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"[ABSTRAKUrbanisasi membawa dampak terhadap berbagai sektor di lingkungan perkotaan, yang berdampak pada perubahan gaya hidup. Gaya hidup seperti kurang aktivitas dan makan makanan tidak sehat berdampak pada munculnya berbagai macam penyakit sepertidiabetes. Diabetes mellitus merupakan penyakit kronis yang dapat menimbulkan berbagai komplikasi, baik fisik maupun psikososial. Ansietas merupakan salah satu komplikasi psikososial yang dapat timbul akibat adanya masalah kesehatan. Intervensi keperawatan membantu bapak G mengenal ansietasnya, mengidentifikasi cara yang digunakan untuk mengatasi ansietasnya, mengajarkan bapak G untuk mengatasi ansietasnya, seperti teknik distraksi, tehnik relaksasi tarik nafas dalam dan hypnosis 5 jari, dan melibatkan keluarga dalam mengatasi ansietas bapak G, yang dapat mengatasi ansietas akibat diabetes mellitus.

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ABSTRACTUrbanization had an impact on various sector in urban environments, which have an impact on lifestyle changes. The lifestyle like inactivity and ate unhealthy foods have an impact on the emergence of various diseases such as diabetes. Diabetes mellitus is a chronic disease that can lead to various complications, both physical and psychosocial. Anxiety is one of the psychosocial complications that may arise due to healthy problems. Nursing interventions help Mr. G to identify his anxiety, teached Mr. G to decrease his anxiety with a varios technique, such as distraction technique, relaxation technique and hypnosis breathing in 5 fingers, and also involves families in overcoming anxiety Mr. G, which can overcome the anxiety caused by diabetes mellitus., Urbanization had an impact on various sector in urban environments, which havean impact on lifestyle changes. The lifestyle like inactivity and ate unhealthy foodshave an impact on the emergence of various diseases such as diabetes. Diabetesmellitus is a chronic disease that can lead to various complications, both physicaland psychosocial. Anxiety is one of the psychosocial complications that may arisedue to healthy problems. Nursing interventions help Mr. G to identify his anxiety,teached Mr. G to decrease his anxiety with a varios technique, such as distractiontechnique, relaxation technique and hypnosis breathing in 5 fingers, and alsoinvolves families in overcoming anxiety Mr. G, which can overcome the anxietycaused by diabetes mellitus.]"

"Kehidupan perkotaan menimbulkan banyak sekali masalah kesehatan baik fisik maupun psikososial. Perubahan gaya hidup masyarakat perkotaan meningkatkan masalah kesehatan seperti diabetes mellitus. Diabetes merupakan penyakit kronik yang menyebabkan stress seperti perasaan takut, khawatir, burn out, depresi, tidak berdaya, putus asa. Salah satu masalah keperawatan psikososial pada pasien adalah ansietas. Hasil evaluasi keperawatan menunjukkan bahwa teknik relaksasi nafas dalam dan hipnosis lima jari dapat mengurangi ansietas ringan?sedang.

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Urban lifestyles had many health problems both physical and psychosocial. Changes in urban lifestyles lead to increased health problems such as diabetes mellitus. Diabetes is a chronic disease that causes stress for patients such as worry, fear, burn out, depression, helplessness, and hopelessness. One of nursing problems in patients with diabetes is anxiety. Nursing evaluation results show that the deep breathing relaxation techniques and five fingers hypnosis can reduce anxiety mild-moderate in patients."

"Urbanisasi membawa dampak terhadap berbagai sektor di lingkungan perkotaan, yang berdampak pada perubahan gaya hidup. Gaya hidup seperti kurang aktivitas dan makan makanan tidak sehat berdampak pada munculnya berbagai macam penyakit seperti diabetes. Diabetes mellitus merupakan penyakit kronis yang dapat menimbulkan berbagai komplikasi, baik fisik maupun psikososial. Gangguan citra tubuh merupakan salah satu komplikasi psikososial yang dapat timbul akibat adanya ketidakpuasan terhadap diri sendiri seperti karena adanya perubahan bentuk tubuh, apabila gangguan citra tubuh tidak teratasi maka dapat mengakibatkan depresi. Intervensi keperawatan gangguan citra tubuh menggali aspek positif yang dimiliki, berpikir positif dan afirmasi positif. Kemampuan klien untuk menggali aspek positif, berpikir positif dan pengharapan yang positif dapat meningkat citra tubuh klien dengan diabetes mellitus.

