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"[ABSTRAKIsolasi sosial merupakan suatu pengalaman menyendiri dan kesepian dari seseorang dan perasaan segan terhadap orang lain sebagai sesuatu yang negatif atau keadaan yang mengancam. Tujuan Karya Ilmiah Akhir ini untuk memberikan gambaran tentang manajemen kasus spesialis keperawatan jiwa pada klien isolasi sosial terhadap penurunan tanda dan gejala isolasi sosial serta peningkatan kemampuan klien dalam ketrampilan sosial dengan pendekatan Model Hubungan Interpersonal Peplau dan Model Stres Adaptasi Stuart. Terapi spesialis keperawatan yang diberikan adalah Social Skill Training (SST), Cognitive Behavior Social Skill Training (CBSST) dan Family Psychoeducation (FPE). SST diberikan pada 21 klien, SST+CBSST diberikan pada 7 klien dan FPE diberikan pada 12 keluarga. Hasil yang ditemukan SST dan CBSST efektif dalam menurunkan tanda dan gejala isolasi sosial yang ditunjukkan melalui respon kognitif, afektif, fisiologis, perilaku dan sosial serta meningkatkan kemampuan klien dalam ketrampilan sosial. FPE terbukti meningkatkan kemampuan keluarga dalam merawat klien isolasi sosial. SST, CBSST, dan FPE direkomendasikan sebagai terapi spesialis keperawatan pada klien isolasi sosial.

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ABSTRACTSocial isolation is an experience of solitude and loneliness of someone and feeling disinclined toward others as something negative or threatening circumstances. Final Scientific Paper aims to provide an overview of nursing case management specialist at the client's life social isolation of the signs and symptoms as well as the ability of clients to approach Peplau Model Theory of Interpersonal Relations and Stress Adaptation Model Stuart. Social Skills Training (SST) given to 21 clients, SST+Cognitive Behavior Social Skill Training (CBSST) given on 7 client and Family psychoeducation (FPE) given to 12 families. Results found CBSST SST and effective in reducing the signs and symptoms of social isolation indicated by the response of cognitive, affective, physiological, behavioral and social as well as improve the ability of clients in social skills. FPE proven to increase the ability of families in caring for clients of social isolation. SST, CBSST, and FPE recommended as therapy nursing specialists at the client's social isolation., Social isolation is an experience of solitude and loneliness of someone and feeling disinclined toward others as something negative or threatening circumstances. Final Scientific Paper aims to provide an overview of nursing case management specialist at the client's life social isolation of the signs and symptoms as well as the ability of clients to approach Peplau Model Theory of Interpersonal Relations and Stress Adaptation Model Stuart. Social Skills Training (SST) given to 21 clients, SST+Cognitive Behavior Social Skill Training (CBSST) given on 7 client and Family psychoeducation (FPE) given to 12 families. Results found CBSST SST and effective in reducing the signs and symptoms of social isolation indicated by the response of cognitive, affective, physiological, behavioral and social as well as improve the ability of clients in social skills. FPE proven to increase the ability of families in caring for clients of social isolation. SST, CBSST, and FPE recommended as therapy nursing specialists at the client's social isolation.]"

"Harga diri rendah (HDR) merupakan penilaian atau perasaan negatif mengenai diri sendiri atau kemampuan diri sendiri. Munculnya pikiran negatif pada klien skizofrenia dikarenakan adanya kesulitan dalam berfikir jernih dan logis, sering kali sulit konsentrasi sehingga perhatian mudah teralih yang berlanjut membuat klien gaduh gelisah dan menyebabkan perilaku kekerasan. Upaya yang dapat dilakukan untuk pasien dengan gangguan jiwa yang didiagnosa HDR dan risiko perilaku kekerasan (RPK) yaitu dengan memberikan psikoterapi diantaranya cognitive therapy (CT), cognitive behaviour therapy (CBT), rational emotive behaviour therapy (REBT), dan assertive training (AT). Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan penatalaksanaan asuhan keperawatan dengan pendekatan model adaptasi. Kegiatan asuhan keperawatan dilakukan pada 13 orang klien di ruang Sadewa RSMM Bogor. Hasil pelaksanaan menunjukkan bahwa CT, CBT, dan REBT efektif diberikan pada klien HDR dan AT, CBT, REBT, serta kombinasi CBT dan AT efektif diberikan pada klien RPK. Berdasarkan hasil diatas perlu direkomendasikan bahwa terapi spesialis perlu diberikan pada klien HDR dan RPK.

