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Prastiwi Puji Rahayu
"[ABSTRAK
Isolasi sosial merupakan suatu pengalaman menyendiri dan kesepian dari seseorang dan perasaan segan terhadap orang lain sebagai sesuatu yang negatif atau keadaan yang mengancam. Tujuan Karya Ilmiah Akhir ini untuk memberikan gambaran tentang manajemen kasus spesialis keperawatan jiwa pada klien isolasi sosial terhadap penurunan tanda dan gejala isolasi sosial serta peningkatan kemampuan klien dalam ketrampilan sosial dengan pendekatan Model Hubungan Interpersonal Peplau dan Model Stres Adaptasi Stuart. Terapi spesialis keperawatan yang diberikan adalah Social Skill Training (SST), Cognitive Behavior Social Skill Training (CBSST) dan Family Psychoeducation (FPE). SST diberikan pada 21 klien, SST+CBSST diberikan pada 7 klien dan FPE diberikan pada 12 keluarga. Hasil yang ditemukan SST dan CBSST efektif dalam menurunkan tanda dan gejala isolasi sosial yang ditunjukkan melalui respon kognitif, afektif, fisiologis, perilaku dan sosial serta meningkatkan kemampuan klien dalam ketrampilan sosial. FPE terbukti meningkatkan kemampuan keluarga dalam merawat klien isolasi sosial. SST, CBSST, dan FPE direkomendasikan sebagai terapi spesialis keperawatan pada klien isolasi sosial.

ABSTRACT
Social isolation is an experience of solitude and loneliness of someone and feeling disinclined toward others as something negative or threatening circumstances. Final Scientific Paper aims to provide an overview of nursing case management specialist at the client's life social isolation of the signs and symptoms as well as the ability of clients to approach Peplau Model Theory of Interpersonal Relations and Stress Adaptation Model Stuart. Social Skills Training (SST) given to 21 clients, SST+Cognitive Behavior Social Skill Training (CBSST) given on 7 client and Family psychoeducation (FPE) given to 12 families. Results found CBSST SST and effective in reducing the signs and symptoms of social isolation indicated by the response of cognitive, affective, physiological, behavioral and social as well as improve the ability of clients in social skills. FPE proven to increase the ability of families in caring for clients of social isolation. SST, CBSST, and FPE recommended as therapy nursing specialists at the client's social isolation., Social isolation is an experience of solitude and loneliness of someone and feeling disinclined toward others as something negative or threatening circumstances. Final Scientific Paper aims to provide an overview of nursing case management specialist at the client's life social isolation of the signs and symptoms as well as the ability of clients to approach Peplau Model Theory of Interpersonal Relations and Stress Adaptation Model Stuart. Social Skills Training (SST) given to 21 clients, SST+Cognitive Behavior Social Skill Training (CBSST) given on 7 client and Family psychoeducation (FPE) given to 12 families. Results found CBSST SST and effective in reducing the signs and symptoms of social isolation indicated by the response of cognitive, affective, physiological, behavioral and social as well as improve the ability of clients in social skills. FPE proven to increase the ability of families in caring for clients of social isolation. SST, CBSST, and FPE recommended as therapy nursing specialists at the client's social isolation.]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Kens Napolion
"Isolasi sosial adalah salah satu gejala negatif dari skizofrenia (Stuart, 2009) yang paling banyak ditemukan di ruang Bratasena. Isolasi sosial dapat diartikan sebagai keadaan seorang individu yang mengalami penurunan atau bahkan sama sekali tidak mampu berinteraksi dengan orang lain disekitarnya, mungkin merasa ditolak, tidak diterima, kesepian, dan tidak mampu membina hubungan yang berarti dengan orang lain (Keliat, dkk, 2011). Social skills training merupakan salah satu pendekatan psikoedukasional untuk memperbaiki kekurangan pada beberapa kemampuan interpersonal dalam berinteraksi dengan orang lain (Stuart &Laraia, 2005). Cognitive behavior therapy merupakan salah satu bentuk psikoterapi yang didasarkan pada teori bahwa tanda dan gejala fisiologis berhubungan dengan interaksi antara pikiran, perilaku dan emosi (Pedneault, 2008).
Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan penerapan terapi social skills training dan cognitive behavior therapy pada klien isolasi sosial dengan pendekatan Model Hubungan Interpersonal Peplau. Penerapan social skills trainingdilakukan pada 26 kliendan cognitive behavior therapydilakukan pada 15 orang klien di ruang Bratasena pada kurun waktu 20 Pebruari - 20 April 2012.
Hasil terapi Social skills training sangat efektif pada 26 klien isolasi sosialdengan menunjukkan peningkatan dalam berkomunikasi, baik secara verbal maupun non verbal. Terapi Cogntive behavior therapy juga menunjukkan efektifitasnya dimana sebanyak 15 klien mampu menunjukkan kemampuan mengubah pikiran otomatis yang negatif terhadap diri, orang lain, dan lingkungannya. Berdasarkan hasil di atas perlu direkomendasikan bahwa social skills trainingdan cognitive behavior therapydapat dijadikan standar terapi spesialis keperawatan jiwa dan perlu disosialisasikan pada seluruh tatanan pelayanan kesehatan.

Social isolation is one of the negative symptoms of skizofrenia (Stuart, 2009) is mostcommonly found in the Bratasena. Social isolation can be interpreted as the state of an individual who had a reduction or even not at all able to interact with others around them, may feel rejected, not accepted, lonely, and unable to establish meaningful relationships with others (Keliat, et al, 2011). Social skills training is one approach psikoedukasional to correct deficiencies in some interpersonal skills in interacting with others (Stuart &Laraia, 2005). Cognitive behavior therapy is a form of psychotherapy that is based on the theory that the physiological signs and symptoms associated with the interaction between thoughts, behaviors and emotions (Pedneault, 2008).
Purpose of this final scientific work is to describe the application of social skills training therapy and cognitive behavior therapy in client's social isolation with Peplau Interpersonal Relations Model approach. Application of social skills training carried out at 26 clients and cognitive behavior therapy performed on 15 clients in the Bratasena during the period 20 February - 20 April 2012.
Social skills training outcomes are very effective in social isolation with 26 clients showed an increase in communication, both verbal and non verbal. Cogntive therapy behavior therapy also showed its effectiveness in which as many as 15 clients were able to demonstrate the ability to change negative automatic thoughts to yourself, others and the environment. Based on the above results need to be recommended that social skills training and cognitive behavior therapy can be used as standard therapy nursing specialists need to be socialized to whole structure of health services.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
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UI - Tugas Akhir  Universitas Indonesia Library
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Netrida Netrida
"[ABSTRAK
Resiko Perilaku Kekerasan merupakan diagnosa keperawatan yang terbanyak ditemukan di ruang Intensive Kresna Pria Rumah Sakit Dr. H Marzoeki Mahdi Bogor sebanyak 70%. Tujuan Karya Ilmiah Akhir ini untuk menjelaskan penerapan terapi Assertiveness Training (AT), Cognitive Behaviour Therapy (CBT), dengan menggunakan pendekatan Teori Interpersonal Peplau, Stress Adaptasi Stuart. Analisis dilakukan pada 39 klien AT, dan 20 klien CBT dalam kurun waktu 16 Februari -17 April 2015. Hasil pelaksanaan AT dan CBT meningkatkan kemampuan mengatasi perilaku kekerasan, meningkatkan penurunan tanda gejala perilaku kekerasan pada aspek kognitif, afektif, fisiologis, perilaku dan sosial. AT dan CBT merupakan terapi yang efektif untuk mengatasi masalah risiko perilaku kekerasan. ABSTRACT Violent risk behaviours as one of nursing diagnosis usually found at Male Intensive Care Ward as approximately 70%. The purpose of this scientific paper was to describe the application of Assertiveness Training (AT), and Cognitive Behaviour Therapy (CBT), utilizing Peplau?s Interpersonal Theory and Stuart?s Stress-Adaptation Theory as approach. The result of assertiveness training to 39 clients cognitive behaviour therapy to 20 clients during a period of 16 February-17 April 2015 showed that those combination of therapies could improve the ability of clients to deal with their aggressive behaviours, and decreased the signs and symprotms of violent behaviours in cognitive, affective, physiological, behaviour and social aspects. These
