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All Journal Nurse Media Journal of Nursing Jurnal Kedokteran Diponegoro Journal Of Holistic Nursing Science Medica Hospitalia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Scientia Psychiatrica Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) Diponegoro International Medical Journal (DIMJ) Journal of Community Mental Health and Public Policy MAHESA : Malahayati Health Student Journal Jurnal Ilmiah Kesehatan Jiwa Journal of Psychiatry Psychology and Behavioral Research (JPPBR) Journal of Mental Health
Widodo Sarjana AS, Widodo
Department Of Clinical Psychiatry, Faculty Of Medicine University Of Diponegoro, Zona Pendidikan RSUP Dr. Kariadi Jl. Dr. Sutomo No.16-18, Semarang, Central Java, Indonesia 50244
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Prevalensi gangguan cemas dengan perilaku non-suicidal self-injury pada pasien poli rawat jalan Innawati Jusup; Widodo Sarjana; Tanjung Ayu Sumekar; Fanti Saktini
Link Journal of Mental Health Vol 2 No 1 (2025): October : Journal of Mental Health
Publisher : CV LINK Education Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63425/ljmh.v2i1.90

Abstract

Pendahuluan: Gangguan kecemasan ditandai dengan kekhawatiran yang berlebihan dan tidak terkendali. Prevalensi gangguan ini sepanjang hidup mencapai 4,3% pada populasi umum. Manifestasi klinisnya beragam dan dapat berdampak negatif terhadap kesejahteraan psikososial, fungsi peran, produktivitas kerja atau akademik, serta kualitas hidup pasien. Tujuan: Mengetahui prevalensi gangguan kecemasan yang disertai dengan perilaku Non-Suicidal Self-Injury (NSSI) pada pasien yang berkunjung ke poliklinik psikiatri rawat jalan. Metode: Penelitian ini menggunakan pendekatan analisis deskriptif dan observasional analitik. Data dikumpulkan dari rekam medis selama periode Januari-Desember 2023. Lokasi penelitian berada di Rumah Sakit Nasional Diponegoro, Semarang. Penilaian psikometri dilakukan menggunakan instrumen Hamilton Anxiety Rating Scale (HAM-A). Analisis deskriptif untuk menggambarkan karakteristik responden dan perilaku NSSI, serta menggunakan uji Mann-Whitney untuk membandingkan tingkat kecemasan (skor HAM-A) antara kelompok yang melakukan dan tidak melakukan self-harm. Hasil: Sebanyak 96 responden berpartisipasi dalam penelitian ini, dengan mayoritas merupakan mahasiswa (63,8%), mencerminkan lokasi rumah sakit yang berdekatan dengan kawasan kampus. Dari 19 pasien yang menunjukkan perilaku NSSI, sebanyak 94,7% adalah perempuan. Selain itu, 68,4% dari mereka mengalami lebih dari satu jenis stresor, dengan stresor utama berasal dari lingkungan keluarga dan pendidikan. Tidak ditemukan perbedaan signifikan dalam skor HAM-A antara pasien dengan perilaku NSSI dan yang tidak. Kesimpulan: Prevalensi gangguan kecemasan yang disertai perilaku NSSI sebesar 27,54%, dengan prevalensi lebih tinggi pada mahasiswa perempuan yang mengalami lebih dari satu jenis stresor, terutama yang berkaitan dengan keluarga dan pendidikan.
Relationship between Neutrophil-Lymphocyte Ratio (NLR) and Self-Esteem in Patients with Borderline Personality Disorder Uminah; Widodo Sarjana AS; Muflihatunnaimah; Natalia Dewi Wardani
Scientia Psychiatrica Vol. 5 No. 1 (2024): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v5i1.163

