Claim Missing Document
Check
Articles

Found 34 Documents
Search

Upaya edukasi dan skrining penyakit gout dengan peningkatan pemberdayaan ASMARA (Ayo Sehat Bersama Para Lansia) di Poskesdes Dasan Cermen Kota Mataram Cahyaningtyas, Dwi; Rospia, Evi Diliana; Amilia, Rizkia; Pertiwi, Silvi Anggraini; Syaswari, Alya Syarah
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 8, No 4 (2024): December
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v8i4.27868

Abstract

AbstrakPenelitian ini bertujuan untuk meningkatkan pemahaman dan deteksi dini penyakit gout pada lansia di Desa Dasan Cermen. Penyakit gout, yang sering dialami lansia, merupakan kondisi radang sendi akibat tingginya kadar asam urat dalam darah yang mengendap di persendian. Kurangnya pemahaman lansia terkait gout menjadi tantangan, sehingga diadakan program "Pemberdayaan ASMARA (Ayo Sehat Bersama Para Lansia)" melalui edukasi dan skrining kadar asam urat di Poskesdes Dasan Cermen. Kegiatan ini melibatkan 15 lansia dan mencakup edukasi tentang penyebab, gejala, dan pencegahan gout, serta pemeriksaan tekanan darah dan kadar asam urat. Hasilnya menunjukkan bahwa 54% peserta memiliki kadar asam urat tinggi, dan terjadi peningkatan pemahaman peserta setelah edukasi, terlihat dari hasil post-test yang lebih tinggi dibandingkan pre-test. Program ini berhasil meningkatkan kesadaran lansia akan pentingnya pola hidup sehat dan deteksi dini untuk mengelola gout. Namun, terdapat kendala seperti keterbatasan alat skrining dan kondisi fisik lansia yang memerlukan perhatian khusus. Kesimpulannya, kegiatan ini efektif dalam meningkatkan kesadaran kesehatan lansia dan dapat dikembangkan lebih lanjut untuk keberlanjutan pengelolaan kesehatan lansia di komunitas lain. Kata kunci: pengabdian; lansia;, asam urat;deteksi dini; skrining; edukasi AbstractThis research aims to increase understanding and early detection of gout in the elderly in Dasan Cermen Village. Gout, which is often experienced by the elderly, is an inflammatory condition of the joints caused by high levels of uric acid in the blood which settles in the joints. The elderly's lack of understanding regarding gout is a challenge, so the "ASMARA Empowerment (Let's be Healthy with the Elderly)" program was held through education and screening for uric acid levels at the Dasan Cermen Village Health Post. This activity involved 15 elderly people and included education about the causes, symptoms and prevention of gout, as well as checking blood pressure and uric acid levels. The results showed that 54% of participants had high uric acid levels, and there was an increase in participants' understanding after education, as seen from the post-test results which were higher than the pre-test. This program has succeeded in increasing elderly awareness of the importance of a healthy lifestyle and early detection to manage gout. However, there are obstacles such as limited screening tools and the physical condition of the elderly that require special attention. In conclusion, this activity is effective in increasing awareness of elderly health and can be developed further for the sustainability of elderly health management in other communities. Keywords: community service; elderly; gout; early detection; screening; education
HUBUNGAN MUTU LAYANAN KEBIDANAN DENGAN KEPUASAN IBU NIFAS ROSPIA, EVI DILIANA
Jurnal Kesehatan Abdurrahman Vol 14 No 1 (2025): Jurnal Kesehatan Abdurahman
Publisher : STIKES Abdurahman. Pusat Informasi dan Manajemen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55045/jkab.v14i1.213

