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All Journal Jurnal Berkala Epidemiologi Jurnal Keperawatan Muhammadiyah JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Budimas : Jurnal Pengabdian Masyarakat Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) Indian Journal of Forensic Medicine & Toxicology
Muhdi, Nalini
Departemen/ SMF Ilmu Kedokteran Jiwa Fakultas Kedokteran Universitas Airlangga/ RSUD Dr. Soetomo Surabaya
Religion Humanities Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Faktor Risiko Depresi Antenatal Di Puskesmas Jagir Dan Tanah Kali Kedinding Surabaya Hasanah, Zumroh; Joewono, Hermanto Tri; Muhdi, Nalini
Jurnal Keperawatan Muhammadiyah Vol 4, No 2 (2019): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (231.383 KB) | DOI: 10.30651/jkm.v4i2.3105

Abstract

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 Difference of EPDS Examination Results before and after Delivery in High-Risk Pregnant Woman at Unair Hospital Delvanny Alfikri Rekaputri Wicaksono; Agustina Konginan; Nalini Muhdi
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i2.17952

Abstract

Background: Pregnancy is an exceptional condition for a woman who will become a mother. Theprospective mother will experience a phase to continue the offspring, and depression is a complicationthat generally does not occur in childbirth. Objective: To determine the differencein the prevalence ofdepression through the results of the EPDS examination before and after delivery in high-risk pregnantwomen at Unair Hospital. Method: This research will use an observational analytic study design witha one-group pretest-posttest design strategy—data retrieval using primary and secondary data, namelyby questionnaires and medical records at Unair Hospital. The sample in this study consisted of 23multigravida pregnant women and one primigravida mother who sought treatment at the OutpatientInstallation of Unair Hospital in March 2021 - May 2021. Results: The prevalence of pregnant womenwith a tendency to postpartum depression on the EPDS scores before and after delivery are 8% and17%, respectively. There is a very weak positive correlation between pre-delivery EPDS scores andpost-delivery EPDS scores. Conclusion: There is no significant difference between the scores beforeand after delivery in a high-risk pregnant woman at Unair Hospital.
THE EPIDEMIOLOGY OF PEDIATRIC CANCER IN THE PALLIATIVE CARE UNIT AT DR. SOETOMO GENERAL HOSPITAL, SURABAYA Izzatul Fithriyah; Agustina Konginan; Margarita Maramis; Marlina Mahajudin; Nalini Muhdi; Hendy Margono; Endang Warsiki; Lestari Basoeki; Suksmi Yitnamurti
Jurnal Berkala Epidemiologi Vol. 8 No. 1 (2020): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V8I12020.65-71

Abstract

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.
PEMBENTUKAN DESA SIAGA BENCANA SEBAGAI WUJUD UPAYA MITIGASI BENCANA DI SURABAYA Nalini Muhdi; Izzatul Fithriyah; Agustina Konginan; Gilang Dokman Perkasa
BUDIMAS : JURNAL PENGABDIAN MASYARAKAT Vol 4, No 1 (2022): BUDIMAS : VOL. 04 NO. 01, 2022
Publisher : LPPM ITB AAS Indonesia Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29040/budimas.v4i1.2950

Abstract

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).
Anxiety Level and Risk Factors in Medical Students Arisyna Arisyna; Florentina Sustini; Nalini Muhdi
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 11 No. 2 (2020): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V11I22020.79-82

Abstract

Introduction: Medical students are more susceptible to anxiety than non-medical students. This study aimed to describe the anxiety level and its risk factors among the first, third, and fifth year medical students in Universitas Airlangga.Methods: We conducted cross-sectional study involving 195 medical students by consecutive sampling. The inclusion criteria in this study were all first, third, and fifth year medical students who were willing to participate in the study. The data was recorded using questionnaire of anxiety risk factors, Hamilton Rating Scale for Anxiety, and Miller and Smith Stress Vulnerability Scale. All data then was processed and analyzed descriptively.Results: From 195 students, 57 male (29.2%) and 138 female (70.8%) students participated, consisted of 63 first year, 68 third year, and 64 fifth year students. Anxiety mostly occurred in fifth year students (20.3%), followed by first year students (19%), and third year students (11.8%). Anxiety mostly occured in male (24.6%), at the age of 17 (33.3%), susceptible to stress (75%), dissatisfied with physical condition (29.2%), had chronic diseases (26.4%), on middle birth order (34.6%), had frequent conflict with parents in almost every month (50%), lived in dorm (20%), had no close friends (33.3%), perceived that health was not important (100%), orphaned (18.8%), low parental income (35%), overburdened with examination (26.3%), and dissatisfied with the examination criteria (26.5%).Conclusion: Fifth year medical students had the highest frequency of anxiety, while third year students had the lowest frequency. Nevertheless, based on the age, anxiety mostly occurred at the age of 17. These conditions were caused by some risk factors. 
Clinical Manifestation Differences of Schizophrenia Patients Based on Gender Alya Rahma Trishna; Nalini Muhdi
Jurnal Psikiatri Surabaya Vol. 9 No. 1 (2020): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (257.399 KB) | DOI: 10.20473/jps.v9i1.16356

