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All Journal Indonesian Journal of Medicine Jurnal Respirologi Indonesia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN
Septiawan, Debree
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Relationship between Anxiety Score and Erythrocyte Sedimentation Rate (ESR) in Hemodialysis Patient Setyaningrum, Rohmaningtyas Hidayah; Septiawan, Debree; Batong, Jhonny Prambudi
Indonesian Journal of Medicine Vol. 5 No. 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (361.067 KB)

Abstract

Background: Anxiety in hemodialysis pati­ents often impaired quality of life. Complex interaction between Chronic Kidney Disease (CKD) and anxiety are dynamic and multifac­torial, including socio-economic, lifestyle and biological factors. Biological factors are close­ly related to anxiety in CKD including the im­mune system, inflammatory pathways of dis­orders of Hypothalamic-Pituitary-Adrenal Axis (HPA). Erythrocyte sedimentation rate (ESR) is one of the non-specific inflammatory marker that show the degree of inflammatory reaction, Neutrophil-Lymphocyte Ratio (NLR) and Platelet-Lymphocyte Ratio (PLR) also found as an easy and inexpensive mea­sureable marker to show the degree of inflam­mation. This study aimed to examine rela­ti­onship between anxiety and hematology in­flammation markers in hemodialysis patient.Subjects and Method: This was an obser­vational study with a cross-sectional design. The study was conducted at Dr. Moewardi general hospital, Surakarta, Central Java. A sample of 30 hemodialysis patients was selec­ted for this study. The dependent variables were ESR, NLR, and PLR. The independent variable was anxiety. Anxiety was measured by Taylor Manifest Anxiety Scale (TMAS). Data on ESR, NLR, and PLR, were measured using an assessment from RAND Corpora­tion. The data were analyzed by a multiple linear regression.Results:  Anxiety increased NLR and it was marginally significant (b= 0.37; 95% CI= -0.01 to 0.22; p= 0.080). Anxiety decreased ESR and it was statistically significant (b= -0.57; 95% CI= -0.02 to 0.01; p<0.001). An­xiety decreased PLR (b= -0.16; 95% CI= -0.02 to 0.01; p= 0.440) and duration of hemo­dia­lysis (b= -0.27; 95% CI= -0.03 to 0.01; p= 0.167), but they were statistically non-signi­ficant.Conclusion: Anxiety increases NLR. Anxi­ety decreases ESR, PLR, and duration of hemo­dialysis.Keywords: chronic kidney disease, hemo­dialysis, hematology markers, inflammationCorrespondence: Rohmaningtyas Hidayah Setyaningrum. De­partment of Psychiatry, Faculty of Medicine, Universitas Sebelas Maret/ Dr. Moewardi General Hospital, Surakarta, Central Java. Email: astitdr@gmail.comIndonesian Journal of Medicine (2020), 05(02): 109-115https://doi.org/10.¬26911/theijmed.2020.05.02.03
Kegawat Daruratan dan Treatment Pasien Schizophrenia Dengan Perilaku Kekerasan Berulang : Study Case Hery Wibowo; Islamiyah; Herdaetha, Adriesti; Septiawan, Debree
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 10 No 3 (2022): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.884 KB) | DOI: 10.20527/jdk.v10i3.142

Abstract

 Pendahuluan : Tingkat kejahatan yang dilakukan oleh pasien schizophrenia secara umum lebih rendah biladilakukan treatment dengan benar dan teratur. Tapi pasien dengan schizophrenia bisa sepuluh kali lebihberkomitmen dalam melakukan pembunuhan dari pada populasi umum bila treatment pasien dengan masalahpsikiatri forensik tidak teratur, bahkan cenderung lebih sering melakukan perilaku kekerasan.Tujuan dari kasus ini untuk menjelaskan keberlangsungan terapi dalam mengendalikan perilaku kekerasan.Metode disajikan dengan menampilkan 5 kasus dengan perilaku kekerasan berulang yang dilakukan pasienschizophrenia dengan observasi dan in-dept interview.Hasil : Pada pemeriksaan semua pasien tidak mampu menceritakan kronologis penganiayaan dan perilakukekerasan secara konsisten, rinci dan runtut. Pada pemeriksaan status mentalis ditemukan bentuk fikir tidakrealistis, Isi pikir thought insertion, thought of being control, penilaian realita terganggu, Selama observasipelaku tidak menunjukkan adanya perilaku yang tidak wajar, jarang berinteraksi dengan pasien lain. Semuakasus yang disajikan memiliki riwayat putus treatment 2-3 bulan sebelum terulangnya perilaku kekerasankarena mayoritas kehilangan sosok care giver
Praktik Psikoterapi Mengenai Pelatihan Keterampilan Terapi Kelompok Perilaku Dialektika di Indonesia: Pengembangan Modul dalam Bahasa Indonesia Wardani, Natalia Dewi; Widiastuti, Maria Immaculata; Sudiyanto, Aris; Hardian, Hardian; Subagio, Hertanto Wahyu; Tugasworo, Dodik; Maharatih, Gusti Ayu; Lukman, Petrin Redayani; Septiawan, Debree; Suprapti, Rini; Susilo, Kezia Natalia Daniast; Atmaja, Diana; Dewi, Amalia Andansari
Majalah Kedokteran Indonesia Vol 73 No 5 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.5-2023-1126

