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"[ABSTRAKAnsietas merupakan kondisi atau perasaan yang tidak menentu yang dirasakan seseorang yang dapat disebabkan oleh berbagai faktor diantaranya adanya masalah gangguan fisik Sebagaimana telah dibuktikan bahwa kesehatan umum seseorang mempunyai akibat nyata sebagai predisposisi terhadap ansietas. Ansietas mungkin disertai dengan gangguan fisik dan selanjutnya menurunkan kapasitas seseorang untuk mengatasi stresor. Tujuan karya ilmiah akhir ini untuk memberikan gambaran tentang penerapan terapi penghentian pikiran, relaksasi otot progressif, dan psikoedukasi keluarga dengan pendekatan Model stress adaptasi Stuart dan interpersonal Peplau. Terapi tersebut diberikan kepada klien ansietas sebanyak 16 klien. Hasil penerapan terapi ini menunjukan dapat menurunkan tanda dan gejala ansietas dan meningkatkan kemampuan klien dalam menggunakan sumber dukungan. Hasil karya ilmiah ini diharapkan Puskesmas dapat melanjutkan terapi penghentian pikiran, relaksasi otot progressif dan psikoedukasi keluarga secara berkesinambungan, meningkatkan dukungan sosial dengan memberdayakan masyarakat.

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ABSTRACTAnxiety is a condition or feeling of uncertainty felt by someone who can be caused by various factors, including the problem of physical disorders As has been proved that the person's general health has a real effect as a predisposition to anxiety. Anxiety may be accompanied by physical disruption and further lowers a person's capacity to cope with stressors. This final goal of scientific work to provide an overview of the application of the cessation therapies mind, progressive muscle relaxation, and family psychoeducation model approach stress adaptation and interpersonal Peplau Stuart. The treatment given to the client anxiety as much as 16 clients. Shows the result of applying this therapy can reduce the signs and symptoms of anxiety and improve the ability of the client to use a source of support. Expected results of this scientific work can continue cessation therapy of thought stopping, progressive muscle relaxation and family psychoeducation ongoing basis, increasing social support and empower communities., Anxiety is a condition or feeling of uncertainty felt by someone who can be caused by various factors, including the problem of physical disorders As has been proved that the person's general health has a real effect as a predisposition to anxiety. Anxiety may be accompanied by physical disruption and further lowers a person's capacity to cope with stressors. This final goal of scientific work to provide an overview of the application of the cessation therapies mind, progressive muscle relaxation, and family psychoeducation model approach stress adaptation and interpersonal Peplau Stuart. The treatment given to the client anxiety as much as 16 clients. Shows the result of applying this therapy can reduce the signs and symptoms of anxiety and improve the ability of the client to use a source of support. Expected results of this scientific work can continue cessation therapy of thought stopping, progressive muscle relaxation and family psychoeducation ongoing basis, increasing social support and empower communities.]"

"ABSTRAKProses penuaan dan masalah kesehatan perkotaan dapat menyebabkan penurunan fungsi tidur pada lansia. Karya ilmiah ini bertujuan untuk mendapatkan analisis asuhan keperawatan pada lansia dengan insomnia melalui terapi relaksasi: warm footbath dan massase terapeutik di Panti Sosial Tresna Werdha Budi Mulia 1 Ciracas. Intervensi terapi relaksasi warm footbath dan massase terapeutik dilakukan selama 30-45 menit setiap hari selama lima minggu. Hasil karya ilmiah ini menunjukkan bahwa skor Insomnia Rating Scale dan Pittsburgh Sleep Quality Index menurun setelah dilakukan intervensi pada tiga klien selama 18 kali pada klien kelolaan, 16 kali pada klien resume pertama, dan 9 kali pada klien resume kedua. Pemberi pelayanan di panti dapat menerapkan intervensi terapi relaksasi warm footbath dan massase terapeutik sebagai upaya dalam mengatasi masalah insomnia pada lansia yang dilakukan setiap hari secara rutin pada malam hari saat lansia akan tidur.