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Urbanization has an impact on various sectors in the urban environment, which has led to poor lifestyles. The unhealthy lifestyles such as sedentary physical activity and unhealthy nutrition are associated with diabetes mellitus. Diabetes mellitus is a chronic disease that can lead to various complications, both physical and psychosocial. Disturbed body image is one of the psychosocial complications that resulted of dissatisfaction with one?s physical self as due to a change in body shape. If not resolved, it can lead to depression. Disturbed body image nursing interventions explore patient?s positive aspects, practice positive thinking, and positive affirmations. The results showed that these interventions effective to increase patient?s body image with diabetes mellitus."

"Berbagai komplikasi yang dialami penyandang DM menyebabkan timbulnya gangguan psikologis seperti kecemasan dan stress. Kecemasan dan stres ini apabila tidak ditangani secara baik maka akan menimbulkan masalah tersendiri yang akan semakin menyulitkan dalam pengelolaan penyakit diabetes mellitus. Kemampuan menghadapi stres berbeda pada setiap individu tergantung dari koping yang dimiliki. Mekanisme koping yang digunakan secara umum bersifat adaptif dan bersifat maladaptif. Karya ilmiah ini bertujuan untuk memaparkan hasil asuhan keperawatan yang diberikan pada salah satu klien diabetes melitus tipe 2 dengan masalah psikososial koping individu tidak efektif. Evaluasi yang didapatkan bahwa klien DM dengan koping individu yang adaptif dapat menjaga kestabilan glukosa darah. Saran yang diberikan agar dapat di implementasikannya asuhan keperawatan fisik yang terintegrasi dengan asuhan keperawatan psikososial untuk mempercepat pemuliahan klien.

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Various complications experienced by persons with diabetes mellitus cause psychological disorders such as anxiety and stress. Anxiety and stress if not handled properly it will cause problems of its own that will be increasingly difficult in the management of diabetes mellitus. The ability to deal with stress is different for each individual depending on coping owned. coping mechanisms used in general to be adaptive and maladaptive nature. This paper aims to present the results of nursing care given to one client type 2 diabetes mellitus with psychosocial problems coping ineffective individual. The evaluation found that the client said it is willing to change the individual coping is maladaptive and adaptive. Advice given in order to implement it physical nursing care that is integrated with psychosocial nursing care for clients accelerate pemuliahan."

"Masalah fisik sering sekali disertai dengan masalah psikososial dan tidak jarang menjadi penyebab ketidakefektifan terapi medis terhadap masalah fisik. Hal ini menunjukkan bahwa kesehatan psikososial sangat penting terhadap kesehatan klien dan jika diabaikan akan menimbulkan keterlambatan penyembuhan dan peningkatan risiko komplikasi. Salah satu masalah psikososial yang sering muncul adalah ansietas yaitu perasaan tidak nyaman dan kekhawatiran, sering sekali penyebabnya tidak diketahui. Karya ilmiah ini bertujuan mendeskripsikan asuhan keperawatan ansietas pada bapak P yang mengalami diabetes mellitus tipe dua dengan komplikasi gagal ginjal kronik. Asuhan keperawatan diberikan selama enam hari perawatan berupa hipnotis lima jari dan distraksi mendengarkan musik. Hasil intervensi menunjukkan masalah ansietas teratasi ditandai penurunan tanda dan gejala ansietas yang dimiliki bapak P. Disimpulkan bahwa hipnotis lima jari dan mendengarkan musik dapat menurunkan cemas pada pasien diabetes mellitus tipe dua dengan komplikasi gagal ginjal kronik.

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Physical problems often accompanied by psychosocial problems and causing ineffectiveness of medical therapy to physical problem. It suggests that psychosocial health is very important to the health of client. If it is ignored, it will cause delay healing and increase the risk of complication. One of the psychosocial problems is anxiety often showed by discomfort and worried feeling. The caused of them often unknown. This scientific paper aims to describe anxiety nursing care to patient with diabetes mellitus type two and chronic renal failure complication. Intervention was given during six days. The interventions were five fingers hypnotic and music therapy. The results showed that problem could be solved by five fingers hypnotic and music therapy marked by decrease of signs and symptoms of anxiety on patient. It was concluded that five fingers hypnotic and music therapy could reduce anxiety to patient with diabetes mellitus type two and chronic renal failure complication"

