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"Kasus nyeri lebih banyak mengakibatkan ansietas. Tujuan karya tulis ilmiah ini adalah mengetahui efektifitas terapi penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga pada klien nyeri dan ansietas. Metode yang digunakan dengan analisa kasus. Jumlah klien yang dikelola sebanyak 90 orang dengan kelompok 1 sebanyak 40 klien diberikan tindakan keperawatan ners, terapi penghentian pikiran dan relaksasi otot progresif, kelompok 2 sebanyak 50 orang diberikan tindakan keperawatan ners, penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga. Hasil asuhan keperawatan ini adalah ada pengaruh tindakan keperawatan ners dan ners spesialis (penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga) terhadap penurunan tanda gejala serta peningkatan kemampuan klien dan keluarga dalam mengurangi nyeri dan mengatasi ansietas. Asuhan keperawatan ini merekomendasikan terapi penghentian pikiran, terapi relaksasi otot progresif dan terapi psikoedukasi keluarga sebagai terapi keperawatan pada ansietas.

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Knowledge and experience of pain is an unpleasant emotional result of tissue damage that actual or potential. Pain occurs along much of the disease process or together with some diagnostic examination or treatment. The relationship between pain and anxiety are complex. Ansietas can increase the perception of pain, but pain can also cause a feeling of anxiety and can occur when a person feel threatened both physically and Psychology (such as self-esteem, self, or a picture ID). This scientific paper objective is to know the results of the effectiveness of thought stopping therapy, progressive muscle relaxation and family psikoeducation on the client ansietas and pain through the adaptation of the model approach to Roy. The number of clients that are managed as many as 90 people.

The results of this scientific paper is there influence nursing actions ners and ners specialists (thought stopping, progressive muscle relaxation and family psychoeducation) against a decrease in symptoms and signs of increased the ability of clients and families in reducing pain and cope with ansietas. This scientific paper recommends therapy thought stopping, progressive muscle relaxation therapy and family psychoeducation therapy as a family on anxiety. "

"Klien dengan penyakit fisik cenderung mengalami ansietas dan kondisi tersebut dapat memperburuk kondisi fisiknya. Karya ilmiah akhir ini bertujuan untuk mengetahui hasil penerapan terapi penghentian pikiran, relaksasi otot progresif, terapi kognitif dan psikoedukasi keluarga terhadap respons ansietas klien. Responden sejumlah 71 klien ansietas dengan penyakit fisik, terdiri dari 36 klien mendapatkan paket pertama yaitu tindakan ners dan ners spesialis (terapi penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga) serta 35 klien mendapatkan paket kedua yaitu tindakan ners dan ners spesialis (terapi kognitif dan psikoedukasi keluarga). Analisis dilakukan terhadap tanda dan gejala dan kemampuan klien dan keluarga sebelum dan sesudah dilakukan tindakan keperawatan. Hasil penerapan tindakan paket pertama dan paket kedua menunjukkan penurunan tanda gejala ansietas secara bermakna pada semua respons, kedua paket tidak ada perbedaan signifikan. Kedua paket tindakan ini direkomendasikan untuk mengatasi ansietas pada klien.

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Clients with physical illness tend to experience anxiety and the condition can worsen their physical condition. The aim of this study was to determine the result of the implementation of the thought stopping therapy, progressive muscle relaxation therapy, cognitive therapy and family psychoeducation for client with anxiety. A total of 71 anxiety clients with physical illness participated in this study, from which 36 clients received the first intervention: general nurses and nurse specialists intervention (thought stopping therapy, progressive muscle relaxation and family psychoeducation) and 35 clients received the second intervention: general nurses and nurse specialists intervention (cognitive therapy and family psychoeducation).

The analysis was conducted on the signs and symptoms of anxiety clients and the ability of clients and families before and after the nursing intervention. The results of the first and second of nursing intervention showed a decrease in signs and symptoms of anxiety on all the responses and the increased capacity of clients and families in overcoming anxiety. There was no significant difference from giving the first and second intervention in the reduction of the signs and symptoms of anxiety. This intervention, therefore, is recommended to overcome anxiety in clients."

