Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
[ABSTRAK
Latar Belakang. Pendekatan holistik di bidang Psikosomatik menekankan faktor spiritualitas dan dukungan pada sisi spiritualitas dapat meningkatkan pelayanan serta memperbaiki kondisi psikologis pada pasien. Selama prosedur hemodialisis respon inflamasi akan meningkat dibuktikan dengan peningkatan konsentrasi interleukin-6 (IL- 6). Aspek spiritual yang dapat menurunkan respon inflamasi masih perlu diteliti. Tujuan. Untuk mengetahui gambaran aspek spiritual pasien yang menjalani hemodialisis kronik dan untuk mengetahui korelasi aspek spiritual dengan kadar IL-6 serum pada pasien yang menjalani hemodialisis kronik. Metode. Penelitian ini merupakan studi cross sectional dilakukan pada 51 pasien hemodialisis kronik di unit Hemodialisis RSUP. H. Adam Malik dan RSU. Dr. Pirngadi Medan mulai bulan Juli-Agustus 2014. Pemeriksaan kadar IL-6 serum diukur dengan metode quantitative enzyme-linked immunosorbent assay (ELISA) dilakukan pengambilan sampel darah dan pengukuran spiritual dilakukan dengan pengisian kuesioner FACIT Sp-12 pada pagi hari 30 menit sebelum hemodialisis berlangsung. Hasil. Skor subskala meaning (makna) 10.67 (SB 2.66), peace (damai) 9.63 (SB 2.19) dan faith (iman) 11.47 (SB 2.91). Nilai median kadar IL-6 serum pada penelitian ini adalah adalah 5,63 (1,48-28,88) pg/mL. Nilai median FACIT Sp-12 adalah 30,00 (18-48). Hasil uji korelasi antara tingkat spiritual dengan kadar IL-6 serum menunjukkan koefisien korelasi -0,330 dengan nilai p = 0,018 yang secara statistik menunjukkan korelasi negatif yang lemah. Simpulan. Spiritual pada pasien hemodialisis kronik tinggi. Terdapat korelasi negatif yang lemah antara aspek spiritual dengan kadar IL-6 pada pasien hemodialisis kronik.

