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Ditemukan 13 dokumen yang sesuai dengan query
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Sri Laela
"ABSTRAK
Ibu postpartum dengan bayi prematur beresiko mengalami postpartum blues dan ansietas, hal ini
disebabkan karena banyaknya permasalahan yang dihadapi oleh ibu postpartum dengan bayi
prematur. Tujuan penelitian ini mengidentifikasi pengaruh terapi thought stopping dan terapi
suportif terhadap postpartum blues dan ansietas ibu postpartum dengan bayi prematur. Metode
penelitian yang digunakan quasi-experiment with control group pretest-post test design dengan
metode consecutive sampling. Sampel dalam penelitian ini adalah ibu postpartum dengan bayi
prematur yang dirawat diruang Perina ? Nicu sebanyak 62 responden. Hasil penelitian
menunjukkan ada penurunan postpartum blues dan ansietas secara bermakna (p-value= 0,000)
pada kelompok yang mendapat tindakan keperawatan Ners, terapi thought stopping dan terapi
suportif, dan lebih besar penurunan secara bermakna dibandingkan dengan kelompok yang hanya
mendapat tindakan keperawatan Ners.. Terapi thought stopping dan terapi suportif mampu
menurunkan postpartum blues dan ansietas ibu postpartum dengan bayi prematur

ABSTRACT
Postpartum mothers with premature infants at risk for postpartum blues and anxiety, it is due to the
many problems faced by postpartum mothers with premature infants. The purpose of this study
identified the influence of thought stopping therapy and supportive therapy against postpartum
blues and anxiety postpartum mothers with premature infants. The method used a quasiexperimental
control group pretest-posttest design with consecutive sampling method. The sample
in this study is postpartum mothers with premature infants who were treated in the Perinatology -
Nicu were 62 respondents. The results showed differences in postpartum blues and anxiety levels
postpartum mothers with premature infants significant (p-value = 0.000) between the groups
thought stopping therapy and supportive therapy with groups that receive Ners nursing actions.
Thought stopping therapy and supportive therapy can lower postpartum blues and anxiety levels
for postpartum mothers with premature infants"
2016
T46173
UI - Tesis Membership  Universitas Indonesia Library
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Ulfa Suryani
"Penyakit fisik sering berdampak pada masalah psikologis (gangguan mental emosional). Masalah psikososial yang paling banyak terjadi adalah pada masalah depresi dan ansietas yang akan menghambat proses penyembuhan. Ansietas merupakan perasaan khawatir, tidak pasti terhadap sesuatu yang tidak jelas.
Tujuan: menjelaskan efektifitas terapi penghentian pikiran dan terapi kognitif pada klien ansietas menggunakan pendekatan model teori adaptasi Roy. Analisis dilakukan pada 26 klien penghentian pikiran+kognitif terapi, dan 24 klien penghentian pikiran.
Hasil: pemberian terapi penghentian pikiran+terapi kognitif lebih meningkatkan penurunan tanda dan gejala ansietas dan meningkatkan kemampuan klien ansietas. Penggunaan pendekatan terapi penghentian pikiran mampu mengatasi pikiran irrasional yang muncul berulang sedangkan terapi kognitif dapat menggantikan pikiran automatis negatif.
Saran: kombinasi penghentian pikiran+terapi kognitif pilihan pada awal program pemulihan klien dengan penyakit fisik yang mengalami ansietas yang dapat meningkatkan hasil pengobatan.

Physical illness often affectEed the psychological problems (mental emotional disorder). Psychosocial problems was most common in depression and anxiety issues that impeded the healing process. Anxiety was a feeling worried, uncertain about something that is not clear.
Objective: to explain the effectiveness of thought stopping and cognitive therapy on anxiety clients with physical illness approach Roy adaptation theory model. Analysis was conducted on 26 clients thought stopping + cognitive therapy, and 24 clients thought stopping.
