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            <front>

                <journal-meta>
                                                                <journal-id>ktpp dergisi</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Kıbrıs Türk Psikiyatri ve Psikoloji Dergisi</journal-title>
            </journal-title-group>
                            <issn pub-type="ppub">1302-7840</issn>
                                        <issn pub-type="epub">2667-8225</issn>
                                                                                            <publisher>
                    <publisher-name>Kıbrıs Ruh Sağlığı Enstitüsü</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id/>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Clinical Psychology</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Klinik Psikoloji</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <trans-title-group xml:lang="tr">
                                    <trans-title>Anxiety Levels in Severe COVID-19 Patients Before and After Undergoing Upper Arm Exercises and Breathing Exercises at H. Adam Malik Hospital Medan</trans-title>
                                </trans-title-group>
                                                                                                                                                                                                <article-title>Anxiety Levels in Severe COVID-19 Patients Before and After Undergoing Upper Arm Exercises and Breathing Exercises at H. Adam Malik Hospital Medan</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-9419-2477</contrib-id>
                                                                <name>
                                    <surname>Putri</surname>
                                    <given-names>Nurul Citta Banu</given-names>
                                </name>
                                                                    <aff>Universitas Sumatra Utara</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-1744-1833</contrib-id>
                                                                <name>
                                    <surname>Permatasari Tarigan</surname>
                                    <given-names>Amira</given-names>
                                </name>
                                                                    <aff>Universitas Sumatra Utara</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-3689-597X</contrib-id>
                                                                <name>
                                    <surname>Pandia</surname>
                                    <given-names>Pandiaman</given-names>
                                </name>
                                                                    <aff>Universitas Sumatra Utara</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-7761-2086</contrib-id>
                                                                <name>
                                    <surname>Pradana</surname>
                                    <given-names>Andika</given-names>
                                </name>
                                                                    <aff>Universitas Sumatra Utara</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-4741-1486</contrib-id>
                                                                <name>
                                    <surname>Eyanoer</surname>
                                    <given-names>Putri Chairani</given-names>
                                </name>
                                                                    <aff>Universitas Sumatra Utara</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-9382-3609</contrib-id>
                                                                <name>
                                    <surname>Effendy</surname>
                                    <given-names>Elmeida</given-names>
                                </name>
                                                                    <aff>Universitas Sumatra Utara</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-6204-7670</contrib-id>
                                                                <name>
                                    <surname>Parningotan Sinaga</surname>
                                    <given-names>Sudirman</given-names>
                                </name>
                                                                    <aff>Universitas Sumatra Utara</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20230627">
                    <day>06</day>
                    <month>27</month>
                    <year>2023</year>
                </pub-date>
                                        <volume>5</volume>
                                        <issue>2</issue>
                                        <fpage>140</fpage>
                                        <lpage>145</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20221203">
                        <day>12</day>
                        <month>03</month>
                        <year>2022</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20230613">
                        <day>06</day>
                        <month>13</month>
                        <year>2023</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2000, Kıbrıs Türk Psikiyatri ve Psikoloji Dergisi</copyright-statement>
                    <copyright-year>2000</copyright-year>
                    <copyright-holder>Kıbrıs Türk Psikiyatri ve Psikoloji Dergisi</copyright-holder>
                </permissions>
            
                                                                                                <trans-abstract xml:lang="tr">
                            <p>Senior lecturer in Department of Pulmonology, Universitas Sumatra Utara</p></trans-abstract>
                                                                                                                                    <abstract><p>Background: The number of COVID-19 cases in Indonesia has reached more than 1.5 million, of which 121,011 people are still in treatment. Stress and anxiety are the dominant psychological aspects of COVID-19 pandemic and have been shown to affect overall quality of life. Therefore, this research purpose to assess the level of anxiety in severe COVID-19 patients before and after undergoing upper arm exercises and breathing exercises.Methods : This study is a clinical trial using a two-group pretest-posttest quasi-experimental study design on 36 patients who diagnosed with confirmed COVID-19 severe severity who were treated in isolation room for 6 months period who met the inclusion and exclusion criteria. Then, conduct baseline examinations such as: vital signs, laboratories, and Hospital Anxiety and Depression Scale (HADS) in the emergency room for COVID-19 patients before undergoing physiotherapy. A comparison of the results of HADS measurements was made between before and after the intervention (upper arm exercises and breathing exercises). If the data were normally distributed, paired t-test was used (p</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>COVID-19</kwd>
                                                    <kwd>  Upper arm exercises</kwd>
                                                    <kwd>  breathing exercises</kwd>
                                                    <kwd>  anxiety</kwd>
                                            </kwd-group>
                            
                                                <kwd-group xml:lang="tr">
                                                    <kwd>COVID-19. Upper arm exercises</kwd>
                                                    <kwd>  breathing exercise</kwd>
                                                    <kwd>  anxiety</kwd>
                                            </kwd-group>
                                                                                                                                        </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">Reference 1</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
