Analisis Perbaikan Kondisi Mental Pasien Terapi Komplementer di Rumah Sakit Nur Hidayah Bantul Yogyakarta Menggunakan Regresi Extended Cox

Arlianni, Kevina Windy (2023) Analisis Perbaikan Kondisi Mental Pasien Terapi Komplementer di Rumah Sakit Nur Hidayah Bantul Yogyakarta Menggunakan Regresi Extended Cox. Other thesis, Institut Teknologi Sepuluh Nopember.

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Abstract

Kesehatan mental menjadi perhatian banyak pihak. Upaya pengobatan mental pada dunia kedokteran salah satunya menggunakan terapi komplementer. Terapi dilakukan sejalan dengan pengobatan fisik dengan tujuan mengurangi angka kasus gangguan kesehatan mental, salah satunya yaitu terapi komplementer Al-Quran di Rumah Sakit Nur Hidayah Bantul. Penelitian ini menggunakan regresi extended Cox untuk mengetahui waktu perbaikan kondisi mental pasien terapi komplementer. Data penelitian menggunakan data sekunder dari rekam medis 102 pasien Terapi Komplementer Al-Quran di Rumah Sakit Nur Hidayah. Pasien terapi komplementer mayoritas adalah perempuan, menikah, berpendidikan SMA/sederajat, tidak memiliki riwayat penyakit kronis, pasien mengalami keluhan mental dan mayoritas bereaksi secara aktif. Rata-rata usia pasien adalah 40 tahun. Median waktu pasien terapi komplementer tidak mengalami perbaikan kondisi mental adalah 30. Kecenderungan membaik setelah hari ke-120 lebih besar daripada sebelum hari ke-120. Kaplan-Meier dan uji log-rank menunjukkan variabel sikap, gangguan ibadah, riwayat interaksi dan reaksi terapi memiliki perbedaan kurva survival antara kategori masing-masing variabel. Variabel riwayat interaksi tidak memenuhi asumsi proportional hazard sehingga model Cox yang digunakan adalah stratified Cox dan time-dependent. Fungsi waktu yang digunakan adalah g(t)=t, g(t)=ln(t) dan fungsi heaviside dengan cut pada hari ke-100. Model terbaik adalah model stratified Cox dengan interaksi memiliki nilai AIC terkecil yaitu 286,84. Faktor yang berpengaruh signifikan kepada waktu perbaikan kondisi mental adalah jenis kelamin dan keluhan utama pada strata pasien yang memiliki riwayat interaksi dan variabel usia pada strata pasien yang pernah memiliki riwayat interaksi. Faktor yang tidak berpengaruh adalah sikap, gangguan ibadah riwayat penyakit kronis, keluhan utama dan reaksi terapi.
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Mental health is a concern of many parties. One of the mental treatment efforts in the world of medicine is using complementary therapy. Therapy is carried out in line with physical treatment with the aim of reducing the number of cases of mental health disorders, one of which is complementary therapy to the Koran at Nur Hidayah Hospital, Bantul. This study used Extended Cox regression to determine the time to improve the mental condition of patients with complementary therapy. The research data used secondary data from the medical records of 102 patients with Al-Quran Complementary Therapy at Nur Hidayah Hospital. The majority of complementary therapy patients are women, married, have high school education/equivalent, have no history of chronic disease, patients experience mental complaints and the majority react actively. The mean age of the patients was 40 years. The median time that complementary therapy patients did not improve their mental condition was 30. The chances of improvement after the 120th day were greater than before the 120th day. Kaplan-Meier and the log-rank test showed that the variables attitude, prayer problem, interaction history and treatment reactions had different survival curves between the categories of each variable. The interaction history variable violates the proportional hazard assumption so that model used is stratified Cox and time-dependent. The time function used is g(t)=t, g(t)=ln(t) and the heaviside function with cut on the 100th day. The best model is the stratified Cox model with interaction have the smallest AIC value of 286.84. Factors that have a significant effect on the time to improve mental conditions are gender and the main complaint in the strata of patients who have a history of interactions and the age variable in strata of patients who have had a history of interactions. Factors that have no effect are attitude, prayer problem, history of chronic illness, main complaint and treatment reactions.

Item Type:	Thesis (Other)
Uncontrolled Keywords:	mental health, Al-Quran complementary therapy, extended Cox regression, kesehatan mental, terapi komplementer Al-Quran, Regresi Extended Cox
Subjects:	Q Science > QA Mathematics Q Science > QA Mathematics > QA276 Mathematical statistics. Time-series analysis. Failure time data analysis. Survival analysis (Biometry) R Medicine > R Medicine (General) > R853.S7 Survival analysis (Biometry)
Divisions:	Faculty of Science and Data Analytics (SCIENTICS) > Statistics > 49201-(S1) Undergraduate Thesis
Depositing User:	Kevina Windy Arlianni
Date Deposited:	11 Aug 2023 00:41
Last Modified:	11 Aug 2023 00:41
URI:	http://repository.its.ac.id/id/eprint/101787

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