Client Anxiety Research Articles

Anxiety Symptoms in a Community During the COVID-19 Pandemic: A Self-Reported Study

The coronavirus (COVID-19) pandemic has affected many aspects of people’s lives, including their mental health. To better understand its impact, the current study looked at how demographic features and beliefs about the pandemic influenced anxiety during this time. Participants included 221 residents of Michigan who predominantly identified as female and White. They completed the Adaptation to Social Stress Questionnaire, a 105-item self-report questionnaire developed to assess participant characteristics, ability to adapt to stress and opinions, beliefs, and experiences related to the COVID-19 pandemic, and two measures of anxiety (the State-Trait Anxiety Inventory and the Generalized Anxiety Disorder scale). Pearson product-moment correlations and independent samples t-tests were used to determine the relationship between anxiety and other study variables. Results show that religious affiliation and older age were associated with lower anxiety scores while living in the subjects’ close environment as an infected individual was associated with increased anxiety. Interestingly, thinking someone was to blame for the pandemic, being angered by official message regulations, and not thinking lockdown measures were sufficient increased anxiety. This latter finding implies that, consistent with clinical theory, our beliefs about events are connected with our emotional experiences. Recommendations for clinical practice are noted, as it is imperative for clinicians to be consistent and direct regarding any protocol changes that may help minimize client anxiety. Lastly, considerations regarding transparent communication from leaders of organizations that are adjusting their policies due to the COVID-19 pandemic are discussed.

Penerapan Terapi Massage Kaki Terhadap Penurunan Kecemasan Pada Asuhan Keperawatan Pasien Dengan Kasus Hipertensi Di RSUD Poso

Introduction: Hypertension is a disease that not only has a physical impact but can affect psychological conditions such as anxiety. Anxiety will have an impact on increasing the patient's blood pressure. For this reason, nursing actions can be given such as foot massage to reduce the anxiety of patients with hypertension. The purpose of this study was to describe nursing care with the application of foot massage therapy to reduce anxiety in nursing care for patients with hypertension cases at Poso Hospital. Method : The research method is using a descriptive method with a case study approach. The study subjects were hypertensive patients with anxiety problems. Result : The results of the study Mrs. L revealed pain in the head and nape, the pain felt like stabbing, Mrs. L said she felt anxious when blood pressure increased and felt worried if the disease got worse and complications occurred, blood pressure 173/120 mmHg. Nursing problems are acute pain, anxiety and activity intolerance. Implementation is carried out for 4 days. Evaluation after implementation of the application of foot massage therapy there are changes with the results of client anxiety decreasing from moderate anxiety to mild anxiety, clients feel more relaxed and comfortable and blood pressure decreases 140/100 mmHg. Conclusion : The conclusion that the application of foot massage therapy can reduce anxiety in hypertensive patients. Suggestions patients can do foot massage independently according to what the researcher teaches.

The The Relationship Of Nurse’s Effective Communication Patterns To Anxiety Level Among Carcinoma Patients Undergoing External Radiotherapy At Adi Husada Cancer Center Surabaya

Introduction: Anxiety is a common problem experience by cancer patient undergoing external radiotherapy causes physical and psychological factors. Anxiety can worsen the patient’s condition because anxiety reduce immune system by lower activity of T lymphocyte cells as natural killer cells, so it can make increase the growth of malignant cells. Treatment for cancer patients is often only focused on physical factors, while the patient’s psychological factor is sometimes neglected. One way that can be used to reduce the patient's psychological anxiety is use communication effectively. However, the relationship of nurse’s effective communication patterns to anxiety level among carcinoma patients undergoing external radiations therapy is not yet clear.
 Methods: A correlation analytic approach with cross sectional design to analyze the relationship between nurse communication and patient anxiety level. This research was conducted on 40 respondents carcinoma undergoing external radiations therapy on August-September 2021. Subjects were chosen using purposive sampling.
 Result: The data were analyzed using spearman rank test. The data shows not significant figures or numbers p-value= 0.329 > α (0.05). Implementing effective communication among patients carcinoma undergoing radiotherapy can’t reduce the patient's anxiety level.
 Discussion: Effective communication can help clients clarify the burden of feelings and thoughts, get the information needed, feeling heard, feeling cared so that it can reduce the client's anxiety. But in this study, factor can affect anxiety level in patient cancer undergoing radiotherapy are age of patients, background education, cancer stage, length of cancer, social support, financing, sources of information and role change.

