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All Journal Journal of Innovative and Creativity International Journal of Health Science
Yudi Muammar
STIKES Karsa Husada Garut
Education Health Professions Languange, Linguistic, Communication & Media Mathematics Public Health Social Sciences Other

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Anxiety Levels Among Pulmonary Tuberculosis Patients at Dr. Slamet General Hospital, Garut: A Descriptive Study Yudi Muammar; Andri Nugraha; Muhammad Hadi Sulhan; Trisa Oktaviani
International Journal Of Health Science Vol. 5 No. 3 (2025): November : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i3.5668

Abstract

Pulmonary tuberculosis (TB) is a chronic infectious disease that not only imposes a significant physical health burden but also has profound psychological implications. Among the most commonly observed psychological responses in TB patients is anxiety, which can adversely affect their adherence to treatment regimens and hinder the overall recovery process. Anxiety may arise due to various factors such as prolonged illness, social stigma, isolation, fear of transmission, and uncertainty about treatment outcomes. This descriptive quantitative study aimed to assess the levels of anxiety experienced by pulmonary TB patients undergoing treatment at Dr. Slamet Hospital in Garut, Indonesia. A total of 77 participants who were actively receiving anti-tuberculosis therapy were recruited for the study. Data collection was conducted using the Indonesian version of the Depression Anxiety Stress Scales (DASS-42), a standardized instrument for measuring psychological distress. The findings revealed that a majority of the respondents experienced moderate levels of anxiety (37.7%). This was followed by severe anxiety in 23.4% of the patients, mild anxiety in 19.5%, extremely severe anxiety in 11.7%, and normal levels in only 7.7% of the participants. These results indicate that a considerable proportion of pulmonary TB patients are struggling with anxiety symptoms during their course of treatment. The study underscores the importance of integrating psychological support services into TB treatment programs. Addressing anxiety through counseling, mental health screening, and psychosocial interventions may enhance patients' emotional well-being, improve treatment adherence, and lead to more favorable clinical outcomes. Health professionals and policymakers are encouraged to recognize and respond to the mental health needs of TB patients to ensure a more holistic and effective care approach.
Analisis Efektivitas Program Early Warning Score (EWS) oleh Perawat dalam Mendeteksi Deteriorasi Klinis Pasien Serly Sani Mahoklory; Jenita Laurensia Saranga; Nurlaelah Nurlaelah; Yudi Muammar; Mudrika Mudrika; Rezqiqah Aulia Rahmat
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.2465

Abstract

Deteksi dini terhadap penurunan kondisi klinis pasien (clinical deterioration) merupakan hal krusial dalam mencegah kejadian henti jantung mendadak, perburukan kondisi, dan kematian di rumah sakit. Sistem Early Warning Score (EWS) merupakan alat bantu sistematis yang digunakan perawat untuk mengidentifikasi tanda-tanda vital abnormal sebagai indikator awal dari deteriorasi klinis. Penelitian ini bertujuan untuk menilai efektivitas implementasi program EWS oleh perawat dalam mendeteksi dini deteriorasi klinis pasien di ruang rawat inap. Desain penelitian yang digunakan adalah kuantitatif dengan pendekatan deskriptif analitik dan studi cross-sectional, melibatkan 78 pasien dan 35 perawat di ruang rawat inap RSUD X yang dipilih secara purposive. Data dikumpulkan melalui observasi dokumentasi EWS dan kuesioner efektivitas yang dikembangkan berdasarkan indikator penilaian klinis, kemudian dianalisis menggunakan uji chi-square dan regresi logistik. Hasil penelitian menunjukkan adanya hubungan signifikan antara implementasi EWS dan deteksi dini deteriorasi klinis (p = 0,008). Tingkat kepatuhan perawat dalam pengisian EWS sebesar 85,7% berbanding lurus dengan peningkatan rujukan cepat ke tim respon cepat (RRT). EWS menunjukkan sensitivitas sebesar 91% dan spesifisitas sebesar 83% dalam mendeteksi pasien yang mengalami perburukan. Kesimpulannya, program EWS terbukti efektif sebagai sistem pendukung keputusan klinis dalam mendeteksi dini deteriorasi pasien, dengan kontribusi signifikan dari kepatuhan dan kompetensi perawat dalam penerapannya. Rekomendasi dari penelitian ini meliputi pelatihan rutin serta integrasi EWS ke dalam sistem digital rumah sakit.
Co-Authors Andri Nugraha Jenita Laurensia Saranga Mahoklory, Serly Sani Mudrika Mudrika Muhammad Hadi Sulhan Nurlaelah Nurlaelah Rezqiqah Aulia Rahmat Trisa Oktaviani