therapies had proved to be effective for treating the clients with violent risk behaviors. , Violent risk behaviours as one of nursing diagnosis usually found at Male Intensive Care Ward as approximately 70%. The purpose of this scientific paper was to describe the application of Assertiveness Training (AT), and Cognitive Behaviour Therapy (CBT), utilizing Peplau’s Interpersonal Theory and Stuart’s Stress-Adaptation Theory as approach. The result of assertiveness training to 39 clients cognitive behaviour therapy to 20 clients during a period of 16 February-17 April 2015 showed that those combination of therapies could improve the ability of clients to deal with their aggressive behaviours, and decreased the signs and symprotms of violent behaviours in cognitive, affective, physiological, behaviour and social aspects. These
therapies had proved to be effective for treating the clients with violent risk behaviors. ]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Satrio Kusumo Lelono
"Perilaku kekerasan atau risiko perilaku kekerasan adalah salah satu gejala positif dari skizoprenia (Sinaga, 2007). Asertiveness training (AT) dapat menurunkan perilaku kekerasan pada klien Skizoprenia (Wahyuningsih, 2009). REBT dan RECBT merupakan terapi yang dapat diberikan pada klien dengan perilaku kekerasan yang memberikan dampak penurunan tanda gejala dan peningkatan kemampuan koping (Putri, 2010; Lelono, 2012).
Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan penatalaksanaan asuhan keperawatan dengan pendekatan model adaptasi Roy dan Interpersonal Peplau pada klien dengan risiko perilaku kekerasan. Penerapan assertiveness training REBT dan RECBT dilakukan pada 30 orang klien di ruang Kresna Pria pada kurun waktu 20 Februari - 20 April 2012.
Hasil assertiveness training sangat efektif pada 21 klien menunjukkan peningkatan dalam mencegah perilaku kekerasan. Terapi REBT dan RECBT juga menunjukkan efektifitasnya dimana sebanyak 22 klien selain mampu mengatasi keyakinan irrasional, pikiran dan perilaku negatif yang mengarah pada perilaku kekerasan.
Berdasarkan hasil di atas perlu direkomendasikan bahwa AT, REBT dan RECBT dengan pendekatan 6 (enam) peran perawatdapat dijadikan standar terapi spesialis keperawatan jiwa dan perlu disosialisasikan pada seluruh tatanan pelayanan kesehatan.

Risk of violent behavior or violent behavior is one of the positive symptoms of skizoprenia (Sinaga, 2007). Asertiveness training (AT) can reduce violent behavior on the client Skizoprenia (Wahyuningsih, 2009). REBT and RECBT is a therapy that can be given to the client with violent behavior that gives the impact of the signs and symptoms of increased coping abilities (Putri, 2010; Lelono, 2012).
The purpose of this final scientific work is to describe the management of nursing care with the Roy adaptation model approach and Peplau Interpersonal on the client with a risk of violent behavior. Assertiveness training and application of REBT RECBT performed on 30 clients in the Krishna man during the period 20 February to 20 April 2012.
The results of assertiveness training is very effective on 21 clients showed improvement in preventing violent behavior. REBT therapy and RECBT also demonstrated its effectiveness in which as many as 22 clients in addition to be able to overcome irrational beliefs, negative thoughts and behaviors that lead to violent behavior.
Based on the above results need to be recommended that the AT, and RECBT REBT approach 6 (six) role of nurses can be used as standard therapy nursing specialists need to be socialized to people and the whole fabric of health care.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
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UI - Tugas Akhir  Universitas Indonesia Library
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Firman Hidayat
"Cognitif Behavior Therapy dirancang untuk meningkatkan kemampuan Kognitif dan prilaku bagi seseorang yang mengalami pemikiran otomatis negative dan prilaku negative. Penerapan terapi perilaku kognitif akan mengubah status pikiran dan perilaku klien, sehingga perilaku negatif yang muncul akan menjadi perilaku yang positif (Oemarjoedi, 2003).
