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Hasil Pencarian

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Esrom Kanine
"Halusinasi adalah salah satu gejala positif dari Skizofrenia (Stuart & Laraia, 2005). Cognitive Behavior Therapy dapat meningkatkan kemampuan untuk mengontrol halusinasi (Stuart & Laraia, 2005). Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan penatalaksanaan asuhan keperawatan dengan pendekatan konsepsual model interpersonal Peplau dan model stres adaptasi Stuart pada klien skizofrenia dengan halusinasi. Penerapan Cognitive Behavior Therapy dilakukan pada 27 orang klien di ruang Utari RS Dr.Marzoeki Mahdi Bogor pada peroide 20 Pebruari - 20 April 2012.
Hasil Cognitive Behavior Therapy sangat efektif pada 27 klien menunjukkan peningkatan kemampuan klien skizofrenia dengan halusinasi dalam mengontrol halusinasi. Berdasarkan hasil di atas perlu direkomendasikan bahwa Cognitive Behavior Therapy dapat dijadikan standar terapi spesialis keperawatan jiwa.

Hallucinations are one of the positive symptoms of Schizophrenia (Stuart & Laraia, 2005). Cognitive Behavior Therapy can improve the ability to control the hallucinations (Stuart & Laraia, 2005). The purpose of this final scientific work is to describe the management of nursing care to client with hallucinations using Peplau’s interpersonal model conceptual and the Stuart’s stress adaptation model of Approach. Application of Cognitive Behavior Therapy performed on 27 clients in Utari ward of Dr. Marzoeki Mahdi Hospital Bogor on 20th February - 20th April 2012.
The results of Cognitive Behavior Therapy is very effective on 27 clients that showed an increase in the client's ability to interact with others. Based on the results above, need to be recommended that Cognitive Behavior Therapy can be used as standard therapy of psychiatric nursing specialists.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
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UI - Tugas Akhir  Universitas Indonesia Library
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Fathra Annis Nauli
"Harga diri rendah situasional adalah Evaluasi diri atau persepsi diri negatif tentang harga diri sebagai respon terhadap situasi saat ini (Herdman, 2012). Terapi kognitif adalah suatu proses mengenali atau mengidentifikasi pikiran – pikiran yang negative dan merusak yang dapat mendorong ke arah rendahnya harga diri dan depresi yang menetap (Granfa, 2007). Psikoedukasi keluarga merupakan terapi yang memberikan informasi, pengetahuan dan mengajarkan keluarga tentang bagaimana manajemen stres keluarga yang mengalami distress sehingga keluarga memahami dan menggunakan koping dalam penyelesaian masalah yang terjadi di keluarga (Goldenberg, I dan Goldenberg, H, 2004).
Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan hasil manajemen kasus harga diri rendah situasional dan kemampuan pasien dan keluarga (care giver) dalam mengatasi harga diri rendah situasional dengan penerapan terapi kognitif dan psikoedukasi keluarga dengan pendekatan model adaptasi Roy. Penerapan terapi kognitif pada pasien dan psikoedukasi pada care giver dilakukan pada 33 orang pasien di ruang Cempaka Atas dan Bedah kelas RSUP Persahabatan pada kurun waktu 20 Februari - 20 April 2012.
Hasil terapi kognitif sangat efektif pada 33 pasien menunjukkan mampu mengatasi pikiran negatif dan peningkatan kemampuan dalam mengatasi harga diri rendah situasional. Psikoedukasi keluarga juga menunjukkan efektifitasnya dimana sebanyak 33 care giver mampu merawat pasien dengan harga diri rendah situasional, manajemen ansietas dan manajemen beban pada keluarga.
Berdasarkan hasil di atas perlu direkomendasikan bahwa terapi kognitif dan psikoedukasi keluarga dapat dijadikan standar terapi spesialis keperawatan jiwa untuk pasien dan care giver dengan harga diri rendah situasional dan perlu disosialisasikan pada seluruh tatanan pelayanan kesehatan.

Situational low self-esteem is development of a negative perception of self-worth in response to a current situation (Herdman, 2012). Cognitive therapy is a process to recognize or identify the mind negative and destructive thoughts that can lead to low self-esteem and depression that permanent (Granfa, 2007). Family psychoeducation is a therapy that provides information, knowledge and teach families about how families experiencing stress management so that families understand the distress and the use of coping in the resolution of problems that occur in families (Goldenberg, I, and Goldenberg, H, 2004).
The goal of this scientific paper is to describe the results of case management situational low self esteem and the ability of the patient and the family to overcome situational low self esteem with the application of cognitive therapy and family psychoeducation by using Roy’s adaptation model. cognitive therapy and family psychoeducation is done for 33 patients along with general therapy in Cempaka atas and Bedah class room at range of time 20 February - 20 April 2012.
