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Yunita Anggraini
Pengaruh Tindakan Keperawatan Ners, Latihan Asertif, dan Psikoedukasi Keluarga terhadap Pencegahan Kekambuhan pada Pasien Perilaku Kekerasan = The Effects of Standard Nursing Intervention, Assertive Training, and Family Psychoeducation on Preventing The Risk Factors of Relapse among Client with Violent Behaviour
"Pendahuluan: Skizofrenia merupakan gangguan jiwa yang terjadi pada fungsi otak. Prevalensi skizofrenia mencapai dua puluh empat juta di seluruh dunia dan sering terjadi pada usia remaja akhir. Prevalensi skizofrenia mengalami peningkatan sebanyak 0,18% di Indonesia sedangkan di Provinsi Bali skizofrenia menempati urutan pertama. Tanda dan gejala skizofrenia dapat berupa perilaku kekerasan. Sebanyak 68 % pasien skizofrenia dilakukan perawatan kembali (rehospitalisasi) di rumah sakit karena perilaku kekerasan. Dampak kekambuhan yang dikarenakan oleh perilaku kekerasan adalah memburuknya gejala, menurunnya fungsi kognitif, resistensi terhadap pengobatan dan sulit diterima kembali di masyarakat. Maka dari itu diperlukan tindakan untuk mencegah terjadinya kekambuhan pada pasien dengan perilaku kekerasan.
Tujuan : Untuk mengetahui pengaruh tindakan keperawatan ners, latihan asertif, dan psikoedukasi keluarga terhadap kemampuan mencegah kekambuhan pada pasien dengan perilaku kekerasan.
Metode : Menggunakan desain penelitian Quasy experiment dengan rancangan pre-post test with control group yang dianalisis menggunakan univariat dan bivariat.
Hasil: Penelitian menunjukkan penurunan tanda dan gejala perilaku kekerasan, peningkatan kemampuan pasien mengendalikan perilaku kekerasan, peningkatan kemampuan berperilaku asertif, peningkatan kepatuhan minum obat, dan peningkatan kemampuan keluarga dalam merawat pasien dengan perilaku kekerkasan. Rekomendasi: tindakan keperawatan ners, latihan asertif, dan psikoedukasi keluarga direkomendasikan sebagai upaya untuk mencegah kekambuhan pada pasien.
Background: Schizophrenia is a mental disorder that occurs in brain function. The prevalence of schizophrenia reaches twenty-four million worldwide and often occurs in late adolescence. The prevalence of schizophrenia has increased by 0.18% in Indonesia while in Bali Province schizophrenia ranks first. Signs and symptoms of schizophrenia can include violent behavior. As many as 68% of schizophrenia patients are rehospitalized in the hospital due to violent behavior. The impact of relapse caused by violent behavior is worsening symptoms, decreased cognitive function, resistance to treatment and difficulty being accepted back in society. Therefore, measures are needed to prevent relapse in patients with violent behavior.
Objective: To determine the effect of nursing actions, assertive training, and family psychoeducation on the ability to prevent relapse in patients with violent behavior.
Methods: Using Quasy experiment research design with pre-post test design with control group which was analyzed using univariate and bivariate.
Results: The study showed a decrease in signs and symptoms of violent behavior, an increase in the patient's ability to control violent behavior, an increase in the ability to behave assertively, an increase in medication compliance, and an increase in the family's ability to care for patients with violent behavior.
Recommendations: nursing actions, assertive practice, and family psychoeducation are recommended as an effort to prevent relapse in patients."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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UI - Tesis Membership  Universitas Indonesia Library
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Surya Efendi
Pengaruh Tindakan Keperawatan Ners, Cognitive Behaviour Therapy, dan Psikoedukasi Keluarga terhadap Pencegahan Faktor Risiko Kekambuhan Klien Perilaku Kekerasan dan Halusinasi di Rumah Sakit Jiwa = The Effects of Standard Nursing Intervention, Cognitive Behavioural Therapy, and Family Psychoeducation on Preventing The Risk Factors of Relapse among Client with Violent Behaviour and Hallucinations in Mental Health Hospital.
