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All Journal E-Jurnal Medika Udayana Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL CENDEKIA : Jurnal Ilmu Pengetahuan PAEDAGOGY : Jurnal Ilmu Pendidikan dan Psikologi HEALTHY: Jurnal Inovasi Riset Ilmu Kesehatan
Kurniawan, Lely Setyawati
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Public Health Social Sciences Other

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Hubungan Tingkat Stres terhadap Insomnia pada Mahasiswa Program Studi Sarjana Kedokteran dan Profesi Dokter Semester I Tahun Ajaran 2021/2022 Universitas Udayana dalam Masa Pandemi Covid-19 Sutanto, Stella Yola; Kurniawan, Lely Setyawati; Wardani, Ida Aju Kusuma; Diniari, Ni Ketut Sri
E-Jurnal Medika Udayana Vol 12 No 2 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i02.P16

Abstract

Insomnia adalah gangguan kualitas tidur yang dapat menimbulkan respon negatif pada tubuh dan dapat mempengaruhi kualitas hidup seseorang. Tanda insomnia antara lain adalah sulit menginisiasi tidur atau mempertahankan tidur, atau kualitas tidur yang buruk. Penyebab dari insomnia bersifat multifaktorial, dan salah satunya adalah stres. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat stres dengan insomnia, terutama pada mahasiswa kedokteran tahun pertama. Penelitian ini menggunakan metode studi potong lintang analitik yang melibatkan mahasiswa Program Studi Sarjana Kedokteran dan Profesi Dokter Semester I Tahun Ajaran 2021/2022 Universitas Udayana. Pengambilan sampel pada penelitian ini menggunakan teknik consecutive sampling. Kuesioner yang digunakan adalah Perceived Stress Scale dan Insomnia Severity Index yang telah diterjemahkan dan dimodifikasi untuk penelitian ini. Sebanyak 184 sampel diambil dari total 186 responden yang memenuhi kriteria inklusi dan eksklusi. Data dari kuesioner dianalisis menggunakan uji Pearson Chi-Square dan Kendall’s tau-b. Hasil penelitian menunjukkan bahwa dari 184 sampel, yang mengalami insomnia adalah sebanyak 0,5% sampel (1 orang) dengan stres ringan, 18,5% sampel (34 orang) dengan stres sedang, dan 3,3% (6 orang) dengan stres berat. Hubungan antara tingkat stres dan insomnia menunjukkan korelasi sebesar 0,154 dan nilai signifikansi (Sig.) dengan p value 0,101. Kesimpulan dari penelitian ini adalah terdapat hubungan tidak bermakna antara tingkat stres dengan insomnia pada mahasiswa semester I PSSKPD Universitas Udayana Tahun Ajaran 2021/2022. Kata kunci: tingkat stres, insomnia, mahasiswa kedokteran
ANALISIS KARAKTERISTIK DEPRESI PADA BEBAN CAREGIVER SKIZOFRENIA DI POLIKLINIK JIWA RSUP PROF DR I.G.N.G NGOERAH DENPASAR WARDANI, IDA AJU KUSUMA; KURNIAWAN, LELY SETYAWATI
PAEDAGOGY : Jurnal Ilmu Pendidikan dan Psikologi Vol. 4 No. 1 (2024)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia (P4I)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/paedagogy.v4i1.2759

