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All Journal Journal of Nutrition College International Journal of Integrated Health Sciences Jurnal Ilmu Kedokteran dan Kesehatan Medica Hospitalia Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) CoMPHI Journal : Community Medicine and Public Health of Indonesia Journal
Elly Noerhidajati
Bagian Ilmu Kesehatan Jiwa Fakultas Kedokteran Universitas Islam Sultan Agung Semarang
Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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PENGARUH PEMBERIAN AJUVAN ASAM FOLAT TERHADAP FUNGSI PERSONAL DAN SOSIAL PASIEN SKIZOFRENIA KRONIK Suprapti, Rini; Fitrikasari, Alifiati; Pudjo, Rihadini; Asikin, Hang Gunawan; Noerhidajati, Elly
Journal of Nutrition College Vol 10, No 3 (2021): Juli
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v10i3.30725

Abstract

 Latar Belakang : Hasil pengobatan skizofenia menunjukkan sebanyak 85% mengalami penurunan fungsi. Remisi klinis tidak selalu mengarah pada pemulihan fungsi. Defisiensi folat diidentifikasi sebagai salah satu faktor risiko skizofrenia.Tujuan : Mengetahui manfaat ajuvan asam folat dalam memperbaiki fungsi personal dan sosial pasien skizofrenia kronis.Metode : Penelitian eksperimental dengan desain double blind – randomized controlled trial, pre post test design. Semua subjek yang memenuhi kriteria inklusi diambil menurut waktu (consecutive sampling), kemudian secara blok random dikelompokkan dalam kelompok perlakuan dan kelompok kontrol. Perlakuan dengan ajuvan asam folat 2 mg / hari selama 4 minggu. Kelompok kontrol mendapatkan anti psikotik dengan plasebo. Anti psikotik yang digunakan tidak sama. PSP diukur sebelum dan sesudah perlakuan. Instrumen penelitian menggunakan kuesioner sosiodemografi dan kuesioner wawancara terstruktur Personal and Social Performance Scale versi Indonesia.Hasil :  Terdapat 66 subjek yang memenuhi kriteria inklusi, 2 diantaranya Drop Out karena kejang dan SNM. Uji komparatif karakteristik demografik kelompok perlakuan dan kelompok kontrol tidak ada perbedaan bermakna. Terdapat peningkatan skor PSP yang bermakna secara statistik p <0,01 di kedua kelompok dengan peningkatan skor PSP kelompok perlakuan lebih tinggi (p = 0,029).Simpulan : Ajuvan asam folat memperbaiki fungsi sosial dan personal pasien skizofrenia kronis.
HUBUNGAN TINGKAT PREMENSTRUAL SYNDROME (PMS) DENGAN TINGKAT KECEMASAN PADA MAHASISWI Ahnaf, Shofa' Salsabila; Noerhidajati, Elly; Ratnawati; Yulice Soraya Nur Intan; Azizah Retno Kustiyah
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 5 No. 1 (2024): Juni
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