"Kekambuhan pada klien skizofrenia perlu mendapat perhatian khusus karena menunjukkan angka yang tinggi serta memberikan dampak yang buruk terhadap klien dan keluarga. Tujuan penelitian untuk mengetahui pengaruh tindakan keperawatan ners, cognitive behaviour therapy, dan psikoedukasi keluarga terhadap pencegahan faktor risiko kekambuhan klien perilaku kekerasan dan halusinasi di rumah sakit jiwa. Desain yang digunakan dalam penelitian ini adalah quasi experimental pre-post test with control group. Pengambilan sampel menggunakan teknik purposive sampling dengan jumlah sampel 61 klien dan keluarga yang dibagi menjadi 2 kelompok. Kelompok intervensi 1 berjumlah 31 klien dan keluarga diberikan tindakan keperawatan ners, cognitive behaviour therapy, dan psikoedukasi keluarga, sedangkan kelompok intervensi 2 berjumlah 30 klien dan dikeluarga diberikan tindakan keperawatan ners. Pengumpulan data menggunakan kuesioner dan lembar observasi kemudian dianalisis secara univariat dan bivariat. Analisis univariat menggunakan distribusi frekuensi dan tendensi sentral. Analisis bivariat menggunakan uji dependent t-test, independent t-test, dan korelasi pearson untuk data yang berdistribusi normal sedangkan untuk data yang berdistribusi tidak normal menggunakan uji wilcoxon, mann-whitney test, dan korelasi rank spearman. Hasil penelitian menunjukkan peningkatan kemampuan klien dan keluarga mencegah kekambuhan serta penurunan tanda dan gejala perilaku kekerasan dan halusinasi pada kelompok yang mendapatkan tindakan keperawatan ners, cognitive behaviour therapy, dan psikoedukasi keluarga lebih besar secara bermakna dibandingkan kelompok yang mendapatkan tindakan keperawatan ners saja (p value < 0,05). Tindakan keperawatan ners direkomendasikan dilakukan oleh perawat generalis serta cognitive behaviour therapy dan psikoedukasi keluarga direkomendasikan dilakukan oleh perawat spesialis jiwa di rumah sakit jawa dalam mencegah faktor risiko kekambuhan klien skizofrenia dengan diagnosis keperawatan perilaku kekerasan dan halusinasi.
Relapse in schizophrenia clients needs to get special attention, because it shows high numbers and has a negative impact on clients and their families. The purpose of research was to determine the effects of standard nursing intervention, cognitive behavioural therapy, and family psychoeducation on preventing the risk factors of relapse among client with violent behaviour and hallucinations in mental health hospital. The design used in this study was a quasi experimental pre-post test with control group. Sampling used purposive sampling technique with 61 clients and their families divided into 2 groups. The intervention group 1 consisted of 31 clients and their families were given standard nursing intervention, cognitive behavioural therapy, and family psychoeducation, while the intervention group 2 consisted of 30 clients and their families were given standard nursing intervention. Data were collected using questionnaires observation sheets then analyzed by univariate and bivariate. Univariate analysis used frequency distribution and tendency central. Bivariate analysis used dependent t-test, independent t-test, and pearson correlation for normally distributed data, while for data that was not normally distributed using wilcoxon, mann-whitney test, dan rank spearman correlation. The results showed that an increased in ability of clients and their families to prevent relapses, and the decreased in signs and symptoms of violent behaviour and hallucinations in the group that received standard nursing intervention, cognitive behavioural therapy, and family psychoeducation was significantly greater than the group that only received general nursing intervention (p value < 0,05). Standard nursing intervention are recommended performed by generalist nurses, while cognitive behavioural therapy and family psychoeducation performed by mental nurses specialist in mental health hospital to prevent relapses risk factors of schizophrenic clients with nursing diagnosis of violent behaviour and hallucinations."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
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UI - Tesis Membership  Universitas Indonesia Library
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Ellya Fadllah
Pengaruh tindakan ners, cognitive behaviour therapy, assertive training, psikoedukasi keluarga, dan terapi suportif terhadap kemampuan dan tanda gejala klien halusinasi dan risiko perilaku kekerasan = The effect of standart nursing intervention, cognitive behaviour therapy, assertive training, family psychoeducation, and supportive therapy of ability and signs symtoms of client with hallucination and risk violent behaviour
