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"ABSTRAKPenelitian ini bertujuan untuk mendapatkan gambaran gangguan mental serta faktor-faktor yang berpengaruh terhadap terjadinya gangguan mental pada pasien dengan stroke di Poliklinik Saraf RSCM pada tahun 2016. Penelitian ini adalah penelitian deskriptif analitik dengan menggunakan desain penelitian studi potong lintang. Dari hasil penelitian didapatkan bahwa, 46.8 subyek dengan stroke di poliklinik Saraf RSCM mengalami gangguan mental. Gangguan mental terbanyak adalah episode depresif sebesar 19 dan distimia sebesar 16.2 . Jenis mekanisme koping yang terbanyak digunakan subyek adalah emotion focused coping dengan subskala mekanisme koping terbanyak yaitu religion. Tidak ada hubungan yang bermakna antara jenis kelamin, riwayat gangguan mental di keluarga, lokasi lesi, waktu pasca stroke, jenis stroke dan mekanisme koping dengan terjadinya gangguan mental pada pasien stroke. Hubungan yang bermakna didapatkan dari disabilitas fisik, yaitu ketergantungan ringan dan ketergantungan sedang yang berhubungan dengan terjadinya gangguan mental pada pasien stroke.

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ABSTRACTThis study aimed to get an overview of mental disorders and the factors that influence the occurrence of mental disorders in patients with stroke in Neurology clinic RSCM in 2016. The study was a descriptive analytic research using cross sectional study design study. The result showed that, 46.8 of subjects with stroke in Neurology clinic RSCM had a mental disorder. Most mental disorders are major depressive episode was 19 and 16.2 dysthymia. Most types of coping mechanisms subject used is emotion focused coping with subscale most coping mechanism that is religion. There is no significant relationship between gender, history of mental illness in the family, lesion location, time of post stroke, stroke and coping mechanisms with the onset of mental disorders in stroke patients. A significant association was obtained from a physical disability, mild and moderate dependence was associated with the occurrence of mental disorders in stroke patients."

"This study provides empirical evidence with respect to identifying whether the coping mechanism adopted by households in Indonesia significantly influences food security during the COVID-19 pandemic. The data used was from the fourth round of high-frequency monitoring data of COVID-19 impact on households from the World Bank (www.microdata.worldbank.org), which was collected between November 3rd – 15th, 2020 through the phone-based survey. By employing the logit regression model and controlling for demography characteristics such as gender, age, and education level, this study confirms that reducing non-food consumption has been effectively lowering the probability of food insecurity in all forms of indicators, including “were hungry” (3.3 percentage points), “went without eating” (2.0 percentage points), “unable to eat nutritious food” (6.6 percentage points), “food shortage” (9.6 percentage points), and “eat less” (5.6 percentage points). Additionally, households who relied on saving had a lower probability of 13.7 percentage points of being unable to eat nutritious food, while households who received assistance from the government had a lower chance of 2.4 percentage points of experiencing hunger during the pandemic. This study emphasizes that temporary strategies or short-term coping mechanisms such as relying on support from relatives, taking loans, and engaging in additional income-generating activities, as well as reducing food consumption may not contribute effectively to food security, instead, these types of coping mechanisms may exacerbate food insecurity. The findings of this study offer several implications in regard to enhancing the capacity of households to cope with the difficulties during crises as well as policy implications to design effective interventions in dealing with future shocks."

"Pengalaman bersalin merupakan stressor yang perlu dihadapi oleh ibu bersalin menggunakan mekanisme koping. Tujuan penelitian ini mengidentifikasi mekanisme koping pada ibu bersalin di Tangerang Selatan. Penelitian ini merupakan penelitian kuantitatif deskriptif dengan responden 100 ibu pasca bersalin yang direkrut menggunakan teknik aksidental. Instrumen adalah Taylor Manifest Anxiety Scale dan Labor Coping Scale yang diadaptasi. Hasil penelitian menunjukkan 58% ibu mengalami kecemasan, dengan 80% ibu merasa mendapatkan perhatian, serta 81% ibu merasa tenang selama persalinan. Artinya, walaupun cemas ibu memiliki koping yang sangat baik saat bersalin. Peneliti merekomendasikan tenaga kesehatan terus memberikan intervensi terkait koping pada ibu bersalin terutama ibu primipara.

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The experience of giving birth is a stressor that needs to be faced by giving birth mothers using coping mechanisms. The purpose of this study was to identify coping mechanisms for mothers giving birth in South Tangerang. This research is a descriptive quantitative research with 100 postpartum mothers who were recruited using accidental techniques as respondents. The instruments are the Taylor Manifest Anxiety Scale and an adapted Labor Coping Scale. The results showed that 58% of mothers experienced anxiety, with 80% of mothers feeling that they were getting attention, and 81% of mothers feeling calm during labor. That is, even though the mother is anxious, she has very good coping during childbirth. Researchers recommend that health workers continue to provide coping-related interventions for mothers in labor, especially primiparous mothers."