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Low self esteem (HDR) is a negative feelings or assessment about ownselves or ownselves capability. The emergence of negative thoughts on schizophrenia clients are caused by the difficulty in thinking clearly and logically, and frequent difficulty in concentrating leading to easily distracted attention which ends up in restlessness. This condition later would trigger violence behaviors. Amongst some treatments that can be given to clients diagnosed with HDR and violence behaviour risks (RPK) are psychotherapies as cognitive therapy (CT), cognitive behaviour therapy (CBT), rational emotive behaviour therapy (REBT), andassertive training (AT). This article aims to describe the implementation of nursing care management by using adaptation model approach. The nursing care was given to 13 clients at Sadewa room RSMM Bogor. The findings showed that the implementation of CT, CBT, and REBT were given effectively to HDR clients; and AT, CBT, REBT, and the combination of CBT and AT were effectively given to RPK clients. Based on the above findings, it is recommended that specialist therapies to be given to HDR and RPK clients."

"Cognitif Behavior Therapy dirancang untuk meningkatkan kemampuan Kognitif dan prilaku bagi seseorang yang mengalami pemikiran otomatis negative dan prilaku negative. Penerapan terapi perilaku kognitif akan mengubah status pikiran dan perilaku klien, sehingga perilaku negatif yang muncul akan menjadi perilaku yang positif (Oemarjoedi, 2003). Tujuan penulisan karya ilmiah akhir ini adalah diperolehnya gambaran hasil Penerapan Cognitif Behavior Therapy pada klien halusinasi dan prilaku kekerasan dengan pendekatan Model Hubungan Interpersonal Peplau di Ruang Utari RS Dr Marzoeki Mahdi Bogor. Penerapan Cognitif Behavior Therapy dilakukan pada 28 klien di ruang Utari mulai 09 September - 12 November 2013. Hasil Cognitif Behavior Therapy merupakan terapi yang tepat dan dapat digunakan pada klien yang mengalami Halusinasi Dan Prilaku Kekerasan, dimana seluruh klien dapat melakukan setiap sesi pada Cognitif Behavior Therapy. Berdasarkan hasil penelitian perlu direkomendasikan bahwa Cognitif Behavior Therapy dapat dijadikan standar terapi spesialis keperawatan jiwa yang dapat digunakan pada klien yang mengalami halusinasi dan prilaku kekerasan."

"Bunuh diri adalah sebuah peringatan untuk perilaku merusak diri atau mencelakakan diri sendiri. Klien dengan risiko bunuh diri selalu merasa semua kejadian dalam hidupnya adalah sulit dan memutuskan jalan keluarnya adalah dengan mengakhiri hidupnya sendiri (Frisch & Frisch, 2006). Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan penatalaksanaan asuhan keperawatan dengan pendekatan The theory of reason action and planned behavior Perla Werner pada klien dengan Risiko Bunuh Diri. Penerapan cognitive therapy dan logoterapi dilakukan pada 10 orang klien di ruang Gatotkaca pada kurun waktu 20 Pebruari - 20 April 2012. Hasil cognitive therapy dan logoterapi sangat efektif pada klien menunjukkan peningkatan dalam mencegah perilaku bunuh diri sebesar 75%. Terapi cognitive therapy dan logoterapi juga menunjukkan efektifitasnya dimana klien selain mampu berpikir positif juga mampu menemukan makna hidupnya kembali. Berdasarkan hasil di atas perlu direkomendasikan bahwa cognitive therapy dan logoterapi dapat dijadikan standar terapi spesialis keperawatan jiwa, khususnya pada klien dengan risiko bunuh diri.

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Suicide is a warning to self-destructive behavior or harm themselves. Clients with a risk of suicide was always felt all the events in his life is hard and decided the solution is to the end his own life (Frisch & Frisch, 2006). The purpose of this final scientific work is to describe the nursing care management in client with suicide risk approach to the theory of reason action and planned behavior Perla Werner. The application of cognitive therapy and logotherapy performed on 10 clients in the Gatotkaca ward during the period 20 February - 20 April 2012.