Results: Thought stopping and cognitive therapy further improved the signs and symptoms decreased anxiety and improved the ability of client anxiety. The used of therapeutic approaches thought stopping is able to terminated irrational thoughts that appear repeatedly while cognitive therapy can replaced negative automatic thoughts.
Recomendation: a combination of thought stopping and cognitive therapy selected at the beginning of the recovery program clients with physical illness that experience anxiety that can improved treatment outcomes.
"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2016
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Butet Agustarika
"ABSTRAK
Prevalensi gangguan mental emosional di Propinsi Papua Barat sebesar 13,2%, diantaranya adalah ansietas. Asuhan keperawatan jiwa bagi klien gangguan fisik yang mengalami ansietas belum berjalan optimal, 75% klien dengan gangguan fisik yang dirawat di RSUD Kabupaten Sorong mengalami ansietas. Tujuan penelitian untuk mengetahui pengaruh terapi thought stopping terhadap ansietas klien dengan gangguan fisik di RSUD Kabupaten Sorong. Desain yang digunakan ”Quasi experimental pre-post test with control group”. Penetapan sampel dengan random permutasi sebanyak 86 klien. Ansietas klien diukur menggunakan kuesioner dan lembar observasi, dianalisis menggunakan distribusi frekuensi, independent-t test, paired-t test dan regresi linier ganda. Terapi Thought Stopping dilakukan dengan melatih klien memutuskan pikiran yang mengganggu dengan mengatakan “stop”yang dilakukan dalam tiga sesi selama 3-5 hari untuk setiap klien. Hasil penelitian menunjukkan adanya penurunan ansietas secara bermakna pada klien yang mendapatkan terapi Thought Stopping (p-value<0,05) yang meliputi respon fisiologis, kognitif, perilaku dan emosi. Pada perempuan penurunan ansietas lebih tinggi secara bermakna dibandingkan pada pria. Klien yang mendapatkan terapi Thought Stopping mengalami penurunan ansietas lebih tinggi secara bermakna dibandingkan klien yang tidak mendapatkan terapi. Hal ini didukung oleh hasil penelitian Dombeck yang menyatakan bahwa tindakan konfrontasi terhadap pikiran yang mengganggu dalam terapi Thought Stopping sangat membantu secara nyata menurunkan ansiatas. Terapi Thought Stopping dapat dilakukan di rumah sakit umum untuk mengurangi ansietas klien. Untuk itu perlu dikembangkan CLPN (Consultant Psychiatric Liaison Nursing) di rumah sakit umum agar terapi Thought Stopping dapat dijalankan untuk mengatasi ansietas klien dengan gangguan fisik.

ABSTRACT
Prevalence of psychiatric mood disorders in West Papua 13,2%, that several of them had anxiety. Psychiatric nursing care to the client with the psysical and psycosocial illness was not implemented optionally. 75% client with physical illness in Sorong general hospital had anxiety. The research aim was gathering data of the effect of thought stopping theraphy to the client anxiety who suffer physical illness in Sorong general hospital. The design was “Quasi experimental pre-post-test with control group”. The sample determine by permutation random, they were 86 clients. The anxiety was measure by questioner and observation sheet and analized by frequency distribution, independent t test, paired t test and multiple regression linear. In thought stopping theraphy, the anxiety client interrupted their negative or stressor thought and say “stop”. They followed this teraphy in three session. The result showed that the client anxiety reduced significantly (p value < 0,05) that include physical, cognitive, behavior and emotion response. The female client have anxiety decrease higher than the male client. Intervention group was more reduced than control group significantly. That similar with Dombeck research that confrontation act to stress mind in thought stopping theraphy can help for reduced anxiety. Thought stopping theraphy can implemented in general hospital to reduced anxiety. Recommended for increased psychiatric nursing care for suffer psysical client that anxiety with build CLPN (Consultan Liaison Psychiatric Nursing) in general hospital. "
Fakultas Ilmu Keperawatan Universitas Indonesia, 2009
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UI - Tesis Open  Universitas Indonesia Library
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Yunita Astriani Hardayati
