Experience Of Anxiety Research Articles

The relationship between husband’s emotional support and anxiety of third trimester pregnant women at Lulu’s independent midwifery practice Surabaya

Anxiety during pregnancy arises due to physical and psychological changes in the mother. Anxiety makes emotional conditions unstable. If anxiety persists until the third trimester, it will cause prolonged labor, low birth weight, and premature birth and cause hypertension which leads to preeclampsia. Anxiety in pregnant women can be overcome with husband support. A husband plays a role in providing support to pregnant women. Husband support is one of the important factors obtained by pregnant women, because husbands are the closest people to pregnant women. During pregnancy, the mother has an unstable emotional condition so there is a need for emotional support from her husband. This emotional support includes expressions of empathy, care, and attention. The purpose of this study was to analyze the relationship between husband's emotional support and anxiety of third trimester pregnant women. This study is an observational analytic study using a cross sectional design. Data analysis using Spearman's Rho correlation test. The number of samples that met the inclusion criteria was 52 third trimester pregnant women at Lulu’s Independent Midwifery Practice, Surabaya. Mothers with good husband's emotional support 86,4% were not anxious, while 53,3% of mothers with poor husband's emotional support experienced mild-moderate anxiety. The results of the Spearman's rho correlation test obtained an rs value: 0.468 (p <0.001) which means that there is a significant correlation between husband's emotional support and anxiety of third trimester pregnant women, with moderate correlation strength. Husband's emotional support has a moderate relationship with anxiety of third trimester pregnant women.

Do office tyrants and centralized decision making drive workplace creative behaviours?

Based on affective events theory and the cognitive–affective processing system, this study explores indirect positive and negative effects of perceived abusive supervision on employee creativity through employees' affective reactions at work and how the centralization of decision making can moderate the associations between employee‐perceived abusive supervision and anxiety/anger. Using a cross‐lagged panel method to collect an effective sample of 200 employee participants which provided three‐week survey data, we tested causality between research variables with a structural equation modelling analysis using Mplus 8.0. The findings showed that a positive effect on employee creativity may occur when an employee experiences anxiety rather than anger when subject to abusive supervision. In addition, the influence of employee‐experienced abusive supervision on employee anger increases when the organization has highly centralized decision making, which hinders employees' creative performance. Theoretically and practically, this study contributes interesting and somewhat conflicting views to three areas of management literature—abusive supervision, employees' affective reactions and creativity management—including challenging the supposition that only uplifting styles of leadership can encourage employees to create new ideas.

The League: A person-centred approach to the development of social robotics for paediatric anxiety.

Social robots are promising tools to improve the quality of life of children and youth living with anxiety and should be developed based on the priorities of end users. However, pathways to include young people in patient-oriented research, particularly in the overlap between technology and mental health, have been historically limited. In this work, we describe engagement with experts with lived experiences of paediatric anxiety in a social robotics research programme. We report the experiences of patient advisors in a co-creation process and identify considerations for other research groups looking to involve end users in technology development in the field of youth mental health. We engaged individuals with a lived experience of paediatric anxiety (current, recent past, or from a parent perspective) using three different models over the course of three years. Two initial patient partners were involved during project development, eight were engaged as part of an advisory panel ('the League') during study development and data analysis and four contributed as ongoing collaborators in an advisory role. League members completed a preparticipation expectationsurvey and a postparticipation experience survey. Eight individuals from a range of anxiety-related diagnostic groups participated in the League as patient partners. Members were teenagers (n = 3), young adults aged 22-26 years who had connected with a youth mental health service as children within the past eight years (n = 3) or parents of children presently living with anxiety (n = 2). Preferred methods of communication, expectations and reasons for participating were collected. The League provided specific and actionable feedback on the design of workshops on the topic of social robotics, which was implemented. They reported that their experiences were positive and fairly compensated, but communication and sustained engagement over time were challenges. Issues of ethics and language related to patient-centred brain health technology research are discussed. There is an ethical imperative to meaningfully incorporate the voices of youth and young adults with psychiatric conditions in the development of devices intended to support their mental health and quality of life. Six young people and two parents with lived experiences of paediatric anxiety participated in all stages of developing a research programme on social robotics to support paediatric mental health in a community context. They also provided input during the preparation of this manuscript.