"Seseorang yang mengalami masalah kesehatan fisik dapat menimbulkan masalah kesehatan jiwa yaitu ansietas. Tujuan karya ilmiah akhir ini adalah untuk memberikan gambaran penerapan tindakan ners, terapi relaksasi otot progresif, penghentian pikiran, psikoedukasi keluarga, terapi suportif pada klien hipertensi yang mengalami ansietas. Metode yang digunakan dalam karya ilmiah ini adalah analisis kasus klien ansietas. Jumlah klien yang dikelola sebanyak 37 orang. Sebanyak 23 orang mendapatkan tindakan ners, relaksasi otot progresif, penghentian pikiran, psikoedukasi keluarga dan terapi suportif. Sebanyak 14 orang mendapatkan tindakan ners dan terapi suportif. Hasil yang ditemukan terjadi penurunan tanda gejala serta peningkatan kemampuan mengendalikan ansietas paling besar pada klien yang mendapatkan lima terapi. Tindakan ners, terapi relaksasi otot progresif, penghentian pikiran, psikoedukasi keluarga dan terapi suportif direkomendasikan sebagai terapi keperawatan pada ansietas.

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Someone who experience physical health problems can cause mental health problem, example anxiety. The purpose of study to illustrate the application of ners intervention, progressive muscle relaxation therapy, tought stopping therapy, family psychoeducation, supportive therapy in hypertension who experience anxiety. The method used is the case analisys in anxiety clients. The amount of clients are 34 people, 23 clients given ners intervention, progressive muscle relaxation therapy, tought stopping therapy, family psychoeducation, supportive therapy. 14 clients given ners intervention and supportive therapy. The results were found decrease the signs and symptoms anxiety and increase the ability of control anxiety most at clients who get five therapy. Progressive muscle relaxation therapy, tought stopping therapy, family psychoeducation, supportive therapy is recommended a nursing therapy in anxiety. "

"Pengaruh terapi kognitif perilaku, penghentian pikiran, dan psikoedukasi keluarga terhadap ansietas dan depresi klien diabetes melitus di Rumah Sakit Umumxii 100 hal 12 tabel 4 skema 18 lampiranAbstrakDiabetes melitus memberi dampak terjadinya ansietas dan depresi. Tujuan penelitian adalah untuk mengetahui pengaruh tindakan keperawatan ners, terapi kognitif perilaku, terapi penghentian pikiran dan terapi psikoedukasi keluarga terhadap ansietas, depresi, kemampuan mengubah kognitif dan perilaku, kemampuan keluarga dan kadar gula darah klien diabetes melitus. Jenis penelitian kuantitatif dengan desain quasi eksperimental without control group. Jumlah responden 32 orang. Instrumen ansietas dan depresi menggunakan HADS, nilai ansietas 12,1 dikatakan ansietas, serta nilai depresi 6,6 tidak depresi. Hasil penelitian menunjukkan kombinasi tindakan keperawatan ners, terapi kognitif perilaku, penghentian pikiran dan psikoedukasi keluarga secara bermakna p

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Effect of cognitive behavioral therapy, Thought stopping, and family psychoeducation against anxiety and depression clients diabetes mellitus in the General Hospital xii 100 12 things schema table 4 18 attachmentsAbstract Diabetes mellitus affects the occurrence of anxiety and depression.

The research objective was to determine the influence of nursing actions nurses, cognitive behavior therapy, therapy discontinuation of mind and family psychoeducation therapy against anxiety, depression, cognitive abilities and behavioral change, the ability of family and blood sugar levels of diabetes mellitus clients.

Quantitative research with quasi experimental design without control group. The number of respondents 32 people. Instruments using HADS anxiety and depression, anxiety value of 12.1 is said to anxiety and depression value of 6.6 is not depressed.

The results showed the combination of nursing actions nurses, cognitive behavior therapy, cessation of mind and psychoeducation families were significantly p "

"Penyakit fisik sering berdampak pada masalah psikologis (gangguan mental emosional). Masalah psikososial yang paling banyak terjadi adalah pada masalah depresi dan ansietas yang akan menghambat proses penyembuhan. Ansietas merupakan perasaan khawatir, tidak pasti terhadap sesuatu yang tidak jelas. Tujuan: menjelaskan efektifitas terapi penghentian pikiran dan terapi kognitif pada klien ansietas menggunakan pendekatan model teori adaptasi Roy. Analisis dilakukan pada 26 klien penghentian pikiran+kognitif terapi, dan 24 klien penghentian pikiran. Hasil: pemberian terapi penghentian pikiran+terapi kognitif lebih meningkatkan penurunan tanda dan gejala ansietas dan meningkatkan kemampuan klien ansietas. Penggunaan pendekatan terapi penghentian pikiran mampu mengatasi pikiran irrasional yang muncul berulang sedangkan terapi kognitif dapat menggantikan pikiran automatis negatif. Saran: kombinasi penghentian pikiran+terapi kognitif pilihan pada awal program pemulihan klien dengan penyakit fisik yang mengalami ansietas yang dapat meningkatkan hasil pengobatan.