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Abstract

Kecemasan adalah perasaan takut dan kekhawatiran yang tidak jelas menyebabkan ketidaknyamanan pada seseorang yang disebabkan oleh sesuatu hal yang belum jelas. Perubahan psikis seperti kecemasan diakibatkan oleh seseorang wanita yang sedang mengalami premenstrual syndrome, gangguan nyeri atau dismenore, siklus menstruasi yang tidak teratur, dan gangguan darah yang melebihi batas normal menstruasi. Seseorang yang mengalami kecemasan akan mempengaruhi dari kualitas hidupnya seperti harus ke UKS saat jam Pelajaran, penurunan absensi, penurunan konsentrasi belajar, dan lain-lain. Penelitian ini bertujuan untuk mengetahui hubungan tingkat premenstrual syndrome (PMS) dengan tingkat kecemasan pada mahasiswi Fakultas Kedokteran Umum angkatan 2020, 2021, dan 2022 di Universitas Islam Sultan Agung Semarang. Jenis penelitian ini adalah observasional analitik dengan desain cross sectional. Pengambilan data dilakukan dengan cara menyebar kuesioner. Data Kecemasan menggunakan kuesioner Zung Self-Rating Anxiety Scale dan data premenstrual syndrome (PMS) menggunakan kuesioner Shortened Premenstrual Assessment Form (SPAF) melalui google formulir. Teknik sampling menggunakan purposive sampling dengan jumlah sampling 115 orang mahasiswi kedokteran semester 3 – 7. Analisis data menggunakan uji Spearman Rho. Hasil penelitian ini didapatkan persentase dengan kategori nilai tertinggi untuk premenstrual syndrome (PMS) berat (47,8%) dengan kecemasan ringan (81,7%). Berdasarkan analisis bivariat hubungan tingkat premenstrual syndrome (PMS) dengan tingkat kecemasan (p = 0,000) dan (r = 0,362). Pada penelitian ini dapat disimpulkan bahwa terdapat hubungan yang bermakna antara tingkat premenstrual syndrome (PMS) dengan tingkat kecemasan dengan keeratan hubungan lemah. Kata Kunci: Kecemasan, Premenstrual Syndrome (PMS), Mahasisiwi ABSTRACT Anxiety is an unclear feeling of fear and worry. This feeling causes discomfort in someone because of something that is not yet clear. Psychological changes such as anxiety are caused by a woman experiencing premenstrual syndrome (PMS), pain disorders or dysmenorrhea, irregular menstrual cycles, and blood disorders that exceed the normal limits of menstruation. A person who experiences anxiety will affect their quality of life, such as having to go to the infirmary during class time, decreasing attendance as well as concentration in studying, and so on. This research aims to determine the correlation between the level of premenstrual syndrome (PMS) and the level of anxiety in female students from the Faculty of General Medicine class of 2020, 2021, and 2022 at the Sultan Agung Islamic University of Semarang. This type of research is analytical and observational with a cross-sectional design. The data collection was carried out by distributing questionnaires. Anxiety data were collected using the Zung Self-Rating Anxiety Scale questionnaire, and premenstrual syndrome (PMS) data were gained using the Shortened Premenstrual Assessment Form (SPAF) questionnaire via Google Form. This study employed purposive sampling with a sampling size of 115 medical students in the 3rd-7th semesters. Data analysis used the Spearman Rho test. The results of this study showed that the percentage with the highest score category was for severe premenstrual syndrome (PMS) (47.8%) with mild anxiety (81.7%). Based on bivariate analysis, there was a correlation between the level of premenstrual syndrome (PMS) and the level of anxiety (p = 0.000) and (r = 0.362). Therefore, it can be concluded that there is a significant correlation between the level of premenstrual syndrome (PMS) and the level of anxiety with a weak correlation. Keywords: Anxiety, Premenstrual Syndrome (PMS), College Students
Hubungan Antara Mekanisme Koping Dengan Derajat Depresi Pada Caregiver Pasien Skizofrenia Studi di unit rawat jalan Rumah Sakit Jiwa Amino Gondo Hutomo Provinsi Jawa Tengah Supiyarti, Retti; Noerhidajati, Elly; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 2 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.064 KB) | DOI: 10.36408/mhjcm.v7i2.520

Abstract

Latar Belakang: Memiliki anggota keluarga yang menderita skizofrenia merupakan suatu stressor yang mengakibatkan stres yang bersifat kronik. Stress kronik lebih banyak dihubungkan dengan tingkat derajat depresi. Derajat depresi dibedakan sesuai dengan banyak dan beratnya gejala terhadap fungsi kehidupan pasien. Caregiver pasien skizofrenia akan melakukan mekanisme koping dalam mengatasi stressor tersebut yang terbagi atas problem focused coping dan emotion focused coping. Mekanisme koping memiliki peranan penting dalam interaksi antara situasi yang menekan dan proses adaptasi. Tujuan: Mengetahui hubungan mekanisme koping dan derajat depresi pada caregiver pasien skizofrenia. Metode: Penelitian ini merupakan penelitian analitik kuantitatif dengan rancangan cross sectional. Sampel adalah caregiver pasien skizofrenia di unit rawat jalan Rumah Sakit Amino Gondohutomo Jawa Tengah dan memenuhi kriteria inklusi penelitian. Subyek penelitian sebanyak 58 responden di pilih dengan metode consecutive sampling. Instrumen penelitian yang digunakan adalah Beck Depression Inventory (BDI) II dan Kuesioner The Ways of Coping serta kuesioner karakteristik sosiodemografi. Analisis dengan program komputer SPSS. Hasil : 27 responden (46,6%) menggunakan emotional focused coping. 31 responden (53,4%) menggunakan problem focused coping. 43 responden (74,1%) tidak depresi, 12 responden (20,7%) depresi ringan, 2 responden (3,4%) depresi sedang dan 1 responden (1,7%) depresi berat. Hasil analisis hubungan mekanisme koping dengan derajat depresi caregiver pasien skizofrenia dengan menggunakan uji Chi-square didapatkan P value > 0,05 bahwa tidak ada hubungan yang signifikan antara mekanisme koping dengan derajat depresi caregiver pada pasien skizofrenia. Simpulan: Tidak terdapat hubungan antara mekanisme koping dengan derajat depresi pada caregiver pasien skizofrenia Kata kunci :Mekanisme koping, Depresi, Caregiver Background: Having family members who suffer from schizophrenia is a stressor that results in chronic stress. Long life events or chronic stress are more associated with depression. Derajat depresi dibedakan sesuai dengan banyak dan beratnya gejala terhadap fungsi kehidupan Caregiver schizophrenic patients will carry out coping mechanisms in dealing with these stressors which are divided into problem focused coping and emotion focused coping. Coping mechanisms have an important role in the interaction between situations that suppress and adaptation processes. Objective: To analyze the relationship between coping mechanisms and the degree of depression in caregiver schizophrenic. Method: This study is a quantitative analytic study with a cross sectional design. The sample was a schizophrenic caregiver in the outpatient unit of Amino GondoHutomo Hospital in Central Java and fulfilled the study inclusion criteria. Sampling using consecutive sampling method. The research instruments used were the Beck Depression Inventory (BDI) II and The Ways of Coping Questionnaire and the socio-demographic characteristic questionnaire. Analysis with computer programs. Results: 27 respondents (46.6%) used emotional focused coping. 31 respondents (53.4%) used problem focused coping. 43 respondents (74.1%) were not depressed, 12 respondents (20.7%) mild depression, 2 respondents (3.4%) moderate depression and 1 respondent (1.7%) had severe depression. The results of the analysis of the relationship between coping mechanism with the degree of caregiver depression in schizophrenic patients using the Chi-square test obtained P value> 0.05 that there was no significant relationship between coping mechanisms with caregiver depression degrees in schizophrenic patients. Conclusion: There is no relationship between coping mechanism and the degree of depression in the caregiver of schizophrenic patients Keywords: Coping mechanism, Depression, Caregiver
Strategi Koping dan Skor DASS pada Perawat yang Bertugas di Ruang Isolasi COVID-19: Sebuah studi cross-sectional Adinoto, Septo Pero; Fitrikasari, Alifiati; Wardani, Natalia Dewi; Noerhidajati, Elly
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 2 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i2.875

