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"Penelitian ini bertujuan untuk melihat efektvitas problem solving therapy untuk meningkatkan keterampilan pemecahan masalah pada remaja pria pelanggar status. Hasil penelitian sebelumnya menunjukkan bahwa kenakalan remaja dan perilaku yang membahayakan kesehatan terkait dengan minimnya keterampilan pemecahan masalah, yang pada akhirnya dapat berpengaruh pada rendahnya performa akademis. Usaha intervensi bagi remaja pelanggar status banyak dilakukan untuk meningkatkan keterampilan memecahkan masalah sosial, salah satunya melalui Problem Solving Therapy (PST) yang berdasarkan pada prinsip terapi kognitif behavioral (D'Zurilla & Nezu, 2007). Subjek dalam penelitian ini adalah seorang remaja pria pelanggar statusberusia 14 tahun. Intervensi diberikan dalam 7 sesi yang dibuat berdasarkan panduan umum PST. Untuk melihat keberhasilan program, dilakukan pengukuran sebelum dan sesudah dilakukan program dengan menggunakan alat ukur berupa pedoman wawancara dan kuesioner problem solving test yang dirancang oleh Nezu, Nezu, & D'Zurilla (2013). Hasilnya menunjukkan bahwa program intervensi yang dirancang, belum efektif untuk meningkatkan keterampilan pemecahan masalah. Program ini berhasil memberi pengetahuan mengenai langkah-langkah pemecahan masalah yang efektif dan meningkatkan keyakinan subjek untuk berubah, namun belum berhasil mengubah orientasi masalah subjek menjadi lebih positif. Beberapa saran yang dapat diberikan, antara lain melakukan pengujian alat ukur secara psikometrik, berusaha mempertahankan rapport yang baik dengan subjek selama berlangsungnya program, melakukan sesi follow-up untuk melihat hasil generalisasi keterampilan pemecahan masalah dalam situasi natural, serta melakukan pelatihan keterampilan sosial sebelum pelatihan keterampilan pemecahan masalah. ......This study is aimed to investigate the effectiveness of problem solving therapy (PST) to improve problem solving skill in a male adolescent status offender. Previous study showed that juvenile delinquency and health-risk behaviour are related to lack of problem solving skill which then affect academic performance. Intervention for adolescent status offender were conducted frequently to improve social problem solving skill, one of them is PST which based on cognitive behavioral therapy principles. (D'Zurilla & Nezu, 2007). Subject in this study is a male adolescent status offender aged 14 year. Intervention was performed in 7 session which designed based on general guidelines of PST. To determine the effectiveness of the intervention, measurement were performed before and after program using interview guideline and problem solving test questionnaire designed by Nezu, Nezu, & D'Zurilla (2013). Result showed the intervention was not yet effective to improve problem solving skill. This progam is effective to deliver knowledge about steps of effective problem solving and enhance subject's willingness to change, but failed to change subject's problem orientation to be more positive. Some suggestions for future study are to evaluate psychometric properties of the measure, to maintain good rapport with the subject during intervention,to provide follow-up session purposed to observe generalization of problem solving skill in natural setting, and to provide social skill training before problem solving skill training."

"Remaja penyalahguna Napza berisiko tinggi kambuh ketika menghadapi masalah atau berada pada situasi berisiko setelah rehabilitasi. Problem-solving therapy dan assertiveness training merupakan tindakan keperawatan yang diharapkan mampu meningkatkan kemampuan penyelesaian masalah dan kemampuan menolak ajakan irasional, sehingga risiko kekambuhan pada remaja penyalahguna Napza menurun. Penelitian ini bertujuan untuk mengetahui pengaruh problem-solving therapy dan assertiveness training terhadap kemampuan penyelesaian masalah, kemampuan menolak ajakan irasional dan risiko kekambuhan pada remaja penyalahguna Napza yang mengikuti rehabilitasi. Desain penelitian yang digunakan adalah quasi experimental pre-posttest without control. Jumlah sampel 30 remaja dengan metode consecutive sampling. Responden mendapatkan tindakan keperawatan ners, problem-solving therapy dan assertiveness training. Instrument yang digunakan adalah Advanced Warning Relapse Scale Revised (AWARE), Social Problem Solving Inventory revised (SPSI-R) dan Drug Avoidance Self-Efficacy Scale (DASES). Analisis data menggunakan independent T-test, paired T-test, repeated ANOVA dan Pearson. Hasil penelitian menunjukkan tindakan keperawatan ners tidak dapat meningkatkan kemampuan penyelesaian masalah dan menurunkan risiko kekambuhan, tetapi mampu meningkatkan kemampuan menolak ajakan irasional. Tindakan keperawatan ners yang dikombinasikan dengan problem-solving therapy dan assertiveness training mampu meningkatkan kemampuan kemampuan penyelesaian masalah dan kemampuan menolak ajakan irasional serta menurunkan risiko kekambuhan. Hubungan kemampuan penyelesaian masalah dan kemampuan menolak ajakan dengan risiko kekambuhan tidak signifikan. Perawat ners dapat memberikan tindakan keperawatan ners koping individu tidak efektif dan perawat ners spesialis dapat mengkombinasikan tindakan keperawatan ners dengan problem-solving therapy dan assertiveness training untuk semakin meningkatkan kemampuan remaja penyalahguna Napza dan menurunkan risiko kekambuhan. ......Adolescent substance abusers has a high risk of relapse when facing problems or are in a risky situation after rehabilitation. Problem-solving therapy and assertiveness training are nursing interventions that are expected to be able to improve the ability to solve problems and the ability to reject irrational requests, so that the risk of relapse in adolescent substance abusers decreases. This study aims to determine the effect of problem-solving therapy and assertiveness training on the ability to solve problems, the ability to reject irrational requests and the risk of relapse in adolescent substance abusers who follows rehabilitation. The research design used was quasi-experimental pre-posttest without control. The size of the samples is 30 adolescents with the consecutive sampling method. Respondents received a nursing intervention, problem-solving therapy and assertiveness training. The instrument used was the Advanced Warning Relapse Scale-Revised (AWARE), Social Problem Solving Revised Inventory (SPSI-R) and Drug Avoidance Self-Efficacy Scale (DASES). Data analysis using independent T-test, paired T-test, repeated ANOVA and Pearson. The results showed nursing interventions could not improve their ability to solve problems and reduce the risk of relapse, but were able to increase the ability to reject irrational requests. The nursing intervention combined with problem-solving therapy and assertiveness training can improve the ability to solve problems and the ability to reject irrational requests and reduce the risk of relapse. The nurses can provide nursing intervention for ineffective individual coping and mental health nurse specialists can combine that nursing intervention with problem-solving therapy and assertiveness training to further improve the abilities of adolescent substances abuser and reduce the risk of relapse."