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Yanuar Fahrizal
Changes in the signs, symptoms, and anger management of patients with a risk of violent behavior after receiving assertive training and family psychoeducation using roy's theoretical approach: A case report
"Mental disorders are predicted to increase every year. Patients with severe mental disorders, such as schizophrenia, often engage in violent behavior. The treatment of such patients can use general nursing treatments (anger management with physical therapy, taking medicines regularly, and verbal and spiritual methods) and specialist nursing interventions (assertive training and family psychoeducation). This case report involved 11 patients, with the majority aged between 26 and 60 years, unemployed, high school graduates, unmarried, and with previous inpatient history. Generalist and specialist nursing interventions (assertive training and family psychoeducation) use Roy’s adaptation theory and Stuart’s stress adaptation approach. Nursing interventions were conducted sequentially, starting with generalist nursing interventions, followed by specialist ones. The method used was a pre–posttest in which each patient received generalist and specialist nursing interventions, assertive training, and family psychoeducation, each consisting of five sessions. Results of assertive training therapy and family psychoeducation showed a decrease in the signs and symptoms of violent behavior as well as an improvement in the patient’s ability to overcome the risk of violent behavior. The application of Roy’s adaptation theory and Stuart’s stress adaptation approach is potentially appropriate for the treatment of patients with a risk of violent behavior.
Gangguan jiwa secara keseluruhan diprediksikan akan semakin meningkat setiap tahunnya. Pasien dengan masalah gangguan jiwa berat seperti skizofrenia seringkali melakukan perilaku kekerasan. Penanganan pasien dengan perilaku kekerasan dapat menggunakan tindakan keperawatan generalis (mengontrol marah dengan cara fisik, minum obat teratur, cara verbal dan cara spiritual) dan tindakan keperawatan spesialis (latihan asertif dan psikoedukasi keluarga). Laporan kasus ini melibatkan 11 pasien dengan karakteristik mayoritas usia 26–60 tahun, tidak bekerja, tingkat pendidikan SMA, belum menikah, dan memiliki riwayat dirawat sebelumnya. Tindakan keperawatan yang diberikan adalah tindakan keperawatan generalis dan ners spesialis latihan asertif dan psikoedukasi keluarga dengan menggunakan pendekatan teori adaptasi Roy dan adaptasi stress Stuart. Tindakan keperawatan dilakukan secara berurutan/ bertahap dimulai dengan tindakan keperawatan generalis kemudian dilanjutkan dengan tindakan keperawatan ners spesialis. Metode yang digunakan adalah pre-posttest dimana setiap pasien mendapatkan tindakan generalis serta tindakan ners spesialis latihan asertif dan psikoedukasi keluarga yang masing-masing terdiri dari 5 sesi. Hasil penerapan terapi latihan asertif dan psikoedukasi keluarga menunjukkan terjadinya penurunan tanda dan gejala risiko perilaku kekerasan serta terjadinya peningkatan kemampuan pasien dalam mengatasi risiko perilaku kekerasan. Penggunaan pendekatan teori adaptasi Roy dan teori adaptasi stress Stuart berpotensi sesuai diterapkan pada penanganan pasien dengan risiko perilaku kekerasan."