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Physical illness often affectEed the psychological problems (mental emotional disorder). Psychosocial problems was most common in depression and anxiety issues that impeded the healing process. Anxiety was a feeling worried, uncertain about something that is not clear.

Objective: to explain the effectiveness of thought stopping and cognitive therapy on anxiety clients with physical illness approach Roy adaptation theory model. Analysis was conducted on 26 clients thought stopping + cognitive therapy, and 24 clients thought stopping.

Results: Thought stopping and cognitive therapy further improved the signs and symptoms decreased anxiety and improved the ability of client anxiety. The used of therapeutic approaches thought stopping is able to terminated irrational thoughts that appear repeatedly while cognitive therapy can replaced negative automatic thoughts.

Recomendation: a combination of thought stopping and cognitive therapy selected at the beginning of the recovery program clients with physical illness that experience anxiety that can improved treatment outcomes."

"Ansietas sering ditemukan pada klien hipertensi akibat kekhawatiran kesehatan dan masa depannya. Selain itu, kegagalan berkomitmen untuk mengurangi faktor risiko dan rejimen pengobatan dalam kehidupan sehari-hari menjadi indikator klinis dengan nilai sensitif paling tinggi pada hipertensi. Karya tulis ilmiah ini bertujuan untuk mengetahui pengaruh tindakan keperawatan, progressive muscle relaxation, acceptance commitment therapy, dan psikoedukasi keluarga terhadap ansietas dan ketidakefektifan manajemen kesehatan klien hipertensi. Pemberian terapi progressive muscle relaxation, acceptance commitment therapy, dan psikoedukasi keluarga dapat menurunkan tanda dan gejala ansietas dan ketidakefektifan manajemen kesehatan secara bermakna pada klien hipertensi. Pemberian paket 3 terapi yaitu terapi progressive muscle relaxation, acceptance commitment therapy, dan psikoedukasi keluarga diketahui mampu menurunkan tanda dan gejala ansietas dan ketidakefektifan manajemen kesehatan lebih tinggi dibanding jika hanya diberikan satu terapi saja atau 2 terapi saja. Sehingga, terapi kombinasi 3 terapi lebih direkomendasikan dalam mengatasi ansietas dan ketidakefektifan manajemen kesehatan pada klien hipertensi.

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Anxiety is often found in hypertension clients due to worries about their health and future. In addition, failure to commit to reducing risk factors and treatment regimens in daily life is a clinical indicator with the highest sensitive value in hypertension. This scientific paper aims to determine the effect of nursing actions, progressive muscle relaxation, acceptance commitment therapy, and family psychoeducation on anxiety and ineffective health management of hypertensive clients. Provision of progressive muscle relaxation therapy, acceptance commitment therapy, and family psychoeducation can significantly reduce signs and symptoms of anxiety and ineffective health management in hypertensive clients. Giving a package of 3 therapies, namely progressive muscle relaxation therapy, acceptance commitment therapy, and family psychoeducation is known to be able to reduce signs and symptoms of anxiety and ineffective health management higher than if only given one therapy or only 2 therapies. Thus, combination therapy of 3 therapies is more recommended in overcoming anxiety and ineffective health management in hypertensive clients."

"Masalah psikososial yang paling banyak dirasakan oleh klien gangguan fungsi seksual adalah ansietas dan perilaku kekerasan. Ansietas dan perilaku kekerasan bukan hanya mempengaruhi lama rawat klien di rumah sakit dan mempengaruhi juga kualitas hidup klien. Penelitian ini untuk melihat pengaruh terapi relaksasi otot progresif terhadap ansietas dan perilaku kekerasan klien gangguan fungsi seksual di rumah sakit provinsi Jawa Barat. Desain penelitian menggunakan quasi experiment pre post test with control group. Sampel penelitian sebanyak 76 klien gangguan jiwa yang direkrut dengan simple random sampling dibagi menjadi 2 kelompok yaitu 38 orang responden kelompok kontrol dan 38 orang responden kelompok intervensi. Ansietas diukur dengan menggunakan the sex anxiety inventory dan perilaku kekerasan diukur dengan menggunakan aggressive sexual behavior inventory. Data yang terkumpul dianalisis dengan chi square dan independent sample t test.Hasil penelitian menunjukan terdapat penurunan ansietas dan perilaku kekerasan setelah dilakukan terapi relaksasi otot progresif (pvalue < 0.05). Terapi relaksasi otot progresif direkomendasikan sebagai terapi lanjutan untuk menurunkan ansietas dan perilaku kekerasan pada klien gangguan fungsi seksual.

