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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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Laili Nur Hidayati
"Klien dengan penyakit fisik cenderung mengalami ansietas dan kondisi tersebut dapat memperburuk kondisi fisiknya. Karya ilmiah akhir ini bertujuan untuk mengetahui hasil penerapan terapi penghentian pikiran, relaksasi otot progresif, terapi kognitif dan psikoedukasi keluarga terhadap respons ansietas klien. Responden sejumlah 71 klien ansietas dengan penyakit fisik, terdiri dari 36 klien mendapatkan paket pertama yaitu tindakan ners dan ners spesialis (terapi penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga) serta 35 klien mendapatkan paket kedua yaitu tindakan ners dan ners spesialis (terapi kognitif dan psikoedukasi keluarga).
Analisis dilakukan terhadap tanda dan gejala dan kemampuan klien dan keluarga sebelum dan sesudah dilakukan tindakan keperawatan. Hasil penerapan tindakan paket pertama dan paket kedua menunjukkan penurunan tanda gejala ansietas secara bermakna pada semua respons, kedua paket tidak ada perbedaan signifikan. Kedua paket tindakan ini direkomendasikan untuk mengatasi ansietas pada klien.

Clients with physical illness tend to experience anxiety and the condition can worsen their physical condition. The aim of this study was to determine the result of the implementation of the thought stopping therapy, progressive muscle relaxation therapy, cognitive therapy and family psychoeducation for client with anxiety. A total of 71 anxiety clients with physical illness participated in this study, from which 36 clients received the first intervention: general nurses and nurse specialists intervention (thought stopping therapy, progressive muscle relaxation and family psychoeducation) and 35 clients received the second intervention: general nurses and nurse specialists intervention (cognitive therapy and family psychoeducation).
The analysis was conducted on the signs and symptoms of anxiety clients and the ability of clients and families before and after the nursing intervention. The results of the first and second of nursing intervention showed a decrease in signs and symptoms of anxiety on all the responses and the increased capacity of clients and families in overcoming anxiety. There was no significant difference from giving the first and second intervention in the reduction of the signs and symptoms of anxiety. This intervention, therefore, is recommended to overcome anxiety in clients.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2016
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Siagian, Ira Ocktavia
"Kasus nyeri lebih banyak mengakibatkan ansietas. Tujuan karya tulis ilmiah ini adalah mengetahui efektifitas terapi penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga pada klien nyeri dan ansietas. Metode yang digunakan dengan analisa kasus. Jumlah klien yang dikelola sebanyak 90 orang dengan kelompok 1 sebanyak 40 klien diberikan tindakan keperawatan ners, terapi penghentian pikiran dan relaksasi otot progresif, kelompok 2 sebanyak 50 orang diberikan tindakan keperawatan ners, penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga.
Hasil asuhan keperawatan ini adalah ada pengaruh tindakan keperawatan ners dan ners spesialis (penghentian pikiran, relaksasi otot progresif dan psikoedukasi keluarga) terhadap penurunan tanda gejala serta peningkatan kemampuan klien dan keluarga dalam mengurangi nyeri dan mengatasi ansietas. Asuhan keperawatan ini merekomendasikan terapi penghentian pikiran, terapi relaksasi otot progresif dan terapi psikoedukasi keluarga sebagai terapi keperawatan pada ansietas.

Knowledge and experience of pain is an unpleasant emotional result of tissue damage that actual or potential. Pain occurs along much of the disease process or together with some diagnostic examination or treatment. The relationship between pain and anxiety are complex. Ansietas can increase the perception of pain, but pain can also cause a feeling of anxiety and can occur when a person feel threatened both physically and Psychology (such as self-esteem, self, or a picture ID). This scientific paper objective is to know the results of the effectiveness of thought stopping therapy, progressive muscle relaxation and family psikoeducation on the client ansietas and pain through the adaptation of the model approach to Roy. The number of clients that are managed as many as 90 people.
