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"Latar Belakang: Pandemi coronavirus disease 2019 (COVID-19) dihubungkan dengan peningkatan kejadian gangguan psikiatri. Tenaga kesehatan sebagai barisan terdepan dalam penanganan pasien COVID-19 memiliki risiko tinggi untuk mengalami gangguan cemas. Peneltian ini bertujuan untuk mengetahui proporsi gangguan cemas pada tenaga kesehatan saat pandemi COVID-19 di RSUP Persahabatan dan mengetahui faktor-faktor yang memengaruhinya.Metode: Desain penelitian ini adalah studi deskriptif potong lintang dengan melakukan wawancara kepada dokter dan perawat yang bertugas di ruang perawatan COVID-19 serta memenuhi kriteria inklusi. Penelitian ini menggunakan Instrumen Penilaian Gangguan Jiwa MINI ICD-10 (Mini International Neuropsychiatric Interview Version ICD-10), kuesioner PSQI (Pittsburgh Sleep Quality Index) dan kuesioner peristiwa hidup Holmes-Rahe. Penelitian dilakukan pada periode Januari-Oktober 2021 dengan Teknik pengambilan sampel secara consecutive sampling sampai seluruh sampel tercakup dalam penelitian.Hasil: Didapatkan 106 subjek penelitian dengan rerata usia adalah 30,57±4,8 tahun. Terdiri dari 34 orang dokter dan 72 perawat. Jumlah subjek yang mengalami gangguan cemas sebanyak 23 orang (22%). Jenis gangguan cemas yaitu agorafobia (10,4%), gangguan panik (5,7%), sosialfobia (4,7%), gangguan obsesif kompulsif (0,9%), gangguan cemas menyeluruh (9,4%) dan stres pasca trauma (0,9%). Berdasarkan analisis bivariat didapatkan hubungan bermakna antara pekerjaan dengan gangguan cemas (p=0,025) namun tidak didapatkan hubungan bermakna antara peristiwa hidup dengan gangguan cemas. Analisis multivariat didapatkan faktor-faktor yang memengaruhi gangguan cemas pada tenaga kesehatan di masa pandemi COVID-19 adalah ruang perawatan dan komorbid.Kesimpulan: Prorporsi gangguan cemas pada tenaga kesehatan yang bekerja di ruang perawatan COVID-19 di RSUP Persahabatan adalah 22% dengan jenis gangguan cemas terbanyak adalah agorafobia. Faktor-faktor yang memengaruhi gangguan cemas yaitu ruang perawatan dan komorbid.

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Background: Coronavirus disease 2019 (COVID-19) pandemic associated with an increased incidence of psychiatric disorder. Healthcare workers as a frontliner in caring COVID-19 patients have a high risk experiencing anxiety disorder. The aim of study is to determine the proportion of anxiety disorder in healthcare workers during COVDI-19 pandemic in RSUP Hospital and influencing factor.

Methods: The design of study was descriptive cross sectional study with interview to doctor and nurse who discharge in COVID-19 ward and met the inclusion criteria of the study. This study used questionnaire MINI ICD-10 (Mini International Neuropsychiatric Interview Version ICD-10) questionnaire, PSQI (Pittsburgh Sleep Quality Index) questionnaire, and Holmes-Rahe questionnaire. The research was conducted from January to October 2021 with convenience sampling. The data was processed using SPSS 25 for statistic test.

Results: Total subject 106 were recruited in this study with the mean age was 30,57±4,8 years old. Subject were of 34 doctors and 72 nurses. There were 23 subject (22%) experienced anxiety disorders. The types of anxiety disorders were agoraphobia (10,4%) panic disorder (5,7%), social phobia (4,7%), obsessive compulsive disorder (0,9%), general anxiety disorder (9,4%). Based on bivariate analysis, there was a significant association between health care workers with anxiety disorder (p=0.025) but there was no significant association between life event with anxiety disorder. The multivariate analysis that the influencing factors of anxiety disorder in medical healthcare workers during COVID-19 pandemic were working unit and comorbidities.

