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Kata kunci : stres, strategi coping, cerebral palsy
During the pandemic, health workers have an important role in providing health services. Due to the high number of Covid-19 cases, it certainly adds to both the workload and the risk of contracting the disease among them. This was not only had a physical impact but also impact on mental health. This study aims to identify stressors, perception of stressors, coping strategies used to deal with stressors, symptoms felt by health workers, and outcomes of coping in health workers. This study used a qualitative method and a rapid assessment procedures design. The theory used was the theory of Lazarus. Data were collected through in-depth interview among 5 main informants and 2 key informants. This study found that there were internal and external stressors during the Covid-19 pandemic among the health workers. The majority of the health workers perceived that stressors are obstacles while some other informants perceived them neither as obstacle nor a threat, but as a challenge. Most of the informants perceived that they are able to overcome or reduce stressors. They also felt that they have social support from their family, parents, and coworkers. Various kinds of stress symptoms that appeared in the form of psychological changes include reduced enthusiasm for productivity, difficulty sleeping, feeling bored, and irritated. Meanwhile, physiological changes include symptoms of ulcers or increased stomach acid, fatigue, chills, and eating a lot. Most of the informants tend to use Emotion Focused Coping which after doing so, they felt positive feelings
Tuberculosis puts a tremendous burden for patients, families, communities andgovernment budgets. In addition to the work productivity loss, the most profoundeffect is the decrease in the level of well-being even impoverishment. The purposeof this study is analyze the economic burden by patient and households as a resultof Tuberculosis. It is an explanatory retrospective descriptive study with crosssectional design. Total respondents were 71, they were pulmonary TB patientswith smear positive. Sampling technique used probability proportional to size.Estimated total economic burden of illness due to Tuberculosis int the Bengkulucity is Rp 7.259.600, which is 28.48% of the average household income. The mostdominant component costs are indirect costs amounting to RP 5.134.400,-whilethe direct cost is Rp 2.125.200,-. Patients with low income, age over 43 years, donot have health insurance, have a household size of more than 4, do copingstrategy and have ever hospitalized will experience catastrophic compared to othergroups, which then affecting the level of household welfare and poverty. It is aneed to produce a health policy with the that can protect householdsexpencesndue to do TB illness, especially expenses on non medical costs andindirect costs.Keywords: Economic Burden, Coping Strategy, catastrophic,impoverishment.
Autism Spectrum Disorder (ASD) merupakan gangguan perkembangan neurologis yang memengaruhi interaksi sosial, komunikasi dan perilaku seseorang. Penyandang ASD di Indonesia saat ini berkisar 2,4 juta.Tujuan penelitian ini adalah untuk mengetahui pengaruh strategi coping terhadap kualitas hidup keluarga. Penelitian kualitatif ini menggunakan pendekatan studi kasus yang dilakukan di Biro Psikologi BIG, DKJ dengan 4 orang tua yang memiliki anak ASD dan 2 informan kunci yang merupakan tokoh komunitas dan konselor di biro psikologi BIG. Hasil wawancara mendalam menunjukkan tidak semua orang tua memiliki pengetahuan dan penerimaan terhadap kondisi autisme. Sebagian besar keluarga memiliki sumber daya ekonomi yang baik sehingga mampu mengakses layanan terapi dan pendidikan. Sebagian orang tua mendapatkan dukungan keluarga dan komunitas. Seluruh keluarga menggunakan dua strategi coping saat menghadapi situasi sulit. Coping yang berfokus pada masalah terlihat melalui upaya konkrit mencari bantuan profesional dan fokus pada pemecahan masalah seperti konseling, terapi dan menyekolahkan anak di sekolah khusus, sedangkan coping yang berfokus pada emosi terlihat melalui aktivitas berdoa, beribadah, me time atau mencari hiburan. Kualitas hidup keluarga sangat dipengaruhi oleh interaksi antara personal attributes dan stable environment attributes.
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that affects a person's social interaction, communication, and behavior. In Indonesia, the prevalence of ASD is estimated at 2.4 million individuals. This study aimed to explore the coping strategies and their impact on the quality of life of families. This qualitative study employed a case study approach conducted at the Psychology Bureau BIG, Jakarta, involving four parents of children with ASD and two key informants (a community leader and a counselor at the Psychology Bureau BIG). In-depth interviews revealed that not all parents knew about the causes of autism; two families had good acceptance of their child's ASD condition, while two others were still in denial. Most families had good economic resources, enabling them to access therapy and education services. Some parents received support from family and community. All families used both problem-focused and emotion-focused coping strategies when facing difficulties. Problem-focused coping was evident in concrete efforts such as seeking professional help and focusing on problem-solving, including counseling, therapy, and enrolling the child in special schools. Meanwhile, emotion-focused coping was observed through activities like praying, worshiping, self-care activities, or seeking entertainment. The interaction between personal attributes and stable environment attributes significantly influenced the family's quality of life.
