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Abstrak :
Asuhan keperawatan psikososial spiritual sering diabaikan. Dibuktikan dengan jarang munculnya diagnosa psikososial spiritual di ruang rawat inap Rumah Sakit Umum. Tujuan penelitian ini untuk mengetahui efektifitas pelatihan terhadap pengetahuan perawat dan keakuratan diagnosa psikososial spiritual. Metodologi penelitian ini merupakan penelitian kuantitatif dengan quasi experimental design dan pendekatan one group pretest-posttest. Sampel penelitiannya adalah seluruh perawat yang pernah mengikuti pelatihan tentang pengkajian psikososial yang berjumlah 33 orang. Analisa data menggunakan uji Wilcoxon. Hasil penelitian ini menunjukkan bahwa terdapat peningkatan yang signifikan terhadap pengetahuan perawat 29,28 dan keakuratan diagnosa 88,25 . Setelah pelatihan, hasil observasi menunjukkan bahwa perumusan diagnosa keperawatan psikososial spiritual terdapat pada semua dokumentasi pasien kelolaan perawat yang memenuhi kriteria ketepatan perumusan dan kelengkapan komponen Problem Etiologi Signs/symptoms hingga munculnya intervensi psikososial spiritual. Hasil ini perlu dipertahankan, ditingkatkan, dan didukung oleh pihak manajemen Rumah Sakit Umum. ......Psychosocial spiritual nursing care is often overlooked. It is proven by the rare emergence of psychosocial spiritual diagnosis in the inpatient wards of General Hospital. This study is to reveal the effectiveness of training on nurses rsquo knowledge and accuracy in psychosocial spiritual diagnosis. Quantitative research method with quasi experimental design was employed in this study using one group pretest posttest. The research sample is 33 nurses who had attended training on psychosocial assessment. Wilcoxon test was used for data analysis. This study showed that there was a significant increase on the nurses rsquo knowledge 29.28 and nurses rsquo diagnostic accuracy 88.25 . After the training, the results of the observations indicated the formulation of psychosocial spiritual nursing diagnoses was found in all documentation of the client managed by the nurses who meet the criteria of the accuracy of the formulation and completeness of the Problem Etiology Signs symptoms component until the emergence of psychosocial spiritual intervention. These results need to be maintained, upgraded, and supported by the management of the General Hospital.

Abstrak :
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. ......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.