---

ABSTRACT
Background: Holistic approach in psychosomatic focus on spirituality factor and spiritual support is expected to improve services and psychological condition of the patients. Inflammatory response during haemodialysis procedure hence increased with the evidence of increasing level of serum interleukin-6 (IL-6). Further research is still needed to see the spiritual factors that can decrease the inflammatory factors. Objective: To assess spiritual aspect of chronic haemodialysis patients and to assess correlation between serum IL-6 level and spiritual aspect in chronic haemodialysis patients. Methods: Cross sectional study on 51 chronic haemodialysis patients at RSUP. H. Adam Malik and RSU dr. Pirngadi Medan between July-August 2014. Serum IL-6 was measured using quantitative enzyme-linked immunosorbent assay (ELISA) methods. Blood samples and spiritual aspect assessment by handing out FACIT Sp-12 questionnaire to patients were taken in the morning, 30 minutes before haemodialysis. Results: . Subscale meaning 10.67 (SB 2.66), peace 9.63 (SB 2.19) and faith 11.47 (SB 2.91). Median serum IL-6 level is 5,63 ( 1,48-28,88 ) pg/mL. Median FACIT Sp-12 is 30,00 (18-48). Correlation test between serum IL-6 level and spiritual aspect have shown statistically weak negative correlation (correlation coefficient -0,330, p = 0.018). Conclusion: spirituality level in chronic hemodialysis patients are higher. Weak negative correlation between serum IL-6 level and spiritual level on chronic haemodialysis patients was found in this study.;Background: Holistic approach in psychosomatic focus on spirituality factor and spiritual support is expected to improve services and psychological condition of the patients. Inflammatory response during haemodialysis procedure hence increased with the evidence of increasing level of serum interleukin-6 (IL-6). Further research is still needed to see the spiritual factors that can decrease the inflammatory factors. Objective: To assess spiritual aspect of chronic haemodialysis patients and to assess correlation between serum IL-6 level and spiritual aspect in chronic haemodialysis patients. Methods: Cross sectional study on 51 chronic haemodialysis patients at RSUP. H. Adam Malik and RSU dr. Pirngadi Medan between July-August 2014. Serum IL-6 was measured using quantitative enzyme-linked immunosorbent assay (ELISA) methods. Blood samples and spiritual aspect assessment by handing out FACIT Sp-12 questionnaire to patients were taken in the morning, 30 minutes before haemodialysis. Results: . Subscale meaning 10.67 (SB 2.66), peace 9.63 (SB 2.19) and faith 11.47 (SB 2.91). Median serum IL-6 level is 5,63 ( 1,48-28,88 ) pg/mL. Median FACIT Sp-12 is 30,00 (18-48). Correlation test between serum IL-6 level and spiritual aspect have shown statistically weak negative correlation (correlation coefficient -0,330, p = 0.018). Conclusion: spirituality level in chronic hemodialysis patients are higher. Weak negative correlation between serum IL-6 level and spiritual level on chronic haemodialysis patients was found in this study., Background: Holistic approach in psychosomatic focus on spirituality factor and spiritual support is expected to improve services and psychological condition of the patients. Inflammatory response during haemodialysis procedure hence increased with the evidence of increasing level of serum interleukin-6 (IL-6). Further research is still needed to see the spiritual factors that can decrease the inflammatory factors. Objective: To assess spiritual aspect of chronic haemodialysis patients and to assess correlation between serum IL-6 level and spiritual aspect in chronic haemodialysis patients. Methods: Cross sectional study on 51 chronic haemodialysis patients at RSUP. H. Adam Malik and RSU dr. Pirngadi Medan between July-August 2014. Serum IL-6 was measured using quantitative enzyme-linked immunosorbent assay (ELISA) methods. Blood samples and spiritual aspect assessment by handing out FACIT Sp-12 questionnaire to patients were taken in the morning, 30 minutes before haemodialysis. Results: . Subscale meaning 10.67 (SB 2.66), peace 9.63 (SB 2.19) and faith 11.47 (SB 2.91). Median serum IL-6 level is 5,63 ( 1,48-28,88 ) pg/mL. Median FACIT Sp-12 is 30,00 (18-48). Correlation test between serum IL-6 level and spiritual aspect have shown statistically weak negative correlation (correlation coefficient -0,330, p = 0.018). Conclusion: spirituality level in chronic hemodialysis patients are higher. Weak negative correlation between serum IL-6 level and spiritual level on chronic haemodialysis patients was found in this study.]

Abstrak :
Pemasangan infus dapat menimbulkan nyeri pada anak. Guided imagery merupakan strategi nonfarmakologi yang dapat menurunkan nyeri. Penelitian ini bertujuan mengidentifikasi pengaruh guided imagery terhadap tingkat nyeri anak saat pemasangan infus. Jenis penelitian kuasi eksperimen dengan sampel 28 intervensi dan 28 kontrol di RSUD Kota Semarang. Hasil penelitian menunjukkan ada perbedaan rata-rata tingkat nyeri anak pada kelompok intervensi dan kontrol. Rata-rata nyeri pada intervensi 1,68 sedangkan kontrol sebesar 4,18. Guided Imagery dapat digunakan untuk mengurangi tingkat nyeri anak usia sekolah saat pemasangan infus.

---

Intravenous therapy may cause pain in children. Guided imagery is one of nonfarmachology stategy that can reduce pain. This study aim is to identify the effect of guided imagery to the pain level in children during intravenous therapy. The research design is quasi-experimental with 28 children in intervention and 28 children in control as a sample in RSUD Kota Semarang. The results showed there is a differences mean of pain level between control and intervention group. The average of pain level in intervention group 1.68 while the pain level in control group 4.18. Guided imagery can be used to reduce the pain level in school age children during intravenous therapy.

