[Harga diri rendah kronis merupakan salah satu diagnosis keperawatan yang seringditemukan di rumah sakit jiwa. Prosentase pasien harga diri rendah kronis diruang Arimbi periode Februari–April 2012 mencapai 90.4% dari jumlah totalpasien. Jumlah pasien dengan diagnosis utama harga diri rendah kronis yangdikelola penulis sebanyak 22 orang. Tujuan penulisan karya ilmiah akhir iniadalah menguraikan aplikasi terapi spesialis keperawatan jiwa terhadap pasienharga diri rendah kronis melalui pendekatan model Stress Adaptasi Stuart. Metodeyang digunakan dalam penulisan ini adalah studi serial kasus dengan kombinasitujuh paket terapi. Hasil aplikasi terapi spesialis keperawatan jiwa inimenunjukkan adanya penurunan tanda dan gejala, peningkatan kemampuanpasien, serta peningkatan kemampuan keluarga dalam merawat pasien harga dirirendah kronis. Efektifitas terapi menunjukan bahwa kombinasi terapi individu(terapi kognitif perilaku dan logoterapi), terapi kelompok (terapi suportifkelompok) dan terapi keluarga (psikoedukasi keluarga) efektif menurunkan gejala,meningkatkan kemampuan pasien dan meningkatkan kemampuan keluarga dalammerawat pasien harga diri rendah kronis. Rekomendasi : kombinasi terapiindividu, terapi kelompok dan terapi keluarga sangat tepat diberikan pada pasiengangguan jiwa khususnya pasien harga diri rendah kronis dan diperlukanpenelitian lebih lanjut., The prevalence of mental disorders each year has increased significantly. Basedon the Health Research Association in 2007 showed that the incidence of severemental disorder in Indonesia of 4.6 ‰. Statistical data show that the mental healthdirectorate of mental patients is the largest of schizophrenia by 70% (Dep.Kes,2003). The results of several studies have shown some good therapy generalistsand specialists give significant results to reduce chronic low self-esteem such ascognitive therapy, cognitive behavioral therapy, and family psikoeducationlogotherapy. The purpose of this final scientific work is to describe the soul ofnursing specialist therapy applications for patients of chronic low self-esteemthrough modeling approaches Stuart Stress Adaptation. Therapy applicationsspecialist mental nursing was conducted on 22 patients of chronic low self-esteemin the Arimbi RSMM Bogor. The results of therapy applications of this spirit ofnursing specialists showed a decrease in the signs and symptoms, improvement inthe patient's ability to cope with chronic low self-esteem, and increase the abilityof families in caring for patients of chronic low self-esteem. Effectiveness oftherapy showed that the combination of individual therapy (cognitive behavioraltherapy and logotherapy), group therapy (supportive group therapy) and familytherapy (family psikoedukation) effectively reduce symptoms of chronic low selfesteem,improve the patient's ability to overcome chronic low self-esteem andimprove the ability of families in care for patients of chronic low self-esteem.Recommendation: The combination of individual therapy, group therapy andfamily therapy is appropriate given the patient's mental disorders, especiallypatients with chronic low self-esteem.] |