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Yanuar Fahrizal
Abstrak :
ABSTRAK
Gangguan jiwa secara keseluruhan diprediksikan akan semakin meningkat setiap tahunnya. Pasien dengan masalah gangguan jiwa berat seperti skizofrenia seringkali melakukan perilaku kekerasan. Penanganan pasien dengan perilaku kekerasan dapat menggunakan tindakan keperawatan generalis dan tindakan keperawatan spesialis latihan asertif dan psikoedukasi keluarga. Studi kasus ini melibatkan 11 pasien dengan karakteristik mayoritas usia 26-60 tahun, tidak bekerja, tingkat pendidikan SMA, belum menikah, dan memiliki riwayat dirawat sebelumnya. Tindakan keperawatan generalis dan ners spesialis latihan asertif dan psikoedukasi keluarga dilakukan menggunakan pendekatan teori adaptasi Roy 2017 dan adaptasi stress Stuart 2013 . Penggunaan pendekatan teori adaptasi Roy dan adaptasi stress Stuart sesuai diterapkan pada penanganan pasien dengan risiko perilaku kekerasan di ruang rawat inap tenang. Hasil penerapan terapi latihan asertif dan psikoedukasi keluarga menunjukkan terjadinya penurunan tanda dan gejala risiko perilaku kekerasan serta terjadinya peningkatan kemampuan pasien dalam mengatasi risiko perilaku kekerasan. Kata Kunci: skizofrenia, risiko perilaku kekerasan, latihan asertif, psikoedukasi keluarga ABSTRACT The mental disorder is predicted to increase every year. Patient with mental disorder such as schizophrenia often engage in violent behavior. Treatment of patients with violent behavior can use general nursing actions and specialist ners. This case study involved 11 patients with the majority of ages 26 60 years, unemployed, high school education, unmarried, and had a history of previous care. Nursing acts and ners specialists assertive trainning and family psychoeducation using Roy 39 s adaptation theory 2017 and Stuart 39 s stress adaptation approach 2013 . The Roy 39 s adaptation theory and Stuart stress adaptation approach is applied to the treatment of patients with the risk of violent behavior. The results of the application of assertive trainning therapy and family psychoeducation showed a decrease in signs and symptoms of violent behavior as well as improving the patient 39 s ability to overcome the risk of violent behavior. Keywords Schizophrenia, risk for violence, assertive training, family psychoeducation
Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Yanuar Fahrizal
Abstrak :
Mental disorders are predicted to increase every year. Patients with severe mental disorders, such as schizophrenia, often engage in violent behavior. The treatment of such patients can use general nursing treatments (anger management with physical therapy, taking medicines regularly, and verbal and spiritual methods) and specialist nursing interventions (assertive training and family psychoeducation). This case report involved 11 patients, with the majority aged between 26 and 60 years, unemployed, high school graduates, unmarried, and with previous inpatient history. Generalist and specialist nursing interventions (assertive training and family psychoeducation) use Roy’s adaptation theory and Stuart’s stress adaptation approach. Nursing interventions were conducted sequentially, starting with generalist nursing interventions, followed by specialist ones. The method used was a pre–posttest in which each patient received generalist and specialist nursing interventions, assertive training, and family psychoeducation, each consisting of five sessions. Results of assertive training therapy and family psychoeducation showed a decrease in the signs and symptoms of violent behavior as well as an improvement in the patient’s ability to overcome the risk of violent behavior. The application of Roy’s adaptation theory and Stuart’s stress adaptation approach is potentially appropriate for the treatment of patients with a risk of violent behavior.
Jakarta: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
610 UI-JKI 23:1 (2020)
Artikel Jurnal  Universitas Indonesia Library