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Most psychological problem experienced by sexual disfunction client are anxiety and violent behavior. Anxiety and violent behaviour experienced by the client with sexual disfunction not only effecting the lenght of stay of hospitalization but olso affect the client?s quality of life. This study aimed to obtain the effect of progressive muscle relaxation for anxiety and violent behavior of client?s with sexual disfunction in West Java Central Mental Hospital. Quasy experimental reaserch design pre ?post with control group, design was used for this study. Sample for 76 sexual disfunction clients, consisting of 38 intervention group and 38 control group.The result showed that the decreasing of anxiety level and violent behavior who received progressive muscle relaxation therapy greater than the group who did not get progressive muscle relaxation therapy (pvalue < 0,05). Progressive muscle relaxation therapy is recommended as advanced nursing treatment for sexual disfunction clients with anxiety and violent behavior."

"Tuberkulosis (TB) masih merupakan salah satu penyebab utama morbiditas dan mortalitas di seluruh dunia. Tuberkulosis selain menimbulkan masalah kesehatan secara fisik juga menimbulkan masalah sosial dan psikologis. Masalah psikologis paling banyak adalah ansietas. Di negara berpenghasilan rendah dan menengah, ansietas dan depresi tiga kali lebih tinggi pada klien TB dibanding orang tanpa TB. Jika ansietas tidak ditangani dengan tepat menyebabkan kepatuhan yang buruk terhadap pengobatan, memperpanjang lama pengobatan, kekambuhan, bahkan dapat mendapatkan stigma dari masyarakat yang kemudian klien menjadi tidakberdaya, putus asa, depresi bahkan bunuh diri. Tujuan dari karya ilmiah akhir spesialis ini adalah untuk mengetahui pengaruh Tindakan Keperawatan Ners (TKN), Thought Stopping (TS), Progressive Muscles Relaxation (PMR), dan Acceptance Commitment Therapy (ACT) melalui online dalam menurunkan ansietas pada klien TB. Pendekatan dalam karya ilmiah akhir spesialis ini menggunakan case series dengan jumlah responden 8 klien dan dilakukan pengukuran pre post test terhadap ansietas, kepatuhan minum obat, perceived stigma, dan kemampuan klien. Instrumen yang digunakan adalah istrumen Tanda dan Gejala Ansietas FIK UI, Hamilton Anxiety Rating Scale (HARS), Morisky Medication Adherence Scale-8 (MMAS-8) dan Explanatory Model Interview Catague (EMIC). Hasil menunjukkan terdapat perubahan ansietas dan kemampuan klien TB baik setelah mendapat TKN atau kombinasi TKN+TS+PMR, maupun TKN+TS+PMR+ACT. Pemberian TKN, TS, PMR, dan ACT melalui online direkomendasikan sebagai terapi yang dapat menurunkan ansietas dan meningkatkan kemampuan klien TB

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Tuberculosis (TB) is still one of the leading causes of morbidity and mortality worldwide. Tuberculosis, apart from causing physical health problems, also causes social and psychological problems. Most of the psychological problems are anxiety. In low- and middle-income countries, anxiety and depression are three times higher in TB clients than in people without TB. If anxiety is not handled properly, it causes poor adherence to treatment, prolongs treatment, relapses, and can even get stigma from society, which then leads to helplessness, hopelessness, depression and even suicide. The purpose of this specialist's final scientific work is to determine the effect of Nursing Action (TKN), Thought Stopping (TS), Progressive Muscles Relaxation (PMR), and Acceptance Commitment Therapy (ACT) via online in reducing anxiety in TB clients. The approach in this specialist final scientific paper uses a case series with a number of respondents 8 clients and a pre-post test measurement of anxiety, medication compliance, perceived stigma, and client ability was carried out. The instrument used was the signs and symptoms of anxiety at FIK UI, Hamilton Anxiety Rating Scale (HARS), Morisky Medication Adherence Scale-8 (MMAS-8) and the Explanatory Model Interview Catague (EMIC). The results showed that there were changes in the anxiety and ability of TB clients both after receiving TKN or a combination of TKN + TS + PMR, and TKN + TS + PMR + ACT. Online provision of TKN, TS, PMR, and ACT is recommended as a therapy that can reduce anxiety and increase the ability of TB clients."

