Pengaruh jangka pendek psikoterapi mindfulness therapy terhadap tingkat depresi ringan dan depresi sedang pada pasien MDR-TB Paru di Rumah Sakit Umum Daerah Tangerang Selatan; A Pilot Study = The short term effect of mindfulness therapy to mild and moderate depression level of MDR-TB Patients At Rumah Sakit Umum Tangerang Selatan; A Pilot Study

Ayu, Bunga Alvita (2018) Pengaruh jangka pendek psikoterapi mindfulness therapy terhadap tingkat depresi ringan dan depresi sedang pada pasien MDR-TB Paru di Rumah Sakit Umum Daerah Tangerang Selatan; A Pilot Study = The short term effect of mindfulness therapy to mild and moderate depression level of MDR-TB Patients At Rumah Sakit Umum Tangerang Selatan; A Pilot Study. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

Background: Depression is one kind of affective disorders that can occur in MDRTB patients. The occurrence of depression affects the morbidity, mortality and adherence to therapy of MDR-TB patients. Aim: To assess the short term effect of Mindfulness Therapy to the level of depression in MDR-TB Patients. Material and Methods: A prospective cohort study with primary data taken directly from 26 respondents (13 men and 13 women) which are MDR-TB patients using the Zung SDS Questionnaire. Data tabulations is processed using Microsoft Excel and analytical test processed using SPSS 24. Result: There is no significant changes to the raw score post-test of Zung SDS Questionnaire of the Mindfulness Group after 1 session of Mindfulness Therapy (p=0.067). From Independent T-test of both groups, no significant differences are present in the mean post-test raw score (p=0.859). From Chi Square test, Mindfulness Therapy is shown to have protective effect against depression but there is no significant relations based on statistic findings of giving 1 session of Mindfulness Therapy to the post-test depression status based on the raw score of Zung SDS Questionnaire (OR=0.291, p=0.189). From the demographic factors of the patients, no factors are found to have significant relation to the depression level of the patients. Conclusion and Recommendation: 1 session of Mindfulness Therapy have no significant effect to the level of depression of the respondents. From all the demographic factors analyzed, no factors are found to have significant relation to the depression lavel of patients. It is recommended that for future studies to give complete Mindfulness Therapy of 8 weeks duration with 1 session in each week / Latar Belakang: Depresi adalah salah satu gangguan afektif yang dapat muncul pada pasien MDR-TB Paru. Munculnya depresi pada pasien MDR-TB mempengaruhi tingkat morbiditas, mortalitas dan kepatuhan terhadap obat pasien. Tujuan: Mengetahui pengaruh jangka pendek psikoterapi Mindfulness Therapy terhadap tingkat depresi pada pasien MDR-TB Paru Bahan dan Cara Penelitian: Penelitian kohort prospektif dengan pengambilan data primer kepada 26 responden (13 laki-laki dan 13 perempuan) usia 25-65 tahun yang merupakan pasien MDR-TB Paru dengan menggunakan kuesioner Zung SDS. Tabulasi dikerjakan menggunakan Microsoft Excel dan analisa statistik dengan SPSS 24. Hasil Penelitian: Tidak ada perubahan yang signifikan pada nilai kuesioner Zung SDS Kelompok Mindfulness setelah diberikan 1 kali sesi Mindfulness Therapy (p=0.067). Dilihat dari uji T tidak berpasangan antara kelompok Mindfulness dan Kelompok Kontrol, tidak terlihat adanya perbedaan yang signifikan pada nilai ratarata post-test kuesioner Zung SDS pada kedua kelompok (p=0.859). Dari uji Kai Kuadrat, Mindfulness Therapy memiliki pengaruh protektif terhadap tingkat depresi namun tidak signifikan secara statistik (OR=0.291, p=0.189). Dari faktorfaktor demografi responden, tidak ditemukan faktor yang berpengaruh terhadap tingkat depresi responden. Kesimpulan dan Saran: Pemberian 1 kali sesi Mindfulness Therapy tidak secara signifikan berdampak pada tingkat depresi responden. Dari seluruh faktor demografi tidak ditemukan faktor yang berpengaruh pada tingkat depresi responden. Untuk penelitian selanjutnya, disarankan untuk memberikan Mindfulness Therapy secara komplit, yaitu dengan durasi 8 minggu dengan 1 sesi setiap minggunya.

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