Abstract

This study aims to determine the description of depression in schizophrenia caregiver burden and provide an analysis of the characteristics of schizophrenia caregivers who drive control to a psychiatric clinic. This study used an analytic descriptive design, cross-sectional using demographic questionnaires, Beck Depression Inventory (BDI) and caregiver burden (The Zarit Burden Interview). A total of 159 caregivers were included in this study. Most research subjects were from the age group 41-50 years (34%), male gender (58%), relationship with patients in the form of children (46%), income below Rp. 2,700,000.00 (51%), long duration of being a caregiver for 2-5 years (34%), normal BDI results (58%) and mild ZBI (63%). From the bivariate test, it was found that there was a significant relationship between gender, age, income, duration of being a caregiver and BDI with ZBI (p < 0.05), while there was no significant relationship between the relationship with ODS with ZBI (p = 0.132). From this study it can be concluded that there is a significant relationship between gender, age, income, length of time as a caregiver and BDI with ZBI (p < 0.05). Caregiver welfare needs attention so that ODS gets optimal care. ABSTRAKPenelitian ini bertujuan untuk mengetahui gambaran depresi pada beban caregiver skizofrenia serta memberikan analisa karakteristik caregiver skizofrenia yang mengantar kontrol ke poliklinik jiwa. Penelitian ini menggunakan desain deskriptif analitik, potong lintang menggunakan kuesioner demografis, Beck Depression Inventory (BDI) dan beban Caregiver (The Zarit Burden Interview). Sebanyak 159 orang caregiver diikutsertakan dalam penelitian ini. Subjek penelitian terbanyak berasal dari kelompok usia 41-50 tahun (34%), berjenis kelamin laki laki (58%), hubungan dengan pasien berupa anak (46%), berpenghasilan dibawah Rp. 2.700.000,00 (51%), durasi lama menjadi caregiver sebanyak 2-5 tahun (34%), hasil BDI normal (58%) dan ZBI ringan (63%). Dari uji bivariat didapatkan adanya hubungan yang signifikan antara jenis kelamin, usia, penghasilan, lama menjadi caregiver dan BDI dengan ZBI (p < 0.05), sedangkan tidak ada hubungan yang signifikan antara hubungan dengan ODS dengan ZBI (p = 0.132). Dari penelitian ini dapat disimpulkan bahwa terdapat hubungan yang signifikan antara jenis kelamin, usia, penghasilan, lama menjadi caregiver dan BDI dengan ZBI (p < 0.05). Kesejahteraan caregiver perlu mendapat perhatian agar ODS mendapat perawatan yang optimal.
Serum Serotonin Levels and the Severity Scores and Types of Delirium among Geriatric Patients in Denpasar, Indonesia Kusnawan, I Made Dedy; Astika , Nyoman; Kurniawan, Lely Setyawati; Aryana , I Gusti Putu Suka
Current Internal Medicine Research and Practice Surabaya Journal Vol. 5 No. 2 (2024): CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cimrj.v5i2.54860

Abstract

Introduction: Delirium is an acute attention disorder that often occurs in elderly patients. The serotoninergic pathway is the main neurotransmitter pathway involved in the development of delirium. Serotonin, known as 5-hydroxythyramine (5-HT), affects mood, aggressiveness, cognition, depression, pressure, and stress in the brain environment. This may lead to the formation of hypoactive, hyperactive, or mixed delirium processes. This study utilized laboratory data with the aim of investigating whether serotonin levels have a correlation with severity score and delirium type in elderly individuals who experience delirium during hospitalization. Methods: This study was conducted in the field of geriatrics at Prof. Dr. IGNG Ngoerah Central General Hospital, Denpasar, Indonesia, from April 2022 to October 2023. The sample was gathered consecutively, consisting of 62 hospitalized geriatric patients who suffered from delirium and were willing to participate by signing an informed consent. We excluded post-surgical patients and psychoactive drug users. The data were collected using the Memorial Delirium Assessment Scale (MDAS), the Confusion Assessment Method (CAM), and a serum serotonin test. This study used bivariate analysis, the Kruskal-Wallis test, and Spearman’s correlation (p<0.05). Results: A total sample of 62 individuals was required. There was a significant difference in the mean serotonin levels among different types of delirium (p<0.05). Out of all the documented cases, hypoactive delirium was the most frequently observed (64.5%). Most of the elderly patients experienced severe delirium (54.8%). Serotonin levels had a significantly negative correlation with the MDAS scores (r=-0.95; p<0.001). Conclusion: The research findings indicate a correlation between lower serotonin levels and higher MDAS scores, and vice versa.   Highlights: 1. This study attempted to determine the relationship between serum serotonin levels and delirium severity scores among geriatric patients in Indonesia. 2. There was a significant difference in the mean serotonin levels among elderly individuals with hypoactive, hyperactive, and mixed types of delirium.
ASPEK SPIRITUAL DAN PENGGUNAAN ‘SPIRITUAL HEALTH ASSESSMENT SCALE’ DALAM RAWATAN HOSPICE: ARTICLE REVIEW JIMMY, JIMMY; ARIANI, NI KETUT PUTRI; SUTRISNA, I PUTU BELLY; LESMANA, COKORDA BAGUS JAYA; KURNIAWAN, LELY SETYAWATI; ARDANI, I GUSTI AYU INDAH
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 1 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v3i4.4357

