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"Harga diri rendah merupakan perasaan tidak berharga, tidak berarti dan rendah diri yang berkepanjangan akibat evaluasi negatif terhadap diri sendiri dan kemampuan diri. Laporan kasus ini bertujuan untuk melihat manfaat terapi kognitif dan terapi psikoedukasi keluarga terhadap peningkatan kemampuan klien dan keluarga serta penurunan tanda dan gejala harga diri rendah pada enam klien laki-laki berusia dewasa melalui pendekatan case series. Pada tiga klien diberikan tindakan keperawatan ners dan terapi kognitif serta pada tiga klien lainnya diberikan tindakan keperawatan ners, terapi kognitif dan psikoedukasi keluarga. Hasil penerapan pada kelompok klien dengan tindakan keperawatan ners dan terapi kognitif menunjukkan penurunan tanda dan gejala harga diri rendah pada aspek kognitif, afektif, fisiologis, perilaku dan sosial serta terjadi peningkatan harga diri klien dan kemampuan keluarga setelah dikombinasikan dengan terapi psikoedukasi keluarga. Kedua terapi ini direkomendasikan dilakukan bersamaan pada klien harga diri rendah, karena dukungan keluarga memberikan kontribusi pada kemampuan klien mengatasi masalahnya. Penelitian selanjutnya diperlukan untuk melihat efektivitas terapi kognitif dan terapi psikoedukasi keluarga pada harga diri rendah dengan penelitian intervensi.

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Low self esteem is a feeling of worthless, meaningless and prolonged self esteem due to a negative evaluation of self and self ability. This case report aims to look at the benefits of cognitive therapy and family psychoeducation therapy on improving client and family abilities and decreasing signs and symptoms of low self esteem in six adult male clients through a case series approach. On three clients were given nursing actions ners and cognitive therapy as well as on three other clients were given nursing actions ners, cognitive therapy and family psychoeducation. The results of applying to the client group with nursing actions and cognitive therapy showed decreased signs and symptoms of low self esteem on cognitive, affective, physiological, behavioral and social aspects as well as increased self esteem of clients and family ability after combined with family psycho education therapy. Both of these therapies are recommended to be performed simultaneously on low self esteem clients, as family support contributes to the client 39 s ability to resolve the problem. Further research is needed to see the effectiveness of cognitive therapy and family psychoeducation therapy on low self esteem with intervention research."

"Halusinasi merupakan salah satu masalah yang banyak dialami oleh klien dengan skizofrenia. Tanda dan gejala yang dialami oleh klien halusinasi salah satunya adalah keluyuran yang menjadi hal mengkhawatirkan bagi keluarga. Keluarga yang merawat klien dengan halusinasi merasakan beban yang cukup berat dalam merawat klien. Adapun sumber beban pengasuh lainnya adalah tidak terpenuhi kebutuhan dan kesulitan dalam memberikan perawatan kepada klien.. Tujuan penulisan karya ilmiah ini adalah untuk menggambarkan manajemen kasus spesialis melalui pemberian psikoedukasi keluarga dan terapi suportif berbasis kebutuhan keluarga dalam merawat klien dengan halusinasi. Metode yang digunakan adalah case series. Manajemen kasus ini dilakukan pada 7 keluarga yang mendapatkan tindakan keperawatan ners, psikoedukasi keluarga, dan terapi suportif. Pengkajian awal pada keluarga menggunakan instrumen Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) untuk mengkaji kebutuhan keluarga. Hasil analisa kasus menunjukkan perubahan pada kebutuhan keluarga yang pada saat sebelum diberikan tindakan tidak terpenuhi menjadi terpenuhi dan juga terjadi perubahan peningkatan kemampuan keluarga dalam merawat klien dengan halusinasi. Tindakan keperawatan ners direkomendasikan dilakukan oleh perawat puskesmas serta psikoedukasi keluarga dan terapi suportif dapat dilakukan oleh perawat spesialis jiwa dalam membantu memenuhi kebutuhan keluarga yang merawat klien dengan halusinasi.

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Hallucinations is one of the problems experienced by many clients with schizophrenia. Signs and symptoms experienced by hallucinations clients, one of which is wandering which is a worrying thing for the family. Families who treat clients with hallucinations feel a considerable burden in caring for clients. The source of the burden of other caregivers is unmet needs and difficulties in providing care to clients. The purpose of writing this scientific paper is to describe case management through the provision of family psychoeducation and supportive therapy based on carers need in caring for clients with hallucinations. The method used is case series. This case management was carried out in 7 families who received general nursing intervention, family psychoeducation, and supportive therapy. The initial assessment of the family used the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) instrument to assess carers need. The results of case analysis show changes in carers need which at the time before being given unfulfilled actions are fulfilled and there is also a change in the increase in family capacity in caring for clients with hallucinations. General nursing intervention are recommended performed by nurses in community and family psychoeducation and supportive therapy can be carried out by psychiatric nurses to help meet the needs of families caring for clients with hallucinations."

