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Novi Widyastuti Rahayu
"Gangguan fisik merupakan terganggunya kondisi fisik seseorang karena adanya penyakit fisik baik kronis maupun akut. Gangguan fisik dapat menyebabkan klien menjadi ansietas. Dampak negatif ansietas dapat menurunkan produktifitas dan kualitas hidup. Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan hasil manajemen kasus spesialis keperawatan jiwa pada klien ansietas dengan gangguan fisik menggunakan pendekatan teori self care Orem dan teori Adaptasi Stuart di RW 10 Kelurahan Ciwaringin Bogor Tengah. Metode yang digunakan adalah studi kasus dengan pendekatan teori self care Orem dan teori Adaptasi Stuart. Tindakan keperawatan yang dilakukan adalah tindakan keperawatan generalis ansietas, dan tindakan keperawatan spesialis meliputi terapi individu; terapi relaksasi progresif, terapi pikiran dan terapi penghentian pikiran; terapi kelompok yaitu terapi suportif dan terapi keluarga yaitu psikoedukasi keluarga. Hasil pelaksanaan tindakan keperawatan tersebut dapat menurunkan tanda dan gejala ansietas pada aspek kogitif, afektif, fisiologis, perilaku, dan sosial serta meningkatkan kemampuan klien dalam mengatasi ansietas. Berdasarkan hasil karya ilmiah ini dapat direkomendasikan bahawa terapi relaksasi progresif, terapi pikiran, terapi penghentian pikiran, terapi suportif dan psikoedukasi keluarga dapat dijadikan standar terapi spesialis keperawatan jiwa khusunya ansietas.

Physical disorder is a disruption of the physical condition of a person because of their physical illnesses both chronic and acute. Physical disorder can caused client became anxiety. The negative impact of anxiety can reduce the productivity and quality of life. The purpose of this thesis is to describe the results of nursing case management specialist at the client's mental anxiety with physical disorders using approximation theory and the theory of Orem Self Care Adaptation Stuart in RW 10 village of Ciwaringin Central Bogor. The methods that used are generalist anxiety nursing actions and specialist nursing Action that covers; individual therapy, progressive relaxation therapy, cognitive therapy and thought stopping therapy; group theraphy, such as; supportive therapy and family therapy (family psychoeducation). The results of implementation of nursing actions is it can reduce the signs and symptoms of anxiety on cognitive, affective, physiological, behavioral, and social aspect and also improve the client?s ability to overcome anxiety. Based on the results of this thesis it can be recommended that progressive relaxation therapy, thought stopping therapy, supportive therapy and family psychoeducation to be used as standard therapy nursing specialists especially mental anxiety.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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B Antonelda Marled Wawo
"Pasien ansietas dapat diikuti dengan gangguan fisik berupa hipertensi, diabetes melitus, hiperurisemia, gastritis, dan radang sendi. Penanganan ansietas pasien dengan gangguan fisik menggunakan pendekatan model adaptasi stres Stuart yang membantu perawat melakukan asuhan keperawatan melalui proses keperawatan dari pengkajian, diagnosa, rencana, implementasi, dan evaluasi untuk menurunkan tanda gejala ansietas dan meningkatkan kemampuan mengatasi ansietas. Ansietas mulai dari tingkat ringan sampai berat memiliki prevalensi tinggi yang tidak diatasi sehingga dapat menurunkan produktivitas dan kualitas hidup pasien yang dapat menjadi predisposisi dari gangguan jiwa. Pasien berjumlah 30 orang, berusia dewasa, berjenis kelamin perempuan, berstatus kawin, berlatar belakang pendidikan dasar, dan tidak bekerja; memiliki pikiran yang salah terhadap gangguan fisik yang berpengaruh pada seluruh sistem tubuh. Dengan demikian memerlukan terapi spesialis keperawatan jiwa berupa terapi penghentian pikiran dan relaksasi otot progresif. Kedua terapi ini terbukti efektif menurunkan tanda gejala dan meningkatkan kemampuan untuk mengatasi ansietas terutama pada pasien hiperglikesemia dan radang sendi. Kemampuan yang dimiliki menjadi kemampuan dalam melakukan perawatan diri pasien gangguan fisik untuk mengatasi ansietas.
