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Efektivitas Risperidone dan Diazepam pada Pasien Skizofrenia dengan Keadaan Agitas karsa, nevi sulvita
Wal'afiat Hospital Journal Vol 4 No 2 (2023): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v4i2.116

Abstract

Skizofrenia merupakan gangguan jiwa yang kompleks dengan berbagai ekspresi fenotip. Agitasi juga sering terjadi pada pasien skizofrenia pada fase akut dan memerlukan tindakan segera untuk mencegah terjadinya halhal yang tidak diinginkan. Jika dosis awal antipsikotik tidak cukup untuk mengontrol agitasi, penambahan benzodiazepin lebih disukai daripada dosis tambahan antipsikotik yang sama atau antipsikotik kedua. Tujuan dari penelitian ini adalah mengetahui efektivitas penambahan diazepam pada terapi risperidone untuk mengurangi agitasi pasien yang didiagnosis dengan skizofrenia. Menggunakan desain pre-post-test dengan pemilihan kelompok non-randomized, penelitian ini mencakup dua kelompok: risperidone dan risperidone dengan diazepam. Menggunakan Positive and Negative Syndrome Scale-Excited Component (PANSS-EC) untuk mengukur gejala agitasi, analisis data awal menunjukkan hasil yang menjanjikan. Pada kelompok risperidone, penurunan substansial dalam skor PANSS-EC terbukti, dengan pergeseran penting 1,2 (P = 0,003) dari pra-perawatan ke hari pertama terapi. Perbedaan yang signifikan secara statistik berlanjut pada transisi dari hari pertama ke hari kedua (P = 0,002) dan dari hari kedua ke hari ketiga (P = 0,045). Temuan ini menunjukkan efikasi terapi risperidone saja dan kombinasi risperidone dan diazepam dalam mengurangi gejala agitasi pada pasien skizofrenia.
The Effectiveness Of Olanzapine And Diazepam Therapy In Schizophrenic Patients With Agitating States Karsa, Nevi Sulvita; Lisal, Sonny T
Journal of Health Science and Prevention Vol. 8 No. 1 (2024): JHSP Vol 8 No 1 – 2024
Publisher : State Islamic University of Sunan Ampel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29080/jhsp.v8i1.1052

Abstract

In the management of acute agitation in schizophrenia patients, the efficacy of antipsychotic medications, such as olanzapine has been widely studied. This study aimed to investigate the effectiveness of adding diazepam to olanzapine therapies in reducing agitation in schizophrenia. The research was conducted on a sample of patients diagnosed with schizophrenia in an agitated state. The study employed a pre-post-test design with non-randomized group selection, comprising two groups: olanzapine, olanzapine and diazepam. The Positive and Negative Syndrome Scale-Excited Component (PANSS-EC) was utilized to measure agitation symptoms. The results indicated a significant reduction in PANSS-EC scores in all groups from before therapy to the third day of therapy. In conclusion, combination therapy with antipsychotics and diazepam may be considered in the management of agitation in schizophrenia patients. Further research involving larger samples and exploring additional variables is recommended to enhance our understanding of this treatment approach.
Gambaran derajat stres pada pasien tumor payudara Musani, Melda Ayu Amanda; Jaya, Muhammad Alim; Swarga, Tirta; Gani, Aziz Beru; Karsa, Nevi Sulvita
Holistik Jurnal Kesehatan Vol. 19 No. 10 (2025): Volume 19 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i10.1834

