Mahar Agusno
Department Of Mental Health; Faculty Of Medicine, Public Health And Nursing; Universitas Gadjah Mada

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The Effect of Mental Health Training on Attitudes and Knowledge of Cadres in Early Detection of Mental Disorders in Tanjungsari Sub-district, Gunungkidul Regency Nur Alifa Istiani; Adi Heru Sutomo; Mahar Agusno
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 1, No 3 (2018): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (700.313 KB) | DOI: 10.22146/rpcpe.41698

Abstract

ABSTRACTBackground: In developing countries, the proportion of undetected mental disorders is still high. This is due to the lack of time and skill of primary health care providers in early detection and therapy. Community empowerment through cadres plays an important role in improving the early detection of mental disorders. Attitudes and knowledge of cadres are influenced by several factors such as the level of formal education, employment status, economic status and the level of knowledge gained through training.Objectives: This study aimed to determine the effect of mental health training on the attitude and knowledge of cadres in the early detection of mental disorders.Methods: This study was a quasi-experimental research with a pre and posttest design. The population in this research was all (posyandu) volunteer cadres in the working area of the Community and Primary Health Care Center Hargosari, Tanjungsari, amounting to 45 people. The sampling technique used in this study was total sampling. The research instrument used was the questionnaire. Data analysis used the Wilcoxon test for comparison of scores (p<0.05).Results: The results of the mean value for pretest of knowledge = 13.44 and posttest = 17.38. Wilcoxon test showed there was a significant change in knowledge with the value p=0.0000 (<0.05). The results of the average value of pretest attitude = 36.71 and posttest = 45.20. Wilcoxon test showed there was a significant change in attitude with the value p = 0.0000 (<0.05).Conclusion: In conclusion, there was a significant influence by providing health training on the attitude and knowledge of cadres in the early detection of mental disorders in Tanjungsari District, Gunungkidul Regency.
Description of Patient Acceptance of Use of Mask by Doctor at Poly Out-Patient Care Puskesmas, Bantul Wahyu Pamungkasih; Adi Heru Sutomo; Mahar Agusno
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 2 (2019): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (484.674 KB) | DOI: 10.22146/rpcpe.46108

Abstract

Background: The use of masks affects doctor and patient communication verbally and nonverbally.Objectives: This study aims to describe the patients’ acceptance of the use of surgical masks by doctors in the patient's hearing, trust, and closeness.Methods: The research used qualitative design with phenomenological approach. In-depth interviews were conducted with 18 outpatients. Data were analyzed by content analysis.Results: Patient acceptance will be good when patients have the concept that masks are worn as a uniform and according to rules to prevent disease transmission. The use of masks does not affect the closeness and trust of patients even though they reduce hearing ability of patients, especially elderly patients. Still, they do not always ask the doctor about what is unclear. Some patients consider masks to be useful for preventing smelling of patients.Conclusions: The use of masks by doctors is acceptable to patients, does not affect the trust and closeness of patients even though it reduces hearing ability in certain patients.
Psychodinamic Aspect in Mixed Anxiety and Depression Disorder: A Case Reports Lisda Yanti; Mahar Agusno
Scientia Psychiatrica Vol. 1 No. 4 (2020): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v1i4.24

Abstract

Introduction: According to the ICD-10 criteria, mixed anxiety disorders and depression (MADD) are characterized by symptoms of anxiety and subsyndromal depression that occur together, but nothing dominates. A mixture of anxiety and depression disorders have various risk factors that underlie the occurrences. This case report aims to discuss the mixture of anxiety and depression disorders and their background. Case Presentation: A man, 23 years old, college student, single, middle down the socio-economic background, lived in a rural area in Yogyakarta, came to consult a psychiatrist at the psychiatric clinic Dr. Sardjito general hospital with complaints felt excessive anxiety and depressed because they were unable to do the thesis. From the psychiatric examination, it was found that men according to age, good self-care, thin body posture, many bowed, often moving his hands, looking nervous, cooperative, intonation and small voice volume, clear articulation, depressed mood, depressed mood, inappropriate affect, realistic thought, worried, worried about moving house, worried about the future, worried about people's assumptions about patients for fear of being blamed, sinful ideas, low self- esteem ideas, ideas of reference, ambivalence, a progression of coherent thought, relevance, good orientation, good memory, mental relations can, there are disturbances in concentration and attention, good impulse control. The patient realizes that what he is thinking is not real and only exists in his mind. Conclusion: Psychodynamic aspects have a role in anxiety disorders and depression
Association of religious coping use with psychological well-being of mother of mentally retarded children Sak Liung; Carla Raymondalexas Marchira; Irwan Supriyanto; Mahar Agusno; Soewadi Soewadi; Sumarni Sumarni
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (27.173 KB) | DOI: 10.22146/jcoemph.48193

Abstract

Low psychological well-being in mothers of children with mental retardation can affect maternal mental health and quality of life. Psychological well-being of mothers depend on maternal coping strategies to overcome the burden of childcare. The religious background of Indonesian society makes mothers tend to use religious coping in handling the burden of nurturing their children. Aim of this study to determine the association between religious coping use and psychological well-being of mothers of children with mental retardation. This is an analytic descriptive study with cross-sectional design. Subjects were mothers of children with mild to moderate level of mental retardation, students of SLB Negeri 1 Bantul. The psychological well-being and religious coping of mother is assessed by Indonesian version of the Psychological Well-being Scale and Religious Coping Scale. The significance level of the statistical test is expressed at p < 0.05. Results of this study showed there is a significant association between religious coping and psychological well-being of mothers of children with mental retardation (X2: 17.897; C: 0.377; p: 0.000; RP: 5.65; 95% CI: 2.46-12.92). All dimensions of religious coping have a significant association with the psychological well-being of the mother (p: 0.000). The dimensions of achieving comfort and closeness to God have the highest closeness association with the psychological well-being among other dimensions of religious coping (X2: 39.041; C: 0.515). The confounding variables in this study are mother’s age, mother’s education, family income, marital status, mother’s employment status, family income, children’s gender, children's level of mental retardation and children’s class grade. Mother’s education has also a significant association with the psychological well-being of the mother (p: 0.021). Religious coping and mother’s education contribute 26.7% to the psychological well-being of mothers. This finding reveals that religious coping is important to improve the psychological well-being of mothers of children with mental retardation.