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"Risiko perilaku kekerasan merupakan salah satu masalah yang dialami klien dengan skizofrenia. Tanda dan gejala yang dialami klien dengan risiko perilaku kekerasan salah satunya adalah marah dan merusak lingkungan sekitar, klien dengan risiko perilaku kekerasan membutuhkan latihan assertive training untuk pengubahan perilaku yang tujuan utamanya membimbing, melatih serta mendorong seseorang agar berperilaku asertif di berbagai keadaan. Pemberian terapi assertive training selama ini dilakukan oleh perawat spesialis dalam praktik klinik guna peningkatan asuhan keperawatan secara optimal. Keefektifan pemberian assertive training memiliki kekurangan yaitu tidak mudah untuk diingat dan umpan balik dapat di bawah standar karena keterbatasan memori atau pengamatan. Tujuan penulisan karya ilmiah ini untuk menggambarkan manajemen kasus spesialis melalui penerapan media audio-visual dalam pemberian intervensi keperawatan spesialis; assertive training pada klien dengan risiko perilaku kekerasan. Metode yang digunakan adalah case series. Manajemen kasus ini dilakukan pada 6 klien yang mendapatkan tindakan keperawatan ners dan tindakan keperawatan spesialis assertive training. Pengkajian menggunakan instrumen Buss_Perry Aggression Questionnaire (BPAQ) untuk mengkaji tingkat agresif klien dengan risiko perilaku kekerasan. Hasil analisa kasus menunjukkan perubahan penurunan tingkat agresif klien sebelum dan sesudah diberikan tindakan assertive training dengan penerapan media audio-visual. Tindakan keperawatan spesialis direkomendasikan dilakukan oleh perawat spesialis jiwa dalam membantu klien melakukan latihan assertive training.

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The risk of violent behavior is one of the problems experienced by clients with schizophrenia. Signs and symptoms experienced by clients at risk of violent behavior, one of which is anger and damage to the surrounding environment, clients at risk of violent behavior require assertive training for behavior change whose main purpose is to guide, train and encourage someone to behave assertively in various circumstances. The provision of assertive training therapy has been carried out by specialist nurses in clinical practice in order to improve nursing care optimally. The effectiveness of giving assertive training has drawbacks, namely it is not easy to remember and feedback can be substandard due to memory or observation limitations. The purpose of writing this scientific paper is to describe specialist case management through the application of audio-visual media in providing specialist nursing interventions; assertive training on clients at risk of violent behavior. The method used is case series. This case management was carried out on 6 clients who received nursing actions from nurses and specialist nursing actions for assertive training. The assessment uses the Buss_Perry Aggression Questionnaire (BPAQ) instrument to assess the aggressive level of clients at risk of violent behavior. The results of the case analysis showed a change in the decrease in the client's aggressive level before being given action with after being given assertive training. Specialist nursing actions are recommended to be carried out by mental specialist nurses in helping clients carry out assertive training exercises."

"Perilaku kekerasan merupakan salah satu gejala yang menjadi alasan bagi keluarga untuk membawa klien ke rumah sakit jiwa karena berisiko mencederai diri sendiri, orang lain dan lingkungannya. Manajemen perilaku kekerasan terdiri dari tiga strategi yaitu strategi pencegahan, strategi antisipasi, dan strategi pengekangan. Latihan asertif merupakan salah satu strategi pencegahan untuk mengantisipasi tindakan kekerasan yang berulang. Tujuan penanganan kasus ini adalah diketahui perubahan tanda gejala dan kemampuan klien risiko perilaku kekerasan setelah diberikan tindakan keperawatan ners dan latihan asertif. Penulisan karya ilmiah ini menggunakan pendekatan metode case series. Responden berjumlah 26 orang yang dibagi dalam 2 kelompok sesuai kriteria inklusi. Kelompok pertama adalah klien yang mengalami risiko perilaku kekerasan karena halusinasi, kelompok kedua klien yang mengalami risiko perilaku kekerasan karena keinginan/kebutuhan tidak terpenuhi. Hasil penanganan kasus menunjukkan bahwa terjadi penurunan tanda gejala risiko perilaku kekerasan terutama pada aspek perilaku, kognitif dan afektif setelah diberikan tindakan keperawatan ners dan ners spesialis latihan asertif. Rekomendasi dari penanganan kasus ini adalah tindakan keperawatan ners dan tindakan keperawatan ners spesialis latihan asertif dilakukan secara terus-menerus untuk menurunkan tanda gejala pada klien risiko perilaku kekerasan.