"Urbanisasi telah menyebabkan perpindahan penduduk dari desa ke kota. Karakteristik lingkungan perkotaan yang padat penduduk dan disertai dengan lingkungan yang kotor dan kumuh mengakibatkan peningkatan penyebaran penyakit infeksius seperti Tuberkulosis Paru. Masalah psikososial yang sering muncul pada pasien dengan penyakit kronis seperti Tuberkulosis Paru dan Diabetes Mellitus adalah ketidakberdayaan. Ketidakberdayaan adalah perasaan hilangnya kontrol terhadap kondisi dan situasi yang dimiliki oleh seorang individu akibat adanya hambatan untuk mengembangkan potensi dan kekuatan yang dimiliki. Faktor penyakit kronis, beban penyakit, lama pengobatan, dan tidak adanya dukungan keluarga telah menimbulkan masalah ketidakberdayaan pada Ny. Y dengan Tuberkulosis Paru dan Diabetes Mellitus di Ruang Gayatri RS Dr. H. Marzoeki Mahdi Bogor. Intervensi keperawatan berupa afirmasi positif telah terbukti menurunkan tanda gejala ketidakberdayaan pada klien dengan kedua diagnosa medis tersebut.

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Urbanization has caused a movement of population from country to town. The characteristic of urban environment with huge population and slum area could cause the escalation of pulmonary tuberculosis transmission as one of infectious diseases. Powerlessness is one of psychosocial problems often showed in chronic illness patient such as diabetes mellitus and pulmonary tuberculosis. Powerlessness is the lived experience of lack of control over a situation, including a perception that one?s actions do not significantly affect an outcome. Chronic illness, long period of medical treatment, and inadequate of family support have became the predisposition factors of powerlessness in Mrs. Y with pulmonary tuberculosis and diabetes mellitus at Gayatri Room in Marzoeki Mahdi Bogor Hospital. Positive affirmation as the main intervention in powerlessness has been proved to decrease symptoms of powerlessness on chronic illness patient."

"[ABSTRAKGlobalisasi dan perkembangan teknologi menjadi salah satu factor terjadinya urbanisasi. Urbanisasi yang tidak terkendali menyebabkan berbagai masalah kesehatan pada masyarakat perkotaan, seperti Diabetes Mellitus Tipe 2 dan Hipertensi. Kedua penyakit tersebut disebabkan oleh gaya hidup dan pola makan masyarakat perkotaan yang tidak sehat. Lebih dari 26% masyarakat perkotaan menderita DM Tipe 2 dan hipertensi. Masalah psikosial yang biasa dialami oleh pasien dengan DM Tipe 2 dan hipertensi adalah ansietas. Ansietas adalah perasaan ketidaknyamanan dan kekhawatiran yang samar terhadap sesuatu yang mengancam. Intervensi yang dapat diberikan kepada pasien DM Tipe 2 dan hipertensi dengan ansietas adalah teknik relaksasi tarik napas dalam, distraksi, dan edukasi. Teknik relaksasi napas dalam dan edukasi pada klien terbukti dapat menurunkan rasa cemas dan tekanan darah pada klien.

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ABSTRACTGlobalization and technology development become the factors of urbanization. Uncontrolled urbanization makes many health problems towards urban people, such as Diabetes Mellitus Type 2 and hypertension. Those disease are caused by unhealthy lifestyle and eating habit of urban people. More than 26% of urban people suffered DM Type 2 and hypertension. Psychosocial problem that common occurred towards urban people whose DM Type 2 and hypertension is anxiety. Anxiety is discomfort feeling and unspecified apprehension caused by something threatening. Intervention that can give towards people with DM Type 2 and hypertension is deep breathing relaxation. Deep breathing relaxation can decrease anxiety level and blood pressure.;lobalization and technology development become the factors of urbanization. Uncontrolled urbanization makes many health problems towards urban people, such as Diabetes Mellitus Type 2 and hypertension. Those disease are caused by unhealthy lifestyle and eating habit of urban people. More than 26% of urban people suffered DM Type 2 and hypertension. Psychosocial problem that common occurred towards urban people whose DM Type 2 and hypertension is anxiety. Anxiety is discomfort feeling and unspecified apprehension caused by something threatening. Intervention that can give towards people with DM Type 2 and hypertension is deep breathing relaxation. Deep breathing relaxation can decrease anxiety level and blood pressure., lobalization and technology development become the factors of urbanization. Uncontrolled urbanization makes many health problems towards urban people, such as Diabetes Mellitus Type 2 and hypertension. Those disease are caused by unhealthy lifestyle and eating habit of urban people. More than 26% of urban people suffered DM Type 2 and hypertension. Psychosocial problem that common occurred towards urban people whose DM Type 2 and hypertension is anxiety. Anxiety is discomfort feeling and unspecified apprehension caused by something threatening. Intervention that can give towards people with DM Type 2 and hypertension is deep breathing relaxation. Deep breathing relaxation can decrease anxiety level and blood pressure.]"