The Relationship Between Anxiety Levels and Sleep Patterns of Breast Cancer Patients Who Undergo Chemotherapy in the Operating Room Tenriawaru Bone Hospital

Breast cancer is the second leading cause of death among all types of cancer in women. Breast cancer is a disease that most often attacks women, affecting more than 1.5 million women every year. Chemotherapy treatment is one of the breast cancer treatments where patients undergoing chemotherapy will experience psychological problems, namely anxiety, which causes sleep pattern disturbances. the patient. The aim of this study was to determine the relationship between anxiety levels and sleep patterns in breast cancer patients undergoing chemotherapy. Research method with a cross sectional approach design. The sample consisted of 55 breast cancer respondents who underwent chemotherapy at Tenriawaru Hospital, Bone Regency using an accidental sampling technique. Data was processed using the chi square test. Univariate analysis showed that breast cancer respondents who underwent chemotherapy experienced moderate anxiety (60%) and (63.6%) had poor sleep patterns. Bivariate test results showed that there was a relationship between anxiety levels and sleep patterns (Pvalue = 0.004 (p> 0.1) and (OR = 5.365). It was concluded that there was a relationship between anxiety levels and sleep patterns in breast cancer patients undergoing chemotherapy. It is hoped that health workers will increase their ability to identify levels of anxiety and sleep pattern disorders, especially in breast cancer patients undergoing chemotherapy

Reducing Anxiety among University Students in East Java Indonesia during Covid-19 Pandemic

Background: Remote learning activities are one of the government's policies in the Covid-19 pandemic, which is still being implemented in the education sector. There were plenty of impacts that the students encountered, especially among college students who experienced difficulties in completing their final project to experienced anxiety. Aims: These conditions were the background in carrying out this study as it aimed to determine the efforts to reduce anxiety among final-year students. Methods: This was analytical observational research with a cross-sectional study design using the Theory of Planned Behaviour, undertaken across all cities and regencies in East Java from March to October 2021. The research population was all final-year college students with a sample of 385 respondents. Variables in this study were belief factors, intention, and behavior. Data collection was conducted by distributing online self-administered questionnaires. Data were presented statistically in tables and charts and analyzed using the non-parametric statistical test, multiple linear regression. Results: The result showed that the belief factor significantly influenced the intention variable (sig. 0.000), and the intention variable influenced final-year students' behavior in reducing anxiety (sig. 0.000). The intention variable had a significant value of 0.000 < 0.05, which indicated that the intention variable significantly influenced the final-year students' behavior to reduce anxiety. Based on the R square result, the intention variable influenced the final-year students' behaviour to reduce anxiety by 54%. Conclusion: Efforts known to reduce the anxiety of final-year students during the Covid-19 pandemic are managing stress, controlling themselves by increasing physical activity, doing hobbies, worship, positive thinking, and consuming the food they like.

'We are not the virus'-Experiences of racism among East & Southeast Asian heritage young people in London during the height of the COVID-19 pandemic.

The spread of COVID-19 was accompanied by news reports of surging racism, xenophobia, and hate crime all over the Global North targeting individuals of East and Southeast Asian (ESEA) descent. However, little empirical research has documented the impacts of COVID-19 on child and adolescent ESEAs. We describe and analyse the mental health experiences of young ESEA Londoners during the height of the COVID-19 pandemic. We purposively recruited 23 young people (aged 9-20) of ESEA heritage through social media and existing ESEA networks and analysed transcripts using thematic analysis. Participants experienced distress from being exposed to multiple forms of racism ranging from strangers on the street avoiding or harassing them to classmates at school or university making racist 'jokes', comments or 'banter'. Participants worried about hate crimes reported in news media and experienced anxiety from seeing pervasive racist content in online social media. Some participants responded by physically isolating themselves at home for long periods, whilst others chose to participate in activism, providing a sense of agency. Action by parents and school authorities was reported to help prevent further bullying, but respondents did not always feel able to approach these for help. Our findings put into focus the strain on young ESEA Londoners' mental health caused by COVID-related racism and jar against simplified depictions of metropolitan places, such as London, as centres of cosmopolitanism and tolerance. To promote the emotional wellbeing of young ESEAs, future policy should facilitate action by schools and universities against anti-ESEA racism and support ESEA community-building efforts to enhance resilience in the face of racism.