The results of this scientific paper is there influence nursing actions ners and ners specialists (thought stopping, progressive muscle relaxation and family psychoeducation) against a decrease in symptoms and signs of increased the ability of clients and families in reducing pain and cope with ansietas. This scientific paper recommends therapy thought stopping, progressive muscle relaxation therapy and family psychoeducation therapy as a family on anxiety.
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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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Mad Zaini
"Seseorang yang mengalami masalah kesehatan fisik dapat menimbulkan masalah kesehatan jiwa yaitu ansietas. Tujuan karya ilmiah akhir ini adalah untuk memberikan gambaran penerapan tindakan ners, terapi relaksasi otot progresif, penghentian pikiran, psikoedukasi keluarga, terapi suportif pada klien hipertensi yang mengalami ansietas. Metode yang digunakan dalam karya ilmiah ini adalah analisis kasus klien ansietas. Jumlah klien yang dikelola sebanyak 37 orang. Sebanyak 23 orang mendapatkan tindakan ners, relaksasi otot progresif, penghentian pikiran, psikoedukasi keluarga dan terapi suportif. Sebanyak 14 orang mendapatkan tindakan ners dan terapi suportif. Hasil yang ditemukan terjadi penurunan tanda gejala serta peningkatan kemampuan mengendalikan ansietas paling besar pada klien yang mendapatkan lima terapi. Tindakan ners, terapi relaksasi otot progresif, penghentian pikiran, psikoedukasi keluarga dan terapi suportif direkomendasikan sebagai terapi keperawatan pada ansietas.

Someone who experience physical health problems can cause mental health problem, example anxiety. The purpose of study to illustrate the application of ners intervention, progressive muscle relaxation therapy, tought stopping therapy, family psychoeducation, supportive therapy in hypertension who experience anxiety. The method used is the case analisys in anxiety clients. The amount of clients are 34 people, 23 clients given ners intervention, progressive muscle relaxation therapy, tought stopping therapy, family psychoeducation, supportive therapy. 14 clients given ners intervention and supportive therapy. The results were found decrease the signs and symptoms anxiety and increase the ability of control anxiety most at clients who get five therapy. Progressive muscle relaxation therapy, tought stopping therapy, family psychoeducation, supportive therapy is recommended a nursing therapy in anxiety.
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Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2016
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Risza Farah Ramadhina
"Gangguan jiwa merupakan kondisi di mana terjadi perubahan cara berpikir, emosi atau perilaku, atau gangguan kombinasi emosi dan perilaku. Salah satu gangguan jiwa berat adalah skizofrenia yang menyebabkan gangguan pada proses berpikir, merasakan, dan berperilaku seseorang. Pada orang yang didiagnosis skizofrenia, sekitar setengahnya mengalami waham. Salah satu jenis waham yang paling umum adalah waham kebesaran. Perawat perlu memberikan asuhan keperawatan pada masalah waham kepada pasien, keluarga, maupun kepada kelompok. Tujuan penulisan makalah ini adalah untuk memberikan gambaran terkait penerapan orientasi realita pada pasien dengan waham kebesaran. Penerapan tindakan generalis orientasi realita diharapkan dapat menurunkan intensitas waham pasien.

