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"[ABSTRAKAnsietas merupakan salah satu masalah kesehatan psikososial yang lebih banyakdialami oleh masyarakat perkotaan. Penulisan Karya Ilmiah Akhir Ners inibertujuan untuk memberikan analisis praktik keperawatan kesehatan masyarakatperkotaan terkait masalah ansietas pada klien dengan vesikolothiasis. Penulismelakukan asuhan keperawatan psikososial selama enam hari kepada klien yangmengalami ansietas sedang. Vesikolithiasis memunculkan berbagai permasalahanyang turut menjadi salah satu penyebab ansietasnya. Intervensi yang diberikanberupa rangkaian strategi pelaksanaan tindakan keperawatan psikososial ansietas.Evaluasi hasil implementasi menunjukkan bahwa tanda-tanda ansietas pada klienberkurang. Intervensi keperawatan psikososial ansietas perlu dikembangakan dandiimplementasikan di ruang perawatan umum.

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ABSTRACTAnxiety is a form of psychosocial health problem which is experienced more bythose living in urban societies. This paper intends to provide an analysis of urbancommunity health nursing practice related to anxiety issues on a client withvesicolithiasis. The author conducted psychosocial nursing care for a period of sixdays to a client experiencing moderate anxiety. Vesicolithiasis raised variousproblems, which in turn, became a cause of the ensuing anxiety issues.Intervention provided was in the form of a series nursing action strategies relatedto the anxiety issues. Evaluation of the implementation results demonstrated thatsigns of anxiety on client decreased. Psychosocial nursing interventions of anxietyneed to be developed and implemented at patient general care wards.;Anxiety is a form of psychosocial health problem which is experienced more bythose living in urban societies. This paper intends to provide an analysis of urbancommunity health nursing practice related to anxiety issues on a client withvesicolithiasis. The author conducted psychosocial nursing care for a period of sixdays to a client experiencing moderate anxiety. Vesicolithiasis raised variousproblems, which in turn, became a cause of the ensuing anxiety issues.Intervention provided was in the form of a series nursing action strategies relatedto the anxiety issues. Evaluation of the implementation results demonstrated thatsigns of anxiety on client decreased. Psychosocial nursing interventions of anxietyneed to be developed and implemented at patient general care wards., Anxiety is a form of psychosocial health problem which is experienced more bythose living in urban societies. This paper intends to provide an analysis of urbancommunity health nursing practice related to anxiety issues on a client withvesicolithiasis. The author conducted psychosocial nursing care for a period of sixdays to a client experiencing moderate anxiety. Vesicolithiasis raised variousproblems, which in turn, became a cause of the ensuing anxiety issues.Intervention provided was in the form of a series nursing action strategies relatedto the anxiety issues. Evaluation of the implementation results demonstrated thatsigns of anxiety on client decreased. Psychosocial nursing interventions of anxietyneed to be developed and implemented at patient general care wards.]"

"[ABSTRAKMasyarakat perkotaan menghadapi berbagai masalah kesehatan, baik fisik maupun psikososial.Salah satu masalah psikososial yang sering muncul adalah harga diri rendah situasional. HDRsituasional dapat disebabkan oleh masalah kesehatan fisik, misalnya osteoartritis. Osteoartritismenyebabkan keterbatasan gerak pada penderitanya, sehingga dapat mempengaruhi performaperan dalam kehidupan sehari-hari. Perubahan performa peran tersebut dapat menimbulkan rasatidak berharga, yang disebut harga diri rendah. Tujuan dari penulisan KIAN ini adalahmemaparkan asuhan keperawatan harga diri rendah situasional pada klien yang mengalamiosteoartritis. Tindakan yang dilakukan adalah memotivasi klien berpikir positif dan latihankemampuan positif. Hasil evaluasi menunjukkan bahwa berpikir positif dan latihan kemampuanpositif dapat meningkatkan motivasi klien untuk kembali berkarya.