The Impact of the COVID-19 Pandemic on Women’s Health: A Review

Abstract: During any crisis, whether it is health, economic, or environmental, people are more likely to experience stress, anxiety, and other psychological issues that jeopardize their general well-being. The Coronavirus, or COVID-19, is considered a global pandemic that affects millions of persons. Many people of different ages have significantly suffered from mental illness as a result of COVID-19, especially women affected vulnerable. As per the report, the death rates of men have doubled in comparison with women; this epidemic shows a bigger influence on the health of women than men. Even quarantine impacts make the females afraid, bewildered, and feel alone, which is terrible for them, as it also disturbs their health, such as pregnancy, sexual life, postpartum depression, etc. This review article reveals the COVID-19 impact on the health of women and finds a way to prevent and manage the health implications in women at various periods throughout their lives.

Psychological effects of the COVID-19 pandemic on primary healthcare professionals in Turkey: One year into the pandemic.

This study aimed to determine the psychological effects of the COVID-19 pandemic on healthcare professionals working in primary care settings in the first year of the pandemic. The healthcare industry has faced an unprecedented burden in the COVID-19 pandemic. Primary care professionals experienced the high level of psychological problems. A total of 793 healthcare professionals from different regions of Turkey participated in this cross-sectional study. The STROBE (Strengthening the reporting of observational studies in epidemiology) checklist was used in the study. Data were collected online. It has been found that more than half of healthcare professionals experienced severe depression, three-quarters experienced anxiety, and almost half experienced stress. It was also found that about half of the participants experienced a high degree of acute and chronic fatigue, and one-fifth experienced low inter-shift recovery. The effects of the COVID-19 pandemic on the mental health of primary care professionals, especially nurses and midwives, are alarming. The problems that arise from the flawed healthcare delivery models and gender inequality, which worsen the usual psychological effects of the pandemic on primary care professionals, should be addressed urgently. Psychological support and rehabilitative services should be expanded to eliminate the short- and long-term psychological effects of the pandemic on healthcare professionals.

Violence and Child Mental Health Outcomes in Iraq: Mapping Vulnerable Areas

Few studies have been conducted in Iraq regarding the association of violence at multiple ecological levels and child mental health outcomes. Therefore, the study objectives were (1) to conduct a nationwide analysis to explore violence at multiple socio-ecological levels and children’s mental health outcomes, and (2) to identify the most vulnerable children according to the spatial distribution of Iraqi governorates. This cross-sectional study used the 2018 Iraq Multiple Indicator Cluster Survey (MICS 6), which included 12,358 mothers or caretakers who provided complete information regarding their parenting and disciplinary practices for their children between the ages of 5 and 14. Logistic regression was employed to examine the factors associated with children’s depression and anxiety. This study showed that 22% of children had depression, while 38% experienced anxiety. Notably, children residing in Iraq’s south/central regions, specifically in areas, like Nainawa, Najaf, and Basrah, exhibited notably higher anxiety and depression. The research also showed that living in unsafe neighborhoods, women’s acceptance of domestic violence, and the use of severe physical punishment as corporal discipline were all associated with the development of anxiety and depression. This study addresses the scarcity of information on children’s mental health outcomes in Iraq at national and governorate levels, emphasizing the need for urgent national-level policy discussions to achieve key Sustainable Development Goals related to ending all forms of violence against children by 2030.

Health-related quality of life, psychological issues and concerns among sarcoma survivors: a mixed method study.