Abstract

BACKGROUNDS: Nurses are at risk for mental health problems while caring for Corona Virus Disease 2019 (COVID-19) patients. The COVID-19 pandemic had impacted not only on emotions but also nurses' coping strategies. The difference between this study and previous research in this study adds up the total DASS 42 (Depression Anxiety Stress Scale) scores as parameter to assess mental health problems of the subjects. OBJECTIVE: To determine the association between coping strategies and the DASS score among nurses on duty in the COVID-19 isolation room of Dr Kariadi Hospital. METHODS: This cross-sectional study involved nurses who treated patients in the COVID-19 isolation ward, the COVID-19 intensive room, and the COVID-19 emergency room. All participants were involved by the consecutive sampling method. The research instrument used a sociodemographic questionnaire, the Brief COPE, and the DASS 42. Inclusion criteria included nurses who served in the COVID-19 isolation room and aged 22-60 years. Higher DASS score indicates that the subject is experiencing general psychological distress compared to subjects with a lower score. RESULTS: Most of the respondents in this study (n=112 subjects) had problem-focused coping strategies. The mean DASS score on the subjects is 14.29 ± 13.25. There was an association between coping strategies (p=0.048), sex (p < 0.001), place of work (p = 0.041), and DASS score. CONCLUSION: There was a relationship between coping strategies and the DASS score of nurses on duty in the COVID-19-19 isolation room. Further research needs to explore environmental factors and social support, also examine physical illnesses in more detail.
Risk Factors of Agitation Among Schizophrenia Patients in Dr. Amino Gondohutomo Semarang Regional Psychiatric Hospital: A Cross-Sectional Study Ratna sofa, Yulia; Noerhidajati, Elly; Woroasih, Sri; Intan Tri Hardini
Jurnal Psikiatri Surabaya Vol. 13 No. 2 (2024): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v13i2.48694

Abstract

Introduction: Schizophrenia is a severe mental disorder associated with deterioration in the functions of daily life and social functions because it can reduce a person’s quality of life. In the acute phase, many schizophrenic patients have agitated behavior where this behavior will risk injuring themselves and others because of that treatment costs increase. to determine the risk factors for agitation in schizophrenic patients in terms of age, gender, marital status, occupation, genetic history, and presence or absence of stressors. Methods: This research is a descriptive analytic using a cross-sectional design. The population in this study were schizophrenic patients at Dr. Amino Gondohutomo Semarang Regional Psychiatric Hospital. Research subjects will be taken using consecutive sampling techniques that meet the inclusion and exclusion criteria. Data collection used medical record data and the PANNS EC score to determine whether there was agitation. Data analysis included descriptive analysis with frequency and percentage distributions as well as hypothesis testing using the Chi Square test and logistic regression. Results: From the results of the Chi Square test and logistic regression, it was found that the factors of young age, male sex, unmarried, and unemployed were significant for PANSS EC with a prevalence value of 3.40 (1.13 – 10.22), 2.01 (1.14 – 3.56), 2.39 (1.36 – 4.20), and 2.07 (1.12 – 3.83). Conclusion: Factors of young age <40 years, male sex, unmarried, and unemployed are risk factors for the occurrence of agitation in schizophrenic patients at Dr. Amino Gondohutomo Semarang Regional Psychiatric Hospital.
Anemia and Aggression Among Patients with Schizophrenia in Amino Gondohutomo Psychiatric Hospital Noerhidajati, Elly; Sofa, Yulia Ratna; Woroasih, Sri; Hardini, Intan Tri
International Journal of Integrated Health Sciences Vol 13, No 1 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v13n1.4029

