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Abstrak :
Depresi dan Excessive Daytime Sleepiness merupakan suatu fenomena yang sering kali terjadi pada populasi mahasiswa. Banyak dampak negatif yang muncul dari kejadian depresi dan EDS pada mahasiswa. Penelitian ini memiliki tujuan untuk mengidentifikasi hubungan Depresi dengan Kejadian Excessive Daytime Sleepiness pada Mahasiswa di Kota Depok. Penelitian ini menggunakan desain cross sectional dengan teknik Quota Sampling dan pendekatan Convenience Sampling. Penelitian ini melibatkan 442 mahasiswa di Kota Depok. Data dianalisis dengan menggunakan Chi-Square untuk mengetahui hubungan yang bermakna antara Depresi dan EDS (OR = 2,00; p = 0,000). Hasil penelitian menunjukkan bahwa mahasiswa yang mengalami Depresi sebanyak 184 mahasiswa (41,6%) dan mahasiswa yang mengalami EDS sebanyak 208 mahasiswa (47%). Berdasarkan hasil penelitian, peneliti menyarankan mahasiswa dapat meningkatkan kewaspadaan terhadap kebutuhan tidurnya dan instansi pendidikan keperawatan diharapkan dapat membentuk strategi khusus untuk melakukan penyelenggaraan evaluasi kesehatan mental dan promosi kebutuhan tidur yang efektif untuk menekan dan mencegah terjadinya EDS dan depresi. ......Depression and Excessive Daytime Sleepiness is a phenomenon that often occurs in the student population. Many negative impacts arise from the incidence of depression and EDS in students. This study aims to identify the relationship between depression and the incidence of Excessive Daytime Sleepiness in college students in Depok City. This study used a cross sectional design with Quota Sampling technique and Convenience Sampling approach. This study involved 442 students in Depok City. Data were analyzed using Chi-Square to determine the meaningful relationship between Depression and EDS (OR = 2,00; p = 0,000). The results showed that students who experienced Depression were 184 students (41.6%) and students who experienced EDS were 208 students (47%). Based on the results of the study, researchers suggest that students can increase awareness of their sleep needs and nursing education institutions are expected to form a special strategy for organizing mental health evaluations and promoting effective sleep needs to reduce and prevent the occurrence of EDS and depression.

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ABSTRAK
Tujuan: Menentukan prevalensi excessive daytime sleepiness (EDS) pada pasien dengan epilepsi dan faktor-faktor yang berhubungan di Rumah Sakit Cipto Mangunkusumo (RSCM). Metode: Studi potong lintang deskriptif ini menggunakan kuesioner Epworth Sleepiness Scale (ESS) pada pasien epilepsi yang diambil secara konsekutif di poliklinik neurologi RSCM, pada bulan Oktober-November 2015. Faktor-faktor yang dianalisis meliputi usia, jenis kelamin, jenis bangkitan, sindrom epilepsi, etiologi epilepsi, frekuensi bangkitan, bangkitan nokturnal, risiko Obstructive Sleep Apnea (OSA), depresi mayor, gangguan cemas menyeluruh, obat anti epilepsi, dan potensial resistensi obat. EDS ditentukan jika skor ESS > 10. Risiko OSA ditetapkan dengan kuesioner STOP-Bang; depresi mayor ditentukan dengan kuesioner Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) versi Indonesia; gangguan cemas menyeluruh ditentukan dengan kuesioner Mini International Neuropsychiatric Interview for International Classification of Diseases-10 (MINI ICD-10). Hasil: Diantara 93 pasien epilepsi, prevalensi EDS adalah sebanyak 32.3%; wanita lebih banyak dari pria. Faktor-faktor yang berhubungan secara signifikan dengan EDS adalah usia kurang dari 35 tahun, frekuensi bangkitan dalam 1 tahun lebih dari sama dengan 8 kali, depresi mayor, dan potensial resisten obat. Dari analisis multivariat, terdapat 2 faktor independen yang berhubungan dengan EDS yaitu depresi mayor dan potensial resisten obat. Kesimpulan: EDS umum dijumpai pada pasien epilepsi dengan prevalensi 32.3%. Depresi mayor dan potensial resistensi obat merupakan faktor yang berhubungan dengan EDS pada pasien epilepsi ABSTRACT