The results of cognitive therapy is effective in 33 patients showed able to overcome negative thoughts and increased ability to cope with situational low self esteem. Family psychoeducation also show effectivelly as much 33 care givers able to caring patients with situational low self esteem, anxiety management and management burden on the family.
Based on the above results need to be recommended that cognitive therapy and family psychoeducation can be used as standard therapy of nursing specialist for patient and care giver with situational low self esteem and require to be socialized at all of health service.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
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UI - Tugas Akhir  Universitas Indonesia Library
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Muhammad Sunarto
"Angka kejadian gangguan jiwa berat di dunia terutama pasien skizofrenia meningkat khususnya di negara-negara berkembang. Sebagian besar pasien skizofrenia mengalami kekambuhan akibat menghentikan program pengobatan yang dilakukan sendiri. Tujuan karya ilmiah ini adalah menggambarkan manajemen asuhan keperawatan jiwa pada pasien dengan penatalaksanaan regimen terapeutik inefektif terhadap peningkatan kemampuan pasien mematuhi program pengobatannya di ruang Antareja Rumah Sakit Marzoeki Mahdi Bogor. Tindakan keperawatan dilakukan pada 25 orang pasien meliputi terapi generalis regimen terapeutik inefektif, terapi kognitif, terapi perilaku kognitif, terapi psikoedukasi dan terapi kelompok suportif pada pasien dengan regimen terapeutik inefektif. Hasil menunjukkan bahwa kombinasi terapi individu; terapi kognitif, terapi perilaku kognitif, terapi psikoedukasi keluarga dan terapi kelompok suportif efektif dalam meningkatkan kepatuhan pasien dengan regimen terapeutik inefektif dengan menggunakan pendekatan transpersonal caring relationship: Jean Watson. Rekomendasi hasil karya ilmiah ini adalah terapi kognitif, terapi perilaku kognitif, terapi psikoedukasi keluarga dan terapi kelompok suportif dapat dilakukan pada pasien regimen terapeutik inefektif di seluruh tatanan pelayanan kesehatan jiwa.

Prevalence of severe mental disorder in the world, mainly in patients with schizophrenia increased, especially in developing countries. Most of the patients experienced a relapse of schizophrenia due stopping their treatment program. The aim of this scientific paper is to describe mental health nursing management of ineffective therapeutic regimen management patients to increase their ability to treatment programs. Nursing interventions performed on 25 patients including generalist intervention, cognitive therapy, cognitive behavioral therapy, family psycho-education and supportive group therapy. Results showed that the combination of the therapy are effective in improving patient’s compliance by using transpersonal caring relationship approach: Jean Watson. Recommendations are cognitive therapy, cognitive behavioral therapy, family psycho-education and supportive group therapy can be performed on ineffective therapeutic regimen management patients in whole mental health services.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
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UI - Tugas Akhir  Universitas Indonesia Library
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Evi Tunjung Fitriani
"[ABSTRAK
Gangguan jiwa berat selain berdampak terhadap diri sendiri,juga berdampak pada keluarga. Teridentifkasi berbagai beban keluarga saat merawat klien gangguan jiwa,termasuk beban sosial yaitu stigma.Stress yang dialami keluarga dalam merawat klien gangguan jiwa dalam jangka waktu lama, akan membuat keluarga menggunakan berbagai strategi koping yang sangat bervariasi, baik yang positif maupun negatif. Strategi koping yang digunakan keluarga dalam memberikan perawatan pada klien gangguan klien gangguan jiwa, memberikan dampak bervariasi dalam kesembuhan klien. Tujuan : menjelaskan family empowerment dalam manajemen kasus isolasi sosial dan harga diri rendah dengan pendekatan teori Peplau,Henderson dan King. Analisis dilakukan pada 7 klien dengan Cognitive Therapy (CT), Commitment Therapy(ACT) dan Social Skills Training(SST) sedangkan keluarga dengan Family Psycoeducation(FPE) dan Triagle Therapy. Hasil penerapan family empowerment meningkatkan peran serta keluarga dalam meningkatkan kemampuan klien dalam mengembangkan harga diri dan ketrampilan sosial, lebih mandiri dan produktif.ABSTRACT Severe mental disorder not only affecting the individual client but also the family. Different family burden have been identified during providing nursing care to the mentally problem clients, including