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"Mental disorders are predicted to increase every year. Patients with severe mental disorders, such as schizophrenia, often engage in violent behavior. The treatment of such patients can use general nursing treatments (anger management with physical therapy, taking medicines regularly, and verbal and spiritual methods) and specialist nursing interventions (assertive training and family psychoeducation). This case report involved 11 patients, with the majority aged between 26 and 60 years, unemployed, high school graduates, unmarried, and with previous inpatient history. Generalist and specialist nursing interventions (assertive training and family psychoeducation) use Roy’s adaptation theory and Stuart’s stress adaptation approach. Nursing interventions were conducted sequentially, starting with generalist nursing interventions, followed by specialist ones. The method used was a pre–posttest in which each patient received generalist and specialist nursing interventions, assertive training, and family psychoeducation, each consisting of five sessions. Results of assertive training therapy and family psychoeducation showed a decrease in the signs and symptoms of violent behavior as well as an improvement in the patient’s ability to overcome the risk of violent behavior. The application of Roy’s adaptation theory and Stuart’s stress adaptation approach is potentially appropriate for the treatment of patients with a risk of violent behavior."

"Praktik klinik online merupakan alternatif dalam memberikan pelayanan kesehatan jiwa selama pandemi COVID-19. Praktik klinik online bermanfaat dalam pencegahan kekambuhan yang berisiko terjadi selama pandemi pada orang dengan gangguan jiwa berat seperti skizofrenia. Salah satu gejala kekambuhan skizofrenia yaitu perubahan perilaku yang terdistorsi hingga mengakibatkan risiko perilaku kekerasan. Perilaku kekerasan merupakan respons maladaptif yang ditunjukkan dengan mencederai diri, orang lain, atau lingkungan. Kemampuan klien untuk mengontrol perilaku kekerasan dapat digunakan sebagai cara mencegah perilaku kekerasan. Tindakan keperawatan ners berdasarkan standar asuhan keperawatan (SAK) jiwa dilakukan untuk mencegah atau mengontrol perilaku kekerasan pada klien. Tujuan dari pemberian asuhan keperawatan ini untuk mengurangi tanda gejala dan meningkatkan kemampuan klien mengontrol perilaku kekerasan. Metode penelitian menggunakan analisis studi kasus. Instrumen yang digunakan yaitu lembar evaluasi tanda gejala dan kemampuan mengontrol perilaku kekerasan. Evaluasi akhir dari asuhan keperawatan yang diberikan menunjukkan adanya penurunan tanda gejala dan peningkatan kemampuan klien mengontrol perilaku kekerasan. Promosi dan prevensi masalah kesehatan pada klien dengan risiko perilaku kekerasan dapat dilakukan dengan menerapkan tindakan keperawatan ners berdasarkan standar asuhan keperawatan (SAK) jiwa secara online, serta berkolaborasi dengan perawat spesialis serta komunitas terkait.

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Online clinical practice is an alternative in providing mental health services during the COVID-19 pandemic. Online clinical practice is useful in preventing relapse that is at risk of occurring during a pandemic in people with serious mental disorders such as schizophrenia. One of the schizophrenia relapse symptoms is a change in behavior that is distorted so that it creates a risk of violent behavior. Violence is a maladaptive response indicated by injuring oneself, others, or the environment. The patients ability to control violent behavior can be used as a means of preventing violent behavior. Nursing interventions based on mental health nursing care standards are carried out to prevent or control violent behavior in patient. The purpose of providing nursing care is to reduce symptoms and increase the patients ability to control violent behavior. The research method used case study analysis. The instrument used was an evaluation sheet of symptoms and the ability to control violent behavior. The final evaluation of the nursing care provided showed a decrease in symptoms and an increase in patients ability to control violent behavior. Promotion and prevention of health problems in patient with a risk of violent behavior can be done by implementing online nursing care based on mental health nursing care standards, as well as collaborating with clinical nurse specialist and related communities."

"Risiko perilaku kekerasan adalah salah satu tanda negatif dari skizofrenia. Dampak perilaku kekerasan seperti mencelakakan diri sendiri ataupun orang lain akibat emosi yang tidak terkontrol. Orang dengan gangguan jiwa kronis mengalami kekambuhan terhadap masalah kesehatan jiwanya terutama perilaku kekerasan. Dibutuhkan intervensi sebagai bentuk terapi nonfarmakologi dari pemberi asuhan keperawatan untuk menekan kekambuhan terkait masalah-masalah pada klien gangguan jiwa seperti risiko perilaku kekerasan. Salah satu intervensi untuk membantu mengontrol perilaku kekerasan adalah terapi relaksasi benson. Terapi relaksasi Benson merupakan pengembangan metode respons relaksasi tarik napas dalam dengan melibatkan faktor keyakinan pasien, sehingga dapat membantu pasien mencapai kondisi kesehatan dan kesejahteraan yang lebih tinggi. Tujuan laporan penulisan ilmiah ini adalah untuk menganalisis penerapan intervensi terapi relaksasi Benson pada pasien risiko perilaku kekerasan. Proses asuhan keperawatan berfokus pada Bapak H dengan usia 35 tahun dan berjenis kelamin laki-laki. Hasil analisis menunjukkan bahwa dengan pemberian intervensi keperawatan berupa terapi relaksasi Benson dapat digunakan untuk membantu pasien dalam mengontrol emosi (perilaku kekerasan). Rencana tindak lanjut pelayanan keperawatan diharapkan dapat dimaksimalkan baik secara individu, keluarga, kelompok, dan komunitas.

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The risk of violent behavior is one of the negative signs of schizophrenia. The impact of violent behavior such as harming yourself or others due to uncontrolled emotions. People with chronic mental disorders experience recurrence of mental health problems, especially violent behavior. Intervention is needed as a form of non-pharmacological therapy from nursing care providers to suppress recurrences related to problems in clients with mental disorders such as the risk of violent behavior. One of the interventions to help control violent behavior is Benson's relaxation therapy. Benson relaxation therapy is the development of a deep breath relaxation response method by involving the patient's belief factor, so that it can help patients achieve a higher state of health and well-being. The purpose of this scientific writing report is to analyze the application of Benson's relaxation therapy intervention in patients at risk of violent behavior. The nursing care process focuses on Mr. H who is 35 years old and male. The results of the analysis show that the provision of nursing interventions in the form of Benson relaxation therapy can be used to assist patients in controlling emotions (violent behavior). The follow-up plan for nursing services is expected to be maximized both individually, in families, in groups, and in the community."