Abstract

The goal of hospice care is to relieve patient’s physical, psychological, social, and spiritual stress who are nearing the end of life, thereby ultimately improving the quality of life because hospice care views humans from a holistic perspective. Spirituality is a dynamic and essential aspect of humanity that includes the search for highest meaning, purpose in life, transcendence and connection with oneself, family and others which is manifested in beliefs, values, traditions and practices. This has had a positive impact that includes spiritual well-being, quality of life, adaptation, physical and psychological health which ultimately meets the needs of patients and families in finding meaning and purpose in life, restoring relationships and love and being able to accept death and maintain hope and support a dignified death. Mean center and Dignitiy psychotherapy has been tested as a psychotherapy that focuses on the patient's meaning and dignity. Spirituality is a concept that is not limited to religion and is a key concept in the care of terminal illness. Therefore, spiritual care is an important element of hospice care that significantly influences the quality of all care provided. The spiritual care guidance and assessment model was developed as a care guide in the fundamental and spiritual aspects of human beings in hospice care. Spiritual Health Assessment Scale (SHAS) is a scale developed to assess spiritual health that is used for the entire community and is not based only on religion which contains 3 domains in the form of self-development, self-actualization and self-realization. ABSTRAKTujuan dari perawatan hospice adalah untuk meringankan tekanan fisik, psikologis, sosial, dan spiritual pasien yang mendekati akhir hidup sehingga pada akhirnya meningkatkan kualitas hidup karena rawatan hospice memandang manusia dari sudut pandang holistik. Spiritual adalah aspek dinamis dan essensial dari kemanusiaan yang mencakup pencarian makna tertinggi, tujuan hidup, transendensi dan hubungan dengan diri sendiri, keluarga dan orang lain yang terwujud dalam keyakinan, nilai, tradisi dan praktik. Hal ini telah memiliki dampak positif yang mencakup kesejahteraan spiritual, kualitas hidup, adaptasi, kesehatan fisik dan psikologis yang akhirnya memenuhi kebutuhan pasien dan keluarga dalam menemukan makna dan tujuan hidup, memulihkan hubungan dan cinta serta bisa menerima kematian dan mempertahankan harapan serta mendukung kematian yang bermartabat. Mean center and Dignitiy psychotherapy telah diuji sebagai psikoterapi yang berfokus pada makna dan martabat pasien. Spritual adalah konsep yang tidak terbatas pada agama dan konsep kunci dalam tanda penting dalam perawatan penyakit terminal. Oleh karena itu , perawatan spiritual merupakan elemen penting dari perawatan hospice yang secara signifikan mempengaruhi kualitas seluruh perawatan yang diberikan.Model panduan perawatan spiritual dan penilaian dikembangkan sebagai panduan perawatan dalam aspek fundamental dan spiritual manusia dalam perawatan hospice. Spiritual Health Assessment Scale (SHAS) merupakan skala yang dikembangkan untuk mengkaji kesehatan spiritual yang digunakan untuk seluruh masyarakat dan tidak berdasarkan hanya pada agama yang berisi 3 dormain berupa pengembangan diri, aktualisasi diri dan realisasi diri
HUBUNGAN ANTARA GANGGUAN STRES PASKA TRAUMA DENGAN KUALITAS HIDUP PADA TENAGA KESEHATAN PENYINTAS COVID-19 DI RSUP PROF. DR. I G.N.G. NGOERAH DAMARNEGARA, ANAK AGUNG NGURAH ANDIKA; ARIANI, NI KETUT PUTRI; LESMANA, COKORDA BAGUS JAYA; PUTRA, I WAYAN GEDE ARTAWAN EKA; ARYANI, LUH NYOMAN ALIT; WAHYUNI, ANAK AYU SRI; KURNIAWAN, LELY SETYAWATI
PAEDAGOGY : Jurnal Ilmu Pendidikan dan Psikologi Vol. 4 No. 4 (2024)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia (P4I)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/paedagogy.v4i4.4391

