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ABSTRACTThis study aims to describe the effects of cognitive Behavior Therapy (CBT) to changes inself-esteem of patients with Chronic Kidney Disease (CKD) in hemodialysis units HusadaHospital Jakarta. The study was conducted using a quantitative approach, with the methodquasi experimental pre-post test without control group. Research conducted on 27respondents (CKD patients) who are undergoing hemodialysis. The results showed that therewere changes in self-esteem in terms of both cognitive and behavioral intervention thatsignificantly after CBT (P value ˂ 0,00). Recommended studies of CBT as one specialisttreatment for patients CKD in Haemodialysis Unit in particular and in patients withpsychosocial disturbances in general."

"Penelitian ini bertujuan untuk menguraikan tentang pengaruh Cognitif Behavior Therapy (CBT) terhadap perubahan harga diri klien Gagal Ginjal Kronik (GGK) di unit hemodialisa RS H Jakarta. Penelitian dilakukan menggunakan pendekatan kuantitatif, dengan metode quasi eksperimen pre-post test without control group. Penelitian dilakukan terhadap 27 responden (klien GGK) yang sedang menjalani hemodialisis. Hasil penelitian menunjukkan bahwa terdapat perubahan harga diri baik dari aspek kognitif maupun perilaku yang signifikan sesudah dilakukan intervensi CBT (p= 0,000; α= 0,05). Rekomendasi hasil penelitian CBT dijadikan salah satu terapi spesialis bagi klien GGK di unit hemodialisa pada khususnya dan klien yang mengalami gangguan psikososial pada umumnya.

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The aims of this study is to describe the effects of cognitive Behavior Therapy (CBT) to changes in self-esteem of patients with Chronic Kidney Disease (CKD) in hemodialysis units H Hospital Jakarta. The study was conducted using a quantitative approach, with the method quasi experimental pre-post test without control group. The study was conducted on 27 respondents (CKD patients) who are undergoing hemodialysis. The results showed that there were changes in self-esteem in terms of both cognitive and behavioral intervention that significantly after CBT (p= 0,000; α= 0,05). Recommended studies of CBT is can be as one specialist treatments for patients CKD in Haemodialysis Unit particularly and in patients with psychosocial disturbances in generally."

"Gangguan jiwa 13% dari penyakit keseluruhan, kemungkinan berkembang menjadi 25% tahun 2030 (WHO,2009).Tujuan : mendapatkan gambaran pengaruh CBT dan REBT terhadap penurunan gejala dan peningkatan kemampuan PK dan HDR.Metoda : quasi experimental pre post test with control group, teknik purposive sampling terhadap 60 sampel : 30 intervensi dan 30 kontrol. Hasil penelitian ditemukan penurunan gejala dan peningkatan kemampuan klien PK dan HDR yang mendapat CBT dan REBT lebih besar disbanding yang tidak mendapat CBT dan REBT (p-value < 0,05).Rekomendasi: CBT dan REBT dijadikan terapi spesialis terpadu disamping terapi generalis.

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The goal: get an overview of CBT and REBT effect on reducing symptoms and increasing the ability of PK and HDR.Method: quasi-experimental pre-post test with control group, purposive sampling technique on 60 samples: 30 intervention and 30 control. The study found a decrease symptoms and increase the ability of PK and HDR clients who received CBT and REBT is larger compared to that did not receive CBT and REBT (p-value <0.05).Recommendation: CBT and REBT is used as therapy in addition to an integrated specialist generalist therapy."

"Bencana merupakan suatu peristiwa yang mengancam dan menganggu yang mengakibatkan timbulnya korban jiwa, kerusakan lingkungan, kerugian harta benda, dan dampak psikologis. Dampak psikologis berupa ansietas sering dialami khususnya remaja sebagai kelompok yang rentan terhadap perubahan psikologis. Penelitian ini bertujuan untuk mengetahui penurunan ansietas remaja dengan CBT di wilayah banjir. Desain penelitian dengan Quasi experimental with control group dengan teknik random sampling, dengan total sampel sebayak 73 remaja. Hasil penelitian menunjukkan adanya penurunan ansietas remaja yang mendapatkan tindakan keperawatan ners dan CBT serta meningkatnya kemampuan mengatasi anietas (p-value <0.05). Penelitian ini merekomendasikan perlunya mengembangkan program kesehatan jiwa remaja berbasis komunitas.

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Disaster is an event that is threatening and disturbing that gives rise to loss of life, environmental damage, loss of property, and psychological impact. The psychological impact in the form of anxiety often experienced by adolescent as a group particularly vulnerable to psychological changes.

