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"Klien gangguan jiwa merupakan salah satu dari kelompok rentan terdampak pandemi COVID-19. Kasus terkonfirmasi yang semakin banyak berdampak terhadap peningkatan jumlah klien gangguan jiwa dengan COVID-19, khususnya yang menjalani perawatan di rumah sakit jiwa rujukan. Tujuan penelitian ini untuk mendapatkan pemahaman mendalam tentang makna merawat klien gangguan jiwa dengan COVID- 19. Penelitian ini menggunakan desain kualitatif dengan pendekatan fenomenologi deskriptif. Partisipan penelitian adalah perawat kesehatan jiwa sebanyak 15 orang, yang didapatkan dengan teknik purposive sampling. Metode pengumpulan data dengan wawancara mendalam menggunakan pertanyaan semi terstruktur. Hasil wawancara dalam bentuk transkrip dianalisis dengan menggunakan teknik Colaizzi. Hasil penelitian menghasilkan lima tema yaitu pengalaman positif selama merawat klien gangguan jiwa dengan COVID-19, tantangan pemberian asuhan keperawatan klien gangguan jiwa dengan COVID-19, pengalaman fisik dan psikologis yang tidak menyenangkan, kesulitan fasilitas pendukung untuk stabilisasi masalah fisik, dan harapan perawat kesehatan jiwa dalam merawat klien gangguan jiwa dengan COVID-19. Penelitian ini merekomendasikan agar perawat kesehatan jiwa mempersiapkan diri secara fisik dan psikologis sebelum bertugas, meningkatkan kompetensinya terutama dalam perawatan masalah fisik klien gangguan jiwa dengan COVID-19.

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Clients with mental disorders are one of the vulnerable groups affected by the COVID- 19 pandemic. The increasing number of confirmed cases has an impact on the increase in the number of clients with mental disorders with COVID-19, especially those undergoing treatment at a referral mental hospital. The purpose of this study was to gain an in-depth understanding of the meaning of caring for clients with mental disorders with COVID-19. This study uses a qualitative design with a descriptive phenomenological approach. The research participants were 15 mental health nurses, which were obtained by purposive sampling technique. Methods of collecting data with in-depth interviews using semi-structured questions. The results of the interviews in the form of transcripts were analyzed using the Colaizzi technique. The results of the study produced five themes, namely positive experiences while caring for clients with mental disorders with COVID-19, challenges in providing nursing care for clients with mental disorders with COVID-19, unpleasant physical and psychological experiences, difficulties with supporting facilities for stabilizing physical problems, and expectations of mental health nurses in treating clients with mental disorders with COVID-19. This study recommends that mental health nurses to prepare physically and psychologically before serving, increase their competence, especially in treating physical problems for clients with mental disorders and COVID-19."

"Halusinasi dan perilaku kekerasan merupakan gejala positif yang paling banyak ditemukan pada klien dengan skizofrenia. Tanda dan gejala halusinasi dan perilaku kekerasan membutuhkan penatalaksanaan yang komperehensif dan berkesinambungan baik untuk klien, keluarga, dan kelompok. Tujuan penulisan karya ilmiah akhir ini adalah untuk memberikan gambaran penerapan dari tindakan keperawatan ners, cognitive behaviour therapy, assertive training, psikoedukasi keluarga, dan terapi suportif pada klien halusinasi dan perilaku kekerasan. Metode yang digunakan adalah operational research. Pengambilan sampel menggunakan teknik purposive sampling berjumlah 40 klien yang terbagi dalam dua kelompok. Kelompok satu berjumlah 20 klien diberikan tindakan keperawatan ners, cognitive behaviour therapy, assertive training, psikoedukasi keluarga, dan terapi suportif (paket terapi satu). Kelompok dua berjumlah 20 klien diberikan tindakan keperawatan ners, cognitive behaviour therapy, dan assertive training (paket terapi dua). Pengumpulan data menggunakan instrumen tanda gejala dan kemampuan, kemudian dianalisis secara univariat dan bivariat. Analisis univariat menggunakan distribusi frekuensi dan tendensi sentral. Analisis bivariat menggunakan uji friedman, wilcoxon, mann-whitney, dan korelasi rank spearman. Hasil karya ilmiah menunjukkan penurunan tanda dan gejala serta peningkatan kemampuan klien halusinasi dan perilaku kekerasan pada kelompok yang diberikan paket terapi satu lebih besar secara bermakna dibandingkan kelompok yang mendapatkan paket terapi dua (p value < 0,05). Tindakan keperawatan yang dikombinasikan antara tindakan keperawatan ners oleh perawat generalis dan tindakan keperawatan spesialis oleh perawat spesialis jiwa direkomendasikan dilakukan di rumah sakit jiwa untuk menghasilkan penurunan tanda gejala dan peningkatan kemampuan klien halusinasi dan perilaku kekerasan lebih optimal.

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Hallucinations and violent behavior are the most common positive symptoms in clients with schizophrenia. Signs and symptoms of hallucinations and violent behavior require comprehensive and continuous management for the client, family, and group. The purpose of writing this final scientific paper is to provide an overview of the application of standart nursing intervention, cognitive behavior therapy, assertive training, family psychoeducation, and supportive therapy to clients with hallucinations and violent behavior. The method used is operational research. Sampling using purposive sampling technique amounted to 40 clients who were divided into two groups. The first group of 20 clients was given standart nursing intervention, cognitive behavior therapy, assertive training, family psychoeducation, and supportive therapy (therapy package one). The second group of 20 clients was given standart nursing intervention, cognitive behavior therapy and assertive training (therapy package two). Collecting data using signs and symptoms instruments and abilities, then analyzed by univariate and bivariate. Univariate analysis using frequency distribution and central tendency. Bivariate analysis using friedman, wilcoxon, mann-whitney and spearman rank correlation test. The results of scientific work showed the decrease in signs and symptoms as well as an increase in the client's ability to hallucinations and violent behavior in the group given therapy package one was significantly greater than the group receiving therapy package two (p_value <0.05). Nursing intervention that are combined between standart nursing and specialist nursing intervention are recommended to be carried out in mental hospitals to produce a decrease in signs of symptoms and an increase in the ability of clients to have hallucinations and violent behavior more optimally"