"Thought stopping pada penelitian sebelumnya efektif terhadap ansietas tetapi belum optimal menurunkan respon fisiologis ansietas. Tujuan penelitian ini adalah menjelaskan pengaruh terapi thought stopping dan progressive muscle relaxation terhadap ansietas klien dengan gangguan fisik. Metode penelitian adalah quasi experimental pre-post test with control group. Penelitian dilakukan pada 56 klien yaitu 28 kelompok intervensi mendapat thought stopping dan progressive muscle relaxation dan 28 kelompok kontrol hanya mendapat thought stopping.Hasil menunjukan ansietas klien yang mendapat thought stopping dan progressive muscle relaxation menurun dari ansietas sedang ke ansietas ringan sedangkan yang mendapat thought stopping menurun tetapi tetap berada pada ansietas sedang. Thought stopping dan progressive muscle relaxation menurunkan respon fisiologis, kognitif, perilaku dan emosi secara bermakna (p value<0,05).

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Thought stopping dan progressive muscle relaxation direkomendasikan unruk penanganan ansietas di tahanan rumah sakit umum dan masyarakat. Previous research had showed that thought stopping decreased anxiety but not yet optimal in physiological responses of anxiety. This study aims to determine the influence of thought stopping and progressive muscle relaxation on anxiety of physical disorder patient. This study used quasi experimental design with pre test-post test control group. Total population were 56 patients that divided into two group. They were 28 patients as control group that received thought stopping and 28 patients as intervention group received combination thought stopping and progressive muscle relaxation.Result showed anxiety in intervention group decreased from moderate anxiety to mild anxiety and control group decreased still in moderate anxiety. Thought stopping and progressive muscle relaxation decreased physiologic, cognitive, behavior and emotional responses of anxiety significantly (p-value<0,05). The combination of this therapy was recommended as therapy to solve the anxiety at general hospital and community."

"Latar belakang: Kehamilan adalah sebuah pengalaman yang penuh dengan adaptasi dari anatomi sampai fisiologis pada ibu hamil. Hal ini dapat menjadi penyebab ibu hamil merasakan nyeri dan ansietas. Hal ini dapat berpengaruh pada kehamilan. Relaksasi otot progresif adalah perawatan relaksasi yang mengencangkan dan melemaskan otot-otot suatu bagian tubuh sekaligus dan dilakukan satu per satu untuk menciptakan perasaan relaksasi fisik. Penulisan karya ilmiah ini bertujuan untuk melaporkan asuhan keperawatan maternitas pada ibu hamil yang mengalami masalah nyeri dan ansietas beserta dengan pengaruh relaksasi otot progresif untuk mengurangi nyeri dan ansietas. Pembahasan: Ibu T 34 tahun G4P2A1 hamil 25 minggu. Ibu mengeluh nyeri pada bagian tengkuk sampai punggung dengan VAS skala 6 /10 selama 5 menit terasa hilang timbul, kecemasan karena penyakit mioma uteri takut menganggu kehamilannya dengan hasil DASS-21 yaitu skor 9 berarti ansietas ringan. Ibu mengatakan nyeri tidak ada dengan VAS skala 0/10 dan kecemasan berkurang dengan hasil DASS-21 yaitu 2 berarti ansietas normal, setelah dilakukan latihan relaksasi otot progresif dalam waktu 4 hari dengan latihan 2x 45 menit setiap harinya. Kesimpulan: Tingkat Nyeri dan kecemasan dapat dirasakan oleh ibu hamil karena adanya perubahan fungsi tubuh secara fisiologi dan psikologi. Relaksasi otot progresif terbukti mampu mengurangi tingkat nyeri dan ansietas pada ibu hamil.

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Background: Pregnancy is an experience full of adaptations from anatomy to physiology in pregnant women. This can cause pregnant women to feel pain and anxiety. This can affect pregnancy. Progressive muscle relaxation is a relaxation treatment that tightens and relaxes the muscles of one part of the body at once and is performed one at a time to create a feeling of physical relaxation. The aim of writing this scientific work is to report maternity nursing care for pregnant women who experience pain and anxiety problems along with the effect of progressive muscle relaxation to reduce pain and anxiety.

Discussion: Mrs. T 34 year old G4P2A1 25 weeks pregnant. The mother complained of pain from the nape of the neck to the back with a VAS scale of 6/10 for 5 minutes that seemed to come and go, anxiety due to uterine myoma was afraid of disrupting her pregnancy with the DASS-21 result being a score of 9 meaning mild anxiety. The mother said there was no pain with a VAS scale of 0/10 and anxiety was reduced with the DASS-21 result, namely 2, meaning normal anxiety, after doing progressive muscle relaxation exercises within 4 days with 2 x 45 minute exercises every day.

Conclusion: Levels of pain and anxiety can be felt by pregnant women due to changes in body function physiologically and psychologically. Progressive muscle relaxation has been proven to reduce the level of pain and anxiety in pregnant women."