Tujuan penulisan karya ilmiah akhir ini adalah diperolehnya gambaran hasil Penerapan Cognitif Behavior Therapy pada klien halusinasi dan prilaku kekerasan dengan pendekatan Model Hubungan Interpersonal Peplau di Ruang Utari RS Dr Marzoeki Mahdi Bogor.
Penerapan Cognitif Behavior Therapy dilakukan pada 28 klien di ruang Utari mulai 09 September - 12 November 2013. Hasil Cognitif Behavior Therapy merupakan terapi yang tepat dan dapat digunakan pada klien yang mengalami Halusinasi Dan Prilaku Kekerasan, dimana seluruh klien dapat melakukan setiap sesi pada Cognitif Behavior Therapy.
Berdasarkan hasil penelitian perlu direkomendasikan bahwa Cognitif Behavior Therapy dapat dijadikan standar terapi spesialis keperawatan jiwa yang dapat digunakan pada klien yang mengalami halusinasi dan prilaku kekerasan."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
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UI - Tugas Akhir  Universitas Indonesia Library
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Florensa
"Riskesdas (2007) mengungkapkan data yang menunjukkan bahwa semakin bertambahnya usia seseorang maka akan meningkatkan risiko untuk mengalami gangguan mental emosional yang apabila tidak ditangani dengan tepat dapat berkembang menjadi suatu keadaan yang patologis (gangguan jiwa berat). Terapi Reminiscence merupakan salah satu psikoterapi yang efektif untuk mengatasi harga diri rendah dan isolasi sosial pada lansia yang mengalami gangguan jiwa.
Tujuan penulisan karya ilmiah akhir ini adalah diperolehnya gambaran hasil penerapan terapi Reminiscence pada klien harga diri rendah dan isolasi sosial dengan menggunakan pendekatan model Stress Adaptasi Stuart dan model Interpersonal Peplau di ruang Saraswati Rumah Sakit dr Marzuki Mahdi Bogor. Penerapan terapi Reminiscence ini dilaksanakan pada periode 13 September - 15 November 2013. Terapi ini dilakukan pada 10 orang klien.
Hasil pelaksanaan terapi Reminiscence menunjukkan adanya penurunan yang bermakna pada kondisi harga diri rendah dan isolasi sosial. Terapi kelompok Reminiscence direkomendasikan untuk mengatasi harga diri rendah dan isolasi sosial pada lansia.

Riskesdas (2007) revealed the data that showed when people growing old they increase the risk of getting mental emositional disturbance that if it is not handled effectively can spread to become a pathology condition (heavy mental disurbance). The therapy of Reminiscence is one of the effective psicotherapy in facing the low self-esteem dan social isolation toward old people that having the mental disturbance.
The pupose of this final scientific paper is to get illustration of the result the implementation of the Reminiscence therapy toward the low selfesteem and social isolation client using Stress Adaptation model and Interpersonal Peplau's model approach in Saraswati dr. Marzuki Mahdi Hospital in Bogor. The implementation of Reminiscence therapy is done in period of September 13th until spetember 15th 2013. The therapy was giving to 10 clients.
The result of this Reminiscence therapy showed there was the meaningful decrease to the condition of low self-esteem dan social isolation. Reminiscene group therapy is recommended in handling the low self-esteem and social isolation toward old people.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
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UI - Tugas Akhir  Universitas Indonesia Library
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Anang Nurwiyono
"Prevalensi gangguan jiwa berat Skizofrenia di Indonesia setiap tahun mengalami peningkatan yang cukup signifikan. Berdasarkan hasil Riset Kesehatan Dasar tahun 2013 prevalensi Skizofrenia di Indonesia sebesar 1,7‰. Resiko perilaku kekerasan adalah salah satu gejala positif dari Skizofrenia.
Tujuan penulisan karya ilmiah akhir ini adalah memperoleh gambaran manajemen kasus spesialis keperawatan jiwa terhadap pasien risiko perilaku kekerasan dengan pendekatan stres adaptasi Stuart dan model adaptasi Roy. Intervensi keperawatan yang dilakukan adalah assertiveness training dan acceptance and commitment therapy pada 32 Pasien dalam kurun waktu 17 Februari - 18 April 2014 di Ruang Utari RSMM Bogor.
