Natalia Widiasih Raharjanti
Departemen Ilmu Kesehatan Jiwa (Psikiatri), Fakultas Kedokteran Universitas Indonesia/ Rumah Sakit Umum Pusat Dr.Cipto Mangunkusumo,Jakarta.

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HUBUNGAN PSIKOPATOLOGI DENGAN MEKANISME KOPING PADA PEREMPUAN DENGAN HIV/AIDS DI RSCM TAHUN 2016 Tambunan, Yunita; Redayani, Petrin; Siste, Kristiana; Widiasih, Natalia
Majalah Kedokteran Indonesia Vol 68 No 2 (2018): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

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Abstract

Pendahuluan: Perempuan dengan HIV/AIDS memiliki risiko mengalami psikopatologi yang lebih tinggi dibanding laki-laki, meskipun data pendukung mengenai hal ini sangat minim. Untuk mengatasi stresor yang dialami, penderita HIV/AIDS membangun berbagai bentuk mekanisme koping, dan seringkali menggunakan mekanisme koping yang maladaptif. Tujuan penelitian ini adalah mengetahui adanya hubungan antara psikopatologi dan mekanisme koping pada perempuan dengan HIV/AIDS. Metode: Penelitian ini menggunakan desain potong lintang dengan menilai psikopatologi (kuesioner SCL-90), dan mekanisme koping (kuesioner Brief COPE) pada perempuan dengan HIV/AIDS di Pokdisus RS Cipto Mangunkusumo. Hasil: Dari 116 responden sejumlah 37,1% memiliki psikopatologi, dan diantaranya psikopatologi terbanyak adalah depresi (44,2%). Mekanisme koping yang tersering digunakan oleh seluruh responden adalah religion (46,6%). Korelasi psikopatologi dengan mekanisme koping adalah r= 0,292 dan p=0,001. Kesimpulan. Didapatkan hubungan bermakna dengan korelasi positif dan kekuatan lemah antara psikopatologi dan mekanisme koping. Mekanisme koping religion lebih banyak digunakan oleh responden tanpa psikopatologi. Responden dengan psikopatologi yang menggunakan koping religion sering disertai dengan penggunaan koping self blame. Manajemen tatalaksana perempuan dengan HIV/AIDS yang komprehensif dapat dilakukan dengan deteksi dini psikopatologi dan mekanisme koping.
PENGGUNAAN ANTIPSIKOTIK PADA LANSIA DAN EFEK KARDIOVASKULAR: EVIDENCE BASED CASE REPORT Kasmianto Abadi; Natalia Widiasih; Profitasari Kusumaningrum; Martina W.Nasrun
Majalah Kedokteran Indonesia Vol 68 No 12 (2018): Journal of The Indonesian Medical Association Majalah Kedokteran Indonesia Volu
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jinma.v68i12.207

Abstract

Latar Belakang Penggunaan Antipsikotik pada lanjut usia (lansia) berhubungan dengan efek samping kardiovaskular. Beberapa efek samping kardiovaskular dapat terjadi pada lansia baik ringan hingga dapat menyebabkan kematian mendadak. Jenis antipsikotik yang digunakan diduga berhubungan dengan kejadian mortalitas sistem kardiovaskular.Metode: Pencarian terstruktur dilakukan di Pubmed, EBSCO, dan Science Direct menggunakan kata kunci berdasarkan konsep Boolean operators yang sesuai dengan pertanyaan klinis. Populasi target yaitu pasien lanjut usia yang menggunakan antipsikotik dan efek terhadap sistem kardiovaskular.Hasil: Setelah menyaring 68 judul dan abstrak dengan menggunakan kriteria inklusi dan eksklusi, didapatkan 2 artikel. Selanjutnya dilakukan telaah kritis berdasarkan kesahihan, kepentingan hasil, dan aplikasi. Kedua artikel memperlihatkan adanya hubungan yang signifikan antara penggunaan antipsikotik dan kejadian mortalitas kardiovaskular.Kesimpulan: Penggunaan antipsikotik pada lansia dapat menyebabkan risiko mortalitas kardiovaskular, perlu untuk menilai profil keuntungan dan risiko penggunaan obat antipsikotik serta penyesuaian dosis dan evaluasi efek samping.
Validity and Reliability od Postgraduate Hospital Educational Environment Measure - Bahasa Indonesia Version Natalia Widiasih Raharjanti; Adhitya Sigit Ramadianto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 5, No 3 (2016): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.761 KB) | DOI: 10.22146/jpki.25375