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ABSTRACTThe process of aging and urban health problems cause the decline of the sleep function in elderly. This study aims to analyze nursing care in elderly with insomnia through relaxation therapy warm footbath and therapeutic massage at Panti Sosial Tresna Werdha Budi Mulia 1 Ciracas. The intervention was held for 30 45 minutes once per day during the five weeks. The results of this study showed that score of the Insomnia Rating Scale and Pittsburgh Sleep Quality Index decreased after 18 times interventions for main patients, 16 times interventions for main resume patients, and 9 times interventions for second resume patients. Service providers in nursing home can apply relaxation therapy everyday with warm footbath and therapeutic message when elderly will go to bad as a program to overcome the problem of the insomnia in elderly."

"Klien dengan penyakit fisik cenderung mengalami ansietas dan kondisi tersebut dapat memperburuk kondisi fisiknya. Karya ilmiah akhir ini bertujuan untuk mengetahui hasil penerapan terapi penghentian pikiran, relaksasi otot progresif, terapi kognitif dan psikoedukasi keluarga terhadap respons ansietas klien. Responden sejumlah 71 klien ansietas dengan penyakit fisik, terdiri dari 36 klien mendapatkan paket pertama yaitu tindakan ners dan ners spesialis (terapi penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga) serta 35 klien mendapatkan paket kedua yaitu tindakan ners dan ners spesialis (terapi kognitif dan psikoedukasi keluarga). Analisis dilakukan terhadap tanda dan gejala dan kemampuan klien dan keluarga sebelum dan sesudah dilakukan tindakan keperawatan. Hasil penerapan tindakan paket pertama dan paket kedua menunjukkan penurunan tanda gejala ansietas secara bermakna pada semua respons, kedua paket tidak ada perbedaan signifikan. Kedua paket tindakan ini direkomendasikan untuk mengatasi ansietas pada klien.

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Clients with physical illness tend to experience anxiety and the condition can worsen their physical condition. The aim of this study was to determine the result of the implementation of the thought stopping therapy, progressive muscle relaxation therapy, cognitive therapy and family psychoeducation for client with anxiety. A total of 71 anxiety clients with physical illness participated in this study, from which 36 clients received the first intervention: general nurses and nurse specialists intervention (thought stopping therapy, progressive muscle relaxation and family psychoeducation) and 35 clients received the second intervention: general nurses and nurse specialists intervention (cognitive therapy and family psychoeducation).

The analysis was conducted on the signs and symptoms of anxiety clients and the ability of clients and families before and after the nursing intervention. The results of the first and second of nursing intervention showed a decrease in signs and symptoms of anxiety on all the responses and the increased capacity of clients and families in overcoming anxiety. There was no significant difference from giving the first and second intervention in the reduction of the signs and symptoms of anxiety. This intervention, therefore, is recommended to overcome anxiety in clients."

"Indikator capaian dari SDG’s salah satunya menurunkan angka kematian ibu dan bayi. Indonesia akan berusaha menurunkan angka kematian ibu menjadi kurang dari 70 kematian per 100.000 kelahiran hidup pada tahun 2030. Kematian ibu dan bayi disebabkan terjadinya persalinan prematur. Persalinan prematur dapat disebabkan adanya kontraksi uterus sehingga terjadi dilatasi serviks pada usia kehamilan 20-36 minggu. Ancaman persalinan prematur akan mengakibatkan gawat janin dan komplikasi pada bayi baru lahir. Study kasus pada lima ibu hamil yang mengalami kontraksi dini dengan fokus mengimplementasikan teori need for help pada keadaan emergency dan penerapan teori comfort Kolcaba pada tahap pemulihan. Ibu hamil akan mendapatkan intervensi tatalaksana tokolitik dan terapi relaksasi dengan self-hypnosis yang membantu ibu untuk mengontrol ketidaknyamanan dan menurunkan kecemasan selama di rumah sakit. Aplikasi tersebut berhasil membantu ibu hamil melalui tahap kegawatan dan meningkatkan kenyamanan serta mencegah kontraksi uterus berulang sehingga ibu dapat mempertahankan kehamilan sampai usia kehamilan aterm.