"Kondisi geografis yang berada disepanjang ring of fire membuat Indonesia menjadi salah satu wilayah yang paling aktif seismik di dunia. 8.693 gempa bumi mengguncang wilayah Indonesia selama tahun 2018. Ansietas merupakan dampak psikologis yang muncul pada remaja yang tinggal didaerah rawan gempa bumi. Terapi untuk mengatasi ansietas diantaranya adalah tindakan keperawatan ners dan terapi penghentian pikiran. Penelitian ini bertujuan untuk mengetahui pengaruh tindakan keperawatan Ners dan terapi penghentian pikiran terhadap perubahan tanda gejala ansietas dan kemampuan mengontrol pikiran negatif pada siswa SMAN yang tinggal diwilayah rawan gempa bumi. Desain penelitian ini menggunakan Quasy eksperiment pre-post test with control group, dan jumlah responden sebanyak 112 siswa. 56 orang kelompok intervensi diberikan tindakan keperawatan ners dan terapi penghentian pikiran sementara dan 56 orang kelompok kontrol diberikan tindakan keperawatan ners saja. Kriteria inklusi siswa kelas XI di SMAN 1 Giri dan SMAN 1 Glagah yang memiliki pengalaman gempa bumi dan mengalami ansietas sedang yang diukur menggunakan instrumen Hamilton Anxiety Rating Scale (HARS). Kuesioner yang digunakan yaitu karakteristik; jenis kelamin, HARS, serta kuesioner kemampuan mengontrol pikiran negatif yang telah melalui uji validitas dan reliabilitas. Analisis data meliputi univariat dan bivariat (dependent dan independent t-test). Penelitian ini telah dinyatakan lolos uji etik. Hasil penelitian menunjukkan terjadi penurunan tanda gejala ansietas dan peningkatan kemampuan mengontrol pikiran negatif yang signifikan pada kelompok kontrol maupun intervensi (p value < 0,05) dan jenis kelamin memiliki hubungan yang bermakna dengan kemampuan seseorang dalam mengontrol pikiran negatif (p value < 0,05). Tindakan keperawatan ners dan terapi penghentian pikiran direkomendasikan sebagai salah satu terapi untuk menurunkan ansietas pada remaja yang tinggal diwilayah rawan gempa bumi.

Indonesia`s geographical conditions along the ring of fire make Indonesia one of the most seismically active regions in the world. It was recorded that 8,693 earthquakes rocked the territory of Indonesia during 2018. Anxiety and the emergence of negative thoughts related to earthquakes were psychological impacts that occurred in adolescents living in earthquake-prone areas. Therapy that can be given to overcome these problems are nursing interventions and thought stopping. This study aims to determine the effect of nursing interventions and thought stopping therapy on changes in signs symptoms of anxiety and negative thought control ability in high school students living in earthquake-prone areas. The design of this study used Quasy experiment pre-post test with control group, and the number of respondents was 112 students. 56 people in the intervention group were given nursing interventions and thought stopping therapy and 56 control groups were given nursing interventions only. Inclusion criteria for class XI students at SMAN 1 Giri and SMAN 1 Glagah who have experienced earthquakes and experienced moderate anxiety measured using the Hamilton Anxiety Rating Scale (HARS) instrument. The questionnaire used is characteristic; gender, HARS, and questionnaire the ability to control negative thoughts that have been tested through validity and reliability. Data analysis included univariate and bivariate (dependent and independent t-test). This research has passed the ethical test. The results showed a decrease in signs symptoms of anxiety and an increase in the ability to control negative thoughts that were significant in the control and intervention groups (p value <0.05) and gender had a significant relationship with a person`s ability to control negative thoughts (p value <0.05 ). Nursing interventions and thought stopping therapy are recommended as one of the therapies to reduce anxiety in adolescents living in earthquake-prone areas."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
T53340
UI - Tesis Membership  Universitas Indonesia Library
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Lilik Supriati
"Thought stopping pada penelitian sebelumnya efektif terhadap ansietas tetapi belum optimal menurunkan respon fisiologis ansietas. Tujuan penelitian ini adalah menjelaskan pengaruh terapi thought stopping dan progressive muscle relaxation terhadap ansietas klien dengan gangguan fisik. Metode penelitian adalah quasi experimental pre-post test with control group. Penelitian dilakukan pada 56 klien yaitu 28 kelompok intervensi mendapat thought stopping dan progressive muscle relaxation dan 28 kelompok kontrol hanya mendapat thought stopping.