"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."

"Heart failure and hypertension are non-communicable diseases that are responsible for 70% of deaths worldwide and cause anxiety and impaired body image. Nursing interventions (therapy in general) and acceptance and commitment therapy increase patients’ acceptance of the disease and commitment to alleviate anxiety and improve impaired body image. Meanwhile, family psychoeducation improves the family’s ability to care for the patient. This case report presents two patients with heart failure and hypertension. The two patients experienced a decrease in symptoms on the cognitive aspects (difficulty concentrating, focusing on self, and decline body changes), affective aspects (worry, shame, and despair), physiological aspects (sleep disorders and appetite), and behavioral aspects (daydreaming, decreased productivity, and social difficulties). Patients who find difficulty enjoying daily activities and increasing their ability and commitment to overcome anxiety and impaired body image should receive nursing intervention, acceptance and commitment therapy, and family psychoeducation as part of nursing services."

"Remaja harus dapat mencapai tugas perkembangan Remaja harus dapat mencapai tugas perkembangan identitas diri agar tidak terjadi kebingungan peran yang dapat memunculkan ide bunuh. Tujuan dari penelitian ini menerapakan Terapi Kelompok Terapeutik dan Family Psychoeducation Therapy (FPE) sebagai upaya pencegahan ide bunuh diri pada remaja dengan pendekatan model adaptasi stres Stuart. Penelitian ini menggunakan desain operational research dengan jumlah sampel 42 individu yang dibagi menjadi 20 remaja dalam kelompok kontrol dan 22 remaja dalam kelompok intervensi. Hasil analisis Mann-whitney menunjukkan bahwa terdapat perbedaan antara kelompok kontrol yang diberikan TKT, pendampingan, dan latihan mandiri dengan kelompok intervensi yang diberikan TKT, FPE, pendampingan, dan latihan mandiri secara bermakna (p value < 0,05). Penerapan TKT dan FPE direkomendasikan karena dapat menurunkan ide bunuh diri, meningkatkan tugas dan aspek perkembangan, serta meningkatkan kemampuan keluarga dalam merawat remaja.

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Adolescents must be able to achieve the task of developing self-identity so that role confusion does not occur which can give rise to suicidal ideation. The aim of this research is to apply Therapeutic Group Therapy and Family Psychoeducation Therapy (FPE) as an effort to prevent suicidal ideation in adolescents using the Stuart stress adaptation model approach. This research used an operational research design with a sample size of 42 individuals divided into 20 teenagers in the control group and 22 teenagers in the intervention group. The results of the Mann-Whitney analysis showed that there was a significant difference between the control group that was given TKT, mentoring, and independent training and the intervention group that was given TKT, FPE, mentoring, and independent training (p value < 0.05). The implementation of TKT and FPE is recommended because it can reduce suicidal ideation, improve tasks and developmental aspects, and increase the family's ability to care for adolescents."

"Kusta merupakan suatu penyakit yang mendatangkan stigma sehingga menimbulkan masalah psikososial bagi penderita kusta, keluarga maupun masyarakat. Keluarga sebagai support system diharapkan mampu memberikan dukungan psikososial bagi penderita kusta sehingga masalah psikososial yang muncul dapat teratasi. Psikoedukasi keluarga merupakan suatu strategi yang dapat diterapkan untuk membantu keluarga dalam memberikan dukungan psikososial kepada penderita kusta. Penelitian ini bertujuan mengidentifikasi pengaruh psikoedukasi keluarga terhadap dukungan psikososial keluarga kepada anggota keluarga yang menderita kusta. Jenis penelitian kuasi eksperimen pre-post test dengan kelompok kontrol, menggunakan 42 sampel (intervensi dan kontrol). Hasil uji statistik menunjukkan ada perbedaan signifikan dukungan psikososial keluarga sebelum dan setelah diberikan psikoedukasi keluarga pada kelompok intervensi. Psikoedukasi keluarga dapat dikembangkan ke arah pembentukan self help group bagi keluarga dan penderita.

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Leprosy is a disease that brings stigma that cause psychosocial problems for the clients, their families and communities. Family as a support system is expected to provide psychosocial support for people with leprosy so that psychosocial problems can be resolved. Family psychoeducation is a strategy that can be applied to assist families in providing psychosocial support to people with leprosy. This study aimed to identify the effect of family psychoeducation to family psychosocial support in family members suffering from leprosy. The study used quasi experimental, pre-post test with control group design, using 42 samples (intervention and control). Results showed that there was a significant difference between family psychosocial support before and after provision of family psychoeducation in the intervention group. Family psychoeducation can be developed toward the establishment of self help group for the families and clients."