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ABSTRACTUrban communities are facing various health problems, both physical and psychosocial. One ofthe psychosocial issues that often arise is situational low self-esteem. HDR situational can becaused by physical health problems, such as osteoarthritis. Osteoarthritis causes the suffererlimited motion, so it can affect the role performance in daily life. Changes in the performance ofthese roles can cause a feeling of worthlessness, which called low self-esteem. The purpose of thispaper was to describe the nursing care of situational low self-esteem in clients who haveosteoarthritis. The action taken was to motivate client to think positively and do the positiveability. The results showed that positive thinking and exercise capabilities can positively improveclient motivation to return to work., Urban communities are facing various health problems, both physical and psychosocial. One ofthe psychosocial issues that often arise is situational low self-esteem. HDR situational can becaused by physical health problems, such as osteoarthritis. Osteoarthritis causes the suffererlimited motion, so it can affect the role performance in daily life. Changes in the performance ofthese roles can cause a feeling of worthlessness, which called low self-esteem. The purpose of thispaper was to describe the nursing care of situational low self-esteem in clients who haveosteoarthritis. The action taken was to motivate client to think positively and do the positiveability. The results showed that positive thinking and exercise capabilities can positively improveclient motivation to return to work.]"

"[ABSTRAKMasyarakat perkotaan menghadapi berbagai masalah kesehatan baik fisik maupun psikososial Salah satu masalah psikososial yang sering muncul adalah harga diri rendah situasional HDR situasional dapat disebabkan oleh masalah kesehatan fisik misalnya osteoartritis Osteoartritis menyebabkan keterbatasan gerak pada penderitanya sehingga dapat mempengaruhi performa peran dalam kehidupan sehari hari Perubahan performa peran tersebut dapat menimbulkan rasa tidak berharga yang disebut harga diri rendah Tujuan dari penulisan KIAN ini adalah memaparkan asuhan keperawatan harga diri rendah situasional pada klien yang mengalami osteoartritis Tindakan yang dilakukan adalah memotivasi klien berpikir positif dan latihan kemampuan positif Hasil evaluasi menunjukkan bahwa berpikir positif dan latihan kemampuan positif dapat meningkatkan motivasi klien untuk kembali berkarya Kata kunci berpikir harga diri rendah situasional kemampuan osteoartritis perkotaan positif;

