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PREVALENSI DAN FAKTOR RISIKO DEPRESI PADA LANSIA DI DESA SELULUNG KECAMATAN KINTAMANI KABUPATEN BANGLI TAHUN 2014 Ni Putu Popy Theresia Puspita; Wayan Westa; Nyoman Ratep
E-Jurnal Medika Udayana vol 3 no 11(2014):e-jurnal medika udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.911 KB)

Abstract

Survei yang dilakukan Persatuan Dokter Spesialis Kesehatan Jiwa (PDSKJ) menyebutkan sekitar 94% masyarakat Indonesia mengalami depresi, baik derajat ringan hingga depresi berat, dan 5–15% pasien depresi melakukan bunuh diri setiap tahunnya. Melihat pentingnya masalah ini, penulis ingin meneliti prevalensi depresi pada lansia yang berada di Desa Selulung Kecamatan Kintamani Kabupaten Bangli serta mengidentifikasi berbagai faktor risikonya. Penelitian ini merupakan penelitian deskriptif cross-sectional. Sampel dalam penelitian adalah lansia berusia 60 tahun keatas dengan jumlah sampel sebanyak 24 orang yang dipilih secara acak di Desa Selulung Kecamatan Kintamani Kabupaten Bangli dengan menggunakan teknik simple random sampling. Data diperoleh dengan melakukan wawancara terhadap responden menggunakan kuesioner terstruktur. Hasil penelitian menunjukkan bahwa prevalensi depresi pada lansia sebesar 54,2%. Dengan derajat depresi yang dialami adalah depresi derajat ringan 45,8%. Kejadian depresi cenderung dialami oleh laki-laki (69,3%), kelompok usia ? 75 tahun (90%), tingkat pendidikan rendah (44,3%), tidak bekerja (100,0%), tingkat penghasilan perbulan rendah (80,0%), tidak menikah (75,0%), tinggal sendiri (75,0%), dependen (66,7%), mengalami gangguan kognitif (47,4%), terisolasi (100,0%), memiliki pengalaman stres dalam dua tahun terakhir (55,6%), memiliki penyakit kronis (52,4%), menjadi kepala keluarga (66,7%), buta huruf (66,7%), mengonsumsi alkohol (72,7%), dan sedang menjadi perokok (66,7%). Prevalensi depresi cenderung lebih tinggi pada lansia laki-laki, kelompok usia 75 tahun ke atas, berpendidikan rendah, tidak bekerja, berpenghasilan perbulan rendah, menikah, tinggal sendiri, dependen, mengalami gangguan kognitif, terisolasi, memiliki pengalaman stres dalam dua tahun terakhir, memiliki penyakit kronis, menjadi kepala keluarga, buta huruf, mengonsumsi alkohol, sedang menjadi perokok.
Early Ischemic Stroke Assessment with ASPECTS: A Case Report Highlighting the Radiologist's Role in a Limited-Resource Setting I Made Andika Adiguna; Nyoman Satya; Ni Putu Popy Theresia Puspita
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 2 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i2.1187

Abstract

Background: Ischemic stroke is a leading cause of morbidity and mortality globally, particularly in resource-limited settings. Non-contrast computed tomography (NCCT) is often the primary imaging modality available in these settings, and the Alberta Stroke Program Early CT Score (ASPECTS) is a crucial tool for assessing early ischemic changes in NCCT. This case report highlights the importance of ASPECTS in guiding clinical decisions and prognostication in a resource-limited setting. Case presentation: A 79-year-old male presented to the emergency unit at Negara General Hospital, a rural facility in Bali, with acute onset of right-sided hemiparesis and speech difficulty. NCCT showed a hypodense lesion with ill-defined margins in the left insular cortex, left caudate nucleus, left internal capsule, and left frontotemporoparietal lobes, consistent with a subacute cerebral infarction in the middle cerebral artery (MCA) territory, with an ASPECTS score of 2. Due to the extensive ischemic burden and the limited availability of advanced treatment options, conservative management was chosen. The radiologist's interpretation of the ASPECTS score played a critical role in guiding the clinical team's decision-making and informing the patient's family about the prognosis. Conclusion: ASPECTS is an essential tool for predicting stroke outcomes, with lower scores correlating with larger infarct volumes and poorer prognoses. In resource-limited settings, radiologists play a vital role in interpreting ASPECTS scores to guide clinical management and provide accurate prognostic information to patients and their families.
Early Ischemic Stroke Assessment with ASPECTS: A Case Report Highlighting the Radiologist's Role in a Limited-Resource Setting I Made Andika Adiguna; Nyoman Satya; Ni Putu Popy Theresia Puspita
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 2 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i2.1187

Abstract

Background: Ischemic stroke is a leading cause of morbidity and mortality globally, particularly in resource-limited settings. Non-contrast computed tomography (NCCT) is often the primary imaging modality available in these settings, and the Alberta Stroke Program Early CT Score (ASPECTS) is a crucial tool for assessing early ischemic changes in NCCT. This case report highlights the importance of ASPECTS in guiding clinical decisions and prognostication in a resource-limited setting. Case presentation: A 79-year-old male presented to the emergency unit at Negara General Hospital, a rural facility in Bali, with acute onset of right-sided hemiparesis and speech difficulty. NCCT showed a hypodense lesion with ill-defined margins in the left insular cortex, left caudate nucleus, left internal capsule, and left frontotemporoparietal lobes, consistent with a subacute cerebral infarction in the middle cerebral artery (MCA) territory, with an ASPECTS score of 2. Due to the extensive ischemic burden and the limited availability of advanced treatment options, conservative management was chosen. The radiologist's interpretation of the ASPECTS score played a critical role in guiding the clinical team's decision-making and informing the patient's family about the prognosis. Conclusion: ASPECTS is an essential tool for predicting stroke outcomes, with lower scores correlating with larger infarct volumes and poorer prognoses. In resource-limited settings, radiologists play a vital role in interpreting ASPECTS scores to guide clinical management and provide accurate prognostic information to patients and their families.