Abstract

Background: Schizophrenia is yet to be deeply understood, despite being one of the most common mental illnesses in the world. Male and female schizophrenic patients may show different clinical presentations. The differences have been studied extensively globally, but there has yet many reports in regards of this in Indonesia.Aims: Knowing the differences of clinical manifestation on schizophrenia patients based on gender.Method: This research is analytic study in retrospective design. The data is taken from medical records of male and female schizophrenic inpatients of Psychiatric Ward of Dr. Soetomo General Hospital Surabaya on January 1st to December 31st, 2018, in total of 75 samples included. Data is processed with ANOVA statistic method.Result: The prevalence of male schizophrenic inpatients is 65,3% and 34,7% for female inpatients, with the ratio of 1,88:1. The differences of clinical presentations are not significant for the following clinical manifestations; abnormal motor behaviour (P=0,281), delusion (P=0,240), disorganized thinking (P=0,306), diminished emotional expression (P=0,295), and avolition (P=0,633) clinical manifestations. There is a significant difference in hallucination clinical manifestation between male and female inpatients (P=0,037).Conclusion: There is a significant difference in schizophrenia’s clinical manifestation of hallucination between male and female inpatients.
Hubungan Antara Konflik Peran Ganda dengan Psychological Well-Being pada Dokter Perempuan Berkeluarga yang Menjalani Program Pendidikan Dokter Spesialis-1 Di RSUD Dr. Soetomo Surabaya Yanti Fitria; Nalini Muhdi
Jurnal Psikiatri Surabaya Vol. 6 No. 1 (2017): Juni
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (384.484 KB) | DOI: 10.20473/jps.v6i1.19107

Abstract

Objektif :Residen perempuan berkeluargarentan mengalami konflik peran gandasebagai PPDS danibu, sehingga kesulitan mencapai psychological well-being (kesejahteraan psikologis) yang tinggi. Penelitian ini bertujuan menganalisis hubungan antara konflik peran ganda dengan psychological wellbeing pada dokter perempuan berkeluarga yang menjalani Program Pendidikan Dokter Spesialis-1 di RSUDDr. Soetomo Surabaya, yang hasilnya dapat dimanfaatkan untuk pengembangan program pendidikan.Metode : Studi analitik observasional, cross-sectional. Sampel dari seluruh prodi PPDS-1 di RSUD dr. Soetomo Surabaya pada Oktober-November 2016. Total sampling, kriteria inklusi berupa PPDS-1 perempuan, tidak cuti, semester 3-5 di bagian, berstatus menikah dan mempunyai anak. Analisis data disajikan dalam tabel dan narasi.Hasil : 104 subyek penelitiandari 20 prodi. Terdapat hubungan bermakna antara konflik peran ganda dengan psychological well-being (p=<0,0001; r=-0,387), pada subskala penerimaan diri, relasi positif dan pengendalian lingkungan. Konflik yang bersumber dari pekerjaan, mempunyai hubungan bermakna dengan psychological well-being pada subskala time (waktu), strains (ketegangan) dan behavior (perilaku), sedangkan yang bersumber dari keluarga, hanya pada subskala strains (ketegangan).Simpulan : PPDS merupakan sumber konflik utama bagi residen perempuan berkeluarga, yang dapat menurunkan psychological well-being. Residen diharapkan meningkatkan kemampuan manajemen konflik. Kesiapan seluruh keluarga untuk menerima kondisi salah satu anggota keluarganya untuk menjadi PPDS harus diperhatikan.
Sexuality in Women After Hysterectomy Brihastami Sawitri; Nalini Muhdi
Jurnal Psikiatri Surabaya Vol. 8 No. 2 (2019): December
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (971.811 KB) | DOI: 10.20473/jps.v8i2.19534

Abstract

Hysterectomy is the most common major gynecological surgeries, with up to 39,4% women will experience it during her lifetime. This procedure can be stressful for women as half of them will experience mild to severe physical and psychological complications. Uterus removal is often associated with de-feminization, castration, being disabled and loss of wholeness which may alter body image and self-esteem, ultimately lead to depression. Most women are anxious on how hysterectomy affect their sexuality, but only few feel comfortable discussing this essential matter to health professionals. The evaluation and management of sexual dysfunction had been the traditional province of psychiatrist. Psychiatrists should fulfill their competencies by updating knowledge on sexuality and sexual dysfunction, improving communication skill, being comfortable with own sexuality and discussing sexuality with other. Pharmacotherapy, relaxation techniques, behavior therapy, group therapy, analytical oriented sex therapy, dual-sex therapy and other techniques or exercises are some modalities option which may help women with sexual difficulties post-hysterectomy.
Suicide Attempt in Schizophrenia Igha Vinda Harikha; Nalini Muhdi; Tiwik Koesdiningsih
Jurnal Psikiatri Surabaya Vol. 11 No. 1 (2022): May
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v11i1.20597

Abstract

Suicide is a very important sosial phenomenon and requires attention not only from psychiatrists but also the general public. The phenomenon of suicide has spread to almost all parts of the world, both in countries with advanced technology and in developing countries, from rich countries to poor countries. The risk of suicide among people with schizophrenia is higher than the general population. Attempted suicide is an act of self-injury that is done intentionally and aims to die, but does not cause death. These actions represent psychological difficulties and there are several risk factors associated with suicide attempts. Schizophrenia is a chronic and severe psychiatric disorder with a huge global health burden. Among those suffering from schizophrenia, the lifetime suicide rate is around 5% and suicide is the leading cause of premature death.Keywords: Suicide, Suicide Attempt, Schizophrenia
Co-Authors Alya Rahma Trishna Arisyna Arisyna Brihastami Sawitri Delvanny Alfikri Rekaputri Wicaksono Endang Warsiki Florentina Sustini Gilang Dokman Perkasa Hendy Margono Hermanto Tri Joewono, Hermanto Tri igha vinda harikha Izzatul Fithriyah Konginan, Agustina Lestari Basoeki Maramis, Margarita M. Marlina Mahajudin Suksmi Yitnamurti Tiwik Koesdiningsih Yanti Fitria Zumroh Hasanah