THE RELATIONSHIP LEVEL OF ANXIETY  WITH THE INCIDENCE OF INSOMNIA IN THE ELDERLY AT BPSTW UNIT BUDI LUHUR KASONGAN BANTUL YOGYAKARTA

ABSTRACT

Riska Dyah Ayu K¹ Arita Murwani²

¹ Nursing Students in Institute of Health Science Surya Global Yogyakarta

² Lecturer  in Institute of Health Science Surya Global Yogyakarta

Background: Old age is a cycle of human life experienced and can not be avoided by anyone.the process of becoming elderly,both physically and psychologically,is generally characterized by a deterioration in the quality of life and the functions of the limbs.mental disorders are closely related to sleep disorder or insomnia is anxiety, insomnia is a disorder of initiating or maintaining sleep.

Objective: To determine the relationship of anxiety levels with the incidence of insomnia in the elderly at BPSTW Unit Budi Luhur Kasongan Bantul Yogyakarta.

Method: This research is a quantitative research in the form of correlational with cross sectional approach.the population in this study were all the elderly that were recorded in BPSTW Budi Luhur jl.Raya Kasongan No.88,Kajen, Bangunjiwo,Kasihan,Bantul Yogyakarta.the sample in this study was 76 respondents with a sampling technique using purposive sampling hypothesis using the kendall-tau.

Results: Based on the results of the study showed the level of anxiety in the medium category of 24 respondents (31,6%), and the incidence of insomnia in the elderly in the moderate category of 35 responden (46,1%),from the results of the controltest or the results obtained p = value 0,012 with result p alpha = 0,05 the value p  value < score p alpha (0,012 < 0,05) so the level of anxiety has a relationship to the incidence of insomnia in the elderly at BPSTW Unit Budi Luhur Kasongan Bantul Yogyakarta.

Conclusion: There is a relationship between anxiety level and the incidence of insomnia in the elderly BPSTW Unit Budi Luhur Kasongan Bantul Yogyakarta.

Keywords: anxiety level, insomnia, elderly

ABSTRAK

Skizofrenia merupakan pemasalahan psikologis yang dialami masyarakat baik dunia maupun di Indonesia. Skizofrenia yang tidak ditangani dengan baik akan menurunkan kualitas hidup pasien. Peran dan dukungan keluarga dalam perawatan pasien skizofrenia menjadi modal penting didalam kesembuhan pasien. Tujuan penelitian ini untuk mengalami pengalaman keluarga dalam perawatan pasien skizofrenia berdasarkan kebijakan kesehatan mental berbasis komunitas. Sebuah studi kualitatif deskriptif dengan informan 8 orang pasien skizofrenia dan keluarganya. Informan dipilih secara purposive sampling. Analisa data dilakukan secara kualitatif. Uji validitas dengan trianggulasi sumber, methode, peneliti, dan teori. Penelitian dilakukan di Desa Pilang Kenceng Kabupaten Madiun pada Januari-November 2019. Pengumpulan data dilakukan dengan indepth interviewing menggunakan panduan pertanyaan. Hasil penelitian menunjukkan terdapat 4 tema dalam menjawab tujuan penelitian yaitu mengenal masalah pasien, perawatan keluarga, peran lingkungan, dan memanfaatkan fasilitas kesehatan. Kesimpulan : Peran keluarga dalam perawatan pasien skizofrenia yaitu sebagian keluarga mampu mengenal masalah  pasien, dan sebagian lagi tidak mampu mengenal masalah pasien. Perawatan yang dilakukan keluarga yaitu mengidentifikasi aktifitas pasien, keluhan pasien, memberikan pengobatan, memahami jenis pengobatan. Peran lingkungan belum optimal dalam perawatan pasien skizofrenia. Sebagian keluarga memanfaatkan fasilitas kesehatan dan sebagian lagi tidak memanfaatkan. Perlu upaya dari pemerintah dan kader kesehatan dalam meningkatkan kemampuan keluarga dalam perawatan pasien.

