No Inisial psn DxMedik Dx Kep Ruang rawat & UsiaJns Kelmin

1 Ny. P TB Paru + B20 Ketidakberdayaan Kacapiring 27 tahun 2

2 Nn. N TB Paru Gangguan Pola Tidur Kacapiring 23 tahun 2
3 Ny.S BP+Suptumpar sinistra Kecemasan Mawar 79 tahun 2
pekerjaan pnghasilan perkwinan lama sakit biaya diRS
2 2 1 2 1
2 2 2 2 1
5 1 3 2 1
No Inisial psn 1 2 3 4 5 6 7 8 9 10 11 12 13
1 Ny. P 0 1 1 0 0 0 0 0 0 0 1 0 1
2 Nn. N 0 1 1 0 1 0 1 0 0 0 1 0 1
3 Ny. S 0 1 0 1 1 1 0 1 1 0 1 1 1
14 15 16 17 18 19 20 total skor ket
0 1 0 0 1 0 1 7 Gangguan mental
1 1 0 0 0 1 1 10 Gangguan mental
0 1 0 0 1 0 1 12 Gangguan mental
No Inisial psn 1 2 3 4 5 6 7 8
1 Ny. P 0 1 1 0 0 0 0 0
2 Nn. N 0 1 1 0 1 0 1 0
3 Ny. S 0 1 0 1 1 1 0 1
9 10 11 12 13 14 15 16 17 18
0 0 1 0 1 0 1 0 0 1
0 0 1 0 1 1 1 0 0 0
1 0 1 1 1 0 1 0 0 1
19 20 total skor ket
0 1 7 Gangguan mental
1 1 10 Gangguan mental
0 1 12 Gangguan mental
No Inisial psn 1 2 3 4 5 6 7 8
1 Ny. P 1 0 2 2 2 1 0 0
2 Nn. N 1 1 2 2 2 0 1 0
3 Ny. S 2 2 1 2 2 1 2 2
9 Total skor keterangan
0 8 Mild
0 9 Mild
1 15 Moderately Severe
No Inisial psn 1 2 3 4 5 6 7 8
1 Ny. P 1 0 2 2 2 1 0 0
2 Nn. N 0 0 1 2 2 1 0 0
3 Ny. S 1 1 0 1 2 2 2 2
9 Total skor keterangan
0 8 Mild
0 6 Mild
2 12 Moderate
No Inisial psn 1 2 3 4 5 6 7 8 9 10 11 12 13
1 Ny. P 0 0 0 3 0 2 0 2 1 0 2 0 2
2 Nn. N 1 1 0 2 1 2 1 1 1 0 2 1 0
3 Ny. S 2 2 1 0 2 2 0 2 2 0 2 0 1
14 total skor Ket
0 12 Normal
0 13 Normal
2 18 Cemas sedang
No Inisial psn 1 2 3 4 5 6 7 8
1 Ny. P 0 0 0 3 0 2 0 3
2 Nn. N 0 0 0 3 0 1 0 1
3 Ny. S 0 0 0 0 1 1 0 1
9 10 11 12 13 14 total skor Ket
2 0 3 0 3 0 16 Cemas Ringan
0 1 2 0 1 0 9 Normal
1 0 2 0 1 0 7 Normal