Abstract

The COVID-19 pandemic has had a significant impact on the mental health of health workers, including Post Traumatic Stress Disorder (PTSD), which negatively affects their quality of life. This study aims to determine the prevalence of PTSD, quality of life, and the relationship between PTSD and quality of life in health workers who are COVID-19 survivors at Prof. Dr. I.G.N.G. Ngoerah General Hospital. This analytical observational study used a cross-sectional design with the PCL-5 and WHOQOL-BREF questionnaires in 188 health workers from July to October 2022. The results showed a prevalence of PTSD of 10.1%. The overall quality of life was mostly in the good category (62.8%), but there were respondents with very poor (0.5%) and poor (3.2%) quality of life. In the physical health domain, the quality of life was mostly in the moderate category (61.7%), while the psychological, social relationships, and environmental domains showed variations in moderate to good quality of life with several respondents in the very poor category (0.5%). Analysis showed a trend towards worse overall quality of life in subjects with GSPT compared to those without (P<0.002). In conclusion, there is a significant relationship between GSPT and overall quality of life, although it does not apply to each domain of quality of life specifically. GSPT can reduce the overall quality of life of COVID-19 survivor health workers. ABSTRAKPandemi COVID-19 memberikan dampak signifikan terhadap kesehatan mental tenaga kesehatan, termasuk Gangguan Stres Pasca Trauma (GSPT), yang memengaruhi kualitas hidup mereka secara negatif. Penelitian ini bertujuan untuk mengetahui prevalensi GSPT, kualitas hidup, serta hubungan antara GSPT dan kualitas hidup pada tenaga kesehatan penyintas COVID-19 di RSUP Prof. Dr. I.G.N.G. Ngoerah. Penelitian observasional analitik ini menggunakan desain potong lintang dengan kuesioner PCL-5 dan WHOQOL-BREF pada 188 tenaga kesehatan dalam periode Juli hingga Oktober 2022. Hasil penelitian menunjukkan prevalensi GSPT sebesar 10,1%. Kualitas hidup keseluruhan terbanyak berada pada kategori baik (62,8%), tetapi terdapat responden dengan kualitas hidup sangat buruk (0,5%) dan buruk (3,2%). Dalam domain kesehatan fisik, kualitas hidup terbanyak berada pada kategori sedang (61,7%), sedangkan domain psikologis, hubungan sosial, dan lingkungan menunjukkan variasi kualitas hidup sedang hingga baik dengan beberapa responden pada kategori sangat buruk (0,5%). Analisis menunjukkan kecenderungan kualitas hidup keseluruhan yang lebih buruk pada subjek dengan GSPT dibandingkan yang tidak (P<0,002). Kesimpulan, terdapat hubungan signifikan antara GSPT dan kualitas hidup keseluruhan, meskipun tidak berlaku pada masing-masing domain kualitas hidup secara spesifik. GSPT dapat menurunkan kualitas hidup tenaga kesehatan penyintas COVID-19 secara keseluruhan.
Pornography Use and Its Impact on Professional Performance of Faculty of Medicine Udayana University Students Tokan, Fransiskus Asisi; Kurniawan, Lely Setyawati; Ardani, I gusti Ayu Indah; Ariani, Ni ketut Putri; Marvella
Jurnal Psikiatri Surabaya Vol. 14 No. 1 (2025): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v14i1.67917

Abstract

Introduction: Pornography is a medium containing sexual content in various forms that is used to satisfy the sexual desires of its consumers. Technological advancements have eased access to pornography, increasing consumption especially among the productive age group. Addiction to pornography has several negative impacts such as increasing anxiety, stress, and depression, which reduces productivity. This study aims to determine the level of pornography addiction among students of the Faculty of Medicine at Udayana University and its impact on their productivity. Methods: This research is an analytic study with a cross-sectional design to determine the effect of pornography on the productivity of Udayana University students in 2021. The research instrument are collected through questionnaire in the form of Google Forms, distributed to the 2021 cohort of the Faculty of Medicine at Udayana University anonymously to allow respondents to be more open about their pornography use, thereby enhancing the validity of the research. The results were then analyzed using an independent t-test with SPSS version 26. Results: The Pornography Craving Questionnaire revealed that 19.44% (n=14) of respondents were addicted to pornography. Those who were addicted were dominated by male respondents (26.53% vs 4.34%). When compared to productivity scores from the Individual Job Performance Questionnaire, those who were addicted had an average score of 1.30 points lower than those who were not addicted, with a P-value <0.001. The non-addicted group showed significantly higher average productivity. Conclusions: Pornography negatively impacts users’ productivity, prompting more workplace interventions in the future.
FEAR OF BREATHING, FEAR OF DEPENDENCE: LAPORAN KASUS GANGGUAN ANXIETAS ORGANIK PADA PASIEN MYASTHENIA GRAVIS PASCATIMEKTOMI DENGAN KETERGANTUNGAN VENTILATOR Karouw, Grace Venny Febe; Kurniawan, Lely Setyawati; Aryani, Luh Nyoman Alit; Mahardika, I Komang Ana
CENDEKIA: Jurnal Ilmu Pengetahuan Vol. 5 No. 3 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/cendekia.v5i3.6613

