Faktor Risiko Depresi Antenatal Di Puskesmas Jagir Dan Tanah Kali Kedinding Surabaya

Objective: To find out the prevalence and analyze the risk factors (biological, psychological and social) of pregnant women who experience antenatal depression at health center of Jagir and Tanah Kali Kedinding Surabaya.Methods: A cross sectional study design, after got the ethical clearance certificate, the subjects were pregnant women who visited antenatal clinic and meet the criteria in Mei-Juni 2019. Independent variables were biological factors : a history of Premenstrual dysphoric disorder (PMDD), and obstetric status (age, history of miscarriage and mode of delivery, and risk of pregnancy), psychological factors : the history of child abuse and negative life events and social factors : marital conflict, pregnancy status, family/spouse/social support, and financial stress. The dependent variable was determined by Edinburgh Postnatal Depression Scale (EPDS) with a cut off value of 10. Statistics analysis used accordingly.Results: The prevalence of antenatal depression was 18.95%. The statistic calculation found that age (P=0.168),  history of miscarriage and mode of delivery (P=0.540), risk of pregnancy (P=0.756), history of PMDD (P=1.000), history of child abuse (P=0,219), negative life events (P=0.870), marital conflict (P=1,000), pregnancy status (P=1,000), family, spouse and social support (P= -), and financial stress (P=1,000).Conclusion:There was no relationship between antenatal depression and the age of pregnant women, history of miscarriage and mode of delivery, pregnancy risk, history of PMDD, history of child abuse, negative life events, marital conflict, pregnancy status, family, spouse and social support, and financial stress

THE EPIDEMIOLOGY OF PEDIATRIC CANCER IN THE PALLIATIVE CARE UNIT AT DR. SOETOMO GENERAL HOSPITAL, SURABAYA

Background: Children with cancer require special interventions and palliative care to improve their quality of life. The epidemiology of pediatric cancer is needed as a basis for determining health policy. Purpose: This study describes pediatric cancer patients in the palliative outpatient clinic in Dr. Soetomo General Hospital, Surabaya. Methods: This study is an observational descriptive study that uses the medical records of pediatric patients with cancer at the palliative care unit in Dr. Soetomo General Hospital between June 2014 and July 2015. The data included the demographic characteristics of the pediatric cancer patients and was analyzed using descriptive statistics. Results: The number of children in the 1–5 years, 6–10 years, and 11–15 years age groups was similar, while noticeably fewer children fell into the 16–18 years group. The majority of children suffering from cancer were male (68,70%). The most common type of cancer in was blood cancer (leukemia) with a percentage of 51.91%, while the rarest types were retinoblastoma and lymph node cancer (malignant lymphoma) with percentage of 3.05%. Conclusion: The incidence of pediatric cancer patients in the palliative outpatient clinic was quite high. These patients tended to be male, aged 6–10 years, and suffered from leukemia

Association of psoriasis severity degree with self-esteem, depression and dermatology life quality index

Abstract Background Psoriasis is a chronic inflammatory skin disease that affects physical health as well as self-esteem, depression, and quality of life. Objective We aimed to evaluate the association of psoriasis severity with self-esteem, depression, and dermatology life of quality index (DLQI) on outpatient and inpatient unit at Department of Dermatology and Venereology, Dr. Soetomo General Hospital, Surabaya, Indonesia. Materials and Methods This study included 37 patients that fulfilled the inclusion and denied exclusion criteria. Sociodemographic characteristics of the patients were assessed, the Psoriasis Area Severity Index (PASI) were scored to determine psoriasis severity, as well as self-esteem (Rosenberg Self-Esteem Scale), depression (Hamilton Rating Scale for Depression), and Dermatology Life Quality Index. Results Our study showed there were no subjects with high self esteem, 73% subjects had standard self esteem, 27% subjects had low self esteem, and there was a significant negative association between psoriasis severity with self-esteem (p=0,035, r=-0,215). Eighty nine point one percent of patients got depression (35.1% mild depression; 27% moderate depression; 16.2% severe depression, and 10.8% very severe depression. Positive association between psoriasis severity with depression degree, however, was not statistically significant (p=0,107, r=0,124). Ninety seven point two percent patients got impaired DLQI. Positive association between psoriasis severity with DLQI, however, was not statistically significant (p=0,315, r=0,256). Conclusion Psoriasis is associated with low self-esteem, depression, and decrease in DLQI, although not statistically significant association between psoriasis severity (PASI) with depression and DLQI. Therefore, comprehensive treatment with psychiatrist for psoriasis patients is recommended. All patients with psoriasis without regards to its severity have to be screened for self-esteem, depression, and QOL. It is necessary to assess patients with low psoriasis severity to psychiatrist