ABSTRACT

Schizophrenia is a psychological problem experienced by people both in the world and in Indonesia. Schizophrenia that is not handled properly will reduce the quality of life of patients. The role and support of families in the treatment of schizophrenic patients is an important asset in healing patients. The purpose of this study is to experience family experiences in the treatment of schizophrenia patients based on community-based mental health policies. A descriptive qualitative study with 8 informants from schizophrenia patients and their families. Informants were selected by purposive sampling. Data analysis was carried out qualitatively. Test the validity of the triangulation of sources, methods, researchers, and theories. The study was conducted in Pilang Kenceng Village, Madiun Regency in January-November 2019. Data collection was carried out by in-depth interviewing using guide questions. The results showed that there were 4 themes in answering research objectives, namely recognizing patient problems, family care, the role of the environment, and utilizing health facilities. Conclusion: The role of the family in the treatment of schizophrenia patients is that some families can recognize the patient's problems, and some are unable to recognize the patient's problems. Family care is to identify patient activities, patient complaints, provide treatment, understand the type of treatment. The role of the environment is not optimal in the treatment of schizophrenic patients. Some families use health facilities and some do not. Efforts from the government and health cadres are needed to improve the ability of families in patient care.

Background: Mental disorders are very common in adolescents with suicidal behavior. Not all acts of suicide are caused by mental disorders, but 80-90% of adolescents who die from suicide have significant psychopathology such as mood disorders, anxiety disorders, behavioral problems, and drug abuse. Data from the WHO in 2017 about the suicidal behavior of Indonesian youth aged 13-17 as many as 3.9% of adolescents in Indonesia have tried to commit suicide at least once in the last year, 5.6% of adolescents have made plans related to the way they commit suicide and 5.4% of adolescents are considered serious have considered / have suicidal ideas ^1. Mental Health Services for everyone and the guarantee of the rights of People with Psychiatric Problems (ODMK) along with People with Mental Disorders (ODGJ) have not been realized optima l². People with mental disorders really need the support of the people closest, especially social support from family. Family support one of the most important healing medicines for patients with mental disorders ³. Teenagers need to be prepared early on both mentally and spiritually.

Objective: To determine the effect of family and peer support on the occurrence of ODMK (people with psychiatric problems) in adolescents.

Results: Most respondents who received support from families did not experience ODMK as many as 69 (32.5%) and respondents who lack family support experienced ODMK as many as 53 (27.0%) respondents. Most respondents who experienced ODMK and lack of peer support were 45 (23.0%) while respondents who received support from peers and experienced ODMK were 36 (18.4%).

Conclusion: The results of p value 0.480 that there is no significant relationship between peers with ODMK and p value 0,000 that there is a significant relationship between family support and ODMK.

ARTICLE INFO ABSTRACT/ABSTRAK

Article history

Keywords:

Parenting Style
Independence Of Daily Activities

Kata Kunci:
Polaasuh orang tua
KemandirianActivity Daily Living

The pattern of parenting with the child’s independence mental retardation can be a major factor causing children unable to do daily activities such as bathing, dressing, toileting, transfer, continence, and feeding indedependently. A child’s independence with mental retardation can affect the balance between self-care and the ability to manager or care for themselves and they really need more supervision and assistance. This method used isobservational design with Cross Sectional approach. The sample in this study were parents of mentally retarded children as many as 59 respondents. The sampling technique used Purpossive Samplingwith research instruments is theParenting Styles and Dimensions Questionnaire(PSDQ) questionnaire and the Katz Index. Data analysis techniques used the Spearman Rank. There is a relationship between parenting parents with the independence of daily activities in mental retardation children in the study school at SLB BC Kepanjen. With significant result (p)<0,035=(p)<0,05. Almost all parents with good parenting that is authoritative, also with the independence of children mentally retarted most of them fall into the independent category. So it can concluded that, a child’s mental retardation will very much depend on the parenting style of his parents and good parenting will make a good child’s independence.

