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

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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.