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"CKD merupakan salah satu penyakit akibat perubahan gaya hidup yang tidak baik yang banyak diderita oleh masyarakat perkotaan. Penderita CKD mengalami berbagai masalah keperawatan seperti masalah fisik dan juga psikososial. Ketidakberdayaan merupakan salah satu masalah psikososial yang dapat dirasakan oleh penderita CKD. Intervensi keperawatan yang dilakukan yaitu dengan melatih berpikir positif dan mengembangkan harapan positif untuk mengontrol ketidakberdayaan. Dengan menurunnya respon ketidakberdayaan, maka dapat meningkatkan semangat klien dalam menjalani terapi serta maningkatkan kondisi kesehatan fisik klien. Asuhan keperawatan psikososial pada penderita CKD penting untuk diperhatikan untuk mencegah masalah keperawatan lebih lanjut...... CKD is a disease caused by an unhealthy lifestyle changes that affects many urban communities. Patients with CKD experience a variety of nursing issues such as physical and psychosocial problems. Powerlessness is one of the psychosocial problems that can be felt by people with CKD. Nursing intervention to control powerlessness is developing positive thinking and positive expectations. By decreasing the response of powerlessness, it can improve clients’ will to do the therapy and improve clients’ physical health. Psychosocial nursing care in patients with CKD is important to be solved in order to prevent further nursing issuess."

"Tuberkulosis merupakan salah satu penyakit menular yang banyak dialami oleh masyarakat perkotaan. Rentannya masyarakat perkotaan terhadap kejadian tuberkulosis salah satunya dipengaruhi oleh lingkungan perkotaan yang padat dan lembab. Tuberkulosis tidak hanya memberikan dampak fisik terhadap penderitanya, akan tetapi berdampak pula terhadap keadaan psikososial. Masalah psikososial yang sering muncul terkait penyakit tuberkulosis adalah ansietas. Tujuan penulisan ini adalah melakukan analisis evidence based mengenai teknik relaksasi khususnya tarik napas dalam dan distraksi dengan mendengarkan musik untuk mengatasi ansietas pada penderita tuberkulosis. Hasil dari pemberian teknik relaksasi pada klien dengan tuberkulosis terbukti efektif untuk menurunkan ansietas yang dideritanya. Rekomendasi penulisan ini adalah perawat perlu mengajarkan teknik relaksasi kepada klien tuberkulosis dengan ansietas sedini mungkin agar proses penyembuhan klien menjadi lebih optimal.

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Tuberculosis is one of the infectious disease that is often happened in urban communities. Vulnerability of urban communities on the incidence of tuberculosis is affected by dense urban environments and moist. The disease has an impact on the overall well-being of the patient, which is affecting not only the physical impact but also psychosocial. Anxiety is one of the psychosocial problem that is often related to the disease. The purpose of this paper is to analyze evidence based on relaxation techniques in particular relaxation breathing exercise and distraction especially listening music to overcome anxiety in patients with tuberculosis. The results of the intervention in these patients showed that the intervention is effective to reduce anxiety. Recommendation of this paper is that nurse should teach relaxation techniques to patients with tuberculosis as soon as possible to allow the optimal healing."

"Hipertensi merupakan salah satu masalah kesehatan yang timbul di daerah perkotaan. Hal ini dapat terjadi karena perubahan gaya hidup atau faktor-faktor lain seperti tuntutan ekonomi, psikososial, dan lain-lain. Berbagai upaya seperti gerakan penanganan hipertensi telah diluncurkan oleh pemerintah. Namun angka penderita hipertensi di Indonesia masih tinggi. Selain menimbulkan komplikasi penyakit fisik, hipertensi juga menimbulkan masalah psikososial. Ansietas merupakan salah satu masalah psikososial yang timbul pada penderita hipertensi. Penulisan ini bertujuan menguraikan cara dan penanganan ansietas pada penderita hipertensi melalui pemberian asuhan keperawatan ditinjau dari berbagai studi literatur. Penulis menguraikan hasil asuhan keperawatan psikososial khususnya penanganan ansietas pada penderita hipertensi di RS H. Marzoeki Mahdi. Petugas kesehatan diharapkan untuk memberikan asuhan keperawatan secara holistik yang mencakup masalah fisik dan psikososial dalam menangani penderita hipertensi.

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Hypertension is one of the health problems that arise in urban areas. This can occur because of lifestyle changes or other factors such as economic demands, psychosocial, and others. Various measures such as hypertension management program have been launched by the government. But the number of hypertensive patients in Indonesia is still high. Besides causing physical disease complications, hypertension also causes psychosocial problems. Anxiety is one of the psychosocial problems that arise in patients with hypertension.

This research aims and outlines ways of handling anxiety in hypertensive patients through the provision of nursing care in terms of a variety of literature. The author describes the results of nursing care particular psychosocial treatment of anxiety in patients with hypertension in RS H. Marzoeki Mahdi. Health professionals are expected to provide holistic nursing care which includes physical and psychosocial problems in dealing with hypertension."

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

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

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

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

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

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

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

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

"Polusi udara dan kebiasaan merokok pada masyarakat meningkatkan resiko terjadinya Penyakit Paru Obstruksi Kronis (PPOK). Penyakit ini merupakan penyakit obstruksi saluran nafas yang bersifat kronis, progresif, dan banyak dialami oleh lansia. Selain masalah fisik, ansietas merupakan masalah yang paling sering terj pada pasien PPOK. Ansietas memberikan dampak yang sangat besar terhadap kemampuan fungsional dan angka kekambuhan pasien. Karya Ilmiah ini bertujuan untuk menggambarkan hasil asuhan keperawatan psikososial masalah ansietas pada pasien lansia yang mengalami penyakit PPOK. Metode yang digunakan yaitu studi kasus, dengan melakukan asuhan keperawatan terhadap pasien PPOK yang mengalami ansietas. Hasil studi kasus ini menunjukan bahwa intervensi membina hubungan saling percaya, latihan relaksasi nafas dalam dan distraksi dapat menurunkan tingkat kecemasan pada pasien. Pengembangan format pengkajian masalah psikososial serta peningkatan kemampuan perawat dalam melakukan asuhan keperawatan masalah psikososial, menjadi rekomendasi dari studi kasus ini.

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Air pollutant and smoking behavior increase the risk of Chronic Obstructive Pulmonary Disease (COPD). COPD is a chronic, progressive respiratory tract obstruction which is often experienced by elderly. Despite physical problems, anxiety highly affect functional ability, and patient exacerbation.

The goal of this study is to describe the psychosocial aspect of nursing care to elderly patient with COPD experiencing anxiety.

The method of this study is case study, by applying nursing care for patient with COPD, experiencing anxiety.

The result of this study show that building trust relationship with patient and family, relaxation and distraction therapy can reduce level of anxiety. Development of assessment tool and improvement of nursing skill to care patient with psychosocial problems, are recommended of this study."

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