Abstract

Background: The quality of health services shows the level of health services in creating a sense of satisfaction in each patient. The more perfect the satisfaction, the better the quality of health services. Subjective patient satisfaction will influence the implementation of service quality. Objective: To analyze the relationship between the quality of midwifery services and the satisfaction of postpartum mothers in the Gangga Community Health Center Working Area. Method: This research uses quantitative research, with a cross-sectional research design approach. The population in the study was 45 postpartum mothers and the sampling technique used total sampling. The research sample will fill out a questionnaire regarding the quality of midwifery services and satisfaction of postpartum mothers at the Puskesmas, then the data that has been collected will be analyzed using chi-square, to analyze whether there is a relationship between the quality of midwifery services and the satisfaction of postpartum mothers. Results: The research results showed that the characteristics of the majority of respondents were postpartum mothers aged 20-35 years, namely 34 respondents (75.6%). The majority of postpartum mothers had moderate education, 32 respondents (71.1%). The majority of postpartum mothers were multiparous with 31 respondents (68.9%). The majority of postpartum mothers do not work, 35 respondents (77.8%), the average quality of midwifery services is in the good category, 39 respondents (86.7%), while the majority of postpartum mothers' health service satisfaction is in the satisfied category, 43 respondents (95.6%). Bivariate tests showed that responsiveness, physical evidence, service quality assurance were related to satisfaction with maternal health services during the postpartum period, while aspects of empathy, reliability and service quality were not related to satisfaction with postpartum mothers.
The Effect of the Unting Debt Game (Anti-Stunting Snake and Ladder) on Increasing Knowledge About Stunting Lestari, Cahaya Indah; Pamungkas, Catur Esty; WD, Siti Mardiyah; Amilia, Rizkia; Adiputri, Ni Wayan Ari; Rospia, Evi Diliana; Makmun, Indriyani; Amini, Aulia; Cahyaningtyas, Dwi Kartika
EMBRIO: Jurnal Kebidanan Vol 16 No 2 (2024): EMBRIO: Jurnal Kebidanan (NOVEMBER)
Publisher : Program Studi S1 Kebidanan - Fakultas Ilmu Kesehatan Universitas PGRI Adi Buana Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36456/embrio.v16i2.9572

Abstract

The prevalence of stunting in the world, as collected by WHO in 2020, was 150.8 million (22.2percent). WHO has designated five regions as stunting prevalence, including Indonesia in the Southeast Asian region with a prevalence rate (36.4percent). Adolescents are a group that has the potential to be agents of behavior change. For this reason, adolescents need to be given education to increase knowledge and build awareness of the impact of stunting in the future. This study aims to determine the influence of Uting Debt Media (Snake and Ladder Stunting) in increasing adolescents' knowledge about stunting. This research is quantitative. The type of research used was Quasy Experimental pretest and posttest with the control group. The population in this study is all young women of MTS Jamaluddin Bagik Nyaka Village in August 2024, with a sample of 30 people divided into two groups with 15 members each and using purposive sampling techniques. Data collection was carried out using a questionnaire to determine the level of knowledge of adolescent girls about stunting before and after the intervention. The statistical results of the post-test of the experimental and control groups using the Mann-Whitney techniques showed Asymp. signature. (2-tailed) 0.012 less than 0.050, with the mean rank of the experimental group of 19.00 and the mean rank of the control group of 12.00. So, it can be concluded that there is a significant difference in the results of the post-test of the experimental group and the control group, which affects the increase of knowledge in the experimental group before and after being given treatment to increase adolescent knowledge about stunting
Edukasi Dan Skrining Penyakit Diabetes Melitus Melalui Pemeriksaan Kadar Gula Darah Sewaktu (KGDS) Pada Lansia cahya, Dwi Kartika; Rospia, Evi Diliana; WD, Siti Mardiyah; Makmun, Indriyani; Fratiwi, Nova Irmayanti; Khairah, Mifanatul
Jurnal Pengabdian Masyarakat Bakti Parahita Vol. 5 No. 02 (2024): Jurnal Pengabdian Masyarakat Bakti Parahita
Publisher : Universitas Binawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/4zz6nx06

