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"Skizofrenia merupakan suatu kondisi gangguan jiwa yang dapat menyebabkan penderitanya mengalami penyimpangan pada pikiran, persepsi, emosi, dan perilaku. Gejala paling umum yang dialami oleh penderita skizofrenia adalah halusinasi. Halusinasi adalah persepsi yang diterima panca indera tanpa adanya stimulus eksternal. Tujuan karya ilmiah ini untuk memberikan gambaran penerapan intervensi generalis dengan pendekatan terapi seni menggambar pada pasien dengan masalah halusinasi. Pasien bernama Ny. A berusia 64 tahun diantar oleh tetangga ke rumah sakit karena marah-marah dirumah, membakar kasur di rumah, tampak gelisah dan berbicara sendiri. Selama di rumah sakit, pasien mengalami halusinasi pendengaran. Asuhan keperawatan dimulai dari pengkajian, analisa data, perencanaan, implementasi hingga evaluasi. Seluruh proses asuhan keperawatan dilakukan selama 10 hari sejak tanggal 02 April – 13 April 2024 di ruangan Saraswati Rumah Sakit Dr H. Marzoeki Mahdi (RSMM) Bogor. Intervensi yang diberikan kepada Ny. A dilakukan sesuai standar asuhan keperawatan generalis untuk setiap diagnosis keperawatan yang muncul serta dikombinasikan dengan terapi seni menggambar sebagai kegiatan alternatif untuk mendistraksi pasien dari pikiran yang terpusat pada halusinasi yang muncul pada pasien. Penerapan intervensi keperawatan generalis dengan pendekatan terapi seni menggambar terhadap pasien Ny. A dengan masalah keperawatan halusinasi terbukti efektif dalam mengurangi tanda dan gejala halusinasi serta dapat meningkatkan kemampuan dalam mengontrol halusinasi.

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Schizophrenia is a mental disorder that can cause sufferers to experience deviations in thoughts, perceptions, emotions and behavior. The most common symptom experienced by people with schizophrenia is hallucinations. Hallucinations are perceptions received by the five senses without any external stimulus. The aim of this scientific work is to provide an overview of the application of generalist intervention with drawing art therapy in patients with hallucinatory problems. The patient named Mrs. 64 year old A was taken by a neighbor to the hospital because he was angry at home, burned the mattress at home, seemed restless and was talking to himself. While in the hospital, the patient experienced auditory hallucinations. Nursing care starts from assessment, data analysis, planning, implementation to evaluation. The entire nursing care process was carried out for 10 days from April 2 – April 13 2024 in the Saraswati room at Dr H. Marzoeki Mahdi Hospital (RSMM) Bogor. The intervention given to Mrs. A is carried out according to generalist nursing care standards for each nursing diagnosis that arises and is combined with drawing art therapy as an alternative activity to distract the patient from thoughts focused on the hallucinations that appear in the patient. Implementation of generalist nursing intervention with a drawing art therapy approach to the patient Mrs. A with the problem of hallucination nursing has proven to be effective in reducing the signs and symptoms of hallucinations and can increase the ability to control hallucinations."

"Halusinasi merupakan salah satu dari gejala positif yang paling sering ditemui pada pasien dengan penyakit gangguan jiwa skizofrenia. Halusinasi adalah tanggapan dari panca indera tanpa adanya ransangan atau stimulus dari luar. Tujuan dari penulisan karya ilmiah ini adalah untuk menggambarkan terkait penerapan terapi origami sebagai distraksi pada Ny. W dengan halusinasi pendengaran. Asuhan keperawatan yang diberikan sesuai dengan asuhan keperawatan generalis (Ners) ditambahkan dengan terapi seni origami sebagai disraksi yang menjadi fokusnya. Pemberian intervensi dilakukan dari tanggal 20 – 27 April 2022. Evaluasi dilakukan dengan mengukur tingkat keparahan halusinasi menggunakan instrument AVHRS-Q dan evaluasi tanda gejala halusinasi menggunakan instrumen yang dibuat oleh residen FIK UI 2018. Hasilnya didapatkan penurunan tingkat keparahan dari skor 10 menjadi 6 serta turunnya tanda gejala yang dialami dari 30 menjadi 11 tanda gejala yang tersisa. Terapi seni origami ini dapat menjadi salah satu teknik distraksi yang dapat digunakan dalam mengontrol halusinasi.

