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"ABSTRAKSkizofrenia merupakan penyakit neurobiologis berat dan terus menerus yang mengakibatkan terganggunya respon seseorang dan berdampak pada kehidupan individu, keluarga dan masyarakat. Tanda gejala yang muncul diantaranya berupa harga diri rendah HDR dan risiko perilaku kekerasan RPK . Hasil penanganan kasus ini bertujuan untuk menganalisis perbandingan perubahan tanda gejala dan kemampuan pasien HDR dan RPK antar yang diberikan tindakan keperawatan terapi kognitif perilaku dengan yang diberikan latihan asertif menggunakan teori Stuart dan adaptasi Roy. Penanganan kasus ini menggunakan pendekatan multiple case study, yaitu kasus HDR dan RPK dengan jumlah partisipan 16 orang, Hasil penanganan kasus menunjukan bahwa pasien dengan jenis kelamin laki-laki yang berusia rata-rata 34.4 tahun, terjadi penurunan tanda gejala HDR dan RPK terutama pada aspek perilaku, kognitif dan afektif setelah diberikan tindakan keperawatan ners dan ners spesialis berupa terapi kognitif perilaku dan latihan asertif. Rekomendasi dari penanganan kasus ini adalah latihan asertif bisa diprioritaskan karena menurunkan tanda gejala lebih banyak pada diagnosis HDR dan RPK

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ABSTRACTSchizophrenia is a severe and continuous neurobiological disease that results in disruption of one 39 s response and impacts on the lives of individuals, families and communities. Symptoms that appear include low self esteem HDR and the risk of violent behavior RPK . The results of this case handling aims to analyze the comparison of symptom change and ability of HDR and RPK patients among those given behavioral cognitive therapy nursing behaviors with those given assertive exercise using Stuart 39 s theory and Roy 39 s adaptation. The handling of this case using a multiple case study approach, namely cases of HDR and RPK with the number of participants 16 people, The results of case handling showed that patients with male gender aged average 34.4 years, decreased signs of HDR and RPK symptoms, especially on aspects behavioral, cognitive and affective after being given nursing actions ners and specialist ners in the form of cognitive behaviour therapy and assertiveness tarining. The recommendation of this case is that assertiveness training can be prioritized because it decreases more symptoms symptoms in HDR and RPK diagnoses."

"Risiko perilaku kekerasan merupakan gejala positif dari gangguan skizoafektif yang timbul dari respon maladaptif. Perilaku kekerasan merupakan perilaku individu yang berupa tindakan mencederai diri sendiri, orang lain, maupun lingkungan. Tujuan laporan kasus ini adalah untuk menganalisis tentang asuhan keperawatan risiko perilaku kekerasan pada Tn. AD dengan gangguan skizoafektif. Implementasi pada klien dilakukan pada 15-22 April 2019. Implementasi keperawatan generalis yang dilakukan untuk mengontrol marah adalah secara fisik: relaksasi napas dalam, latihan pukul bantal; patuh minum obat, secara verbal asertif, dan secara spiritual. Implementasi tambahan yang dilakukan untuk alternatif pemecahan kasus adalah terapi musik. Implementasi ini menghasilkan penurunan tanda gejala dan mampu mengontol perilaku kekerasan. Rencana tindak lanjut yang dapat dimaksimalkan yaitu dengan cara melibatkan keluarga dalam perawatan klien sehari-hari di rumah.

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The risk of violent behavior is a positive symptom of a schizoaffective disorder which arising from maladaptive response. The violent behavior itself is an individual behavior in the form of an act of injuring oneself, others, and environment. The purpose of this case report is to analyze the nursing care toward the risk of violent behavior on Mr. AD who has schizoaffective disorder. The implementation to client is carried out on April 15-22, 2019. The implementation of generalist nursing which were done to control the anger is physically: deep breathing relaxation, hit-cushion training; obediently taking medication, verbally assertive, and spiritually. Additional implementation results on the lower of the sign of symptoms and is able to control the violent behavior. Further plan that can be maximized is involving the family to take care the client every day at home."

"ABSTRAKPerilaku kekerasan (PK) adalah respon kemarahan maladaptif dalam bentuk perilaku menciderai diri,orang lain dan lingkungan. Penelitian ini bertujuan mendapatkan gambaran Pengaruh Rational EmotiveBehaviour Therapy terhadap penurunan perilaku kekerasan di ruang rawat inap RSMM Bogor. Desain?Quasi Experimental Pre-Post Test with ?Control Group? dengan intervensi Rational EmotiveBehaviour Therapy (REBT). Sampel penelitian adalah 53 klien skizoprenia paranoid dengan PK,terdiri atas 25 kelompok intervensi dan 28 orang kelompok kontrol. Hasil penelitian menunjukkanpeningkatan respon kognitif dan sosial serta penurunan respon emosi, perilaku dan fisiologis secarabermakna (P-value
0,05) pada klien yang mendapatkan REBT. REBT direkomendasikan untukditerapkan pada klien PK bersama dengan tindakan keperawatan generalis.

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ABSTRACTViolent behavior is a maladaptive anger response, which is shown by the People whom treatedthemselves, others and the environment. The study aims to get the explanation of the effect rationalemotive behavioral therapy in reducing violent behavioral in Bogor RSMM hospital. Design with?Quasi-Experimental design Pre-Post Test with Control Group? and the intervention of rationalemotive behavior therapy (REBT). The samples of this research are 53 clients with paranoidschizophrenia who has violent behavior, consisted of 25 clients as intervention group and 28 clients ascontrol group. The Results of this research show the increasing response of cognitive, social andreducing of emotional response, behavioral, and physiological significantly, at (P-value
0,05) on theclients who get REBT. In 2 times frequency treated associated with the client's social responseincreased. REBT are recommended to provide to the clients with REBT critical nursing generalist;Violent behavior is a maladaptive anger response, which is shown by the People whom treatedthemselves, others and the environment. The study aims to get the explanation of the effect rationalemotive behavioral therapy in reducing violent behavioral in Bogor RSMM hospital. Design with?Quasi-Experimental design Pre-Post Test with Control Group? and the intervention of rationalemotive behavior therapy (REBT). The samples of this research are 53 clients with paranoidschizophrenia who has violent behavior, consisted of 25 clients as intervention group and 28 clients ascontrol group. The Results of this research show the increasing response of cognitive, social andreducing of emotional response, behavioral, and physiological significantly, at (P-value
0,05) on theclients who get REBT. In 2 times frequency treated associated with the client's social responseincreased. REBT are recommended to provide to the clients with REBT critical nursing generalist"