Conclusion: The proportion of anxiety disorder in healthcare workers during COVID-19 pandemic in RSUP Persahabatan was 22% with the most type of anxiety disorder is agoraphobia. The influencing factor of anxiety disorder were working unit and comorbidities."

"Pendahuluan : Saat pandemi COVID-19 berlangsung secara global, petugas kesehatan menunjukkan tingkat prevalensi gangguan cemas yang lebih tinggi dibandingkan petugas non-kesehatan. Gangguan cemas yang menetap dapat menjadi gangguan cemas menyeluruh, dan yang mengalami gangguan cemas menyeluruh memiliki potensi sebesar 25% untuk menjadi gangguan depresi berat.Tujuan : Penelitian ini dilakukan untuk mengetahui kondisi gangguan cemas serta faktor risiko yang berhubungan pada pekerja di Rumah Sakit X Balikpapan selama pandemi COVID-19 berlangsung.Metode : Desain penelitian merupakan studi analisis deskriptif analitik dengan menggunakan desain potong lintang yang melibatkan 279 responden pekerja Rumah Sakit X di Indonesia. Penelitian menggunakan SPSS versi 20.0, dengan uji tes chi2 dan Fisher’s Exect test, untuk uji bivariat, dan uji regresi logistik dengan metode enter untuk analisis multivariat.Hasil : Didapatkan hasil skoring dari GAD-7 bahwa 87.5% tidak memiliki gangguan cemas, 10.8% gangguna cemas ringan, 1.4% gangguan cemas sedang dan 0.4% gangguan cemas berat pada pekerja di RSX. Ditemukan pengaruh yang signifikan terhadap prevalensi gangguan cemas pada pekerja kesehatan p=0.001 dan aOR 4.8 (1.9-12.3), yang berada di area risiko tinggi transmisi COVID-19 p=0.04 dan aOR 5.1 (1.0-24.2), dan pekerja yang dikarantina p=0.001 dan aOR 10.5 (2.6-42.3) setelah memperhitungkan variabel usia dan jenis kelamin.Kesimpulan :Terdapat hubungan yang bermakna terhadap risiko terjadinya gangguan cemas pada pekerja Rumah Sakit X Balikpapan dengan faktor risiko jenis pekerjaan merupakan tenaga kesehatan, berada di area kerja dengan risiko transmisi COVID-19 tinggi, dan pekerja yang dikarantina karena merawat pasien COVID-19.

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Introduction: During the global COVID-19 pandemic, health workers were found to have a higher prevalence of anxiety disorder compared to non-health worker. Anxiety disorder that occur chronically have a 25% chance to become a major depression disorder.

Objective: The aim of this study is to understand the anxiety condition and risk factors that are related, among Balikpapan Hospital X workers during the COVID-19 pandemic.

Method: The design of this research used a cross sectional method that involved 279 respondents who are Balikpapan Hospital X workers. The study used SPSS version 20.0, using the chi square and Fisher’s Exact test for the bivariat analysis, and the logistic regression with enter method for the multivariate analysis.

Result: The study shows that, using the GAD-7 (General Anxiety Disorder) questionnaire from 279 hospital workers, there were 10.8% with mild-, 1.45% with moderate-, and 0.4% with severe anxiety disorder. A significant relation was found between anxiety disorder and risk factors such as: being a health worker with p=0.001 and a 4.8 ORadj (95% C.I: 1.9-12.3), working in high risk of transmitting COVID-19 area with p=0.04 and a 5.1 ORadj (95% C.I.: 1.0-24.2), and workers who are being quarantined with p=0.001 a 10.5 ORadj (2.6-42.3) after being adjusted by age and gender variables.