Purpose: To determine the prevalence of excessive daytime sleepiness (EDS) in epilepsy patients and its related factors at Cipto Mangunkusumo Hospital Jakarta, Indonesia. Materials and Method: This cross-sectional descriptive study using Epworth Sleepiness Scale (ESS) questionnaire to identify EDS in epilepsy patients visited our neurology clinic during October-November 2015 consecutively. Related factors that had been analyzed were age, sex, seizure type, epilepsy syndrome, etiology, seizure frequency, nocturnal seizures, risk of Obstructive Sleep Apnea (OSA), major depression, general anxiety disorder, anti epileptic drug, and potentially drug resistant epilepsy (DRE). EDS was determined if ESS score > 10. Risk of OSA was assessed by STOP-Bang questionnaire; major depression was assessed by Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) Indonesian version; general anxiety disorder was assessed by Mini International Neuropsychiatric Interview for International Classification of Diseases-10 (MINI ICD-10). Data analysis was done using SPSS 17.0. Results: Among 93 subjects, prevalence of EDS was 32.3%; female was more common than male. Related factors that significantly influenced to EDS were age < 35 years old, seizure frequency within 1 year >8 times, major depression and potentially DRE. From multivariate analysis, there were 2 independent factors that related to EDS that were major depression and potentially DRE. Conclusions: EDS is common in epilepsy patients (32.3%). Major depression and potentially DRE were related factors of EDS in epilepsy patients. ;Purpose: To determine the prevalence of excessive daytime sleepiness (EDS) in epilepsy patients and its related factors at Cipto Mangunkusumo Hospital Jakarta, Indonesia. Materials and Method: This cross-sectional descriptive study using Epworth Sleepiness Scale (ESS) questionnaire to identify EDS in epilepsy patients visited our neurology clinic during October-November 2015 consecutively. Related factors that had been analyzed were age, sex, seizure type, epilepsy syndrome, etiology, seizure frequency, nocturnal seizures, risk of Obstructive Sleep Apnea (OSA), major depression, general anxiety disorder, anti epileptic drug, and potentially drug resistant epilepsy (DRE). EDS was determined if ESS score > 10. Risk of OSA was assessed by STOP-Bang questionnaire; major depression was assessed by Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) Indonesian version; general anxiety disorder was assessed by Mini International Neuropsychiatric Interview for International Classification of Diseases-10 (MINI ICD-10). Data analysis was done using SPSS 17.0. Results: Among 93 subjects, prevalence of EDS was 32.3%; female was more common than male. Related factors that significantly influenced to EDS were age < 35 years old, seizure frequency within 1 year >8 times, major depression and potentially DRE. From multivariate analysis, there were 2 independent factors that related to EDS that were major depression and potentially DRE. Conclusions: EDS is common in epilepsy patients (32.3%). Major depression and potentially DRE were related factors of EDS in epilepsy patients.

Abstrak :
Machinists have a big responsibility in controlling trains and maintaining the safety of trips. When a machinist has an irregular work schedule, monotonous and long schedules, he may experience fatigue while on duty. Fatigue can cause a decrease in performance and lead the machinist to make mistakes that can later be the cause of railway accidents. Fatigue assessments, then, become an important program that can be used by management to improve railway safety. In this study, a fatigue evaluation was conducted among 30 machinists working at the Indonesian Railway Company (PT. Kereta Api Indonesia or PT. KAI). The evaluation consists of assessing the quality of sleep with The Pittsburgh Sleep Quality Index (PSQI), the measurement of subjective sleepiness with Karolinska Sleepiness Scale (KSS), the measurement of secondary work performance with Psychomotor Vigilance Test (PVT), and heart rate measurements employing a heart rate monitor (Beurer PM-18). Results of this study showed that most of the machinists experienced sleep quality problems. Also, the sleepiness level of the machinists continued to increase at work and the reaction time was worse at the end of his shift, although levels of physical fatigue were not substantial. Suggestions were proposed to the management, including new work schedules using shift rotations in order to reduce fatigue.