Abstrak :
ABSTRAK
Dokter di Pusat Kesehatan Masyarakat (Puskesmas) kadang tidak mengenali adanya depresi pada seseorang. Pemberian pelatihan psikiatri untuk dokter di Puskesmas diperkirakan dapat meningkatkan pengetahuan dan keterampilan diagnosis terhadap masalah psikiatri. Divisi Psikiatri Komunitas Departemen Psikiatri Fakultas Kedokteran Universitas Indonesia telah menyusun suatu modul pelatihan yaitu ADAPT (Advance in Depression and Psychosomatic Treatment). Modul bertujuan untuk meningkatkan keterampilan dokter di Puskesmas dalam melakukan deteksi kasus gangguan jiwa yang sering di masyarakat. Modul merujuk pada PPDGJ III.

Tujuan: Mengetahui efektivitas pemberian pelatihan modul ADAPT dalam meningkatkan pengetahuan dan keterampilan mendiagnosis gangguan depresi pada dokter di Puskesmas.

Metode: Desain penelitian yang digunakan adalah one group pre dan post test. Subjek penelitian adalah lima belas dokter umum yang bertugas di Puskesmas Wilayah Kecamatan Tebet Jakarta Selatan. Penelitian dilakukan dalam kurun waktu Juli 2012 ? Oktober 2012. Sampel diambil secara convenient. Seluruh subjek penelitian mengikuti pelatihan modul ADAPT selama satu hari. Pengetahuan dinilai sebelum pelatihan, segera, satu bulan dan tiga bulan setelah pelatihan dengan kuesioner pengetahuan yang diisi sendiri oleh subjek. Keterampilan diagnosis dinilai sebelum pelatihan, satu hari, satu bulan dan tiga bulan setelah pelatihan dengan cara peneliti dan subjek memeriksa pasien yang sama di ruang yang berbeda. Data diolah secara deskriptif.

Hasil: Segera setelah pelatihan, 100% subjek mengalami peningkatan pengetahuan. Penilaian satu dan tiga bulan setelah pelatihan hanya 66,7% subjek yang tetap mengalami peningkatan pengetahuan. Satu hari setelah pelatihan sebanyak 93,3% subjek mengalami peningkatan keterampilan diagnosis. Satu bulan setelah pelatihan 73,3% subjek mengalami peningkatan keterampilan diagnosis. Tiga bulan setelah pelatihan hanya 60% subjek yang tetap mengalami peningkatan keterampilan diagnosis.

Kesimpulan: Pemberian pelatihan modul ADAPT efektif dalam meningkatkan pengetahuan dokter Puskesmas mengenai gangguan depresi segera setelah pelatihan. Satu bulan dan tiga bulan setelah pelatihan <70% subjek yang masih mengalami peningkatan pengetahuan. Pemberian pelatihan modul ADAPT efektif dalam meningkatkan keterampilan dokter Puskesmas dalam mendiagnosis gangguan depresi satu hari dan satu bulan setelah pelatihan. Tiga bulan setelah pelatihan <70% subjek yang masih mampu mendiagnosis gangguan depresi.

---

ABSTRACT
Introduction: Physicians in Public Health Center (PHC) sometime do not recognize the existence of depression in a person. Provision of psychiatric training for physicians in PHC is expected to enhance the knowledge and skills of physicians to the problem of psychiatric diagnosis.. Division of Community Psychiatry Departement of Psychiatry School of Medicine University of Indonesia has developed a training module that is ADAPT (Advance in Depression and Psychosomatic Treatment). This module aims to enhance the skills of doctors in the health center in case of detection of mental disorders in the community frequently. The module refers to PPDGJ-III.

Objective: To assess the effectiveness of training module ADAPT toward physicians to enhance their knowledge and skills to diagnose depressive disorders.