This study aims to determine the decrease in adolescent anxiety with CBT in flooded region. Quasiexperimental research design with a control group by random sampling technique, with a total sample of 73 adolescents.

The results showed a decrease in anxiety adolescents get CBT nursing actions and the nurses and the increased ability to cope with anxiety (p-value <0.05). This study recommends the need adolescent mental health program of community based."

"Skizofrenia merupakan penyakit jiwa berat yang menyebabkan gangguan pada fungsi kognitif, emosi, bahasa, perilaku dan gerak. Salah satu dampak dari gangguan jiwa berat adalah bunuh diri. Data menunjukkan setiap 40 detik, seseorang kehilangan nyawa karena bunuh diri. Kondisi pikiran negatif pasien risiko bunuh diri biasanya merupakan distorsi kognitif. Tujuan karya ilmiah ini adalah untuk memberikan gambaran penerapan cognitive behaviour therapy (CBT) dan psikoedukasi keluarga pada pasien dengan risiko bunuh diri menggunakan pendekatan Tidal model. Tindakan keperawatan dilakukan kepada 6 pasien dengan risiko bunuh diri. Metode yang digunakan adalah case series. Hasil menunjukkan pemberian cognitive behaviour therapy (CBT) dan psikoedukasi keluarga dengan pendekatan Tidal model dapat menurunkan skor bunuh diri, menurunkan tanda dan gejala serta meningkatkan kemampuan keluarga dan pasien risiko bunuh diri dengan skizofrenia. Cognitive behaviour therapy (CBT) dan psikoedukasi keluarga direkomendasikan dilakukan oleh perawat spesialis jiwa untuk mengatasi risiko bunuh diri dan Tidal model sebagai upaya pemulihan pasien.

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Schizophrenia is a severe mental illness that causes disturbances in cognitive function, emotion, language, behavior and movement. One of the effects of severe mental disorders is suicide. Data shows that every 40 seconds, someone loses their life by suicide. The negative state of mind of patients at risk of suicide is usually a cognitive distortion. The purpose of this scientific paper is to provide an overview of the application of cognitive behavior therapy (CBT) and family psychoeducation to patients at risk of suicide using the Tidal model approach. Nursing actions were performed on 6 patients at risk of suicide. The method used is case series. The results show that giving cognitive behavior therapy (CBT) and family psychoeducation with the Tidal model approach can reduce suicide scores, reduce signs and symptoms and increase the ability of families and patients at risk of suicide with schizophrenia. Cognitive behavior therapy (CBT) and family psychoeducation are recommended to be carried out by psychiatric nurses to overcome the risk of suicide and Tidal model as an effort to recover patients."

"Penambahan berat badan diantara dua waktu hemodialisis (interdialysis weight gain = IDWG) melebihi standart 1,5 kg dapat berdampak terhadap kualitas hidup pasien CKD. Efek negatif terhadap keadaan pasien, diantaranya hipotensi, kram otot, hipertensi, sesak nafas, mual, muntah, edema perifer, ascites.Tujuan dari penelitian ini mengetahui hubungan antara penambahan berat badan di antara dua waktu hemodialisis (interdialysis weight gain = IDWG) dan kualitas hidup pasien , baik domain kesehatan fisik, psikologis, hubungan sosial dan lingkungan.Metode penelitian ini menggunakan deskriptif korelasi dengan pendekatan cross sectional. Sampel sebanyak 76 pasien.Hasil analisis menggunakan one way analysis of variance menunjukkan terdapat hubungan yang signifikan antara penambahan berat badan diantara dua waktu hemodialisa dengan kualitas hidup pada semua domain (p = 0,000, ά 0,05). Domain kesehatan fisik 21,62 (SD 5,18) domain psikologis 18,45 (SD 18,45) domain hubungan sosial 9,24 (SD 9,24) dan domain lingkungan 25,67 (SD 25,67). Variabel confounding tidak mempunyai kontribusi terhadap kualitas hidup (p>0,05).Rekomendasi hasil penelitian lebih lanjut adalah meneliti hubungannya karakteristik adat istiadat, budaya, stress dan kecemasan terhadap kualitas hidup.