Abstract

Background: Educational environment is an essential factor influencing performance of medical residents, and unsupportive educational environment is associated with considerable harmful impacts. The Postgraduate Hospital Educational Environment Measure (PHEEM) is a self-administered questionnaire designed to measure residents’ perception of their educational environment. This study aims to establish the validity and reliability of PHEEM - Bahasa Indonesia version. Methods: The original PHEEM is translated and modified through an expert panel discussion. Construct validity is measured by corrected item-total correlation. Internal consistency reliability is measured by Cronbach’s alpha. Sample was taken from neurology and radiology residents. Results: The first validation trial was done on 44 neurology residents while the second trial was done in 35 radiology residents. Almost all item scores are correlated with the total score with r > 0,3. Cronbach’s alpha of PHEEM is 0,89 and 0,91 in the first and second trial, respectively.Conclusion: This is the first PHEEM validation study in Indonesia; changes to the instrument were made to maintain face and content validity. While the sample size is small and not selected randomly, PHEEM - Bahasa Indonesia version has acceptable validity and reliability to be used in research and evaluation of residency programs.
The Association Between Psychopathology Ans Quality Of Life In Burn Patients At Dr. Cipto Mangunkusumo Hospital, Jakarta Rizki Aniza Winanda; Irmia Kusumadewi; Aditya Wardhana; Tjhin Wiguna; Natalia Widiasih Raharjanti
Jurnal Plastik Rekonstruksi Vol. 4 No. 2 (2017): July Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.638 KB) | DOI: 10.14228/jpr.v4i2.235

Abstract

Background : Burns result in severe injuries that cause damage or loss of tissue due to contact with sources of heat resulting in injuries to all body systems. Injuries of the skin, which functions as a barrier to protect internal organs, may cause patients to experience damage to one's physical appearance and body image causing negative feelings that may lead to other problems such as psychopathology and symptoms of mental illness. Method : A cross sectional study with consecutive sampling method of burn patients who were treated at the Plastic Surgery Outpatient Clinic and Burn Unit of RSCM was conducted between April-May 2017. Subjects were asked to fill in self-report questionnaires including patient identity form, SRQ-20 (cutoff point ?6) for presence of psychopathology, and WHOQoL-BREF to obtain mean scores of quality of life that include four domains of physical, psychological, social, and environment assessment. Data collected was analyzed using correlation analysis. Result : 56 burn patients were included in the study. 30.4% did not work and 48.2% had very low income per month. 67.9% patients experienced burns due to fire and 44.6% had burns 10-30% of the TBSA with a majority of patients (80.4%) experiencing a combination of second & third degree burns. Based on the analysis, 57.1% of patients had a form of psychopathology and low mean scores of quality life (physical domain 48.1, psychological domain 51.5). Significant negative correlations (p ? 0.05) were obtained between the psychological domain and symptoms of depression, anxiety, low energy; physical domain and low energy; and social domain with anxiety. Conclusion: This study obtained significant results to identify the correlation between psychopathology and various domains of quality of life affected.
Penggunaan Antipsikotik pada Lansia dan Efek Kardiovaskular: Evidence Based Case Report Kasmianto Abadi; Natalia Widiasih; Profitasari Kusumaningrum; Martina W.Nasrun
Majalah Kedokteran Indonesia Vol 68 No 12 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.12-2018-207

Abstract

Background: Effects of antipsychotics in the elderly (elderly) is associated with cardiovascular side effects. Some cardiovascular side effects can occur in the elderly and can cause sudden death. The type of antipsychotics used is thought to be related to the incidence of cardiovascular mortality.Methods: A structured search was conducted at Pubmed, EBSCO, and Science Direct using keywords based on the Boolean operators concept that was suitable for clinical questions. The target population is elderly patients who use antipsychotics and effects on the cardiovascular system.Results: After filtering 68 titles and abstracts using inclusion and exclusion criteria, 2 articles were obtained. Furthermore, a critical review is based on validity, importance of results, and application. Both articles showed a significant association between the use of antipsychotics and the incidence of cardiovascular mortalityConclusions: The use of antipsychotics in the elderly can lead to cardiovascular mortality risk, it is necessary to assess the profile of the benefits and risks of using antipsychotic drugs as well as dose adjustments and evaluation of side effects.
Hubungan Psikopatologi dengan Mekanisme Koping pada Perempuan dengan HIV/AIDS di RSCM Tahun 2016 Yunita Tambunan; Petrin Redayani; Kristiana Siste; Natalia Widiasih
Majalah Kedokteran Indonesia Vol 68 No 2 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.2-2018-86

Abstract

Introduction : Women with HIV/AIDS have greater risk than men in having psychopathology although the data about this is still scarce. To resolve stress, patients with HIV/AIDS build many coping mechanism, often the maladaptive ones. This study aims to assess the relationship between psychopathology and coping mechanism in women with HIV/AIDS. Method : A cross-sectional study was conducted to determine psychopathology (using SCL-90 questionnaire), and coping mechanism (using Brief COPE questionnaire) among women with HIV/AIDS at Pokdisus of Cipto Mangunkusumo Hospital. Results : Among 116 subjects, 37,1% had psychopathology with depression as the most common psychopatology (44.2%). Most respondents used religion as their coping mechanism (46,6%). The coefficient correlation between psychopathology and mechanism of coping was r=0,292 and p=0,001. Conclusion : There was a significant difference with positive correlation between psychopathology and mechanism of coping. Respondents without psychopathology usually used religion coping mechanism whereas respondents with psychopathology often used religion and self blame coping. A comprehensive management in female with HIV/AIDS can be done by early detection of their psychopathology and coping mechanism.