ABSTRAK
Polaasuh orang tua dengan kemandirian anak retardasi mental dapat menjadi factor penyebab anak tidak dapat melakukan aktivitas sehari-harinya seperti mandi, berpakaian, buang air besar dan buang air kecil, berpindah, kontinensia dan makan secara mandiri. Kemandirian seorang anak dengan keterbelakangan mental dapat mempengaruhi keseimbangan antara perawatan diri dan kemampuan untuk mengelola atau merawat diri sendiri dan mereka sangat membutuhkan pengawasan dan bantuan yang lebih.Penelitian ini menggunakan desain observasional dengan pendekatan Cross Sectional.Sampel dalam penelitian ini orang tua anak retardasi mental sebanyak 59 responden. Teknik sampling menggunakan Purpossive Sampling dengan instrumen penelitian adalah kuisioner Parenting Styles and Dimensions Questionnaire (PSDQ)danIndeks Katz . Teknik analisa data menggunakan Spearman Rank. Ada hubungan pola asuh orang tua dengan kemandirian activity daily living pada anak retardasi mental di sekolah studi di SLB-BC Kepanjen. Dengan hasil signifikan (p) < 0,035 = (p) < 0,05.Hampirseluruh orang tua dengan pola asuh yang baik yaitu authoritative juga dengan kemandirian anak retardasi mental sebagian besar masuk dalam kategori mandiri. Jadi dapat disimpulkan bahwa, anak retardasi mental akan sangat tergantung pada pola asuh orang tuanya dan pola asuh yang baikakan menjadikan kemandirian anak yang baik pula.

ABSTRACT

Background: Ventilator is arespiratory aids was used for respiratory failure patient.  Critical condition of patients with ventilators will have caused physical, psychosocial and spiritual problems. A ventilator tube in the throat caused patient could not speak, pain and discomfort. Assessment of pain in critical patients with ventilator is very necessary because of the inability the patient for verifying. The Critical-Care Pain Observation Tool (CPOT) and Comfort Scale are pain assessment instruments for adult patients.

Purpose: This study aims to determinated comparation validity and reliability of Critical-Care Pain Observation Tool (CPOT) and Comfort Scale as pain instrument in patient installed ventilator at the  ICU RSUP Dr.Soeradji Tirtonegoro Klaten

Method: This research was used a cross sectional design. Sampling was used consecutive sampling technique. Respondents were assessed two times before and after suction using the CPOT and Comfort Scale instruments. The samples of this research are 30 respondents. This research was conducted in February-March 2020. The data has been analyzed using Receiver Operating Curve (ROC) and Kappa Cohen.

Study Result: The result of the CPOT instrumen had a kappa value of 1, sensitivity of 100%, specificity of 73,08% with AUC area of 0,875. While the Comfort Scale instrumen had a kappa value of 1, a sensitivity of 54,55%, specificity of 100% with AUC area of 0,830.

ABSTRAK

Latar Belakang: Ventilator merupakan alat bantu pernafasan yang digunakan untuk pasien yang mengalami gagal nafas. Kondisi kritis pasien dengan terpasang ventilator akan menimbulkan masalah fisik, psikososial dan spiritual. Selang ventilator  yang terpasang di tenggorokan menyebabkan pasien tidak dapat berbicara, nyeri dan tidak nyaman .Pengkajian nyeri pada pasien kritis yang terpasang ventilator sangat diperlukan karena ketidakmampuan pasien dalam memverbalkan intensitas nyerinya. Critical-Care Pain Observasion Tool (CPOT) dan Comfort Scale merupakan instrumen penilaian nyeri untuk pasien dewasa. Tujuan: Mengetahui perbandingan validitas dan reliabilitas Critical-Care Pain Observasion Tool (CPOT) dan Comfort Scale sebagai intrumen nyeri pasien yang terpasang ventilator di ICU RSUP Dr. Soeradji Tirtonegoro Klaten. Metode: Penelitian ini adalah sebuah studi dengan desain cross sectional dengan teknik consecutive sampling. Responden akan dilakukan dua kali penilaian yaitu sebelum dan setelah suction menggunakan instrumen CPOT dan Comfort Scale. Sampel pada penelitian ini berjumlah 30 responden. Pengumpulan data dilaksanakan pada bulan Februari-Maret 2020. Data dianalisa dengan menggunakan Receiver Operating Curve (ROC). Hasil Penelitian: Instrumen CPOT memiliki nilai kappa 1, sensitifitas 100%, spesifisitas 73,08% dengan luas AUC 0,875. Instrumen Comfort Scale memiliki nilai kappa 1, sensitifitas 54,55%, spesifisitas 100% dengan luas AUC 0,830. Kesimpulan:Terdapat perbedaan validitas antara CPOT dan Comfort Scale sebagai instrumen nyeri pasien yang terpasang ventilator

