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PSIKOEDUKASI TENTANG EKSPRESI EMOSI PADA PELAKU RAWAT LANSIA DENGAN DEPRESI PASCA STROKE Lintuuran, Rivo Mario Warouw; Rorong, Agnes Tineke Waney; Satyasari, Daniella; Syafita, Arvia; Kogoya, Alvionita; Hartono, Adinda Mozart Rahmadhina Riyandi; Zachrani, Aliviannisa Hasmah; Suyanto, Alysa Naila Putri; Puteri, Amara Alifia; Kusharianto, Andhika Arief
Jurnal Pengabdian Masyarakat Trimedika Vol. 1 No. 1 (2024)
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/abdimastrimedika.v1i1.19030

Abstract

Post-stroke depression may worsen the wellbeing of elderly with stroke. Depression in elderly may be contributed by psychosocial factors including emotional expression in the family or caregiver. Objective: To identify and manage post-stroke depression in elderly and caregiver emotional expression which may impact patient’s physical and mental health. Methods: Data collection was taken at Krendang by means of visiting patient’s home and conducting interview, observation, and physical/mental examination. Results: A 63-year-old woman post stroke one year ago, was found with hypertension and left hemiparesis. Clinical and psychometric evaluations (Geriatric Depression Scale score 8, Abbreviated Mental Test score 7) yielded depression and decline cognitive function. Psychosocial issues revealed high emotional expression and anxiety in caregiver. Psychoeducation on physical and mental condition was provided to patient and family, especially in controlling emotional expression in caregiver. Conclusion: Psychoeducation on emotional expression and its management may help increase patient and caregiver’s quality of life.
Studi Kasus–Kelola Paparan Asap Rokok dan Kunjungan Antenatal pada Kejadian Kelahiran Prematur Zachrani, Aliviannisa Hasmah; Kurniasari, Kurniasari
Jurnal Biomedika dan Kesehatan Vol 8 No 3 (2025)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2025.v8.298-307

Abstract

Background Preterm birth remains one of the leading contributors to infant mortality in Indonesia. In addition, premature infants are more likely to develop diseases. Obstetric factors, such as parity and frequency of antenatal visits, as well as environmental factors, such as exposure to cigarette smoke, can influence the incidence of preterm birth. In Indonesia, parity remains high, and the frequency of antenatal visits varies by region, along with limited understanding of the dangers of second-hand smoke for fetuses. This study aims to analyze the relationship between parity, frequency of antenatal visits, and second-hand smoking, and the incidence of preterm birth. Methods This case-control study included pregnant women aged 20 – 35 years who gave birth to premature and preterm babies between January 2022 and December 2023 in hospitals. Pregnant women with hypertension during pregnancy, antepartum hemorrhage, multiple pregnancies, smoking, alcohol consumption, or postterm gestational age (>42 weeks) at birth were excluded from this study. Data on parity, secondhand smoking history, frequency of antenatal visits in the last pregnancy, and gestational age at childbirth were collected using a questionnaire. Medical records and Maternal – Child Health Books were used to confirm the data collected through questionnaires. The relationships and magnitudes of risk associated with parity, secondhand smoking, and frequency of antenatal care contacts with preterm birth were analyzed using the Chi-Square Test. Results Exposure to cigarette smoke (p=0.036; OR=2.727 [CI: 1.058 - 7.031]) and antenatal visits (p=0.033; OR=4.167 [CI: 1.046 - 16.605]) were associated with the incidence of preterm birth, whereas parity was not associated (p=0.251; OR=1.699 [CI: 0.685 - 4.209]) with the incidence of preterm birth. Conclusions Mothers exposed to cigarette smoke ≥ 5 sticks/day and with non-routine antenatal visits had a 2,727-fold and 4,167-fold increased risk of premature birth.