Cyber Counseling Kesehatan Reproduksi bagi Remaja di Youth Center Griya Muda

Background: Cyber ​​counseling is an innovative counseling service model. This study aims to determine the implementation of cyber counseling for adolescents at the PKBI Griya Muda Youth Center in Semarang City.
 Method: This type of research is descriptive qualitative research. Data collection techniques were carried out by interviews and documentation. The data analysis used follows the analysis of the Miles and Huberman models, namely data reduction, data presentation and verification.
 Result: The results of this study indicate that: first, the problems experienced by adolescents in cyber counseling at the Griya include problems in adolescent romance, sexual problems/premarital sexual behavior, pornography addiction problems, and reproductive health problems. Second, the implementation of cyber counseling which is carried out at the Griya Muda is one of the programs that provides counseling services via the internet or telephone for teenagers who want to consult their problems without having to meet a counselor in person. The implementation of cyber counseling consists of adolescent counselors, adolescent problems, methods and media used in the counseling process. The implementation of cyber counseling for teenagers at the Griya Muda is said to be successful, seeing from the decrease in client anxiety and the presence of clear goals for the future.
 Implication: For Griya Muda counselors it is recommended to (a) Improve cyber counseling services with a more focused work program (b) Improve administrative files related to the cyber counseling process that has been carried out

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.

PENGARUH HAND MASSAGE TERHADAP PENURUNAN TINGKAT KECEMASAN KLIEN PRE OPERASI DI RUMAH SAKIT PATAR ASIH LUBUK PAKAM TAHUN 2021

The number of patients with surgery has increased significantly from year to year. Recorded in 2011 there were 140 million patients in all hospitals in the world, Anxiety is a common thing in patients who are going to undergo surgery. Anxiety that occurs with preoperative patients can be felt since the start of being scheduled for surgery until the time for surgery arrives and hand massage can be useful to reduce pain because it has a relaxing effect and reduces anxiety. Purpose: to determine the effect of hand massage on the reduction of preoperative client anxiety levels at Patar Asih Lubuk Pakam Hospital in 2021. Method: Pre-experimental design with one-group pre-post test design. The research subjects were preoperative inpatients. Population: preoperative patients in Galilee inpatient room. Sample: purposive sampling. Results: After the hand massage treatment, the level of anxiety in the treatment group decreased significantly, while the control group did not experience a significant decrease. In the control group the pre-test average was 19.63, while the post-test average was 19.06, this indicates a very small decrease so that the decrease was not significant. In the treatment group the average before treatment was 19.94 after treatment decreased to 16.19. Conclusion: The results of hypothesis testing (p <0.05) prove that hand massage significantly reduces anxiety levels before surgery.

PENGARUH TERAPI KOGNITIF DAN TERAPI PSIKOEDUKASI KELUARGA TERHADAP TINGKAT ANSIETAS KLIEN KANKER

Introduction: Cancer is a group of diseases characterized by the uncontrolled growth and spread of abnormal cells that can lead to death. The physical impact caused by cancer will affect a person's psychological condition, causing psychosocial problems. Purpose: This study aims to determine the effect of cognitive therapy and family psychoeducation therapy on the anxiety level of cancer clients at the Regional General Hospital (RSUD) Dr. Hi. Abdul Moeloek, Lampung Province. Methods: This study used a quasi-experimental design with pre-post test control group with a total sample of 35 people for each group. The instrument used was hamilton anxiety rating scale (HARS). The analytical test used was repeated ANOVA test and independent t-test. Results: The results showed that cancer client anxiety decreased significantly (p value <0.05) after receiving nurse nursing action, but after being given cognitive therapy and family psychoeducation therapy, it decreased significantly than after receiving nurse nursing action. Conclusion: The implication of this research is that cognitive therapy and family psychoeducation therapy reduce the anxiety level of cancer clients, so that the hospital can add interventions related to psychosocial problems, especially for cancer clients who experience anxiety at the Regional General Hospital (RSUD) Dr. Hi. Abdul Moeloek, Lampung Province.