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Hallucinations are one of the most common positive symptoms in patients with schizophrenia. Hallucinations are responses from the five senses without any external stimulus. The purpose of writing this scientific paper is to describe the application of origami art therapy as a distraction to Mrs. W with auditory hallucinations. Nursing care provided in accordance with generalist nursing care (Ners) was added with origami art therapy as a distraction that become the focus of intervention. The intervention was carried out from 20 – 27 April 2022. The evaluation was carried out by measuring the severity of hallucinations using the AVHRS-Q instrument and evaluating signs of hallucinations using an instrument made by the resident of FIK UI 2018. The result was a decrease in severity from a score of 10 to 6 and decreased from 30 to 11 remaining symptoms. Origami art therapy can be a distraction technique that can be used to control hallucinations."

"ABSTRAKProses penuaan dan masalah kesehatan perkotaan dapat menyebabkan penurunan fungsi kognitif pada lansia. Karya ilmiah ini bertujuan untuk menganalisis asuhan keperawatan pada lansia dengan masalah konfusi kronik melalui orientasi realita dan terapi seni di Panti Sosial Trena Werdha Budi Mulia 1 Cipayung. Intervensi orientasi realita diadakan tiga puluh menit setiap hari selama empat minggu, sedangkan terapi seni dilakukan dua kali per minggu dengan durasi enam puluh menit pada setiap sesinya selama lima minggu. Hasil karya ilmiah ini menunjukkan bahwa rata-rata peningkatan skor total Mini Mental State Examination 4,3 poin setelah intervensi. Pemberi pelayanan di panti dapat menerapkan intervensi orientasi realita dan terapi seni sebagai upaya dalam mengatasi penurunan fungsi kognitif pada lansia.Kata kunci: demensia, lansia, orientasi realita, terapi seni

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ABSTRACTThe process of aging and urban health problems cause the decline of the cognitive function in elderly. This study aims to analyze nursing care in elderly with chronic confusion through reality orientation and art therapy at Panti Sosial Tresna Werdha Budi Mulia 1 Cipayung. The reality orientation intervention was held for thirty minutes once per day during the four weeks, while art therapy was conducted during the five weeks in twice weekly one hour sessions. The results of this paper show that the average increase in total score of Mini Mental State Examination 4,3 points after intervention. Service providers in nursing home can apply reality orientation and art therapy as a program to overcome the decline of the cognitive function in elderly.Keywords art therapy, dementia, elderly, reality orientation"

"Latar Belakang: Skizofrenia ditandai dengan gangguan signifikan dalam persepsi dan perubahan perilaku. Gejala lainnya yang muncul termasuk delusi, halusinasi, pemikiran tidak teratur, perilaku tidak terarah atau agitasi yang ekstrim. Seseorang dengan skizofrenia mengalami kesulitan terus menerus dengan fungsi kognitif, namun pengobatan skizofrenia dapat dilakukan dengan patuh minum obat, psikoedukasi, intervensi keluarga, dan rehabilitasi psikososial. Gejala paling umum oleh penderita skizofrenia adalah halusinasi (persepsi yang salah tentang objek atau peristiwa yang melibatkan panca indra seperti penglihatan, suara, penciuman, sentuhan, dan rasa). Kasus: Ny. T (25 tahun) diantar suaminya karena sejak 2 minggu gelisah, sulit tidur, sering berteriak, bicara sendiri, mondar-mandir, tidak ada gairah, dan sudah tidak bisa diajak berkomunikasi. Pasien minum densol pukul 14.00 sudah di pasang NGT untuk kumbah lambung di RS Citra Insana. Pasien putus obat sejak 17 Januari 2023. Diskusi: Asuhan keperawatan dimulai dari pengkajian, analisa data, perencanaan, implementasi hingga evaluasi. Seluruh proses asuhan keperawatan dilakukan selama sepuluh hari sejak 8 April-17 April 2023 di ruangan Utari Rumah Sakit Jiwa Dr. H. Marzoeki Mahdi (RSJMM) Bogor. Intervensi yang diberikan sesuai dengan standar asuhan keperawatan generalis untuk diagnosa utama halusinasi dengan dikombinasikan terapi menggambar dan menulis sebagai alternatif untuk mendistraksi pasien dari pikiran yang terpusat pada halusinasi yang muncul pada pasien. Kesimpulan: Penerapan intervensi generalis dengan pendekatan terapi seni menggambar dan menulis terhadap pasien Ny. T dengan masalah keperawatan halusinasi dapat mengurangi tanda gejala dan meningkatkan kemampuan mengontrol halusinasi