We aimed to explore the health-related quality of life (HRQoL), psychological issues and concerns among sarcoma survivors in India and assess their satisfaction with nursing care. This study employed a sequential mixed-methods design, enrolling 100 sarcoma survivors from July to December 2021, with data collected using standardised questionnaires for HRQoL, depression, anxiety, stress, cognitive impairment and self-structured satisfaction with nursing care. Qualitative data were gathered through focused group discussions. The mean global health score among sarcoma survivors was 79.48 ± 16.26. A significant number of survivors had symptoms of mild-to-moderate depression (30%), severe anxiety (12%), stress (16%) and mild cognitive impairment (5%). Significant mean rank differences were observed between anxiety and financial difficulty (p < 0.05), emotional functioning (p < 0.001), cognitive functioning (p < 0.001), pain (<0.05), insomnia (p < 0.001), fatigue (p < 0.001), anorexia (p < 0.05) and nausea/vomiting (p < 0.001). Educational qualification had a significant association with depression and anxiety while family history of cancer emerged as a significant factor associated with anxiety and stress among survivors. Qualitative analysis revealed themes related to body image, societal discrimination, socio-economic impact, marriage concerns and fertility issues. Survivor satisfaction with nursing care was good. A substantial number of sarcoma survivors had an average HRQoL and experienced depression, anxiety and stress. Our study emphasizes the importance of holistic survivorship care, involving nurses in post-treatment support, and addressing societal discrimination and psychosocial concerns to enhance their quality of life. Our study calls for a holistic approach to sarcoma survivor care and emphasizes the importance of personalised survivorship care plans led by nurses to address the diverse needs of sarcoma survivors in India. Such plans should encompass strategies for managing depression, anxiety and stress, along with addressing body image concerns and social support.

Mental health status and related factors influencing healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.

The mental health of healthcare workers during the coronavirus-2019 pandemic was seriously affected, and the risk of mental health problems was high. The present study sought to systematically evaluate the mental health problems of healthcare workers worldwide during the pandemic and to determine the latest global frequency of COVID-19 associated mental health problems. Data in the Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, Elsevier, MEDLINE, PubMed, PsycINFO and the Web of Science before November 11, 2022, were systematically searched. Cohort, case-control and cross-sectional studies were included. The meta-analysis used a random effects model to synthesize the comprehensive prevalence rate of mental health problems. Subgroup analyses were performed based on time of data collection; whether the country was or was not developed; continent; doctors and nurses; doctors/nurses vs. other healthcare workers; and psychological evaluation scale. A total of 161 studies were included, including 341,014 healthcare workers worldwide, with women accounting for 82.8%. Occupationally, 16.2% of the healthcare workers were doctors, 63.6% were nurses and 13.3% were other medical staff. During the pandemic, 47% (95% confidence interval [CI], 35-60%) of healthcare workers reported job burnout, 38% (95% CI, 35-41%) experienced anxiety, 34% (95% CI 30-38%) reported depression, 30% (95% CI, 29-31%) had acute stress disorder, and 26% (95% CI, 21-31%) had post-traumatic stress disorder. The study found that there were common mental health problems among health care workers during the COVID-19 pandemic. The most common was job burnout, followed by anxiety, depression, acute stress and post-traumatic stress disorder. Although the global pandemic has been brought under control, its long-term impact on the mental health of healthcare workers cannot be ignored. Additional research is required to develop measures to prevent, monitor and treat psychological disorders among healthcare workers.

