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Satrio Kusumo Lelono
"Salah satu terapi mengatasi Perilaku Kekerasan, Halusinasi dan Harga Diri Rendah pada Skizofrenia adalah dengan melakukan terapi CBT dan REBT. Penelitian ini bertujuan mengetahui efektivitas CBT dan REBT terhadap klien Perilaku Kekerasan, Halusinasi dan Harga Diri Rendah di RS Dr. H. Marzoeki Mahdi Bogor. Desain penelitian quasi experimental pre-post test with control group. Sampel berjumlah 60 orang yang meliputi 30 orang kelompok intervensi dan 30 orang kelompok kontrol.
Hasil penelitian menunjukkan penurunan tanda gejala klien Perilaku Kekerasan, Halusinasi dan Harga Diri Rendah lebih tinggi pada kelompok intervensi dibandingkan kelompok kontrol (p value<0.05). Terapi CBT dan REBT efektif menurunkan Perilaku Kekerasan sebesar 61 %, Halusinasi 52,1% dan Harga Diri Rendah 66,2%. Peningkatan kemampuan kognitif, afektif dan perilaku pada kelompok intervensi sebesar 74,53%. Terapi CBT dan REBT direkomendasikan diterapkan sebagai terapi keperawatan lanjutan dalam merawat klien Skizofrenia dengan Perilaku Kekerasan, Halusinasi dan Harga Diri Rendah.

One of behavior therapy to overcome violence, hallucinations and Low Self- Esteem in Schizophrenia is to do a CBT and REBT. This study aims to examine the effectiveness of CBT and REBT Violence against the client behavior, hallucinations and Low Self-Esteem in RS Dr. H. Mahdi Marzoeki Bogor. Quasiexperimental research design pre-post test with control group. Samples numbered 60 people including 30 people the intervention group and 30 control group.
The results showed conduct client signs symptoms of decreased violence, hallucinations and Low Self-Esteem is higher in the intervention group compared to the control group (p value <0.05). CBT and REBT therapy effectively lowered by 61% Violent behavior, hallucinations 52.1% and 66.2% of Low Self-Esteem. Increased cognitive skills, affective and behavior in the intervention group at 74.53%. CBT and REBT therapy is recommended as a therapy applied in the advanced nursing care for schizophrenia clients with violent behavior, hallucinations and Low Self-Esteem.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2011
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UI - Tesis Open  Universitas Indonesia Library
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Satrio Kusumo Lelono
"Perilaku kekerasan atau risiko perilaku kekerasan adalah salah satu gejala positif dari skizoprenia (Sinaga, 2007). Asertiveness training (AT) dapat menurunkan perilaku kekerasan pada klien Skizoprenia (Wahyuningsih, 2009). REBT dan RECBT merupakan terapi yang dapat diberikan pada klien dengan perilaku kekerasan yang memberikan dampak penurunan tanda gejala dan peningkatan kemampuan koping (Putri, 2010; Lelono, 2012).
Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan penatalaksanaan asuhan keperawatan dengan pendekatan model adaptasi Roy dan Interpersonal Peplau pada klien dengan risiko perilaku kekerasan. Penerapan assertiveness training REBT dan RECBT dilakukan pada 30 orang klien di ruang Kresna Pria pada kurun waktu 20 Februari - 20 April 2012.
Hasil assertiveness training sangat efektif pada 21 klien menunjukkan peningkatan dalam mencegah perilaku kekerasan. Terapi REBT dan RECBT juga menunjukkan efektifitasnya dimana sebanyak 22 klien selain mampu mengatasi keyakinan irrasional, pikiran dan perilaku negatif yang mengarah pada perilaku kekerasan.
Berdasarkan hasil di atas perlu direkomendasikan bahwa AT, REBT dan RECBT dengan pendekatan 6 (enam) peran perawatdapat dijadikan standar terapi spesialis keperawatan jiwa dan perlu disosialisasikan pada seluruh tatanan pelayanan kesehatan.