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ABSTRACTUrban communities are facing various health problems both physical and psychosocial One of the psychosocial issues that often arise is situational low self esteem HDR situational can be caused by physical health problems such as osteoarthritis Osteoarthritis causes the sufferer limited motion so it can affect the role performance in daily life Changes in the performance of these roles can cause a feeling of worthlessness which called low self esteem The purpose of this paper was to describe the nursing care of situational low self esteem in clients who have osteoarthritis The action taken was to motivate client to think positively and do the positive ability The results showed that positive thinking and exercise capabilities can positively improve client motivation to return to work Key words ability osteoarthritis positive situational low self esteem thinks urban;Urban communities are facing various health problems both physical and psychosocial One of the psychosocial issues that often arise is situational low self esteem HDR situational can be caused by physical health problems such as osteoarthritis Osteoarthritis causes the sufferer limited motion so it can affect the role performance in daily life Changes in the performance of these roles can cause a feeling of worthlessness which called low self esteem The purpose of this paper was to describe the nursing care of situational low self esteem in clients who have osteoarthritis The action taken was to motivate client to think positively and do the positive ability The results showed that positive thinking and exercise capabilities can positively improve client motivation to return to work Key words ability osteoarthritis positive situational low self esteem thinks urban;Urban communities are facing various health problems both physical and psychosocial One of the psychosocial issues that often arise is situational low self esteem HDR situational can be caused by physical health problems such as osteoarthritis Osteoarthritis causes the sufferer limited motion so it can affect the role performance in daily life Changes in the performance of these roles can cause a feeling of worthlessness which called low self esteem The purpose of this paper was to describe the nursing care of situational low self esteem in clients who have osteoarthritis The action taken was to motivate client to think positively and do the positive ability The results showed that positive thinking and exercise capabilities can positively improve client motivation to return to work Key words ability osteoarthritis positive situational low self esteem thinks urban;Urban communities are facing various health problems both physical and psychosocial One of the psychosocial issues that often arise is situational low self esteem HDR situational can be caused by physical health problems such as osteoarthritis Osteoarthritis causes the sufferer limited motion so it can affect the role performance in daily life Changes in the performance of these roles can cause a feeling of worthlessness which called low self esteem The purpose of this paper was to describe the nursing care of situational low self esteem in clients who have osteoarthritis The action taken was to motivate client to think positively and do the positive ability The results showed that positive thinking and exercise capabilities can positively improve client motivation to return to work Key words ability osteoarthritis positive situational low self esteem thinks urban, Urban communities are facing various health problems both physical and psychosocial One of the psychosocial issues that often arise is situational low self esteem HDR situational can be caused by physical health problems such as osteoarthritis Osteoarthritis causes the sufferer limited motion so it can affect the role performance in daily life Changes in the performance of these roles can cause a feeling of worthlessness which called low self esteem The purpose of this paper was to describe the nursing care of situational low self esteem in clients who have osteoarthritis The action taken was to motivate client to think positively and do the positive ability The results showed that positive thinking and exercise capabilities can positively improve client motivation to return to work Key words ability osteoarthritis positive situational low self esteem thinks urban]"

"Jumlah penduduk kota yang semakin banyak akan menyebabkan banyak hal salah satunya ancaman dari penyakit tidak menular yang begitu banyak terjadi. Salah satu penyakit menular yang banyak terjadi adalah gagal jantung. Gagal jantung yang merupakan penyakit kronik akan menimbulkan masalah psikologis salah satunya ketidakberdayaan. Penulisan Karya Ilmiah Akhir Ners ini bertujuan untuk memberikan analisis asuhan keperawatan ketidakberdayaan pada klien dengan gagal jantung. Penulis melakukan asuhan keperawatan psikososial khususnya ketidakberdayaan selama tiga hari.Evaluasi hasil implementasi menunjukkan bahwa terjadi sedikit penurunan tanda dan gejala yang terjadi pada klien. Perlu dilakukan kolaborasi intervensi generalis dan spesialis agar didapatkan hasil yang lebih optimal.

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The population of the town that more and more will cause a lot of things one of them the threat of non-communicable diseases. One of non-communicable diseases which are heart failure. Heart failure is a chronic disease that will lead to psychological problems is one of powerlessness. The author conducted a powerlessness psychosocial nursing care for three days. Evaluation of the results of implementation shows that there is a slight decrease in the signs and symptoms that occurred on the client. Need to do interventions collaboration generalists and specialists to get optimal results for patient."