Anxiety patients can be followed by physical disorders such as hypertension, diabetes mellitus, hyperuricemia, gastritis, and arthritis. Handling patient anxiety with a physical disorder using Stuart 39 s adaptation stress model approach that helps nurses conduct nursing care through nursing process from assessment, diagnosis, plan, implementation, and evaluation to reduce anxiety symptoms and improve anxiety skills. Anxiety ranging from mild to severe levels has a high prevalence that is not addressed so as to decrease the productivity and quality of life of patients who can predispose to mental disorders. Patients were 30, adults, female, married, elementary, and non working Have the wrong mind against the physical disorder that affects the entire system of the body. Thus requires the therapy of mental nursing specialist in the form of therapy thought stopping and progressive muscle relaxation. Both of these therapies have been shown to be effective in reducing symptoms and improving the ability to treat anxiety especially in hyperuricemia and arthritis patients. Ability possessed into the ability to perform self care patients with physical disorders to overcome anxiety."
Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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UI - Tugas Akhir  Universitas Indonesia Library
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Evi Tunjung Fitriani
"[ABSTRAK
Gangguan jiwa berat selain berdampak terhadap diri sendiri,juga berdampak pada keluarga. Teridentifkasi berbagai beban keluarga saat merawat klien gangguan jiwa,termasuk beban sosial yaitu stigma.Stress yang dialami keluarga dalam merawat klien gangguan jiwa dalam jangka waktu lama, akan membuat keluarga menggunakan berbagai strategi koping yang sangat bervariasi, baik yang positif maupun negatif. Strategi koping yang digunakan keluarga dalam memberikan perawatan pada klien gangguan klien gangguan jiwa, memberikan dampak bervariasi dalam kesembuhan klien. Tujuan : menjelaskan family empowerment dalam manajemen kasus isolasi sosial dan harga diri rendah dengan pendekatan teori Peplau,Henderson dan King. Analisis dilakukan pada 7 klien dengan Cognitive Therapy (CT), Commitment Therapy(ACT) dan Social Skills Training(SST) sedangkan keluarga dengan Family Psycoeducation(FPE) dan Triagle Therapy. Hasil penerapan family empowerment meningkatkan peran serta keluarga dalam meningkatkan kemampuan klien dalam mengembangkan harga diri dan ketrampilan sosial, lebih mandiri dan produktif.ABSTRACT Severe mental disorder not only affecting the individual client but also the family. Different family burden have been identified during providing nursing care to the mentally problem clients, including social burden which is called stigma. The family under stressful situation when taking care of the client for a long period of time required coping strategies either positive or negative. Coping strategies used by the family in caring for the client with mental problem would affect the different stage of clients? recovery. The purpose of this scientific paper was to describe the family empowerment in case management of social isolated and low self-esteem clients using the theories of Peplau, Henderson and King as an approach. Analysis of Cognitive Therapy (CT), Commitment Therapy (ACT) and Social Skills Training (SST) applied to 7 individual clients and Family Psycho Education (FPE) and Triangle Therapy were conducted to the clients? family. The result of family empowerment showed the improvement of family participation and client?s ability in boosting self-esteem and social skill, to become more independent and productive. ;Severe mental disorder not only affecting the individual client but also the family. Different family burden have been identified during providing nursing care to the mentally problem clients, including social burden which is called stigma. The family under stressful situation when taking care of the client for a long period of time required coping strategies either positive or negative. Coping strategies used by the family in caring for the client with mental problem would affect the different stage of clients? recovery. The purpose of this scientific paper was to describe the family empowerment in case management of social isolated and low self-esteem clients using the theories of Peplau, Henderson and King as an approach. Analysis of Cognitive Therapy (CT), Commitment Therapy (ACT) and Social Skills Training (SST) applied to 7 individual clients and Family Psycho Education (FPE) and Triangle Therapy were conducted to the clients? family. The result of family empowerment showed the improvement