Hasil menunjukan ansietas klien yang mendapat thought stopping dan progressive muscle relaxation menurun dari ansietas sedang ke ansietas ringan sedangkan yang mendapat thought stopping menurun tetapi tetap berada pada ansietas sedang. Thought stopping dan progressive muscle relaxation menurunkan respon fisiologis, kognitif, perilaku dan emosi secara bermakna (p value<0,05).

Thought stopping dan progressive muscle relaxation direkomendasikan unruk penanganan ansietas di tahanan rumah sakit umum dan masyarakat. Previous research had showed that thought stopping decreased anxiety but not yet optimal in physiological responses of anxiety. This study aims to determine the influence of thought stopping and progressive muscle relaxation on anxiety of physical disorder patient. This study used quasi experimental design with pre test-post test control group. Total population were 56 patients that divided into two group. They were 28 patients as control group that received thought stopping and 28 patients as intervention group received combination thought stopping and progressive muscle relaxation.
Result showed anxiety in intervention group decreased from moderate anxiety to mild anxiety and control group decreased still in moderate anxiety. Thought stopping and progressive muscle relaxation decreased physiologic, cognitive, behavior and emotional responses of anxiety significantly (p-value<0,05). The combination of this therapy was recommended as therapy to solve the anxiety at general hospital and community."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2010
T28409
UI - Tesis Open  Universitas Indonesia Library
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Livana Ph
"[ABSTRAK
Ansietas klien yang dirawat di rumah sakit karena penyakit fisik ditandai dengan rasa tidak nyaman, sedih, gelisah, khawatir. Karya ilmiah ini bertujuan untuk melaporkan penerapan terapi generalis dan terapi spesialis (penghentian pikiran, relaksasi otot progresif, psikoedukasi keluarga) terhadap tanda dan gejala klien ansietas dengan penyakit fisik. Karya ilmiah ini menggunakan pendekatan konsep ?Caring? Swanson dan model stres adaptasi Stuart terhadap 90 klien yang dirawat di rumah sakit umum. Penerapan terapi generalis dan spesialis (penghentian pikiran dan psikoedukasi keluarga) menurunkan respons kognitif, afektif, dan sosial (n=34). Penerapan terapi generalis dan spesialis (relaksasi otot progresif dan psikoedukasi keluarga) menurunkan respons afektif, fisiologis, dan perilaku (n=11). Penerapan terapi generalis dan spesialis (penghentian pikiran, relaksasi otot progresif, dan psikoedukasi keluarga) menurunkan respons kognitif, afektif, fisiologis, perilaku, dan sosial (n=45). Kombinasi terapi generalis dan spesialis (penghentian pikiran, relaksasi otot progresif, dan psikoedukasi keluarga) direkomendasikan untuk diberikan pada klien ansietas dengan penyakit fisik di rumah sakit umum.ABSTRACT The Anxiety occurs on a client who admitted to hospital because of physical illness with discomfort, sadness, anxiety, worry. The Purpose of this scientific writting was to report the results of the application of generalist and spesialists therapy (Thought Stopping, progressive muscle relaxation, and family psycho education) in order to reduce signs and symptoms for clients anxiety with physical illness. This scientific writting used the concept of the "Caring" Swanson and stress adaptation model of Stuart to 90 clients with anxiety were treated in a public hospital. The application of generalist and spesialists therapy (Thought Stopping and family psycho education) have reduce cognitive, affective, and social respons of clients anxiety (n =34). The application of generalist and spesialists therapy (Progressive muscle relaxation and family psycho education) have reduce affective, physiological, and behavioral respons of clients anxiety (n =11). The application of generalist and spesialists therapy (Thought Stopping, progressive muscle relaxation, and family psycho education) have reduce cognitive, affective, physiological, behavioral, and social respons of clients anxiety (n =45). The combination generalist and spesialists therapy (Thought Stopping, progressive muscle relaxation, and family psycho education) were recommended to be given for the client anxiety with physical illness in a public hospital. , The Anxiety occurs on a client who admitted to hospital because of physical illness with discomfort, sadness, anxiety, worry. The Purpose of this scientific writting was to report the results of the application of generalist and spesialists therapy (Thought Stopping, progressive muscle relaxation, and