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Research has been done the effect of coffee on sleepiness. Several studies claim that caffeine is proven to overcome sleepiness. However, little is known about the effect of various methods and amounts of coffee intake on a sleep-deprived person. This study compares the effectiveness of one-time and intermittent intake of coffee to overcome driver sleepiness due to partial sleep deprivation. This study used a within-subject experimental design in a driving simulator. There were eight participants, all of whom met certain criteria. The participants’ degree of sleepiness was measured objectively and subjectively. Objectively, the degree of sleepiness was measured based on alpha, beta, and theta brainwaves using an electroencephalograph (EEG); subjectively, this study used the Karolinska Sleepiness Scale (KSS). The participants experienced partial sleep deprivation the night before each experiment. The results of this study support previous studies’ findings that coffee can reduce sleepiness. This study also found differences in the effectiveness of one-time vs. intermittent intake of coffee (sig. value for EEG = 0.025; sig. value for KSS = 0.001). For partially sleep-deprived drivers, one-time coffee intake was found to be more effective in counteracting both objective and subjective sleepiness than intermittent coffee intake.

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ABSTRAK
Latar Belakang. Excessive Daytime Sleepiness EDS merupakan salah satu gangguan kesehatan kerja dan merupakan indikator pengukuran rasa kantuk yang telah teruji pada sejumlah studi berkaitan dengan peningkatan resiko kecelakaan, hipertensi dan diabetes yang tidak terkontrol, obesitas, late life memory impairment, gangguan tidur dan sleep-disordered breathing. Berkaitan dengan hal tersebut, penting adanya suatu instrumen untuk menilai EDS, sayangnya belum terdapat instrumen penilaian EDS dalam Bahasa Indonesia. Epworth Sleepiness Scale ESS adalah instrumen potensial untuk diadaptasi berkaitan dengan pengukuran subjektif untuk mengukur daytime sleepiness yang telah digunakan secara luas sebagai instrumen screening Obstructive Sleep Apnea OSA pada pekerja. ESS memiliki validitas dan reliabilitas yang baik dimana ESS telah diadaptasi secara transkultural ke dalam berbagai bahasa di dunia.Tujuan. Mendapatkan ESS Versi Bahasa Indonesia yang valid dan reliabel dari versi asli yang berbahasa Inggris ke Bahasa Indonesia.Metode. Penelitian ini dilakukan dengan metode adaptasi transkultural 10 langkah dari ISPOR International Society of Pharmacoeconomics and Outcome Research diikuti dengan uji validitas serta uji reliabilitas terhadap 90 karyawan perusahaan di Jakarta.Hasil. Didapatkan kuesioner ESS Versi Bahasa Indonesia yang terdiri atas 8 butir dimana semuanya dinyatakan valid dengan nilai r 0.490 hingga 0.770. Nilai Cronbach ESS Versi Bahasa Indonesia pada saat tes adalah 0,645, pada saat retes 0,654 dan uji Intraclass Correlation ICC terhadap total skor tes dan retes didapatkan hasil r 0.996 p < 0.001 . Hal ini berarti ESS Versi Bahasa Indonesia memiliki stabilitas internal yang dapat diterima.Kesimpulan. ESS versi Bahasa Indonesia terbukti memiliki validitas, reliabilitas dan stabilitas internal yang baik sebagai instrumen penilaian daytime sleepiness terhadap karyawan kantor di Indonesia.Kata kunci. ESS; Bahasa Indonesia; kuesioner; daytime sleepiness

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ABSTRACT