PEMBENTUKAN DESA SIAGA BENCANA SEBAGAI WUJUD UPAYA MITIGASI BENCANA DI SURABAYA

Wilayah Indonesia merupakan negara kepulauan yang secara geografis dan geologis terletak diantara empat lempeng tektonik, yaitu: lempeng Euroasia, Australia, Pasifik, dan Filipina, sehingga sangat memungkinkan untuk terjadi bencana yang utamanya disebabkan oleh faktor alam. Pemberdayaan masyarakat adalah upaya untuk menumbuhkan kesadaran, kemauan dan kemampuan masyarakat dalam mengenali, mengatasi, memelihara, melindungi dan meningkatkan kesejahteraan mereka sendiri. Pemberdayaan masyarakat bidang kesehatan dapat menumbuhkan kesadaran kemauan dan kemampuan dalam memelihara dan meningkatkan kesehatan. Pemberdayaan masyarakat melibatkan sumber daya manusia (kader) di masyakat yang bekerja secara sukarela. Kader kesehatan disebut juga sebagai promotor kesehatan desa. Pada umumnya yang paling memungkinkan menjadi kader kesehatan adalah kelompok perempuan yang tidak bekerja karena memiliki waktu lebih banyak, serta anak-anak muda, khususnya mahasiswa dan pelajar yang sudah dilatih, sehingga lebih leluasa di dalam keikutsertaan pada kegiatan yang bersifat sosial termasuk program mitigasi bencana. Memberikan pelatihan tanggap darurat bencana perlu dilakukan. Salah satu pelatihan tanggap darurat yang bisa dilakukan adalah dengan menggunakan modul Psychological First Aid (PFA)

Validity and reliability test of Sheehan-suicidality tracking scale in Indonesian adult general population

Abstract Background: One of the strategies to prevent suicide is to use screening method for suicide risk in the community. The purpose of this study was to test the validity and reliability of Sheehan-Suicidality Tracking Scale (S-STS) with Beck Scale for Suicidal Ideation (BSSI) as the gold standard; thus the scale is expected to be a screening tool for suicide risk in Indonesia. Methods: This was a descriptive-observational study with cross-sectional design on 300 respondents in Surabaya general population in April 2018. Measurement instruments were S-STS and BSSI self-reports. Results: The average age group of the respondents was 26-35 years. There were 38 respondents (12.67%) positive of suicide risk with BSSI and S-STS with a cut-off >16. All of the items were valid. The sensitivity and specificity of S-STS compared to BSSI for screening tool of suicide risk were 100% and 96.32%, respectively (Area Under Curve = 0.991). Reliability test with Cronbach’s alpha was 0.9802 (95% CI 0.9796-0.9846). Conclusions: S-STS is a valid and reliable instrument for detecting suicidal risk in general population in Surabaya, Indonesia, and there were 9.33% of adult population at risk of suicide

Psychosocial perspective of patients with gynecological cancer towards medical services during the coronavirus disease pandemic at RSUD Dr. Soetomo, Surabaya, Indonesia