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Background: Schizophrenia is characterized by significant disturbances in perception and changes in behavior. Other symptoms include delusions, hallucinations, disorganized thinking, disorganized behavior or extreme agitation. Someone with schizophrenia experiences continuous difficulties with cognitive function, but schizophrenia treatment can be carried out by adhering to taking medication, psychoeducation, family intervention, and psychosocial rehabilitation. The most common symptom of people with schizophrenia is hallucinations (false perceptions of objects or events involving the five senses such as sight, sound, smell, touch and taste). Case: Mrs. T (25 years) brought by her husband because since 2 weeks she has been restless, has trouble sleeping, often screams, talks to herself, paces back and forth, has no passion, and is no longer able to communicate. The patient drank densol at 14.00 and had an NGT installed for gastric lavage at Citra Insana Hospital. The patient has been off medication since January 17, 2023. Discussion: Care begins with assessment, data analysis, planning, implementation and evaluation. The entire process of nursing care was carried out for ten days from 8 April to 17 April 2023 in the Utari room of the Dr. H. Marzoeki Mahdi (RSJMM) Bogor. The interventions provided are in accordance with generalist nursing care standards for the main diagnosis of hallucinations with a combination of drawing and writing therapy as an alternative to distract patients from thoughts that are forced on hallucinations that appear in patients. Conclusion: The application of generalist interventions with a drawing and writing art therapy approach to Mrs. T with hallucination nursing problems can increase patient motivation to reduce signs and symptoms and improve the ability to control hallucinations."

"Penelitian ini bertujuan untuk menguji pengaruh social influence, awareness, religious obligation, price of financing, dan attitude terhadap niat untuk memilih pembiayaan syariah sebagai pembiayaan kendaraan bermotor oleh generasi muslim milenial. Selain itu, peran religiosity sebagai moderasi juga dikaji. Penelitian ini mengadaptasi model penelitian theory of reasoned action (TRA) untuk menguji niat generasi mulsim milenial dalam memilih pembiayaan syariah sebagai pembiayaan kendaraan bermotor. Data di kumpulkan melalui survei terhadap 233 responden generasi Muslim milenial di Jabodetabek dan dianalisa menggunakan metode partial least square structural equation model (PLS-SEM) dengan SmartPLS 3.0. Hasil penelitian ini menemukan bahwa pengaruh sosial, kewajiban agama, dan harga pembiayaan berpengaruh signifikan terhadap sikap terhadap niat generasi muslim milenial dalam memilih pembiayaan syariah sebagai pembiayaan kendaraan bermotor. Sementara itu, kesadaran dan peran moderator religiusitas tidak ditemukan memiliki pengaruh yang signifikan. Manajer dan pemasar bank syariah dapat mengambil manfaat dari temuan penelitian ini, yang memberikan wawasan tentang faktor-faktor yang harus dipertimbangkan untuk mempromosikan pembiayaan syariah. Temuan ini berkontribusi pada literatur tentang produk pembiayaan syariah dengan menunjukkan pendorong sikap dan niat untuk menggunakan pembiayaan syariah. Kajian ini juga memperluas literatur dengan mengkaji peran moderasi religiusitas.

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This study aims to examine the effect of social influence, awareness, religious obligation, price of financing, and attitude on the intention to choose sharia financing as motor vehicle financing by the millennial muslim generation. In addition, the role of religiosity as a moderator is also studied. This study adapts the theory of reasoned action (TRA) research model to examine the intentions of the millennial generation in choosing Islamic financing as motor vehicle financing. Data was collected through a survey of 233 millennial Muslim respondents in jabodetabek and analyzed using the partial least square structural equation model (PLS-SEM) method with SmartPLS 3.0. The results of this study find that social influence, religious obligation, and price of financing have a significant effect on attitude on the intentions of the millennial Muslim generation in choosing Islamic financing as motor vehicle financing. meanwhile, awareness and the moderating role of religiosity were not found to have a significant effect. Islamic bank managers and marketers could benefit from the findings of this study, which provide insight into the factors that should be considered for promoting Islamic financing. This finding contributes to the literature on Islamic financing products by showing the drivers of attitudes and intentions to use Islamic financing. The study also expands the literature by examining the moderating role of religiosity."