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Weight gain between the two time of hemodialysis (Interdialysis Weight Gain = IDWG) in excess of 1.5 kg standard can implicate on quality of life to Chronic Kidney Disease (CKD) patient. The negative effect of IDWG on patient conditions, are hypotension, muscle cramps, hypertension, shortness of breath, nausea, vomiting, peripheral edema, ascites.The objectives of this study is to ascertain the relationship between IDWG and patients quality of life (QoL) in term of physical health domain, psychological, social relationships and environment.This research method used descriptive correlation with cross sectional approach. Sample of 76 patients.Analysis outcome used one way analysis of variance indicated that there were any significant relationship between weight gain in between two time hemodialysis with quality of life (QoL) on all domains (p = 0.000, ά 0.05). Physical health domain 21.62 (SD 5.18), Psychological domain 18.45 (SD 18.45) Social relations domain 9.24 (SD 9.24) and Environment domain 25.67 (SD 25.67). The confounding variables did not contribute to the quality of life (p> 0.05).The Recommendation of the following of this study outcome are to investigate the relationship of patient life in many characteristics of custom, cultural, stress and anxiety with quality of life."

"[ABSTRAKBencana merupakan kejadian mendadak, mengakibatkan perubahan signifikanpada kehidupan, dapat mengubah skema berpikir, mengakibatkan muncul pikiranotomatis. ASD merupakan respon kecemasaan saat bencana, individu cenderungmengembangkan pikiran negatif, mempemgruhi perilaku. CBT merupakan terapiberfokus pada kognitif dan perilaku. Tujuan penelitian ini mengetahui pengaruhCBT terhadap perubahan ASD paska bencana longsor. Desain penelitian QuasyEksperimental without control group dengan purposive sampling. Sejumlah 27responden ASD, diberikan CBT sebanyak lima sesi. Analisis Wilcoxon, terdapatpenurunan bermakna ASD setelah diberikan CBT (p-value˂0.05). Karakteristikresponden umur dan penghasilan berhubungan dengan ASD (p-value˂0.05). Perlupenelitian lanjut tentang faktor budaya, spiritual, dukungan sosial terhadapperubahan ASD.

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ABSTRACTDisaster is a suddenly incident, resulting significant changes in life, way ofthinking, negative schema. ASD is an anxiety response to disaster, which developautomatic negative thinking and behavior. CBT is a psychotherapy focuses oncognitive and behavior. The aim is to know the influence CBT toward ASD statepost landslide. A Quasy Experimental without control group design, total 27landslide?s survivor with ASD were recruited with purposive sampling, receivedCBT 5 session. Wilcoxon analisys show significant decrease on ASD (pvalue˂0.05). Age and income have correlation to ASD (p-value˂0.05). Furtherresearch needed to find cultural, spiritual, social support toward ASD., Disaster is a suddenly incident, resulting significant changes in life, way ofthinking, negative schema. ASD is an anxiety response to disaster, which developautomatic negative thinking and behavior. CBT is a psychotherapy focuses oncognitive and behavior. The aim is to know the influence CBT toward ASD statepost landslide. A Quasy Experimental without control group design, total 27landslide’s survivor with ASD were recruited with purposive sampling, receivedCBT 5 session. Wilcoxon analisys show significant decrease on ASD (pvalue˂0.05). Age and income have correlation to ASD (p-value˂0.05). Furtherresearch needed to find cultural, spiritual, social support toward ASD.]"

"Kejadian erupsi gunung merapi pada akhir tahun 2010 tercatat sebagai letusan terbesar selama 100 tahun terakhir. Sebagian korban yang selamat dari bencana (penyintas bencana) mengalami dampak psikologis yang serius dan jangka panjang yakni Post Traumatic Stress Disorder (PTSD). Terapi yang diberikan untuk mengatasi masalah tersebut yakni terapi generalis dan Cognitive Behaviour Therapy (CBT). Tujuan untuk mengetahui pengaruh pemberian terapi CBT terhadap perubahan tanda dan gejala PTSD serta kemampuan mengatasi PTSD pasca erupsi merapi. Desain penelitian quasi experimental pre-post test with control group, sampel sejumlah 52 orang kelompok intervensi dan 52 orang kelompok kontrol. Teknik pengambilan sampel random sampling. Kelompok intervensi diberikan terapi generalis dan CBT, kelompok kontrol diberikan terapi generalis. Instrument yang digunakan yakni PCL-5 dan Thought Control Questionnair (TCQ). Kedua instrumen ini telah melalui uji validitas dan reliabilitas sebelumnya dan penelitian ini sudah dinyatakan lulus uji etik. Uji analisis menggunakan Anova, Chi-square dan independent test. Hasil analisis menunjukkan terjadi penurunan tanda gejala PTSD dan peningkatan kemampuan merubah pikiran negatif yang signifikan pada kelompok yang mendapatkan terapi generalis dan terapi generalis dan CBT (P value < 0,05). Terdapat perbedaan yang signifikan terhadap perubahan tanda gejala PTSD pada kelompok yang mendapatkan terapi generalis dan kelompok yang mendapat CBT (P value < 0,05). Terapi generalis dan CBT direkomendasikan sebagai salah satu terapi untuk penanganan korban bencana yang mengalami PTSD.