"ABSTRAKKetidakberdayaan merupakan salah satu masalah kesehatan psikososial yang sering dialami oleh masyarakat perkotaan. Penulisan karya ilmiah akhir ners ini bertujuan untuk menggambarkan asuhan keperawatan ketidakberdayaan pada klien dengan Chronic Kidney Disease CKD . Penulis melakukan asuhan keperawatan psikososial selama 5 hari kepada klien yang mengalami ketidakberdayaan. CKD menimbulkan berbagai permasalahan yang turut menjadi salah satu penyebab ketidakberdayaan. Intervensi yang diberikan berupa rangkaian strategi pelaksanaan tindakan keperawatan psikososial ketidakberdayaan. Evaluasi hasil implementasi keperawatan psikososial ketidakberdayaan perlu dikembangkan dan diimplementasikan di ruang perawatan umum. Kata kunci :Chronic Kidney Disease CKD , Ketidakberdayaan, masyarakat perkotaanKetidakberdayaan merupakan salah satu masalah kesehatan psikososial yang sering dialami oleh masyarakat perkotaan. Penulisan karya ilmiah akhir ners ini bertujuan untuk menggambarkan asuhan keperawatan ketidakberdayaan pada klien dengan Chronic Kidney Disease CKD . Penulis melakukan asuhan keperawatan psikososial selama 5 hari kepada klien yang mengalami ketidakberdayaan. CKD menimbulkan berbagai permasalahan yang turut menjadi salah satu penyebab ketidakberdayaan. Intervensi yang diberikan berupa rangkaian strategi pelaksanaan tindakan keperawatan psikososial ketidakberdayaan. Evaluasi hasil implementasi keperawatan psikososial ketidakberdayaan perlu dikembangkan dan diimplementasikan di ruang perawatan umum. Kata kunci :Chronic Kidney Disease CKD , Ketidakberdayaan, masyarakat perkotaan

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ABSTRACTPowerlessness is a form of psychosocial health problem which is experienced more by those living in urban societies. This paper intends to provide an describe of nursing care to powerlessness issues on a client with Chronic Kidney Disease CKD . The author conducted psychosocial nursing care for a period of five days to a client experiencing moderate powerlessness. CKD raised various problems, which in turn became a cause of the ensuing powerlessness issues. Intervention provided was in the form of series nursing care strategies related to the powerlessness. Evaluation of the implementation results demonstrated that signs of powerlessness on client decreased. Psychosocial nursing care intervention of powerlessness need to be developed and implemented at patient general care wards. Keywords Chronic kidney disease , Powerlessness, urban community"

"Pola hidup yang tidak sehat merupakan salah satu penyebab terjadinya penyakit ginjal kronik. Masyarakat perkotaan sangat rentan memiliki pola hidup tidak sehat, yang pada akhirnya dapat menyebabkan penyakit ginjal kronik. Penyakit ginjal kronik merupakan suatu keadaan dimana ginjal mengalami kerusakan yang bersifat permanen yang pada akhirnya akan berdampak pada penurunan fungsi dari ginjal. Perubahan fisik yang terjadi pada penderita penyakit ginjal kronik terkait dengan tanda dan gejala dari keparahan penyakit yang dialami tentu akan berpengaruh pada kondisi psikososial pasien. Masalah psikososial yang muncul pada penderita penyakit ginjal kronik yang dirawat di Rumah Sakit adalah ansietas. Karya Ilmiah Akhir ners ini bertujuan untuk menggambarkan asuhan keperawatan anisetas pada pasien yang mengalami penyakit Ginjal Kronik khusunya dengan teknik relaksasi. Pasien yang mampu mengatasi rasa cemasnya akan dapat meningkatkan keefektifan dari pengobatan fisik yang sedang dijalani. Sehingga, diperlukannya peran perawat dalam memberikan asuhan keperawatan psikososial agar masalah ansietas tidak menimbulkan dampak yang merugikan bagi klien.

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Unhealthy lifestyle caused of chronic kidney disease. Urban communities are particularly vulnerable to unhealthy lifestyles, which can lead to chronic kidney disease. Chronic kidney disease is a condition which the kidney are permanently damaged and ultimately have an impact to the function of the kidney. Physical changes that occur in patients with chronic kidney disease associated with signs and symptom rsquo s the severity of the disease. It will certainly affect the psychosocial condition of patients. Psychosocial problems that arise in hopitalized patients with chronic kidney is anxiety. This Scientific works aims to describe the nursing care of anxiety in patients with Chronic Kidney disease especially with relaxation techniques. Patients who are able to overcome their anxiety will improve the effectiveness of the physical treatments that are being undertaken. Thus, the nurse 39 s role in providing psychosocial nursing care is necessary so that anxiety problems do not cause adverse impact to the patient."