Promoción de la autoeficacia en madres con hijos/as que egresan de unidades de cuidado intensivo neonatal

IntroductionThe mothers of newborns who are discharged from a neonatal intensive care unit (NICU) experience stress and anxiety due to the specialized care their child requires at home, affecting their perception of maternal self-efficacy. Objectiveto evaluate the effect of the nursing intervention called Hospital Discharge Plan (HDP) on the promotion of self-efficacy in mothers of newborns discharged from the NICU. MethodQuantitative study, quasi-experimental design with pre-test/post-test in a single group, using the Parental Evaluation Scale applied to a convenience sample of 72 mothers of high-risk newborns from a NICU located in the city of Villavicencio (Colombia). The first measurement was taken between days 3 and 4 before discharge and at 15 days’ post-discharge. Data processing was carried out using the statistical program SPSS, version 21. The intervention was based on the four concepts of self-efficacy by Barbara Resnick. ResultsThe perception of maternal self-efficacy before the intervention showed a median of 8.9 points (RI 7.6-9.5); after the intervention it showed a median of 9.6 points (RI of 10-8.7); a statistically significant p-value < 0.001 was obtained before and after the intervention with the Wilcoxon rank test. ConclusionsEducation and follow-up promoted the development of knowledge and skills in mothers for the care of high-risk newborns. This contributed to the experience of mastery and vicarious experience from the teaching-learning process and contact with the experience of other mothers, which contributes to the effective development of motherhood.

Patient activation and psychological coping strategies to manage challenging circumstances during the COVID-19 pandemic in people with kidney disease

BackgroundCoping with health problems requires some degree of self-management; however, an individual’s ability to self-manage can be threatened during challenging times, such as the COVID-19 pandemic. Exploring differences and changes in psychological well-being and coping strategies between those with low and high patient activation may inform appropriate interventions to support psychological coping.MethodsPeople with chronic kidney disease (CKD) (non-dialysis and transplant) were recruited from 11 hospital sites across England between August and December 2020. Participants responded to an online survey study, including the Brief Coping Orientation to Problem Experienced (COPE) Inventory, Depression, Anxiety and Stress Scale (DASS-21), Short Health Anxiety Index (SHAI), and Patient Activation Measure (PAM-13). A follow-up survey was conducted 6–9 months later. Paired t tests assessed within-group changes, and chi-squared tests compared coping strategies utilised by low- and high-activated participants. General linear modelling was performed to determine the relationship between patient activation and coping strategies, and covariates.ResultsTwo hundred and fourteen participants were recruited (mean age: 60.7, 51% male, mean eGFR: 38.9 ml/min/1.73 m2). Low-activated participants were significantly more anxious than high-activated participants (P = 0.045). Health anxiety significantly decreased (i.e., got better) for high-activated participants (P = 0.016). Higher patient activation scores were associated with greater use of problem-focused strategies (β = 0.288, P < 0.001). Age (β = − 0.174, P = 0.012), sex (β = 0.188, P = 0.004), and education level (β = 0.159, P = 0.019) significantly predicted use of problem-focused strategies.DiscussionThose with higher activation had lower levels of anxiety, and more frequently used adaptive coping strategies during the pandemic. Targeted support and interventions may be required for people with CKD to enhance patient activation, encourage more positive adaptive coping strategies, and mitigate maladaptive coping strategies.Graphical abstract

A pilot study of the perceptions and acceptability of guidance using artificial intelligence in internet cognitive behaviour therapy for perfectionism in young people

Perfectionism is a transdiagnostic process associated with a range of psychological disorders. Cognitive Behaviour Therapy for Perfectionism (CBT-P) has been demonstrated as efficacious across guided and unguided internet delivered interventions in reducing perfectionism and psychopathology. The aim of this pilot study was to understand perceptions and acceptability of an artificial intelligence supplemented CBT-P intervention (AI-CBT-P) in young people with lived experience of anxiety and depression (n = 8; age range 19–29 years, M = 24 years, SD = 3.77; 50 % female, 38 % male, 12 % non-binary). Young people reported that they were frequent users of artificial intelligence for study, work and general information, were positive about the intervention and using artificial intelligence for guidance in a self-help intervention, but also noted several concerns. Young people perceived numerous benefits to AI-CBT-P, including ease of access, low cost, lack of stigma and benefits for individuals with social anxiety. Overall, young people appear to be interested in, and have a positive view of, AI-CBT-P. Further research is now required to examine the feasibility and acceptability of the intervention.

