No Inisial psn DxMedik Dx Kep Ruang rawat &RS Usia Jns Kelmin

1 Tn. Y Ca.Paru Ansietas Mawar,RSPG Cisarua 49 thn 1

2 Tn. D Ca.Paru HDR Mawar,RSPG Cisarua 33 thn 1
3 Tn.U Emfisema Gangguan Pola Tidur Kacapiring,RSPG Cisarua 75 thn 1
4 Tn.M TBC Koping tidak Efektif Kacapiring,RSPG Cisarua 48 thn 1
pekerjaan pnghasilan perkwinan lama sakit biaya diRS
3 1 1 2 1
3 1 1 2 1
2 1 1 1 1
3 1 1 2 1
No Inisial psn 1 2 3 4 5 6 7 8 9 10 11 12 13
1 Tn. Y 1 1 1 0 0 0 0 0 0 0 0 0 1
2 Tn. D 1 0 0 1 1 0 0 0 0 1 0 0 0
3 Tn.U 0 0 0 1 1 1 1 0 1 1 1 1 0
4 Tn.M 1 1 1 0 0 1 1 1 1 0 0 0 0
14 15 16 17 18 19 20 total skor ket
1 1 1 1 1 1 1 11 gangguan mental
1 1 1 0 1 1 1 10 gangguan mental
0 0 0 0 0 1 1 10 gangguan mental
0 0 1 1 1 1 1 12 gangguan mental
No Inisial psn 1 2 3 4 5 6 7 8
1 Tn.Y 0 0 1 0 0 0 1 0
2 Tn.U 0 0 0 0 0 0 0 0
9 10 11 12 13 14 15 16 17 18
0 0 1 0 0 0 0 0 0 0
0 1 1 1 1 1 0 0 0 0
19 20 total skor ket
0 0 3 Normal
0 0 4 Normal
No Inisial psn 1 2 3 4 5 6 7 8
1 Tn. Y 3 2 3 3 2 2 2 3
2 Tn. D 1 3 1 2 1 1 2 1
3 Tn.U 1 1 1 1 1 1 1 1
4 Tn.M 1 1 1 2 2 1 3 1
9 Total skor keterangan
1 21 severe
1 13 moderate
1 10 moderate
1 3 moderate
No Inisial psn 1 2 3 4 5 6 7 8
1 Tn. Y 0 0 1 0 0 0 0 0
2 Tn. D 0 1 1 1 0 0 0 0
3 Tn.U 1 0 0 0 1 1 0 1
4 Tn.M 0 0 0 0 0 0 3 0
 9 Total skor keterangan
0 1 Normal
0 3 Normal
1 5 Normal
0 3 Normal
No Inisial psn 1 2 3 4 5 6 7 8 9 10 11 12 13
1 Tn. Y 4 3 0 2 3 2 3 2 2 3 1 1 1
2 Tn. D 1 2 0 1 0 3 1 1 1 0 0 0 2
14 total skor Ket
2 29 Cemas berat
0 12 Normal
No Inisial psn 1 2 3 4 5 6 7 8
1 Tn. Y 0 0 0 1 0 0 0 1
2 Tn. D 0 0 0 0 0 0 0 0
9 10 11 12 13 14 total skor Ket
1 1 0 0 0 0 4 Normal
1 0 0 1 1 1 4 Normal