"ABSTRAKKeluarga merupakan salah satu faktor pencetus timbulnya masalah kesehatanmental klien sebagai akibat sikap keluarga yang tidak terapeutik sehingga tidakmampu mendukung dalam perawatan klien. Tujuan penelitian ini adalah untukMengetahui pengaruh Family Psychoeducation Therapy (FPE) terhadapkemampuan keluarga merawat klien skizofrenia dengan halusinasi. Penelitian iniadalah quasi eksperiment dengan rancangan pre post test without control groupdesign dengan intervensi Family Psychoeducation. Jumlah sampel 25 keluarga(total sampling) yang memiliki pasien skizofrenia dengan halusinasi. Hasil:ditemukan peningkatan kemampuan kognitif keluarga (p=0,0001 ; α=0,05) danpeningkatan kemampuan psikomotor keluarga merawat (p=0,0001 ; α=0,05)dalam merawat pasien skizofrenia. Terapi ini direkomendasikan sebagai terapiyang bisa meningkatkan kemampuan kluarga dalam merawat pasien skizofreniadengan halusinasi

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ABSTRACTFamily is one of the trigger client's mental health problem as the effect ofnontherapeutic family's behaviours so unable to supporting client's care. The aimof this study is to identify the effect of family psychoeducation therapy towardfamiky's ability to care schizopren's client with halusination. This is a quasiexperiment study with pre and post test study without control group design, theintervention is family psychoeducation. The amount of samples on this study are25 families (total sampling), who have schizofren with halusination. Result: thereis an increase of cognitive family's ability (p=0,0001; @=0,05) and increase ofpshycomotor family's ability (p=0,0001; @=0,05) to care schizofren's patient.This therapy was reccomended to increasing family's ability to care schizofren'spatient with halusination"

"[ABSTRAKIsolasi sosial merupakan suatu pengalaman menyendiri dan kesepian dari seseorang dan perasaan segan terhadap orang lain sebagai sesuatu yang negatif atau keadaan yang mengancam. Tujuan Karya Ilmiah Akhir ini untuk memberikan gambaran tentang manajemen kasus spesialis keperawatan jiwa pada klien isolasi sosial terhadap penurunan tanda dan gejala isolasi sosial serta peningkatan kemampuan klien dalam ketrampilan sosial dengan pendekatan Model Hubungan Interpersonal Peplau dan Model Stres Adaptasi Stuart. Terapi spesialis keperawatan yang diberikan adalah Social Skill Training (SST), Cognitive Behavior Social Skill Training (CBSST) dan Family Psychoeducation (FPE). SST diberikan pada 21 klien, SST+CBSST diberikan pada 7 klien dan FPE diberikan pada 12 keluarga. Hasil yang ditemukan SST dan CBSST efektif dalam menurunkan tanda dan gejala isolasi sosial yang ditunjukkan melalui respon kognitif, afektif, fisiologis, perilaku dan sosial serta meningkatkan kemampuan klien dalam ketrampilan sosial. FPE terbukti meningkatkan kemampuan keluarga dalam merawat klien isolasi sosial. SST, CBSST, dan FPE direkomendasikan sebagai terapi spesialis keperawatan pada klien isolasi sosial.

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ABSTRACTSocial isolation is an experience of solitude and loneliness of someone and feeling disinclined toward others as something negative or threatening circumstances. Final Scientific Paper aims to provide an overview of nursing case management specialist at the client's life social isolation of the signs and symptoms as well as the ability of clients to approach Peplau Model Theory of Interpersonal Relations and Stress Adaptation Model Stuart. Social Skills Training (SST) given to 21 clients, SST+Cognitive Behavior Social Skill Training (CBSST) given on 7 client and Family psychoeducation (FPE) given to 12 families. Results found CBSST SST and effective in reducing the signs and symptoms of social isolation indicated by the response of cognitive, affective, physiological, behavioral and social as well as improve the ability of clients in social skills. FPE proven to increase the ability of families in caring for clients of social isolation. SST, CBSST, and FPE recommended as therapy nursing specialists at the client's social isolation., Social isolation is an experience of solitude and loneliness of someone and feeling disinclined toward others as something negative or threatening circumstances. Final Scientific Paper aims to provide an overview of nursing case management specialist at the client's life social isolation of the signs and symptoms as well as the ability of clients to approach Peplau Model Theory of Interpersonal Relations and Stress Adaptation Model Stuart. Social Skills Training (SST) given to 21 clients, SST+Cognitive Behavior Social Skill Training (CBSST) given on 7 client and Family psychoeducation (FPE) given to 12 families. Results found CBSST SST and effective in reducing the signs and symptoms of social isolation indicated by the response of cognitive, affective, physiological, behavioral and social as well as improve the ability of clients in social skills. FPE proven to increase the ability of families in caring for clients of social isolation. SST, CBSST, and FPE recommended as therapy nursing specialists at the client's social isolation.]"