Jakarta: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
610 UI-JKI 23:1 (2020)
Artikel Jurnal  Universitas Indonesia Library
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Yanuar Fahrizal
Perubahan tanda, gejala dan kemampuan pasien dengan risiko perilaku kekerasan setelah mendapatkan latihan asertif dan psikoedukasi keluarga dengan pendekatan teori roy = Changes in signs symtoms and abilities of patient with risk for violence after being trained assertive training and family psychoeducation with roy theory approach
"ABSTRAK
Gangguan jiwa secara keseluruhan diprediksikan akan semakin meningkat setiap tahunnya. Pasien dengan masalah gangguan jiwa berat seperti skizofrenia seringkali melakukan perilaku kekerasan. Penanganan pasien dengan perilaku kekerasan dapat menggunakan tindakan keperawatan generalis dan tindakan keperawatan spesialis latihan asertif dan psikoedukasi keluarga. Studi kasus ini melibatkan 11 pasien dengan karakteristik mayoritas usia 26-60 tahun, tidak bekerja, tingkat pendidikan SMA, belum menikah, dan memiliki riwayat dirawat sebelumnya. Tindakan keperawatan generalis dan ners spesialis latihan asertif dan psikoedukasi keluarga dilakukan menggunakan pendekatan teori adaptasi Roy 2017 dan adaptasi stress Stuart 2013 . Penggunaan pendekatan teori adaptasi Roy dan adaptasi stress Stuart sesuai diterapkan pada penanganan pasien dengan risiko perilaku kekerasan di ruang rawat inap tenang. Hasil penerapan terapi latihan asertif dan psikoedukasi keluarga menunjukkan terjadinya penurunan tanda dan gejala risiko perilaku kekerasan serta terjadinya peningkatan kemampuan pasien dalam mengatasi risiko perilaku kekerasan. Kata Kunci: skizofrenia, risiko perilaku kekerasan, latihan asertif, psikoedukasi keluarga ABSTRACT The mental disorder is predicted to increase every year. Patient with mental disorder such as schizophrenia often engage in violent behavior. Treatment of patients with violent behavior can use general nursing actions and specialist ners. This case study involved 11 patients with the majority of ages 26 60 years, unemployed, high school education, unmarried, and had a history of previous care. Nursing acts and ners specialists assertive trainning and family psychoeducation using Roy 39 s adaptation theory 2017 and Stuart 39 s stress adaptation approach 2013 . The Roy 39 s adaptation theory and Stuart stress adaptation approach is applied to the treatment of patients with the risk of violent behavior. The results of the application of assertive trainning therapy and family psychoeducation showed a decrease in signs and symptoms of violent behavior as well as improving the patient 39 s ability to overcome the risk of violent behavior. Keywords Schizophrenia, risk for violence, assertive training, family psychoeducation"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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UI - Tugas Akhir  Universitas Indonesia Library
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Fathra Annis Nauli
Manajemen asuhan keperawatan spesialis jiwa pada pasien harga diri rendah situasional dengan pendekatan model adaptasi Roy di RSUP Persahabatan Jakarta = Management of nursing care in a specialist mental health for patients situational low self-esteem with Roy adaptation model approach at Persahabatan Hospital, Jakarta
"Harga diri rendah situasional adalah Evaluasi diri atau persepsi diri negatif tentang harga diri sebagai respon terhadap situasi saat ini (Herdman, 2012). Terapi kognitif adalah suatu proses mengenali atau mengidentifikasi pikiran – pikiran yang negative dan merusak yang dapat mendorong ke arah rendahnya harga diri dan depresi yang menetap (Granfa, 2007). Psikoedukasi keluarga merupakan terapi yang memberikan informasi, pengetahuan dan mengajarkan keluarga tentang bagaimana manajemen stres keluarga yang mengalami distress sehingga keluarga memahami dan menggunakan koping dalam penyelesaian masalah yang terjadi di keluarga (Goldenberg, I dan Goldenberg, H, 2004).
Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan hasil manajemen kasus harga diri rendah situasional dan kemampuan pasien dan keluarga (care giver) dalam mengatasi harga diri rendah situasional dengan penerapan terapi kognitif dan psikoedukasi keluarga dengan pendekatan model adaptasi Roy. Penerapan terapi kognitif pada pasien dan psikoedukasi pada care giver dilakukan pada 33 orang pasien di ruang Cempaka Atas dan Bedah kelas RSUP Persahabatan pada kurun waktu 20 Februari - 20 April 2012.
Hasil terapi kognitif sangat efektif pada 33 pasien menunjukkan mampu mengatasi pikiran negatif dan peningkatan kemampuan dalam mengatasi harga diri rendah situasional. Psikoedukasi keluarga juga menunjukkan efektifitasnya dimana sebanyak 33 care giver mampu merawat pasien dengan harga diri rendah situasional, manajemen ansietas dan manajemen beban pada keluarga.
Berdasarkan hasil di atas perlu direkomendasikan bahwa terapi kognitif dan psikoedukasi keluarga dapat dijadikan standar terapi spesialis keperawatan jiwa untuk pasien dan care giver dengan harga diri rendah situasional dan perlu disosialisasikan pada seluruh tatanan pelayanan kesehatan.