of family participation and client?s ability in boosting self-esteem and social skill, to become more independent and productive. , Severe mental disorder not only affecting the individual client but also the family. Different family burden have been identified during providing nursing care to the mentally problem clients, including social burden which is called stigma. The family under stressful situation when taking care of the client for a long period of time required coping strategies either positive or negative. Coping strategies used by the family in caring for the client with mental problem would affect the different stage of clients’ recovery. The purpose of this scientific paper was to describe the family empowerment in case management of social isolated and low self-esteem clients using the theories of Peplau, Henderson and King as an approach. Analysis of Cognitive Therapy (CT), Commitment Therapy (ACT) and Social Skills Training (SST) applied to 7 individual clients and Family Psycho Education (FPE) and Triangle Therapy were conducted to the clients’ family. The result of family empowerment showed the improvement of family participation and client’s ability in boosting self-esteem and social skill, to become more independent and productive. ]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Alfunnafi Fahrul Rizzal
"Skizofrenia adalah salah satu gangguan jiwa yang memiliki ciri khas adanya gangguan pada pikiran perasaan dan perilaku. Secara spesifik skizofrenia memiliki dua tanda gejala utama yaitu tanda gejala positif dan negatif. Bentuk dari tanda gejala negatif yang muncul adalah harga diri rendah. Kondisi ini ditandai dengan evaluasi diri yang negative sehingga berdampak pada perubahan alam perasaan hingga potensi untuk bunuh diri. Tujuan penulisan ini adalah memaparkan hasil proses asuhan keperawatan jiwa spesialistik pada klien dengan harga diri rendah kronis menggunakan pendekatan model stress adaptasi stuart. Metode penulisan menggunakan metode deskriptif analitik dengan total 26 klien yang mendapatkan asuhan keperawatan jiwa spesialistik. Hasil evaluasi pelaksanaan asuhan keperawatan jiwa spesialistik menunjukan peningkatan kemampuan klien dalam mengatasi masalah harga diri rendah kronis sehingga mampu menurunkan tanda gejala yang dimiliki. Penulisan karya ilmiah ini merekomendasikan untuk asuhan keperawatan jiwa spesialistik dapat digunakan sebagai peningkatan kualitas pelayanan keperawatan jiwa.

Schizophrenia is one of the mental disorders that have the characteristic disturbances in the mind's feelings and behavior. Specifically, schizophrenia has two main symptoms, namely positive and negative signs. The form of negative symptoms that appear is low self-esteem. This condition is characterized by negative self-evaluation so that the impact on natural changes in feelings to the potential for suicide. The purpose of this paper is to describe the results of the specialist mental nursing care process to clients with chronic low self-esteem using a standard stress adaptation approach. The writing method uses a descriptive-analytic method with a total of 26 clients who received specialist mental health nursing care. The results of the evaluation of the implementation of specialized mental nursing care showed an increase in the ability of clients to overcome the problem of chronic low self-esteem to reduce the signs of symptoms they have. The writing of this scientific paper recommends that specialist mental nursing care be used as an improvement in the quality of mental health nursing services"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
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UI - Tugas Akhir  Universitas Indonesia Library
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Dwi Heppy Rochmawati
"Jumlah klien gangguan jiwa yang ditemukan adalah 18 orang (2,44%) dari total penduduk dewasa 737 orang. Angka ini menunjukkan peningkatan dari estimasi gangguan jiwa di Jawa Barat (0,22%). Defisit perawatan diri adalah salah satu bentuk gangguan jiwa dan dialami oleh seluruh klien gangguan jiwa yang ditemukan. Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan management of care kasus spesialis terhadap klien defisit perawatan diri dengan pendekatan Self Care Orem. Metode yang digunakan adalah studi serial kasus defisit perawatan diri pada klien gangguan jiwa dengan pemberian terapi spesialis keperawatan jiwa. Paket terapi yang diberikan : 1 Behaviour theraphy, 2 Behaviour theraphy dan Supportif Theraphy, 3 Behaviour theraphy, Supportif Theraphy dan Self Help Group. Terapi diberikan kepada 17 klien (9 skizofrenia, 4 retardasi mental dan 4 demensia).