"Urbanisasi yang tidak terkendali menyebabkan peningkatan penyakit degeneratif pada masyarakat perkotaan, salah satunya adalah diabetes mellitus. Diabetes mellitus merupakan kondisi terjadinya peningkatan kadar gula darah yang disebabkan oleh gangguan sekresi atau fungsi insulin. Secara global, 80% penderita DM terkena DM tipe 2. Masalah psikososial yang sering terjadi pada klien dengan DM tipe 2 adalah ansietas. Ansietas dapat disebabkan oleh ketakutan terhadap komplikasi DM, kelemahan atau penurunan produktivitas kerja, perubahan gaya hidup, stigma dan diskriminasi. Ansietas merupakan perasaan tidak nyaman atau kekhawatiran yang samar yang dialami oleh seseorang. Intervensi keperawatan ansietas yang dapat diberikan pada klien dengan DM tipe 2 adalah teknik relaksasi nafas dalam, distraksi dan edukasi. Teknik relaksasi nafas dalam, distraksi dan edukasi terbukti dapat menurunkan dan mengontrol ansietas pada klien dengan DM tipe 2.

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Uncontrolled urbanization causes the increase of degenerative diseases towards urban people. Diabetes mellitus is one of the degenerative diseases. It is a condition where the level of glucose in blood increases caused by the disruption of insulin, in secretion or function. About 80% of DM patients are suffered by DM Type 2. They have anxiety as the psychosocial problem because of the fear of complications, the decrease of work productivity, the change of life style, also the stigma and discrimination. Anxiety shows as the dis-comfortable feeling. Nursing interventions, such as deep breathing relaxation, distraction, and education, can be implemented towards the patients. Those kind of nursing interventions are proved to decrease and control the anxiety towards DM Type 2 patients."

"Diabetes melitus merupakan sekelompok kelainan heterogen yang ditandai oleh kenaikan kadar glukosa dalam darah yang disebabkan oleh kemampuan tubuh untuk bereaksi terhadap insulin menurun atau pankreas menghentikan produksi insulin. Diabetes melitus adalah salah satu penyakit kronis yang dapat menyebabkan munculnya masalah psikososial seperti ketidakberdayaan. Karya ilmiah ini bertujuan untuk menggambarkan asuhan keperawatan ketidakberdayaan pada pasien yang mengalami penyakit diabetes mellitus tipe 2, khususnya metode latihan berpikir positif. Latihan berpikir positif dapat mengarahkan seseorang untuk mampu berpikir secara positif kembali sehingga peran perawat penting dalam menerapkan asuhan keperawatan psikososial. Jika tidak segera ditangani, ketidakberydayaan dapat menyebabkan keputusasaan.

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Diabetes mellitus is a heterogeneous group of disorders characterized by increased in blood glucose level caused by the body's ability to respond to insulin decreased or pancreatic insulin production halt. Diabetes mellitus is a chronic illness that contribute to psychosocial problem such as powerlessness.

This paper purposed to describe nursing care of powerlessness on the patient with diabetes mellitus type 2, especially positive thinking exercise method. Positive thinking exercise can lead someone to be able to think positively again so that nurse’s role is important in implementing psychosocial nursing care. If powerlessness is not treated immediately, it can lead to hopelessness."