Methods: The study design used was one group pre and post test. Subjects were fifteen general practitioner who served in Tebet Sub Regional Health Center in South Jakarta. The study was conducted in the period July 2012 - October 2012. Samples were taken at convenient. All recipients ADAPT training modules for one day. Knowledge assessed before training, immediately, one month and three months after training with the knowledge questionnaires filled by the subject. Skills diagnosis assessed before training, one day, one month and three months after the training of researchers and subjects by examining the same patient in a different room. Data processed descriptively.

Results: Immediately after training, 100% of subjects experienced an increase in knowledge. But one and three months after training only 66.7% of the subjects continued to experience an increase in knowledge. One day after training, 93.3% of subjects experienced an increase in diagnosis skills. One month after training 73.3% of subjects experienced an increase in diagnosis skills. But three months after training only 60% of subjects were still at increased diagnosis skills.

Conclusion: Providing ADAPT training modules effective to improve knowledge of physician about depressive disorders immediately after training. However, one month and three months after training <70% of subjects were still experiencing an increase in knowledge. Providing ADAPT training modules effective in improving the ability physician skills clinic to diagnose depressive disorder one day and one month after the training. But three months after the training <70% of subjects who are capable of diagnosing depressive disorders.

Abstrak :
Penelitian ini adalah penelitian deskriptif potong lintang pada pasien remaja di RSCM Jakarta pada bulan Juni 2018. Tujuannya adalah untuk mengetahui gambaran masalah psikososial dan hubungannya dengan kepatuhan berobat remaja dengan infeksi HIV perinatal yang diukur dengan kuesioner. Terdapat 46 remaja usia 11-17 tahun yang mengikuti penelitian. Kebanyakan subyek masih bersekolah. Lebih dari setengah 58,7 sudah mengetahui status infeksi HIV mereka, dan 47,8 dianggap mandiri minum obat oleh orangtua atau pengasuhnya. Kebanyakan subyek memiliki setidaknya satu masalah di rumah, sekolah, kebiasaan makan, penggunaan obat/zat adiktif, atau keamanan diri, sementara 8,7 memiliki masalah seksualitas. Gejala emosional didapatkan pada 8,7 subyek, masalah perilaku pada 6,5 , hiperaktivitas pada 6,5 , masalah teman sebaya 6,5 , dan masalah total kesulitan pada 8,7 . Delapan puluh sembilan persen subyek memiliki skor perilaku prososial normal. Kepatuhan berobat tinggi pada 39,1 , sedang pada 37 , dan rendah pada 23,9 . Tidak ada hubungan signifikan antara pengetahuan status infeksi atau masalah psikososial dan kepatuhan berobat.

---

This is a descriptive, cross sectional study in adolescent patients of RSCM Jakarta done in June 2018. The aim was to describe psychosocial problems and the associations with medication adherence in perinatally infected adolescents, measured by questionnaires. Forty six adolescents enrolled in this study. Most subjects still study at school. More than half 58.7 already know their HIV status, and 47.8 were considered independently adherent to their medication by parents or caregivers. Most subjects had at least one home, school, eating habit, drug substance use, or safety problems, and 8.7 had sexuality problems. Emotional symptoms were found in 8.7 subjects, conduct problems in 6.5 , hyperactivity in 6.5 , peer relationship problems in 6.5 , and total difficulties problems in 8.7 . Eighty nine percent subjects scored normal prosocial behavior. Medication adherence were high in 39.1 subjects, medium in 37 , and low in 23.9 . There were no significant associations between knowledge of infection status or psychosocial problems and medication adherence.