There are about 10 million people with diabetes mellitus in 2015 and Indonesia ranks seventh as the country with the most diabetes mellitus population in the world. Diabetes mellitus is a disease that causes damage to pancreatic β cells that produce insulin. Motivation from the family is one way that patients can undergo treatment for diabetes mellitus regularly, so family support and coping are needed to overcome the problem. This study aims to determine the relationship between support and family coping with the motivation to treat diabetes mellitus in Sorong District Hospital. This research is a descriptive analytic study with cross-sectional design on 41 respondents. Data collection using questionnaire sheets. The results of calculating the relationship between family coping and treatment motivation using the Spearman rank correlation showed r = 0.679 and ρ-value = 0,000. The results of the calculation of the relationship between family support and treatment motivation using the chi square test ρ-value = 0,000. this study found that there is a coping and family support and treatment motivation. Factors that can increase motivation include family support and coping. Further research can examine the relationship between the level of knowledge and treatment motivation for clients of diabetes mellitus.

Induction in patients with general anesthesia can cause blood pressure instability due to vasodilation of arteries and veins. This complication of blood pressure instability must be prevented to restore oxygenation of tissues and organs by giving Passive Leg Raising (PLR). The purposes of this research is to knowing the effect of Passive Leg Raising (PLR) toward the blood pressure change of patients with general anesthesia at Dr. Soedirman Hospital Kebumen. This type of research is  quassy experiment with a “pretest-posttest with control group design”. The population was surgical patients with general anesthesia at Dr. Soedirman Kebumen Hospital in January-March 2020. The sampling technique used is random sampling, with inclusion criteria 1. Patients aged 22-55 years, 2. Physical status ASA I-II, 3. Pasien with general anesthesia techniques LMA, TIVA, and Face. The sample consisted of 62 consisting of 31 respondents of the intervention group and 31 respondents of the control group. Data analysis used univariate and bivariate with Paired t-test and Independent t-test. The results was showing that there was a change of blood pressure after given PLR. It was showing by the result of a pretest less than posttest with p value 0.000 and the intervention group experienced a significant increase change over the control group in blood pressure evidenced by the value p value of < 0.05. The conclusion that Passive Leg Raising (PLR) can be influencing blood pressure of patient with general anesthesia

Klien dengan skizofrenia sering mengalami kekambuhan dan harus dirawat lagi di rumah sakit karena keluarga tidak mampu mengatasinya. Keluarga memainkan peran penting dalam perawatan klien di rumah, dukungan keluarga memiliki peran yang sangat penting baik dalam dukungan emosional, dukungan instrumental, dukungan informasi, dan dukungan penilaian dari data yang ada, tingkat kekambuhan pasien dengan risiko perilaku kekerasan di Provinsi Bali. Rumah Sakit Jiwa 2016 mencapai 70% dan 60% dari data yang dicatat yang dikunjungi kembali untuk perawatan. Tujuan dari penelitian ini adalah untuk menentukan hubungan antara dukungan keluarga dan tingkat kekambuhan klien dengan risiko perilaku kekerasan. Penelitian ini adalah penelitian deskriptif korelasional, jumlah responden adalah 40 responden dengan menggunakan sampling yaitu incidental sampling dengan pendekatan cross sectional. Data dianalisis dengan menggunakan analisis peringkat spearman. Berdasarkan hasil uji Spearman Rank diperoleh nilai p 0,000 <dari tingkat signifikansi yang ditentukan 0,05, hasil ini menunjukkan bahwa ada hubungan antara dukungan keluarga dan tingkat kekambuhan klien dengan risiko perilaku kekerasan di ruang rawat inap IPCU bangsal Rumah Sakit Jiwa Provinsi Bali. Hasil penelitian ini diharapkan dapat menjadi informasi ke rumah sakit jiwa serta keluarga untuk meningkatkan dukungan, peran dan fungsi keluarga untuk mengurangi tingkat kekambuhan klien yang menderita skizofrenia.