Conclusion: Significant relations were found between anxiety disorder among Hospital X workers with risk factors such as: health workers, working in high risk of transmitting COVID-19 area, and workers that are being quarantined. Researcher strongly advice health providers to do regular monitoring and seek moral support especially for workers who have higher risk of anxiety disorder"

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Persebaran gangguan kesehatan mental pada remaja Indonesia menunjukkan angka yang cukup signifikan dimana sebanyak satu dari 20 remaja di Indonesia mengalami permasalahan ini. Gangguan kecemasan umum sebagai salah satu bagian dari gangguan kesehatan mental memiliki tingkat prevalensi paling tinggi serta memberikan dampak signifikan pada penurunan kualitas hidup seseorang. Meskipun dampak yang dihasilkan gangguan kecemasan umum cukup signifikan, belum ditemukan aplikasi spesifik yang berfokus untuk menangani gangguan kecemasan umum, terutama pada remaja. Oleh karena itu, penelitian ini bertujuan untuk menggali masalah dan kebutuhan pengguna terhadap penanganan gangguan kecemasan umum pada remaja Indonesia serta mengembangkan dan mengevaluasi prototipe aplikasi yang menjadi solusi atas permasalahan tersebut. Penelitian ini menggunakan metode desain systemic design framework yang sejalan dengan topik penelitian ini yaitu seputar permasalahan sustainable living. Proses perancangan prototipe menghasilkan solusi atau fitur utama berupa pre-assessment generalized anxiety disorder-7 (GAD-7), konsultasi ahli, komunitas, peer counselor, dan jurnal. Keseluruhan proses perancangan prototipe aplikasi melibatkan 28 responden wawancara serta 347 responden kuesioner mulai dari fase pengumpulan kebutuhan hingga evaluasi yang terdiri dari calon pengguna yang telah divalidasi menggunakan pre-assessment GAD-7, ahli psikolog, dan ahli desain pengalaman pengguna. Rancangan akhir prototipe dievaluasi oleh calon pengguna melalui usability testing, user interview, dan system usability scale sehingga memperoleh usability score sebesar 86, SUS score sebesar 78,3, serta beberapa masukan pada kegiatan user interview yang mengindikasikan aplikasi telah memenuhi kebutuhan pengguna namun membutuhkan perbaikan minor. Penelitian ini memberikan kontribusi secara praktikal kepada Ikatan Psikolog Klinis (IPK) Indonesia dan pengembang aplikasi kesehatan mental.dan kontribusi secara teoritis terhadap penjelasan penggunaan metode pengembangan systemic design framework.

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The prevalence of mental health disorders among Indonesian teenagers shows a significant figure, with one in 20 teenagers in Indonesia experiencing these issues. Generalized anxiety disorder, as one of the mental health disorders, has the highest prevalence rate and significantly impacts a person's quality of life. Despite the significant impact of generalized anxiety disorder, no specific application has been found that focuses on addressing this issue, especially among teenagers. Therefore, this research aims to explore the problems and user needs regarding the management of generalized anxiety disorder among Indonesian teenagers. It also aims to develop and evaluate a prototype application as a solution to these problems. This research utilizes the systemic design framework method, which aligns with the research topic of sustainable living issues. The prototype design process results in a main solution or feature, including a pre-assessment using the Generalized Anxiety Disorder-7 (GAD-7) questionnaire, expert consultations, community support, peer counseling, and journal. The entire prototype design process involves 28 interview respondents and 347 questionnaire respondents, from the needs gathering phase to evaluation, which includes validated users through the GAD-7 test, psychologists, and user experience design experts. The final prototype design is evaluated by potential users through usability testing, user interviews, and the System Usability Scale, obtaining a usability score of 86 and an SUS score of 78.3. Additionally, user interviews provide feedback indicating that the application meets user needs but requires minor improvements. This research contributes practically through a clickable prototype that can be further developed by healthcare application developers. This research provides practical contributions to the Ikatan Psikolog Klinis (IPK) Indonesia) and mental health application developers. It also offers theoretical contributions in explaining the use of the systemic design framework development method."