"Halusinasi dan perilaku kekerasan merupakan gejala positif yang paling banyak ditemukan pada klien dengan skizofrenia. Tanda dan gejala halusinasi dan perilaku kekerasan membutuhkan penatalaksanaan yang komperehensif dan berkesinambungan baik untuk klien, keluarga, dan kelompok. Tujuan penulisan karya ilmiah akhir ini adalah untuk memberikan gambaran penerapan dari tindakan keperawatan ners, cognitive behaviour therapy, assertive training, psikoedukasi keluarga, dan terapi suportif pada klien halusinasi dan perilaku kekerasan. Metode yang digunakan adalah operational research. Pengambilan sampel menggunakan teknik purposive sampling berjumlah 40 klien yang terbagi dalam dua kelompok. Kelompok satu berjumlah 20 klien diberikan tindakan keperawatan ners, cognitive behaviour therapy, assertive training, psikoedukasi keluarga, dan terapi suportif (paket terapi satu). Kelompok dua berjumlah 20 klien diberikan tindakan keperawatan ners, cognitive behaviour therapy, dan assertive training (paket terapi dua). Pengumpulan data menggunakan instrumen tanda gejala dan kemampuan, kemudian dianalisis secara univariat dan bivariat. Analisis univariat menggunakan distribusi frekuensi dan tendensi sentral. Analisis bivariat menggunakan uji friedman, wilcoxon, mann-whitney, dan korelasi rank spearman. Hasil karya ilmiah menunjukkan penurunan tanda dan gejala serta peningkatan kemampuan klien halusinasi dan perilaku kekerasan pada kelompok yang diberikan paket terapi satu lebih besar secara bermakna dibandingkan kelompok yang mendapatkan paket terapi dua (p value < 0,05). Tindakan keperawatan yang dikombinasikan antara tindakan keperawatan ners oleh perawat generalis dan tindakan keperawatan spesialis oleh perawat spesialis jiwa direkomendasikan dilakukan di rumah sakit jiwa untuk menghasilkan penurunan tanda gejala dan peningkatan kemampuan klien halusinasi dan perilaku kekerasan lebih optimal.
Hallucinations and violent behavior are the most common positive symptoms in clients with schizophrenia. Signs and symptoms of hallucinations and violent behavior require comprehensive and continuous management for the client, family, and group. The purpose of writing this final scientific paper is to provide an overview of the application of standart nursing intervention, cognitive behavior therapy, assertive training, family psychoeducation, and supportive therapy to clients with hallucinations and violent behavior. The method used is operational research. Sampling using purposive sampling technique amounted to 40 clients who were divided into two groups. The first group of 20 clients was given standart nursing intervention, cognitive behavior therapy, assertive training, family psychoeducation, and supportive therapy (therapy package one). The second group of 20 clients was given standart nursing intervention, cognitive behavior therapy and assertive training (therapy package two). Collecting data using signs and symptoms instruments and abilities, then analyzed by univariate and bivariate. Univariate analysis using frequency distribution and central tendency. Bivariate analysis using friedman, wilcoxon, mann-whitney and spearman rank correlation test. The results of scientific work showed the decrease in signs and symptoms as well as an increase in the client's ability to hallucinations and violent behavior in the group given therapy package one was significantly greater than the group receiving therapy package two (p_value <0.05). Nursing intervention that are combined between standart nursing and specialist nursing intervention are recommended to be carried out in mental hospitals to produce a decrease in signs of symptoms and an increase in the ability of clients to have hallucinations and violent behavior more optimally"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2022
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UI - Tugas Akhir  Universitas Indonesia Library
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Ika Ratih Wibawa
Penerapan terapi perilaku kognitif, latihan asertif dan psikoedukasi keluarga pada klien halusinasi dan risiko perilaku kekerasan = The application of cognitive behavior theraphy, assertive training and family psychoeducation on client with hallucinations and risk of violent behavior
"Skizofrenia merupakan suatu sindroma klinis yang mempengaruhi kognitif, emosi, perilaku dan fungsi sosial. Diagnosa keperawatan terbanyak yang ditemukan pada skizofrenia adalah halusinasi dan risiko perilaku kekerasan. Tujuan penulisan karya ilmiah ini adalah mengetahui perbedaan perubahan tanda gejala dan kemampuan klien halusinasi dan risiko perilaku kekerasan antara yang diberikan tindakan keperawatan ners, terapi perilaku kognitif, latihan asertif dan psikoedukasi keluarga.
Desain karya ilmiah ini case series. Kelompok intervensi I diberikan tindakan keperawatan ners, terapi perilaku kognitif dan psikoedukasi keluarga serta kelompok intervensi II diberikan tindakan keperawatan ners, terapi perilaku kognitif, latihan asertif dan psikoedukasi keluarga dengan jumlah sampel masing-masing kelompok adalah 15 orang.