social burden which is called stigma. The family under stressful situation when taking care of the client for a long period of time required coping strategies either positive or negative. Coping strategies used by the family in caring for the client with mental problem would affect the different stage of clients? recovery. The purpose of this scientific paper was to describe the family empowerment in case management of social isolated and low self-esteem clients using the theories of Peplau, Henderson and King as an approach. Analysis of Cognitive Therapy (CT), Commitment Therapy (ACT) and Social Skills Training (SST) applied to 7 individual clients and Family Psycho Education (FPE) and Triangle Therapy were conducted to the clients? family. The result of family empowerment showed the improvement of family participation and client?s ability in boosting self-esteem and social skill, to become more independent and productive. ;Severe mental disorder not only affecting the individual client but also the family. Different family burden have been identified during providing nursing care to the mentally problem clients, including social burden which is called stigma. The family under stressful situation when taking care of the client for a long period of time required coping strategies either positive or negative. Coping strategies used by the family in caring for the client with mental problem would affect the different stage of clients? recovery. The purpose of this scientific paper was to describe the family empowerment in case management of social isolated and low self-esteem clients using the theories of Peplau, Henderson and King as an approach. Analysis of Cognitive Therapy (CT), Commitment Therapy (ACT) and Social Skills Training (SST) applied to 7 individual clients and Family Psycho Education (FPE) and Triangle Therapy were conducted to the clients? family. The result of family empowerment showed the improvement of family participation and client?s ability in boosting self-esteem and social skill, to become more independent and productive. , Severe mental disorder not only affecting the individual client but also the family. Different family burden have been identified during providing nursing care to the mentally problem clients, including social burden which is called stigma. The family under stressful situation when taking care of the client for a long period of time required coping strategies either positive or negative. Coping strategies used by the family in caring for the client with mental problem would affect the different stage of clients’ recovery. The purpose of this scientific paper was to describe the family empowerment in case management of social isolated and low self-esteem clients using the theories of Peplau, Henderson and King as an approach. Analysis of Cognitive Therapy (CT), Commitment Therapy (ACT) and Social Skills Training (SST) applied to 7 individual clients and Family Psycho Education (FPE) and Triangle Therapy were conducted to the clients’ family. The result of family empowerment showed the improvement of family participation and client’s ability in boosting self-esteem and social skill, to become more independent and productive. ]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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B Antonelda Marled Wawo
"Pasien ansietas dapat diikuti dengan gangguan fisik berupa hipertensi, diabetes melitus, hiperurisemia, gastritis, dan radang sendi. Penanganan ansietas pasien dengan gangguan fisik menggunakan pendekatan model adaptasi stres Stuart yang membantu perawat melakukan asuhan keperawatan melalui proses keperawatan dari pengkajian, diagnosa, rencana, implementasi, dan evaluasi untuk menurunkan tanda gejala ansietas dan meningkatkan kemampuan mengatasi ansietas. Ansietas mulai dari tingkat ringan sampai berat memiliki prevalensi tinggi yang tidak diatasi sehingga dapat menurunkan produktivitas dan kualitas hidup pasien yang dapat menjadi predisposisi dari gangguan jiwa. Pasien berjumlah 30 orang, berusia dewasa, berjenis kelamin perempuan, berstatus kawin, berlatar belakang pendidikan dasar, dan tidak bekerja; memiliki pikiran yang salah terhadap gangguan fisik yang berpengaruh pada seluruh sistem tubuh. Dengan demikian memerlukan terapi spesialis keperawatan jiwa berupa terapi penghentian pikiran dan relaksasi otot progresif. Kedua terapi ini terbukti efektif menurunkan tanda gejala dan meningkatkan kemampuan untuk mengatasi ansietas terutama pada pasien hiperglikesemia dan radang sendi. Kemampuan yang dimiliki menjadi kemampuan dalam melakukan perawatan diri pasien gangguan fisik untuk mengatasi ansietas.