"Masalah psikologis yang terbanyak dirasakan oleh perawat saat pandemi Covid-19 adalah ansietas. Ansietas yang dialami oleh perawat dampak dari pandemi Covid-19 yaitu ansietas ringan, ansietas sedang, dan ansietas berat. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian terapi tarik napas dalam, hipnosis lima jari dan Progressive Muscle Relaxation (PMR) terhadap penurunan kecemasan perawat pada masa pandemi Covid-19 di RSUD Leuwiliang Kabupaten Bogor. Desain penelitian ini menggunakan quasi eksperimental pre test-post test with control group. Sampel penelitian 64 responden perawat, 32 orang responden sebagai kelompok intervensi yang mendapatkan terapi tarik napas dalam, hipnosis lima jari, dan Progressive Muscle Relaxation (PMR) dan 32 orang responden kelompok kontrol yang mendapatkan terapi tarik napas dalam dan hipnosis lima jari. Kriteria inklusi yaitu perawat pelaksana, bersedia menjadi responden dan menandatangani surat persetujuan, tidak sedang cutiatau libur, skor ansietas ≥ 14. Alat ukur yang digunakan kuisioner HRS-A. Analisis data menggunakan uji T. Hasil penelitian ditemukan adanya penurunan kecemasan perawat yang mendapatkan terapi tarik napas dalam, hipnosis lima jari, dan Progressive Muscle Relaxation (PMR) lebih besar dibandingkan dengan kelompok yang mendapatkan terapi tarik napas dalam dan hipnosis lima jari (p value < 0,05). Terapi tarik napas dalam, hipnosis lima jari, dan Progressive Muscle Relaxation (PMR) direkomendasikan untuk terapi keperawatan dalam mengatasi ansietas baik pada pasien atau perawat, dan dapat dijadikan sebagai evidence based dalam membandingkan keefektifan sebagai terapi yang dapat diberikan pada klien ansietas

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The most psychological problem felt by nurses during the Covid-19 pandemic was anxiety. The anxiety experienced by nurses as a result of the Covid-19 pandemic is mild anxiety, moderate anxiety, and severe anxiety. This study aims to determine the effect of giving deep breathing therapy, five finger hypnosis and Progressive Muscle Relaxation (PMR) on reducing nurse anxiety during the Covid-19 pandemic at Leuwiliang Hospital, Bogor Regency. The design of this study used a quasi-experimental pre-test-post-test with control group. The research sample was 64 nurse respondents, 32 respondents as an intervention group who received deep breathing therapy, five finger hypnosis, and Progressive Muscle Relaxation (PMR) and 32 control group respondents who received deep breathing therapy and five finger hypnosis. The inclusion criteria were implementing nurses, willing to be respondents and signing a letter of agreement, not on leave or vacation, anxiety score 14. The measuring instrument used was the HRS-A questionnaire. Data analysis using T test. The results of the study found that the decrease in anxiety of nurses who received deep breathing therapy, five-finger hypnosis, and Progressive Muscle Relaxation (PMR) was greater than the group who received deep-breathing therapy and five-finger hypnosis (p value <0.05). Deep breathing therapy, five finger hypnosis, and Progressive Muscle Relaxation (PMR) are recommended for nursing therapy in overcoming anxiety in both patients and nurses, and can be used as evidence based in comparing the effectiveness of therapy that can be given to anxiety clients. The results of the study found that the decrease in anxiety of nurses who received deep breathing therapy, five-finger hypnosis, and Progressive Muscle Relaxation (PMR) was greater than the group who received deep-breathing therapy and five-finger hypnosis (p value <0.05). Deep breathing therapy, five finger hypnosis, and Progressive Muscle Relaxation (PMR) are recommended for nursing therapy in overcoming anxiety."