Situational low self-esteem is development of a negative perception of self-worth in response to a current situation (Herdman, 2012). Cognitive therapy is a process to recognize or identify the mind negative and destructive thoughts that can lead to low self-esteem and depression that permanent (Granfa, 2007). Family psychoeducation is a therapy that provides information, knowledge and teach families about how families experiencing stress management so that families understand the distress and the use of coping in the resolution of problems that occur in families (Goldenberg, I, and Goldenberg, H, 2004).
The goal of this scientific paper is to describe the results of case management situational low self esteem and the ability of the patient and the family to overcome situational low self esteem with the application of cognitive therapy and family psychoeducation by using Roy’s adaptation model. cognitive therapy and family psychoeducation is done for 33 patients along with general therapy in Cempaka atas and Bedah class room at range of time 20 February - 20 April 2012.
The results of cognitive therapy is effective in 33 patients showed able to overcome negative thoughts and increased ability to cope with situational low self esteem. Family psychoeducation also show effectivelly as much 33 care givers able to caring patients with situational low self esteem, anxiety management and management burden on the family.
Based on the above results need to be recommended that cognitive therapy and family psychoeducation can be used as standard therapy of nursing specialist for patient and care giver with situational low self esteem and require to be socialized at all of health service."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
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UI - Tugas Akhir  Universitas Indonesia Library
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Evi Tunjung Fitriani
Family empowerment dalam manajemen kasus spesialis isolasi sosial dan harga diri rendah menggunakan pendekatan teori Peplau, Henderson, dan king di RW 12 Kelurahan Ciwaringin Kecamatan Bogor Tengah = Family empowerment in specialized case management of social isolated and low self esteem clients using theories of Peplau, Henderson, and King in RW 12 Kelurahan Ciwaringin Kecamatan Bogor Tengah Kota Bogor
"[ABSTRAK
Gangguan jiwa berat selain berdampak terhadap diri sendiri,juga berdampak pada keluarga. Teridentifkasi berbagai beban keluarga saat merawat klien gangguan jiwa,termasuk beban sosial yaitu stigma.Stress yang dialami keluarga dalam merawat klien gangguan jiwa dalam jangka waktu lama, akan membuat keluarga menggunakan berbagai strategi koping yang sangat bervariasi, baik yang positif maupun negatif. Strategi koping yang digunakan keluarga dalam memberikan perawatan pada klien gangguan klien gangguan jiwa, memberikan dampak bervariasi dalam kesembuhan klien. Tujuan : menjelaskan family empowerment dalam manajemen kasus isolasi sosial dan harga diri rendah dengan pendekatan teori Peplau,Henderson dan King. Analisis dilakukan pada 7 klien dengan Cognitive Therapy (CT), Commitment Therapy(ACT) dan Social Skills Training(SST) sedangkan keluarga dengan Family Psycoeducation(FPE) dan Triagle Therapy. Hasil penerapan family empowerment meningkatkan peran serta keluarga dalam meningkatkan kemampuan klien dalam mengembangkan harga diri dan ketrampilan sosial, lebih mandiri dan produktif.ABSTRACT Severe mental disorder not only affecting the individual client but also the family. Different family burden have been identified during providing nursing care to the mentally problem clients, including social burden which is called stigma. The family under stressful situation when taking care of the client for a long period of time required coping strategies either positive or negative. Coping strategies used by the family in caring for the client with mental problem would affect the different stage of clients? recovery. The purpose of this scientific paper was to describe the family empowerment in case management of social isolated and low self-esteem clients using the theories of Peplau, Henderson and King as an approach. Analysis of Cognitive Therapy (CT), Commitment Therapy (ACT) and Social Skills Training (SST) applied to 7 individual clients