Risk of violent behavior or violent behavior is one of the positive symptoms of skizoprenia (Sinaga, 2007). Asertiveness training (AT) can reduce violent behavior on the client Skizoprenia (Wahyuningsih, 2009). REBT and RECBT is a therapy that can be given to the client with violent behavior that gives the impact of the signs and symptoms of increased coping abilities (Putri, 2010; Lelono, 2012).
The purpose of this final scientific work is to describe the management of nursing care with the Roy adaptation model approach and Peplau Interpersonal on the client with a risk of violent behavior. Assertiveness training and application of REBT RECBT performed on 30 clients in the Krishna man during the period 20 February to 20 April 2012.
The results of assertiveness training is very effective on 21 clients showed improvement in preventing violent behavior. REBT therapy and RECBT also demonstrated its effectiveness in which as many as 22 clients in addition to be able to overcome irrational beliefs, negative thoughts and behaviors that lead to violent behavior.
Based on the above results need to be recommended that the AT, and RECBT REBT approach 6 (six) role of nurses can be used as standard therapy nursing specialists need to be socialized to people and the whole fabric of health care.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
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UI - Tugas Akhir  Universitas Indonesia Library
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Diah Sukaesti
"[Isolasi sosial merupakan kondisi kesendirian yang dialami individu dan dipersepsikan disebabkan oleh orang lain. Ketidakmampuan mengungkapkan perasaan yang dirasakan oleh klien dapat membuat klien marah. Risiko perilaku kekerasan merupakan respon destruktif individu terhadap stressor. Tujuan penulisan karya Ilmiah ini menjelaskan manajemen asuhan keperawatan spesialis jiwa pada klien dengan isolasi sosial dan risiko perilaku kekerasan dengan menggunakan Hubungan Interpersonal Peplau dan Stuart. Intervensi diberikan pada 69 klien dengan isolasi sosial dan risiko perilaku kekerasan. Dengan menggunakan terapi Social Skil training, Asertiveness Training, Cognitif Behovior Therapy. Hasil didapatkan penurunan tanda dan gejala secara kognitif afektif, fisiologis, perilaku, sosial dan peningkatan kemampuan klien dan keluarga. Rekomendasi penelitian ini adalah klien dengan isolasi sosial dilakukan terapi Social skill training, klien dengan risiko peilaku kekerasan dberikan terapi spesialis cognitive behavior therapy dan assertiveness training dengan mengguakan pendekatan hubungan Interpersonal Peplau dan Stuart

Social isolation is the condition of being alone as experienced by individual and perceived as caused by others. Inability to express client’s feeling can stimuli anger. Violent risk behavior is considered as a destructive response of individual towards stressor. The purpose of this scientific paper was to explain the mental healthpsychiatric nursing care management to clients with social isolation and violent risk behavior using Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory. Nursing intervention was conducted to 69 social isolated and violent risk behaviors clients were social skill training, assertiveness training, and cognitive behavior therapy. The effect of therapies showed the decreased of sign and symptom at all aspects of cognitive, affective, physiological, behavior, social and improvement of client and family ability. It’s recommended that social skill training applied to client with social isolation, while cognitive behavior therapy and assertiveness training provided to client with violent risk behavior utilizing Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory as an approach. , Social isolation is the condition of being alone as experienced by individual and perceived as caused by others. Inability to express client’s feeling can stimuli anger. Violent risk behavior is considered as a destructive response of individual towards stressor. The purpose of this scientific paper was to explain the mental healthpsychiatric nursing care management to clients with social isolation and violent risk behavior using Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory. Nursing intervention was conducted to 69 social isolated and violent risk behaviors clients were social skill training, assertiveness training, and cognitive behavior therapy. The effect of therapies showed the decreased of sign and symptom at all aspects of cognitive, affective, physiological, behavior, social and improvement of client and family ability. It’s recommended that social skill training applied to client with social isolation, while cognitive behavior therapy and assertiveness training provided to client with violent risk behavior utilizing Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory as an approach. ]"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Retno Yuli Hastuti
"Perilaku kekerasan merupakan salah satu respon atau tindakan terhadap stimulus stresor, ditunjukkan dengan perilaku aktual melakukan kekerasan, baik pada diri sendiri, orang lain maupun lingkungan, secara verbal maupun nonverbal (Stuart, 2009). Klien dengan perilaku kekerasan merupakan tanda ketidakmampuan klien dalam beradaptasi terhadap emosi marah sehingga mengekspresikan tidak secara konstruktif.
Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan penatalaksanaan asuhan keperawatan dengan pendekatan Model Teori Adaptasi Roy pada klien risiko perilaku kekerasan. Intervensi keperawatan yang dilakukan adalah assertive training dan cognitive behaviour therapy pada 15 orang klien dalam kurun waktu 9 September - 12 Nopember 2013 di Ruang Gatot Kaca RSMM Bogor.
Hasil pelaksanaan assertive training dan cognitive behaviour therapy dapat menurunkan tanda dan gejala perilaku kekerasan pada aspek kognitif, afektif, fisiologis, perilaku dan sosial dan peningkatan kemampuan koping adaptif dalam menghadapi peristiwa yang menimbukan perilaku kekerasan.
Rekomendasi penulisan ini adalah bahwa penerapan Model Teori Adaptasi Roy dengan intervensi keperawatan assertive training dan cognitive behaviour therapy dapat dilakukan untuk menurunkan perilaku kekerasan.

People would respond to threatning situation/stressor in various ways. Violence was the actual aggressive behaviour directly toward to them selves, other people or external environment, with physical or verbal violence (Stuart, 2009). People with tendency to act aggressively shown that they used destructive coping strategies to express their anger.
The objective of this paper was to describe the application of Johnson's Behavioural System Model, focusing on aggresive behavior. Assertive training and cognitive behaviour therapy were recognized as nursing intervention that provided to 15 clients during 9 September – 12 Nopember 2013 at Gatotkaca Dr. H.Marzoeki Mahdi Hospital-Bogor.
Result of this study shown that sign and symptoms of aggressive behaviour were decreased (cognitive, affective, psychic, behavior and social) and increased of client's ability to express their emotion in contructive way.
This study proved that the application of Roy Adaptation Model Approach with assertive training and cognitive behaviour therapy as nursing intervention were recommended to derecrease aggresive.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
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UI - Tugas Akhir  Universitas Indonesia Library
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Sukma Ayu Candra Kirana
"ABSTRAK
Isolasi sosial yang tidak ditangani akan menyebabkan terjadinya gejala positif seperti halusinasi dan perilaku kekerasan. Social Skills Training meningkatkan kemampuan sosialisasi klien isolasi sosial. Hasil yang diharapkan adalah penurunan tanda gejala isolasi sosial serta peningkatan kemampuan sosialisasi klien. Tujuan karya ilmiah akhir ini menggambarkan tindakan keperawatan ners spesialis pada klien isolasi sosial dengan pendekatan Model Konsep Hildegard E. Peplau dan Stres Adaptasi Stuart. Analisa dilakukan pada 40 klien di Ruang Bratasena. Hasil Social Skills Training dapat meningkatkan kemampuan sosialisasi dan penurunan tanda gejala. Berdasarkan hasil diatas perlu direkomendasikan bahwa Social Skills Training dapat dijadikan standar tindakan keperawatan ners spesialis.