The results of cognitive therapy and logoterapi very effective in preventing the client indicates of suicide an increase his ability by 75%. Cognitive therapy and logotherapy also demonstrated its effectiveness in which clients are able to think positive but also able to find meaning in his life again. Based on the above results need to be recommended that cognitive therapy and logotherapy can be standart of nursing specialists, especially on the client with a risk of suicide. "

"Perilaku kekerasan merupakan respon maladaptif dari marah. Respon Maladaptif yang muncul dari marah dapat mengancam dan membahayakan diri sendiri, keluarga dan lingkungan masyarakat sehingga meraka memerlukan pengobatan dan perawatan dirumah sakit. Tujuan penulisan karya ilmiah akhir ini adalah menggambarkan penerapan terapi cognitive behaviour therapy dan assertive training dengan pendekatan Model Adaptasi Roy pada klien risiko perilaku kekerasan di Rumah Sakit Marzoeki Mahdi Bogor. Intervensi keperawatan yang dilakukan adalah cognitive behaviour therapy dan assertive training pada 8 orang dan assertive training pada 10 orang klien dalam kurun waktu 17 Februari - 18 April 2014 di Ruang Gatot Kaca RSMM Bogor. Hasil pelaksanaan cognitive behaviour therapy dan assertive training 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. Berdasarkan hasil diatas rekomendasi penulisan ini adalah terapi cognitive behaviour therapy dan assertive training pada klien risiko perilaku kekerasan dapat dijadikan standar terapi spesialis keperawatan jiwa.

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Violence behavior is a maladaptive response of anger. Maladaptive Response that occur in anger can menca and endanger ownself, family and society enviroment so they need treatment and medication in hospital. The aim of this Study is to describe the application of Cognitive Behavior Therapy and assertive training by using Roy Adaptation Model to client risk of violent behavior at Marzoeki Mahdi Hospital. in Bogor. Nursing interventions was cognitive behavior therapy and assertive training on 8 people and assertive training to 10 clients during 17 February to 18 April 2014 at Gatot Kaca Room RSMM in Bogor.

The results of the implementation of assertive training and cognitive behavior therapy may reduce signs and symptoms of violence behavior in cognitive, affective, physiological, behavioral and social and increase in adaptive coping skills to face of events that raises violence behavior. Based on the result above, recommendation from this paper is Cognitive Behavior Therapy and Assertive Training can be used as standard therapy of psychiatric nursing specialist to client with risk of violence behavior Key Word: Risk of Violence Behavior."

"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.

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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."

"Prevalensi gangguan jiwa berat Skizofrenia di Indonesia setiap tahun mengalami peningkatan yang cukup signifikan. Berdasarkan hasil Riset Kesehatan Dasar tahun 2013 prevalensi Skizofrenia di Indonesia sebesar 1,7‰. Resiko perilaku kekerasan adalah salah satu gejala positif dari Skizofrenia. Tujuan penulisan karya ilmiah akhir ini adalah memperoleh gambaran manajemen kasus spesialis keperawatan jiwa terhadap pasien risiko perilaku kekerasan dengan pendekatan stres adaptasi Stuart dan model adaptasi Roy. Intervensi keperawatan yang dilakukan adalah assertiveness training dan acceptance and commitment therapy pada 32 Pasien dalam kurun waktu 17 Februari - 18 April 2014 di Ruang Utari RSMM Bogor. Hasil pelaksanaan manajemen kasus spesialis dapat menurunkan tanda dan gejala perilaku kekerasan pada aspek kognitif, afektif, fisiologis, perilaku dan sosial serta peningkatan kemampuan koping adaptif pasien. Rekomendasi penulisan ini adalah bahwa penerapan stres adaptasi Stuart dan model adaptasi Roy dengan intervensi keperawatan assertiveness training dan acceptance and commitment therapy dapat menurunkan perilaku kekerasan.

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Prevalence of the serious mental disorder Schizophrenia in Indonesia each year has increased significantly. Riskesdas result in 2013 the prevalence of Schizophrenia in Indonesia is 1,7‰. Violence risk behavior is one of the positive symptoms of Schizophrenia.

The objective of this paper was to describe the application a psychiatric nursing specialist case management for Patients with a risk of violence behavior by using the stress adaptation Stuart and Roy’s adaptation model. Nursing interventions was assertiveness training, asceptance and commitment therapy to the 32 Patients during 17 Februari - 18 April 2014 at Utari Ward RSMM Bogor.

The result of using the application a psychiatric nursing specialist has proven it can reduce symptoms of violence behavior in cognitive, affective, physiological, behavioral and social as well as improving adaptive coping Patients.

Recommendation from this report is by applying stress adaptation models of Stuart's and Roy's adaptation models with nursing intervention, assertiveness training acceptance and commitment therapy, it can reduce violence risk behavior."

"[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

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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. ]"

"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.denganmenggunakan 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.

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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 health-psychiatric 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."