"Pendahuluan: Pandemi COVID-19 memberikan dampak terhadap kesehatan mental pada tenaga kesehatan. Gangguan kecemasan merupakan fokus penting pada studi ini. Penelitian sebelumnya menunjukkan bahwa vaksinasi berhubungan dengan penurunan gangguan kecemasan. Penelitian ini bertujuan untuk mengetahui prevalensi kecemasan dan perubahan kecemasan pasca vaksinasi Covid-19 pada Pekerja RS X Balikpapan. Metode: Penelitian ini follow-up study menggunakan metode cross-sectional pada pekerja RS X Balikpapan, pengambilan data dilakukan pada bulan Juni-Desember 2021 dengan hasil GAD-7 sebagai data primer serta data sekunder dari rumah sakit dan penelitian sebelumnya. Kami menilai perubahan kecemasan dan faktor risiko setelah vaksinasi menggunakan uji Chi-square dan Fisher's Exact. Hasil: Dari kuesioner GAD-7 170 pekerja, kami menemukan tidak memiliki gangguan kecemasan: 89,4%, gangguan kecemasan sedang: 1,8%, dan gangguan kecemasan ringan: 8,8%. Dari 26 orang dengan perubahan nilai GAD-7, pekerja dengan penurunan tingkat kecemasan 16 orang (61,5%) dan tingkat kecemasan meningkat 10 orang (38,5%). Sedangkan yang tidak mengalami perubahan tingkat kecemasan 144 orang (84,7%). Shiftwork memiliki signifikansi secara statistik menurunkan tingkat kecemasan dibandingkan non-shift dengan p-value (0,002). Kesimpulan: Wanita, usia kurang dari 36 tahun, lajang, tingkat pendidikan rendah, petugas kesehatan, dikarantina, bekerja kurang dari 12 tahun, bekerja dalam shift, bekerja di zona kuning-merah dan penyintas covid memberikan penurunan gangguan kecemasan yang lebih besar. Sementara kerja shift menjadi faktor risiko yang dikaitkan dengan penurunan gangguan kecemasan.

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Background: The COVID-19 pandemic has affected the mental health of healthcare workers. Anxiety disorders are a significant concern in this field of study. Previous studies have shown that vaccination is associated with a reduction in anxiety disorders. This study aims to investigate the prevalence of anxiety disorders and the associated changes among healthcare workers in Hospital X Balikpapan following COVID-19 vaccination. Methods: This research used a cross-sectional method conducted on Balikpapan Hospital X workers. Data collection from June-December 2021, using GAD-7 questionnaire scores as primary data and hospital data, and previous research as secondary data. We assessed the changes in anxiety and its related factors after vaccination using Chi-square and Fisher’s Exact test. Results: From 170 workers’ GAD-7 questionnaire, we found those who do not have anxiety disorders: 89.4%, moderate anxiety disorders: 1.8%, and mild anxiety disorders 8.8%, in X Hospital workers. Of 26 people who were experiencing changes in GAD-7, decreasing anxiety levels were 16 people (61.5%) and increasing anxiety levels in 10 people (38.5%). Of those who did not experience changes in anxiety were 144 people (84.7%). Shiftwork statistical significance in reducing anxiety compared to non-shift with a p-value (0.002). Conclusion: Women, aged less than 36 years, single, lower educational level, health workers, being quarantined, working less than 12 years, working in shifts, working in the yellow-red zone and covid survivors gave a greater decrease in anxiety disorders, while shiftwork being risk factor that was associated with decreased anxiety disorders."

"Latar Belakang : Prevalensi ansietas dan depresi serta faktor risiko pada penyintas COVID-19 di seluruh dunia dan Indonesia masih tinggi dan berbeda beda dari setiap negara. Di Indonesia faktor risiko ansietas dan depresi belum pernah diteliti. Penelitian ini dilakukan untuk menentukan prevalensi dan faktor risiko gejala ansietas dan depresi pasca rawat inap COVID-19 di rumah sakit Cipto Mangunkusumo.Metode : Desain penelitian ini adalah Kohort retrospektif. Subjek penelitian diambil dari pasien pasca perawatan inap COVID-19 pada periode Januari 2022 sampai Maret 2023. Gejala ansietas dan depresi dinilai menggunakan Hospital Anxiety Depression Scale. Analisa bivariat digunakan menentukan faktor risiko dari variabel kategorik dan dilanjutkan ke analisa multivariat regresi logistik sampai didapatkan nilai P: 0,05.Hasil : Terdapat 209 subjek yang dilibatkan dalam penelitian ini dengan prevalensi gejala ansietas 20,57% dan gejala depresi 13,40%. Faktor risiko gejala ansietas adalah wanita RR (IK95%) 1,805 (1,017 – 3,204), p=0,043, Dukungan sosial sedang dan rendah dengan RR (IK95%) 1,935 (1,028 – 3,643), p=0,041 untuk dukungan sosial sedang dan RR (IK95%) 3,325 (1,314 – 8,411), p=0,011 untuk dukungan sosial rendah, Komorbid dengan RR (IK95%) 1,742 (1,019 – 2,977), p=0,042, Anosmia atau hipogeusia dengan RR (IK95%) 1,894 (1,045 – 3,433), p=0,035, gejala menetap pasca COVID-19 dengan nilai RR (IK95%) 2,885 (1,553 – 5,359), p=0,001. Faktor risiko gejala depresi adalah gejala menetap pasca COVID-19 RR (IK95%) 2,738 (1,300 – 5,770), p=0,008, kedia adalah aktifitas fisik ringan RR (IK95%) 6,556 (1,577 - 27,244), p=0,010.Kesimpulan : Faktor risiko gejala ansietas pasca perawatan COVID-19 yang bermakna adalah wanita, dukungan sosial, komorbid, anosmia atau hipogeusia, gejala menetap sedangkan faktor risiko gejala depresi adalah gejala menetap pasca COVID-19 dan aktifitas fisik ringan.