Hasil asuhan keperawatan menunjukkan intervensi II menurunkan tanda gejala halusinasi dan risiko perilaku kekerasan lebih besar daripada intervensi I. Tindakan keperawatan ners direkomendasikan dilakukan oleh perawat di ruang rawat inap serta terapi perilaku kognitif, latihan asertif dan psikoedukasi keluarga dilakukan oleh perawat spesialis dalam mengatasi halusinasi dan risiko perilaku kekerasan.
Schizophrenia is a clinical syndrome that affects cognitive, emotional, behavioral and social functions. The most common nursing diagnoses found in schizophrenia are hallucinations and the risk of violent behavior. The study aims to determine the differences in symptom change and the ability of the hallucinations and the risk of violent behavior between nursing actions, cognitive behavioral therapy, assertiveness training and family psychoeducation.
The study design was case series. The intervention group I was given nursing action ners, cognitive behavioral therapy and family psychoeducation as well as intervention group II were given nursing actions, cognitive behavioral therapy, assertive training and family psychoeducation with the number of samples each group was 15 people.
The results showed intervention II decreases symptoms of hallucinations and the risk of violent behavior is greater than intervention I. Nursing care ners are recommended performed by nurses in inpatient rooms as well as cognitive behavioral therapy, assertiveness training and family psychoeducation performed by a specialist nurse in overcoming hallucinations and risks violent behavior."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2018
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UI - Tugas Akhir  Universitas Indonesia Library
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Adek Setiyani
Penerapan Terapi Keperawatan Spesialis Latihan Asertif pada Klien Risiko Perilaku Kekerasan dan Psikoedukasi pada Keluarga menggunakan Metode Daring = The Application of Specialist Nursing Therapy Assertiveness Training to Clients with Violent Behavior Risk and Family Psychoeducation using Online Method.
"Perilaku kekerasan adalah suatu respons inividu terhadap perasaan terancam di mana individu mengekspresikannya dengan melakukan tindakan mengancam, mencederai orang lain atau mengganggu lingkungan. Program pencegahan penularan Covid-19 yang menyebabkan pembatasan akses pelayanan RS dapat menjadi penyebab kekambuhan pada klien RPK, sehingga pemberian asuhan keperawatan melalui daring menjadi alternatif yang efektif untuk tetap dapat memberikan pelayanan kepada klien RPK. Tujuan penulisan ini adalah memaparkan hasil pemberian asuhan keperawatan jiwa spesialistik pada klien risiko perilaku kekerasan dengan menggunakan metode daring. Metode penulisan menggunakan metode deskriptif analitik dengan 8 klien yang mendapatkan asuhan keperawatan jiwa spesialistik berupa latihan asertif dan psikoedukasi pada keluarga secara daring. Hasil evaluasi pelaksanaan asuhan keperawatan jiwa spesialistik menunjukan penurunan tanda dan gejala risiko perilaku kekerasan, yang disertai dengan peningkatan kemampuan klien dalam mengontrol perilaku kekerasan. Hasil evaluasi juga menunjukkan adanya peningkatan kemampuan keluarga dalam merawat klien RPK setelah mendapatkan psikoedukasi keluarga. Pemberian asuhan keperawatan spesialis latihan asertif dan psikoedukasi keluarga dengan metode daring sama efektifnya dengan metode tatap muka.