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Violent behavior is one of the main reasons for families to take clients to a mental hospital because they risk injuring themselves, others and the environment. Violent behavior management consists of three strategies: prevention strategies, anticipatory strategies, and restraint strategies. Assertive training is one prevention strategy to anticipate repeated acts of violence. The purpose of handling this case is to know the change of symptoms and the ability of the client's risk of violent behavior after being given nursing actions ners and assertive training. Writing this scientific paper using case series method approach. Respondents were 26 people divided into 2 groups according to inclusion criteria. The first group is the client who is experiencing the risk of violent behavior due to hallucinations, the second group of clients experiencing the risk of violent behavior due to desire/needs are not met. The results of case management showed that there was a decrease in signs of violent behavior risk behavior especially on behavioral, cognitive and affective aspects after being given nursing actions ners and assertive training. Recommendations from the handling of this case are nursing actions ners and nursing actions ners specialists assertive training are conducted continuously to reduce sign and symptoms on the client risk of violent behavior. "

"Pendahuluan : Psikosis dan skizofrenia menunjukkan terjadi peningkatan setiap tahunnya baik di Indonesia dan dunia. Skizofrenia adalah penyakit otak kronis yang sindrom klinisnya melibatkan perubahan pikiran, emosi, persepsi, gerakan dan perilaku individu. Gejala positif dari skizofrenia salah satunya halusinasi sedangkan risiko perilaku kekerasan muncul akibat halusinasi dan waham. Klien dengan risiko perilaku kekerasan dan halusinasi, asuhan yang diberikan dalam bentuk tindakan keperawatan generalis dan spesialis. Tindakan keperawatan generalis (individu, kelompok, keluarga) begitu juga dengan Tindakan keperawatan spesialis (individu, kelompok, keluarga) meliputi latihan asertif, terapi kognitif perilaku dan psikoedukasi keluarga. Tujuan : Diketahuinya karakteristik, predisposisi, presipitasi, perubahan tanda gejala, kemampuan, dan perubahan, perbedaan tanda gejala, kemampuan Metode : Desain karya ilmiah akhir spesialis ini menggunakan operational research terdiri dari enam tahap pelaksanaan Hasil : tindakan keperawatan generalis dan spesialis secara bermakna dapat menurunkan tanda gejala risiko perilaku kekerasan dan halusinasi serta secara bermakna meningkatkan kemampuan klien dan keluarga. Kesimpulan : tindakan keperawatan generalis dan spesialis direkomendasikan karena dapat mengurangi tanda gejala dan meningkatkan kemampuan klien dan keluarga.

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Introduction: Psychosis and schizophrenia show an increase every year both in Indonesia and the world. Schizophrenia is a chronic brain disease whose clinical syndrome involves changes in an individual's thoughts, emotions, perceptions, movements and behavior. One of the positive symptoms of schizophrenia is hallucinations, while the risk of violent behavior arises due to hallucinations and delusions. Clients at risk of violent behavior and hallucinations, care is provided in the form of generalist and specialist nursing actions. Generalist nursing actions (individual, group, family) as well as specialist nursing actions (individual, group, family) include assertive training, cognitive behavioral therapy and family psychoeducation. Purpose: To find out characteristics, predisposition, precipitation, changes in signs and symptoms, abilities, and changes, differences in signs and symptoms, abilities. Methods: The design of this specialist's final scientific work using operational research consists of six implementation stages. Results: Generalist and specialist nursing actions can significantly reduce signs of risk of violent behavior and hallucinations and significantly improves the client's and family's abilities. Conclusion: generalist and specialist nursing actions are recommended because they can reduce signs and symptoms and increase the capabilities of clients and families."