"[ABSTRAK Penyakit kardiovaskular seperti gagal jantung kongestif memiliki prevalensi yang tinggi yang dapat disebabkan oleh perubahan pola hidup pada masyarakat urban. Kenaikan prevalensi penyakit kardiovaskular berhubungan dengan proses urbanisasi yang progresif dan globalisasi dari pola hidup tidak sehat yang ada pada masyarakat urban atau perkotaan. Tanda klinis yang muncul serta proses hospitalisasi dapat menjadi salah satu faktor munculnya masalah psikososial pada pasien gagal jantung kongestif. Masalah psikososial yang sering ditemukan adalah ansietas. Penulisan karya ilmiah ini bertujuan memberikan analisis mengenai asuhan keperawatan ansietas pada pasien gagal jantung kongestif. Intervensi yang dianalisis meliputi relaksasi napas dalam, hipnosis lima jari, distraksi sosialisasi dan pemberian informasi. Evaluasi tindakan menunjukan bahwa lebih banyak tanda gejala yang menghilang saat memberikan kombinasi tarik napas dalam dan hipnosis lima jari selama lima hari perawatan. ABSTRACT Cardiovascular disease such as congestive heart failure have high prevalence due to the transition of lifestyle in urban society. The increase of prevalence relates to the progressive and global urbanization which has unhealthy sedentary lifestyle in urban society. The presence of sign and symptom or hospitalization may cause the psychosocial problem in patient with CHF such as anxiety. The objective was to analyze the psychosocial nursing care plan specifically anxiety in CHF patient. Nursing intervention which has given are deep breathing relaxation, five finger hypnosis, distraction and health education. It shows that sign and symptom of anxiety decreased significantly when deep breathing and hypnosis is combined.;Cardiovascular disease such as congestive heart failure have high prevalence due to the transition of lifestyle in urban society. The increase of prevalence relates to the progressive and global urbanization which has unhealthy sedentary lifestyle in urban society. The presence of sign and symptom or hospitalization may cause the psychosocial problem in patient with CHF such as anxiety. The objective was to analyze the psychosocial nursing care plan specifically anxiety in CHF patient. Nursing intervention which has given are deep breathing relaxation, five finger hypnosis, distraction and health education. It shows that sign and symptom of anxiety decreased significantly when deep breathing and hypnosis is combined.;Cardiovascular disease such as congestive heart failure have high prevalence due to the transition of lifestyle in urban society. The increase of prevalence relates to the progressive and global urbanization which has unhealthy sedentary lifestyle in urban society. The presence of sign and symptom or hospitalization may cause the psychosocial problem in patient with CHF such as anxiety. The objective was to analyze the psychosocial nursing care plan specifically anxiety in CHF patient. Nursing intervention which has given are deep breathing relaxation, five finger hypnosis, distraction and health education. It shows that sign and symptom of anxiety decreased significantly when deep breathing and hypnosis is combined.;Cardiovascular disease such as congestive heart failure have high prevalence due to the transition of lifestyle in urban society. The increase of prevalence relates to the progressive and global urbanization which has unhealthy sedentary lifestyle in urban society. The presence of sign and symptom or hospitalization may cause the psychosocial problem in patient with CHF such as anxiety. The objective was to analyze the psychosocial nursing care plan specifically anxiety in CHF patient. Nursing intervention which has given are deep breathing relaxation, five finger hypnosis, distraction and health education. It shows that sign and symptom of anxiety decreased significantly when deep breathing and hypnosis is combined.;Cardiovascular disease such as congestive heart failure have high prevalence due to the transition of lifestyle in urban society. The increase of prevalence relates to the progressive and global urbanization which has unhealthy sedentary lifestyle in urban society. The presence of sign and symptom or hospitalization may cause the psychosocial problem in patient with CHF such as anxiety. The objective was to analyze the psychosocial nursing care plan specifically anxiety in CHF patient. Nursing intervention which has given are deep breathing relaxation, five finger hypnosis, distraction and health education. It shows that sign and symptom of anxiety decreased significantly when deep breathing and hypnosis is combined., Cardiovascular disease such as congestive heart failure have high prevalence due to the transition of lifestyle in urban society. The increase of prevalence relates to the progressive and global urbanization which has unhealthy sedentary lifestyle in urban society. The presence of sign and symptom or hospitalization may cause the psychosocial problem in patient with CHF such as anxiety. The objective was to analyze the psychosocial nursing care plan specifically anxiety in CHF patient. Nursing intervention which has given are deep breathing relaxation, five finger hypnosis, distraction and health education. It shows that sign and symptom of anxiety decreased significantly when deep breathing and hypnosis is combined.]"