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Background: The prevalence of anxiety and depression, as well as risk factors for COVID-19 survivors worldwide and in Indonesia, is still high and varies from country to country. In Indonesia, the risk factors for anxiety and depression have not been studied. This study was conducted to determine the prevalence and risk factors for symptoms of anxiety and depression after hospitalization for COVID-19 at Cipto Mangunkusumo hospital.

Methods: The study design was a retrospective cohort. The study subjects were taken from post-hospitalized COVID-19 patients from January 2022 to March 2023. Symptoms of anxiety and depression were assessed using the Hospital Anxiety Depression Scale. Bivariate analysis was used to determine risk factors from categorical variables and proceeded to multivariate logistic regression analysis until a P value of 0.05 was obtained.

Results: There were 209 subjects involved in this study, with a prevalence of 20.57% anxiety symptoms and 13.40% depressive symptoms. Risk factors for anxiety symptoms are women RR (95% CI) 1.805 (1.017 – 3.204), P=0.043, Medium and low social support with RR (95% CI) 1.935 (1.028 – 3.643), P=0.041 for moderate social support, RR (95% CI 3.325 (1.314 – 8.411), P=0.011 for low social support, Comorbid with RR (95% CI) 1.742 (1.019 – 2.977), P=0.042, Anosmia or hypogeusia with RR (95% CI) 1.894 (1.045 – 3.433 ), P=0.035, persistent symptoms after COVID-19 with a RR (95% CI) 2.885 (1.553 – 5.359), P=0.001. Risk factors for depressive symptoms are persistent symptoms after COVID-19, RR (95% CI) 2.738 (1.300 – 5.770), P=0.008, lastly light physical activity RR (95% CI) 6.556 (1.577 - 27.244), P=0.010.

Conclusion: Significant risk factors for anxiety symptoms post hospitalization for COVID-19 are women, social support, comorbidities, anosmia or hypogeusia, and persistent symptoms, while risk factors for depressive symptoms are persistent symptoms after COVID-19 and light physical activity"