Mental disorder is a condition in which changes in ways of thinking, emotions or behavior, or a combination of emotional and behavioral disorders. One of the severe mental disorders is schizophrenia which causes disruption in the process of thinking, feeling, and behaving a person. In people diagnosed with schizophrenia, about half experience a delusions. One of the most common types of delusions is grandiose delusions. Nurses need to provide nursing care to the patients, families, and to groups with delusions. The purpose of writing this paper is to provide an overview related to the application of reality orientation to patients with greatness. The application of generalist reality orientation is expected to reduce the delusions intensity of patient. "
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
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Endar Cahyawati
"Klien gagal jantung yang mengalami nyeri dan ansietas, memerlukan upaya untuk mengatasnya supaya tidak memperberat kondisi sakit fisik klieni . Tujuan dari karya ilmiah akhir spesialis ini menerapkan tindakan keperawatan ners, edukasi keluarga, terapi penghentian  pikiran, dan psikoedukasi keluarga terhadap nyeri dan ansietas pada pada klien gagal jantung di rumah sakit umum. Penelitian ini menggunakan desain operational research dengan jumlah sampel 36 klien yang dibagi menjadi 17 klien  dalam kelompok kontrol dan 19  klien dalam  kelompok intervensi. Hasil analisis Mann-whitney menunjukkan bahwa terdapat perbedaan antara kelompok kontrol yang diberikan TKN, edukasi keluarga dan pendampingan serta latihan mandiri dengan kelompok intervensi yang diberikan TKN, edukasi keluarga, terapi penghentian pikiran dan psikoedukasi keluarga  secara bermakna (p value < 0,05). Penerapan  TKN, terapi penghentian pikiran dan psikoedukasi keluarga direkomendasikan karena dapat menurunkan  tanda gejala nyeri dan ansietas, meningkatkan kemampuan klien mengatasi nyeri dan ansietas dan kemampuan keluarga merawat klien gagal jantung.

Heart failure clients who experience pain and anxiety require efforts to overcome this so as not to aggravate the client's physical illness. The aim of this specialist's final scientific work is to apply health protection measures, family education, thought prevention therapy, and family psychoeducation to pain and anxiety in heart failure clients in public hospitals. . This research used an operational research design with a sample size of 36 clients divided into 17 clients in the control group and 19 clients in the intervention group. The results of the Mann-Whitney analysis showed that there was a significant difference between the control group that was given TKN, family education and mentoring and independent training and the intervention group that was given TKN, family education, thought empowerment therapy and family psychoeducation (p value < 0.05). The application of TKN, thought strengthening therapy and family psychoeducation is recommended because it can reduce signs of pain and anxiety, increase the client's ability to deal with pain and anxiety and the family's ability to care for clients with heart failure. "
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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Yanuar Fahrizal
"ABSTRAK
Gangguan jiwa secara keseluruhan diprediksikan akan semakin meningkat setiap tahunnya. Pasien dengan masalah gangguan jiwa berat seperti skizofrenia seringkali melakukan perilaku kekerasan. Penanganan pasien dengan perilaku kekerasan dapat menggunakan tindakan keperawatan generalis dan tindakan keperawatan spesialis latihan asertif dan psikoedukasi keluarga. Studi kasus ini melibatkan 11 pasien dengan karakteristik mayoritas usia 26-60 tahun, tidak bekerja, tingkat pendidikan SMA, belum menikah, dan memiliki riwayat dirawat sebelumnya. Tindakan keperawatan generalis dan ners spesialis latihan asertif dan psikoedukasi keluarga dilakukan menggunakan pendekatan teori adaptasi Roy 2017 dan adaptasi stress Stuart 2013 . Penggunaan pendekatan teori adaptasi Roy dan adaptasi stress Stuart sesuai diterapkan pada penanganan pasien dengan risiko perilaku kekerasan di ruang rawat inap tenang. Hasil penerapan terapi latihan asertif dan psikoedukasi keluarga menunjukkan terjadinya penurunan tanda dan gejala risiko perilaku kekerasan serta terjadinya peningkatan kemampuan pasien dalam mengatasi risiko perilaku kekerasan. Kata Kunci: skizofrenia, risiko perilaku kekerasan, latihan asertif, psikoedukasi keluarga ABSTRACT The mental disorder is predicted to increase every year. Patient with mental disorder such as schizophrenia often engage in violent behavior. Treatment of patients with violent behavior can use general nursing actions and specialist ners. This case study involved 11 patients with the majority of ages 26 60 years, unemployed, high school education, unmarried, and had a history of previous care. Nursing acts and ners specialists assertive trainning and family psychoeducation using Roy 39 s adaptation theory 2017 and Stuart 39 s stress adaptation approach 2013 . The Roy 39 s adaptation theory and Stuart stress adaptation approach is applied to the treatment of patients with the risk of violent behavior. The results of the application of assertive trainning therapy and family psychoeducation showed a decrease in signs and symptoms of violent behavior as well as improving the patient 39 s ability to overcome the risk of violent behavior. Keywords Schizophrenia, risk for violence, assertive training, family psychoeducation"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2017
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Puji Lestari
"Skripsi ini membahas tentang manajemen program kesehatan jiwa di Kota Bandung. Penelitian ini adalah penelitian dengan pendekatan kualitatif, perolehan data melalui wawancara mendalam dan telaah dokumen. Penelitian dilakukan di Dinas Kesehatan Kota Bandung, dan empat Puskesmas di wilayah kerja dinas, dengan menggunakan kerangka sistem yang berfokus pada input kebijakan, SDM, dana, sarana dan proses manajerial perencanaan, pengorganisasian, pelaksanan, pengawasan dan evaluasi.
