Anxiety In Clients Research Articles

Thought Stoping dalam Menghadapi Ansietas Klien Hipertensi

Background: Hypertension is an increase in blood pressure that exceeds normal limits (120/80 mmHg). Hypertension can be caused by lifestyle, diet and genetics (heredity), apart from that, factors that can trigger an increase in blood pressure levels are psychological factors, namely anxiety, which if not treated will result in depression so that the client is reluctant to treat hypertension until the client experiences a stroke and death . In theory, one therapy that nurses can do to prevent this is by providing Thought Stopping relaxation therapy. Objective: It is hoped that Thought Stopping therapy can reduce respondents' anxiety. Research design: This research used a case study research method on 5 respondents conducted for 3 days on responses that had just been identified as hypertension (last 1-3 months). Before and after the research, respondents were asked to fill out the Self-Reporting Questionnaire (SRQ)-20). Research results: After implementation, there was a decrease in scores for respondents 1 to 3 from a score of 8 to 4, respondent 4 from a score of 9 to 4 and respondent 5 from a score of 10 to 5. Conclusion: With this research it can be concluded that Therapy Thought Stopping can reduce anxiety. Suggestion: This therapy is highly recommended in reducing anxiety in clients who have just been diagnosed with hypertension so that clients are willing to carry out consistent care/treatment.

Sinar Djati Foundation and Empowerment of Islamic Communities Through Client Service Programs Drug Abuse in Bandar Lampung

This article deals with the issue of drug usage, narcotics, and psychotropic substances. The Sinar Djati Kemiling Lampung Foundation is one of the institutions where the drug victim service and rehabilitation program is implemented which uses alternative treatment methods in the form of physical, mental, religious, and skills. Sufism therapy is used in overcoming anxiety in clients with drug abuse. It is about how to implement fasting therapy to overcome the anxiety of drug abuse clients, what are the effects of the therapy, and the barriers to it. This research uses a descriptive qualitative method. Data collection methods used are observation, interviews, and documentation. The source person in a study is determined with the use of snowball sampling technique. The fasting therapy is carried out systematically and regularly to overcome anxiety. Apart from the fasting therapy, there are also several activities carried out by clients such as praying, reading the Koran, and praying. Second effect of fasting therapy is to overcome the anxiety of drug clients, it can be said to have succeeded in reducing the level of anxiety in drug clients because the results of interviews with informants were proven to have reduced anxiety among the drug clients. Third, obstacles experienced by researchers when implementing fasting therapy to overcome anxiety i.e., clients find it difficult to manage fasting such as sahur and breaking the fast.
 Keywords: therapy sufism, anxiety, and drugs

APPLICATION OF PROGRESSIVE MUSCLE RELAXATION TO REDUCING THE ANXIETY OF HYPERTENSION CLIENTS

Background: Families with hypertension will cause anxiety or anxiety which can affect the stability of blood pressure. One of the managements of anxiety with psychotherapy methods is by doing progressive muscle relaxation therapy. Progressive Muscle Relaxation to get a feeling of relaxation, so as to reduce anxiety and stress. Objective: The aim of the study was to determine the application of progressive muscle relaxation therapy to reduce anxiety in hypertensive clients. Methods: This research method uses a descriptive method with a case study approach. The instruments used were HARS questionnaire sheets and Progressive Muscle Relaxation SOP sheets. The number of respondents was 1 person with hypertension with an anxiety nursing diagnosis. Result: The results of applying progressive muscle relaxation given 2 times per day for 7 days with a duration of 30-45 minutes each meeting showed a decrease in anxiety level from moderate anxiety to mild anxiety, followed by a decrease in blood pressure. Conclusion: The application of progressive muscle relaxation has proven effective in reducing anxiety in hypertensive clients. This therapy can be used as an adjunct to overcome anxiety which is useful for reducing blood pressure of hypertensive clients.

Group Counseling as an Effort to Improve Effectiveness Implementation of Correction Client Personality Guidance (Case Study at West Jakarta Class 1 Penitentiary)

The Community Counselor is a functional official of the Correctional Center whose one of his duties is to carry out community guidance for Correctional Inmates who have served 2/3 of the total criminal period. This study discusses the group counseling method as an effort to increase the effectiveness of Community Counselors in guiding Correctional Inmates who have changed their status to Correctional Clients at the Correctional Center. This study uses a qualitative descriptive approach to the case study, by taking the object of research at the Class 1 West Jakarta Social Center. The results showed that the Group Counseling method had met the formal requirements, namely the formation of a group counseling implementation team. Group Counseling is also considered successful and effective in reducing anxiety and despair in Correctional Clients at the Class 1 Correctional Institution in West Jakarta.