Hasil pelaksanaan terapi adalah paket terapi ketiga sangat efektif untuk meningkatkan kemampuan dan menurunkan tanda gejala klien defisit perawatan diri dengan diagnosa medis skizofrenia dan retardasi mental. Terapi-terapi tersebut kurang efektif bagi klien demensia. Berdasarkan hasil di atas perlu direkomendasikan bahwa behaviour theraphy, supportif theraphy dan self help group dapat dijadikan standar terapi spesialis keperawatan jiwa bagi klien defisit perawatan diri khususnya dengan skizofrenia dan perlu dilakukan penelitian lanjut tentang terapi spesialis keperawatan jiwa yang tepat untuk klien defisit perawatan diri dengan demensia.

The amount of clients of mental disorders found were 18 people (2.44%) of the total adult population of 737 people. This amount shows an increase from an estimate of mental disorder in West Java (0.22%). Self-care deficit is one form of mental disorder and is experienced by all clients of mental disorders was found. The purpose of this paper is to describe management of care the scientific end case specialists to client self-care deficit with Orem’s Self Care approach. The method used is the serial case study of self-care deficits in psychotic clients with life-giving therapy nursing specialists. Therapy are : first package of Behavior Therapy, second package of Behavior Therapy and Supportive Therapy, third package of Behavior Therapy, Supportive Therapy and Self Help Group. Therapy was given to the 17 client (9 schizophrenia, 4 mental retardation, and 4 dementia).
The results of the implementation of these therapies is that the package of three highly effective therapy to improve coping mechanism and reduce the symptoms signs on the client's self-care deficit with a medical diagnosis of schizophrenia and mental retardation in performing self-care. These therapies are less effective for clients with dementia. Based on the above results need to be recommended that the behavior therapy, supportive therapy and self help group can be made standard of therapy of nursing specialist self-care deficit of clients and schizophrenia in particular, and have done research about nursing specialist mental therapy is right for the client self-care deficits with dementia.
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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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Turnip, Maria
"Kondisi menderita penyakit fisik menimbulkan permasalahan psikososial ansietas dan gangguan citra tubuh. Permasalahan psikososial ini menjadi faktor comorbid yang menambah berat kondisi fisik klien. Pelaksanaan tindakan ners spesialis didasarkan pada perilaku dan adaptasi sebagai mahluk yang holistik yang meliputi: Cognitive Behavioral Therapy CBT, Thought Stopping TS, Progressive Muscle Relaxation PMR dengan mempertimbangkan toleransi fisik klien. Tindakan ners spesialis Family PsychoEducation FPE pada keluarga dan Supportive Theraphy ST pada kelompok pelaku rawat care giver diberikan untuk memperkuat dukungan dari luar klien demi mempertahankan kelangsungan proses perawatan klien. Hasil: Pelaksanaan tindakan ners spesialis menunjukkan penurunan tanda dan gejala pada klien di semua aspek respons terhadap stresor. Penurunan yang paling besar terjadi pada kombinasi terapi CBT PMR FPE yang dilakukan pada klien dengan diagnosis ansietas pada aspek afektif sebesar 79.2 dan klien dengan diagnosis gangguan citra tubuh pada aspek perilaku sebesar 86.3 . Kesimpulan: Tindakan ners spesialis Cognitive Behavioral Therapy CBT, Thought Stopping TS, Progressive Muscle Relaxation PMR dengan mempertimbangkan toleransi fisik klien dan Family PsychoEducation FPE pada keluarga serta Supportive Theraphy ST pada kelompok pelaku rawat care giver dapat membantu penurunan respons klien terhadap stressor.

Physical ilness could contribute to psychosocial problems such as anxiety and disturbed body image. This psychosocial problems became a comorbid factor which could make the clients health problems more serious. The implementation Cognitive Behavioral Therapy CBT, Thought Stopping TS, Progressive Muscle Relaxation PMR holistically applied by taking into consideration the physical tolerance of clients. The provision of Family PsychoEducation FPE for patient's family and Supportive Theraphy ST for patient's care giver by mental health psychiatric nurse specialist could empower client continuity of care sustainability. Result The combination CBT PMR FPE nurse specialist implementation have decreased the sign and symptoms up to 79.2 of efective aspect for clients with anxiety, and 86.3 of behavioral aspect for client who has disturbed body image. Conclusion It was conclude that the implementation of Cognitive Behavioral Therapy CBT, Thought Stopping TS, Progressive Muscle Relaxation PMR by taking into consideration the client's physical tolerance and Family PsychoEducation FPE for client's family and Supportive Theraphy ST for client's care giver can decrease patient's responses to stressors.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2016
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UI - Tugas Akhir  Universitas Indonesia Library
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Dwinara Febrianti
"Hipertensi merupakan peningkatan tekanan darah arterial yang tidak normal dan berlangsung terus menerus. Klien yang menderita secara fisik dapat menimbulkan dampak secara psikologis yaitu ansietas. Ansietas adalah perasaan khawatir, yang merupakan respon terhadap rangsangan baik eksternal maupun internal yang menimbulkan gejala baik secara perilaku, emosi, kognitif dan fisik. Karya ilmiah akhir ini bertujuan untuk memberikan gambaran manajemen kasus spesialis pada klien hipertensi dengan ansietas menggunakan pendekatan Uncertainty In Illness dan Comfort Theory. Jumlah klien kelolaan sebanyak 21 orang. Terapi spesialis yang diberikan adalah thought stopping dan relaksasi progresif.