Abstrak :
Latar Belakang: COVID-19 dapat menimbulkan konsekuensi kesehatan jangka panjang yang serius, yang disebut Post-COVID-19 Syndrome (SPC). Saat ini, bukti dan pemahaman yang tersedia tentang manajemen SPC masih terbatas. Oleh karena salah satu gejala SPC dikaitkan dengan gejala psikis, maka psikoterapi dipercaya memiliki peran dalam penatalaksanaan SPC. Tujuan: Mengetahui efektivitas psikoterapi suportif pada pasien SPC di RSUPN dr. Cipto Mangunkusumo. Metode: Penelitian ini merupakan penelitian klinis acak tersamar tunggal menggunakan kontrol sebelum-setelah intervensi. Peserta secara acak dibagi menjadi dua kelompok: kelompok psikoterapi yang terdiri dari 40 peserta dan kelompok edukasi yang terdiri dari 37 peserta. Setiap kelompok diberikan psikoterapi atau edukasi berbasis internet tiga kali seminggu dalam bentuk kelompok yang terdiri dari 6-8 peserta. Kuesioner Symptom Checklist-90 digunakan untuk mengevaluasi gejala psikis dan somatik. Variabilitas Denyut Jantung (VDJ) dan Rasio Limfosit Neutrofil (RNL) juga dinilai. Analisis data dilakukan dengan menggunakan uji Mann-Whitney atau uji T tidak berpasangan. Hasil: Perbaikan skor SCL-90 ditemukan sebesar 17,51 (SD 30,52) pada kelompok psikoterapi dan 19,79 (SD 35,11) pada kelompok edukasi (p = 0,771). Baik psikoterapi maupun edukasi meningkatkan RNL sebanyak 0,03 (IQR -0,17 – 0,27) pada kelompok psikoterapi dan 0,085 (IQR -0,385 – 0,41) pada kelompok edukasi (p = 0,534). Baik psikoterapi maupun edukasi juga menurunkan VDJ sebesar 3,83 (RIK -7,245 – 5,605) pada kelompok psikoterapi dan 0,705 (RIK -6,49 – 4,462) pada kelompok edukasi (p = 0,827). Simpulan: Baik psikoterapi suportif kelompok dan edukasi berbasis internet memperbaiki secara bermakna gejala psikis dan somatik pasien SPC, meskipun tidak didapatkan perbedaan bermakna antara kelompok psikoterapi dan edukasi. Baik psikoterapi suportif kelompok dan edukasi berbasis internet tidak memperbaiki RNL dan VDJ. Saran dilakukan penelitian lebih lanjut dengan melakukan penambahan frekuensi sesi psikoterapi kelompok berbasis internet kepada pasien SPC dan dilaksanakan pada pagi hari untuk mencapai hasil yang lebih optimal. ...... Background: COVID-19 can have serious long term health consequences, which is called Post-COVID-19 Syndrome (PCS). Currently, the available evidence and understanding of PCS management is limited. Because one of the symptoms of PCS is associated to psychological symptoms, psychotherapy is believed to have a role in the management of PCS. Objective: To identify the effectiveness of supportive psychotherapy in PCS patients at Cipto Mangunkusumo National General Hospital. Methods: This study was a single blind randomized clinical trial using a pre-and post-test with control group study design. Participants were randomly divided into two groups: a psychotherapy group with 40 participants and an education group with 37 participants. Each group was given internet-based psychotherapy or education three times a week in a form of group consisting of 6-8 participants. Symptom Checklist-90 questionnaire was used to evaluate somatic and psychological symptoms. Heart rate variability and neutrophil lymphocyte ratio were also investigated. Data analysis was performed using either the Mann-Whitney test or the independent T test. Results: An improvement in the SCL-90 score was found to be 17.51 (SD 30.52) in the psychotherapy group and 19.79 (SD 35.11) in the education group (p = 0.771). Both psychotherapy and education increased NLR by 0.03 (IQR -0.17 – 0.27) in the psychotherapy group and 0.085 (IQR -0.385 – 0.41) in the education group (p = 0.534). Both psychotherapy and education also decreased HRV by 3.83 (RIK -7.245 – 5.605) in the psychotherapy group and 0.705 (RIK -6.49 – 4.462) in the education group (p = 0.827). Conclusion: Both internet-based group supportive psychotherapy and education improved psychological and somatic symptoms in PCS patients, although there was no significant difference between supportive psychotherapy and education groups. Both internet-based group supportive psychotherapy and education did not improve NLR and HRV. Suggestions for further research regarding adding frequency of internet-based group psychotherapy in PCS patients and held in the morning to achieve more optimal results.