Hasil pelaksanaan manajemen kasus spesialis dapat menurunkan tanda dan gejala perilaku kekerasan pada aspek kognitif, afektif, fisiologis, perilaku dan sosial serta peningkatan kemampuan koping adaptif pasien.
Rekomendasi penulisan ini adalah bahwa penerapan stres adaptasi Stuart dan model adaptasi Roy dengan intervensi keperawatan assertiveness training dan acceptance and commitment therapy dapat menurunkan perilaku kekerasan.

Prevalence of the serious mental disorder Schizophrenia in Indonesia each year has increased significantly. Riskesdas result in 2013 the prevalence of Schizophrenia in Indonesia is 1,7‰. Violence risk behavior is one of the positive symptoms of Schizophrenia.
The objective of this paper was to describe the application a psychiatric nursing specialist case management for Patients with a risk of violence behavior by using the stress adaptation Stuart and Roy’s adaptation model. Nursing interventions was assertiveness training, asceptance and commitment therapy to the 32 Patients during 17 Februari - 18 April 2014 at Utari Ward RSMM Bogor.
The result of using the application a psychiatric nursing specialist has proven it can reduce symptoms of violence behavior in cognitive, affective, physiological, behavioral and social as well as improving adaptive coping Patients.
Recommendation from this report is by applying stress adaptation models of Stuart's and Roy's adaptation models with nursing intervention, assertiveness training acceptance and commitment therapy, it can reduce violence risk behavior.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
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UI - Tugas Akhir  Universitas Indonesia Library
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I Ketut Sudiatmika
"Karya Ilmiah Akhir ini bertujuan memberikan gambaran manajemen kasus spesialis keperawatan jiwa pada klien harga diri rendah kronis melalui pendekatan model adaptasi Roy di Ruang Yudistira Rumah Sakit Dr. H. Marzoeki Mahdi Bogor. Rational emotive behavior therapy (REBT) dan cognitive therapy (CT) diberikan kepada 25 klien.
Hasil yang ditemukan REBT dan CT efektif dalam menurunkan gejala harga diri rendah kronis yang ditunjukkan melalui respon kognitif, afektif, fisiologis, perilaku dan sosial. REBT dan CT direkomendasikan sebagai terapi spesialis keperawatan pada klien harga diri rendah kronis.

This study aims to describe the case management specialist in mental nursing to the patients with chronic low self-esteem using Roy adaptation model approach at Yudistira Room Dr. H. Marzoeki Mahdi Hospital in Bogor. Rational emotive behavior therapy (REBT) and cognitive therapy (CT) provided to 25 clients.
The results of REBT and CT were found effective in reducing symtoms of chronic low self-esteem is demonstreted through the response of cognitive, affective, physiological, behavioral and social. REBT and CT is recommended as therapy of nursing specialists at the client's chronic low selfesteem.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
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UI - Tugas Akhir  Universitas Indonesia Library
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Ervan
"Defisit perawatan diri adalah salah satu gejala negatif dari skizoprenia, merupakan ketidakmampuan melakukan perawatan diri. Tujuan penulisan karya ilmiah akhir ini adalah memberikan gambaran penerapan terapi generalis, terapi aktivitas kelompok, terapi perilaku dan psikoedukasi keluarga terhadap tanda dan gejala serta kemampuan klien defisit perawatan diri. Metode yang digunakan adalah deskriptif analitik melalui pendekatan model stres adaptasi Stuart dan model adaptasi Roy di Rumah Sakit Jiwa. Penerapan terapi generalis dan terapi aktivitas kelompok pada 40 klien, dengan hasil 16 klien mengalami penurunan tanda dan gejala serta peningkatan kemampuan perawatan diri. Penerapan terapi perilaku dan psikoedukasi keluarga merupakan terapi lanjutan hanya terhadap 24 klien, hasilnya 23 klien mengalami penurunan tanda dan gejala serta peningkatan kemampuan klien dan keluarga dalam perawatan diri klien. Direkomendasikan kombinasi terapi perilaku dan psikoedukasi keluarga dengan pendekatan model stres adaptasi Stuart dan model adaptasi Roy menjadi standar terapi spesialis keperawatan jiwa untuk klien defisit perawatan diri.

