I Gusti Ayu Indah Ardani
Department Of Psychiatry, Faculty Of Medicine, Universitas Udayana, Denpasar, Bali

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Pemberian Stimulasi Selama Satu Jam pada Perkembangan Anak Usia 12-24 Bulan Mira Irmawati; I Gusti Ayu Indah Ardani Ayu Indah Ardani; Dewi Astasari; Irwanto Irwanto; Ahmad Suryawan; Moersintowarti B Narendra
MEDIA MEDIKA INDONESIANA 2012:MMI VOLUME 46 ISSUE 3 YEAR 2012
Publisher : MEDIA MEDIKA INDONESIANA

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The influence of one hour stimulation in children aged 12-24 monthsIntroduction: Early stimulation plays an important role to reach optimal growth and development in children, especially cognitive, affective, and psychomotor developments. Stimulation has to be done continuously because this is important to maintain the connection between brain cells (synapse). Lack of stimulation can influence loss of brain cells functions. The aim of this study is to determine the influence of one hour stimulation on the development of children aged 12-24 months.Methods: An experimental analytic study with cohort prospective was conducted on children aged 12-24 months in Gubeng district, Surabaya, from September 2008-February 2009. Seventy healthy children were randomly divided into two groups, stimulation group and control group. Denver II was used to evaluate children’s developmental status, conducted before and after stimulation. Data analysis using McNemar and Chi Square test.Result: There were improvement on development in both groups, from 85.7% become to 94.3% in the stimulation group and 68.6% to 77.1% in the control group. There was a significant influence on children development, only 10% children did not have any development delay anymore in the stimulation group, but in the control group still 30% (p=0.042). After 3 months, there was an improvement of development in the stimulation group from suspect to normal in 80%, and 63.6% in the control group, but notsignificant (p=0.375 vs p=0.549).Conclusion: Early stimulation improves the development of children aged 12-24 months.Keywords: Children, aged 12-24 months, early stimulation, Denver II ABSTRAKPendahuluan: Stimulasi mempunyai peran penting untuk meningkatkan pertumbuhan dan perkembangan anak, terutama fungsi kognitif, afektif dan psikomotor. Stimulasi yang terus menerus mengakibatkan hubungan antar sel otak (sinapsis) bisa berjalan dengan baik. Kurangnya stimulasi akan mengakibatkan hilangnya fungsi sel-sel otak ini. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian stimulasi selama 1 jam pada perkembangan anak usia 12-24 bulan.Metode: Penelitian dilakukan secara analitik prospektif kohort pada anak usia 12-24 bulan di Kecamatan Gubeng, Surabaya, mulai bulan September 2008 hingga Februari 2009. Tujuh puluh anak sehat secara acak dibagi dalam 2 kelompok, kelompok stimulasi dan kelompok kontrol. Denver II digunakan untuk menilai status perkembangan anak, sebelum dan sesudah perlakuan. Analisis data menggunakan uji McNemar dan Chi Square.Hasil: Didapatkan perbaikan perkembangan pada kedua kelompok, dari 85,7% menjadi 94,3% pada kelompok stimulasi, dan 68,6% menjadi 77,1% pada kelompok kontrol. Terdapat perbedaan bermakna pada kemampuan perkembangan, hanya 10% tidak mengalami keterlambatan pada kelompok stimulasi, sedangkan kelompok kontrol 30% (p=0,042). Setelah 3 bulan, terjadi peningkatan perkembangan pada kelompok stimulasi dari subyek yang suspek menjadi normal sebesar 80%, dan kelompok kontrolsebesar 63,6%, tetapi tidak bermakna (p=0,375 vs p=0,549).Simpulan: Pemberian stimulasi satu jam meningkatkan kemampuan perkembangan anak usia 12-24 bulan.
RISK OF INTERNET ADDICTION AMONG ADOLESCENTS WITH ATTENTION-DEFICIT/HYPERACTIVITY DISORDER (ADHD) DURING THE COVID-19 PANDEMIC Febria Rike Erliana; Yunias Setiawati; Henry Aoyama; I Gusti Ayu Indah Ardani
Jurnal Berkala Epidemiologi Vol. 10 No. 2 (2022): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V10I22022.159-168