family psycho education) in order to reduce signs and symptoms for clients anxiety with physical illness. This scientific writting used the concept of the "Caring" Swanson and stress adaptation model of Stuart to 90 clients with anxiety were treated in a public hospital. The application of generalist and spesialists therapy (Thought Stopping and family psycho education) have reduce cognitive, affective, and social respons of clients anxiety (n =34). The application of generalist and spesialists therapy (Progressive muscle relaxation and family psycho education) have reduce affective, physiological, and behavioral respons of clients anxiety (n =11). The application of generalist and spesialists therapy (Thought Stopping, progressive muscle relaxation, and family psycho education) have reduce cognitive, affective, physiological, behavioral, and social respons of clients anxiety (n =45). The combination generalist and spesialists therapy (Thought Stopping, progressive muscle relaxation, and family psycho education) were recommended to be given for the client anxiety with physical illness in a public hospital. ]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Angelina Roida Eka
"Diabetes melitus (DM) merupakan penyakit kronik yang memiliki pengaruh tidak hanya pada fisik tetapi juga pada psikososial. Klien DM yang mengalami sakit yang lama cenderung merasa cemas terhadap penyakit yang kemudian dapat menjadi tidakberdayaan dan keputusasaan yang dapat menyebabkan depresi. Oleh karena penting untuk melakukan asuhan keperawatan tidak hanya fisik tetapi juga untuk psikososial. Tujuan dari karya ilmiah akhir ini adalah untuk menggambarkan terapi keperawatan generalis, Thought Stopping, Proggressive Muscular Relaxtion dan Acceptance Commitment Therapy dalam menurunkan kecemasan dan meningkatkan manajemen diri pada klien DM secara tatap muka dan Daring ,elalui pendekatan teori Orem. 5 orang klien DM diberikan terapi secara tatap muka dan 5 orang klien diberikan terapi secara daring. Hasil menunjukkan terapat penurunan kecemasan dan peningkatan manajemen diri baik pada klien yang diberikan terapi tatap muka maupun yang diberikan terapi daring. Klien yang mendapatkan terapi melalui tatap muka memiliki terapat penurunan kecemasan dan peningkatan manajemen diri lebih besar daripada klien yang dilakukan secara daring. Diperlukan penelitian lebih lanjut terkait penerapan terapi keperawatan ners dan ners spesialis untuk menurunkan kecemasan dan manajemen diri klien DM terutama dengan metode daring.

Diabetes mellitus (DM) is a chronic disease that has an effect not only on the physical but also on the psychosocial. People with Chronic DM tend to feel anxious about their diseases and worry about the complication. This worriness can lead to feelling helpless and hopeless which can cause depression. The worryness also make them ig ore to do self management which caused greater risk of diabetic complication. So that it is important for nurse to not not only on give physically intervation but also for pschylogy aspect The aim of this paper is to describe generalist nursing therapy, Thought Stopping, Progressive Muscular Relaxtion and Acceptance Commitment Therapy in reducing anxiety and improving self-management of DM clients face-to-face and by online, using the Orem theory approach. Five people with DM were given face-to-face therapy and 5 clients were given online therapy. The results showed that there was a decrease in anxiety and improved self-management both in clients who were given face-to-face therapy and those who were given online therapy. Clients who get face-to-face therapy have a bigger anxiety reduction and increased self-management than client who been given online therapy. Further research is needed related to the application of mental health nursing therapies to reduce anxiety and self-management of DM clients, especially with online methods."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
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UI - Tugas Akhir  Universitas Indonesia Library
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Nasution, Mahnum Lailan
"Kanker pada anak 4,9 % dari kanker pada semua usia (Depkes, 2009) dan menimbulkan beban bio-psiko-sosio-spiritual bagi penderita dan keluarga (caregiver) khususnya kecemasan. Tujuan penelitian mengetahui pengaruh terapi thought stopping terhadap tingkat kecemasan keluarga (caregiver) dengan anak usia sekolah yang menjalani kemoterapi. Penelitian dilakukan di di RSUPN Dr Cipto Mangunkusumo terhadap 46 responden, yaitu 23 responden sebagai kelompok intervensi dan 23 responden sebagai kelompok kontrol.