Similarities in client-clinician perceptions of subjective social status and its association to similarities in the quality of working alliance and client anxiety symptoms

Objective: Subjective social status (SSS) has largely been ignored within psychotherapy literature. We investigated the association between similarities in client-clinician perceptions of SSS, similarities in their report of the quality of working alliance, and resultant anxiety symptoms. Method: Participants represented a primarily low-income, culturally diverse sample of 312 clients receiving care from 68 clinicians at 13 outpatient mental health clinics in the Northeastern United States between September 2013 and August 2016. As part of a larger randomized controlled trial, clients and clinicians completed the MacArthur Scale of subjective social status and the Working Alliance Inventory (WAI), and clients completed the Generalized Anxiety Disorder 7-item Scale (GAD-7). Results: At the within-clinician level, client-clinician dyads with less similar perceptions of the client’s SSS were characterized by less similar perceptions of their alliance, which in turn resulted in worsening anxiety symptoms. Conclusion: Clinicians’ correct perception of their clients’ social status might be important for sharing a similar view of the client-clinician level of alliance, which can, in turn, contribute to lowering the client’s anxiety symptoms.

Therapeutic distance in client-therapist narratives: client attachment, therapist attachment, and dyadic effects

Based on the attachment framework, therapeutic distance conceptualization focuses on closeness–distance dynamics in the therapeutic relationship. We aimed to evaluate the psychometric properties of the Therapeutic-Distance-Scale, Observer-version (TDS-O) and apply a dyadic approach to examine associations between attachment characteristics and therapeutic distance experiences of clients, therapists, and mutual effects. Sixty-six clients and their 29 therapists completed the ECR and relational narratives collected in RAP interviews at early, mid, and late psychodynamic-therapy were rated on TDS-O scales: too close, too distant, autonomy, and engagement. The TDS-O showed good IRR, internal reliability and content validity. Client anxiety was not associated with therapeutic distance but associated with autonomy. Client avoidance associated with clients’ experiencing therapist as too close, and lower engagement only at early therapy, but was not associated with therapists’ experience. Therapist anxiety was not related to closeness–distance at early therapy but related to gaps between client and therapist experiences at mid and late therapy. Therapist avoidance related to clients experiencing therapists as too close and granting less autonomy at early and mid-therapy, and to therapist experience of distance at late therapy. The findings underscore the importance of therapists’ regulating therapeutic distance through attunement to client’s interpersonal needs and therapy phase.

A Freshening Breath of Insight

A Freshening Breath of Insight

Treatment for anxiety using spiritual emotional freedom technique

This study aims to describe SEFT and treatment in the treatment of anxiety. This study used rapport cases on three clients. The research instrument used is rapport Client Case, observation and depression, Anxiety, and Stress Scale. The data obtained were analyzed by T-Test Statistic Nonparametric Wilcoxon Signed-Rank Test. The findings from the study showed that before treatment, the level of anxiety at very heavy levels and after the treatment became mild and normal. Based on T-test results found that there is a significant difference in anxiety level of clients before and after treatment. This means SEFT is effective for reducing client anxiety.

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.