"Ventilasi mekanik merupakan alat yang digunakan untuk membantu fungsi pernapasan pada pasien dengan hipoksemia, hiperkapnia berat dan gagal napas untuk oksigenasi dan mengurangi beban kerja pernafasan. Penggunaan ventilasi mekanik yang lama akan menyebabkan komplikasi cedera paru, pneumonia terkait ventilator, dan kelemahan otot pernafasan. Penyapihan ventilasi mekanik harus segera dilakukan agar pasien tidak tergantung dengan ventilator dan mencegah terjadinya berbagai komplikasi. Tujuan penelitian ini adalah menganalisis faktor – faktor yang mempengaruhi proses penyapihan ventilasi mekanik. Metode penelitian menggunakan desain deskripsi korelasi / cross sectionaldengan 80 responden pasien yang terpasang ventilasi mekanik pada 4 Rumah Sakit di Jakarta. Analisis data menggunakan uji statistik rank spearman, C square dan regresi logistik ordinal. Hasil penelitian diketahui bahwa tidak ada hubungan antara usia, jenis kelamin, tingkat pendidikan, status nutrisi, Rapid Shallow Breathing Indeks (RSBI) terhadap penyapihan ventilasi mekanik. Terdapat hubungan yang signifikan antara komorbid (p 0.001 < α, r 0.378), lama rawat (p 0.001 < α, r 0.671) dan kecemasan (p 0.001< α, r 0.751) terhadap penyapihan tenaga mekanik. Hasil uji multivariat menunjukkan tidak ada yang lebih berpengaruh terhadap penyapihanventilasi mekanik (komorbdi p value 0,812 > α 0,05 lama rawat p value 0,709 > α 0,05 dan kecemasan p value 0,828 > α 0,05. Kesimpulan: komorbid, lama rawat dan kecemasan memiliki hubungan yang kuat dan dominan pengaruh yang tidak Jauh berbeda dengan penyapihan Perawat memiliki peran penting dalam keberhasilan penyapihan ventilasi mekanik dengan membedakan komorbid, lama perawatan dan tingkat kecemasan pasien Rekomendasi untuk penelitian selanjutnya menggunakan satu tempat penelitian dengan populasi dan prosedur standar penyapihan yang sama

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Mechanical ventilation is a device used to assist respiratory function in patients with hypoxemia, severe hypercapnia and respiratory failure to oxygenate and reduce the workload of breathing. Prolonged use of mechanical ventilation can lead to complications of lung injury, ventilator-associated pneumonia, and respiratory muscle weakness. Mechanical ventilation weaning must be done immediately so that the patient is not dependent on the ventilator and prevents various complications. The purpose of this study was to analyze the factors that influence the mechanical ventilation weaning process. The research method uses a cross-sectional/correlation description design with 80 patient respondents who are mechanically ventilated at 4 hospitals in Jakarta. Data analysis used Spearman's rank statistical test, C square and ordinal logistic regression. The results showed that there was no relationship between age, gender, educational level, nutritional status, Rapid Shallow Breathing Index (RSBI) and mechanical ventilation weaning. There was a significant relationship between comorbid (p 0.001 < α, r 0.378), length of stay (p 0.001 < α, r 0.671) and anxiety (p 0.001 < α, r 0.751) on mechanical ventilation weaning. Multivariate test results showed that none had a more dominant effect on mechanical ventilation weaning (comorbidity p value 0.812 > α 0.05 length of stay p value 0.709 > α 0.05 and anxiety p value 0.828 > α 0.05. Conclusion: comorbid, duration hospitalization and anxiety have a strong and dominant relationship that is not much different on weaning.Nurses have an important role in the success of mechanical ventilation weaning by paying attention to comorbidities, length of stay and patient's level of anxiety.Recommendations for further research using one research location with a population and standard procedures the same weaning."

"Introduksi: Gangguan cemas merupakan salah satu gangguan yang sering terjadi pada anak dan remaja. Gangguan cemas dapat berdampak terhadap fungsi sosial maupun fungsi akademik seperti penghindaran sekolah, penurunan performa akademis hingga kejadian terhentinya sekolah. Oleh karena itu, sesuai rekomendasi American Academy of Child and Adolescent Psychiatry, deteksi dini gangguan cemas pada anak dan remaja penting untuk dilakukan, agar tidak menimbulkan dampak negatif yang lebih berat di kemudian hari. Salah satu kuesioner self-report untuk deteksi dini gangguan cemas pada anak dan remaja adalah Screen for Child Anxiety and Related Emotional Disorders (SCARED) Child Version. Kuesioner ini terdiri dari 41 item dengan waktu pengisian 8 – 10 menit, namun saat ini belum tersedia dalam Bahasa Indonesia. Objektif: Memperoleh SCARED Child Version versi Indonesia yang sahih secara isi dan andal. Metode: Penelitian dilakukan dengan desain potong lintang dengan tujuan uji validitas isi dan uji reliabilitas. Uji validitas isi dilakukan dengan melibatkan sembilan orang ahli. Uji reliabilitas yang dilakukan adalah uji konsistensi internal pada 123 subjek yang terpilih secara random sampling di dua sekolah menengah pertama (SMP) dan dua sekolah menengah atas (SMA). Hasil: Uji validitas isi kuesioner SCARED Child Version versi Indonesia mendapatkan rerata nilai CVR/Ave sebesar 0,88 dan S-CVI/Ave sebesar 0,94. Uji reliabilitas konsistensi internal kuesioner SCARED Child Version versi Indonesia mendapatkan nilai total Cronbach’s Alpha total sebesar 0,927 dan nilai ICC sebesar 0,928. Simpulan: SCARED Child Version versi Indonesia dapat menjadi alat ukur yang memiliki kesahihan isi (validitas isi) dan keandalan (reliabilitas) yang baik untuk mendeteksi dini gangguan cemas pada remaja.

