DASS – PUI/Covid-19

Tuan/Puan, berikut merupakan saringan minda sihat yang menggunakan skala yang mengukur kemurungan (depression), keresahan (anxiety), dan tekanan (stress). Semua maklumat yang anda berikan melalui saringan ini adalah sulit dan tidak akan didedahkan secara umum melainkan dikehendaki oleh undang-undang. Segala rekod data yang anda berikan hanya boleh diakses oleh ahli-ahli Counselling and Psychological Support Squad (CAPSS) Hospital Miri untuk tujuan memantau tahap kesihatan mental anda serta untuk mengenal pasti keperluan intervensi seperti sesi kaunseling. Tiada paksaan untuk anda menghadiri sesi kaunseling dan anda mempunyai hak untuk menolak jika diberikan tawaran menghadiri sesi selepas menjawab saringan ini.

Terima kasih kerana sudah melengkapkan saringan DASS ini. Hasil keputusan anda akan dievaluasi pihak CAPSS.

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Saringan Minda Sihat ini adalah untuk klien yang dirawat pihak Hospital Miri untuk evaluasi. Sekiranya anda adalah orang awam yang bukan di bawah rawatan Hospital Miri anda boleh klik link di bawah

Saringan Minda Sihat (Dass-21) untuk orang awam : http://ujiandass.com/

SARINGAN MINDA SIHAT (DASS) - Klien PUI/Covid-19

Hospital Miri

*Nama Penuh Klien

*No Kad Pengenalan (tanpa tanda sengkang "-")

*Tarikh HARI INI

*Jantina

Lelaki

Perempuan

*Bangsa

Melayu

Cina

India

Bidayuh

Iban

Kelabit

Kenyah

Kedayan

Kayan

Lun Bawang

Melanau

Murut

Penan

Lain-lain

Jika lain-lain bangsa

Pekerjaan (Jika ada)

Tempat bekerja (Jika ada)

*Nama wad atau pusat kuarantin anda menerima rawatan (Miri)

Alamat tempat tinggal

*Nombor telefon Yang boleh dihubungi

---

Sila baca setiap kenyataan di bawah dan pilih jawapan menggambarkan keadaan anda SEMINGGU yang lepas.
Tidak ada jawapan betul atau salah.
JANGAN guna terlalu banyak masa untuk mana-mana kenyataan.
Pilih jawapan samada Tidak pernah / Jarang / Kerap / Sangat Kerap.

*1. Saya rasa susah untuk bertenang / I found it hard to wind down

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*2. Saya sedar mulut saya rasa kering / I was aware of dryness of my mouth

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*3. Saya seolah-olah tidak dapat mengalami perasaan positif sama sekali / I couldnt seem to experience any positive feeling at all

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*4. Saya mengalami kesukaran bernafas (contohnya, bernafas terlalu cepatTercungap-cungap walaupun tidak melakukan aktiviti fizikal / I experienced breathing difficulty (eg, excessively rapid breathing,breathlessness in the absence of physical exertion)

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*5. Saya rasa tidak bersemangat untuk memulakan sesuatu keadaan / I found it difficult to work up the initiative to do things

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*6. Saya cenderung bertindak secara berlebihan kepada sesuatu keadaan / I tended to over-react to situations

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*7. Saya pernah menggeletar (contohnya tangan) / I experienced trembling (eg, in the hands)

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*8. Saya rasa saya terlalu gelisah / I felt that I was using a lot of nervous energy

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*9. Saya risau akan berlaku keadaan di mana saya panik dan berkelakuan bodoh / I was worried about situations in which I might panic and makea fool of myself

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*10. Saya rasa tidak ada yang saya harapkan (putus harapan) / I felt that I had nothing to look forward to

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*11. Saya dapati saya mudah resah / I found myself getting agitated

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*12. Saya merasa sukar untuk relaks / I found it difficult to relax

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*13. Saya rasa muram dan sedih / I felt down-hearted and blue

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*14. Saya tidak boleh terima apa jua yang menghalangi saya daripada meneruskan apa yang saya sedang lakukan / I was intolerant of anything that kept me from getting on with what I was doing

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*15. Saya rasa hampir panik / I felt I was close to panic

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*16. Saya tidak bersemangat langsung / I was unable to become enthusiastic about anything

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*17. Saya rasa diri saya tidak berharga / I felt I wasnt worth much as a person

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*18. Saya mudah tersinggung / I felt that I was rather touchy

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*19. Walaupun saya tidak melakukan aktiviti fizikal, saya sedar akan debaranJantung saya (contoh: degupan jantung lebih cepat) / I was aware of the action of my heart in the absence of physicalexertion (eg, sense of heart rate increase, heart missing a beat)

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*20. Saya rasa takut tanpa sebab / I felt scared without any good reason

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

*21. Saya rasa hidup ini tidak beerti lagi / I felt that life was meaningless

Tidak pernah sama sekali / Did not apply to me at all

Jarang / Applied to me to some degree, or some of the time

Kerap / Applied to me to a considerable degree, or a good part of time

Sangat Kerap / Applied to me very much, or most of the time

Keputusan

Kemurungan /Depression

0

Keresahan /Anxiety

0

Tekanan /Stress

0

Sila tekan butang HANTAR di bawah untuk evaluasi pihak CAPSS

HANTAR

		Stress (Stres)
Normal (normal)		0-14
Mild (ringan)		15-18
Moderate (sederhana)		19-25
Severe (teruk)		26-33
Extremely severe (sangat teruk)		34+

 

	Anxiety (Keresahan)
Normal (normal)	0-7
Mild (ringan)	8-9
Moderate (sederhana)	10-14
Severe (teruk)	15-19
Extremely severe (sangat teruk)	20+

 

	Depression (Kemurungan)
Normal (normal)	0-9
Mild (ringan)	10-13
Moderate (sederhana)	14-20
Severe (teruk)	21-27
Extremely severe (sangat teruk)	28+

HANTAR