Anxiety patients can be followed by physical disorders such as hypertension, diabetes mellitus, hyperuricemia, gastritis, and arthritis. Handling patient anxiety with a physical disorder using Stuart 39 s adaptation stress model approach that helps nurses conduct nursing care through nursing process from assessment, diagnosis, plan, implementation, and evaluation to reduce anxiety symptoms and improve anxiety skills. Anxiety ranging from mild to severe levels has a high prevalence that is not addressed so as to decrease the productivity and quality of life of patients who can predispose to mental disorders. Patients were 30, adults, female, married, elementary, and non working Have the wrong mind against the physical disorder that affects the entire system of the body. Thus requires the therapy of mental nursing specialist in the form of therapy thought stopping and progressive muscle relaxation. Both of these therapies have been shown to be effective in reducing symptoms and improving the ability to treat anxiety especially in hyperuricemia and arthritis patients. Ability possessed into the ability to perform self care patients with physical disorders to overcome anxiety."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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UI - Tugas Akhir  Universitas Indonesia Library
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Fairus Ali Abdad
"Pasien gangguan jiwa kerap kali mendapatkan perawatan yang kurang sesuai dengan pemenuhan hak azasi manusia. Model safeward merupakan intervensi keperawatan yang dirancang untuk mengurangi konflik dan kejadian restrain dan seklusi dalam layanan rawat inap psikiatri dengan sepuluh intervensi berbasis bukti. Ruang PHCU (Psychiatric High Care Unit) merupakan ruang perawatan psikiatri yang digunakan untuk merawat pasien akut. Penelitian ini merupakan penelitian deskriptif analitik dengan metode cross sectional yang dilakukan di Ruang PHCU RSJ dr. H. Marzoeki Mahdi Bogor. Populasi penelitian adalah perawat Ruang PHCU dengan metode total sampling. Pengambilan data dilakukan menggunakan kuesioner dalam format digital. Hasil penelitian diketahui bahwa karakteristik perawat sebagian besar adalah wanita, berumur 31-60 tahun, jenjang pendidikan D-III Keperawatan, pengalaman kerja di Ruang PHCU lebih dari lima tahun dan sebagian besar belum pernah mengikuti pelatihan safeward. Jenis konflik yang sering dijumpai adalah pasien menolak minum obat dan jenis restrain yang sering dilakukan adalah mengikat pasien. Dari hasil analisis statistik menggunakan uji chi-square dengan tingkat kemaknaan 95% dan nilai α ≤ 0,05 diketahui bahwa terdapat hubungan antara tingkat pengetahuan dengan sikap perawat, namun tidak terdapat hubungan antara tingkat pengetahuan perawat dengan kejadian restrain dan seklusi dan tidak terdapat hubungan antara sikap dengan kejadian restrain dan seklusi. Manajemen kiranya perlu segera melengkapi perangkat regulasi yang jelas untuk mendorong pelaksanaan model safeward yang lebih terstruktur, melaksanakan monitor dan evaluasi terkait penerapan model, menyiapkan program inovasi yang mendukung penerapan model, melakukan upaya percepatan pemenuhan fasilitas, sarana dan prasarana terutama yang berkaitan dengan sistem informasi terintegrasi dan mulai mengkaji kemungkinan burnout dari perawat yang bekerja di Ruang PHCU.

Patients with mental disorders often receive treatment that is not in accordance with the fulfillment of human rights. The safeward model is a nursing intervention designed to reduce conflict and the incidence of restraint and exclusion in psychiatric inpatient services with ten evidence-based interventions. The PHCU (Psychiatric High Care Unit) room is a psychiatric treatment room used to treat acute patients. This research is a descriptive analytic study with cross sectional method which was conducted in the PHCU Room of RSJ dr. H. Marzoeki Mahdi Bogor. The research population is PHCU room nurses with total sampling method. Data were collected using a questionnaire in digital format. The results showed that the characteristics of nurses were mostly women, aged 31-60 years, education level D-III Nursing, working experience in the PHCU Ward more than five years and most of them had never attended safeward training. The type of conflict that is often encountered is the patient refusing to take medication and the type of restraint that is often used is to bind the patient. From the results of statistical analysis using the chi-square test with a significance level of 95% and a value of 0.05, it is known that there is a relationship between the level of knowledge and the attitude of nurses, but there is no relationship between the level of knowledge of nurses with the incidence of restraint and exclusion and there is no relationship between the level of knowledge of nurses and the incidence of restraint and exclusion. attitude with the incidence of restraint and seclution. Management should immediately complete clear regulatory tools to encourage the implementation of a more structured safeward model, carry out monitoring and evaluation related to the application of the model, prepare an innovation program that supports the implementation of the model, make efforts to accelerate the fulfillment of facilities, facilities and infrastructure, especially those related to integrated information systems. and begin to examine the possibility of burnout from nurses who work in the PHCU Ward."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2021
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
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Videbeck, Sheila L.
Philadelphia: Wolters Kluwer, 2017
616.89 VID p
Buku Teks SO  Universitas Indonesia Library
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Fontaine, Karen Lee
New Jersey: Prentice-Hall, 2003
610.736 8 FON m
Buku Teks SO  Universitas Indonesia Library
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New York: McGraw-Hill , 1987
616.890 2 COM
Buku Teks SO  Universitas Indonesia Library
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Stuart, Gail W. (Gail Wiscarz)
St. Louis: Mosby , 1991
616.890 2 STU p
Buku Teks SO  Universitas Indonesia Library
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