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All Journal Alami Journal (Alauddin Islamic Medical) Journal Journal of Health Science and Prevention Green Medical Journal Window of Community Dedication Journal Wal'afiat Hospital Journal Jurnal Info Sains : Informatika dan Sains INDONESIAN JOURNAL OF HEALTH WAL'AFIAT HOSPITAL JOURNAL Holistik Jurnal Kesehatan
Nevi sulvita karsa
Universitas Muslim Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Veterinary

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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.
Co-Authors Abdullah, Rezky Putri Indarwati Alamanda Irwan, Andi Andi Mappaware, Nasrudin Arfah, Arni Isnaini Armanto Makmun Burhan, KHartina Dahliah Dahliah Dahliah, Dahliah Ema Magfirah Fattah, Nurfachanti Gani, Aziz Beru Hamsah, M Imran Safei Imran Safei, Imran Irwan, Andi Alamanda Jaya, Muhammad Alim Lisal, Sonny T Magfirah, Ema Mappaware, Nasrudin Andi Mokhtar, Shulhana Moudyana Lukman Muhammad Irsan Mursyid, Muhammad Musani, Melda Ayu Amanda Nilam, Nilam NURUL HIDAYAH Pangnguriseng, Utomo Andi Parningan, Zherant Sanusi, Mayamariska Shofiyah Latief Solly Aryza Sommeng, Faisal Sri Vitayani Sri Wahyuni Gayatri Surdam, Zulfiyah Swarga, Tirta