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All Journal Berkala Kedokteran Jurnal Preventia Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Plexus Medical Journal
Oktaviyantini, Tri
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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The Association between Coping Mechanisms and Depression in Patients with Chronic Kidney Disease Undergoing Hemodialysis at Dr. Moewardi Hospital Surakarta Zweiryadinda, Wim; Oktaviyantini, Tri; Kusuma, Wijaya
Berkala Kedokteran Vol 19, No 2 (2023)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v19i2.17388

Abstract

Patients with chronic kidney disease (CKD) undergoing routine hemodialysis (HD) may experience psychiatric comorbidities like depression. The coping mechanism is thought to be associated with the emergence of depression in patients with CKD. This cross-sectional study examines the association between coping mechanisms and depression in CKD patients undergoing routine HD therapy at Dr. Moewardi Hospital, Surakarta. Brief COPE and Hospital Anxiety and Depression Scale (HADS) questionnaire were used as study instruments. The result showed that 29 (78.38%) research subjects used adaptive coping, while 8 (21.62%) used maladaptive coping. There are 13 (35%) participants with mild depression. Spearman’s rank correlation showed a strong negative correlation between adaptive coping mechanisms and the severity of depression in CKD patients undergoing hemodialysis (r=-0,655; p<0,01)
Perbedaan Tingkat Depresi pada Lansia yang Melakukan Senam Lansia dan Tidak Melakukan Senam Lansia Safira, Difa Ananda; Oktaviyantini, Tri; Hastuti, Heni
Plexus Medical Journal Vol. 3 No. 2 (2024): April
Publisher : Fakultas Kedokteran, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/plexus.v3i2.1260

Abstract

Latar Belakang: Terjadi peningkatan jumlah lansia sebanyak 2,4% dari tahun 2010-2020 menurut data BPS. Menurut Depkes RI peningkatan tersebut diiringi dengan masalah kesehatan, salah satunya pada aspek psikologis. Masalah psikologis yang sering menjadi permasalahan dan membutuhkan penanganan serius karena berdampak luas pada kesehatan lansia ialah depresi. Depresi pada lansia menempati urutan ke empat penyakit dunia pada tahun 2020 dan diperkirakan akan terus meningkat. Salah satu cara untuk menurunkan tingkat depresi adalah aktivitas fisik. Senam lansia merupakan aktivitas fisik yang efektif dilakukan untuk lansia karena jenis gerakannya bersifat aerobik dengan intensitas yang rendah. Metode: Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cros sectional. Subjek penelitian ini adalah para lansia di Panti Jompo Kemah Beth Shalom dan Pondok Lansia Berdikari yang berjumlah 29 orang berdasarkan teknik total sampling yang memenuhi kriteria. Data dianalisis secara univariat dan bivariat, digunakan uji Mann Whitney U-Test dengan aplikasi SPSS. Hasil: Dari hasil penelitian didapatkan 13 lansia melakukan senam lansia dan 16 orang tidak melakukan senam lansia. Berdasarkan analisis Mann Whitney U-Test didapatkan hasil perbedaan antara tingkat depresi pada lansia yang melakukan senam lansia dan yang tidak melakukan senam lansia dengan nilai p =0,001 atau p<0,05. Simpulan: Terdapat perbedaan hasil yang signifikan pada tingkat depresi antara lansia yang melakukan senam lansia dan tidak melakukan senam lansia.  
Treating Adolescent Depression: Exploring Neurofeedback Training, Dhikr, and Community Stigma in Complementary Therapies (A Case Study) Oktaviyantini, Tri; Nugroho, IGB Indro; Suwito, Djoko; Putra Perdana, Dennada Bagus
Preventia : The Indonesian Journal of Public Health Vol 9, No 2 (2024)
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um044v9i22024p77-85

Abstract

Adolescent depression, particularly when complicated by psychotic features, presents significant challenges in treatment due to its complex and multifaceted nature. This case study explores the integration of neurofeedback training and Dhikr, an Islamic meditative practice, as complementary therapies alongside traditional pharmacotherapy in treating a 15 years old male diagnosed with severe recurrent depression. Despite initial reluctance and skepticism influenced by community stigma surrounding mental health and spiritual practices, both therapies contributed to noticeable improvements in the patient's symptoms and overall well-being. Neurofeedback was utilized to regulate brainwave activity, while Dhikr provided a meditative and spiritual component that promoted mindfulness and inner peace. The case highlights the importance of addressing community stigma, personalized treatment plans, and holistic approaches in managing adolescent depression, ultimately leading to better engagement and therapeutic outcomes.
AKUPUNTUR SEBAGAI TERAPI ADJUVAN PADA PASIEN DEPRESI BERAT (Case Report) Rachmadian, Okky Dita; Herdaetha, Andriesti; Oktaviyantini, Tri
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 02 (2025): Qanun Medika Vol 09 No 02 July 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i02.23720

Abstract

Based on WHO data, almost 20%-30% of hospital patients in developing countries experience mental emotional disorders such as depression. Depression occurs from mild to severe, thus interfering with daily functioning. The most effective therapy for severe depression is electroconvulsant therapy (ECT). But in some cases it cannot be done, so there needs to be alternative therapies. Acupuncture can trigger endorphins and lower cortisol levels that can affect a person's mood. In this case, we present A 50-year-old woman with a diagnosis of recurrent depressive disorder now severe episodes with psychotic symptoms was planned to receive ECT therapy, but the patient was not eligible. Then the patient is given drugs Fluoxetine 1x20 mg and Clozapine 1x50 mg. The patient is still silent, neither eating nor answering questions. Based on several journals found, acupuncture can be given as an additional therapy given with psychopharmaceuticals. Acupuncture is beneficial in faster improvement of depressive symptoms when compared to patients who only get antidepressants. After several acupuncture sessions, patient’s symptomps was improved. So we conclude that acupuncture can be used as an additional therapeutic option given together with psychopharmaceuticals to depressed patient.
Co-Authors Djoko Suwito Hastuti, Heni Herdaetha, Andriesti IGB Indro Nugroho Putra Perdana, Dennada Bagus Rachmadian, Okky Dita Safira, Difa Ananda Wijaya Kusuma Zweiryadinda, Wim