Abstract

Persentasi jumlah penduduk lansia yang terus meningkat menunjukkan adanya peningkatan kualitas hidup dan kesehatan akibat keberhasilan Pembangunan. Peningkatan jumlah lansia di dunia diperkirakan pada tahun 2050 sekitar 25,3% dan di Indonesia 21,4%. Hal ini dapat menyebabkan Indonesia mulai termasuk kelompok negara berstruktur usia tua. Pengabdian ini bertujuan melakukan edukasi dan skrining penyakit diabetes melitus melalui pemeriksaan kadar gula darah sewaktu pada lansia. Metode kegiatan mengadopsi langkah-langkah action research yang terdiri dari 4 (empat) tahapan, yaitu : perencanaan, tindakan, observasi dan evaluasi, dan refleksi. Hasil kegiatan PKM ini adalah terlaksananya pengabdian dengan rangkaian kegiatan yaitu edukasi pencegahan penyakit diabetes melitus, sebelum diberikan informasi terkait pencegahan penyakit diabetes melitus pada lansia, seluruh peserta sebanyak 20 lansia belum mengetahui jenis-jenis penyakit diabetes, gejala yang ditimbulkan, serta penanganan awal yang perlu dilakukan. Setelah diberikan informasi kesehatan terkait penyakit diabetes melitus seluruh peserta sebanyak 18 lansia memahami dan dapat menjelaskan, sedangkan 2 lansia belum dapat menjelaskan informasi yang diterima. Berdasarkan hasil skrining kadar gula darah sewaktu didapatkan sebanyak 9 lansia (45%) memiliki kadar gula darah normal (70-139) dan 2 lansia memiliki penyakit diabetes (>200). Kesimpulan pengabdian ini terkait Edukasi dan Skrining penyakit diabetes melitus melalui pemeriksaan kadar gula darah sewaktu dapat memberikan wawasan pada lansia dalam menanggulangi gejala yang dirasakan sejak dini sehingga dapat menuju lansia yang tangguh.
Upaya pencegahan dini komplikasi postpartum melalui inovasi cerdas (cek rutin dan edukasi seputar nifas) Cahyaningtyas, Dwi; Rospia, Evi Diliana; Liantanty, Firda; Pertiwi, Silvi Anggraini; Syaswari, Alya Syarah
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 9, No 4 (2025): Juli
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v9i4.32222

Abstract

AbstrakKomplikasi postpartum merupakan salah satu penyebab utama tingginya angka kematian ibu, terutama dalam 42 hari pertama pascapersalinan. Minimnya edukasi, rendahnya kesadaran kunjungan nifas, serta keterbatasan akses terhadap layanan kesehatan menjadi faktor utama terjadinya komplikasi seperti anemia dan hipertensi. Program pengabdian masyarakat ini bertujuan untuk meningkatkan deteksi dini komplikasi postpartum melalui inovasi CERDAS (Cek Rutin dan Edukasi Seputar Nifas) yang mengintegrasikan edukasi partisipatif dan pemeriksaan kesehatan sederhana. Kegiatan dilaksanakan pada 15 ibu nifas, menggunakan metode action research yang terdiri dari empat tahap: perencanaan, tindakan, observasi, dan refleksi. Hasil menunjukkan adanya peningkatan signifikan pengetahuan ibu setelah intervensi edukatif, dengan nilai posttest meningkat dari 13% menjadi 93%. Pemeriksaan tekanan darah dan kadar hemoglobin mengidentifikasi 13% peserta mengalami hipertensi tingkat I dan 53% mengalami anemia ringan. Inovasi ini terbukti efektif menjembatani kesenjangan informasi dan meningkatkan kesadaran ibu terhadap komplikasi pascapersalinan. Program ini direkomendasikan untuk direplikasi secara berkala dengan dukungan lintas sektor guna memperkuat layanan kesehatan ibu berbasis komunitas. Kata kunci: ibu nifas; komplikasi postpartum; edukasi kesehatan; anemia; hipertensi AbstractPostpartum complications are one of the main causes of high maternal mortality, especially in the first 42 days postpartum. Lack of education, low awareness of postpartum visits, and limited access to health services are the main factors for the occurrence of complications such as anemia and hypertension. This community service program aims to improve early detection of postpartum complications through the innovation of CERDAS (Routine Check and Education About Postpartum) which integrates participatory education and simple health checks. Activities were carried out on 15 postpartum women, using an action research method consisting of four stages: planning, action, observation, and reflection. Results showed a significant increase in maternal knowledge after the educational intervention, with posttest scores increasing from 13% to 93%. Examination of blood pressure and hemoglobin levels identified 13% of participants had grade I hypertension and 53% had mild anemia. This innovation proved effective in bridging the information gap and increasing maternal awareness of postpartum complications. This program is recommended for regular replication with cross-sector support to strengthen community-based maternal health services Keywords: postpartum mothers; postpartum complications; health education; anemia; hypertension
Breastfeeding class dalam meningkatkan asi eksklusif Rospia, Evi Diliana; Cahyaningtyas, Dwi Kartika; Liatanty, Firda; Dewi, Baiq Yulya Sartika; Hamistia, Pegi
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 9, No 4 (2025): Juli
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v9i4.32200