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The achievement indicators of SDG’s are one of them reducing maternal and infant mortality. Indonesia will try to reduce maternal mortality to less than 70 deaths per 100,000 live births by 2030. Maternal and neonatal deaths are caused by preterm labor. Premature labor can be caused by uterine contractions resulting in cervical dilatation at 20-36 weeks' gestation. The threat of preterm labor will result in fetal distress and complications in newborns. Case studies on five pregnant women who experienced premature contractions with a focus on implementing the need for help theory in an emergency and the application of the Kolcaba comfort theory in the recovery phase. Pregnant women will get a tocolytic management intervention and relaxation therapy with self-hypnosis that helps the mother to control discomfort and reduce anxiety during the hospital. The application is successful in helping pregnant women go through the emergency phase and increase comfort and prevent repeated uterine contractions so that the mother can maintain the pregnancy until the term gestational age."

"Risiko perilaku kekerasan adalah salah satu tanda negatif dari skizofrenia. Dampak perilaku kekerasan seperti mencelakakan diri sendiri ataupun orang lain akibat emosi yang tidak terkontrol. Orang dengan gangguan jiwa kronis mengalami kekambuhan terhadap masalah kesehatan jiwanya terutama perilaku kekerasan. Dibutuhkan intervensi sebagai bentuk terapi nonfarmakologi dari pemberi asuhan keperawatan untuk menekan kekambuhan terkait masalah-masalah pada klien gangguan jiwa seperti risiko perilaku kekerasan. Salah satu intervensi untuk membantu mengontrol perilaku kekerasan adalah terapi relaksasi benson. Terapi relaksasi Benson merupakan pengembangan metode respons relaksasi tarik napas dalam dengan melibatkan faktor keyakinan pasien, sehingga dapat membantu pasien mencapai kondisi kesehatan dan kesejahteraan yang lebih tinggi. Tujuan laporan penulisan ilmiah ini adalah untuk menganalisis penerapan intervensi terapi relaksasi Benson pada pasien risiko perilaku kekerasan. Proses asuhan keperawatan berfokus pada Bapak H dengan usia 35 tahun dan berjenis kelamin laki-laki. Hasil analisis menunjukkan bahwa dengan pemberian intervensi keperawatan berupa terapi relaksasi Benson dapat digunakan untuk membantu pasien dalam mengontrol emosi (perilaku kekerasan). Rencana tindak lanjut pelayanan keperawatan diharapkan dapat dimaksimalkan baik secara individu, keluarga, kelompok, dan komunitas.

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The risk of violent behavior is one of the negative signs of schizophrenia. The impact of violent behavior such as harming yourself or others due to uncontrolled emotions. People with chronic mental disorders experience recurrence of mental health problems, especially violent behavior. Intervention is needed as a form of non-pharmacological therapy from nursing care providers to suppress recurrences related to problems in clients with mental disorders such as the risk of violent behavior. One of the interventions to help control violent behavior is Benson's relaxation therapy. Benson relaxation therapy is the development of a deep breath relaxation response method by involving the patient's belief factor, so that it can help patients achieve a higher state of health and well-being. The purpose of this scientific writing report is to analyze the application of Benson's relaxation therapy intervention in patients at risk of violent behavior. The nursing care process focuses on Mr. H who is 35 years old and male. The results of the analysis show that the provision of nursing interventions in the form of Benson relaxation therapy can be used to assist patients in controlling emotions (violent behavior). The follow-up plan for nursing services is expected to be maximized both individually, in families, in groups, and in the community."

"Kasus nyeri lebih banyak mengakibatkan ansietas. Tujuan karya tulis ilmiah ini adalah mengetahui efektifitas terapi penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga pada klien nyeri dan ansietas. Metode yang digunakan dengan analisa kasus. Jumlah klien yang dikelola sebanyak 90 orang dengan kelompok 1 sebanyak 40 klien diberikan tindakan keperawatan ners, terapi penghentian pikiran dan relaksasi otot progresif, kelompok 2 sebanyak 50 orang diberikan tindakan keperawatan ners, penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga. Hasil asuhan keperawatan ini adalah ada pengaruh tindakan keperawatan ners dan ners spesialis (penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga) terhadap penurunan tanda gejala serta peningkatan kemampuan klien dan keluarga dalam mengurangi nyeri dan mengatasi ansietas. Asuhan keperawatan ini merekomendasikan terapi penghentian pikiran, terapi relaksasi otot progresif dan terapi psikoedukasi keluarga sebagai terapi keperawatan pada ansietas.