"Diabetes mellitus saat ini menjadi salah satu tantangan kesehatan masyarakat perkotaan. Kondisi hiperglikemia pada klien dengan diabetes, dapat menyebabkan beberapa komplikasi, diantaranya ketoasidosis diabetikum, retinopati diabetic, neuropati diabetic, serta luka bahkan yang bisa berkembang menjadi gangrene. Diabetes mellitus dan komplikasinya tersebut dapat menyebabkan kematian. Bahkan proporsi penyebab kematian akibat diabetes pada usia dewasa di perkotaan cukup tinggi. Efek morbiditas yang ditimbulkan oleh diabetes mellitus ini memiliki dampak buruk pada kesehatan emosional, termasuk gejala depresi dan harga diri rendah. Tingkat harga diri yang rendah bisa memengaruhi perilaku perawatan diri self-care behaviors pada klien dengan diabetes mellitus. Karya ilmiah ini melaporkan analisis masalah dan intervensi keperawatan psikososial harga diri rendah situasional pada klien dengan diabetes mellitus. Evaluasi hasil akhir menunjukkan adanya penurunan tanda dan gejala harga diri rendah situasional serta hasil klinis yang lebih baik. Pengembangan dan implementasi asuhan keperawatan psikososial harga diri rendah situasional perlu diterapkan di ruang rawat inap umum, khususnya pada klien dengan masalah kesehatan perkotaan diabetes mellitus.

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Diabetes mellitus is now one of the public health challenges. The condition of hyperglycemia in clients with diabetes, can lead to some complications, such as diabetic ketoacidosis, diabetic retinopathy, diabetic neuropathy, and severe injuries that can develop into gangrene. Diabetes mellitus and its complications can cause death. Even the proportion of deaths due to diabetes in adulthood in urban areas is quite high. The effects of morbidity caused by diabetes mellitus have a negative impact on emotional health, including symptoms of depression and low self esteem. Low self esteem may affect self care behavior in clients with diabetes mellitus. This paper discusses the problems and psychosocial nursing interventions of situational low self esteem in clients with diabetes mellitus. Evaluation of the final results indicates a decrease in clinical signs and symptoms. The development and implementation of psychosocial self care nursing situational low self esteem needs to be applied in the general inpatient room, particularly in clients with diabetes mellitus health problems."

"ABSTRAK Masalah kesehatan pada masyarakat perkotaan banyak dipengaruhi oleh gaya hidup tidak sehat, salah satu dampaknya adalah Diabetes Melitus. Diabetes Melitus merupakan kelainan heterogen yang ditandai dengan peningkatan gula darah didalam tubuh. Penyakit Diabetes mellitus merupakan salah satu penyakit yang dapat menimbulkan masalah psikososial kepada pasien, salah satunya adalah ketidakberdayaan. Karya Ilmiah Akhir Ners ini bertujuan untuk menggambarkan asuhan keperawatan ketidakberdayaan pada pasien yang mengalami penyakit Diabetes Melitus. Karya ilmiah ini mengindikasikan pentingnya penerapan asuhan keperawatan psikososial untuk menunjang kesembuhan dan kesehatan fisik pasien. Sehingga diperlukannya peran perawat dalam memberikan asuhan keperawatan psikososial agar masalah ketidakberdayaan tidak menimbulkan dampak yang merugikan.

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ABSTRACT Health problems in urban communities are heavily influenced by unhealthy lifestyles and one of the impact is Diabetes Mellitus. Diabetes Mellitus is a heterogeneous disorder characterized by increased blood sugar in the body. Diabetes mellitus disease is one disease that can cause psychosocial problems to the patient, one of them is powerlessness. This Paper purpose to describe nursing care of powerlessness in patients with diabetes mellitus. This paper indicates the importance of applying psychosocial nursing care to support the healing and physical health of patients. So the need for the role of nurses in providing psychosocial nursing care for the problem of helplessness does not cause adverse impacts."