"[ABSTRAK Skizophrenia paranoid memperlihatkan tanda dan gejala perilaku kekerasan yang berisiko cedera bagi klien dan lingkungan Tujuan Karya Ilmiah ini untuk mengetahui pengaruh terapi generalis latihan asertif psikoedukasi keluarga terhadap tanda dan gejala kemampuan klien keluarga Metode yang digunakan deskriptif analitik dengan memberikan terapi generalis latihan asertif pada 20 klien dan selanjutnya pada 7 klien diberikan psikoedukasi pada keluarga Pemberian terapi generalis latihan asertif pada 13 klien menunjukkan penurunan tanda gejala peningkatan kemampuan klien Pemberian terapi generalis latihan asertif psikoedukasi keluarga pada 7 klien dan keluarganya menunjukkan penurunan tanda dan gejala peningkatan kemampuan yang lebih besar daripada pemberian terapi generalis latihan asertif Direkomendasikan kombinasi terapi generalis latihan asertif psikoedukasi keluarga pada klien Risiko perilaku kekerasan ABSTRACT Skizophrenia paranoid shows signs symptoms of aggressive behavior are at risk of injury for the client the environment The purpose of this scientific masterpiece to know influence of generalist therapy assertiveness training family psychoeducation against the mark the symptoms the capabilities of the client family Analitic descriptive method used by providing a generalist therapy assertiveness training on 20 asertif the client and client 39 s given on 7 psikoeducation in the family Generalist therapy assertiveness training on 13 clients shows a decrease in signs and symptoms increased the ability of the client Generalist therapy assertiveness training family psychoeducation in 7 clients and family shows a decrease in signs symptoms and improved skills an increase greater than on the giving of generalist therapy assertiveness training family psychoeducation Recommended combination generalist therapy assertiveness training family psychoeducation on the client 39 s risk of aggressive behavior ;Skizophrenia paranoid shows signs symptoms of aggressive behavior are at risk of injury for the client the environment The purpose of this scientific masterpiece to know influence of generalist therapy assertiveness training family psychoeducation against the mark the symptoms the capabilities of the client family Analitic descriptive method used by providing a generalist therapy assertiveness training on 20 asertif the client and client 39 s given on 7 psikoeducation in the family Generalist therapy assertiveness training on 13 clients shows a decrease in signs and symptoms increased the ability of the client Generalist therapy assertiveness training family psychoeducation in 7 clients and family shows a decrease in signs symptoms and improved skills an increase greater than on the giving of generalist therapy assertiveness training family psychoeducation Recommended combination generalist therapy assertiveness training family psychoeducation on the client 39 s risk of aggressive behavior ;Skizophrenia paranoid shows signs symptoms of aggressive behavior are at risk of injury for the client the environment The purpose of this scientific masterpiece to know influence of generalist therapy assertiveness training family psychoeducation against the mark the symptoms the capabilities of the client family Analitic descriptive method used by providing a generalist therapy assertiveness training on 20 asertif the client and client 39 s given on 7 psikoeducation in the family Generalist therapy assertiveness training on 13 clients shows a decrease in signs and symptoms increased the ability of the client Generalist therapy assertiveness training family psychoeducation in 7 clients and family shows a decrease in signs symptoms and improved skills an increase greater than on the giving of generalist therapy assertiveness training family psychoeducation Recommended combination generalist therapy assertiveness training family psychoeducation on the client 39 s risk of aggressive behavior ;Skizophrenia paranoid shows signs symptoms of aggressive behavior are at risk of injury for the client the environment The purpose of this scientific masterpiece to know influence of generalist therapy assertiveness training family psychoeducation against the mark the symptoms the capabilities of the client family Analitic descriptive method used by providing a generalist therapy assertiveness training on 20 asertif the client and client 39 s given on 7 psikoeducation in the family Generalist therapy assertiveness training on 13 clients shows a decrease in signs and symptoms increased the ability of the client Generalist therapy assertiveness training family psychoeducation in 7 clients and family shows a decrease in signs symptoms and improved skills an increase greater than on the giving of generalist therapy assertiveness training family psychoeducation Recommended combination generalist therapy assertiveness training family psychoeducation on the client 39 s risk of aggressive behavior , Skizophrenia paranoid shows signs symptoms of aggressive behavior are at risk of injury for the client the environment The purpose of this scientific masterpiece to know influence of generalist therapy assertiveness training family psychoeducation against the mark the symptoms the capabilities of the client family Analitic descriptive method used by providing a generalist therapy assertiveness training on 20 asertif the client and client 39 s given on 7 psikoeducation in the family Generalist therapy assertiveness training on 13 clients shows a decrease in signs and symptoms increased the ability of the client Generalist therapy assertiveness training family psychoeducation in 7 clients and family shows a decrease in signs symptoms and improved skills an increase greater than on the giving of generalist therapy assertiveness training family psychoeducation Recommended combination generalist therapy assertiveness training family psychoeducation on the client 39 s risk of aggressive behavior ]"