Penurunan Kecemasan Pasien Komorbid pada Pandemi Covid-19 melalui Intervensi Resiliensi
Abstract
Pandemi COVID-19 memberikan dampak buruk pada kondisi kesehatan diseluruh dunia. Usia lanjut dan pasien yang menderita penyakit kronis, seperti diabetes, penyakit kardiovaskular, hipertensi, asma dan stroke, merupakan kelompok paling rentan terinfeksi COVID-19. Kecemasan pada pasien komorbid disebabkan tingginya angka kematian pasien komorbid yang terpapar COVID-19, pembatasan sosial, self isolation dan lockdown. Penelitian ini bertujuan untuk mengetahui pengaruh intervensi resiliensi terhadap kecemasan pasien komorbid pada pandemi COVID-19. Desain yang digunakan”Quasi experimental pre-post test with control group” dengan intervensi intervensi resiliensi . Responden adalah pasien komorbid hipertensi dan diabetes mellitus yang mengalami kecemasan berdasarkan kuesioner general anxiety disorder 7 (GAD 7) di provinsi Jawa barat dan Jawa tengah. Jumlah responden sebanyak 90 responden. tehnik pengambilan sample adalah purposive sampling. Analisis data menggunakan Independent t-test dan paired t-test. Hasil penelitian menunjukkan kecemasan menurun pada pasien komorbid setelah intervensi resiliensi (p-value< 0,000).
References
CDC. (2019). symptoms of coronavirus. Centers for Disease Control and Prevention. 2020. Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html].
Grillon, C. (2008). Models and mechanisms of anxiety: Evidence from startle studies. Psychopharmacology, Vol. 199. https://doi.org/10.1007/s00213-007-1019-1
Hajure, M., Tariku, M., Mohammedhussein, M., & Dule, A. (2020). Depression, anxiety and associated factors among chronic medical patients amid covid-19 pandemic in Mettu Karl Referral hospital, Mettu, Ethiopia, 2020. Neuropsychiatric Disease and Treatment, 16. https://doi.org/10.2147/NDT.S281995
Kalisch, R., Cramer, A. O. J., Binder, H., Fritz, J., Leertouwer, Ij., Lunansky, G., … van Harmelen, A. L. (2019). Deconstructing and Reconstructing Resilience: A Dynamic Network Approach. Perspectives on Psychological Science, 14(5). https://doi.org/10.1177/1745691619855637
Karen Reivich, A. S. (2003). The Resilience Factor: 7 Keys to Finding Your Inner Strength and Overcoming Life’s Hurdles. Broadway.
Onder, G., Rezza, G., & Brusaferro, S. (2020). Case-Fatality Rate and Characteristics of Patients Dying in Relation to COVID-19 in Italy. JAMA - Journal of the American Medical Association, Vol. 323. https://doi.org/10.1001/jama.2020.4683
Ozamiz-Etxebarria, N., Dosil-Santamaria, M., Picaza-Gorrochategui, M., & Idoiaga-Mondragon, N. (2020). Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the northern Spain. Cadernos de Saude Publica, 36(4). https://doi.org/10.1590/0102-311X00054020
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). Gad-7. Archives of Internal Medicine, 166(10).
Torales, J., O’Higgins, M., Castaldelli-Maia, J. M., & Ventriglio, A. (2020). The outbreak of COVID-19 coronavirus and its impact on global mental health. International Journal of Social Psychiatry, Vol. 66. https://doi.org/10.1177/0020764020915212
Videbeck, S. L. (2020). Psychiatric-Mental Health Nursing : Eighth Edition. In Wolters Kluwer.
Wang, Y., Lu, X., Li, Y., Chen, H., Chen, T., Su, N., … Wang, J. (2020). Clinical course and outcomes of 344 intensive care patients with COVID-19. American Journal of Respiratory and Critical Care Medicine, Vol. 201. https://doi.org/10.1164/rccm.202003-0736LE
Yang, J., Zheng, Y., Gou, X., Pu, K., Chen, Z., Guo, Q., … Zhou, Y. (2019). Journal Pre-proof Prevalence of comorbidities in the novel Wuhan coronavirus (COVID-19) infection: a systematic review and meta-analysis. International Journal of Infectious Diseases.
Zhang, J., Wang, X., Jia, X., Li, J., Hu, K., Chen, G., … Dong, W. (2020). Risk factors for disease severity, unimprovement, and mortality in COVID-19 patients in Wuhan, China. Clinical Microbiology and Infection, 26(6). https://doi.org/10.1016/j.cmi.2020.04.012