ABSTRACT
Social isolation is one of negative symptom to schizophrenic client. Untreat sosial isolation cause another problem like hallucination and violent. Social Skills Training improve the social skill. The expected outcome is decrease of social isolation symptoms and increase of social skill. The purpose of this final scientific work is to describe the management of nursing care social isolation clients using Peplaus Interpersonal Model Conceptual Approach and the Stuarts Stress Adaptation. Sample of this paper is 40 clients at Bratasenas room. The results of Social Skills Training is effective increased social skill and decrease the symptomps of client. Based on the results above, Social Skills Training can be used as standard therapy of psychiatric nursing specialists"
2016
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UI - Tugas Akhir  Universitas Indonesia Library
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Esrom Kanine
"Halusinasi adalah salah satu gejala positif dari Skizofrenia (Stuart & Laraia, 2005). Cognitive Behavior Therapy dapat meningkatkan kemampuan untuk mengontrol halusinasi (Stuart & Laraia, 2005). Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan penatalaksanaan asuhan keperawatan dengan pendekatan konsepsual model interpersonal Peplau dan model stres adaptasi Stuart pada klien skizofrenia dengan halusinasi. Penerapan Cognitive Behavior Therapy dilakukan pada 27 orang klien di ruang Utari RS Dr.Marzoeki Mahdi Bogor pada peroide 20 Pebruari - 20 April 2012.
Hasil Cognitive Behavior Therapy sangat efektif pada 27 klien menunjukkan peningkatan kemampuan klien skizofrenia dengan halusinasi dalam mengontrol halusinasi. Berdasarkan hasil di atas perlu direkomendasikan bahwa Cognitive Behavior Therapy dapat dijadikan standar terapi spesialis keperawatan jiwa.

Hallucinations are one of the positive symptoms of Schizophrenia (Stuart & Laraia, 2005). Cognitive Behavior Therapy can improve the ability to control the hallucinations (Stuart & Laraia, 2005). The purpose of this final scientific work is to describe the management of nursing care to client with hallucinations using Peplau’s interpersonal model conceptual and the Stuart’s stress adaptation model of Approach. Application of Cognitive Behavior Therapy performed on 27 clients in Utari ward of Dr. Marzoeki Mahdi Hospital Bogor on 20th February - 20th April 2012.
The results of Cognitive Behavior Therapy is very effective on 27 clients that showed an increase in the client's ability to interact with others. Based on the results above, need to be recommended that Cognitive Behavior Therapy can be used as standard therapy of psychiatric nursing specialists.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
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UI - Tugas Akhir  Universitas Indonesia Library
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Netrida Netrida
"[ABSTRAK
Resiko Perilaku Kekerasan merupakan diagnosa keperawatan yang terbanyak ditemukan di ruang Intensive Kresna Pria Rumah Sakit Dr. H Marzoeki Mahdi Bogor sebanyak 70%. Tujuan Karya Ilmiah Akhir ini untuk menjelaskan penerapan terapi Assertiveness Training (AT), Cognitive Behaviour Therapy (CBT), dengan menggunakan pendekatan Teori Interpersonal Peplau, Stress Adaptasi Stuart. Analisis dilakukan pada 39 klien AT, dan 20 klien CBT dalam kurun waktu 16 Februari -17 April 2015. Hasil pelaksanaan AT dan CBT meningkatkan kemampuan mengatasi perilaku kekerasan, meningkatkan penurunan tanda gejala perilaku kekerasan pada aspek kognitif, afektif, fisiologis, perilaku dan sosial. AT dan CBT merupakan terapi yang efektif untuk