and Family Psycho Education (FPE) and Triangle Therapy were conducted to the clients? family. The result of family empowerment showed the improvement of family participation and client?s ability in boosting self-esteem and social skill, to become more independent and productive. ;Severe mental disorder not only affecting the individual client but also the family. Different family burden have been identified during providing nursing care to the mentally problem clients, including social burden which is called stigma. The family under stressful situation when taking care of the client for a long period of time required coping strategies either positive or negative. Coping strategies used by the family in caring for the client with mental problem would affect the different stage of clients? recovery. The purpose of this scientific paper was to describe the family empowerment in case management of social isolated and low self-esteem clients using the theories of Peplau, Henderson and King as an approach. Analysis of Cognitive Therapy (CT), Commitment Therapy (ACT) and Social Skills Training (SST) applied to 7 individual clients and Family Psycho Education (FPE) and Triangle Therapy were conducted to the clients? family. The result of family empowerment showed the improvement of family participation and client?s ability in boosting self-esteem and social skill, to become more independent and productive. , Severe mental disorder not only affecting the individual client but also the family. Different family burden have been identified during providing nursing care to the mentally problem clients, including social burden which is called stigma. The family under stressful situation when taking care of the client for a long period of time required coping strategies either positive or negative. Coping strategies used by the family in caring for the client with mental problem would affect the different stage of clients’ recovery. The purpose of this scientific paper was to describe the family empowerment in case management of social isolated and low self-esteem clients using the theories of Peplau, Henderson and King as an approach. Analysis of Cognitive Therapy (CT), Commitment Therapy (ACT) and Social Skills Training (SST) applied to 7 individual clients and Family Psycho Education (FPE) and Triangle Therapy were conducted to the clients’ family. The result of family empowerment showed the improvement of family participation and client’s ability in boosting self-esteem and social skill, to become more independent and productive. ]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Muhammad Sunarto
Manajemen asuhan keperawatan pasien dengan regimen terapeutik inefektif menggunakan model transpersonal caring relationship: Jean Watson di Ruang Antareja RS. Dr. H. Marzoeki Mahdi Bogor = Nursing management of ineffective therapeutics regimen management patients using transpersonal caring relationship model: Jean Watson in Antareja Ward RS. Dr. H. Marzoeki Mahdi Bogor
"Angka kejadian gangguan jiwa berat di dunia terutama pasien skizofrenia meningkat khususnya di negara-negara berkembang. Sebagian besar pasien skizofrenia mengalami kekambuhan akibat menghentikan program pengobatan yang dilakukan sendiri. Tujuan karya ilmiah ini adalah menggambarkan manajemen asuhan keperawatan jiwa pada pasien dengan penatalaksanaan regimen terapeutik inefektif terhadap peningkatan kemampuan pasien mematuhi program pengobatannya di ruang Antareja Rumah Sakit Marzoeki Mahdi Bogor. Tindakan keperawatan dilakukan pada 25 orang pasien meliputi terapi generalis regimen terapeutik inefektif, terapi kognitif, terapi perilaku kognitif, terapi psikoedukasi dan terapi kelompok suportif pada pasien dengan regimen terapeutik inefektif. Hasil menunjukkan bahwa kombinasi terapi individu; terapi kognitif, terapi perilaku kognitif, terapi psikoedukasi keluarga dan terapi kelompok suportif efektif dalam meningkatkan kepatuhan pasien dengan regimen terapeutik inefektif dengan menggunakan pendekatan transpersonal caring relationship: Jean Watson. Rekomendasi hasil karya ilmiah ini adalah terapi kognitif, terapi perilaku kognitif, terapi psikoedukasi keluarga dan terapi kelompok suportif dapat dilakukan pada pasien regimen terapeutik inefektif di seluruh tatanan pelayanan kesehatan jiwa.
