Abi Muhlisin

Background: Tuberculosis (TB) is a main health in global issue. Depression may associate with treatment period, income, and self-stigma that impacts on Tuberculosis recover. TB that shows more than six months of treatment period can identify as Multi Drug Resistant (MDR). The purpose of this study is to understand whether Depression can be predicted based on age, economic status, treatment period and self-stigma.Method: Respondents were identified from twelve community health centres using cross sectional approach. The sample characteristics were included adult, in the process of Tuberculosis treatment minimum one month; get the same multidrug standard in the TB treatment. The number of the sample was 180 respondents who selected using accidental sampling technique. Information was collected using demographic factors, treatment period, depression, and self-stigma questionnaire on pulmonary Tuberculosis. A multiple linear regression model was applied to determine depression predictors of Tuberculosis.Results: The findings identified a significant difference between the four factors and depression on Tuberculosis patients with p-value of 0.001 in each variable. Regression analysis indicated that predictor unstandardized coefficients β between self-stigma and age was -0.165, economic status was -0.385, treatment period was 0.118 and level of depression was 0.320.Conclusion: This study found that age and economic status have a negative correlation as depression predictor. Both length of treatment period and self-stigma have a positive correlation as depression predictor. The longer TB treatment period, they would have experienced depression.

Stroke is among the priority health issues frequently reported by the people of Gemolong, Sragen. Strokes do not only affect the elderly; individuals of productive age can also experience them. Strokes can be prevented by reducing risk factors and providing proper treatment for stroke attacks. This community service activity aims to enhance the knowledge and skills of Aisyiyah administrators in promoting stroke prevention and appropriately handling stroke attacks. The methods used in the service activities include training and simulations, encompassing socialization, education on stroke prevention and treatment, as well as stress management using Al-Quran recitations (murottals). The outcome of the service is an increased knowledge and skills of participants in prevention and treatment. This also includes cadre skills in handling stroke sequelae through bed transfer and Range of Motion (RoM), as well as implementing murottal therapy for stress management.

Relaxation technique to reduce stress for a caregiver of a mental illness patient

BACKGROUND: Natural disasters continue to occur worldwide, influencing the economy, finances, and psychological problems. Traumatic on children is an impact of the catastrophe likely a burden on the family, especially mothers who accompany their children as caregivers. AIM: The purpose of the study was to explore children’s traumatic experiences from mothers in a family in a rural community in Indonesia. METHODS: We conducted six focus groups with mothers to explore their traumatic children’s experiences using a qualitative research design. Thirty mothers with children 3−10 years old contributed to the focus groups across all sites. We formed focus groups with six mothers and continued in-depth interviews, including nine mothers. RESULTS: The mothers had similar experiences understanding their children’s trauma due to natural tornado disasters. This study revealed three overarching themes shaping the mothers’ experience: anxiety in children, trauma trigger, and lingering distress. All themes lead to the main theme is psychological distress in the face of a child suffering from PTSD. From the hermeneutical perspective, topics can be identified as terms, including being-thrownness, being-fallenness and being-alongside. CONCLUSION: Children with post-traumatic stress disorder may impact family physiological problems, especially the mother. The study found that may place the burden of care for children on the person’s families.

Background: The Crisis intervention program is very crucial to reduce the violence of emergency and acute mental illness. In the present research, an adjusted violence scale instrument through the implementation of a crisis intervention program that was combined with antipsychotic medicine was proposed for acute mental illness patients. Methods and Material: The Brøset’s violence risk scale instrument was utilized to measure the patients' behavior with intervention; after that, it was refined (mixed method with concurrent embedded strategy) to adapt the measuring scales. Each patient was given a crisis intervention program and received similar antipsychotic medication that comprised of Chlorpromazine 300 mg/day, Haloperidol 15 mg/day, and Trihexyphenidyl 6 mg/day; then, the response was recorded for 7 to 12 days in an acute inpatient psychiatric unit. The instrument was adjusted to satisfy the changes in patients' behaviors throughout an intervention. Then, a trial procedure, verification, and validation were performed on the content of the instrument. Results: The results revealed that a paired-samples t-test comparison of the panic level of 72 patients' violence was t=-7617 and probability 0.000. The proportion of agreement Cohen's kappa (κ) can range from -1 to +1. It means that the kappa (κ) equal to 0.667 represents a moderate agreement. Furthermore, since Probability was very low ( P < 0.05). Conclusions: It can be concluded that there was different levels of patients' violence before and after the crisis intervention. The interrater statistical results confirmed that the majority of nurses had similar perceptions towards items of modified Brøset’s violence risk scales.

A significant increase in the number of mental disorders has been a phenomenon in the world, including Indonesia. It may indicate by the increasing number of the inpatients of mental hospitals. The study aims to determine the effect of the combination of psychosocial therapy and vitamin C on the stress and immunity level of patients with mental disorders. This study applied pre-experimental design on three groups in which each group consists of seven respondents with an assumption that 20% will be lost of follow up. The sampling technique is purposive sampling. The criteria of the respondents include patients with schizophrenia, adults and administered with the same antipsychotic medication. The intervention includes the 500 mg of vitamin C and relaxation technique for four weeks on a daily basis. The stress levels and immunity of the patients are measured at the end of each month. One-way ANOVA is employed as the data analysis technique. The results of analysis in stress levels and immune responses between the three groups after the intervention of Vitamin C and relaxation techniques showed a mean difference in each group. The F value of 1.534 and an associated p value of 0.234 for stress levels, and f value of 0.790 with p value of 0.469 statistically indicate the insignificant difference between the three groups. Meanwhile, during the interview as an assessment of stress levels, the second and third intervention groups were more cooperative compared to the first group. Respondents were more cooperative during mental status examination after the end of the second and third weeks, and showed an improvement in CD4 immunity (cluster of differentiation 4).