mengatasi masalah risiko perilaku kekerasan. ABSTRACT Violent risk behaviours as one of nursing diagnosis usually found at Male Intensive Care Ward as approximately 70%. The purpose of this scientific paper was to describe the application of Assertiveness Training (AT), and Cognitive Behaviour Therapy (CBT), utilizing Peplau?s Interpersonal Theory and Stuart?s Stress-Adaptation Theory as approach. The result of assertiveness training to 39 clients cognitive behaviour therapy to 20 clients during a period of 16 February-17 April 2015 showed that those combination of therapies could improve the ability of clients to deal with their aggressive behaviours, and decreased the signs and symprotms of violent behaviours in cognitive, affective, physiological, behaviour and social aspects. These
therapies had proved to be effective for treating the clients with violent risk behaviors. , Violent risk behaviours as one of nursing diagnosis usually found at Male Intensive Care Ward as approximately 70%. The purpose of this scientific paper was to describe the application of Assertiveness Training (AT), and Cognitive Behaviour Therapy (CBT), utilizing Peplau’s Interpersonal Theory and Stuart’s Stress-Adaptation Theory as approach. The result of assertiveness training to 39 clients cognitive behaviour therapy to 20 clients during a period of 16 February-17 April 2015 showed that those combination of therapies could improve the ability of clients to deal with their aggressive behaviours, and decreased the signs and symprotms of violent behaviours in cognitive, affective, physiological, behaviour and social aspects. These
therapies had proved to be effective for treating the clients with violent risk behaviors. ]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Lumban Tobing, Duma
"Isolasi sosial merupakan keadaan kesepian yang dialami oleh seseorang karena orang lain dianggap menyatakan sikap negatif dan mengancam bagi dirinya yang mengakibatkan individu mengalami penurunan atau bahkan sama sekali tidak mampu berinteraksi dengan orang lain disekitarnya. Tujuan penulisan karya ilmiah akhir adalah memberikan gambaran pemberian asuhan keperawatan pada isolasi sosial melalui pendekatan model interpersonal Peplau dan modeling and role modeling model Erikson, Tomlin dan Swain di Ruang Bratasena Rumah Sakit Dr. H. Marzoeki Mahdi Bogor. Manajemen asuhan keperawatan spesialis jiwa ini dilakukan pada 15 klien isolasi sosial dengan pemberian terapi social skills training dan psikoedukasi keluarga.
Hasil pemberian terapi menunjukan adanya peningkatan kemampuan klien dalam bersosialisasi, penurunan tanda dan gejala isolasi sosial dan peningkatan kemampuan keluarga merawat klien dengan isolasi sosial. Efektifitas terapi menunjukan bahwa terapi social skills training efektif menurunkan gejala isolasi sosial khususnya pada gejala kognitif, sosial dan perilaku. Terapi social skills training dapat direkomendasikan sebagai standar terapi spesialis keperawatan pada klien isolasi sosial.

Social isolation is a state of loneliness experienced by a person because of other people's negative attitudes and states considered threatening to the individual which resulted in decreased or even not at all able to interact with others around them. The purpose of the study was described an overview nursing management to the patients with social isolation using Peplau interpersonal model and modeling and role modeling Erikson,Tomlin & Swain approach at Bratasena Room Dr. H. Marzoeki Mahdi Hospital in Bogor. Social social skills training and family psychoeducation were recognize as a nursing specialists intervention provided 15 clients.