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Introduction: Anxiety disorders are one of the most common disorders in children and adolescents. Anxiety disorders can have an impact on social function and academic function, such as school avoidance, decreasing academic performance and drop out of school. Therefore, according to the recommendations of the American Academy of Child and Adolescent Psychiatry, early detection of anxiety disorders in children and adolescents is important, to prevent more severe negative impacts. One of the self-report questionnaires for early detection of anxiety disorders in children and adolescents is the Screen for Child Anxiety and Related Emotional Disorders (SCARED) Child Version. This questionnaire consists of 41 items and can be completed in 8 – 10 minutes, but currently it is not yet available in Indonesian. Objective: To obtain a valid and reliable Indonesian version of SCARED Child Version. Methods: This is a cross-sectional study design, with the aim of testing content validity and reliability. Content validity test was performed by involving nine experts. Reliability test was assessed by measurement of internal consistency, carried out on 123 subjects selected by random sampling from two middle schools and two high schools. Results: The content validity test of the Indonesian version of the SCARED Child Version resulted in CVR/Ave value of 0.88 and S-CVI/Ave of 0.94. The internal consistency reliability test of the Indonesian version of the SCARED Child Version resulted in a total Cronbach's Alpha value of 0.927 and an ICC value of 0.928. Conclusion: The Indonesian version of the SCARED Child Version showed a good content validity and good reliability as a measuring tool for early detection of anxiety disorders in adolescents."

"ABSTRAKStroke adalah salah satu penyakit tidak menular penyebab masalah kesehatan pada masyarakat perkotaan. Klien stroke sebagian besar mengalami ansietas. Karya ilmiah ini bertujuan untuk menganalisis keefektifan intervensi mandiri keperawatan terhadap ansietas pada klien stroke lansia di rumah sakit. Metode penanganan yang digunakan adalah studi kasus. Instrumen yang digunakan untuk mengkaji ansietas adalah Hamilton Anxiety Rating Scale. Hasil analisis menunjukkan bahwa asuhan keperawatan mandiri perawat dengan tehnik relaksasi dan guide imagery pada klien stroke efektif dalam membantu mengurangi kecemasan. Rekomendasi bagi petugas kesehatan, khususnya perawat diruang rawat untuk mengkaji lebih dini masalah psikososial khususnya ansietas dan memberikan latihan tehnik napas dalam, distraksi, spiritual, dan hipnosis lima jari untuk meningkatan kemampuan klien dalam mengatasi ansietas.

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ABSTRACT

Stroke is one of the non communicable diseases that cause health problems in urban communities. The stroke clients are mostly anxious. This scientific work to analyze the effectiveness of nursing intervention against anxiety in elderly stroke clients in hospitals. The methode used is case study. The instrument used to examine anxiety is the Hamilton Anxiety Rating Scale. The results showed nursing independent intervention as relaxation techniques and guide imagery on stroke clients are effective to reduce anxiety. Results of this study recommended that health workers, especially nurses, have to make an early detection of psychosocial problems especially anxiety and provide deeph breathing techniques, distraction, spiritual, and five finger hypnosis to increase client rsquo s ability to reduce anxiety. "