Abstract

Introduction: There is an increasing number of suicides in Indonesia. A high risk of suicide is often associated with borderline personality disorder (BPD). To address this issue, dialectical behavior therapy (DBT) has been specifically designed for patients with frequent suicidal behavior and BPD. This study aims to develop DBT skills modules in Indonesian language for groups therapy and implement in clinical practice.Methods: This research was conducted in three stages. Stage 1 involved preparing the DBT skills module for 13 weeks, including the adding of TIPP (Temperature, Intense exercise, Paced Breathing, Paired Muscle Relaxation) distress tolerance skills and chain analysis. Stage 2 focused on module validation using face validity and content validity assessment conducted by two psychotherapy consultants. Stage 3 involved modules trials, both of whom had completed DBT training, practicing the prepared modules with two groups of 10 patients.Result: The face validity scores from the two experts for the DBT module on BPD in Indonesian was 3.188, indicating a high level of correctness. The content validity results from the two experts for the DBT module on BPD in Indonesian language were 84.06, indicating that almost everything was done correctly. After practicing DBT group skills training, two psychotherapists achieved a very good interrater score of 0.969 (p=0.003; 95% CI 0.746-0.997).Conclusion: Based on the face validity and content validity scores by the two experts, it was concluded that the DBT module for BPD in Indonesian language is suitable for use in clinical services.
Effects of Hypnotherapy on Pain Scale, Interleukin-6 Levels, and Quality of Life in Lung Cancer Patients Who Experience Cancer Pain Widyasanti, Diana; Sutanto, Yusup Subagio; Septiawan, Debree; Aphridasari, Jatu; Reviono, Reviono
Jurnal Respirologi Indonesia Vol 45 No 3 (2025)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v45i3.624

Abstract

Background: Pain is a common symptom in lung cancer patients and can affect their quality of life. Interleukin 6 (IL-6) plays a role in malignant cell proliferation and differentiation as well as the initiation and persistence of cancer pain. Hypnosis can reduce pain by reducing anxiety through relaxation and/or directly affecting neurophysiological activity that underlies the subjective experience of pain. This study aimed to evaluate hypnotherapy as a non-pharmacological method for managing cancer pain. Methods: Clinical trial of 30 subjects with quasi-experimental pre-test and post-test in treatment and control groups of lung cancer patients of NSCLC and SCLC stage III and IV who experienced cancer pain with pain scale ≥3 at RSUD Dr. Moewardi Surakarta in June to August 2023 with a consecutive sampling method. The treatment group received hypnotherapy intervention for 4 weeks. Subjects were assessed for pain scale, interleukin-6 levels, and FACT-L quality of life questionnaire. Results: A 4-week hypnotherapy intervention can significantly reduce the pain scale (P=0.0001) and improve the quality-of-life FACT-L (P=0.002) in lung cancer patients experiencing cancer pain. Hypnotherapy also significantly reduced IL-6 in the treatment group (P=0.008), but when compared with the control, the results were not significant (P=0.345). Conclusion: Hypnotherapy may reduce the pain scale and improve the quality of life of lung cancer patients who experience cancer pain, but does not significantly lower IL-6 levels.
Co-Authors Aris Sudiyanto Atmaja, Diana Batong, Jhonny Prambudi Dewi, Amalia Andansari Dodik Tugasworo Hardian Hardian HERDAETHA, ADRIESTI Hertanto Wahyu Subagio Hery Wibowo Islamiyah Jatu Aphridasari Lukman, Petrin Redayani Maharatih, Gusti Ayu Natalia Dewi Wardani Reviono Reviono Rohmaningtyas Hidayah Setyaningrum Suprapti, Rini Susilo, Kezia Natalia Daniast Widiastuti, Maria Immaculata Widyasanti, Diana Yusup Subagio Sutanto