The relationship between magnesium deficiency and anxiety, the therapeutic effects of magnesium supplementation – literature review

Introduction and purpose: The main aim of our study is to summarise existing knowledge and draw conclusions about the impact of magnesium deficiency on the occurrence of anxiety. Methodology: The literature available in the National Library of Medicine database at https://pubmed.ncbi.nlm.nih.gov and Google Scholar was reviewed. Articles were searched by using keywords: magnesium, deficiency, supplementation, anxiety disorders. Forty-seven research papers and meta-analyses were analysed. Description of the state of knowledge: Magnesium is an extremely important mineral in the human body involved in many physiological processes. A deficiency of this element affects the whole body and can cause mental disorders - including anxiety disorders. There are many theories showing a link between magnesium and anxiety disorders in both humans and animals. Magnesium has been shown to influence the function of neurotransmitters affecting the experience of anxiety. Supplementation in people with hypomagnesaemia has been proven to improve their health and well-being. However, it should be noted that supplements on the market vary in the bioavailability of the mineral, and the frequency of intake and dosage also affect the bioavailability of magnesium. Conclusions: It is important to ensure adequate levels of magnesium in the diet, given its impact on the proper functioning of the human body (including the nervous system) and the fact that most people consume insufficient amounts of this macronutrient. Evidence of a link between magnesium levels and anxiety has led to increased interest in the potential efficacy of magnesium supplementation to alleviate anxiety symptoms.

Level of anxiety among children with cancer and their parents in Riyadh City

Objective: This study aimed to assess the anxiety levels of children with cancer and their parents following admission to the Military Hospital in Riyadh City.Methods: This cross-sectional study was conducted using a proforma between May 2019 to July 2019. Data collection involved the utilization of two tools. The first tool was a structured interview questionnaire design for children, while the second tool was intended for the parents of the children. The study sample comprised children and their parents who accompanied the child during hospitalization and chemotherapy. Approximately 74 children, aged 6-14 years old, diagnosed with cancer and admitted to the Riyadh Military Hospital, were enrolled in this study using convenience consecutive sampling.Results: A total of 148 individuals participated in this study. Seventy-four parents were enrolled, with 68.9% being mothers and 31.1% fathers. Among the parents in the study, 29.7% experienced severe anxiety, 41.9% reported a moderate level of anxiety, and 20.3% had a low level of anxiety. Seventy-four children were included in the study sample, with 48.6% being boys and 51.4% girls. Among the children, 37.8% exhibited high levels of anxiety, 41.9% displayed moderate anxiety, and 20.3% reported low levels of anxiety. Additionally, a relationship was observed between the anxiety levels of parents and the anxiety levels of their children.Conclusions: This study revealed that both children with cancer and their parents are experiencing moderate to severe levels of anxiety. The psychological well-being of cancer patients and their families is not a topic to be overlooked; rather, it is an important subject that requires attention and consideration.

Analisis Tahapan Konseling Pastoral dengan Pendekatan Mindfulness terhadap Remaja Dengan Gangguan Kecemasan

Abstract Anxiety problems are common and can be felt by every individual. However, when a person experiences anxiety, it can have a negative impact on their survival, both for themselves and for their environment. This study aims to analyze the stages of pastoral counseling with a mindfulness approach to adolescents who often experience anxiety. This research uses the method. Action research (action research). based on the results of the study that the mindfulness approach with deep breathing techniques and visual imagery when applied in the pastoral counseling process guided by the stage of pastoral konseling is effective in minimizing or reducing feelings of anxiety and even fear, giving a sense of relaxation, calm, comfort so that the counselee is better able to control his mind and himself. As a result, adolescents who previously often experienced anxiety when they saw family situations/conditions were in conflict could be minimized by regulating their breathing. This is very important because the anxiety that often strikes can hinder the relationship/relation with the family to be not good.

