Dwi Adhi Nugraha
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Hubungan Dukungan Sosial dengan Derajat Depresi Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis di RSUD Dr.Moewardi Nugraha, Dwi Adhi; Yuliadi, Istar; Hartanto, Rifai
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (42.808 KB)

Abstract

Background: Chronic kidney disease incidences are expected to rise. One of the most pshycopatological problems in hemodyalisis patient is depression. Depression will decrease compliance, immnune dysfunction, and poor nutrition. This study aimed to know prevalence of depression and to search wether there were some relationship between social support with depression in hemodyalisis at RSUD Dr.Moewardi. Methods: This was an analitic observational study. Two measurement tools were used in this study, they were Beck Depression Inventor (BDI) and modified Multidimensional Support of Perceived Social Support (MSPSS). 30 patients were involved in this study. Statistic tests used in this study were Pearson test and Spearman test. Results: Depression was found in 43.33% chronic kidney disease patient undergoing hemodyalisis, with BDI cutoff >15. Mean of BDI score was 16.3 and deviation standard score was 7.433. Depression has significant negative relationship with family support, r = -0.480 and p = 0.007 (< 0.05). No significant relationship between social support from other source outside family with degree of depression. Conclusions: Depression was found in hemodyalisis patients at RSUD Dr.Moewardi. Degree of depression could be decreased by family support. Keywords: Social support, depression, chronic kidney disease, hemodyalisis 
Diagnosis dan Tatalaksana Perdarahan Saluran Cerna Bagian Atas Non-Variseal Nugraha, Dwi Adhi
Cermin Dunia Kedokteran Vol 44, No 6 (2017): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (686.343 KB) | DOI: 10.55175/cdk.v44i6.796

Abstract

Perdarahan saluran cerna bagian atas non-variseal paling banyak disebabkan oleh perdarahan ulkus peptik. Penilaian status hemodinamik dan resusitasi merupakan langkah awal tatalaksana. Stratifikasi risiko perlu dilakukan. Saat ini endoskopi merupakan tulang punggung diagnosis dan terapi. Proton Pump Inhibitor (PPI) penting untuk mencegah perdarahan ulang dan mengurangi terapi endoskopi. Eradikasi H.pylori direkomendasikan pada setiap perdarahan ulkus peptik.Non-variceal upper gastrointestinal tract bleeding is mostly caused by peptic ulcer. Haemodynamic assessment and rescucitation is a first step of its management. Risk stratification should be done. Recent recommendation use endoscopy as a backbone for diagnosis and treatment. Proton Pump Inhibitor (PPI) can be given to prevent rebleeding and minimize the need for endoscopy therapy. H.pylori eradication is recommended for every ulcer peptic bleeding.
Hubungan Dukungan Sosial dengan Derajat Depresi Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis di RSUD Dr.Moewardi Dwi Adhi Nugraha; Istar Yuliadi; Rifai Hartanto
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (42.808 KB)

Abstract

Background: Chronic kidney disease incidences are expected to rise. One of the most pshycopatological problems in hemodyalisis patient is depression. Depression will decrease compliance, immnune dysfunction, and poor nutrition. This study aimed to know prevalence of depression and to search wether there were some relationship between social support with depression in hemodyalisis at RSUD Dr.Moewardi. Methods: This was an analitic observational study. Two measurement tools were used in this study, they were Beck Depression Inventor (BDI) and modified Multidimensional Support of Perceived Social Support (MSPSS). 30 patients were involved in this study. Statistic tests used in this study were Pearson test and Spearman test. Results: Depression was found in 43.33% chronic kidney disease patient undergoing hemodyalisis, with BDI cutoff >15. Mean of BDI score was 16.3 and deviation standard score was 7.433. Depression has significant negative relationship with family support, r = -0.480 and p = 0.007 (< 0.05). No significant relationship between social support from other source outside family with degree of depression. Conclusions: Depression was found in hemodyalisis patients at RSUD Dr.Moewardi. Degree of depression could be decreased by family support. Keywords: Social support, depression, chronic kidney disease, hemodyalisis