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"ABSTRAKPerilaku kekerasan adalah suatu bentuk perilaku untuk melukai atau mencederai diri sendiri, orang lain, lingkungan secara verbal atau fisik yang sering dijumpai pada Skizoprenia. Perilaku kekerasan adalah alasan masuk utama klien gangguan jiwa dibawa ke Rumah Sakit Umum Daerah Banyumas, dengan prosentase sebanyak 62 kasus (68%). Penelitian bertujuan mengetahui pengaruh Assertiveness Training terhadap perilaku kekerasan pada klien Skizoprenia. Desain penelitian quasi eksperimen pendekatan pre post tes with control group. Sampel penelitian adalah klien Skizoprenia dengan perilaku kekerasan berjumlah 72 yaitu 36 responden mendapatkan terapi generalis dan Assertiveness Training dan 36 responden hanya mendapatkan terapi generalis, diambil secara random sampling Sampel penelitian adalah klien Skizoprenia dengan perilaku kekerasan. Perilaku kekerasan diukur melalui empat respon yaitu respon perilaku, sosial dan fisik yang diukur dengan observasi dan respon kognitif diukur dengan kuisioner. Perbedaan perilaku kekerasan kemudian dianalisis dengan t test. Salah satu terapi yang dapat diberikan pada klien yang mengalami masalah perilaku kekerasan yaitu Assertiveness Training. Assertiveness Training diberikan pada kelompok intervensi dipadu dengan terapi terapi generalis. Terapi ini dilakukan dalam lima sesi dengan metode describing,modelling, role play, feedback dan transferring. Hasil penelitian menunjukkan perilaku kekerasan pada kelompok yang mendapatkan terapi generalis dan Assertiveness Training menurun secara bermakna pada respon perilaku,kognitif, sosial dan fisik (p value< 0,05) dan pada kelompok yang hanya mendapatkan terapi generalis menurun secara bermakna pada respon perilaku, kognitif dan fisik (p value< 0,05). Perilaku kekerasan kelompok yang mendapatkan terapi generalis dan Assertiveness Training menurun lebih rendah secara bermakna dari pada kelompok yang mendapatkan terapi generalis (p value < 0,05). Terapi generalis dan Assertiveness Training terbukti menurunkan perilaku kekerasan pada klien Skizoprenia dan direkomendasikan diterapkan sebagai terapi perawatan dalam merawat klien dengan perilaku kekerasan.

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ABSTRACTViolence behaviour was a behavioural form that hurt or do irreparable damage himself, someone else, or environment in a verbal or physical manner that found of Schizophrenia frequently. Violence behaviour was the mean reason why client with mental disorder should be admitted to Banyumas Hospital, with the 62 cases (68%). This study aimed to investigate the influence of Assertiveness Training toward violence behaviour of Schizophrenia. This study used Quasy experiment study design with pre and post test approach for intervention and control group. Respondent of this study were 72 Schizophrenia clients with violence behaviour which divided into 2 group using random sampling method. Thirthy six (36) respondents was given Assertiveness Training and 36 respondents was not given Assertiveness Training. Violence behaviour was measured through four responses namely behavioral, social and physical responses that was measured by observation, meanwhile cognitive respon was measured by using quesionnaire. Then differences violence behaviour was analized by using t test One of therapy that can be given to client who suffers from violence behavior was Assertiveness Training. Assertiveness training was a therapy to train someone to perform asertif behaviour. This therapy was conducted for 5 session using describing, modelling, role play, feedback and transferring methods. The study result showed that violence behaviour at the group which given generalist therapy and Assertiveness Training was decreased significantly in behavioral, cognitive, social and physical responses (p value < 0,05). The group which given generalist therapy was decreased significantly in behavioral, cognitive and physical responses (p value < 0,05). Violenece behavior at the group which given generalist therapy and Assertiveness Training was decreased more lower than the group which given generalist therapy (p value < 0,05).This result demonstrated that there was an impact of generalist therapy and Assertiveness Training in decreasing violence behaviour and recommended as nursing therapy used to treat client with violence behaviour ."