Self-care deficit is one of the negative symptoms of schizophrenia, an inability to perform self-care. The purpose of writing this final scientific work is to provide a description of the application of generalist therapy, group activity therapy, behavior therapy and family psychoeducation for signs and symptoms as well as the client's ability to self-care deficit. The method used is descriptive analytic approach stress adaptation model of Stuart and Roy adaptation model at the Mental Hospital. Application of generalist therapy and groups therapeutic activity at 40 client, with the results of 16 clients decreased signs and symptoms as well as improving self-care ability. The application of behavior therapy and family psychoeducation is an advanced therapy only for 24 clients, the result is 23 clients decreased signs and symptoms as well as improving the ability of clients and families in self-care clients. Recommended combination of behavior therapy and family psychoeducation with stress adaptation model approach Stuart and Roy adaptation model become standard therapy for the soul of nursing specialist client self-care deficit."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Syisnawati
"[ABSTRAK
Ansietas merupakan kondisi atau perasaan yang tidak menentu yang dirasakan seseorang yang dapat disebabkan oleh berbagai faktor diantaranya adanya masalah gangguan fisik Sebagaimana telah dibuktikan bahwa kesehatan umum seseorang mempunyai akibat nyata sebagai predisposisi terhadap ansietas. Ansietas mungkin disertai dengan gangguan fisik dan selanjutnya menurunkan kapasitas seseorang untuk mengatasi stresor. Tujuan karya ilmiah akhir ini untuk memberikan gambaran tentang penerapan terapi penghentian pikiran, relaksasi otot progressif, dan psikoedukasi keluarga dengan pendekatan Model stress adaptasi Stuart dan interpersonal Peplau. Terapi tersebut diberikan kepada klien ansietas sebanyak 16 klien. Hasil penerapan terapi ini menunjukan dapat menurunkan tanda dan gejala ansietas dan meningkatkan kemampuan klien dalam menggunakan sumber dukungan. Hasil karya ilmiah ini diharapkan Puskesmas dapat melanjutkan terapi penghentian pikiran, relaksasi otot progressif dan psikoedukasi keluarga secara berkesinambungan, meningkatkan dukungan sosial dengan memberdayakan masyarakat.

ABSTRACT
Anxiety is a condition or feeling of uncertainty felt by someone who can be caused by various factors, including the problem of physical disorders As has been proved that the person's general health has a real effect as a predisposition to anxiety. Anxiety may be accompanied by physical disruption and further lowers a person's capacity to cope with stressors. This final goal of scientific work to provide an overview of the application of the cessation therapies mind, progressive muscle relaxation, and family psychoeducation model approach stress adaptation and interpersonal Peplau Stuart. The treatment given to the client anxiety as much as 16 clients. Shows the result of applying this therapy can reduce the signs and symptoms of anxiety and improve the ability of the client to use a source of support. Expected results of this scientific work can continue cessation therapy of thought stopping, progressive muscle relaxation and family psychoeducation ongoing basis, increasing social support and empower communities., Anxiety is a condition or feeling of uncertainty felt by someone who can be caused by various factors, including the problem of physical disorders As has been proved that the person's general health has a real effect as a predisposition to anxiety. Anxiety may be accompanied by physical disruption and further lowers a person's capacity to cope with stressors. This final goal of scientific work to provide an overview of the application of the cessation therapies mind, progressive muscle relaxation, and family psychoeducation model approach stress adaptation and interpersonal Peplau Stuart. The treatment given to the client anxiety as much as 16 clients. Shows the result of applying this therapy can reduce the signs and symptoms of anxiety and improve the ability of the client to use a source of support. Expected results of this scientific work can continue cessation therapy of thought stopping, progressive muscle relaxation and family psychoeducation ongoing basis, increasing social support and empower communities.]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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