Hubungan Tingkat Kecemasan Dengan Peningkatan Kadar Gula Darah Klien Diabetes Mellitus

Diabetes Mellitus (DM) is a medical disorder is a collection of symptoms caused by elevated levels of sugar or due to insulin resistance. DM is a non-communicable diseases. Riskesdas 2007 in Central Kalimantan diabetes prevalence of 0.9%, but were diagnosed by health personnel by 0.6%. While in the city of Palangkaraya. Prevalence of diabetes of 1.4%, but were diagnosed DM client just as much as 1.1%. This study aims to determine the relationship of the level of anxiety with increased blood sugar levels in diabetes mellitus clients in the region of Bukit Pukesmas Hindu city of Palangkaraya. Methods descriptive analytic cross sectional study design. The research sample as many as 65 people. The results showed that the DM Client Anxiety in Puskesmas Bukit Hindu city of Palangkaraya that her blood sugar levels <200 mg / dl was 23.1% mild anxiety and 24.6% were worried. Anxiety DM client that blood glucose levels> 200 mg / dl was 21.5% mild anxiety, and 30.8% were worried. Obtained a significant relationship between the level of anxiety with increased levels of sugar in clients with diabetes mellitus, where respondents blood sugar> 200 mg / dl with a moderate level of anxiety has peluag 5.787 times greater risk than the volunteers were mild anxiety level.

Pengaruh Psikoedukasi terhadap Kecemasan Ibu Pre Operasi Kanker Payudara

International Agency for Research on Cancer (IARC) in 2012, The incidence of cancer in women in Indonesia 134 per 100,000 population with the highest incidence in women is breast cancer of 40 per 100,000. The problem that often arises before surgery is anxiety. The client's anxiety generates a psychosocial response. There is psychological therapy for preoperative patient anxiety treatment with psychoeducation. This study aims to determine the effect of psychoeducation on anxiety levels of patients preoperative breast cancer in RSUD DR. H. Abdul Moeloek Year 2018. Type of quantitative research method using quasi-experiment design with one group pretest design approach posttests design Sampling technique using purposive sampling technique as much as 30 respondents. The time of the study date of May 18, 2018, to June 30, 2018, in the Room of Roses RSUD DR. H. Abdul Moeloek Lampung Province. The data were collected using a self-Rating Anxiety Scale (SAS/ZSRAS) Zung questionnaire. Statistical test using t dependent Wilcoxon.

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.

Effect Of Mozart Music Therapy on Ansietas Hemodialisa Patients in DR. Achmad Mochtar Hospital Bukittinggi 2016

Hemodialysis clients who were hospitalized around 43.1% experienced an anxiety condition. This is caused by Client Kidney Failure undergoing hemodialysis, requiring 12-15 hours of dialysis every week, or at least 3-4 hours per therapy. This activity will continue throughout his life. This study aims to determine the effect of Mozart's music therapy on anxiety clients who undergo hemodialysis at Achmad Mochtar Hospital Bukittinggi. The design of this study was Quasi-Experimental pre and Post-test with a total sample of 64 people, 32 people who received Mozart music therapy as many as 32 people as a control group. Using the HARS scale to determine the level of client anxiety. The results showed a significant decrease in anxiety conditions in the intervention group who received Mozart music therapy compared to those who did not receive therapy (P-value &lt;0.05). Mozart music therapy is recommended for hemodialysis clients who experience anxiety in Achmad Mochtar Hospital Bukittinggi.

Students' Perceptions of the Psychological Well-Being of a Transgender Client Through Simulation.

The need to address mental health concerns for transgender clients is imperative. Nursing curricula must prepare students to provide holistic care for individuals within this community. The purpose of this study was to explore undergraduate nursing students' experiences providing mental health care for a transgender client through simulation. Focus group interviews were conducted with data analyzed using content analysis. The three categories that emerged were limited experience addressing mental health needs, intervening with client anxiety with the subcategories of prioritizing care and collaboration, and therapeutic nurse-client relationship with the subcategory of therapeutic communication. Nursing students must be prepared to provide holistic care for transgender individuals. Simulation allowed students to assess the client and evaluate their therapeutic communication in a safe learning environment. Further understanding of mental health care needs of transgender clients is essential for the promotion of their well-being. [J Nurs Educ. 2017;56(12):741-744.].

A case study detailing key considerations for implementing a telehealth approach to office ergonomics.