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Knowledge and experience of pain is an unpleasant emotional result of tissue damage that actual or potential. Pain occurs along much of the disease process or together with some diagnostic examination or treatment. The relationship between pain and anxiety are complex. Ansietas can increase the perception of pain, but pain can also cause a feeling of anxiety and can occur when a person feel threatened both physically and Psychology (such as self-esteem, self, or a picture ID). This scientific paper objective is to know the results of the effectiveness of thought stopping therapy, progressive muscle relaxation and family psikoeducation on the client ansietas and pain through the adaptation of the model approach to Roy. The number of clients that are managed as many as 90 people.

The results of this scientific paper is there influence nursing actions ners and ners specialists (thought stopping, progressive muscle relaxation and family psychoeducation) against a decrease in symptoms and signs of increased the ability of clients and families in reducing pain and cope with ansietas. This scientific paper recommends therapy thought stopping, progressive muscle relaxation therapy and family psychoeducation therapy as a family on anxiety. "

"[ABSTRAKPeningkatan jumlah lansia di perkotaan setiap tahunnya menimbulkan masalah kesehatan pada lansia, sehingga diperlukannya pelayanan keperawatan masyarakat akan kebutuhan lansia. Masalah yang ditemukan pada lansia yang tinggal di Sasana salah satunya adalah insomnia. Karya ilmiah ini akan membahas terkait Nenek A dengan insomnia. Praktik klinik selama 7 minggu dimana peneliti melakukan terapi non farmakologis dalam mengatasi insomnia di Sasana Tresna Werdha Budi Mulia 1 DKI Jakarta yang bertujuan menganalisis insomnia dengan intervensi back massage dan terapi musik. Pitssburgh Sleep Quality Index bernilai 11 interpretasi kualitas tidur buruk. Intervensi yang diberikan dalam waktu 4 minggu dengan back massage dan musik terapi selama ± 45 menit seminggu 2 kali pertemuan saat memberikan massage dan musik terapi didukung menciptakan suasana yang kondusif dan menjaga privasi, penggunaan baby oil untuk massage, dan tehnik massage yang tidak terlalu kuat serta memperhatikan kondisi kulit lansia, serta handscoons sebagai pelindung diri merupakan hal yang mendukung dalam pelaksanaan. Hasil dari intervensi back massage dan musik terapi yang mampu menginisiasi tidur pada klien dan PSQI menurun bernilai 7. Perawat STW diharapkan kedepannya dapat memberikan intervensi pada lansia yang insomnia sehingga dapat meningkatkan kemampuan perawat dalam memberikan terapi secara non farmakologi.