Abstract

 Background: The diagnosis and treatment of breast cancer pose significant psychological challenges, often leading to stress that can negatively impact patients' quality of life and recovery. Purpose: To determine the level of stress in breast cancer patients. Method: This study used a descriptive design with a cross-sectional approach and a sample of 70 respondents. Data collection used the Depression Anxiety Stress Scale-42 (DASS-42) stress measurement instrument. The collected data were processed and analyzed univariately using Microsoft Excel to display the frequency distribution and percentage of each stress category. Results: The majority of respondents (89%) experienced stress, with severe stress being the highest (36%), followed by moderate stress (24%). The largest proportion of respondents were in the 41–50 age group (23%), and the most common type of tumor was right breast cancer (31%). High levels of stress are related to the psychological impact of the diagnosis, changes in body image, and anxiety about treatment, which are often exacerbated by the multidimensional life burdens of middle adulthood. Conclusion: Breast tumor patients experience a high prevalence of stress, with severe stress being the most prevalent. Suggestion: Holistic patient management is needed, integrating psychosocial interventions and medical therapy to improve overall patient well-being.   Keywords: Breast Tumor;Right Breast Tumor; Stress Level.   Pendahuluan: Diagnosis dan pengobatan tumor payudara menimbulkan tantangan psikologis yang signifikan, seringkali menyebabkan stres yang dapat berdampak negatif terhadap kualitas hidup dan proses pemulihan pasien. Tujuan: Untuk mengetahui gambaran derajat stres pada pasien tumor payudara. Metode: Penelitian ini menggunakan desain deskriptif dengan pendekatan cross-sectional dan sampel yang digunakan sejumlah 70 responden. Pengumpulan data menggunakan instrumen pengukuran stres Depression Anxiety Stress Scale-42 (DASS-42). Data yang terkumpul diolah dan dianalisis secara univariat menggunakan microsoft excel untuk menampilkan distribusi frekuensi dan persentase setiap kategori stres. Hasil: Menunjukkan bahwa sebagian besar responden (89%) mengalami stres, dengan kategori stres berat sebagai yang tertinggi (36%), diikuti stres sedang (24%). Proporsi terbesar responden berada pada kelompok usia 41–50 tahun (23%), dan jenis tumor yang paling sering ditemukan adalah Tumor Mamma Dextra (31%). Tingginya tingkat stres berkaitan dengan dampak psikologis dari diagnosis, perubahan citra tubuh, serta kecemasan terhadap pengobatan yang sering diperburuk oleh beban kehidupan multidimensi pada masa dewasa madya. Simpulan: Pasien tumor payudara mengalami prevalensi stres yang tinggi dengan kategori stres berat sebagai yang paling dominan. Saran: Diperlukan manajemen pasien secara holistik dengan mengintegrasikan intervensi psikososial dan terapi medis untuk meningkatkan kesejahteraan pasien secara menyeluruh.   Kata Kunci: Derajat Stres; Tumor Mamma Dextra; Tumor Payudara.
Characteristics of Patients with Post-Traumatic Stress Disorder (PTSD) at Ibnu Sina Teaching Hospital, Makassar Nilam, Nilam; Vitayani, Sri; Sanusi, Mayamariska; Jaya, Muhammad Alim; Karsa, Nevi Sulvita
Jurnal Info Sains : Informatika dan Sains Vol. 15 No. 02 (2025): Info sains, Desember 2025
Publisher : SEAN Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Post Traumatic Stress Disorder (PTSD) is a trauma- and stressor-related mental disorder that can significantly impair psychological, social, and occupational functioning. Despite increasing awareness of PTSD in Indonesia, local data describing patient characteristics remain limited, particularly in teaching hospital settings. Objective: This study aimed to describe the demographic characteristics, types of traumatic exposure, and dominant symptom clusters of PTSD patients treated at Ibnu Sina Makassar Teaching Hospital. Methods: This descriptive cross-sectional study used medical records of PTSD patients treated at the Psychiatric Outpatient Clinic of Ibnu Sina Makassar Teaching Hospital from September 2024 to September 2025. All eligible patients were included using total sampling. Data were analyzed descriptively. Results: Most patients were aged 19–39 years (60.0%) and were female (62.0%). The majority had a senior high school education (60.0%) and were students (46.0%). Interpersonal conflict was the most common traumatic exposure (32.0%), followed by physical violence (26.0%) and occupational trauma (18.0%). Intrusive symptoms were the most frequently reported PTSD symptom cluster (38.0%), followed by negative alterations in mood and cognition (26%) and arousal and reactivity symptoms (22%). Conclusion: PTSD at Ibnu Sina Makassar Teaching Hospital predominantly affected young adults, females, and students, with interpersonal trauma as the leading precipitating factor. These findings highlight the need for targeted, trauma-focused mental health interventions and provide valuable local epidemiological data to support evidence-based PTSD management and service planning.
Implementasi Program Bakti Sosial Mahasiswa Kedokteran sebagai Upaya Pemberdayaan Masyarakat: (Studi Kegiatan Fakultas Kedokteran UMI Bersama BEM KBMFK Universitas Muslim Indonesia Tahun 2025) Nasrudin Andi Mappaware; Irna Diyana Kartika Kamaluddin; Wawan Susilo; Faizul A; Andi Alamanda Irwan; M. Hamsah; Berry Erida Hasbi; Indah Lestari Daeng Kanang; Prema Hapsari Hidayati; Anna Sari Dewi; Dwi Anggita; Sidrah Darma; Nevi Sulvita Karsa; Zulfikri Khalil Novriansyah; Mohammad Reza Zainal Abidin; Muhammad Fauzul Azhim; Astra Budiati Nusrat; Muhammad Irsan Muflih Mundzir; Mufthiar Muhtar; Rizky Nurhumairah Sarifuddin; Wulan Purnamasyani S; Waode Inayatu Zahra Khairunnufus
KREATIF: Jurnal Pengabdian Masyarakat Nusantara Vol. 6 No. 2 (2026): Jurnal Pengabdian Masyarakat Nusantara
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/kreatif.v6i2.11053