AbstractBackground. Excessive daytime sleepiness EDS is one of the potential occupational health problems and one of the most reliable indicators of sleepiness measurements in a number of studies related to increased risk of accident, uncontrolled hypertension and diabetes, obesity, late life memory impairment, sleep disturbances and sleep disordered breathing. Therefore the instrument in detecting the EDS is important to present as there was no valid instrument in Bahasa Indonesia to measure this. Epworth Sleepiness Scale ESS is a potential tools to be adapted for subjectively measuring daytime sleepiness which is widely used as an Obstructive Sleep Apnea OSA screening instrument for workers. ESS has good validity and reliability in which ESS has been transculturally adapted into various languages of the world.Aim. To get a valid and reliable ESS Indonesian version by adapting from its original English to Bahasa Indonesia.Methods. This research was conducted with transcultural adaptation of 10 step methods from ISPOR International Society of Pharmacoeconomics and Outcome Research followed by validity test and reliability test. Tests conducted on 90 employees in a company in Jakarta.Result. The result of this research is ESS Indonesian Version questionnaire which consists of 8 items which are valid with r 0.490 to 0.770. The result of reliability test using Cronbach at the time of the test is 0.645, at the time of retest is 0.654 and Intraclass correlation test result of total test and retes score is r 0.996 p

Abstrak :
Kejadian Excessive Daytime Sleepiness (EDS) merupakan gejala yang timbul dari kecenderungan untuk merasakan kantuk yang berlebihan pada periode terjaga. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara kejadian EDS dengan kualitas tidur pada mahasiswa baru di rumpun ilmu kesehatan. Desain penelitian ini adalah dengan pendekatan potong lintang menggunakan sampel mahasiswa Rumpun Ilmu Kesehatan Universitas Indonesia sebesar 107 responden yang dipilih dengan teknik proportional stratified random sampling. Kejadian EDS diukur menggunakan kuesioner Epworth Slepiness Scale (ESS), sedangkan kualitas tidur diukur menggunakan kuesioner Pittsburgh Sleep Quality Index (PSQI). Hasil penelitian menunjukkan bahwa prevalensi kejadian EDS dan kualitas tidur yang buruk cukup tinggi terjadi pada mahasiswa. Sebanyak 52 orang (48,6 %) mengalami EDS dan sebanyak 80 orang (74,8 %) memiliki kualitas tidur yang buruk. Hasil analisis statistik menunjukkan tidak ada hubungan yang signifikan (p = 0,617 : x2= 0,249) antara kejadian Excessive Daytime Sleepiness dan kualitas tidur. Perlu dilakukan penelitian lebih lanjut terkait faktor ? faktor yang dapat memengaruhi kejadian EDS dan kualitas tidur. Selain itu, upaya promotif dan preventif dapat dilakukan untuk mencegah masalah kesehatan akibat kualitas tidur yang buru. ...... Excessive Daytime Sleepiness (EDS) is a symptom that arises from the tendency to feel excessive sleepiness during the awake period. This study aimed to identify the relationship between excessive daytime sleepiness and sleep quality among first year students at faculty of health sciences. This study used cross sectional design, involving 107 samples of students from the faculty of health science at University of Indonesia. Samples were selected by proportional stratified random sampling. EDS was measured by using Epworth Sleepiness Scale (ESS) while sleep quality was measured by using Pittsburgh Sleep Quality Index (PSQI). The results shows that the prevalence of EDS and poor sleep quality is high enough among college students. A total of 52 people (48.6%) experienced EDS and as many as 80 people (74.8%) had poor sleep quality. The result showed that there was no significant relationship (p = 0,617 : x2= 0,249) between excessive daytime sleepiness and sleep quality. This study recommended health promotion as a preventive effort to reduce the number of EDS and to increase students sleep quality. In addition, further studies are required to identify factors affecting sleep quality or contributing to the incidence of EDS.