DETEKSI DAN EDUKASI KESEHATAN MENTAL DI MASA PANDEMI COVID-19 PADA REMAJA KOTA PALANGKA RAYA

Teenagers are the most vulnerable age group to experience stress and anxiety when faced with a new problem due to the COVID-19 outbreak. The purpose of this activity is to conduct early detection and mental health education during the Covid-19 pandemic for adolescents in Palangka Raya City. The method used in this activity is early detection of mental health with the Patient Health Questionnaire-9 (PHQ-9) followed by mental health education for adolescents. The results of this activity are 23.33% of adolescents who do not experience depression, 53.34% of mild depressive symptoms, and 23.33% of mild symptoms. encourage adolescents to share their feelings, take the time to provide support to adolescents, work together to resolve conflicts , educating youth to love themselves, reducing negative news viewing, sports/physical activities together, using social media wisely.

Creating and evaluating the score to assess overdose: the OD score

BackgroundDuring disasters (including epidemics such as coronavirus disease 2019), the capacity of emergency departments is exceeded, thereby hindering the administration of appropriate lifesaving measures. Furthermore, the number of overdose patients increases because of the stress overload during emergency situation. The fact that overdose patients are forced to be transported to medical facilities that do not typically treat them is becoming worrisome. Moreover, there is no definitive score for overdose. This study aimed to create a patient-specific scoring system to assess overdose.MethodsThis was a retrospective single-center study. The evidence-based OD score was evaluated on a scale of 0–15. Further, logistic analysis and receiver operating characteristic (ROC) curve analysis were performed to evaluate the score.ResultsOverall, 262 patients (including 118 overdose patients) receiving care at the intensive care unit of Japan’s Teikyo University Hospital in 2021 were targeted. Regarding the total OD score, ROC analysis revealed a cutoff of 8 (area under the curve [AUC]: 0.99, 95% confidence interval [CI]: 0.980–0.997, sensitivity: 0.95, specificity: 0.95, p < 0.05), which was considered to indicate an overdose. Of the items evaluated in the OD score, the scenario at the location of the patient’s discovery (adjusted odds ratio [AOR]: 16.8, 95% CI: 5.0–255.9, p = 0.002) and recent experience of mental anxiety (AOR: 55.7, 95% CI: 2.8–5399.5, p = 0.03) significantly predicted an overdose in multivariable logistic regression analysis. External validation revealed that the OD score could also identify overdose in patients treated in a cohort from 2022 (average cutoff: 8.6, average AUC: 1.0, p < 0.0001).ConclusionsThe OD score could accurately assess overdose patients. Medical facilities that do not frequently address overdose patients will benefit from the use of this score.

Efektifitas Komunikasi Informasi Edukasi (KIE) Persiapan Persalinan Untuk Mengurangi Kecemasan Ibu Hamil Trimester III Dalam Mengahadapi Persalinan

Introduction: third-trimester pregnant women at the Karangdoro Health Center in Semarang experience anxiety in facing labour. Stress due to anxiety about facing labour impacts the length of the labour process and the welfare of the fetus. Providing CIE can increase mothers' knowledge and reduce the appearance of psychosocial factors such as ignorance and lack of attention from health workers, which have a negative impact, so that pregnant women are better prepared and anxiety in facing childbirth can be minimized. Objective: to determine the effectiveness of CIE preparation for delivery to reduce anxiety in third-trimester pregnant women facing labour. Method: This study used a quantitative method with a quasi-experimental type of research and a one-group pretest-post-test design. Population: all third-trimester pregnant women at the Karangdoro Health Center Semarangfrom June to July 2023 with 62 respondents. Sample: The sampling technique used accidental sampling and obtained a total sample of 54 respondents. Results: The results of the study were that Communication Information Educational (CIE) for childbirth preparation was effective in reducing anxiety in third-trimester pregnant women facing labour with a value of 0.00 (&lt;0.005), where every single delivery of CIE for childbirth preparation can make third-trimester pregnant women potentially 6,280 times more likely to experience a decrease in the level of anxiety in facing childbirth (Z = 6,280). Of the 54 respondents, 52 (96.3%) experienced a decrease in their level of anxiety, there were no (0%) respondents who experienced an increase in their level of anxiety, and there were 2 (3.7%) respondents with a constant level of anxiety.