Violent behavior is an individual's response psychological response of being threatened which is expressed it by threatening, injuring others, or disturbing the environment. Restricted hospital service accessability due to Covid-19 pandemic can stimulate the risk of violent behavior required ioither effective alternative to access mental health services for clients in need. The purpose of this paper was to describe effectiveness of mental health nursing care provided to the violent behavior’s clients using online therapeutic methods. A descriptive-analysis method was used to explore eight clients who received online assertiveness training and psychoeducation to their family. The results revealed a decrease in signs and symptoms of violent behavior risk, which was accompanied by an increase in the client's ability to control their violent behavior. The results also showed an increase in the family's ability to care for clients with violent behavior after receiving family psychoeducation. The delivery of specialist nursing care with assertiveness training and family psychoeducation using the online method is as effective as the face-to-face method."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
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UI - Tugas Akhir  Universitas Indonesia Library
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Dinarwiyata
Penerapan terapi latihan asertif dan psikoedukasi keluarga pada klien dengan risiko perilaku kekerasan di RSJ Bogor = The application of assertiveness training and family psychoeducation on the client with risk of aggressive behavior on the RSJ Bogor
"[ABSTRAK
Skizophrenia paranoid memperlihatkan tanda dan gejala perilaku kekerasan yang berisiko cedera bagi klien dan lingkungan. Tujuan Karya Ilmiah ini untuk mengetahui pengaruh terapi generalis, latihan asertif, psikoedukasi keluarga terhadap tanda dan gejala, kemampuan klien, keluarga. Metode yang digunakan deskriptif analitik dengan memberikan terapi generalis, latihan asertif, pada 20 klien dan selanjutnya pada 7 klien diberikan psikoedukasi pada keluarga. Pemberian terapi generalis, latihan asertif pada 13 klien menunjukkan penurunan tanda, gejala, peningkatan kemampuan klien. Pemberian terapi generalis, latihan asertif, psikoedukasi keluarga pada 7 klien dan keluarganya menunjukkan penurunan tanda dan gejala, peningkatan kemampuan yang lebih besar daripada pemberian terapi generalis, latihan asertif. Direkomendasikan kombinasi terapi generalis, latihan asertif, psikoedukasi keluarga pada klien resiko perilaku kekerasan.
ABSTRACT
Skizophrenia paranoid shows signs, symptoms of aggressive behavior are at risk of injury for the client, the environment. The purpose of this scientific masterpiece to know influence of generalist therapy, assertiveness training, family psychoeducation against the mark, the symptoms, the capabilities of the client, family. Analitic descriptive method used by providing a generalist therapy, assertiveness training, on 20 asertif the client and client's given on 7 psikoeducation in the family. Generalist therapy, assertiveness training, on 13 clients shows a decrease in signs and symptoms, increased the ability of the client. Generalist therapy, assertiveness training, family psychoeducation in 7 clients, and family shows a decrease in signs, symptoms, and improved skills an increase greater than on the giving of generalist therapy, assertiveness training, family psychoeducation. Recommended combination generalist therapy, assertiveness training, family psychoeducation on the client's risk of aggressive behavior., Skizophrenia paranoid shows signs, symptoms of aggressive behavior are at risk of injury for the client, the environment. The purpose of this scientific masterpiece to know influence of generalist therapy, assertiveness training, family psychoeducation against the mark, the symptoms, the capabilities of the client, family. Analitic descriptive method used by providing a generalist therapy, assertiveness training, on 20 asertif the client and client's given on 7 psikoeducation in the family. Generalist therapy, assertiveness training, on 13 clients shows a decrease in signs and symptoms, increased the ability of the client. Generalist therapy, assertiveness training, family psychoeducation in 7 clients, and family shows a decrease in signs, symptoms, and improved skills an increase greater than on the giving of generalist therapy, assertiveness training, family psychoeducation. Recommended combination generalist therapy, assertiveness training, family psychoeducation on the client's risk of aggressive behavior.]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Yanuar Fahrizal
Perubahan tanda, gejala dan kemampuan pasien dengan risiko perilaku kekerasan setelah mendapatkan latihan asertif dan psikoedukasi keluarga dengan pendekatan teori roy = Changes in signs symtoms and abilities of patient with risk for violence after being trained assertive training and family psychoeducation with roy theory approach
"ABSTRAK