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ABSTRACTAn increase of geriatric in urban areas will be cause health problems in the geriatric, so the urband areas need public health nursing. Problems were founded in the geriatric who live in Sasana one of which is insomnia . Related scientific papers will discuss about Nenek A with insomnia. Clinical practice for 7 weeks in which researchers performed non pharmacological therapies in treating insomnia in Sasana Tresna Werdha 1 Budi Mulia Jakarta that aims to analyze the intervention of insomnia with a back massage and music therapy. Pitssburgh Sleep Quality Index (PSQI) score 11 interpretation poor sleep quality. Intervention is given within 4 weeks with a back massage and music therapy for ± 45 minutes a week 2 meetings while giving massage and music therapy supported creating a conducive atmosphere and maintain privacy, the use of baby oil to massage, and massage techniques that are not too strong and attention elderly skin conditions, as well as personal protective handscoons is supporting the implementation. Results of the intervention back massage and music therapy capable can initiating sleep to client and PSQI after intervention score 7. Nurses STW decline is expected in the future be able to provide intervention in elderly insomnia that can improve the ability of nurses in providing non-pharmacological therapy.;An increase of geriatric in urban areas will be cause health problems in the geriatric so the urband areas need public health nursing Problems were founded in the geriatric who live in Sasana one of which is insomnia Related scientific papers will discuss about Nenek A with insomnia Clinical practice for 7 weeks in which researchers performed non pharmacological therapies in treating insomnia in Sasana Tresna Werdha 1 Budi Mulia Jakarta that aims to analyze the intervention of insomnia with a back massage and music therapy Pitssburgh Sleep Quality Index PSQI score 11 interpretation poor sleep quality Intervention is given within 4 weeks with a back massage and music therapy for 45 minutes a week 2 meetings while giving massage and music therapy supported creating a conducive atmosphere and maintain privacy the use of baby oil to massage and massage techniques that are not too strong and attention elderly skin conditions as well as personal protective handscoons is supporting the implementation Results of the intervention back massage and music therapy capable can initiating sleep to client and PSQI after intervention score 7 Nurses STW decline is expected in the future be able to provide intervention in elderly insomnia that can improve the ability of nurses in providing non pharmacological therapy , An increase of geriatric in urban areas will be cause health problems in the geriatric so the urband areas need public health nursing Problems were founded in the geriatric who live in Sasana one of which is insomnia Related scientific papers will discuss about Nenek A with insomnia Clinical practice for 7 weeks in which researchers performed non pharmacological therapies in treating insomnia in Sasana Tresna Werdha 1 Budi Mulia Jakarta that aims to analyze the intervention of insomnia with a back massage and music therapy Pitssburgh Sleep Quality Index PSQI score 11 interpretation poor sleep quality Intervention is given within 4 weeks with a back massage and music therapy for 45 minutes a week 2 meetings while giving massage and music therapy supported creating a conducive atmosphere and maintain privacy the use of baby oil to massage and massage techniques that are not too strong and attention elderly skin conditions as well as personal protective handscoons is supporting the implementation Results of the intervention back massage and music therapy capable can initiating sleep to client and PSQI after intervention score 7 Nurses STW decline is expected in the future be able to provide intervention in elderly insomnia that can improve the ability of nurses in providing non pharmacological therapy ]"

"Insomnia adalah gangguan jumlah dan kualitas tidur yang mengganggu fungsi. Insomnia menjadi satu masalah gangguan tidur yang paling banyak dialami oleh lansia di masyarakat perkotaan saat ini. Penulisan karya ilmiah akhir ners ini bertujuan untuk melaporkan hasil analisis praktik klinik keperawatan di Sasana Tresna Werdha Budi Mulia 1 Ciracas yang dilakukan selama 7 pekan dalam mengatasi masalah insomnia pada lansia. Penulisan karya ilmiah akhir ini menggunakan studi literatur dari hasil riset terkait konsep kesehatan lingkungan urban dan intervensi keperawatan untuk mengatasi insomnia pada lansia. Hasil analisa keperawatan kesehatan masyarakat perkotaan terhadap masalah insomnia pada lansia adalah bahwa faktor ansietas dan relaksasi otot memiliki peran penting untuk meningkatkan jumlah dan kualitas tidur pada lansia. Latihan relaksasi otot progresif yang dilakukan sebanyak tiga kali dalam sepekan menjadi intervensi keperawatan yang direkomendasikan untuk mengatasi insomnia pada lansia.

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Insomnia is a disruption in amount and quality of sleep that impairs functioning. Insomnia is one of disruption of sleep which most often found in elderly today 39 s urban society. This scientific papers aimed to report the analysis the result of clinical nursing intervention for insomnia in elderly at Nursing Home Budi Mulia 1 Ciracas in 7 weeks. Process of writing this scientific paper use literature study and result of research that related to the concept of urban environmental health and nursing intervention to treat insomnia in elderly.

The results of the analysis of the urban public health nursing to the incidence of insomnia in elderly is anxiety and relaxation are important to increase amount and quality of sleep in elderly. Progressive muscle relaxation is a nursing interventions that recommended to solve the insomnia in elderly. "