Abstrak :
Berbagai masalah tidur seperti Insomnia dan Excessive Daytime Sleepiness kerap ditemui di populasi mahasiswa dengan prevalensi yang tinggi. Terjadinya Insomnia kerap memunculkan peristiwa Excessive Daytime Sleepiness yang memicu penurunan performa akademik dan dampak krusial lainnya bagi mahasiswa. Penelitian ini bertujuan untuk mengetahui hubungan Insomnia dengan Excessive Daytime Sleepiness pada Mahasiswa S1 Reguler Universitas Indonesia. Sampel penelitian ini berjumlah 348 mahasiswa dengan teknik Proportional Sampling dan pendekatan Convenience Sampling. Desain penelitian ini berupa deskriptif korelasional, pendekatan kuantitatif, dan rancangan cross-sectional. Penelitian ini menggunakan instrumen Epworth Sleepiness Scale (ESS) dan Insomnia Severity Index (ISI). Hasil penelitian melalui Uji Korelasi Pearson ditemukan tingginya angka Insomnia dan EDS serta ditemukannya hubungan kedua variabel tersebut. Dengan demikian dapat disimpulkan bahwa terdapat hubungan Insomnia dengan Excessive Daytime Sleepiness pada Mahasiswa S1 Reguler Universitas Indonesia (nilai p < 0,001; α=0.05). Berdasarkan hasil penelitian, peneliti merekomendasikan mahasiswa meningkatkan awareness terkait pemenuhan kebutuhan tidurnya. Peneliti juga menyarankan evaluasi pemenuhan kebutuhan tersebut melalui pembimbing akademik dan regulasi terkait kesediaan waktu dan tempat napping untuk mahasiswa oleh institusi pendidikan. ......Sleep problems such as Insomnia and Excessive Daytime Sleepiness are common in the college student population with a high prevalence. The occurrence of Insomnia often leads to Excessive Daytime Sleepiness which triggers a decrease in academic performance and other crucial impacts on college students. This study aims to determine the relationship between Insomnia and Excessive Daytime Sleepiness in Regular Undergraduate Students at Universitas Indonesia. The sample of this study was 348 college students using The Proportional Sampling technique and The Convenience Sampling approach. The research design is a correlational descriptive, quantitative approach, and cross-sectional design. This study used the Epworth Sleepiness Scale (ESS) and Insomnia Severity Index (ISI) instruments. The results of the study through the Pearson Correlation Test found high rates of Insomnia and EDS and found a relationship between the two variables. Thus it can be concluded that there is a relationship between Insomnia and Excessive Daytime Sleepiness in Regular Undergraduate Students at Universitas Indonesia (p value <0.001; α=0.05). Based on the research results, researcher recommend that college students increase awareness regarding meeting their sleep needs. Researcher also suggest evaluating the fulfillment of these needs through academic supervisors and regulations regarding the availability of time and place for napping for college students by institutions.

Abstrak :
Kualitas tidur yang buruk dapat memengaruhi kejadian Excessive Daytime Sleepiness. Kejadian EDS merupakan kantuk yang berlebihan pada siang hari. Penelitian ini bertujuan untuk mengidentifikasi adanya hubungan hubungan antara kualitas tidur dan kejadian Excessive Daytime Sleepiness pada perawat. Penelitian ini adalah penelitian kuantitatif dengan desain analitik korelasional cross sectional menggunakan sampel perawat yang bekerja di salah satu rumah sakit di Kota Depok sebanyak 174 responden. Responden dipilih menggunakan teknik purposive sampling dengan kriteria inklusi, yaitu perawat yang melaksanakan dinas kerja shift. Kualitas tidur diukur dengan instrumen Pittburgh Sleep Quality Index (PSQI) dan kejadian EDS diukur menggunakan instrumen Epworth Sleepiness Scale (ESS). Uji hipotesis menggunakan uji Chi-Square menunjukkan bahwa prevalensi kualitas tidur yang buruk cukup tinggi terjadi pada perawat dan prevalensi yang cukup rendah pada perawat yang mengalami kejadian