Abstract

Background: In lieu of COVID-19, adolescents are forced to carry out their schoolwork, social and leisure activities online. Excessive internet use can have a negative impact on psychological, social, physical, spiritual, and financial well-beings. Such phenomenon is called internet addiction, and its highest prevalence is observed among adolescents with Attention-Deficit/ Hyperactivity Disorder (ADHD). They have difficulty focusing on less attractive routines, thus they tend to have impaired daily functioning. So, internet addiction co-occuring with ADHD among adolescents warrants serious clinical attention. Purpose: This literature aims to study the risk factors and management of comorbidity of internet addiction with ADHD in adolescents. Methods: A literature review of studies investigating Internet Addiction Risk in Adolescent with Attention-Deficit/Hyperactivity Disorder (ADHD). Non-English articles were set as the exclusion criteria.  Search criteria in this rewiew includes ‘internet addiction’, ‘ADHD’, ‘comorbidity’, and ‘adolescent’. Results: Adolescents with ADHD are at a heightened risk of developing internet addiction. Impulsivity, executive dysfunction, motivational dysfunction, social skill deficits and subpar attachment bonds were the primary reasons for the increased risk. Conclusion: Attempts to increase awareness on the internet addiction susceptibility among adolescents with ADHD, particularly in this COVID-19 pandemic.
The Association between Acne Vulgaris and Stress among Adolescents in Kenjeran, Surabaya Zsa Zsa Ollyvia; Nining Febriyana; Damayanti Damayanti; I Gusti Ayu Indah Ardani
Jurnal Psikiatri Surabaya Vol. 10 No. 1 (2021): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v10i1.23483

Abstract

Background: Acne vulgaris is the main skin disease problem for adolescents. The complication of acne in adolescents is scars left on the face, which affects stress levels. Stress has harmful potential when the conditions exceed the individual's ability to cope. Kenjeran area has a tropical climate and weather which are the factors that cause acne vulgaris. Objective: This research aims to study the association between acne vulgaris severity and stress among adolescents in Kenjeran, Surabaya Methods: This research used non-probability purposive sampling technique and observational analytic method with cross-sectional design. Assessment of the acne severity was carried out by dermatologist using Lehmann’s Grading System and stress levels were assessed using the Perceived Stress Scale questionnaire in 109 adolescent subjects. Results: The highest frequency is women aged 15 years. The dominance is in mild acne severity with moderate stress. It was found that adolescents with acne vulgaris are at risk of experiencing stress even though the analysis of the results using fisher-exact showed that there was no significant association between the acne severity and stress level in adolescents with acne vulgaris (p=0.113). Conclusion: The presence of acne vulgaris puts adolescents at risk of experiencing mild, moderate, or severe stress. It requires attention because can cause adverse effects that affect adolescents into adulthood life.
The Importance of Family Support in Successful Treatment Adherence of Schizophrenic Patient Lia Jessica; Izzatul Fithriyah; I Gusti Ayu Indah Ardani
Jurnal Psikiatri Surabaya Vol. 10 No. 2 (2021): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v10i2.26453

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Background: Schizophrenia is a treatable disease  but requires patient’s high adherence to treatment. Family support of a schizophrenic patient plays an important role in encouraging the patient to continue his treatment. This report aims to enhance the importance of family support of schizophrenic patient in patient’s adherence to achieve a good mental health for all family member.Case: A hospitalized male paranoid schizophrenic patient who was admitted and observed in Dr. Soetomo General Hospital from September 15th-25th, 2020. Patient came to the hospital with chief complaint could not stop talking (rambling) since 1 day before admission. Patient could neither eat nor sleep for that day. Patient relapsed after stopping taking medication from the psychiatrist.Discussions: The patient in this case suffered a relapse of his paranoid schizophrenia because he stopped taking medication. Lack of support from family is the most important factor in a schizophrenia patient. Psychoeducation to patient’s family about schizophrenia and the importance of medication would be a great help for patient’s adherence to treatment.Conclusions: Schizophrenia needs a long-life treatment. High adherence to treatment could improve schizophrenia’s symptoms and prevent relapse. Family support is important to make sure the patient keeps taking his medicine regularly.
Strategi Pembelajaran Kooperatif Tipe Jigsaw dan Prestasi Belajar Pendidikan Agama Hindu Siswa Kelas VIII I. G. A. Indah Ardani; Intan Permatasari; Made Surya Bhuana; Ni Made Mega Puspitasari
JURNAL PSIKOLOGI MANDALA Vol 1, No 1 (2017): JURNAL PSIKOLOGI MANDALA
Publisher : Universitas Dhyana Pura