Prevalence of severe mental disorder in the world, mainly in patients with schizophrenia increased, especially in developing countries. Most of the patients experienced a relapse of schizophrenia due stopping their treatment program. The aim of this scientific paper is to describe mental health nursing management of ineffective therapeutic regimen management patients to increase their ability to treatment programs. Nursing interventions performed on 25 patients including generalist intervention, cognitive therapy, cognitive behavioral therapy, family psycho-education and supportive group therapy. Results showed that the combination of the therapy are effective in improving patient’s compliance by using transpersonal caring relationship approach: Jean Watson. Recommendations are cognitive therapy, cognitive behavioral therapy, family psycho-education and supportive group therapy can be performed on ineffective therapeutic regimen management patients in whole mental health services. "
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
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UI - Tugas Akhir  Universitas Indonesia Library
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Esrom Kanine
Manajemen kasus spesialis pada klien Skizofrenia dengan halusinasi menggunakan pendekatan konsepsual model interpersonal Peplau dan model stres adaptasi Stuart di Ruang Utari Rumah Sakit Dr. Marzoeki Mahdi Bogor = Case management specialist to Schizophrenia client with hallucination using Peplau’s interpersonal model conceptual and the Stuart’s stress adaptation model of approach in utari room of Dr. Marzoeki Mahdi Hospital Bogor
"Halusinasi adalah salah satu gejala positif dari Skizofrenia (Stuart & Laraia, 2005). Cognitive Behavior Therapy dapat meningkatkan kemampuan untuk mengontrol halusinasi (Stuart & Laraia, 2005). Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan penatalaksanaan asuhan keperawatan dengan pendekatan konsepsual model interpersonal Peplau dan model stres adaptasi Stuart pada klien skizofrenia dengan halusinasi. Penerapan Cognitive Behavior Therapy dilakukan pada 27 orang klien di ruang Utari RS Dr.Marzoeki Mahdi Bogor pada peroide 20 Pebruari - 20 April 2012.
Hasil Cognitive Behavior Therapy sangat efektif pada 27 klien menunjukkan peningkatan kemampuan klien skizofrenia dengan halusinasi dalam mengontrol halusinasi. Berdasarkan hasil di atas perlu direkomendasikan bahwa Cognitive Behavior Therapy dapat dijadikan standar terapi spesialis keperawatan jiwa.
Hallucinations are one of the positive symptoms of Schizophrenia (Stuart & Laraia, 2005). Cognitive Behavior Therapy can improve the ability to control the hallucinations (Stuart & Laraia, 2005). The purpose of this final scientific work is to describe the management of nursing care to client with hallucinations using Peplau’s interpersonal model conceptual and the Stuart’s stress adaptation model of Approach. Application of Cognitive Behavior Therapy performed on 27 clients in Utari ward of Dr. Marzoeki Mahdi Hospital Bogor on 20th February - 20th April 2012.
The results of Cognitive Behavior Therapy is very effective on 27 clients that showed an increase in the client's ability to interact with others. Based on the results above, need to be recommended that Cognitive Behavior Therapy can be used as standard therapy of psychiatric nursing specialists."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
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UI - Tugas Akhir  Universitas Indonesia Library
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B Antonelda Marled Wawo
Perawatan ansietas pada pasien gangguan fisik menggunakan pendekatan model adaptasi stres stuart di RW 11 dan 13 Kelurahan Ciparigi Bogor Utara = Anxiety treatment on patients with physical disorders using stuart s stabilization adaptation model approach at RW 11 and 13 Ciparigi Bogor Utara Urban Village
"Pasien ansietas dapat diikuti dengan gangguan fisik berupa hipertensi, diabetes melitus, hiperurisemia, gastritis, dan radang sendi. Penanganan ansietas pasien dengan gangguan fisik menggunakan pendekatan model adaptasi stres Stuart yang membantu perawat melakukan asuhan keperawatan melalui proses keperawatan dari pengkajian, diagnosa, rencana, implementasi, dan evaluasi untuk menurunkan tanda gejala ansietas dan meningkatkan kemampuan mengatasi ansietas. Ansietas mulai dari tingkat ringan sampai berat memiliki prevalensi tinggi yang tidak diatasi sehingga dapat menurunkan produktivitas dan kualitas hidup pasien yang dapat menjadi predisposisi dari gangguan jiwa. Pasien berjumlah 30 orang, berusia dewasa, berjenis kelamin perempuan, berstatus kawin, berlatar belakang pendidikan dasar, dan tidak bekerja; memiliki pikiran yang salah terhadap gangguan fisik yang berpengaruh pada seluruh sistem tubuh. Dengan demikian memerlukan terapi spesialis keperawatan jiwa berupa terapi penghentian pikiran dan relaksasi otot progresif. Kedua terapi ini terbukti efektif menurunkan tanda gejala dan meningkatkan kemampuan untuk mengatasi ansietas terutama pada pasien hiperglikesemia dan radang sendi. Kemampuan yang dimiliki menjadi kemampuan dalam melakukan perawatan diri pasien gangguan fisik untuk mengatasi ansietas.