Effect of Five Finger Hypnosis Anxiety Hypertension Clients at Puskesmas Neglasari, Tangerang City

Background: hypertension is a disorder of the blood vessels that has become a problem in both developed and developing countries, clients with hypertension can cause anxiety (anxiety). One of the interventions to reduce anxiety levels is the five finger hypnotic therapy technique. Purpose : determine the effect of five finger hypnosis on anxiety (anxiety) at Nelasari Health Center, Tangerang City, Banten. Methodology : uses a quasi-experimental design (pseudo-experiment) with a pre-test post-test equivalent control group design approach. Results : showed that there was a change (decrease) in the mean anxiety score between the intervention group, namely (7.19), when compared to the control group, namely (1.52). Based on the results of the Normality test, it was found that the change in anxiety scores in each group was not normally distributed (p = 0.000 or p <α), so the test used was the Mann-Whitney Non-Parametric Test and obtained a value of p = 0.000 (p <α) which means there is a difference statistically significant from the magnitude of the change (decrease) in the average anxiety score between the two groups, it can be interpreted that in the intervention treatment group the influence of five finger hypnosis was very dominant in reducing anxiety compared to the control group in the Neglasari Health Center area. Conclusion : Five-finger hypnosis has a significant effect on reducing anxiety in hypertensive clients. Suggestions, it is hoped that the five finger hypnotic therapeutic intervention will be an alternative intervention that can be applied in nursing services.

Pemberian Terapi Penghentian Pikiran (Thought Stopping) Menurunkan Kecemasan Klien Hipertensi

Giving Thought Stopping Therapy to Reduce Anxiety of Hypertensive Clients. Anxiety is the most common mental health problem characterized by changes in mood, thought, behavior and physiological activity. One of the health problems that causes anxiety is hypertension. Therapy that can be given to eliminate various thoughts that continue to interfere with hypertensive clients such as the emergence of concerns about their disease is thought stopping therapy. The purpose of this case study is to identify the effect of giving thought stopping therapy in reducing anxiety in hypertensive clients. This research is a descriptive study with a case study design. The subject in this case study is a client who has a history of hypertension. Clients are given Thought Stopping Therapy for 3 sessions, namely the first session identifying unpleasant events and causing disturbing thoughts and stopping disturbing thoughts on a regular basis; the second session stops distracting thoughts by using a variable count; the third session evaluates the benefits of stopping distracting thoughts. Average duration is 30 – 45 minutes per session. The author identifies problems with clients using advanced mental assessment with the Stuart adaptation stress model approach and the Self-Reporting Questionnaire (SRQ)-20 questionnaire, before and after giving thought-stopping therapy. The results show a decrease in anxiety in clients from a score of 8 to 3. Thought stopping therapy can reduce anxiety in hypertensive clients. This therapy can be recommended for hypertensive clients who experience anxiety.

Quality of Life, Anxiety and Depression among Clients with Ostomy Attending Selected Stoma Clinics.

Ostomy is a part of treatment among patients which has detrimental effects in patient's life. The main aim is to identify the quality of life, anxiety and Depression in clients with an ostomy. Descriptive exploratory study design was used. Total of 116 clients with ostomy, aged 18 years and above were selected from stoma clinics. The modified version of City of Hope and Beckman Research Institute, Quality of Life Questionnaire for Patient with Ostomy and Hospital Anxiety and Depression Scale was adopted for data collection using an interview technique. The overall mean ± S.D quality of life score was 5.89 ± 1.34. Majority (59.5%) of respondents possessed low Quality of life. Among the quality of life domains, the least and most affected domains were physical (5.96±1.52) and social (4.71±1.44) respectively. Duration of having an ostomy (p<0.001), problem in clothing (p<0.002) and change in clothing style (p= 0.002) were significantly associated with the level of quality of life. Almost two-thirds of the respondents were in the borderline and abnormal level of anxiety and depression. The level of anxiety has significant association with suicidal consideration/attempt (p=.04). Presence of ostomy affects patient's quality of life by increasing financial burden, adjustment difficulties, sexual and psychological problems (anxiety, depression, suicidal consideration). Sexual and psychological counselling, ostomy support groups and free health services to ostomates may improve their quality of life.