Gangguan jiwa secara keseluruhan diprediksikan akan semakin meningkat setiap tahunnya. Pasien dengan masalah gangguan jiwa berat seperti skizofrenia seringkali melakukan perilaku kekerasan. Penanganan pasien dengan perilaku kekerasan dapat menggunakan tindakan keperawatan generalis dan tindakan keperawatan spesialis latihan asertif dan psikoedukasi keluarga. Studi kasus ini melibatkan 11 pasien dengan karakteristik mayoritas usia 26-60 tahun, tidak bekerja, tingkat pendidikan SMA, belum menikah, dan memiliki riwayat dirawat sebelumnya. Tindakan keperawatan generalis dan ners spesialis latihan asertif dan psikoedukasi keluarga dilakukan menggunakan pendekatan teori adaptasi Roy 2017 dan adaptasi stress Stuart 2013 . Penggunaan pendekatan teori adaptasi Roy dan adaptasi stress Stuart sesuai diterapkan pada penanganan pasien dengan risiko perilaku kekerasan di ruang rawat inap tenang. Hasil penerapan terapi latihan asertif dan psikoedukasi keluarga menunjukkan terjadinya penurunan tanda dan gejala risiko perilaku kekerasan serta terjadinya peningkatan kemampuan pasien dalam mengatasi risiko perilaku kekerasan. Kata Kunci: skizofrenia, risiko perilaku kekerasan, latihan asertif, psikoedukasi keluarga ABSTRACT The mental disorder is predicted to increase every year. Patient with mental disorder such as schizophrenia often engage in violent behavior. Treatment of patients with violent behavior can use general nursing actions and specialist ners. This case study involved 11 patients with the majority of ages 26 60 years, unemployed, high school education, unmarried, and had a history of previous care. Nursing acts and ners specialists assertive trainning and family psychoeducation using Roy 39 s adaptation theory 2017 and Stuart 39 s stress adaptation approach 2013 . The Roy 39 s adaptation theory and Stuart stress adaptation approach is applied to the treatment of patients with the risk of violent behavior. The results of the application of assertive trainning therapy and family psychoeducation showed a decrease in signs and symptoms of violent behavior as well as improving the patient 39 s ability to overcome the risk of violent behavior. Keywords Schizophrenia, risk for violence, assertive training, family psychoeducation"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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UI - Tugas Akhir  Universitas Indonesia Library
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Dinarwiyata
Penerapan terapi latihan asertif dan psikoedukasi keluarga pada klien dengan risiko perilaku kekerasan di RSJ bogor = Application of assertiveness training and family psychoeducation to clients with risk aggressive behavior in RSJ Bogor
"[ABSTRAK
Skizophrenia paranoid memperlihatkan tanda dan gejala perilaku kekerasan yang berisiko cedera bagi klien dan lingkungan Tujuan Karya Ilmiah ini untuk mengetahui pengaruh terapi generalis latihan asertif psikoedukasi keluarga terhadap tanda dan gejala kemampuan klien keluarga Metode yang digunakan deskriptif analitik dengan memberikan terapi generalis latihan asertif pada 20 klien dan selanjutnya pada 7 klien diberikan psikoedukasi pada keluarga Pemberian terapi generalis latihan asertif pada 13 klien menunjukkan penurunan tanda gejala peningkatan kemampuan klien Pemberian terapi generalis latihan asertif psikoedukasi keluarga pada 7 klien dan keluarganya menunjukkan penurunan tanda dan gejala peningkatan kemampuan yang lebih besar daripada pemberian terapi generalis latihan asertif Direkomendasikan kombinasi terapi generalis latihan asertif psikoedukasi keluarga pada klien Risiko perilaku kekerasan ABSTRACT Skizophrenia paranoid shows signs symptoms of aggressive behavior are at risk of injury for the client the environment The purpose of this scientific masterpiece to know influence of generalist therapy assertiveness training family psychoeducation against the mark the symptoms the capabilities of the client family Analitic descriptive method used by providing a generalist therapy assertiveness training on 20 asertif the client and client 39 s given on 7 psikoeducation in the family Generalist therapy assertiveness training on 13 clients shows a decrease in signs and symptoms increased the ability of the client Generalist therapy assertiveness training family psychoeducation in 7 clients and family shows a decrease in signs symptoms and improved skills an increase greater than on the giving of generalist therapy assertiveness training family psychoeducation Recommended combination generalist therapy assertiveness training family psychoeducation on the client 39 s risk of aggressive behavior ;Skizophrenia paranoid shows signs symptoms of aggressive behavior are at risk of injury for the client the environment The purpose of this scientific masterpiece to know influence of generalist therapy assertiveness training family psychoeducation against the mark the symptoms the capabilities of the client family Analitic descriptive method used by providing a generalist therapy assertiveness training on 20 asertif the client and client 39 s given on 7 psikoeducation in the family Generalist therapy assertiveness training on 13 clients shows a decrease in signs and symptoms increased the ability of the client Generalist therapy assertiveness training family psychoeducation in 7 clients and family shows a decrease in signs