This study aimed to determine the attitudes, anxieties, and expectations of patients with gynecological cancer towards treatment and services during the pandemic. This observational, descriptive, cross-sectional study included 326 participants (246 outpatients and 80 oncology inpatients) at RSUD Dr. Soetomo, Surabaya, Indonesia from August 30, 2021 to October 2, 2021. A COVID-19-related questionnaire and the Hospital Anxiety and Depression Scale questionnaire were administered. The patients (median age, 51 years; range: 13–80 years) were diagnosed with cervical (51.2%), ovarian (26.1%), and endometrial cancers (9.2%). Cervical and ovarian cancers most frequently occurred at ages 36–55 years compared to endometrial cancer (32.2% versus 15.6%). Overall, 249 patients (76.4%) were concerned/worried about the pandemic affecting cancer medical services, 213 (65.3%) were worried about not being able to visit an oncologist on schedule during the pandemic, and 276 (84.7%) were worried about disease progression if treatment/routine evaluation was canceled/postponed. In total, 197 patients (60.4%) stated that there was no delay in service/treatment during the pandemic. Thirty-nine patients (12%) had moderate anxiety, 9 (2.8%) had severe anxiety, 23 (7.1%) had moderate depression, and 0 had major depression.&nbsp

The influence of Kangaroo Mother Care (KMQ) on self-esteem in mother with 1 preterm infants

Background:Kangaroo Mother Care (KMC)is a caring approach for preterm infants, not just prevent hypothermia but also on maternal selfesteem. Self-esteem is an essential component of mothering with holding will make a woman's sense about herself as a mother is reflected in the mother-infant relationship. Objective: To identify the influence of KMC on self-esteem Methods: An experimental study to examine self-esteem of mother who had preterm neonate in NICU Soetomo Hospital on April 2016 were analyzed by Roosenberg Self-Esteem Scale (RSES), with total score 30 (low:25). Self-esteem scale compared between KMC and non KMCgroup. KMC given one time daily for 2 hours during at least 3 days mother had assessed by RSES.Statistical analysis used independent T-Test and Pearson correlation test. Results: This studied was ducted with KMC group of 22 (45%)infants, and non-KMC group of27 (55%) infants. The mean of mother age in KMC group (26.4(SD 5.8) vs. 27.l (SD 5.8} years old)and gestational age (33.2(SD 2.2) vs 31.8(SD 2.5) weeks) was not significantly different in the both group (P=0.7;P=0.54). There was no significant effect of mother age (r=O. 15;P=0.29) and gestational age (r-0.07;P=0.61) with the values of RSES. The mean of RSES of the K.MC group20.5(SD 4.8) with range score 12-28. In non KMC group, the mean score was 11.96 (SD 4,39) with range score 5-23.The score of the K.MC group were significant higher than non-KMC group(P=0.00). Conclusion: Mother in KMC is a higher RSESsthan mother in non-KMC group

Psychiatric aspects of healthcare workers during COVID-19 pandemic in Surabaya, Indonesia: prevalence of anxiety, resilience, burnout, and their correlations to stress markers

Abstract Link of Video Abstract: https://youtu.be/nI_6kXZ0cSw Introduction: The coronavirus disease (COVID-19) pandemic severely affected healthcare services, including causing negative impacts on healthcare workers’ mental health. An observational study was conducted at Dr. Soetomo General Hospital aimed to measure the prevalence of anxiety, resilience, burnout and their correlations to stress biomarkers amongst healthcare workers in Surabaya, Indonesia, during the COVID-19 pandemic. Methods: Participants were residents who managed COVID-19 patients, chosen using random sampling. All participants had a 1-week shift working with COVID-19 patients in an isolation ward. The study used online questionnaires and laboratory data at the shift’s beginning and end. Along with collecting sociodemographic characteristics, State-Trait Anxiety Inventory (STAI), Brief Resiliency Scale (BRS), and Maslach Burnout Inventory (MBI) scales were administered online. At the same time, laboratory markers such as Neutrophil to lymphocyte ratio (NLR), Interleukin-6 (IL-6), cortisol, and CD4 values were studied. Results: 61 participants were included in the study. At the beginning of the shift, 59% of participants had moderate to severe anxiety, and 83.62% had normal to high resilience. The early proportion of the participants having burnout from combined MBI measures was 88.52%. MBI-EE median scores were lower in the married group (6.50 vs. 9.50, p-value=0.030). NLR value was significantly related to STAI-S and BRS (p-value=0.007 and 0.049, respectively). Conclusions: Most healthcare workers had anxiety and burnout, with normal levels of resilience. Our study found that NLR might be useful as a marker for anxiety and resilience