"Penyakit Ginjal Kronis (PGK) pada anak memberikan dampak psikologis pada anak dan orang tua, khususnya terhadap kualitas hidup anak. Penelitian ini bertujuan untuk mengetahui hubungan antara mekanisme koping orang tua dengan kualitas hidup anak usia sekolah dan remaja yang mengidap penyakit ginjal kronis. Dalam penelitian ini digunakan metode survei analitik cross sectional dengan melibatkan 80 anak dengan penyakit ginjal kronis beserta orang tua yang merawat. Teknik pengambilan sampel yang digunakan adalah non probabilitas dengan purposive sampling. Penelitian ini menggunakan kuesioner The Coping Health Inventory for Parents untuk mengetahui gambaran mekanisme koping orang tua dan Pediatric Quality of Life Inventory 4.0 Generic Core Scales untuk mengidentifikasi kualitas hidup anak dengan PGK. Hasil uji spearman correlation menunjukkan nilai r yaitu 0,533 dan nilai p= <0,001. Hasil ini menunjukkan hubungan yang kuat dan berpola positif artinya semakin baik kemampuan mekanisme koping orang tua semakin baik kualitas hidup anak. Hasil uji statistik didapatkan pada alpha 5% terlihat ada perbedaan yang signifikan rata-rata skor mekanisme koping orang tua antara anak yang memiliki kualitas hidup yang baik dengan yang buruk. Hal ini memunculkan kebutuhan akan pentingnya stabilitas dan kemampuan koping yang baik pada orang tua yang merawat anak dengan PGK.

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Chronic Kidney Disease (CKD) in children has a psychological impact on children and parents, especially on the quality of life of children. This study aimed to determine the relationship between parents' coping mechanisms and the quality of life of school-age children and adolescents with chronic kidney disease. In this study a cross-sectional analytic survey method was used involving 80 children with chronic kidney disease and their caring parents. The sampling technique used is non probability with purposive sampling. This study used the Coping Health Inventory for Parents questionnaire to describe parents' coping mechanisms and the Pediatric Quality of Life Inventory 4.0 Generic Core Scales to identify the quality of life of children with CKD. The results of the Spearman correlation test showed that the value of r was 0.533 and the value of p = <0.001. These results show a strong and positive relationship, meaning that the better the ability of parents' coping mechanisms, the better the quality of life of children. Statistical test results obtained at alpha 5% showed that there was a significant difference in the average score of parents' coping mechanisms between children who had a good and bad quality of life. This raises the need for the importance of stability and good coping skills in parents who care for children with CKD."

"Secara global, populasi lansia terus bertambah seiring dengan kemajuan sektor kesehatan, yang ditandai dengan peningkatan harapan hidup dan angka kematian yang lebih rendah. Peningkatan jumlah lansia di Indonesia berlangsung dalam kurun waktu sekitar 50 tahun pada 1971-2021. Pada tahun 2021, proporsi lansia mencapai 10,82 persen, artinya Indonesia dapat dikatakan negara dengan struktur penduduk tua (ageing population). Diproyeksikan pada tahun 2045, persentase lansia Indonesia diperkirakan akan mencapai hampir seperlima dari seluruh penduduk Indonesia atau sekitar 19,9 persen. Sehingga diperlukan perhatian terhadap upaya peningkatan kualitas hidup lansia. Jumlah usia lanjut di Kecamatan Gandus sebanyak 4.979 jiwa dengan cakupan pelayanan usia lanjut sebesar 40,3% pada tahun 2021. Penurunan kondisi fisik dan mental penduduk lansia seiring dengan bertambahnya umur, mengakibatkan para lansia sangat rawan terhadap gangguan berbagai penyakit. Penelitian ini bertujuan untuk mengetahui hubungan mekanisme coping dengan kualitas hidup lansia setelah dikontrol variabel konfounding usia, jenis kelamin, pendidikan, pekerjaan, status tinggal bersama, dan status pernikahan. Penelitian ini dilakukan di wilayah Kecamatan Gandus Kota Palembang April-Juni 2022. Penelitian menggunakan desain studi cross sectional, pengambilan sampel yaitu simple random sampling, pengambilan data dilakukan melalui wawancara menggunakan kuisioner pada 110 responden lansia. Hasil penelitian ini menemukan bahwa pada responden yang memiliki kualitas hidup baik, 75% menggunakan coping adaptif. Hasil regresi logistik menunjukkan hubungan bermakna antara mekanisme coping dengan kualitas hidup lansia setelah dikontrol variabel pendidikan dan pekerjaan (p value = 0,001, CI = 2,0 - 14,8). Penggunaan mekanisme coping adaptif merupakan faktor meningkatnya kualitas hidup, peningkatan kualitas hidup ini meningkat pada lansia yang berpendidikan tinggi dan memiliki pekerjaan.

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Globally, the elderly population continues to grow along with the progress of the health sector, which is characterized by increased life expectancy and lower mortality rates. The increase in the elderly population in Indonesia lasted for 50 years in 1971-2021. In 2021, the proportion of elderly reached 10.82 percent, it means that Indonesia is described as a country with an aging population structure. It is projected that in 2045, the percentage of Indonesia's elderly is expected to reach almost one-fifth of the entire population of Indonesia or about 19.9 percent. Therefore, it is necessary to pay attention to efforts to improve the quality of life in elderly. The elderly population in Gandus District is 4,979 people with the elderly service coverage of 40.3% in 2021. The decline in the physical and mental condition of the elderly population along with increasing age, makes the elderly very vulnerable to various diseases. This study aims to determine the relationship between coping mechanisms and the quality of life in elderly after controlling for the confounding variables of age, gender, education, occupation, cohabitation status, and marital status. This research was conducted in the Gandus District, Palembang City in April-June 2022. The study used a cross-sectional study design, sampling was simple random sampling, data collection was carried out through interviews using questionnaires on 110 elderly respondents. The results of this study found that respondents who have a good quality of life, 75% have used adaptive coping. The results of logistic regression showed a significant relationship between coping mechanisms and quality of life in elderly after being controlled by education and work variables (p value = 0.001, CI = 2.0 - 14.8). The use of adaptive coping mechanisms is a factor to improve the quality of life, the improvement of the quality of life will increase in elderly with higher education and having a job."