"Gagasan seni zaman modern erat kaitannya dengan kondisi sosial kala itu yang memperuntukkan seni untuk golongan tertentu, sehingga membawa status seni pada dikotomi seni tinggi dan rendah. Adanya hierarki dalam seni ini kemudian membagi antara mana seni dan bukan seni, antara seni dan kehidupan, serta memisahkan antara seni dan terapi secara implisit. Gagasan modern mengenai seni acapkali selalu dikaitkan dengan nilai-nilai artistik serta kualitas keindahan dalam karya seni-nya. Di lain hal, muncul fenomena terapi seni yang lahir dan berakar pada ranah psikologi. Prosesnya menggunakan medium seni sebagai alat terapeutik tanpa mempertimbangkan nilai keindahan dalam proses berkarya-nya. Hal ini bertentangan dengan definisi seni yang lahir sejak zaman modern dan tidak benar-benar runtuh sampai saat ini. Dalam artikel ilmiah ini, melalui metode analisis kritis, penulis akan menganalisis fenomena terapi seni berdasarkan proses berkarya pasien dengan teori ekspresi emosi oleh Collingwood dan komunikasi emosi oleh Tolstoy, sehingga suatu karya dalam proses terapi seni dapat diakui sebagai karya seni, yang kemudian pun diakui pula menjadi karya seni yang layak. Dengan bertumpu pada ekspresi dan komunikasi emosi ini maka kemudian nilai keindahan dalam karya seni terapi bukanlah terdapat pada kualitas artistik karya seni tersebut, melainkan pada proses ekspresi dan komunikasi emosi serta makna internal yang terkandung pada karya seni-nya.

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The idea of modern-day art is closely related to the social conditions of the time which destined art for certain groups, thus bringing the status of art to the dichotomy of high and low art. The existence of a hierarchy in art then divides between art and not art, between art and life, and separates art and therapy implicitly. Modern ideas about art are often associated with artistic values and the quality of beauty in their art. On the other hand, there is a phenomenon of art therapy that was born and has its roots in the realm of psychology. The process uses the medium of art as a therapeutic tool without considering the value of beauty in the process of his work. This is contrary to the definition of art that was born since modern times and did not really collapse until now. In this scientific article, through the method of critical analysis, the author will analyze the phenomenon of art therapy based on the patient's work process with the theory of emotional expression by Collingwood and emotional communication by Tolstoy, so that a work in the art therapy process can be recognized as a work of art, which is then also recognized into a proper art. By relying on emotional expression and communication, then the value of beauty in therapeutic artwork is not found in the artistic quality of the artwork, but in the process of expression and communication of emotions and internal meanings contained in the artwork."

"Gagasan seni zaman modern erat kaitannya dengan kondisi sosial kala itu yang memperuntukkan seni untuk golongan tertentu, sehingga membawa status seni pada dikotomi seni tinggi dan rendah. Adanya hierarki dalam seni ini kemudian membagi antara mana seni dan bukan seni, antara seni dan kehidupan, serta memisahkan antara seni dan terapi secara implisit. Gagasan modern mengenai seni acapkali selalu dikaitkan dengan nilai-nilai artistik serta kualitas keindahan dalam karya seni-nya. Di lain hal, muncul fenomena terapi seni yang lahir dan berakar pada ranah psikologi. Prosesnya menggunakan medium seni sebagai alat terapeutik tanpa mempertimbangkan nilai keindahan dalam proses berkarya-nya. Hal ini bertentangan dengan definisi seni yang lahir sejak zaman modern dan tidak benar-benar runtuh sampai saat ini. Dalam artikel ilmiah ini, melalui metode analisis kritis, penulis akan menganalisis fenomena terapi seni berdasarkan proses berkarya pasien dengan teori ekspresi emosi oleh Collingwood dan komunikasi emosi oleh Tolstoy, sehingga suatu karya dalam proses terapi seni dapat diakui sebagai karya seni, yang kemudianpun diakui pula menjadi karya seni yang layak. Dengan bertumpu pada ekspresi dan komunikasi emosi ini maka kemudian nilai keindahan dalam karya seni terapi bukanlah terdapat pada kualitas artistik karya seni tersebut, melainkan pada proses ekspresi dan komunikasi emosi serta makna internal yang terkandung pada karya seni-nya.