Murottal Quran Therapy Intervention to Reduce Anxiety Level of Asthma Client

Objective: The objective of this study was to intervene to reduce anxiety in Asthma clients so that excessive anxiety does not occur by listening to the Murottal Al Quran. Method: The study was conducted using a case study design with an evidence-based practice implementation approach that focuses on nursing interventions. The research was conducted at the BLUD of Banjar City General Hospital on 27-31 May 2022. The participants in this study were NY clients. S, 65 years old, female, complains of shortness of breath and anxiety. The process of assessing and establishing a diagnosis is focused on the main problem. Objective and subjective data become a reference for periodic evaluation of nursing implementation. Result: The client gave an acknowledgment of non-existent anxiety after being given a murotal al-quran intervention. Conclusion: The Murotal Al-Quran intervention is supposed to be effective in reducing anxiety in asthmatic clients as evidenced by the client's subjective acknowledgment even though it has not been supported by normal breathing frequency as an indicator of physical health. Theoretically, this research does not conflict with previous research so that it can be a reference in future research. Clinically, the Al-Quran murotal intervention can be one of the intervention treatments to reduce anxiety levels in clients with chronic diseases such as asthma in hospitals and health centers.

Spirizomacare Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi Mayor

Major surgery has a high risk because it contains risks that can threaten the health and safety of the patient. These conditions have a psychological impact on preoperative patients, such as fear and anxiety arise. Anxiety can be treated pharmacologically and non-pharmacologically. Spirizomacare (spiritual remembrance aromacare) is a non-pharmacological therapy by combining remembrance with aromatherapy to treat anxiety. The purpose of this study was to determine the effect of Spirizomacare on the level of anxiety in clients before performing major preoperative actions at Cilegon Hospital. Research method with pra experimental design one group pretest posttest. The population is patients who will perform major surgery as many as 30 respondents. Sampling with purposive sampling technique. The instruments used are questionnaires and observation sheets. The data analysis technique used Univariate and Bivariate analysis with Paired T Test. The results showed that there was an effect of spirizomacare on the level of anxiety in clients before performing pre-major surgery, with the result, p value of 0.000 &lt;0.05. Spirizomacare is a non-pharmacological therapy that has been proven to be effective in reducing anxiety levels in preoperative patients, especially major surgery.&#x0D; Keywords : Surgery, Anxiety, Spirizomacare

FAKTOR - FAKTOR YANG MEMPENGARUHI KECEMASAN SEBELUM DILAKUKAN TINDAKAN SECTIO CAESAREA DI RSIA ANUGERAH KUBURAYA PONTIANAK KALIMANTAN BARAT

The general goal to be achieved in this study is to determine the factors that influence anxiety in clients before an unplanned Sectio Caesarea is performed at Anugerah Kuburaya RSIA. The research method is a qualitative descriptive research, the data that has been obtained is then processed using the stages, Editing, Coding and Processing. The result of this research is that there is an influence but not significant between the predisposing factor, and the precipitation factor on the client's anxiety before the unplanned Sectio caesarea at RSIA Anugerah Kuburaya. For researchers who will conduct similar research in the future, it is expected to take a more specific title, for example, it can be distinguished between anxiety in clients who will perform unplanned Sectio Caesarea surgery with anxiety on clients who will perform planned Sectio Caesarea.

Effectiveness of a comprehensive communication skills training in clients diagnosed with schizophrenia

Objective: The purpose of this study was to investigate the effects of coommunication skills training (CST) on anxiety, depression, social comparison and basic conversation skills in clients diagnosed with schizophrenia. Method: 37 clients with schizophrenia followed up at Dýþkapý Training and Research Hospital Community Mental Health Center (CMHC) were included in our study. The CST consisted of 12 weekly sessions lasting 1 hour. Sociodemographic Data Form, Beck Depression Inventory, Beck Anxiety Inventory, Social Comparison Scale and Communication Skills Scale were applied to participants before and after training. Results: Significant improvements were found on depression (p= 0.008), self-perception (p= 0.015), and basic communication skills total score (p= 0.001) in post-assesment; however no significant difference was found in terms of anxiety scores (p>0.05). Conclusion: Given the current study's findings, the comprehensive CST has proven to be an effective approach for people with schizophrenia in terms of improving depression symptoms, communication skills and developing positive self-scheme

Preliminary evidence of the effectiveness of acceptance and commitment therapy for death anxiety in Iranian clients diagnosed with obsessive-compulsive disorder.

The authors investigated the effectiveness of acceptance and commitment therapy (ACT) for the treatment of death anxiety and obsessive-compulsive disorder (OCD) with eight adult women in Iran. The ACT protocol was conducted in weekly solo sessions with each participant for 8 weeks (45 minutes each). The results were analyzed by visual analysis method and improvement percentage. ACT resulted in a 60%-80% decrease in death anxiety and a 51%-60% decrease in obsessive-compulsive symptoms, thereby indicating promise for ACT as a treatment for OCD and death anxiety.