Abstract

The Grand Social Service (Bakti Sosial Akbar) organized by KBMFK-UMI is an initiative that reflects the academic community's empathy and care for society, especially those in need. The activity aims to express a sense of social responsibility by providing various services to the community. These services include health checks, education, blood donation drives, mass circumcision, Basic Life Support (BLS) training, and the distribution of the Susu Anak Negeri (SUSAN) program. Through these efforts, the event seeks to alleviate some of the burdens faced by local communities while promoting health awareness and knowledge. In addition to offering essential services, this event is designed to strengthen relationships among students, faculty members, and the local residents by fostering a spirit of togetherness and collaboration. The implementation of this community service activity is made possible by the full support of the academic community at the Faculty of Medicine, Universitas Muslim Indonesia, ensuring that all activities are carried out effectively and precisely. It is expected that the positive outcomes of this event will not only benefit the community but also contribute to building a stronger sense of social solidarity and cooperation among all involved.
Interprofessional Collaboration Penanganan Awal Kasus Preeklamsia Dan Eklamsia Di Kabupaten Wajo Sulawesi Selatan Nasrudin Andi Mappaware; Shulhana Mokhtar; Andi Alamanda Irwan; Nevi Sulvita Karsa; Muhammad Mursyid; Armanto Makmun; Aan Adriansyah; Muhammad Irsan; Zherant Parningan
Window of Community Dedication Journal Vol. 2 No. 2 (Desember, 2021)
Publisher : Pusat Kajian dan Pengelola Jurnal FKM UMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/wocd.v2i2.1766

Abstract

Preeklamsia dan eklamsia merupakan kesatuan penyakit. Istilah kesatuan penyakitdiartikan bahwa kedua peristiwa dasarnya sama karena eklamsia yang merupakanpeningkatan dari pre-eklamsia yang lebih berat dan berbahaya dengan tambahan gejalagejalatertentu. Interprofessional collaboration (IPC) merupakan strategi dalammeningkatkan kualitas pelayanan. Strategi IPC bertujuan untuk patient safety, memperbaikikualitas SDM, dan mengubah sistem perawatan kesehatan yang lebih efektif. Dengandemikian IPC merupakan hal yang penting dalam pelayanan rumah sakit. Tenaga kesehatanyaitu dokter, bidan, perawat dan apoteker untuk dapat menyelesaikan permasalahankegawatdaruratan obstetri maka dapat dilakukan pelatihan dan menerapkan interprofessionalcollaboration (IPC) dalam memberikan edukasi, skrining dan penatalaksanaan awal olehdokter, bidan, perawat dan apoteker dalam menurunkan kejadian yang tidak diinginkanataupun kematian pada kasus preeklamsia dan eklamsia. Pelatihan diberikan kepada petugaskesehatan khususnya dokter, bidan, perawat dan apoteker dalam melakukan praktek IPCdibagi 4 dimensi yaitu Assessment of Interprofessional Team Collaboration Scale (AITCS)meliputi partnerships, Cooperation, Coordination, Shared Decision Making.