Hasil penelitian menyarankan agar seluruh pemangku pemerintah daerah, dinas, puskesmas, lintas sektor menyamakan persepsi terkait program kesehatan jiwa untuk disepakati oleh seluruh pihak, sehingga setiap pihak mengetahui jelas batas kewenangannya masing-masing dalam pelaksanaan program kesehatan jiwa. Sinkronisasi kebijakan terkait ketersediaan dan kewenangan pemberian obat Psikofarma di Puskesmas khususnya diagnosa masalah kesehatan jiwa ringan-sedang. Segera dan rutin melakukan pelatihan SDM, membentuk TPKJM sehingga koordinasi antar lintas sektor dapat berjalan secara berjenjang dan lebih terfokus, intensif melakukan pengawasan dan evaluasi baik Dinas Kesehatan maupun Puskesmas, serta meningkatkan komunikasi serta motivasi bagi pelaksana program oleh Kepala Puskesmas dan Kepala Dinas.

This study discusses about the mental health program management in Bandung City. This study used qualitative approach, data collection is done by in depth interviews and document review. This research was conducted at the Dinas Kesehatan and four Puskesmas in Bandung City, using system approach framework, focusing on input policy, man, money, facilities and managerial processes that begin by planning, organizing, implementing and then monitoring and evaluating.
The results of the study suggest that all stakeholder Local government, Health Office, Puskesmas, Social Office Affair, and others that could involve to share common perception related to mental health programs to be agreed upon by all parties involved, so that each party knows clearly the role and authority in the implementation of mental health programs, there shpuld be synchronization of policies related to the availability and authority of Psychopharmaceutical drugs in Puskemas, especially the diagnosis of mild to moderate mental health problems. Training for program implementers program coordinator needs to be conducted immediately. The team of mental health TP KJM need to be formed, so that coordination between sectors can run in stages and be more focused. The government should meet the needs of the facilities be more intensive in conducting monitoring and evaluation, improve communication and motivation to program coordinators by head of health office and Puskesmas Bandung City.
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Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2018
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UI - Skripsi Membership  Universitas Indonesia Library
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Ikhwanudin
"Pasien Diabetes Mellitus, akan menimbulkan masalah gangguan  fisik yaitu nyeri akut/kronis, dan gangguan psikologis (kecemasan,) bila tidak ditanganii dengan baik.Tujuan dari penelitian ini menerapkan terapi penghentian pikiran, relaksasi otot progresif, dan psikoedukasi keluarga pada kelompok kontrol dan intervensi. Penelitian ini mengunakan desain penelitian operasional research dengan jumlah sampel 38 individu dibagi menjadi 18 induvidu kelompok kontrol dan 22 kelompok intervensi. Hasil analisis Mann-whitney menunjukkan bahwa terdapat perbedaan antara kelompok kontrol yang diberikan TKN, edukasi keluarga, pendampingan, dan latihan mandiri dengan kelompok intervensi yang diberikan TKN, edukasi keluarga, pendampingan, dan latihan mandiri, terapi penghentian pikiran, terapi otot progresif dan psikoedukasi keluarga  secara bermakna (p value < 0,05). Penerapan TKN, edukasi keluarga, pendampingan, dan latihan mandiri, terapi penghentian pikiran, terapi otot progresif dan psikoedukasi keluarga direkomendasikan karena dapat menurunkan nyeri dan ansietas pada klien diabetes melitus, meningkatkan kemampuan pasien dan kemampuan keluarga dalam merawat nyeri dan ansietas dengan diabetes melitus.