Hasil penelitian ini menunjukkan tingkat kecemasan ringan pada keluarga (caregiver) dengan anak usia sekolah yang menjalani kemoterapi pada kelompok yang diberikan dan tingkat kecemasan sedang pada kelompok diberikan thought stopping (p-value < ). Rekomendasi penelitian diutamakan kepada pelayanan kesehatan di rumah sakit umum agar menindaklanjuti dan bekerjasama dengan perawat spesialis jiwa dalam mengatasi kecemasan keluarga (caregiver).

Cancer on children is 4,9 % of cancer in all age (Depkes, 2009) and raises the burden of bio-psycho-socio-spiritual for patients and families (caregivers), especially anxiety. The research objective is to explain the influence of thought stopping therapy to the anxiety level of family (caregiver) with school-age children undergoing chemotherapy. Research conducted in RSUPN Dr Cipto Mangunkusumo against 46 respondents: 23 respondents as the intervention group and 23 respondents as the control group.
The results shows mild anxiety levels in the group given thought stopping and moderate anxiety levels in the group not given thought stopping (p-value < ). Recommendations of this study preferred to health care in public hospitals in order to follow up the results of this study in collaboration with psychiatric nurse specialist to cope the anxiety of family (caregiver.
"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2011
T-Pdf
UI - Tesis Open  Universitas Indonesia Library
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Fajriyah Nur Afriyanti
"ABSTRAK
Ansietas merupakan masalah kejiwaan yang sering dialami oleh seseorang dalam kehidupan sehari-hari dan khususnya yang mengalami penyakit fisik seperti hipertensi. Tindakan keperawatan ners, Thought Stoping, psikoedukasi keluarga dan terapi suportif diberikan pada klien ansietas dengan tujuan untuk melihat tanda gejala, kemampuan klien mengontrol ansietas, dan kemampuan keluarga dalam merawat. Tindakan keperawatan terhadap 5 klien ansietas dengan hipertensi yang dilaporkan dalam bentuk case series. Hasil yang didapatkan adalah terjadi hillagnya tanda gejala yaitu fokus pada kondisi sakit, takut pada konsekuensi tidak spesifik, adanya perubahan fisiologis, kurang mampu memecahkan masalah dan kurang konsentrasi. Sedangkan tanda gejala yang masih ditemukan diantaranya adalah adanya perubahan dalam kehidupan dan merepotkan kelurga. Kemampuan klien yang dimiliki mengalami peningkatan dalam mengontrol ansietas dan kemampuan keluarga dalam merawat. Studi ini merupakan salah satu evidence based efektivitas dari tindakan keperawatan ners dan ners spesialis terhadap klien dengan ansietas yang memerlukan evaluasi lanjut dengan jumlah sampel yang lebih besar dan jumlah pertemuan yang lebih sering.