Hasil yang ditemukan terjadi penurunan tanda dan gejala ansietas sebesar 51.43%, peningkatan rata-rata kemampuan melakukan terapi thought stopping pada klien hipertensi dengan ansietas sebesar 11.68 dan peningkatan rata-rata kemampuan melakukan terapi relaksasi progresif pada klien hipertensi dengan ansietas sebesar 16.35. Terapi thought stopping dan relaksasi progresif direkomendasikan sebagai terapi spesialis keperawatan pada klien dengan ansietas.

Hypertension is a high blood (arterial) pressure and occurs continuously. Patient who is experiencing hypertension will also experience psychological problem such as anxiety. Anxiety is the feeling of unsecure, as a response to external and internal stimulus which can create behavior, emotional, cognitive, and physical symptoms. The purpose of this final report is to describe case management on hypertension with anxiety using uncertain in illness approach and comfort theory. Twenty one patients were closely monitored and cared. Thought stopping and progressive relaxation are the specialists nursing treatments that were given to hypertension patient.
The results shows that level of anxiety decrease into 51.43%, level of ability in implementing thought stopping on hypertension patient with anxiety on 11.68 and the mean of increasing on implementing progressive relaxation therapy ability was 16.35. it is recommended that thought stopping and progressive relaxation therapy as nursing specialist therapy for patient with anxiety.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
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UI - Tugas Akhir  Universitas Indonesia Library
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Marselina
"ABSTRAK
Stroke adalah salah satu penyakit tidak menular penyebab masalah kesehatan pada masyarakat perkotaan. Klien stroke sebagian besar mengalami ansietas. Karya ilmiah ini bertujuan untuk menganalisis keefektifan intervensi mandiri keperawatan terhadap ansietas pada klien stroke lansia di rumah sakit. Metode penanganan yang digunakan adalah studi kasus. Instrumen yang digunakan untuk mengkaji ansietas adalah Hamilton Anxiety Rating Scale. Hasil analisis menunjukkan bahwa asuhan keperawatan mandiri perawat dengan tehnik relaksasi dan guide imagery pada klien stroke efektif dalam membantu mengurangi kecemasan. Rekomendasi bagi petugas kesehatan, khususnya perawat diruang rawat untuk mengkaji lebih dini masalah psikososial khususnya ansietas dan memberikan latihan tehnik napas dalam, distraksi, spiritual, dan hipnosis lima jari untuk meningkatan kemampuan klien dalam mengatasi ansietas.

ABSTRACT
Stroke is one of the non communicable diseases that cause health problems in urban communities. The stroke clients are mostly anxious. This scientific work to analyze the effectiveness of nursing intervention against anxiety in elderly stroke clients in hospitals. The methode used is case study. The instrument used to examine anxiety is the Hamilton Anxiety Rating Scale. The results showed nursing independent intervention as relaxation techniques and guide imagery on stroke clients are effective to reduce anxiety. Results of this study recommended that health workers, especially nurses, have to make an early detection of psychosocial problems especially anxiety and provide deeph breathing techniques, distraction, spiritual, and five finger hypnosis to increase client rsquo s ability to reduce anxiety. "
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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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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New York: John Wiley & Sons, 1994
616.85 ANX
Buku Teks SO  Universitas Indonesia Library
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