Investigating the effect of the aroma inhalation of orange and lavender essential oils in comparison with placebo on the level of anxiety in clients in a dental clinic in Shiraz: a double-blind controlled randomized clinical trial

Investigating the effect of the aroma inhalation of orange and lavender essential oils in comparison with placebo on the level of anxiety in clients in a dental clinic in Shiraz: a double-blind controlled randomized clinical trial

THE EFFECT OF ASSERTIVE COMMUNITY TREATMENT TOWARDS ANXIETY AND DEPRESSION ON BREAST CANCER CLIENT

Background: Breast cancer increases the occurrence of psychosocial problems, namely anxiety and depression. Anxiety and depression have shown an effect on the quality of life. Assertive Community Treatment is a psychosocial service that involves the family's role in overcoming breast cancer client anxiety and depression.Objective: This study aimed to determine the effect of Assertive Community Treatment towards anxiety and depression of breast cancer clients.Method: The research design used was quasi-experiment with a pre-posttest control group design. This research subject determines by using purposive sampling. The study population was breast cancer clients who seek treatment at Public Health Center of Medokan Ayu in Surabaya. The sample is breast cancer clients who have inclusion criteria a) age 30-60 years old, b) live with her partner, c) has chronic pain ± 1-5 years. The instrument is PDQBC (Psychosocial Distress Questionnaire Breast Cancer subscales anxiety and depression. Data analysis used paired T-Test and Independent T-Test.Result: Paired T test results showed anxiety values in the treatment group p = 0.000, depression value p = 0.001. The results of the independent T test statistic obtained p value = 0.000 showed a significant difference between anxiety and depression of breast cancer clients in the control group and the treatment group.Conclusion: Assertive Community Treatment provides a good impact in order to reduce the level of anxiety and depression in clients with breast cancer. Assertive Community Treatment (ACT) is recommended to be given by teams. Key words: Assertive Community Treatment, Anxiety, Depression, Breast Cancer Clients, Palliative.

Guided Imagery and Music on Anxiety of Mayor Operating Inpatients of Tangerang General Hospital

Background: The anxiety level of clients who will undergo major surgery is very influential on the smooth operation of the operation to be carried out. Actions of a nurse to overcome the anxiety that occurs on the client pre-operation are needed to be able to resolve the issue.&#x0D; Objective: This study aimed to look at changes in the patient’s anxiety level after guided imagery and music performed by nurses before the surgery performed.&#x0D; Methods: The research was used quasi-experimental with pretest-posttest control group design, sample collected used Quota Sampling method with total 38 sample divided into two group, the instrument of measuring the anxiety levelused(HARS-A)scale,whichthestatistictestusedWilcoxonSignedRankTestand Mann-Withney.&#x0D; Result: There was a decrease in the value of anxiety in the group given guided imagery and music with an average value of 7.50 (p-value:0.000), whereas there was a tendency to increase the value of anxiety in the control group with an average value of 6.00 (p-value:0.083). There were significant differences in the mean value between the intervention groups (14.03) and the control group (24.97) with p-value 0.001.&#x0D; Conclusion: Giving stimuli in the form of guided relaxation techniques can help reduce the level of anxiety in clients who will undergo surgery because it can help clients to distract their anxiety towards the operation process to other things of beautiful nature. The addition of music as one of the image transformation media can strengthen relaxation guidance to be able to reach the maximum level of relaxation that will have an impact on the ability to reduce their anxiety level

Efektivitas Terapi Hinosis Lima Jari Terhadap Ansietas Klien Hipertensi Di Puskesmas Rawasari Kota Jambi Tahun 2017

Five-finger hypnosis is a movement that tightens and relaxes the muscles in one part of the body at one time which can present a relaxed condition physically and psychologically, by thinking of a pleasant experience (Keliat, 2011). Useful for giving inner peace to individuals. reduce anxiety, worry and anxiety, reduce tension and reduce blood pressure, lower heart rate and sleep soundly. This study aims to determine the effectiveness of five-finger hypnosis therapy against anxiety hypertension clients at Putri Ayu Health Center, Jambi City. Quasi experimental design pre-post test with without control. The sample was 33 people with a total sampling technique. The results showed that there was an effect of five-finger hypnosis therapy on anxiety in hypertensive clients (p value &lt;0.05). There was a decrease in anxiety after five finger hypnosis therapy was carried out. Five finger hypnosis therapy is recommended to be applied as nursing therapy in treating hypertensive clients with anxiety.