Abstract

Background: Borderline personality disorder (BPD) is a personality disorder that has low self-esteem, unstable emotions, high rejection, and is reactive to everyday interpersonal stress. The involvement of inflammatory factors in BPD has been widely reported by researchers. NLR is a specific inflammatory mediator in the adaptive immune response that can be examined through inexpensive and fast hematology tests. NLR is expected to be used as a marker of self-esteem in individuals with BPD. The study aimed to determine the relationship between NLR and self-esteem in patients with BPD. Methods: This is a quantitative study with a cross-sectional design. The total sample is 37 respondents who have been diagnosed with BPD from several hospitals in Semarang. Collection data use questionnaire RSES and blood sampling for NLR examination. Results: From 37 respondents, 27 (73.0%) subjects had low self-esteem, and 10 (27.0) subjects had high self-esteem. We found that the sensitivity of NLR was 50.00%, specificity 48.15%, positive predictive value 26.32%, negative predictive value 27.03%, and accuracy 48.65%. Area under curve (AUC) 0,537 and correlation cut off point NLR to self-esteem is no significant relationship because the p-value is 0,605 with RP 0.93(0,22-3,96) (95% CI). Conclusion: NLR cannot be used as a marker of high or low self-esteem in individuals with BPD.
Nurses’ Experiences of Providing Spiritual Care for Schizophrenic Patients in Psychiatric Hospital, Magelang: A Qualitative Study Wijayanti, Diyan Yuli; Sari, Sri Padma; Sarjana, Widodo
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 1 (2024): March 2024
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i1.2710

Abstract

Spiritual interventions have received growing attention in recent years as they are evident to reduce psychotic symptoms significantly in patients with mental disorders. However, some nurses neglect patients' spiritual needs as it is not their primary responsibility. In other research, mental health nurses felt uncertain about spiritual issues and anxious to distinguish between spiritual needs and mental illness symptoms. Their concern about spiritual care being inappropriate within their practice setting and lack of knowledge also influence the willingness of nurses to provide spiritual care. This study aimed to explore nurses' experiences of providing spiritual interventions for patients with schizophrenia in Prof. Dr. Soerodjo's psychiatric hospital in Magelang, Indonesia. A descriptive qualitative study with a phenomenological approach was conducted among seven participants who were purposively recruited from different hospital wards. The researchers conducted semi-structured focused-group discussions (FGDs) and employed theoretical triangulation to improve the quality of data analysis. A thematic analysis was used to obtain rich, detailed, complex data reports. The results showed two major themes: (1) nurses' experiences providing spiritual interventions and (2) the importance of spiritual interventions for patients with schizophrenia. Spiritual interventions were crucial to patient care and were implemented in all hospital wards. These interventions varied in form, and their implementation merely relied on nurses' and patients' commitment and motivation. Some barriers to implementing spiritual interventions were reported, including stigma, lack of commitment, and suboptimal fulfillment of spiritual needs for patients other than Moslem. Implementation of spiritual interventions is best based on the prepared modules, which contain spiritual assessment tools, material, and guidelines for fulfilling the spiritual needs and the standard of spiritual intervention that will be provided. Nurses require strong commitment and motivation to carry out spiritual intervention to have a satisfying impact in the form of a decrease in violent behavior, confinement, length of stay, runaway rate, increased communication skills, self-control, and improved appearance. Schizophrenic patients are expected to continue their spiritual activities until they are ready to return to the community. Innovations and institutional support are required to help achieve the goals of spiritual interventions.
Co-Authors Adiwijaya, Janice Nathania Agung Kadarman Agustin, Murti Akhsanul Yasril Ihza Laksono Alifatush Shabrina Alifiati Fitrikasari Alifiati Fitrikasari Andreas Johan Hardjosoesanto Ardi, Wandria Robi Astuti, Halimah Wenny Yulina Ayu Mekar Sumila Diah Anggraini Diyan Yuli Wijayanti Dyah Ayu Palupi Elyana Hapsari Fanti Saktini Felita, Fiona Fitri Eka Wulandari Hang G. Asikin Hang Gunawan Asikin Hang Gunawan Asikin Hermawan Istiadi Innawati Jusup Jessica Yolanda Hadisusanto Kartikasari, Linda Linda Kartika Sari Locsin, Rozzano C. Margaretha, Christine Meidiana Dwidiyanti Muchlis A.U Sofro Muchlis Achsan Udji Sofro Muflihatunnaimah Natalia Dewi Wardani Nila Rabiastuti Meiyanti Nurhasanah Nurhasanah Reza Indra Wiguna Ricca Angelina Ethel Rizki Alfarizi Sandjaja, Alicia Sanjaya, Dicky Sarah Damayanti RP Marbun Setyaningsih, Nur Sisca Maria Turnip Sri Mulyasari Sri Padma Sari, Sri Padma Suharto Suharto Sulistiyowati, Linda Tanjung Ayu Sumekar Titis Hadiati Titis Hadiati, Titis Tri Ratnawati Uminah Winadi Yoyada Dwi Putra Witrie Sutaty Miliawati Rahayu Woroasih, Sri