symptoms and improved skills an increase greater than on the giving of generalist therapy assertiveness training family psychoeducation Recommended combination generalist therapy assertiveness training family psychoeducation on the client 39 s risk of aggressive behavior ;Skizophrenia paranoid shows signs symptoms of aggressive behavior are at risk of injury for the client the environment The purpose of this scientific masterpiece to know influence of generalist therapy assertiveness training family psychoeducation against the mark the symptoms the capabilities of the client family Analitic descriptive method used by providing a generalist therapy assertiveness training on 20 asertif the client and client 39 s given on 7 psikoeducation in the family Generalist therapy assertiveness training on 13 clients shows a decrease in signs and symptoms increased the ability of the client Generalist therapy assertiveness training family psychoeducation in 7 clients and family shows a decrease in signs symptoms and improved skills an increase greater than on the giving of generalist therapy assertiveness training family psychoeducation Recommended combination generalist therapy assertiveness training family psychoeducation on the client 39 s risk of aggressive behavior ;Skizophrenia paranoid shows signs symptoms of aggressive behavior are at risk of injury for the client the environment The purpose of this scientific masterpiece to know influence of generalist therapy assertiveness training family psychoeducation against the mark the symptoms the capabilities of the client family Analitic descriptive method used by providing a generalist therapy assertiveness training on 20 asertif the client and client 39 s given on 7 psikoeducation in the family Generalist therapy assertiveness training on 13 clients shows a decrease in signs and symptoms increased the ability of the client Generalist therapy assertiveness training family psychoeducation in 7 clients and family shows a decrease in signs symptoms and improved skills an increase greater than on the giving of generalist therapy assertiveness training family psychoeducation Recommended combination generalist therapy assertiveness training family psychoeducation on the client 39 s risk of aggressive behavior , Skizophrenia paranoid shows signs symptoms of aggressive behavior are at risk of injury for the client the environment The purpose of this scientific masterpiece to know influence of generalist therapy assertiveness training family psychoeducation against the mark the symptoms the capabilities of the client family Analitic descriptive method used by providing a generalist therapy assertiveness training on 20 asertif the client and client 39 s given on 7 psikoeducation in the family Generalist therapy assertiveness training on 13 clients shows a decrease in signs and symptoms increased the ability of the client Generalist therapy assertiveness training family psychoeducation in 7 clients and family shows a decrease in signs symptoms and improved skills an increase greater than on the giving of generalist therapy assertiveness training family psychoeducation Recommended combination generalist therapy assertiveness training family psychoeducation on the client 39 s risk of aggressive behavior ]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Elis Mudjiwati
Pengaruh tindakan keperawatan ners, psikoedukasi keluarga, terapi perilaku, peran kader, dan pelayanan medik pada klien halusinasi dan defisit perawatan diri = The effect of nursing actions nurses, family psychoeducation, behavior therapy, cadre roles, and medical services on client with hallucinations and self-care deficit
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Halusinasi dan defisit perawatan diri merupakan gejala positif dan negatif dari skizofrenia. Asuhan keperawatan dapat diberikan untuk meningkatkan kemampuan klien dalam mengatasi masalah. Tujuan karya ilmiah akhir spesialis ini untuk mengetahui pengaruh tindakan keperawatan ners, psikoedukasi keluarga, terapi perilaku, pendampingan kader, dan pelayanan medik pada klien halusinasi dan defisit perawatan diri. Desain karya ilmiah akhir spesialis ini adalah case series, dengan klien berjumlah 6 orang. Pelaksanaan kegiatan terdiri dari 16 kali pertemuan yaitu 7 pertemuan dengan perawat, 4 pertemuan dengan kader, dan 5 kali pertemuan dengan pelayanan medik. Instrumen yang digunakan adalah instrumen tanda dan gejala serta kemampuan halusinasi dan defisit perawatan diri. Hasil menunjukkan klien yang mendapatkan tindakan keperawatan ners, psikoedukasi keluarga, terapi perilaku, pendampingan kader, dan pelayanan medik mengalami penurunan tanda dan gejala serta peningkatan kemampuan yang lebih banyak dibandingkan dengan klien yang hanya mendapatkan tindakan keperawatan ners, psikoedukasi keluarga, terapi perilaku, dan pelayanan medik, serta klien yang hanya mendapatkan tindakan keperawatan ners, psikoedukasi keluarga, dan terapi perilaku. Karya ilmiah akhir spesialis ini merekomendasikan pentingnya pemberian tindakan keperawatan ners, psikoedukasi keluarga, terapi perilaku, serta pendampingan kader dan pelayanan medik pada klien halusinasi dan defisit perawatan diri.

