship is made statistically between age of subjects with psychiatric disorders, MDR-TB drugs with suicide risk and psychosocial stressors with psychiatric disorders.
Conclusions. Psychiatric disorders were found in subjects with MDR-TB during treatment. Subject groups of MDR-TB with psychiatric disorders have higher negative stress score (more likely to have a negative stressor) than subjects without psychiatric disorders. ]"
Fakultas Kedokteran Universitas Indonesia, 2015
MK-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Pedoman penggolongan diagnosa gangguan jiwa di Indonesia
Jakarta : Departemen kesehatan, 1978
616.890 231 IND p (1)
Buku Teks SO  Universitas Indonesia Library
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Ratu Kusuma
Efektifitas model pencegahan depresi postpartum-ratu terhadap pencegahan depresi postpartum = The Effectiveness of ratu's postpartum depression prevention model towards the prevention of postpartum depression
"ABSTRAK
Depresi merupakan salah satu gangguan psikologis yang terjadi pada ibu postpartum.Kejadian depresi postpartum Indonesia mencapai 20 dan di Provinsi Riau 15-20 ,angka tersebut harus ditekan menjadi 1 . Penelitian ini bertujuan untuk memperolehmodel yang efektif dalam mencegah depresi postpartum. Penelitian ini terdiri daridua tahap yaitu tahap pengembangan model dan uji model. Hasil penelitian tahappengembangan model diperoleh 7 tema terkait pengalaman adaptasi ibu hamil dari9 partisipan. Model ini berupa intervensi edukasi yang diberikan kepada ibu hamildan suami yang terdiri dari 4 komponen yaitu edukasi untuk mengurangistimulus, meningkatkan koping, meningkatkan respons adaptasi yang efektif sertameningkatkan dukungan sosial suami dalam upaya mencegah terjadinya depresipostpartum. Penelitian uji model menggunakan desain quasi experiment pre-post testwith control group, dengan teknik consecutive sampling terhadap 108 responden.Hasil penelitian menunjukkan bahwa Model Pencegahan Depresi Postpartm-Ratuefektif dalam meningkatkan pengetahuan, sikap, respons adaptasi fisiologis, konsepdiri, fungsi peran, interdependen, dukungan sosial suami, serta menurunkan kejadiandepresi postpartum. Dukungan sosial suami merupakan satu-satunya variabel yangpaling berpengaruh signifikan terhadap kejadian depresi postpartum. Model inidiharapkan dapat digunakan sebagai upaya preventif dalam mencegah terjadinyadepresi postpartum. Penelitian selanjutnya diharapkan untuk dapat mengembangkanintervensi lain dalam upaya mencegah depresi postpartum.Kata kunci: ibu hamil, suami, depresi postpartum
ABSTRACT
Name Ratu KusumaStudent ID 1006753274Study Program Doctor of Nursing, Faculty of NursingUniversitas Indonesia.Title The Effectiveness of Ratu rsquo s Postpartum Depression PreventionModel towards the Prevention of Postpartum DepressionDepression is one of psychological disorders experienced among pregnant women.The incidence of postpartum depression in Indonesia reaches 20 and in Riau itselfreaches 15 20 , the particular number needs to be stresed to 1 . This study aims toobtain effective model in preventing postpartum depression. The study consisted intotwo phases, which were the development of the model and the trial itself. Theoutcome of the development of the model was seven themes related to the adaptiveexperiences of the pregnant women from nine participants. The model was aneducational intervention consisting of four main components which are education indecreasing stimulus, increasing coping, increasing effective response of adaptation, aswell as increasing social support of the husband in preventing the incidence ofpostpartum depression. The model was executed by quasi experiment pre post testwith control group design towards 108 respondents. The result showed that theRatu rsquo s Postpartum Depression Prevention Model was effective in increasingknowledge, attitude, behavior, physiological adaptation response, self concept, rolefunction, interdependent, and the social support of the husband, as well as loweringthe incidence of postpartum depression. The social support of the husband was themost signifiacnt variable towards the incidence of postpartum depression. This modelis expected to be used in preventing postpartum depression. In the future, theupcoming research is excpected to develop another intervention in preventing post partum depression."
2017
D2335
UI - Disertasi Membership  Universitas Indonesia Library
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Child psychiatric nursing
St. Louis: Mosby Year Book , 1991
618.928 9 CHI (1)
Buku Teks SO  Universitas Indonesia Library
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Doenges, Marilynn E.
Rencana asuhan keperawatan psikiatri
Jakarta: EGC, 2007
616.890 231 DOE r
Buku Teks SO  Universitas Indonesia Library
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Videbeck, Sheila L.
Psychiatric mental health nursing
Philadelphia: Wolters Kluwer, 2017
616.89 VID p
Buku Teks SO  Universitas Indonesia Library
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Comprehensive psychiatric nursing
New York: McGraw-Hill , 1987
616.890 2 COM
Buku Teks SO  Universitas Indonesia Library
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Stuart, Gail W. (Gail Wiscarz)
Principles and practice of psychiatric nursing
St. Louis: Mosby , 1991
616.890 2 STU p
Buku Teks SO  Universitas Indonesia Library
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Videbeck, Sheila L.
Psychiatric mental health nursing
Philadelphia: Walters kluwer , 2008
616.89 VID p
Buku Teks SO  Universitas Indonesia Library
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