Results of therapy shown that increased client's ability to socialize, reduction of signs and symptoms of social isolation and increased the ability of families caring for clients with social isolation. Effectiveness of therapy showed that social skills training therapy was effective in reducing symptoms of social isolation particulary cognitive, social and behavioural. Social skills training therapy can be recommended as standard therapy nursing specialists on client social isolation.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
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UI - Tugas Akhir  Universitas Indonesia Library
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Winda Ratna Wulan
"Karya ilmiah akhir ini bertujuan menganalisis pelaksanaan aplikasi manajemen asuhan keperawatan pada keluarga dengan koping inefektif melalui pendekatan model adaptasi Roy di Ruang Arimbi Rumah Sakir Dr. H. Marzoeki Mahdi Bogor. Terapi psikoedukasi keluarga dan terapi keluarga triangles diberikan kepada 8 keluarga Hasil yang ditemukan adalah bahwa terapi psikoedukasi keluarga dan terapi kelompok triangles efektif untuk meningkatkan koping keluarga Terapi psikoedukasi keluarga dan terapi keluarga triangles direkomendasikan sebagai terapi spesialis keperawatan pada keluarga dengan koping inefektif

This study aims to analyze the implementation of nursing care management applications on to the family with inefective coping using Roy adaptation model approach at Arimbi ward Dr H Marzoeki Mahdi Hospital in Bogor Family psychoeducation therapy and triangles therapy provided to 8 families The results of Family psychoeducation therapy and triangles therapy were found effective to increasing family coping Family psycho education therapy and triangles therapy are recommended as therapy of nursing specialist at the family with ineffective coping."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
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UI - Tugas Akhir  Universitas Indonesia Library
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Fathra Annis Nauli
"Harga diri rendah situasional adalah Evaluasi diri atau persepsi diri negatif tentang harga diri sebagai respon terhadap situasi saat ini (Herdman, 2012). Terapi kognitif adalah suatu proses mengenali atau mengidentifikasi pikiran – pikiran yang negative dan merusak yang dapat mendorong ke arah rendahnya harga diri dan depresi yang menetap (Granfa, 2007). Psikoedukasi keluarga merupakan terapi yang memberikan informasi, pengetahuan dan mengajarkan keluarga tentang bagaimana manajemen stres keluarga yang mengalami distress sehingga keluarga memahami dan menggunakan koping dalam penyelesaian masalah yang terjadi di keluarga (Goldenberg, I dan Goldenberg, H, 2004).
Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan hasil manajemen kasus harga diri rendah situasional dan kemampuan pasien dan keluarga (care giver) dalam mengatasi harga diri rendah situasional dengan penerapan terapi kognitif dan psikoedukasi keluarga dengan pendekatan model adaptasi Roy. Penerapan terapi kognitif pada pasien dan psikoedukasi pada care giver dilakukan pada 33 orang pasien di ruang Cempaka Atas dan Bedah kelas RSUP Persahabatan pada kurun waktu 20 Februari - 20 April 2012.
Hasil terapi kognitif sangat efektif pada 33 pasien menunjukkan mampu mengatasi pikiran negatif dan peningkatan kemampuan dalam mengatasi harga diri rendah situasional. Psikoedukasi keluarga juga menunjukkan efektifitasnya dimana sebanyak 33 care giver mampu merawat pasien dengan harga diri rendah situasional, manajemen ansietas dan manajemen beban pada keluarga.
Berdasarkan hasil di atas perlu direkomendasikan bahwa terapi kognitif dan psikoedukasi keluarga dapat dijadikan standar terapi spesialis keperawatan jiwa untuk pasien dan care giver dengan harga diri rendah situasional dan perlu disosialisasikan pada seluruh tatanan pelayanan kesehatan.

Situational low self-esteem is development of a negative perception of self-worth in response to a current situation (Herdman, 2012). Cognitive therapy is a process to recognize or identify the mind negative and destructive thoughts that can lead to low self-esteem and depression that permanent (Granfa, 2007). Family psychoeducation is a therapy that provides information, knowledge and teach families about how families experiencing stress management so that families understand the distress and the use of coping in the resolution of problems that occur in families (Goldenberg, I, and Goldenberg, H, 2004).
The goal of this scientific paper is to describe the results of case management situational low self esteem and the ability of the patient and the family to overcome situational low self esteem with the application of cognitive therapy and family psychoeducation by using Roy’s adaptation model. cognitive therapy and family psychoeducation is done for 33 patients along with general therapy in Cempaka atas and Bedah class room at range of time 20 February - 20 April 2012.
The results of cognitive therapy is effective in 33 patients showed able to overcome negative thoughts and increased ability to cope with situational low self esteem. Family psychoeducation also show effectivelly as much 33 care givers able to caring patients with situational low self esteem, anxiety management and management burden on the family.
Based on the above results need to be recommended that cognitive therapy and family psychoeducation can be used as standard therapy of nursing specialist for patient and care giver with situational low self esteem and require to be socialized at all of health service.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
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UI - Tugas Akhir  Universitas Indonesia Library
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