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Abstrak. Ada beberapa pendekatan strategi pembelajaran seperti pembelajaran metakognitif dan kooperatif. Penelitian ini hendak menguji strategi pembelajaran kooperatif tipe jigsaw dalam meningkatkan prestasi belajar. Tiga puluh siswa kelas VIII (Sekolah Menengah Pertama) menjadi partisipan penelitian terbagi secara random ke kelompok kontrol (tidak menerima perlakuan) dan kelompok eksperimen (belajar dengan menggunakan pendekatan tipe jigsaw). Peneliti menggali data prestasi belajar secara khusus pada matapelajaran Pendidikan Agama Hindu. Pembelajaran kooperatif ini meningkatkan partisipasi siswa selama proses pembelajaran. Siswa juga dilaporkan memiliki prestasi belajar yang lebih tinggi dibandingkan kelompok siswa yang tidak menerima perlakuan.Kata kunci: prestasi belajar, strategi pembelajaran, tipe jigsaw
Hubungan insomnia dengan depresi pada lanjut usia di Sesetan Kecamatan Denpasar Selatan Tahun 2017 Luh Putu Mettary Yasoda Gera; Anak Ayu Sri Wahyuni; IGA Indah Ardani
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (218.492 KB) | DOI: 10.15562/ism.v10i2.188

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Introduction: Insomnia is difficulty falling or maintaining sleep that often experienced by general population. Insomnia mostly experienced by elderly woman, people with low education and low economy and in people  who  have  chronic  disease.  Insomnia  is  risk  factor  from  psychiatric  disorder  especially depression. Insomnia increase the risk in depression development. Depression is disorder on personal, interpersonal  and social that affecting general population. The purpose of this study is to know the relationship between insomnia and depression in elderly.Method: The type of this study is analytical observational (Cross-sectional)  study with amount of sample 32 respondents that conducted in Banjar Gaduh and Banjar Tengah in Sesetan, South Denpasar District in elderly in 2017. This study is using the primary data obtained through questionnaire and interview (GDS and ISI) and analyzed through SPSS 21.0.Result: This study found that from 32 respondents experienced insomnia (50%), not experienced Insomnia   (50%),  experienced   depression   (28.1%)  and  no  experience   depression   (71.9%)  and relationship insomnia with depression on eldery obtained value p < 0.05 . The R-square value indicates value of 0.673 which means that role variable independent in explain variable dependent only of 67.3%, could be concluded that still there are 24.6% other variables outside the research variables that affect insomnia.Conclusion: There were a significant relationships between depression and insomnia.
Bipolar Disorder with History of Physical Abuse and Comorbid Polycythemia Vera: a Case Report Panjaitan, Endy Desmanto; Ida Aju Kusuma Wardani; I Gusti Ayu Indah Ardani
Jurnal Psikiatri Surabaya Vol. 13 No. 1 (2024): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v13i1.44336

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Introductions: Based on a 2015 United Nations Children's Fund (UNICEF) report, violence against children is widespread in Indonesia; 40% of 13–15-year-old children reported being physically assaulted at least once a year, 26% reported being physically abused by a parent or caregiver, and 50% reported being bullied at school. Case: A 23-year-old female patient, Hindu, Balinese, unmarried, and unemployed, came alone to the psychiatric polyclinic of Wangaya Hospital. From history taking, there was dizziness, anhedonia, impaired attention, reduced self-esteem and confidence, guilt and uselessness, reference ideas, somatic delusions, relationship mood, logorrhea and flight of ideas, a history of mixed-type insomnia, and excessive energy. In a general examination, there were icteric sclera and palpable enlargement of the spleen (Schuffner 4). Neurological examination within normal limits. Discussion: The patient has bipolar disorder, caused by a traumatic experience in childhood. The patient was found to have a history of repeated treatment; she was initially diagnosed with bipolar disorder and received Depakote 250 mg and Clobazam 10 mg. Then, the patient came for treatment again at Wangaya Hospital on August 30, 2021, because of a headache and was diagnosed with bipolar affective disorder, with the current episode being moderately depressive with somatic symptoms. Conclusion: Traumatic childhood events are a risk factor for bipolar disorder. In addition to poor clinical presentation, the early onset of bipolar disorder is also an aggravating factor for symptom recurrence. Polycythemia vera can be a complicating factor in the recovery and relapse of bipolar disorder.