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"Klien dengan penyakit kanker cenderung mengalami masalah psikososial salah satunya ansietas yang berdampak terhadap kesehatan mental. Karya ilmiah akhir ini bertujuan untuk mengetahui penerapan terapi penghentian pikiran, terapi penerimaan dan komitmen serta  psikoedukasi keluarga terhadap respon penurunan  tanda dan gejala ansietas dengan pendekatan teori Stuart dan Swanson. Responden berjumlah 30 klien dengan diagnosa medis kanker, 15 klien diberikan intervensi keperawatan berupa tindakan keperawatan ners generalis ditambah terapi penghentian pikiran dan terapi psikoedukasi keluarga serta 15 klien diberikan Intervensi keperawatan  berupa terapi ners generalis, terapi penghentian pikiran, terapi penerimaan dan komitmen serta terapi psikoedukasi keluarga. Analisis dilakukan terhadap respon tanda dan gejala ansietas serta kemampuan klien dan keluarga sebelum dan sesudah dilakukan tindakan keperawatan. Hasil penerapan Intervensi keperawatan ners generalis dan ners spesialis penghentian pikiran, terapi penerimaan dan komitmen dan psikoedukasi keluarga menurunkan tanda dan gejala ansietas secara bermakna pada semua respon, terdapat perbedaan signifikan pada penurunan tanda dan gejala respon kognitif pada intervensi keperawatan  ners generalis, terapi penghentian pikiran, terapi penerimaan dan komitmen dan psikoedukasi keluarga.

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Clients with cancer tend to experience psychosocial problems, one of which is anxiety that has an impact on mental health. This latest scientific paper aims to determine the application of mind cessation therapy, acceptance and commitment therapy as well as family psychoeducation to the response to decreased signs and symptoms of anxiety with the theoretical approach of Stuart and Swanson. The respondents were 30 clients with a medical diagnosis of cancer, 15 clients were given nursing interventions in the form of generalist nurse nursing actions plus mind cessation therapy and family psychoeducational therapy and 15 clients were given nursing interventions in the form of generalist nurse therapy, mind cessation therapy, acceptance and commitment therapy and family psychoeducation therapy. Analysis was carried out on the response of signs and symptoms of anxiety as well as the ability of clients and families before and after nursing treatment. The results of the implementation of nursing interventions for generalist nurses and nurses with cessation of thoughts, acceptance and commitment therapy and family psychoeducation significantly decreased signs and symptoms of anxiety in all responses, there was a significant difference in the decrease in signs and symptoms of cognitive response in nursing interventions for generalist nurses, mind cessation therapy, acceptance and commitment therapy and family psychoeducation."

"Talasemia merupakan penyakit hemolitik herediter yang bisa menyebabkan masalah psikososial, emosional dan perilaku terutama pada remaja. Terapi kelompok terapeutik merupakan kegiatan kelompok untuk mengatasi masalah perkembangan remaja, membantu mengatasi stres, emosi, akibat penyakit fisik, krisis tumbuh kembang atau penyesuaian. Manajemen stres guided imagery merupakan salah satu cara pengelolaan stres dengan memanfaatkan potensi diri sebagai sumber efektif untuk mengatur emosi serta mengatasi masalah. Tujuan penelitian ini adalah menilai pengaruh terapi kelompok terapeutik remaja dan manajemen stres guided imagery terhadap tingkat stres, koping, resiliensi dan konsep diri remaja talasemia. Desain penelitian menggunakan quasi eksperimental pre-post with control group. Tehnik pengambilan sample menggunakan purposive sampling, Hasil penelitian menunjukan bahwa remaja talasemia kelompok intervensi mengalami perubahan yakni penurunan tingkat stres, perubahan strategi koping, peningkatan resiliensi dan peningkatan konsep diri dibandingkan kelompok kontrol setelah pemberian terapi kelompok terapeutik dan manajemen stres guided imagery (p value < 0.05). Terapi kelompok terapeutik dan manajemen stres guided imagery berpengaruh terhadap tingkat stres, koping, resiliensi dan konsep diri remaja talasemia. Terapi kelompok terapeutik remaja dapat dijadikan rujukan terapi, dalam pencegahan munculnya masalah psikososial pada remaja talasemia sehingga tugas perkembangan dapat dicapai secara optimal.

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Thalassemia is a hereditary hemolytic disease that can cause psychosocial, emotional and behavioral problems, especially in adolescents. Therapeutic group therapy is a group activity to overcome adolescent development problems, help overcome stress, emotions, due to physical illness, growth and development crises or adjustments. Guided imagery stress management is one way of managing stress by utilizing one's potential as an effective source for regulating emotions and overcoming problems. The purpose of this study was to assess the effect of adolescent therapeutic group therapy and stress management guided imagery on stress levels, coping, resilience and self-concept of thalassemia adolescents. The study design used quasi-experimental pre- post with control group. The results showed that the intervention group thalassemia adolescents experienced changes namely decreased stress levels, changes in coping strategies, increased resilience and increased self- concept compared to the control group after therapeutic group therapy and guided imagery stress management (p value < 0.05). Therapeutic group therapy and guided imagery stress management affect stress levels, coping, resilience and self-concept of thalassemia adolescents. Adolescent therapeutic group therapy can be used as a therapeutic reference, in the prevention of the emergence of psychosocial problems in thalassemia adolescents so that developmental tasks can be achieved optimally."