Abstract

Abstrak Menyusui sebagai masalah kesehatan masyarakat yang penting dengan implikasi sosial dan ekonomi yang sangat besar. Bayi yang tidak menerima ASI cenderung mengalami kesehatan yang lebih buruk daripada bayi yang menyusu ASI, ibu yang tidak menyusui meningkatkan risiko kesehatan. Tujuan pengabdian ini memperkenalkan Breastfeeding Class Sebagai sehingga meningkatkan pengetahuan tentang ASI Eksklusif ASI Eksklusif. Metode pelaksanaan pengabdian ini mengadopsi langkah-langkah action research yang terdiri dari 4 (empat) tahapan, yaitu: perencanaan, tindakan, observasi dan evaluasi, dan refleksi, peserta pengabdian adalah 10 ibu menyusui bayi 0-5 bulan, kegiatan pengabdian meliputi: melakukan pemeriksaan tekanan darah, pengkajian efikasi diri menyusui melalui form Breastfeeding Self Efficacy (BSE-SF), edukasi tentang ASI eksklusif dan simulasi gerakan pijat laktasi. Berdasarkan hasil pengabdian mayoritas memiliki anak 1 atau paritas primipara berjumlah 5 (50%), mayoritas Pendidikan sekolah sedang berjumlah 8 (80%), dan mayoritas ibu tidak bekerja berjumlah 9 (90%). Sebelum diberikan penyuluhan rata-rata skor pretest 10 ibu nifas yaitu 63%, dan setelah diberikan penyuluhan hasil postest rata-rata pengetahuan ibu nifas yaitu 82%, menunjukkan ada peningkatan pengetahuan setelah diberikan penyuluhan tentang ASI eksklusif. Berdasarkan hasil pemeriksaan kesehatan fisik didapatkan tekanan darah 10 ibu dalam batas normal dan Efikasi menyusui melalui intrumen Breastfeeding Self Efficacy Short form (BSE-SF) didapatkan 10 ibu memiliki efikasi meyusui yang tinggi Kata kunci: pengabdian; ibu nifas; efikasi menyusui; breasfeeding self efficacy; menyusui Abstract Breastfeeding is a major public health issue with significant social and economic implications. Infants who are not breastfed tend to experience poorer health outcomes compared to those who are, and mothers who do not breastfeed face increased health risks. The purpose of this service is to introduce Breastfeeding Class as a way to increase knowledge about Exclusive Breastfeeding. The implementation method adopted an action research approach consisting of four stages: planning, action, observation and evaluation, and reflection. The participants were 10 breastfeeding mothers with infants aged 0–5 months. The activities included blood pressure checks, assessment of breastfeeding self-efficacy using the Breastfeeding Self-Efficacy Scale–Short Form (BSE-SF), education on exclusive breastfeeding, and a simulation of lactation massage techniques.Based on the results, the majority of participants were first-time mothers (primiparous), with 5 out of 10 (50%) having one child. Most of the mothers had a moderate level of education (8 participants or 80%) and were unemployed (9 participants or 90%). Before the educational session, the average pretest score among the mothers was 63%. After the session, the average posttest score increased to 82%, indicating an improvement in knowledge about exclusive breastfeeding. Physical health assessments showed that all 10 mothers had normal blood pressure levels. In addition, the results of the Breastfeeding Self-Efficacy Scale–Short Form (BSE-SF) indicated that all 10 mothers had high breastfeeding self-efficacy. Keywords: community service; postpartum; breastfeeding self-efficacy; breastfeeding
EFEKTIVITAS SUPLEMENTASI MIKRONUTRIEN PADA IBU HAMIL ANEMIA TERHADAP PENINGKATAN KADAR HEMOGLOBIN (HB) DI KABUPATEN LOMBOK BARAT Pamungkas, Catur Esty; makmun, indriyani; Rospia, Evi Diliana; Cahyaningtyas, Dwi Kartika; nurbaety, Baiq; wd, siti mardiyah; Lestari, Cahaya Indah; Listi, Iqro Suryati; Firliani, Firliani
Midwifery Journal: Jurnal Kebidanan UM. Mataram Vol 10, No 2 (2025): Juli
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/mj.v10i2.33125