EDS. Sebanyak 98 perawat (56,3%) memiliki kualitas tidur yang buruk dan 24 perawat (13,8%) mengalami EDS. Sebanyak 13,4% perawat yang mengendarai kendaraan sendiri mengalami kejadian EDS. Terdapat hubungan yang signifikan antara kualitas tidur dan kejadian EDS (p = 0,015). Perawat yang kualitas tidurnya buruk sebanyak 3,4 kali untuk mengalami EDS (95%CI 1,2; 9,6; OR = 3,4). Terdapat hubungan yang signifikan antara penggunaan gadget dan kejadian EDS (OR = 6,2; p = 0,05). Berdasarkan hasil penelitian tersebut, maka perlunya dilakukan manajemen untuk mengatasi kualitas tidur yang buruk dan meningkatkan kualitas tidur perawat yang sudah baik serta menangani masalah atau gangguan tidur dengan mengoptimalkan kesejahteraan perawat sehingga tidak mengalami kejadian EDS yang berisiko terhadap kecelakaan saat berkendara. ......Poor sleep quality can affect the incidence of Excessive Daytime Sleepiness. EDS is excessive sleepiness during the day. This study aims to identify the relationship between sleep quality and the incidence of Excessive Daytime Sleepiness in nurses. This study is a quantitative study with a cross sectional correlational analytic design using a sample of nurses working in one of the hospitals in Depok City as many as 174 respondents. Respondents were selected using purposive sampling technique with inclusion criteria, namely nurses who carry out shift work services. Sleep quality was measured using the Pittburgh Sleep Quality Index (PSQI) instrument and the incidence of EDS was measured using the Epworth Sleepiness Scale (ESS) instrument. Hypothesis testing using the Chi-Square test showed that the prevalence of poor sleep quality was quite high among nurses and a fairly low prevalence among nurses who experienced EDS events. A total of 98 nurses (56.3%) had poor sleep quality and 24 nurses (13.8%) experienced EDS. A total of 13.4% of nurses who drove their own vehicles experienced EDS. There is a significant relationship between sleep quality and the incidence of EDS (p = 0.015). Nurses with poor sleep quality were 3.4 times more likely to experience EDS (95%CI (95%CI 1,2; 9,6; OR = 3.4). There is a significant relationship between gadget use and the incidence of EDS (OR = 6.2; p = 0.05). Based on the results of this study, it is necessary to carry out management to overcome poor sleep quality and improve the quality of sleep of nurses who are already good and deal with problems or sleep disorders by optimizing the welfare of nurses so that they do not experience EDS events that are at risk of driving accidents.

Abstrak :
ABSTRAK
Kejadian Excessive Daytime Sleepiness (EDS) merupakan gejala yang timbul dari kecenderungan untuk merasakan kantuk yang berlebihan pada periode terjaga. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara kejadian EDS dengan kualitas tidur pada mahasiswa baru di rumpun ilmu kesehatan. Desain penelitian ini adalah dengan pendekatan potong lintang menggunakan sampel mahasiswa Rumpun Ilmu Kesehatan sebesar 107 responden yang dipilih dengan teknik proportional stratified random sampling. Kejadian EDS diukur menggunakan kuesioner Epworth Sleepiness Scale (ESS), sedangkan kualitas tidur diukur menggunakan kuesioner Pittsburgh Sleep Quality Index (PSQI). Hasil penelitian menunjukkan bahwa prevalensi kejadian EDS dan kualitas tidur yang buruk cukup tinggi terjadi pada mahasiswa. Sebanyak 52 orang (48,6%) mengalami EDS dan sebanyak 80 orang (74,8%) memiliki kualitas tidur yang buruk. Hasil analisis statistik menunjukkan tidak ada hubungan yang signifikan (p= 0,617 : x2= 0,249) antara kejadian Excessive Daytime Sleepiness dan kualitas tidur, sehingga perlu dilakukan penelitian lebih lanjut terkait faktor-faktor yang dapat memengaruhi kejadian EDS dan kualitas tidur. Selain itu, upaya promotif dan preventif dapat dilakukan untuk mencegah masalah kesehatan akibat kualitas tidur yang buruk.