Abstract

Patients with Myasthenia Gravis (MG) undergoing thymectomy are at risk of developing postoperative respiratory complications requiring mechanical ventilation. This dependence may lead to severe paradoxical anxiety, characterized by both fear of breathing (anxiety about ventilator removal) and fear of dependence (fear of lifelong reliance on mechanical support). This narrative review analyzed recent literature from the past decade, focusing on neuropsychiatric perspectives of ventilator dependence in MG patients. Fear of breathing involves hyperactivation of brain structures such as the amygdala and insular cortex, resulting in anticipatory dyspnea. Fear of dependence stems from existential anxiety linked to loss of autonomy and identity, mediated by dysregulation in the ventromedial prefrontal cortex and default mode network. These fears contribute to a maladaptive cycle involving learned helplessness and avoidance behavior. Early psychiatric evaluation, cognitive behavioral therapy (CBT), and low-dose SSRI pharmacotherapy have shown promising outcomes. Multidisciplinary collaboration is essential to optimize psychophysical recovery and reduce ICU length of stay. Paradoxical respiratory anxiety in MG patients presents a significant barrier to ventilator weaning and recovery. Integrated psychiatric interventions are crucial to address both physiological and psychological needs, ensuring holistic care in critical settings. ABSTRAKPasien dengan Myasthenia Gravis (MG) yang menjalani tindakan timektomi sering menghadapi komplikasi pernapasan yang memerlukan dukungan ventilator. Ketergantungan ini dapat memunculkan kecemasan berat yang paradoksal, yakni rasa takut saat ventilator dilepas (fear of breathing) dan kecemasan terhadap ketergantungan jangka panjang pada alat bantu napas (fear of dependence). Studi tinjauan pustaka menggunakan literatur dari jurnal internasional yang terbit dalam 10 tahun terakhir, dengan fokus pada aspek neuropsikiatri pasien MG dengan ventilator dependence. Fear of breathing melibatkan disregulasi sistem saraf pusat (amigdala, insula, prefrontal cortex) yang memperkuat anticipatory dyspnea. Sementara itu, fear of dependence muncul dari ketakutan eksistensial akan kehilangan otonomi dan harga diri. Kedua bentuk kecemasan ini memperburuk prognosis melalui siklus learned helplessness dan anxiety-avoidance. Pendekatan psikiatri berbasis Cognitive Behavioral Therapy (CBT), farmakoterapi selektif, dan keterlibatan tim multidisiplin telah terbukti mempercepat pemulihan. Kecemasan respiratorik paradoksal merupakan tantangan penting dalam perawatan pasien MG. Intervensi psikiatri terintegrasi diperlukan untuk mendukung keberhasilan weaning dan menjaga kesehatan mental pasien.
Co-Authors Anak Ayu Sri Wahyuni, Anak Ayu Sri Ardani, I Gusti Ayu Indah Ariani, Ni Ketut Putri Aryana , I Gusti Putu Suka Astika , Nyoman Cokorda Bagus Jaya Lesmana, Cokorda Bagus Jaya DAMARNEGARA, ANAK AGUNG NGURAH ANDIKA I Wayan Gede Artawan Eka Putra, I Wayan Gede Artawan Eka Jimmy Jimmy Karouw, Grace Venny Febe Kusnawan, I Made Dedy Luh Nyoman Alit Aryani, Luh Nyoman Alit MAHARDIKA, I KOMANG ANA Marvella Ni Ketut Sri Diniari, Ni Ketut Sri Sutanto, Stella Yola Sutrisna, I Putu Belly Tokan, Fransiskus Asisi Wardani, Ida Aju Kusuma