Abstract

Kekurangan zat besi saat hamil menyebabkan cadangan zat besi menipis, sehingga sulit bagi ibu hamil untuk mendapatkan zat besi yang cukup dari cadangan makanan selama kehamilannya. Saat ini upaya suplementasi difokuskan pada penyediaan zat besi, asam folat, yodium, kalsium, dan beberapa formulasi mikronutrien [1] untuk mengatasi ibu hamil anemia. Penelitian ini bertujuan melihat efektivitas suplementasi mikronutrien terhadap peningkatan kadar Hb ibu hamil anemia. Metode penelitian Quasi eksperiment dengan pemberian intervensi dan membandingkan kelompok ibu hamil yang diberikan suplementasi mikronutrien dan kelompok ibu hamil yang diberikan tablet fe asam folat. Hasil kelompok intervensi tablet fe didapatkan peningkatan kadar hemoglobin 0,54 pada ibu hamil anemia. Pada kelompok intervensi mikronutrien didapatkan peningkatan kadar Hb lebih tinggi sebanyak 1,35 dan hubungan yang signifikan pada pemberian suplementasi mikronutrien terhadap peningkatan kadar hb ibu hamil.
Effectiveness of Lemon Aromatherapy in Reducing Nausea and Vomiting in 1st Trimester Pregnant Women Skania, Pratiwi Cahya; Ashari, Elva Febri; Rospia, Evi Diliana; Haerunisa, Dinda
Jurnal Biologi Tropis Vol. 24 No. 1 (2024): Januari - Maret
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v24i1.6662

Abstract

Pregnancy is a physiological condition for women, especially for women of childbearing age. Pregnancy lasts for 42 weeks consisting of 3 trimesters, namely trimester I, II, and III. This study aims to reduce nausea and vomiting in pregnant women in the first trimester at the Akmar Jaya Clinic, Serang City. The research method used in this study was a Quasi Experimental study in one group (one group pre-test post-test). The results showed that the majority of nausea and vomiting frequencies before the intervention were 6-10 times, namely 8 people (50%), after the intervention was mild with a frequency of nausea and vomiting 1-3 times, as many as 12 people (75%). Statistically, the p-value was obtained = 0.000 or less than the α value (0.05). The conclusion is that pregnant women in their first trimester can successfully reduce nausea and vomiting by using lemon aromatherapy at the Akmar Jaya Clinic, Serang City in 2004.
Literature Review: Perbedaan Pemberian Oksitosin Profilaksis Secara Intravena dan Intramuskular Terhadap Kejadian Perdarahan Postpartum Cahyaningtyas, Dwi Kartika; Rospia, Evi Diliana; Agustina, Rika
Jurnal Kebidanan Malakbi Vol 4 No 1 (2023): Januari 2023
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/b.v4i1.689