Diabetes Mellitus patients will cause physical problems, namely acute/chronic pain, and psychological disorders (anxiety) if not treated properly. The aim of this research is to apply thought stopping therapy, progressive muscle relaxation, and family psychoeducation in the control and intervention groups. This research used an operational research design with a sample size of 38 individuals divided into 18 control groups and 22 intervention groups. The results of the Mann-Whitney analysis showed that there were differences between the control group which was given TKN, family education, assistance and independent training and the intervention group which was given TKN, family education, assistance and independent training, thought stopping therapy, progressive muscle therapy and family psychoeducation significantly (p value < 0.05). The application of TKN, family education, mentoring and independent training, thought stopping therapy, progressive muscle therapy and family psychoeducation are recommended because they can reduce pain and anxiety in clients with diabetes mellitus, increase the patient's ability and the family's ability to treat pain and anxiety with diabetes mellitus."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2024
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Nadia Yuli Pertiwi
"Penerapan Latihan Fisik Tarik Napas Dalam Dan Teknik Pukul Bantal Pada Klien Risiko Perilaku Kekerasan di Ruang Sadewa Rumah Sakit Marzoeki Mahdi Bogor Early psychosis merupakan kondisi seseorang yang baru mengalami psikosis yang ditandai dengan mendengar suara-suara, mempercayai hal-hal yang tidak dapat dipercaya serta mengalami perubahan perilaku dan emosi. Salah satu perubahan dalam perilaku dan emosi yaitu perilaku kekerasan. Perilaku kekerasan adalah tindakan mencederai diri sendiri, orang lain, ataupun lingkungan. Karya ilmiah ini melaporkan analisis masalah dan intervensi dari penerapan latihan fisik pada klien dengan risiko perilaku kekerasan. Tindakan keperawatan yang dilakukan dan paling efektif digunakan oleh klien yaitu latihan fisik. Latihan fisik yang dilakukan berupa tarik nafas dalam dan teknik pukul bantal. Tujuan dari latihan fisik yaitu klien mampu menyalurkan energi dari emosi yang dirasakan dengan cara yang tepat. Metode yang digunakan dalam karya ilmiah ini adalah analisa kasus. Evaluasi akhir dari asuhan keperawatan yang diberikan menunjukkan adanya penurunan tanda dan gejala dari risiko perilaku kekerasan.

Application of Physical Exercise by Deep-Breathing Excercise and Pillow Hit Techniques on Clients with Risk of Violent Behavior in Marzoeki Mahdi Hospital Early psychosis is a persons mental state characterized by hearing voices, behavioral and emotional changes, and trusting things that can not be trusted. One of the signs and symptoms of early psychosis is emotional change. Emotional changes include violent behavior. Violent behavior is the behavior of individuals in the form of acts of self-harm, others, and the environment. This research reporting analytical problems and application of physical excercise for patients with risk of violent behaviour. The most effective nursing interventions that used by patient is physical excercise. Physical excercise consists of deep breathing excercise and pillow-hit technique. The purpose of physical excercise is that the client is able to channel energy of anger in the right way. The method used in this work is case analysis. Final evaluation from nursing care shows a decrease in signs and symptoms of the risk of violent behavior. early psychosis, risk of violent behavior, deep-breathing excercise, pillow-hit techniques."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2019
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