Telehealth approaches to delivering ergonomics assessment hold great potential to improve service delivery in rural and remote settings. This case study describes a telehealth-based ergonomics service delivery process, and compares in-person and telehealth-based ergonomics approaches at an Alberta-based non-profit advocacy group. This project demonstrates that telehealth approaches to ergonomics do not lead to significantly different scoring outcomes for assessment of ergonomics issues, when compared to in-person assessments. This project also outlines the importance of live real-time video conferencing to improving communication, attaining key assessment information, and demonstrating ergonomic adjustments. However, some key considerations of bandwidth and hardware capabilities need to be taken into account. Key communication strategies are outlined to improve rapport, maintain employee confidentiality, and reduce client anxiety around telehealth ergonomics assessments. This project provides further support for telehealth approaches to office ergonomics, and outlines some key implementation strategies and barriers that should be considered.

ADMISSION 2 DISCHARGE TOGETHER (A2D) - improving the hospital journey for people with an intellectual disability

Introduction : People with intellectual disability (ID) living in supported accommodation have complex health needs and poorer health outcomes. Their average age of death is 25 years younger than the general population*. Clinicians and support workers report challenges in caring for this population in hospital because of “inadequate information, not understanding the person’s wants and needs, and challenges in communication with the person and their carers”. Practice change : The development and implementation of the A2D Folder promotes carer and hospital engagement to provide safe clinical care. The training of hospital staff raises disability awareness and challenges staff attitudes to people with disability. Aim & theory of change : Co-design and capacity building principles: • Underpin the development and implementation of a simple and cost-effective solution to optimise transfer of information between group homes and hospital. • Assist health and disability staff with knowledge and strategies to meet the needs of persons with an ID in the hospital setting. • Increase the integration of care and smooth transition in and out of hospital for residents of supported accommodation. Targeted population and stakeholders: • 128 residents of government funded group homes in the catchment of three hospitals • Disability carers • Hospital staff Timeline : Two years (18 months currently) Highlights: • Development of the A2D Folder and staff education packages • Completed A2D Folders for 128 residents • Trained 560 medical, nursing and allied health staff • Formative evaluation shows a positive effect on attitudes • High demand for broader implementation and training • Health district innovation award nomination Sustainability: • Hospital culture shift with local champions propagating new clinical attitudes and skills • Development of a web-based A2D Toolkit including training resources, train-the trainer packages and a film clip Transferability: • Several other local health districts in NSW and 5 non-government service providers have implemented the A2D folder and training package • Families providing care in their own homes are requesting an A2D Folder Conclusions: • The project has demonstrated that an equal partnership model using co-design principles can enhance outcomes for residents in supported accommodation. • Targeted rights based training can change staff culture and attitudes. • Preliminary analysis of 55 admissions since the start of the project show a reduction in duplication of services, length of stay and in readmissions. Discussion: • Co-creating a normative vision for an optimal admission to discharge journey for a person with ID facilitates the functional integration of interagency services. • Case example of nursing staff using the Top 5 to decrease client anxiety by singing a favourite song rather than using physical restraint. Lessons learned: • Simple strategies can have significant outcomes • Patient stories are a powerful tool to change staff and organisational culture across agencies • Integration of care between acute health and community based disability services is possible when working in true partnership with a shared vision. * 2015 NSW Ombudsman’s Report of Reviewable Deaths in 2012 and 2013; Volume 2: Deaths of people with disability in residential care.

Simulation Design: Addressing Care of a Transgender Patient

This article describes the creation of a simulation of a transgender individual experiencing anxiety using International Nursing Association for Clinical Simulation and Learning Standards of Best Practice: SimulationSM (2016). The aims of the simulation were to (a) identify signs and symptoms of client anxiety, (b) provide safe management of a client experiencing anxiety, and (c) establish culturally sensitive, therapeutic communication skills with a transgender client. Evaluation of the simulation design indicated it prepared participants to identify and address the psychosocial needs of a transgender individual. Whereas participants did not indicate the need to revise the simulation, as the evidence of transgender individual's health care needs and disparities continues to grow, so should the simulation to reflect and incorporate the current evidence.