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The eruption of Mount Merapi at the end of 2010 was recorded as the biggest eruption in the last 100 years. Some survivors of disasters (disaster survivors) experience serious and long-term psychological effects namely Post Traumatic Stress Disorder (PTSD). Therapy given to overcome these problems is generalist therapy and Cognitive Behavior Therapy (CBT). The aim was to determine the effect of CBT therapy on changes in PTSD signs and symptoms as well as the ability to overcome PTSD after the eruption of Merapi. The research design was quasi experimental pre-post test with control group, a sample of 52 intervention groups and 52 control groups. Random sampling technique. The intervention group was given generalist therapy and CBT, the control group was given generalist therapy. The instruments used were PCL-5 and Thought Control Questionnair (TCQ). Both of these instruments have passed the validity and reliability tests before and this research has been declared to have passed the ethical test. The analysis test uses Chi-square, Anova, Wilcoxon and Man Whitney. The results of the analysis showed a decrease in PTSD symptoms and an increase in the ability to change negative thoughts significantly in the group receiving generalist therapy and generalist therapy and CBT (P value <0.05). There were significant differences in changes in PTSD symptoms in the group receiving generalist therapy and the group receiving CBT (P value <0.05). Generalist therapy and CBT are recommended as one of the treatments for treating victims of PTSD."

"Ansietas merupakan masalah psikososial yang paling banyak dialami klien hipertensi. Hal ini terkait dengan respon klien terhadap kondisi kronis kesehatannya. Dampak dari ansietas akan mengganggu produktivitas dan kualitas hidup jika tidak dilakukan penatalaksanaan sedini mungkin. Penelitian ini bertujuan untuk mengetahui pengaruh PMR dan CBT terhadap ansietas klien hipertensi, Desain penelitian quasi experimental pre-test dan post-test with control group dengan jumlah sampel 64 responden. Hasilnya adalah penurunan ansietas, peningkatan kemampuan relaksasi serta kemampuan mengubah pikiran dan perilaku negatif pada kelompok yang mendapatkan PMR dan CBT p value < 0.05 . PMR dan CBT direkomendasikan sebagai terapi spesialis keperawatan pada ansietas klien hipertensi.

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Anxiety is the most widely psychosocial problems experienced in people with hypertension. The impact arising from the anxiety would interfere with productivity and quality of life. This study aims to determine the effect of PMR and CBT for anxiety clients with hypertension. Quasi experimental research design pre test and post test with control group with a sample of 64 respondents. The results is decrease in anxiety, increase relaxation capability and the ability to change negative thoughts and behaviors that are in the group of clients who get PMR and CBT p value."

"Salah satu cara mengatasi halusinasi adalah dengan pemberian cognitive behaviour therapy (CBT). Penelitian ini bertujuan mengetahui pengaruh CBT terhadap halusinasi pasien di Rumah Sakit Jiwa Pempropsu Medan. Desain penelitian quasi eksperimental dengan jumlah sampel 56 responden. Hasil penelitian menunjukkan adanya perbedaan peningkatan pelaksanaan cara mengontrol halusinasi yang bermakna antara kelompok yang mendapat dan tidak mendapat CBT (Pvalue < 0.05). Halusinasi menurun secara bermakna pada kelompok yang mendapat CBT (Pvalue < 0.05). Sedangkan pada kelompok yang tidak mendapat CBT halusinasi menurun secara tidak bermakna (Pvalue > 0.05). CBT direkomendasikan dilakukan pada pasien halusinasi sebagai tindakan keperawatan spesialis.

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One way of dealing with the provision of hallucination is cognitive behavior therapy (CBT). This study aimed to verify the effect of CBT on patients hallucinations Pempropsu Mental Hospital in Medan. Quasi experimental design with a sample of 56 respondents. The results showed a difference in improving the implementation of a meaningful way of controlling the hallucinations between groups that received and did not receive CBT (p value <0.05). Hallucinations were significantly decreased in the group receiving CBT (p value <0.05). While in the group who did not receive CBT decreased hallucinations was not significant (p value> 0.05). CBT is recommended in patients with hallucinations as a specialist nursing intervention."