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The idea of modern-day art is closely related to the social conditions of the time which destined art for certain groups, thus bringing the status of art to the dichotomy of high and low art. The existence of a hierarchy in art then divides between art and not art, between art and life, and separates art and therapy implicitly. Modern ideas about art are often associated with artistic values and the quality of beauty in their art. On the other hand, there is a phenomenon of art therapy that was born and has its roots in the realm of psychology. The process uses the medium of art as a therapeutic tool without considering the value of beauty in the process of his work. This is contrary to the definition of art that was born since modern times and did not really collapse until now. In this scientific article, through the method of critical analysis, the author will analyze the phenomenon of art therapy based on the patient's work process with the theory of emotional expression by Collingwood and emotional communication by Tolstoy, so that a work in the art therapy process can be recognized as a work of art, which is then also recognized into a proper art. By relying on emotional expression and communication, then the value of beauty in therapeutic artwork is not found in the artistic quality of the artwork, but in the process of expression and communication of emotions and internal meanings contained in the artwork."

"Hospitalization can produce anxiety and interrupt school age children’s wellness. Although many methods have been applied to handle child anxiety, however the most new effective one has not found yet. The art therapy is one of alternatives to minimize child anxiety. This research goal is to describe art therapy effect toward minimizing anxiety in school age children undergoing hospitalization. Quasi experimental research was set on pre-post test non-equivalent control group design. Research population was 6-12 years old children undergoing hospital care at RSUD Prof. Dr. Margono Soekarjo and RSUD Banyumas, and purposive sampling was applied to them. Sample research was 60 children between age 6 and 12 years old, divided into 2 groups. Those were 30 children as research group and 30 children as control group. Child drawing: Hospital (CD: H) instrument was used in this research to measure anxiety. The effects of art therapy were tested with Chi Square. This statistic analyses showed that there was different anxiety level between two groups before applying art therapy (p=0,011). However there was no difference anxiety level between two groups after applying art therapy (p=0,760). An additional analyses showed that art therapy effectively reduce arterial pulse level (p=0,008). There was no evidence that age, length of care, and experiencing care correlate to anxiety level after applying art therapy, except sex in experimental group with anxiety level. Results showed that art therapy did not reduce anxiety level however this was effective in reducing arterial pulses, one of anxieties physiological responses. Developing the research in art therapy need randomize sampling to increase homogeneity between two groups then will strengthen the result. Pediatric nurses should applying art therapy with variation method to reduce anxieties physiological responses."

"Harga diri rendah kronik merupakan perasaan tidak berharga dan rendah diri yang berkepanjangan pada seseorang akibat penilaian negatif terhadap dirinya. Tujuan penulisan karya ilmiah akhir ners ini untuk menganalisis penerapan pemberian asuhan keperawatan generalis dengan kegiatan terapi seni melukis bebas pada Tn. H usia 41 tahun dengan harga diri rendah kronik dan diagnosa media skizofrenia paranoid. Penilaian harga diri diukur menggunakan Rosenberg Self-Esteem Scale (RSES). Implementasi keperawatan yang dilakukan berfokus pada melatih kemampuan klien dan memasukkan latihan kemampuan ke dalam jadwal harian berikut dengan intervensi yang diberikan yaitu art therapy melukis bebas. Art therapy melukis sebagai salah satu kegiatan positif yang dilatih untuk mengekspresikan perasaan melalui media seni. Hasil dari karya ilmiah akhir ini menunjukkan bahwa klien mengalami penurunan tanda dan gejala harga diri rendah. Penerapan terapi seni melukis bebas dapat diadaptasi sebagai pengembangan standar asuhan keperawatan jiwa dengan diagnosis harga diri rendah kronik.

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Chronic low self-esteem is a prolonged feeling of worthlessness and low self-esteem in a person due to a negative assessment of oneself. The purpose of writing this final scientific paper for nurses is to analyze the application of generalist nursing care with free painting art therapy activities to Mr. H 41 th year old with chronic low self-esteem and medical diagnosis of paranoid schizophrenia. Self-esteem was measured using the Rosenberg Self-Esteem Scale (RSES). The nursing implementation that is carried out focuses on training the client's abilities and incorporates skills training into the daily schedule with the intervention given, namely free painting art therapy. Art therapy painting as a positive activity that is trained to express feelings through art media. The results of this final scientific paper show that the clients experience a decrease in signs and symptoms of low self-esteem. The application of free painting art therapy can be adapted as a standard for the development of mental nursing care with a diagnosis of chronic low self-esteem."