Anxiety patients can be followed by physical disorders such as hypertension, diabetes mellitus, hyperuricemia, gastritis, and arthritis. Handling patient anxiety with a physical disorder using Stuart 39 s adaptation stress model approach that helps nurses conduct nursing care through nursing process from assessment, diagnosis, plan, implementation, and evaluation to reduce anxiety symptoms and improve anxiety skills. Anxiety ranging from mild to severe levels has a high prevalence that is not addressed so as to decrease the productivity and quality of life of patients who can predispose to mental disorders. Patients were 30, adults, female, married, elementary, and non working Have the wrong mind against the physical disorder that affects the entire system of the body. Thus requires the therapy of mental nursing specialist in the form of therapy thought stopping and progressive muscle relaxation. Both of these therapies have been shown to be effective in reducing symptoms and improving the ability to treat anxiety especially in hyperuricemia and arthritis patients. Ability possessed into the ability to perform self care patients with physical disorders to overcome anxiety."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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UI - Tugas Akhir  Universitas Indonesia Library
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Human rights & mental illness Victoria: report of the reconvened inquiry into the human rights of people with mental illness (Victpria)
Canberra: Australia Goverment Publishing Service, 1995
616.890 231 HUM;616.890 231 HUM (2)
Buku Teks SO  Universitas Indonesia Library
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Rita Rahayu
Penerapan terapi perilaku spesialis keperawatan jiwa pada klien dengan halusinasi dan risiko perilaku kekerasan menggunakan pendekatan teori johnson dan teori lewin = Application of behavior therapy for hallucination and violent risked behavior using johnson’s theory and lewin’s theory
"Alasan klien gangguan jiwa masuk rumah sakit karena adanya perilaku nyata yang maladaptif, seperti mencederai diri sendiri, orang lain atau lingkungan, sehingga membutuhkan perawatan segera, yaitu dengan mengontrol perilaku klien yang mengganggu. Terapi perilaku merupakan terapi yang digunakan untuk memodifikasi perilaku maladaptif. Tujuan penulisan karya ilmiah ini adalah untuk mengetahui penerapan terapi perilaku pada klien halusinasi dan risiko perilaku kekerasan. Analisa ini dilakukan pada 5 klien yang mendapatkan terapi perilaku dengan diagnosa keperawatan halusinasi dan risiko perilaku kekerasan. Hasil analisa menunjukkan ada perubahan tanda gejala serta kemampuan antara sebelum dan sesudah diberikan terapi perilaku. Terapi perilaku dapat dilakukan bukan hanya pada klien defisit perawatan diri, namun pada setiap klien yang mempunyai perilaku maladptif, baik halusinasi, perilaku kekerasan atau perilaku lain. Terapi perilaku tepat digunakan bagi klien di ruang akut yang memperlihatkan perilaku maladaptif.