Abstract

Postpartum Haemorrhage is a condition of blood loss of more than 500 cc that occurs within 24 hours after delivery. Postpartum hemorrhage is a significant cause of morbidity and mortality in childbirth. Postpartum Haemorrhage occurs in about 1% to 6% of all deliveries. Uterine atony, the leading cause of primary postpartum hemorrhage, accounts for 70% to 80% of all bleeding. Early prevention in postpartum hemorrhage cases is the usage of uterotonics in the third stage of labor which has become the standard of intervention worldwide. The choice of uterotonic in managing postpartum hemorrhage should be adjusted to the administration and dosage. This Study aims to analyze the difference in prophylactic administration of oxytocin injected in intramuscular and intravenous during postpartum hemorrhage. Data were searched using PICO, articles were selected using PRISMA, and critical appraisal. There is decreased postpartum hemorrhage compared to IM oxytocin administration. Intra Vena oxytocin administration could reduce the incidence of severe postpartum hemorrhage and prevent blood transfusions compared to IM oxytocin administration in the third stage of labor in postpartum hemorrhage. However, there was no significant difference in hemoglobin changes. The side effects caused by intravenous administration are still manageable compared to intramuscular administration. Intravenous oxytocin prevented postpartum hemorrhage in stage III more effectively than intramuscular administration. The side effects that emerged in the two groups of intravenous and intramuscular administration were not significantly different and were still within mild limits. The administration of oxytocin in preventing postpartum hemorrhage in the third stage of labor has become a procedure and recommendation of health organizations.
Deteksi dini dan edukasi kesejahteraan psikologis remaja generasi Z era digitalisasi Rospia, Evi Diliana; Cahyaningtyas, Dwi Kartika; Amini, Aulia; Nurchaerani, Nurchaerani; Fratiwi, Nova Irmayanti
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 8, No 3 (2024): September
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v8i3.25857

Abstract

Remaja saat ini menghadapi lingkungan digital yang semakin kompleks dan bergantung pada media sosial sebagai sarana komunikasi, interaksi sosial, dan eksplorasi identitas. Tujuan pengabdian ini untuk melakukan deteksi dini kesejahteraan psikologis dan edukasi kesejahteraan psikologis remaja generasi Z era digitalisai. Metode pelaksaan pengabdian ini mengadopsi langkah-langkah action research yang terdiri dari 4 (empat) tahapan, yaitu: perencanaan, tindakan, observasi dan evaluasi, dan refleksi, peserta pengabdian adalah 16 remaja, kegiatan ddalam ini adalah deteksi dini dan edukasi atau penyuluhan terkait kesejahteraan psikologis remaja Gen Z. Hasil deteksi dini didapatkan kesejahteraan psikologis remaja didapatkan mayoritas kategori tinggi berjumlah 12 remaja (75%). Ada perbedaan sebelum dan setelah diberikan penyuluhan remaja generasi Z pada era digitalisasi, hasil pretest menunjukkan belumada remaja yang menjawab 4 pertanyaan dengan benar, hasil postest menunjukkan 16 remaja menjawab 4 pertanyaan dengan benar setelah diberikan penyuluhan. Kata kunci: pengabdian; deteksi dini; kesejahteraan psikologis; remaja Abstract Teenagers today face an increasingly complex digital environment and depend on social media as a means of communication, social interaction and identity exploration. The aim of this service is to carry out early detection of psychological well-being and education on the psychological well-being of generation Z teenagers in the digital era. The method of implementing this service adopts action research steps which consist of 4 (four) stages, namely: planning, action, observation and evaluation, and reflection. The service participants are 16 teenagers. The activities in this are early detection and education or counseling related to welfare. psychology of Gen Z teenagers. The results of early detection showed that the majority of teenagers' psychological well-being was in the high category, numbering 12 teenagers (75%). There were differences before and after being given counseling to Generation Z teenagers in the era of digitalization. The pretest results showed that there were no teenagers who answered 4 questions correctly, the posttest results showed that 16 teenagers answered 4 questions correctly after being given the counseling. Keywords: devotion; early detection; psychological well-being; adolescents