Predictive Risk Factor for Anxiety on Clients with Diabetic Foot Ulcer

Anxiety is one of the psychological responses experienced by clients with diabetic ulcers that can affect glycemic control, serious complications, foot self-care behavior and slow the wound healing process. This research used to find out the factors that influence anxiety in clients with diabetic ulcers. This study was a retrospective analysis using medical records and diagnostic results of diabetic ulcers at Haji General Hospital, Surabaya, Indonesia. The sample was 951 people suffering from diabetic ulcers between January 2014-December 2018. Samples were diagnosed with anxiety based on nursing diagnoses and fulfilling inclusion and exclusion criteria. The multivariable model of diabetic ulcer client anxiety was generated using stepwise logistic regression. There were independent variables affecting the anxiety of diabetic ulcer clients namely wound type (p < 0.015; OR = 0.91), health insurance (p <0.001; OR = 0.77) and gender (p <0.040; OR = 0.98) with the contribution of the four independent variables at 31% and the prediction accuracy of 86.6%. Gender of patients have a risk of 0.98 times experiencing anxiety, male contribute 0.64 times compared to female, so nursing interventions can be focused on wound care.

The effectiveness of acceptance and commitment therapy on anxiety in clients with stroke

The purpose of this study was to determine the effects of acceptance and commitment therapy on anxiety in patients with stroke, especially during the first stage of recovery. This quantitative study featured a quasi-experimental design without a control group and was conducted in the stroke ward of a public hospital. The 33 respondents were selected via consecutive sampling. The data analysis was completed using the paired t-test. The use of acceptance and commitment therapy significantly the signs and symptoms of anxiety in patients with stroke (p-value = < 0.005). Specifically, acceptance and commitment therapy effectively decreases anxiety levels from a moderate level to a mild level in clients who are recovering from stroke. Acceptance and commitment therapy is a recommended treatment for reducing anxiety in stroke patients. The design of this study can be further developed to include a control group.

Treating Depression and Anxiety with Digital Cognitive Behavioural Therapy for Insomnia: A Real World NHS Evaluation Using Standardized Outcome Measures.

Evidence suggests that insomnia may be an important therapeutic target to improve mental health. Evaluating changes in symptoms of depression and anxiety after supported digital cognitive behavioural therapy (dCBT) for insomnia delivered via a community-based provider (Self Help Manchester) of the Improving Access to Psychological Therapies (IAPT) service. Supported dCBT for insomnia was delivered to 98 clients (mean age 44.9 years, SD 15.2, 66% female) of Self Help Manchester. All clients received six support calls from an eTherapy coordinator to support the self-help dCBT. During these calls levels of depression (Patient Health Questionnaire, PHQ-9) and anxiety (Generalized Anxiety Disorder, GAD-7) were determined. Depression (M difference-5.7, t(70) = 12.5, p < .001) and anxiety [Generalized Anxiety Disorder-7 (GAD-7), M difference-4.1, t(70) = 8.0, p < .001] were reduced following supported dCBT for insomnia. This translated into an IAPT recovery rate of 68% for depression and anxiety. These results suggest that dCBT for insomnia alleviates depression and anxiety in clients presenting with mental health complaints in routine healthcare.

Massage and Reiki used to reduce stress and anxiety: Randomized Clinical Trial.

ABTRACTObjective:to evaluate the effectiveness of massage and reiki in the reduction of stress and anxiety in clients at the Institute for Integrated and Oriental Therapy in Sao Paulo (Brazil). Method:clinical tests randomly done in parallel with an initial sample of 122 people divided into three groups: Massage + Rest (G1), Massage + Reiki (G2) and a Control group without intervention (G3). The Stress Systems list and the Trace State Anxiety Inventory were used to evaluate the groups at the start and after 8 sessions (1 month), during 2015. Results:there were statistical differences (p = 0.000) according to the ANOVA (Analysis of Variance) for the stress amongst the groups 2 and 3 (p = 0.014) with a 33% reductions and a Cohen of 0.78. In relation to anxiety-state, there was a reduction in the intervention groups compared with the control group (p < 0.01) with a 21% reduction in group 2 (Cohen of 1.18) and a 16% reduction for group 1 (Cohen of 1.14). Conclusion:Massage + Reiki produced better results amongst the groups and the conclusion is for further studies to be done with the use of a placebo group to evaluate the impact of the technique separate from other techniques. RBR-42c8wp