ABSTRACT
Anxiety is a psychiatric problem that is often experienced by a person in everyday life and especially those experiencing physical illnesses such as hypertension. Nursing care, Thought Stoping, family psychoeducation and supportive therapy are given to anxiety clients in order to see signs of symptom, the ability of the client to control anxiety, and the ability of the family to care for. Nursing action against 5 anxiety clients with hypertension reported in case series form. The results obtained are hillagnya signs of symptoms that focus on the condition of the pain, fear of non-specific consequences, the physiological changes, less able to solve problems and lack of concentration. While the signs of symptoms that are still found among them is a change in life and troublesome kelurga. The client's ability has improved in controlling anxiety and the ability of the family to care for. This study is one of the evidence-based effectiveness of nursing ners and specialist ners actions against clients with anxiety requiring further evaluation with larger sample quantities and more frequent meetings.
"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Siti Hajar Salawati
"Tuberkulosis (TB) masih merupakan salah satu penyebab utama morbiditas dan mortalitas di seluruh dunia. Tuberkulosis selain menimbulkan masalah kesehatan secara fisik juga menimbulkan masalah sosial dan psikologis. Masalah psikologis paling banyak adalah ansietas. Di negara berpenghasilan rendah dan menengah, ansietas dan depresi tiga kali lebih tinggi pada klien TB dibanding orang tanpa TB. Jika ansietas tidak ditangani dengan tepat menyebabkan kepatuhan yang buruk terhadap pengobatan, memperpanjang lama pengobatan, kekambuhan, bahkan dapat mendapatkan stigma dari masyarakat yang kemudian klien menjadi tidakberdaya, putus asa, depresi bahkan bunuh diri. Tujuan dari karya ilmiah akhir spesialis ini adalah untuk mengetahui pengaruh Tindakan Keperawatan Ners (TKN), Thought Stopping (TS), Progressive Muscles Relaxation (PMR), dan Acceptance Commitment Therapy (ACT) melalui online dalam menurunkan ansietas pada klien TB. Pendekatan dalam karya ilmiah akhir spesialis ini menggunakan case series dengan jumlah responden 8 klien dan dilakukan pengukuran pre post test terhadap ansietas, kepatuhan minum obat, perceived stigma, dan kemampuan klien. Instrumen yang digunakan adalah istrumen Tanda dan Gejala Ansietas FIK UI, Hamilton Anxiety Rating Scale (HARS), Morisky Medication Adherence Scale-8 (MMAS-8) dan Explanatory Model Interview Catague (EMIC). Hasil menunjukkan terdapat perubahan ansietas dan kemampuan klien TB baik setelah mendapat TKN atau kombinasi TKN+TS+PMR, maupun TKN+TS+PMR+ACT. Pemberian TKN, TS, PMR, dan ACT melalui online direkomendasikan sebagai terapi yang dapat menurunkan ansietas dan meningkatkan kemampuan klien TB

Tuberculosis (TB) is still one of the leading causes of morbidity and mortality worldwide. Tuberculosis, apart from causing physical health problems, also causes social and psychological problems. Most of the psychological problems are anxiety. In low- and middle-income countries, anxiety and depression are three times higher in TB clients than in people without TB. If anxiety is not handled properly, it causes poor adherence to treatment, prolongs treatment, relapses, and can even get stigma from society, which then leads to helplessness, hopelessness, depression and even suicide. The purpose of this specialist's final scientific work is to determine the effect of Nursing Action (TKN), Thought Stopping (TS), Progressive Muscles Relaxation (PMR), and Acceptance Commitment Therapy (ACT) via online in reducing anxiety in TB clients. The approach in this specialist final scientific paper uses a case series with a number of respondents 8 clients and a pre-post test measurement of anxiety, medication compliance, perceived stigma, and client ability was carried out. The instrument used was the signs and symptoms of anxiety at FIK UI, Hamilton Anxiety Rating Scale (HARS), Morisky Medication Adherence Scale-8 (MMAS-8) and the Explanatory Model Interview Catague (EMIC). The results showed that there were changes in the anxiety and ability of TB clients both after receiving TKN or a combination of TKN + TS + PMR, and TKN + TS + PMR + ACT. Online provision of TKN, TS, PMR, and ACT is recommended as a therapy that can reduce anxiety and increase the ability of TB clients."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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