Abstract

Background: Anemia has been identified as a potential modifiable factor influencing aggression levels in individuals with schizophrenia.Objective: To investigate the association between anemia and incidence of aggression in patients with schizophrenia in Amino Gondohutomo Psychiatric Hospital, Semarang, Indonesia.Methods: A cross-sectional study was conducted between January 2022 and December 2023 on patients with schizophrenia in Amino Gondohutomo Psychiatric Hospital, Semarang, Indonesia. Subjects were selected using consecutive sampling technique, and individuals with affective mood disorder and lost to follow-up were excluded from the study. Data were obtained through patients’ medical records, PANSS-EC scores, and hemoglobin measuring devices. Chi-square test and logistic regression were applied for statistical analyses.Results: Of 100 participants, patients with schizophrenia presented with aggression were predominantly above 40 years old (26 patients, 81.3%), women (17 patients, 51.1%), and non-anemic (17 patients, 57.1%). Gender and anemia were significantly associated with aggression in patients with schizophrenia (p <0.05). Schizophrenic patients with anemia had a 7.68-fold greater risk (95% CI: 2.70 – 21.8) of aggression. Men with schizophrenia was associated with a 2.37-fold greater risk (95% CI: 1.00 – 5.60) of aggression.Conclusion: Anemia and men seems to be risk factors of aggression in patients with schizophrenia. Further multicenter studies with larger sample size is needed to support this finding.
Hubungan Tingkat Depresi Dengan Kemunculan Ide Bunuh Diri Pada Mahasiswa Rantau Fakultas Kedokteran Universitas Islam Sultan Agung Angkatan 2021-2023 Caesara, Vidya Rahayunda; Noerhidajati, Elly; Zulaikhah, Siti Thomas
Jurnal Ilmu Kedokteran dan Kesehatan Vol 12, No 8 (2025): Volume 12 Nomor 8
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v12i8.18931

Abstract

Bunuh diri merupakan tindakan mengakhiri hidup secara sengaja, sering kali dikaitkan dengan gangguan jiwa, terutama depresi. Penelitian ini bertujuan untuk mengkaji hubungan antara tingkat depresi dengan kemunculan ide bunuh diri pada mahasiswa rantau Fakultas Kedokteran Universitas Islam Sultan Agung Angkatan 2021, 2022, dan 2023 yang berasal dari luar Jawa Tengah. Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional dan melibatkan 130 mahasiswa sebagai sampel, yang dipilih menggunakan metode proportionate stratified random sampling berdasarkan kriteria inklusi dan eksklusi. Tingkat depresi diukur menggunakan Zung Self-Rating Depression Scale (ZSDS), sedangkan kemunculan ide bunuh diri diukur dengan Suicidal Ideation Scale (SIS). Data yang diperoleh menunjukkan bahwa mayoritas mahasiswa mengalami depresi ringan (51.5%), sementara 43.8% memiliki tingkat depresi normal, dan hanya 4.6% yang mengalami depresi sedang. Sedangkan, 96.2% mahasiswa tidak memiliki ide bunuh diri, sementara 3.8% lainnya menunjukkan adanya ide bunuh diri. Hasil analisis statistik dengan uji Rank Spearman menunjukkan adanya hubungan signifikan antara tingkat depresi dengan kemunculan ide bunuh diri, dengan nilai p = 0.024 dan r = 0.198, yang mengindikasikan kekuatan hubungan yang sangat rendah. Kesimpulannya, penelitian ini menemukan bahwa ada hubungan antara tingkat depresi dengan kemunculan ide bunuh diri pada mahasiswa rantau Fakultas Kedokteran Universitas Islam Sultan Agung.
Co-Authors Adinoto, Septo Pero Ahnaf, Shofa' Salsabila Alifiati Fitrikasari Asikin, Hang Gunawan Azizah Retno Kustiyah Caesara, Vidya Rahayunda Hardini, Intan Tri Hari Peni Julianti Intan Tri Hardini Natalia Dewi Wardani Pudjo, Rihadini Ratna sofa, Yulia RATNAWATI Siti Thomas Zulaikhah Sofa, Yulia Ratna Supiyarti, Retti Suprapti, Rini Woroasih, Sri Yulice Soraya Nur Intan