 

 

Hallucinations and self-care deficits are positive and negative symptoms of schizophrenia. Nursing care can be given to improve the client's ability to solve problems. The purpose of the specialist's final scientific work is to determine the effect of nursing nurses' actions, family psychoeducation, behavioral therapy, cadre assistance, and medical services on hallucinatory clients and self-care deficits. The final design of this specialist scientific work is a case series, with 6 clients. The activity consisted of 16 meetings, 7 meetings with nurses, 4 meetings with cadres, and 5 meetings with medical services. The instruments used were instruments of signs and symptoms as well as hallucinations and self-care deficits. The results show that clients who get nursing action, family psychoeducation, behavioral therapy, cadre assistance, and medical services experience a decrease in signs and symptoms as well as increased ability compared to clients who only get nursing action, family psychoeducation, behavioral therapy, and service. medical, and clients who only get nursing actions, family psychoeducation, and behavioral therapy. The final scientific work of these specialists recommends the importance of nursing action, family psychoeducation, behavioral therapy, as well as cadre assistance and medical services for hallucinatory clients and self-care deficits.

 

 

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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
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UI - Tugas Akhir  Universitas Indonesia Library
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Purba, Muri Cahyono
Penerapan Latihan Asertif, Terapi Kognitif Perilaku dan Psikoedukasi Keluarga pada Klien Risiko Perilaku Kekerasan dan Halusinasi dengan Pendekatan Teori Interpersonal Peplau = Application of Assertiveness Training, Cognitive Behavioral Therapy and Family Psycoeducation on Clients at Risk of Violent Behavior and Hallucinations with an Approach Peplau's Interpersonal Theory
"Pendahuluan : Psikosis dan skizofrenia menunjukkan terjadi peningkatan setiap tahunnya baik di Indonesia dan dunia. Skizofrenia adalah penyakit otak kronis yang sindrom klinisnya melibatkan perubahan pikiran, emosi, persepsi, gerakan dan perilaku individu. Gejala positif dari skizofrenia salah satunya halusinasi sedangkan risiko perilaku kekerasan muncul akibat halusinasi dan waham. Klien dengan risiko perilaku kekerasan dan halusinasi, asuhan yang diberikan dalam bentuk tindakan keperawatan generalis dan spesialis. Tindakan keperawatan generalis (individu, kelompok, keluarga) begitu juga dengan Tindakan keperawatan spesialis (individu, kelompok, keluarga) meliputi latihan asertif, terapi kognitif perilaku dan psikoedukasi keluarga. Tujuan : Diketahuinya karakteristik, predisposisi, presipitasi, perubahan tanda gejala, kemampuan, dan perubahan, perbedaan tanda gejala, kemampuan Metode : Desain karya ilmiah akhir spesialis ini menggunakan operational research terdiri dari enam tahap pelaksanaan Hasil : tindakan keperawatan generalis dan spesialis secara bermakna dapat menurunkan tanda gejala risiko perilaku kekerasan dan halusinasi serta secara bermakna meningkatkan kemampuan klien dan keluarga. Kesimpulan : tindakan keperawatan generalis dan spesialis direkomendasikan karena dapat mengurangi tanda gejala dan meningkatkan kemampuan klien dan keluarga.
Introduction: Psychosis and schizophrenia show an increase every year both in Indonesia and the world. Schizophrenia is a chronic brain disease whose clinical syndrome involves changes in an individual's thoughts, emotions, perceptions, movements and behavior. One of the positive symptoms of schizophrenia is hallucinations, while the risk of violent behavior arises due to hallucinations and delusions. Clients at risk of violent behavior and hallucinations, care is provided in the form of generalist and specialist nursing actions. Generalist nursing actions (individual, group, family) as well as specialist nursing actions (individual, group, family) include assertive training, cognitive behavioral therapy and family psychoeducation. Purpose: To find out characteristics, predisposition, precipitation, changes in signs and symptoms, abilities, and changes, differences in signs and symptoms, abilities. Methods: The design of this specialist's final scientific work using operational research consists of six implementation stages. Results: Generalist and specialist nursing actions can significantly reduce signs of risk of violent behavior and hallucinations and significantly improves the client's and family's abilities. Conclusion: generalist and specialist nursing actions are recommended because they can reduce signs and symptoms and increase the capabilities of clients and families."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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UI - Tugas Akhir  Universitas Indonesia Library
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