Clients with mental disorder usually admited to the hospital because of their maladaptive behavior, such as hurting themselves, other people or destroying environment. This condition need immediate treatment by controling client’disruptive behaviors. Behavior therapy is a therapy used to modify maladaptive behavior becomes adaptive. The purpose of this study was to determine the application of behavior therapy for hallucination and violent risked behavior clients. The analysis of this paper consisted of 5 clients with hallucination and violent risked behavior who were the subjects of behavior therapy. The results showed that there were alteration of signs and symptoms, and ability of clients. Behavior therapy can be used not only for clients with self care deficit but also for clients with hallucinations and violent risked behavior. Behavior therapy appropriately used for acute inpatients with maladaptive behavior."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2018
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UI - Tugas Akhir  Universitas Indonesia Library
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Fanny Rahmah Suri
Hubungan Efikasi Diri dengan Tingkat Ansietas Mahasiswa Keperawatan yang sedang Praktik Klinik dalam Menghadapi Pasien di Rumah Sakit Jiwa = The Relationship between Self-efficacy and Anxiety Levels of Nursing Students Undergoing Clinical Practice in Dealing with Patients at Psychiatric Hospitals
"Stigma mengenai pasien dengan gangguan jiwa mampu menimbulkan terjadinya ansietas dan dapat mempengaruhi kinerja mahasiswa keperawatan saat melakukan praktik klinik. Ansietas dapat ditangani dengan cara memiliki efikasi diri yang tinggi agar dapat melakukan kegiatan yang akan dijalani dengan baik. Penelitian dilakukan dengan metode cross sectional dan bertujuan untuk mengetahui hubungan efikasi diri dengan tingkat ansietas mahasiswa keperawatan yang sedang praktik klinik dalam menghadapi pasien di rumah sakit jiwa. Jumlah responden adalah 107 mahasiswa yang dipilih dengan teknik non probability sampling yaitu purposive sampling berdasarkan kriteria inklusi yaitu mahasiswa D3 dan S1 Profesi atau Ners, mahasiswa keperawatan yang melakukan praktik klinik dalam menghadapi pasien di rumah sakit jiwa, dan mahasiswa yang bersedia menjadi responden. Instrumen yang digunakan adalah General Self Efficacy dan Hamilton Anxiety Rating Scale. Penelitian ini telah dinyatakan lolos uji etik dengan nomor surat S-197/UN2.F12.D1/PDP.04.04/2022. Adapun analisis data yang dilakukan adalah analisis univariat dan analisis bivariat berupa Uji One Way Anova. Berdasarkan analisis data univariat didapatkan bahwa sebagian besar mahasiswa berusia dewasa awal, berjenis kelamin perempuan, dan memiliki tingkat pendidikan D3. Efikasi diri yang terjadi pada responden dalam penelitian ini yaitu cenderung tinggi tanpa memiliki ansietas atau normal. Berdasarkan uji One Way Anova didapatkan bahwa nilai p value adalah 0,000. Hasil dari penelitian ini menunjukkan bahwa terdapat hubungan antara efikasi diri dengan tingkat ansietas mahasiswa keperawatan yang sedang praktik klinik dalam menghadapi pasien di rumah sakit jiwa. Penelitian ini merekomendasikan agar mahasiswa dapat meningkatkan efikasi diri atau keyakinan diri sehingga dapat meminimalkan perasaan cemas ketika dihadapkan langsung dengan pasien untuk memberikan asuhan keperawatan saat praktik klinik. Penelitian lebih lanjut yang menghubungkan kondisi lingkungan dengan tingkat ansietas saat praktik klinik pada mahasiswa keperawatan disarankan.
Stigma regarding patients with mental disorders can cause anxiety and can affect student sleep performance when doing clinical practice. Anxiety can be handled by having high self-efficacy in order to carry out the activities that will be carried out well. The study was conducted with a cross sectional method and aimed to determine the relationship between self-efficacy and anxiety levels of nursing students who are practicing clinically in dealing with patients in psychiatric hospitals. The number of respondents was 107 students who were selected using a non-probability sampling technique, namely purposive sampling based on inclusion criteria, namely D3 and S1 Professional or Nurse students, nursing students who did clinical practice in dealing with people with mental disorders in mental hospitals, and students who were willing to become respondents. The instruments used are General Self Efficacy and Hamilton Anxiety Rating Scale. This research has been declared to have passed the ethical test with letter number S-197/UN2.F12.D1/PDP.04.04/2022. The data analysis carried out is univariate analysis and bivariate analysis in the form of One Way Anova Test. Based on univariate data analysis, it was found that most of the students were in early adulthood, female, and had a D3 level of education. The self-efficacy that occurred in the respondents in this study tended to be high without having anxiety or being normal. Based on the One Way Anova test, it was found that the p value was 0.000. The results of this study indicate that there is a relationship between self-efficacy and anxiety levels of nursing students who are practicing clinically in dealing with patients in psychiatric hospitals. This study recommends that students can increase self-efficacy or self-confidence so as to minimize feelings of anxiety when confronted directly with patients to provide nursing care during clinical practice. Further research that relates environmental conditions to the level of anxiety during clinical practice in nursing students is recommended."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2022
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