"Pasien kanker yang menjalani kemoterapi mengalami nyeri. Tujuan penelitian ini mengetahui adakah pengaruh terapi musik gamelan Jawa terhadap tingkat nyeri pemasangan infus dan kemoterapi pada pasien kanker di Ruang One Day Care(ODC). Penelitian ini menggunakan desain quasi eksperimen dengan rancangan nonequivalent control group after only design. Jumlah sampel 52 pasien (26 pasien kelompok kontrol dan 26 pasien kelompok intervensi) dengan tehnik consecutive sampling. Pengukuran tingkat nyeri menggunakan VAS rentang 1-10 cm. Analisis data menggunakan Independent T test, Mann Whitney test, Dependen T test, Wilcoxon test dan Kruskal Wallis test. Hasil penelitian menunjukkan terapi musik gamelan Jawa berpengaruh terhadap tingkat nyeri pemasangan infus (nilai p 0,000) dan tingkat nyeri kemoterapi (nilai p 0,000). Rekomendasi penelitian ini adalah terapi musik gamelan Jawa menjadi program intervensi keperawatan pada pasien kanker untuk mengurangi tingkat nyeri pemasangan infus dan kemoterapi.

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Cancer patient during chemotherapy experience pain. This research aimed to identify the influence of Javaness gamelan music therapy to level pain of infussion canulation and chemotherapy of cancer patient in One Day Care (ODC). Design of this research is quasi experiment with nonequivalent control group after only design. A 52 sample (26 patient of control group and 26 patient of intervenstion group ) is chosen by using consecutive sampling. Measurement of pain use VAS range 1-10 cm. Analyses of data use Independent T test, Mann Whitney Test, Dependent T test, Wilcoxon Test and Kruskal Wallis test. This research show that the Javaness Gamelan Music Therapy influence level pain of infussion canulation ( p value 0,000) and chemotherapy (p value 0,000). Base on the research, it is recommended that Javaness Gamelan Music Therapy become nursing intervention program for cancer patient treatment management to reduce level pain of infussion canulation and chemotherapy."

"[ABSTRAKKarya Ilmiah Akhir ini merupakan kumpulan dari laporan praktik residensi medikal bedah yang terdiri dari laporan kasus kelolaan, penerapan terapi musik berdasarkan evidenced based Nursing dan laporan inovasi tentang pelatihan pengkajian ESAS dan penatalaksanaannya. Praktik ini menerapkan asuhan keperawatan pada pasien kanker dengan menggunakan pendekatan The Corbin and Strauss Chronich Illness Trajectory Model. Fokus dari teori ini adalah menerapkan 9 fase perjalanan penyakit yaitu fase pretrajectory, trajectory, stable, unstable, crisis, acut, comeback, downward dan dying. Tujuan dari pendekatan teori ini adalah untuk mengetahui perjalanan penyakit kanker. Salah satu upaya untuk mengurangi kecemasan pada pasien kemoterapi adalah dengan terapi musik. Pelatihan perawat dapat meningkatkan kemampuan mengkaji ESAS dan memberikan penatalaksanaannya. The Corbin and Strauss Chronich Illness Trajectory Model, terapi musik dan pelatihan pengkajian ESAS dan penatalaksanaannya dapat diaplikasikan pada tatanan klinik untuk meningkatkan kualitas pelayanan keperawatan.

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ABSTRACTScientific work is a compilation of the final report medical surgical nursing practice ressidency wich consist of case report under management, the application of music therapy based on evidenced based nursing and innovation report on training of ESAS ( Edmonton Symptomp Assesment System) and it's tretment. This is implement nursing care to cancer patients using theorical approach The Corbin and Strauss Chronich Illness Trajectory Model. The focus of this theory is the apllication of nine phase of chronic illness, consist : pretrajectory, trajectory, stable, unstable, crisis, acut, comeback, downward and dying. The purpose of the theorical approach is to know the trajectory of disease especially cancer. One effort to reduce anxiety related chemotherapy of the patient was music therapy. Training of ESAS and it's treatment will increasing the skill of nurse to asses ESAS and it's treatment. The Corbin and Strauss Chronich Illness Trajectory Model, music therapy and assesment & treatment ESAS training can apllicated in clinical to increse quality of nursing., Scientific work is a compilation of the final report medical surgical nursing practice ressidency wich consist of case report under management, the application of music therapy based on evidenced based nursing and innovation report on training of ESAS ( Edmonton Symptomp Assesment System) and it's tretment. This is implement nursing care to cancer patients using theorical approach The Corbin and Strauss Chronich Illness Trajectory Model. The focus of this theory is the apllication of nine phase of chronic illness, consist : pretrajectory, trajectory, stable, unstable, crisis, acut, comeback, downward and dying. The purpose of the theorical approach is to know the trajectory of disease especially cancer. One effort to reduce anxiety related chemotherapy of the patient was music therapy. Training of ESAS and it's treatment will increasing the skill of nurse to asses ESAS and it's treatment. The Corbin and Strauss Chronich Illness Trajectory Model, music therapy and assesment & treatment ESAS training can apllicated in clinical to increse quality of nursing.]"